Name: FibuLock® PRO Fibular Nail: Surgical Technique Video
Uploaded: 2026-07-14T00:00:00Z
Channel: Arthrex
Description: Thomas G. Harris, MD (Pasadena, CA), demonstrates the FibuLock® PRO fibular nail system, which offers longer nails, headless cortical screws, additional fixation capabilities, and modular instrumentation.

Empleos

Human

_blank

Corporación

Quiénes somos

Eventos comunitarios

Divulgación de la cadena de suministro global

Ubicaciones

Becas

Seguridad de productos

Gestión de riesgos y cumplimiento

Patentes

Noticias

SBA Support

Ver eventos, laboratorios y oportunidades educativas

Contacte a un representante

Regístrese para recibir: ¿Qué hay de nuevo en Arthrex?

Educación médica

Descripción de cursos

Calendario de cursos

ArthroLab™ - Ubicaciones

Nuestro departamento de educación médica

OrthoPedia

Privacidad

Notificación Legal

Ethics Helpline

Ayuda

Cookie Settings

Paciente - Página principal

ACLTear.com

AnkleSprain.com

BunionPain.com

ArthrexEndoscopicSpine.com

JointPreservation.com

KneeReplacementProcedure.com

OrthoPedia Patient

ShoulderReplacement.com

TheNanoExperience.com

Shoulder

Procedure

Impulsando la innovación con los últimos productos y procedimientos tecnológicos para tratar una variedad de afecciones del hombro.

Hombro

Team Home Templated (A)

Knee

Durante más de 25 años, Arthrex ha conservado su dedicación a un objetivo simple: responder a las necesidades del cirujano ortopédico tpara que los procedimientos quirúrgicos técnicamente exigentes sean más simples, seguros y reproducibles. Como empresa privada, Arthrex tiene un compromiso sin igual con los cirujanos ortopédicos y sus pacientes. Nuestro orgullo en cuanto a la importancia de nuestra contribución para la medicina es la esencia de nuestro compromiso intransigente y único para brindar calidad en los productos, educación médica, y un servicio personalizado y competente sin igual en nuestra industria. Nuestros años de experiencia y la constante innovación en reconstrucción de rodilla se redefinen con el lanzamiento de los productos actualizados de la próxima generación en tecnología de reparación y reconstrucción de los ligamentos de la rodilla. Arthrex reconoce y agradece la opinión y la cooperación de los cirujanos de todo el mundo en la evolución del desarrollo de este nuevo enfoque global en el tratamiento de las lesiones de rodilla.

Rodilla

Elbow

Arthrex amplia variedad de productos para procedimientos artrocópicos y abiertos del codo, los que incluyen set completo de instrumentos para artroscopia de codo, un posicionador del codo, dispositivos de pasaje de la sutura, cánulas, dispositivos de fijación de tejido blando, sistemas de reconstrucción del ligamento colateral medial y del ligamento colateral lateral para lesiones articulares y traumáticas.

Codo

Hand and Wrist

Mano y muñeca

Foot and Ankle

Pie y tobillo

Cadera

Orthobiologics

Ortobiológicos

Cirugía cardiotorácica

Spine

Columna vertebral

Product

Ortobiológicos 

Imaging and Resection

Imagen y resección

Línea directa de codificación

eDFUs (Instructions for Use)

Global Enterprise Labeling System (GELS)

Unique Device Identifier (UDI)

Solicitud para exhibiciones, congresos y talleres

Rep Site

The Arthrex Surgeon App

Facebook

Instagram

LinkedIn

Youtube

Trauma Lower Extremities

Thomas G. Harris, MD (Pasadena, CA), demonstrates the FibuLock® PRO fibular nail system, which offers longer nails, headless cortical screws, additional fixation capabilities, and modular instrumentation.

Not Hidden

English  - en

video

VID1-007262-en-US | A | FibuLock® PRO Fibular Nail: Surgical Technique Video

Thomas G. Harris

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Surgical Technique Videos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

FibuLock® PRO Fibular Nail: Surgical Technique Video

Speaker  All right. So one of the first things you want to do is really delineate the surface anatomy of the fibula before you get started, because the starting point is very important in this. And so what I try to do is feel for the anterior portion of the fibula, kind of feel where the end point is of the fibula, and also the posterior aspect of the fibula as well. And I draw that out. So I'll typically go a finger breadth under the distal portion of the fibula, and again make a percutaneous longitudinal incision through the skin there. So for all these fibular fractures it is still important to get the reduction perfect. And this can be done sometimes percutaneously where we could clamp across the fracture and see what our reductions like. If it's not too displaced to begin with, a small open incision can be made. Alternatively, if we need a more displaced fracture, need that to be a little bit more reduced. But in this case we'll try the percutaneous approach with this clamp. Here. Again, we'll try to find a great starting point and be checking fluoros on both AP and lateral planes to make sure that we like the position of that. Once we're happy with the position of the guidewire, we'll open up the distal portion of the fibula with the 6.2mm guidewire. And it's very important to use the guide while you're doing this, because this not only protects the skin, but also gives you an idea of how deep this drill needs to be. Speaker  You can see there's laser lines here measuring zero three and five countersunk. So if we want to countersink this a little bit, we'll be able to do that now. And so then we use the reamer full speed going up. Check fluoro shots to make sure it's in appropriate position. And now we're going to switch and do the proximal 3.2mm reamer. And you can use the same guide if you'd like. And again now we're shooting the proximal part here. And make sure again see the laser line there all the way to the end point right there. And that's about how far you want to counter drill the proximal portion here. Once you're happy with the drilling, both proximally and distally, we'll be able to insert the nail. And again, the nail has a little bit of a bow outwards. And so you can always double check, but it should fit in nicely if needed. You can place a few gentle mallets to the distal portion of the jig. Now, if we come in the situation where we feel like we're a little too short, we want to get some added length. There's a nice technique that we can use to get some added length during this part is it has two holes that you can see. They're both medially and lateral to where your distal screw is going to be. Keep in mind that this is going into the fibula. Speaker  But not the nail. So it's right around the nail. And this is how you obtain added length. If you'd like to. So at this part in the procedure, we have distal fixation only in the fibula but not in the nail. So now to get that added length you can gently reduce it. Take a little bit of the clamp off. And now you'd want to pull length here. So I'm pulling distally to get some length. And the only thing that's going to be moving is the fibula. You take a shot, make sure you like your alignment, and then can reclamp it in a new position there to make sure that our added length has been obtained. Once you're happy with that position on fluoro, we can now advance these wires from the fibula into the talus. Now is the time you actuate the talons and this is a torque limiting step. Eventually you'll hear these talons engage and it's an audible and tactile phenomenon. There you go. You hear that? We know that. Now, you could turn this as many times as you want to. It's not going to make those talons go out any more. So I'll make a small incision in the skin. We're at a point now where we're going to drill the distal screws, and there's a nice trocar component to this, which can help impact it down into skin. And then once that's in the appropriate position, then you can drill and you can measure off of the drill here as you're drilling. Speaker  Alternatively. Hitting an end point there. Alternatively you can use the depth gauge as well. And so take off that sleeve. And this measures through here. And we can see what appropriate size screw it is. Now we'll place the two seven headless screw distally. There is a laser line that helps correspond with when that screw is flush with the lateral cortex. At this point you want to remove the two wires that are in the talus. Which makes it easier to place your distal screw. Now we make another percutaneous incision for our next screw in line and follow the steps like we did for the first screw. We got good tension there and that feels great. Now we'll apply 1 to 2 anterior to posterior screws. And again, this is color coded and size coded. You can see the L is in blue as is the left here. So this attaches snugly into the anterior aspect of the jig. Should have a nice firm end point and really lock in there nicely. Similar to the lateral to medial screws, you can place 1 or 2 anterior to posterior screws. In this case, we're deciding to place one more anterior to posterior screw in the more distal of the A to p screws. And here we have the trocar which we remove sits in there nicely snug here. These two should fit snugly together. And then we're going to do the drill from anterior to posterior. Speaker  So at this point we have three distal screws in. So now once we've locked the fibula pro distally we can now remove the anterior to posterior guide. Now you're at a position where you can take off the clamp because you have proximal and distal fixation. Part of the fibula lock pro gives us the potential to place three points of proximal fixation 123. In this particular case we're going to start with tightrope flexible fixation. So it fits through the more distal portion in terms of where it lines up nicely. Make a small incision with that. Place the guide all the way down on bone. So now once we're ready we'll drill for the tightrope. And again we're going to drill through the fibula through the nail and through the medial tibia. Often you can take a picture in this step. Make sure you're in good alignment overall. And you can also either feel the medial cortex or sometimes just take a picture to make sure that you've penetrated through the medial cortex. Now you want to take out the three guides here and then place the tightrope pro through our distal portion. The nice part now is once you find the correct hole, there comes all the way through. You can double check on fluoro if you'd like to, and then actual engage the Tightrope Pro by pulling this button. Flipping it appropriately can feel it on the medial side. We can double check a fluoro to make sure that we're down all the way. Speaker  And now a couple nice little tips on this part would be come off with that. You can actually disengage the plier. We can pull this out here. And then if you want to get really fancy, you can take off the jig completely there and then work completely like that. So the jig is no longer in your way, so we can get some tightening here. You can see that sunk down nicely. Again, do not need any knots with this. And then we can attach the jig again for our more proximal screw. I typically use an end cap for these procedures. It locks in the more distal screw and just adds a little bit more fixation to the construct. So now we're at a point where we can take off the last portion of the jig. I've put a wire in here to make it a little bit easier. And I'll hold that in place like that. And this is cannulated. So we place it over, and then we'll take fluoro shot to make sure that we're in the appropriate position. You do get a nice firm end point to when you're placing this as well as can verify with fluoro. Once we're happy with our end point there and it really has a nice firm fit there, we take that off and we would just want to get some final images at this point of both an AP and a lateral.

Clavo para peroné FibuLock®

FibuLock® PRO Fibular Nail

FibuLock® PRO Fibular Nail: Surgical Technique Video

Related Pages

Trauma Lower Extremities

Clavo para peroné FibuLock^®

Product

Foot and Ankle

FibuLock^® PRO Fibular Nail

Product

Procedimiento

Producto

Educación médica

Corporación

Recursos

Paciente

Empleos