Name: FiberTape® Tendon Compression Bridge Technique
Uploaded: 2018-05-17T00:00:00Z
Channel: Arthrex
Description: The FiberTape ® tendon compression bridge technique is used for subscapularis repair following total shoulder arthroplasty.

<p>The FiberTape<sup>®</sup> tendon compression bridge technique is used for subscapularis repair following total shoulder arthroplasty.</p>

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AN1-00306-en-US | D | FiberTape® Tendon Compression Bridge Technique

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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

FiberTape® Tendon Compression Bridge Technique

The FiberTape tendon compression bridge technique may be utilized during total shoulder or hemiarthroplasty procedures as a method of repairing the subscapularis tendon. It may be used when either a subscapularis peel or lesser tuberosity osteotomy is employed for the subscapularis takedown, although this animation shows use with the LTO method. After the subscapularis is reflected, standard preparation for the humeral stem is completed. Bone tunnels are then established in the proximal humerus using the supplied 2.0mm drill bit. If a collared humeral stem is being used, only one hole is needed medial to the lesser tuberosity. Two additional holes are drilled inside the bicipital groove, spaced approximately 15mm apart. The FiberTape loop is removed from the card and its needle is passed through the inferolateral humeral bone tunnel. Configure the suture loader so that suture limbs enter the bone tunnel directly from the suture loader. Care should be taken to ensure the knot does not migrate off of the suture loader, as the suture strands are being pulled proximally through the bone tunnel. The needle is then passed from the interior of the humeral canal through the medial bone tunnel. The suture is pulled through the medial bone tunnel while ensuring that a loop of suture is maintained external to the humerus. Next, the TigerTape loop is removed from the card and its needle is passed through the superior lateral bone tunnel. Again, the suture is unwrapped from the suture passer tab and pulled through the tunnel proximally, similar to the FiberTape strands. In this case, when a collared implant is used, there is no need to pass the TigerTape strands through the medial bone tunnel. These suture limbs will rest on the humeral resection plane and under the stem collar. The distal tip of the humeral stem is then placed inside of the loops created by the FiberTape and TigerTape sutures. Slack is removed from the suture loops by gently pulling on the medial suture strands as the humeral stem is being inserted. The humeral head component is then placed on the humeral stem and the humerus is reduced. Using the attached needle past the inferior sutures through the subscapularis tendon. Follow with superior sutures in the same manner. The needles are then cut from the sutures and discarded. The tapered end of a suture of each type, FiberTape and TigerTape are passed through the suture. Passer. Eyelid. The suture loader is pulled, which passes the tapered ends through the preformed knot. This process is repeated with the remaining suture. Limbs. Hand tensioning should be performed alternately between the superior and inferior knots. A half hitch is then tied over the inferior racking hitch knot. The superior suture limbs are loaded through the tip of the suture tensioner and passed around the paddle, and cleated securely. The suture tensioner handle is then rotated clockwise until adequate suture tensioning is achieved. Alternating half hitches are then thrown over the superior knot stack. The same tensioning steps are followed on the inferior suture. Limbs. One final alternating half hitch is then thrown over the inferior knot stack if desired. Suture tensioning can be repeated. The excess suture limbs are cut, which completes the repair.

FiberTape® Tendon Compression Bridge Technique

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