Finished Product

AR-1611S

Hand and Wrist

Product

The Wrist Traction Tower facilitates arthroscopic surgery or fracture management of the wrist by maintaining the hand and arm in a position comfortable for the patient, as well as enhanced accessibility to the surgeon.The tower provides traction at the fingers using sterile Finger Traps. A draped countertraction post at the upper arm allows distraction and stable positioning of the wrist for operative procedures including closed reduction of fractures with pins or external fixation. The autoclavable, fully adjustable hand stabilization boom provides multi-directional hand positioning. The Wrist Traction Tower can be used for wrist arthroscopy to treat injuries to the TFCC (Triangular Fibrocartilage Complex), ligaments and bone. One procedure in particular, the ulnar head wafer procedure, involves burr resection for a few millimeters of the ulnar head. This needs to be done through full rotation of the wrist (supination and pronation). The hand stabilizer post helps hold the wrist from full pronation to full supination, freeing the surgeon’s hands to perform the procedure. The Finger Traps, used in conjunction with the Wrist Traction Tower, are now available in four sizes, small through extra large, to closely match the dimensions of each patient’s fingers. The weave is uniform, virtually alleviating pressure points on the fingers and possible tissue trauma. The tower is an excellent adjunct for wrist and forearm manipulations commonplace in fracture care of the upper extremities. The tower provides weight-controlled traction at the fingers using sterile finger traps while a counter traction post at the upper arm allows controlled distraction during various surgical procedures. The radiolucent hand stabilizer frees the surgeon’s hand from unnecessary exposure during fluoroscopy and x-rays.

Wrist Tower

Child (D)

Procedure

Using standard wrist arthroscopy portals and setup, type 1B tears of the TFCC are repaired back to their anatomic insertion on the bone. Using a specialized Micro SutureLasso™ suture passer, a 2-0 FiberWire® suture is passed through the TFCC and a mattress stitch is created. The TFCC kit is then used to place a knotless 2.5 mm PushLock anchor into the base of the ulna. The sutures are tightened, bringing both the superficial and deep fibers of the TFCC back to their insertion site on the bone. The knotless anchor is inserted and final fixation of the TFCC back to the bone is achieved.

Arthroscopic Knotless TFCC Repair Using the PushLock® Anchor

Using standard arthroscopic portals, the Micro SutureLasso™ are directed through the TFCC tissue adjacent to the tear. The Micro SutureLasso can be inserted using either the outside-in or inside-out techniques. A specialized 2-0 FiberStick allows direct passage of 2-0 FiberWire suture through the Micro SutureLasso and TFCC tissue. Using either technique a mattress stitch is created over the tear. The sutures are then tied to the capsule to complete the repair.

Arthroscopic TFCC Repair using the Micro SutureLasso™ (Inside out / Outside in)


Micro SutureLasso, leicht gebogen, steril

Micro SutureLasso, TFCC, Short 70° bend, sterile, qty. 1

Micro SutureLasso, TFCC,70° gebogen, kurz, steril, SU

Micro SutureLasso, TFCC, Short, 70° Bend

Micro SutureLasso, CFCT, corto, curva de 70°

Micro SutureLasso, TFCC, curto, curvatura de 70°

Suture Anchor, 2.5 mm PEEK, Mini PushLock

Mini PushLock, 2.5 mm x 8 mm, VE5, steril, IM

Suture Anchor, PEEK Mini PushLock 2.5 mm x 8 mm

Anclaje de sutura, PEEK, Mini PushLock, Ø 2.5 mm x 8 mm

Âncora de sutura, PEEK Mini PushLock, 2.5 mm x 8 mm

The Triangular Fibrocartilage (TFCC) Ulnar Tunnel Repair technique provides a reliable and reproducible option to treat peripheral ulnar tears. By repairing both the superficial and deep layers (ligamentum subcruentum) of the TFCC down to bone, this technique recreates an anatomic TFCC insertion. FiberStick™ or FiberWire® sutures provide a strong and permanent repair of the articular disk.1 The 2.5 mm Mini PushLock® imparts the final knotless, no-profile fixation.
Reference
1. Desai MJ, Hutton WC, Jarrett CD. Arthroscopic repair of triangular fibrocartilage tears: a biomechanical comparison of a knotless suture anchor and the traditional outside-in repairs. J Hand Surg Am. 2013;38(11):2193-2197. doi:10.1016/j.jhsa.2013.08.097

TFCC Guide and Kit

Mini Suture Anchor, 2.5 x 8 mm BioComposite PushLock

BioComposite-PushLock, Mini-Fadenanker, 2.5 mm x 8 mm, VE5

Mini Suture Anchor, BioComposite PushLock 2.5 x 8 mm. VE5

Wrist Traction Tower

AR-1611S

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