Knie

Meniskusnadeln

Die FiberWire-Nadeln der Stärke #2-0 für die Meniskusrekonstruktion (Standardlänge, Edelstahl) sind am Nadelende mit einem 96.5 cm langen FiberWire-Faden der Stärke #2-0 verbunden. Sie ermöglichen eine Meniskusrekonstruktion in klassischer Inside/out-Technik und bieten dabei alle Vorteile des FiberWire-Fadens: hervorragende Festigkeit und Handlingeigenschaften, Abrasionsbeständigkeit, leichte Knotbarkeit sowie ein flaches Knotenprofil. Die dünnen Nadeln passen problemlos durch Kanülen und sonstige Systeme zur Nadelinsertion anderer Hersteller.
Referenz 1. Bisson LJ, et al. Am J Sports Med. 2008;36(5):907-912. doi:10.1177/0363546508314793. Diese sterilen Nadeln und Fäden können in Verbindung mit dem Joystick-System zur Anlage einer vertikalen oder horizontalen Matratzennaht an superioren oder inferioren Oberflächen des Meniskus verwendet werden. Die von Arthrex angebotenen Nadeln für die Meniskusrekonstruktion können auch in Verbindung mit anderen Systemen für die Meniskusrekonstruktion verwendet werden.

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A list of scientific articles pertaining to a product or procedure.

Eine Liste wissenschaftlicher Artikel zu einem Produkt oder Verfahren.

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Lista de artigos científicos referentes a um produto ou procedimento.

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All-Inside Meniscal Repair Scientific Update

A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

Eine schrittweise Demonstration, wie ein Produkt in einer Operationsanleitung verwendet werden würde (oder könnte).

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Demonstração passo a passo de como um produto seria utilizado em uma técnica cirúrgica.

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ZoneNavigator™ System

Michael J. Stuart, MD, (Rochester, MN) demonstrates the ergonomics of the ZoneNavigator™ system and explains the benefits of the anatomic cannula for inside-out meniscal repair.

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Inside-Out Meniscal Repair With the ZoneNavigator™ Cannulas: From Posterior Horn to Anterior Horn

We often prefer to use inside out meniscal repair because we find tremendous advantages to the smaller diameter needle, the ability to very accurately place a needle, and to anatomically reduce meniscus tears of all types. One of the challenges has been the number of hands or people in the operating room required to successfully repair menisci with this type of technique. I'd like to introduce the ZoneNavigator, which is an ergonomically designed device which can be used with one hand to advance a needle inside out in one centimeter increments. Also, you can withdraw the needle simply by using your thumb. There are attachments which allow for repair of the most anterior tears, and then midzone and posterior horn both left and right. And these are easily attached to the device and can be maneuvered and twisted according to the proper orientation of your tear. The suture concept is also new, and this mini SutureTape has the typical inside out needles, but also has this two zero tape which will provide better purchase on the meniscus and hopefully splay out some of the forces and allow us to tension our knots very carefully on the capsule without the need for implants. The ZoneNavigator has three attachments which allow us to access all portions of the meniscus. In this example, a lateral meniscus posterior horn can be reached with the posterior and mid attachment all the way to the root attachment. Posterior horn and even the mid-third. The anterior attachment allows us to access the anterior horn, lateral meniscus attachment and the entire anterior horn, which may obviate the need for any outside in suturing.

Michael J. Stuart, MD, (Rochester, MN) displays the various cannulas available for the ZoneNavigator™ system and performs a cadaveric inside-out lateral meniscus repair using 2-0 SutureTape and the ZoneNavigator system.

Inside-Out Lateral Meniscus Repair Using the ZoneNavigator™ System

We often prefer to use inside out meniscal repair because we find tremendous advantages to the smaller diameter needle, the ability to very accurately place a needle, and to anatomically reduce meniscus tears of all types. One of the challenges has been the number of hands or people in the operating room required to successfully repair menisci with this type of technique. I'd like to introduce the ZoneNavigator, which is an ergonomically designed device which can be used with one hand to advance a needle inside out in one centimeter increments. Also, you can withdraw the needle simply by using your thumb. There are attachments which allow for repair of the most anterior tears, and then midzone and posterior horn both left and right. And these are easily attached to the device and can be maneuvered and twisted according to the proper orientation of your tear. The suture concept is also new, and this mini SutureTape has the typical inside out needles, but also has this two zero tape which will provide better purchase on the meniscus and hopefully splay out some of the forces and allow us to tension our knots very carefully on the capsule without the need for implants. We'd like to demonstrate the versatility and the efficiency of the ZoneNavigator inside out meniscus repair device. This allows the surgeon to hold the scope with one hand and the meniscal repair device with their other hand. It does require assistance to actually place the needles in the device, but conceivably the surgeon could actually retrieve the sutures themselves with a self retractor in the posterolateral or posteromedial incision. This is a left knee. And we're going to demonstrate stacked vertical mattress sutures of the lateral meniscus to repair a typical vertical tear. We insert the ZoneNavigator through the contralateral or inferomedial portal. Once we verify the position, we can see the beginning of the popliteus hiatus there. We can insert the needle into the device by pressing the button. We can actually slowly advance the needle to the desired length. If we advance it too far, we can actually retract it. So we have very careful control. The advantage is this allows us to anatomically place our sutures in order to reduce the tear. We can then perforate the meniscus, and then just using the thumb advancement one centimeter at a time, we have a very small perforation in the meniscus, and we can retrieve the needle through our posterolateral incision. This is our mini SutureTape. As you can see, which will allow us to distribute forces better across the meniscus by putting some light tension on both ends of the suture. We insert the second needle. And in a similar fashion, slowly advance it. Place it. In this situation, as a vertical mattress suture on the superior surface of the meniscus, perforate and advance out our incision. All done with one hand in one centimeter increments. We can then cut off the needles. Retrieve both ends of the tape. We can tension to get the anatomic reduction. Tie and cut. One distinct advantage of inside out suturing is the ability to perform stacked vertical mattress. One suture on the superior surface and one on the inferior surface, which allows compression but also an anatomic reduction. So in this situation, we will now put a suture on the inferior surface. Again we can protrude the needle, lift up the meniscus. We can actually see underneath. We can place our first throw retrieve the needle. Can actually use the device as a bit of a retractor. You can see how that exits right at the meniscal capsular junction. We'll load the second needle and again we can advance just the tip. Put a little tension on both ends, and now we can lift up our meniscus perforated. And advance it. We now will retrieve both ends after we cut our needles off. And we can show this view underneath the meniscus by lifting it up. And we can see that stacked vertical mattress concept. We can even check the tension. And show that small perforation in the meniscus. And one at the meniscus capsular junction. So there's no iatrogenic damage to the meniscus by large bore needles. It's very efficient and quick. You can put multiple sutures in, especially advantageous when you're doing vertical mattress sutures to repair a bucket handle tear, or also in a situation of a meniscal allograft.

A short, product-specific promotional video.

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Un video promocional breve y específico del producto.

2.75 mm Mini Suture Retriever, Straight

Mini Suture Retriever, 15° Up Curve

MINI RECUPERADOR DE FIOS COM CURVATURA 15º PARA CIMA

Meniskusnadeln

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Clips (1)

ZoneNavigator™ System

Operationsanleitungen (1)

ZoneNavigator™ System

Videos - OP-Anleitung (2)

Inside-Out Meniscal Repair With the ZoneNavigator™ Cannulas: From Posterior Horn to Anterior Horn

Inside-Out Lateral Meniscus Repair Using the ZoneNavigator™ System

Wissenschaftsupdate (1)

All-Inside Meniscal Repair Scientific Update

Related Products (3)

AR-7223

AR-7223SM

AR-7523

Fadenfänger (2)

AR-11540

AR-11550

Zubehör (1)

AR-6660