Day 3 IOT DEX
1. What size of FiberWire® suture is used in the PARS Suture Implant System (AR-8860DS)? -
ANSSutureTape
1. What suture number passes through the loops in 3 and 4 to create the locking stitch? - ANSa.
The blue/white SutureTape is circled around the green/white loops about 2x and then the tail
ends are passed through the loop on the green/white suture.
1. According to Dr. Anderson's article from FAI, Clinical Outcomes and Complications of
Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon
Rupture, what was the occurrence of sural nerve injury for the PARS group? - ANSZero patients
1. According to Dr. Anderson's article in FAI, Clinical Outcomes and Complications of
Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon
Rupture, what percentage of the PARS patients returned to baseline activities at 5 months? -
ANS98% of patients
1. Which of the following is NOT an advantage to using SutureTape over round suture for a
Knotted or Knotless Achilles tendon midsubstance rupture repair? - ANSa. Advantages of using
SutureTape over round suture:
i. Improved technology
ii. Increased resistance to tissue pull-through
iii. Stronger knotted and knotless fixation
iv. Tighter, smaller knot stacks
v. Better handling characteristics compared to #2 suture
1. True/False: The Achilles tendon is the most commonly ruptured tendon with an estimated
81,000 ruptures per year in the U.S. and surgical intervention has grown at a rate of 10.4%
since 2016 with a projection to reach over 60,000 procedures by 2023. - ANStrue
1. Important anatomic structures just posterior to the superficial posterior compartment of the leg
include: - ANSa. Sural nerve and lesser saphenous vein
1. Continued heel pain following the Achilles Midsubstance SpeedBridgeTM Implant System is
most likely the result of: - ANSa. SwiveLocks were left prominent and not flush with the bone
and inserted at 90 deg
1. When drilling the posterior calcaneus to prepare the holes for the SwiveLock® anchors, insert
the drill guide to the bone and drill to the to the hard stop with the 3.5mm drill starting 1cm
inferior to the most superior aspect of the posterior calcaneal tuberosity angling: - ANSa. 45
degrees from the centerline of the coronal and sagittal plane
, 1. According to the surgical technique guide, after passing SutureTape through the proximal
tendon with the PARS jig, you must test the proximal suture construct to ensure the sutures hold
in the tendon by: - ANSa. Pulling on the SutureTapes and loading it 5-10 times to ensure that
the creep is removed and not present in the suture construct
1. True/False: The PARS jig's inner arms are positioned inside the paratenon to capture the
tendon and help protect the sural nerve - ANStrue
1. The Achilles Midsubstance SpeedBridgeTM Implant System utilizes the following products: -
ANSa. 2 unloaded 4.75mm SwiveLock Anchors
b. 3.5mm Drill bit
c. Drill guide
d. Tap with AO quick connect
e. Tap with handle
f. Banana Lasso
1. Select the accurate statement as it relates to the Achilles Midsubstance SpeedBridge repair: -
ANSa. The Achilles Midsubstance SpeedBridgeTM Implant System combines a minimally
invasive surgical technique with two SwiveLock ® anchors into the calcaneus for a knotless
repair
b. The Achilles Midsubstance SpeedBridgeTM Implant System creates a secure construct for
the proximal and distal ends of the rupture to heal naturally and biologically without strangling
the achilles tendon
c. By eliminating the knots, the repair may provide additional strength compared to traditional
open repair while limiting wound issues with a small incision.
d. ALL OF THE ABOVE
1. Biomechanical evidence proves the Achilles SpeedBridgeTM Implant System has a superior
ultimate load compared to that of the Krackow stitch - ANSa. Superior ultimate load 386N ±
117N to 284N ± 115N
1. The Achilles tendon is made up of two muscles? - ANSa. Gastrocnemius and Soleus
1. What nerves are at greatest risk for injury when surgeons are performing an Achilles tendon
repair? - ANSSural
1. According to the surgical technique guide, when tensioning and anchoring the SutureTape to
the calcaneous with SwiveLock® anchors, what position should the foot be placed in: - ANSa.
10-15 degrees greater plantar flexion than the resting position of the contralateral foot
1. The PARS jig's inner arms are positioned inside what structure to capture the tendon and
help protect the sural nerve? - ANSa. Paratenon
1. What size of FiberWire® suture is used in the PARS Suture Implant System (AR-8860DS)? -
ANSSutureTape
1. What suture number passes through the loops in 3 and 4 to create the locking stitch? - ANSa.
The blue/white SutureTape is circled around the green/white loops about 2x and then the tail
ends are passed through the loop on the green/white suture.
1. According to Dr. Anderson's article from FAI, Clinical Outcomes and Complications of
Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon
Rupture, what was the occurrence of sural nerve injury for the PARS group? - ANSZero patients
1. According to Dr. Anderson's article in FAI, Clinical Outcomes and Complications of
Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon
Rupture, what percentage of the PARS patients returned to baseline activities at 5 months? -
ANS98% of patients
1. Which of the following is NOT an advantage to using SutureTape over round suture for a
Knotted or Knotless Achilles tendon midsubstance rupture repair? - ANSa. Advantages of using
SutureTape over round suture:
i. Improved technology
ii. Increased resistance to tissue pull-through
iii. Stronger knotted and knotless fixation
iv. Tighter, smaller knot stacks
v. Better handling characteristics compared to #2 suture
1. True/False: The Achilles tendon is the most commonly ruptured tendon with an estimated
81,000 ruptures per year in the U.S. and surgical intervention has grown at a rate of 10.4%
since 2016 with a projection to reach over 60,000 procedures by 2023. - ANStrue
1. Important anatomic structures just posterior to the superficial posterior compartment of the leg
include: - ANSa. Sural nerve and lesser saphenous vein
1. Continued heel pain following the Achilles Midsubstance SpeedBridgeTM Implant System is
most likely the result of: - ANSa. SwiveLocks were left prominent and not flush with the bone
and inserted at 90 deg
1. When drilling the posterior calcaneus to prepare the holes for the SwiveLock® anchors, insert
the drill guide to the bone and drill to the to the hard stop with the 3.5mm drill starting 1cm
inferior to the most superior aspect of the posterior calcaneal tuberosity angling: - ANSa. 45
degrees from the centerline of the coronal and sagittal plane
, 1. According to the surgical technique guide, after passing SutureTape through the proximal
tendon with the PARS jig, you must test the proximal suture construct to ensure the sutures hold
in the tendon by: - ANSa. Pulling on the SutureTapes and loading it 5-10 times to ensure that
the creep is removed and not present in the suture construct
1. True/False: The PARS jig's inner arms are positioned inside the paratenon to capture the
tendon and help protect the sural nerve - ANStrue
1. The Achilles Midsubstance SpeedBridgeTM Implant System utilizes the following products: -
ANSa. 2 unloaded 4.75mm SwiveLock Anchors
b. 3.5mm Drill bit
c. Drill guide
d. Tap with AO quick connect
e. Tap with handle
f. Banana Lasso
1. Select the accurate statement as it relates to the Achilles Midsubstance SpeedBridge repair: -
ANSa. The Achilles Midsubstance SpeedBridgeTM Implant System combines a minimally
invasive surgical technique with two SwiveLock ® anchors into the calcaneus for a knotless
repair
b. The Achilles Midsubstance SpeedBridgeTM Implant System creates a secure construct for
the proximal and distal ends of the rupture to heal naturally and biologically without strangling
the achilles tendon
c. By eliminating the knots, the repair may provide additional strength compared to traditional
open repair while limiting wound issues with a small incision.
d. ALL OF THE ABOVE
1. Biomechanical evidence proves the Achilles SpeedBridgeTM Implant System has a superior
ultimate load compared to that of the Krackow stitch - ANSa. Superior ultimate load 386N ±
117N to 284N ± 115N
1. The Achilles tendon is made up of two muscles? - ANSa. Gastrocnemius and Soleus
1. What nerves are at greatest risk for injury when surgeons are performing an Achilles tendon
repair? - ANSSural
1. According to the surgical technique guide, when tensioning and anchoring the SutureTape to
the calcaneous with SwiveLock® anchors, what position should the foot be placed in: - ANSa.
10-15 degrees greater plantar flexion than the resting position of the contralateral foot
1. The PARS jig's inner arms are positioned inside what structure to capture the tendon and
help protect the sural nerve? - ANSa. Paratenon
