Die knotenlosen Fadenanker eignen sich für verschiedene chirurgische Verfahren an der Schulter (z.&nbsp;B. Rotatorenmanschettenrekonstruktion) sowie für die skapholunäre Rekonstruktion und die Rekonstruktion des UCL (ulnares Seitenband). Das spezielle Design des PushLock ermöglicht es dem Operateur, die Gewebespannung intraoperativ zu regulieren. Dadurch wird eine präzise Gewebereduktion gewährleistet. Die sichere, knotenlose Fixierung ermöglicht das Einheilen des Weichgewebes mit dem umliegenden Knochen. Der Anker ist in bioresorbierbarem PLLA, BioComposite und PEEK erhältlich.

Hand and Wrist

Product

Ermöglichen eine optimale, knotenlose Gewebespannung und -fixierung. Der 2.5 mm PushLock-Fadenanker bietet bei Anwendungen an Hand und Handgelenk eine sichere, knotenlose Fixierung. Dieser zweiteilige Anker umfasst bis zu 1.3 mm SutureTape-Faden und ermöglicht eine schnelle, unkomplizierte Rekonstruktion ohne vorstehendes Material.&nbsp;
Das Öhr des 2.5 mm PushLock-Fadenankers, mit dem die Fäden am Grund eines Bohrlochs fixiert werden, besteht aus PEEK. Der PushLock ermöglicht eine präzise Gewebespannung und eine Verankerung der Fäden durch Verklemmung des lamellenartigen Anteils. Sowohl der hochfeste, röntgendurchlässige PEEK- als auch der bioresorbierbare BioComposite- (PLDLA amorphes Copolymer und beta-Tricalciumphosphat [ß-TCP]) PushLock-Anker sorgen für eine optimale, knotenlose Gewebespannung und -fixierung.

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

OP-Anleitungen

Guias de técnicas cirúrgicas

Guías de técnicas quirúrgicas

Surgical Technique Guides

2.5 mm PushLock® Knotless Suture Anchor

Steven S. Shin, MD, (Los Angeles, CA) demonstrates an open triangular fibrocartilage complex (TFCC) repair using FiberWire® sutures and a Mini PushLock® anchor. The Mini PushLock allows for a knotless, zero-profile repair down to the ulna.

video

Open TFCC Repair

A new technique, presented by Dr. Richard Howard (St. Louis, MO), describes a knotless arthroscopic repair of foveal TFCC tears through an ulnar tunnel. Using Micro SutureLassos, Fiberwire suture is passed arthroscopically through the torn TFCC. The sutures are then tensioned through an ulnar drill tunnel and the TFCC is reapproximated back to its ulnar attachment. Pushlock anchors are used to provide low profile knotless fixation of the sutures in the ulna. The final construct results in a stable knotless repair of the TFCC back to bone using a reproducible and low profile repair.

Arthroscopic Foveal Reattachment of TFCC through an Ulnar Tunnel

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

OP-Anleitung Animationen

Animações — Técnica cirúrgica

Animaciones de técnicas quirúrgicas

Surgical Technique Animations

Anchor Insertion

German (Deutsch) - de

2.5 mm PushLock®/3 mm x 8 mm Bio-Tenodese™ – Refixierung und Rekonstruktion des ulnaren Seitenbandes am Daumengrundgelenk

PushLock®-Anker

Child (D)

Die im DX SwiveLock SL-Anker enthaltene InternalBrace-Augmentations-Bandrekonstruktionstechnologie ermöglicht es selbst an Hand und Handgelenk 2 - 2.5 mm eines mit SutureTape oder LabralTape verstärkten Transplantats zu fixieren. Mit der gegabelten PEEK-Öse des DX SwiveLock SL-Ankers lässt sich das Konstrukt in einem Sackloch mit exakter Spannung knotenlos platzieren. Der SwiveLock-Anker wird zur Fixierung des Konstrukts eingeschraubt.

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

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

Thumb UCL Repair With InternalBrace™ Ligament Augmentation Procedure

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

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.

Knotenlose Fadenanker

PushLock^®-Anker

SwiveLock^®-Anker

Knotenlose Fadenanker

PushLock®-Anker

SwiveLock®-Anker

PushLock^®-Anker

SwiveLock^®-Anker