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Arthrex ofrece una amplia variedad de suturas con agujas, incluidas SutureTape, FiberWire®, TigerWire® y la sutura FiberWire n. 2.
SutureTape es una sutura trenzada plana más resistente a la tracción del tejido,1 que ofrece un manejo mejorado y una mayor seguridad del nudo1 con pilas de nudos más pequeñas y comparables.
Las suturas FiberWire y TigerWire son opciones de alta resistencia disponibles en implantes y envasadas por separado con y sin agujas. La sutura FiberWire está compuesta por un núcleo de polietileno de ultraalto peso molecular multihebra y de cadena larga con una camisa trenzada de poliéster y polietileno de ultraalto peso molecular que proporciona resistencia, resistencia a la abrasión y suavidad al tacto. La sutura FiberWire es azul y la sutura TigerWire es blanca con una raya negra en la sutura para una fácil identificación.
La sutura FiberWire n.° 2 en agujas rectas viene en dos opciones de agujas: una sola aguja unida a 38 pulgadas de sutura FiberWire n.° 2 o dos agujas unidas cada una a un extremo de 38 pulgadas de sutura FiberWire n.° 2. Son ideales para crear una variedad de patrones de puntadas de bloqueo para avulsiones de tendones grandes, como el cuádriceps, el rotuliano, el pectoral o el de Aquiles.
Referencia
1. Arthrex, Inc. LA1-00038-EN_B. Naples, FL; 2017.

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Knee: Next Generation in Repair and Reconstruction

The Anterolateral Ligament Reconstruction (ALL) is aimed at augmenting rotational stability in the ACL reconstructed knee.

Anterolateral Ligament Reconstruction

J. Lee Pace, MD (Plano, TX), presents multiple techniques as well as tips and pearls for soft-tissue graft preparation using SutureTape.

video

Soft-Tissue Graft Suturing With SutureTape: Technique and Pearls

We are going to demonstrate today some different soft tissue reconstruction graft suturing techniques for various applications collateral ligament reconstruction, patellofemoral, you name it. And we want to demonstrate this with some new suture options that are available. What we've got up here is we have a 1.3mm SutureTape FiberLoop in blue white or black white, as well as a 0.9mm SutureTape FiberLoop in blue white. The first technique that I want to show is the SpeedWhip technique. And I'm going to use the 0.9mm SutureTape FiberLoop. And this is a very good technique for patellofemoral graft preparation when you have a small ended graft. It's low profile. It doesn't mummify the tissue and does not add extra bulk to your graft. Here's the technique. I'm going to take the looped end of the suture, bring it over the graft, and then as far as length, anywhere from 1.5 to 2cm will be good for a patellofemoral graft. That's about the length that's going to go into a patellar socket, for example. So this is going to be probably 4 or 5 throws. So pass the needle down through pull it tight and then just repeat bring this back. Pass it a little bit off center. So it's not in the same tissue plane as the previous throw. One more pass. Kind of like right here towards the end. Pull this in. And then if we want to we can do like a little locking stitch and where we can pass just behind this last stitch to kind of almost get like a little Mason Allen type rip stop. And so now you can see we have a very low profile SpeedWhip on the end of this graft. In fact, it's so low profile you can hardly even see the suture. So you've got plenty of collagen to heal into a socket into a bone socket here. And then if need be, you can always volatize this end a little bit more. But this, as is, should be great to fit into a reconstruction socket. So what we have now is we have several different options here that we want to go over for a single stranded graft, prep for a locking Krakow or a baseball stitch, etc.. So we have several different 1.3mm SutureTape options. Here we have these diamond point needles of varying size here and here we have different curved needles Also, as you can see, of varying size as well as 0.9mm. Suturetape single strands with two needles on the end. One thing to point out here is this new color here. This is a new product with black and white colors to it. This is really good. It stands out in a complex surgical field to be easily identified. So the first thing we're going to demonstrate with this straight diamond tip needle is going to be a double limbed locking Krakow. So we're going to start here. And we're going to pass each limb from this point out to the end. We can start, you know, do about 2 to 2.5 centimeters here. We can place one end and just kind of even them out like that. Pass one off to the side. And then through. And then just as you would create a lock. Like so. You can see these diamond tipped needles are really sharp and they just really pass through the tissue very, very easily. And you can use this with a needle driver. If you're comfortable, you can use your hand. That's is one of the advantages of these straight needles. And if you want to we can do this in a minute. But I can leave that for there if we want to. We can also again kind of come back through it and create like one last lock, but that's optional. And then we'll just do the other side. And if you want to, you can even you can see how I kind of grabbed almost on the other side, almost into this path a little bit, just to get some extra overlap of the sutures, make the construct a little bit stronger like that. And you can take this as is, just like that. You can see that has really good hold of the tissue. It's low profile. You still have a lot of exposed collagen. It's not bulky because of the tape. And then again, if I want to, I can do one last pass sort of out through the end. Or I can take it just as it is, just like this. And we can accomplish the same thing with a single needle suture here. So this is another 1.3mm SutureTape with a needle just on one end. And we can do a locking Cracow. But the difference with the single needle needles. We'll start distally, work up, come over and then work come back down. And obviously I'm going to use curved needle. Needle driver. Bring it. Through. Get it roughly. Even go up a couple centimeters. And again just make sure to always lock it. You can kind of shimmy the loops down so that they're tight on the tissue. And kind of work it back and forth like that. We'll do this one last pass on this side. Bring it across. And then we'll work it back down the other side in similar fashion. Probably easier to go from top down as opposed to bottom up on this side. And work it back and forth. You can see how nice that SutureTape lays against the tissue. It doesn't add any bulk to it. It reinforces it nicely. And again it's it really stands out. You can see how well this color stands out against the collagen. And again that's it makes it just very identifiable. So if you've got a bloody surgical field you're not going to lose sight of the suture or anything that it's attached to. So now we have a single needle running locking Krakow stitch very well reinforced low profile suture, lots of exposed collagen. And again very the contrast there between the suture and the soft tissue graft is very, very evident and very helpful for those complex surgical fields.

Sutura con agujas

Child (D)

Las suturas FiberLoop® y TigerLoop™ son un lazo continuo de sutura FiberWire® con múltiples opciones de agujas. La aguja es fácil de manejar y se mueve libremente en la sutura para volver a centrarse después de pasar a través del tejido y facilitar una tensión uniforme. La preparación del injerto con la técnica SpeedWhip™ reduce drásticamente el tiempo dedicado a preparar el injerto, lo comprime uniformemente, mejora la resistencia1 y permite hacer ajustes de último minuto en la longitud del injerto.
&nbsp;
La técnica Rip-stop SpeedWhip elimina el punto débil en la preparación del injerto al reforzar la interfaz de la sutura/el tejido con un andamiaje FiberTag®. Se incorpora una sutura FiberTag en el extremo de la estructura FiberLoop para que la aguja pueda pasar y tomar tanto el injerto como el andamiaje FiberTag. Se ha demostrado que esta estructura aumenta la resistencia en comparación con los puntos estándar.1
&nbsp;1. Arthrex, Inc. LA1-00005-EN_A. Naples, FL; 2015.&nbsp;

Sutura en lazo con aguja

Suturas de preparación para la reparación del injerto

Secondary (C)