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Limited-Incision Knotless Achilles Tendon Repair - PubMed The .gov means its official. PMC These variations in pathology can be treated using the same surgical principles and with successful outcome expected in the majority of patients. /MaxWidth 1743 Before 0000001012 00000 n 63: 310-314, August, 2016. Incisions are minimal, relatively speaking, so the pain was not bad. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. I am 48 years old and in good shape. Bethesda, MD 20894, Web Policies 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). Visit https://www.orthopedia.com to experience the future of Medical Education. 0000000017 00000 n I completely understand that the scariest steps are still ahead of me with wedge removal and eventual two shoes. 8600 Rockville Pike Most often the pathology is one of degenerative change at achilles the insertion associated intra-tendinous calcification. 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. /Encoding /WinAnsiEncoding This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. /Length 329 /Filter /FlateDecode I am went to 2 shoes FWB at 7 weeks without problem. Its just that once I got used to the sensation of weight bearing, I felt virtually no difference between partial and full. 0000048631 00000 n Continue to more PT, but watch the wound and make sure healed before running and strenuous exercise. Accessibility /MarkInfo << /Marked true >> Certain products may not be approved for sale in all countries. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. The patients' average visual analog pain scale was 1 (range 0 to 4), and their average foot functional index score was 3.41 (range 0 to 10.71). 2022 Apr 15;36(4):415-419. doi: 10.7507/1002-1892.202111089. I am just so happy to be able to make a cup of tea AND carry it to the couch, that Im enjoying this milestone that gave me back some independence! /N 11 trailer 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. /S 486 Arthrex Achilles Speedbridge Complications: None apparent. An official website of the United States government. 0000023359 00000 n All patients were able to return to their activities of daily living without the use of assistive devices. /Linearized 1 /ItalicAngle 0 The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. endobj Disclaimer. The .gov means its official. endobj 0000001800 00000 n %%EOF [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. 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 jig you mention was probably made by Arthrex. << National Library of Medicine The SpeedBridge enables an hourglass pattern of FiberTape suture to be laid over the distal end of the tendon. I totally agree that minimally invasive is a good thing. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. /StructParents 0 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. 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. Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. My main minimal concern or curiousity was with the heel anchors - what if it gets loose over time or heel pain in the future? Copyright 2012 American College of Foot and Ankle Surgeons. Interval H&P was performed. The benefit of this surgery is that it is minimally invasive, very low risk of nerve injury, very strong, and has no knots that can come apart. In the UK contact: gov.uk Achilles tendon: Haglunds deformity, central approach using Arthrex /StemV 52 What I found though was keeping a bandaid with gauze under it helped a lot at the end to get it healed. MeSH Achilles Tendon Rip-Stop SpeedBridge Repair - Arthroscopy Techniques 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 2016;63(3-4):310-4. doi: 10.2152/jmi.63.310. /Type /Page In my practice I use the Speedbridge for cases of insertional achilles tendinosis where there is significant intra-tendinous calcification that will require extensive detachment of the tendon for adequate access. FOIA The site is secure. hi there - im 2w2d post op. When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. MeSH >> These cases should be imaged using cross sectional imaging to determine the location of both bony deformity and tendinopathy. /Lang (en-GB) /Prev 203769 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. nielsmurphs AchillesBlog is proudly powered by WordPress and WPDesigner.. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles knotless Repair, https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles 0000001984 00000 n Achilles Tendon Rip-Stop SpeedBridge Repair - ScienceDirect 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. Thought I had read that its typically horizontal, but mine is vertical. Please enable it to take advantage of the complete set of features! The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Clin Podiatr Med Surg. 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. This site needs JavaScript to work properly. /H [ 1012 420 ] 2005 Jan;22(1):19-43. doi: 10.1016/j.cpm.2004.08.003. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. The soft tissue cover here is thin and prone to delayed healing. Best Writer Reviews Provider is helping students especially in usa in getting brilliant quality reviews writing USA, essays and dissertations. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. << The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. Would you like email updates of new search results. National Library of Medicine The surgeon may use the SpeedBridge for repair of a rotator cuff tear. Please enable it to take advantage of the complete set of features! I similarly went from PWB to FWB within a few days. 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. >> Would you like email updates of new search results? Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. Accessibility /Ascent 750 Efficacy of Achilles Suture Bridge Technique for Insertional - PubMed This can cause direct impingement upon the deep(anterior) aspect of the Achilles in the retro-calcaneal area. There was an error retrieving the content. /CapHeight 750 PDF Guidelines for Post-operative Rehabilitation following a mid-substance How long did it take you to walk in two shoes ? Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. Central tendon splitting combined with SutureBridge double-row technique as a surgical treatment for insertional Achilles tendinopathy. 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. 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" /> Limited-Incision Knotless Achilles Tendon Repair - PubMed The .gov means its official. PMC These variations in pathology can be treated using the same surgical principles and with successful outcome expected in the majority of patients. /MaxWidth 1743 Before 0000001012 00000 n 63: 310-314, August, 2016. Incisions are minimal, relatively speaking, so the pain was not bad. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. I am 48 years old and in good shape. Bethesda, MD 20894, Web Policies 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). Visit https://www.orthopedia.com to experience the future of Medical Education. 0000000017 00000 n I completely understand that the scariest steps are still ahead of me with wedge removal and eventual two shoes. 8600 Rockville Pike Most often the pathology is one of degenerative change at achilles the insertion associated intra-tendinous calcification. 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. /Encoding /WinAnsiEncoding This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. /Length 329 /Filter /FlateDecode I am went to 2 shoes FWB at 7 weeks without problem. Its just that once I got used to the sensation of weight bearing, I felt virtually no difference between partial and full. 0000048631 00000 n Continue to more PT, but watch the wound and make sure healed before running and strenuous exercise. Accessibility /MarkInfo << /Marked true >> Certain products may not be approved for sale in all countries. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. The patients' average visual analog pain scale was 1 (range 0 to 4), and their average foot functional index score was 3.41 (range 0 to 10.71). 2022 Apr 15;36(4):415-419. doi: 10.7507/1002-1892.202111089. I am just so happy to be able to make a cup of tea AND carry it to the couch, that Im enjoying this milestone that gave me back some independence! /N 11 trailer 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. /S 486 Arthrex Achilles Speedbridge Complications: None apparent. An official website of the United States government. 0000023359 00000 n All patients were able to return to their activities of daily living without the use of assistive devices. /Linearized 1 /ItalicAngle 0 The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. endobj Disclaimer. The .gov means its official. endobj 0000001800 00000 n %%EOF [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. 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 jig you mention was probably made by Arthrex. << National Library of Medicine The SpeedBridge enables an hourglass pattern of FiberTape suture to be laid over the distal end of the tendon. I totally agree that minimally invasive is a good thing. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. /StructParents 0 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. 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. Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. My main minimal concern or curiousity was with the heel anchors - what if it gets loose over time or heel pain in the future? Copyright 2012 American College of Foot and Ankle Surgeons. Interval H&P was performed. The benefit of this surgery is that it is minimally invasive, very low risk of nerve injury, very strong, and has no knots that can come apart. In the UK contact: gov.uk Achilles tendon: Haglunds deformity, central approach using Arthrex /StemV 52 What I found though was keeping a bandaid with gauze under it helped a lot at the end to get it healed. MeSH Achilles Tendon Rip-Stop SpeedBridge Repair - Arthroscopy Techniques 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 2016;63(3-4):310-4. doi: 10.2152/jmi.63.310. /Type /Page In my practice I use the Speedbridge for cases of insertional achilles tendinosis where there is significant intra-tendinous calcification that will require extensive detachment of the tendon for adequate access. FOIA The site is secure. hi there - im 2w2d post op. When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. MeSH >> These cases should be imaged using cross sectional imaging to determine the location of both bony deformity and tendinopathy. /Lang (en-GB) /Prev 203769 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. nielsmurphs AchillesBlog is proudly powered by WordPress and WPDesigner.. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles knotless Repair, https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles 0000001984 00000 n Achilles Tendon Rip-Stop SpeedBridge Repair - ScienceDirect 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. Thought I had read that its typically horizontal, but mine is vertical. Please enable it to take advantage of the complete set of features! The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Clin Podiatr Med Surg. 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. This site needs JavaScript to work properly. /H [ 1012 420 ] 2005 Jan;22(1):19-43. doi: 10.1016/j.cpm.2004.08.003. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. The soft tissue cover here is thin and prone to delayed healing. Best Writer Reviews Provider is helping students especially in usa in getting brilliant quality reviews writing USA, essays and dissertations. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. << The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. Would you like email updates of new search results. National Library of Medicine The surgeon may use the SpeedBridge for repair of a rotator cuff tear. Please enable it to take advantage of the complete set of features! I similarly went from PWB to FWB within a few days. 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. >> Would you like email updates of new search results? Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. Accessibility /Ascent 750 Efficacy of Achilles Suture Bridge Technique for Insertional - PubMed This can cause direct impingement upon the deep(anterior) aspect of the Achilles in the retro-calcaneal area. There was an error retrieving the content. /CapHeight 750 PDF Guidelines for Post-operative Rehabilitation following a mid-substance How long did it take you to walk in two shoes ? Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. Central tendon splitting combined with SutureBridge double-row technique as a surgical treatment for insertional Achilles tendinopathy. 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. Real General Dostum And Mitch Nelson, What Does Waving Hands Mean In Sign Language, Terry Harvey Nc State, Articles A
" /> Limited-Incision Knotless Achilles Tendon Repair - PubMed The .gov means its official. PMC These variations in pathology can be treated using the same surgical principles and with successful outcome expected in the majority of patients. /MaxWidth 1743 Before 0000001012 00000 n 63: 310-314, August, 2016. Incisions are minimal, relatively speaking, so the pain was not bad. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. I am 48 years old and in good shape. Bethesda, MD 20894, Web Policies 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). Visit https://www.orthopedia.com to experience the future of Medical Education. 0000000017 00000 n I completely understand that the scariest steps are still ahead of me with wedge removal and eventual two shoes. 8600 Rockville Pike Most often the pathology is one of degenerative change at achilles the insertion associated intra-tendinous calcification. 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. /Encoding /WinAnsiEncoding This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. /Length 329 /Filter /FlateDecode I am went to 2 shoes FWB at 7 weeks without problem. Its just that once I got used to the sensation of weight bearing, I felt virtually no difference between partial and full. 0000048631 00000 n Continue to more PT, but watch the wound and make sure healed before running and strenuous exercise. Accessibility /MarkInfo << /Marked true >> Certain products may not be approved for sale in all countries. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. The patients' average visual analog pain scale was 1 (range 0 to 4), and their average foot functional index score was 3.41 (range 0 to 10.71). 2022 Apr 15;36(4):415-419. doi: 10.7507/1002-1892.202111089. I am just so happy to be able to make a cup of tea AND carry it to the couch, that Im enjoying this milestone that gave me back some independence! /N 11 trailer 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. /S 486 Arthrex Achilles Speedbridge Complications: None apparent. An official website of the United States government. 0000023359 00000 n All patients were able to return to their activities of daily living without the use of assistive devices. /Linearized 1 /ItalicAngle 0 The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. endobj Disclaimer. The .gov means its official. endobj 0000001800 00000 n %%EOF [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. 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 jig you mention was probably made by Arthrex. << National Library of Medicine The SpeedBridge enables an hourglass pattern of FiberTape suture to be laid over the distal end of the tendon. I totally agree that minimally invasive is a good thing. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. /StructParents 0 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. 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. Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. My main minimal concern or curiousity was with the heel anchors - what if it gets loose over time or heel pain in the future? Copyright 2012 American College of Foot and Ankle Surgeons. Interval H&P was performed. The benefit of this surgery is that it is minimally invasive, very low risk of nerve injury, very strong, and has no knots that can come apart. In the UK contact: gov.uk Achilles tendon: Haglunds deformity, central approach using Arthrex /StemV 52 What I found though was keeping a bandaid with gauze under it helped a lot at the end to get it healed. MeSH Achilles Tendon Rip-Stop SpeedBridge Repair - Arthroscopy Techniques 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 2016;63(3-4):310-4. doi: 10.2152/jmi.63.310. /Type /Page In my practice I use the Speedbridge for cases of insertional achilles tendinosis where there is significant intra-tendinous calcification that will require extensive detachment of the tendon for adequate access. FOIA The site is secure. hi there - im 2w2d post op. When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. MeSH >> These cases should be imaged using cross sectional imaging to determine the location of both bony deformity and tendinopathy. /Lang (en-GB) /Prev 203769 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. nielsmurphs AchillesBlog is proudly powered by WordPress and WPDesigner.. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles knotless Repair, https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles 0000001984 00000 n Achilles Tendon Rip-Stop SpeedBridge Repair - ScienceDirect 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. Thought I had read that its typically horizontal, but mine is vertical. Please enable it to take advantage of the complete set of features! The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Clin Podiatr Med Surg. 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. This site needs JavaScript to work properly. /H [ 1012 420 ] 2005 Jan;22(1):19-43. doi: 10.1016/j.cpm.2004.08.003. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. The soft tissue cover here is thin and prone to delayed healing. Best Writer Reviews Provider is helping students especially in usa in getting brilliant quality reviews writing USA, essays and dissertations. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. << The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. Would you like email updates of new search results. National Library of Medicine The surgeon may use the SpeedBridge for repair of a rotator cuff tear. Please enable it to take advantage of the complete set of features! I similarly went from PWB to FWB within a few days. 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. >> Would you like email updates of new search results? Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. Accessibility /Ascent 750 Efficacy of Achilles Suture Bridge Technique for Insertional - PubMed This can cause direct impingement upon the deep(anterior) aspect of the Achilles in the retro-calcaneal area. There was an error retrieving the content. /CapHeight 750 PDF Guidelines for Post-operative Rehabilitation following a mid-substance How long did it take you to walk in two shoes ? Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. Central tendon splitting combined with SutureBridge double-row technique as a surgical treatment for insertional Achilles tendinopathy. 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. 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Limited-Incision Knotless Achilles Tendon Repair - PubMed The .gov means its official. PMC These variations in pathology can be treated using the same surgical principles and with successful outcome expected in the majority of patients. /MaxWidth 1743 Before 0000001012 00000 n 63: 310-314, August, 2016. Incisions are minimal, relatively speaking, so the pain was not bad. J-STAGE, Japan Science and Technology Information Aggregator, Electronic. I am 48 years old and in good shape. Bethesda, MD 20894, Web Policies 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). Visit https://www.orthopedia.com to experience the future of Medical Education. 0000000017 00000 n I completely understand that the scariest steps are still ahead of me with wedge removal and eventual two shoes. 8600 Rockville Pike Most often the pathology is one of degenerative change at achilles the insertion associated intra-tendinous calcification. 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. /Encoding /WinAnsiEncoding This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. /Length 329 /Filter /FlateDecode I am went to 2 shoes FWB at 7 weeks without problem. Its just that once I got used to the sensation of weight bearing, I felt virtually no difference between partial and full. 0000048631 00000 n Continue to more PT, but watch the wound and make sure healed before running and strenuous exercise. Accessibility /MarkInfo << /Marked true >> Certain products may not be approved for sale in all countries. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. The patients' average visual analog pain scale was 1 (range 0 to 4), and their average foot functional index score was 3.41 (range 0 to 10.71). 2022 Apr 15;36(4):415-419. doi: 10.7507/1002-1892.202111089. I am just so happy to be able to make a cup of tea AND carry it to the couch, that Im enjoying this milestone that gave me back some independence! /N 11 trailer 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. /S 486 Arthrex Achilles Speedbridge Complications: None apparent. An official website of the United States government. 0000023359 00000 n All patients were able to return to their activities of daily living without the use of assistive devices. /Linearized 1 /ItalicAngle 0 The SutureBridge and SpeedBridge are novel concepts in Achilles reattachment, following debridement. endobj Disclaimer. The .gov means its official. endobj 0000001800 00000 n %%EOF [Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion]. 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 jig you mention was probably made by Arthrex. << National Library of Medicine The SpeedBridge enables an hourglass pattern of FiberTape suture to be laid over the distal end of the tendon. I totally agree that minimally invasive is a good thing. Haglunds deformity: Arthrex Bio-corkscrew fixation and a postero-lateral approach. /StructParents 0 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. 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. Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. My main minimal concern or curiousity was with the heel anchors - what if it gets loose over time or heel pain in the future? Copyright 2012 American College of Foot and Ankle Surgeons. Interval H&P was performed. The benefit of this surgery is that it is minimally invasive, very low risk of nerve injury, very strong, and has no knots that can come apart. In the UK contact: gov.uk Achilles tendon: Haglunds deformity, central approach using Arthrex /StemV 52 What I found though was keeping a bandaid with gauze under it helped a lot at the end to get it healed. MeSH Achilles Tendon Rip-Stop SpeedBridge Repair - Arthroscopy Techniques 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 2016;63(3-4):310-4. doi: 10.2152/jmi.63.310. /Type /Page In my practice I use the Speedbridge for cases of insertional achilles tendinosis where there is significant intra-tendinous calcification that will require extensive detachment of the tendon for adequate access. FOIA The site is secure. hi there - im 2w2d post op. When I researched it after my injury, I only found conservative treatment, classic vertical incision, and PARS. MeSH >> These cases should be imaged using cross sectional imaging to determine the location of both bony deformity and tendinopathy. /Lang (en-GB) /Prev 203769 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. nielsmurphs AchillesBlog is proudly powered by WordPress and WPDesigner.. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles knotless Repair, https://www.arthrex.com/foot-ankle/pars-achilles-jig-system. Latest Surgical Technique - Arthrex Midsubstance Speedbridge Achilles 0000001984 00000 n Achilles Tendon Rip-Stop SpeedBridge Repair - ScienceDirect 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. Thought I had read that its typically horizontal, but mine is vertical. Please enable it to take advantage of the complete set of features! The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Clin Podiatr Med Surg. 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. This site needs JavaScript to work properly. /H [ 1012 420 ] 2005 Jan;22(1):19-43. doi: 10.1016/j.cpm.2004.08.003. The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. The soft tissue cover here is thin and prone to delayed healing. Best Writer Reviews Provider is helping students especially in usa in getting brilliant quality reviews writing USA, essays and dissertations. Six weeks postoperatively, this patient was allowed to walk with full weight bearing. << The Arthrex SpeedBridge repair is a surgical technique system that combines fully threaded SwiveLock anchors with FiberTape suture. Would you like email updates of new search results. National Library of Medicine The surgeon may use the SpeedBridge for repair of a rotator cuff tear. Please enable it to take advantage of the complete set of features! I similarly went from PWB to FWB within a few days. 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. >> Would you like email updates of new search results? Procedure in Detail: Patient was visited in the pre-operative holding unit and correct site, correct patient identified. Accessibility /Ascent 750 Efficacy of Achilles Suture Bridge Technique for Insertional - PubMed This can cause direct impingement upon the deep(anterior) aspect of the Achilles in the retro-calcaneal area. There was an error retrieving the content. /CapHeight 750 PDF Guidelines for Post-operative Rehabilitation following a mid-substance How long did it take you to walk in two shoes ? Ill be talking to my doctor about that topic, which seems to be a very common discussion point in a lot of these forums. Central tendon splitting combined with SutureBridge double-row technique as a surgical treatment for insertional Achilles tendinopathy. 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. Real General Dostum And Mitch Nelson, What Does Waving Hands Mean In Sign Language, Terry Harvey Nc State, Articles A
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