Finished Product

AR-4068-05SD

Shoulder

Product

The Small Diameter SutureLasso™ feature a stiff shaft and a sharp, atraumatic tip with an outer diameter of only 1.8 mm. The SutureLasso SD is available in a variety of tip configurations and is preloaded with a Nitinol wire shuttle loop. A thumb pad is used for easy, one-handed wire advancement. Skip a shuttling step during margin convergence suturing or when using a PushLock anchor by loading a FiberStick directly through the SutureLasso SD in place of the Nitinol wire loop. The FiberStick is a #2 FiberWire with 12 inches stiffened to allow easy advancement through most cannulated instruments.

Small Diameter SutureLasso™

Child (D)

Elbow

Procedure

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

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®

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.

Dog Bone™ Button

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 preassembled construct features two independent TightRope® sutures that attach to a Dog Bone button separately after passing the construct antegrade through a 3 mm bone tunnel.

Low-Profile Tensionable AC Repair Technique

Bony glenoid defects frequently occur in patients with recurrent anterior shoulder instability. Free bone block procedures aim to restore the glenoid concavity and anatomy of the glenohumeral joint to reestablish stability. Various bone-grafting techniques have been published that have yielded satisfactory clinical and radiological outcomes in the long term. However, the structural integrity and clinical function of the subscapularis tendon may be compromised after open shoulder stabilization procedures.1 The bone block cerclage is an innovative arthroscopic surgical technique that preserves the integrity of the subscapularis and provides a metal-free fixation of the bone graft.2 Two interconnected FiberTape and TigerTape cerclage sutures provide a firm compression of the graft and a strong fixation that minimizes construct displacement at high loads.3
References
<ol>
 <li>Boehm E, Minkus M, Moroder P, Scheibel M, et al. Arthroscopic iliac crest bone grafting in recurrent anterior shoulder instability: minimum 5-year clinical and radiologic follow-up. Knee Surg Sports Traumatol Arthrosc 29, 266–274 (2021). https://doi.org/10.1007/s00167-020-05986-7</li>
 <li>Hachem AI, Del Carmen M, Verdalet I, Rius J. Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants. Arthrosc Tech. 2019;8(12):e1591-e1597. Published 2019 Nov 25. doi:10.1016/j.eats.2019.08.014</li>
 <li>Bone Block Graft Fixation for Glenoid Bone Loss: A Comparative Study of FiberTape Cerclage vs Endobutton Constructs, LA2-000140-en-US_A, Arthrex GmbH, 2021.</li>
</ol>

SutureLasso SD Wire Loop, 5/Box

AR-4068-05SD

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