arthrex transtibial acl reconstruction system for btb grafts probe, hook 3.4mm tip w/5mm ma insert 2.4 mm obturator, 3.5 mm drill, 8mm cannulated drill, 9mm cannulated drill, 10mm cannulated drill, 11mm cannulated guide sleeve, parallel 2.4mm p offset drill guide, 3.5mm offset drill guide, pin, 3.5mm tunnel plug stripper semitendinosus, 7mm Instron 4411 electromechanical test machine (Instron, Canton, MA). Figure 4. As the first adjustable-loop cortical suspensory fixation implant to use a flat SutureTape design, the new ACL TightRope ® II implant offers better handling characteristics and is more resistant to graft abrasion or tissue pull-through than traditional round sutures. Pass the ToggleLoc depth gauge transtibially into the 4.5 mm femoral tunnel and measure the tunnel . Arthrex offers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. Bio-Interference driver (Arthrex). Femoral Tunnel Preparation (cont.) Patrick Smith, MD, (Columbia, MO) demonstrates a BTB ACL reconstruction with InternalBrace™ ligament augmentation. ACL TightRope RT for femoral graft fixation allows in-line pull of cinching sutures to facilitate complete graft advancement into the femoral socket The ACL TightRope Button is passed through Cinching sutures are pulled laterally, in line a guide pin hole, which eliminates the need with the graft, to facilitate advancement and to "over ream" and preserves bone for corti- allow … Two to 3 passes are made through the tendon, and a Keith needle is then passed through the soft tissue on the posterior aspect of the tibial-sided bone plug ( Fig 4 ). The BTB TightRope implant offers the same adjustable, 4-point locking system as the ACL TightRope RT implant but allows placement through a small drill hole in the cortical bone block of the BTB or Achilles graft. 6. 5 | BTB ACL Reconstruction with ToggleLoc Fixation Device Surgical Technique. Figure 3. John Lipchitz, M.S. Description. and Dennis Colleran Initial Fixation Strength of Bioabsorbable ACL Interference Screws *smith&nephew Arthrex Linvatec Smith & Nephew Figure2 7 mm Screw Comparison Test Using BTB Model. (ACL, anterior cruciate ligament; BTB, bone-to-bone.) The parallel blades create a precise cut in a single pass. Find many great new & used options and get the best deals for Arthrex Ar-1817 Transtibial ACL Reconstruction System for BTB Grafts at the best online prices at … Anterior cruciate ligament (ACL) reconstruction (ACLR) remains one of the most commonly performed procedures byorthopaedicsurgeons.Yearly,morethan200,000ACLRs are performed in the United States.22 While multiple graft options are available for use in ACLR, bone-tendon-bone (BTB) and hamstring tendon autografts remain the most commonly used sources. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during ACL/PCL reconstruction. The FiberLoop suture is passed around the tendinous portion of the tibial end of the graft. The Arthrex AR-5035TC-09 BioComposite Interference Screw is comprised of 30% biphasic calcium phosphate and 70% PLDLA and is intended for use as a fixation device for bone-tendon (BTB or Achilles) and soft tissue grafts during ACL and PCL reconstruction procedures. ACL BTB Graft Harvest and Preparation. length from the lateral cortex of the femur to the tunnel exit point in the joint space to ensure that there
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