Finished Product

AR-4130

Human

Point-to-Point Meniscal Marking Hook

Meniscus Root Marking Hook, Point to Point

Set für die Meniskusresektion und -glättung

Knee

Procedure

Meniscal extrusion, which results in compromised load-bearing function of the medial meniscus, is increasingly being recognized as clinically significant.1 One cause of medial meniscal extrusion is insufficiency of the medial capsule and meniscotibial ligaments (MTL). Knee capsule repair is effective in reducing meniscal extrusion resulting from MTL insufficiency and thereby restoring the potential for improved load sharing across the medial compartment. The Knee Capsule Implant System was designed to facilitate reproducible repair of the medial capsule.
The degree of meniscal extrusion can be diagnosed clinically using dynamic ultrasound. When surgical intervention is indicated, perform an ultrasound immediately before diagnostic arthroscopy. Confirm meniscal extrusion and note the presence of meniscotibial ligament insufficiency, meniscal reducibility, and the anterior and posterior extents of the lesion.
Reference
1. Berthiaume MJ, Raynauld JP, Martel-Pelletier J, et al. Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging. Ann Rheum Dis. 2005;64(4):556-563. doi:10.1136/ard.2004.023796.

Knee Capsule Repair Surgical Technique

Child (D)

Product

Meniscal extrusion, which results in compromised load-bearing function of the medial meniscus, is increasingly being recognized as clinically significant.1 One cause of medial meniscal extrusion is insufficiency of the medial capsule and meniscotibial ligaments (MTL). Knee capsule repair is effective in reducing meniscal extrusion resulting from MTL insufficiency and thereby restoring the potential for improved load sharing across the medial compartment.
The Knee Capsule Implant System was designed to facilitate reproducible repair of the medial capsule. The system includes 2 Knotless SutureTak® percutaneous insertion anchors, the GAP™ (Guided Arthroscopic Placement) drill guide, and three percutaneous K-wires. The GAP guide allows reproducible placement of the implants at a distance 3 mm below the medial tibial joint line.
Reference
1. Berthiaume MJ, Raynauld JP, Martel-Pelletier J, et al. Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging. Ann Rheum Dis. 2005;64(4):556-563. doi:10.1136/ard.2004.023796.

Knee Capsule Repair System

Removal of the Cam or Pincer lesion with or without takedown and repair of the acetabular labrum. This may also include removal of the Cam lesion.

Osteoplasty

A knotless all-suture anchor, the SutureLoc implant is specifically designed for joint-line fixation of the meniscal root. This revolutionary anchor eliminates the need for a posterior medial portal, which is commonly used in direct tibial fixation techniques, making the repair more reproducible. The 2.4 mm cannulated drill pin leaves more bone intact while delivering the SutureLasso™ wire directly to the footprint of the meniscal root. Once the anchor has been passed, the 2 repair sutures can be passed through the tissue in a variety of stitch patterns. The knotless implant is retensionable, allowing surgeons to dial in their repair.
Features and Benefits
<ul>
 <li>Double-loaded knotless mechanism allows for 2 repair stitches with only 1 anchor pass, reducing steps from previous techniques</li>
 <li>Soft, all-suture implant</li>
 <li>Minimal bone removal with a smaller, 2.4 mm drill pin and no need to decorticate</li>
 <li>Simple, reproducible suture passing</li>
 <li>Suture tension can be controlled and adjusted under direct visualization</li>
 <li>Repair sutures are converted in line, eliminating the potential for the suture to cut into bone</li>
 <li>236.8 N of pull-out strength and 0.34 mm of cyclic displacement1</li>
</ul>
Reference:
1. Arthrex, Inc. Data on file (APT-05761A). Naples, FL; 2022.

SutureLoc™ Implant

The Meniscus Repair and Resection Instrument Set contains Arthrex’s most popular instruments to address various meniscus procedures including meniscal root repair, all-suture meniscus repair, or meniscus contouring. For protection, the instruments are held securely within the slotted silicone pads. A removable shelf uncovers an open area for placement of additional instrumentation.

Meniscal Repair and Resection Instrument Set

Orthobiologics

Soft-tissue meniscal allograft transplantation techniques continue to evolve with the advancement of fixation devices. Using common meniscal repair devices allows for greater flexibility while ensuring anatomic graft placement. Soft–tissue-only meniscal allograft surgical techniques and clinical outcomes are well documented and have good clinical efficacy.1-4
References
1. Kim SH, Lipinski L, Pujol N. Meniscal allograft transplantation with soft-tissue fixation including the anterior intermeniscal ligament. Arthrosc Tech. 2019;9(1):e137-e142. doi:10.1016/j.eats.2019.09.015
2. Spalding T, Parkinson B, Smith NA, Verdonk P. Arthroscopic meniscal allograft transplantation with soft-tissue fixation through bone tunnels. Arthrosc Tech. 2015;4(5):e559-e563. doi:10.1016/j.eats.2015.06.001
3. Elattar M, Dhollander A, Verdonk R, Almqvist KF, Verdonk P. Twenty-six years of meniscal allograft transplantation: is it still experimental? A meta-analysis of 44 trials. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):147-157. doi:10.1007/s00167-010-1351-6
4. Myers P, Tudor F. Meniscal allograft transplantation: how should we be doing it? A systematic review. Arthroscopy. 2015;31(5):911-925. doi:10.1016/j.arthro.2014.11.020

Meniscus Repair Rasp

AR-4130

AR-4130 is a Set Item Of (1)

AR-4555S

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