Loop 'N' Tack™ Biceps Tenodesis Technique
Developed in conjunction with Sam Akhavan, MD (Pittsburgh, PA), and James M. Paci, MD (Long Island, NY), this knotless biceps tenodesis technique is a simple approach to the top-of-the-groove arthroscopic biceps tenodesis using the Loop 'N' Tack stitch configuration. For surgeons who want to transition from tenotomy to a quick arthroscopic technique, it is an excellent option for using existing portal placement while viewing familiar anatomy. This straightforward surgical approach helps minimize the potential for cramping or cosmetic "Popeye" deformity, which is often associated with tenotomy.1
FiberTak® Button Tenodesis Technique
Use the all-suture FiberTak button in lieu of traditional metal buttons for both bicortical and unicortical tension-slide techniques. Its 2.6 mm-diameter sheath is preloaded with 2-0 FiberLink™ sutures that are used to shuttle the whipstitch limbs through the sheath.
FiberTak® Biceps Tenodesis Technique
The FiberTak Biceps Implant System delivers an all-suture anchor designed for use in open, onlay-tissue fixation procedures, particularly proximal and distal biceps repairs. The implant is double-loaded with sliding SutureTape and includes 4 attached needles. The system includes a FiberTak biceps implant, drill guide, 1.9 mm drill, and a free curved needle.
Knotless TensionTight™ Tenodesis Technique
The TensionTight™ button is used to perform a knotless onlay biceps tenodesis with an arthroscopic suprapectoral or open subpectoral approach. A locking jaw in the button allows for a knotless biceps tenodesis. Securing the biceps tendon repair with a Loop 'N' Tack™ stitch enables an all-arthroscopic suprapectoral onlay tenodesis.
Cortical Button Tenodesis Technique
Subpectoral biceps tenodesis using cortical buttons and the tension-slide technique allows for reliable tensioning and a bicortical or unicortical repair of the long head of the biceps.
SwiveLock® Tenodesis Technique
The family of SwiveLock tenodesis implants is designed to support a multitude of proximal biceps tenodesis techniques and maximize OR efficiency. Implants are available with suture eyelets or closed eyelets for surgeons who prefer a whipstitching technique. Forked eyelets are also available for an all-arthroscopic approach. There is no need to predetermine tendon length, as position and tension can easily be set and visualized prior to final implant insertion. Obtain strong fixation by simply advancing the preloaded SwiveLock tenodesis implant. The system also features piloted headed reamers with built-in guide tips that eliminate the need to ream over a guide pin.
Birmingham Biceps™ Technique
The Birmingham Biceps technique for subpectoral tenodesis was developed in conjunction with Drs. Lyle Cain, Jeff Dugas and Benton Emblom from the Andrews Sports Medicine & Orthopedic Center.
The Bio-Tenodesis Screw System was designed specifically for the reattachment of soft tissue, both ligament and tendon, to bone. The Bio-Tenodesis Driver facilitates accurate graft tensioning into a bony socket in a simple “push-in” method. The interference fit provided by the Tenodesis Screw and FiberWire virtually eliminates graft separation from the bone. Because of the strength of the repair achieved with the system, patients are generally allowed to begin postoperative rehab earlier than previously permitted. The Bio-Tenodesis Screws are composed of PLLA and are available in numerous sizes to fit all applications. There are also titanium and PEEK Tenodesis Screws available for use with the system, if desired. The system is ideal for the reattachment of soft tissue to bone in proximal/distal biceps tenodesis.