suspensory fixation system button  (Arthrex Inc)

Journal: Journal of Surgical Case Reports

Article Title: Two-year delayed reconstruction of chronic distal biceps tendon rupture with allograft: a case report

doi: 10.1093/jscr/rjag211

Figure Lengend Snippet: Postoperative anteroposterior (A) and lateral (B) radiographs of the left elbow obtained 7 months after Achilles tendon allograft reconstruction (October 2025), demonstrating stable cortical button fixation at the radial tuberosity without evidence of hardware migration, heterotopic ossification, radioulnar synostosis, or other fixation-related complications.

Article Snippet: Surgical reconstruction was performed using an Achilles tendon allograft secured proximally with a Pulvertaft weave and distally with a cortical button fixation device (EndoButtonTM, Smith & Nephew, Memphis, TN, USA) following preparation and tensioning of the graft.

Techniques: Migration

Journal: Journal of Surgical Case Reports

Article Title: Two-year delayed reconstruction of chronic distal biceps tendon rupture with allograft: a case report

doi: 10.1093/jscr/rjag211

Figure Lengend Snippet: (A) Intraoperative image showing the Achilles tendon allograft weaved into the retracted biceps muscle belly using a Pulvertaft technique through a single anterior approach. The prepared graft length was approximately 15 cm. (B). Distal fixation of the allograft into the radial tuberosity using a transosseous EndoButton following tensioning with the elbow positioned at 90° flexion and 50° supination.

Article Snippet: Distally, a 4.5-mm tunnel was drilled at the radial tuberosity, and fixation was achieved with a transosseous cortical button fixation device (EndoButtonTM, Smith & Nephew, Memphis, TN, USA) with the elbow held at 90° flexion and 50° supination ( ).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Anatomical Glenoid Reconstruction Using Iliac Crest Autograft With Double End-Button Fixation Technique

doi: 10.1016/j.eats.2025.103966

Figure Lengend Snippet: Portal positioning (outside view) for arthroscopic anatomic glenoid reconstruction using an iliac crest autograft with a double TightRope end-button fixation technique for right shoulder instability. The patient is placed in the lateral decubitus position with the right shoulder superior, tilted posteriorly by approximately 30°, such that the glenoid surface is nearly parallel to the ground. (AIP, anteroinferior portal; ASP, anterosuperior portal; PP, posterior portal.)

Article Snippet: This technical note provides a step-by-step guide for performing arthroscopic anatomic glenoid reconstruction using an iliac crest autograft with double TightRope end-button fixation (Arthrex, Naples, FL).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Anatomical Glenoid Reconstruction Using Iliac Crest Autograft With Double End-Button Fixation Technique

doi: 10.1016/j.eats.2025.103966

Figure Lengend Snippet: Graft preparation with TightRopes and end-buttons. This procedure is performed at the back table. A tricortical bone graft measuring 20 to 30 mm in length and 10 to 15 mm in width is harvested from the ipsilateral iliac crest, depending on the severity of glenoid bone loss. In this case, a graft measuring 20 mm in length and 10 mm in width is obtained. Drill holes are created in the graft corresponding to the glenoid drill hole positions to ensure a precise fit and fixation (arrow, step 1-1). A parallel TransGlenoid Drill Guide (T) is used to create 2 holes on the bone graft for double end-button fixation (steps 1-2 and 1-3). Two TightRope (TR) sutures are passed through the holes using a suture passer (SP) (steps 2 and 3), each loaded with a DogBone end-button (E). (D, 3-mm drill; ICBG, iliac crest bone graft sized 20 × 10 mm.)

Article Snippet: This technical note provides a step-by-step guide for performing arthroscopic anatomic glenoid reconstruction using an iliac crest autograft with double TightRope end-button fixation (Arthrex, Naples, FL).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopic Anatomical Glenoid Reconstruction Using Iliac Crest Autograft With Double End-Button Fixation Technique

doi: 10.1016/j.eats.2025.103966

Figure Lengend Snippet: Postoperative glenoid and handstand at 3 months postoperatively in patient shown in . Computed tomography (CT) scans are obtained at 10 to 12 weeks postoperatively to confirm positioning of the bone graft (A, 3-dimensional CT scan imaging) and union of the bone graft with the native glenoid (B, 2-dimensional CT scan imaging). (C) After confirmation of union, approximately 2 weeks of athletic training typically enables handstand performance by 3 months postoperatively (in this case, the right shoulder underwent arthroscopic anatomic glenoid reconstruction using iliac crest autograft with the double TightRope end-button fixation technique). This early functional recovery is attributed to 3 factors: (1) robust union facilitated by graft selection (iliac crest autograft) and fixation method (double TightRope and DogBone end-buttons), (2) ultrasound-guided isometric stimulation of the subscapularis tendon, and (3) the absence of range-of-motion restrictions owing to the avoidance of coracoid transfer. (A, acromion; C, coracoid; GL, glenoid; ICBG, iliac crest bone graft.)

Article Snippet: This technical note provides a step-by-step guide for performing arthroscopic anatomic glenoid reconstruction using an iliac crest autograft with double TightRope end-button fixation (Arthrex, Naples, FL).

Techniques: Computed Tomography, Imaging, Functional Assay, Selection