Mini TightRope 1.1 mm Suture Passing Guide Pin

Mini TightRope 1.1 mm Fadendurchzugsdraht, SU

Mini TightRope 1.1 mm Suture Passing GuidePin

Aguja guía para pasar suturas Mini TightRope de Ø 1.1 mm

Finished Product

AR-8914K

Human

Hand and Wrist

Product

The Mini TightRope fixation system provides a unique means to suspend the thumb metacarpal and can be used after trapezial resection or removal for treatment of CMC arthritis or thumb CMC instability, and in case of revision with proximal migration after failed tendon reconstruction. 

 
The Mini TightRope implant supports and maintains the thumb and index metacarpals in proper relation while allowing for healing and scar tissue formation in the trapezial space. 

 
The construction consists of 2 strands of #2 FiberWire® that are fixed with 2 oblong stainless steel buttons for cortical fixation. 

 
The trapezial space may be left empty or filled with an allograft "anchovy" spacer.

CMC Mini TightRope® Fixation System

Child (D)

Foot and Ankle

Flexible fixation devices like the Knotless Mini TightRope implant afford surgeons an alternative to traditional rigid screw or screw-and-plate fixation for common foot and ankle pathologies, including hallux valgus, Lisfranc injuries, and hallux varus. The Mini TightRope system provides a strong and reproducible construct that stabilizes bones without overconstraining the joint,1 which can lead to early hardware failure and the need for a second hardware removal surgery.
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This knotless, tensionable technology reduces the required number of surgical steps, lowering the risk of soft-tissue irritation from knot stacks and eliminating variability in implant tensioning.
 
Reference
1. Arthrex, Inc. Data on file (APT-05278, APT-05279, APT-05280). Naples, FL; 2021.&nbsp;

Mini TightRope® Fixation System

Procedure

The Mini TightRope® is a low profile system designed to correct a number of forefoot deformities including hallux valgus, Lisfranc disruptions, Tailor’s bunion and hallux varus. Comprised of #2 FiberWire and two stainless steel buttons, this device improves foot and ankle patient care with its strength and versatility. A FiberWire and button construct (distal approach) or FiberWire and anchor construct (proximal) are placed across the first and second metatarsals. As the FiberWire is tightened, the IM angle is reduced to a normal value (less than 9-11 degrees). Using the button or anchor construct, the suture is tied over the button, maintaining a secure reduction of the deformity. Used alone or in conjunction with soft tissue repair, this technique affords a greater degree of strength and security than can be achieved with a soft tissue repair alone.

Mini TightRope® Technique for Hallux Varus

The Mini TightRope® procedure is useful as an alternative or adjunct method for reduction of the intermetatarsal angle. A FiberWire® and button construct is placed across (distally or proximally) the first and second metatarsals. Reduction of the IMA is obtained with a clamp. The Mini TightRope is tightened and tied. The reduced intermetatarsal angle is held at the desired degree of correction. Used alone or in conjunction another procedure, this technique affords a greater degree of strength and security than can be achieved with the soft tissue repair alone. Additionally, the Mini TightRope System provides a more technically straightforward method of maintaining the intermetatarsal angle than with conventional osteotomies while avoiding the complications associated with osteotomies. A buttress plate is available to be placed against the second metatarsal to spread the load of the Mini TightRopes more evenly.

Mini TightRope® Technique for Hallux Valgus

Knee

The anatomic double-bundle technique replicates the native shape of the medial patellofemoral ligament (MPFL), provides stability in both flexion and extension, and effectively limits rotation throughout ROM, helping minimize postoperative instability. The technique, if accomplished directly and anatomically, can also allow for more aggressive rehabilitation protocols and earlier return to activity.1
Successful MPFL reconstruction is dependent on anatomic placement of the graft. The technique incorporates the use of a femoral template to ensure proper placement of the graft in the femur. This position provides a static fixation point that equalizes the tension across the graft in flexion and extension, thus helping minimize stress across the patellofemoral joint.
Other options include Knee FiberTak® anchors for onlay MPFL techniques as well as 4 MPFL convenience packs to address each patient's unique needs and each surgeon's fixation preference. The newest kits use 3.9 mm BioComposite SwiveLock® anchors for patellar fixation and either a 6 mm × 20 mm BioComposite FastThread™ interference screw or an ACL TightRope® implant for femoral fixation.
Reference
1. Schöttle PB, Hensler D, Imhoff AB. Anatomical double-bundle MPFL reconstruction with an aperture fixation. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):147-151. doi:10.1007/s00167-009-0868-z

Mini TightRope 1.1 mm Suture Passing Guide Pin

AR-8914K

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