O kit descartável para UCL do cotovelo da Arthrex contém a especialidade do produto FiberWire (FiberLoop) usada para suturar as extremidades dos enxertos proporcionando maior facilidade e eficiência. Também oferecemos uma ampla variedade de tamanhos de sutura e opções de agulha para suturas.

Elbow

Product

O procedimento de aumento do ligamento InternalBrace™ com âncoras SwiveLock® e sutura FiberTape® é uma alternativa razoável que pode eliminar a remoção secundária de hardware e fornecer uma solução mais atraente para o conforto do paciente e a estética geral.
A técnica cirúrgica InternalBrace destina-se apenas a aumentar o reparo/reconstrução primário, expandindo a área de aproximação do tecido durante o período de cicatrização e não se destina a substituir o ligamento nativo. A técnica InternalBrace é para uso durante procedimentos de fixação de tecido mole a osso e não está autorizada para fixação osso a osso.

The UCL InternalBrace™ system is designed for repairing the medial ulnar collateral ligament following a complete or partial avulsion from the proximal or distal attachment without evidence of poor-quality tissue, which would otherwise require reconstruction. Completing the InternalBrace procedure requires two 3.5 mm PEEK SwiveLock® anchors loaded with collagen-coated FiberTape® suture and a #0 FiberWire® repair suture. The system also includes the necessary drill and taps to prepare the ulnar and humeral tunnels.&nbsp;
 
 
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.&nbsp;

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video

Human

MUCL Repair With the InternalBrace™ System

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Elbow UCL Repair With the UCL InternalBrace™  System

Jeffrey R. Dugas, MD, (Birmingham, AL) discusses ulnar collateral ligament (UCL) repair for young overhead athletes who present with acute tears—from either the proximal or distal end of the ligament—not associated with attritional or degenerative disease. Dr. Dugas performs an InternalBrace™ ligament augmentation repair by forming a bone socket in the sublime tubercle with a special drill, guide, and tap, and then places a 3.5 mm PEEK SwiveLock® anchor loaded with collagen-coated FiberTape® suture and a #0 FiberWire® suture repair stitch. A socket with the drill and a larger tap is formed in the humeral epicondyle. The previously placed anchor and FiberTape suture span the repaired ligament and a second 3.5 mm PEEK SwiveLock anchor is placed after appropriate tensioning. In the appropriate patient, the InternalBrace ligament augmentation repair allows for a more aggressive rehab protocol and earlier return to competition as compared to a conventional Tommy John reconstruction.1
Reference
1. Walters BL, Cain EL, Emblom BA, Frantz JT, Dugas JR. Ulnar collateral ligament repair with InternalBrace augmentation: a novel UCL repair technique in the young adolescent. Orthop J Sports Med. 2016;4(3)(suppl3):2325967116S00071. doi:10.1177/2325967116S00071
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 Repair Using the InternalBrace™ System

Shoulder

Jeffrey R. Dugas, MD (Birmingham, AL), demonstrates an InternalBrace™ ligament augmentation repair to the medial ulnar collateral ligament for acute tears not associated with attritional or degenerative disease.&nbsp;
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.&nbsp;

UCL Repair Using InternalBrace™ Ligament Augmentation Repair

Christopher S. Ahmad, MD (New York, NY), presents a case of medial elbow pain consistent with a partial ulnar collateral ligament (UCL) tear and describes using the UCL InternalBrace™ system for the repair.
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 Repair With the InternalBrace™ System

Scott P. Steinmann, MD (Chattanooga, TN), discusses how patients with complex, acute post-traumatic elbow instability following dislocation may require treatment using an external fixator after open reduction and soft-tissue reconstruction. 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.&nbsp;
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.&nbsp;

Using InternalBrace™ Ligament Augmentation Procedure for Complex Elbow Dislocations

Sistema InternalBrace™ para LCU

Child (D)

Os kits descartáveis para passagem de sutura UCL contêm FiberLoop Nº2 para suturar as extremidades dos enxertos com pontos simples, fios curvos para passagem de sutura para o túnel do ulna, ferramenta chanfrada para aparar as margens afiadas dos soquetes e túneis ossos, MicroLasso e Skid para passar as extremidades suturadas dos enxertos no soquete e túnel ósseo preparado no epicôndilo umeral e uma régua de 15,2 cm para o preparo do comprimento do enxerto. Estes kits também acomodam todos os estilos de técnica de fixação, desde a técnica de Jobe, até Docking, DANE TJ, fixação com botão e todas as técnicas com parafuso tenodesis.

Kits de sutura para cotovelo

Sistema InternalBrace™ para LCU

Kits descartáveis para passagem de sutura UCL