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Placing a distal anchor via the volar side of the tendon seems to not be feasible due to tendon thickness. What other option do I have in placing the anchor?

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Placing a distal anchor via the volar side of the tendon seems to not be feasible due to tendon thickness. What other option do I have in placing the anchor?

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Rather than making the tenotomy on the volar side of the tendon along the raphe, an option described by many surgeons is to make the incision along the radial or ulnar side of the tendon. After the tenotomy is made, the Teno Fix® anchor may be installed into that tenotomy keeping in mind that the goal of the placement is to install the anchor mid-substance along the centerline of the tendon.

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