The Hand/Wrist InternalBrace Ligament Augmentation Convenience Kit incorporates SutureTape for greater strength at time zero than a traditional repair, allowing patients to begin rehab sooner and return to activity faster.1 Applications include CMC suspensionplasty, MCP volar plate capsulodesis, scapholunate reconstruction, and thumb UCL and RCL repair.
The InternalBrace Ligament Augmentation Convenience Kit contains the necessary instrumentation to perform a 2-anchor repair. For scapholunate reconstructions, an additional anchor or tenodesis screw can be used to supplement the kit.
Reference
1. Shin SS, van Eck CF, Uquillas C. Suture tape augmentation of the thumb ulnar collateral ligament repair: a biomechanical study. J Hand Surg. 2018;43(9): 868.e1–868.e6. doi:<a href="https://doi.org/10.1016/j.jhsa.2018.02.002">10.1016/j.jhsa.2018.02.002</a>.

Hand and Wrist

Product

Arthrex provides several options to repair and reconstruct the scapholunate ligament. The hand and wrist InternalBrace ligament augmentation repair system is a novel approach to combining a biologic repair with the strength from SutureTape. If a single-anchor repair is desired, Arthrex offers knotless and knotted suture anchor fixation devices with different suture and needle configurations.

The all-dorsal scapholunate reconstruction with InternalBrace™ ligament augmentation procedure allows for knotless, high-strength fixation of an extensor carpi radialis brevis (ECRB) or palmaris longus graft combined with SutureTape. This reconstruction is meant for dorsal and dorsal/central reconstructions of the scapholunate ligament.
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.

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All-Dorsal Scapholunate Reconstruction With InternalBrace™ Ligament Augmentation Repair

Sanj Kakar, MD (Rochester, MN), demonstrates the 360° scapholunate reconstruction with a volar and dorsal reconstruction option using biologic graft and synthetic SutureTape to augment the repair.
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.

360° Scapholunate Reconstruction With the InternalBrace™ Ligament Augmentation Procedure

Steven J. Lee, MD (New York, NY), demonstrates a novel dorsal reconstruction used in conjunction with SutureTape to treat dorsal and central scapholunate ligament tears. Using the InternalBrace™ ligament augmentation procedure produces secures the repair during the healing process. Dr. Lee displays the 3.5 mm x 8.5 mm SwiveLock® SL suture anchor that allows for knotless, low-profile and high-strength fixation1 during reconstructions and other soft-tissue repairs.
Reference
1. Arthrex, Inc. Data on file. LA1-00053-EN_B. Naples, FL; 2017.
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.

All-Dorsal Scapholunate Reconstruction With the InternalBrace Ligament Augmentation Procedure

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Thumb UCL Repair With InternalBrace™ Ligament Augmentation Procedure

Steven S. Shin, MD (Los Angeles, CA), presents a thumb UCL repair with the InternalBrace™ ligament augmentation procedure using the Nano SwiveLock® and DX SwiveLock SL anchors.
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.

Thumb UCL Repair With InternalBrace™ Ligament Augmentation Using the Nano and DX SwiveLock® SL Anchors

CMC APL Suspensionplasty With InternalBrace™ Ligament Augmentation

Arthrex® presents the eleventh episode of the BreakThrough™ program featuring InternalBrace™ ligament augmentation for hand and wrist surgery. The BreakThrough program is an open discussion with leading surgeons that explores how the addition of an InternalBrace ligament augmentation is changing the way that surgeons are treating their patients.
Joining host Christopher Adams, MD, are in‐studio guests, Steven J. Lee, MD, (New York, NY), Steven S. Shin, MD, (Los Angeles, CA) and Michael Garcia, MD, (Tampa, FL) who will highlight their surgeon experience, tips and pearls, and outcomes.

BreakThrough™ with Christopher Adams, MD - Episode 11: InternalBrace™ for Hand and Wrist

A list of scientific articles pertaining to a product or procedure.

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Scientific Updates

Hand and Wrist InternalBrace™ Repair Scientific Update

Hand/Wrist InternalBrace™ Ligament Augmentation Repair Convenience Kit

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Bringing InternalBrace™ ligament augmentation repair technology to the hand and wrist, the Nano SwiveLock and DX SwiveLock SL anchors accommodate SutureTape and other biologic materials. The Nano SwiveLock anchor is used for repairs of the small bones in the hand and allows incorporation of SutureTape. The DX SwiveLock SL anchor can be used for repair or reconstruction techniques with InternalBrace ligament augmentation.

Michael Garcia, MD (Tampa, FL), presents collateral ligament reconstruction with InternalBrace™ ligament augmentation fixation using two 2.5 mm × 6 mm Nano tenodesis screws and SutureTape.
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.

Collateral Ligament Reconstruction With the InternalBrace™ Ligament Augmentation Procedure

SwiveLock® Anchors

Implant System, Hand/Wrist InternalBrace Ligament Augmentation Repair Convenience Kit

Implantatekit zur Bandaugmentation, Hand/Handgelenk InternalBrace

Implant System, Hand/Wrist InternalBrace Ligament Augmentation Repair

Sistema de implante, refuerzo de ligamentos, InternalBrace