knotless fibertak rc anchors  (Arthrex Inc)

Journal: Arthroscopy Techniques

Article Title: The Double-Double Row: A Technique for Arthroscopic Rotator Cuff Repair

doi: 10.1016/j.eats.2025.103892

Figure Lengend Snippet: Medial row anchor placement shown on a right cadaveric shoulder. Three 2.6-mm knotless FiberTak RC anchors (Arthrex) are placed approximately 1 cm apart for the medial row. Two or 3 medial row anchors may be used depending on tear size and morphology. If 3 anchors are used, the posterior medial row anchor SutureTape (Arthrex) is removed. (HH, humeral head; Ssp, supraspinatus tendon.)

Article Snippet: Three 2.6-mm knotless FiberTak RC anchors (Arthrex) are placed approximately 1 cm apart for the medial row.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Endoscopic Proximal Hamstring Tendon Repair With Knotless Suture-Bridge Technique

doi: 10.1016/j.eats.2023.05.024

Figure Lengend Snippet: In our case example, magnetic resonance imaging (MRI) reveals a high-grade, minimally displaced avulsion tear, consistent with chronic tendinopathy. Surgery is performed with the patient in the prone position. The distal portal is established followed by the proximal portal. Debridement to reveal the ischial tuberosity demonstrates the superficial surface of proximal hamstring tendon appears normal, consistent with the MRI findings, but palpation of the tendon origin reveals excess tendon mobility as a result of its detachment from bone. A weak spot in the tendon is identified with blunt-instrument palpation and extended longitudinally to expose the separation space between the tendon and ischial tuberosity. The space is explored and its extent is determined, to help identify optimal spots for anchor placement. A distal lateral portal is established, to assist with anchor placement. Two all-suture anchors (2.6 Knotless FiberTak RC; Arthrex, Naples, FL) are placed, each with a knotless repair mechanism and a pair of black tape sutures, in the distal portion of the exposed footprint. The first, more lateral anchor is placed directly through the tendon and straight into bone using the anchor’s sharp trocar for transtendinous placement. Once the anchor is placed and inserter withdrawn, the suture bundle is already passed through the tendon. The second anchor is passed into the distal ischium more medially, and then the suture bundle is passed through the tendon using a passing suture. The shuttle suture of the lateral anchor and the repair suture of the medial anchor are retrieved out the same portal. The medial repair suture is shuttled through the lateral anchor. The process is repeated in opposite direction, with the remaining shuttle and repair sutures, to shuttle the lateral repair suture through the medial anchor. Full tensioning of the 2 repair sutures creates the interlinked “distal row” repair analogous to the medial row in the knotless suture bridge rotator cuff repair construct. Next, the 4 black tape sutures are separated into pairs, each pair with one tape from each anchor, and secured under tension proximally into the ischium with SwiveLock anchors (Arthrex), to best span the entire suture bridge construct over the zone of tendon–bone separation. The repair sutures for the distal row can be checked and further tensioned. Sutures are cut flush on the tendon surface. This completes the endoscopic knotless suture bridge repair of the proximal hamstring tendon tear. The suture bridge repair is compared side-by-side with the pre-repair appearance.

Article Snippet: Two all-suture anchors (2.6 Knotless FiberTak RC; Arthrex, Naples, FL) are placed, each with a knotless repair mechanism and a pair of black tape sutures, in the distal portion of the exposed footprint.

Techniques:

Journal: Arthroscopy Techniques

Article Title: Endoscopic Proximal Hamstring Tendon Repair With Knotless Suture-Bridge Technique

doi: 10.1016/j.eats.2023.05.024

Figure Lengend Snippet: In our case example, magnetic resonance imaging (MRI) reveals a high-grade, minimally displaced avulsion tear, consistent with chronic tendinopathy. Surgery is performed with the patient in the prone position. The distal portal is established followed by the proximal portal. Debridement to reveal the ischial tuberosity demonstrates the superficial surface of proximal hamstring tendon appears normal, consistent with the MRI findings, but palpation of the tendon origin reveals excess tendon mobility as a result of its detachment from bone. A weak spot in the tendon is identified with blunt-instrument palpation and extended longitudinally to expose the separation space between the tendon and ischial tuberosity. The space is explored and its extent is determined, to help identify optimal spots for anchor placement. A distal lateral portal is established, to assist with anchor placement. Two all-suture anchors (2.6 Knotless FiberTak RC; Arthrex, Naples, FL) are placed, each with a knotless repair mechanism and a pair of black tape sutures, in the distal portion of the exposed footprint. The first, more lateral anchor is placed directly through the tendon and straight into bone using the anchor’s sharp trocar for transtendinous placement. Once the anchor is placed and inserter withdrawn, the suture bundle is already passed through the tendon. The second anchor is passed into the distal ischium more medially, and then the suture bundle is passed through the tendon using a passing suture. The shuttle suture of the lateral anchor and the repair suture of the medial anchor are retrieved out the same portal. The medial repair suture is shuttled through the lateral anchor. The process is repeated in opposite direction, with the remaining shuttle and repair sutures, to shuttle the lateral repair suture through the medial anchor. Full tensioning of the 2 repair sutures creates the interlinked “distal row” repair analogous to the medial row in the knotless suture bridge rotator cuff repair construct. Next, the 4 black tape sutures are separated into pairs, each pair with one tape from each anchor, and secured under tension proximally into the ischium with SwiveLock anchors (Arthrex), to best span the entire suture bridge construct over the zone of tendon–bone separation. The repair sutures for the distal row can be checked and further tensioned. Sutures are cut flush on the tendon surface. This completes the endoscopic knotless suture bridge repair of the proximal hamstring tendon tear. The suture bridge repair is compared side-by-side with the pre-repair appearance.

Article Snippet: We typically use the 2.6-mm Knotless FiberTak RC all-suture anchor (Arthrex, Naples, FL) since it has a small footprint permitting more anchors placement if needed, and contains both a #2 FiberWire knotless repair mechanism and two 1.7-mm FiberTape ( A-E).

Techniques: