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DX Knotless FiberTak®

Der DX Knotless FiberTak®-Fadenanker verbindet die Vorteile von All-Suture-Ankern mit einer knotenlosen Weichteilfixierung. Ein spannbarer Fadenverschlussmechanismus ermöglicht die Dosierung der Nahtspannung unter direkter Darstellung und die Verbindung von Ankern zur Nutzung von Bridging-Techniken. Dieser Anker eignet sich ideal für Bereiche, in denen eine minimale Knochenabtragung und eine knotenlose Fixierung gewünscht sind.

Foot and Ankle

Norman E. Waldrop III, MD (Birmingham, AL), shares his thoughts on knotless ankle instability repair using InternalBrace™ ligament augmentation repair and DX Knotless FiberTak® 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.

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Brief video clips showcasing the value Arthrex delivers through real user experiences.

Erfahrungsberichte

Pequenos videoclipes mostrando o valor que a Arthrex oferece por meio de experiências reais de usuários.

Testemunhos

Breves videos que muestran el valor que ofrece Arthrex a través de experiencias de usuarios reales.

Testimonios

Testimonials

Knotless Ankle Instability Repair Using the InternalBrace™ Technique and DX Knotless FiberTak® Anchors

One of the issues that has historically been a problem is not stacking when repairing the lateral ligaments for a patient. So when doing a rostrum, that's an area that's subcutaneous. And oftentimes you can feel the not stack. And that has been a problem for years and years and years and years. Well, the knotless construct solves that problem between the knotless fiber tack and the internal brace. For example, when we fix the atfl, we can watch the tissue suck right down to the bone. It allows us to tension it tight and get it where we want. And we don't have the worry of a knot, stack or or any other prominence that a pretty game changing construct to be able to treat patients with.

This animation demonstrates an all-knotless Brostrom repair using the DX Knotless FiberTak® anchor and InternalBrace™ ligament augmentation technique, highlighting the steps necessary for insertion and fixation.
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.

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

Surgical Technique Animations

InternalBrace™ Repair With DX Knotless FiberTak® Anchors

When using the DD Nautilus FiberTak for ArthroBrostrom repair. The incision is made on the outside of the ankle over the torn ligament. Place the slotted guide on the bone and drill using the 1.8mm K-wires. Drill and cycle the drill. Keeping the guide in place and stable, insert the knotless FiberTak with gentle mallet until the inserter is flush with the guide. Undo the rubber O ring and remove the suture and needles from the inserter handle, and then remove the inserter and guide. Separate out the shuttle stitches from the blue working stitch, ensuring there are not any tangles or knots. Gently pull back on the blue working stitch, but only to make sure it is engaged in the bone. Do not fully set the anchor. Repeat the steps for the second anchor location. Introduce the seven millimeters talus offset guide into the sinus tarsi and flush against the talus. Drill with a 3.4mm drill bit It and then tap with the 4.75mm tap. Leaving the guide in place. Insert the 4.75mm SwiveLock into the talus. Remove the inserter and the guide. Pass the needle from the blue working stitch from the knotless FiberTak through the ligament in a mattress fashion. Once the suture is passed, cut the needle off at the purple marking on the suture closest to the needle. Double over the blue working stitch through the loop end of the shuttling. Stitch at the purple marking and pinch and hold the sutures. Pull axially on the tape end of the shuttling. Stitch in line with the anchor, using short jigs until the blue working suture and shuttle loop are converted through the anchor. Place the foot in the desired position and continue to pull gently in an axial motion until the desired tension is met. Cut the suture and repeat for the second anchor. Place the drill guide for the 3.4mm. Drill on the fibula between the dx knotless FiberTaks and drill. Then tap using the 3.5mm. Tap. Remove the tap and guide. Load the FiberTape for the internal brace in the 3.5mm. Swivel lock and place the eyelet at the fibular hole. Pulling the FiberTape taut. Use a marking pen to mark the FiberTape tail even with the laser marking on the inserter. Then pull the eyelet back on the FiberTape to the mark. Insert the 3.5mm swivel lock and then cut the FiberTape flush to bone and the all knotless ligament repair is complete.

Richard J. de Asla, MD (Naples, FL), demonstrates an all-knotless lateral ankle instability live surgical procedure using DX Knotless FiberTak® anchors for the Brostrom repair and the InternalBrace™ 2.0 ligament augmentation repair system.&nbsp;
 
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.

Surgeons presenting one or more clinical cases

Chirurg:innen präsentieren einen oder mehrere klinische Fälle

Videos von Fallpräsentationen

Cirurgiões que apresentam um ou mais casos clínicos.

Vídeos apresentações de casos

Cirujanos que presentan uno o más casos clínicos.

Video presentaciones de casos

Case Presentation Videos

Knotless Brostrom Lateral Ankle Repair With InternalBrace™ Repair and DX Knotless FiberTak® Anchors

We are here today to fix the anterior talofibular ligament using the all knotless lateral ankle instability system. For this case, we use the InternalBrace ligament augmentation procedure and Knotless FiberTaks. The system is a great option for patients with chronic ankle instability or lateral ankle laxity. Preoperatively. The patient has complained about ankle instability on physical exam. She demonstrated laxity on anterior drawer test. As you can see in the preoperative MRI, the imaging demonstrates injury to the atfl consistent with the patient's complaints. So without further ado, let's get in there. I positioned the patient in the supine position. And patients without perineal pathology, I prefer to make an incision anterior to the lateral malleolus. Initial dissection is through skin and subcutaneous tissue. And in patients with painful ankles. First scope the ankle joint looking for evidence of osteochondral lesions, loose bodies, or impinging lesions. In patients without perineal pathology. I prefer to make an incision anterior to the lateral malleolus. Initial dissection is through skin and subcutaneous tissue. The inferior extensor retinaculum is then mobilized for later repair. Drill the K-wires with a targeting sleeve in the guide into non-articular area of talus, and drill back into the body and parallel to the bottom of the foot. Confirm with fluoroscopy that your K-wires is in the correct position, both medial lateral and anterior posterior. Preparation of the talus is performed with a 3.4mm cannulated drill and a 4.75mm cannulated tap. Remove the K-wires and then gently mallet the 4.75mm SwiveLock through the guide until the anchor body is on bone, and then hold the paddle and turn the driver handle to lock in the collagen coated FiberTape into the talus. When the line in the window of the inserter meets the line on the outside of the inserter, the anchor is two millimeters countersunk in the talus. Place the FiberTape to the side and move your attention to preparing the fibula. Prep the fibula for the DX Knotless FiberTak. Anchors for a primary repair of the atfl. Drill one centimeter from the distal tip of the fibula with a 1.8mm K-wires. Implant the DX Knotless FiberTak. Anchor with gentle malleting until the driver is flush with the slotted drill guide. Do not advance the guide any further with the mallet as it could compromise the cortex. Unload the anchor driver and drill. Do not set the anchor. Repeat the steps for the second DX. Knotless FiberTak. Anchor 1 to 1.5 centimeters above and anterior to the first dx Knotless FiberTak anchor. Again, not setting the anchor in the center of the two broström anchors, but slightly more lateral than the anchors. Use a 3.4mm drill. Prepare for the 3.5mm. Biocomposite SwiveLock. Pass the needles from the DX Knotless FiberTak through the atfl in a mattress fashion and cut the needle off at the first purple marking closest to the needle, past the end of the working blue suture through the loop end of the shuttle white black suture and double it over at the second purple marking. Pinch and hold, then pull the tape end of the white black shuttling suture actually, and in line with the drill tunnel of the knotless FiberTak until tension is felt. Then use short, quick jigs to shuttle the stitch through the anchor. Make sure the foot is in the desired position, neutral dorsiflexion and maximum eversion, and then pull the knotless tension technology until the desired tension is met. Cut the sutures flush to set the position of the FiberTape. Place the foot in neutral or slight plantar flexion and mark the bottom laser line on the collagen coated FiberTape. Pull the eyelet back to the inside of the mark on the FiberTape and implant the 3.5mm SwiveLock, completing the InternalBrace ligament. Augmentation. Cut the remaining FiberTape. The inferior retinaculum is finally mobilized and sewn over the repair. As you saw in there, the DH Knotless FiberTaks, combined with the InternalBrace ligament augmentation procedure is perfect for surgeons who treat lateral ankle instability with an all knotless system. It's my preferred choice of fixation for all primary lateral ankle instability cases. This proven system gives me confidence to help my patients get back to life quicker, and I can confidently start the patient in accelerated rehabilitation much sooner with this method than previous methods. My post-op protocol is as follows. The patient is splinted for two weeks non-weight bearing at two weeks. The sutures are removed and the patient is made weight bearing and a protective boot at four weeks. The patient starts physical therapy and at six weeks we transition from a boot to an ankle brace. Thank you very much.

Trauma Lower Extremities

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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

Foot and Ankle: Next Generation in Foot and Ankle Technology 2023

Orthobiologics

Trauma Upper Extremities

Newsletters featuring technical pearls tailored to surgeon audiences.

Chirurgen-Newsletter

Boletins informativos com novidades técnicas personalizadas para o público de cirurgiões.

Boletins para cirurgiões

Boletines informativos con información técnica adaptada al público cirujano.

Boletines para cirujanos

Surgeon Newsletters

Arthrex Presents: Breakthroughs in Foot and Ankle Technology Winter 2022

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.

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