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 preparation 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 preparation 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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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 (10)

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
ACL GraftLink® Technique Using the InternalBrace™ Procedure
Patrick A. Smith, MD
14:36 | English | 11/09/2021 | VID1-00375-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
GraftLink® All-Inside ACL/PCL Reconstruction
Bruce A. Levy, MD
13:11 | English | 05/16/2018 | VID1-00827-EN E
Single-Anteromedial Bundle Biological Augmentation (SAMBBA) Technique using GraftLink®
Bertrand Sonnery-Cottet, MD
05:38 | English | 12/08/2016 | VID1-00461-EN B
Six Strand GraftLink ® Preparation
Frank R. Noyes, MD
11:41 | English | 06/30/2015 | VID1-00423-EN A
iBalance® UKA with Concomitant GraftLink® ACL Reconstruction
Thomas M. DeBerardino, MD
37:50 | English | 09/17/2014 | VID1-00112-EN A
All-Inside PCL Reconstruction: Using the PCL GraftLink®
Bruce A. Levy, MD
Surgical Technique Videos | 12:58 | English | 06/05/2014 | VID1-00028-EN A
Continuous Loop GraftLink® Preparation Using #2 FiberWire® with Straight Needle
Surgical Technique Videos | 04:22 | English | 03/07/2014 | VID1-00113-EN A

Surgical Technique Animations (3)

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
GraftLink® Technique
03:26 | English | 03/22/2016 | AN1-00136-EN 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)

TightRope® Attachable Button System
English | 08/29/2018 | LB1-00056-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

Outcomes Reports (3)

ACL Reconstruction With InternalBrace™ Ligament Augmentation vs ACL Reconstruction
English | 10/28/2021 | CC1-00003-EN I
All-Inside ACL Reconstruction With GraftLink® Technique
English | 07/17/2020 | CC1-00002-EN G
BTB Autograft Versus GraftLink® Autograft for ACL Reconstruction
English | 06/30/2020 | CC1-00010-EN H

Presentation Videos (11)

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
iBalance® UKA with GraftLink® ACL Reconstruction
Thomas M. DeBerardino, MD
11:02 | English | 03/22/2016 | VPT1-00627-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
Presentation Videos | 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 (2)

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

SOS Graphs (1)

BTB Autograft Versus GraftLink® Autograft for ACL Reconstruction
English | 07/08/2020 | DOC1-000235-en-US A

Scientific Updates (1)

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

White Papers (6)

GraftLink™ with ACL TightRope®: Biomechanical Testing
English | 11/09/2016 | LA1-0517-EN E
Biomechanical Evaluation of #2 FiberLoop® w/FiberTag™: A Self-Reinforcing Suture Product for Tendon Whipstitching
English | 03/09/2015 | LA1-00005-EN A
ACL TightRope® and EndoButton Biomechanical Testing
English | 05/01/2013 | LA1-0197-EN A
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-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” Loop (White/Black) w/76 mm Straight Needle, 12/Box

AR-7534

FiberLoop SutureTape, 1.3 mm, 20” 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

Customer ServiceLatex Information
Disclaimers

This product has not yet been released.

It may be pre-ordered in the U.S. by calling 800-934-4404.

It may be pre-ordered in Germany by calling +4989-909005-2800.

For international customers, please contact your local distributor or call +4989-909005-2900.

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