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New Product Announcements.......1 Surgeon Commentary .......................4 Surgical Pearls ......................................4 Featured Products ...............................7 Technology Review .............................9 Events.................................................... 12

New Product Announcements

NEW! 7mm and 8mm Bilok® ST Screws for Transverse Femoral Fixation

Catalog Number: 160-009, 160-010, 160-019, 160-020

Achieving adequate fixation of soft tissue with an interference screw without damaging the graft can be technically challenging. Additionally, the presence of screw bulk in the healing zone of the graft/tunnel interface could theoretically be a disadvantage in the achievement of optimal fixation. For this reason, ArthroCare provides a solution, the Bilok ST screw, which provides excellent fixation strength close to the joint line without compromising the graft/tunnel interface. The device provides a combination of suspension and compression fixation using a reproducible technique. Until recently, the Bilok ST was available in sizes 9mm x 30mm and 9mm x 35mm. ArthroCare has added new sizes to its existing line of screws -- 7mm x 30mm and 8mm x 30mm Bilok ST screws. The advantage is fixation strength comparable to the 9mm Bilok ST screws (1400N) while requiring less bone to be removed from the femoral condyle when creating the transverse tunnel. The Bilok screw is formed from a composite material comprising 30% Beta-tricalcium phosphate (TCP) and 70% poly-L-latic acid (PLLA), two absorbable components, the use of which is well established in Orthopedics. The result is a range of screws which not only provides excellent fixation in hamstrings and bone-tendon-bone ACL reconstruction, but also retain more strength than pure PLLA during the graft healing period. The potential for the screw bulk to be osteoconductive with no evidence of osteolysis, has been proven after 10 years of clinical experience.*

*Barber FA, Dockery WD. 2008. Long-term Absorption of ß-Tricalcium Phosphate Poly-L-LacticAcid Interference Screws. Arthroscopy April; 24(4): pp 441-447.

DoubleplayTM Hits the Scene

Catalog Number: 22-6050, 22-6050N, 22-6065, 22-6065N

The new Doubleplay Suture implant, manufactured from Bilok material, is a fully-threaded, biocomposite screw-in anchor intended to secure tendon to bone. Bilok material is composed of 30% ß-tricalcium phosphate (TCP), and 70% poly-L-lactic acid (PLLA), and has a proven 10-year clinical history in the orthopedic arena. The unique "eyeless" design of the Doubleplay anchor provides increased strength to the implant, and eliminates any risk of eyelet breakage. The fully threaded design engages both the cortical and cancellous bone to maximize pullout strength.

© 2009 ArthroCare Corporation. All rights reserved.

All Doubleplay implants come pre-loaded with MagnaForceTM, an ultra high molecular weight polyethelene braid suture. The MagnaForce sutures run up through the hollow body of the implant and double back around the outside where they lie securely within two shallow grooves that run the length of either side of the implant. Once the implant is deployed, these grooves allow the sutures to slide freely during the repair.

sliding strands of MagnumWire suture, the Magnum M is ideal for the medial row of a double row construct: · Fast, easy, secure, repeatable · Smallest 2.8mm diameter preserves the maximum amount of the native healing footprint · Cortical fixation bone lock provides unparalleled pull out strength and minimum gap formation · Hollow implant allows blood to flow to surface A 5.5mm diameter corkscrew anchor consumes nearly 4 times the healing footprint of the Magnum M! Get all the strength in a fraction of the footprint with Magnum M!

Doubleplay Suture Implants (Sterile):

Catalog No.

22-6050 22-6050N 22-6050SS 22-6065 22-6065N 22-6065SS

Product Description

5.0mm Doubleplay Implant with MagnaForce Suture 5.0mm Doubleplay Implant with MagnaForce Suture and Needles 5.0mm Doubleplay Implant with MagnaForce Suture and Suture Shuttle 6.5mm Doubleplay Implant with MagnaForce Suture 6.5mm Doubleplay Implant with MagnaForce Suture and Needles 6.5mm Doubleplay Implant with MagnaForce Suture and Suture Needles

4-Runner Suture Shuttle Catalog Number: OM-1000CS

Reduce your suture passing time by a factor of 4! Introducing the 4-Runner, a fast, reliable suture shuttle that passes 4 suture limbs simultaneously. This OR time saver works with the AutoCuff PerfectPasser to give you the control, speed, and ease of use that will make a difference to you and your patient. Fewer passes and cuff perforations equals less operative time and better outcomes.

Doubleplay Instrumentation: Catalog No. 22-6000 22-6001 22-6002 22-6003 Product Description Instrument Set Includes: 5.0mm Bone Tap 6.5mm Bone Tap Sterilization Tray

Magnum Knotless Suture Bridge Procedure Kit Catalog Number: OM-9531

This convenience pack brings the implants and disposables for 3 complete Magnum Knotless Suture Bridge repair constructs-- the fastest, easiest, most secure knotless suture bridge construct. · 1 Case OM-1525 (6 each) - Magnum M Suture Anchor · 1 Case OM-1503 (6 each) - Magnum X Knotless Implant with Independent Tensioning · 3 each OM-1000 - 4-Runner Suture Shuttle

Double Row Solutions

Introducing the Magnum M:

The Ideal Medial Row Suture Implant

Catalog Number: OM-1525CS

Building on the proven strength and ease of use of the OPUS Magnum implant, ArthroCare is now offering the Magnum M suture implant. Preloaded with two

· 3 each OM-8010 - SmartStitch PerfectPasser

© 2009 ArthroCare Corporation. All rights reserved.

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SpeedScrewTM Fully Threaded Knotless Device

Catalog Number: OM-6500CS

Continuing the Art and Science of Better Outcomes: ArthroCare Sports Medicine to launch the next generation of OPUS implant for rotator cuff repair.

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SpeedScrew fully threaded knotless device! · 5.5mm fully threaded design locks securely within the bone to maximize fixation strength · Helps prevent the possibility of anchor "pull-back" by setting bone lock prior to suture lock · Independent tensioning allows the surgeon to tension suture limbs either individually or together to precisely distribute pressure on the tendon to footprint contact area and promote an ideal repair · Radiolucent implant made with PEEK-Optima polymer is MRI and X-Ray compatible

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· Unique design allows the implant to be removed before or after final tensioning and suture lock

© 2009 ArthroCare Corporation. All rights reserved.

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Surgical Commentary

My Favorite OPUS

TwinLock®

From Gary Willstein, MD Western Montana Clinic, Missoula, MT "The TwinLock system provides a simple, knotless and quick solution to repair the rotator cuff from the joint. Roughening the footprint from within the joint and using the TwinLock punch to prepare the holes for each arm of the Twinlock anchor takes very little time and assures proper, controlled placement of each anchor. The anchor itself can be used to manipulate the tendon into proper placement on the footprint prior to impacting the anchor into the bone. You can also see the tendon being reapproximated to the footprint as you tension the suture--all from within the joint."

Surgical Pearls

TwinLock® Detailed Technique

A new technique utilizing revolutionary TwinLock System for should repairs. Step 5: Place the camera in the articular side Step 6: Insert Caps-Lock guidewire through the cuff to determine the best angle for implant insertion (Fig. 2)

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Introduction

The TwinLock implant is used for advanced arthroscopic repairs and should be done with precision and care. Included is a technique, with tips and pearls, that surgeons have been doing successfully.

Step 7: Place the camera in the subacromial space Step 8: Insert Caps-Lock cannula

Fig. 2 Caps-Lock Cannula being inserted

The Procedure

Step 1: Place the camera in the articular side Step 2: Mark the tear with PDS suture or spinal needle (Fig. 1) Step 3: Place the camera in the subacromial space

Fig. 1 Arm is in the beach chair position and 2 scope sheaths have been inserted

(See Notes)

Step 10: Place the camera in the articular side (Note: If the bone is hard, use the TwinLock Bone Punch (OM9520) to make a pilot hole. Mark the hole with an ArthroWand®) Step 10: While viewing from the articular side, insert the TwinLock through the cannula and cuff Step 11: Locate the TwinLock tip to a perpendicular location on the bone

(See Notes)

Step 4: Remove bursal tissue and do a decompression A good bursectomy is important!

© 2009 ArthroCare Corporation. All rights reserved.

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Step 12: Now, remove the blue primary depth sleeve tab (It is optional to lightly tap the implant to make a starter hole and to slightly seat the implant.) Step 13: Tap implant into the bone until the depth mark on the sleeve changes from black to silver and is visible in the inserter window Step 14: Deploy the bone lock by squeezing the hand lever once. Pull the inserter proximally to seat the implant against the underside of the cortical bone Step 15: Depress the suture lock button once and release the primary implant from the inserter handle by squeezing the hand lever once Step 16: Grasp the sides of the implant stem button and pull away from the handle Step 17: Pull device completely out of the cannula and, holding the suture tight so that it does not wrap around the implant, insert the secondary implant through the cannula

(Fig. 3 and 4)

Step 22: Deploy the bone lock by squeezing the hand lever once. Pull inserter proximally to seat the implant against the underside of the cortical bone Step 23: Set the desired suture tension by rotating the ratchet knobs in the direction of the arrow and note the restoration of the footprint. Do not overtension the suture. Step 24: Place the camera in subacromial space Step 25: Determine that the suture is not caught on any soft tissue or if any additional tensioning can be done Step 26: Depress the suture lock button and release the secondary implant from the inserter handle by squeezing the hand lever once Step 27: Remove the inserter and trim

(Fig. 6)

Fig. 6 Completed TwinLock repair

Fig. 3 TwinLock removed from Cannula

Notes

· Make sure the Caps-Lock cannula threads are clear of any soft tissue. · Make sure the Caps-Lock cannula is not too long so that it does not push down on the cuff (8.2mm x 35mm or 55mm works well). · The Caps-Lock cannula sits above the cuff in the subacromial space. · You will most likely get a tissue bridge if you do not use a cannula. · You will be able to use just that one Caps-Lock cannula to place both implants. · The perpendicular angle of the bone hole is critical. If the hole is not perpendicular, the top of the bone hole could be oval shaped and allow the sleeve to insert into the bone or cause the TwinLock to bend when inserted perpendicularly.

Step 18: Position the secondary TwinLock implant posteriorly to the anterior implant while maintaining the tip orientation (beveled tips facing away from each other) and locate your perpendicular placement Step 19: Remove black secondary depth sleeve tab Step 20: Tap implant into the bone until the depth mark on the sleeve changes from black to silver and is visible in the inserter window

(Fig. 5)

Fig. 4 Holding the suture tight before going down the cannula with the second TwinLock implant

Step 21: If desired, ratchet in excess suture

Fig. 5 TwinLock repair prior to tensioning

· Coming through an anterior portal with a blunt-tipped obturator or probe, you can lift the cuff up while pushing

© 2009 ArthroCare Corporation. All rights reserved.

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down through the cuff with the TwinLock. This will allow better visualization to the articular side and help the TwinLock pass through the cuff more readily. For a full thickness tear, a traction stitch can help to move the cuff without using the TwinLock itself as a lever. · Typically the anterior implant will be placed first so the bevel of the tip should face anterior.

Technique Tips

Technique Tip 1: If the shoulder is in the lateral decubitus position, take the arm off distraction and put the arm to the side. This works well for a medial row repair. Technique Tip 2: A surgeon can use 2 scope sheaths -- 1 posterior for viewing the joint and a 2nd more superior posterior for viewing the subacromial space. This facilitates switching the scope. Technique Tip 3: If you find that once you have started to tap the implant and you are skiving and need to revise your angle, or if you come out of the tendon, you can move the metal sleeve back down over the implant and replace the depth sleeve tab. This will help alleviate the potential of bending the implant. Once the angle and placement is verified, remove the depth sleeve tab and then you are ready to start tapping again.

© 2009 ArthroCare Corporation. All rights reserved.

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Featured Products

How ArthroCare Double Row Solutions Are Superior

Faster, easier:

· Faster, easier, more repeatable repairs · Simplified suture management: fewer suture passing steps

Magnum M Doubleplay

Enhanced repair biology:

· Smaller diameter implants leave greater anatomic healing footprint ­ more "healing zone" · 4-Runner suture shuttle: fewer passes through smaller cuff perforations · Cannulated implants allow blood to migrate to surface

Stronger, more reliable:

SpeedScrew 4-Runner

· Magnum X / SpeedScrew provide maximum lateral row repair strength · Magnum implants shown to have highest strength-to-size ratio

ArthroCare Double Row Solutions: Double Row Done Right

ArthroCare now provides superior double row solutions for the fastest, easiest, most secure transosseous equivalent rotator cuff repairs. And, their best-of-class components combine to provide double row solutions that reduce operative steps, increase control and reliability, and optimize the repair biology.

Control, consistency, repeatability:

· Independent Tensioning of suture limbs allows maximum control of suture tension, distributed anchor load, and uniform contact pressure over healing footprint · Knotless anchors remove knot-tying variability

Media Row Anchors:

· Magnum M: Smallest double-loaded metal cortical fixation anchor preserves maximum amount of healing footprint. · Doubleplay: Fully threaded 5.0mm ß-TCP/PLLA composite screw-in anchor is bioresorbable and osteoconductive.1

Flexibility:

· Variety of solutions allows flexibility to customize the repair while benefiting from superior ArthroCare technology

Featured Double Row Constructs

These basic transosseous equivalent suture bridge constructs are fast, easy and secure, providing enhanced footprint compression and optimized repair biology. · Fastest, easiest suture bridge repairs · OPUS knotless technology · Only 1 suture passing step · Independent Tensioning adds precision, control and repeatability · Smallest diameter implants provide the most intact anatomic healing footprint · Cannulated implants allow blood to flow to surface

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Lateral Row Anchors:

· Magnum X: Metal cortical fixation anchor with Independent Suture Tensioning is fast, easy, and strong. · SpeedScrew: PEEK screw in anchor with Independent Suture Tensioning maximizes speed, security, and control.

Suture Passing:

· 4-RunnerTM Suture Shuttle: Reliably pass 4 suture limbs simultaneously with minimum damage to cuff. · SmartStitch PerfectPasser: Maximum control and ease of use, minimum cuff perforations.

© 2009 ArthroCare Corporation. All rights reserved.

Magnum Knotless Suture Bridge

The fastest, easiest, most secure transosseous equivalent suture bridge construct. The small, 2.8mm Magnum implants preserve the maximum amount of bone-to-tendon healing footprint. Magnum X with Independent Tensioning provides maximum control of suture tension and load distribution. Magnum Knotless Suture Bridge consists of: · Medial Row: Magnum M double loaded suture anchor · Lateral Row: Magnum X Knotless Implant with Independent Tensioning · Suture Passing: PerfectPasser with the 4-Runner Suture Shuttle

SpeedScrew Knotless Suture Bridge with Doubleplay

A basic suture bridging construct using non-metallic screw-in anchors that are MRI and X-Ray friendly. The SpeedScrew with Independent Tensioning maximizes speed, security, and suture tension control. Doubleplay is a strong 5mm biocomposite screw-in anchor made of 70% PLLA/30% ß-TCP Bilok material which has been proven to be osteoconductive.1 SpeedScrew Knotless Suture Bridge with Doubleplay consists of: · Medial Row: Doubleplay preloaded with ß-TCP/PLLA bioresorbable suture anchor · Lateral Row: SpeedScrew Knotless Implant with Independent Tensioning · Suture Passing: PerfectPasser with the 4-Runner Suture Shuttle

PerfectPrint Double Row Repair

The true transosseous equivalent double row rotator cuff repair construct made faster and easier with Magnum M and the 4-Runner Suture Shuttle. PerfectPrint Double Row Repair consists of: · Medial Row: Magnum M preloaded with suture anchor · Lateral Row: Magnum X or Magnum2 · Suture Passing: PerfectPasser with the 4-Runner Suture Shuttle

1

Barber FA. Long-term Absorption of ß-Tricalcium Phosphate Poly-L-Lactic Acid Interference Screws, Arthroscopy 2008;24:441-447. page 8

© 2009 ArthroCare Corporation. All rights reserved.

Technology Review

The Opus® AutoCuff® System

Optimizing Rotator Cuff Repair

Evaluating the Ideal Repair Construct The trend toward all-arthroscopic rotator cuff repair is growing. In fact, 62% of orthopedic surgeons recently polled indicated that they would repair a mobile 3cm rotator cuff tear arthroscopically--a significant change from the 5% allarthroscopic repair rate in 1998, and the 24% arthroscopic repair rate in 2003.1 New studies also show the benefits of arthroscopic knotless repair when compared to open repairs and arthroscopic knotted repairs.2 Over the past decade, all-arthroscopic repair has evolved, encompassing a range of options based on different forms of technology and techniques. The variation in these techniques and the results they produce has provided impetus for experts to examine the best practices in all-arthroscopic rotator cuff repair. Burkhart & Lo suggest that a biomechanically stable construct is critical for achieving biological healing,1 and that evaluation of the "ideal repair construct" should incorporate: · Suture-to-bone fixation · Abrasion resistance of the suture · Suture-to-tendon fixation · Suture strength · Knot security · Loop security · Restoration of the anatomic · Rotator cuff footprint Research studies on how well the AutoCuff system addresses the elements of the ideal repair construct have been conducted and are described below. A biomechanics study was recently performed by A. Weimann, MD and his research group in Germany to evaluate the AutoCuff System against nine other anchor suture systems used in arthroscopic rotator cuff repair. Initial pullout strength of anchors, knot rupture, and cyclic loading of each system was assessed. All of the systems demonstrated comparable initial fixation strength; however, at higher levels in the cyclic loading, significant differences in performance were detected between systems. The smaller anchors tended to fail by pullout while the larger anchors tended to fail by suture knot rupture. The investigators reported that the OPUS AutoCuff system "showed an advantage in the implant and suture-locking mechanism and made the arthroscopic application very simple".4

12 10 Elongation in mm 8 6 4 2 0 -2

Elongation after cyclic loading

1-1000 1-2000 1-3000 1-4000 1-5000

Locking anchor Splayed anchor Small screw anchors Big screw anchors

Suture-to-Tendon Fixation

Improving Contact between the Repaired Rotator Cuff and Bone Restoring the rotator cuff footprint can establish the conditions for optimal rotator cuff healing.1 Suture-to-tendon fixation is facilitated by providing a good degree of contact between the cuff tissue and tuberosity. A study was conducted to assess the cuff-to-bone interface and pressure consistency after rotator cuff repair using either an open transosseous tunnel technique or the arthroscopic AutoCuff system. The AutoCuff system, with the SmartStitch Incline Mattress stitch combined with the Magnum implant, with its unique tensioning capability, provided superior interface pressure compared to the modified Mason-Allen stitch, the simple stitch, or the horizontal stitch.5

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Suture-to-Bone Fixation and Abrasion Resistance of the Suture

The Anchor-Suture System and Cyclic Loading Stresses Research has shown wide variations in the pullout strength of various anchor-suture systems used for arthroscopic rotator cuff repair.3 While the differences between systems may not be readily apparent in terms of initial fixation strength, they become increasingly evident under cyclic loading, which is thought to better simulate realistic shoulder function.

© 2009 ArthroCare Corporation. All rights reserved.

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The researchers concluded that because the Incline Mattress stitch, coupled with the Magnum implant's cinching mechanism, achieved excellent contact between the cuff tissue and the tuberosity, reattachment of tendon-to-bone was likely to be as good as, or better than, that achieved using conventional repair methods.

A prospective study to determine rotator cuff integrity using high-resolution ultrasonography in a cohort of 47 patients with consecutive AutoCuff arthroscopic rotator cuff repairs was recently conducted by J. Uribe, MD and his group in Miami, Florida. All rotator cuff tears were in the small to medium range. At a mean postoperative follow-up time of 15.8 months (range, 6-30 months), 96% of the shoulders demonstrated complete reattachment of the tendon-to-bone. In comparison, literature has suggested anatomical healing rates between 24% and 71% following conventional arthroscopic rotator cuff repair.6,7 Patients in the Uribe cohort reported significantly diminished VAS pain scores and improved SF-36 function scores after the procedure and were generally satisfied. The results of this study demonstrate that use of the OPUS AutoCuff system facilitates a technically demanding procedure without any apparent deterioration in clinical results.

Suture Strength, Knot Security, and Loop Security

Providing the Least Invasive Repair The Incline Mattress stitch delivered by the AutoCuff SmartStitch Suturing Device provides a more secure stitch than the modified Mason-Allen stitch. In a controlled laboratory study, the SmartStitch Incline Mattress stitch was shown to be superior to the modified Mason-Allen stitch as applied using transosseous tunnels.5 Superiority of the SmartStitch Incline Mattress stitch was demonstrated by significantly greater biomechanical strength, as measured using cycles of loading resulting in repair failure and load-to-failure.

Cycling Testing of Rotator Cuff Repairs in Cadaver Shoulder Pairs

Arthroscopic Knotless Repair vs Open and Arthroscopic Knotted

How Surgical Techniques Affect Clinical Outcomes A study was conducted to compare surgical techniques to determine which would produce a better clinical and structural outcome for shoulder function at 6 months and then at 2 years post surgery. The knotless OPUS Magnum was used arthroscopically and showed greater rotator cuff strength at 2 years compared with a Mitek anchor used open and a Mitek knotted anchor used arthroscopically. The OPUS repair also showed, at 6 months postsurgery, the least percentage of retear (16%) compared to the Mitek open (39%) and the Mitek arthroscopic knotted (25%) and also at 2 years postsurgery (8%) compared to the Mitek open (40%) and the Mitek arthroscopic knotted (34%)!

Individual Preoperative Tear Sizes and Retear Rates

Due to the ease of use of the SmartStitch Suturing Device, knotless stitches can be placed arthroscopically in 5 seconds or less, resulting in a more efficient procedure.

Restoration of the Anatomic Rotator Cuff Footprint

Reattachment of Tendon-to-Bone as Determined using HighResolution Ultrasonography Absence of healing after rotator cuff repair is associated with inferior strength and poorer results.5 As such, the ideal repair construct must be associated with an excellent rotator cuff footprint.

Figures in parentheses denote the number of retorn cuffs in each tear size category.

The researchers concluded that the effect of retear rates on clinical outcomes are that an intact cuff scored better with respect to pain during overhead activity, mean ASES score,

© 2009 ArthroCare Corporation. All rights reserved.

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rotator cuff function index, and rotator cuff strength than retorn cuff repairs. This suggests that poor clinical outcomes in patients with a retear are because their rotator cuff is weaker (supraspinatus strength) and they have decreased function ability. In conclusion, these results show that the use of the OPUS Magnum system can help facilitate a better repair.

that the OPUS AutoCuff system meets or exceeds the clinical expectations following other well-established methods for providing an acceptable repair of the rotator cuff. As indicated using high-resolution ultrasonography and past cadaver work, the excellent biomechanical results of the AutoCuff system are comparable to other systems supported by acceptable clinical results and a high rotator cuff tendon-to-bone healing rate.

Benefits of the OPUS AutoCuff System

The OPUS AutoCuff system provides a number of significant clinical benefits and can be utilized quickly and efficiently to benefit patients, clinicians, and the healthcare system. Simplified procedure for rapid repair · One-step placement of an Incline Mattress stitch Minimal suture management · Use of a knotless suture · Average actual repair time using the AutoCuff system can be as little as 5-9 minutes (this excludes pre-op and postop tasks) Conditions for optimal repair · Strong cortical fixation · Excellent footprint contact to facilitate an optimal tendon-to-bone repair Favorable clinical outcomes · Significant VAS pain score improvement and SF-36 functional improvement following the procedure · Rotator cuff repair >90% as seen using high-resolution ultrasonography · Greater rotator cuff strength at 2 years · Lower retear rate at 6 months an 2 years

References

1. Burkhart SS, Lo IK. Arthroscopic rotator cuff repair. J Am Acad Orthop Surg 2006; 14(6):333-346. 2. Millar N, Wu X, Tantau R, Silverstone E, Murrell GA. Open vs Two Forms of Arthroscopic Rotator Cuff Repair. Clinical Orthopedics and Related Research 2009; 0(1). 3. Barber FA, Herbert MA, Coons DA, Boothby MH. Sutures and suture anchors--update 2006. Arthroscopy 2006; 22(10):1063-1069. 4. Weimann A, Kebeck C, Zantop T, Raschke M, Petersen W. Biomechanical Evaluation of Different Anchor-Suture-Systems in Rotator Cuff Repair. Presented at the annual meeting of the Arthroscopy Association of North America, April 26-29, 2007, San Francisco, CA. 5. Schlegel TF, Hawkins RJ, Lewis CW, Turner AS. An in vivo comparison of the modified Mason-Allen suture technique versus an inclined horizontal mattress suture technique with regard to tendonto-bone healing: a biomechanical and histologic study in sheep. J Shoulder Elbow Surg 2007; 16(1):115-121. 6. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? J Bone Joint Surg Am 2005; 87(6):1229-1240. 7. Bishop J, Klepps S, Lo IK, Bird J, Gladstone JN, Flatow EL. Cuff integrity after arthroscopic versus open rotator cuff repair: a prospective study. J Shoulder Elbow Surg 2006; 15(3):290-299.

Summary

Use of the OPUS AutoCuff system for all-arthroscopic repair of the rotator cuff addresses the key considerations of the ideal repair construct, which include suture-to-bone fixation, abrasion resistance of the suture, suture-to-tendon fixation, suture strength, knot security, loop security, and restoration of the anatomic rotator cuff footprint. Research studies have shown

© 2009 ArthroCare Corporation. All rights reserved.

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Events

Where in the World is the Mobile Lab?

The Mobile Surgical Skills Center provides surgeons around the country with the opportunity to learn techniques and utilize various ArthroCare Sports Medicine technologies first-hand. From Coblation devices, such as the TOPAZ MicroDebrider to its OPUS technologies for arthroscopic shoulder repair and its array of Atlantech instruments, the complete spectrum of the company's sports medicine equipment is available in the lab. The ArthroCare Mobile Surgical Skills Center is equipped with five complete training stations; each contains full visualization equipment for arthroscopic and other procedures and room for two surgeons plus one assistant, if needed.

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LEGEND: n Northwest Region n Southwest Region

n North Central Region n South Central Region

n Mid Central Region n MidwestRegion

n Northeast Region n Southeast Region

Upcoming Mobile Lab Locations Northwest Region

Dates: March 30-April 26, 2009

Midwest Region

Midwest Region

Dates: August 10-September 6, 2009

South Central Region Mid Central Region

Dates: October 26-November 22, November 30-December 13, 2009 For more information about our Mobile Lab, please email [email protected]

Dates: May 11-June 7, 2009

Northeast Region

Dates: September 7-October 4, 2009

Dates: June 6-28, July 13-19, August 3-9, 2009

Labs

Shoulder Lab AAOS Shoulder

Date: April 25, 2009 Location: Sherbrooke, Quebec Date: May 15, 2009 Location: Chicago, IL

ACFAS Ankle

Date: June 19, 2009 Location: Chicago, IL

Foot and Ankle Lab

AANA Shoulder

Date: April 27, 2009 Location: Grand Blanc, MI

Date: June 6, 2009 Location: Chicago, IL

ASSH Elbow

Date: June 26, 2009 Location: Chicago, IL

Foot and Ankle Lab

AANA Wrist and Elbow

Date: June 13, 2009 Location: Chicago, IL For more information on any of the labs listed here, please visit: http://www.arthrocarelabs.com.

Date: May 9, 2009 Location: Southfield, MI

© 2009 ArthroCare Corporation. All rights reserved.

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Tradeshows

PA Orthopaedic Society (POS) Spring Meeting

Date: April 23-24, 2009 Location: Nemacolin Woodlands Resort, Farmington, PA More Details: http://www.paorthosociety.org/

Texas Orthopaedic Association (TOA) & Texas Orthopaedic Foundation (TOF) Annual Meeting & Scientific Session

Date: April 23-25, 2009 Location: Sheraton Austin Hotel, Austin, TX More Details: http://www.toa.org/09-TOA-AM/

OCPM (Ohio College of Podiatric Medicine) Southern Exposure Seminar

Date: April 23-26, 2009 Location: Great Wolf Lodge, Cincinnati, OH More Details: http://www.ocpm.edu/?page=events-2009-southern-exposure

Spring AANA (Annual Meeting)

Date: April 30-May 3, 2009 Location: San Diego Convention Center & San Diego Marriott, San Diego, CA More Details: http://www.aana.org/

Des Moines University (DMU) Foot & Ankle Surgery Symposium

Date: May 1-2, 2009 Location: Des Moines University: Student Education Center Auditorium, Des Moines, IA More Details: http://www.dmu.edu/alumni/events/fa_surgery_symposium/

Podiatry Institute - Newport, RI

Date: May 1-3, 2009 Location: Newport Marriott, Newport, RI More Details: http://www.podiatryinstitute.com/info_RI09.html

San Diego Shoulder Meeting

Date: June 17, 2009 Location: San Diego, CA

For a listing of all ArthroCare Sports Medicine events, please visit http://www.arthrocaresportsmedicine.com/news_events.

© 2009 ArthroCare Corporation. All rights reserved.

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