Peritrochanteric Space

Product Information

Address the emerging treatments for the peritrochanteric space – including arthroscopic abductor repair, bursectomy, and iliotibial band (ITB) release with hip repair tools from Smith & Nephew.

Arthroscopic Abductor Repair
Shown to successfully treat pain and restore strength to the gluteus medius muscle¹, arthroscopic abductor repair is the new frontier in arthroscopic hip joint repair. HEALICOIL^◊, TWINFIX^◊, Ultra² and FOOTPRINT^◊, Ultra Suture Anchors provide a range of anchor constructs, materials, sizes and suture configurations for double- or single-row fixation techniques.  

Abductor Repair, Single-row Technique

HEALICOIL PK Suture Anchor
Smith & Nephew’s HEALICOIL PK Suture Anchor differs from conventional solid-core implants by eliminating the inner diameter material while still providing excellent fixation security³. As demonstrated in an ovine study, the unique open architecture of the HEALICOIL PK Suture Anchor allows for new bone to fill the fenestrations between threads and into the central anchor channel. The HEALICOIL contained 63% of the bone volume of control bone by 12 weeks post-implantation in sheep.^{4, 5} Open architecture allows for:

• Bony ingrowth as shown in ovine study
• Less material than solid-core anchors
• High torsional strength
• Strong fixation with less material
• Proven biocompatibility from Invibio® PEEK-OPTIMA® Polymer

TWINFIX Ultra² Suture Anchors
The TWINFIX Ultra family of suture anchors provides the fixation strength and security you’ve come to know and trust, along with versatile materials and hole-preparation options.

Security and Strength:

• Transitional thread design provides secure fixation for greater pull-out strength, even in poor bone quality.⁶
• ULTRABRAID^◊, high-strength suture allows for superior knot strength and a low-profile knot stack.⁷
• Internal driver supports anchor to optimize force transfer during insertion into all qualities of bone
• Different hole-preparation choices are available for a variety of bone qualities.  

Bony Bed Preparation

DYONICS^◊ Hip High Visibility Burrs

• Outer sheath with narrow neck improves visualization of anatomical landmarks.
• Rounded sheath edges help minimize damage to surrounding tissues.

Abductor Repair, Double-row Technique

FOOTPRINT Ultra Suture Anchor

Coupled with TWINFIX Ultra² and/or HEALICOIL PK Suture Anchors in the proximal row, the FOOTPRINT Ultra Suture provides security and precise tensioning after implantation at the distal row site for double row suture bridging techniques.⁸

Independent Suture Tensioning:

• Knotless fixation construct gives surgeons the ability to tension suture after anchor implantation. With a torque limiting handle, the FOOTPRINT provides a positive “stop” to drive the inner plug a specific distance, confirming suture is secured within the anchor body. Easy to use and reliable:
• Anchor insertion is made easy by the exclusive tap-in anchor design.⁸
• Exclusive tap-in anchor with barbed geometry provides optimal pullout strength and easy insertion.⁸

Hip Bursectomy

DYONICS Hip Power Shaver Blades

• Full line of extended-length curved and straight shaver blades are designed for optimal access to the hip joint for effective resection of bone and tissue.

DYONICS RF WHIRLWIND 90° Probe

• Offers rapid and precise tissue removal and coagulation of bleeding vessels.
• Powerful high-flow suction quickly removes resected tissue, bubbles and free-floating debris, for an unobstructed image.
• 90º shaft angle; 3.75 mm shaft diameter; 5.5 mm minimum cannula.⁹

ITB Release

DYONICS RF Hook 30° Probe

• Single, fully-exposed electrode helps achieve an aggressive, yet controllable cut.
• Simultaneously coagulates bleeding vessels.
• 30º shaft angle; 3.0 mm shaft diameter; 8.5 mm minimum cannula.⁹

References

1. James E. Voos, MD, Michael K. Shindle, MD, Arianna Pruett, Peter D. Asnis, MD, and Bryan T. Kelly, MD, “Endoscopic Repair of Gluteus Medius Tendon Tears of the Hip,” AM J Sports Med, April 2009 vol. 37 no. 4 743-747.
2. The TWINFIX Ultra HA Suture Anchors have not been approved in Europe for use in abductor tendon and associated gluteus medius repair.
3. ITR-4700: HEALICOIL Suture Anchor competitive testing. Data on file September 2011.
4. Data on file at Smith & Nephew in Validation 15001193.
5. Note: Animal data is not necessarily indicative of human clinical outcomes. These results have not been demonstrated in humans having a variety of bone quality based on specific disease states such as osteoporosis. The effect of formation of new bone on pullout strength was not shown.
6. Data on file at Smith & Nephew, ITR-4091, ITR-4039, ITR-3952, 2009.
7. Lo, Burkhart, Chan and Kyriacos Athanasiou, “Arthroscopic Knots: Determining the Optimal
Balance of Loop Security and Knot Security,” Arthroscopy 20, no.5 (May-June 2004): 489-502.8. Data on file at Smith & Nephew, ITR-4271, 2010.Note: The FOOTPRINT Ultra Suture Anchor is indicated for
distal-row abductor tendon repair only.
9. Minimum cannula size tested in engineering study ES00085. Data on file, 2010.

This information is intended for health care professionals in the United States only.

Caution: US Federal law restricts the sale of these devices to or on the order of a physician. 

Peritrochanteric Space Ordering Information

Repair Anchors, Primary Row
HEALICOIL PK Suture Anchors

Reference #     Description
72203378        HEALICOIL PK 4.5 mm Suture Anchor with two ULTRABRAID™ (#2) Sutures (blue, blue-Cobraid)
72203379       HEALICOIL PK 5.5 mm Suture Anchor with two ULTRABRAID (#2) Sutures (blue, blue-Cobraid)
72203380        HEALICOIL PK 5.5 mm Suture Anchor with three ULTRABRAID (#2) Sutures (blue, blue-Cobraid,Cobraid-black

TWINFIX Ultra PK Suture Anchor

Reference #     Description
72202595        TWINFIX Ultra PK 4.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202623        TWINFIX Ultra PK 4.5 mm Anchor with two #2 sutures (COBRAID blue, COBRAID-black)
72202599        TWINFIX Ultra PK 5.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202625        TWINFIX Ultra PK 5.5 mm Anchor with two #2 sutures (COBRAIDblue, COBRAID-black)
72202600        TWINFIX Ultra PK 5.5 mm Anchor with three #2 sutures (white, COBRAID-blue, COBRAID-black)
72202605        TWINFIX Ultra PK 6.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202630        TWINFIX Ultra PK 6.5 mm Anchor with two #2 sutures (COBRAIDblue, COBRAID-black)
72202606        TWINFIX Ultra PK 6.5 mm Anchor with three #2 sutures (white, COBRAID-blue, COBRAID-black)

TWINFIX Ultra HA Suture Anchor

Reference #     Description
72202597        TWINFIX Ultra HA 4.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202624        TWINFIX Ultra HA 4.5 mm Anchor with two #2 sutures (COBRAID-blue, COBRAID-black)
72202602        TWINFIX Ultra HA 5.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202626        TWINFIX Ultra HA 5.5 mm Anchor with two #2 sutures (COBRAID-blue, COBRAID-black)
72202603        TWINFIX Ultra HA 5.5 mm Anchor with three #2 sutures (white, COBRAID-blue, COBRAID-black)
72202608        TWINFIX Ultra HA 6.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202631        TWINFIX Ultra HA 6.5 mm Anchor with two #2 sutures (COBRAID-blue, COBRAID-black)
72202610        TWINFIX Ultra HA 6.5 mm Anchor with three #2 sutures (white, COBRAID-blue, COBRAID-black)

TWINFIX Ultra Ti Suture Anchor

Reference #     Description
72202893        TWINFIX Ultra Ti 4.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202894        TWINFIX Ultra Ti 4.5 mm Anchor with two #2 sutures (COBRAID-blue, COBRAID-black)
72202895        TWINFIX Ultra Ti 5.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202896        TWINFIX Ultra Ti 5.5 mm Anchor with two #2 sutures (COBRAID-blue, COBRAID-black)
72202897        TWINFIX Ultra Ti 5.5 mm Anchor with three #2 sutures (white, COBRAID-blue, COBRAID-black)
72202898        TWINFIX Ultra Ti 6.5 mm Anchor with two #2 sutures (white, COBRAID-blue)
72202899        TWINFIX Ultra Ti 6.5 mm Anchor with two #2 sutures (COBRAID-blue, COBRAID-black
72202900        TWINFIX Ultra Ti 6.5 mm Anchor with three #2 sutures (white, COBRAID-blue, COBRAID-black)

Repair Anchors, Sectondary Row

Reference #     Description
72202901        FOOTPRINT Ultra 4.5 mm Suture Anchor
72202902        FOOTPRINT Ultra 5.5 mm Suture Anchor

Suture Management Instruments

Reference #     Description
72200440        CLEARTRAC COMPLETE Hip Cannula 7.0 mm x 90 mm (box of 6)
72200437        CLEARTRAC COMPLETE Hip Cannula 8.5 mm x 90 mm (box of 6)
72202588        Suture Cutter XL
72203052        Suture Cutter Flush XL
72202587        Knot Pusher XL
7210423          ACCU-PASS 45º, Left, sterile
7210424          ACCU-PASS 45º, Right, sterile
7210425          ACCU-PASS 45º, Upbend, sterile
7210426          ACCU-PASS Straight, sterile
72200419        ACCU-PASS 70º, Upbend, sterile
72201361        ACCU-PASS Monofilament, Size #1, Package of 10, sterile

Resection Instruments

Reference #     Description
72203127        High Visibility Sheath 5.5 mm Abrader Burr
72203128        High Visibility Sheath 4.0 mm Abrader burr
7205341          4.5 mm Long Full Radius, Package of 3
7205343          4.5 mm Long Incisor, Package of 3
6900678          5.5 mm Long Full Radius, Package of 3
72200681        DYONICS™ EFLEX TAC-S Probe with integrated cable
72202139        DYONICS RF-S WHIRLWIND 90º Probe
72202145        DYONICS RF Hook 30º Probe  

Peritrochanteric Space Video Resources

Arthroscopic Gluteus Medius Repair featuring the HEALICOIL^◊ Suture Anchor by JW Thomas Byrd MD

Watch now!