Finished Product

AR-2258-03

Shoulder

Product

The AC TightRope family of products provides for easy reconstruction of acute AC joint separations in a minimally invasive manner, either open or arthroscopic. The four-strand continuous loop of #5 FiberWire interlaced between two titanium buttons provides strong mechanical fixation while the coracoclavicular and acromioclavicular ligament disruptions heal. Precise bone tunnels are made through the clavicle and coracoid using the specialized instrumentation in the Acromioclavicular Joint Master Set, allowing for simplified passing of the distal button through the transosseous tunnels. Fixation is achieved by cinching down the proximal button over the clavicle and tying a knot over the button.

AC TightRope®

Acromioclavicular Joint Master Set

Child (D)

Procedure

AC joint separation can be effectively treated using the AC TightRope® technique. The Arthrex TightRope is a device consisting of two buttons - one round clavicle button and one oblong coracoid button. The buttons are joined by a continuous loop of #5 FiberWire®. This technique provides a simple, reproducible, minimally invasive technique for acute acromioclavicular joint stabilization which may enable a rapid return to activity for the acute injury.

AC TightRope® Technique

The Twin Tail TightRope features two independent clavicle button tails and is designed to help reduce and stabilize the AC joint for open, acute AC injuries. Each clavicle button is independently joined to the coracoids button with a continuous loop of #5 FiberWire. The twin tails enable the surgeon to stabilize the acromioclavicular joint with a device that matches the normal coracoclavicular ligament anatomy.

Twin Tail TightRope®

The precontoured, titanium Dog Bone button allows the use of knotless TightRope® technology or multiple FiberTape® sutures for AC joint reduction. The buttons are attached to the sutures independently—only suture material will be passed through the clavicle and coracoid tunnels—allowing the repair to be completed through smaller tunnels.
The low-profile AC implant and Dog Bone button combine to form a tensionable device optimized for the reduction and stabilization of acute and chronic acromioclavicular joint separations. This dual construct features two independent TightRope sutures preassembled into a clavicle insert and a Dog Bone button, which attaches to the suture loops separately after passing them antegrade through the 3 mm bone tunnels.

AC Dog Bone™ Button Technique

Trauma Upper Extremities

The Clavicle Plate and Screw System is a comprehensive set of plates, screws, and instruments designed to treat midshaft and distal clavicle fractures. The stainless steel plates are low profile and precontoured with locking and nonlocking screw options in each plate. Secondary fixation to the coracoid is achieved through the plate using AC TightRope® implant technology, particularly the AC Dog Bone™ button.
The Knotless Distal Clavicle Plate Button TightRope implant is designed to be used in conjunction with any Arthrex distal clavicle plate and gives the surgeon knotless coracoid ﬁxation to help stabilize distal clavicle fractures.

Clavicle Plates and Screws

A choice of a midshaft or lateral plate is determined by the site of the fracture. The fracture is held in reduction while the plate is positioned on the clavicle and temporarily fixated with the use of a BB-Tak pin. The plate is then secured using locking or nonlocking screws. Divergent locking screws can also be used laterally. The lateral plate can also accommodate AC joint reconstruction with the Dog Bone™ button.
The Knotless Distal Clavicle Plate Button TightRope® implant is designed to be used in conjunction with any Arthrex distal clavicle plate and gives the surgeon knotless coracoid ﬁxation to help stabilize distal clavicle fractures.

Clavicle Plates Technique

The precontoured, titanium Dog Bone button allows the use of knotless TightRope® technology or multiple FiberTape® sutures for acromioclavicular AC joint reduction. The button is attached to the sutures independently; only suture material will be passed through the clavicle and coracoid tunnels, allowing the repair to be completed through smaller tunnels.
The low-profile AC implant and Dog Bone button combine to form a tensionable device optimized for the reduction and stabilization of acute and chronic ac joint separations. This dual construct features two independent TightRope sutures preassembled into a clavicle insert and a Dog Bone button, which attaches to the suture loops separately after passing them antegrade through the 3 mm bone tunnels.

Clavicle Washer

AR-2258-03

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