DEX IOT DAY 3 TEST 2025 | (QUESTIONS AND WELL
DETAILED ANSWERS) | GRADED A+ | LATEST UPDATE
2025/2026
1. What suture number passes through the loops in 3 and 4 to create the locking stitch?
-CORRECT ANSWER a. 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. What size of FiberWire® suture is used in the PARS Suture Implant System (AR-
8860DS)? -CORRECT ANSWER SutureTape
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? -
CORRECT ANSWER Zero 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? -CORRECT ANSWER 98% 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? -CORRECT
ANSWER a. 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. -
CORRECT ANSWER true
1. Important anatomic structures just posterior to the superficial posterior compartment
of the leg include: -CORRECT ANSWER a. Sural nerve and lesser saphenous vein
, 1. Continued heel pain following the Achilles Midsubstance SpeedBridgeTM Implant
System is most likely the result of: -CORRECT ANSWER a. 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: -CORRECT ANSWER a. 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: -CORRECT ANSWER a. 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 -CORRECT ANSWER true
1. The Achilles Midsubstance SpeedBridgeTM Implant System utilizes the following
products: -CORRECT ANSWER a. 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: -CORRECT ANSWER a. 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 -CORRECT ANSWER a.
Superior ultimate load 386N ± 117N to 284N ± 115N
1. The Achilles tendon is made up of two muscles? -CORRECT ANSWER a.
Gastrocnemius and Soleus
DETAILED ANSWERS) | GRADED A+ | LATEST UPDATE
2025/2026
1. What suture number passes through the loops in 3 and 4 to create the locking stitch?
-CORRECT ANSWER a. 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. What size of FiberWire® suture is used in the PARS Suture Implant System (AR-
8860DS)? -CORRECT ANSWER SutureTape
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? -
CORRECT ANSWER Zero 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? -CORRECT ANSWER 98% 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? -CORRECT
ANSWER a. 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. -
CORRECT ANSWER true
1. Important anatomic structures just posterior to the superficial posterior compartment
of the leg include: -CORRECT ANSWER a. Sural nerve and lesser saphenous vein
, 1. Continued heel pain following the Achilles Midsubstance SpeedBridgeTM Implant
System is most likely the result of: -CORRECT ANSWER a. 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: -CORRECT ANSWER a. 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: -CORRECT ANSWER a. 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 -CORRECT ANSWER true
1. The Achilles Midsubstance SpeedBridgeTM Implant System utilizes the following
products: -CORRECT ANSWER a. 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: -CORRECT ANSWER a. 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 -CORRECT ANSWER a.
Superior ultimate load 386N ± 117N to 284N ± 115N
1. The Achilles tendon is made up of two muscles? -CORRECT ANSWER a.
Gastrocnemius and Soleus
