Technique Overview

Flexor Tendon Repair - The PONTiS Solution

PONTiS has investigated every aspect of tendon repair and developed a step-by-step procedure solution for each of the problems that surgeons encounter.

The PONTiS patent estate encompasses the core PONTiS system which uses a multifilament stainless steel suture. This material consists of 49 stainless steel filaments. This suture is attached to the tendon or ligament on each side of a laceration by an innovative strong suture attachment method. All current repair methods use knot attachment to connect the two sides of a laceration. Our design attaches the device to each side of the repair separately and is then connected to the opposite side using a specially designed crimp instead of a knot.

This repair is unique in that it uses this new suture-crimp system, providing a faster and simpler connection that is knotless. The repair gives immediate strength. It also provides the option of repair through mini incisions without wide finger and hand exposure. This system is particularly suited to repair of severely damaged tendons in major trauma because of the stiffness of both the stainless steel suture and the crimp attachment. It is also ideally suited for use in replantation surgery because it allows attachment of each side of the laceration separately. In replantation, the tendon attachment to the amputated part can be done before the replantation. This allows the tendon attachment to be done in only a few minutes.

Passage of the Tendon with PONTiS Funnel and Catheter

  • When passing the funnel and catheter, clamp the suture at the far cut end of the catheter. This will securely hold the tip of the funnel inside the lumen of the catheter – then pull on the suture and catheter to pass the tendon.
  • As the tendon enters the pulley, pull slowly and watch the tendon enter the pulley system.