arthroscopic suture passer  (Arthrex Inc)

Journal: Foot & Ankle Orthopaedics

Article Title: All-Inside Endoscopic Zone 1 Flexor Hallucis Longus Transfer: A Cadaveric Feasibility Study

doi: 10.1177/24730114261442547

Figure Lengend Snippet: (A) Arthroscopic image of the FHL tendon with sliding suture knot prior to tenotomy. (B) Measurement of the FHL tendon pulled out of the anteromedial portal while in ~25° of plantarflexion. (C) Measurement of the FHL tendon prepared with FiberLoop while maintaining ~25° of plantarflexion. (D) Measurement of the FHL tendon diameter using a tendon sizer template. Note that anatomical measurements were taken after FHL tendon transfer was completed. Specimens were openly dissected to attain the most accurate anatomical measurements as indicated by the open images presented. FHL, flexor hallucis longus.

Article Snippet: While in the neutral position, using an arthroscopic suture passer (Arthrex CPR Viper), a sliding suture knot was placed in the FHL tendon adjacent to the posteromedial aspect of the subtalar joint to establish a baseline position of measurement, and create a means of tension ( ).

Techniques:

Journal: Foot & Ankle Orthopaedics

Article Title: All-Inside Endoscopic Zone 1 Flexor Hallucis Longus Transfer: A Cadaveric Feasibility Study

doi: 10.1177/24730114261442547

Figure Lengend Snippet: (A) Arthroscopic image of the tunnel demonstrating absence of tunnel blowout or violation of tunnel geometry. (B) A located and dissected neurovascular bundle following all-inside endoscopic FHL zone 1 tenotomy and transfer. (C) Arthroscopic image providing visualization while the tenodesis screw was placed into the drill tunnel in the calcaneus. (D) Arthroscopic image of the screw placed in the drill tunnel. It can be noted that some of the FiberLoop is visible above the biotenodesis screw.

Article Snippet: While in the neutral position, using an arthroscopic suture passer (Arthrex CPR Viper), a sliding suture knot was placed in the FHL tendon adjacent to the posteromedial aspect of the subtalar joint to establish a baseline position of measurement, and create a means of tension ( ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Three-Step Arthroscopy-Assisted Reduction and Internal Fixation for Schatzker IV With Lateral Depression Pattern (AO 41B3.3) Tibial Plateau Fracture-Dislocations

doi: 10.1016/j.eats.2025.103549

Figure Lengend Snippet: Operative room setup and patient positioning. The patient is supine on a knee-splitting radiolucent table with a lateral support (blue star). The hip is slightly flexed at 20°, while the knee can be bent at 0° to 90°, splitting the table. A drape (red star) is positioned under the thigh to elevate the knee. The table’s surface under the contralateral lower limb is lowered 20°. A tourniquet is placed around the thigh. The table is 20° tilted toward the affected side and at 20° Trendelenburg’s position. The arthroscopic column (green star) is positioned on the contralateral side with respect to the injured knee, while the C-arm is placed on the injured side.

Article Snippet: An arthroscopic suture passer (FirstPass mini; Smith & Nephew) is loaded with a No. 2 FiberWire (Arthrex) and used to configure a loop-cinch suture on the ACL.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Three-Step Arthroscopy-Assisted Reduction and Internal Fixation for Schatzker IV With Lateral Depression Pattern (AO 41B3.3) Tibial Plateau Fracture-Dislocations

doi: 10.1016/j.eats.2025.103549

Figure Lengend Snippet: Right knee. Arthroscopic visualization of the lateral tibial plateau in the first step of the procedure. (A) Lateral meniscal luxation in the fracture can be seen (green arrow). (B) Lateral meniscal reduction and fixation with meniscal sutures (blue arrow). In this case, a high-strength suture wire is used with an out-in technique. (C) The anterior cruciate ligament (ACL) drill guide is positioned in the depression’s center (red star). (D) The ACL drill guide is used as a reference to introduce a drill tip. (E) A cannulated impactor is used to reduce the fracture depression (red star). (D, drill tip; G, anterior cruciate ligament guide handle; LC, lateral condyle; LM, lateral meniscus; LT, lateral tibial plateau.)

Article Snippet: An arthroscopic suture passer (FirstPass mini; Smith & Nephew) is loaded with a No. 2 FiberWire (Arthrex) and used to configure a loop-cinch suture on the ACL.

Techniques: Introduce

Journal: Arthroscopy Techniques

Article Title: Three-Step Arthroscopy-Assisted Reduction and Internal Fixation for Schatzker IV With Lateral Depression Pattern (AO 41B3.3) Tibial Plateau Fracture-Dislocations

doi: 10.1016/j.eats.2025.103549

Figure Lengend Snippet: Right knee. Arthroscopic visualization. After the open step, the third arthroscopic step of the procedure is characterized by fixation of the lateral meniscus and anterior cruciate ligament pullout. (A) Lateral compartment. Fine-tuning of an out-in meniscal suture (S) can be appreciated. The most critical sutures are the out-in sutures, used to reduce the lateral meniscus and fix it on the capsular surface; however, depending on meniscal residual instability and lesions, different meniscal sutures can be added with several techniques. (B) Final visualization of the lateral compartment. The lateral meniscus is firmly reduced on the capsular surface; normal femoral (lateral condyle)–tibial rapport is restored; the lateral depression fracture is well reduced. (C) Visualization of the intercondylar notch with anterior cruciate ligament (ACL) preparation for suture pullout. Two loop-cinch sutures are prepared on the ACL substance (1) (2), while a transverse suture tape (3) is passed through the ACL substance and retrieved in a cross-tie configuration. (D) Visualization of the pullout tunnel preparation. The ACL guide handle is positioned on the lateral edge of the avulsion fracture, and a guide pin is introduced from the anteromedial tibial cortex. A suture shuttle is then placed in position to retrieve the pullout sutures. The procedure is repeated on the medial side. (E) Visualization of the pullout suture fixation. One loop-cinch suture 1 one suture tape tip are passed in the medial tunnel, while the second loop-cinch suture and the second suture tape tip are passed in the lateral tunnel. Sutures are fixed in an extended knee position on the anteromedial tibial cortex and placed on a cortical fixation device. Reduction of the avulsed ACL fragment can be seen in the picture. (1, first loop-cinch suture; 2, second loop-cinch suture; 3, suture tape suture; ACL, anterior cruciate ligament; F, fracture; G, guide handle; LC, lateral condyle; LM, lateral meniscus; MC, medial condyle; P, guide pin; PCL, posterior cruciate ligament; S, meniscal suture; T, tibia.)

Article Snippet: An arthroscopic suture passer (FirstPass mini; Smith & Nephew) is loaded with a No. 2 FiberWire (Arthrex) and used to configure a loop-cinch suture on the ACL.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Hip Labral Reconstruction and Augmentation—Retro TAPT: Retrograde Passage, Tie Anterior to Posterior, and Truncate

doi: 10.1016/j.eats.2025.103514

Figure Lengend Snippet: Right hip demonstrating suture limbs from the lateral knotless 1.8 mm all-suture anchors (Hip FiberTak Soft Anchor, Arthrex, Naples, FL) exiting the cannula in the proximal modified anterior portal (PMAP), the arthroscopic camera in the anterolateral (AL) portal, the medial anchor suture limb exiting the cannula in modified anterior portal (MAP), and the sled placed in the posterolateral (PL) portal. The allograft tendon is visualized outside the joint.

Article Snippet: The capsule is then closed using an arthroscopic suture passer (SlingShot; Stryker Sports Medicine) and arthroscopic knot-tying techniques ( ).

Techniques: Modification

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Hip Labral Reconstruction and Augmentation—Retro TAPT: Retrograde Passage, Tie Anterior to Posterior, and Truncate

doi: 10.1016/j.eats.2025.103514

Figure Lengend Snippet: Right hip viewing from the anterolateral (AL) portal. The graft can be seen being pulled into the joint via an arthroscopic grasper and sled with the “pull-through” technique.

Article Snippet: The capsule is then closed using an arthroscopic suture passer (SlingShot; Stryker Sports Medicine) and arthroscopic knot-tying techniques ( ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Hip Labral Reconstruction and Augmentation—Retro TAPT: Retrograde Passage, Tie Anterior to Posterior, and Truncate

doi: 10.1016/j.eats.2025.103514

Figure Lengend Snippet: Right hip viewing from the modified anterior portal (MAP). A round diamond-tipped arthroscopic burr is used to perform the femoral osteochondroplasty in the peripheral compartment.

Article Snippet: The capsule is then closed using an arthroscopic suture passer (SlingShot; Stryker Sports Medicine) and arthroscopic knot-tying techniques ( ).

Techniques: Modification

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Hip Labral Reconstruction and Augmentation—Retro TAPT: Retrograde Passage, Tie Anterior to Posterior, and Truncate

doi: 10.1016/j.eats.2025.103514

Figure Lengend Snippet: Right hip viewing from the anterolateral (AL) portal demonstrating the knot stack after capsular closure. Arthroscopic knot-typing techniques are utilized to repair the capsulotomy.

Article Snippet: The capsule is then closed using an arthroscopic suture passer (SlingShot; Stryker Sports Medicine) and arthroscopic knot-tying techniques ( ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Anterior Labral Reconstruction With Biceps Autograft for Anterior Shoulder Instability

doi: 10.1016/j.eats.2024.102935

Figure Lengend Snippet: Arthroscopic view of a left shoulder from the posterior portal in a 19-year-old man, lateral decubitus position. The ruptured anterior labrum displays inadequate labral tissue for repair.

Article Snippet: A suture passing device is required, and both suture lasso (Arthrex) and arthroscopic self-capturing suture passer (Scorpion; Arthrex) are used.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Anterior Labral Reconstruction With Biceps Autograft for Anterior Shoulder Instability

doi: 10.1016/j.eats.2024.102935

Figure Lengend Snippet: Arthroscopic view of a left shoulder from the posterior portal in the lateral decubitus position. The biceps tendon autograft is placed with preliminary fixation at the midpoint of the reconstructed labrum (9-o’clock position in a left shoulder).

Article Snippet: A suture passing device is required, and both suture lasso (Arthrex) and arthroscopic self-capturing suture passer (Scorpion; Arthrex) are used.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Anterior Labral Reconstruction With Biceps Autograft for Anterior Shoulder Instability

doi: 10.1016/j.eats.2024.102935

Figure Lengend Snippet: Arthroscopic view of a left shoulder from the posterior portal in the lateral decubitus position. The biceps tendon autograft is ready for final repair with the knotless anchor in position on the glenoid face. The capsular plication shuttle stitch is ready for passage.

Article Snippet: A suture passing device is required, and both suture lasso (Arthrex) and arthroscopic self-capturing suture passer (Scorpion; Arthrex) are used.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Anterior Labral Reconstruction With Biceps Autograft for Anterior Shoulder Instability

doi: 10.1016/j.eats.2024.102935

Figure Lengend Snippet: Arthroscopic view of a left shoulder from the posterior portal in the lateral decubitus position. The anterior labral reconstruction has been completed using biceps autograft with overlying native capsular tissue.

Article Snippet: A suture passing device is required, and both suture lasso (Arthrex) and arthroscopic self-capturing suture passer (Scorpion; Arthrex) are used.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Anterior Labral Reconstruction With Biceps Autograft for Anterior Shoulder Instability

doi: 10.1016/j.eats.2024.102935

Figure Lengend Snippet: Pearls and Pitfalls of Anterior Labral Reconstruction Technique

Article Snippet: A suture passing device is required, and both suture lasso (Arthrex) and arthroscopic self-capturing suture passer (Scorpion; Arthrex) are used.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: Identification and release of the sciatic nerve (yellow nerve). After an ischial bursectomy is performed and the subluteal space is cleared to improve visualization of the proximal hamstring defect, any adhesions of the sciatic nerve are released using an arthroscopic shaver (white arrow) in the lateral portal, while the arthroscope is placed in the medial portal for viewing. Caution should be taken when placing the lateral portal to avoid iatrogenic injury and should be placed under direct visualization. The sciatic nerve should be visualized throughout the case to ensure no injury or tethering has occurred.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: (Left) Identification of the proximal hamstring tendon defect (red arrow). A radio frequency ablater (as shown in image) or arthroscopic shaver can be used to probe the tissue as the tendon defect is softer and more ballotable compared to intact tendon. Following identification of the defect, the conjoint tendon (consisting of the semitendinosus and long head of the biceps femoris) is opened longitudinally by the radio frequency ablater.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: (Left) This ischial tuberosity is then decorticated (white arrow) using a 5.5-mm arthroscopic burr and an arthroscopic shaver (as shown in the image) to a bed of bleeding bone. (Right) Through the distal percutaneous portal, preceded by punch and tap, a triple-loaded 5.5-mm PEEK AlphaVent anchor (orange arrow) is placed in the decorticated ischial tuberosity (white arrow). Subsequently, a tissue penetrating device is used to pass all 6 of the suture limbs through the proximal tendon, with care to avoid injury to the sciatic nerve. The most suture limbs positioned most proximally are tied first arthroscopically using a knot pusher in a horizontal mattress configuration.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: (Left) An arthroscopic suture passer is used to pass 1 limb from the second most proximal suture through the tendon defect (orange arrow) in a running, locking fashion. This step is repeated for a total of 3 passes along the lateral edge of the tendon, followed by the medial edge of the tendon in a running fashion from distal to proximal. Suture limbs are docked outside of the cannula to avoid suture entanglement. These steps are then repeated for the third (most distal) suture limbs. It is critical to aim the suture passer away from the sciatic nerve (yellow arrow) to avoid iatrogenic injury. The suture passer is performed through the medial portal, while the arthroscope is placed in the lateral portal. (Right) An arthroscopic grasper is used to ensure that the suture stitch is performed in a locked fashion. The grasper is placed in the medial portal, while the arthroscope is placed in the lateral portal for viewing.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: Diagram representation of final modified Krackow suture configuration. A horizontal mattress stitch (blue-white) is placed proximally, restoring the tension of the proximal hamstring tendon. Two Krackow sutures (blue-black, white-black) are placed side by side, each with 2 limbs for a total of four limbs. A self-retrieving arthroscopic suture passer is used to pass the limb of the sutures (blue-black, white-black) through the tendon in a running, locking fashion. The steps are repeated for a total of three passes along the lateral edge of the tendon, followed by transversing more medially (dotted black line), passing the sutures in a running locking fashion from distal to proximal. The final construct consists of one horizontal mattress suture (blue-white) proximally, with two running, locked sutures (blue-black, white-black) distal to that. Care should be taken when passing the sutures to avoid iatrogenic injury of the sciatic nerve.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques: Modification, Construct

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: Identification and release of the sciatic nerve (yellow nerve). After an ischial bursectomy is performed and the subluteal space is cleared to improve visualization of the proximal hamstring defect, any adhesions of the sciatic nerve are released using an arthroscopic shaver (white arrow) in the lateral portal, while the arthroscope is placed in the medial portal for viewing. Caution should be taken when placing the lateral portal to avoid iatrogenic injury and should be placed under direct visualization. The sciatic nerve should be visualized throughout the case to ensure no injury or tethering has occurred.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: (Left) Identification of the proximal hamstring tendon defect (red arrow). A radio frequency ablater (as shown in image) or arthroscopic shaver can be used to probe the tissue as the tendon defect is softer and more ballotable compared to intact tendon. Following identification of the defect, the conjoint tendon (consisting of the semitendinosus and long head of the biceps femoris) is opened longitudinally by the radio frequency ablater.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: (Left) This ischial tuberosity is then decorticated (white arrow) using a 5.5-mm arthroscopic burr and an arthroscopic shaver (as shown in the image) to a bed of bleeding bone. (Right) Through the distal percutaneous portal, preceded by punch and tap, a triple-loaded 5.5-mm PEEK AlphaVent anchor (orange arrow) is placed in the decorticated ischial tuberosity (white arrow). Subsequently, a tissue penetrating device is used to pass all 6 of the suture limbs through the proximal tendon, with care to avoid injury to the sciatic nerve. The most suture limbs positioned most proximally are tied first arthroscopically using a knot pusher in a horizontal mattress configuration.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: (Left) An arthroscopic suture passer is used to pass 1 limb from the second most proximal suture through the tendon defect (orange arrow) in a running, locking fashion. This step is repeated for a total of 3 passes along the lateral edge of the tendon, followed by the medial edge of the tendon in a running fashion from distal to proximal. Suture limbs are docked outside of the cannula to avoid suture entanglement. These steps are then repeated for the third (most distal) suture limbs. It is critical to aim the suture passer away from the sciatic nerve (yellow arrow) to avoid iatrogenic injury. The suture passer is performed through the medial portal, while the arthroscope is placed in the lateral portal. (Right) An arthroscopic grasper is used to ensure that the suture stitch is performed in a locked fashion. The grasper is placed in the medial portal, while the arthroscope is placed in the lateral portal for viewing.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques:

Journal: Arthroscopy Techniques

Article Title: All-Endoscopic Modified Krackow Suture for Proximal Hamstring Repair

doi: 10.1016/j.eats.2023.04.018

Figure Lengend Snippet: Diagram representation of final modified Krackow suture configuration. A horizontal mattress stitch (blue-white) is placed proximally, restoring the tension of the proximal hamstring tendon. Two Krackow sutures (blue-black, white-black) are placed side by side, each with 2 limbs for a total of four limbs. A self-retrieving arthroscopic suture passer is used to pass the limb of the sutures (blue-black, white-black) through the tendon in a running, locking fashion. The steps are repeated for a total of three passes along the lateral edge of the tendon, followed by transversing more medially (dotted black line), passing the sutures in a running locking fashion from distal to proximal. The final construct consists of one horizontal mattress suture (blue-white) proximally, with two running, locked sutures (blue-black, white-black) distal to that. Care should be taken when passing the sutures to avoid iatrogenic injury of the sciatic nerve.

Article Snippet: Next, a self-retrieving arthroscopic suture passer designed for shoulder arthroscopic rotator cuff repair (FastPass Scorpion; Arthrex, Naples, FL) is then used to pass 1 limb from the second pair of sutures through the tendon in a running, locking fashion.

Techniques: Modification, Construct