Arthrex is a leader in intraosseous soft tissue fixation. Soft tissue fixation devices such as cortical buttons and corresponding suture kits provide technology that enables the tension and the ability to attach tendon or tendon graft directly to the bone inside a pre-drilled socket.

Elbow

Product

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.

BicepsButton™ Implant Systems

Cortical Button Fixation

Human

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.

Secondary (C)

The InternalBrace™ ligament augmentation procedure with SwiveLock® anchors and FiberTape® suture is a reasonable alternative that may eliminate secondary hardware removal and provide a more attractive solution for patient comfort and overall cosmesis.
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

UCL InternalBrace™ System

The Elbow UCL Suture Passing Disposable Kit contains two #2 FiberLoop® sutures to whipstitch graft ends, curved suture-passing wires for the ulna tunnel, a chamfer tool to knock down the sharp edges of the bone sockets and tunnels, a Micro SutureLasso™ suture passer and skid to pass sutured graft ends into the prepared socket and tunnel in the humeral epicondyle, and a 6 inch ruler for graft length preparation. This kit will accommodate any style including the Jobe technique, docking technique, DANE TJ technique, button fixation technique, and all tenodesis screw techniques.

UCL Suture Passing Disposable Kits

Elbow Suture Kits

The Arthrex elbow UCL disposable kit contains a specialty FiberWire product (FiberLoop) used to whipstitch the graft ends for ease and efficiency. We also offer a wide variety of suture sizes and needle options for suturing.

Tenodesis Screws™ may be used in conjunction with #2 or 2-0 FiberWire® to facilitate intraoperative tissue tensioning and fixation in a predrilled socket. The predrilled socket minimizes incision length, dissection, and overall morbidity. BioComposite, PLLA, vented PEEK or titanium Tenodesis Screw insertion provides superior and immediate fixation for foot and ankle indications such as Achilles repair, FDL, FHL tendon transfers and lateral ligament stabilization. The system can also be used for applications in the hand and elbow (UCL, LRTI, distal biceps), shoulder (rotator cuff repair, proximal biceps), as well as collateral ligament repair, reconstruction and secondary graft or suture fixation for ACL, PCL reconstruction. This construct allows for direct tendon-to-bone healing, without hardware prominence. 

The Tenodesis Screws are part of the Bio-Tenodesis Screw System which eliminates transosseous tunnels in tendon repairs and ligament reconstructions by simplifying tissue fixation in a bone socket while maintaining tension of the tissue throughout fixation. A specially designed, retracting screw driver with extended tip tensions the graft near the base of the socket while a unique outer sleeve delivers the Tenodesis Screw as the extended driver retracts. This technique is ideally applicable for biceps tendon and collateral ligament repairs. The graft passing sutures through the screw cannulation can be used to provide backup fixation by incorporating anti-slippage mulberry knots at the distal end of the screw. The suture ends can be tied over the screw at the completion of the procedure as additional backup fixation, if desired.

Tenodesis Screw™

Tenodesis

Tenodesisscrews are used in techniques and procedures of the shoulder and elbow andprovide the most technologically advanced interference fixation. With acomprehensive product line including BioComposite, PLLA, PEEK and titanium, theTenodesis™ Screw System provides superior and immediate fixation for shoulderand elbow procedures.

Soft Tissue Fixation Devices

Cortical Button Fixation

Elbow Suture Kits

Tenodesis