Cortical Button Fixation

Cortical button fixation is a simple, reproducible, and biomechanically strong method that allows surgeons to reliably seat the tendon against the cortex of the bone socket, maximizing the surface area for tendon-to-bone healing.¹ For tendon or ligament transfers, the Tenodesis Graft Sizing Kit can be used to determine which implant system to open. Using Arthrex's Tension Slide Technique, surgeons can tension the tendon into the tunnel and then add a BioComposite Tenodesis screw for aperture fixation to complete the construct. Cortical button fixation can be used for FDL tendon transfers, FHL tendon transfers, anterior tibialis tendon transfers, and posterior tibialis tendon transfers.

^References

^{1. Arthrex, Inc. Data on file (APT-04032).}^{Naples, FL; 2019.}

Surgical Technique Videos (1)
- - FHL Implant System With Tension-Slide Technique
  - File Type:
  - Ref. #: VID1-000654-en-US
  - Version: A
  - Language: English
  - Revision Date: 10/11/2019
  - Presenter: Thomas O. Clanton, MD
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Surgical Technique Animations (2)
- - FDL Tendon Transfer Using Tension-Slide Technique and InternalBrace™ Spring Ligament Augmentation
  - File Type:
  - Ref. #: AN1-000073-en-US
  - Version: D
  - Language: English
  - Revision Date: 10/28/2021
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- - FHL Tendon Transfer Using the DX Button and Tension-Slide Technique
  - File Type:
  - Ref. #: AN1-000047-en-US
  - Version: B
  - Language: English
  - Revision Date: 01/06/2020
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Surgical Technique Guides (3)
- - Flexor Hallucis Longus Tendon Transfer With DX Button and Tension-Slide Technique
  - File Type:
  - Ref. #: LT1-000029-en-US
  - Version: A
  - Language: English
  - Revision Date: 09/17/2019
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- - Flexor Digitorum Longus Tendon Transfer With DX Button and Tension-Slide Technique
  - File Type:
  - Ref. #: LT1-000041-en-US
  - Version: C
  - Language: English
  - Revision Date: 10/08/2021
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- - Anterior Tibialis Tendon Transfer Using DX Button and Tension-Slide Technique
  - File Type:
  - Ref. #: LT1-000051-en-US
  - Version: A
  - Language: English
  - Revision Date: 12/02/2019
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Brochures (1)
- - Bio-Tenodesis™ Screw System
  - File Type:
  - Ref. #: LB1-0505-EN
  - Version: L
  - Language: English
  - Revision Date: 09/26/2019
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Presentation Videos (1)
- - Evolutions in Soft-Tissue Repair
  - File Type:
  - Ref. #: VID1-000756-en-US
  - Version: A
  - Language: English
  - Revision Date: 08/26/2020
  - Presenter: Thomas O. Clanton, MD
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Surgeon Newsletters (1)
- - Arthrex Presents: Breakthroughs in Foot and Ankle Technology Summer 2019
  - File Type:
  - Ref. #: LN1-000037-en-US
  - Version: A
  - Language: English
  - Revision Date: 09/17/2019
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Case Presentation Videos (2)
- - Chronic Insertional Achilles Tendinopathy - FHL Tendon Transfer Using the Tension-Slide Technique
  - File Type:
  - Ref. #: VID1-000754-en-US
  - Version: A
  - Language: English
  - Revision Date: 08/04/2020
  - Presenter: Thomas O. Clanton, MD
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- - Tibialis Anterior Reconstruction
  - File Type:
  - Ref. #: VID1-000259-en-US
  - Version: A
  - Language: English
  - Revision Date: 08/26/2019
  - Presenter: David I. Pedowitz, MD
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