FiberSnare, #2 FiberWire, 26", (green), stiffened w/Closed Loop 12"

FiberWire #2, Geflochtener Polyblend Faden, mit Schlaufe und 30.0 cm versteiftem Ende

FiberWire #2, Braided Polyblend Suture, with Closed Loop

FiberWire de calibre #2, hilo de sutura de Polyblendtrenzado, con lazo

Finished Product

AR-7209SN

Human

Shoulder

Product

FiberSnare®&nbsp;is a #2 FiberWire®&nbsp;with a small loop on one end while the opposite end is stiffened 12 inches. This provides an easy one step approach to creating a FiberWire loop on the tip of the Bio-Tenodesis Driver. Instead of using a nitinol wire, insert the stiff non-looped end retrograde through the tip of the Bio-Tenodesis Screwdriver. Place the tip of the tendon or tendon graft into the FiberWire loop and cinch the other end around the suture cleat on the back end of the blue Tear Drop Handle.&nbsp;

FiberSnare®

Child (D)

FiberWire® is available in size 2 with multiple needle options.

Suture Size 2

Knee

Procedure

Once the minimally invasive or open incision is made and proper soft-tissue windows are established, use the fibular, tibial, and/or femoral collateral marking hooks for anatomic precision and osseous measurements when drilling the appropriate reconstruction tunnels. Using the femoral collateral marking hook with the parallel drill guide will increase anatomic femoral drilling efficiency by significantly reducing convergent tunnels and allowing for accurate guide pin placement at multiple incremental distances. During tunnel creation, use the spooned ends of the collateral ligament retractor to retract the neurovascular structures and the collateral ligament rasp to chamfer the aperture of the completed reconstruction tunnels. Then use FiberWire® or FiberStick™ suture to pass the prepared grafts and tension to the desired position prior to graft fixation.

Anatomic Collateral Ligament Reconstruction

The Bio-Tenodesis™ Screw System, which includes the <a href="https://www.arthrex.com/shoulder/tenodesis-screws" title="Tenodesis Screw™">Tenodesis Screw™</a>, was designed specifically for the reattachment of ligament and tendon soft tissue to bone. The Bio-Tenodesis Driver facilitates accurate graft tensioning into a bony socket in a simple “push-in” method. The interference fit provided by the Tenodesis Screw and FiberWire virtually eliminates graft separation from the bone. The strength of the repair achieved with the system allows patients to generally begin postoperative rehab earlier than previously permitted. The Bio-Tenodesis Screws are composed of PLLA and are available in numerous sizes to fit all applications. There are also titanium and PEEK Tenodesis Screws available for use with the system, if desired. The system is ideal for the reattachment of soft tissue to bone in upper extremity procedures including rotator cuff repairs, proximal/distal biceps tenodesis andacromioclavicular joint reconstruction.

Bio-Tenodesis Master Set

Tenodesis Screw Instrumentation Set

Bio-Tenodesis Instrumentation Set, master set

The Double Bone Plug technique for meniscal tear/deficiency utilizes bone plugs that can either be prepared freehand or by using a coring reamer. The freehand technique is performed using rongeurs and a high speed burr. For detailed information about this technique and/or Arthrex products utilized in this technique, visit the educational resources tab or products tab below. The double bone plug technique for meniscal allograft reconstruction provides a method for implanting the meniscal allograft medially with rigid fixation at both horn attachments. It has been demonstrated that bony fixation and bony healing at the attachment site allows for the maintenance of functional hoop stress by the meniscal allograft.

Double Bone Plug Meniscal Transplant

Elbow

The Interference Screw Technique reconstructs the UCL by using a looped graft anchored into single bone tunnels in the humerus and ulna. The graft is then secured with Arthrex Interference Screws on both sides. FiberWire can also be used for suturing the graft to itself for increased tension and/or original ligament repair for added stabilization.

Interference Screw Technique

FiberLoop® and TigerLoop™ sutures are a continuous loop of FiberWire® suture with multiple needle options. The needles are easy to handle and move freely on the suture to recenter themselves after passing through tissue and facilitating even tension. Graft preparation using the SpeedWhip™ technique drastically reduces time spent preparing the graft, uniformly compresses the graft, improves strength,1 and allows for last minute adjustments in graft length.
&nbsp;
The SpeedWhip rip-stop technique eliminates the weak link in graft preparation by reinforcing the suture/tissue interface with a FiberTag® scaffold. A FiberTag suture is incorporated into the end of the FiberLoop construct to allow each needle pass to include both the graft and the FiberTag scaffold. This construct has been shown to increase the strength over standard stitching alone.1
&nbsp;1. Arthrex, Inc. LA1-00005-EN_A. Naples, FL; 2015.&nbsp;

Looped Suture With Needles

The streamlined PCL ToolBox contains all the necessary instruments for performing a variety of modern PCL reconstruction techniques. The set includes the RetroConstruction™ Drill Guide System with drill sleeves for use with the FlipCutter® reamer, RetroDrill® reamer, and standard 2.4 mm guide pins.
 
 
Femoral and tibial RetroConstruction marking hooks allow safe, reproducible placement of pins and drills into the anatomic footprints. Also included in the set are double-bundle femoral drill guides, curved instruments for tibial preparation, a knee obturator for safe and easy posterior portal placement, tunnel plugs, drills, screwdrivers, notchers, and other accessories. This toolbox facilitates standard transtibial PCL reconstruction as well as modern techniques such as the arthroscopic inlay and GraftLink® all-inside PCL technique.

PCL ToolBox

Tenodesis Screws™&nbsp;may be used in conjunction with #2 or 2-0 FiberWire®&nbsp;to facilitate intraoperative tissue tensioning and fixation in a predrilled socket. The predrilled socket minimizes incision length, dissection, and overall morbidity. BioComposite, PLLA, vented PEEK or titanium Tenodesis Screw insertion provides superior and immediate fixation for foot and ankle indications such as Achilles repair, FDL, FHL tendon transfers and lateral ligament stabilization. The system can also be used for applications in the hand and elbow (UCL, LRTI, distal biceps), shoulder (rotator cuff repair, proximal biceps), as well as collateral ligament repair, reconstruction and secondary graft or suture fixation for ACL, PCL reconstruction. This construct allows for direct tendon-to-bone healing, without hardware prominence. &nbsp;
The Tenodesis Screws are part of the Bio-Tenodesis Screw System which eliminates transosseous tunnels in tendon repairs and ligament reconstructions by simplifying tissue fixation in a bone socket while maintaining tension of the tissue throughout fixation.&nbsp; A specially designed, retracting screwdriver with extended tip tensions the graft near the base of the socket while a unique outer sleeve delivers the Tenodesis Screw as the extended driver retracts. This technique is ideally applicable for biceps tendon and collateral ligament repairs. The graft passing sutures through the screw cannulation can be used to provide backup fixation by incorporating anti-slippage mulberry knots at the distal end of the screw. The suture ends can be tied over the screw at the completion of the procedure as additional backup fixation, if desired.

Tenodesis Screw™

Tenodesis Screws™ may be used in conjunction with #2 or 2-0 FiberWire® to facilitate intraoperative tissue tensioning and fixation in a predrilled socket. The predrilled socket minimizes incision length, dissection, and overall morbidity. BioComposite, PLLA, vented PEEK or titanium Tenodesis Screw insertion provides superior and immediate fixation for foot and ankle indications such as Achilles repair, FDL, FHL tendon transfers and lateral ligament stabilization. The system can also be used for applications in the hand and elbow (UCL, LRTI, distal biceps), shoulder (rotator cuff repair, proximal biceps), as well as collateral ligament repair, reconstruction and secondary graft or suture fixation for ACL, PCL reconstruction. This construct allows for direct tendon-to-bone healing, without hardware prominence. 

The Tenodesis Screws are part of the Bio-Tenodesis Screw System which eliminates transosseous tunnels in tendon repairs and ligament reconstructions by simplifying tissue fixation in a bone socket while maintaining tension of the tissue throughout fixation. A specially designed, retracting screw driver with extended tip tensions the graft near the base of the socket while a unique outer sleeve delivers the Tenodesis Screw as the extended driver retracts. This technique is ideally applicable for biceps tendon and collateral ligament repairs. The graft passing sutures through the screw cannulation can be used to provide backup fixation by incorporating anti-slippage mulberry knots at the distal end of the screw. The suture ends can be tied over the screw at the completion of the procedure as additional backup fixation, if desired.

The Bio-Tenodesis Screw System was designed specifically for the reattachment of soft tissue, both ligament and tendon, to bone. The Bio-Tenodesis Driver facilitates accurate graft tensioning into a bony socket in a simple “push-in” method. The interference fit provided by the Tenodesis Screw and FiberWire virtually eliminates graft separation from the bone. Because of the strength of the repair achieved with the system, patients are generally allowed to begin postoperative rehab earlier than previously permitted. The Bio-Tenodesis Screws are composed of PLLA and are available in numerous sizes to fit all applications. There are also titanium and PEEK Tenodesis Screws available for use with the system, if desired. The system is ideal for the reattachment of soft tissue to bone in proximal/distal biceps tenodesis.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

FiberSnare, #2 FiberWire, 26", (green), stiffened w/Closed Loop 12"

AR-7209SN

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