/L 205587 There was an error retrieving the content. At final follow-up there was no evidence of Achilles tendon ruptures or device failures. /Contents 99 0 R The .gov means its official. Accessibility /Parent 82 0 R Zhao X, Yang X, Hao Y, Yang F, Zhang Z, Qian Q, Fu P, Zhou Q. J Pers Med. HHS Vulnerability Disclosure, Help While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. sharing sensitive information, make sure youre on a federal /FontFile2 89 0 R /Type /FontDescriptor Outcomes of Operative Management of Insertional Achilles Tendinopathy in the Young vs Elderly. and transmitted securely. Copyright 2012 American College of Foot and Ankle Surgeons. Accessibility While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire suture to be laid over the distal end of the tendon. Please enable it to take advantage of the complete set of features! Unable to load your collection due to an error, Unable to load your delegates due to an error. In the USA contact: fda.gov 0000051783 00000 n This . My surgeon tells me I am cleared to return to golf and other sports at 12 weeks. Achilles tendon: Haglunds deformity, central approach using Arthrex Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles Achilles Tendon Rip-Stop SpeedBridge Repair - ScienceDirect J Foot Ankle Surg. 63: 310-314, August, 2016. stream sharing sensitive information, make sure youre on a federal Unauthorized use of these marks is strictly prohibited. Disclaimer. Limited-Incision Knotless Achilles Tendon Repair - PubMed Careers. >> /ID [<959befb3d145b1778f6396bf63680c5f><959befb3d145b1778f6396bf63680c5f>] This tends to produce a fairly broad based swelling across the back of the heel. /Length 329 /Length 20208 The indications, contraindications, details, pearls, and pitfalls of this surgical technique are discussed in this article. The Speedbridge provides a far more robust level of fixation for the achilles than any alternatives. Hi, this is a comment.To delete a comment, just log in, and view the posts comments, there you will have the option to edit or delete them. /Linearized 1 87 0 obj Please try again, or try refreshing the page. trailer Surgical management of insertional Achilles tendinosis includes Achilles tendon debridement, calcaneal exostosis ostectomy, and retrocalcaneal bursa excision. hi there - im 2w2d post op. 1. 0000039227 00000 n official website and that any information you provide is encrypted This avoids a lot of scar tissue and potential nerve damage and allows the tendon to heal naturally. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. The site is secure. endstream The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. /FirstChar 32 The https:// ensures that you are connecting to the I dont understand how the Arthrex surgery would have people doing backflips at 4 months, but minimally invasive is a good thing even if the recovery is the same as other methods. Careers. Maximize OR convenience and efficiency with the SpeedBridge implant system, which contains the implants and sutures required to complete a SpeedBridge rotator cuff repair in a single, sterile tray. Pretty sure I had the PARS and am 10 days Post-Op. %PDF-1.5 When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. Unable to load your collection due to an error, Unable to load your delegates due to an error. << J Med Invest. This site needs JavaScript to work properly. My doc used the speedbridge on for my surgery as well. /Rotate 0 One can be as extensive as required therefore with the level of dissection. official website and that any information you provide is encrypted /Widths 90 0 R FOIA Achilles tendinopathy is a clinical diagnosis characterized as a triad of symptoms including pain, swelling, and impaired performance of the diseased tendon. Registered in England and Wales No. Wide detachment of the insertion of the Achilles tendon was necessary, and reattachment of the tendon was performed using the Arthrex SpeedBridge(TM) system (Arthrex, Inc., Naples, FL). Glad to hear your recovery is going well. Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. 2005 Jan;22(1):19-43. doi: 10.1016/j.cpm.2004.08.003. Certain products may not be approved for sale in all countries. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. Would you like email updates of new search results? /Lang (en-GB) /Type /Catalog The key is to identify the exact location and nature of the pathology causing symptoms. The site is secure. Its just that once I got used to the sensation of weight bearing, I felt virtually no difference between partial and full. Medical Device Company Arthrex to Pay $16 Million to Resolve Kickback /LastChar 121 The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. At 4 weeks I started PT and partial weight bearing. In this case series, we present 4 patients who underwent surgical management of insertional Achilles tendinosis with complete tendon detachment. /Length1 40964 /Type /Font Epub 2013 May 11. Less commonly the achilles tendon is normal and the issue is an anatomical prominence of the postero-lateral corner of the calcaneus, causing pressure when in shoe-wear. The https:// ensures that you are connecting to the Int J Surg Case Rep. 2022 Jul;96:107355. doi: 10.1016/j.ijscr.2022.107355. Our e-learning platform contains high resolution images and a certified CME of the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical procedure. 84 22 4.75 mm BioComposite SpeedBridge Implant System Includes two 4.75 mm BioComposite SwiveLock C anchors w /one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 4.75 mm BioComposite SwiveLock C for lateral row, and disposable punch, 4.75/5.5 mm BioComposite SpeedBridge Implant System SP (self-punching) Includes two 4.75 mm BioComposite SwiveLock C anchors w/ one preloaded FiberTape Loop (1 blue, 1 white/black) for medial row, two 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for lateral row, and disposable punch, 4.75 mm PEEK SpeedBridge Implant System Includes two 4.75 mm PEEK SwiveLock C anchors w/ one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 4.75 mm PEEK SwiveLock C anchors for lateral row, and disposable punch, 4.75/5.5 mm PEEK SpeedBridge Implant System SP (self-punching) Includes two 4.75 mm PEEK SwiveLock C anchors w/one preloaded FiberTape Loop (1 blue, 1 white/black) for medial row, two 5.5 mm PEEK SwiveLock SP (self-punching) anchors for lateral row, and disposable punch. I totally agree that minimally invasive is a good thing. /StructParents 0 xc```a``"z@ Y8>00014E0`c\;OL @*X,:5Jz77I,HL4Bl'+7RVndZipGpqJh:!`7A$iOn0d(Ol^U0x8#P -`i~UL%[>OPmhCJ3)#|X6p5(hI ~_%<8p*008403:h I am walking now in the boot without a crutch fairly well. >> Institution: The Wellington Hospital, London, UK. /Resources << /Font << /F1 87 0 R /F2 91 0 R /F3 95 0 R >> /XObject << /X0 /FontWeight 400 /FontBBox [ -503 -250 1240 750 ] 0000002257 00000 n 09792457 | << Invest. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. Wide detachment of the insertion of the Achilles tendon was necessary, and reattachment of the tendon was performed using the Arthrex SpeedBridge(TM) system (Arthrex, Inc., Naples, FL). Federal government websites often end in .gov or .mil. I am not trying to rush it and I dont feel like I have something to prove; rather quite the opposite, I am trying to follow directions like I never have before so I get through this with no complications if at all possible. Before /Ascent 750 A diagnosis of insertional Achilles tendinosis was made. I am new to this forum, and have read a lot of posts. Discussed plan with patient and reiterated risk versus benefits. Sorry, got sidetracked there with the celebrating 0000022892 00000 n Acute midsubstance Achilles tendon ruptures, which are increasingly common among athletes, can result in significant functional limitations and decreased quality of life when not managed appropriately. 0000023359 00000 n /Prev 203769 Surgical Technique Videos | 16:21 | English | 02/22/2021 | VID1-001308-en-US B, Case Presentation Videos | 04:59 | English | 04/15/2022 | VID1-002912-en-US A, Presentation Videos | 10:23 | English | 04/26/2022 | VID1-002548-en-US A, Surgical Technique Videos | 06:04 | English | 03/10/2021 | VID1-000709-en-US B, Case Presentation Videos | 06:30 | English | 02/22/2021 | VID1-000553-en-US A, Surgical Technique Guides | English | 10/25/2022 | LT1-000170-en-US C, 06:04 | English | 03/10/2021 | VID1-000709-en-US B, 12:49 | English | 02/25/2021 | VID1-000081-en-US D, 16:21 | English | 02/22/2021 | VID1-001308-en-US B, 04:11 | English | 02/12/2021 | VID1-000724-en-US A, 07:21 | English | 05/22/2020 | VID1-000621-en-US A, 04:16 | English | 08/27/2019 | VID1-000202-en-US A, 10:11 | English | 05/19/2015 | VID1-00214-EN A, 10:23 | English | 01/05/2015 | VID1-00219-EN B, Surgical Technique Videos | 05:09 | English | 05/22/2014 | VID1-0823-EN B, Surgical Technique Videos | 07:42 | English | 05/19/2014 | VID1-00091-EN A, 02:24 | English | 07/27/2017 | AN1-0219-EN C, English | 10/25/2022 | LT1-000170-en-US C, 06:30 | English | 02/22/2021 | VID1-000553-en-US A, 06:31 | English | 11/16/2017 | VPT1-00870-EN B, 02:39 | English | 08/21/2017 | PAN1-0219-EN E, 06:21 | English | 04/26/2022 | VID1-000905-en-US B, 10:23 | English | 04/26/2022 | VID1-002548-en-US A, 10:03 | English | 05/01/2020 | VID1-001011-en-US A, 09:54 | English | 08/13/2019 | VID1-000245-en-US A, 09:44 | English | 03/04/2019 | VPT1-01060-EN B, 12:52 | English | 03/26/2018 | VPT1-01009-EN B, 08:47 | English | 01/26/2018 | VPT1-00935-EN A, 16:19 | English | 09/07/2017 | VPT1-00874-EN A, Presentation Videos | 13:23 | English | 06/12/2017 | VPT1-00803-EN A, Presentation Videos | 11:09 | English | 11/29/2016 | VPT1-00703-EN B, Presentation Videos | 13:56 | English | 10/04/2016 | VPT2-00716-EN A, Presentation Videos | 14:16 | English | 03/22/2013 | VPT1-0001-EN A, Presentation Videos | 13:31 | English | 11/06/2009 | VID1-003552-en-US A, 02:37 | English | 04/17/2018 | VID1-00807-EN C, English | 07/09/2020 | DOC1-000231-en-US A, English | 07/08/2020 | DOC1-000236-en-US A, Portuguese | 08/24/2020 | DOC1-000217-pt-BR A, Spanish | 08/07/2020 | DOC1-000217-es-NT A, English | 03/02/2021 | LA1-000133-en-US A, White Papers | English | 06/06/2008 | LA0239 A, White Papers | English | 03/01/2008 | LA0219 A. went to 2 shoes full weight bearing no crutches. 0000039032 00000 n Again, very little swelling and no pain. I similarly went from PWB to FWB within a few days. Arthrex - achilles SpeedBridge Efficacy of Achilles Suture Bridge Technique for Insertional - PubMed 2013;52(5):575-579. doi:10.1053/j.jfas.2012.11.004. PMC This four-anchor construct enables a greater area of compression for the Achilles tendon on the calcaneus, improving stability and possibly allowing for earlier return to normal activities. Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. And curiosity question, nielsmurph, did you have a horizontal or vertical incision? J. Med. >> All patients were able to return to their activities of daily living without the use of assistive devices. 1 Reference 1. This 4-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability such that immediate postoperative weightbearing and range of motion is possible. Epub 2022 Jun 27. National Library of Medicine 8600 Rockville Pike While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape suture to be laid over the distal end of , While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWiresuture to be laid over the distal end of the tendon. << 2013 Sep-Oct;52(5):575-9. doi: 10.1053/j.jfas.2012.11.004. >> Havent been able to find much online from others, so I am glad I found this. >> endobj I did a lot of research and was very fortunate to find a surgeon in Florida doing the procedure. 2013 Oct;126(20):3860-4. MeSH eCollection 2020 Jul. 2023 Feb 24;13(3):404. doi: 10.3390/jpm13030404. Bethesda, MD 20894, Web Policies Epub 2022 May 4. Materials for performing an Achilles tendon rip-stop SpeedBridge repair include intraoperative fluoroscopy and the Arthrex Achilles SpeedBridge (Naples, FL) implant system, which includes a 3.5-mm drill bit, drill guide, tap with AO quick connect, tap with handle, two 4.75-mm SwiveLock anchors with #2 FiberWire suture and FiberTape loop with %%EOF My understanding is that your PARS procedure and the Speedbridge are actually not that different. 0000023081 00000 n /N 11 Epub 2021 Dec 12. Would you like email updates of new search results. /Pages 82 0 R I completely understand that the scariest steps are still ahead of me with wedge removal and eventual two shoes. This can cause direct impingement upon the deep(anterior) aspect of the Achilles in the retro-calcaneal area. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Best Writer Reviews Provider is helping students especially in usa in getting brilliant quality reviews writing USA, essays and dissertations. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. Usually the painful area is located laterally but it can on occasion be postero-medial. Federal government websites often end in .gov or .mil. [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. This site needs JavaScript to work properly. i had a mini-open surgery but that is all i know about the procedure itself. Please enable it to take advantage of the complete set of features! Review of Achilles Tendon Reattachment Using Double-Row Knotted and Knotless Techniques in the Management of Insertional Achilles Tendinopathy. Learn the Achilles tendon: Haglunds deformity, central approach using Arthrex Speedbridge surgical technique with step by step instructions on OrthOracle. 2023 | Careers. /Size 106 It took me 11 weeks to get to two shoes - the surgeon made me wait longer than normal because my rupture was at the top end of the tendon (muscle on one side, tendon on the other) and those take longer to heal. 100 0 R /X1 101 0 R >> >> Accessibility endobj Achilles Midsubstance SpeedBridge Implant System, Achilles SpeedBridge Repair Implant System, The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country. Site by Redwire. Thank you to all who contribute. /Group << /CS /DeviceRGB /S /Transparency /Type /Group >> I am surprised there is not more discussion about it here. Unable to load your collection due to an error, Unable to load your delegates due to an error. However, I dont see a lot of information about the type of surgery that people have undergone, and thought I would share the links below. Materials for performing an Achilles tendon rip-stop SpeedBridge repair include intraoperative fluoroscopy and the Arthrex Achilles SpeedBridge (Naples, FL) implant system, which includes a 3.5-mm drill bit, drill guide, tap with AO quick connect, tap with handle, two 4.75-mm SwiveLock anchors with #2 FiberWire suture and FiberTape loop with Would you like email updates of new search results? [WORDPRESS HASHCASH] The poster sent us 0 which is not a hashcash value. The Arthrex SutureBridge () (Arthrex, Inc., Naples, FL) device uses a series of 4 suture anchors and FiberWire () (Arthrex Inc.) to reattach the Achilles tendon to its calcaneal insertion. /Root 85 0 R It should be remembered however that of greater importance is identifying the various potential sources of symptoms and treating them all. /MediaBox [ 0 0 841.92 595.32 ] The .gov means its official. Recently, a limited-incision knotless Achilles tendon repair technique (Achilles Midsubstance SpeedBridge; Arthrex) was developed to minimize soft-tissue dissection, restore musculotendinous length, and directly fix tendon to bone to allow for early mobilization and more rapid functional recovery. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. Journal of Foot and Ankle Surgery. Overall though, sounds like people have had great success with it within the first year? I also had the Speedbridge repair done. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape, While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SutureBridge enables an hourglass pattern of FiberWire. It should be remembered however that of greater importance is identifying the various potential sources of symptoms and treating them all. % /XHeight 250 Arthrex - SutureBridge and SpeedBridge ive been through a lot of this site and have to found anybody describing what you are describing in terms of operative technique. 2020 Jul 30;5(3):2473011420926101. doi: 10.1177/2473011420926101. My main minimal concern or curiousity was with the heel anchors - what if it gets loose over time or heel pain in the future? 0000022565 00000 n These cases should be imaged using cross sectional imaging to determine the location of both bony deformity and tendinopathy. government site. << The third variation is a calcaneus that is anatomically prominent posteriorly, laterally and also superiorly. Twelve weeks after surgery, this patient started jogging with neither pain nor evidence of Achilles tendon rupture. He has been doing it for about a year on all fully torn achilles, including several professional athletes. /ItalicAngle 0 Subscribe to get full access to this operation and the extensive Foot Surgery Atlas. In the UK contact: gov.uk /S 486 An official website of the United States government. The various surgical techniques for treating Achilles ruptures include open repair with Krackow locking sutures, percutaneous repair, and limited-incision repair with suture-passing jigs. 0000061233 00000 n I got pretty good at power hobbling with my boot on while I was waiting though! 2022 Sep-Oct;61(5):927-931. doi: 10.1053/j.jfas.2021.12.015. Anti-spam word: (Required)* This hourglass pattern of FiberWire() provides a greater area of tendon compression, consequently allowing greater stability and possible earlier return to weightbearing activities. To prove you're a person (not a spam script), type the security word shown in the picture. 2023 May;33(4):1179-1184. doi: 10.1007/s00590-022-03270-7. My surgery was to remove a large bone spur as opposed to a rupture so it was a bit different than some. and transmitted securely. /Subtype /TrueType 105 0 obj Clin Podiatr Med Surg. Im only 3 weeks post-op so I dont have a lot of feedback on it yet, but I too feel fortunate to have had it. The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. Bookshelf Lin Y, Wang ZW, Zhang B, Pan J, Qu TB, Hai Y. Chin Med J (Engl). The technique is though without doubt more involved than simply using a postero-lateral or postero-medial approach and fixing the tendon back with a Bio-corkscrew anchor, which covered on OrthOracle at Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach.Generally the surgery is easier performed with the patient prone but as this technique demonstrates it cab be done with the patient well supported in a lateral position. The jig you mention was probably made by Arthrex. Arthrex develops and releases more than 1,000 new products and procedures every year to advance minimally invasive orthopedics worldwide. PDF Guidelines for Post-operative Rehabilitation following a mid-substance Phen HM, Manz WJ, Mignemi D, Greenshields JT, Bariteau JT. Clipboard, Search History, and several other advanced features are temporarily unavailable. /E 72916 HHS Vulnerability Disclosure, Help The .gov means its official. Once the socket has been created, a 4.5-mm Corkscrew tap (Arthrex) is used to ensure ease of anchor insertion in the dense bone. /Type /Page xref Achilles tendinosis is viewed microscopically as disorganized collagen, abnormal neovascularization, necrosis, and mucoid degeneration. 4.75 mm BioComposite SpeedBridge Implant System w/SCORPION-Multifire Needle Includes two 4.75 mm BioComposite SwiveLock C Anchors w/one Preloaded FiberTape Loop (1 Blue, 1 White/Black) for Medial Row, two 4.75 BioComposite SwiveLock Anchors for Lateral Row, Disposable Punch, and SCORPION-Multifire Needle. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. I am 48 years old and in good shape. Thought I had read that its typically horizontal, but mine is vertical. << The BioComposite SpeedBridge implant systems include 4.75 mm vented BioComposite SwiveLock anchors with preloaded FiberTape loops, which ease suture passage for the medial row, and 4.75 mm BioComposite SwiveLock C or 5.5 mm BioComposite SwiveLock SP (self-punching) anchors for the lateral row. After 3 to 6 months of conservative therapy has failed to alleviate symptoms, surgical management is indicated. Arthrex - Achilles SpeedBridge Repair There is some great information. >> Most often the pathology is one of degenerative change at achilles the insertion associated intra-tendinous calcification. >> Arthrex - SpeedBridge Implant System stream Bookshelf Im in my thirties, male, and active, so Dr. said surgery was the way to go and he mainly uses the PARS Speedbridge method. /Flags 32 Curious if others have undergone this specific procedure and how they are doing. Early weightbearing using Achilles suture bridge technique for insertional Achilles tendinosis: a review of 43 patients. Rotator Cuff Repair with Arthrex SpeedBridge - YouTube /T 203780 /O 86 Because 6 months of conservative treatments had failed, we performed open resection of the calcaneal exostosis and Haglund's deformity along with debridement of the degenerative tissue of the tendon. endobj If the wound was completely healed my surgeon assured me I could be walking without the boot. Unauthorized use of these marks is strictly prohibited. I started pwb in the boot (3 wedges) with docs approval a few days ago. /FontName /ACHMZE+Calibri /MarkInfo << /Marked true >> Both procedures are pretty brilliant from a simplicity and effectiveness standpoint. 84 0 obj Central tendon splitting combined with SutureBridge double-row technique as a surgical treatment for insertional Achilles tendinopathy. The PARS jig pulls the broken ends of the tendon together using fiberwire, but there is no stitching the broken ends together like with an open traditional repair. Incisions are minimal, relatively speaking, so the pain was not bad. 0000001432 00000 n 0 0000001012 00000 n startxref This four-anchor construct enables a greater area of . He insists I will be playing golf at 10-12 weeks post ATR surgery in normal shoes and doing backflips at 4 months (I dont do backflips but you get the gist). I didnt even read my operating report until a year after the surgery when I found out thats what he used (and thats what he always uses if he can). This 4-anchor construct enables a true knotless repair and a greater area of compression for the Achilles tendon on the calcaneus, improving stability such that immediate postoperative weightbearing and range of motion is possible. The SpeedBridge enables an hourglass pattern of FiberTape suture to be laid over the distal end of the tendon. 4.75/5.5 mm BioComposite SpeedBridge Implant System w/Scorpion Needle Includes two 4.75 mm BioComposite SwiveLock C anchors w/ one preloaded FiberTape Loop (1 Blue, 1 White/Black) for medial row, two 5.5 mm BioComposite SwiveLock C anchors for lateral row, disposable punch, and SCORPION-multifire needle. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. What I found though was keeping a bandaid with gauze under it helped a lot at the end to get it healed. The https:// ensures that you are connecting to the The incision is now almost healed (it is horizontal to the ground/across my leg), which is probably why it took awhile to heal since walking in the boot tends to pull at the incision. MeSH HELP retrocalcaneal exostectomy with detachment, debridement and - AAPC These variations in pathology can be treated using the same surgical principles and with successful outcome expected in the majority of patients. For convenience, the required punch is also included in the sterile package. Distal Patellar Tendon SpeedBridge Repair - ScienceDirect << Published by Elsevier Inc. All rights reserved. Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. Federal government websites often end in .gov or .mil. 8600 Rockville Pike There may or may not be an element of anatomical prominence of the postero-lateral calcaneus associated. 0000001800 00000 n /Tabs /S Zhang Q, Wu Z, Liu L, Wei G, Peng L, Liu J, Ning X. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Of course, the tendon was and is still super tight so I am limping a bit while I work on loosening up the tendon and strengthening. /H [ 1012 420 ] 0000048631 00000 n The Arthrex SpeedBridge implant itself is very much a really useful part of the surgical armamentarium available to treat Haglunds cases.
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