Can the Teno Fix® be used to navigate the tendon back under the pulleys?
For re-approximation of the repair site and tissue structure management, the surgeon should remain true to their usual surgical techniques. Other surgeons have utilized two techniques listed below to manage the tendon: Option 1: • Install the Teno Fix® anchor and place the core suture. • Loop the core suture needle back towards the anchor to form a U-shape. • Feed a Mosquito or Fisher under the pulley to grasp the core suture and guide the tendon under the pulley. An elevator, tenolysis scalpel, or small forceps may need to be used to dilate a contracted pulley or some surgeons have bulleted the end of the tendon with an epitendonous stitch. Option 2: • Install the Teno Fix® anchor and place the core suture. • Pass the core suture needle through a Kiddy Catheter. • Feed a Mosquito or Fisher under the pulley to grasp the Kiddy Catheter and guide the tendon under the pulley.An elevator, tenolysis scalpel, or small forceps may need to be used to dilate a contracted pulley or some surgeons
