There has been a renewed interest in ACL primary repairs as the treatment for Sherman type I and type II ACL ruptures. Careful analysis of historical data has revealed that certain ACL tear subgroups, especially proximal tears with good tissue quality, have positive clinical outcomes with primary ACL repair.1
ACL BTB Graft Fixation
Arthrex offers a comprehensive selection of fixation devices for a variety of bone-patella tendon-bone (BTB) graft techniques. These options include adjustable, continuous-loop suspensory fixation, and interference screws in a variety of materials. The TightRope® implant, which has been used in 2 million procedures globally,1 simplifies ACL reconstruction and facilitates advanced techniques such as the GraftLink® technique. FastThread™ BioComposite interference screws allow for faster screw insertion, better graft protection, and are made of time-tested material with more than a decade of clinical success and implantation.2
ACL BTB Graft Harvest and Preparation
Arthrex® offers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during ACL/PCL reconstruction. The parallel blades create a precise cut in a single pass. Graft harvesting cutting guides and saw blades are used to harvest an ideal trapezoidal-shaped bone plug with predrilled suture holes from both the patella and the tibia; the cutting guides provide consistent, reproducible results during tendon harvest. Arthrex also provides additional instrumentation to aid in BTB graft preparation including a Graft Harvesting Osteotome, Retractor and ACL Graft Shaper.
ACL Hamstring Graft Harvest and Preparation
Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation. Harvesting can be accomplished and reproducibly with the traditional anterior approach or remove a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers.
ACL RetroConstruction™ System / FlipCutter® III Drill
Replicate the anatomical footprint advantage of outside-in guide pin placement without transosseous tunnels. The ACL RetroConstruction system and FlipCutter III drill enable anatomic drill placement of ACL and PCL sockets or tunnels.
ACL Soft-Tissue Graft Fixation
Arthrex offers a comprehensive selection of soft-tissue fixation devices for a variety of techniques. Innovative designs and cutting-edge materials allow surgeons to achieve strong, less invasive anatomic ACL reconstructions with soft-tissue grafts.
All-Inside ACL Reconstruction / FlipCutter® III Reamer
The GraftLink® technique provides the ultimate in anatomic, minimally invasive, and reproducible ACL reconstruction. Used in combination with anatomic guides, the FlipCutter III drill allows independent femoral and tibial "retrodrilling" to create sockets while maintaining the cortices to potentially maximize fixation. ACL TightRope® II implants feature an exclusive flat SutureTape design and a new proprietary fifth locking point used for fixation, making the GraftLink technique the most reproducible ACL reconstruction system available.
• Minimally Invasive: Socket preparation with the FlipCutter III reamer limits soft-tissue dissection and helps preserve bone and periosteum.
Medial Portal Femoral Socket Preparation
Arthrex offers several options for femoral ACL socket creation through the medial portal. Dedicated transportal offset guides and low-profile reamers work together to facilitate visualization and help minimize possible damage to the medial femoral condyle while drilling in the hyperflexed position. The Arthrex Flexible Reamer System reduces the need for knee flexion during socket creation and may allow for longer sockets and better orientation.
Quad Tendon Graft ACL Reconstruction
Quadriceps tendon grafts offer unique benefits for cruciate ligament reconstruction, such as a predictably large diameter, low morbidity,1 and a preferable stiffness profile for knee ligament reconstruction.
Transtibial™ ACL Reconstruction
The ACL ToolBox is a comprehensive system that allows surgeons to drill using medial portal, transtibial, or RetroDrill® techniques. Achieve accurate and reproducible tunnel preparation with this set, which contains marking hooks, drill guides, offset reference guides, dilators, and reamers.