Knee Obturator for Posterior Portal

Knie Obturator für das posteriore Portal

Obturador de rodilla para portal posterior

Obturador de joelho para portal posterior

Finished Product

AR-1266

Knee

Product

The Knee Obturator has been specially designed to simplify the location and creation of posterior knee portals as well as introduction of a working cannula. Posterior portals are often necessary for several common procedures such as; loose body removal, PCL reconstruction, meniscal root avulsion repair, and popliteal cyst debridement. Current “outside-in” techniques can be time consuming and put posterior structures at risk of damage with sharp spinal needles and scalpels. The Knee Obturator lets surgeons quickly create the portal from the inside-out. The unique curvature fits around the cruciate ligaments and around the back of the femoral condyles. The tapered eyelet tip facilitates insertion of a PassPort Button Cannula with a traction suture or acts as a switching stick for cannula insertion.

Knee Obturator for Posterior Portals

Child (D)

Procedure

Arthrex Double Bundle PCL Guides were developed to accurately and reproducibly create femoral tunnels during arthroscopic double-bundle PCL reconstruction. Specially designed guides simplify guide pin placement for anterolateral and posteromedial femoral tunnel sockets drilled arthroscopically from an anterolateral portal. During anterolateral tunnel placement, a guide can be used to reference and offset the tunnel 2 mm from the articular cartilage margin or as a visual aid that simulates exact tunnel position and size. The guides will mimic the subsequent drill hole and, therefore, make exact tunnel placement possible. Refer to the products tab for a detailed outline of additional products used in this technique.

Double Bundle PCL Technique

The ZoneNavigator™ System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Use the ergonomic handle to advance and retract 2-0 SutureTape with meniscal repair needles in 1 cm increments. Cannulas attach to the handle to efficiently target specific zones of the meniscus.
Use the needle catcher to guide needles away from neurovascular structures. The concave, curved retractor efficiently retracts tissue and directs the needles for easy retrieval.

Inside/Out Meniscal Repair

Meniscal root avulsions are a challenging injury causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis.1 Securing the meniscus in a small bone socket has proven to be an effective means to restore hoop stresses and improve outcomes.2 The FlipCutter® II reamer and meniscal root marking hook allow for a minimally invasive RetroConstruction repair technique that helps preserve bone while securely fixing meniscal tissue.
A complete system for meniscal root repair includes the meniscal root marking hooks, the Knee Scorpion™ suture passer, and meniscal root repair kit with PEEK SwiveLock anchor. Arthrex offers two meniscus root marking hooks based on surgeon preference. The over-the-back marking hook sits securely over the back of the tibia to allow stable drilling using a 6 mm FlipCutter® II reamer for socket preparation. The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint. The low-profile Knee Scorpion instrument simplifies suture passing in tight recesses of the knee. Complete knotless fixation of the sutures with the 4.75 mm PEEK SwiveLock anchor.
References:
1. Pagnani MJ, Cooper DE, Warren RF. Extrusion of the medial meniscus. Arthroscopy. 1991;7(3):297-300. doi:10.1016/0749-8063(91)90131-g
2. Lee JH, Lim YJ, Kim KB, Kim KH, Song JH. Arthroscopic pull-out suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. Arthroscopy. 2009;25(9):951-958. doi:10.1016/j.arthro.2009.03.018

Meniscal Root Repair

2-0 FiberStick, 2-0 FiberWire, 50" (blue) one end stiffened, 12"

FiberStick #2-0, mit 30.0 cm gesteiftem Ende, steril

Sutura de polimistura, FiberStick n.º 2-0

Ramp lesions, which are commonly associated with ACL injuries and are often misdiagnosed,1 disrupt the meniscotibial ligament and the posteromedial meniscus in the meniscocapsular zone. Disruption of the posterior horn of the medial meniscus could lead to excessive forces within the knee joint and surrounding structures.
The QuickPass™ SutureLasso™ suture passer is preloaded with a #2-0 FiberStick™ suture and is available with a left or right 25° curve and 1.5 mm tip.
Reference 
1. Peltier A, Lording TD, Lustig S, et al. Posteromedial meniscal tears may be missed during anterior cruciate ligament reconstruction. Arthroscopy. 2015;31(4):691-698. doi:10.1016/j.arthro.2014.12.003.

Meniscus Ramp Lesion

Ramp lesions, which are commonly associated with ACL injuries and are often misdiagnosed,1 disrupt the meniscotibial ligament and the posteromedial meniscus in the meniscocapsular zone. Disruption of the posterior horn of the medial meniscus could lead to excessive forces within the knee joint and surrounding structures.
The QuickPass™ SutureLasso™ suture passer is preloaded with a #2-0 FiberStick™ suture, and is available with a left or right 25° curve and 1.5 mm tip.
Reference 
1. Peltier A, et al.&nbsp;&nbsp;Arthroscopy. 2015;31(4):691-698. doi:10.1016/j.arthro.2014.12.003.

Meniscus Ramp Lesion Repair

Create minimally invasive inside-out sockets with the FlipCutter drill, an innovative all-in-one guide pin and reamer. The FlipCutter 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, and meniscal root avulsion. Retrograde sockets may be accurately placed in diameters ranging from 6 mm to 13 mm using the RetroConstruction drill guide system.
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 curving suture passer, tunnel plugs, drills, screwdrivers, notchers, and other accessories. This toolbox facilitates standard transtibial PCL reconstruction as well as modern techniques, such as the arthroscopic inlay and GraftLink® all-inside PCL technique.

PCL RetroConstruction™ System / FlipCutter® III Drill

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

Tibialer PCL Haken für RetroConstruction Drill Guide, links

Guía de contorno anatómico de LCP, tibial, izquierda

Guia para LCP com perfil anatómico, tibial, esquerdo

Tibialer PCL Haken für RetroConstruction Drill Guide, rechts

Anatomic Contour PCL Guide, Tibial, Right

Guía de contorno anatómico de LCP, tibial, derecha

Guia para LCP com perfil anatómico, tibial, direito

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

Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide

Tibialer ACL Markierungshaken mit Guide Pin

Guía tibial de perforación para LCA, punta de aguja

Guia de perfuração para LCA tibial para fio guia

Zieldraht mit Bohrgewinde, 3.5 mm x 310.0 mm

Aguja guía con punta de broca, Ø 3.5 mm

RetroConstruction Drill Guide System Instrument Set

Marking Hook, RetroConstruction ACL Guide

RetroDrill Markierungshaken für RetroConstruction Guide

Marking Hook, Retroconstruction ACL Guide

Gancho-guía, guía de LCA para RetroConstruction

Gancho de marcação, guia para LCA Retroconstruction

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

Zieldraht mit Bohrgewinde, 2.4 mm x 310.0 mm

Low Profile Reamer, 5 mm, sterile, SU

Low Profile Kopffräser, 5.0 mm, steril, SU

Low Profile Reamer, 6 mm, sterile, SU

Low Profile Kopffräser, 6.0 mm, steril, SU

Low Profile Reamer, 7 mm, sterile, SU

Low Profile Kopffräser, 7.0 mm, steril, SU

Low Profile Kopffräser, 8.0 mm, steril, SU

Low Profile Reamer, 9 mm, sterile, SU

Low Profile Kopffräser, 9.0 mm, steril, SU

Low Profile Reamer, 10 mm, sterile, SU

Low Profile Kopffräser, 10.0 mm, steril, SU

Low Profile Reamer, 11 mm, sterile, SU

Low Profile Kopffräser, 11.0 mm, steril, SU

Coring Reamer, Cannulated, 7 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 7.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 7 mm

Extractor canulado con aguja con tope, Ø 7 mm

Fio de tunelização canulado com cavilha de base alargada, 7 mm

Coring Reamer, Cannulated, 8 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 8.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 8 mm

Extractor canulado con aguja con tope, Ø 8 mm

Fio de tunelização canulado com cavilha de base alargada, 8 mm

Coring Reamer, Cannulated, 9 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 9.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 9 mm

Extractor canulado con aguja con tope, Ø 9 mm

Fio de tunelização canulado com cavilha de base alargada, 9 mm

Coring Reamer, Cannulated, 10 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 10.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 10 mm

Extractor canulado con aguja con tope, Ø 10 mm

Fio de tunelização canulado com cavilha de base alargada, 10 mm

Coring Reamer, Cannulated, 11 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 11.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 11 mm

Extractor canulado con aguja con tope, Ø 11 mm

Fio de tunelização canulado com cavilha de base alargada, 11 mm

Coring Reamer, Cannulated, 12 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 12.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 12 mm

Extractor canulado con aguja con tope, Ø 12 mm

Fio de tunelização canulado com cavilha de base alargada, 12 mm

Coring Reamer, Cannulated, 13 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 13.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 13 mm

Extractor canulado con aguja con tope, Ø 13 mm

Fio de tunelização canulado com cavilha de base alargada, 13 mm

Coring Reamer, Cannulated, 14 mm diameter Coring Reamer and Collared Pin, sterile, SU

Kanülierter Hohlfräser mit Kragenpin, 14.0 mm, steril

Cannulated Coring Reamer with Collared Pin, 14 mm

Extractor canulado con aguja con tope, Ø 14 mm

Fio de tunelização canulado com cavilha de base alargada, 14 mm

Centering Cylinder for 9 mm Coring Reamer

Centering Cylinder for 9 mm Coring Reamer

Cilindro centrador para extractor de Ø 9 mm

Cilindro de centralização para fio de tunelização de 9 mm

Centering Cylinder for 10 mm Coring Reamer

Zentrierzylinder für 10.0 mm Hohlfräser

Centering Cylinder for 10 mm Coring Reamer

Cilindro centrador para extractor de Ø 10 mm

Cilindro de centralização para fio de tunelização de 10 mm

Centering Cylinder for 11 mm Coring Reamer

Extrator de enxerto para fio de tunelização

Bohrer, 4.0 mm, 2.4 mm kanüliert, steril

Bohrer, 4.5 mm, 2.4 mm kanüliert, steril

Bohrer, 5.0 mm, 2.4 mm kanüliert, steril

Bohrer, 5.5 mm, 2.4 mm kanüliert, steril

Bohrer, 6.0 mm, 2.4 mm kanüliert, steril

Bohrer, 6.5 mm, 2.4 mm kanüliert, steril

Bohrer, 7.0 mm, 2.4 mm kanüliert, steril

Bohrer, 7.5 mm, 2.4 mm kanüliert, steril

Bohrer, 8.0 mm, 2.4 mm kanüliert, steril

Bohrer, 8.5 mm, 2.4 mm kanüliert, steril

Bohrer, 9.0 mm, 2.4 mm kanüliert, steril

Bohrer, 9.5 mm, 2.4 mm kanüliert, steril

Bohrer, 10.0 mm, 2.4 mm kanüliert, steril

Bohrer, 10.5 mm, 2.4 mm kanüliert, steril

Bohrer, 11.0 mm, 2.4 mm kanüliert, steril

Bohrer, 11.5 mm, 2.4 mm kanüliert, steril

Bohrer, 12.0 mm, 2.4 mm kanüliert, steril

Disposables Kit, Transtibial ACL with Saw Blade

ACL Transtibia Verbrauchsartikel Set mit Sägeblatt, steril, SU

Transtibial ACL Disposables Kit with Saw Blade

Kit de piezas desechables para abordaje transtibial de LCA con hoja de sierra

Kit de descartáveis transtibiais para LCA com lâmina de serra

Disposables Kit, Transtibial ACL without Saw Blade

ACL Transtibial Verbrauchsartikel Set ohne Sägeblatt, steril, SU

Transtibial ACL Disposables Kit without Saw Blade

Kit de piezas desechables para abordaje transtibial de LCA sin hoja de sierra

Kit de descartáveis transtibiais para LCA sem lâmina de serra

Guide Pin with Suture Eye 2.4 x 435 mm

Pullout Pin mit Fadenöse, 2.4 mm x 43.5 cm, steril

Guide Pin with Suture Eye, 2.4 mm x 435 mm, sterile

Aguja guía con ojal de sutura, Ø 2.4 mm x 435 mm, estéril

Fio broca com orifício de sutura, 2.4 mm x 435 mm, estéril

Fio broca com orifício de sutura, 2.4 mm

PassPort Button Cannula, 6 mm ID x 2 cm, qty. 5

Arthrex PassPort Button Cannula, 6.0 mm I.D. x 2.0 cm, steril, SU

Arthrex PassPort Button Cannula, 6 mm x 2 cm

PassPort Button Cannula de Arthrex de Ø 6 mm x 2 cm

PassPort Button Cannula, 6 mm ID x 3 cm, qty. 5

Arthrex PassPort Button Cannula, 6.0 mm I.D. x 3.0 cm, steril, SU

Arthrex PassPort Button Cannula, 6 mm x 3 cm

PassPort Button Cannula de Arthrex de Ø 6 mm x 3 cm

PassPort Button Cannula, 6 mm ID x 4 cm, qty. 5

Arthrex PassPort Button Cannula, 6.0 mm I.D. x 4.0 cm, steril, SU

Arthrex PassPort Button Cannula, 6 mm x 4 cm

PassPort Button Cannula de Arthrex de Ø 6 mm x 4 cm

PassPort Button Cannula, 6 mm ID x 5 cm, qty. 5

Arthrex PassPort Button Cannula, 6.0 mm I.D. x 5.0 cm, steril, SU

Arthrex PassPort Button Cannula, 6 mm x 5 cm

PassPort Button Cannula de Arthrex de Ø 6 mm x 5 cm

PassPort Button Cannula, 8 mm ID x 2 cm, qty 5

Arthrex PassPort Button Cannula, 8.0 mm I.D. x 2.0 cm, steril, SU

Arthrex PassPort Button Cannula, 8 mm x 2 cm

PassPort Button Cannula de Arthrex de Ø 8 mm x 2 cm

PassPort Button Cannula, 8 mm ID x 3 cm, qty 5

Arthrex PassPort Button Cannula, 8.0 mm I.D. x 3.0 cm, steril, SU

Arthrex PassPort Button Cannula, 8 mm x 3 cm

PassPort Button Cannula de Arthrex de Ø 8 mm x 3 cm

PassPort Button Cannula, 8 mm ID x 4 cm, qty 5

Arthrex PassPort Button Cannula, 8.0 mm I.D. x 4.0 cm, steril, SU

Arthrex PassPort Button Cannula, 8 mm x 4 cm

PassPort Button Cannula de Arthrex de Ø 8 mm x 4 cm

PassPort Button Cannula, 8 mm ID x 5 cm, qty 5

Arthrex PassPort Button Cannula, 8.0 mm I.D. x 5.0 cm, steril, SU

Arthrex PassPort Button Cannula, 8 mm x 5 cm

PassPort Button Cannula de Arthrex de Ø 8 mm x 5 cm

PassPort Button Cannula, 10 mm ID x 2 cm, qty. 5

Arthrex PassPort Button Cannula, 10.0 mm I.D. x 2.0 cm, steril, SU

Arthrex PassPort Button Cannula, 10 mm x 2 cm

PassPort Button Cannula de Arthrex de Ø 10 mm x 2 cm

PassPort Button Cannula, 10 mm ID x 3 cm, qty. 5

Arthrex PassPort Button Cannula, 10.0 mm I.D. x 3.0 cm, steril, SU

Arthrex PassPort Button Cannula, 10 mm x 3 cm

PassPort Button Cannula de Arthrex de Ø 10 mm x 3 cm

PassPort Button Cannula, 10 mm ID x 4 cm, qty. 5

Arthrex PassPort Button Cannula, 10.0 mm I.D. x 4.0 cm, steril, SU

Arthrex PassPort Button Cannula, 10 mm x 4 cm

PassPort Button Cannula de Arthrex de Ø 10 mm x 4 cm

PassPort Button Cannula, 10 mm ID x 5 cm, qty. 5

Arthrex PassPort Button Cannula, 10.0 mm I.D. x 5.0 cm, steril, SU

Arthrex PassPort Button Cannula, 10 mm x 5 cm

PassPort Button Cannula de Arthrex de Ø 10 mm x 5 cm

Knee Obturator for Posterior Portal

AR-1266

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AR-1266 is a Set Item Of (1)

AR-1269S

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