Justin Fleming, DPM (Somerset, NJ), demonstrates open reduction and internal fixation of a distal fibula fracture with a titanium distal fibular locking plate, AITFL repair using the InternalBrace™ ligament augmentation procedure, and syndesmotic fixation with a Syndesmotic TightRope® implant.

The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.