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.