Name: GraftLink® Technique
Uploaded: 2016-03-22T00:00:00Z
Channel: Arthrex

Knee

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English  - en

video

AN1-00136-EN | B | GraftLink® Technique

Human

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Surgical Technique Animations

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

GraftLink® Technique

The footprint ACL guide is placed over the femoral socket position Arthroscopically. The angle of the guide is then adjusted into the desired position for preferred tunnel trajectory and locked into place. The ratcheting step drill sleeve is then pushed down to bone and tunnel length is read off the drill sleeve markings nearest the RetroConstruction guide handle. The short FlipCutter two is drilled through the femur and into the joint. Tunnel length can be confirmed off the FlipCutter markings nearest the drill sleeve. Push the latch from the RetroConstruction handle into the unlocked position to open the side release feature, and open the guide to release the drill sleeve. Remove the guide from the joint. Tap the tapered portion of the stepped drill sleeve into the femur by malleting the oversize flange. Tap the sleeve in seven millimeters as indicated on the FlipCutter markings, or when resistance is felt as the sleeve step reaches the femoral cortex. The FlipCutter blade is turned into cutting position by pushing the button on and advancing the blue plastic hub forward. Set the rubber grommet on the FlipCutter against the drill sleeve while holding the sleeve in place. Activate the drill on a forward setting and pull the FlipCutter blade into the bone to create a socket socket depth can be read off the FlipCutter markings as the distance between the grommet and the drill sleeve. The tip of the step drill sleeve can also serve as a depth stop for the FlipCutter blade, preserving seven millimeters of cortex. After socket drilling is complete, straighten the FlipCutter blade by pushing the button and pulling the hub backward. The FlipCutter can now be removed. A FiberStick is passed through the drill sleeve into the joint and retrieved through the passport cannula for femoral graft. Passing the tibial socket is then drilled in similar fashion with the FlipCutter, and a TigerStick suture is passed and retrieved out of the passport cannula for tibial graft, passing the ACL TightRope PT sutures from the femoral end of the GraftLink construct are placed into the femoral FiberStick and pulled through the femur. The TightRope is then passed through the femur and fixed onto the femoral cortex. The graft is passed into the femur by pulling on the shortening strands of the ACL. Tightrope PT, a passing suture is placed into the TightRope ABS implant on the tibial side of the GraftLink. Construct the passing suture, and whipstitch sutures are then placed into the tibial TigerStick and pulled through the tibial socket and out of the tibial cortex. The GraftLink is pulled into place within the tibia by pulling on the loop portion of the TightRope ABS implant and the whipstitch sutures. A TightRope ABS button is placed onto the TightRope ABS loop proximally and pulled down to the distal end of the loop, which locks the button onto the implant. The shortening strands of the TightRope abs are pulled to tighten the loop and advance the button down to bone, load the whipstitch sutures into the slots of the ABS button before the button reaches bone. The graft can now be advanced further into the femoral or tibial sockets as desired, and final tensioning completed. The shortening strands of the TightRope can be cut and the whipstitch sutures tied over the abs button.