Cortical Button Fixation

Cortical Button Fixation

Cortical button fixation has been shown to be a biomechanically strong method of treating various tendon and ligament injuries. Various cortical button configurations and suture combinations allow treatment of acromioclavicular injuries, distal and proximal biceps ruptures and pectoralis major ruptures.

Cortical button fixation has been shown to be a biomechanically strong method of treating various tendon and ligament injuries. Various cortical button configurations and suture combinations allow treatment of acromioclavicular injuries, distal and proximal biceps ruptures and pectoralis major ruptures.

FiberTak<sup>®</sup> Button

FiberTak^® Button

The FiberTak button is an all-suture button that can be used in lieu of traditional metal buttons for both bicortical and unicortical tension slide tenodesis techniques. The button is a reinforced 2.6 mm diameter sheath preloaded with two 2-0 FiberLink™ sutures that are used to shuttle the whipstitch limbs through the sheath.
Features & Benefits
• Button first technique to help eliminate the need to find the drill hole
• 2-0 FiberLink sutures colored blue and white/black for easy identification
• No metal-FiberTak is not visible on x-ray
• 17% stronger than metal buttons¹
• 2.6 mm drill reduces the bone socket 19% over the traditional 3.2 mm bone socket commonly used for metal buttons
^{1. Arthrex, Inc. Data on file (APT 04066). Naples, FL; 2019}

Knotless TensionTight™ Button

Knotless TensionTight™ Button

The TensionTight™ button is used to perform a knotless onlay biceps tenodesis, using either 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.

BicepsButton™ Implant Systems

BicepsButton™ Implant Systems

Achieve a simple, reproducible repair of the distal biceps with the BicepsButton implant systems and associated tension-slide technique. Using a titanium BicepsButton implant, this technique reliably seats the tendon against the far cortex of the bone socket to maximize the surface area for tendon-to-bone healing. A tenodesis screw adds to the construct strength and helps place the tendon at the more anatomic crescent-shaped insertion. FiberLoop^® suture, which is included, also reduces time spent whipstitching the tendon while the button inserter allows for a simplified, less traumatic single-incision repair.

Pec Repair Button

Pec Repair Button

The Arthrex Pec Buttons are used for fixation of soft tissue-to-bone intended as fixation posts, a distribution bridge, or for distributing suture tension over areas of ligament or tendon repair. Each end of the buttons have an angled face to promote a toggle effect when the buttons contact the opposite cortex, enabling the Pec Buttons to be ideally suited for the repair of ruptures of the pectoralis major tendon back to bone. A unicortical pilot hole is formed with a drill bit and after attaching FiberWire® or FiberTape® sutures, the button is inserted in a unicortical fashion using the inserter.
The Pec Button is also available in an Implant Delivery Repair System and includes three buttons with attached sutures and needles, the inserter and a 3.2 mm drill in sterile packaging.
The Large Pec Button is also available in an Implant Delivery Repair System and includes three buttons pre-loaded onto Inserters, FiberTape and #5 FiberWire with needles and a 3.7 mm drill in sterile packaging.

Knotless AC TightRope® Repair System

Knotless AC TightRope® Repair System

The Knotless AC TightRope repair system is designed for the reduction and stabilization of acute and chronic acromioclavicular joint separations. For arthroscopic procedures, the dual construct features a #6 TightRope suture preassembled into a clavicle insert and a Dog Bone™ button, which attaches to the suture loops separately after they are passed antegrade through the 3 mm bone tunnels. For open procedures, the construct also features a #6 TightRope suture preassembled into a clavicle insert and a large pec button preloaded onto an inserter, which allows surgeons to perform an open or mini-open “push-through” technique without having to use a scope or access beneath the coracoid.

Dog Bone™ Button

Dog Bone™ Button

The precontoured, titanium Dog Bone button allows the use of knotless TightRope^® technology or multiple FiberTape^® sutures for acromioclavicular AC joint reduction. The button is attached to the sutures independently; only suture material will be passed through the clavicle and coracoid tunnels, allowing the repair to be completed through smaller tunnels.
The low-profile AC implant and Dog Bone button combine to form a tensionable device optimized for the reduction and stabilization of acute and chronic ac joint separations. This dual construct features two independent TightRope sutures preassembled into a clavicle insert and a Dog Bone button, which attaches to the suture loops separately after passing them antegrade through the 3 mm bone tunnels.

AC TightRope<sup>®</sup>

AC TightRope^®

The AC TightRope family of products provides for easy reconstruction of acute AC joint separations in a minimally invasive manner, either open or arthroscopic. The four-strand continuous loop of #5 FiberWire interlaced between two titanium buttons provides strong mechanical fixation while the coracoclavicular and acromioclavicular ligament disruptions heal. Precise bone tunnels are made through the clavicle and coracoid using the specialized instrumentation in the Acromioclavicular Joint Master Set, allowing for simplified passing of the distal button through the transosseous tunnels. Fixation is achieved by cinching down the proximal button over the clavicle and tying a knot over the button.

Twin Tail TightRope<sup>®</sup>

Twin Tail TightRope^®

The Twin Tail TightRope features two independent clavicle button tails and is designed to help reduce and stabilize the AC joint for open, acute AC injuries. Each clavicle button is independently joined to the coracoids button with a continuous loop of #5 FiberWire. The twin tails enable the surgeon to stabilize the acromioclavicular joint with a device that matches the normal coracoclavicular ligament anatomy.

AC FiberTape® Cerclage Implant System

AC FiberTape® Cerclage Implant System

The FiberTape cerclage suture can eliminate the need to drill clavicle and/or coracoid tunnels for AC repair.
The system offers a convenient kit that includes a complete set of instruments and implants for performing various AC cerclage techniques.

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