3
SURGICAL TECHNIQUE
ARTHROSCOPIC BICEPS
Tendon Handling
3a
3b
Pull the prepared biceps tendon back into the subacromial space. Use the Tendon Fork to push the
suture-tendon complex into the bone tunnel. Verify the length of tendon in the socket by reading the
lasermarks on the Tendon Fork.
Implant Positioning
4a
4b
Select the Implant with a diameter that matches the diameter of the bone tunnel. See Appendix A for
detailed tendon, bone tunnel, and Implant sizing information. Introduce the Implant Sheath and Bullet
through the cannula. Position the Implant Sheath in the tunnel so that the compressed profile is
adjacent to the tendon. Remove the Tendon Fork. Advance the Sheath into the tunnel. If necessary,
mallet the metal Strike Plate on the Gun Knob to assist in advancing the Sheath into the bone tunnel.
Do not twist or rotate the Deployment Gun while advancing the Implant into the bone tunnel.
Pearl #3. Ensure the Sheath is 1-2 mm sub-flush in the bone tunnel, thereby maximizing Implant engagement with the
cortex during fixation.
Pearl #4. A 4 or 5 mm Implant can be inserted through a standard 8.25 mm cannula. A 6 mm Implant or larger will require
a standard 10 mm cannula.