Drill Tip Guide Pin 3.5 mm x 311 mm

Zieldraht mit Bohrgewinde, 3.5 mm x 311 mm, steril

Aguja guía con punta de broca, Ø 3.5 mm x 311 mm

Finished Product

AR-1250FS

Knee

Product

The ACL ToolBox was designed to fit the needs of modern ACL reconstructions. The streamlined three layer case contains all the reusable instruments needed to complete the majority of common ACL procedures and contains an additional "pin mat" area for customization. The ACL ToolBox now contains the RetroConstruction™ Guide System with commonly used ACL marking hooks such as the footprint guides for femoral ACL drilling. Variable drill sleeves are included for all techniques and can be used with standard 2.4 mm pins, 3.0 mm RetroDrill® Pins and the 3.5 mm FlipCutters®. Everything needed to complete an ACL reconstruction can be found in this case including graft harvesting, notch preparation, tunnel drilling, graft passing and fixation.

ACL ToolBox

Child (D)

Procedure

There has been a renewed interest in ACL primary repairs as the treatment for Sherman type I and type II ACL ruptures. Careful analysis of historical data has revealed that certain ACL tear subgroups, especially proximal tears with good tissue quality, have positive clinical outcomes with primary ACL repair.1
Studies reporting outcomes of remnant-preserving ACL surgeries have shown encouraging results and a greater potential for early healing and better functional outcomes compared with remnant-resecting surgeries.2 Preservation of the native ACL using the primary repair technique can achieve short-term clinical success and result in good clinical outcomes at 3-year follow-up in this carefully selected patient population.3
Arthroscopic primary repair is a minimally invasive in that no grafts need to be harvested, no tunnels need to be drilled, and revision surgery, if necessary, is more analogous to primary reconstructions.4 The goal of the procedure is to preserve the remnant native ligament. By doing this, the native nerve endings and blood supply are preserved.5
References
1. van der List JP, DiFelice GS. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: a systematic review of historical studies. Knee. 2017;24(5):898-908. doi:10.1016/j.knee.2017.05.009
2. van der List JP, DiFelice GS. Successful arthroscopic primary repair of a chronic anterior cruciate ligament tear 11 years following injury. HSS J. 2017;13(1):90-95. doi:10.1007/s11420-016-9530-8
3. Jonkergouw A, van der List JP, DiFelice GS. Arthroscopic primary repair of proximal anterior cruciate ligament tears: outcomes of the first 56 consecutive patients and the role of additional internal bracing. Knee Surg Sports Traumatol Arthrosc. 2019;27(1):21-28. doi:10.1007/s00167-018-5338-z
4. DiFelice GS, Villegas C, Taylor S. Anterior cruciate ligament preservation: early results of a novel arthroscopic technique for suture anchor primary anterior cruciate ligament repair. Arthroscopy. 2015;31(11):2162-2171. doi:10.1016/j.arthro.2015.08.010
5. DiFelice GS, van der List JP. Arthroscopic primary repair of proximal anterior cruciate ligament tears. Arthrosc Tech. 2016;5(5):e1057-e1061. doi:10.1016/j.eats.2016.05.009

ACL Repair

Ratcheting Drill Sleeve for FlipCutter, 10 mm Step, 3.5 mm

Bohrhülse für Retroconstruction Drill Guide, abgestuft, 10.0 mm

Drill Sleeve for Retrocontruction, Drill Guide, Stepped, 10mm Long Tip

Camisa para guía de perforación para RetroConstruction, escalonada, punta de 10 mm de longitud

Bainha Obturador para perfuração Retroconstruction, graduada, ponta longa de 10 mm

Footprint Femoral ACL, Guide, Small Angle, Left

Femoraler ACL Footprint Markierungshaken, Small, Links

Footprint Femoral ACL Guide, Small Angle, Left

Guía femoral Footprint del LCA, ángulo pequeño, izquierda

Guia para LCA femoral com marcação, ângulo estreito, esquerdo

Footprint Femoral ACL Guide, Small Angle, Right

Femoraler ACL Footprint Markierungshaken, Small, Rechts

Footprint Femoral ACL Guide, Small Angle, Right

Guía femoral Footprint del LCA, ángulo pequeño, derecha

Guia para LCA femoral com marcação, ângulo estreito, direito

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

Tibialer ACL Markierungshaken mit Guide Pin, Small

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

Gancho-guía de tibia con punta de aguja para la guía de LCA para RetroConstruction, ángulo pequeño

Gancho de marcação tibial com fio broca para guia para LCA RetroConstruction, ângulo estreito

RetroConstruction Drill Guide System Instrument Set

An innovative approach to ACL preservation, the ACL Repair TightRope implant allows precise, incremental repair tensioning and retensioning. Additionally, the new FiberRing suture allows for simplified and reproducible suture passing and implant loading. Careful analysis of historical data has revealed that certain ACL tear subgroups, especially proximal tears with good tissue quality, have positive clinical outcomes with primary ACL repair.1
Reference
1. Arthrex, Inc. DOC1-000178-en-US_B. Naples, FL; 2020.

ACL Repair TightRope® Implant with FiberRing™ Sutures

Replicate the anatomical footprint advantage of outside-in guide pin placement without transosseous tunnels. The ACL RetroConstruction system and FlipCutter III drill enable anatomic drill placement of ACL and PCL sockets or tunnels.
Create minimally invasive inside-out sockets with the FlipCutter III drill, an innovative variable-size, all-in-one guide pin and reamer. The FlipCutter III drill provides a whole new level of freedom in socket positioning and is ideal for hard-to-reach areas such as tibial socket creation for PCLR, anatomic femoral socket creation for ACLR, socket creation for meniscal allograft, meniscal root avulsion repair, and retrograde OATS® procedures of the patella.

ACL RetroConstruction™ System / FlipCutter® III Drill

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 potentially maximize fixation. ACL TightRope® II implants feature an exclusive flat SutureTape design and a new proprietary fifth locking point used for fixation, making the GraftLink technique the most reproducible ACL reconstruction system available.
 
• Anatomic: Independent tibial and femoral socket preparation with the FlipCutter III reamer and/or low-profile reamers facilitate unconstrained placement of the ACL graft.
• Minimally Invasive: The FlipCutter III reamer is designed to limit soft-tissue dissection and help preserve bone and periosteum during socket preparation.
• Reproducible: The GraftLink technique workstation simplifies graft preparation. The tapered graft and adjustable ACL TightRope buttons facilitate graft passing, fine tuning of graft depth, and graft tensioning from the femoral and tibial sides.

All-Inside ACL Reconstruction / FlipCutter® III Reamer

The Double Bone Plug technique for meniscal tear/deficiency utilizes bone plugs that can either be prepared freehand or by using a coring reamer. The freehand technique is performed using rongeurs and a high speed burr. For detailed information about this technique and/or Arthrex products utilized in this technique, visit the educational resources tab or products tab below. The double bone plug technique for meniscal allograft reconstruction provides a method for implanting the meniscal allograft medially with rigid fixation at both horn attachments. It has been demonstrated that bony fixation and bony healing at the attachment site allows for the maintenance of functional hoop stress by the meniscal allograft.

Double Bone Plug Meniscal Transplant

The new, innovative FlipCutter III drill is an adjustable, variable-size, all-in-one guide pin and reamer that allows minimally invasive socket creation from the inside out. Proprietary technology gives the FlipCutter drill unconstrained freedom of socket positioning and is ideal for difficult-to-reach applications such as tibial socket creation for PCL reconstruction, anatomic femoral socket creation for ACL reconstruction, and socket creation for meniscal allograft transplantation or meniscal root repair. With an adjustable design, the FlipCutter III drill can accommodate sizes 6 mm to 12 mm, including half sizes.

FlipCutter® III Drill

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.
<ul>
 <li>Anatomic:&nbsp;Independent tibial and femoral socket preparation with FlipCutter III reamer and/or low-profile reamers facilitate unconstrained placement of the ACL graft.</li>
 <li>Minimally Invasive:&nbsp;Socket preparation with the FlipCutter III reamer limits soft-tissue dissection and helps preserve bone and periosteum.&nbsp;</li>
 <li>Reproducible:&nbsp;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.</li>
</ul>
InternalBrace surgical technique is intended only to support the primary repair and is not intended as a replacement for the standard of care using biologic augmentation in a primary repair.&nbsp;InternalBrace surgical technique is intended only for soft-tissue-to-bone fixation and is not cleared for bone-to-bone fixation.

GraftLink® Technique

The RetroConstruction™ drill guide set provides surgeons 6 different marking hook options for multiple applications all in a small, easy-to-manage set. The adjustable C-ring allows several drilling angles without sacrificing accuracy. Multiple drill sleeves accommodate retrograde reaming with the FlipCutter® drill or standard 2.4 mm pins for antegrade reaming. The additional stepped drill sleeve acts as a depth stop for retrograde drilling and allows continued access to the joint for graft passing suture insertion after FlipCutter drill removal.

RetroConstruction™ Drill Guide System Instrument Set

The streamlined PCL ToolBox contains all the necessary instruments for performing a variety of modern PCL reconstruction techniques. The set includes the RetroConstruction™ Drill Guide System with drill sleeves for use with the FlipCutter® reamer, RetroDrill® reamer, and standard 2.4 mm guide pins.
Femoral and tibial RetroConstruction marking hooks allow, reproducible placement of pins and drills into the anatomic footprints. Also included in the set are double-bundle femoral drill guides, curved instruments for tibial preparation, a knee obturator for safe and easy posterior portal placement, the "worm" graft passer, tunnel plugs, drills, screwdrivers, notchers, and other accessories.

Transtibial PCL Reconstruction

The ACL ToolBox is a comprehensive system that allows surgeons to drill using medial portal, transtibial, or RetroDrill® techniques. Achieve accurate and reproducible tunnel preparation with this set, which contains marking hooks, drill guides, offset reference guides, dilators, and reamers.

Drill Tip Guide Pin 3.5 mm x 311 mm

AR-1250FS

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