evaluation of a suture seat, a biodegradable suture fastener, to eliminate knot-tying in...

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Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew J. Cremens, and Timothy J. Gray J Bone Joint Surg Am Volume 85(suppl 4):147-152 November 1, 2003 ©2003 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator

Cuff Repair

by Peter M. Bonutti, Matthew J. Cremens, and Timothy J. Gray

J Bone Joint Surg AmVolume 85(suppl 4):147-152

November 1, 2003

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Unity Ultrasonic Fixation System.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Fixation Seats.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Fixation Seat model.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Welded Fixation Seat (left) and knotted suture loop samples (Tennessee slider [center] and Duncan loop [right]).

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Mechanical testing apparatus.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Placement of the Fixation Seat on the hand-piece.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Loading suture through the Fixation Seat.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Locating the Fixation Seat for welding.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Removal of the Fixation Seat from the hand-piece after welding.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 13: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Trimming extra suture leads.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 14: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Fixation Seat after welding.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.

Page 15: Evaluation of a Suture Seat, a Biodegradable Suture Fastener, to Eliminate Knot-Tying in Arthroscopic Rotator Cuff Repair by Peter M. Bonutti, Matthew

Two implanted Fixation Seats.

Peter M. Bonutti et al. J Bone Joint Surg Am 2003;85:147-152

©2003 by The Journal of Bone and Joint Surgery, Inc.