/Type /Catalog Wide detachment of the insertion of the Achilles tendon was necessary, and reattachment of the tendon was performed using the Arthrex SpeedBridge(TM) system (Arthrex, Inc., Naples, FL). Disclaimer. The biggest thing I take away from the Speedbridge technique is early motion. /MediaBox [ 0 0 841.92 595.32 ] Epub 2022 Jun 27. he talked about sewing the ends together. Materials for performing an Achilles tendon rip-stop SpeedBridge repair include intraoperative fluoroscopy and the Arthrex Achilles SpeedBridge (Naples, FL) implant system, which includes a 3.5-mm drill bit, drill guide, tap with AO quick connect, tap with handle, two 4.75-mm SwiveLock anchors with #2 FiberWire suture and FiberTape loop with /FontDescriptor 88 0 R Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. /CapHeight 750 trailer Arthrex develops and releases more than 1,000 new products and procedures every year to advance minimally invasive orthopedics worldwide. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. I am went to 2 shoes FWB at 7 weeks without problem. My doc used the speedbridge on for my surgery as well. /Descent -250 Posterior heel pain (retrocalcaneal bursitis, insertional and noninsertional Achilles tendinopathy). << Usually the painful area is located laterally but it can on occasion be postero-medial. endobj See this link - https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. endobj /Length1 40964 Chronic insertional Achilles tendinopathy secondary to congenital os Achilles: A case report. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. /Filter /FlateDecode The various surgical techniques for treating Achilles ruptures include open repair with Krackow locking sutures, percutaneous repair, and limited-incision repair with suture-passing jigs. Hi, this is a comment.To delete a comment, just log in, and view the posts comments, there you will have the option to edit or delete them. The Arthrex SutureBridge() (Arthrex, Inc., Naples, FL) device uses a series of 4 suture anchors and FiberWire() (Arthrex Inc.) to reattach the Achilles tendon to its calcaneal insertion. This site needs JavaScript to work properly. M,KtjXvY C Unable to load your collection due to an error, Unable to load your delegates due to an error. The jig you mention was probably made by Arthrex. /Type /FontDescriptor 8600 Rockville Pike At final follow-up there was no evidence of Achilles tendon ruptures or device failures. government site. Please enable it to take advantage of the complete set of features! 0000038620 00000 n Would you like email updates of new search results? We have earned our reputation of being one of the most trusted and credible writing services by working extremely hard to constantly improve our standard. Foot Ankle Orthop. The Speedbridge provides a far more robust level of fixation for the achilles than any alternatives. Institution: The Wellington Hospital, London, UK. >> 84 22 This avoids a lot of scar tissue and potential nerve damage and allows the tendon to heal naturally. 89 0 obj stream An official website of the United States government. Once the socket has been created, a 4.5-mm Corkscrew tap (Arthrex) is used to ensure ease of anchor insertion in the dense bone. The surgeon may use the SpeedBridge for repair of a. Journal of Foot and Ankle Surgery. The indications, contraindications, details, pearls, and pitfalls of this surgical technique are discussed in this article. The Arthrex SpeedBridge implant itself is very much a really useful part of the surgical armamentarium available to treat Haglunds cases. /Filter /FlateDecode Curious b/c I am hoping to get there very soon. /Parent 82 0 R Disclaimer. Havent been able to find much online from others, so I am glad I found this. Registered in England and Wales No. Clipboard, Search History, and several other advanced features are temporarily unavailable. My understanding is that your PARS procedure and the Speedbridge are actually not that different. The surgery lasted 40 minutes, I have minimal scarring, very little post-surgery swelling, and no pain. Achilles tendinosis is viewed microscopically as disorganized collagen, abnormal neovascularization, necrosis, and mucoid degeneration. The Arthrex SutureBridge () (Arthrex, Inc., Naples, FL) device uses a series of 4 suture anchors and FiberWire () (Arthrex Inc.) to reattach the Achilles tendon to its calcaneal insertion. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. sharing sensitive information, make sure youre on a federal Please enable it to take advantage of the complete set of features! My surgeon tells me I am cleared to return to golf and other sports at 12 weeks. 2022. J Foot Ankle Surg. Once the eyelet is well . For convenience, the required punch is also included in the sterile package. My surgery was to remove a large bone spur as opposed to a rupture so it was a bit different than some. Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country. >> Certain products may not be approved for sale in all countries. I totally agree that minimally invasive is a good thing. In this case series, we present 4 patients who underwent surgical management of insertional Achilles tendinosis with complete tendon detachment. FOIA My understanding is that your PARS procedure and the Speedbridge are actually not that different. Recently, a limited-incision knotless Achilles tendon repair technique (Achilles Midsubstance SpeedBridge; Arthrex) was developed to minimize soft-tissue dissection, restore musculotendinous length, and directly fix tendon to bone to allow for early mobilization and more rapid functional recovery. A 48-year-old man presented to our department with a 6-month history of left posterior heel pain. Accessibility The .gov means its official. There were no intraoperative or postoperative complications. This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. 0000001984 00000 n xc```a``"z@ Y8>00014E0`c\;OL @*X,:5Jz77I,HL4Bl'+7RVndZipGpqJh:!`7A$iOn0d(Ol^U0x8#P -`i~UL%[>OPmhCJ3)#|X6p5(hI ~_%<8p*008403:h 2016;63(3-4):310-4. doi: 10.2152/jmi.63.310. /Ascent 750 Bethesda, MD 20894, Web Policies /N 11 /StemV 52 For more information, visit https://www.arthrex.com- - - - -OrthoPedia is an innovative educational website that was created for anyone interested in learning about orthopedics from the first-year student to the experienced orthopedic surgeon. The https:// ensures that you are connecting to the /FontName /ACHMZE+Calibri Efficacy of Achilles Suture Bridge Technique for Insertional Achilles Tendinosis in an Obese and Athletic Patient. startxref Federal government websites often end in .gov or .mil. Disclaimer. FOIA Because 6 months of conservative treatments had failed, we performed open resection of the calcaneal exostosis and Haglund's deformity along with debridement of the degenerative tissue of the tendon. government site. I am 48 years old and in good shape. Im only 3 weeks post-op so I dont have a lot of feedback on it yet, but I too feel fortunate to have had it. Non-operative treatment is somewhat less successful when adopted here than for problems with the main body of the achilles tendon. Please enable it to take advantage of the complete set of features! This tends to produce a fairly broad based swelling across the back of the heel. Clin Podiatr Med Surg. The BioComposite SpeedBridge implant systems include 4.75 mm vented BioComposite SwiveLock anchors with preloaded FiberTape loops, which ease suture passage for the medial row, and 4.75 mm BioComposite SwiveLock C or 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for the lateral row. National Library of Medicine /Type /Page /FontFile2 89 0 R While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape suture to be laid over the distal end of the tendon. 1. Before This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, , The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. I totally agree that minimally invasive is a good thing. 2013 Sep-Oct;52(5):575-9. doi: 10.1053/j.jfas.2012.11.004. Recently, a limited-incision knotless Achilles tendon repair technique (Achilles Midsubstance SpeedBridge; Arthrex) was developed to minimize soft-tissue dissection, restore musculotendinous length, and directly fix tendon to bone to allow for early mobilization and more rapid functional recovery. stream Unauthorized use of these marks is strictly prohibited. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. Bethesda, MD 20894, Web Policies /Root 85 0 R /Rotate 0 ive been through a lot of this site and have to found anybody describing what you are describing in terms of operative technique. /T 203780 >> Int J Surg Case Rep. 2022 Jul;96:107355. doi: 10.1016/j.ijscr.2022.107355. endobj /MaxWidth 1743 The key is to identify the exact location and nature of the pathology causing symptoms. %PDF-1.5 National Library of Medicine 0000055855 00000 n The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 4.75/5.5 mm BioComposite SpeedBridge Implant System w/Scorpion Needle Includes two 4.75 mm BioComposite SwiveLock C anchors w/ one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 5.5 mm BioComposite SwiveLock C anchors for lateral row, disposable punch, and SCORPION-multifire needle. Maybe it is not yet mainstream. I started pwb in the boot (3 wedges) with docs approval a few days ago. Hi Jeannie. Acute midsubstance Achilles tendon ruptures, which are increasingly common among athletes, can result in significant functional limitations and decreased quality of life when not managed appropriately. I got pretty good at power hobbling with my boot on while I was waiting though! The Arthrex SpeedBridge implant itself is very much a really useful part of the surgical armamentarium available to treat Haglunds cases. Early weightbearing using Achilles suture bridge technique for insertional Achilles tendinosis: a review of 43 patients. Epub 2022 May 4. There are three main varities of pathology effecting the area of the achilles tendon insertion and to which the description of a Haglunds deformity is commonly(and loosely) applied. He insists I will be playing golf at 10-12 weeks post ATR surgery in normal shoes and doing backflips at 4 months (I dont do backflips but you get the gist). At 4 weeks I started PT and partial weight bearing. The site is secure. endobj /BaseFont /ACHMZE+Calibri The PARS jig pulls the broken ends of the tendon together using fiberwire, but there is no stitching the broken ends together like with an open traditional repair. /FontBBox [ -503 -250 1240 750 ] 0000000017 00000 n [WORDPRESS HASHCASH] The poster sent us 0 which is not a hashcash value. /AvgWidth 521 Our e-learning platform contains high resolution images and a certified CME of the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical procedure. << Here, we report the efficacy of the suture bridge technique for treating insertional Achilles tendinosis in an obese and athletic patient. /Prev 203769 Zhao X, Yang X, Hao Y, Yang F, Zhang Z, Qian Q, Fu P, Zhou Q. J Pers Med. >> It took me 11 weeks to get to two shoes - the surgeon made me wait longer than normal because my rupture was at the top end of the tendon (muscle on one side, tendon on the other) and those take longer to heal. MeSH % Incisions are minimal, relatively speaking, so the pain was not bad. An important albeit subjective aspect of Achilles tendon repair is suture knot tying and tensioning around the rupture site. /Linearized 1 The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Overall though, sounds like people have had great success with it within the first year? The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted Site by Redwire. The patients were followed up for approximately 2 years' duration. xx\. 2022 Sep-Oct;61(5):927-931. doi: 10.1053/j.jfas.2021.12.015. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. << MeSH J. Med. HHS Vulnerability Disclosure, Help Update: 6/13/2018 Dr. visit today. 6 weeks, 5 days post ATR surgery. The rotator cuff is what holds your upper arm bone in the shoulder socket and helps to lift and rotate your arm. MeSH Visit https://www.orthopedia.com to experience the future of Medical Education. This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities. I didnt even read my operating report until a year after the surgery when I found out thats what he used (and thats what he always uses if he can). Pretty sure I had the PARS and am 10 days Post-Op. He has been doing it for about a year on all fully torn achilles, including several professional athletes. When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. These variations in pathology can be treated using the same surgical principles and with successful outcome expected in the majority of patients. I had the procedure done 9 days post ski crash full ATR in Colorado. The .gov means its official. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. I did a lot of research and was very fortunate to find a surgeon in Florida doing the procedure. 88 0 obj >> Very small incision, shorter surgery, and fewer complications. 0 official website and that any information you provide is encrypted The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. nielsmurphs AchillesBlog is proudly powered by WordPress and WPDesigner.. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles knotless Repair, https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. National Library of Medicine /Resources << /Font << /F1 87 0 R /F2 91 0 R /F3 95 0 R >> /XObject << /X0 This four-anchor construct enables a greater area of . << I am now almost 6 weeks post ATR surgery. Medical Device Company Arthrex to Pay $16 Million to Resolve Kickback Allegations Arthrex Inc., a Florida-based medical device company, has agreed to resolve allegations that it violated the False Claims Act by paying kickbacks that caused the submission of false claims to the Medicare program. xref I feel like I could return sooner, but want to be careful as well. Arthrex Achilles Speedbridge Complications: None apparent. This site needs JavaScript to work properly. 2023 | 0000001012 00000 n 0000001432 00000 n An official website of the United States government. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. Careers. The soft tissue cover here is thin and prone to delayed healing. All questions answered. It should be remembered however that of greater importance is identifying the various potential sources of symptoms and treating them all. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Bookshelf 0000002257 00000 n 0000022892 00000 n 0000039227 00000 n went to 2 shoes full weight bearing no crutches. There is some great information. 4.75 mm BioComposite SpeedBridge Implant System w/SCORPION-Multifire Needle Includes two 4.75 mm BioComposite SwiveLock C Anchors w/one Preloaded FiberTape Loop (1 Blue, 1 White/Black) for Medial Row, two 4.75 BioComposite SwiveLock Anchors for Lateral Row, Disposable Punch, and SCORPION-Multifire Needle. 2013 Oct;126(20):3860-4. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. /Length 329 0000039032 00000 n Central tendon splitting combined with SutureBridge double-row technique as a surgical treatment for insertional Achilles tendinopathy. official website and that any information you provide is encrypted PMC Clipboard, Search History, and several other advanced features are temporarily unavailable. /FirstChar 32 /Annots [ 103 0 R 104 0 R ] sharing sensitive information, make sure youre on a federal Maximize OR convenience and efficiency with the SpeedBridge implant system, which contains the implants and sutures required to complete a SpeedBridge rotator cuff repair in a single, sterile tray. Federal government websites often end in .gov or .mil. The third variation is a calcaneus that is anatomically prominent posteriorly, laterally and also superiorly. I am new to this forum, and have read a lot of posts. /CropBox [ 0 0 841.92 595.32 ] https://www.arthrex.com/foot-ankle/achilles-midsubstance-speedbridge-repair, https://m.arthrex.com/resources/presentation/wREBpyd-_UGyRwFgvCaP4Q/achilles-midsubstance-speedbridge-repair, https://www.arthrex.com/resources/videos-case-presentations/blJIThXB8kC9CwFZZaNyJg/achilles-midsubstance-surgical-repair-using-the-achilles-midsubstance-speedbridge-system. /Contents 99 0 R 84 0 obj Learn the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical technique with step by step instructions on OrthOracle. Anti-spam word: (Required)* This 4-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability such that immediate postoperative weightbearing and range of motion is possible. Bookshelf I dont understand how the Arthrex surgery would have people doing backflips at 4 months, but minimally invasive is a good thing even if the recovery is the same as other methods. Phen HM, Manz WJ, Mignemi D, Greenshields JT, Bariteau JT. Careers. Unable to load your collection due to an error, Unable to load your delegates due to an error. 0000023081 00000 n Achilles tendinopathy is a clinical diagnosis characterized as a triad of symptoms including pain, swelling, and impaired performance of the diseased tendon. 0000048402 00000 n 0000051783 00000 n /MarkInfo << /Marked true >> /XHeight 250 The benefit of this surgery is that it is minimally invasive, very low risk of nerve injury, very strong, and has no knots that can come apart. >> Before Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. and transmitted securely. This procedure may help relieve pain in the shoulder and improve function to resume normal daily activities.- - - - -Why Work Arthrex https://www.arthrex.com/job-seekerFind an Arthrex Surgeon: https://doctorfinder.orthoillustrated.com- - - - -Join the Community:LinkedIn: https://www.linkedin.com/company/arthrexFacebook: https://www.facebook.com/ArthrexInstagram: https://www.instagram.com/arthrex_inc/Twitter: https://twitter.com/ArthrexTikTok: https://www.tiktok.com/@arthrex- - - - -Arthrex Inc., headquartered in Naples, Florida, is a global leader in orthopedic surgical device design, research, manufacturing, and medical education. This . /S 486 63: 310-314, August, 2016. I am not trying to rush it and I dont feel like I have something to prove; rather quite the opposite, I am trying to follow directions like I never have before so I get through this with no complications if at all possible. 1 Reference 1. endobj Discussed plan with patient and reiterated risk versus benefits. Before 0000039513 00000 n 8600 Rockville Pike 0000061233 00000 n Both procedures are pretty brilliant from a simplicity and effectiveness standpoint. PMC 8600 Rockville Pike Would you like email updates of new search results. Careers. The BioComposite SpeedBridge implant systems include 4.75 mm vented BioComposite SwiveLock anchors with preloaded FiberTape loops, which ease suture passage for the medial row, and 4.75 mm BioComposite SwiveLock C or 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for the lateral row. 2013;52 (5):575-579. doi:10.1053/j.jfas.2012.11.004. 87 0 obj There was an error retrieving the content. Online learning is only available to subscribers. If the wound was completely healed my surgeon assured me I could be walking without the boot. /L 205587 Its just that once I got used to the sensation of weight bearing, I felt virtually no difference between partial and full. Best Writer Reviews Provider is helping students especially in usa in getting brilliant quality reviews writing USA, essays and dissertations. The Speedbridge just avoids tying any knots at all by placing two anchors in the heel bone and wrapping the fiberwire around the anchors instead of tying them together. The technique is though without doubt more involved than simply using a postero-lateral or postero-medial approach and fixing the tendon back with a Bio-corkscrew anchor, which covered on OrthOracle at Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach.Generally the surgery is easier performed with the patient prone but as this technique demonstrates it cab be done with the patient well supported in a lateral position. /ItalicAngle 0 >> /Pages 82 0 R While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape suture to be laid over the distal end of , While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWiresuture to be laid over the distal end of the tendon. Interval H&P was performed. 0000023359 00000 n Six weeks postoperatively, this patient was allowed to walk with full weight bearing. PMC /Encoding /WinAnsiEncoding Im in my thirties, male, and active, so Dr. said surgery was the way to go and he mainly uses the PARS Speedbridge method. I am walking now in the boot without a crutch fairly well. << Sorry, got sidetracked there with the celebrating /FontWeight 400 Published by Elsevier Inc. All rights reserved. Less commonly the achilles tendon is normal and the issue is an anatomical prominence of the postero-lateral corner of the calcaneus, causing pressure when in shoe-wear. This four-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities. The suture bridge technique was effective for the reconstruction of the Achilles tendon in an obese and athletic patient. Zhang Q, Wu Z, Liu L, Wei G, Peng L, Liu J, Ning X. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 0000001800 00000 n Thank you to all who contribute. /H [ 1012 420 ] These cases should be imaged using cross sectional imaging to determine the location of both bony deformity and tendinopathy. /Tabs /S /Widths 90 0 R J Med Invest. Accessibility and transmitted securely. /Type /Font How long did it take you to walk in two shoes ? Epub 2013 May 11. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape suture to be laid over the distal end of /Subtype /TrueType The suture bridge technique is a viable option for Achilles tendon repair after surgical management of insertional Achilles tendinosis. 2 weeks post-surgery I had the splint case removed and bought the fancy Vacocast Vacoped achilles boot (totally worth the $300). %%EOF /StructParents 0 i had a mini-open surgery but that is all i know about the procedure itself. Are there other Speedbridgers out there? Implant System, BioComposite Achilles SpeedBridge with JumpStart, Implant System, PEEK Achilles SpeedBridge with JumpStart, Implant System, BioComposite Achilles SpeedBridge, Implant System, PEEK Achilles SpeedBridge, Surgical Technique Videos | 11:20 | English | 09/06/2017 | VID1-0463-EN C, Surgical Technique Guides | English | 05/11/2020 | LT1-0463-EN F, Presentation Videos | 06:11 | English | 04/20/2018 | VID1-01195-EN C, Surgical Technique Animations | 02:33 | English | 05/21/2015 | AN1-0463-EN B, Case Presentation Videos | 05:13 | English | 08/08/2017 | VPT1-00877-EN B, Surgical Technique Videos | 04:59 | English | 10/11/2019 | VID1-000654-en-US A, 05:17 | English | 12/28/2020 | VID1-000182-en-US C, 04:59 | English | 10/11/2019 | VID1-000654-en-US A, 11:20 | English | 09/06/2017 | VID1-0463-EN C, 09:27 | English | 08/28/2015 | VID1-00438-EN A, 37:06 | English | 12/18/2012 | VID1-0466-EN A, 02:33 | English | 05/21/2015 | AN1-0463-EN B, 05:59 | English | 12/16/2019 | VID1-000260-en-US A, 05:13 | English | 08/08/2017 | VPT1-00877-EN B, 02:36 | English | 03/15/2017 | PAN1-0463-EN D, 09:30 | English | 08/02/2018 | VID1-01364-EN A, 13:03 | English | 05/30/2018 | VPT1-01038-EN A, 06:11 | English | 04/20/2018 | VID1-01195-EN C, 06:28 | English | 06/13/2022 | VID1-003096-en-US A, English | 05/04/2021 | LN1-000324-en-US A, 06:06 | English | 08/26/2019 | VID1-000186-en-US A. I am just so happy to be able to make a cup of tea AND carry it to the couch, that Im enjoying this milestone that gave me back some independence! << The patients' average visual analog pain scale was 1 (range 0 to 4), and their average foot functional index score was 3.41 (range 0 to 10.71). Dr. says no concerns that tendon will rupture but to be careful and use boot in airports, etc. Surprisingly, weight bearing as tolerated meant I stopped using the crutches two days later! << Thought I had read that its typically horizontal, but mine is vertical. Less invasive techniques have been developed to optimize the functional benefits of surgery while reducing delayed wound healing, infection, and other postoperative complications. Bookshelf All patients were able to return to their activities of daily living without the use of assistive devices. /Lang (en-GB) 2023 May;33(4):1179-1184. doi: 10.1007/s00590-022-03270-7. Would you like email updates of new search results? 100 0 R /X1 101 0 R >> >> endobj While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape, While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire.