#2 FiberWire Suture, 38 in (Blue) w/Tapered Needle, 26.5 mm, 1/2 circle, 12/box

FiberWire #2 Geflochtener Polyblend Faden, Blau, mit spitzer Rundnadel,steril

FiberWire #2 Braided Polyblend Suture, Blue, w/ Tapered Needle

FiberWire de calibre #2, hilo de sutura de Polyblendtrenzado, azul, con

FIBERWIRE, BLUE 38 SIZE 2 W/TAPERED NEEDLE

Finished Product

AR-7200

Human

Sutura de polimistura entrançada FiberWi

Product

FiberWire® and TigerWire® are both high strength sutures available on implants and also packaged separately with and without needles. FiberWire is blue and TigerWire is white with a black stripe in the suture, making suture identification easier.

FiberWire® and TigerWire®

Child (D)

Elbow

FiberWire® and TigerWire® are both high strength sutures available on implants and also packaged separately with and without needles. FiberWire® is blue and TigerWire® is white with a black stripe in the suture, making suture identification easier.

FiberWire® and TigerWire®

Shoulder

Foot and Ankle

Part of the FiberWire® family, TigerWire® suture uses the same high strength construction as FiberWire except that it contains a black marker strand in the suture weave. This strand appears as a stripe in the suture, making suture identification easier during joint reconstruction and soft tissue repairs. Trusted by leading orthopedic surgeons worldwide, FiberWire has contributed to successful surgical outcomes in over one million orthopedic surgical procedures. There are a variety of innovative solutions to arthroscopic suture passing in the FiberWire family including FiberStick® and TigerStick®, FiberTape® and TigerTape®, FiberLoop®, FiberSnare®, FiberChain®, and FiberLink™. Part of the FiberWire Suture Family includes 2-0 FiberWire Meniscus Repair Needles and the FiberWire Suture Kit. FiberWire accessories include Suture Cutters, the FiberWire Scissor, FingerShield™ and FiberWire Tensioner. Trusted by leading orthopaedic surgeons worldwide, FiberWire has contributed to successful surgical outcomes in over one million orthopaedic surgical procedures.

Orthobiologics

Procedure

Soft-tissue meniscal allograft transplantation techniques continue to evolve with the advancement of fixation devices. Using common meniscal repair devices allows for greater flexibility while ensuring anatomic graft placement. Soft–tissue-only meniscal allograft surgical techniques and clinical outcomes are well documented and have good clinical efficacy.1-4
References
1. Kim SH, Lipinski L, Pujol N. Meniscal allograft transplantation with soft-tissue fixation including the anterior intermeniscal ligament. Arthrosc Tech. 2019;9(1):e137-e142. doi:10.1016/j.eats.2019.09.015
2. Spalding T, Parkinson B, Smith NA, Verdonk P. Arthroscopic meniscal allograft transplantation with soft-tissue fixation through bone tunnels. Arthrosc Tech. 2015;4(5):e559-e563. doi:10.1016/j.eats.2015.06.001
3. Elattar M, Dhollander A, Verdonk R, Almqvist KF, Verdonk P. Twenty-six years of meniscal allograft transplantation: is it still experimental? A meta-analysis of 44 trials. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):147-157. doi:10.1007/s00167-010-1351-6
4. Myers P, Tudor F. Meniscal allograft transplantation: how should we be doing it? A systematic review. Arthroscopy. 2015;31(5):911-925. doi:10.1016/j.arthro.2014.11.020

Soft Tissue Meniscal Allograft Transplantation Technique

FiberWire® is available in size 2 with multiple needle options.

Suture Size 2

The Arthrex AC Reconstruction line of products consists of the AC Reconstruction Set, a unique set of instruments developed to perform procedures and techniques associated with Dog Bone Button, AC TightRope®, the TwinTail TightRope System, Chronic AC Joint Reconstruction and the AC Joint Master Set.

AC Reconstruction Set

FiberWire® suture can be used for open Achilles repair. As compared to standard polyester suture, FiberWire suture has superior strength that provides tighter loop security during knot tying and increased knot integrity, while reducing knot profile.1
 
Reference 
1. Arthrex, Inc. Data on file (APT-2799). Naples, FL; 2015.

PARS SutureTape Technique for Achilles Rupture

Arthroplasty Shoulder

The Humeral SuturePlate™ is an anatomically designed polyaxial locking plate and screw system designed for the treatment of proximal humeral fractures. These low profile plates with polyaxial bushings provide freedom to direct the locking screws within the anatomical template, based on the fracture pattern and bone quality for better fixation. Multiple chamfered suture eyelets along the margin of the plate allow the surgeon to pass FiberWire® suture after the plate is fixed to bone. FiberWire® Suture Kits which contain color-coded #2 or #5 FiberWire® sutures, with needles on each end, are available to facilitate suturing the soft tissue to the plate after it is in place.

Humeral SuturePlate™

The Humeral SuturePlate™ is an anatomically designed polyaxial locking plate and screw system designed for the treatment of proximal humeral fractures. These low profile plates with polyaxial bushings provide freedom to direct the locking screws within the anatomical template, based on the fracture pattern and bone quality for better fixation. Multiple chamfered suture eyelets along the margin of the plate allow the surgeon to pass FiberWire suture after the plate is fixed to bone. FiberWire Suture Kits, containing color-coded #2 or #5 FiberWire® sutures, with needles on each end, are available to facilitate suturing the soft tissue to the plate after it is in place.

Humeral SuturePlate™ Repair

The SCR technique was pioneered by Dr. Teruhisa Mihata in 2007 for patients with irreparable rotator cuff tears. In the SCR study, a 24- to 51-month follow-up on 23 patients shows outstanding outcomes in pain, ASES scores, and acromiohumeral distance measurements.1 The SCR technique reinforces the superior capsule, keeping the humeral head centered in the glenoid by attaching tissue from the glenoid to the greater tuberosity.
Reference
1. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459-470. doi:10.1016/j.arthro.2012.10.022

Superior Capsular Reconstruction (SCR) Technique

Knee

Arthrex offers a wide variety of suture with needles, including SutureTape, FiberWire®, TigerWire®, and #2 FiberWire suture.
SutureTape is a flat-braided suture more resistant to tissue pull-through,1 offering improved handling and stronger knot security1 with smaller, comparable knot stacks.
FiberWire and TigerWire suture are both high-strength options available on implants and packaged separately with and without needles. FiberWire suture is constructed of a multistrand long chain ultra-high molecular weight polyethylene core with a braided jacket of polyester and UHMWPE that&nbsp;provides strength, abrasion resistance, and a soft feel.&nbsp;FiberWire suture is blue and TigerWire suture is white with a black stripe in the suture for easy identification.
#2 FiberWire suture on straight needles comes in two needle options: a single needle attached to 38 in of #2 FiberWire suture or two needles each attached to an end of 38 in of #2 FiberWire suture. These are ideal for creating a variety locking stitch patterns for avulsions of large tendons, such as the quadriceps, patellar, pectoral, or Achilles.
Reference
1. Arthrex, Inc. LA1-00038-EN_B. Naples, FL; 2017.

Suture With Needles

Arthrex sutures are available in multiple sizes, attached to the following tapered needles.

Tapered Needles

A Streamlined Approach for Predictable Outcomes
<ul>
 <li>135˚ neck-shaft angle optimizes impingement-free range of motion and reduces scapular notching1,2</li>
 <li>Inlay humeral design facilitates ideal soft-tissue tensioning3</li>
 <li>Designed-to-fit Modular Glenoid System includes screw or post fixation, augments, and multiple lateralization and glenosphere options</li>
 <li>Fracture repair features include press-fit stem geometry, 135° inclination angle, and soft-tissue fixation points for improved functional outcomes and reliable tuberosity healing4</li>
</ul>
References
1. Walch G. What I've learned? J Shoulder Elbow Surg. 2019;28(6):1214-1216. doi:10.1016/j.jse.2019.02.018
2. Gobezie R, Shishani Y, Lederman E, Denard PJ. Can a functional difference be detected in reverse arthroplasty with 135° versus 155° prosthesis for the treatment of rotator cuff arthropathy: a prospective randomized study. J Shoulder Elbow Surg. 2019;28(5):813-818. doi:10.1016/j.jse.2018.11.064
3. Haidamous G, Lädermann A, Frankle MA, Gorman RA 2nd, Denard PJ. The risk of postoperative scapular spine fracture following reverse shoulder arthroplasty is increased with an onlay humeral stem. J Shoulder Elbow Surg. 2020;29(12):2556-2563. doi:10.1016/j.jse.2020.03.036
4. O'Sullivan J, Lädermann A, Parsons BO, et al. A systematic review of tuberosity healing and outcomes following reverse shoulder arthroplasty for fracture according to humeral inclination of the prosthesis.&nbsp;J Shoulder Elbow Surg. 2020;29(9):1938-1949. doi:10.1016/j.jse.2020.03.032
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Univers Revers™ Total Shoulder System

A Streamlined Approach for Predictable Outcomes.

Reconstruction of proximal humerus fractures is often complicated by the loss of anatomic orientation features and the inability to adequately reduce and securely fix the displaced tuberosity fragments. With its uniquely designed implant and instrumentation, the Univers Shoulder Fracture System addresses issues relating to stabilizing the humeral prosthesis and accurately positioning the humeral head. Accurately reduce and fix the tuberosities with this system's straightforward, reproducible protocol.
The system includes:
<ul>
 <li>An intraoperative adjustable humeral head prosthesis for secondary correction of the implant head height in situ.</li>
 <li>A preoperative and intraoperative measure guide to accurately set the humeral head height without need for technically demanding and complicated fracture jigs.</li>
 <li>Lateral fin positions with suture eyelets for anatomic reconstruction of the tuberosities.</li>
 <li>Multiple suture eyelets on the trunnion to prevent secondary displacement of the tuberosities.</li>
 <li>Smooth chamfered dimples in the medial aspect of the humeral stem to allow suture fixation of the tuberosity fragments without causing suture fraying and breakage.</li>
 <li>Variable eccentric adjustment of the humeral head for anatomic reconstruction.</li>
</ul>
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Univers™ Fracture Stems and Hemi Systems

The Univers fracture prosthesis is used to treat comminuted fractures of the proximal humerus, humeral head fractures, displaced 3- or 4-part proximal humerus fractures, avascular necrosis of the humeral head, and fractures of the anatomic neck. This prosthesis is designed for cemented or cementless use. The unique design of the implant and instrumentation, in combination with a straightforward, reproducible protocol for accurately reducing and repairing the tuberosity, helps address issues relating to stabilization of the humeral prosthesis and accurate positioning of the humeral head.
Features and Benefits
<ul>
 <li>Suture fixation: Multiple suture eyelets on the trunnion and lateral fin for anatomic reconstruction of the tuberosity</li>
 <li>Head height guides: A preoperative and intraoperative measuring guide for accurately setting the humeral head height, without technically demanding and complicated fracture jigs</li>
 <li>Intraoperative adjustable humeral head prosthesis for secondary correction of the implant head height in situ</li>
 <li>Lateral fin positions with suture eyelets for anatomic reconstruction of the tuberosities</li>
 <li>Multiple suture eyelets on the trunion to prevent secondary displacement of the tuberosities</li>
 <li>Smooth, chamfered dimples in the medial aspect of the humeral stem allow suture fixation of the tuberosity fragments without causing suture fraying and breakage</li>
 <li>Variable eccentric adjustment of the humeral head for anatomic reconstruction</li>
</ul>

Univers™ Fracture Technique

The Univers II humeral component was designed to account for commonly encountered anatomical variations of the proximal humerus. Variable adjustment with respect to the inclination angle, version, and head offset is critical to reconstruction of the proximal humerus. The simplified design of the Univers II humeral component enables for adapting the humeral stem and articular surface to the position that best represents the patient’s normal anatomy. Implant adjustments can be made intraoperatively within the humeral canal. This unique feature allows more accurate recreation of the normal anatomical relationships of the shoulder joint. With anatomic restoration of the humerus and glenoid, soft-tissue balancing of the rotator cuff is more accurate, allowing for improved functional outcome.1
Reference
1. Mueller M, Hoy G. Soft tissue balancing in total shoulder replacement. Curr Rev Musculoskelet Med. 2014;7(1):16-21. doi:10.1007/s12178-013-9195-6
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#2 FiberWire Suture, 38 in (Blue) w/Tapered Needle, 26.5 mm, 1/2 circle, 12/box

AR-7200

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