Achilles Midsubstance SpeedBridge™ Surgical Technique @WhatsNewinOrthopedics

Uploaded July 2025 | Updated September 2026, 2 weeks ago

The PARS Achilles Midsubstance SpeedBridge™ implant system is a percutaneous, minimally invasive technique used to repair Achilles tendon ruptures. Using color-coded 1.3 mm SutureTape, the PARS system makes it easy to create a percutaneous locking stitch in the Achilles tendon, while staying inside the paratenon sheath.

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Achilles Midsubstance SpeedBridge™ Surgical Technique

$All-Inside Quad ACLR Using the FiberTag® TightRope® SB Implant With the InternalBrace™ Technique In this video, we demonstrate all‑inside ACL reconstruction using a quadriceps tendon autograft, combined with FiberTag® TightRope® soft-button fixation and InternalBrace™ augmentation. The anterior cruciate ligament (ACL) is a key stabilizer of the knee, commonly injured in sports. Advanced surgical techniques aim to restore stability while minimizing invasiveness and improving recovery. 🔧 Procedure Overview The procedure begins with harvesting a full-thickness quadriceps tendon graft, typically around 65–70 mm in length, providing strong, reliable tissue for reconstruction. The graft is prepared using FiberTag® sutures and TightRope® soft-button fixation, creating a metal-free construct that avoids traditional hardware. Using an all-inside technique, sockets are created in both the femur and tibia with specialized reamers, allowing for precise graft placement while preserving bone. The graft is passed into the joint and secured using adjustable loop TightRope® fixation, ensuring strong cortical fixation on both sides. An InternalBrace™ FiberTape is then added and fixed with a suture anchor to reinforce the reconstruction and provide additional stability during healing. ✅ Key Benefits of All-Inside Quad ACL Reconstruction Minimally invasive all-inside approach Strong quadriceps tendon autograft Metal-free fixation with soft buttons Reinforced stability with InternalBrace™ augmentation Preserves bone and reduces surgical trauma 🦵 Clinical Applications This technique is commonly used for: ACL tears in athletes and active individuals Primary ACL reconstruction Patients seeking minimally invasive options Cases where bone preservation is important 🏃 Recovery & Outcomes Postoperative rehabilitation typically includes: Early controlled motion Progressive strengthening Gradual return to sports The addition of InternalBrace™ support may help enable earlier functional rehabilitation while protecting the graft. 🎯 Who This Video Is For Orthopedic surgeons & residents Sports medicine specialists Knee ligament reconstruction learners Athletes researching ACL surgery options 👇 Helpful Arthrex Reference Links: https://www.arthrex.com/foot-ankle/jones-fracture-repair?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_foot_ankle&utm_content=FxcpUJ-UQNM_surgical_technique https://www.arthrex.com?utm_source=youtube&utm_medium=video_description&utm_campaign=corp_trauma&utm_content=FxcpUJ-UQNM_surgical_technique 👍 Like, comment, and subscribe to see more patient success stories and innovations in minimally invasive orthopedic procedures. Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care. Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates. 📱 Follow Arthrex on: LinkedIn: / https://www.linkedin.com/company/arthrex/ Facebook: / https://www.facebook.com/Arthrex/ Instagram: / https://www.instagram.com/arthrexmeded/ X: https://x.com/arthrex$

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$Clinical Support for Fresh OCA Use in the Knee In this video, Dr. William Bugby, Chief of Joint Reconstruction and Joint Preservation at Scripps Clinic, provides an in‑depth look at fresh osteochondral allograft (OCA) use in the knee. With over 25 years of experience in osteochondral grafting, Dr. Bugby explains how fresh OCA has evolved into a reliable, versatile, and highly effective option for cartilage repair and joint preservation surgery. You’ll learn why fresh osteochondral allograft transplantation remains a powerful solution for both simple and complex cartilage lesions, and why it continues to outperform many regenerative techniques in specific patient populations. Dr. Bugby discusses the biologic advantages of using intact mature hyaline cartilage, the importance of bone healing, and the expanding global availability of high‑quality allograft tissue. The video covers key indications for knee cartilage restoration, including: Osteochondritis dissecans Focal traumatic defects Osteonecrosis Degenerative lesions Tibial plateau fracture malunions Dr. Bugby also highlights when surgeons should be cautious - particularly in middle‑aged patients with established osteoarthritis, where outcomes are less predictable. You’ll also hear about technical considerations such as thin vs. thick OCA plugs, the “snowman” and “bio‑uni” configurations, and the use of lateral femoral condyle grafts for medial defects. Dr. Bugby explains how improvements in tissue banking, graft storage, and instrumentation have made allograft transplantation more accessible and more consistent than ever. Clinical results from over 1,000 cases are reviewed, showing how factors like age, diagnosis, and lesion size influence outcomes. Dr. Bugby shares why patients under 30 with focal defects often experience exceptional success, sometimes exceeding 99% survivorship and over 93% satisfaction. He also explains why joint preservation surgery is not always the right choice for patients with advanced arthritis, despite their desire to avoid joint replacement. Whether youre an orthopedic surgeon, sports medicine specialist, resident, or patient researching treatment options, this video provides a comprehensive overview of fresh OCA, its benefits, limitations, and best‑practice applications. 👉 If you found this helpful, hit LIKE, SUBSCRIBE, and leave a comment with your questions or experiences with cartilage repair. 👇 Helpful Arthrex Reference Links: https://arthrex.info/4niVLhN https://www.arthrex.com/biologics/cartilage-restoration 👍 Like, subscribe, and comment if you’d like to see more patient success stories and innovations in minimally invasive orthopedic procedures. Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care. Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates. 📱 Follow Arthrex on: LinkedIn: / https://www.linkedin.com/company/arthrex/ Facebook: / https://www.facebook.com/Arthrex/ Instagram: / https://www.instagram.com/arthrexmeded/ X: https://x.com/arthrex$

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