Epub 2022 Jun 27. Posterior heel pain (retrocalcaneal bursitis, insertional and noninsertional Achilles tendinopathy). >> I totally agree that minimally invasive is a good thing. The Arthrex SpeedBridge implant itself is very much a really useful part of the surgical armamentarium available to treat Haglunds cases. Online learning is only available to subscribers. Clipboard, Search History, and several other advanced features are temporarily unavailable. 0000039032 00000 n The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The technique is though without doubt more involved than simply using a postero-lateral or postero-medial approach and fixing the tendon back with a Bio-corkscrew anchor, which covered on OrthOracle at Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach.Generally the surgery is easier performed with the patient prone but as this technique demonstrates it cab be done with the patient well supported in a lateral position. 2022. All patients were able to return to their activities of daily living without the use of assistive devices. Zhao X, Yang X, Hao Y, Yang F, Zhang Z, Qian Q, Fu P, Zhou Q. J Pers Med. This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. Incisions are minimal, relatively speaking, so the pain was not bad. Early weightbearing using Achilles suture bridge technique for insertional Achilles tendinosis: a review of 43 patients. My surgery was to remove a large bone spur as opposed to a rupture so it was a bit different than some. The incision is now almost healed (it is horizontal to the ground/across my leg), which is probably why it took awhile to heal since walking in the boot tends to pull at the incision. https://www.arthrex.com/foot-ankle/achilles-midsubstance-speedbridge-repair, https://m.arthrex.com/resources/presentation/wREBpyd-_UGyRwFgvCaP4Q/achilles-midsubstance-speedbridge-repair, https://www.arthrex.com/resources/videos-case-presentations/blJIThXB8kC9CwFZZaNyJg/achilles-midsubstance-surgical-repair-using-the-achilles-midsubstance-speedbridge-system. /Type /Page Surgical Technique Videos | 16:21 | English | 02/22/2021 | VID1-001308-en-US B, Case Presentation Videos | 04:59 | English | 04/15/2022 | VID1-002912-en-US A, Presentation Videos | 10:23 | English | 04/26/2022 | VID1-002548-en-US A, Surgical Technique Videos | 06:04 | English | 03/10/2021 | VID1-000709-en-US B, Case Presentation Videos | 06:30 | English | 02/22/2021 | VID1-000553-en-US A, Surgical Technique Guides | English | 10/25/2022 | LT1-000170-en-US C, 06:04 | English | 03/10/2021 | VID1-000709-en-US B, 12:49 | English | 02/25/2021 | VID1-000081-en-US D, 16:21 | English | 02/22/2021 | VID1-001308-en-US B, 04:11 | English | 02/12/2021 | VID1-000724-en-US A, 07:21 | English | 05/22/2020 | VID1-000621-en-US A, 04:16 | English | 08/27/2019 | VID1-000202-en-US A, 10:11 | English | 05/19/2015 | VID1-00214-EN A, 10:23 | English | 01/05/2015 | VID1-00219-EN B, Surgical Technique Videos | 05:09 | English | 05/22/2014 | VID1-0823-EN B, Surgical Technique Videos | 07:42 | English | 05/19/2014 | VID1-00091-EN A, 02:24 | English | 07/27/2017 | AN1-0219-EN C, English | 10/25/2022 | LT1-000170-en-US C, 06:30 | English | 02/22/2021 | VID1-000553-en-US A, 06:31 | English | 11/16/2017 | VPT1-00870-EN B, 02:39 | English | 08/21/2017 | PAN1-0219-EN E, 06:21 | English | 04/26/2022 | VID1-000905-en-US B, 10:23 | English | 04/26/2022 | VID1-002548-en-US A, 10:03 | English | 05/01/2020 | VID1-001011-en-US A, 09:54 | English | 08/13/2019 | VID1-000245-en-US A, 09:44 | English | 03/04/2019 | VPT1-01060-EN B, 12:52 | English | 03/26/2018 | VPT1-01009-EN B, 08:47 | English | 01/26/2018 | VPT1-00935-EN A, 16:19 | English | 09/07/2017 | VPT1-00874-EN A, Presentation Videos | 13:23 | English | 06/12/2017 | VPT1-00803-EN A, Presentation Videos | 11:09 | English | 11/29/2016 | VPT1-00703-EN B, Presentation Videos | 13:56 | English | 10/04/2016 | VPT2-00716-EN A, Presentation Videos | 14:16 | English | 03/22/2013 | VPT1-0001-EN A, Presentation Videos | 13:31 | English | 11/06/2009 | VID1-003552-en-US A, 02:37 | English | 04/17/2018 | VID1-00807-EN C, English | 07/09/2020 | DOC1-000231-en-US A, English | 07/08/2020 | DOC1-000236-en-US A, Portuguese | 08/24/2020 | DOC1-000217-pt-BR A, Spanish | 08/07/2020 | DOC1-000217-es-NT A, English | 03/02/2021 | LA1-000133-en-US A, White Papers | English | 06/06/2008 | LA0239 A, White Papers | English | 03/01/2008 | LA0219 A. The suture bridge technique is a viable option for Achilles tendon repair after surgical management of insertional Achilles tendinosis. Before Our e-learning platform contains high resolution images and a certified CME of the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical procedure. Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. 0000072739 00000 n There were no intraoperative or postoperative complications. 0 I am now almost 6 weeks post ATR surgery. Review of Achilles Tendon Reattachment Using Double-Row Knotted and Knotless Techniques in the Management of Insertional Achilles Tendinopathy. 2022 Apr 15;36(4):415-419. doi: 10.7507/1002-1892.202111089. Are there other Speedbridgers out there? 100 0 R /X1 101 0 R >> >> Anti-spam word: (Required)* I had the PARS technique surgery last August - horizontal incision about 1.5 inches long, then a jig to pull the pieces together and stitch them up. 0000001432 00000 n The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. I am not trying to rush it and I dont feel like I have something to prove; rather quite the opposite, I am trying to follow directions like I never have before so I get through this with no complications if at all possible. 8600 Rockville Pike All patients underwent reattachment of the Achilles tendon with the suture bridge technique. The patient was an athlete (triathlon) and appeared obese (height: 197 cm, body weight: 120 kg, body mass index: 30.9). /AvgWidth 521 J Med Invest. /ID [<959befb3d145b1778f6396bf63680c5f><959befb3d145b1778f6396bf63680c5f>] Wide detachment of the insertion of the Achilles tendon was necessary, and reattachment of the tendon was performed using the Arthrex SpeedBridge(TM) system (Arthrex, Inc., Naples, FL). eCollection 2020 Jul. went to 2 shoes full weight bearing no crutches. 2020 Jul 30;5(3):2473011420926101. doi: 10.1177/2473011420926101. /Type /FontDescriptor Unauthorized use of these marks is strictly prohibited. The site is secure. Federal government websites often end in .gov or .mil. 0000001984 00000 n The Arthrex SutureBridge () (Arthrex, Inc., Naples, FL) device uses a series of 4 suture anchors and FiberWire () (Arthrex Inc.) to reattach the Achilles tendon to its calcaneal insertion. Disclaimer. To prove you're a person (not a spam script), type the security word shown in the picture. Im only 3 weeks post-op so I dont have a lot of feedback on it yet, but I too feel fortunate to have had it. Insertional Achilles tendinosis is a degenerative process of the tendon at the junction of the tendon and calcaneus. The Speedbridge provides a far more robust level of fixation for the achilles than any alternatives. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape, While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire. Continue to more PT, but watch the wound and make sure healed before running and strenuous exercise. Sorry, got sidetracked there with the celebrating Site by Redwire. HHS Vulnerability Disclosure, Help 0000039513 00000 n There may or may not be an element of anatomical prominence of the postero-lateral calcaneus associated. /Contents 99 0 R Journal of Foot and Ankle Surgery. 0000038620 00000 n I am surprised there is not more discussion about it here. Please enable it to take advantage of the complete set of features! government site. [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. << /Parent 82 0 R << He insists I will be playing golf at 10-12 weeks post ATR surgery in normal shoes and doing backflips at 4 months (I dont do backflips but you get the gist). Bethesda, MD 20894, Web Policies A 48-year-old man presented to our department with a 6-month history of left posterior heel pain. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. It should be remembered however that of greater importance is identifying the various potential sources of symptoms and treating them all. This four-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities. 4.75 mm BioComposite SpeedBridge Implant System w/SCORPION-Multifire Needle Includes two 4.75 mm BioComposite SwiveLock C Anchors w/one Preloaded FiberTape Loop (1 Blue, 1 White/Black) for Medial Row, two 4.75 BioComposite SwiveLock Anchors for Lateral Row, Disposable Punch, and SCORPION-Multifire Needle. This 4-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability such that immediate postoperative weightbearing and range of motion is possible. My understanding is that your PARS procedure and the Speedbridge are actually not that different. nielsmurphs AchillesBlog is proudly powered by WordPress and WPDesigner.. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles knotless Repair, https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. Also whatever the operative technique used careful skin handling throughout is required as well as in the post-operative period. Would you like email updates of new search results. 4.75 mm BioComposite SpeedBridge Implant System Includes two 4.75 mm BioComposite SwiveLock C anchors w /one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 4.75 mm BioComposite SwiveLock C for lateral row, and disposable punch, 4.75/5.5 mm BioComposite SpeedBridge Implant System SP (self-punching) Includes two 4.75 mm BioComposite SwiveLock C anchors w/ one preloaded FiberTape Loop (1 blue, 1 white/black) for medial row, two 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for lateral row, and disposable punch, 4.75 mm PEEK SpeedBridge Implant System Includes two 4.75 mm PEEK SwiveLock C anchors w/ one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 4.75 mm PEEK SwiveLock C anchors for lateral row, and disposable punch, 4.75/5.5 mm PEEK SpeedBridge Implant System SP (self-punching) Includes two 4.75 mm PEEK SwiveLock C anchors w/one preloaded FiberTape Loop (1 blue, 1 white/black) for medial row, two 5.5 mm PEEK SwiveLock SP (self-punching) anchors for lateral row, and disposable punch. Arthrex - SutureBridge and SpeedBridge 89 0 obj 1. /Root 85 0 R While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape suture to be laid over the distal end of the tendon. Published by Elsevier Inc. All rights reserved. However, I dont see a lot of information about the type of surgery that people have undergone, and thought I would share the links below. official website and that any information you provide is encrypted Phen HM, Manz WJ, Mignemi D, Greenshields JT, Bariteau JT. Clipboard, Search History, and several other advanced features are temporarily unavailable. What I found though was keeping a bandaid with gauze under it helped a lot at the end to get it healed. 0000022565 00000 n For more information, visit https://www.arthrex.com- - - - -OrthoPedia is an innovative educational website that was created for anyone interested in learning about orthopedics from the first-year student to the experienced orthopedic surgeon. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape suture to be laid over the distal end of /FontName /ACHMZE+Calibri I got pretty good at power hobbling with my boot on while I was waiting though! Usually the painful area is located laterally but it can on occasion be postero-medial. and transmitted securely. /CapHeight 750 Epub 2021 Dec 12. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. Epub 2013 May 11. Guidelines for Post-operative Rehabilitation following a mid-substance Achilles Tendon Repair using the Arthrex SpeedbridgeTM System A Criterion-Based Approach These guidelines are intended to assist the rehabilitation clinician in their decision making around exercise selection and advice given to patients through their rehabilitation journey. 0000001012 00000 n The .gov means its official. Lewis TL, Srirangarajan T, Patel A, Yip GCK, Hussain L, Walker R, Singh S, Latif A, Abbasian A. Eur J Orthop Surg Traumatol. Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. This avoids a lot of scar tissue and potential nerve damage and allows the tendon to heal naturally. This procedure may help relieve pain in the shoulder and improve function to resume normal daily activities.- - - - -Why Work Arthrex https://www.arthrex.com/job-seekerFind an Arthrex Surgeon: https://doctorfinder.orthoillustrated.com- - - - -Join the Community:LinkedIn: https://www.linkedin.com/company/arthrexFacebook: https://www.facebook.com/ArthrexInstagram: https://www.instagram.com/arthrex_inc/Twitter: https://twitter.com/ArthrexTikTok: https://www.tiktok.com/@arthrex- - - - -Arthrex Inc., headquartered in Naples, Florida, is a global leader in orthopedic surgical device design, research, manufacturing, and medical education. 2013 Sep-Oct;52(5):575-9. doi: 10.1053/j.jfas.2012.11.004. The surgery lasted 40 minutes, I have minimal scarring, very little post-surgery swelling, and no pain. Central tendon splitting combined with SutureBridge double-row technique as a surgical treatment for insertional Achilles tendinopathy. Bookshelf 0000051783 00000 n The key is to identify the exact location and nature of the pathology causing symptoms. /Group << /CS /DeviceRGB /S /Transparency /Type /Group >> Would you like email updates of new search results? 0000001800 00000 n My main minimal concern or curiousity was with the heel anchors - what if it gets loose over time or heel pain in the future? Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. Please enable it to take advantage of the complete set of features! Achilles tendon: Haglunds deformity, central approach using Arthrex /Filter /FlateDecode Certain products may not be approved for sale in all countries. My doc used the speedbridge on for my surgery as well. Thought I had read that its typically horizontal, but mine is vertical. National Library of Medicine /FontWeight 400 PMC Recently, a limited-incision knotless Achilles tendon repair technique (Achilles Midsubstance SpeedBridge; Arthrex) was developed to minimize soft-tissue dissection, restore musculotendinous length, and directly fix tendon to bone to allow for early mobilization and more rapid functional recovery. 6 weeks, 5 days post ATR surgery. /MarkInfo << /Marked true >> Again, very little swelling and no pain. I am 48 years old and in good shape. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles Foot Ankle Orthop. An official website of the United States government. MeSH This site needs JavaScript to work properly. I feel like I could return sooner, but want to be careful as well. After 3 to 6 months of conservative therapy has failed to alleviate symptoms, surgical management is indicated. I had the procedure done 9 days post ski crash full ATR in Colorado. 1 Reference 1. The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. Please try again, or try refreshing the page. Copyright 2012 American College of Foot and Ankle Surgeons. This will assist in deciding upon the surgical approach to be taken. Clin Podiatr Med Surg. /StemV 52 ive been through a lot of this site and have to found anybody describing what you are describing in terms of operative technique. Dr. says no concerns that tendon will rupture but to be careful and use boot in airports, etc. endobj While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape suture to be laid over the distal end of , While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWiresuture to be laid over the distal end of the tendon. 2 weeks post-surgery I had the splint case removed and bought the fancy Vacocast Vacoped achilles boot (totally worth the $300). official website and that any information you provide is encrypted Please enable it to take advantage of the complete set of features! There was an error retrieving the content. This can cause direct impingement upon the deep(anterior) aspect of the Achilles in the retro-calcaneal area. Int J Surg Case Rep. 2022 Jul;96:107355. doi: 10.1016/j.ijscr.2022.107355. It took me 11 weeks to get to two shoes - the surgeon made me wait longer than normal because my rupture was at the top end of the tendon (muscle on one side, tendon on the other) and those take longer to heal. Implant System, BioComposite Achilles SpeedBridge with JumpStart, Implant System, PEEK Achilles SpeedBridge with JumpStart, Implant System, BioComposite Achilles SpeedBridge, Implant System, PEEK Achilles SpeedBridge, Surgical Technique Videos | 11:20 | English | 09/06/2017 | VID1-0463-EN C, Surgical Technique Guides | English | 05/11/2020 | LT1-0463-EN F, Presentation Videos | 06:11 | English | 04/20/2018 | VID1-01195-EN C, Surgical Technique Animations | 02:33 | English | 05/21/2015 | AN1-0463-EN B, Case Presentation Videos | 05:13 | English | 08/08/2017 | VPT1-00877-EN B, Surgical Technique Videos | 04:59 | English | 10/11/2019 | VID1-000654-en-US A, 05:17 | English | 12/28/2020 | VID1-000182-en-US C, 04:59 | English | 10/11/2019 | VID1-000654-en-US A, 11:20 | English | 09/06/2017 | VID1-0463-EN C, 09:27 | English | 08/28/2015 | VID1-00438-EN A, 37:06 | English | 12/18/2012 | VID1-0466-EN A, 02:33 | English | 05/21/2015 | AN1-0463-EN B, 05:59 | English | 12/16/2019 | VID1-000260-en-US A, 05:13 | English | 08/08/2017 | VPT1-00877-EN B, 02:36 | English | 03/15/2017 | PAN1-0463-EN D, 09:30 | English | 08/02/2018 | VID1-01364-EN A, 13:03 | English | 05/30/2018 | VPT1-01038-EN A, 06:11 | English | 04/20/2018 | VID1-01195-EN C, 06:28 | English | 06/13/2022 | VID1-003096-en-US A, English | 05/04/2021 | LN1-000324-en-US A, 06:06 | English | 08/26/2019 | VID1-000186-en-US A. Federal government websites often end in .gov or .mil. A diagnosis of insertional Achilles tendinosis was made. FOIA /Lang (en-GB) The jig you mention was probably made by Arthrex. 2013 Oct;126(20):3860-4. PMC /Flags 32 /Rotate 0 Achilles Tendon Rip-Stop SpeedBridge Repair - ScienceDirect All questions answered. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Unable to load your collection due to an error, Unable to load your delegates due to an error. /XHeight 250 endobj Careers. 2016;63(3-4):310-4. doi: 10.2152/jmi.63.310. When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. Accessibility /MaxWidth 1743 I didnt even read my operating report until a year after the surgery when I found out thats what he used (and thats what he always uses if he can). Bethesda, MD 20894, Web Policies Careers. endobj /FontBBox [ -503 -250 1240 750 ] FOIA Journal of Foot and Ankle Surgery. 8600 Rockville Pike Epub 2022 May 4. 8600 Rockville Pike Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. The various surgical techniques for treating Achilles ruptures include open repair with Krackow locking sutures, percutaneous repair, and limited-incision repair with suture-passing jigs. Maximize OR convenience and efficiency with the SpeedBridge implant system, which contains the implants and sutures required to complete a SpeedBridge rotator cuff repair in a single, sterile tray. /Ascent 750 >> I am walking now in the boot without a crutch fairly well. The site is secure. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. Open repair of acute Achilles tendon ruptures continues to remain controversial among surgeons as they weigh the tradeoffs of reduced re-rupture rates, improved calf strength, and increased return to activity against potential wound healing and infectious complications. xx\. Very small incision, shorter surgery, and fewer complications. >> /Encoding /WinAnsiEncoding 88 0 obj Non-operative treatment is somewhat less successful when adopted here than for problems with the main body of the achilles tendon. MeSH 2013;52 (5):575-579. doi:10.1053/j.jfas.2012.11.004. This four-anchor construct enables a greater area of . /Prev 203769 I will update later to confirm that and my progress, but I already have good range of motion and feel like I could walk in shoes now. Disclaimer. /Type /Font In the EU contact: ema.europa.eu. Outcomes of Operative Management of Insertional Achilles Tendinopathy in the Young vs Elderly. and transmitted securely. 2013;52(5):575-579. doi:10.1053/j.jfas.2012.11.004. /MediaBox [ 0 0 841.92 595.32 ] I similarly went from PWB to FWB within a few days. The rotator cuff is what holds your upper arm bone in the shoulder socket and helps to lift and rotate your arm. Very small incision, shorter surgery, and fewer complications. /N 11 Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. How long did it take you to walk in two shoes ? The indications, contraindications, details, pearls, and pitfalls of this surgical technique are discussed in this article. Visit https://www.orthopedia.com to experience the future of Medical Education. Clipboard, Search History, and several other advanced features are temporarily unavailable. Hi, this is a comment.To delete a comment, just log in, and view the posts comments, there you will have the option to edit or delete them. 2022 Sep-Oct;61(5):927-931. doi: 10.1053/j.jfas.2021.12.015. 0000022892 00000 n A free FiberTape (Arthrex) is then loaded within the eyelet of a 4.75-mm double-loaded Bio-SwiveLock anchor (Arthrex) and inserted with the aid of a mallet into the predrilled socket (Fig 2). Lin Y, Wang ZW, Zhang B, Pan J, Qu TB, Hai Y. Chin Med J (Engl). He has been doing it for about a year on all fully torn achilles, including several professional athletes. startxref /Pages 82 0 R /FirstChar 32 MeSH This hourglass pattern of FiberWire() provides a greater area of tendon compression, consequently allowing greater stability and possible earlier return to weightbearing activities. The benefit of this surgery is that it is minimally invasive, very low risk of nerve injury, very strong, and has no knots that can come apart. It should be remembered however that of greater importance is identifying the various potential sources of symptoms and treating them all. stream Accessibility Disclaimer. /Tabs /S Recently, a limited-incision knotless Achilles tendon repair technique (Achilles Midsubstance SpeedBridge; Arthrex) was developed to minimize soft-tissue dissection, restore musculotendinous length, and directly fix tendon to bone to allow for early mobilization and more rapid functional recovery. Learn the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical technique with step by step instructions on OrthOracle. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. There are three main varities of pathology effecting the area of the achilles tendon insertion and to which the description of a Haglunds deformity is commonly(and loosely) applied. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. FOIA 4.75/5.5 mm BioComposite SpeedBridge Implant System w/Scorpion Needle Includes two 4.75 mm BioComposite SwiveLock C anchors w/ one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 5.5 mm BioComposite SwiveLock C anchors for lateral row, disposable punch, and SCORPION-multifire needle. /CropBox [ 0 0 841.92 595.32 ] An important albeit subjective aspect of Achilles tendon repair is suture knot tying and tensioning around the rupture site. official website and that any information you provide is encrypted /FontFile2 89 0 R 2023 | /ItalicAngle 0 /L 205587 Of course, the tendon was and is still super tight so I am limping a bit while I work on loosening up the tendon and strengthening. Once the socket has been created, a 4.5-mm Corkscrew tap (Arthrex) is used to ensure ease of anchor insertion in the dense bone. See this link - https://www.arthrex.com/foot-ankle/pars-achilles-jig-system.
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arthrex speedbridge complications