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FastPass Scorpion™ SL

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The FastPass Scorpion SL (Side Loading) suture passer was designed to be simple and easy to use, supporting more successful suture passes. The front side of the bottom jaw is solid to prevent suture and soft tissue from entering the bottom jaw when positioning onto the tendon. The FastPass Scorpion SL suture retrieving top jaw helps seamlessly pass and retrieve #2 FiberWire®. Scorpion2 

Features and Benefits:

  • Solid front jaw helps avoid previously passed sutures
  • Multi-functional instrument grasps tissue, passes and retrieves FiberWire 
  • Easy, one step suture loading 
  • Low profile design fits down a 6 mm cannula 
  • Jaw design grasps up to 16 mm of thick tissue 
  • Compatible with MultiFire Scorpion™ Needle  
For more information, visit http://www.arthrex.com/shoulder/scorpion
Scorpion2 

Arthrex, Youth Haven earn top honors for creating family-friendly workplaces

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Source: naples.floridaweekly.com - April 24, 2014

Honor Flight Takes Off with Arthrex's Support

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On Saturday, April 26, 2014, the sacrifices our local veterans have made for this country were honored, as 48 Southwest Florida veterans traveled to Washington, D.C. for the second Honor Flight WWIIvetsHonorFlightof the Collier County chapter.

Honor Flight, an organization established in 2005, provides war veterans a free trip to Washington to visit the National World War II Memorial and other memorials in the nation’s capital. Guardians fly with the veterans on every flight providing assistance and helping veterans have a safe, memorable and rewarding experience.  

The local chapter raises funds and connects with veterans, guardians and companies to participate, including Arthrex’s own Purchasing Card Administrator Linda Valentine, who serves as secretary on the board of the local chapter. 
I have been privileged to serve on the Board of Collier County’s Honor Flight organization,” said Linda. “Arthrex has been very generous to us by agreeing to support us with a donation, and allowing our employees to volunteer.”  

Linda, along with Arthrex Corporate Photographer Zach Johnson and Photography Assistant Chris Toalson, had the special opportunity to take flight with the veterans as guardians and spend the day with them touring the national war memorials.  

HonorFlightLinda’s veteran, Warren "Harry" Durling, was a radioman in the Air Force in England during the war. “A highlight was when Harry got to meet and sit a bit with Sen. Robert Dole,” said Linda. “He tries to make it to the memorial every chance he can to greet the veterans. It was a day of memories, gratitude and interactions with appreciative citizens everywhere we went. It's supposed to be for the vets, but it winds up being a gift to all those who are in their company.” 

For more information, visit http://www.collierhonorflight.org/main/.    

ACL preservation making resurgence with advances in diagnostic imaging, all-arthroscopic surgical technology and rehabilitation approaches

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By Gregory S. DiFelice, MD

DiFelicePrimaryACLRepairMy interest in ligament repair was really born of my particular clinical setting. My practice is a rather trauma-heavy sports medicine practice with a majority focus on knee and shoulder that is located in a level one trauma center. Early in my career, I found myself faced with a large burden of multiligamentous knee injuries to treat. At that time, our ability to address these injury patterns was not as developed as it is today and when I was faced with ligamentous avulsions, largely the PCL off of the femur, I would make an effort to primarily repair it. This need, when combined with my facility using the arthroscopic shoulder instrumentation, led to my first attempts at arthroscopic primary cruciate repair.

I had good clinical success whenever I attempted primary PCL repair. The knees were certainly as stable, if not more stable, than the reconstructions of the time. There were also a few ACLs that were avulsed either proximally or distally that I fixed during this time, also with good results. However, I was fully aware that the multiligamentous knee setting was not a comparable clinical scenario to an isolated ACL tear. This success was predicated on apposing a freshly avulsed ligament back into a bleeding bony bed, and to me made good biologic sense. A loose analogy could certainly be drawn to performing a rotator cuff repair, and much of the same biologic ingredients were present to predict a high likelihood of healing.

My early successes with primary cruciate repair sparked my interest in whether or not such a technique would work on isolated ACL tears, a much more common clinical problem than the multiligamentous injured knee. Open ACL preservation was the recommended treatment for an acute ACL rupture in the later 1970s and early 1980s; however, the procedure was largely abandoned due to unpredictable clinical results. A thorough review of the older literature convinced me that the conclusion to abandon this procedure was flawed, when viewed through the prism of our current knowledge base. Despite all of the limitations of these studies, it should be noted that on average, roughly 50 percent of these patients had excellent results, even to the long-term follow up. The trouble was predicting which 50 percent had excellent results. The only paper that looked at predictive variables was that of Mark Sherman et al.They found that it seemed to be that patients who were older than 22, who had a skiing injury and had proximal type 1 tears with excellent tissue quality, had a much higher likelihood of excellent results. This observation dovetailed nicely with my experiences repairing proximal tears in the multiligament injured knee setting.

I also did a review of the current literature over the past decade on the subject of ACL preservation. I found mostly animal studies from Martha Murray’s lab in Boston that suggested that there might be a role for a biologically augmented ACL preservation. There were also some long-term follow-up studies on the older cohorts confirming approximately 50 percent good to excellent results. Interestingly, there are no new clinical studies on humans regarding primary repair of complete ACL tears in the literature that I am aware of in the past 15 years or more. It was my review of the literature, old and new, that gave me the determination to proceed with expanding my arthroscopic cruciate preservation indications.

The perfect candidate was referred to me about six years ago. He was a 42-year-old skier who was still very active and had an acute, proximal ACL avulsion. I explained to him my experience, my reasoning, and the expected outcomes. I gave him full disclosure of the risks, the benefits and alternatives and he wanted me to proceed with attempted arthroscopic primary ACL preservation. I passed two #2 FiberWire® in a locking fashion with the older Scorpion™, passed them through drill holes and tied them over a ligament button at the lateral cortex. The patient ended up with a completely stable knee, and to this day continues to function well, without any instability symptoms.

As the years have gone by and Arthrex has continued to expand its complement of arthroscopic instrumentation, my technique has been improved and was recently described in the ACL Primary Repair Surgical Technique Guide and in the ACL Primary Repair Surgical Technique Video. My current technique involves passing a Bunnell type stitch of #2 FiberWire® using the Scorpion™ FastPass into each bundle of the avulsed ACL. These are then tensioned and fixed at their respective former origins utilizing 4.75 BioComposite™ SwiveLock®. Currently, I have performed approximately 35 arthroscopic ACL preservations for isolated tears using this technique and have had excellent results to date. As my clinical successes increased, so too did my indications and I now base the indication for surgery most heavily on tear pattern and acuity, rather than other variables.

Based on my experience, I am excited that this may be the beginning of a new step in our collective approach to ACL injury. It is my hope that this experience will bring an increased awareness that it is possible to repair certain patterns of ACL injury with a reasonable expectation of success. These tear patterns are easily identifiable on MRI and can be preserved using my technique or a modification thereof. Rather than abandon the concept of ACL preservation like in the past, I think that we can learn from the historic experience and revisit the concept with a better understanding. Perhaps we can now diagnose those patients who have an excellent chance of benefiting from ACL preservation and reserve the more invasive reconstructions for only those patients who truly need it. This is certainly an intriguing concept, and in light of the advances in diagnostic imaging, arthroscopic surgical technology and rehabilitation approaches that have come to the forefront over the past several decades, ACL preservation is a concept that is ripe for reevaluation.

1. Sherman MF, Lieber L, Bonamo JR, Podesta L, Reiter I.The long-term followup of primary anterior cruciate ligament repair. Defining a rationale for augmentation.Am J Sports Med. 1991; 19(3): 243-255. 

Arthrex's First Apprentices Graduate

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AMAP graduatesIn late 2009, the Arthrex Manufacturing Apprentice Program (AMAP) was introduced and the program has now reached a significant milestone: the inaugural apprentices have graduated and are now full-time machinists at Arthrex! Congratulations to Jeff Bentley, Frank Peralta and Enea Ruci on this tremendous accomplishment!

AMAP is a four-year machine skills training program. The program is registered through the State of Florida's Department of Education, and is the only INJ (Individual Non Joint) program in the state, which means that Arthrex is the sole sponsor of the apprenticeship. Arthrex Manufacturing Training Supervisor Mike Koszewnik developed the AMAP curriculum and, along with his team, ensures the necessary components of the program are in place to maintain the accreditation. 

Jeff, Frank and Enea invested more than 8,000 hours of daily on-the-job training and cross-training in the various manufacturing departments, as well as six hours per week of classroom instruction. As successful graduates of the program, each will be awarded a certificate from the State of Florida, which is equivalent to a journeyman's card that is recognized throughout the United States. 

AMAP was launched during a time when other companies were downsizing their workforce and putting internal career advancement programs on hold. Arthrex recognized the rising need for skilled machinists and made the significant investment in a program that would help support our unprecedented growth and expansion into the future. 

Arthrex adds four new apprentices to the program each year, and generally looks to accept two Arthrex employees seeking growth and career advancement and two candidates from the community.

Read more about AMAP in a Naples Daily News' article that ran on the front page of the Business section on Thursday, April 3:Apprentice program wins both ways

Arthrex's Commitment to Environmental Responsibility

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recyclingAs a global company that designs and manufactures orthopaedic medical devices, Arthrex is committed to making people's lives better around the world. We are passionate about developing quality products that help surgeons treat their patients better, and the same passion for innovation defines our commitment to environmental responsibility. 

Enormous amounts of energy and resources are required to design,manufacture and distribute our products worldwide. Arthrex understands this, and we promote environmental impact reduction in all product development stages, product sales and corporate facilities. 

The Florida Department of Environmental Protection recently recognized Arthrex for its outstanding recycling efforts and achieving a 57.6 percent recycling rate. Arthrex was also recognized in 2012 by The Collier County Solid & Hazardous Waste Management Department's Waste Reduction Awards Program (WRAP) with an award for its innovative recycling programs. 

We are committed to providing a work environment that is both safe and environmentally responsible. For example, Arthrex manufactures its products using different metals and plastics. Its CNC machines (computer numerically controlled) lathes make surgical devices and implants by milling engineered rods and screws out of bar stock, a process which creates leftover materials. These left over materials are collected and processed through a system which enables Arthrex to recover and reuse 4,320 gallons of oil a year! 

In addition, each month, approximately 6,500 pounds of metal chips and other commingled metals and materials are collected and recycled at Collier County's recycling center. Left over plastics from Arthrex's molding processes are also collected and recycled, and close to 10,000 pounds of cardboard are recycled each month. 

recycling"Arthrex's processes and procedures significantly exceed the minimum required by law and the Florida Department of Environmental Protection has recognized our efforts," said Michael Dock, Environmental Health & Safety Manager. "We are very proud of the recognition we have received and we are dedicated to maintaining a workplace that keeps both our employees and the environment healthy."

Arthrex is committed to being a good steward of our natural resources. From featuring native landscaping and advanced technology irrigation to providing alternatives to disposable cups and using biodegradable cleaning materials, to using energy-efficient lighting and motion sensor switches in all of our offices and facilities, we continue to explore innovative ways to reduce and reuse materials and further minimize the environmental impact of our corporate and manufacturing activity. 

Team Arthrex Wins 2014 Great Dock Canoe Race for Second Year in a Row

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Arthrex Distal Extremities team members Jerome Gulvas and RJ Choinski took home the VIP Race win for Arthrex at the 2014 Great Dock Canoe Race on Saturday, May 10, with their "Arthrex CanoePower" themed canoe once again this year - that's two back-to-back wins in a row! They blew the competition out of the water, finishing 25 seconds faster than the second place team!  

The Annual Great Dock Canoe Race began 38 years ago as a community event, and has stayed true to its roots. Each year, proceeds of the event are contributed to a local organization, with the beneficiary this year being Drug Free Collier. 

Arthrex Expands Product Testing Capabilities with New In-House Biological Safety Laboratory

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To further expand Arthrex’s in-house product testing and capabilities, a new 2,800-square-foot internal INC Biological Safety Laboratory has been built at Arthrex Manufacturing East (AMIE) in Ave Maria, FL.     

Biological Safety LabBeau Rollins, Arthrex’s Biological Safety Laboratory supervisor, and a team of scientists are leading the development of this innovative new testing laboratory. “Arthrex products (devices, implants and materials) must comply with very strict standards and regulations,” said Beau. “Historically, we’ve sent our products to contract laboratories for testing, but due to our growth, size, and innovative approach to the marketplace, it has become an imperative venture to build an internal laboratory with state-of-the-art capabilities.”  

Arthrex is committed to providing the finest quality products and educational services to meet the special needs of orthopaedic surgeons and their patients, making the testing and research phases key to the product life cycle.  

“Since our start earlier this year, we have expanded our scope greatly and currently perform in-house studies to assist production with faster product release times, as well as substantially improved international approvals for regulatory,” said Beau. “We currently utilize a Gas Chromatograph with Mass Spectrometer (GC-MS), Scanning Electron Microscope (SEM) and a newly-built Cell Culture Lab to perform key functions in all our studies. Over the next year, we plan to expand the lab even further, providing ever increased positive benefits to surgeons and their patients around the globe.”


Arthrex Hosted Fifth Annual Sports Medicine Fellowship Forum

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Arthrex hosted 155 orthopaedic fellows for the 5th Annual Sports Medicine Fellowship Forum on May 29-30 and June 5-6, 2014. The two-day comprehensive medical education meetings presented the latest advancements in sports medicine. FellowshipForum  

During the Sports Medicine Fellowship Forum, fellows have the opportunity to interact with their future colleagues as well as renowned Arthrex faculty members and Arthrex Medical Education staff. Didactic sessions take place in Arthrex’s state-of-the-art medical education wet labs to teach a variety of surgical techniques and key clinical and practice management skills.  

Orthopaedic fellows are surgeons who have completed residency training and have elected to receive further training in subspecialties in orthopaedics. The fellows in attendance represent 52 fellowship programs from throughout the U.S. and Canada. 

Arthrex Hosted Fourth Annual Summer Family Fun Event at Collier County Parks' Sun-N-Fun Lagoon

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Arthrex Family Fun DayNearly 1,800 Arthrex employees and their family members came out to enjoy the fourth annual Arthrex Summer Family Fun Event at the Sun-N-Fun Lagoon on Saturday, June 7, 2014. The event provided fun for all ages with unlimited access to the park's pools, slides, lazy river, diving boards and children's water play areas.   

Families cooled off with Rita's Italian Ices and enjoyed a delicious catered dinner by Frisco's. Thanks to the generous donations of attendees, five large collection boxes of nonperishable food items were filled for the St. Matthew's House Food Drive. 
 

Special thanks to the Arthrex Meetings & Events Team and Collier County Parks and Recreations’ Sun-N-Fun Lagoon for hosting another wonderful Arthrex Summer Family Fun Event!

Arthrex California Technology Sponsored Breast Cancer Awareness Golf Tournament

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ACTGolfTournamentOn June 9, 2014, Arthrex California Technology (ACT) employees attended the 18th Annual Breast Cancer Awareness Golf Tournament at La Cumbre Country Club in Santa Barbara, CA.

The tournament, organized by the Executive Women’s Golf Association, benefits the Goleta Valley Cottage Hospital Breast Care Center and the Santa Barbara Breast Care Resource Center in Santa Barbara, CA.

Arthrex was the top Eagle Sponsor of the tournament and had two foursome teams play and contribute personally to the cause. 

ACT is an Arthrex subsidiary located in Santa Barbara, CA.




What’s In My Bag with Gregory S. DiFelice, MD

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Dr. Gregory DiFeliceACL Preservation

Q:Dr. DiFelice, with your recent release of the technique manual, ACL Primary Repair, it seems that you are challenging the current treatment standard of reconstruction for ACL rupture.  Do you think that arthroscopic ACL preservation will become the new standard of treatment?
 
A:Not at all. The procedure that I have described is an arthroscopic method of reattaching the ACL back to its native origin or insertion using suture anchors. It is really only applicable to avulsion or "peel off" type tears and will never become the standard of care for ACL tears, in general, since the majority of them are mid-substance tears that is not effective for this technique. However, it is a nice tool to have in your surgical toolbox.
 

Q:Isn’t there a lot of historic experience regarding ACL repair that led us to migrate our treatment towards reconstruction? Aren't you just repeating history here?
 
A: I would certainly like to think not. The historic treatment of ACL repair was done as an open procedure and the studies looking at outcomes were significantly limited by the techniques, and knowledge base of the time. Looking back, the studies had significant bias that limited the conclusions that could be drawn. The paper considered to be the landmark paper on ACL repair at the time, by Mark Sherman et al 
(
1), was the only one to analyze subgroups, and suggested that proximal tears with excellent tissue quality had a much better chance of positive outcomes. This is the group that I have focused on.
 
Q:How do you perform the procedure?
ACL Primary Repair
 
A:
I liken the procedure to performing a rotator cuff repair in the knee. In fact, this is how I came up with it. I do a lot of shoulder work and thus, I simply migrated the shoulder instrumentation to use in the knee.  I use a Scorpion FastPass to pass a locking Bunnell type stitch of #2 FiberWire into each bundle of the ACL. Then, I retension the bundles to their respective origins using 4.75 BioComposite Vented SwiveLock.
 
Q:You recently reported your early results at the International ACL Study Group meeting in South Africa. Can you share a little about your experiences, thus far?
 
A: To date, I have performed this procedure on 32 patients. Follow-up is from one week to six years. In South Africa, I presented on my first 15 patients with an average of 24 months follow-up. To my knowledge, this is the first ever report of 
arthroscopic ACL preservation for complete ACL tears performed on human beings. I had one early failure in a noncompliant patient, and one patient who was stable at three months, but lost to follow-up, thereafter. Everyone else is stable and functioning well with outcome scores in the 90s. There have been no other failures in the larger group to date, although follow-up is shorter.
 
Q: Your experiences would suggest this is a promising technique. What are your thoughts looking forward?
 
A: Caution must be used in interpreting the data thus far. This is a small, retrospective series with short-term follow-up. However, the data is promising. The technique, although limited by injury pattern, makes sense from a biologic standpoint and opens the door to a new way of thinking about the ligament remnant. Hopefully, it will provide a spark to ignite a new body of research with a more biologic focus to our treatment of ACL injuries.
  

1. Sherman MF, Lieber L, Bonamo JR, Podesta L, Reiter I. The long-term followup of primary anterior cruciate ligament repair. Defining a rationale for augmentation. Am J Sports Med. 1991; 19(3): 243-255. 




Arthrex Expands Product Testing Capabilities with New In-House Orthobiologics Research Laboratory

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To further expand Arthrex’s in-house product testing and capabilities, a new 2,800-square-foot internal orthobiologics research laboratory has been built at Arthrex Manufacturing East (AMIE) near Ave Maria, FL.     

Biological Safety Lab “Arthrex products (devices, implants and materials) must comply with very strict standards and regulations,” said Biological Safety Laboratory Supervisor Beau Rollins. “Historically, we’ve sent our products to contract laboratories for testing, but due to our growth, size, and innovative approach to the marketplace, it has become an imperative venture to build an internal laboratory with state-of-the-art capabilities.”  

Michael Groendyk, Arthrex's Sterilization Sciences & Biological Safety Manager, along with Beau Rollins, a team of Arthrex scientists, engineers, and dozens of others from varying teams such as finance, facilities, manufacturing and marketing, 
have led the development of this innovative new testing laboratory.

“It’s truly been a team effort to bring about this state-of-the-art facility providing Arthrex an internal capability dedicated to innovation and meeting our goal of helping surgeons treat their patients better,” said Michael. 
“The manner in which the laboratory was created is as integral to the Arthrex culture of excellence and camaraderie as the capability the laboratory has developed." 

Arthrex is committed to providing the finest quality products and educational services to meet the special needs of orthopaedic surgeons and their patients, making the testing and research phases key to the product life cycle, ensuring the best, safest solutions for the patient to truly enhance quality of life. 

Biological Safety Lab Team“Since our start earlier this year, we have expanded our scope greatly and currently perform in-house studies to assist production with faster product release times, as well as substantially improved international approvals for regulatory,” said Beau. “We currently utilize a gas chromatograph with mass spectrometer (GC-MS), scanning electron microscope (SEM) and a newly-built cell culture lab to perform key functions in all our studies. Over the next year, we plan to expand the lab even further, providing ever increased positive benefits to surgeons and their patients around the globe.”

Team Arthrex Wins 2014 Great Dock Canoe Race for Second Year in a Row

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Arthrex Distal Extremities team members Jerome Gulvas and RJ Choinski took home the VIP Race win for Arthrex at the 2014 Great Dock Canoe Race on Saturday, May 10, with their "Arthrex CanoePower" themed canoe once again this year - that's two back-to-back wins in a row! They blew the competition out of the water, finishing 25 seconds faster than the second place team!  

The Annual Great Dock Canoe Race began 38 years ago as a community event, and has stayed true to its roots. Each year, proceeds of the event are contributed to a local organization, with the beneficiary this year being Drug Free Collier. 

Arthrex Received Commissioner’s Business Recognition Award

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On Tuesday, June 10, 2014, Arthrex was presented with the Commissioner’s Business Recognition Award by Florida’s Commissioner of Education. Commissioner's Business Recognition

The award is given to school district partners across the state who are truly making a difference in their communities. Commissioner Pam Stewart recognized Arthrex primarily for the very generous donation of iPads made to Collier County high schools as part of the “teach me in my world” initiative. Arthrex purchased 30 classroom sets of iPads for each of the nine high schools that are being used in a variety of ways in the STEM (Science, Technology, Engineering and Math) area.  Commissioner's Business RecognitionArthrex also supports the community and its schools with employees serving on various school advisory boards, attending Superintendent CEO Briefings, participating in “Principal for the Day” programs, and providing teacher and student internship opportunities. 

Arthrex Sports Medicine Innovations at 2014 AOSSM Annual Meeting

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As the leader in sports medicine and minimally-invasive orthopaedics, Arthrex will exhibit the latest, cutting-edge technology at this year's American Orthopaedic Society for Sports Medicine (AOSSM) Annual Meeting in Seattle, WA, July 10-13, with hundreds of new innovations in sports medicine, distal extremities, orthobiologics, and next generation joint preservation and restoration techniques and products.

AOSSMIf attending AOSSM, we invite you to come meet our team of Arthrex product managers and engineers who will be on hand to provide high-level technical assistance as well as demonstrate the latest Arthrex innovations. Additionally, our Surgical Outcomes System (SOS) group will be providing personalized demonstrations highlighting the first ever global, orthopaedic, cloud-based registry, that enables surgeons to easily collect and analyze patient outcomes.

Experience Arthrex at its best in its mission of helping surgeons treat their patients better. Visit Arthrex at AOSSM booth #400-409. 

Follow us on Twitter @ArthrexWhatsNew to stay up to date on the latest product and technique updates. Arthrex is a proud sponsor of this year's AOSSM Live Twitter Feed. 

AOSSM is a world leader in sports medicine education, research and fellowship. For more information about the 2014 AOSSM Annual Meeting, click here.






S-Version NuBOOM

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S-Version NuBOOMThe S-Version NuBOOM offers a small footprint with maximum capability. The S-Version NuBOOM is significantly smaller than the Ultra M4 NuBOOM. Having two monitors on adjustable arms, this version accommodates the basic needs of an ASC. With a smaller footprint, installation in less than two days, and a customizable configuration, the S-Version NuBOOM will provide more space in smaller ORs. It will also decrease the amount of time and investment needed to retrofit compared to other ceiling mounted booms. 

Features & Benefits: 

1. Floor mounted: No need to purchase extra ceiling infrastructure 
2. Two day installation: Minimal OR downtime 
3. Accessories: Customize the NuBOOM to fit an ORs needs 
4. Adjustable arms: Improves ergonomics and vision of monitors 
5. Pivoting shelves: Provides greater access for surgical devices 
6. Small footprint: Increases space inside the OR 



5th Metatarsal Fracture System

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5th Metatarsal Fracture System
Arthrex’s new 5th Metatarsal Fracture System is the only system that offers both screw and plating options for fifth metatarsal fractures in one comprehensive set.

Jones Fracture Screws:
  • Strength - solid, robust 4.5, 5.5 and 6.0 mm screws
  • Multiple lengths - offering more options from 40 to 65 mm
  • Cannulated drills and taps - fast and reproducible results
  • Specific instrumentation - designed to get the "high and inside" position with ergonomic guides, longer guidewires, easy-to-read instruments and laser-lined drill/taps
  • Small low profile head - less soft tissue irritation

5th Metatarsal Hook Plate:
  • Revision or complex fracture - when a screw may no longer be an option
  • Anatomic plate - low profile universal plate designed with hooks to capture the base of the fifth metatarsal
  • Variable angle locking - increase the strength of the plating construct with 2.4 mm locking screws
  • Specific instrumentation - ergonomic tamp, color-coded instruments, laser-marked drills and plate cutter to be used to remove hooks if needed

Arthrex Ranked as one of Top Companies by Gulfshore Business

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Arthrex has been ranked in the top five of Gulfshore Business' annual list of the top 50 Southwest Florida companies.

To read Gulfshore Business' "The Fab 50" article, click here

The Fab 50 - Presenting the 2014 top companies in Southwest Florida

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Source: gulfshorebusiness.com, July 1, 2014
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