Knot Tying

After an acute glenohumeral dislocation, the glenoid labrum and the ligaments attached to it may avulse from their bony attachments. Alternatively, in cases of chronic instability/MDI, the labrum and surrounding ligaments may be stretched to the point where they no longer support the glenohumeral joint. SLAP tears resulting in chronic pain and dysfunction, particularly in athletes, can also be addressed through arthroscopic labral surgery. In any scenario, the labrum/ligaments can be secured back to their attachments (either glenoid or humerus) by a series of sutures/suture anchors (knot-tying or knotless) resulting in normal shoulder function.

Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

FingerShield

TheFingerShield is a woven polyester sleeve with an embedded radiopaque bluemarker designed to reduce pressure induced lacerations to the digits of thehand caused by repetitive knot tying during surgery. They slip right oversterile gloves when needed. The tips are left open to allow pinch grasp ofsuture strands, while still protecting the IP joint area of each digit. Thesoft, finger-conforming weave will stand up to repetitive hand tying during acase without constraining the fingers. Suture slides over the FingerShieldsmoothly and effortlessly.

Knot Pushers

Arthrex offers several options:TheSingle-Hole Knot Pusher provides a simple method to advance sliding knots andhalf-hitches.This closed end knot pusher has a modified handle thatprovides an ergonomic feel. The distal tip has also been modified for easieradvancement of slipknots and half-hitches.The 6th finger was designed to tie the surgeon's knots and allows the surgeon to apply and maintain tension to the first throw while advancing subsequent throws.The CrabClaw incorporates an opening jaw to allow intraarticular capture of suture.