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fiberloop w/fibertag suture  (Arthrex Inc)
90
Arthrex Inc fiberloop w/fibertag suture
The video is a cadaveric demonstration of the technique. The specimen is a right upper extremity, placed with volar surface facing up. The view is oriented to simulate the surgeon’s perspective, as the surgeon is situated along the medial aspect of the upper extremity, and viewing from proximal (lower screen) to distal (upper screen). A short transverse incision is made centering over the radial tuberosity, about 2 cm distal to the antecubital crease. Blunt digital dissection leads to the radial tuberosity, identified with palpation and forearm rotation, following the void left by the torn and retracted biceps tendon. Further blunt dissection proximally underneath the antecubital crease leads to the retracted distal biceps tendon, surrounded by seroma/hematoma. Scar tissue is debrided off the tendon, but distal tendon flare is preserved. Two marks are made, one at the tendon flare and tendon junction, as well as another mark 2.5 cm proximal to the first. For visual clarity, the suturing portion of the video is supplemented with a more closeup demonstration on another tendon. The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon. The needle is passed through the second mark and then through the end of the tape suture, to lock the tape suture on both sides of the tendon, with a U-shaped loop of the tape distally. The needle is used to pass the FiberLoop suture through all 3 tape/tendon/tape layers repeatedly, cinching each strand of the FiberLoop tightly, until 5 to 6 whipstitch patterns are passed and ending proximally, robustly locking the tape suture and tendon together, and then the FiberLoop is cut and the 2 strands are tied over the tendon. Next, the radial tuberosity is exposed and debrided to remove soft tissue covering to enhance healing. The 2.6-mm drill is used to make 2 unicortical openings in the radial tuberosity. With the locations as posterior/low as possible, the drill is aimed 45° distally, stopping once the drill is through only 1 cortex. Arthrex 2.6 Knotless FiberTaks are placed through the openings into the intramedullary canal and then pulled back to set. The repair suture of the distal anchor is passed through the distal tendon flare from underside to the top surface, then through the distal aspect of the U-shaped tape suture within the distal tendon, while the repair suture of the proximal anchor is passed in the opposite direction, through the U-shaped tape suture loop within the distal tendon and then the distal tendon flare from top surface to the underside. The repair sutures are then shuttled through the opposite FiberTaks, interlinking the 2 anchors. The repair sutures are then pulled to tighten fully, securing the distal biceps tendon and the distal flare to the tuberosity, to complete the tendon repair. Stressing is done vigorously, including the hook test, to confirm secure tendon fixation, and the repair sutures are retensioned after stressing.
Fiberloop W/Fibertag Suture, supplied by Arthrex Inc, used in various techniques. Bioz Stars score: 90/100, based on 1 PubMed citations. ZERO BIAS - scores, article reviews, protocol conditions and more
https://www.bioz.com/product/fiberloop+w/fiberloop+suture/pmc09826978-21-5-5
Average 90 stars, based on 1 article reviews
fiberloop w/fibertag suture - by Bioz Stars, 2026-10
90/100 stars
  Buy from Supplier
fiberloop w/fibertag  (Arthrex Inc)
90
Arthrex Inc fiberloop w/fibertag
The video is a cadaveric demonstration of the technique. The specimen is a right upper extremity, placed with volar surface facing up. The view is oriented to simulate the surgeon’s perspective, as the surgeon is situated along the medial aspect of the upper extremity, and viewing from proximal (lower screen) to distal (upper screen). A short transverse incision is made centering over the radial tuberosity, about 2 cm distal to the antecubital crease. Blunt digital dissection leads to the radial tuberosity, identified with palpation and forearm rotation, following the void left by the torn and retracted biceps tendon. Further blunt dissection proximally underneath the antecubital crease leads to the retracted distal biceps tendon, surrounded by seroma/hematoma. Scar tissue is debrided off the tendon, but distal tendon flare is preserved. Two marks are made, one at the tendon flare and tendon junction, as well as another mark 2.5 cm proximal to the first. For visual clarity, the suturing portion of the video is supplemented with a more closeup demonstration on another tendon. The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon. The needle is passed through the second mark and then through the end of the tape suture, to lock the tape suture on both sides of the tendon, with a U-shaped loop of the tape distally. The needle is used to pass the FiberLoop suture through all 3 tape/tendon/tape layers repeatedly, cinching each strand of the FiberLoop tightly, until 5 to 6 whipstitch patterns are passed and ending proximally, robustly locking the tape suture and tendon together, and then the FiberLoop is cut and the 2 strands are tied over the tendon. Next, the radial tuberosity is exposed and debrided to remove soft tissue covering to enhance healing. The 2.6-mm drill is used to make 2 unicortical openings in the radial tuberosity. With the locations as posterior/low as possible, the drill is aimed 45° distally, stopping once the drill is through only 1 cortex. Arthrex 2.6 Knotless FiberTaks are placed through the openings into the intramedullary canal and then pulled back to set. The repair suture of the distal anchor is passed through the distal tendon flare from underside to the top surface, then through the distal aspect of the U-shaped tape suture within the distal tendon, while the repair suture of the proximal anchor is passed in the opposite direction, through the U-shaped tape suture loop within the distal tendon and then the distal tendon flare from top surface to the underside. The repair sutures are then shuttled through the opposite FiberTaks, interlinking the 2 anchors. The repair sutures are then pulled to tighten fully, securing the distal biceps tendon and the distal flare to the tuberosity, to complete the tendon repair. Stressing is done vigorously, including the hook test, to confirm secure tendon fixation, and the repair sutures are retensioned after stressing.
Fiberloop W/Fibertag, supplied by Arthrex Inc, used in various techniques. Bioz Stars score: 90/100, based on 1 PubMed citations. ZERO BIAS - scores, article reviews, protocol conditions and more
https://www.bioz.com/product/fiberloop+w/fiberloop/pmc09826978-58-39-41
Average 90 stars, based on 1 article reviews
fiberloop w/fibertag - by Bioz Stars, 2026-10
90/100 stars
  Buy from Supplier

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The video is a cadaveric demonstration of the technique. The specimen is a right upper extremity, placed with volar surface facing up. The view is oriented to simulate the surgeon’s perspective, as the surgeon is situated along the medial aspect of the upper extremity, and viewing from proximal (lower screen) to distal (upper screen). A short transverse incision is made centering over the radial tuberosity, about 2 cm distal to the antecubital crease. Blunt digital dissection leads to the radial tuberosity, identified with palpation and forearm rotation, following the void left by the torn and retracted biceps tendon. Further blunt dissection proximally underneath the antecubital crease leads to the retracted distal biceps tendon, surrounded by seroma/hematoma. Scar tissue is debrided off the tendon, but distal tendon flare is preserved. Two marks are made, one at the tendon flare and tendon junction, as well as another mark 2.5 cm proximal to the first. For visual clarity, the suturing portion of the video is supplemented with a more closeup demonstration on another tendon. The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon. The needle is passed through the second mark and then through the end of the tape suture, to lock the tape suture on both sides of the tendon, with a U-shaped loop of the tape distally. The needle is used to pass the FiberLoop suture through all 3 tape/tendon/tape layers repeatedly, cinching each strand of the FiberLoop tightly, until 5 to 6 whipstitch patterns are passed and ending proximally, robustly locking the tape suture and tendon together, and then the FiberLoop is cut and the 2 strands are tied over the tendon. Next, the radial tuberosity is exposed and debrided to remove soft tissue covering to enhance healing. The 2.6-mm drill is used to make 2 unicortical openings in the radial tuberosity. With the locations as posterior/low as possible, the drill is aimed 45° distally, stopping once the drill is through only 1 cortex. Arthrex 2.6 Knotless FiberTaks are placed through the openings into the intramedullary canal and then pulled back to set. The repair suture of the distal anchor is passed through the distal tendon flare from underside to the top surface, then through the distal aspect of the U-shaped tape suture within the distal tendon, while the repair suture of the proximal anchor is passed in the opposite direction, through the U-shaped tape suture loop within the distal tendon and then the distal tendon flare from top surface to the underside. The repair sutures are then shuttled through the opposite FiberTaks, interlinking the 2 anchors. The repair sutures are then pulled to tighten fully, securing the distal biceps tendon and the distal flare to the tuberosity, to complete the tendon repair. Stressing is done vigorously, including the hook test, to confirm secure tendon fixation, and the repair sutures are retensioned after stressing.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: The video is a cadaveric demonstration of the technique. The specimen is a right upper extremity, placed with volar surface facing up. The view is oriented to simulate the surgeon’s perspective, as the surgeon is situated along the medial aspect of the upper extremity, and viewing from proximal (lower screen) to distal (upper screen). A short transverse incision is made centering over the radial tuberosity, about 2 cm distal to the antecubital crease. Blunt digital dissection leads to the radial tuberosity, identified with palpation and forearm rotation, following the void left by the torn and retracted biceps tendon. Further blunt dissection proximally underneath the antecubital crease leads to the retracted distal biceps tendon, surrounded by seroma/hematoma. Scar tissue is debrided off the tendon, but distal tendon flare is preserved. Two marks are made, one at the tendon flare and tendon junction, as well as another mark 2.5 cm proximal to the first. For visual clarity, the suturing portion of the video is supplemented with a more closeup demonstration on another tendon. The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon. The needle is passed through the second mark and then through the end of the tape suture, to lock the tape suture on both sides of the tendon, with a U-shaped loop of the tape distally. The needle is used to pass the FiberLoop suture through all 3 tape/tendon/tape layers repeatedly, cinching each strand of the FiberLoop tightly, until 5 to 6 whipstitch patterns are passed and ending proximally, robustly locking the tape suture and tendon together, and then the FiberLoop is cut and the 2 strands are tied over the tendon. Next, the radial tuberosity is exposed and debrided to remove soft tissue covering to enhance healing. The 2.6-mm drill is used to make 2 unicortical openings in the radial tuberosity. With the locations as posterior/low as possible, the drill is aimed 45° distally, stopping once the drill is through only 1 cortex. Arthrex 2.6 Knotless FiberTaks are placed through the openings into the intramedullary canal and then pulled back to set. The repair suture of the distal anchor is passed through the distal tendon flare from underside to the top surface, then through the distal aspect of the U-shaped tape suture within the distal tendon, while the repair suture of the proximal anchor is passed in the opposite direction, through the U-shaped tape suture loop within the distal tendon and then the distal tendon flare from top surface to the underside. The repair sutures are then shuttled through the opposite FiberTaks, interlinking the 2 anchors. The repair sutures are then pulled to tighten fully, securing the distal biceps tendon and the distal flare to the tuberosity, to complete the tendon repair. Stressing is done vigorously, including the hook test, to confirm secure tendon fixation, and the repair sutures are retensioned after stressing.

Article Snippet: The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon.

Techniques:

(A) The FiberLoop w/FiberTag suture (Arthrex) features a reinforced No. 2 loop suture, an incorporated straight needle, and an integrated 50-mm-long terminal tape suture. (B) Closeup view of the integrated 50-mm tape suture.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: (A) The FiberLoop w/FiberTag suture (Arthrex) features a reinforced No. 2 loop suture, an incorporated straight needle, and an integrated 50-mm-long terminal tape suture. (B) Closeup view of the integrated 50-mm tape suture.

Article Snippet: The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon.

Techniques:

Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again. Repeat the process 4 to 5 more times, each time passing through all 3 tape/tendon/tape layers, from proximal to distal direction, then back proximally. (J) Once there are 5 to 6 well-cinched, overlapping whipstitches placed, bring the suture strands back over the tendon. (K) Tie the sutures over the tendon to complete the suture construct. (L, M) Top and bottom views of the completed suture construct at the distal biceps tendon. The distally based U-shape FiberTag placement within the tendon allows the repair sutures of the FiberTaks to connect to the tendon and the suture construct, as well as secure the tendon in the subsequent steps.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again. Repeat the process 4 to 5 more times, each time passing through all 3 tape/tendon/tape layers, from proximal to distal direction, then back proximally. (J) Once there are 5 to 6 well-cinched, overlapping whipstitches placed, bring the suture strands back over the tendon. (K) Tie the sutures over the tendon to complete the suture construct. (L, M) Top and bottom views of the completed suture construct at the distal biceps tendon. The distally based U-shape FiberTag placement within the tendon allows the repair sutures of the FiberTaks to connect to the tendon and the suture construct, as well as secure the tendon in the subsequent steps.

Article Snippet: The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon.

Techniques: Construct

Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. Diagrams demonstrating repair details are also in the same orientation. (A) With a free needle, pass the distal FiberTak repair suture through the distal flare of the biceps tendon from the underside to the top surface. (B) Pass the distal FiberTak repair future next through the distal biceps tendon, making sure to also pass it through the U-shaped loop of the tape suture, and exit on the posterior aspect of the tendon. (C) The repair suture of the proximal FiberTak is passed, in reverse fashion, through the distal biceps tendon and the U-shaped tape suture loop first, then through the distal flare from the top surface to the underside. (D) Shuttle the distal FiberTak repair suture through the proximal anchor. (E) Shuttle the proximal FiberTak repair suture through the distal anchor, interlinking the 2 anchors. (F) Pull to tighten the repair sutures and compress the tendon down onto the radial tuberosity. (G) Appearance after distal biceps tendon fixation to radial tuberosity, with diagram of the repair. Note the biceps tendon is repaired to the medial/posterior aspect of the radial tuberosity with the forearm fully supinated, over a longitudinally oriented oval area, better reproducing the anatomic footprint. (H) Hook test to confirm repair integrity: hook the index finger behind the repaired distal biceps tendon and lift the forearm off the table only through pulling on the tendon. Further stressing can be done by pressing down on the distal forearm while pulling up on the distal biceps tendon. Retension the FiberTak repair sutures as needed after stress testing. (I) Diagram of the final repair construct, demonstrating a knotless, unicortical all-suture anchor repair of the distal biceps tendon, with passages of interlinked FiberTak repair sutures through the FiberLoop w/FiberTag suture construct in the distal tendon and with longitudinal compression of the distal flare tissue.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. Diagrams demonstrating repair details are also in the same orientation. (A) With a free needle, pass the distal FiberTak repair suture through the distal flare of the biceps tendon from the underside to the top surface. (B) Pass the distal FiberTak repair future next through the distal biceps tendon, making sure to also pass it through the U-shaped loop of the tape suture, and exit on the posterior aspect of the tendon. (C) The repair suture of the proximal FiberTak is passed, in reverse fashion, through the distal biceps tendon and the U-shaped tape suture loop first, then through the distal flare from the top surface to the underside. (D) Shuttle the distal FiberTak repair suture through the proximal anchor. (E) Shuttle the proximal FiberTak repair suture through the distal anchor, interlinking the 2 anchors. (F) Pull to tighten the repair sutures and compress the tendon down onto the radial tuberosity. (G) Appearance after distal biceps tendon fixation to radial tuberosity, with diagram of the repair. Note the biceps tendon is repaired to the medial/posterior aspect of the radial tuberosity with the forearm fully supinated, over a longitudinally oriented oval area, better reproducing the anatomic footprint. (H) Hook test to confirm repair integrity: hook the index finger behind the repaired distal biceps tendon and lift the forearm off the table only through pulling on the tendon. Further stressing can be done by pressing down on the distal forearm while pulling up on the distal biceps tendon. Retension the FiberTak repair sutures as needed after stress testing. (I) Diagram of the final repair construct, demonstrating a knotless, unicortical all-suture anchor repair of the distal biceps tendon, with passages of interlinked FiberTak repair sutures through the FiberLoop w/FiberTag suture construct in the distal tendon and with longitudinal compression of the distal flare tissue.

Article Snippet: The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon.

Techniques: Construct

Pitfalls and Pearls

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Pitfalls and Pearls

Article Snippet: The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon.

Techniques: Construct

Advantages and Disadvantages

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Advantages and Disadvantages

Article Snippet: The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon.

Techniques: Construct

The video is a cadaveric demonstration of the technique. The specimen is a right upper extremity, placed with volar surface facing up. The view is oriented to simulate the surgeon’s perspective, as the surgeon is situated along the medial aspect of the upper extremity, and viewing from proximal (lower screen) to distal (upper screen). A short transverse incision is made centering over the radial tuberosity, about 2 cm distal to the antecubital crease. Blunt digital dissection leads to the radial tuberosity, identified with palpation and forearm rotation, following the void left by the torn and retracted biceps tendon. Further blunt dissection proximally underneath the antecubital crease leads to the retracted distal biceps tendon, surrounded by seroma/hematoma. Scar tissue is debrided off the tendon, but distal tendon flare is preserved. Two marks are made, one at the tendon flare and tendon junction, as well as another mark 2.5 cm proximal to the first. For visual clarity, the suturing portion of the video is supplemented with a more closeup demonstration on another tendon. The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon. The needle is passed through the second mark and then through the end of the tape suture, to lock the tape suture on both sides of the tendon, with a U-shaped loop of the tape distally. The needle is used to pass the FiberLoop suture through all 3 tape/tendon/tape layers repeatedly, cinching each strand of the FiberLoop tightly, until 5 to 6 whipstitch patterns are passed and ending proximally, robustly locking the tape suture and tendon together, and then the FiberLoop is cut and the 2 strands are tied over the tendon. Next, the radial tuberosity is exposed and debrided to remove soft tissue covering to enhance healing. The 2.6-mm drill is used to make 2 unicortical openings in the radial tuberosity. With the locations as posterior/low as possible, the drill is aimed 45° distally, stopping once the drill is through only 1 cortex. Arthrex 2.6 Knotless FiberTaks are placed through the openings into the intramedullary canal and then pulled back to set. The repair suture of the distal anchor is passed through the distal tendon flare from underside to the top surface, then through the distal aspect of the U-shaped tape suture within the distal tendon, while the repair suture of the proximal anchor is passed in the opposite direction, through the U-shaped tape suture loop within the distal tendon and then the distal tendon flare from top surface to the underside. The repair sutures are then shuttled through the opposite FiberTaks, interlinking the 2 anchors. The repair sutures are then pulled to tighten fully, securing the distal biceps tendon and the distal flare to the tuberosity, to complete the tendon repair. Stressing is done vigorously, including the hook test, to confirm secure tendon fixation, and the repair sutures are retensioned after stressing.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: The video is a cadaveric demonstration of the technique. The specimen is a right upper extremity, placed with volar surface facing up. The view is oriented to simulate the surgeon’s perspective, as the surgeon is situated along the medial aspect of the upper extremity, and viewing from proximal (lower screen) to distal (upper screen). A short transverse incision is made centering over the radial tuberosity, about 2 cm distal to the antecubital crease. Blunt digital dissection leads to the radial tuberosity, identified with palpation and forearm rotation, following the void left by the torn and retracted biceps tendon. Further blunt dissection proximally underneath the antecubital crease leads to the retracted distal biceps tendon, surrounded by seroma/hematoma. Scar tissue is debrided off the tendon, but distal tendon flare is preserved. Two marks are made, one at the tendon flare and tendon junction, as well as another mark 2.5 cm proximal to the first. For visual clarity, the suturing portion of the video is supplemented with a more closeup demonstration on another tendon. The straight needle of the Arthrex FiberLoop w/FiberTag suture is passed through the distal mark, and half (2.5 cm) of the tape suture is pulled through the tendon. The needle is passed through the second mark and then through the end of the tape suture, to lock the tape suture on both sides of the tendon, with a U-shaped loop of the tape distally. The needle is used to pass the FiberLoop suture through all 3 tape/tendon/tape layers repeatedly, cinching each strand of the FiberLoop tightly, until 5 to 6 whipstitch patterns are passed and ending proximally, robustly locking the tape suture and tendon together, and then the FiberLoop is cut and the 2 strands are tied over the tendon. Next, the radial tuberosity is exposed and debrided to remove soft tissue covering to enhance healing. The 2.6-mm drill is used to make 2 unicortical openings in the radial tuberosity. With the locations as posterior/low as possible, the drill is aimed 45° distally, stopping once the drill is through only 1 cortex. Arthrex 2.6 Knotless FiberTaks are placed through the openings into the intramedullary canal and then pulled back to set. The repair suture of the distal anchor is passed through the distal tendon flare from underside to the top surface, then through the distal aspect of the U-shaped tape suture within the distal tendon, while the repair suture of the proximal anchor is passed in the opposite direction, through the U-shaped tape suture loop within the distal tendon and then the distal tendon flare from top surface to the underside. The repair sutures are then shuttled through the opposite FiberTaks, interlinking the 2 anchors. The repair sutures are then pulled to tighten fully, securing the distal biceps tendon and the distal flare to the tuberosity, to complete the tendon repair. Stressing is done vigorously, including the hook test, to confirm secure tendon fixation, and the repair sutures are retensioned after stressing.

Article Snippet: View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again.

Techniques:

(A) The FiberLoop w/FiberTag suture (Arthrex) features a reinforced No. 2 loop suture, an incorporated straight needle, and an integrated 50-mm-long terminal tape suture. (B) Closeup view of the integrated 50-mm tape suture.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: (A) The FiberLoop w/FiberTag suture (Arthrex) features a reinforced No. 2 loop suture, an incorporated straight needle, and an integrated 50-mm-long terminal tape suture. (B) Closeup view of the integrated 50-mm tape suture.

Article Snippet: View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again.

Techniques:

Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again. Repeat the process 4 to 5 more times, each time passing through all 3 tape/tendon/tape layers, from proximal to distal direction, then back proximally. (J) Once there are 5 to 6 well-cinched, overlapping whipstitches placed, bring the suture strands back over the tendon. (K) Tie the sutures over the tendon to complete the suture construct. (L, M) Top and bottom views of the completed suture construct at the distal biceps tendon. The distally based U-shape FiberTag placement within the tendon allows the repair sutures of the FiberTaks to connect to the tendon and the suture construct, as well as secure the tendon in the subsequent steps.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again. Repeat the process 4 to 5 more times, each time passing through all 3 tape/tendon/tape layers, from proximal to distal direction, then back proximally. (J) Once there are 5 to 6 well-cinched, overlapping whipstitches placed, bring the suture strands back over the tendon. (K) Tie the sutures over the tendon to complete the suture construct. (L, M) Top and bottom views of the completed suture construct at the distal biceps tendon. The distally based U-shape FiberTag placement within the tendon allows the repair sutures of the FiberTaks to connect to the tendon and the suture construct, as well as secure the tendon in the subsequent steps.

Article Snippet: View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again.

Techniques: Construct

Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. Diagrams demonstrating repair details are also in the same orientation. (A) With a free needle, pass the distal FiberTak repair suture through the distal flare of the biceps tendon from the underside to the top surface. (B) Pass the distal FiberTak repair future next through the distal biceps tendon, making sure to also pass it through the U-shaped loop of the tape suture, and exit on the posterior aspect of the tendon. (C) The repair suture of the proximal FiberTak is passed, in reverse fashion, through the distal biceps tendon and the U-shaped tape suture loop first, then through the distal flare from the top surface to the underside. (D) Shuttle the distal FiberTak repair suture through the proximal anchor. (E) Shuttle the proximal FiberTak repair suture through the distal anchor, interlinking the 2 anchors. (F) Pull to tighten the repair sutures and compress the tendon down onto the radial tuberosity. (G) Appearance after distal biceps tendon fixation to radial tuberosity, with diagram of the repair. Note the biceps tendon is repaired to the medial/posterior aspect of the radial tuberosity with the forearm fully supinated, over a longitudinally oriented oval area, better reproducing the anatomic footprint. (H) Hook test to confirm repair integrity: hook the index finger behind the repaired distal biceps tendon and lift the forearm off the table only through pulling on the tendon. Further stressing can be done by pressing down on the distal forearm while pulling up on the distal biceps tendon. Retension the FiberTak repair sutures as needed after stress testing. (I) Diagram of the final repair construct, demonstrating a knotless, unicortical all-suture anchor repair of the distal biceps tendon, with passages of interlinked FiberTak repair sutures through the FiberLoop w/FiberTag suture construct in the distal tendon and with longitudinal compression of the distal flare tissue.

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Right cadaver arm, volar surface facing up. View from the proximal aspect toward the distal aspect. Diagrams demonstrating repair details are also in the same orientation. (A) With a free needle, pass the distal FiberTak repair suture through the distal flare of the biceps tendon from the underside to the top surface. (B) Pass the distal FiberTak repair future next through the distal biceps tendon, making sure to also pass it through the U-shaped loop of the tape suture, and exit on the posterior aspect of the tendon. (C) The repair suture of the proximal FiberTak is passed, in reverse fashion, through the distal biceps tendon and the U-shaped tape suture loop first, then through the distal flare from the top surface to the underside. (D) Shuttle the distal FiberTak repair suture through the proximal anchor. (E) Shuttle the proximal FiberTak repair suture through the distal anchor, interlinking the 2 anchors. (F) Pull to tighten the repair sutures and compress the tendon down onto the radial tuberosity. (G) Appearance after distal biceps tendon fixation to radial tuberosity, with diagram of the repair. Note the biceps tendon is repaired to the medial/posterior aspect of the radial tuberosity with the forearm fully supinated, over a longitudinally oriented oval area, better reproducing the anatomic footprint. (H) Hook test to confirm repair integrity: hook the index finger behind the repaired distal biceps tendon and lift the forearm off the table only through pulling on the tendon. Further stressing can be done by pressing down on the distal forearm while pulling up on the distal biceps tendon. Retension the FiberTak repair sutures as needed after stress testing. (I) Diagram of the final repair construct, demonstrating a knotless, unicortical all-suture anchor repair of the distal biceps tendon, with passages of interlinked FiberTak repair sutures through the FiberLoop w/FiberTag suture construct in the distal tendon and with longitudinal compression of the distal flare tissue.

Article Snippet: View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again.

Techniques: Construct

Pitfalls and Pearls

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Pitfalls and Pearls

Article Snippet: View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again.

Techniques: Construct

Advantages and Disadvantages

Journal: Arthroscopy Techniques

Article Title: Tensionable Distal Biceps Tendon Repair With Intramedullary Knotless All-Suture Anchors and FiberLoop w/FiberTag Suture

doi: 10.1016/j.eats.2022.08.019

Figure Lengend Snippet: Advantages and Disadvantages

Article Snippet: View from the proximal aspect toward the distal aspect. (A) Mark the tendon twice (arrows), at the junction of the distal flare and the cylindrical section, and 2.5 cm proximal to that. (B) Pass the straight needle of the FiberLoop w/FiberTag (Arthrex) through the tendon at the distal mark. (C) Pull half (2.5 cm) of the tape suture (FiberTag) through, and bring the FiberTag up along both sides of the tendon (dotted line). (D) Pass the needle back through the tendon at the proximal mark and through the end of the FiberTag. (E) Pull the loop sutures through, locking the FiberTag in a distally based U shape. (F-I) Pass the straight needle back through all 3 tape/tendon/tape layers, then flip the loop of suture back over, and pass through again.

Techniques: Construct