Arthrex is a leader in intraosseous soft tissue fixation. Arthrex offers a variety of soft tissue fixation devices in several product categories for the hand and wrist including Tenodesis, FiberWire®, Suture Anchors and Knotless Anchors.

Hand and Wrist

Product

The FiberLock™ suspension system is a single-incision suture suspensionplasty using the latest in anchor and suture technology. A FiberTak® all-suture anchor provides cortical fixation on the far cortex of the 2nd metacarpal. The 1st metacarpal is suspended from the 2nd using the FiberTak anchor SutureTape, which is then secured into a knotless DX SwiveLock® SL anchor in the 1st metacarpal.
Specialized instrumentation allows for precise drilling and insertion of the FiberTak anchor through the same standard incision made for trapeziectomy. All contents are conveniently packed in a single-use system kit.

FiberLock™ CMC Suspensionplasty

Arthrex provides several options to repair and reconstruct the scapholunate ligament. The hand and wrist InternalBrace ligament augmentation repair system is a novel approach to combining a biologic repair with the strength from SutureTape. If a single-anchor repair is desired, Arthrex offers knotless and knotted suture anchor fixation devices with different suture and needle configurations.

Hand/Wrist InternalBrace™ Ligament Augmentation Repair Convenience Kit

Bringing InternalBrace™ ligament augmentation repair technology to the hand and wrist, the Nano SwiveLock and DX SwiveLock SL anchors accommodate SutureTape and other biologic materials. The Nano SwiveLock anchor is used for repairs of the small bones in the hand and allows incorporation of SutureTape. The DX SwiveLock SL anchor can be used for repair or reconstruction techniques with InternalBrace ligament augmentation.

SwiveLock® Anchors

Hand/Wrist InternalBrace™ Ligament Augmentation Repair

The Hand/Wrist InternalBrace Ligament Augmentation Convenience Kit incorporates SutureTape for greater strength at time zero than a traditional repair, allowing patients to begin rehab sooner and return to activity faster.1 Applications include CMC suspensionplasty, MCP volar plate capsulodesis, scapholunate reconstruction, and thumb UCL and RCL repair.
The InternalBrace Ligament Augmentation Convenience Kit contains the necessary instrumentation to perform a 2-anchor repair. For scapholunate reconstructions, an additional anchor or tenodesis screw can be used to supplement the kit.
Reference
1. Shin SS, van Eck CF, Uquillas C. Suture tape augmentation of the thumb ulnar collateral ligament repair: a biomechanical study. J Hand Surg. 2018;43(9): 868.e1–868.e6. doi:<a href="https://doi.org/10.1016/j.jhsa.2018.02.002">10.1016/j.jhsa.2018.02.002</a>.

Hand/Wrist InternalBrace™ Ligament Augmentation Repair

Secondary (C)

Optimize tensioning and fixation without knot tying. The 2.5 mm PushLock suture anchor provides a secure means of knotless fixation in the hand and wrist. Accommodating up to 1.3 mm SutureTape suture, this 2-piece anchor enables a no-profile repair that is quick and straightforward.
 
The 2.5 mm PushLock suture anchor uses a PEEK eyelet to place the sutures at the bottom of a drill hole, allowing precise tension and the ability to lock the sutures in place by impacting the tack portion of the anchor. Both the high-strength radiolucent PEEK and the bioabsorbable BioComposite (PLDLA amorphous copolymer and beta- tricalcium phosphate [ß-TCP]) PushLock optimize tissue tension and fixation without knot tying.

PushLock® Anchors

Knotless Suture Anchors

The knotless anchor products are used in a variety of procedures in the shoulder (e.g. rotator cuff repair) as well as scapholunate repair and UCL (Ulnar Collateral Ligament) repair. The unique PushLock design allows the surgeon to adjust the amount of tension on the tissue intraoperatively, allowing for precise tissue reduction. The tissue is securely held in a knotless fashion, allowing for soft tissue healing to bone. The anchor is available in bioabsorbable (PLLA), BioComposite and PEEK.

The Nano, Micro, Mini and 3.5 mm Corkscrew FT Suture anchors are designed with a fully threaded length to create maximum cortical purchase in smaller bones. Using an internal drive mechanism and suture eyelet, these titanium anchors enable surgeons to secure threads in the best bone—the cortex.

Corkscrew® Anchors

BioComposite SutureTak® and Bio-SutureTak® - Micro, Mini and Small Joint
 
This family of unique “push-in” suture anchors allows for a straightforward insertion and a flexible non abrading suture eyelet. Predrill, tap the anchor into place and secure the soft tissues with the preloaded FiberWire with needles. The SutureTak® features a unique molded-in suture eyelet that maintains its strength throughout most of the degradation cycle and eliminates suture abrasion during knot tying. The flexible eyelet eliminates the need to orientate the eyelet during insertion to optimize suture sliding.

SutureTak® Anchors

Knotted Suture Anchors

Suture anchors make technically demanding procedures simpler, safer, and more reproducible. Suture anchors are offered in a variety of sizes and material choices from titanium to bioabsorbable. The bioabsorbable anchors are made of PLDLA (poly(L-lactide-co-D, L-lactide)), PLLA ((poly)L-lactide) or BioComposite (PLDLA/Beta tricalcium phosphate). They maintain strength during the critical 12-week soft tissue healing phase and then undergo resorption.

The Bio-Tenodesis screw system makes ligament and tendon repairs and reconstructions easier by eliminating the need for transosseous tunnel drilling and graft tensioning. The Bio-Tenodesis cannulated drivers enable simple and reproducible “push-in” seating and tensioning of the graft and suture limbs into the bony socket prior to screw advancement. The extended, retracting driver tip maintains graft tension in the bony socket while the traction sutures from the graft are held tight as they exit the driver cannulation proximally.

Bio-Tenodesis™ Screw System

The CMC Ligament Reconstruction Kit provides a convenient all-in-one solution for ligament reconstruction of the base of the thumb. The Tenodesis Screw with a convenient disposables kit the CMC Ligament Reconstruction Kit will enable a faster, more convenient repair providing strong and immediate fixation of the tendon graft. 

 
With the included Guidewire and 4 mm cannulated Drill Bit, the bone tunnel at the base of the first metacarpal is established. The QuickPass Tendon Shuttle is included to allow for hassle-free passage of the tendon graft through the prepared tunnel. The 4 mm x 10 mm PEEK Tenodesis Screw provides strong and immediate fixation of the graft, which allows for a more robust repair and enables precision tensioning of the graft. A complete Bio-Tenodesis master set is available if additional sizes are desired.

CMC Ligament Reconstruction

Tenodesis

The Tenodesis products are designed to eliminate transosseous tunnels in tendon repairs and ligament reconstructions. The 3 x 8 Tenodesis Screw System provides solid interference fixation and exact tensioning in ligament reconstructions and tendon repairs. With the Bio-Tenodesis cannulated drivers, simple “push-in” seating and tensioning of the graft and suture limbs into the bony socket prior to screw advancement is made simple and reproducible. The CMC Ligament Reconstruction family of products includes the Bio-Tenodesis Screw Master Set, Implants, Disposables (sterile and single use) and Bio-Tenodesis Tap (optional).

The Mini TightRope fixation system provides a unique means to suspend the thumb metacarpal and can be used after trapezial resection or removal for treatment of CMC arthritis or thumb CMC instability, and in case of revision with proximal migration after failed tendon reconstruction. 

 
The Mini TightRope implant supports and maintains the thumb and index metacarpals in proper relation while allowing for healing and scar tissue formation in the trapezial space. 

 
The construction consists of 2 strands of #2 FiberWire® that are fixed with 2 oblong stainless steel buttons for cortical fixation. 

 
The trapezial space may be left empty or filled with an allograft "anchovy" spacer.

CMC Mini TightRope® Fixation System

TightRope®

The TightRope® is a unique form of fixation which provides flexible suture based fixation. Comprised of two opposing stainless steel buttons and #2 FiberWire® this one size fit all device improves upon hand and wrist patient care with its immediate strength and versatility.

Soft Tissue Fixation Devices

FiberLock™ CMC Suspensionplasty

Hand/Wrist InternalBrace™ Ligament Augmentation Repair

Knotless Suture Anchors

Knotted Suture Anchors

Tenodesis

TightRope^®