Tears of the rotator cuff are a common source of pain, weakness, and loss of function of the shoulder affecting the ability to perform even the simplest of daily activities. Most commonly rotator cuff tears are degenerative in nature however acute tears are also seen with shoulder injuries. Tears of the rotator cuff can get larger over time therefore early treatment can prevent tear propagation and significant reduction in pain and weakness.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

Shoulder

Procedure

As the next evolution of knotless rotator cuff repair, the FiberTak SpeedBridge™ technique is completed with 2.6 FiberTak RC soft anchors on the medial row and FiberTape® sutures fixated laterally with trusted SwiveLock® anchors.
This knotless repair creates a quick, secure construct in as few as three suture-passing steps. The small size of the 2.6 FiberTak RC anchors allows for three points of medial-row fixation where previously only two fixation points could be achieved.
Knotless 2.6 FiberTak RC anchors are adaptable and can conform to traditional repair techniques while providing the additional benefits of tensionable knotless technology for incorporating biologics or increasing medial-row compression.

FiberTak® SpeedBridge™ Rotator Cuff Repair

The SpeedBridge double-row technique is used to repair a rotator cuff tear using a fully threaded SwiveLock® anchor combined with FiberTape® suture to create a quick and secure construct with no knots and only two suture-passing steps. The SpeedBridge double-row technique uses FiberTape suture with three times the contact area compared to a standard #2 FiberWire® suture.1 It provides a broad footprint that can be helpful for repairs to degenerative cuff tissue for which tissue pull-through may be a concern.
Reference
1. Arthrex, Inc. LA0239A. Naples, FL; 2008.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

SpeedBridge™ Double-Row Technique

Quick and secure single-row fixation can be obtained with the SpeedFix technique using knotless SwiveLock® anchor and FiberTape® suture. The FastPass SCORPION-multifire suture passer is used to pass an inverted mattress stitch in one step. The mattress stitch can then be inserted into the SwiveLock® anchor eyelet and implanted into the prepared bone socket, completing the knotless repair. The use of FiberTape suture gives 3 times the contact area compared to a standard #2 FiberWire® suture.
It provides a broad footprint which can be helpful for repairs in degenerative cuff tissue where tissue pull-through may be a concern.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

SpeedFix™ Single Row Technique

Knotless Rotator Cuff Repair

Human

Knotless rotator cuff repair gives surgeons the ability to save time and potentially eliminate the possibility of ongoing shoulder pain due to knot impingement. Arthrex offers many knotless anchor and surgical technique options that provide robust repairs with comparable fixation strength to traditional knotted techniques. The APT report - Arthrex, Inc. LA0219A. Naples, FL; 2008
Please note that certain bio (PLLA and PLDLA) anchors and screws are not available for sale in EMEA.

Secondary (C)

A transosseous equivalent SutureBridge that enhances footprint compression and may promote tendon healing-to bone can be achieved with minimal knot tying. The repair consists of a tied medial row constructed with two, fully threaded Corkscrew FT anchors, combined with knotless lateral fixation using two PushLocks or SwiveLocks. The result is a quick, secure and low profile repair with excellent contact between tendon and bone. The construct provides stability in rotation and protects a broad healing zone from synovial fluid infiltration.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

SutureBridge™ Double Row Technique

The 2.6 FiberTak soft anchors are available double- and triple-loaded with SutureTape, complemented by a guided delivery system and 2.6 mm drill or punch to help minimize bone removal. These anchors offer the benefits, clinical experience, and product support surgeons have come to appreciate from Arthrex.
The Knotless 2.6 FiberTak anchor offers a tensionable knotless mechanism, allowing suture tension to be controlled and adjusted under direct visualization.

2.6 FiberTak® Soft Anchor Technique

The family of fully threaded Corkscrew suture anchors was designed for maximum fixation strength and simple insertion. An internal drive mechanism is combined with a unique FiberWire® suture eyelet to allow for continuous threads along the entire length of the anchor. This design allows the anchor to be inserted flush with the cortical bone surface providing excellent fixation strength and stability while preventing the anchor pullback effect that can occur in conventional anchors with protruding eyelets. The internal drive configuration allows for high insertion torque and rarely requires the bone socket to be tapped. The suture eyelet self-aligns to eliminate the need for specific eyelet orientation at the tissue edge. The anchors are available double- or triple-loaded with FiberWire suture or SutureTape to provide the best possible combination for superior repair strength.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

Corkscrew® FT Technique

Knotted Rotator Cuff Repair

Arthrex offers many anchor and surgical technique options for surgeons who prefer to tie knots. Repair of the rotator cuff requires reattachment of the rotator cuff tendon to the humerus. This can be performed in a variety of ways, ranging from open to all-arthroscopic procedures and single- or double-row repair techniques.
&nbsp;
Please note that certain bio (PLLA and PLDLA) anchors and screws are not available for sale in EMEA.

The PASTA bridge technique allows for the transtendon repair of partial, articular-sided supraspinatus tendon avulsions. This technique simplifies PASTA repair, while providing a secure construct technique that enhances footprint compression to maximize contact between tendon and bone.
The technique can be performed in a knotted or knotless fashion through percutaneous transtendon anchor insertion with no arthroscopic suture passing or knot tying, creating a simple, reproducible technique.

PASTA Repair Technique

PASTA

The PASTA Bridge technique allows for the transtendon repair of partial, articular-sided supraspinatus tendon avulsions. This technique simplifies PASTA repair, while providing a secure bridging technique that enhances footprint compression to maximize contact between tendon and bone. The technique allows for percutaneous transtendon anchor insertion through a 3.25 mm incision with no arthroscopic suture passing or knot tying, creating a simple, reproducible technique.

The CuffMend system provides an efficient, simplified approach for augmenting partial- and full-thickness rotator cuff tears. The system employs the benefits of a thick ArthroFlex dermal allograft, which provides mechanical strength and supports healing.1,2&nbsp;Introduce the graft using the graft spreader and use the FiberStitch™ RC implant for medial soft-tissue fixation to the rotator cuff tendon. Use self-punching PushLock®&nbsp;anchors, spanning the graft over the tuberosity footprint, for lateral bony fixation. Implantation of the CuffMend system is designed to be completed in less than 10 minutes. Scientific literature supports the use of acellular dermal grafts as a safe and effective solution for rotator cuff augmentation.3
References
1. Ely EE, Figueroa NM, Gilot GJ. Biomechanical analysis of rotator cuff repairs with extracellular matrix graft augmentation. Orthopedics. 2014;37(9):608-614. doi:10.3928/01477447-20140825-05
2. Smith MJ, Bozynski cc, Kuroki K, Cook CR, Stoker AM, Cook JL. Comparison of biologic scaffolds for augmentation of partial rotator cuff tears in a canine model. J Shoulder Elbow Surg. 2020;29(8):1573-1583. doi:10.1016/j.jse.2019.11.028
3. Gilot GJ, Alvarez-Pinzon AM, Barcksdale L, Westerdahl D, Krill M, Peck E. Outcome of large to massive rotator cuff tears repaired with and without extracellular matrix augmentation: a prospective comparative study. Arthroscopy. 2015;31(8):1459-1465. doi:10.1016/j.arthro.2015.02.032

CuffMend™ Rotator Cuff Augmentation Technique

The Autograft Tissue Compression System is designed to create a graft using autologous tissue, such as biceps tendon. The graft can be used in various procedures, including rotator cuff augmentation and subscapularis repair.

Autograft Tissue Compression System

Biologic tuberoplasty harnesses the power of the ArthroFlex dermal allograft to provide a biologic cushion between the acromion and the tuberosity that can prevent bone-on-bone contact due to an irreparable rotator cuff tear.&nbsp;&nbsp;Self-punching tensionable knotless anchor technology allows the ArthroFlex graft to be placed in a quick, effective, and reproducible technique preventing shoulder impingement syndrome, often associated with shoulder pain.&nbsp;
ArthroFLEX® is a trademark of LifeNet Health.

Biologic Tuberoplasty Technique

The SCR technique was pioneered by Dr. Teruhisa Mihata in 2007 for patients with irreparable rotator cuff tears. In the SCR study, a 24- to 51-month follow-up on 23 patients shows outstanding outcomes in pain, ASES scores, and acromiohumeral distance measurements.1 The SCR technique reinforces the superior capsule, keeping the humeral head centered in the glenoid by attaching tissue from the glenoid to the greater tuberosity.
Reference
1. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459-470. doi:10.1016/j.arthro.2012.10.022

Superior Capsular Reconstruction (SCR) Technique

Superior Capsular Reconstruction (SCR)  

The SCR technique was pioneered by Dr. Teruhisa Mihata in 2007 for patients with irreparable rotator cuff tears. In the SCR study, a 24- to 51-month follow-up on 23 patients shows outstanding outcomes in pain, ASES scores, and acromiohumeral distance measurements.1 The SCR technique reinforces the superior capsule, keeping the humeral head reduced in the glenoid by attaching tissue from the glenoid to the greater tuberosity.
Reference
1. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459-470. doi:10.1016/j.arthro.2012.10.022