Spiked Ligament washer Round Small is used with low profile cancellous screws for better fixation of soft tissues. Spikes in these washers hold the soft tissues better and hence ensure strong fixation with the bone. Siora Surgicals Pvt. Ltd. manufactures Spiked Ligament washer Round Small using medical-grade titanium. The company also produces hundreds of other types of trauma implants and instruments. Siora is also an experienced OEM/contract manufacturing service provider.