Reduzierungshülse für 2.4mm Zieldraht für Retroconstruction Bohrhülse

Finished Product

AR-1204F-24I

Human

Obturator, 3.5 mm for Stepped Drill Sleeve

Obturator, 3.5 mm für Retroconstruction Drill Guide Bohrhülse

AR-1204F-OB

RetroConstruction Drill Guide System Instrument Case

RetroConstruction Drill Guide Systemcontainer

Retroconstruction Drill Guide System Instrument Case

Caja de instrumental para el sistema de guía de perforaciónpara RetroCon

ESTOJO PARA ISTRUMENTOS DE GUIA DE BROCA DE RETROCONSTRUCAO

AR-1510C

Bohrhülse, für RetroConstruction-Zielinstrument, 3.5 mm

Drill Sleeve for Retroconstruction Drill Guide, 3.5 mm

Camisa de perforación de la guía de perforación paraRetroConstruction,

AR-1510D

Femoral ACL Marking Hook for RetroConstruction Drill Guide

Zielhaken, für RetroConstruction-Zielinstrument, ACL, femoral

Femoral ACL Marking Hook for Retroconstruction Drill Guide

Gancho-guía femoral de LCA para la guía de perforación paraRetroConstruc

AR-1510F

AR-1510F-01

AR-1510M

AR-1510PF

AR-1510PT

Tibial ACL Marking Hook for RetroConstruction Drill Guide

Tibialer ACL-Zielhaken für RetroConstruction-Zielinstrument

Tibial ACL Marking Hook for Retroconstruction Drill Guide

Gancho-guía tibial de LCA para la guía de perforación paraRetroConstruct

AR-1510T

Camisa de perforación con trinquete, 2.4 mm

AR-1510FD-24

Bohrhülse für FlipCutter mit Ratsche, 3.5 mm, abgestuft

Ratcheting Drill Sleeve for FlipCutter, Stepped, 3.5 mm

Camisa de perforación con trinquete para FlipCutter, contope, 3.5 mm

AR-1510FS-7

RetroConstruction Drill Guide Handle, Side Release

RetroConstruction-Zielinstrument, Seitenöffnung

RetroConstruction Drill Guide Handle, Side Release

Mango guía de perforación RetroConstruction, liberaciónlateral

CABO PARA GUIA DE BROCA DE RETROCONSTRUCAO

AR-1510HR

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, punt

GUIA DE PERFURAÇÃO PARA RETROCONSTRUÇÃO, ESCALONADO, PONTA LONGA DE 10 MM.

AR-1204FDS-10

GUIA DE PERFURAÇÃO PARA RETROCONSTRUÇÃO,

Footprint Femoral ACL Guide, Right

Femoraler ACL Footprint Markierungshaken, rechts

AR-1510FR

Femoraler ACL Footprint Markierungshaken, links

Guía femoral Footprint del LCA, izquierda

AR-1510FL

Footprint Femoral ACL, Guide, Small Angle, Left

Zielinstrument, Footprint, ACL-Führung, femoral, kleiner Winkel, links

Footprint Femoral ACL Guide, Small Angle, Left

Guía femoral Footprint del LCA, ángulo pequeño, izquierda

GUIA LCA PEDIATRICO FOOTPRINT FEMORAL ESQUERDA

AR-1510FLS

Footprint Femoral ACL Guide, Small Angle, Right

Zielinstrument, Footprint, ACL-Führung, femoral, kleiner Winkel, rechts

Footprint Femoral ACL Guide, Small Angle, Right

Guía femoral Footprint del LCA, ángulo pequeño, derecha

AR-1510FRS

Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide

Tibialer ACL Markierungshaken mit Guide Pin

Guía tibial de perforación para LCA, punta de aguja

PINO COM MARCACAO TIBIAL PARA GUIA ACL FORMATO GANCHO

AR-1510GT

Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide, Small Angle

Tibialer Zielhaken, für RetroConstruction-Zielinstrument, ACL, kleiner Winkel, mit Zieldraht

Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide, Small Angle

Gancho-guía de tibia con punta de aguja para la guía de LCApara RetroCon

AR-1510GTS

PCL-Haken, tibial, anatomisch geformt, links

Guía de contorno anatómico de LCP, tibial, izquierda

AR-1510PTL

PCL-Haken, tibial, anatomisch geformt, rechts

Anatomic Contour PCL Guide, Tibial, Right

Guía de contorno anatómico de LCP, tibial, derecha

AR-1510PTR

Zieldraht mit Bohrgewinde, 3.5 mm x 310.0 mm

Aguja guía con punta de broca, Ø 3.5 mm

AR-1250F

Aguja Zebra para comprobación de isometría, Ø 2.4 mm

AR-1250Z

RetroConstruction Drill Guide System Instrument Set

Instrumentenset, für RetroConstruction-Zielinstrumentensystem

AR-1510S

Knee

Product

The RetroConstruction drill guide set provides surgeons with 6 different marking hook options for multiple applications in a small, easy-to-manage set.&nbsp;
The adjustable C-ring allows several drilling angles without sacrificing accuracy. Multiple drill sleeves accommodate retrograde reaming with the FlipCutter® drill or standard 2.4 mm pins for antegrade reaming. The additional stepped drill sleeve acts as a depth stop for retrograde drilling and allows continued access to the joint for inserting the graft-passing suture after removing the FlipCutter drill.

RetroConstruction™ Drill Guide System Instrument Set

Child (D)

Procedure

Arthrex offers a comprehensive selection of fixation devices for a variety of bone-patellar tendon-bone (BTB) graft techniques. These options include adjustable, continuous-loop suspensory fixation, and interference screws in a variety of materials. The TightRope® implant, which has been used in 2 million procedures globally,1 was designed to simplify ACL reconstruction and facilitate advanced techniques, such as the GraftLink® technique. BioComposite FastThread™ interference screws, which are composed of time-tested material with more than a decade of clinical success and implantation, allow for faster screw insertion and better graft protection.2
References
1. Arthrex, Inc. Data on file (sales data as of September 18, 2018). Naples, FL; 2018.
2. Arthrex, Inc. LA1-0199-EN_E. Naples, FL; 2018.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

BTB Autograft ACL Reconstruction 

There has been a renewed interest in ACL primary repairs as the treatment for Sherman type I and type II ACL ruptures. Careful analysis of historical data has revealed that certain ACL tear subgroups, especially proximal tears with good tissue quality, have positive clinical outcomes with primary ACL repair.1
Studies reporting outcomes of remnant-preserving ACL surgeries have shown encouraging results and a greater potential for early healing and better functional outcomes compared with remnant-resecting surgeries.2 Preservation of the native ACL using the primary repair technique can achieve short-term clinical success and result in good clinical outcomes at 3-year follow-up in this carefully selected patient population.3
Arthroscopic primary repair is minimally invasive because no grafts need to be harvested, no graft tunnels or sockets need to be drilled, and revision surgery, if necessary, is more analogous to primary reconstructions.4 The goal of the procedure is to preserve the remnant native ligament. By doing this, the native nerve endings and blood supply are preserved.5
References
1. van der List JP, DiFelice GS. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: a systematic review of historical studies. Knee. 2017;24(5):898-908. doi:10.1016/j.knee.2017.05.009
2. van der List JP, DiFelice GS. Successful arthroscopic primary repair of a chronic anterior cruciate ligament tear 11 years following injury. HSS J. 2017;13(1):90-95. doi:10.1007/s11420-016-9530-8
3. Jonkergouw A, van der List JP, DiFelice GS. Arthroscopic primary repair of proximal anterior cruciate ligament tears: outcomes of the first 56 consecutive patients and the role of additional internal bracing. Knee Surg Sports Traumatol Arthrosc. 2019;27(1):21-28. doi:10.1007/s00167-018-5338-z
4. DiFelice GS, Villegas C, Taylor S. Anterior cruciate ligament preservation: early results of a novel arthroscopic technique for suture anchor primary anterior cruciate ligament repair. Arthroscopy. 2015;31(11):2162-2171. doi:10.1016/j.arthro.2015.08.010
5. DiFelice GS, van der List JP. Arthroscopic primary repair of proximal anterior cruciate ligament tears. Arthrosc Tech. 2016;5(5):e1057-e1061. doi:10.1016/j.eats.2016.05.009

ACL Repair

An innovative approach to ACL preservation, the ACL Repair TightRope implant enables precise, incremental repair tensioning and retensioning. Additionally, the FiberRing suture allows for simplified and reproducible suture passing and implant loading. Careful analysis of historical data has revealed that certain ACL tear subgroups, especially proximal tears with good tissue quality, have positive clinical outcomes with primary ACL repair.1
Reference
1. Arthrex, Inc. Data on file (DOC1-000178-en-US_B). &nbsp;Naples, FL; 2020.

ACL Repair TightRope® Implant With FiberRing™ Sutures

Orthobiologics

For meniscal allograft transplant, the double bone plug technique involves medially implanting the meniscal allograft with rigid fixation at both horn attachments. The technique can also correct meniscal deficiency using bone plugs and minimally invasive suspensory fixation and allows the meniscal allograft to maintain functional hoop stress.

Double Bone Plug

The innovative FlipCutter III drill is an adjustable, variable-size, all-in-one guide pin and reamer that allows minimally invasive socket creation from the inside out. Proprietary technology gives the FlipCutter drill unconstrained freedom of socket positioning and is ideal for difficult-to-reach applications such as tibial socket creation for PCL reconstruction, anatomic femoral socket creation for ACL reconstruction, and socket creation for meniscal allograft transplantation or meniscal root repair. With an adjustable design, the FlipCutter III drill can accommodate sizes 6 mm to 12 mm, including half sizes.

FlipCutter® III Drill

Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation for ACL reconstruction. A reproducible harvest can be performed through a traditional anterior or posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers.
The GraftLink®&nbsp;technique provides an anatomic, minimally invasive, and reproducible ACL reconstruction procedure. When used in combination with anatomic guides, the FlipCutter® III drill allows independent femoral and tibial "retrodrilling" to create sockets while maintaining the cortices to maximize fixation. Femoral and tibial TightRope® II implants, with a proprietary 5-point locking system, make the GraftLink technique the most reproducible ACL reconstruction available.
Anatomic: Independent tibial and femoral socket preparation with FlipCutter III reamer and/or low-profile reamers facilitate unconstrained placement of the ACL graft.
Minimally Invasive: Socket preparation with the FlipCutter III reamer limits soft-tissue dissection and helps preserve bone and periosteum.
Reproducible: The GraftPro® graft prep system simplifies graft preparation; the tapered graft and adjustable ACL TightRope II buttons facilitate graft passing, fine tuning of graft depth, and graft tensioning from the femoral and tibial sides.

Hamstring Autograft ACL Reconstruction

PCL injuries occur during sports-related activities or high-velocity, traumatic accidents. Indications for operative treatment of PCL tears include acute injuries, active young patients, and either isolated grade 3 tears or combined injuries, such as a grade 2 injury with posterolateral corner instability. 

Arthrex developed several techniques for isolated PCL injuries—including PCL inlay reconstruction, double-bundle PCL reconstruction, and the transtibial PCL RetroConstruction™ procedure—that can be combined with multiligament or posterolateral corner reconstruction.&nbsp;
Additionally, a comprehensive line of PCL reconstruction instrumentation is available for a variety of PCL reconstruction techniques, as well as autografts and allografts and single- or double-bundle options.

Posterior Cruciate Ligament (PCL) Reconstruction

A technique gaining popularity, PCL repair is generally indicated for bony avulsions that can occur on either the femur or tibia.&nbsp;
PCL injuries can happen during sports-related activities or high-velocity, traumatic accidents. Applications for operative treatment of PCL tears include acute injuries, tears in active young patients, and either isolated grade 3 tears or a combined injury, such as grade 2 tears with posterolateral corner instability.
PCL tears can be treated with innovative, minimally invasive procedures using the PCL Repair TightRope® implant and FiberRing™ sutures.

Posterior Cruciate Ligament (PCL) Repair 

Quadriceps tendon grafts offer unique benefits for cruciate ligament reconstruction, such as a predictably large diameter, low morbidity,1 and a preferable stiffness profile for knee ligament reconstruction.
The QuadPro™ tendon harvester is designed to harvest a quadriceps or patellar tendon graft using a minimally invasive technique.2-4 The sharp tip cores out an approximate cylindrical graft. The harvester's ergonomically designed handle features graduations on the clear shaft to allow visualization of approximate graft length during harvesting. Available in four sizes (8 mm to 11 mm), the QuadPro tendon harvester can accommodate each patient’s unique needs as well as the surgeon’s preference for graft diameter.
The FiberTag® TightRope® implant facilitates attachment of single-ended grafts, such as quadriceps tendon grafts, to the ACL TightRope RT and ABS implants. FiberTag suture is integrated into the TightRope implant for a strong, consistent connection between the suture and TightRope loop. A simplified suturing technique, along with innovative packaging and the GraftClamp graft preparation instrument, make preparing quadriceps tendon grafts faster and more reproducible than ever.
References
1. Arthrex, Inc. LA1-00100-EN_K. Naples, FL; 2021.
2. Xerogeanes JW, Mitchell PM, Karasev PA, Kolesov IA, Romine SE. Anatomic and morphological evaluation of the quadriceps tendon using 3-dimensional magnetic resonance imaging reconstruction: applications for anterior cruciate ligament autograft choice and procurement. Am J Sports Med. 2013;41(10):2392-2399. doi:10.1177/0363546513496626
3. Hadjicostas PT, Soucacos PN, Berger I, Koleganova N, Paessler HH. Comparative analysis of the morphologic structure of quadriceps and patellar tendon: a descriptive laboratory study. Arthroscopy. 2007;23(7):744-750. doi:10.1016/j.arthro.2007.01.032
4. Krebs N, Yaish A, O’Neill N. Anatomic evaluation of the quadriceps tendon in cadaveric specimens: application for anterior cruciate ligament reconstruction graft choice. SMRJ. 2019;4(1):7961. doi:10.51894/001c.7961

Quad Tendon Autograft ACL Reconstruction

Relatively uncommon knee injuries, tibial spine avulsion fractures typically occur in children and adolescents.1 Despite the low incidence of tibial spine avulsion fractures, they deserve ample attention to ensure knee function and stability are correctly restored.
Innovative FiberRing™ sutures provide a simple and reproducible technique for securing the distal remnant to achieve anatomic reduction. The ACL Repair TightRope® implant offers titratable knotless fixation to ensure ACL length is appropriately restored and maintained.
Finally, the ACL InternalBrace™ ligament augmentation button accommodates the InternalBrace technique to help prevent excess range of motion during the healing phase and potentially reduce the chances of secondary injury.2,3
References
1. Williams NR, Yin S, Guzman AJ, et al. Tibial spine avulsion repair with FiberRing suture and anterior cruciate ligament repair TightRope.&nbsp;Arthrosc Tech. 2023;12(12):e2381-e2385. doi:10.1016/j.eats.2023.08.008
2. Mackay GM, Blyth MJ, Anthony I, Hopper GP, Ribbans WJ. A review of ligament augmentation with the InternalBrace™ the surgical principle is described for the lateral ankle ligament and ACL repair in particular, and a comprehensive review of other surgical applications and techniques is presented. Surg Technol Int. 2015;26:239-255.
3. Smith PA, Bley JA. Allograft anterior cruciate ligament reconstruction utilizing internal Brace augmentation. Arthrosc Tech. 2016;5(5):e1143-e1147. doi:10.1016/j.eats.2016.06.007

RetroConstruction Drill Guide System Instrument Set

AR-1510S

Items in Set (24)

Items in Set (24)

AR-1204F-24I

AR-1204F-OB

AR-1510C

AR-1510D

AR-1510F

AR-1510F-01

AR-1510M

AR-1510PF

AR-1510PT

AR-1510T

AR-1510FD-24

AR-1510FS-7

AR-1510HR

AR-1204FDS-10

AR-1510FR

AR-1510FL

AR-1510FLS

AR-1510FRS

AR-1510GT

AR-1510GTS

AR-1510PTL

AR-1510PTR

AR-1250F

AR-1250Z

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