Fiberwire suture

Manufactured by Arthrex

Sourced in United States

FiberWire suture is a high-strength, nonabsorbable surgical suture material made from a proprietary ultra-high molecular weight polyethylene (UHMWPE) fiber. It is designed for use in a variety of surgical procedures.

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Lab products found in correlation

4 protocols using fiberwire suture

Glenoid Bone Loss Repair Protocol

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The subscapularis tendon (SSc) was identified. Next, the SSc split between the upper one-third and lower two-thirds of the SSc was created sharply along its fiber from the humeral insertion to the musculotendinous junction. The anterior capsule was then identified carefully and opened in a horizontal fashion to facilitate glenoid exposure. To stimulate a critical-size glenoid defect, a 6-mm defect was planned and cut from the 3-o’clock position (right shoulder), parallel to the long axis of the glenoid, using an oscillating saw (Figure 2B).^{24 (link)} The 6-mm defect of the glenoid width was demonstrated biomechanically in a previous study to be the critical size of the glenoid defect.^{33 (link)} After creating sufficient GBL, the capsule and SSc were repaired with No. 2 nonabsorbable suture (FiberWire Suture, Arthrex)

Ganokroj P., Dey Hazra M., Dey Hazra R.O., Brady A.W., Brown J.R., Rupp M.C., Garcia A.R., Whalen R.J., Millett P.J, & Provencher M.T. (2023). Biomechanical Evaluation of the 2 Different Levels of Coracoid Graft Positions in the Latarjet Procedure for Anterior Shoulder Instability. Orthopaedic Journal of Sports Medicine, 11(12), 23259671231202533.

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Arthroscopic Biceps Tenodesis Technique

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Once the LHBT tenodesis was determined, a FiberWire suture (2#, Arthrex, Naples, FL) was folded in half and inserted into the capsule with the suture grasper from the anterior portal. The suture was first released at the superior aspect of the tendon near the insertion point. One free end of the suture was held on to outside the arthroscope and the suture was grasped from the inferior aspect of the tendon in the arthroscope, while another end of the suture was pulled outside the arthroscope to construct a loop hitching around the LHBT. A SutureLasso SD 90° (Arthrex, Naples, FL), the suture shuttle device, was pierced through the midportion of the LHBT just distal to the loop through the anterior portal to advance a 0# PDS II (polydioxanone suture) (Ethicon Inc; Johnson / Johnson, Somerville, NJ) as a guiding suture. Subsequently, the SutureLasso was retrieved, and the end of the PDS suture in the capsule was grasped out through the posterior portal. A tight overhand knot was tied on the two ends of the FiberWire suture with the PDS suture. Finally, the PDS suture was pulled out from the posterior portal, helping the two suture ends shuttle the tendon. Then, a novel, self-locking, high-resistant loop configuration was constructed after removing the PDS suture (Figures 2A–E).

Zhou M., Zhou C., Cui D., Long Y., Guo J., Zheng Z., Meng K., Zhang J., Hou J, & Yang R. (2022). The high resistance loop (H-loop) technique used for all-inside arthroscopic knotless suprapectoral biceps tenodesis: A case series. Frontiers in Surgery, 9, 917853.

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Prosthetic Insertion and Fixation

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The prosthesis will be used according to the manufacturer’s manual. A trial component will be inserted, and range of motion and stability will be evaluated before the component is inserted using a standard cementing technique. The medial and lateral epicondyles, with the collateral ligaments attached, will be fixated to the arthroplasty using this FiberWire suture (Arthrex, Naples, FL, USA) and subsequently to the humerus using additional FiberWire sutures. In patients with a preserved medial column, the medial ligament will not be detached during the procedure.

Al-Hamdani A., Rasmussen J.V., Holtz K, & Olsen B.S. (2020). Elbow hemiarthroplasty versus open reduction and internal fixation for AO/OTA type 13 C2 and C3 fractures of distal humerus in patients aged 50 years or above: a randomized controlled trial. Trials, 21, 497.

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Fracture Fixation and Ligament Repair

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The fracture will be reduced and the articular surface will be reconstructed as well as possible. The fracture will then be fixated with two plates—parallel or perpendicular according to the fracture nature. The collateral ligaments will be attached to the plates using FiberWire suture (Arthrex, Naples, FL, USA). The stability and rigidity of the fixation will be checked.
Standard closure with absorbable sutures and reinsertion of the collateral ligaments with non-absorbable sutures will be performed. Standard skin closure is with with metal clamps. All patients will receive standard pre-, peri-, and post-operative pain management, including general anesthesia and interscalene peripheral nerve block performed by the anesthesiologist. The pain management can be adjusted and individualized if needed. There is no collection and storage of biological specimens for genetic or molecular analysis.

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