Após a remoção ou ressecção do trapézio, o tendão FCR é direcionado pela base o 1º metacarpo através de um orifício pré-furado e de tamanho correspondente. O transportador de tendão QuickPass da Arthrex é usado para facilitar a passagem do tendão pelo túnel. Depois de passado, o enxerto é tensionado para atingir a suspensão adequada e o parafuso de tenodese 4 x 10 ou 4,75 x 15 é inserido para bloquear o enxerto na posição. O restante do tendão pode ser cortado rente ou interposto no espaço articular, se desejado.

Hand and Wrist

Elbow

Not Hidden

English  - en

application/pdf

Human

A comprehensive overview of a product team’s portfolio.

Ein umfassender Überblick über das Portfolio eines Produktteams.

Kataloge

Visão geral e abrangente do portfólio de produtos de cada segmento.

Catálogos

Descripción general y completa sobre la cartera de productos de cada segmento. 

Catalogs

Hand, Wrist, and Elbow - Next Generation in Repair and Reconstruction

Foot and Ankle

Shoulder

A document containing information about Arthrex products and product lines.

Ein Dokument mit Informationen über Arthrex Produkte und Produktlinien.

Broschüren

Documento contendo informações sobre produtos e linhas de produtos da Arthrex.

Brochuras

Documento que contiene información sobre los productos y líneas de productos de Arthrex.

Folletos

Brochures

Bio-Tenodesis™ Screw System

video

Animationen für die Patientenaufklärung

Animações — Educação do paciente

Animaciones de educación para el paciente

Patient Education Animations

Thumb Metacarpal Arthritis Repair with CMC Mini TightRope® System

Osteoarthritis wear out at the base of the thumb is a common condition in middle aged women characterized by pain, swelling, and weakness. When making a pinch between the thumb and index fingers, two bones at the base of the thumb lose their cartilaginous envelope throughout time, ending in bone on bone contact, which causes significant pain and functional limitation. Surgery for this condition is aimed to eliminate such bone on bone by removing the diseased bone trapezium from the wrist. Once this bone has been removed from the wrist, a suspension has to be created between the thumb and index fingers. The empty space created by the excision of that bone fills up with blood, which will scar down in time, preventing shifting back of the thumb. A novel, minimally invasive technique using the mini TightRope, a construct with two stainless steel buttons and two and two strands of high strength suture FiberWire to achieve such a suspension is explained with detail here. First, a skin incision is placed at the base of the thumb to expose and remove the diseased bone. Trapezium. A second skin incision is placed between the index and long fingers at the upper portion of the hand. A metal guidewire is driven under power from the thumb to the index finger. The guidewire has also a metal loop in one end to allow the passage of the two strands of suture across both bones. The final construct is secured with a stainless steel button on the thumb and index fingers. The skin incision are then irrigated with saline solution and stitched up. The hand is placed in a splint protecting the updated thumb.

A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

Eine schrittweise Demonstration, wie ein Produkt in einer Operationsanleitung verwendet werden würde (oder könnte).

Operationsanleitungen

Demonstração passo a passo de como um produto seria utilizado em uma técnica cirúrgica.

Guias de técnicas cirúrgicas

Demostración paso a paso de cómo se utilizaría un producto en una técnica quirúrgica.

Guías de técnicas quirúrgicas

Surgical Technique Guides

Ligament Reconstruction - Tendon Interposition for Thumb CMC Arthritis

Portuguese (Português) - pt

Reconstrução ligamentar e interposição de tendão para artrite da CMC do polegar

The CMC Ligament Reconstruction Implant System provides a convenient all-in-one solution for ligament reconstruction of the base of the thumb. By combining our state-of-the-art Tenodesis Screw™, with a convenient disposables kit, the CMC Ligament Reconstruction Implant System will enable a faster, more convenient repair, providing strong and immediate fixation of the tendon graft.

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

Surgical Technique Animations

Arthrex CMC Ligament Reconstruction

The CMC Ligament Reconstruction Kit provides a convenient, all in one solution for ligament reconstructions of the base of the thumb. A longitudinal incision on the dorsal radial aspect of the wrist is made and the trapezium is excised. The FCR can be harvested through the trapezius space, thereby eliminating the need for a second incision. The short guide pin, followed by the four millimeters cannulated drill, are used to create a drill tunnel from the dorsal metacarpal into the volar beak. The QuickPass tendon shuttle is placed over the end of the tendon, advanced through the trapezius space, and out the drill tunnel created in the metacarpal while maintaining tension on the FCR. A four millimeter by millimeter tendinous screw is placed in the drill tunnel and advanced to secure the FCR against bone. The remaining portion of FCR can be cut, flush, or incorporated into the trapezius space, depending on the surgeon's preference.

German (Deutsch) - de

Bandrekonstruktion Sehneninterpositionsplastik bei der Rhizarthrose

The CMC Ligament Reconstruction Kit, provides a convenient all-in-one solution for ligament reconstruction of the base of the thumb. By combining our state-of-the-art Tenodesis Screw with a convenient disposables kit the CMC Ligament Reconstruction Kit will enable a faster, more convenient repair providing strong and immediate fixation of the tendon graft.

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

Surgical Technique Videos

LRTI Procedure Using the Arthrex Tenodesis Screw for Thumb Basilar Arthritis

This cadaveric surgical video will demonstrate the Arthrex CMC implant system using the four by ten tenodesis screw for ligament reconstruction at the base of the thumb. This procedure clinically is performed under regional anesthesia and tourniquet control. A 3 to 4 centimeter longitudinal incision is made over the dorsal midline of the thumb, centered on the trapezium. Blunt dissection is used to identify and preserve branches of the dorsal sensory radial nerve, as well as the radial artery. The first dorsal compartment tendon sheath over the length of the incision is incised and tendons retracted. A longitudinal capsulotomy is then made in the locations of the CMC and scaphoid. Trapezium trapezoid joints are confirmed. The Arthrex CMC removal tool, which aids in manipulation of the trapezium, is shown here. The trapezium is then subperiosteal dissected of all soft tissue attachments and excised. A rongeur or osteotomy can also be used depending upon surgeon preference. Care is taken to taken to preserve the CRx tendon modally. The trapezius base is then examined and any remaining bone fragments or osteophytes are removed. The CRx tendon is located and removed. In this cadaver specimen, the entire FCR is harvested. However, a 4 to 5 centimeter graft can be harvested by applying tension distally and transecting. The most proximal aspect of the FCR near the scaphoid trapezium trapezoid joint. This eliminates the need for a second incision to harvest the FCR. The tendon graft should measure approximately four millimeters across for ideal fixation with the four millimeters tenodesis screw. Trim the tendon graft to appropriate size if needed. The LRT kit comes with all the instrumentation and implants needed to complete the procedure. A guide pin. A four millimeters cannulated drill. A QuickPass tendon shuttle which simplifies tendon passage. And a four by ten tenodesis screw with driver. Two-o suture with needle and a flexible nitinol loop are also included as alternative tendon passing options. The guidewire is introduced into the base of the first metacarpal, starting in the midline dorsally one centimeter distal to the articular margin, angling obliquely in a volar and proximal direction to exit the palmar cortex just distal to the articular margin in the area of the volar oblique ligament. Insertion. The four millimeter cannulated drill is then passed over the guidewire. The QuickPass tendon shuttle mesh end can be inverted to allow for easy insertion of the tendon graft, as shown. The tendon shuttle is then used to pass the tendon through the drill tunnel. While applying enough traction to the FCR to take the slack out of the tendon. Manual pressure is applied to the first metacarpal base toward the second metacarpal base, and the four by ten millimeter tenodesis screw is inserted into the drill hole for an interference fit. Burying the screw within the metacarpal. Any remaining CRx tendon can be placed into the trapezius space. Or the tendon can be cut flush at the base of the metacarpal. Final construct shows resistance to subluxation.

Dennis Sagini, MD, (Ft Myers, FL) presents CMC Ligament Reconstruction Kit, which provides a convenient all-in-one solution for ligament reconstruction of the base of the thumb. By combining our state-of-the-art Tenodesis Screw with a convenient disposables kit the CMC Ligament Reconstruction Kit will enable a faster, more convenient repair providing strong and immediate fixation of the tendon graft.

LRTI Procedure Using the Arthrex Bio-Tenodesis™ Screw for Thumb Basilar Arthritis

We're going to locate the dorsal sensory branches of the radial nerve. Get those out of the way. There's a little blood vessel there. And here we have a dorsal sensory branch right there. We want to get that out of the way so that we can avoid numbness in the back of the thumb and index finger. So we'll keep dissecting down. And we reach the first dorsal compartment which has the extensor pollicis brevis and abductor pollicis longus. And we'll get in between there. Okay. And we'll release the first dorsal compartment. So we're going to release the posterior aspect of it so he doesn't have any volar subluxation. Now the Now. The next anatomical concern is the dorsal branch of the radial artery, which we'll see right in this fat right here. And start to see the color change as I dissect down. Now there are some capsular branches from the dorsal branch of the radial artery, which I'll coagulate to mobilize that artery and get it out of our surgical field, coagulate it as close to the capsule as possible to avoid postoperative bleeding. And we can do the capsulotomy now kind of work away from the artery. Now I'm going to have my assistant pull on the thumb, and that'll help to locate the joint. We just got a little exposure at the joint. So here we have the CMC joint. And down at this level, we have the joint between the scaphoid and the trapezium. We'll try to get as much soft tissue off of the trapezium as possible before sectioning it. I typically try to section it into three relatively equal sections and then take it out in pieces. Now, just deep to this bone, we'll find the crossing or the surgical base, the flexor carpi radialis. So during this dissection, careful not to go too deep with the knife because we want to maintain the integrity of the tendon that we're going to use for reconstructing the ligament and the suspension. So I'm really doing some very careful periosteal dissection to a point where I can remove the bone with the wrong jaw. Great. Okay. So here we have the FCR tendon which is at the base of the surgical dissection right there. We've exposed it very nicely. And we'll go to the forearm and release the tendon in the forearm and then bring it through. We can test it by seeing that it flexes the wrist. And release it. So let's. Get it right from the surgical. Dissection in. The. There we go. And we got it right from the forearm. Now we're going to use the drill as a guide wire, for which we have a cannulated drill to over drill the guide wire, and I'll go about a centimeter distal to the articular margin. I'm going to just expose a little bit of the bony cortex. So we have a nice area to begin drilling. Kind of aim to the insertion of the volar beak. So I'm aiming towards the articular margin. Only. And that's where we want to be. And we'll ShaverDrill. This is a four millimeter drill. There we are, right where we want to be. We have this finger trap type device that allows you to pass nicely through your bone tunnel. That's it. Okay. Now, there we go. Nice and thick. So this is the portion where I want to set my tension. Nice and tight. No collapse. There are a number of ways to perform this procedure, and I will use the remainder as part of the anchovy interposition. I start with the second limb. Anchovy, which we will. Put right down into the. Dissection. In order to make the interposition graft. And. So we'll get it nice and secured. So there we have our interposition graft irrigated out. We can probably get this person started in therapy relatively quickly. So this interference fixation has somewhat changed my post-operative protocol. And patients like it because no one, no one likes being in a splint for six weeks straight. So now you can see we're using this. Relatively redundant capsule to cover our screw. With that x ray, we can see the type of scaphoid to metacarpal distance that we're able to achieve, which over the course of the next several x rays will essentially remain the same a millimeter or two of settling. But that's usually about it.

Implant System, CMC Ligament Reconstruction

Implant System, CMC Ligament Reconstruction

Sistema de implante para la reconstrucción de ligamento CMC

Bio-Tenodesis Screw, with Handled Inserter, 3 mm x 8 mm

Bio-Tenodesis Schraube mit Eindreher, 3 x 8 mm, steril, IM

Bio-Tenodesis Screw with Handled Inserter 3 mm x 8 mm

Tornillo Bio-Tenodesis con insertador con mango, Ø 3 mm x 8mm

Bio-Tenodesis Schraube, 4 x 10 mm, steril, IM

Disposables Kit for 3 x 8 mm Bio-Tenodesis

Bio-Tenodesis Verbrauchskit für 3.0 mm Bio-Tenodesis Schraube, steril,SU

Kit de piezas desechables Bio-Tenodesis, Ø 3 mm x 8 mm

Kit de descartáveis Bio-Tenodesis, 3 mm x 8 mm

QuickPass Tendon Shuttle, 2.5 mm x 16 cm, small, sterile, SU

QuickPass Mädchen Fänger- Netzschlauch für Sehnen, Small, steril, SU

PASSADORES DE ENXERTO QUICKPASS, PEQUENO – 2.5MM X 16CM

3-0 FiberWire Suture, 18 in (Blue) w/Tapered Needle, 15 mm 3/8 circle, 12/box

FiberWire #3-0, Geflochtener Polyblend Faden, Blau, mit spitzer Rundnadel, 3/8 Kreis, steril

FiberWire #3-0, Braided Polyblend Suture, Blue, with Tapered Point Needle

FiberWire de calibre #3-0, hilo de sutura de Polyblendtrenzado, azul,co

Sutura de polimistura entrançada FiberWi

Reconstrução do ligamento - Interposição do tendão

Recursos educacionais e produtos

Recursos em destaque

Todos os recursos

Todos os produtos

Ligament Reconstruction - Tendon Interposition for Thumb CMC Arthritis

Videos

Documentos

Línguas

Guias de técnicas cirúrgicas (3)

Ligament Reconstruction - Tendon Interposition for Thumb CMC Arthritis

Reconstrução ligamentar e interposição de tendão para artrite da CMC do polegar

Bandrekonstruktion Sehneninterpositionsplastik bei der Rhizarthrose

Animações de técnicas cirúrgicas (1)

Arthrex CMC Ligament Reconstruction

Animações — Educação do paciente (1)

Thumb Metacarpal Arthritis Repair with CMC Mini TightRope® System

Brochuras (1)

Bio-Tenodesis™ Screw System

Catálogos (1)

Hand, Wrist, and Elbow - Next Generation in Repair and Reconstruction

Vídeos de técnicas cirúrgicas (2)

LRTI Procedure Using the Arthrex Tenodesis Screw for Thumb Basilar Arthritis

LRTI Procedure Using the Arthrex Bio-Tenodesis™ Screw for Thumb Basilar Arthritis

Implant System, CMC, Ligament Reconstruction (1)

AR-1677BC-CP

Implantes (2)

AR-1530B

AR-1540B

Descartáveis (3)

AR-1530DS

AR-8090S

AR-7227-01