Finished Product

AR-4068LNT

Shoulder

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The TensionTight™ button is used to perform a knotless onlay biceps tenodesis, using either an arthroscopic suprapectoral or open subpectoral approach. A locking jaw in the button allows for a knotless biceps tenodesis. Securing the biceps tendon repair with a Loop 'N' Tack™ stitch enables an all-arthroscopic suprapectoral onlay tenodesis.

Knotless TensionTight™ Button

Child (D)

Procedure

The TensionTight™ button is used to perform a knotless onlay biceps tenodesis with an arthroscopic suprapectoral or open subpectoral approach. A locking jaw in the button allows for a knotless biceps tenodesis. Securing the biceps tendon repair with a Loop 'N' Tack™ stitch enables an all-arthroscopic suprapectoral onlay tenodesis.

Knotless TensionTight™ Tenodesis Technique

Subpectoral biceps tenodesis using cortical buttons and the tension-slide technique allows for reliable tensioning and a bicortical or unicortical repair of the long head of the biceps.
Featuring a locking jaw, the TensionTight™ button is used for performing knotless onlay biceps tenodesis with an arthroscopic suprapectoral or open subpectoral approach. Securing the biceps tendon with a Loop 'N' Tack™ stitch enables an all-arthroscopic suprapectoral tenodesis.
With the bicortical technique, use the BicepsButton™ implant to draw the tendon against the distal cortex of the bone socket. A tenodesis screw can be added to further support the repair. 
 
The unicortical technique requires the 8.5 mm long proximal tenodesis button, which has angled edges to promote a toggle effect when the button contacts the far cortex. The tension-slide technique reliably draws the tendon onto the humerus.

Cortical Button Tenodesis Technique

Developed in conjunction with Sam Akhavan, MD (Pittsburgh, PA), and James M. Paci, MD (Long Island, NY), this knotless biceps tenodesis technique is a simple approach to top-of-the-groove arthroscopic biceps tenodesis using the Loop 'N' Tack stitch configuration. For surgeons who want to transition from tenotomy to a quick arthroscopic technique, it is an excellent option for using existing portal placement while viewing familiar anatomy. This straightforward surgical approach helps minimize the potential for cramping or cosmetic "Popeye" deformity, which is often associated with tenotomy.1
The implant system provides everything required to perform a Loop 'N' Tack biceps tenodesis in a simple, convenient kit.
Reference
1. Mirzayan R, McCrum C, Butler RK, Alluri RK. Risk factors and complications following arthroscopic tenotomy of the long head of the biceps tendon. Orthop J Sports Med. 2020;8(2):2325967120904361. doi:10.1177/2325967120904361

Loop 'N' Tack™ Tenodesis Implant System

Developed in conjunction with Sam Akhavan, MD (Pittsburgh, PA), and James M. Paci, MD (Long Island, NY), this knotless biceps tenodesis technique is a simple approach to the top-of-the-groove arthroscopic biceps tenodesis using the Loop 'N' Tack stitch configuration. For surgeons who want to transition from tenotomy to a quick arthroscopic technique, it is an excellent option for using existing portal placement while viewing familiar anatomy. This straightforward surgical approach helps minimize the potential for cramping or cosmetic "Popeye" deformity, which is often associated with tenotomy.1
Loop 'N' Tack Tenodesis Implant Systems provide everything required to perform Loop 'N' Tack biceps tenodesis in a simple, convenient kit.
Reference
1. Mirzayan R, McCrum C, Butler RK, Alluri RK. Risk factors and complications following arthroscopic tenotomy of the long head of the biceps tendon. Orthop J Sports Med. 2020;8(2):2325967120904361. doi:10.1177/2325967120904361

Loop ‘N’ Tack SwiftStitch Suture Passer

AR-4068LNT

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