Finished Product

AR-1555BC

Human

Foot and Ankle

Procedure

Lateral ankle ligament reconstruction can be performed using a free tendon graft and a rigid interference screw with the BioComposite Tenodesis implants. This technique allows for anatomic reconstruction of the anterior talofibular and calcaneofibular ligaments with simple tensioning and rigid fixation of the graft.

Lateral Ankle Ligament Reconstruction

Child (D)

Hand and Wrist

Product

The Bio-Tenodesis screw system makes ligament and tendon repairs and reconstructions easier by eliminating the need for transosseous tunnel drilling and graft tensioning. The Bio-Tenodesis cannulated drivers enable simple and reproducible “push-in” seating and tensioning of the graft and suture limbs into the bony socket prior to screw advancement. The extended, retracting driver tip maintains graft tension in the bony socket while the traction sutures from the graft are held tight as they exit the driver cannulation proximally.

Bio-Tenodesis™ Screw System

Tenodesis Screw Instrumentation Set

Bio-Tenodesis Instrumentation Set, master set

Elbow

The Interference Screw Technique reconstructs the UCL by using a looped graft anchored into single bone tunnels in the humerus and ulna. The graft is then secured with Arthrex Interference Screws on both sides. FiberWire can also be used for suturing the graft to itself for increased tension and/or original ligament repair for added stabilization.

Interference Screw Technique

Arthrex offers the TenodesisScrew System in order to treat patients with a dysfunction of the posteriortibial tendon, where the tendon is stretched beyond its functional length, isdiseased or has ruptured. As a result,the FDL tendon is transferred into a bone tunnel into the navicular and fixatedwith a screw from the Bio-Tenodesis System.

Posterior Tibialis Tendon Transfer

Shoulder

Tenodesis Screws™&nbsp;may be used in conjunction with #2 or 2-0 FiberWire®&nbsp;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. &nbsp;
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.&nbsp; A specially designed, retracting screwdriver 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™

The Tenodesis screw may be used in conjunction with #2 or 2-0 FiberWire® suture to facilitate intraoperative tissue tensioning and fixation in a predrilled socket. The predrilled socket minimizes incision length, dissection, and overall morbidity. BioComposite, vented PEEK, or titanium Tenodesis screws provide superior and immediate fixation for foot and ankle indications such as Achilles repair, FDL or FHL tendon transfers, and lateral ligament stabilization. The Tenodesis Screw System can also be used for applications in the hand (LTRI), elbow (UCL, distal biceps), and shoulder (rotator cuff repair, proximal biceps), as well as for collateral ligament repair, reconstruction, and secondary graft or suture fixation for ACL or PCL reconstruction. This construct allows for direct tendon-to-bone healing, without hardware prominence.
When used in conjunction, the Tenodesis Screw System and complementary Tenodesis screws eliminate transosseous tunnels in tendon repairs and ligament reconstructions by simplifying tissue fixation in the bone socket while maintaining tension of the tissue throughout fixation. A specially designed, retracting screwdriver with an 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 suture holes in the cannulated screws can be used to incorporate 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 to provide additional backup fixation, if desired.

Tenodesis Screw

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.

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.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

Tenodesis Screw, BioComposite, 5.5 x 15 mm

AR-1555BC

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