Finished Product

AR-8703

Human

Hand and Wrist

Procedure

Using standard wrist arthroscopy portals and setup, type 1B tears of the TFCC are repaired back to their anatomic insertion on the bone. Using a specialized Micro SutureLasso™ suture passer, a 2-0 FiberWire® suture is passed through the TFCC and a mattress stitch is created. The TFCC kit is then used to place a knotless 2.5 mm PushLock anchor into the base of the ulna. The sutures are tightened, bringing both the superficial and deep fibers of the TFCC back to their insertion site on the bone. The knotless anchor is inserted and final fixation of the TFCC back to the bone is achieved.

Arthroscopic Knotless TFCC Repair Using the PushLock® Anchor

Child (D)

Shoulder

Product

The Micro SutureLasso™&nbsp;replaces 18-gauge needles for arthroscopic suture passing. Sterile, disposable, stainless steel needles are 20-gauge at the tip and taper to 16-gauge at the handle to provide the added stiffness needed for percutaneous placement for arthroscopic suture passing in upper and lower extremities. The ergonomic plastic handle facilitates accurate placement and control. Advancement of a pre-loaded fine nitinol wire loop shuttles any suture through tissue. A selection of straight and curved shafts provides accessibility to dif­ficult to reach structures. &nbsp;
Micro SutureLassos also ac­commodate 2-0 and #2 FiberSticks for single step passing of FiberWire suture and are especially suited for outside/in meniscal repair, rotator cuff repair and TFCC repair of the wrist.

Micro SutureLasso™

Elbow

The Micro SutureLasso™ replaces 18-gauge needles for arthroscopic suture passing. Sterile, disposable, stainless steel needles are 20-gauge at the tip and taper to 16-gauge at the handle to provide the added stiffness needed for percutaneous placement for arthroscopic suture passing in upper and lower extremities. The ergonomic plastic handle facilitates accurate placement and control. Advancement of a pre-loaded fine nitinol wire loop shuttles any suture through tissue. A selection of straight and curved shafts provides accessibility to difficult to reach structures. 

 
Micro SutureLassos also ac­commodate 2-0 and #2 FiberSticks for single step passing of FiberWire suture and are especially suited for outside/in meniscal repair, rotator cuff repair and TFCC repair of the wrist.

Orthobiologics

Soft-tissue meniscal allograft transplantation techniques continue to evolve with the advancement of fixation devices. Using common meniscal repair devices allows for greater flexibility while ensuring anatomic graft placement. Soft–tissue-only meniscal allograft surgical techniques and clinical outcomes are well documented and have good clinical efficacy.1-4
References
1. Kim SH, Lipinski L, Pujol N. Meniscal allograft transplantation with soft-tissue fixation including the anterior intermeniscal ligament. Arthrosc Tech. 2019;9(1):e137-e142. doi:10.1016/j.eats.2019.09.015
2. Spalding T, Parkinson B, Smith NA, Verdonk P. Arthroscopic meniscal allograft transplantation with soft-tissue fixation through bone tunnels. Arthrosc Tech. 2015;4(5):e559-e563. doi:10.1016/j.eats.2015.06.001
3. Elattar M, Dhollander A, Verdonk R, Almqvist KF, Verdonk P. Twenty-six years of meniscal allograft transplantation: is it still experimental? A meta-analysis of 44 trials. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):147-157. doi:10.1007/s00167-010-1351-6
4. Myers P, Tudor F. Meniscal allograft transplantation: how should we be doing it? A systematic review. Arthroscopy. 2015;31(5):911-925. doi:10.1016/j.arthro.2014.11.020

Soft Tissue Meniscal Allograft Transplantation Technique

Using standard arthroscopic portals, the Micro SutureLasso™ are directed through the TFCC tissue adjacent to the tear. The Micro SutureLasso can be inserted using either the outside-in or inside-out techniques. A specialized 2-0 FiberStick allows direct passage of 2-0 FiberWire suture through the Micro SutureLasso and TFCC tissue. Using either technique a mattress stitch is created over the tear. The sutures are then tied to the capsule to complete the repair.

Arthroscopic TFCC Repair using the Micro SutureLasso™ (Inside out / Outside in)


Knee

For meniscal allograft transplant, the double bone plug technique involves medially implanting the meniscal allograft with rigid fixation at both horn attachments. The technique can also correct meniscal deficiency using bone plugs and minimally invasive suspensory fixation and allows the meniscal allograft to maintain functional hoop stress.

Double Bone Plug

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.

Micro SutureLasso, Straight

AR-8703

Related Pages

Hand and Wrist

Arthroscopic Knotless TFCC Repair Using the PushLock^® Anchor

Procedure

Shoulder

Micro SutureLasso™

Product

Elbow

Micro SutureLasso™

Product

Orthobiologics

Soft Tissue Meniscal Allograft Transplantation Technique

Procedure

Hand and Wrist

Arthroscopic TFCC Repair using the Micro SutureLasso™ (Inside out / Outside in)

Procedure

Knee

Double Bone Plug

Product

Knee

Double Bone Plug Meniscal Transplant

Procedure