Ellenbogen

Interferenzschraubentechnik

Bei der Interferenzschraubentechnik wird das UCL (ulnares Seitenband) mithilfe einer Transplantatschlaufe, die in einzelnen Knochenkanälen im Humerus und der Ulna verankert sind, rekonstruiert. Das Transplantat wird an beiden Seiten mit Arthrex Interferenzschrauben fixiert. Es kann auch FiberWire verwendet werden, um das Transplantat für eine erhöhte Spannung mit sich selbst zu vernähen und/oder das originäre Band bei der Rekonstruktion zusätzlich zu stabilisieren.

Shoulder

Arthroplasty Shoulder

Elbow

Imaging and Resection

Not Hidden

English  - en

application/pdf

Human

A comprehensive overview of a product team’s portfolio.

Ein umfassender Überblick über das Portfolio eines Produktteams.

Kataloge

Visão geral e abrangente do portfólio de produtos de cada segmento.

Catálogos

Descripción general y completa sobre la cartera de productos de cada segmento. 

Catalogs

Shoulder and Elbow - Next Generation in Repair and Reconstruction 2024

French (Français) - fr

A document containing information about Arthrex products and product lines.

Ein Dokument mit Informationen über Arthrex Produkte und Produktlinien.

Broschüren

Documento contendo informações sobre produtos e linhas de produtos da Arthrex.

Brochuras

Documento que contiene información sobre los productos y líneas de productos de Arthrex.

Folletos

Brochures

Epaule & Coude

Augustus Mazzocca, MD, (Farmington, CT) discusses the diagnosis and treatment options for ulnar collateral ligament and lateral ulnar collateral ligament injuries. Available instrumentation and biologic graft augmentation allow precise transosseous tunnel formation for optimal patient outcomes.

video

Presentation Videos

UCL/LUCL Reconstruction with and without Biologic Augmentation

So briefly, the UCL off the anterior aspect of the medial epicondyle anterior is important when you drill that tunnel. They have a special guide for that. And then to the sublime tubercle basic physical exam, the milking maneuver by O'Brien. Really what you want to do is you want to stabilize that humerus and external rotation and really feel with your fingers the UCL as it goes through flexion and extension. And then obviously the moving valgus stress test by O'Driscoll, where you get a more of a dynamic feel for what's going on, trying to keep your fingers in the area of the UCL. You for imaging, although this is not the synequanon of of how to diagnose it. Obviously that's on physical exam in history. But you can see with the arthrogram the T sign nonsurgical rest anti-inflammatories. This is the UCL set. And any time you're going to be doing something where you need to drill converging tunnels to pass a graft, this is the set that you're going to want to have. This is just the approach to UCL. That doctor goes obviously over the epicondyle, making sure you have skin above and below, so you have plenty of room these videos that aren't running now, but we're running in the pre-op pre area show that this is a muscle splitting approach. There's not much controversy, but there's kind of two camps on whether you move the ulnar nerve or whether you keep the ulnar nerve based on where you're going to drill your tunnel, and then you split longitudinally on the video to the right the UCL to examine it. There's an ulnar offset guide, which there's been some articles on not doing kind of bone tunnels, but using kind of a tension slide technique to fix your UCL on the ulnar side. Jackson and Kyle Anderson just published an article in Jscs showing that the bone tunnels seemed superior to tension slide technique for strength and stiffness, but for some people this may be a good technique. This ulnar V guide I think is fabulous, and I was not trained either by Jimmy Andrews or at Kerlan-jobe, so I always had a certain amount of anxiety doing these UCL reconstructions. Somehow I was inferior. Doctor Bradley, of course, made me feel that way. And but by designing this set, you are set free now. So this is a very straightforward if you know the anatomy, then you absolutely can do a fabulous job. And it really is very a very successful system. They have both a 55 degree base if you want to have a 6.5mm bone bridge or 70 degree with an with an eight millimeter bone bridge. Whatever you want. They accommodate a 3.5 and four. There's a special operator that goes in so you don't mess up or drill outside of it. It really is fabulous. They have these SutureLasso wire skids where you can easily pin pass your wires. There's not a lot of fussing around trying to make sure that those tunnels connect, trying to make sure that they're wide enough to bring your graft through, or having your grass kind of cheese grater or get hung up. All of that's been eliminated. The humeral socket drill guide, like we said, coming off the anterior aspect of the medial epicondyle, 4.5 or 5, depending on how large your patient is or how big a tunnel you want, will form a 15 millimeter socket. And this is just us. I put my thumb and index finger around and drill up. Very straightforward, very easy to use. Then you put your guide in there, and then you go anterior and posterior for your docking technique. And that's kind of what I do clinically. This is this is just showing you the adjustable humeral guide. You can really adjust this wherever you want to be, wherever you feel safe, or wherever you think those. Tunnels. Are. Very, very straightforward. This is just showing the same thing where you're trying to put your sutures through those small tunnels up approximately to tie over a bone bridge. Sucking that docking technique in. You can see us bringing that into the sutures over that bone bridge, keeping it nice and tight, and then obviously sewing those two limbs together to increase the stiffness. Post-op splint and supination at 30 degrees for a week. Then we have an unloading brace. 0 to 45, 2 to 4. This is all off the Kerlan-jobe camp. That's the camp that I aspire to. Full range of motion after week six. Sometimes that can be a little delayed, but not to worry. There's a variability with that light grip. Immediately try to avoid all valgus stress for four months, and then between the next six months to a year, you start them on a slow throwing program for I've actually used this more often is from the lateral side. So terrible triad or chronically unstable or posterolaterally unstable elbows. Same type of system really. You're trying to do the same thing we do on the medial side or the ulnar side laterally. And that all comes to trying to drill those ulnar tunnels at the cristae in an anatomical sense, and then being able to pass that graft through those tunnels easily and effectively, and then up into the lateral epicondyle, this is the system we use. Just same kind of thing. Humeral prep on the lateral side is the same as what it is on the medial side as far as the docking procedure. And this becomes a very straightforward maneuver where you can really reconstruct laterally as as easily as you can do medially, then going way out of the of the box once again. Sternoclavicular joint. Another area of anxiety for me. This is a submariner. We have a naval base there in Groton, Connecticut who fell down the hatch. And you can see how this AC joint is popping up. And believe you me, I tried every non-operative thing to do to this guy, not to take him to the operating room. But when we got in there, what we were able to do is just kind of go right over that sternoclavicular joint. That's our incision. We did have a thoracic surgeon in there with us. So. Then you can see right here is the sternoclavicular joint. So this is the manubrium or the sternum. This is the clavicle. Just staying on bone. And then that is the unstable joint with this meniscal homolog right on the inside of it. Can we use that Eleanor Jewell guide to make the confluent tunnels on the sternum? Very straightforward because that's all you're doing. And then what we did was we drilled on the clavicle side about a centimeter from the edge of the joint and just pulled the sutures through and did kind of that same X type pattern that Jed Coon has talked about. A lot of other surgeons have demonstrated biomechanically. I was going to augment this to increase the stiffness with some interference screws. However, I was advised that in this area you don't want any kind of non-biological area, you don't want anything migrating into the chest. So we just left it and sewed it together. This elbow set really takes the pain and concern out of both ulnar collateral and lateral ulnar collateral ligament reconstructions, and it does give you good control when you're trying to drill confluent tunnels in other areas of the body. So thank you very much for having me.

A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

Eine schrittweise Demonstration, wie ein Produkt in einer Operationsanleitung verwendet werden würde (oder könnte).

Operationsanleitungen

Demonstração passo a passo de como um produto seria utilizado em uma técnica cirúrgica.

Guias de técnicas cirúrgicas

Demostración paso a paso de cómo se utilizaría un producto en una técnica quirúrgica.

Guías de técnicas quirúrgicas

Surgical Technique Guides

Reconstruction of the Ulnar Collateral Ligament Elbow with Bio-Tenodesis™ System

German (Deutsch) - de

Rekonstruktion des Ligamentum collaterale ulnare des Ellenbogens mit dem Bio-Tenodesen-System von Arthrex

Tenodesis Screw, BioComposite, 4.75 x 15 mm

BioComposite-Tenodesis Schraube 4.75 x 15.0 mm, steril, IM

BioComposite-Tenodesis Screw 4.75 x 15 mm

Tornillo Tenodesis de BioComposite, Ø 4.75 mm x 15 mm

Tenodesis Screw, BioComposite, 5.5 x 15 mm

BioComposite-Tenodesis Schraube 5.5 x 15.0 mm, steril, IM

Tornillo Tenodesis de BioComposite, Ø 5.5 mm x 15 mm

Bio-Tenodesis Screw, 5.5 mm x 15 mm

Bio-Tenodesis Schraube, 5.5 x 15 mm, steril, IM

Tornillo Bio-Tenodesis, Ø 5.5 mm x 15 mm

Tenodesis Screw, PEEK, Vented, 4.75 x 15 mm

PEEK Tenodesis Schraube, 4.75 x 15.0 mm, steril, IM

Tornillo Tenodesis de PEEK, Ø 4.75 mm x 15 mm

Parafuso de PEEK com orifícios para tenodese, 4,75 x 15mm

Tenodesis Screw, PEEK, 5.5 mm x 8 mm

PEEK Tenodesis Schraube, 5.5 x 8.0 mm, steril, IM

Tornillo Tenodesis de PEEK, Ø 5.5 mm x 8 mm

Parafuso de interferência em PEEK, 5,5 x 8mm

Tenodesis Screw, PEEK, 5.5 mm x 10 mm

PEEK Tenodesis Schraube, 5.5 x 10.0 mm, steril, IM

Tornillo Tenodesis de PEEK, Ø 5.5 mm x 10 mm

Parafuso de interferência em PEEK, 5,5 x 10mm

Tenodesis Screw, PEEK, 5.5 mm x 12 mm

PEEK Tenodesis Schraube, 5.5 x 12.0 mm, steril, IM

Tornillo Tenodesis de PEEK, Ø 5.5 mm x 12 mm

Parafuso de interferência em PEEK, 5,5 x 12mm

Tenodesis Screw, PEEK, Vented, 5.5 x 15 mm

PEEK Tenodesis Schraube, 5.5 x 15.0 mm, steril, IM

Tornillo Tenodesis de PEEK, Ø 5.5 mm x 15 mm

Parafuso de PEEK com orifícios para tenodese, 5,5 x 15mm

Parafuso PEEK orifício tenodese 5,5x15mm

Disposable Instruments Kit for Bio-Tenodesis Screw

Disposables Kit for 3 x 8 mm Bio-Tenodesis

Bio-Tenodesis Verbrauchskit für 3.0 mm Bio-Tenodesis Schraube, steril,SU

Kit de piezas desechables Bio-Tenodesis, Ø 3 mm x 8 mm

Kit de descartáveis Bio-Tenodesis, 3 mm x 8 mm

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

#2 FiberLoop Suture, 20" (Blue) w/Straight Needle

FiberLoop #2, Geflochtener Polyblend Faden,Blau,mit gerader Nadel,steril, VE12

FiberLoop #2 , 40'' (101,6cm), 20'' Working Length, Braided PolyblendSuture, Blue, Looped, with straight Needle

FiberLoop #2, sutura Polyblend trenz. 101.6 cm, con lazo,long. de uso50

#2 FIBERLOOP WITH NITINOL GRAFTING NEEDLE

Sutura de polimistura entrançada FiberLo

Bio-Tenodesis Tap, 4.75 mm x 15 mm

Bio-Tenodesis Gewindeschneider, für 4.75 mm Bio-Tenodesis Schraube

Terraja para tornillo Bio-Tenodesis, Ø 4.75 mm x 15 mm

Bio-Tenodesis Gewindeschneider für 5.5 mm Bio-Tenodesis Schraube

Terraja para tornillo Bio-Tenodesis, Ø 5.5 mm x 15 mm

Interferenzschraubentechnik

Educational Resources and Products

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Videos

Documents

Languages

Broschüren (1)

Epaule & Coude

Kataloge (1)

Shoulder and Elbow - Next Generation in Repair and Reconstruction 2024

Operationsanleitungen (2)

Reconstruction of the Ulnar Collateral Ligament Elbow with Bio-Tenodesis™ System

Rekonstruktion des Ligamentum collaterale ulnare des Ellenbogens mit dem Bio-Tenodesen-System von Arthrex

Presentation Videos (1)

UCL/LUCL Reconstruction with and without Biologic Augmentation

Related Products (1)

AR-1675S

Implantate (8)

AR-1547BC

AR-1555BC

AR-1555B

AR-1547PS

AR-1655PS

AR-1655PS-10

AR-1655PS-12

AR-1555PS

Verbrauchsmaterial (5)

AR-1676DS

AR-1530DS

AR-7209SN

AR-7234

AR-1250SB

Optionales Zubehör (2)

AR-1547T

AR-1555T