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However, healing is often challenging due to the tendon's poor biological environment and high tensile stress at the repair site. Bioinductive implants have been introduced to enhance tendon healing; however, they often lack early structural reinforcement. This report presents the FiberLocker System (ZuriMED Technologies AG, Zurich, Switzerland) which includes a FiberLocker Instrument and a SpeedPatch as a suture\u2010free augmentation method for patellar tendon repair. The FiberLocker Instrument embeds the SpeedPatch polyethylene terephthalate, a synthetic nonwoven scaffold composed of a high\u2010strength polymer, into the native tendon. Unlike traditional techniques that rely on sutures passed through tendon tissue, this system employs a reciprocating microblade mechanism that directly integrates polyethylene terephthalate fibers into the native tendon. This interwoven patch\u2010tendon construct increases the surface area for load distribution, enhances biomechanical support at the time of repair, and reinforces the repair site without the need for additional sutures.<\/jats:p>","DOI":"10.1002\/atn2.70223","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T05:29:42Z","timestamp":1786771782000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Technique for Patellar Tendon Repair Using a Suture\u2010Free Nonwoven Polyethylene Terephthalate Implant"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9374-8115","authenticated-orcid":false,"given":"McKenzie A.","family":"Mayer","sequence":"first","affiliation":[{"name":"Hackensack Meridian School of Medicine  Nutley New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1623-0062","authenticated-orcid":false,"given":"Michael","family":"Massa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hackensack University Medical Center  Hackensack New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keara M.","family":"Gilligan","sequence":"additional","affiliation":[{"name":"Hackensack Meridian School of Medicine  Nutley New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3648-1304","authenticated-orcid":false,"given":"Samantha L.","family":"Reiss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hackensack University Medical Center  Hackensack New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Vazquez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hackensack University Medical Center  Hackensack New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"SantanaJA MabroukA ShermanAL.StatPearls \u2010 Jumpers Knee.StatPearls Publishing.https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532969\/#:~:text=Introduction and%20power%20of%20leg%20extensors. Accessed September 1 2025."},{"key":"e_1_2_6_3_1","first-page":"e24.00060","article-title":"Acute patellar tendon ruptures: An update on management","volume":"8","author":"Brinkman JC","year":"2024","journal-title":"J Am Acad Orthop Surg Glob Res Rev."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2025.103639"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines12050995"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13175066"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.103036"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.09.005"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671251356629"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231189802"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.10.013"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507308192"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-1887-8"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.08.045"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70223","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70223","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:40:09Z","timestamp":1789962009000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70223"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/atn2.70223"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70223","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]},"assertion":[{"value":"2025-12-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70223"}}