X-Twist Fixation System

The X-Twist is a knotless, open architecture, and fast inserting suture anchor system available in multiple sliding suture and suture tape configurations.

Available in either PEEK or Biocomposite with three anchor diameters, the X-Twist Fixation System is designed for versatility. X-Twist is well suited for single or double row, in medial and/or lateral row applications, and in both knotless and fully knotted constructs, to reproducibly and confidently repair soft tissue to bone.

Key Features & Benefits

Anchor Design

  • Available in PEEK or Biocomposite anchors
  • Ample PEEK distal eyelet simultaneously accommodates up to four 2mm tapes plus three #2 sutures
  • Anchor body features a double helix threaded design with high thread pitch
  • Open architecture design with vents around the anchor body intended to enhance marrow flow to the repair site to support healing and bony ingrowth for longer-term stability

Suture Options

  • Solid color and striped sutures to support intra-operative suture management
  • Sliding retention sutures can be incorporated into repair to address patient specific needs
  • Static suture tape for medial row application provides a broad footprint, maximizing the surface area of tendon to bone compression to support tendon integrity and healing to bone


  • Unique “X” shaped X-Spline drive geometry
  • Firmly holds anchor body position on driver shaft prior to insertion
  • Provides over 2 times the torsional efficiency of a traditional hex drive design for reliable insertion, even in hard bone

Anika products may not be available in all geographies. Product availability is subject to the regulatory clearances in individual markets. Please reach out to your local representative or Contact Us if you have questions about specific market approvals.

For complete product information, including indications, contraindications, warnings, and precautions, please refer to the Instructions for Use found here.

To Top