Name: Single-Anteromedial Bundle Biological Augmentation (SAMBBA) Technique using GraftLink®
Uploaded: 2016-09-15T00:00:00Z
Channel: Arthrex
Description: Dr. Bertrand Sonnery‐Cottet (Lyon, France) demonstrates a Single‐Anteromedial Bundle Biological Augmentation (SAMBBA) using GraftLink® technique.

<p>Dr. Bertrand Sonnery‐Cottet (Lyon, France) demonstrates a Single‐Anteromedial Bundle Biological Augmentation (SAMBBA) using GraftLink® technique.</p>

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VID1-00461-EN | B | Single-Anteromedial Bundle Biological Augmentation (SAMBBA) Technique using GraftLink®

Bertrand Sonnery-Cottet

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.

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Surgical Technique Videos

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

Single-Anteromedial Bundle Biological Augmentation (SAMBBA) Technique using GraftLink®

This video demonstrates ACL reconstruction samba technique using GraftLink. The distal border of the patella has been drawn to show you the high placement of both the lateral portal and the medial portal. A 65 millimeter GraftLink has been prepared using the committee, together with one ACL TightRope PT for the femur and one TightRope ABS for the tibia. The diameter of the graft is measured to be eight millimeters. By sliding the scope along the lateral condyle, one can explore the lateral gutter of the femur. The arthroscopic light on the skin is used as a guide to place the spinal needle in the gutter. A stab incision is then performed at this location, which would be the further femoral button placement. A small Torpedo shaver blade can then be used to clean up the region. The drill sleeve is hammered onto the femur and the blade of a FlipCutter is flipped. While running in forward drilling. The motor is pulled back to perform a 12mm socket as read on the rubber ring. The blade is put back in straight position and the FlipCutter is removed. The drill pin is temporarily positioned in a femoral socket. After confirmation that it is clearly visible in the lateral gutter without the need to use the shaver, it is then replaced by a FiberStick. The FiberStick is then retrieved through the medial portal and secured. The tibial guide is positioned on the ACL remnant at the tibial footprint. The guide pin is then drilled into the joint in order to preserve the preserve the remnant, successive rivers of increasing diameter will be used. A six millimeters reamer is used first. As soon as it reaches the remnant, the motor is set to low speed. A small shaver is used within the ISIL remnant to remove a bone debris and make room for the graft. The femoral FiberStick looped is grasped with a grasper through the tibial tunnel and ACL remnant. The femoral ACL TightRope is shuttled through the tibial tunnel and through the remnant. When the button becomes visible intracellularly, the scope is moved to the lateral gutter. Under visual control, the TightRope is pulled gently until the button exits the femoral cortex. A prop can be used to help the buttons sit on the femur. The graft is held under slight tension on the tibial side, while the ACL TightRope shortening strands are pulled. One can see the graft exiting the ACL remnant and entering the femoral tunnel. At the tibia, an ABS button is inserted onto the ACL TightRope ABS. The TightRope loop is then shortened, and the button is placed on the top of the tibial tunnel against the tibial cortex. The GraftLink is nicely covered by the ACL remnant from the tibia to the femur.