Arthrex arbeitet an der stetigen Weiterentwicklung der Produkte für die Transplantatfixierung. In Zusammenarbeit und mit dem Wissen der innovativsten Chirurgen in der Sportmedizin hat Arthrex eine umfassende und innovative Serie von Produkten für die Transplantatfixierung entwickelt. Mit unserer TightRope-Produktreihe sowie unseren branchenführenden BioComposite-Fixierungsprodukten und verschiedenen Fixierungsprodukten aus PEEK und Metall steht Operateuren eine umfangreiche Auswahl an sicheren und effektiven Fixierungsprodukten zur optimalen Behandlung ihrer Patienten zur Verfügung.

Knee

Product

The FiberTag TightRope II implant adds optimized features to the revolutionary FiberTag TightRope implant design. New shorter locking splices create a shorter minimum loop length to maximize the amount of graft in the socket. A flat-tape loop and tensioning strands improve strength, fell, and handling.1
 
Additionally, the FiberTag TightRope II implant is available with a preloaded FiberTape® suture for the InternalBrace™ technique, which peer-reviewed research associates with lower graft retear rates,2 less pain, improved patient-reported outcomes, and a faster and higher rate of return to preinjury level of activity.3
 
The redesigned cortical button includes a proprietary knotless fifth locking mechanism for increased strength and resistance to cyclic displacement, allowing for precise, incremental retensioning of the construct after final fixation.4 Finally, the enhanced design of the packaging card improves suture management during implant assembly.
References
1. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017.
2. Daniel AV, Wijdicks CA, Smith PA. Reduced incidence of revision anterior cruciate ligament reconstruction with internal brace augmentation. Orthop J Sports Med. 2023;11(7):23259671231178026. doi:10.1177/23259671231178026
3. Bodendorfer BM, Michaelson EM, Shu HT, et al. Suture augmented versus standard anterior cruciate ligament reconstruction: a matched comparative analysis. Arthroscopy. 2019;35(7):2114-2122. doi:10.1016/j.arthro.2019.01.054
4. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020.
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.&nbsp;

FiberTag® TightRope® II Implant

Das FiberTag-TightRope-Implantat erleichtert die Fixierung von Transplantaten mit nur einem Ende, z. B. Quadrizepssehnentransplantate, an den ACL TightRope-RT- und ABS-Implantaten. Der FiberTag-Faden ist in das TightRope-Implantat integriert und sorgt für eine feste1, gleichmäßige Verbindung zwischen dem Faden und der TightRope-Schlaufe. Die vereinfachte Nahttechnik, die innovative Verpackung und das neue Hakenzangeninstrument zur Transplantatpräparation beschleunigen die Präparation von Quadrizepssehnentransplantaten und sorgen für mehr Reproduzierbarkeit als je zuvor.
Referenzen
1. Arthrex, Inc. LA1-000023-EN_A. Naples, FL; 2020.

FiberTag® -TightRope® -Implantat

The next evolution in adjustable cortical suspensory fixation, the ACL TightRope II implant includes a flat-tape TightRope loop for improved graft interface and handling characteristics during graft tensioning and greater resistance to graft abrasion.1 Engineered to enable precise graft tensioning and incremental retensioning of the construct after cortical button fixation, this implant features a proprietary 5-point locking design that resists cyclic displacement and offers excellent pull-out strength.2
 
 
An ideal choice for all inside ACL reconstruction, the ACL TightRope II RT implant can be used for femoral fixation and combined with an ACL TightRope II ABS implant and concave ABS button for tibial fixation to facilitate incremental graft advancement and tensioning of both the femoral and tibial ends of the graft.
References
1. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017.
2. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020.

TightRope® II RT Implant

For use with bone-tendon ACL grafts, the TightRope II BTB implant combines the simplicity and strength of the ACL TightRope RT implant. The BTB TightRope implant features the same adjustable, four-point locking system as the ACL TightRope RT but allows graft placement through a small drill hole in the cortical bone block.&nbsp;&nbsp;
BTB TightRope II implant advantages:&nbsp;&nbsp;&nbsp;
<ul>
 <li>Simplified BTB graft fixation with anatomically placed sockets created with the FlipCutter® drill</li>
 <li>Dependable cortical fixation regardless of bone tunnel quality</li>
 <li>Graft adjustability within the femoral socket; ideal for graft-tunnel length mismatch</li>
 <li>360° of graft contact to the socket and improved ACL footprint filling vs internal fixation screws</li>
 <li>No tying knots or cinching suture against the bone block</li>
</ul>

TightRope® II BTB Implant

Das TightRope Attachable Button System (ABS) hat die bei Eingriffen zur Rekonstruktion von Kniebändern verwendeten minimal-invasiven, verstellbaren gelenkfernen Schlaufenfixierungstransplantate revolutioniert. TightRope II ABS-Implantatschlaufen können für alle Transplantattypen verwendet werden, sind in einer Vielzahl von Button-Konfigurationen erhältlich und dienen zur Fixierung von mit dem FlipCutter-Bohrer gefrästen Sacklöchern oder kompletter Bohrkanäle mit konkaven Buttons.&nbsp;
Die neue TightRope II ABS-Implantatschlaufe mit flachem Band verbessert die Handhabung und kann den Transplantatabrieb reduzieren.1 Da es sich leicht durch enge Knochenkanäle führen lässt, ermöglicht das zweiteilige TightRope II ABS-Implantat eine verbesserte kortikale Fixierung mit der Befestigung eines großen Buttons über der Kortikalis. Verwenden Sie das TightRope II ABS-Implantat im Rahmen der All-Inside-ACL-Rekonstruktion zur tibialen Fixierung mittels QuadLink- und GraftLink-Techniken oder der Transplantatfixierung über während der transtibialen ACL-Rekonstruktion angelegte schmale Bohrlöcher.
Literatur 
Arthrex, Inc., Archivdaten (LA1-00038-EN_B). Naples, FL; 2017.

TightRope® II ABS-Button

Das ACL Repair TightRope-Implantat ist ein innovativer Ansatz für den Erhalt des vorderen Kreuzbandes und ermöglicht ein präzises, schrittweises Spannen und Nachspannen der Naht. Darüber hinaus ermöglicht der neue FiberRing-Faden einen vereinfachten und reproduzierbaren Fadendurchzug und eine bessere Implantatbelastung. Eine sorgfältige Analyse früherer Daten hat ergeben, dass bestimmte Untergruppen von Rissen des vorderen Kreuzbandes, insbesondere proximale Risse mit guter Gewebequalität, bei der ACL-Primärrekonstruktion positive klinische Ergebnisse aufweisen.1
Literatur
1. Arthrex, Inc. DOC1-000178-en-US_B. Naples, FL; 2020.

Repair TightRope®-Implantat mit FiberRing™-Fäden

Suspensory Fixation

Secondary (C)

Available in five anchor configurations, each Knee FiberTak anchor has unique features optimized for treating pathology around the knee, including a redesigned, softer anchor body for reliable deployment in hard bone and vibrant new SutureTape colors for easier visualization and suture management in an open surgical environment. The anchor inserter and hole-prep instrumentation have a shorter working length, allowing for more ergonomic anchor insertion much closer to the anatomy.&nbsp;
Additionally, the instrumentation is available as a disposable kit or as a reusable guide, drill, and punch. The anchors can be inserted either in a drill hole, a pilot hole using the punch, or even self-punched in the appropriate bone density.
A variety of implants address various pathology and surgeon preferences:
<ul>
 <li>Double Knotless Anchor: Features 2 preconverted knotless tensionable loops of 1.3 mm SutureTape loops; great for LET and ALL fixation&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li>
 <li>Hybrid Anchor: Includes 1 preconverted tensionable knotless SutureTape loop and a sliding 1.3 mm SutureTape with swaged-on needles; perfect for onlay MPFL reconstruction</li>
 <li>Double Knotted Anchor: Features 2 sliding 1.3 mm SutureTapes with swaged-on needles; a great option for any application that requires knots</li>
 <li>InternalBrace™ Technique Anchor: Features 1 sliding 1.3 mm SutureTape with swaged-on needles and a low-profile 1.7 mm FiberTape® loop swaged to a single tail for easy passage and loading; revolutionary for collateral repair using the InternalBrace technique</li>
 <li>Button Anchor: Features 2 passing links for fixation of independent tension-slide constructs; an excellent option for MCL and LCL tension slide</li>
</ul>
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

Knee FiberTak® Anchor

Interference screws are constructed using the high quality that is synonymous with the Arthrex name. The complete family includes biocomposite interference screws (comprised of 30% biphasic calcium phosphate and 70% PLDLA), PEEK interference screws (made from PEEK-OPTIMA™), metal interference screws (made from titanium for femoral and tibial fixation of soft-tissue or bone).
 
PEEK-OPTIMA is a trademark of Invibio.

Interference Screws

Zum ACL-Backup-Fixierungssystem gehören die Implantate und Instrumente, die für die Fixierungsnähte eines ACL-Implantats, die InternalBrace-Bandaugmentation einer ACL-Rekonstruktion oder für die primäre Rekonstruktion benötigt werden. Das Set enthält ein 4.75 mm SwiveLock-Implantat sowie einen Bohrer (mit Spatenspitze) und einen Einweg-Gewindeschneider. Ein Faktor für eine erfolgreiche ACL-Rekonstruktion ist eine starke tibiale Fixierung. Dieses System biete eine zuverlässige und reproduzierbare Augmentation für die tibiale ACL-Fixierung.

ACL-Backup-Fixierungssystem

The 4.5 mm-diameter bicortical post has an extremely low-profile head to reduce soft-tissue irritation. A 2.5 mm drill for bicortical post is used to broach the cortical bone, while the depth device provides accurate sizing information. The optional low-profile, spiked washer may be used in conjunction with the bicortical post for soft-tissue tendon fixation of soft tissue tendons directly to bone.&nbsp;
The posts and washers are manufactured using titanium ASTM F-136 alloy. The smooth, concave-shaped washer securely traps attached sutures and bulky suture knots atraumatically under the low-profile washer to eliminate potential soft-tissue irritation. The spiked washer facilitates direct soft tissue or ligament fixation to bone.
Ligament staples with a low-profile bridge reduce the frequency of secondary removal due to patient discomfort caused by soft-tissue irritation. The cobalt chrome spiked fixation staple has sharp leg points for easier penetration into cortical bone without predrilling. The staple driver with attachable impactor/extractor allows complete impaction since the staple driver tip is flush with the staple bridge. The staple seating punch may be used for further impaction. All staples are 20 mm.
Finally, the two-piece TensionLoc™ implant system is designed to fix suture during ligament reconstruction procedures. Using this technique, tibial suture fixation is shown for a single- or double-bundle anterior cruciate ligament reconstruction (ACLR). A unique alternative to standard suture buttons, the TensionLoc implant allows suture-button maintenance for suture tension adjustments during knot tying. The low-profile PEEK implant sits flush and securely within the tunnel.

Produkte für die Fixierung

Suspensory Fixation

Knee FiberTak® Anchor

Interference Screws

ACL-Backup-Fixierungssystem

Other Fixation