Name: QuadLink™ ACL Reconstruction Using FiberTag® TightRope® Implant and FlipCutter® III Drill
Uploaded: 2020-08-04T00:00:00Z
Channel: Arthrex
Description: Jason M. Scopp, MD (Salisbury, MD), discusses recent innovations in QuadLink™ ACL reconstruction.

<p>Jason M. Scopp, MD (Salisbury, MD), discusses recent innovations in QuadLink™ ACL reconstruction.</p>

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VID1-000872-en-US | C | QuadLink™ ACL Reconstruction Using FiberTag® TightRope® Implant and FlipCutter® III Drill

Jason M. Scopp

Human

Surgeons presenting one or more clinical cases

Chirurg:innen präsentieren einen oder mehrere klinische Fälle

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Cirurgiões que apresentam um ou mais casos clínicos.

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QuadLink™ ACL Reconstruction Using FiberTag® TightRope® Implant and FlipCutter® III Drill

Hi, my name is Doctor Jason Skop and today I'm going to talk about innovations in QuadLink ACL reconstruction. Our patient is a 22 year old male lacrosse player who presented with an ACL tear during the diagnostic arthroscopy. He was found to have a repairable posterior horn medial meniscus tear. This was repaired with two meniscus since two implants in a vertical mattress fashion, giving us a stable construct, as you can see here. We then turn our attention to the quad harvest. A two centimeter incision was made at the superior pole of the patella. The section was carried down through the para tenon, which was swept medially, laterally and proximally. Then a ten millimeter double blade knife was used to harvest a central slip of the quadriceps tendon to a distance of 65mm. The graph was then removed from the knee and placed on the back table for preparation. Using the FiberTag TightRope implant, we use an RT on the femoral side and an ABS on the tibial side. Two SpeedWhip sutures were passed proximally through the TightRope and then two passes distally to complete our femoral preparation. This was performed similarly on the tibial side. An internal brace was then incorporated into the femoral end of the graft. We then took the graft compression tubes to take our construct, which was now 10.5mm, and compress it down to a graft of 9.5mm. We then turn our attention back to the knee to begin our tunnel preparation using the femoral six nine guide. We drilled our FlipCutter three and visualized its entrance into the joint. Once the FlipCutter three device was visualized, we activated it and chose our tunnel size to correlate with a 9.5mm socket. We chose a 9.5 socket here, even though the graph was originally 10.5mm. That compression of the graft during graph preparation allows for graft re-expansion later on to improve our fill of our socket. This is also performed on the tibial side. Once the FlipCutter has been activated, our femoral tunnel is created and a shaver is inserted to remove any loose debris prior to passing our FiberStick. The tibial tunnel is created in a similar fashion. The advantage of the FlipCutter three is if my graft size on the tibial end does not match the graph size of my femoral end, I do not need to open up a second FlipCutter device. I am able to simply dial down or dial up to improve my accuracy during tibial tunnel creation. Our graft is passed and our internal brace here is visualized on the posterior aspect of the graft. And here are the patient's final post-operative radiographs. Thank you.

QuadLink™ ACL Reconstruction Using FiberTag® TightRope® Implant and FlipCutter® III Drill

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