Biceps Tenodesis - Surgical Technique Guide | Eclipse™ Soft Tissue An Biceps Tenodesis - Surgical Technique Guide Eclip | Page 3

2 ARTHROSCOPIC BICEPS TENODESIS SURGICAL TECHNIQUE Tendon Preparation 1a Option 1: Pull on the traction sutures to remove the biceps tendon through the anterior superior portal. Using the Soft Tissue Sizer, measure the diameter of the tendon. A formal whipstitch can be prepared on the free tendon end using the QuikWhip TM #2 Surgical Suture. 1b Option 2: Alternatively, for an all-arthroscopic technique, place a whipstitch in the proximal end of the tendon with an arthroscopic suture passer. Introduce the Tendon Fork into the joint and use the lasermarks to approximate tendon size. Pearl #1. Whipstitch the tendon to a length matching desired tunnel depth to provide a visual marker that the tendon is fully seated in the tunnel. Tunnel Preparation 2a 2b Create an anterolateral portal that aligns directly with the desired bone tunnel location. Typical fixation sites for an arthroscopic approach range from within the bicipital groove to just distal of the groove and is left to surgeon discretion. Use the 2.4 mm Drill Tipped Passing Pin to drill to the desired depth, measured directly from the lasermarks on the Passing Pin. Then, drill over the Passing Pin with a Cannulated Reamer 1 mm larger than the diameter of the tendon. Refer to Appendix A for complete tendon, bone tunnel, and Implant sizing information. Pearl #2. Debride any soft tissue or debris around or within the drill tunnel. Improved visualization of the bone tunnel is critical in determining if the sheath has been inserted to the desired position.