FiberSnare, #2 FiberWire, 26", (green), stiffened w/Closed Loop 12"

FiberWire #2, Geflochtener Polyblend Faden, mit Schlaufe und 30.0 cm versteiftem Ende

FiberWire #2, Braided Polyblend Suture, with Closed Loop

FiberWire de calibre #2, hilo de sutura de Polyblend trenzado, con lazocerrado

Sutura de polimistura entrançada FiberWire n.º 2, com ansa fechada

Finished Product

AR-7209SN

Shoulder

Product

FiberSnare®&nbsp;is a #2 FiberWire®&nbsp;with a small loop on one end while the opposite end is stiffened 12 inches. This provides an easy one step approach to creating a FiberWire loop on the tip of the Bio-Tenodesis Driver. Instead of using a nitinol wire, insert the stiff non-looped end retrograde through the tip of the Bio-Tenodesis Screwdriver. Place the tip of the tendon or tendon graft into the FiberWire loop and cinch the other end around the suture cleat on the back end of the blue Tear Drop Handle.&nbsp;

FiberSnare®

Child (D)

Knee

FiberStick™ is blue FiberWire® with the first 12 inches stiffened to allow convenient andeasy advancement through most cannulated instruments, alleviating the need fora monofilament suture or wire suture shuttle. FiberSticks come with a thinplastic tube which protects the stiffened suture until use. TigerStick® is similar to FiberStick but whitewith a black stripe in the suture, making suture identification easier.

FiberStick™ and TigerStick®

FiberWire® is available in size 2 with multiple needle options.

Suture Size 2

Procedure

There has been a renewed interest in ACL primary repairs as the treatment for Sherman Type I and Type II ACL ruptures. Careful analysis of historical data has revealed that certain ACL tear subgroups, especially proximal tears with good tissue quality, have positive clinical outcomes with primary ACL repair.1
Studies reporting outcomes of remnant-preserving ACL surgeries have shown encouraging results and a greater potential for early healing and better functional outcomes compared with remnant-resecting surgeries.2 Preservation of the native ACL using the primary repair technique can achieve short-term clinical success and result in good clinical outcomes at 3-year follow-up in this carefully selected patient population.3
Arthroscopic primary repair is minimally invasive in that no grafts need to be harvested, no tunnels need to be drilled, and revision surgery, if necessary, is more analogous to primary reconstructions.4 The goal of the procedure is to preserve the remnant native ligament. By doing this, the native nerve endings and blood supply are preserved.5
References
1. van der List JP, DiFelice GS. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: a systematic review of historical studies. Knee. 2017;24(5):898-908. doi:10.1016/j.knee.2017.05.009
2. van der List JP, DiFelice GS. Successful arthroscopic primary repair of a chronic anterior cruciate ligament tear 11 years following injury. HSS J. 2017;13(1):90-95. doi:10.1007/s11420-016-9530-8
3. Jonkergouw A, van der List JP, DiFelice GS. Arthroscopic primary repair of proximal anterior cruciate ligament tears: outcomes of the first 56 consecutive patients and the role of additional internal bracing. Knee Surg Sports Traumatol Arthrosc. 2019;27(1):21-28. doi:10.1007/s00167-018-5338-z
4. DiFelice GS, Villegas C, Taylor S. Anterior cruciate ligament preservation: early results of a novel arthroscopic technique for suture anchor primary anterior cruciate ligament repair. Arthroscopy. 2015;31(11):2162-2171. doi:10.1016/j.arthro.2015.08.010
5. DiFelice GS, van der List JP. Arthroscopic primary repair of proximal anterior cruciate ligament tears. Arthrosc Tech. 2016;5(5):e1057-e1061. doi:10.1016/j.eats.2016.05.009

ACL Repair

Once the minimally invasive or open incision is made and proper soft-tissue windows are established, use the fibular, tibial, and/or femoral collateral marking hooks for anatomic precision and osseous measurements when drilling the appropriate reconstruction tunnels. Using the femoral collateral marking hook with the parallel drill guide will increase anatomic femoral drilling efficiency by significantly reducing convergent tunnels and allowing for accurate guide pin placement at multiple incremental distances. During tunnel creation, use the spooned ends of the collateral ligament retractor to protect the neurovascular structures and the collateral ligament rasp to chamfer the aperture of the completed reconstruction tunnels. Then use FiberWire® or FiberStick™ suture to pass the prepared grafts and tension to the desired position prior to graft fixation.

Anatomic Collateral Ligament Reconstruction

The Bio-Tenodesis™ Screw System, which includes the <a href="https://www.arthrex.com/shoulder/tenodesis-screws" title="Tenodesis Screw™">Tenodesis Screw™</a>, was designed specifically for the reattachment of ligament and tendon soft tissue to bone. The Bio-Tenodesis Driver facilitates accurate graft tensioning into a bony socket in a simple “push-in” method. The interference fit provided by the Tenodesis Screw and FiberWire virtually eliminates graft separation from the bone. The strength of the repair achieved with the system allows patients to generally begin postoperative rehab earlier than previously permitted. The Bio-Tenodesis Screws are composed of PLLA and are available in numerous sizes to fit all applications. There are also titanium and PEEK Tenodesis Screws available for use with the system, if desired. The system is ideal for the reattachment of soft tissue to bone in upper extremity procedures including rotator cuff repairs, proximal/distal biceps tenodesis andacromioclavicular joint reconstruction.

Bio-Tenodesis Master Set

Tenodesis Screw Instrumentation Set

Bio-Tenodesis Instrumenten Set, Master Set

Bio-Tenodesis Instrumentation Set, master set

The Double Bone Plug technique for meniscal tear/deficiency utilizes bone plugs that can either be prepared freehand or by using a coring reamer. The freehand technique is performed using rongeurs and a high speed burr. For detailed information about this technique and/or Arthrex products utilized in this technique, visit the educational resources tab or products tab below. The double bone plug technique for meniscal allograft reconstruction provides a method for implanting the meniscal allograft medially with rigid fixation at both horn attachments. It has been demonstrated that bony fixation and bony healing at the attachment site allows for the maintenance of functional hoop stress by the meniscal allograft.

Double Bone Plug Meniscal Transplant

Elbow

TheInterference Screw Technique reconstructs the UCL by using a looped graftanchored into single bone tunnels in the humerus and ulna. The graft is thensecured with Arthrex Interference Screws on both sides. FiberWire can also beused for suturing the graft to itself for increased tension and/or originalligament repair for added stabilization.

Interference Screw Technique

The streamlined PCL ToolBox contains all the necessary instruments for performing a variety of modern PCL reconstruction techniques. The set includes the RetroConstruction™ Drill Guide System with drill sleeves for use with the FlipCutter® reamer, RetroDrill® reamer, and standard 2.4 mm guide pins.
 
 
Femoral and tibial RetroConstruction marking hooks allow safe, reproducible placement of pins and drills into the anatomic footprints. Also included in the set are double-bundle femoral drill guides, curved instruments for tibial preparation, a knee obturator for safe and easy posterior portal placement, tunnel plugs, drills, screwdrivers, notchers, and other accessories. This toolbox facilitates standard transtibial PCL reconstruction as well as modern techniques such as the arthroscopic inlay and GraftLink® all-inside PCL technique.

PCL ToolBox

Tenodesis Screws™&nbsp;may be used in conjunction with #2 or 2-0 FiberWire®&nbsp;to facilitate intraoperative tissue tensioning and fixation in a predrilled socket. The predrilled socket minimizes incision length, dissection, and overall morbidity. BioComposite, PLLA, vented PEEK or titanium Tenodesis Screw insertion provides superior and immediate fixation for foot and ankle indications such as Achilles repair, FDL, FHL tendon transfers and lateral ligament stabilization. The system can also be used for applications in the hand and elbow (UCL, LRTI, distal biceps), shoulder (rotator cuff repair, proximal biceps), as well as collateral ligament repair, reconstruction and secondary graft or suture fixation for ACL, PCL reconstruction. This construct allows for direct tendon-to-bone healing, without hardware prominence. &nbsp;
The Tenodesis Screws are part of the Bio-Tenodesis Screw System which eliminates transosseous tunnels in tendon repairs and ligament reconstructions by simplifying tissue fixation in a bone socket while maintaining tension of the tissue throughout fixation.&nbsp; A specially designed, retracting screwdriver with extended tip tensions the graft near the base of the socket while a unique outer sleeve delivers the Tenodesis Screw as the extended driver retracts. This technique is ideally applicable for biceps tendon and collateral ligament repairs. The graft passing sutures through the screw cannulation can be used to provide backup fixation by incorporating anti-slippage mulberry knots at the distal end of the screw. The suture ends can be tied over the screw at the completion of the procedure as additional backup fixation, if desired.

Tenodesis Screw™

Tenodesis Screws™ may be used in conjunction with #2 or 2-0 FiberWire®to facilitate intraoperative tissue tensioning and fixation in a predrilledsocket. The predrilled socket minimizes incision length, dissection, andoverall morbidity. BioComposite, PLLA, vented PEEK or titanium Tenodesis Screwinsertion provides superior and immediate fixation for foot and ankleindications such as Achilles repair, FDL, FHL tendon transfers and lateralligament stabilization. The system can also be used for applications in thehand and elbow (UCL, LRTI, distal biceps), shoulder (rotator cuff repair,proximal biceps), as well as collateral ligament repair, reconstruction andsecondary graft or suture fixation for ACL, PCL reconstruction. This constructallows for direct tendon-to-bone healing, without hardware prominence. The Tenodesis Screws are part of the Bio-TenodesisScrew System which eliminates transosseous tunnels in tendon repairsand ligament reconstructions by simplifying tissue fixation in a bone socketwhile maintaining tension of the tissue throughout fixation. A specially designed, retracting screwdriverwith extended tip tensions the graft near the base of the socket while a uniqueouter sleeve delivers the Tenodesis Screw as the extended driver retracts. Thistechnique is ideally applicable for biceps tendon and collateral ligamentrepairs. The graft passing sutures through the screw cannulation can be used toprovide backup fixation by incorporating anti-slippage mulberry knots at thedistal end of the screw. The suture ends can be tied over the screw at thecompletion of the procedure as additional backup fixation, if desired.

The Bio-Tenodesis Screw System was designed specifically for the reattachment of soft tissue, both ligament and tendon, to bone. The Bio-Tenodesis Driver facilitates accurate graft tensioning into a bony socket in a simple “push-in” method. The interference fit provided by the Tenodesis Screw and FiberWire virtually eliminates graft separation from the bone. Because of the strength of the repair achieved with the system, patients are generally allowed to begin postoperative rehab earlier than previously permitted. The Bio-Tenodesis Screws are composed of PLLA and are available in numerous sizes to fit all applications. There are also titanium and PEEK Tenodesis Screws available for use with the system, if desired. The system is ideal for the reattachment of soft tissue to bone in proximal/distal biceps tenodesis.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

FiberSnare, #2 FiberWire, 26", (green), stiffened w/Closed Loop 12"

AR-7209SN

Add to Cart

Related Pages

Shoulder

FiberSnare^®

Product

Knee

FiberStick™ and TigerStick^®

Product

Shoulder

Suture Size 2

Product

Knee

ACL Repair

Procedure

Knee

Anatomic Collateral Ligament Reconstruction

Procedure

Shoulder

Bio-Tenodesis Master Set

Product

Knee

Double Bone Plug Meniscal Transplant

Procedure

Elbow

Interference Screw Technique

Procedure

Knee

PCL ToolBox

Product

Shoulder

Tenodesis Screw™

Product

Elbow

Tenodesis Screw™

Product

Shoulder

Tenodesis Technique

Procedure