Theyre going to detach my achilles tendon, remove the spur and fracture, and then reattach my achilles tendon back to the bone with anchors. Request pdf achilles tendon reattachment after surgical treatment of insertional. Insertional achilles rupture repair with achilles speedbridge repair system and fhl tendon transfer. Prior to this, the patient was complaining of severe pain. Arthrex internal brace winter haven, lakeland, davenport. Latest surgical technique arthrex midsubstance speedbridge achilles knotless repair posted on april 5th, 2018 by nielsmurph i am new to this forum, and have read a lot of posts. Speedbridge and speedfix knotless rotator cuff repair. Postop protocol for achilles repair using speedbridge. The selection includes a wide variety of suture passers, retrievers and cutters that can accommodate various. Tous les catalogues et fiches techniques pdf arthrex. Achilles tendon is split at the line incision, full thickness.
Efficacy of achilles suture bridge technique for insertional achilles. Various surgical techniques exist for treating it and one of these is as discussed in this study, achilles tendon injury treated with knotless pars arthrex that allows for earlier weight bearing and mobilization and, therefore, faster. Arthrex, ar8929bccpsd, arthrex implant system, achilles. Arthrex inc, or 4 an achilles midsubstance speedbridge. The arthrex speedbridge is an innovative soft tissue fixation device used in the treatment of achilles injuries. In doing so, the medical professional should rely on their own training and experience and should conduct.
I have a patient after haglund resection and achilles. While a definitive cause for the complainants event cannot be determined, the most likely causes is improper bone prep or not inserting the anchor coaxial to the prepared hole. If you are a member and have already registered for member area and forum access, you can log in by clicking here. Furthermore, the materials are well characterized and have been used in predicate devices with similar indications. Krackow for midsubstance achilles tendon rupture repair objective methods and materials five. Joshua metzl, md, denver, co demonstrates his technique for an insertional achilles tendon rupture repair utilizing biotenodesis set for a flexor hallucis longus fhl tendon transfer and achilles speedbridge implant system for reattachment of the distal achilles tendon. Pdf a biomechanical comparison of an open repair and 3. Arthrex has developed the achilles speedbridge, achilles suturebridge, and biotenodesis.
Recovery time for achilles tendon repair and haglunds deformity removal. The achilles speedbridge is a knotless four anchor construct that. In particular with the speed bridge technique sufficient tendon healing is expected due to knotless and laminar fixation of the ruptured tendons. Mini open repair of achilles tendon requires a much bigger longitudinal incision expensive disposable device single plane sutures pictures adapted from. The achilles speedbridge implant system is a novel. The anatomically contoured guide is nondisposable, while. Unique device identifier udi global enterprise labeling system gels. Covidien medical devices and supplies work across the care continuum to diagnose earlier, intervene earlier, treat better and help patients recover faster. 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. Achilles tendon debridement and removal of bone spur with. Pars percutaneous achilles repair system achilles jig.
Reconstruction of a chronically ruptured achilles tendon using an. Sam labib, md, atlanta, ga presents a double row insertional repair of the achilles tendon following a haglunds resection using the arthrex achilles speedbridge repair. 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. To request a price quote andor surgical evaluation of products, please add all products of interest to your cart by selecting the respective product checkboxes in the quote 1 andor surgical evaluation 2 column of the products view 3. The speedbridge provides a far more robust level of fixation for the achilles than any alternatives. Using the percutaneous achilles repair system arthrex inc. Guidelines for postoperative rehabilitation following a midsubstance achilles tendon repair using the arthrex speedbridgetm system a criterionbased 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. Decompression cannula treatment of depressed tibia plateau fractures. The achilles speedbridge implant system the achilles speedbridge implant system is a novel concept in achilles reattachment, following debridement for insertional calcific tendinosis. Arthrex provides means of fixation for both, the reattachment of the. Wide detachment of the insertion of the achilles tendon was necessary, and reattachment of the tendon was performed using the arthrex speedbridgetm. The achilles speedbridge surgical technique specifically mentions using the. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the achilles speedbridge implant system. The most likely cause is improper bone prep or not inserting the anchor coaxial to the prepared hole.
I removed a haglunds as well as an intratendinous spur and reattached the achilles with an arthrex speedbridge. Postop protocol for achilles repair using speedbridge technique jeffrey p. The suturebridge and speedbridge are novel concepts in achilles reattachment, following debridement. The achilles speedbridge surgical technique specifically mentions using the supplied punch tap to prepare the bone holes. Knot tying arthrex has a comprehensive offering of products designed to simplify the task of tying knots. Achilles tendon heals faster with new surgical procedure ohio state sports medicine duration. Recently, a limitedincision knotless achilles tendon repair technique achilles midsubstance speedbridge. Recovery time for achilles tendon repair and haglunds. The suture bridge technique is a viable option for achilles tendon repair after. Ar8928bcjcp arthrex biocomposite achilles speedbridge.
She felt on her foot and ruptured achilles distally from calcaneus day 3 after surgery. It is characterized by pain over boney prominences or spurs located at the posterior superior aspect of the calcaneus. Arthrex was developed to minimize softtissue dissection, restore musculotendinous length, and directly fix tendon to bone to allow for early mobilization and more rapid functional recovery. Labib shares unique surgical pearls during this live surgical procedure.
Achilles repair system is a percutaneous and minimally invasive technique for achilles tendon ruptures. I have a patient after haglund resection and achilles reattachment with speedbridge arthrex. Postoperatively patients are treated with a belowknee walking boot with or without a heel lift, depending on surgeon preference allowing them to weightbear. Wide detachment of the insertion of the achilles tendon was necessary, and reattachment of the tendon was performed using the arthrex speedbridgetm system arthrex, inc. Arthrex s innovative spirit has pioneered the field of arthroscopy and sports medicine, and led to the development of more than 7,500 products and surgical procedures to help surgeons treat their patients better. Check it out online, arthrex speedbridge achilles repair or something like it. Arthrex, ar2600sbs4, arthrex speedbridge implant system.
Rotator cuff repair with arthrex speedbridge duration. Jordan stewart performs a surgery to release the gastrocnemius aponeurosis, remove a large bone spur from the back of the heel, and debride a diseased achilles tendon. Achilles tendon reattachment after surgical treatment of. The arthrex speedbridge repair is an innovative softtissue fixation device used in the treatment of achilles injuries. The surgeon feels that during the original surgery he did not do the original surgery nor does he know who did it, they were overtensioning the anchors which was causing the area to become avascular. It was reported that the surgeon had performed an achilles speedbridge revision. The achilles tendon is the most frequently ruptured tendon in the body and its incidence is increasing, more so among athletes. The achilles tendon is then reattached to the heel bone with the arthrex speed bridge. Ar8928bcjcp arthrex biocomposite achilles speedbridge with jumpstart implant system each.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. Guidelines for postoperative rehabilitation following a. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. To view all forums, post or create a new thread, you must be an aapc member.