Hamstring Autograft ACL Reconstruction

Arthrex offers advanced techniques and instruments for hamstring harvesting and preparation for ACL reconstruction. A reproducible harvest can be performed through a traditional anterior or posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers.

The GraftLink® technique provides an anatomic, minimally invasive, and reproducible ACL reconstruction procedure. When 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 facilitates 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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Arthrex offers advanced techniques and instruments for hamstring harvesting and preparation for ACL reconstruction. A reproducible harvest can be performed through a traditional anterior or posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers.

The GraftLink® technique provides an anatomic, minimally invasive, and reproducible ACL reconstruction procedure. When 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 facilitates 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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Educational Resources and Products

Graft Preparation Using the GraftLink® Technique With the ACL TightRope® II Implant and SutureTape

J. Lee Pace, MD
Product Demonstrations | 10:19 | English | 12/12/2022 | VID1-003667-en-US A

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
GraftLink® ACL Reconstruction With ACL TightRope® II Implant for InternalBrace™ Technique
Surgical Technique Guides | English | 06/30/2021 | LT2-00120-EN A
Introduction to the TightRope® II Implant
Surgical Technique Animations | 02:36 | English | 05/18/2021 | AN1-000282-en-US B
GraftLink® Technique Using FiberTape® Suture for the InternalBrace™ Technique
Surgical Technique Animations | 03:43 | English | 10/11/2023 | AN1-00371-en-US C
Videos
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English
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Surgical Technique Videos (7)

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
Five-Stranded Hamstring Graft Using FiberTag® TightRope® Implant
Travis Maak, MD
06:36 | English | 01/13/2021 | VID1-001800-en-US A
Backup Tibial Fixation For ACL Reconstruction
Gregory S. DiFelice, MD
02:56 | English | 01/25/2019 | VID1-000032-en-US B
Atraumatic Hamstring Tendon Harvester
Steve E. Jordan, MD
06:26 | English | 07/06/2018 | VID1-01336-EN A
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)

Introduction to the TightRope® II Implant
02:36 | English | 05/18/2021 | AN1-000282-en-US B

Surgical Technique Guides (11)

ACL TightRope® Attachable Button System
ACL TightRope® Attachable Button System
English | 05/31/2024 | LT1-000228-en-US C
SwiveLock® ACL Backup Kit
SwiveLock® ACL Backup Kit
English | 08/20/2021 | LT1-00068-EN E
GraftLink para PCL
GraftLink para PCL
Spanish | 10/23/2014 | LT1-0103-ES A
Reparación primaria del LCA
Reparación primaria del LCA
Spanish | 08/22/2014 | LT1-0151-ES A
TightRope® Attachable-Button-System (ABS) All-Inside® ACL-Rekonstruktion
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
ACL-Rekonstruktion mit TightRope® DB
Surgical Technique Guides | German | 12/02/2013 | LT1-0178-DE A
Reconstrucción del LCA con ACL TightRope® DB
Reconstrucción del LCA con ACL TightRope® DB
Surgical Technique Guides | Spanish | 06/02/2011 | LT0178-ES B

Brochures (4)

ACL TightRope® II  Implant
ACL TightRope® II Implant
English | 07/12/2021 | DOC1-000525-en-US B
GraftPro® Graft Preparation System
GraftPro® Graft Preparation System
English | 08/20/2020 | LB1-00043-EN D

Catalogs (1)

Knee: Next Generation in Repair and Reconstruction
Knee: Next Generation in Repair and Reconstruction
English | 12/26/2024 | LB1-0115-en-US AD

Miscellaneous (1)

Reconstrução All-Inside do LCA com GraftLink®
Reconstrução All-Inside do LCA com GraftLink®
Portuguese | 01/06/2017 | CC1-00002-PT C

Presentation Videos (10)

GraftLink® Technique Research and Outcomes
Patrick A. Smith, MD
09:45 | English | 03/04/2025 | VPT1-00821-EN A
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® 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 (2)

GraftPro™ Graft Preparation System
05:30 | English | 05/25/2016 | VID1-00758-EN A

Scientific Updates (1)

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

SpeedPearls (4)

SpeedPearl: Undeploying and Repassing the TightRope® SB Implant
Matthew Zapf, MD
00:33 | English | 02/23/2026 | VID1-008700-en-US A
SpeedPearl: Flattening the TightRope® SB Tibial Implant
Matthew Zapf, MD
00:42 | English | 02/23/2026 | VID1-008730-en-US A
SpeedPearl: Elongating the TightRope® SB Implant
Matthew Zapf, MD
00:16 | English | 02/23/2026 | VID1-008699-en-US A
SpeedPearl: Lengthening the TightRope® SB Implant Loops
Matthew Zapf, MD
00:27 | English | 02/23/2026 | VID1-008697-en-US A

Surgeon Newsletters (1)

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

Tray Lists (1)

GraftPro® Graft Preparation (AR-2950DS)
GraftPro® Graft Preparation (AR-2950DS)
English | 10/26/2021 | DOC1-000132-en-US C

White Papers (1)

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