FiberLoop SutureTape, 1.3 mm, 20 in Loop (White/Blue) w/ 76 mm straight needle, 12/Box

FiberLoop-SutureTape-Faden, 1.3 mm, weiß/blau, Fadenlasso mit Nadel, VE12

FiberLoop 1.3mm Suture Tape Suture, White/Blue, Looped with Needle, VE12

FiberLoop, con sutura SutureTape de 1,3 mm, blanca/azul,con lazo, con a

Finished Product

AR-7534

Shoulder

Product

SutureTape, the upgraded version of FiberWire® suture, is the next generation in suture technology. Compared to FiberWire suture, flat-braided SutureTape is similar in strength and more resistant to tissue pull-through.1 It offers improved handling and knot security with smaller comparable knot stacks. SutureTape is available in 0.9 mm, 1.3 mm, and 1.7 mm sizes and in multiple colors, patterns, and needle options.
Reference
1. Arthrex, Inc. LA1-00038-EN_B. Naples, FL; 2017.

SutureTape

Child (D)

Knee

Procedure

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 retract 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

Collateral Ligament Reconstruction Set

TightRope II RT, with FiberTape for InternalBrace Technique

TightRope II-RT, Rekonstruktion mit InternalBrace-Augmentations- Bandnaht

TightRope II RT, Reconstruction with InternalBrace Ligament Augmentation Repair

TightRope II BTB, with FiberTape for InternalBrace Technique

TightRope II-BTB, Rekonstruktion mit InternalBrace-Augmentations- Bandnaht

TightRope II BTB, Reconstruction with InternalBrace Ligament Augmentation Repair

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

Collateral Ligament Graft Fixation

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 using 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

Lateral extra-articular augmentation or reconstruction aims to eliminate residual laxity and reduce the risk of ACL graft rupture. Anterolateral ligament reconstruction could play a role in augmenting rotational stability in the ACL-reconstructed knee and are most likely to benefit hyperlax patients, revision cases, pivoting athletes, and those with IKDC grade III pivot shifts.

Anterolateral Ligament Reconstruction

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 prep 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>

GraftLink® Technique

Implant System, Secondary Fixation with BioComposite SwiveLock Anchor 4.75 x 19.1 mm

Implant System, Secondary Fixation with PEEK SwiveLock Anchor 4.75 x 19.1 mm

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® anchor or FiberTag® TightRope® implant, when compared to traditional techniques using staples or interference screws:
<ul>
 <li>Simple: Quick, easy, and reproducible techniques</li>
 <li>Safe: Knotless FiberTak anchor sets just below the cortex, reducing the risk of femoral tunnel convergence of the ACL; the self-punching anchor technique is designed to reduce the risk of damaging the ACL graft as with traditional techniques that require drilling; no risk of graft laceration as described with interference-screw techniques1</li>
 <li>Low profile: Techniques using additional hardware, such as staples, may lead to pain or discomfort, warranting removal; no prominent hardware is part of the Knotless FiberTak anchor or TightRope implant1</li>
 <li>Preserves anatomy: No socket drilling involved in the Knotless FiberTak onlay technique&nbsp;</li>
 <li>Titratable graft tensioning: Using 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

The anatomic double-bundle technique replicates the native shape of the medial patellofemoral ligament (MPFL), provides stability in both flexion and extension, and effectively limits rotation throughout ROM, helping minimize postoperative instability. The technique, if accomplished directly and anatomically, can also provide for more aggressive rehabilitation protocols and earlier return to activity.1
Successful MPFL reconstruction is dependent on anatomic placement of the graft. The technique incorporates the use of a femoral template to ensure proper placement of the graft in the femur. This position provides a static fixation point that equalizes the tension across the graft in flexion and extension, thus helping minimize stress across the patellofemoral joint.
Arthrex offers 4 MPFL convenience packs to address each patient's unique needs as well as each surgeon's preference for fixation. The newest kits use 3.9 mm BioComposite SwiveLock® anchors for patellar fixation and either a 6 mm × 20 mm BioComposite FastThread™ interference screw or an ACL TightRope® implant for femoral fixation.
Reference
1. Schöttle PB, Hensler D, Imhoff AB. Anatomical double-bundle MPFL reconstruction with an aperture fixation. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):147-151. doi:10.1007/s00167-009-0868-z

MPFL Reconstruction

Ruptures of the quadriceps and patellar tendons are common in elite and recreational athletes. Most surgeons treat these injuries surgically to lessen the risk of long-term disability and morbidity. Historically, open techniques have been used for rupture repairs, but these techniques may be complicated by wound-healing issues and infection. The minimally invasive Percutaneous Achilles Repair System (PARS) technique can be used to treat quadriceps, patellar, and Achilles tendon ruptures.

Patellar Tendon Repair

SutureTape is a flat-braided suture more resistant to tissue pull-through.1 Additionally, SutureTape offers improved handling and stronger knot security1 with smaller, comparable knot stacks.
Reference
1. Arthrex, Inc. LA1-00038-EN_B. Naples, FL; 2017.

FiberLoop SutureTape, 1.3 mm, 20 in Loop (White/Blue) w/ 76 mm straight needle, 12/Box

AR-7534

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