fibertak soft double loaded anchor  (Arthrex Inc)

Journal: Arthroscopy Techniques

Article Title: Primary Repair of the Medial Collateral Ligament with a Double Row Suture Technique and Suture Tape Augmentation for Acute Tibial-Sided Injuries

doi: 10.1016/j.eats.2018.11.018

Figure Lengend Snippet: Open primary repair of the deep and superficial MCL with a SutureBridge construct and suture tape augmentation for an acute tibial-sided tear of a right cadaveric knee. A Kracków suture using a No. 2 FiberWire (Arthrex, Naples, FL) is placed in the distal aspect of the MCL to aid in tissue handling and for later repair. Next, 2 double-loaded FiberTak soft anchors (Arthrex) with No. 2 FiberWire are placed approximately 1 cm distal to the joint line for reattachment of the deep MCL. These 4 sutures are then placed in a horizontal mattress fashion through the deep and superficial MCL tissue. With the knee flexed at 30° and, applying a varus stress, they are tied with alternating half hitches, securing the deep MCL to the proximal tibia. Focusing our attention to the femoral attachment of the MCL, a 4.75-mm PEEK SwiveLock suture anchor (Arthrex) loaded with FiberTape (Arthrex) is placed at the anatomic origin of the MCL just posterior and proximal to the medial epicondyle. These FiberTapes will be used for the suture tape augmentation. Next, 2 4.75-mm PEEK SwiveLock suture anchors are placed at the distal insertion of the MCL, approximately 1 cm apart, just off the posterior crest of the tibia and 6 cm distal to the joint line. Three sutures are placed in each SwiveLock anchor. These include 1 suture from the deep MCL mattress suture repair, 1 suture from the Kracków stitch in the distal aspect of the superficial MCL, and 1 limb of the FiberTape for the suture tape augmentation construct ( Fig 2 B). With the knee flexed to 30° and a varus stress applied, the 6 sutures were then fixed under proper tension using the 2 SwiveLock anchors. In this process, the 2 FiberWire sutures from the deep MCL repair are crossed as in a SutureBridge pattern, allowing compression of the superficial MCL tissue on its broad tibial insertion ( Fig 3 A and B). The knee is shown being tested for range of motion and valgus stability at 0° and 30°. The incision is then closed in the usual layered fashion. (MCL, medial collateral ligament.)

Article Snippet: Next, 2 double-loaded FiberTak soft anchors (Arthrex) with No. 2 FiberWire are placed approximately 1 cm distal to the joint line for reattachment of the deep MCL ( A).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Primary Repair of the Medial Collateral Ligament with a Double Row Suture Technique and Suture Tape Augmentation for Acute Tibial-Sided Injuries

doi: 10.1016/j.eats.2018.11.018

Figure Lengend Snippet: (A) Medial side of the right knee, demonstrating the 2 double-loaded FiberTak soft anchors 1 cm distal to the joint line. Also, observe the No. 2 FiberWire Krackow suture in the distal MCL, which has been retracted outside the wound to expose its tibial footprint. (B) Medial view of the right knee, demonstrating the 3 sutures to be placed in the 2 distal SwiveLocks. Note that only 2 strands from the FiberTak anchors (1 strand from each anchor) are brought to the distal SwiveLocks. The other strands are cut. (MCL, medial collateral ligament.)

Article Snippet: Next, 2 double-loaded FiberTak soft anchors (Arthrex) with No. 2 FiberWire are placed approximately 1 cm distal to the joint line for reattachment of the deep MCL ( A).

Techniques: