Finished Product

AR-1365-35

Human

Knee

Product

The ACL/PCL Cortical Fixation Case is a system that incorporates a variety of fixation options. The set includes low-profile 4.5 mm cortical, 6.5 mm cortical, and 6.5 mm cancellous screw options. It also includes low-profile spiked washers and ligament staples. The screws have extremely low profile heads to reduce soft tissue irritation. A step drill with laser depth marking countersinks the screw head flush to bone when used as a suture fixation post. The smooth shank with suture groove orients the sutures safely under the head during screw insertion. The optional, low profile spiked washer may be used in conjunction with the cancellous screw for fixation of soft tissue or tendons directly to bone. The instrumentation set includes a 2.5 mm Drill for Bi-Cortical Post to broach the cortical bone, while the depth device is used to obtain accurate sizing information. Although the post has a self-tapping feature, a tap is included for those who prefer the “drill-measure-tap” insertion technique. Ligament staples, with a low profile bridge, reduce the frequency of secondary removal due to patient discomfort caused by soft tissue irritation. The cobalt chrome spiked fixation staple has sharp leg points for easier penetration into cortical bone without predrilling. The Staple Driver with attachable impactor/extractor allows complete impaction since the staple driver tip is flush with the staple bridge. The Staple Seating Punch may be used for further impaction. All staples are 20 mm in length.

ACL/PCL Cortical Fixation Instrument Set

Child (D)

The 4.5 mm-diameter bicortical post has an extremely low-profile head to reduce soft-tissue irritation. A 2.5 mm drill for bicortical post is used to broach the cortical bone, while the depth device provides accurate sizing information. The optional low-profile, spiked washer may be used in conjunction with the bicortical post for soft-tissue tendon fixation of soft tissue tendons directly to bone.&nbsp;
The posts and washers are manufactured using titanium ASTM F-136 alloy. The smooth, concave-shaped washer securely traps attached sutures and bulky suture knots atraumatically under the low-profile washer to eliminate potential soft-tissue irritation. The spiked washer facilitates direct soft tissue or ligament fixation to bone.
Ligament staples with a low-profile bridge reduce the frequency of secondary removal due to patient discomfort caused by soft-tissue irritation. The cobalt chrome spiked fixation staple has sharp leg points for easier penetration into cortical bone without predrilling. The staple driver with attachable impactor/extractor allows complete impaction since the staple driver tip is flush with the staple bridge. The staple seating punch may be used for further impaction. All staples are 20 mm.
Finally, the two-piece TensionLoc™ implant system is designed to fix suture during ligament reconstruction procedures. Using this technique, tibial suture fixation is shown for a single- or double-bundle anterior cruciate ligament reconstruction (ACLR). A unique alternative to standard suture buttons, the TensionLoc implant allows suture-button maintenance for suture tension adjustments during knot tying. The low-profile PEEK implant sits flush and securely within the tunnel.

Bi-Cortical Post, 4.5 mm x 35 mm

AR-1365-35

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ACL/PCL Cortical Fixation Instrument Set

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Posts, Washers and Staples

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