Name: MIS Achilles SpeedBridge™ System
Uploaded: 2023-03-07T00:00:00Z
Channel: Arthrex
Description: The next generation of the Arthrex MIS platform, the MIS Achilles SpeedBridge™ system uses a percutaneous approach for the treatment of insertional Achilles pathology.

<p>The next generation of the Arthrex MIS platform, the MIS Achilles SpeedBridge™ system uses a percutaneous approach for the treatment of insertional Achilles pathology.</p>

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AN1-000442-en-US | B | MIS Achilles SpeedBridge™ System

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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

Surgical Technique Animations

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

MIS Achilles SpeedBridge™ System

The mass FiberTak. Achilles SpeedBridge technique is the latest innovation for the surgical treatment of insertional Achilles pathology. The proven technique of a robust tendon repair can now be performed with the benefits of an mis approach. When using the mis Achilles SpeedBridge for insertional Achilles pathology, start by making the portals that surround the Achilles at two, five, seven, and 10:00 positions when viewing the tendon posteriorly. The distal portals are placed at the distal portion of the resection, while proximal portals are just distal to the distal fibular line. Under fluoroscopy, the projected plane of resection of the posterior superior calcaneal tuberosity or haglund's is drawn with the most distal extent starting at the distal portals. Incisions are made and an elevator is inserted to develop a plane between the Achilles tendon and calcaneal tuberosity through all four portals. Next, the 4.3mm mis conical burr is introduced deep to the tendon through the distal portals, resecting the bone in the projected plane using a sweeping motion through all four portals. To irrigate and remove all of the excess bone with the option of using nano needle or a four millimeter arthroscope and shaver. Then use the Sayer elevator to free up the space between the Achilles and the skin, subcutaneous through all four portals, creating a space to work and pass the SpeedBridge sutures through the distal portals. The first guidewire for the 3.9mm Biocomposite SwiveLock anchor, is placed under Fluoroscopic guidance, showing the depth of wire insertion using the 3.9mm red drill guide and white K-wires centering sleeve, and repeat for the second guidewire. Remove the white K-wires centering sleeve and drill the distal anchor holes for the 3.9mm SwiveLock with the 2.6mm cannulated. Drill to the positive stop on the drill guide. Assure the drill guide is adjacent to bone. Next, use the 3.9 cannulated. Tap over the K-wires down to the laser line on the tap to meet the back of the drill guide for both distal anchor holes. The drill guide adjacent to bone assures accurate depth of tap. Moving on to the proximal anchor. Placement through the proximal portals, use the black handle guide and obturator for the 2.6mm. Knotless FiberTak Rd anchors. The slot on the Inserter needs to be facing down, so the proximal anchors will not converge with the distal anchors. The bevel on the guide will help placement of the guide in the correct plane on the calcaneus, where the haglund's deformity has been removed. Confirm. With fluoroscopy, the lateral view is showing the appropriate drill guide angle of insertion. Keeping the position. Drill and insert the first 2.6mm Knotless FiberTak dx mallet the handle of the inserter until the large laser line is met on the inserter with the back of the guide. Do not mallet flush to a positive stop on the guide, as this will plunge the guide and anchor too deep, creating too big of a hole for the anchor. Undo the orange O-ring from the back of the handle and remove the needle and sutures from the inserter, and then remove the inserter. Do not twist the inserter to remove the sutures, then will slide out of the slot in the guide and the guide can be removed. Give a gentle pull on the sutures to make sure the anchor is in good bone. Repeat for the second anchor, again using fluoroscopy, and insert the second 2.6mm knotless FiberTak rd through the proximal medial portal. The 1.7mm collagen coated FiberTape is passed with the existing needle through the medial Achilles tendon and up through skin, then through the proximal lateral portal. The contralateral FiberTape is passed with the existing needle through the lateral Achilles tendon and out through the skin. Now cut the needles off both of the fiber tapes at the swedge, creating four separate tails. Take the free needle in the system and load all three knotless sutures through the wire. Loop on the needle, and pass the medial sutures through the proximal medial achilles and the skin just distal and medial to the FiberTape. Repeat those steps again for lateral knotless FiberTak Rd, and place the knotless sutures through the lateral tendon, just distal and lateral to the FiberTape. Use the hook probe to shuttle the proximal lateral knotless sutures between the skin and the tendon and out through the proximal lateral portal, and then repeat for the contralateral side out the proximal medial portal. Next, a hemostat is used to shuttle the blue working knotless suture marked with purple from the medial to lateral proximal portal, and then repeat for the lateral white working knotless suture using the loop end. White black shuttling suture. Load the white knotless working suture through the looped end and double it over at the purple marking on the white knotless suture. Pinch and hold at the loop and marking. Take the tape end of the white black shuttling suture, and pull axially in line with the insertion of the anchor until resistance is met, and then use short jigs until the working knotless suture is shuttled all the way out of the portal, using the loop and white blue shuttling suture on lateral side, load the blue knotless suture through looped end and double it over at the purple marking on the blue knotless working suture. Repeat again, pulling axially, and use short jigs until the working knotless suture is shuttled all the way out of the portal. Now you can fully tension both working sutures to complete the rip. Stop stitch. Moving back to the FiberTape, use the hook probe to shuttle the medial tape between the skin and tendon and out through proximal portals using the yellow handle. Banana SutureLasso shuttling one at a time. One blue FiberTape straight down to the distal medial portal, then the other blue FiberTape from proximal, medial to distal lateral, then shuttle the one medial black FiberTape straight down to distal lateral portal and the other black FiberTape from proximal lateral to distal medial. Make sure that the tip of the banana SutureLasso doesn't pierce the FiberTape or the Achilles tendon. Using the orange tab on the 3.9mm biocomposite SwiveLock, pull the two ends of the collagen coated FiberTape one black and one blue through the eyelet, then align the anchor in the same trajectory as the K-wires were drilled and tapped previously through the distal portals, with the eyelet holes facing up and down. Remove the K-wires and insert the 3.9mm SwiveLock. Anchor and mallet it in to where the tip of the anchor meets bone, and then hold the paddle and twist the handle of the inserter until the laser line on the inserter meets the window of the inserter level, with the laser line ensuring the anchor is two millimeters Countersunk. Then remove the inserter. Repeat for the second 3.9mm. Swivelock anchor. Cut the sutures away from the SpeedBridge construct and the Miss Achilles SpeedBridge is complete. Finally, close, using simple knots to approximate skin of the portal incisions.

MIS Achilles SpeedBridge™ System

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