LMR Survey ASK Mini Pre

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Acu-Sinch^® Knotless (ASK) Mini Pre-LMR Report

Please fill out ONLY ONCE prior to your FIRST ASK Mini case

LMR ASK Mini Pre

Surgeon Name *

Surgeon Name

First Name

Last Name

Surgeon NPI Number *

Surgeon Specialty *

Hand & Wrist Specialist

Traumatologist

General Orthopedic Surgeon

Plastic Surgery

Sports Medicine

Other (please specify)Other (please specify)

What is your current method of treating carpometacarpal (CMC) arthritis? *

Ligament Reconstruction and Tendon Interposition (LRTI)

Suture Button Suspensionplasty

Implant

Fusion

Other (please specify)Other (please specify)

What is your preferred product for suture button suspensionplasty? *

Arthrex Mini Tightrope® for CMC

Arthrex Knotless Tightrope®

Arthrex FiberLock™ Suspension System

ConMed MicroLink™ All-Suture Button

Field Orthopedics Griplasty™

Other (please specify)Other (please specify)

Why is this your preferred product? *

What is the primary reason for selecting your current treatment method? *

On average, how long does your current method take? *

10-19 minutes

20-29 minutes

30-39 minutes

40-49 minutes

50-59 minutes

60+ minutes

What is your current post op protocol for your CMC treatment method? *

What, if any, complications do patients tend to encounter with your current treatment method? Please check all that apply. *

Pain

Loss of grip strength

Loss of range of motion

Irritation

No complications

Other (please specify)Other (please specify)

If you could change one thing about your current CMC treatment method, what would it be?

If you are human, leave this field blank.

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