Schraubendreher Handgriff mit Quick-Lock-Konnektierung

Finished Product

AR-1999NR

Knee

Product

The Bi-Cortical Bio-Post® and Washer System offers a bioabsorbable PLLA screw for suture or soft tissue fixation in ligament repair or reconstruction. The nontapered 6.5 mm diameter screw has a unique hybrid thread that is designed to provide maximum fixation in bone. The screw comes in one length, 70 mm, and can be easily cut to size intraoperatively using the Screw Cutting Guide and Screw Cutting Forceps. The unique one-size-fits-all feature may also help reduce the number of screw product codes maintained in inventory.

Bio-Posts and Washer System

Child (D)

The cancellous screw has an extremely low profile head 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 6.5 mm diameter screw and washer are manufactured using titanium ASTM F-136 alloy.

Low Profile Cancellous Screw and Washer

Procedure

Arthrex offers a comprehensive selection of fixation devices for a variety of bone-patella tendon-bone (BTB) graft techniques. These options include adjustable, continuous-loop suspensory fixation, and interference screws in a variety of materials. The TightRope® implant, which has been used in 2 million procedures globally,1 simplifies ACL reconstruction and facilitates advanced techniques such as the GraftLink® technique. FastThread™ BioComposite interference screws allow for faster screw insertion, better graft protection, and are made of time-tested material with more than a decade of clinical success and implantation.2
References
1. Arthrex, Inc. Data on file (sales data as of September 18, 2018). Naples, FL; 2018.
2. Arthrex, Inc. LA1-0199-EN_E. Naples, FL; 2018.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

ACL BTB Graft Fixation

BioComposite Interference Screw, 6 mm x 23 mm

BioComposite Interferenzschraube, 6 x 23 mm, steril, IM

BioComposite Interference Screw, With Disposable Sheath, 6 X 23mm

Tornillo interferencial de BioComposite con vaina protectora desechable,Ø 6 mm x 23 mm

Parafuso de interferência BioComposite, com bainha descartável, 6 mm x 23 mm

BioComposite Interference Screw, 7 mm x 23 mm

BioComposite Interferenzschraube, 7 x 23 mm, steril, IM

BioComposite Interference Screw, With Disposable Sheath, 7 x 23 mm

Tornillo nterferencial de BioComposite con vaina protectora desechable, Ø 7 mm x 23 mm

Parafuso de interferência BioComposite, com bainha descartável, 7 mm x 23 mm

BioComposite Interference Screw, 8 mm x 23 mm

BioComposite Interferenzschraube, 8 x 23 mm, steril, IM

BioComposite Interference Screw, With Disposable Sheath, 8 x 23 mm

Tornillo interferencial de BioComposite con vaina protectora desechable,Ø 8 mm x 23 mm

Parafuso de interferência BioComposite, com bainha descartável, 8 mm x 23 mm

BioComposite Interference Screw, 9 mm x 23 mm

BioComposite Interferenzschraube, 9 x 23 mm, steril, IM

BioComposite Interference Screw, With Disposable Sheath, 9 x 23 mm

Tornillo interferencial de BioComposite con vaina protectora desechable,Ø 9 mm x 23 mm

Parafuso de interferência BioComposite, com bainha descartável, 9 mm x 23 mm

BioComposite Interference Screw, 10 mm x 23 mm

BioComposite Interferenzschraube, 10 x 23 mm, steril, IM

BioComposite Interference Screw, With Disposable Sheath, 10 x 23 mm

Tornillo interferencial de BioComposite con vaina protectora desechable,Ø 10 mm x 23 mm

Parafuso de interferência BioComposite, com bainha descartável, 10 mm x 23 mm

BioComposite Interference Screw, Full Thread, 8 mm x 28 mm

BioComposite Interferenzschraube, Vollgewinde, kanüliert, 8 x 28 mm

Full Thread Cannulated BioComposite Interference Screw, 8 x 28 mm

Tornillo interferencial canulado con rosca completa de BioComposite, Ø 8mm x 28 mm

Parafuso de interferência BioComposite canulado de rosca completa, 8 mm x 28 mm

Parafuso de interferência BioComposite c

BioComposite Interference Screw, Full Thread, 9 mm x 28 mm

BioComposite Interferenzschraube, Vollgewinde, kanüliert, 9 x 28 mm

Full Thread Cannulated BioComposite Interference Screw, 9 x 28 mm

Tornillo interferencial canulado con rosca completa de BioComposite, Ø 9mm x 28 mm

Parafuso de interferência BioComposite canulado de rosca completa, 9 mm x 28 mm

BioComposite Interference Screw, Full Thread, 10 mm x 28 mm

BioComposite Interferenzschraube, Vollgewinde, kanüliert, 10 x 28 mm

Full Thread Cannulated BioComposite Interference Screw, 10 x 28 mm

Tornillo interferencial canulado con rosca completa de BioComposite, Ø 10 mm x 28 mm

Parafuso de interferência BioComposite canulado de rosca completa, 10 mmx 28 mm

BioComposite Interference Screw, Full Thread, 11 mm x 28 mm

BioComposite Interferenzschraube, Vollgewinde, kanüliert, 11 x 28 mm

Full Thread Cannulated BioComposite Interference Screw, 11 x 28 mm

Tornillo interferencial canulado de BioComposite con rosca completa, Ø 11 mm x 28 mm

Parafuso de interferência BioComposite canulado de rosca completa, 11 mmx 28 mm

BioComposite Interference Screw, Full Thread, 12 mm x 28 mm

BioComposite Interferenzschraube, Vollgewinde, kanüliert, 12 x 28 mm

Full Thread Cannulated BioComposite Interference Screw, 12 x 28 mm

Tornillo interferencial canulado con rosca completa de BioComposite, Ø 12 mm x 28 mm

Parafuso de interferência BioComposite canulado de rosca completa, 12 mmx 28 mm

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

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

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

BioComposite FastThread interference screws are designed with a prominent leading and large thread pitch to facilitate screw engagement and advancement. Optimized screw threads improve pullout strength vs longer screws of the same diameter.1 Vented sidewalls and screw geometry decrease material by 22% without losing insertion or fixation strength.2,3 Arthrex’s proprietary biocomposite material has withstood the test of time with more than a decade of clinical use and millions of implantations.4 Rounded thread and head design may reduce damage to graft on insertion and cycling. Fewer screw heads reduce turns, twisting, and possible graft abrasion. The 20 mm screws are packaged with an insertion sheath.
PEEK FastThread screws offer a nonmetallic fixation option that can be placed without a tap, have a similar modulus as bone and will not affect future visualization with MRI.1,2 PEEK FastThread screws are available in 20 mm and 30 mm lengths.
References
1. Arthrex, Inc. Data on file (APT 3585). Naples, FL; 2018.
2. Arthrex, Inc. Data on file (Engineering department calculation of volume). Naples, FL; 2018.
3. Arthrex, Inc. LA1-00099-EN_A. Naples, FL; 2018.
4. Arthrex, Inc. LA1-0199-EN_E. Naples, FL; 2018.

FastThread™ Interference Screws

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

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.

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.

Non-Ratcheting Screwdriver Handle

AR-1999NR

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AR-1999NR

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