GraftLink® Technique

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 maximize fixation. Femoral and tibial TightRope® II implants, with a proprietary 5-point locking system, make the GraftLink technique the most reproducible ACL reconstruction available.

  • Anatomic: Independent tibial and femoral socket preparation with FlipCutter III reamer and/or low-profile reamers facilitate unconstrained placement of the ACL graft.
  • Minimally Invasive: Socket preparation with the FlipCutter III reamer limits soft-tissue dissection and helps preserve bone and periosteum.
  • Reproducible: The GraftPro® graft prep system simplifies graft preparation; the tapered graft and adjustable ACL TightRope II buttons facilitate graft passing, fine tuning of graft depth, and graft tensioning from the femoral and tibial sides.
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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 maximize fixation. Femoral and tibial TightRope® II implants, with a proprietary 5-point locking system, make the GraftLink technique the most reproducible ACL reconstruction available.

  • Anatomic: Independent tibial and femoral socket preparation with FlipCutter III reamer and/or low-profile reamers facilitate unconstrained placement of the ACL graft.
  • Minimally Invasive: Socket preparation with the FlipCutter III reamer limits soft-tissue dissection and helps preserve bone and periosteum.
  • Reproducible: The GraftPro® graft prep system simplifies graft preparation; the tapered graft and adjustable ACL TightRope II buttons facilitate graft passing, fine tuning of graft depth, and graft tensioning from the femoral and tibial sides.
View More
View Scientific Evidence

Educational Resources and Products

Featured Resources
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GraftLink® ACL Reconstruction Using TightRope® II Implant for the InternalBrace™ Technique

Patrick A. Smith, MD
Surgical Technique Videos | 16:11 | English | 10/25/2021 | VID1-001492-en-US B

GraftLink® ACL Reconstruction With ACL TightRope® II Implant for InternalBrace™ Technique

Surgical Technique Guides | English | 06/30/2021 | LT2-00120-EN A
ACL GraftLink® Technique Using the InternalBrace™ Procedure
Patrick A. Smith, MD
Surgical Technique Videos | 14:36 | English | 11/09/2021 | VID1-00375-en-US B
Introduction to the TightRope® II Implant
Surgical Technique Animations | 02:36 | English | 05/18/2021 | AN1-000282-en-US B
GraftLink® PCL Reconstruction Using TightRope® II Implant With InternalBrace™ Technique
Thomas M. DeBerardino, MD
Surgical Technique Videos | 18:24 | English | 06/30/2021 | VID1-001858-en-US A
GraftLink® Technique Using FiberTape® Suture for the InternalBrace™ Technique
Surgical Technique Animations | 03:43 | English | 08/17/2022 | AN1-00371-en-US B
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Surgical Technique Videos (6)

GraftLink® ACL Reconstruction Using the InternalBrace™ Technique
Steve E. Jordan, MD | Adam Anz, MD
08:26 | English | 11/29/2021 | VID1-01435-en-US B
GraftLink® ACL Reconstruction Using TightRope® II Implant for the InternalBrace™ Technique
Patrick A. Smith, MD
16:11 | English | 10/25/2021 | VID1-001492-en-US B
GraftLink® PCL Reconstruction Using TightRope® II Implant With InternalBrace™ Technique
Thomas M. DeBerardino, MD
18:24 | English | 06/30/2021 | VID1-001858-en-US A
Backup Tibial Fixation For ACL Reconstruction
Gregory S. DiFelice, MD
02:56 | English | 01/25/2019 | VID1-000032-en-US B
GraftLink® All-Inside ACL/PCL Reconstruction
Bruce A. Levy, MD
13:11 | English | 05/16/2018 | VID1-00827-EN E
iBalance® UKA with Concomitant GraftLink® ACL Reconstruction
Thomas M. DeBerardino, MD
37:50 | English | 09/17/2014 | VID1-00112-EN A

Surgical Technique Animations (2)

GraftLink® Technique Using FiberTape® Suture for the InternalBrace™ Technique
03:43 | English | 08/17/2022 | AN1-00371-en-US B
Introduction to the TightRope® II Implant
02:36 | English | 05/18/2021 | AN1-000282-en-US B

Surgical Technique Guides (13)

GraftLink® ACL Reconstruction With the ACL TightRope® II Fixation
English | 06/30/2021 | LT2-0157-EN D
GraftLink® ACL Reconstruction With ACL TightRope® II Implant for InternalBrace™ Technique
English | 06/30/2021 | LT2-00120-EN A
Allograft GraftLink® Construct
English | 02/18/2020 | LT1-0174-EN E
GraftLink® PCL Reconstruction
English | 12/02/2019 | LT1-0103-EN E
Minimally Invasive PCL Reconstruction with Allograft GraftLink® TS Construct
English | 05/18/2018 | LT1-00086-EN A
Reconstrucción All-Inside del LCA con GraftLink® y ACL TightRope® ABS
Spanish | 12/17/2015 | LT1-0157-ES E
Continuous Loop GraftLink® ACL Reconstruction
English | 06/04/2015 | LT1-0167-EN B
iBalance® Unicondylar Knee with Concomitant GraftLink® All-Inside ACL Reconstruction using TightRope® ABS
English | 03/25/2015 | LT1-0003-EN A
GraftLink para PCL
Surgical Technique Guides | Spanish | 10/23/2014 | LT1-0103-ES A
Reparación primaria del LCA
Surgical Technique Guides | Spanish | 08/22/2014 | LT1-0151-ES A
TightRope® Attachable-Button-System (ABS) All-Inside® ACL-Rekonstruktion
Surgical Technique Guides | German | 12/02/2013 | LT1-0158-DE A
ACL-Rekonstruktion mit TightRope® DB
Surgical Technique Guides | German | 12/02/2013 | LT1-0178-DE A
Reconstrucción del LCA con ACL TightRope® DB
Surgical Technique Guides | Spanish | 06/02/2011 | LT0178-ES B

Brochures (1)

Arthrex Graft Tubes - Clearly Better Graft Sizing and Preparation
English | 08/26/2016 | LB1-00011-EN C

Miscellaneous (2)

GraftLink® All-Inside Technique Evidence-Based Improvements in ACL Reconstruction
English | 06/25/2020 | DOC1-000332-en-US A
Reconstrução All-Inside do LCA com GraftLink®
Portuguese | 01/06/2017 | CC1-00002-PT C

Presentation Videos (10)

Improving Outcomes in Multiligament Reconstruction
Bruce A. Levy, MD
10:25 | English | 05/18/2020 | VID1-000981-en-US A
QuadLink™ and GraftLink® ACL Reconstruction
J. Lee Pace, MD
16:40 | English | 07/30/2019 | VID1-000350-en-US A
GraftLink® Technique for Multiligament Knee Reconstruction
Bruce A. Levy, MD
09:48 | English | 04/04/2017 | VPT1-00829-EN A
Advances in ACL Graft Fixation
Asheesh Bedi, MD
11:53 | English | 03/30/2017 | VPT1-00796-EN A
GraftLink® Technique Research and Outcomes
Patrick A. Smith, MD
09:45 | English | 03/13/2017 | VPT1-00821-EN A
GraftLink® ACL Reconstruction Clinical Outcomes in Young Athletes
Frank A. Cordasco, MD, MS
12:11 | English | 03/22/2016 | VPT1-00634-EN A
All-Inside GraftLink® PCL Reconstruction
Michael J. Stuart, MD
16:10 | English | 06/24/2015 | VPT1-00537-EN A
ACL/PCL Graft Options and Preparation
Professor Adrian Wilson, BSC, FRCS, MBBS
05:26 | English | 09/05/2014 | VPT1-00262-EN A
ACL/PCL TriLink
Professor Adrian Wilson, BSC, FRCS, MBBS
Presentation Videos | 10:27 | English | 05/13/2014 | VPT1-00191 A
The GraftLink® Technique Learning Curve
David Schmidt, MD
Presentation Videos | 05:16 | English | 03/24/2014 | VPT1-00194-EN A

Product Demonstrations (4)

Graft Preparation Using the GraftLink® Technique With the ACL TightRope® II Implant and SutureTape
J. Lee Pace, MD
10:19 | English | 12/12/2022 | VID1-003667-en-US A
MPFL Graft Preparation Using FiberLoop® SutureTape
J. Lee Pace, MD
10:54 | English | 12/09/2022 | VID1-003666-en-US A
Assembly of the ACL TightRope® II BTB and Open ABS Implants
Justin Boyle
03:26 | English | 07/20/2021 | VID1-002610-en-US A
GraftPro™ Graft Preparation System
05:30 | English | 05/25/2016 | VID1-00758-EN A

Scientific Updates (1)

GraftLink® Technique Scientific Update
English | 10/26/2021 | LA1-00039-EN J

Surgeon Newsletters (1)

Scope This Out - Volume 24, Number 1
English | 02/22/2023 | LN1-000486-en-US A

White Papers (5)

Operative Performance of All-Inside GraftLink® ACL Reconstruction Using TightRope® II Implants
English | 02/11/2022 | LA2-000147-en-US A
GraftLink™ with ACL TightRope®: Biomechanical Testing
English | 11/09/2016 | LA1-0517-EN E
Presutured Allograft GraftLink®: Biomechanical Testing
English | 05/01/2013 | LA1-0159-EN A
GraftLink® Biomechanical Testing - Tibial Side
English | 10/30/2012 | LA0158 A
GraftLink® with ACL TightRope®: Biomechanical Testing
English | 05/09/2011 | LA0157 A

AR-1588AU-CP2

Autograft GraftLink Implant System, for InternalBrace Technique

AR-1588AL-CP2

Allograft GraftLink Implant System, for InternalBrace Technique

AR-1288RTIB-FC3

TightRope II RT-IB Implant System, with FlipCutter III and FiberStick

AR-1288BTBIB-FC3

TightRope II BTB-IB Implant System, with FlipCutter III and FiberStick

AR-1588RT2-IBS

Implant System, TightRope II RT-IB, with TightRope Pin 4 mm and FiberLink Suture #2

AR-1588RT2-IBSF

Implant System, TightRope II RT-IB, with Flex TightRope Pin 4 mm and FiberLink Suture #2

AR-1588BTB2-IBS

Implant System, TightRope II BTB-IB, with TightRope Pin 4 mm and FiberLink Suture #2

AR-1588BTB2-IBSF

Implant System, TightRope II BTB-IB, with Flex TightRope Pin 4 mm and FiberLink Suture #2

AR-1510S

RetroConstruction Drill Guide System Instrument Set

AR-1510FR

Footprint Femoral ACL Guide, Right

AR-1510R

Marking Hook, RetroConstruction ACL Guide

AR-1510GT

Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide

AR-1250F

Drill Tip Guide Pin, 3.5 mm

AR-1250FS

Drill Tip Guide Pin 3.5 mm x 311 mm

AR-1510FL

Footprint Femoral ACL Guide, Left

AR-1510FPL

Footprint Femoral ACL Guide with 7 mm offset, Left

AR-1510FPR

Footprint Femoral ACL Guide with 7 mm offset, Right

AR-1510GTS

Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide, Small Angle

AR-1510FLS

Footprint Femoral ACL, Guide, Small Angle, Left

AR-1510FRS

Footprint Femoral ACL Guide, Small Angle, Right

AR-1588RT-2J

TightRope II RT, with Additional Flipping Suture

AR-1588RT-IB

TightRope II RT, with FiberTape for InternalBrace Technique

AR-1588BTB-2J

TightRope II BTB, with Additional Flipping Suture

AR-1588BTB-IB

TightRope II BTB, with FiberTape for InternalBrace Technique

AR-1588TN-20

TightRope II ABS, Implant

AR-1588TN-21

TightRope II ABS, Implant Open

AR-1588AU-CP

Implant System, Autograft GraftLink

AR-1588AL-CP

Allograft GraftLink Convenience Pack

AR-1288RTIB-FC3

TightRope II RT-IB Implant System, with FlipCutter III and FiberStick

AR-1288BTBIB-FC3

TightRope II BTB-IB Implant System, with FlipCutter III and FiberStick

AR-1593-BC

Implant System, Secondary Fixation with BioComposite SwiveLock Anchor 4.75 x 19.1 mm

AR-1593-P

Implant System, Secondary Fixation with PEEK SwiveLock Anchor 4.75 x 19.1 mm

AR-6592-12-30

PassPort Button Cannula, 12 mm ID x 3 cm, qty. 1

AR-1405LP

Low Profile Reamer, 5 mm, sterile, SU

AR-1405LP-50

Low Profile Reamer, 5.5 mm, sterile, SU

AR-1406LP

Low Profile Reamer, 6 mm, sterile, SU

AR-1406LP-50

Low Profile Reamer, 6.5 mm, sterile, SU

AR-1407LP

Low Profile Reamer, 7 mm, sterile, SU

AR-1407LP-50

Low Profile Reamer, 7.5 mm, sterile, SU

AR-1408LP

Low-Profile Reamer, 8 mm

AR-1408LP-50

Low Profile Reamer, 8.5 mm, sterile, SU

AR-1409LP

Low Profile Reamer, 9 mm, sterile, SU

AR-1409LP-50

Low Profile Reamer, 9.5 mm, sterile, SU

AR-1410LP

Low Profile Reamer, 10 mm, sterile, SU

AR-1410LP-50

Low Profile Reamer, 10.5 mm, sterile, SU

AR-1411LP

Low Profile Reamer, 11 mm, sterile, SU

AR-1411LP-50

Low Profile Reamer, 11.5 mm, sterile, SU

AR-1412LP

Low Profile Reamer, 12 mm, sterile, SU

AR-1412LP-50

Low Profile Reamer, 12.5 mm, sterile, SU

AR-1413LP

Low Profile Reamer, 13 mm, sterile, SU

AR-1595T

ACL TightRope, Drill Pin, Open Eyelet, 4 mm

AR-1595TC

ACL TightRope, Drill Pin, Closed Eyelet

AR-12540

Suture Retriever, ø3.4 mm, Straight

AR-1886

Graft Sizing Block, 4.5-12 mm holes in 0.5 mm increments

AR-2950DS

GraftPro, Graft Preparation Set

AR-1886-S

Graft Tube Set

AR-4520

ACL TightRope Suture Cutter

AR-7209SNT

#2 FiberSnare suture, 26" length with 2” closed loop (Black/White)

AR-7209SNL

#2 FiberSnare suture, 26" length with 2” closed loop (White/Blue)

AR-7534T

TigerLoop SutureTape, 1.3 mm, 20 in Loop (White/Black) w/ 76 mm straight needle, 12/Box

AR-7534

FiberLoop SutureTape, 1.3 mm, 20 in Loop (White/Blue) w/ 76 mm straight needle, 12/Box

AR-7234

#2 FiberLoop Suture, 20" (Blue) w/Straight Needle

AR-7234T

#2 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle

AR-7246

#2 FiberWire Suture w/ Straight Needle (Blue)

AR-7246-02

#2 FiberWire with Two Straight Needles

AR-7250

0 FiberWire Suture, 38" (Blue) w/Tapered Needle, 22.2 mm 1/2 circle, 12/box

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