Finished Product

AR-1288QIS-80

Knee

Procedure

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

Child (D)

Arthrex offers a comprehensive selection of soft-tissue fixation devices for a variety of techniques. Innovative designs and cutting-edge materials allow surgeons to achieve strong, less invasive anatomic ACL reconstructions with soft-tissue grafts.

ACL Soft-Tissue Graft Fixation

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

Product

The FiberTag TightRope implant facilitates attachment of single-ended grafts, such as quad tendon grafts, to the ACL TightRope RT and ABS implants. FiberTag suture is integrated into the TightRope implant for a strong1, consistent connection between the suture and TightRope loop. A simplified suturing technique, along with innovative packaging and the new GraftClamp graft preparation instrument, make preparing quadriceps tendon grafts faster and more reproducible than ever.
References
1. Arthrex, Inc. LA1-000023-EN_A. Naples, FL; 2020.

FiberTag® TightRope® Implant

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

Quadriceps tendon grafts offer unique benefits for cruciate ligament reconstruction, such as a predictably large diameter, low morbidity,1 and a preferable stiffness profile for knee ligament reconstruction.
The QuadPro™ tendon harvester is designed to safely, easily, and quickly harvest a quadriceps or patellar tendon graft using a minimally invasive technique.2-4 The sharp tip cores out an approximate cylindrical graft. Its ergonomically designed handle features graduations on the clear shaft to allow visualization of approximate graft length during harvesting. Available in four sizes (8 mm to 11 mm), the QuadPro tendon harvester can accommodate each patient’s unique needs as well as the surgeon’s preference for graft diameter.
The FiberTag® TightRope® implant facilitates attachment of single-ended grafts, such as quad tendon grafts, to the ACL TightRope RT and ABS implants. FiberTag suture is integrated into the TightRope implant for a strong, consistent connection between the suture and TightRope loop. A simplified suturing technique, along with innovative packaging and the new GraftClamp graft preparation instrument, make preparing quadriceps tendon grafts faster and more reproducible than ever.
References
1. Arthrex, Inc. LA1-00100-EN_K. Naples, FL; 2021.
2. Xerogeanes JW, Mitchell PM, Karasev PA, Kolesov IA, Romine SE. Anatomic and morphological evaluation of the quadriceps tendon using 3-dimensional magnetic resonance imaging reconstruction: applications for anterior cruciate ligament autograft choice and procurement. Am J Sports Med. 2013;41(10):2392-2399. doi:10.1177/0363546513496626
3. Hadjicostas PT, Soucacos PN, Berger I, Koleganova N, Paessler HH. Comparative analysis of the morphologic structure of quadriceps and patellar tendon: a descriptive laboratory study. Arthroscopy. 2007;23(7):744-750. doi:10.1016/j.arthro.2007.01.032
4. Krebs N, Yaish A, O’Neill N. Anatomic evaluation of the quadriceps tendon in cadaveric specimens: application for anterior cruciate ligament reconstruction graft choice. SMRJ. 2019;4(1):7961. doi:10.51894/001c.7961

Quad Tendon Graft ACL Reconstruction

Arthrex pioneered quadriceps tendon (QT) autograft harvesting in 2014 with the minimally invasive QT harvest instrument set for a much easier and more reproducible harvest of the quad tendon. The QuadPro™ tendon harvester is the next evolution in graft harvesting for ACL reconstruction (ACLR). It was specifically engineered to allow for efficient, safe graft harvesting while reducing the morbidity and challenges associated with traditional quad harvesting techniques.

Quad Tendon Harvest and Preparation

The QuadPro tendon harvester is a next-generation harvesting device designed to safely, easily, and quickly harvest a quadriceps autograft using a minimally invasive technique. The handle has been ergonomically designed to visualize approximate graft length during harvesting. The QuadPro tendon harvester is available in four sizes (8 mm to 11 mm) to accommodate each patient’s unique needs as well as the surgeon’s preference for graft size.

QuadLink Implant System, 8 mm

AR-1288QIS-80

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