Joelho

Sistema de preparação de enxertos GraftPro™

Décadas de experiência em preparação de enxertos e feedback de equipes cirúrgicas culminaram no sistema de preparação de enxertos GraftPro. O sistema GraftPro possui vários recursos que simplificam e aceleram a preparação de enxertos de tecidos moles, BTB, QuadLink™ e GraftLink®.

Knee

John Xerogeanes, MD (Atlanta, GA), demonstrates how to use reusable sliding GraftClamp instruments with the GraftPro® system during a quad tendon ACL reconstruction using FiberTag® TightRope® SB implants. The reusable GraftClamp instruments simplify graft preparation by allowing single-user graft preparation.

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English  - en

video

Human

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

Surgical Technique Videos

Quad Tendon Graft Preparation Using Sliding GraftClamp Instruments

Foot and Ankle

GraftLink® ACL Reconstruction Using the InternalBrace™ Technique

Today we're going to go over the graft prep for the BioACL at the Andrews Institute. We're working on a prospective study to evaluate the effectiveness in increasing maturation of an ACL. Autograft. We use a three by six thick amnion wrap. There's a notch to the upper left. It helps you keep it oriented, allowing you to keep the epithelial side up. Three centimeters allows us to cover the intra-articular segment of most ACLs and most knees perfectly, and the six allows you to get three wraps around it. We're going to show you how to do essentially a water tight wrap. We're going to do it with a dyed suture. We normally use a monocryl with thought to dyed suture would be easier to see. So what we do is place it in the center of a soft tissue graft. Sometimes on a BTB you may have to move it depending on the length of the graft. But here we're going to place it on the center and then moisten it. You moisten it and it allows it to work very well. This is a very workable tissue. Holds the suture very well. It looks like it might be friable, but it's actually very workable. And so we wrap it carefully like this. It usually takes about ten minutes on the back table to prepare this. And you see the way I wrapped it. The end comes around almost exactly the same spot you started on most graphs. What we start with is first is circumferential wraps around either end. And like I mentioned, this is usually a water type construct which makes it really nice. So we wrap it really good. Like so. I'm going to cut the end to make it a little easier. And tie this. You want to make sure you go through both layers. Get it tight as close to the end as you can get without having it come off. Thank you. Now we'll go to the other end and do the same thing. So if you're going to inject biologic solutions, we found this to be a nice construct to hold whatever solution you put it in where you want it next to the graft. What we're going to do is make a little running stitch along the free edge. I don't know if you can see that, but there's a little free edge there. We want to catch both. Tie quick knot and then run it. So now we're just going to run it up along the free edge. The goal is not to constrict the inner space too much, because we want any solution or fluids you put inside to be able to. Go all all throughout the the casing, so we don't want to compartmentalize it, if you will. This technique has allowed us to inject these and watch the whole rep swell up with with biology. Okay, we're almost done here. And we'll tie it off. And this is the completion of the amnion wrap for the BioACL. Again, I don't usually use a colored suture. I just thought it would be helpful today. And that's it. So you can see the center. The center, three centimeters is wrapped with an amnion wrap and a four row suture. Now that we have our graph prepared with the amnion wrap, we're going to load it with the internal brace. This is a double loaded TightRope RT. We're going to take off the larger of the two pull sutures to allow more room, leaving the other pull suture. I've loaded a graph parser in here. Now you take the ends toward the graph as you see we're doing here. Take them toward it. And then we're going to get the other side. Really not that hard. Using this little graph parser makes it pretty easy. Drop it down like so. Try to even up your ends. And not tangle anything. We'll do that. Like so. This completes the internal brace construct of the amnion wrapped soft tissue graft. And as you can see, loaded like this still has a good profile that's easily delivered. We have not had any problems delivering it with the standard technique with the TightRope TT. So here we have our amnion wrapped hamstring soft tissue construct with the FiberTape on the TightRope TT. We've drilled we've passed sutures and we're now going to deploy the femoral side so we can see where the TT button going into the tunnel. We've measured it at about 35. We've successfully deployed that. Now I'm going to hold tension on the graft while Adam shortens it into the tunnel usually about 15 to 20. Go ahead. You can see the wrap coming into place. And right at the edge. We've got 20 in the femoral tunnel, which is great. Now we're going to deploy the tibial side. And you see there it pops into the tibial side. As you can see the wrap covers the intra-articular portion. Tighten it up a little bit on the femur. I'm pulling down. We're going to get that a little bit closer. The notch plastic could have been a little bit bigger, but there you go. From tibia to femur with an internal brace which we're going to tighten separately like so. So we've got the graft in place. We're going to put the leg in extension and tighten the internal brace separately. So what you see here is I can tighten that and fix it to the tibia with a swivel lock or however you prefer. I prefer a SwiveLock. So I've got the internal brace. And then we'll flex to about 30 and tighten the abs TightRope on the tibia. And we're fixed. So the steps for injecting your biologic fluid underneath. First you need to dry the joint. So I'll typically use just any any type of suction device. I've cut my water off. And I'm just going to take all the fluid out of the knee. It'll kind of collapse down because of the suction, but once you let it off, then you'll have a nice little dry space in there. The other trick is to take a spinal needle and hook it up to suction. So this is an 18 gauge spinal needle. And I typically park that spinal needle down here near the lateral meniscal root. And then once it's parked down there, it kind of keeps everything sucked out. If you turn your eyes down, you can usually get to a nice dry spot and you want to get underneath the wrap and then just start injecting and see how it nice balloons up and creates almost a blood blister. Some of it will come out, but I think that the viscosity and the stickiness of the graft, as well as the injectable, keeps the majority of it where we want it. Typically you'll get two milliliters into your construct.

application/pdf

A visual representation of the tray and its components that includes product number, product description, product quantity, and a tray tracking form that administrative staff can use to manage trays for the hospital and/or surgery center.

Eine visuelle Darstellung des Siebs und seiner Komponenten mit Produktnummer, Produktbeschreibung, Produktmenge und einem Formular zur Nachverfolgung von Sieben, das das Verwaltungspersonal zur Verwaltung der Siebe für das Krankenhaus und/oder das Operationszentrum verwenden kann.

Sieblisten

Uma representação visual da bandeja e seus componentes que inclui o número, a descrição e a quantidade de cada produto, juntamente com um formulário de rastreamento que a equipe administrativa pode usar para gerenciar bandejas de hospitais e/ou centros cirúrgicos.

Listas - Conjunto de instrumentos

Una representación visual de la bandeja y sus componentes que incluye el número, la descripción y la cantidad de cada producto, junto con un formulario de seguimiento que el personal administrativo puede usar para administrar las bandejas del hospital y/o centro quirúrgico.

Listados - Set de instrumentos

Tray Lists

GraftPro® Graft Preparation (AR-2950DS)

A document containing information about Arthrex products and product lines.

Ein Dokument mit Informationen über Arthrex Produkte und Produktlinien.

Broschüren

Documento contendo informações sobre produtos e linhas de produtos da Arthrex.

Brochuras

Documento que contiene información sobre los productos y líneas de productos de Arthrex.

Folletos

Brochures

GraftPro® Graft Preparation System

Arthrex® Graft Tubes are full circumference, full length, clear tubes that facilitate graft compression, sizing and preparation. The unique transparent tubes with an etched ruler allow visualization of the graft during diameter and length sizing. Funneled entrance and attachable handle ease the entry of grafts into the sizer, allowing compression of up to 2 mm. Small holes in the Graft Tubes allow hydration of the graft or injection of biologics along the entire length. The tapered tip allows delivery of the graft directly into the tibial tunnel or medial portal.

Arthrex Graft Tubes - Clearly Better Graft Sizing and Preparation

Decades of graft preparation experience and feedback from surgical teams have culminated into the GraftPro™ Graft Preparation System. The GraftPro system has numerous features that simplify and accelerate graft preparation of soft tissue, BTB and GraftLink® grafts.

Animations demonstrating the features and benefits of a specific product.

Animationen, die die Funktionen und Vorteile eines bestimmten Produkts demonstrieren.

Produktdemonstrationen

Animações demonstrando os recursos e benefícios de um produto específico.

Vídeos de demonstração de produtos

Animaciones que demuestran las características y beneficios de un producto específico.

Videos de demostración de productos

Product Demonstrations

GraftPro™ Graft Preparation System

Decades of graft, preparation, experience and feedback from surgical teams have culminated into the GraftPro graft preparation system. The GraftPro system has numerous features that simplify and accelerate graft preparation of soft tissue bttb and GraftLink grafts. The GraftPro instrument case is efficiently housed in a small footprint case that occupies minimal space on the instrument table. The graft prep board sits above the attachments and is removed first. The graft prep board and attachments are laid out logically and clearly marked for simplified setup and quick assembly. All attachments fit into custom bracketing with matching graphics and open matte area allows additional instruments to be added as desired. A graft sizing block is also included. The GraftPro board is lightweight and has non-slip feet to facilitate usage on side table or mayo stand. A large graft cleaning board facilitates removal of unwanted tissue and graft trimming. Five quick release connections are Connections are located both in fixed and sliding positions and will accommodate all attachments. Dual tracks with ratcheting sliders allow one handed movement of attachments. Sliders are released by squeezing tabs and allow movement in the opposite direction. The board also includes a well for BTB preparation, which secures bone blocks while cutting and drilling. Two graft clamps come with the set and have been designed to effectively hold tissue grafts. A dramatically narrower jaws also help facilitate loading of grafts into the clamp. Quick release attachments facilitate SpeedWhip suturing technique with FiberLoop by permitting one side of the graft to easily be removed from the board, allowing passage of the FiberLoop around the graft. The graft can then be resecured into the board, so both hands can be used for needle passing and suture tensioning. Graftpro attachments can be rotated in any direction, allowing graft positioning in several directions. Two posts are included in the GraftPro set, and can be used in a variety of ways to hold and tension grafts and graft sutures. The smooth surface and curved recess is ideal for a traumatically securing soft tissue grafts as shown. The button holder with ruler secures ACL, TightRope and RetroButton implants, and allows measurement of the loop and graft to facilitate button flipping and graft advancement. The spring loaded latch is depressed to load the button into place. The latch then automatically closes over the top of the implant and holds it securely during graft prep and tensioning. The tensioning strands of the TightRope rt are accessible from the end of the attachment, and may be pulled to customize loop length. The built in ruler allows measurement and marking of the implant loop and graft for later reference during implant and graft passing. The GraftLink attachment secures an ACL TightRope button into place, with a spring loaded sleeve that closes over the button to hold it securely during graft prep and tensioning. There is also an alternative rubber grommet option for attachment of the ACL, TightRope, ABS loop, or graft sutures. Additionally, this attachment incorporates a potentiometer to approximate tensioning force. Note when loading ACL TightRope implants into the button holders, the inferior limb of the blue passing suture should not be positioned superiorly as shown here. This will make button loading more difficult. The inferior limb of the blue passing suture should be positioned inferiorly, as shown here, to facilitate button loading. The BTB well helps to secure bone blocks during cutting and drilling. Rulers along the top and side help approximate graft sizing during preparation. The open center slot allows passage of drill bits and needles through the bone block. The graft sizing block helps approximate graft diameter from 4.5mm to 12mm in half millimeter increments. When placing the board into the case, orient the board so that the cutting board portion is directly over the attachment brackets. The sliders must be positioned over the open pin mat area for the board to sit, flush, and allow the lid to be seated.

Sistema de preparação de enxertos GraftPro™

Educational Resources and Products

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GraftPro® Graft Preparation System

GraftLink® ACL Reconstruction Using the InternalBrace™ Technique

GraftPro™ Graft Preparation System

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Brochuras (2)

GraftPro® Graft Preparation System

Arthrex Graft Tubes - Clearly Better Graft Sizing and Preparation

Listas - Conjunto de instrumentos (1)

GraftPro® Graft Preparation (AR-2950DS)

Vídeos de demonstração de produtos (1)

GraftPro™ Graft Preparation System

Vídeos de técnicas cirúrgicas (2)

Quad Tendon Graft Preparation Using Sliding GraftClamp Instruments

GraftLink® ACL Reconstruction Using the InternalBrace™ Technique

Related Products (1)

AR-2950DS