/Type /Font I did a lot of research and was very fortunate to find a surgeon in Florida doing the procedure. << 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. 8600 Rockville Pike Int J Surg Case Rep. 2022 Jul;96:107355. doi: 10.1016/j.ijscr.2022.107355. MeSH << The indications, contraindications, details, pearls, and pitfalls of this surgical technique are discussed in this article. /Group << /CS /DeviceRGB /S /Transparency /Type /Group >> 0000072565 00000 n Again, very little swelling and no pain. endobj I totally agree that minimally invasive is a good thing. My surgery was to remove a large bone spur as opposed to a rupture so it was a bit different than some. Arthrex Achilles Speedbridge Complications: None apparent. 0000000910 00000 n 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. 0000048631 00000 n << Insertional Achilles tendinosis is a degenerative process of the tendon at the junction of the tendon and calcaneus. Clin Podiatr Med Surg. 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). Im in my thirties, male, and active, so Dr. said surgery was the way to go and he mainly uses the PARS Speedbridge method. /Type /Page startxref 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. 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. When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. Bethesda, MD 20894, Web Policies 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. This . endstream /Flags 32 Registered in England and Wales No. /S 486 I am 48 years old and in good shape. Lin Y, Wang ZW, Zhang B, Pan J, Qu TB, Hai Y. Chin Med J (Engl). /ItalicAngle 0 The third variation is a calcaneus that is anatomically prominent posteriorly, laterally and also superiorly. xref Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. J. Med. 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. Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge. Anti-spam word: (Required)* The site is secure. I am new to this forum, and have read a lot of posts. 0000001984 00000 n /ID [<959befb3d145b1778f6396bf63680c5f><959befb3d145b1778f6396bf63680c5f>] Six weeks postoperatively, this patient was allowed to walk with full weight bearing. 2013;52 (5):575-579. doi:10.1053/j.jfas.2012.11.004. The surgeon may use the SpeedBridge for repair of a. In the USA contact: fda.gov Most often the pathology is one of degenerative change at achilles the insertion associated intra-tendinous calcification. >> The patient was an athlete (triathlon) and appeared obese (height: 197 cm, body weight: 120 kg, body mass index: 30.9). 0000048402 00000 n endobj Achilles Midsubstance SpeedBridge Implant System, Achilles SpeedBridge Repair Implant System, The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. Less invasive techniques have been developed to optimize the functional benefits of surgery while reducing delayed wound healing, infection, and other postoperative complications. 88 0 obj 2013;52(5):575-579. doi:10.1053/j.jfas.2012.11.004. An official website of the United States government. /Size 106 PMC 2022 Sep-Oct;61(5):927-931. doi: 10.1053/j.jfas.2021.12.015. This can cause direct impingement upon the deep(anterior) aspect of the Achilles in the retro-calcaneal area. There may or may not be an element of anatomical prominence of the postero-lateral calcaneus associated. /Length 329 I totally agree that minimally invasive is a good thing. 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. /Tabs /S Here, we report the efficacy of the suture bridge technique for treating insertional Achilles tendinosis in an obese and athletic patient. 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). J-STAGE, Japan Science and Technology Information Aggregator, Electronic. 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. 89 0 obj /FontDescriptor 88 0 R HHS Vulnerability Disclosure, Help /Length 20208 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. 1 Reference 1. 0000072739 00000 n Also whatever the operative technique used careful skin handling throughout is required as well as in the post-operative period. Clipboard, Search History, and several other advanced features are temporarily unavailable. 0000001800 00000 n 0000055855 00000 n The .gov means its official. >> 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. >> Federal government websites often end in .gov or .mil. << and transmitted securely. Journal of Foot and Ankle Surgery. Careers. HHS Vulnerability Disclosure, Help 6 weeks, 5 days post ATR surgery. /StructParents 0 /Linearized 1 Lewis TL, Srirangarajan T, Patel A, Yip GCK, Hussain L, Walker R, Singh S, Latif A, Abbasian A. Eur J Orthop Surg Traumatol. Learn the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical technique with step by step instructions on OrthOracle. 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 Disclaimer. sharing sensitive information, make sure youre on a federal im sure i did not have what you described. Pretty sure I had the PARS and am 10 days Post-Op. 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. If the wound was completely healed my surgeon assured me I could be walking without the boot. 09792457 | Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. 0000000017 00000 n This will assist in deciding upon the surgical approach to be taken. Our e-learning platform contains high resolution images and a certified CME of the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical procedure. Federal government websites often end in .gov or .mil. /StemV 52 I am just so happy to be able to make a cup of tea AND carry it to the couch, that Im enjoying this milestone that gave me back some independence! 84 22 The https:// ensures that you are connecting to the Unable to load your collection due to an error, Unable to load your delegates due to an error. /Ascent 750 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. ive been through a lot of this site and have to found anybody describing what you are describing in terms of operative technique. I had the procedure done 9 days post ski crash full ATR in Colorado. PMC Institution: The Wellington Hospital, London, UK. An official website of the United States government. National Library of Medicine In the EU contact: ema.europa.eu. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. Accessibility Thought I had read that its typically horizontal, but mine is vertical. >> 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 MeSH Surprisingly, weight bearing as tolerated meant I stopped using the crutches two days later! /Pages 82 0 R The key is to identify the exact location and nature of the pathology causing symptoms. 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. The suture bridge technique is a viable option for Achilles tendon repair after surgical management of insertional Achilles tendinosis. 0000023359 00000 n A 48-year-old man presented to our department with a 6-month history of left posterior heel pain. and transmitted securely. Zhao X, Yang X, Hao Y, Yang F, Zhang Z, Qian Q, Fu P, Zhou Q. J Pers Med. Overall though, sounds like people have had great success with it within the first year? Please try again, or try refreshing the page. Non-operative treatment is somewhat less successful when adopted here than for problems with the main body of the achilles tendon. went to 2 shoes full weight bearing no crutches. trailer 105 0 obj /Lang (en-GB) Epub 2022 Jun 27. The .gov means its official. National Library of Medicine Would you like email updates of new search results? 4.75 mm BioComposite SpeedBridge Implant System Includes two 4.75 mm BioComposite SwiveLock C anchors w /one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 4.75 mm BioComposite SwiveLock C for lateral row, and disposable punch, 4.75/5.5 mm BioComposite SpeedBridge Implant System SP (self-punching) Includes two 4.75 mm BioComposite SwiveLock C anchors w/ one preloaded FiberTape Loop (1 blue, 1 white/black) for medial row, two 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for lateral row, and disposable punch, 4.75 mm PEEK SpeedBridge Implant System Includes two 4.75 mm PEEK SwiveLock C anchors w/ one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 4.75 mm PEEK SwiveLock C anchors for lateral row, and disposable punch, 4.75/5.5 mm PEEK SpeedBridge Implant System SP (self-punching) Includes two 4.75 mm PEEK SwiveLock C anchors w/one preloaded FiberTape Loop (1 blue, 1 white/black) for medial row, two 5.5 mm PEEK SwiveLock SP (self-punching) anchors for lateral row, and disposable punch. 2023 | For more information, visit https://www.arthrex.com- - - - -OrthoPedia is an innovative educational website that was created for anyone interested in learning about orthopedics from the first-year student to the experienced orthopedic surgeon. 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. 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. endobj 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. HHS Vulnerability Disclosure, Help 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. The Arthrex SpeedBridge implant itself is very much a really useful part of the surgical armamentarium available to treat Haglunds cases. Guidelines for Post-operative Rehabilitation following a mid-substance Achilles Tendon Repair using the Arthrex SpeedbridgeTM System A Criterion-Based 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. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. /FontName /ACHMZE+Calibri Please enable it to take advantage of the complete set of features! 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. official website and that any information you provide is encrypted Havent been able to find much online from others, so I am glad I found this. I am not trying to rush it and I dont feel like I have something to prove; rather quite the opposite, I am trying to follow directions like I never have before so I get through this with no complications if at all possible. Journal of Foot and Ankle Surgery. Online learning is only available to subscribers. hi there - im 2w2d post op. 4.75/5.5 mm BioComposite SpeedBridge Implant System w/Scorpion Needle Includes two 4.75 mm BioComposite SwiveLock C anchors w/ one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 5.5 mm BioComposite SwiveLock C anchors for lateral row, disposable punch, and SCORPION-multifire needle. 0000039513 00000 n >> stream 0000002257 00000 n Zhang Q, Wu Z, Liu L, Wei G, Peng L, Liu J, Ning X. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. /FontWeight 400 Site by Redwire. 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). Great topic of discussion, really didnt know there was a couple different techniques being used. /LastChar 121 86 0 obj 2020 Jul 30;5(3):2473011420926101. doi: 10.1177/2473011420926101. 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. Dr. says no concerns that tendon will rupture but to be careful and use boot in airports, etc. The site is secure. /T 203780 1. /CapHeight 750 [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. Before 0000039032 00000 n official website and that any information you provide is encrypted After 3 to 6 months of conservative therapy has failed to alleviate symptoms, surgical management is indicated. 8600 Rockville Pike The patients were followed up for approximately 2 years' duration. 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. To prove you're a person (not a spam script), type the security word shown in the picture. The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. << Epub 2021 Dec 12. The surgery lasted 40 minutes, I have minimal scarring, very little post-surgery swelling, and no pain. Efficacy of Achilles Suture Bridge Technique for Insertional Achilles Tendinosis in an Obese and Athletic Patient.