the suture are marketed under the dyneema trademark by toyo boseki kabushiki kaisha the suture advantageously has the strength of ethibond 5 suture yet has the diameter feel and tie ability of 2 suture as a result the suture is ideal for most orthopedic procedures such as rotator cuff repair achilles tendon repair patellar tendon repair acl pcl reconstruction hip and shoulder reconstruction procedures and replacement for suture in anchors fiberwire suture includes a multifilament cover featuring braided strands of ultrahigh molecular weight long chain polyethylene and polyester and surrounding a core of twisted fibers of ultrahigh molecular weight polyethylene suture constructs can be differentiated by various colors and patterns of fibers and strands incorporated in the construct referring to fig2 three temporary sutures 20 22 24 are inserted through the lesser tuberosity 26 again at the bone tendon junction temporary sutures 20 22 24 are striped for example to distinguish them from the blue and white pairs of suture inserted around the greater tuberosity drill holes 28 30 are formed in the proximal shaft of the humerus 32 to a diameter of 2 5 mm another pair of bi colored high strength sutures 34 36 is inserted through holes 28 30 using needle 18 sutures 34 36 will be used as vertical tension sutures referring to fig3 the greater and lesser tuberosities 14 26 are gently retracted and the humeral head fragment 38 is removed using forceps 40 after resection of any capsular attachments the glenoid and other structures of the joint are inspected and indicated repairs are undertaken to avoid recurrent postoperative instability referring to fig4 an appropriately sized prosthetic humeral head 42 is chosen and reduced into the.