The implant is normally left permanently in place since tissue grows in and around it as the body heals. Removing the whole implant would probably damage the body’s repaired tissue and undo some of the benefit. The number of reoperations has been very low using this implant, but in exceptional cases, the metal button may need to be removed if it is prominent under the skin. This will only be after 9-12 months, once the ligament has integrated into your body such that the button is no longer required.

This surgery is usually carried out as a day case and you often go home the same day, once you have been shown how to look after the shoulder and how to put on a sling. Sometimes an overnight stay might be appropriate or needed, especially if you live alone.

The operation is normally done through an incision about 5 cm long. It will either be placed over the collarbone or vertically over the top of the shoulder. There will be a scar where the incision was made. Please ask your surgeon how he/she intends to make the incision or where the scar will be.

Typically it will take 4-6 weeks before the sling can be removed and you need to be prepared not to use your arm during this time. From 6 to 12 weeks after the operation you will be working on regaining range of movement and shoulder stability. Following this period, you will start to strengthen the shoulder. You should discuss your activities with your surgeon. Whilst individual situations vary, it is usually advised to avoid manual work for 3-4 months and contact sports for 6 months.

You will have your arm supported in a sling straight after the operation. This is to protect the repair. It is very important to wear the sling at all times until you are told you can take it off by your therapist or surgeon. Patients usually need to wear the sling for 4-6 weeks, but it might be removed for physiotherapy during this period.

This type of injury can vary, from a sprain to the most severe rupture. Surgery is normally recommended for more severe injuries only. For intermediate level injuries the first treatment option is to use local measures such as slings, ice packs and pain relief. If that does not work, then surgery is the next option. If you have had pain and impaired function for over 3 months you should ask your doctor for a review.

Xiros run periodic training courses and have access to a range of training material. Depending on location and situation, we may also be able to connect you with a surgeon who uses Infinity-Lock Button System. Please contact us to discuss your requirements.

There are key elements of the surgical technique that are highlighted in training for reliable reduction and best positioning. For example, there is guidance on selecting the optimum drill position on the clavicle. These are covered in the training material for the procedure.

The tape is non-resorbable polyester and stays in place. The open weave provides a scaffold construction which allows tissue on-growth and in-growth, leading to encapsulation of the tape.

There is a recommended rehabilitation programme. This should be supervised by a physiotherapist. All mobilisation and exercises should be performed within the pain free range of movement. The patient should be warned not to exceed the prescribed activity levels or to overload the repair before complete healing has occurred.

No, the tapes are passed from the button around the clavicle and tied posteriorly, where the depth of tissue between clavicle and skin is greater. Optionally the surgeon can tie a half knot over the button for stability while completing this final step.

There is no instrument set required. The drill and guidewire are supplied with the implant. The CC-Hook coracoid passer (left or right shoulder version) is supplied separately as a single-use instrument.