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:

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

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

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

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

Journal: Arthroscopy Techniques

Article Title: A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction

doi: 10.1016/j.eats.2022.11.017

Figure Lengend Snippet: A harvested semitendinosus graft ∼20 cm in length. The tendon has been folded on itself one time and then whipstitched at both the free and folded ends to a length of about 25 mm using a #2 FiberLoop suture (Arthrex, Naples, FL). The femoral side of the graft (triangle) and the patellar side (star) is shown here. The free ends on the patella (star) side are individually whipstitched to allow for adjustable tensioning.

Article Snippet: The tendon has been folded on itself one time and then whipstitched at both the free and folded ends to a length of about 25 mm using a #2 FiberLoop suture (Arthrex, Naples, FL).

Techniques: