Shoulder & Elbow

Rotator Cuff Repair I 03

Knotless Threaded Anchor ■ With PEEK eyelet which is held by a # 2 FiberWire suture ■ Anchor bodies available in • Bioabsorbable BioComposite (PLLA and 15 % beta-tricalcium phosphate) with osteoconductive properties • Non-resorbable, particularly inert PEEK • Bioabsorbable bio material (PLLA) ■ Also available with preloaded FiberTape ■ Knotless tissue fixation with a wide range of different suture configurations possible

“Self-Punch” Knotless Threaded Anchor 2mm Wide, High-Strength Braided Polyblend Suture ■ With titanium eyelet which is held by a #2 FiberWire suture ■ Anchor bodies available in • BioComposite • PEEK ■ Same material as FiberWire and similar in structure ■ Limbs tapered to #2 FiberWire ■ Increased contact area distributes the pressure, ensuring that the suture does not cut into the tissue • Bio • Titanium ■ Saves valuable OR time: no socket prepunching necessary Rotator Cuff Repair I

06 I Rotator Cuff Repair

Partially Threaded Knotless Anchor Threaded Metal Anchor Preloaded with #2 FiberWire ■ Punch or drilling option ■ Inserted through a drill guide for easy insertion ■ Locking mechanism allowing the user to control the tension of the suture repair for knotless fixation under direct visualization ■ Can be utilized in an interlocking fashion to create bridging constructs

PushLock® Knotless Push-In Anchor Soft Anchor for Single or Double Row Cuff Repair ■ DR anchor, with LabralTape fixed in the anchor body ■ For lateral fixation with SwiveLock anchors ■ RC anchor with SutureTapes moving freely through the anchor body ■ Unloaded, with screwed-on PEEK eyelet ■ Usable for the lateral row in SutureBridge rotator cuff repair ■ Knotted single row or SutureBridge configuration

“Self-Punch” Knotless Push-In Anchor ■ With screwed-on titanium eyelet ■ Usable for the lateral row in SutureBridge rotator cuff repair ■ The punch temporarily displaces the bone to create space for the anchor and to ensure a proper fit ■ Predrilling possible in hard bone and, if necessary, tapping can be performed to avoid bone or anchor fissure fractures Product Description Disposable punch for 4.5 mm PushLock® and 4.5 mm Corkscrew® FT Punch for 4.5 mm PushLock® and 4.5 mm Corkscrew® FT Punch / tap for 4.5 mm Corkscrew® FT, for hard bone Disposable punch for 5.5 mm and 6.5 mm Corkscrew® FT...

I Rotator Cuff Repair

Treatment of Irreparable Rotator Cuff Defects I 11

Replacement of the Supraspinatus and Superior Capsule with a Graft ■ Biologic solution for irreparable supraspinatus defects ■ Decellularized porcine dermis patch (must be used as two-layer) ■ Biologic solution for joint stabilization and pain reduction ■ Glenoid fixation with knotted or knotless anchors ■ Humerus fixation with SpeedBridge ■ Dorsal side-to-side cuff repair enables the transfer of force from the infraspinatus to the patch I Treatment of Irreparable Rotator Cuff Defect

Treatment of Irreparable Rotator Cuff Defects I

I Treatment of Irreparable Rotator Cuff Defects

Treatment of Shoulder Instabilities I 15

Knotless Push-In Anchor ■ Unloaded, with screwed-on PEEK eyelet ■ For knotless fixation of various sutures, such as LabralTape, SutureTape and FiberWire ■ Can be used with various stitch configurations, such as cinch loop ■ Suture-first technique ■ Use of tapes for tissue protection possible

■ Anchor inserted through the guide ■ Locking mechanism allowing the user to control the tension of the suture repair for knotless fixation under direct visualization ■ Unloaded, with press-fit PEEK eyelet ■ For fixation of various sutures, such as LabralTape, SutureTape and FiberWire ■ Can be utilized in an interlocking fashion to create ■ Can be used with various stitch configurations, such as bridging constructs cinch bop Treatment of Shoulder Instabilities I

Please note that knots in the glenohumeral joint may damage soft tissue or cartilage. I Treatment of Shoulder Instabilitie

Please note that knots in the glenohumeral joint may damage soft tissue or cartilage. Treatment of Shoulder Instabilities I

2mm SutureTak® percutaneous insertion kit with AR-1934PI-20 disposable 17-gauge spinal needle, 1.1 mm nitinol wire, portal dilator, spear and drill SutureTak® disposables kit with disposable spear AR-1934-20DS and drill Please note that knots in the glenohumeral joint may damage soft tissue or cartilage. Push-In Anchor Preloaded with #2 FiberWire ■ The anchor can be inserted directly through the spear after drilling ■ BioComposite and Bio-SutureTak come with a molded suture eyelet I Treatment of Shoulder Instabilities

22 I Treatment of Shoulder Instabilities

Spears for Glenohumeral Stabilization I 23

Offset Spears Spears with V-Shaped or Circumferential Teeth Tip ■ The V-shaped tip enables anchor placement on the glenoid rim ■ Circumferential teeth enable free placement and minimize the risk of slipping off

■ The particularly sharp tip enables secure placement in hard-to-reach positions ■ The oblique tip enables visualization of the drill Product Description Spears for Glenohumeral Stabilization I

26 I Spears for Glenohumeral Stabilization

Reconstruction of Bony Glenoid Rim Defects I 27

Screws and Small Plate for Coracoid Fixation ■ Screws • Partially and fully threaded options • Self-drilling and self-tapping • For 1.6 mm guide pins • Cancellous thread profile ■ Wedged profile plate • Spikes pin the plate onto the coracoid and reduce the risk of a fracture • Better fixation to the neck of the glenoid due to pressure distribution across the wedge 28 I Reconstruction of Bony Glenoid Rim Defects

Reconstruction of Bony Glenoid Rim Defects I

Specialized Instruments ■ For use with iliac crest graft ■ For transplant fixation with absorbable PLLA compression screws ■ Capsule refixation with suture anchors recommended ■ Latarjet remains as a revision option I Reconstruction of Bony Glenoid Rim Defects