Autograft GraftLink Implant System, for InternalBrace Technique

Finished Product

AR-1588AU-CP2

Knee

Procedure

Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation.&nbsp;A reproducible harvest can be performed through a traditional anterior or posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers.
The graft prep station includes a variety of interchangeable clamps and posts to facilitate graft tensioning and suturing.
Graft preparation has been revolutionized with the FiberLoop® suture line and the SpeedWhip™ rip-stop technique. The continuous loops of SutureTape, #2 or #0 suture, and free-floating straight or curved needles allow reproducible graft suturing of traditional straight sutures.

ACL Hamstring Graft Harvest and Preparation

Child (D)

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

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

TightRope ABS-Button, für InternalBrace-Technik, rund, konkav, Ø 11 mm

TightRope ABS Button, Round, Concave 11 mm, for InternalBrace Technique

TightRope ABS Button, Round, Concave 14 mm

TightRope ABS, Button, Round, Concave, Ø 14 mm

TightRope ABS Button, Round, Concave 20 mm

TightRope ABS Button, Round, Concave, Ø 20 mm

Product

The TightRope attachable button system (ABS) revolutionized minimally invasive, adjustable-loop suspensory fixation grafts used in knee ligament surgery. Suitable for all graft types, TightRope II ABS implant loops can be attached to a variety of button configurations for fixation over sockets created with a FlipCutter® drill or full tunnels with concave buttons.&nbsp;
The flat-tape TightRope II ABS implant loop improves handling characteristics and can reduce graft abrasion.1 Able to easily pass through narrow bone tunnels, the two-piece TightRope II ABS implant allows increased cortical fixation with the assembly of a large button over the cortical bone. During all-inside ACL reconstruction, use the TightRope II ABS implant for tibial fixation in QuadLink™ and GraftLink® techniques or graft fixation over small bone tunnels created during transtibial ACL reconstruction.
Reference
1. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017.

ACL TightRope® II Attachable Button System

TightRope ABS, Button, Round 14 mm

TightRope ABS, Button, Oblong 3.4 x 13 mm

TightRope ABS, Button, länglich 3.4 mm x 13 mm

As the first adjustable-loop cortical suspensory fixation implant to use a flat SutureTape design, the ACL TightRope II implant offers better handling characteristics and is more resistant to graft abrasion or tissue pull-through than traditional round sutures.1&nbsp;
Engineered for precise graft tensioning, the adjustable-loop mechanism allows for incremental retensioning of the graft construct after the implants have been secured on the cortex. The redesigned cortical button now incorporates a proprietary knotless fifth locking mechanism, increasing strength and resistance to cyclic displacement.2 To accommodate various graft types and techniques, TightRope II implants are available in RT and BTB configurations loaded with an additional flipping suture or preloaded with a FiberTape® suture for the InternalBrace™ technique. Available options for the ABS implant include standard or open.
References
1. Arthrex, Inc. LA1-00038-EN_B. Naples, FL; 2017.
2. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020.
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

ACL TightRope® II Implant

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 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 prep 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>

GraftLink® Technique

The next evolution in adjustable cortical suspensory fixation, the ACL TightRope II implant includes a flat-tape TightRope loop for improved graft interface and handling characteristics during graft tensioning and greater resistance to graft abrasion.1 Engineered to enable precise graft tensioning and incremental retensioning of the construct after cortical button fixation, this implant features a proprietary 5-point locking design that resists cyclic displacement and offers excellent pull-out strength.2
 
 
An ideal choice for all inside ACL reconstruction, the ACL TightRope II RT implant can be used for femoral fixation and combined with an ACL TightRope II ABS implant and concave ABS button for tibial fixation to facilitate incremental graft advancement and tensioning of both the femoral and tibial ends of the graft.
References
1. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017.
2. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020.

Autograft GraftLink Implant System, for InternalBrace Technique

AR-1588AU-CP2

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