#2 FiberLoop Suture, 20" (Blue) w/Straight Needle

FiberLoop #2, Geflochtener Polyblend Faden,Blau,mit gerader Nadel ,steril, VE12

FiberLoop #2 , 40'' (101,6cm), 20'' Working Length, Braided Polyblend Suture, Blue, Looped, with straight Needle

FiberLoop #2, sutura Polyblend trenz. 101.6 cm, con lazo, long. de uso 50.8 cm, azul, con aguja recta

Sutura de polimistura entrançada FiberLoop n.º 2, 101.6 cm, 50.8 cm de comprimento útil, azul, com ansa, com agulha reta

Finished Product

AR-7234

Sutura de polimistura entrançada FiberLo

Shoulder

Product

FiberLoop®&nbsp;is a continuous loop of FiberWire®&nbsp;with multiple needle options. The needles are easy to handle and move freely on the suture to recenter themselves after passing through tissue and facilitating even tension. Graft preparation using FiberLoop in conjunction with the Arthrex SpeedWhip™ technique drastically reduces time spent preparing the graft, uniformly compresses the graft, improves strength and allows for last minute adjustments in graft length.

FiberLoop®

Child (D)

Hand and Wrist

Part of the FiberWire® suture family, FiberLoop® is FiberWire suture where both ends of the suture are attached to a single needle, creating a suture loop. FiberLoop is the perfect suture option for multi-strand tendon repairs. These small diameter looped FiberWire products allow for strong multi-strand flexor and extensor tendon repairs while reducing tendon damage from multiple needle passes. FiberLoop is available with multiple needle options to prevent cutting suture while stitching.

FiberLoop®

Knee

FiberLoop® is a continuous loop of FiberWire® with multiple needle options. The needles are easy to handle and move freely on the suture to recenter themselves after passing through tissue and facilitating even tension. Graft preparation using the Arthrex SpeedWhip™ technique drastically reduces time spent preparing the graft, uniformly compresses the graft, improves strength and allows for last minute adjustments in graft length.

FiberLoop suture is a continuous loop of FiberWire® suture with multiple needle options. The needles are easy to handle and move freely on the suture to recenter themselves after passing through tissue and facilitating even tension. Graft preparation using FiberLoop suture in conjunction with the SpeedWhip™ technique drastically reduces time spent preparing the graft, uniformly compresses the graft, improves strength and allows for last-minute adjustments in graft length.

FiberLoop® and TigerLoop® Sutures

Foot and Ankle

FiberLoop suture, part of the FiberWire® suture family, has both of its ends attached to a single needle, creating a suture loop. FiberLoop suture is the perfect option for multi-strand tendon repairs. These small-diameter looped FiberWire products allow for strong multi-strand flexor and extensor tendon repairs while reducing tendon damage from multiple needle passes. FiberLoop suture is available with multiple needle options to prevent cutting suture while stitching. The #2 FiberLoop suture is a continuous loop of #2 FiberWire suture on a thin, straight Nitinol needle. The straight needle is easy to handle and moves freely on the suture to recenter itself after passing through tissue and to facilitate even tensioning. #2 TigerLoop™ suture has distinctive stripes to help differentiate graft strands during tensioning.

FiberLoop® Suture

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

Suture Size 2

Procedure

Arthrex® offers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during ACL/PCL reconstruction. The parallel blades create a precise cut in a single pass. Graft harvesting cutting guides and saw blades are used to harvest an ideal trapezoidal-shaped bone plug with predrilled suture holes from both the patella and the tibia; the cutting guides provide consistent, reproducible results during tendon harvest. Arthrex also provides additional instrumentation to aid in BTB graft preparation including a Graft Harvesting Osteotome, Retractor and ACL Graft Shaper.

ACL BTB Graft Harvest and Preparation

Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation.&nbsp;A reproducible harvest can be performed through a traditional anterior or posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers.
The graft prep station includes a variety of interchangeable clamps and posts to facilitate graft tensioning and suturing.
Graft preparation has been revolutionized with the FiberLoop® suture line and the SpeedWhip™ rip-stop technique. The continuous loops of SutureTape, #2 or #0 suture, and free-floating straight or curved needles allow reproducible graft suturing of traditional straight sutures.

ACL Hamstring Graft Harvest and Preparation

Once the minimally invasive or open incision is made and proper soft tissue windows are established, the Fibular, Tibial, and/or Femoral Collateral Marking Hooks are used for anatomic precision and osseous measurements when drilling the appropriate reconstruction tunnels. Using the Femoral Collateral Marking Hook in conjunction with the Parallel Drill Guide will increase the efficiency of anatomic femoral drilling by significantly reducing convergent tunnels and allowing for accurate guide pin placement at multiple incremental distances. During tunnel creation the spooned ends of the Collateral Ligament Retractor are used to protect the neurovascular structures and the Collateral ligament rasp is used to chamfer the aperture of the completed reconstruction tunnels. The prepared grafts are then passed with the use of FiberWire or FiberSticks and tensioned into the desire position prior to graft fixation.
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

Anatomic Collateral Ligament Reconstruction

Collateral Ligament Reconstruction Set

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

Arthrex® offers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during ACL/PCL reconstruction. The parallel blades create a precise cut in a single pass. Graft harvesting cutting guides and saw blades are used to harvest an ideal trapezoidal-shaped bone plug with predrilled suture holes from both the patella and the tibia; the cutting guides provide consistent, reproducible results during tendon harvest. Arthrex also provides additional instrumentation to aid in BTB graft preparation including a Graft Harvesting Osteotome, Retractor and ACL Graft Shaper.

BTB Graft Harvest and Preparation Instruments

Multiple collateral ligament reconstruction techniques are available and range from aperture fixation using the BioComposite SwiveLock® tenodesis system with biocomposite interference screws to suspensory fixation with TightRope® technology. 
 
For primary or hybrid collateral ligament repair techniques, choose from a comprehensive line of anchor fixation devices, including FiberTak® soft anchors or biocomposite suture anchors, which come preloaded with needles.

Collateral Ligament Reconstruction Set

Achieve a simple, reproducible repair of the distal biceps with the BicepsButton implant systems and associated tension-slide technique. Using a titanium BicepsButton implant, this technique reliably seats the tendon against the far cortex of the bone socket to maximize the surface area for tendon-to-bone healing. A tenodesis screw adds to the construct strength and helps place the tendon at the more anatomic crescent-shaped insertion. FiberLoop® suture, which is included, also reduces time spent whipstitching the tendon while the button inserter allows for a simplified, less traumatic single-incision repair.

BicepsButton™ Implant Systems

Elbow

FHL tendon transfer is used for reinforcement of an Achilles repair. Arthrex has developed the Tenodesis Tension-Slide Technique for FHL tendon transfer. The flexor hallucis longus tendon is traced to the calcaneus and harvested. The Tenodesis Graft Sizing Kit is used to determine the tendon diameter and which size implant system to open. The FHL tendon is then transferred to the posterior calcaneus and stabilized with the DX button on the plantar cortex, as well as a Tenodesis screw for aperture fixation.

FHL Tendon Transfer

The GraftLink technique provides the ultimate in anatomic, minimally invasive, and reproducible ACL reconstruction. Used in combination with anatomic guides, the FlipCutter® III drill allows independent femoral and tibial "retrodrilling" to create sockets while maintaining the cortices to maximize fixation. Femoral and tibial TightRope® II implants, with a proprietary 5-point locking system, make the GraftLink technique the most reproducible ACL reconstruction available.
<ul>
 <li>Anatomic:&nbsp;Independent tibial and femoral socket preparation with FlipCutter III reamer and/or low-profile reamers facilitate unconstrained placement of the ACL graft.</li>
 <li>Minimally Invasive:&nbsp;Socket preparation with the FlipCutter III reamer limits soft-tissue dissection and helps preserve bone and periosteum.&nbsp;</li>
 <li>Reproducible:&nbsp;The GraftPro® graft preparation system simplifies graft preparation; the tapered graft and adjustable ACL TightRope II buttons facilitate graft passing, fine tuning of graft depth, and graft tensioning from the femoral and tibial sides.</li>
</ul>
InternalBrace surgical technique is intended only to support the primary repair and is not intended as a replacement for the standard of care using biologic augmentation in a primary repair.&nbsp;InternalBrace surgical technique is intended only for soft-tissue-to-bone fixation and is not cleared for bone-to-bone fixation.

GraftLink® Technique

Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation. Harvesting can be accomplished safely and reproducibly both from the traditional anterior approach or through a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. The Arthrex Graft Prep Station offers a variety of interchangeable clamps and posts to facilitate graft tensioning and suturing. Graft preparation has been revolutionized with the FiberLoop® line of suture and SpeedWhip™ technique. The continuous loops of #2 or #0 suture and free-floating straight or curved needles allow reproducible graft suturing in half the time of traditional straight sutures.

Hamstring Graft Harvest and Preparation Instruments

The goal of lateral extra-articular augmentation or reconstruction is to eliminate residual laxity and reduce the risk of ACL graft rupture. Two common techniques include iliotibial band (ITB) tenodesis and anterolateral ligament (ALL) reconstruction. These procedures play a role in augmenting rotational stability in the ACL-reconstructed knee. Patients who see the greatest benefit include hyperlax patients, revision cases, pivoting athletes, and those with IKDC grade III pivot shifts.
There are several distinct advantages of using adjustable, tensionable implant technology, such as the Knotless FiberTak® or FiberTag® TightRope®, when compared to traditional techniques using staples or interference screws. These advantages include:
<ul>
 <li>Simple: Quick, easy, and reproducible techniques.</li>
 <li>Safe: Reduced risk of ACL femoral tunnel convergence as Knotless FiberTak anchor sets just below the cortex. The self-punching anchor technique is designed to reduce the risk of damaging ACL graft as seen with traditional techniques that require drilling. No risk of graft laceration as described with interference screw techniques.1</li>
 <li>Low Profile: Techniques using additional hardware, such as staples, may lead to pain or discomfort, warranting hardware removal. There is no prominent hardware when using an anchor or TightRope implant.1</li>
 <li>Preserves Anatomy: The Knotless FiberTak onlay technique avoids drilling a socket. The FiberTag TightRope Implant minimizes the length of graft required for harvest.</li>
 <li>Titratable Graft Tensioning: With these techniques, a surgeon can provisionally tension and incrementally retension the graft after checking for isometry and overconstraint</li>
</ul>
Reference
1. Muller B, Willinge GJA, Zijl JAC. Minimally invasive modified Lemaire tenodesis. Arthrosc Tech. 2020;10(1):e29- e36. doi:10.1016/j.eats.2020.09.006

Iliotibial Band Tenodesis

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

Arthrex® offers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during PCL reconstruction. The parallel blades create a precise cut in a single pass. Graft harvesting cutting guides and saw blades are used to harvest an ideal trapezoidal-shaped bone plug with predrilled suture holes from both the patella and the tibia; the cutting guides provide consistent, reproducible results during tendon harvest. Arthrex also provides additional instrumentation to aid in BTB graft preparation including a Graft Harvesting Osteotome, Retractor and ACL Graft Shaper.

PCL BTB Graft Harvest and Preparation

Arthrex® offers the most advanced techniques and instruments for hamstring harvesting and preparation. Harvesting can be accomplished safely and reproducibly both from the traditional anterior approach or through a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. The Arthrex Graft Prep Station offers a variety of interchangeable clamps and posts to facilitate graft tensioning and suturing. Graft preparation has been revolutionized with the FiberLoop line of suture and SpeedWhip technique. The continuous loops of #2 or #0 suture and free floating straight or curved needles allow reproducible graft suturing in half the time of traditional straight sutures.

PCL Hamstring Graft Harvest and Preparation

Arthrex® sutures are available in multiple sizes, attached to the following Tapered Needles.

Tapered Needles

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.

Tenodesis Technique

Proximal Tenodesis Implant System (Includes: Proximal BicepsButton, Button Inserter, FiberLoop Suture, Free Needles, Drill Pin and Shoehorn Cannula)

Implante System für Proximale Bizeps Tenodese Tenodesis

Proximal Tenodesis Button w/Inserter, 2.6 mm x 8.5 mm

As part of the distal biceps repair procedure, the tension-slide technique with the BicepsButton™ implant provides a simple, reproducible, and biomechanically stable repair. This tensioning technique reliably draws the tendon against the distal cortex of the bone socket. Adding a tenodesis screw improves the biomechanical strength and allows the tendon to be placed in a more anatomic position.
The all-suture FiberTak® button can be used in lieu of traditional metal buttons for both bicortical and unicortical tension-slide tenodesis techniques.

Tension-Slide Technique

BioComposite Distal Biceps Implant System (Includes: BicepsButton Implant, Button Inserter, #2 FiberLoop Suture, 7 mm x 10 mm BioComposite Tenodesis Screw, Disposable Tenodesis Driver, 3.2 mm Drill Pin, Suture Passing Wire, and Free Needle)

Implantate- und Verbrauchsartikelkit für BioComposite distale Bizepstenodese

Implant Delivery System, BioComposite Distal Biceps Repair

Sistema de administração de implante, reparação de bí ceps distal, BioComposite

Sistema de administração de implante, re

Distal Biceps Implant System (Includes: Biceps Button, 7 x10 mm PEEK Tenodesis Screw, 3.2 mm Drill Pin, Button Inserter, #2 FiberLoop with Straight Needle)

Implantate System zur Rekonstruktion des distalen Bizeps, steril, IM

Sistema de implante para reparación del bíceps distal

Sistema de implante para reparação do bíceps distal

Sistema de implante para reparação do bí

BicepsButton, 2.6 x 12 mm, titanium

BicepsButton, 2.6 x 12.0 mm, Titan, steril, IM

Butão, BicepsButton, 2.6 x 12 mm, titânio

Knotless Distal Biceps Implant System (Includes: Knotless BicepsButton Implant, Button Inserter, 3.2 mm Drill Pin, FiberTape Loop, #2 FiberLoop, and Curved Free Needle)

Knotless Distal Biceps, Implantate System 2.6 x 12mm

Implant System, Knotless Distal Biceps, 2.6 x 12 mm

Knotless BicepsButton, 2.6 mm x 12 mm

Knotless Distal Biceps, Implantat 2.6 x 12mm

Implant, Knotless Distal Biceps 2.6 x 12 mm

#2 FiberLoop Suture, 20" (Blue) w/Straight Needle

AR-7234

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