Collateral Ligament Reconstruction

Collateral ligament reconstruction requires the use of the patient's own tissue or cadaver tissue to reconstruct the injured ligaments on the medial or lateral side of the knee. Historically the decision process to reconstruct or repair the ligaments or tendons is dependent on the location of the injury (medial or lateral structures) and whether the injury is acute or chronic. When the decision is made to reconstruct, the procedure can be performed with minimal or extensive exposure depending on the desired reconstruction technique. The Collateral Ligament Reconstruction Set, pioneered by Arthrex and surgeon consultants has been specifically designed to improve the safety, accuracy and reproducibility of these complex multi-ligament reconstruction procedures.

Anatomic Collateral Ligament Reconstruction

Once the minimally invasive or open incision is made and proper soft-tissue windows are established, use the fibular, tibial, and/or femoral collateral marking hooks for anatomic precision and osseous measurements when drilling the appropriate reconstruction tunnels. Using the femoral collateral marking hook with the parallel drill guide will increase anatomic femoral drilling efficiency by significantly reducing convergent tunnels and allowing for accurate guide pin placement at multiple incremental distances. During tunnel creation, use the spooned ends of the collateral ligament retractor to retract the neurovascular structures and the collateral ligament rasp to chamfer the aperture of the completed reconstruction tunnels. Then use FiberWire® or FiberStick™ suture to pass the prepared grafts and tension to the desired position prior to graft fixation.

Collateral Ligament Graft Fixation

Multiple collateral ligament reconstruction techniques, from aperture fixation using the BioComposite SwiveLock® tenodesis system with biocomposite interference screws to suspensory fixation using TightRope® technology, are available.