C A S E
S T U D Y
BIOFIBER™
Strips/Discs: Absorbable Biologic Surgical Mesh
Case Overview
Patient is a 64 year old male with a one year history of shoulder pain. Prior to surgery
the patient had significant pain, elevation to 130 degrees, external rotation to 30
degrees and marked weakness. He has tried medication, injection, and physical
therapy with continued pain. His MRI demonstrates a full thickness medium size
tear of the supraspinatus extending into the infraspinatus tendon with retraction.
(Figure 1)
John W. Sperling, M.D.
Professor of Orthopedic Surgery
Mayo Clinic
Rochester, MN
Figure 1
Surgical Technique
KEY POINTS:
Biomechanical strength
No concerns about
human or animal tissue
Ease of storage and use
At the time of surgery, the rotator cuff was noted to be thin in nature with
significant delamination. Due to the quality of the rotator cuff tissue, the decision
was made to perform a double row repair with BIOFIBER™ surgical mesh
augmentation. The patient had double loaded 2.8mm PITON™ anchors placed in
the medial row. (Figure 2) Horizontal mattress sutures were placed through the
rotator cuff and the BIOFIBER™ surgical mesh and tied. (Figure 3 and 4) These
sutures were then tensioned laterally using 3.5mm PITON™ anchors. (Figure 5)
The BIOFIBER™ surgical mesh resulted in a more secure repair, minimal increase in
operative time, and allowed for a more rapid therapy program.
Competitively priced
Figure 2
Figure 3
Figure 4
Figure 5
Patient Follow-Up
At four months, the patient was very satisfied with the procedure. He had
marked improvement in his pain. On examination, he had 150 degrees of active
elevation, external rotation to 40 degrees, and excellent strength.
Technique Benefits
2.8mm PITON™
»» Small, minimally invasive insertion – allows greater bone area for tissue healing
»» Strength of a 5.5mm anchor in only 2.8mm
»» No instrumentation needed – no tapping, punching, or pre-drilling
»» Pre-loaded with #2 FORCE FIBER™ sutures
3.5mm PITON™
»» Ability to independently cinch and re-tension the repair
»» Excellent pull-out strength
»» No instrumentation needed – no tapping, punching, or pre-drilling
BIOFIBER™ Surgical Mesh
»» More secure repair with excellent suture retention and handling
»» No concerns about human or animal tissue
»» Ease of storage and use
»» Priced competitively
»» Can be used to reinforce the repair on the underside or top of the tendon
»» Made from biologically derived fibers
PITON™
Knotless Fixation Implant
BIOFIBER™
High Strength Suture
1023 Cherry Road
Memphis, TN 38117
800 238 7117
901 867 9971
www.wright.com
10801 Nesbitt Avenue South
Bloomington, MN 55437
888 867 6437
952 426 7600
www.tornier.com
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©2016 Wright Medical Group N.V. or its affiliates. All Rights Reserved. FORCE FIBER™ is a registered trademark of
Teleflex Incorporated.
CAW-3870 REV B ECN 160791 27-Jun-2016