Lateral Button Suture. During the placement of standard lateral sutures there is a tendency for the proximal strand of the suture to drift up the straight patella ligament. This reduces the isometry of the suture and the suture can become intra-articular which is undesirable. Use of a toggle button at the proximal tibia hole keeps both strands of suture at the hole. Application is very simple. The suture is passed around the fabella using the swaged on curved cruciate needle. The suture is then passed through the hole from lateral to medial and then back through the hole from medial to lateral. The suture is swaged onto a straight needle to facilitate this part of the procedure. The toggle button is placed into the loop on the medial surface and retained into position by pulling the loop tight from the lateral side. The button prevents the suture from pulling through. The LigaFiba suture is then tensioned and crimped in the usual way.
150lb LigaFiba lateral button suture with needles.