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Below is a collection of resources&nbsp;for you&nbsp;to&nbsp;learn more about the&nbsp;latest innovative products and techniques in minimally invasive orthopedics.

AAOS 2024 Annual Meeting: Knee Feature Products

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A comprehensive overview of a product team’s portfolio.

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Catalogs

Knee Next Generation in Repair and Reconstruction | 2022

Walter R. Lowe, MD (Houston, TX), demonstrates the repair of a lateral meniscal root–equivalent tear using the FiberStitch™ 1.5 implant.&nbsp;

video

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Videos - OP-Anleitung

Vídeos — Técnicas cirúrgicas

Videos de técnicas quirúrgicas

Surgical Technique Videos

Repair of a Lateral Meniscal Root–Equivalent Tear Using the FiberStitch™ 1.5 Implant

Introducing the SutureLoc™ implant, a soft, all-suture implant designed for joint line fixation of the meniscal root.&nbsp;

Animations demonstrating the features and benefits of a specific product.

Produktdemonstrationsvideos

Videos de demostración de productos

Product Demonstrations

SutureLoc™ Implant

Brian J. Cole, MD, MBA (Chicago, IL), introduces the Knee FiberTak® anchor platform and explains how the features of the Knee FiberTak implant benefit patients.&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;

Introduction to the Knee FiberTak® Anchor Platform

The FiberTag® TightRope® implant offers improved performance and reduces quadriceps tendon graft preparation time.1 A FiberTag suture is prestitched onto a TightRope II implant and the GraftClamp instrument is used to hold the tendon and suture card while the graft is prepared.&nbsp;
 
Reference 
1. Arthrex, Inc. Data on file (APT-04275). Naples, FL; 2019.

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

OP-Anleitung Animationen

Animações — Técnica cirúrgica

Animaciones de técnicas quirúrgicas

Surgical Technique Animations

FiberTag® TightRope® II Graft Preparation

Arthrex presents the FiberStitch™ 1.5 implant, the next-generation all-suture, all-inside meniscus repair system with a 1.5 mm diameter delivery needle.

FiberStitch™ 1.5 All-Inside Meniscus Repair

Orthobiologics

J. Lee Pace, MD (Plano, TX), performs a soft−tissue-only meniscal allograft transplantation and uses the SutureLoc™ implant for root fixation, which facilitates a simple and effective approach, to secure the allograft.&nbsp;

Soft-Tissue Meniscal Allograft Transplantation With SutureLoc™ Implant for Meniscal Root Fixation

John Xerogeanes, MD (Atlanta, GA), performs a QuadLink™ ACL reconstruction with a lateral extra-articular tenodesis (LET) using the FiberTag® TightRope® II implant with the InternalBrace™ technique and a Double Knotless Knee FiberTak® anchor.&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;

QuadLink™ ACL Reconstruction With a Lateral Extra-articular Tenodesis Using Knee FiberTak® Anchors

Matthew T. Provencher, MD (Vail, CO), demonstrates a meniscal root repair using the SutureLoc™ implant. Dr. Provencher also highlights benefits of the all-suture implant, including direct tibial fixation, double-loaded repair sutures, and repair retensioning.&nbsp;

Meniscal Root Repair Using the SutureLoc™ Implant

This animation demonstrates the point-to-point marking hook, a device developed for meniscal root repair.&nbsp;

Point-to-Point Meniscal Root Marking Hook

Wiemi A. Douoguih, MD (Washington, DC), demonstrates a new technique for tibial spine avulsion repair using FiberRing™ sutures and the ACL Repair TightRope® implant.
 
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.

Tibial Spine Avulsion Repair Using the ACL Repair TightRope® Implant With FiberRing™ Sutures

Arthrex presents the SutureLoc™ implant, the first all-suture knotless anchor specifically designed for joint-line fixation of the meniscus root.&nbsp;

SutureLoc™ Implant for Meniscal Root Repair

A document containing information about Arthrex products and product lines.

Broschüren

Brochuras

Folletos

Brochures

Knee Arthroscopy New Product & Technique Highlights QuadLink™ All-Inside ACL Reconstruction Setting a New Standard in ACL Reconstruction Quad Tendon ACL Implant Systems Market-leading implant and instrument technology in a convenient package FiberTag® TightRope® II Implant Simplified graft preparation now upgraded with flat suture to improve tensioning behavior and a redesigned button with an additional fifth locking mechanism; available preloaded with FiberTape® suture for the InternalBrace™ technique FlipCutter® III Drill Engineered to improve performance and efficiency during tunnel and socket creation 6 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. 12 Knee FiberTak® Anchor The First Suture Anchors Developed Specifically for the Knee Versatile Implants Designed for Multiple Knee Applications Variety of anchors to accommodate technique and preference First implant to use SutureTape in a knotless, tensionable mechanism, combining the established benefits of tape with the ability to retension the construct after implantation and fixation Shorter guides and inserters allow surgeons to operate closer to the site with instrumentation designed for open surgery Anterolateral ligament reconstruction Product Description Item Number Lorem AR-7985 Ipsum AR-7986 Eium Onlay MPFL reconstruction AR-7987 Iliotibial band tenodesis FiberStitch™ Implant All-Inside Meniscal Repair Using Soft Suture Anchors Straight Reverse curve 24º up curve FiberStitch implant options offer flexibility for meniscal repair 24° bend 12º up curve -12° bend Malleable skid Point-to-Point Meniscal Marking Hook For Meniscal Root Repair Low-profile, point-to-point tip for precise targeting Locking design maintains precise socket location ACL Preservation Using the ACL Repair TightRope® and FiberRing™ Sutures ACL Repair TightRope Designed for easy connection to the luggage-tagged FiberRing sutures, this open TightRope comes preassembled with FiberTape® suture for the InternalBrace™ technique. The InternalBrace technique increases the biomechanical strength of the construct and helps protect the repaired ligament to allow natural healing and early mobilization.1,2 FiberRing Sutures References 1. Chahla J, Nelson T, Dallo I, et al. Anterior cruciate ligament repair versus reconstruction: a kinematic analysis. Knee. 2020;27(2):334-340. doi:10.1016/j.knee.2019.10.020 2. van der List JP, DiFelice GS. Arthroscopic primary anterior cruciate ligament repair with suture augmentation. Arthrosc Tech. 2017;6(5):e1529-e1534. doi:10.1016/j.eats.2017.06.009 Designed to be luggage-tag stitched into the native ligament and available in multiple sizes for various suturing techniques 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. ACL TightRope® II With the InternalBrace™ Technique Tape Technology Improves Graft Tensioning, Biomechanics, and Clinical Outcomes1 Clinical Outcomes Using the InternalBrace Technique Improved PROMs, less pain, and a higher percentage of and earlier return to preinjury activity level1 Mayo Clinic study substantiates clinical safety of the ACL/PCL InternalBrace surgical technique2 Reinforcement of ACL/PCL reconstructions and repairs using InternalBrace procedure enhances the biomechanical strength of the construct and protects the graft during the early phases of graft remodeling3 Improved Graft Tensioning Superior Biomechanics Proprietary button design and a highstrength TightRope tape loop improve construct biomechanics5 TightRope tape loop optimizes implant-graft interface New TightRope tape tensioning strands improve handling characteristics4 References 1. Noonan BC, Bachmaier S, Wijdicks CA, Bedi A. Independent suture tape reinforcement of tripled smaller-diameter and quadrupled grafts for anterior cruciate ligament reconstruction with tibial screw fixation: a biomechanical full construct model. Arthroscopy. 2020;36(2):481-489. doi:10.1016/j.arthro.2019.06.036 2. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017. 3. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020. 4. Bodendorfer BM, Michaelson EM, Shu HT, et al. Suture augmented versus standard anterior cruciate ligament reconstruction: a matched comparative analysis. Arthroscopy. 2019;35(7):2114-2122. doi:10.1016/j.arthro.2019.01.054 5. Parkes CW, Leland DP, Levy BA, et al. Hamstring autograft anterior cruciate ligament reconstruction using an all-inside technique with and without independent suture tape reinforcement. Arthroscopy. 2021;37(2):609-616. doi:10.1016/j.arthro.2020.09.002 QuadPro™ Tendon Harvester A Revolution in ACL Graft Harvesting for Quad Tendon Reproducible Available in multiple sizes to accommodate surgeon preferences and each patient’s needs. The transparent handle enables direct visualization of the graft during harvesting to enable accurate harvest length. Minimally Invasive The sharp cylindrical tip safely and reliably cores out a smooth cylindrical graft, which is easily amputated through the cutting window. The new harvesting technique reduces graft-site morbidity and overall procedure time. Versatile Compatible with either all-soft-tissue or bone block (BQT) harvesting techniques. Harvesting can be performed using a small transverse incision or a traditional longitudinal incision. arthrex.com © 2023-02 Arthrex, Inc. All rights reserved. evBR1-002467-en-US_C

Knee Arthroscopy New Product & Technique Highlights

A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

OP-Anleitungen

Guias de técnicas cirúrgicas

Guías de técnicas quirúrgicas

Surgical Technique Guides

FiberStitch™ 1.5 All-Inside Meniscal Repair Surgical Technique FiberStitch™ 1.5 Implant The FiberStitch 1.5 implant is the product of relentless innovation. A low-profile delivery needle results in less tissue morbidity and smaller implants, providing stronger fixation compared to previous FiberStitch implants.1 The proven superiority of FiberStitch all-suture anchors for all-inside meniscal repair is evident when compared to traditional PEEK implant systems.2 Made with 2-0 coreless FiberWire® suture, soft anchors provide secure arthroscopic all-inside knotless meniscal repair. One-Handed Deployment The ergonomic handle and easy implant-deployment wheel allow for true one-handed implant delivery. In addition to a traditional curved delivery device, the FiberStitch 1.5 implant system offers multiple delivery configurations, including a 24˚ curve, a reverse curve, and a straight needle. All options can be customized for specific curvatures, and the ergonomic handle is designed for single-handed implant delivery. Active implant-deployment technology minimizes needle exposure beyond the meniscus, eliminating the need to past-point the needle. Adjustable Depth Stop The depth stop can be set with a single hand. Convenient markings in 2 mm increments allow setting adjustments from a minimum of 10 mm to a maximum of 18 mm. Multiple Delivery Options The FiberStitch 1.5 implant is available in four different needle tip configurations: a standard 12˚ up curve, a 24˚ up curve, a 12˚ reverse curve, and a straight needle. Each needle tip can be bent to unique angles for meniscal penetration. Use the enhanced 24˚ up curve to reach posterior areas of the meniscus or, when placed on its side, the larger curve can access the anterior meniscus through the contralateral portal. Tissue-Sparring, Low-Profile Needle Diameter A low-profile 1.5 mm-diameter needle creates an atraumatic perforation in the meniscus to deliver smaller all-suture anchors. With the FiberStitch 1.5 reverse and straight options, surgeons have better access to undersurface meniscal tears, which can be challenging to repair. The reverse curve is designed with the needle bevel on the top to prevent skiving when approaching meniscal tissue. Low-Profile Suture Implants The low-profile suture anchors replace traditional hard PEEK plastic implants, and a double-mattress suture construct spans the repair site. Low-profile 2-0 coreless FiberWire suture prevents tissue cut-through and minimizes friction against articular cartilage. 3 02 I FiberStitch™ 1.5 Implant Force Dispersing Double-Mattress Suture Configuration The unique double-mattress suture configuration disperses fixation across twin mattress sutures, reducing the stress placed on the repaired tissue during the healing process compared to traditional single-suture configurations. Active Implant Deployment Implants are deployed from the tip of the needle, reducing needle exposure beyond the meniscus. FiberStitch™ 1.5 Implant Repair Technique 1 1a Measure the meniscus using a measurement probe (1) or the laser lines on the tip of the FiberStitch needle (1a). Set the depth stop at a length 2 mm longer than the meniscus to ensure that the implant is fully deployed behind the meniscus. 2 2a The depth stop is set to 18 mm. To change the depth-stop setting, engage the selector by depressing the gray tab (2) and then advancing it forward to the desired depth setting (2a). FiberStitch™ 1.5 Implant Repair Technique I 03 3 Place the delivery needle over the desired entry point for the first implant. Advance the needle through the meniscus by pushing the entire handpiece forward until the desired depth is reached. 4 4a Roll the deployment wheel backward until a hard stop is felt and an audible click is heard. This will deploy the first implant (4). The deployment wheel will display a solid vertical indicator (4a). (a) 5 Roll the wheel forward until a hard stop is felt and an audible click is heard. This will confirm that the first implant has been deployed. The deployment wheel will display 2 vertical indicators (a). 04 I FiberStitch™ 1.5 Implant Repair Technique 6 Remove the device from the meniscus and select the location to deploy the second implant. Advance the needle through the meniscus by pushing the entire handpiece forward until the desired depth is reached. (a) (b) 7 8 Deploy the second implant by rolling the deployment wheel backward until a hard stop is felt and an audible click is heard. The deployment wheel will display a solid vertical indicator (a). Before removing the device from the tissue, roll the wheel completely forward to a hard stop (b). Once both implants are deployed and the inserter is removed from the joint, pinch all the sutures and gently pull to set the implants. (a) (a) 9 A suture loop and a single suture will be visible outside of the joint. Insert a probe or similar device through the loop and pull the loop of suture to reduce the tissue. The suture spanning the 2 implants will reduce (a). 10 Tension the single suture to reduce the suture loop. The implants are secured when the loop is reduced (a). Note: Continued tension on the loop suture after reducing the tissue will shorten the single suture. Only apply tension to the loop until the suture spanning the implants is taut. FiberStitch™ 1.5 Implant Repair Technique I 05 11 Load the tail of the suture into the loading wire and pull the black tab to load the knot pusher. 12a Depress the back plunger to cut the suture. 06 I FiberStitch™ 1.5 Implant Repair Technique 12 Advance the knot pusher toward the meniscus, keeping it parallel to the suture while maintaining tension on the suture. 13 Final construct. Notes FiberStitch™ 1.5 Implant Repair Technique I 07 Ordering Information References Product description Item number FiberStitch™1.5 implant, 12° up curve AR-4580 FiberStitch 1.5 implant, 12° reverse curve AR-4580R FiberStitch1.5 implant, 24° up curve AR-4580-24 FiberStitch 1.5 implant, straight AR-4580S Knot pusher / suture cutter AR-5815 Knot Pusher / Suture Cutter and Portal Skid Kit AR-5845 Portal skid AR-4505 Meniscal Dart™ probe AR-4008 2.75 mm suture cutter, straight shaft AR-11790 Products advertised in this brochure / surgical technique guide may not be available in all countries. For information on availability, please contact Arthrex Customer Service or your local Arthrex representative. 1. Arthrex, Inc. Data on file (APT-06136). Naples, FL; 2023. 2. Bachmaier S, Krych AJ, Smith PA, et al. Primary fixation and cyclic performance of single-stitch all-inside and inside-out meniscal devices for repairing vertical longitudinal meniscal tears. Am J Sports Med. 2022;50(10):2705-2713. doi:10.1177/03635465221107086 3. Bisson LJ, Manohar LM, Wilkins RD, GurskeDeperio J, Ehrensberger MT. Influence of suture material on the biomechanical behavior of suturetendon specimens: a controlled study in bovine rotator cuff. Am J Sports Med. 2008;36(5):907-912. doi:10.1177/0363546508314793 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. arthrex.com © 2023-09 Arthrex Inc. All rights reserved. LT1-000285-en-US_A Arthrex manufacturer, authorized representative, and importer information (Arthrex elFUs) US patent information