Arthrex offers a wide range of soft-tissue fixation devices for minimally invasive primary and backup fixation for foot and ankle procedures. Arthrex suture anchors are designed to repair soft tissue to bone through a variety of innovative anchor styles, materials, and suture configurations.

Foot and Ankle

Product

The DX 3.0 mm Knotless SutureTak® anchor for tensionable knotless soft-tissue repair provides the combined benefits of a proven biocomposite and reproducible suture anchor design and insertion procedure with knotless soft-tissue fixation. A tensionable, suture-locking mechanism allows users to control tension under direct visualization and to interconnect anchors for bridging techniques. The DX SutureTak anchor comes with the needle attached.

3.0 mm Knotless SutureTak®

The DX Knotless FiberTak® suture anchor provides the combined benefits of all-suture anchors with knotless soft-tissue fixation. A tensionable, suture-locking mechanism allows users to control the repair tension under direct visualization and the ability to interconnect anchors for bridging techniques. This anchor is ideal for small areas where minimal bone removal and knotless fixation are desired.

DX Knotless FiberTak®

Brostrom repair with the InternalBrace™ procedure provides additional fixation of the repaired ligament backdown to bone during the healing process, allowing early mobility during recovery and a quicker return to activity.1 The InternalBrace 2.0 surgical technique provides surgical versatility with added size and material options. It comes with a talus offset guide that allows for reproducible anatomic placement of the talus SwiveLock® anchor. Surgeons can drill, tap, and implant the SwiveLock anchor through the guide. The InternalBrace technique allows the surgeon to support the primary Brostrom repair of soft tissue to bone for lateral or medial ankle instability repair and can be used for chronic ankle injuries and revisions.
References
1. Kulwin R, Watson TS, Rigby R, Coetzee JC, Vora A. Traditional modified Broström vs suture tape ligament augmentation [published online ahead of print, 2021 Jan 23]. Foot Ankle Int. 2021;1071100720976071. doi:10.1177/1071100720976071
 
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.

InternalBrace™ Procedure for Brostrom Repair

Optimize tensioning and fixation without knot tying. The 2.9 mm PushLock suture anchor provides a secure means of knotless fixation in the hand and wrist, as well as the foot and ankle. Accommodating sutures ranging in size from 2-0 FiberWire® to 2.0 mm LabralTape™ sutures, this 2-piece anchor enables a no-profile repair that is quick and straightforward. The 2.9 mm BioComposite Knotless PushLock suture anchor uses a PEEK eyelet to place the sutures at the bottom of a drill hole, allowing precise tension and the ability to lock the sutures in place by impacting the body portion of the anchor.

PushLock® Anchors

The 4.75 mm DX Knotless SwiveLock® anchors for soft-tissue repair provide surgeons the added benefit of a knotless repair retention suture feature. Continuing innovations that enhance the repair options using the versatile SwiveLock anchor are what make it the leading anchor on the market.
<ul>
 <li>Tensionable knotless technology</li>
 <li>Collagen-coated FiberTape® suture</li>
 <li>Free needle included</li>
 <li>Laser-line window indicates when anchor is flush and 2 mm countersunk</li>
 <li>Radiopaque shoulder and marker for anchor placement under fluoroscopy</li>
</ul>

SwiveLock® Anchors

Knotless Suture Anchors

Human

The knotless anchor products are used in a variety of procedures in the shoulder (e.g.&nbsp;rotator cuff repair) as well as scapholunate repair and&nbsp;Ulnar Collateral Ligament repair. The unique PushLock design allows the surgeon to adjust the amount of tension on the tissue intraoperatively, allowing for precise tissue reduction. The tissue is securely held in a knotless fashion, allowing for soft tissue healing to bone. The anchor is available in bioabsorbable (PLLA), BioComposite and PEEK.

Secondary (C)

The Arthrex Brostrom Repair System allows surgeons to perform a modified Broström-Gould procedure through a single, 1.5 cm incision. The convenient all-in-one system includes 2 BioComposite™ SutureTak® anchors, all the necessary drill guides, the Micro SutureLasso retrievers to help facilitate percutaneous shuttling of the #1 FiberWire® suture through the ATFL and extensor retinaculum.
During simultaneous arthroscopy, surgeons have the option to perform the all-arthroscopic ArthroBrostrom® repair technique using the same instruments from the Arthrex Brostrom Repair System. These techniques offer surgeons 2 truly minimally invasive options to treat patients presenting with lateral ankle instability.

Arthrex® Brostrom Repair

The Nano, Micro, Mini and 3.5 mm Corkscrew FT Suture anchors are designed with a fully threaded length to create maximum cortical purchase in smaller bones.
The Small Joint Corkscrew anchor offers a small inner diameter and large cancellous thread design for maximum holding power in cancellous bone.
Finally, the 3.7 mm Small Joint Bio-Corkscrew® Suture anchor features a unique suture eyelet molded into the body that virtually eliminates suture abrasion during knot tying.

Corkscrew® Anchors

The DX FiberTak® all-suture anchors are ideal for any soft-tissue repair about the foot and ankle and maintain a very high pull-out strength considering the small profile of the anchor.1-3 These anchors offer the benefits, clinical experience, and product support surgeons have come to appreciate from Arthrex.
<ul>
 <li>Single- and Double-Loaded</li>
 <li>1.3 mm SutureTape, 0.9 mm SutureTape, FiberWire® Suture</li>
 <li>1.35 mm K-Wire Drill Recommended</li>
 <li>1.6 mm K-Wire Drill (Hard Bone)</li>
</ul>
References
1. Arthrex, Inc. Data on file (APT-05068). Naples, FL; 2021.
2. Arthrex, Inc. Data on file (APT-03508). Naples, FL; 2018.
3. Arthrex, Inc. Data on file (APT-03296). Naples, FL; 2017.

DX FiberTak® All-Suture Anchors

Threaded anchors provide greater opportunity for bone contact than barbed anchors and also provide a path for removal. Providing excellent strength in a smaller size, this non-absorbable, braided polyblend suture is preloaded for convenience. A short inserter and self-drilling design create a reliable and quick procedure with no additional instrumentation needed. The Small Bone FASTak suture anchor is a fully threaded, 2.4 mm x 7.5 mm titanium suture anchor that is preloaded with 2-0 FiberWire. It comes on a handled inserter with two 17.9 mm 3/8 circle swedged-on tapered needles. It alleviates the need for pre-drilling, while creating an excellent point of fixation. Designed for use in the hand, wrist, and elbow for soft tissue reattachment procedures such as UCL repair of the thumb, ligament repair for scapholunate disassociation in the wrist, as well as ECRB repair in tennis elbow debridement, this device can also be used to repair lateral ankle ligaments for a modified Brostrom procedure. Benefits:
<ul>
 <li>Threaded for Pull-out Strength - Threaded anchors provide greater opportunity for bone contact than barbed anchors, and also provide a path for removal if needed.</li>
 <li>Preloaded with Two Needles and FiberWire - Providing excellent strength in a smaller size, this nonabsorbable, braided polyblend suture is preloaded for convenience.</li>
 <li>Straightforward Technique - A short inserter and self-drilling design create a reliable and quick procedure with no additional instrumentation needed.</li>
</ul>

FASTak® Anchor

BioComposite SutureTak® Anchors
The BioComposite SutureTak anchors are unique “push-in” anchors that are ideal for soft-tissue repair in the foot and ankle.
These anchors offer the benefits, clinical experience, and product support surgeons have come to appreciate from Arthrex.
<ul>
 <li>Sizes — 2.4 mm and 3.0 mm</li>
 <li>Single- and Double-Loaded</li>
 <li>FiberWire® suture, 1.3 mm SutureTape, and 0.9 mm SutureTape</li>
 <li>Ergonomic drivers for extremity usage</li>
 <li>Extremity-specific needles attached</li>
</ul>

SutureTak®

Knotted Suture Anchors

Suture anchors provide the highest attachment strength possible, making technically demanding procedures simpler, safer, and more reproducible. The bioabsorbable anchors are made of PLDLA (poly(L-lactide-co-D, L-lactide)), PLLA ((poly)L-lactide) or BioComposite (PLDLA/Beta tricalcium phosphate). They maintain strength during the critical 12-week soft tissue healing phase and then undergo resorption.