Femorales Zielinstrument für PCL Zweikanal Technik, 7.0 mm

Guía para reconstrucción de LCP con doble banda, Ø 7 mm

Finished Product

AR-5015-07

Knee

Procedure

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.

Arthrex® pioneered retrograde reaming over a decade ago with RetroConstruction™ Systems. Since then, these RetroConstruction systems have become a new gold standard in unconstrained, anatomic drilling for ACL reconstruction. Multiple published studies have demonstrated superior socket placement, better quality tunnels and less morbidity than standard cannulated reamers.*
*Data on File

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Atualizações científicas

Actualizaciones científicas

Scientific Updates

RetroConstruction™ Technique Arthrex® pioneered retrograde reaming over a decade ago with RetroConstruction™ Systems. Since then, these RetroConstruction systems have become a new gold standard in unconstrained, anatomic drill- ing for ACL reconstruction. Multiple published studies have demonstrated superior socket placement, better quality tunnels and less morbidity than standard cannulated reamers.* Scientific Update *data on file Abebe ES Moorman CT III Dziedzic TS Spritzer CE Cothan RL Taylor DC Garrett WE Jr DeFrate LE Abebe ES Utturkar GM Taylor DC Spritzer CE Kim JP Moorman CT III Garrett WE J DeFrate LE Okafor EC Utturkar GM Widmyer MR Abebe ES Collins AT Taylor DC Spritzer CE Moorman CT III Garrett WE J DeFrate LE McAdams TR Biswal S Stevens KJ Beaulieu CF Mandelbaum BR Lopes R Klouche S Odri G Grimaud O Lanternier H Hardy P Femoral Tunnel Placement During Anterior Cruciate Ligament Reconstruction: An In Vivo Imaging Analysis Comparing Transtibial and 2-incision Tibial Tunnel-independent Techniques. Am J Sports Med. 2009; 37(10):1904-1911. doi: 10.1177/0363546509340768. • Femoral sockets created with Arthrex® RetroConstruction drilling technique were compared with sockets created using a transtibial drilling technique on 16 patients. Socket position from each group was compared with the position of the native ACL on the contralateral knee using multi-planar MRI and 3D modeling. • The RetroConstruction drilling technique placed the graft significantly closer to the center of the native ACL attachment compared to the transtibial technique, 3 mm versus 9 mm respectively. The Effects of Femoral Graft Placement on In Vivo Knee Kinematics after Anterior Cruciate Ligament Reconstruction. J Biomech. 2011;44(5):924-929. doi: 10.1016/j.jbio- mech.2010.11.028. • The knees from the same patients as the first Abebe et al study (above) were tested 6 -36 months out from surgery. All patients underwent MRI and biplanar fluoroscopy to measure in vivo kinematics during a lunge motion. Operative knees were compared with normal contralateral knees. • Knees drilled with the transtibial technique had significantly more anterior translation, medial tibial translation and rotation than the normal knees and knees drilled with the RetroConstruction technique. Knees drilled with the RetroConstruction technique more closely reproduced normal knee function. The Effects of Femoral Graft Placement on Cartilage Thickness after Anterior Cruciate Ligament Reconstruction. J Biomech. 2014;47(1):96-101. doi: 10.1016/j.jbiomech.2013.10.003. • The knees from the same patients as the first Abebe et al studies (above) were imaged with high resolution MRI and the cartilage thickness was mapped through 3D modeling at a mean 18-20 months after ACLR. • Patients’ knees reconstructed with transtibial technique showed significantly decreased cartilage thickness compared to the normal contralateral knee and knees reconstructed with RetroConstruction technique. There was no significant difference between knees reconstructed with RetroConstruction technique and the normal contralateral knees. Superior Tunnel Quality and Decreased Patient Morbidity Tibial Aperture Bone Disruption after Retrograde Versus Antegrade Tibial Tunnel Drilling: A Cadaveric Study. Knee Surg Sports Traumatol Arthrosc. 2008;16(9):818-822. doi: 10.1007/ s00167-008-0554-6. • ACL tunnels were drilled in eight matched-pair cadaver tibias using either RetroConstruction technique or a cannulated reamer (antegrade). Micro-CTs were taken of the drilled tibias and analyzed by three musculoskeletal radiologists. • Tibial aperture irregularity and fracture lines were seen in all antegrade-drilled tunnels. No irregularity or fracture lines were seen in tunnels created with the RetroConstruction technique. Does Retrograde Tibial Tunnel Drilling Decrease Subchondral Bone Lesions During ACL Reconstruction? A Prospective Trial Comparing Retrograde to Antegrade Technique. [Published online ahead of print January 8, 2016]. Knee. 2016;23(1):111-5. doi: 10.1016/j. knee.2015.09.010. • A multi-center, prospective study of 43 patients,15 with antegrade-drilled tibial tunnels and 28 with retrograde-drilled tibial tunnels. MRIs and pain were assessed during the first postoperative week. • Tibial edema was significantly more frequent in the antegrade group. Tibial edema showed a correlation to early postoperative pain. Improved Socket Placement and Clinical Results RetroConstruction™ Technique Scientific Update Lubowitz J Schwartzberg R Smith P Benea H d’Astorg H Klouche S Bauer T Tomoaia G Hardy P Okazaki K Matsubara H Osaki K Tashiro Y Mizu-Uchi H Hamai S Doi T Iwamoto Y Smith P DeBerardino T Nawabi D McCarthy M Graziano J DeMille P Chiaia T Green D Cordasco F Nawabi DH Jones KJ Lurie B Potter HG Green DW Cordasco FA Xerogeanes JW Hammond KE Todd DC Randomized Controlled Trial Comparing All-inside Anterior Cruciate Ligament Reconstruction Technique with Anterior Cruciate Ligament Reconstruction with a Full Tibial Tunnel. Arthroscopy. 2013;29(7):1195-1200. doi: 10.1016/j.arthro.2013.04.009. • All-inside ACL Reconstruction resulted in less postoperative pain and similar clinical outcomes than a full tunnel technique. Pain Evaluation after All-Inside Anterior Cruciate Ligament Reconstruction and Short Term Functional Results of a Prospective Randomized Study. Knee. 2014;21(1):102-106. doi: 10.1016/ j.knee.2013.09.006. • The results show that postoperative pain, knee stability, ranges-of-motion and graft positioning were better for the all-inside technique than the traditional full-tunnel technique. • The all-inside technique can be considered a valid, reliable procedure with very good results for pain, stability and knee function. The all-inside technique seems to be a promising future option as a minimally invasive technique. Better Cortical Fixation Femoral Tunnel Apertures on The Lateral Cortex in Anterior Cruciate Ligament Reconstruction: An Analysis of Cortical Button Fixation. Arthroscopy. 2014;30(7):841-848. doi: 10.1016/ j.arthro.2014.03.004. • The external cortical hole size of sockets drilled with the Arthrex® FlipCutter® (3.5 mm diameter) and the S&N drilling system (4.5 mm diameter) were compared at common drilling angles in a 3D model of real patient femurs. • Oblique entry created larger holes in the femoral cortex for both systems. However, the larger diameter of the S&N system created significantly larger holes than the Arthrex system. • Since a hole size of 6.5 mm is the critical limit to cortical fixation of common ACL button implants (12- 13 mm) the S&N system significantly limited the ability to create a femoral socket. The FlipCutter however created an acceptable hole size in all but the most extreme angles. Tibial Fixation Properties of a Continuous-Loop ACL Hamstring Graft Construct with Suspensory Fixation in Porcine Bone. [published online ahead of print October 27, 2014]. J Knee Surg. doi: 10.1055/s-0034-1394167. • All-inside GraftLink® continuous loop soft tissue graft with TightRope® suspensory fixation provided adequate strength for tibial fixation in ACL reconstruction and was superior to interference screw fixation. ACL Socket Drilling in Skeletally Immature Patients Return to Play and Clinical Outcomes after All-inside, Anterior Cruciate Ligament Reconstruction in Skeletally Immature Athletes. Orthop J Sports Med., 2014;2(7)(suppl 2):1. doi: 10.1177/2325967114S00038. • An all-inside, physeal-sparing ACL reconstruction technique using hamstring autograft demonstrates excellent subjective and objective clinical outcomes in skeletally immature athletes without growth disturbance. All-Inside, Physeal-Sparing Anterior Cruciate Ligament Reconstruction Does Not Significantly Compromise The Physis In Skeletally Immature Athletes: A Postoperative Physeal Magnetic Resonance Imaging Analysis. Am J Sports Med. 2014;42(12):2933-2940. doi: 10.1177/ 0363546514552994. • Twenty-three skeletally immature patients were followed after having physeal sparing ACLR with FlipCutter. Growth plate sensitive MRI and x-rays were taken at 6 and 12 months revealing no growth arrest, articular cartilage damage or AVN. Anatomic Landmarks Utilized for Physeal-Sparing, Anatomic Anterior Cruciate Ligament Reconstruction: An MRI-Based Study. J Bone Joint Surg Am. 2012;94(3):268-76. doi: 10.2106/ JBJS.J.01813. • Defined drilling landmarks for anatomic, all epiphyseal femoral ACL drilling. Only FlipCutter, with small pin diameter of 3.5 mm, spared lateral sided structures (popliteus, LCL) while still allowing a socket of at least 7 mm to be drilled. ©2016, Arthrex Inc. All rights reserved. LA1-00042-EN_A

RetroConstruction™ Technique Scientific Update

PCL RetroConstruction™ System / FlipCutter® III Drill

Knee Obturator for Posterior Portal

Knie Obturator für das posteriore Portal

Obturador de rodilla para portal posterior

Obturador de joelho para portal posterior

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

Implant System, FiberTag TightRope with attached needle, FlipCutter III and FiberStick

FlipCutter II, Ø 6 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 6 mm

FlipCutter II, Ø 6.5 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 6.5 mm

FlipCutter II, Ø 7 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 7 mm

FlipCutter II, Ø 7.5 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 7.5 mm

FlipCutter II, Ø 8 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 8 mm

FlipCutter II, Ø 8.5 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca retrogada 8.5 mm

FlipCutter II, Ø 9 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 9 mm

FlipCutter II, Ø 9.5 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 9.5 mm

FlipCutter II, Ø 10 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Guia + Broca Retrogada 10 mm

FlipCutter II, Ø 10.5 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Guia + Broca Retrogada 10.5 mm

FlipCutter II, Ø 11 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 11 mm

FlipCutter II, Ø 11.5 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 11.5 mm

FlipCutter II, Ø 12 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 12 mm

FlipCutter II, Ø 13 mm Aguja guia y broca en un solo dispositivo

FlipCutter II, Fio Broca + Broca Retrogada 13 mm

RetroConstruction Drill Guide System Instrument Set

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

Schraubendreher Handgriff mit Quick-Lock-Konnektierung

SlapDriver, Ratcheting Quick Connect

Ratschenschraubendreherhandgriff, QuickConnect, für SlapDriver

Ratcheting Handle SlapDriver (Quick Connect)

Fixed Handle SlapDriver for 20 mm and 30 mm Screws

Fixed Handle SlapDriver for 20 mm Screws

Fixed Handle SlapDriver for 6 mm x 20 mm Screws

Child (D)

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

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

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, 3.5 mm x 310.0 mm

Aguja guía con punta de broca, Ø 3.5 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

Double Bundle PCL Guide, 7 mm

AR-5015-07

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AR-5015-07 is a Set Item Of (1)

AR-1269S

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