PowerPick 45°, 6 mm Bohrtiefe, 1.5 mm x 13 cm, steril, VE 5

Power Pick 45°, 6 mm Drill Depth, 1.5 mm x 13 cm, VE5

Power Pick, 45°, Ø 1.5 mm x 13 cm, profundidad deperforación de 6 mm

Finished Product

AR-8150PX-45

Human

Knee

Procedure

Microfracture surgery is an articular cartilage repair technique performed by creating small fractures in the underlying bone in order for new fibrocartilage to form. Arthrex provides products, including the PowerPick, allowing surgeons to effectively perform microfracture surgery safely and reproducibly.

Microfracture

Child (D)

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

Foot and Ankle

Arthroscopic ankle fusion has many proven benefits when compared to open fusion techniques. Arthrex's comprehensive product line provides surgeons with all the necessary tools for safe and effective arthroscopic fusion of the ankle joint.
The ankle arthroscopy set includes multiple curettes and osteotomes to facilitate preparation of arthritic joints. The PoweRasp™ and PowerPick™ devices allow for simple cartilage removal and marrow stimulation at the distal tibia and talus.
After appropriate preparation of the fusion site, surgeons can use the GPS Targeting System to pinpoint placement of K-wires. Once the K-wires are in place, fusion can be achieved using the Arthrex 7.0 mm Compression FT Screws.

Arthroscopic Ankle Fusion

Shoulder

Biologic tuberoplasty harnesses the power of the ArthroFlex dermal allograft to provide a biologic cushion between the acromion and the tuberosity that can prevent bone-on-bone contact due to an irreparable rotator cuff tear.&nbsp;&nbsp;Self-punching tensionable knotless anchor technology allows the ArthroFlex graft to be placed in a quick, effective, and reproducible technique preventing shoulder impingement syndrome, often associated with shoulder pain.&nbsp;
ArthroFLEX® is a trademark of LifeNet Health.

Biologic Tuberoplasty Technique

Orthobiologics

Product

The BioUni OATS Instrument Set is the new standard for restoration of the articular surface when presented with elongated cartilage defects in the medial femoral condyle. Through a series of precisely designed cutting instruments, surgeons can replace damaged cartilage with a single, elliptical piece of viable, hyaline cartilage.

BioUni® OATS® Instrument Set

Imaging and Resection

The SynergyResection™ system offers a wide variety of shaver blades and specialty resection devices to support a multitude of biologic techniques and procedures for achieving optimal results. Additionally, the SynergyResection system is compatible with attachments for arthroscopic cartilage debridement, harvesting articular cartilage or bone, and marrow-stimulation procedures.

Resection Optimized for Biologics

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 

The PowerPick and PowerPick XL instruments provide a fast and easy method for performing marrow stimulation procedures using the SynergyResection™ shaver system. The PowerPick device has a drill depth of 4 mm and the PowerPick XL device has a drill depth of 6 mm. The additional 2 mm depth of the XL device allows for adequate penetration into subchondral bone when perpendicular positioning of the drill tip is difficult to achieve.
The PowerPick instruments have many applications, including microdrilling lesions within the knee, ankle, or shoulder prior to BioCartilage® supplementation; microdrilling the femoral notch footprint for an ACL repair to create a bleeding bone bed; and microdrilling the greater tuberosity prior to a rotator cuff repair or a superior capsular reconstruction to create bone marrow vents to allow autologous biologics to flow into the repair environment.
The PowerPick instruments are also ideal for measuring osteochondral defects by using the distal edge of the laser mark, which is 5 mm from the sheath end, as a guide.
When using an anteromedial over-the-top technique for ACL reconstruction, another useful application is to use the drill tip to mark the tunnel location within the femoral notch or footprint. By using the 2 mm wide laser mark, the approximate tunnel location can be determined through the medial portal by placing the end of the sheath at the over-the-top position. The proximal edge of the laser mark, which is 7 mm from the end of the sheath, is used to reference the center of a 10 mm tunnel in a single-bundle ACL technique.
The PowerPick instruments can clear debris from the holes they create as opposed to a chondral pick that compacts the holes with bone, thus hindering maximal bleeding. Since the PowerPick instruments are packaged sterile, they are sharp compared to worn chondral picks that pose a risk to skiving.
The PowerPick marrow stimulation instruments are offered in large-hub working lengths of 13 cm with a drill diameter of 1.5 mm. The PowerPick device is available with tip angles of 30° and 45°, while the PowerPick XL device features a 45° tip angle and 6 mm drill depth.
The PowerPick instrument is also offered for small-joint surgery with the Arthrex small-hub handpiece. The small-joint PowerPick devices have 7 cm working lengths with a drill diameter of 1 mm and are available with tip angles of 0° and 45°.

PowerPick™ Microfracture Instruments

The Synergy Specialty Resection family of products provides the ideal attachment for every case in the operating room.

Synergy Specialty Resection Devices

The SCR technique was pioneered by Dr. Teruhisa Mihata in 2007 for patients with irreparable rotator cuff tears. In the SCR study, a 24- to 51-month follow-up on 23 patients shows outstanding outcomes in pain, ASES scores, and acromiohumeral distance measurements.1 The SCR technique reinforces the superior capsule, keeping the humeral head centered in the glenoid by attaching tissue from the glenoid to the greater tuberosity.
Reference
1. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459-470. doi:10.1016/j.arthro.2012.10.022

Superior Capsular Reconstruction (SCR) Technique

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

PowerPick, 45° 6 mm Drill Depth

AR-8150PX-45

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