arthrex speedbridge complications
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). Epub 2013 May 11. 2013 Sep-Oct;52(5):575-9. doi: 10.1053/j.jfas.2012.11.004. At final follow-up there was no evidence of Achilles tendon ruptures or device failures. 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. 84 22 Thank you to all who contribute. /Subtype /TrueType MeSH Unauthorized use of these marks is strictly prohibited. The patient was an athlete (triathlon) and appeared obese (height: 197 cm, body weight: 120 kg, body mass index: 30.9). This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. Bookshelf Careers. 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. Clin Podiatr Med Surg. Certain products may not be approved for sale in all countries. stream The Arthrex SpeedBridge implant itself is very much a really useful part of the surgical armamentarium available to treat Haglunds cases. 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. Zhang Q, Wu Z, Liu L, Wei G, Peng L, Liu J, Ning X. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Here, we report the efficacy of the suture bridge technique for treating insertional Achilles tendinosis in an obese and athletic patient. endobj Scott AT, Long CS, Jaramillo TJ, Lara DL, Marois AJ, Juneja P. J Foot Ankle Surg. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. hi there - im 2w2d post op. See this link - https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. Subscribe to get full access to this operation and the extensive Foot Surgery Atlas. /StructParents 0 Outcomes of Operative Management of Insertional Achilles Tendinopathy in the Young vs Elderly. Accessibility 2023 Feb 24;13(3):404. doi: 10.3390/jpm13030404. Achilles tendinopathy is a clinical diagnosis characterized as a triad of symptoms including pain, swelling, and impaired performance of the diseased tendon. endobj The Speedbridge provides a far more robust level of fixation for the achilles than any alternatives. The patients were followed up for approximately 2 years' duration. /Flags 32 Federal government websites often end in .gov or .mil. >> The Speedbridge just avoids tying any knots at all by placing two anchors in the heel bone and wrapping the fiberwire around the anchors instead of tying them together. There were no intraoperative or postoperative complications. /FontFile2 89 0 R >> Int J Surg Case Rep. 2022 Jul;96:107355. doi: 10.1016/j.ijscr.2022.107355. Bethesda, MD 20894, Web Policies I am walking now in the boot without a crutch fairly well. There may or may not be an element of anatomical prominence of the postero-lateral calcaneus associated. To prove you're a person (not a spam script), type the security word shown in the picture. 2013;52 (5):575-579. doi:10.1053/j.jfas.2012.11.004. Dr. says no concerns that tendon will rupture but to be careful and use boot in airports, etc. 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. 2013 Oct;126(20):3860-4. Discussed plan with patient and reiterated risk versus benefits. The .gov means its official. 2013;52(5):575-579. doi:10.1053/j.jfas.2012.11.004. Disclaimer. >> Again, very little swelling and no pain. My surgeon tells me I am cleared to return to golf and other sports at 12 weeks. Early weightbearing using Achilles suture bridge technique for insertional Achilles tendinosis: a review of 43 patients. This tends to produce a fairly broad based swelling across the back of the heel. Accessibility MeSH Less commonly the achilles tendon is normal and the issue is an anatomical prominence of the postero-lateral corner of the calcaneus, causing pressure when in shoe-wear. 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. For convenience, the required punch is also included in the sterile package. Materials for performing an Achilles tendon rip-stop SpeedBridge repair include intraoperative fluoroscopy and the Arthrex Achilles SpeedBridge (Naples, FL) implant system, which includes a 3.5-mm drill bit, drill guide, tap with AO quick connect, tap with handle, two 4.75-mm SwiveLock anchors with #2 FiberWire suture and FiberTape loop with The rotator cuff is what holds your upper arm bone in the shoulder socket and helps to lift and rotate your arm. 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. The jig you mention was probably made by Arthrex. The BioComposite SpeedBridge implant systems include 4.75 mm vented BioComposite SwiveLock anchors with preloaded FiberTape loops, which ease suture passage for the medial row, and 4.75 mm BioComposite SwiveLock C or 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for the lateral row. 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. 89 0 obj Review of Achilles Tendon Reattachment Using Double-Row Knotted and Knotless Techniques in the Management of Insertional Achilles Tendinopathy. An official website of the United States government. /MediaBox [ 0 0 841.92 595.32 ] The https:// ensures that you are connecting to the /Annots [ 103 0 R 104 0 R ] /Type /Page /Filter /FlateDecode endstream The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. Zhao X, Yang X, Hao Y, Yang F, Zhang Z, Qian Q, Fu P, Zhou Q. J Pers Med. and transmitted securely. and transmitted securely. Thought I had read that its typically horizontal, but mine is vertical. 0000072739 00000 n Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Unauthorized use of these marks is strictly prohibited. Institution: The Wellington Hospital, London, UK. 1. The third variation is a calcaneus that is anatomically prominent posteriorly, laterally and also superiorly. 0000051783 00000 n Hi all, I suffered a full rupture (4cm above heel; 2-3 cm apart) that Dr said was fairly standard. Update: 6/13/2018 Dr. visit today. 0000022565 00000 n 2016;63(3-4):310-4. doi: 10.2152/jmi.63.310. /MarkInfo << /Marked true >> /CropBox [ 0 0 841.92 595.32 ] This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, , The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. Maybe it is not yet mainstream. The biggest thing I take away from the Speedbridge technique is early motion. Usually the painful area is located laterally but it can on occasion be postero-medial. Also whatever the operative technique used careful skin handling throughout is required as well as in the post-operative period. 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. 88 0 obj PMC /T 203780 After 3 to 6 months of conservative therapy has failed to alleviate symptoms, surgical management is indicated. 2022 Sep-Oct;61(5):927-931. doi: 10.1053/j.jfas.2021.12.015. >> 0000001800 00000 n 0000039032 00000 n Before And curiosity question, nielsmurph, did you have a horizontal or vertical incision? /FontName /ACHMZE+Calibri /FontWeight 400 I also had the Speedbridge repair done. went to 2 shoes full weight bearing no crutches. Before In the EU contact: ema.europa.eu. Medical Device Company Arthrex to Pay $16 Million to Resolve Kickback Allegations Arthrex Inc., a Florida-based medical device company, has agreed to resolve allegations that it violated the False Claims Act by paying kickbacks that caused the submission of false claims to the Medicare program. Insertional Achilles tendinosis is a degenerative process of the tendon at the junction of the tendon and calcaneus. An official website of the United States government. 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. I am surprised there is not more discussion about it here. Very small incision, shorter surgery, and fewer complications. It should be remembered however that of greater importance is identifying the various potential sources of symptoms and treating them all. 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. My understanding is that your PARS procedure and the Speedbridge are actually not that different. The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. Epub 2022 Jun 27. << Very small incision, shorter surgery, and fewer complications. Unable to load your collection due to an error, Unable to load your delegates due to an error. One can be as extensive as required therefore with the level of dissection. Arthrex develops and releases more than 1,000 new products and procedures every year to advance minimally invasive orthopedics worldwide. 105 0 obj Because 6 months of conservative treatments had failed, we performed open resection of the calcaneal exostosis and Haglund's deformity along with debridement of the degenerative tissue of the tendon. /Parent 82 0 R 0000061233 00000 n Its just that once I got used to the sensation of weight bearing, I felt virtually no difference between partial and full. The PARS jig pulls the broken ends of the tendon together using fiberwire, but there is no stitching the broken ends together like with an open traditional repair. Great topic of discussion, really didnt know there was a couple different techniques being used. The BioComposite SpeedBridge implant systems include 4.75 mm vented BioComposite SwiveLock anchors with preloaded FiberTape loops, which ease suture passage for the medial row, and 4.75 mm BioComposite SwiveLock C or 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for the lateral row. 0000072565 00000 n 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. Would you like email updates of new search results? 2020 Jul 30;5(3):2473011420926101. doi: 10.1177/2473011420926101. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Please try again, or try refreshing the page. Unauthorized use of these marks is strictly prohibited. Before government site. and transmitted securely. Bethesda, MD 20894, Web Policies 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. The patients' average visual analog pain scale was 1 (range 0 to 4), and their average foot functional index score was 3.41 (range 0 to 10.71). The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. 85 0 obj 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. 09792457 | /Encoding /WinAnsiEncoding Six weeks postoperatively, this patient was allowed to walk with full weight bearing. Curious if others have undergone this specific procedure and how they are doing. << Please enable it to take advantage of the complete set of features! startxref /S 486 An official website of the United States government. Site by Redwire. /ItalicAngle 0 Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. HHS Vulnerability Disclosure, Help There was an error retrieving the content. I completely understand that the scariest steps are still ahead of me with wedge removal and eventual two shoes. There is some great information. sharing sensitive information, make sure youre on a federal endobj 0000000910 00000 n 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. 0 official website and that any information you provide is encrypted [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. official website and that any information you provide is encrypted Achilles tendinosis is viewed microscopically as disorganized collagen, abnormal neovascularization, necrosis, and mucoid degeneration. stream The site is secure. sharing sensitive information, make sure youre on a federal 2023 May;33(4):1179-1184. doi: 10.1007/s00590-022-03270-7. Online learning is only available to subscribers. >> Visit https://www.orthopedia.com to experience the future of Medical Education. 1. /AvgWidth 521 Sorry, got sidetracked there with the celebrating This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities. 0000055855 00000 n 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). Epub 2022 May 4. FOIA [WORDPRESS HASHCASH] The poster sent us 0 which is not a hashcash value. 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. M,KtjXvY C These cases should be imaged using cross sectional imaging to determine the location of both bony deformity and tendinopathy. >> HHS Vulnerability Disclosure, Help 0000001432 00000 n 0000001012 00000 n The surgeon may use the SpeedBridge for repair of a. /Resources << /Font << /F1 87 0 R /F2 91 0 R /F3 95 0 R >> /XObject << /X0 << 2 weeks post-surgery I had the splint case removed and bought the fancy Vacocast Vacoped achilles boot (totally worth the $300). sharing sensitive information, make sure youre on a federal /Descent -250 /H [ 1012 420 ] This will assist in deciding upon the surgical approach to be taken. The surgery lasted 40 minutes, I have minimal scarring, very little post-surgery swelling, and no pain. im sure i did not have what you described. I similarly went from PWB to FWB within a few days. In this case series, we present 4 patients who underwent surgical management of insertional Achilles tendinosis with complete tendon detachment. Most often the pathology is one of degenerative change at achilles the insertion associated intra-tendinous calcification. These variations in pathology can be treated using the same surgical principles and with successful outcome expected in the majority of patients. /Group << /CS /DeviceRGB /S /Transparency /Type /Group >> Continue to more PT, but watch the wound and make sure healed before running and strenuous exercise. Disclaimer. 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. /Size 106 /CapHeight 750 I totally agree that minimally invasive is a good thing. I am new to this forum, and have read a lot of posts. /Type /Catalog Accessibility /Type /FontDescriptor 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 site is secure. We have earned our reputation of being one of the most trusted and credible writing services by working extremely hard to constantly improve our standard. Surgical management of insertional Achilles tendinosis includes Achilles tendon debridement, calcaneal exostosis ostectomy, and retrocalcaneal bursa excision. The key is to identify the exact location and nature of the pathology causing symptoms. 0000000017 00000 n 1 Reference 1. government site. National Library of Medicine Im in my thirties, male, and active, so Dr. said surgery was the way to go and he mainly uses the PARS Speedbridge method. 2005 Jan;22(1):19-43. doi: 10.1016/j.cpm.2004.08.003. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. 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. /Contents 99 0 R The .gov means its official. Acute midsubstance Achilles tendon ruptures, which are increasingly common among athletes, can result in significant functional limitations and decreased quality of life when not managed appropriately. Glad to hear your recovery is going well. This hourglass pattern of FiberWire() provides a greater area of tendon compression, consequently allowing greater stability and possible earlier return to weightbearing activities. An important albeit subjective aspect of Achilles tendon repair is suture knot tying and tensioning around the rupture site. Clipboard, Search History, and several other advanced features are temporarily unavailable. In the USA contact: fda.gov 8600 Rockville Pike 0000023081 00000 n government site. My understanding is that your PARS procedure and the Speedbridge are actually not that different. trailer /Widths 90 0 R /Prev 203769 /StemV 52 Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. PMC /Tabs /S The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. All patients were able to return to their activities of daily living without the use of assistive devices. Copyright 2012 American College of Foot and Ankle Surgeons. Overall though, sounds like people have had great success with it within the first year? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. 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. Havent been able to find much online from others, so I am glad I found this. A 48-year-old man presented to our department with a 6-month history of left posterior heel pain. I dont understand how the Arthrex surgery would have people doing backflips at 4 months, but minimally invasive is a good thing even if the recovery is the same as other methods. J Med Invest. This site needs JavaScript to work properly. 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. Curious b/c I am hoping to get there very soon. /Root 85 0 R Federal government websites often end in .gov or .mil. FOIA In the UK contact: gov.uk I got pretty good at power hobbling with my boot on while I was waiting though! It should be remembered however that of greater importance is identifying the various potential sources of symptoms and treating them all. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. I did a lot of research and was very fortunate to find a surgeon in Florida doing the procedure. endobj The soft tissue cover here is thin and prone to delayed healing. I am 48 years old and in good shape. Arthrex Achilles Speedbridge Complications: None apparent. The https:// ensures that you are connecting to the Would you like email updates of new search results. 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. I feel like I could return sooner, but want to be careful as well. This . 84 0 obj 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. << /Filter /FlateDecode << 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. He has been doing it for about a year on all fully torn achilles, including several professional athletes.
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