Empregos

Human

_blank

Corporativo

Sobre a Arthrex

Eventos comunitários

Divulgação da cadeia de suprimentos global

Locais

Bolsas e doações

Segurança do produto

Gerenciamento de risco e conformidade

Patentes

Notícias

SBA Support

Veja eventos, laboratórios e oportunidades educacionais

Contacte um representante

Inscreva-se para receber: O que há de novo na Arthrex?

Educação médica

Descrição dos cursos

Calendário dos cursos

ArthroLab™ - Locais

Nossa equipe de educação médica

OrthoPedia

Privacidade

Aviso Legal

Ethics Helpline

Entre em contato

Ajuda

Cookie Settings

Paciente - Página inicial

ACLTear.com

AnkleSprain.com

BunionPain.com

ArthrexEndoscopicSpine.com

JointPreservation.com

KneeReplacementProcedure.com

OrthoPedia Patient

ShoulderReplacement.com

TheNanoExperience.com

Shoulder

Procedure

Impulsionando a inovação com os mais recentes produtos e procedimentos tecnológicos para tratar uma variedade de condições do ombro.

Ombro

Team Home Templated (A)

Knee

Há mais de 25 anos, a Arthrex vem mantendo sua dedicação a um único objetivo: responder as necessidades do cirurgião ortopédico, ajudando a tornar os procedimentos cirúrgicos tecnicamente exigentes mais simples, mais seguros e mais reprodutíveis. Como empresa privada, a Arthrex tem um comprometimento exclusivo com o cirurgião ortopédico e os pacientes que tratam. O orgulho que temos da nossa contribuição de importância médica é a essência de nosso comprometimento único e inflexível com a qualidade dos produtos, educação e competência de habilidades cirúrgicas, serviços pessoais inigualáveis da nossa indústria. A experiência que acumulamos e a inovação constante na reconstrução do joelho são redefinidas com o lançamento da nova geração de produtos para reconstrução de ligamentos do joelho e tecnologia de reparo. A Arthrex reconhece e aprecia os comentários e cooperação dos cirurgiões de todo o mundo para a evolução do desenvolvimento desta nova abordagem abrangente para tratamento de lesões do joelho.

Joelho

Elbow

A Arthrex oferece vários produtos novos para a realização de procedimentos abertos ou artroscópicos no cotovelo, incluindo um conjunto abrangente de instrumentos para artroscopia de cotovelo, posicionador de cotovelo, passador de sutura, cânulas, dispositivos para fixação de tecido mole, sistemas de reconstrução de ligamento colateral medial e ligamento colateral lateral para lesões traumáticas e de esporte.

Cotovelo

Hand and Wrist

Mão e punho

Foot and Ankle

Pé e tornozelo

Quadril

Orthobiologics

Ortobiológicos

Cirurgia cardiotorácica

Spine

Coluna vertebral

Product

Imaging and Resection

Imagem e ressecção

Linha direta de codificação

eDFUs (Instructions for Use)

Global Enterprise Labeling System (GELS)

Unique Device Identifier (UDI)

Solicitações de exposições, congressos e workshops

Rep Site

The Arthrex Surgeon App

Facebook

Instagram

LinkedIn

Youtube

Vet Systems

SAP Supplier Portal

Synergy Imaging & Resection

Artroplastia 

Trauma

Área de interesse

eDFU (Instruções de uso)

Acesso ao mercado e reembolsos

Recursos

Procedimento

Artroplastia

UDI (Unique Device Identifier) 

Produto

NOVIDADAS DA ARTHREX

Doações corporativas

Corporate Responsibility Report

Política ambiental da Arthrex

Prêmios

Cadeia global de fornecimento

Visão geral do produto

Centro de segurança

ASC X

Administradores

Acesso à inovação

Eficiência na sala de operações

Experiência da equipe perioperatória

Cadeia de suprimentos

Ferramentas para experiência do paciente

Experiência do cirurgião

Arthrex Armour Technology Protection

Paciente

Guias de codificação

Informações de contato

Perguntas frequentes

Links para recursos

ACESSO AO MERCADO E REEMBOLSO

eDFU - Atualização da política

Garantia de produto da Arthrex nos EUA

<img src='/damaged_icon.svg' height="15px" width="15px"/> Sterile Instruments Damaged Packaging Instructions

Informações gerais sobre o produto

Solicitação de material de marketing

Product Feedback Form

Formulário de solicitação para novos clientes

RECURSOS PARA CLIENTES

Same Tab

NanoNeedle™ Scope 2.0
Gains National Spotlight Through

Star MLB
Pitcher's Recovery

Expanding on the trusted Syndesmosis TightRope® platform, the Syndesmosis TightRope PRO implant is the next generation in syndesmotic fixation. Updated instrumentation and lower-profile implants provide efficiency by design, enabling effective treatment of syndesmotic injuries.

Not Hidden

English  - en

video

Experience the Syndesmosis TightRope® PRO Difference

Experience the Syndesmosis TightRope® PRO Difference

At the Advanced Shoulder Arthroscopy: The Cowboy Way course, Kevin W. Farmer, MD (Gainesville, FL), reviews the evolving role of reverse shoulder arthroplasty for rotator cuff tear arthropathy, emphasizing that glenoid lateralization, inferior glenosphere positioning, and optimized implant design are key factors in improving pain relief, range of motion, and functional outcomes across both older and selected younger patients.

Arthroplasty Shoulder

Hidden

Reverse Total Shoulder Arthroplasty for Massive Rotator Cuff Tears: When and How?

OrthoPedia: Reverse Total Shoulder Arthroplasty for Massive Rotator Cuff Tears: When and How?

The Arthrex ElbowLOC® positioner is a modular, upper extremity positioner that gives the surgeon the choice of supine, lateral, or supine-suspended positioning for elbow surgery, as well as a wrist traction device for wrist and hand arthroscopy. The ElbowLOC positioner is easy to use and set up, and housed in a space-saving single autoclavable tray.

The Arthrex ElbowLOC® Elbow and Wrist Positioner

The Arthrex ElbowLOC® Elbow and Wrist Positioner

James McWilliam, MD, (White Plains, NY), demonstrates the correction of a type III tailor’s bunion, characterized by a widened 4th-5th intermetatarsal angle, using a more proximal osteotomy on the 5th metatarsal, access at the 5th metatarsal styloid, and fixation with a bevel screw. This approach allows for a greater reduction of the intermetatarsal angle while providing a large surface area for fixation.

Minimally Invasive Correction of a Type 3 Tailor’s Bunion Using a Beveled Screw

Hello, I'm Jim McWilliam from White Plains, New York, and I'm going to talk about minimally invasive surgery on the foot with regards to bunion deformity. So if there's a large intermetatarsal four five angle or if there's significant lateral bowing of the fifth metatarsal, you might want to perform your correction via a more proximal osteotomy. And I'll show you how that's done. And I'll show you an alternative fixation method. Now here we've marked the trajectory of the fifth metatarsal in both the lateral plane and the AP plane. And I'm going to use that sort of as a rough guide for where I'm going to do my fixation. So this is going to be the trajectory of my screw. You can see that instead of being in the high and inside position of a traditional Jones screw, it's going to be going right through the fifth metatarsal Styloid. And I'm going to make my osteotomy where the wire crosses the medial cortex of the fifth metatarsal. So my osteotomy is going to be roughly here more proximal. I might even shift it a little more proximal in that x ray that. So right about there, before the watershed zone of a zone three proximal fifth metatarsal. But we're going to be proximal enough that we're going to get a good level of correction. All right. So we're going to make our incision. I will typically make the incision directly lateral. And that will kind of allow me to do a long oblique osteotomy. I'll use my little elevator. Remember this has the ideal curve to minimally elevate the periosteum dorsally and planoly. To kind of minimize soft tissue disruption but allow enough exposure. All right. So once again I'm going to go straight across just like I have with the other osteotomy. All right. X ray. So I've gone across the I've gone across the entirety of the bone. Now remember there's a declination of the fifth metatarsal. So if I just rotate my hand approximately, I'm going to be cutting distally. And the dorsal cortex. Then I've gone through there. Now, similarly, if I rotate my hand approximately and maybe direct it down just a little bit, I'm going to be cutting approximately. And the planter cortex, you can see I've got my shift there. So this guidewire is a little bit easier to work with. It's the 1.6mm guidewire for the four millimeter beveled screw. And because it's 1.6mm, it's going to be a lot easier to get my direction that I want. So I'm literally starting at the fifth metatarsal Styloid. And I'm going to drive it into the osteotomy line, kind of ideally hugging that medial cortex when I get to the osteotomy. And then we'll check on the lateral and make sure we're in the appropriate orientation there as well. We're pretty good there. So now it's simply going to be a function of moving the metatarsal over and driving the guidewire across the osteotomy and an intramedullary position. So I've got my metatarsal shifted. I've got my guidewire in the right position. So now we're just going to drive the guidewire across. You see how just putting the guidewire in this trajectory across the osteotomy site actually forces the fifth metatarsal medially, affecting your correction. So we've got good correction. We've got good position of the wire in this plane. Let's check the lateral. We've got good correction. You can see I actually cracked the dorsal cortex a little bit with my osteotomy. But we should get good adequate fixation distally without any problem. So now I'm going to use this wire as a guide for my incision. And it just minimizes trauma to the skin and it enhances cosmesis. So I'm going to take the back end of the blade and just push it down. This is an 11 blade. I'm just going to push it down along the guidewire to the fifth metatarsal. So I'm good there. Now we'll take our measuring device. It's beveled to allow us to more closely measure the appropriate depth. We're going to check that the bevel is facing in the right direction. And everything's lined up well. And we still have maintained our medial shift of the distal metatarsal. I'm going to drive this wire out the tip because not only is it our guide for the screw, but it's our provisional fixation and it's just not worth having to do everything over again. We're going to drill over this under fluoro. Not necessarily wanting to go through the medial cortex. All right. We're pretty good there. So if we line up the laser line on the drill with the laser line on the screw, we know what side the bevel is going to be on. Once the screw is buried in the soft tissue, it's just a little visual guide. It only works as long as you keep the driver engaged on the screw. So once the driver is no longer engaged, you're going to have to do it with fluoro. So there's our final fixation our final correction in the AP plane. And there's the lateral.

Minimally Invasive Correction of a Type 3 Tailor’s Bunion Using a Beveled Screw

Sanj Kakar, MD (Rochester, MN), demonstrates how the NanoNeedle™ scope allows for better visualization to assess the scapholunate joint during wrist arthroscopy procedures.

SpeedPearl: Assessing the Scapholunate Joint for Stability With Nano Arthroscopy

Speaker  When performing wrist arthroscopy for suspected scapholunate ligament injury. I like to use a nanoneedle scope because it's small, it's flexible, it's lightweight, and it allows easy navigation through a tight midcarpal joint. Since the scaphoid tends to flex and pronate when the scapholunate ligament is injured, I typically create the ulnar midcarpal portal first and then the radial Midcarpal portal. I then use a probe to examine the cartilage, the location of the scapholunate ligament injury, its reducibility, and also the insertion of the dorsal intercarpal ligament, which is another critical stabilizer of the carpus.

SpeedPearl: Assessing the Scapholunate Joint for Stability With Nano Arthroscopy

The hip-length DiamondCut™ burrs feature a diamond-coated head optimized for precise control during resection of pincer and cam deformities associated with femoroacetabular impingement (FAI) surgery.

Hip DiamondCut™ Burr

Hip DiamondCut™ Burr

Andrew L. Clavenna, MD (Dallas, TX), demonstrates how to use the Arthrex Graft Gun for MIS spine fusions, walking through assembly, loading, and the device’s key features and benefits.

Arthrex Graft Gun: Surgical Technique Demonstration for MIS Spine Fusion

Speaker  Hello, I'm Doctor Andrew Clevinger from Dallas, Texas. Today I want to demonstrate how I incorporate the Arthrex Graf gun along with Graf Net XL into my minimally invasive fusions. The Graf gun system includes a reusable instrument set and a disposable kit. The disposable kit features a cannula and flexible barbed plunger designed to evenly advance the graft material. The cannula is bayonetted and clear for direct visualization during delivery and includes a oval seven millimeter by ten millimeter Radiopaque tip for Fluoroscopic confirmation so you can ensure your position is in the disc space. Each cannula holds approximately six CCS of graft and is long enough to accommodate even the deepest decompression tubes. The reusable components are the primary housing front and back assemblies, shield protector and cannula. Loader's assembly is simple thread the front and back assemblies into the housing. These are clearly marked one and two for easy identification. Finally, snap the shield protector into place. This shield ensures the disposable plunger remains within the sterile field. To load the cannula, use a sledge provided in the tray. Pack with a small amount of graft into the sled and compress it with your thumb as you insert it. Don't overfill the sled. Less is more. This technique helps minimize graft loss and speeds up the loading process. And you repeat. Using your thumb again to hold the graft down. So we'll repeat this until we get the volume of graft we need loaded. Once the cannula is loaded, attach it to the graft gun and insert the plunger. The plunger has an arrow indicating the correct orientation. Advance the plunger until the graft is just at the radiopaque tip. Ready for delivery. At this stage of the case, you've completed your Diskectomy and are ready to fill the disc space. We've added Contrast Agent to the graft for better fluoroscopic visualization. Under fluoro you can see the cannula tip and the graft material. Here you can see as I advance the plunger, the graft is delivered precisely into the intervertebral space. The Arthrex graft gun provides excellent control, visibility and efficiency, eliminating the need for mallet impaction and reducing surgical time compared to traditional funnels.

Arthrex Graft Gun: Surgical Technique Demonstration for MIS Spine Fusion

Designed to provide anatomic contour with precise instrumentation, the Arthrex Proximal Tibial Plating System features 4 unique plate styles, equipped with advanced variable-angle locking capabilities and KreuLock™ locking compression screws, to optimize treatment of proximal tibial fractures.

Trauma Lower Extremities

Arthrex Variable-Angle Proximal Tibial Plating System

Arthrex Variable-Angle Proximal Tibial Plating System

Patrick A. Smith, MD (Naples, FL), presents an analysis of current literature showing the outcomes of rotator cuff augmentation with dermal allograft.

Rotator Cuff Tears: Literature Review of the RoHI Score and Augmentation Decision Making

OrthoPedia: Rotator Cuff Tears: Literature Review of the RoHI Score and Augmentation Decision Making

Daryl C. Osbahr, MD (Orlando, FL), reviews the contents and use of the Onlay MPFL Implant System with Knee FiberTak® anchors for patellar fixation and the FastThread™ interference screw for femoral fixation.

MPFL Reconstruction Using the Onlay MPFL Implant System With the FastThread™ Interference Screw

Hi, I'm doctor Daryl Osbahr. I'm with Rothman Orthopedics of Florida at AdventHealth. Today we're going to be talking about the knee. Fiber tech only Mpfl kit with the fast thread screw. So I'm going to explain to you what's in the kit. We're going to use the hybrid knee fiber tech with the one knotless tensioned loop and sliding suture tape with needles. We also have a new and exciting patella ratcheting knee fiber tech guide, and we have the 2.8 hard bone drill you can see here on the table. We also have the sutures that we're going to be able to put through the graft. We have the disposable fast thread screwdriver. We also have the drill bit and we have the seven millimeter reamer. We have the guide wire. And then we also have the two fiber standards to be able to pass the graft. In addition we have the Mpfl template as well as the disposable graft board for graft sizing to give orientation. This is the medial side of the knee and the lateral side of the knee. So some of our landmarks this is the patella that I've outlined. This is the medial epicondyle that I've outlined. So this will give us our access to the patella side of our fixation in the femoral side of our fixation. I'm going to make the patella incision first at the medial aspect of the patella. To give orientation this is the medial side of the patella. We can see some of the mpfl tissue and retinacular tissue coming in. And we can see the vastus medialis obliquus coming in to enter the attachment site. For the medial side of the patella. There are several goals of what we can establish here. If we're considering doing a VMO advancement, we can make our medial parapatellar arthrotomy slightly extending up into the vastus medialis obliquus to be able to advance that medially. If not, we can do a standard peripatellar arthrotomy on the medial side. Here you can see I'm keeping the vastus medialis obliquus intact and not actually advancing it. In this case, once I have the medial side of the patella exposed, I will use a combination of a curette and a rongeur to prepare a good bony surface here, so our reconstruction can heal against this surface. Staying extra articular and along the mpfl. We can see this interval that we're able to develop to be able to get right down to the femoral side. Now I'm going to mark the superior medial border of the patella, as well as the midpoint on the medial aspect of the patella. These are our two fixation points for our knotless technology on the patella side. Now I'm going to show you the patella ratcheting guide. We can see the button right here which you can push down and allows you to telescope. So that way when we get this fixated to the patella, we have a better grasp to more effectively and easier drill our tunnels. I'm going to first start with the superior drill hole. You can see here drill ratcheting it down. I have great grasp of the patella. Now I'm going to drill before placing my anchor. The new technology on this plant allows us to actually push the implant in without sometimes even having to use the mallet, because it's so easy to deliver it. This black suture has the needles for which ability use this to pass through the structures later in the case to repair those in tension compared to our mpfl reconstruction. This is the tension loop which will be able to actually use this to fixate the patella graft to the medial aspect of the patella. When we're setting the tension on this and actually pulling back to set the implant within the bone. We want to make sure we just pull the black sutures to do so. So we don't tension down our loop. So now we're going to fixate our ratcheting patella glide into that distal location on the patella. And we're going to drill. In place our second anchor. So you can see how easy that was to be able to actually fixate the graft into the patella using the ratcheting guide. And this new knotless fiber tack again. Now we're going to set the distal fiber tack. And you can see how well this is fixating the bone. In fact when I pull has great fixation. Now you can see we're putting the guide to be able to find shadows Point for our approach to the femur. Now in terms of Incisional approach you can make one incision or you can try to make two smaller incisions. This incision is usually about two times the size that I make on the medial aspect of the patella, especially now that we have the patella ratcheting guide. And then I'll make a small two centimeter incision over here to try to stay more minimally invasive while passing the graft. But the goal of this guide, along with x rays, to be able to find our shadows point so we can make sure that our orientation for our tunnel is in the right position for an isometric graft placement, I'm going to now make my femoral approach incision. I want to be careful to stay right at the level of the skin. Always want to be careful about the medial saphenous. I will now take a Metz. Try to develop a plane down to the medial epicondyle. I will then use my finger to identify the medial epicondyle, which is right here. And that helps me make sure that I can localize shadows point. This is the point in time that I'll actually use this guide along with x ray. I usually will have the knee at about 90 degrees of flexion and identify the perfect approach for shadows Point as I place either my guide wire or my anchor, depending upon if I'm using Knotless technology or I'm actually using the screw. Now that I have my drill pin in the correct location at Shadows Point, I will now drill, making sure to aim in the appropriate orientation. At this point, I will often make sure that I have a good plane of tissue identified around my tunnel and my guide wire to make sure that I'm able to pass the graft easier. In the case. Now, I'm going to take the reamer and drill over the guide pin. As you can see, I sometimes cycle it to make sure that I've eased of graft insertion because I really try to make sure the graph fits nicely. Now I'm going to take my fiber snare. I'm going to pass this through. And I'm going to have my assistant pull. And this will enable me to pass the graft into the tunnel later in the case. Now you can see I have everything set up the patella side with our knotless hybrid fiber tacks. And I have our socket on the femoral side to place our intraosseus screw. We can see here we have a disposable graft board. And this allows us to put tension on the graft, but also to mark the center point of the graft. This will enable us to identify the right point to put between our patella fixation sites. In this case, we're using the 6.5mm slotted tunnel. And we can see the graft passes nice and easy, which is perfect for our seven millimeter hole within the femur that we drilled. At this point, I'm going to make sure that I have a passageway for my graft around the interval of the mpfl within the medial structures. I'm going to be able to pass my hemostat down, and then I'm going to pass a fiber snare, which will enable me to pass the graft. Now we're going to pass the graft through our two tension loops right here. Now we have the area we marked. That would be the center point of the graft, right in between our tension double loops for the fixation. We're now going to tension our superior loop, which is going to fixate our graft to meals side of the patella. And we're going to do the same thing with the distal loop. Now that we've tensioned our superior and inferior tension double loops, we now have great fixation of our graft to the medial side of the patella with our knotless knee hybrid fiber tack. Now we're going to pass the graft limbs through the fiber snare, where we're going to pass this down through the layers on the medial side of the patella. This enables us to pass the graft to the femoral location that we're going to fixate. So now we can see we have the graft fixated to the medial side of the patella. Our graph limbs are entering the medial structures within the plane of the NPFL and going down toward the femoral side. We can also, later in the case, use this graph limb to fixate to the VMO, which is right here. So now we can see we have the graft which is now been passed through the medial structures. We have the hole that we drilled with the socket and our suture coming out of it. We're going to be able to pass the graft into the hole for which we have great visualization. At this point in time, you can actually pass the guidewire and then pass the graft, or you can pass the graft and subsequently the guidewire to make sure that you get a good plane to place your screw. Now we're going to use this 90 degree snap as a pulley to be able to pull the graft into the tunnel by first passing the sutures. And then we're going to pass the graft. Now I can visually see that we have the graft going into the tunnel and the graft appears very tight. Now we can see both limbs of the graft successfully going into the tunnel with appropriate tension. Now we're going to pass the guidewire, and we're going to place it in the tunnel and pass it in, where then we feel the opposite cortex and we know we're in bone. This is now going to enable us to be able to pass the screw over the guidewire, to fixate the graft on the femoral side. You can also use the tightrope, as well as the knee knotless fiber tack, to be able to fixate the graft on the femoral side as well. In review. Now that we can see we have great fixation with our inlay technique to the medial side of the patella, with our graft going through the medial structures and entering the tunnel in the femur, we have our assistant being able to hold tension on the graft on this side. And we make sure that we have a good one. Plus stability of the kneecap. So we're not over tensioning. We have our knee at 30 degrees and making sure that both the medial and lateral side of the patella have good fixation in both the medial and lateral planes, with the good end point but not over tensioned. Now we're going to take our disposable tri lobe fast thread screwdriver with our screw loaded on top of it. We're going to pass this down to our tunnel to be able to successfully fixate our graft within the femoral tunnel. We want to make sure we have tension on the graft while placing this. We want to put a little bit of force as you initially get it into the tunnel, and then usually it passes very easy. We want to make sure that we're able to see it actually go into the tunnel and to get great cortical fixation, which we can see right now. At this point in time, I will usually use a mallet to just lightly back this off. And then pass the guide wire back out. So now we can see the graft going into the femoral tunnel. And this is the hole for the screw that has great intraosseous fixation. Now I'm going to use my black suture tapes to be able to pass these through the medial structures. If I have a high riding VMO, I'm going to make sure that I be able to get a good grasp of this tissue to be able to advance it. You can see here I'm going to pass it through. And I'm going to take every single limb and pass it through. So that way I can tension this to match the tension of my graft for the tension sutures. You can also use these for additional fixation with an empty needle to be able to pass it as well and tie it down. In this case we will just use our suture tapes. Now I'm going to tie these suture tapes to be able to get great fixation of my mpfl tissues to match the tension of my graft. At this point, I have tensioned my repair back to the patella using the suture tapes. Sometimes in a pants over vest fashion, I will also pass one of the limbs around this tissue to be able to further tension. If I feel like I need that to dial it in, and I can do that both proximally and distally. The knee knotless fiber tack technology has enabled me to do this surgery in such an easy and reproducible way. The patella ratcheting clamp has enabled me to pass the suture anchors within the patella in a much easier fashion, making the surgery so much more efficient. And with this, I can actually do it in a way that minimizes any bone loss to the medial side of the patella and inherently lowers fracture risk.

MPFL Reconstruction Using the Onlay MPFL Implant System With the FastThread™ Interference Screw

Raffy Mirzayan, MD (Los Angeles, CA), demonstrates his technique for harvesting bone marrow aspirate from the proximal humerus using the Vortex™ threaded recovery needle for processing in the Angel® system.

Proximal Humerus Bone Marrow Aspiration

Speaker  I'm Rafi Mirzaian from Los Angeles, and I'll be demonstrating a bone marrow aspiration from the proximal humerus for an augmentation of a full thickness rotator cuff tear. We have a right shoulder here, and my starting point for the bone marrow harvest is going to be just off the edge of the acromion, and I can localize that with a spinal needle. And my starting point is going to be just posterior to the biceps tendon off the articular margin, where you would typically put your anteromedial anchor for the rotator cuff repair. Now, typically the entry point of this trocar has been at a 45 degree angle relative to the head, and the harvest is performed from the humeral head. What I like to do is be more parallel with the humeral shaft and advance the trocar into the humeral shaft and harvest the marrow from there. And I typically do this in a lateral decubitus position with the arm abducted at 30 degrees. So it is critical that at this point that the arm is adducted all the way down. You can see how by doing that, that trocar becomes perfectly parallel with the humeral shaft. I prefer to use the vortex needle because it provides better directional and depth control. It also provides a watertight seal, which is critical in an arthroscopic harvest of bone marrow. The vortex needle is then twisted in by hand just to break that cortical bone, and it's also important to note that I did not prepare the the tuberosity whatsoever. I left the soft tissue on it. I did not use a burr and I'm using my hand. Speaker  We're not mounting this in. We're not forcing this in. We're letting the guide find its way into the canal. And I can advance this as far as I can before I can feel. Hitting the inner cortex of the humeral shaft, which would be my stop. And you can see how deep we've actually inserted this trocar to be able to get into the shaft of the humerus. All right. So what we can do now is back this guy up. Get the fluoro in here and then shoot to show this is going down the canal. So we've now inserted our vortex needle all the way down the canal of the humerus. We will remove the trocar. And attach our vac lock syringe onto it and push back all the way. Look at that arrow. And it helps if you rotate this back and forth so you can aspirate from multiple sites through the canal. There you go. You see how quickly that aspirated. Once you're done with the aspiration, the vortex needle is removed and you can now insert your anteromedial anchor into the same hole that you just removed the needle from. So the important note here is that you do not want to do any tuberosity preparation. This includes removing of soft tissue or burning down the bone. It's also advantageous to do this at the very beginning of the case. Aspirate the bone marrow. Hand it off to the staff so they can prepare it through the angel system. So it'll be ready by the time you're done with the rotator cuff repair.

Proximal Humerus Bone Marrow Aspiration

The Lapidus I-Beam plate features an integrated internal beam that spans the 1st TMT joint to increase strength and stiffness across the fusion site.1 A novel instrument offering allows the surgeon to reduce the intermetatarsal angle, correct the sesamoid position in the frontal plane, and prepare the joint for the internal beam.
 
Reference&nbsp;
1. Arthrex, Inc. Data on file (APT-07508). Naples, FL; 2025.

Lapidus I-Beam Plate Animation

Lapidus I-Beam Plate Animation

Asheesh Bedi, MD (Ann Arbor, MI), demonstrates a comprehensive cam resection of the femoral neck using the Hip DiamondCut™ burr.

Femoral Neck Cam Resection Using the Hip DiamondCut™ Burr

Today, I wanted to feature two great products that you have as part of your armamentarium for hip arthroscopy and preservation surgery from Arthrex. And that's the four and the 5.0mm diamond cut burs. So here's a close up. Some of the huge advantages here is its ability to work as a finishing bur. It can function well on hard bone or soft bone with great control and precision, and it avoids skipping, which is sometimes what happens on those harder surfaces with a fluted bur. It works reliably in both forward and reverse. Another advantage over fluted technology is sometimes the ability for it to protect and not wrap soft tissue in the capsule, which is at a premium during hip arthroscopy. All right. So now we have this more focused view. And just to orient everyone this is a right hip. We've completed our central compartment work as you can see here. Nice labral repair using the knotless fiber tack anchors getting a good suction seal of that labrum. And now we're just working to our peripheral compartment. There's our acetabular sided capsular limb and the rectus. And here's our femoral capsule here. And we can now start to demarcate for our camera section. Generally speaking for me I like to start superolaterally here right adjacent to the labrum. And here with this diamond burr, we can set a margin. But again, one of the advantages here is this nice demarcation and control even on hard bone in a young patient where we can set an edge and you can see it doesn't skip. I tend to use the labrum as a guide to set that physeal scar. And here I'm just going to work to define that margin of our proximal resection. You can work fairly closely here to the acetabular edge here. And again based on the position of flexion you have, you can set that margin rather nicely here. Here as we go a little bit more anteriorly I come a little further away from the labrum to set that normal angle of the physeal scar. As you can see that defines that nice proximal edge. And we know that everything proximal to that we're going to designate an important weight bearing cartilage. I'll sort of deliberately here, as you can see come in close proximity to this femoral sided capsule. And you can see not only does the hood protect us, but this diamond surface is not wrapping up that capsule as I work in close proximity, which is more likely to occur with your fluid at burs. From there, we can continue to work our camera section here. I can switch deliberately here from reverse to forward, no difference in its efficiency in resecting and setting that margin for our camera section working here from proximal to distal along the edge. We'll continue to work here. You can see here nicely. We can work right next to that labrum with good control. I'm basically abutting the labrum here laterally and can continue to work right around the corner here, even superolaterally up near our retinacular vessels. Here we can change our view a little bit. We'll rotate our eyes. You can see here we can work more medially. Oftentimes this bone here medially is a little bit softer. And this is where the fluidic bur can sometimes gouge or resect particularly in softer bone. But here our diamond burr has excellent control as we continue that resection working from proximal to distal right here towards our capsule. As you see here as I'm resecting bone, one huge advantage is we're not getting the snowstorm effect or the snow globe effect, which can sometimes obscure your view. I'm modulating the suction here, but I have an excellent view and control the entire time. And that polish and design of that diamond burr surface has specifically been designed to minimize the risk of that snow globe effect. You can see here we're working in the camera section from proximal to distal. And I can continue to work my way distally preserving this proximal convexity and then working distally here now to a more concave resection. At this point as I'm continuing to push the capsule away, I think you can see nicely even without changing the leg flexion. I'm not wrapping up the capsule at all. As we continue that resection medially and distally. Just for a moment, I'll show the view. Here you can see where we've defined that proximal margin of resection. Nice margin. And we can continue to work distally here. So as you can see we've continuing our cam resection. We've set our proximal margin. This actually is a pretty good view as you can see here of the Cam lesion. This loss of offset here and asphericity here. As we move over that direction you can even see your superolateral extent of the Cam lesion. Those are your perfusing retinacular vessels there. For the sake of this video, we've deliberately done a little mini T here so that we can see and visualize this camera section to show the value of this burr, But here I can work with great precision and even drive here up in superolaterally work right next to the labrum with great safety. Here I'm going to continue that resection proximally. And here we can work right up and next to the retinacular vessels here and actually remove that bone without worrying about winding up those vessels, even those anterior perfusing vessels. Then here, as we work our way back, I can set another margin here of resection. Again. Good control. It doesn't skip. Finishes medially and laterally with precision. And we'll continue to define that cam lesion so that we don't stop proximally. But we restore that offset here distally all the way along the head and neck junction as well. You can see it works very well working from proximal to distal. And we'll continue to work distally right here towards the distal neck. So we feel like we've restored normal sphericity and offset in all of these different planes. I'll deliberately here bring the the bur as I wouldn't right up on the capsule here deliberately try to wrap up the capsule with the bur. And if you notice it's avoiding that wrap up even when I'm intentionally trying to go towards and blur the soft tissue. It just won't wrap up the tissue the way a fluted burr does. So truly an inherent additional layer of protection to protect the capsule for your later closure. So, as you can see here, as we've progressed through our camera section, we've got a nice proximal demarcated margin for the weight bearing cartilage. We've restored offset and sphericity here in the area of the typical Cam deformity. We've had a great control here with this diamond burr. You can polish out any areas as you're inspecting around to make sure that you've been thorough in all planes. You can actually see a little impingement cyst here that we have great control over to make sure that we've gone to the right depth there. So this is a nice and thorough camera section that's well controlled using this diamond Burr technology that allows us to do an excellent pincer resection proximally and an excellent cam resection distally. Now, as you can see, because we've preserved our capsule so nicely, we can just come here and nicely repair this mini T side to side working from here to here. And then we still have our proximal capsular flap for our inner portal closure.

Femoral Neck Cam Resection Using the Hip DiamondCut™ Burr

The QuickPass™ FiberTape® Cerclage System features cannulated, slotted passers that allow simplified passage of FiberTape Cerclage suture around bone for fracture management. The QuickPass tube on the FiberTape Cerclage suture facilitates quick insertion through the cannulated hook, and the suture is removed from the slot to complete a wrap around the bone without the need for a separate shuttle suture.

QuickPass™ FiberTape® Cerclage System

Speaker  The Quick Pass Fibertape Cerclage system features Cannulated slotted parsers that allow simplified passage of Fibertape Cerclage sutures around bone for fracture management. A variety of hook sizes and geometries are available depending on the fracture site and surgical approach. The quick pass tube on the Fibertape Cerclage suture facilitates passage through the cannulated hook, and the suture is removed from the slot. To complete a wrap around the bone with the appropriate passer selected and placed around the bone, insert the red quick pass tube through the proximal cannulation of the hook until it exits the distal part of the cannulation. Remove the fibertape cerclage. Suture through the slot of the passer to allow for a second pass through the cannulation. Repeat the previous steps to complete a second pass of the Fibertape Cerclage, ensuring the Fibertape Cerclage sutures have been removed. Remove the passer from around the bone. Pull on the tail of the fibertape Cerclage suture to remove slack and advance the loading device closer to the bone. Cut the quick pass tube from the Fibertape Cerclage suture. Place approximately 2 to 3in of the tapered fibertape suture tail into the nitinol loop of the loading device. Separate the two tabs of the loading device, pulling the nitinol loop and the fibertape suture tail through the pre-tied knot. Unclicked the remaining suture and remove the knot from the loader. Slide the knot down to the bone and tighten by hand to remove the gross slack from the cerclage loops. Position the not so that it doesn't interfere with the placement of other implants, for example, plates and or strut graphs that may be used. Cut the fibertape cerclage near the swaged part of the suture to separate the two limbs. Insert one cerclage suture limb through the bottom hole at the distal end of the tensioner. Speaker  Slide the tensioner down to the knot of the fibertape with a tensioner secure against the knot. Place the other suture limb into the top slot at the distal end of the tensioner, pulling tight on the suture limb. Wrap one suture limb around the main body of the suture wing on either side of the tensioner, making at least one full pass around the suture wing. Then wrap the suture limb around the cleated portion on the side of the suture wing to lock it in place. Repeat this step with the other suture limb on the opposite side of the tensioner. Turn the handle clockwise while holding the tensioner body to tension. The fibertape cerclage suture tension until slack is removed and the desired amount of compression is achieved. The gauge lines on the tensioner provide a reference and aid in applying a consistent amount of tension. When multiple cerclages are used. Caution should be taken to avoid over tensioning and going beyond the fourth gauge line. Turn the handle counterclockwise and unwrap the suture limbs to remove the tensioner. Tie a half hitch knot to secure the cerclage construct. Place additional fibertape cerclage sutures if necessary. After initial tensioning and applying the first half hitch knot, each cerclage can be re tensioned if necessary until the desired amount of compression is achieved. Tie two alternating half hitch knots to complete each cerclage construct and cut the remaining suture limbs. The low profile nature of Fibertape cerclage allows for the flat suture cerclage construct to be placed under or over a plate. The Quickpass Fibertape Cerclage system provides a simplified and quick technique for achieving all suture. Cerclage fixation for long bone fracture applications, including proximal humerus and femur fractures.

QuickPass™ FiberTape® Cerclage System

What's NewJUN 21

Experience the Syndesmosis TightRope® PRO Difference

What’s New This Week and Prior

JUN 20

OrthoPedia: Reverse Total Shoulder Arthroplasty for Massive Rotator Cuff Tears: When and How?

JUN 19

The Arthrex ElbowLOC® Elbow and Wrist Positioner

JUN 18

Minimally Invasive Correction of a Type 3 Tailor’s Bunion Using a Beveled Screw

JUN 17

SpeedPearl: Assessing the Scapholunate Joint for Stability With Nano Arthroscopy

Procedimento

Producto

Educação médica

Corporativo

Recursos

Paciente

Empregos

What's NewJUN 21

Experience the Syndesmosis TightRope® PRO Difference

What’s New This Week and Prior

JUN 20

OrthoPedia: Reverse Total Shoulder Arthroplasty for Massive Rotator Cuff Tears: When and How?

JUN 19

The Arthrex ElbowLOC® Elbow and Wrist Positioner

JUN 18

Minimally Invasive Correction of a Type 3 Tailor’s Bunion Using a Beveled Screw

JUN 17

SpeedPearl: Assessing the Scapholunate Joint for Stability With Nano Arthroscopy

NanoNeedle™ Scope 2.0 Gains National Spotlight Through

Star MLB Pitcher's Recovery

Procedimento

Procedimento

Producto

Producto

Educação médica

Educação médica

Corporativo

Corporativo

Recursos

Recursos

Paciente

Paciente

Empregos

Empregos