Name: Revision ACL Reconstruction Using the FlipCutter® III Reamer
Uploaded: 2020-03-12T00:00:00Z
Channel: Arthrex
Description: Walter R. Lowe, MD (Houston, TX), presents a case during which he used the FlipCutter ® III drill for a revision ACL reconstruction.

<p>Walter R. Lowe, MD (Houston, TX), presents a case during which he used the FlipCutter<sup>®</sup> III drill for a revision ACL reconstruction.</p>

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VID1-000692-en-US | B | Revision ACL Reconstruction Using the FlipCutter® III Reamer

Walter Lowe

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Chirurg:innen präsentieren einen oder mehrere klinische Fälle

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Revision ACL Reconstruction Using the FlipCutter® III Reamer

I'm Walt Lowe from University of Texas in Houston, Texas, and this case presentation is about the use of the FlipCutter three patient history, very typical for a failed ACL. So this is a revision ACL. Her symptoms were both instability and a mechanical locking symptom coming from flexion into extension exam. Again a very typical exam. Important to note that all signs of instability related to the ACL. And on our imaging she had a slope of 12 degrees. Typical imaging in a revision setting for me is plain X-rays and long leg standing films, where you can calculate an accurate slope. This video shows preparation of the femoral tunnel. You can see bone grafting of the old, very vertical tunnel up above it, using an awl to establish the location for where I would like to place this new femoral tunnel, not close to the old one. Obviously, the more rigid FlipCutter three makes it easy to just raise your hand a little bit and then come into the spot you want to establish your femoral tunnel. This was a ten millimeter femoral tunnel, and you can tell as we deploy it the clicks. You can just deploy it to the size you want, anywhere from six millimeters to 12 by half sizes at every step. Technique I like to use is to establish a small footprint right there saying I like what I see, and then drilling the entire tunnel up to the depths that have been previously calculated. And then click back down to the three five and you can pull it out easily. Follow it with the FiberStick for passing your graft into your tunnel. In reviewing the FlipCutter three, it has really changed the ability to have a device there that you can address any tunnel you need to drill, whether it be tibia, whether it for an ACL, tibia for ACL, femoral for either one of those two also, and for root repair, medial and lateral only opening up one device per case. And that device can be waiting on you even while preparation is happening for soft tissue grafts. Those things, you know, the new length allows reaching those tunnels, and the variability allows decision making and even changing tunnels as you go. The final utilization can be in revision settings where you are using old tunnels. You can sequentially prepare those tunnels by gradually increasing the size of the FlipCutter until you get to a good, bleeding, healthy tunnel for graft. Reimplantation.

Revision ACL Reconstruction Using the FlipCutter® III Reamer

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