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Instability Excellence

Overview

Redefining peak performance

For soft-tissue and bony Bankart repairs, and the challenges of glenoid bone loss, our portfolio aims to set new standards…regardless of repair complexity

Covering the full spectrum of shoulder instability repairs requires the appropriate options and instrumentation for any eventuality. The instability excellence portfolio aims to ensure that when surgeons make treatment decisions, the solutions are there to elevate their expertise.

Explore the information below to learn about:

  • Suture anchors with proprietary design features
  • Comprehensive glenoid bone loss treatment
  • Unique biocomposite material to support fixation strength
  • Arthroscopic enabling technology to complement the OR

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A total package of evidence-based solutions

 

Q-FIX  All Suture Anchor

  • Consistent, active deployment1-3 contributes to low displacement during cyclic loading*4-8

  • Greater fixation strength when compared with other all-suture anchors**5,6 


MICRORAPTOR KNOTLESS Suture Anchor

  • Increased access to challenging areas,9 with greater off-axis insertion performance***10

  • Significantly stronger fixation, compared to other devices****11

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MICRORAPTOR REGENESORB Suture Anchor

  • Small diameter (2mm) and rectangular design that tapers towards the distal tip allows you to place multiple anchors to increase points of fixation

  • Features proprietary REGENESORB Material to promote bone healing and formation12-16 (see below)

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A comprehensive system to treat glenoid bone loss

Designed to be accurate, efficient, and reproducible through every step the way, our comprehensive Glenoid Bone Loss Systems help surgeons optimize bone graft placement.

  • One step closer to an arthroscopic approach with the Posterior Glenoid Guide
  • Achieve biomechanical equivalence to screws with fewer procedural hardware complications using the Double ENDOBUTTON Fixation Device*****17,18 
  • Securely hold, prepare, and drill grafts with one instrument
  • Minimize coracoid surface breaches with a 10° divergent drill guide angle

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Redefining healing potential with a unique biocomposite

 Featuring a unique formulation, REGENESORB Material is designed to provide a jump- start in bone healing and formation, shown to be absorbed and replaced by bone within 24 months – something no other biocomposite can match.12-16 

Read clinical data: A comparison of biocomposite solutions and how they contribute to bone resorption over 2 years.

Arthroscopic enabling technology for your OR

Patient positioning – an easy-to-use19 system, designed to be lightweight20 and stable21,22
Learn about the ACUFEX
ACCESS Patient Positioning System


Soft-tissue ablation – significantly faster and more efficient than other frequently-used 90° arthroscopy wands*****23
Learn about the WEREWOLF
FLOW 90 COBLATION Wand 


For mechanical resection – a concave window designed to maximize resection and lower the clogging rate24
Learn about the DYONICS
PLATINUM FLYER Shaver Blade

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For further information and guidance on the instability excellence portfolio, please contact us.

 

*Demonstrated in benchtop testing.
**
Based on Q-FIX 1.8mm. Demonstrated in benchtop testing; compared to Zimmer Biomet JuggerKnot™
1.45 (#1 and #2), Conmed Y-Knot™ Flex 1.3 and Stryker Iconix 1.
***
Demonstrated in benchtop testing, compared to Arthrex PushLock™ BioComposite 2.9 mm.
****
Based on the RG anchor variant. Fixation in 15 pounds per cubic foot. Compared to Arthrex® Pushlock Biocomposite, Arthrex® Short Pushlock Biocomposite, and Stryker® Cinchlock SS. p<0.001.
*****
As demonstrated in the Bristow-Latarjet procedure. n=27 vs 115 screws.
******
Speed demonstrated in vitro when tested at default settings; p<0.05. Efficiency demonstrated in vitro when tested at default settings; p<0.01.

 

References:
1.    ArthroCare Corporation 2016. Report: Design Verification, 1.8mm & 2.8 mm Q-Fix Suture Anchor P/N 49190-01 Rev.B.
2.    ArthroCare Corporation 2017. Report: Design Verification, 1.8mm Q-FIX MINI Soft Suture Anchor P/N 49190-03 Rev. B.
3.    Smith+Nephew 2020. Safety and Performance of Q-Fix All-Suture Anchor System 17-5010-11.
4.    ArthroCare 2019. Comparative Testing of Bone Anchor Devices, 1.8mm Q-FIX Mini Soft Suture Anchor P/N 49193-02 Rev.B.
5.    Barber FA, Herbert MA. All-Suture Anchors: Biomechanical Analysis of Pullout Strength, Displacement, and Failure Mode. Arthroscopy. 2017;33(6):1113-1121.
6.    Douglass NP, Behn AW, Safran MR. Cyclic and Load to Failure Properties of All-Suture Anchors in Synthetic Acetabular and Glenoid Cancellous Bone. Arthroscopy. 2017;33(5):977-985 e975.
7.    Nagra NS, Zargar N, Smith RD, Carr AJ. Mechanical properties of all-suture anchors for rotator cuff repair. Bone Joint Res. 2017;6(2):82-89.
8.    Ruder JA, Dickinson EY, Peindl RD, Habet NA, Trofa DP, Fleischli JE. Cyclic and Load-to-Failure Properties of All-Suture Anchors in Human Cadaveric Shoulder Glenoid Bone. Arthroscopy. 2019;35(7):1954-1959 e1954.
9.    Smith+Nephew 2019. Validation, Microraptor Knotless, Shoulder 15007981 Revision A.
10. 
Smith+Nephew 2019. Comp, MICRORAPTOR KNOTLESS Off Axis Insertion Claim Testing 15008464 Revision A.
11. 
Smith+Nephew 2019. Comp, Microraptor Knotless Anchor Fixation Claim Testing 15008252 Revision A.
12. 
Vonhoegen J, John D, Hägermann C. Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair. Orthop Traumatol Surg Res. 2019;14(1):12.
13. 
Smith+Nephew 2010. Micro-CT and histological evaluation of specimens from resorbable screw study (RS-II / OM1-08) 24-month post-implantation. Internal Report WRP-TE045-700-08.
14. 
Smith+Nephew 2016. HEALICOIL REGENESORB Suture Anchor – a study to assess implant replacement by bone over a 2 year period. NCS248.
15. 
Smith+Nephew 2019 Verification, Microraptor Knotless Real Time Degredation. Revision B. Internal Report 15007134.
16. 
Smith and Nephew 2019. Verification, Microraptor Knotless Accelerated Degredation. Internal Report 15007045.
17. 
Kazum E, Chechik O, Pritsch T, et al. Biomechanical evaluation of suture buttons versus cortical screws in the Latarjet-Bristow procedure: a fresh-frozen cadavers study. Arch Orthop Trauma Surg. 2019;139(12):1779-1783.
18. 
Metais P, Clavert P, Barth J, et al. Preliminary clinical outcomes of Latarjet-Patte coracoid transfer by arthroscopy vs. open surgery: Prospective multicentre study of 390 cases. Orthop Traumatol Surg Res. 2016;102(8s):S271-s276.
19. 
Smith+Nephew 2018. Usability Validation Report 15007361.
20. 
Smith and Nephew 2018 Verification: ACUFEX Access General Function 15007192
21. 
Smith and Nephew 2018. LSS - System Stability Design Verification. 15007263
22. 
Smith and Nephew 2018. LSPS, Hand Stability, Verification. 15007351.
23. 
Data on file at Smith & Nephew, report 96344-01, 2018.
24.  S+N Design History File #27500477, February 10, 2020.

See how the instability excellence portfolio is redefining peak performance

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