TightRope® II BTB Implant

For use with bone-tendon ACL grafts, the TightRope II BTB implant combines the simplicity and strength of the ACL TightRope RT implant. The BTB TightRope implant features the same adjustable, four-point locking system as the ACL TightRope RT but allows graft placement through a small drill hole in the cortical bone block.

BTB TightRope II implant advantages:

  • Simplified BTB graft fixation with anatomically placed sockets created with the FlipCutter® drill
  • Dependable cortical fixation regardless of bone tunnel quality
  • Graft adjustability within the femoral socket; ideal for graft-tunnel length mismatch
  • 360° of graft contact to the socket and improved ACL footprint filling vs internal fixation screws
  • No tying knots or cinching suture against the bone block
View More

For use with bone-tendon ACL grafts, the TightRope II BTB implant combines the simplicity and strength of the ACL TightRope RT implant. The BTB TightRope implant features the same adjustable, four-point locking system as the ACL TightRope RT but allows graft placement through a small drill hole in the cortical bone block.

BTB TightRope II implant advantages:

  • Simplified BTB graft fixation with anatomically placed sockets created with the FlipCutter® drill
  • Dependable cortical fixation regardless of bone tunnel quality
  • Graft adjustability within the femoral socket; ideal for graft-tunnel length mismatch
  • 360° of graft contact to the socket and improved ACL footprint filling vs internal fixation screws
  • No tying knots or cinching suture against the bone block
View More

Educational Resources and Products

BTB ACL Reconstruction Using the BTB TightRope® II Implant and InternalBrace™ Technique

Justin J. Mitchell, MD
Surgical Technique Videos | 08:16 | English | 10/14/2021 | VID1-002781-en-US A

ACL Reconstruction With Patella Tendon Graft Using BTB TightRope® Fixation System and InternalBrace™ Technique

Patrick A. Smith, MD
Surgical Technique Videos | 09:22 | English | 11/08/2021 | VID1-01414-en-US B
All-Inside PCL Reconstruction Using a Quadriceps Tendon Autograft
All-Inside PCL Reconstruction Using a Quadriceps Tendon Autograft
Kendall Hamilton, MD
Surgical Technique Videos | 13:42 | English | 10/20/2022 | VID1-003422-en-US A
ACL Reconstruction Using QuadLink™ Presutured Allograft and TightRope® II Implants
ACL Reconstruction Using QuadLink™ Presutured Allograft and TightRope® II Implants
Michael G. Baraga, MD
Surgical Technique Videos | 15:47 | English | 06/29/2021 | VID1-002169-en-US A
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Surgical Technique Videos (4)

All-Inside PCL Reconstruction Using a Quadriceps Tendon Autograft
All-Inside PCL Reconstruction Using a Quadriceps Tendon Autograft
Kendall Hamilton, MD
13:42 | English | 10/20/2022 | VID1-003422-en-US A
BTB ACL Reconstruction Using the BTB TightRope® II Implant and InternalBrace™ Technique
BTB ACL Reconstruction Using the BTB TightRope® II Implant and InternalBrace™ Technique
Justin J. Mitchell, MD
08:16 | English | 10/14/2021 | VID1-002781-en-US A
ACL Reconstruction Using QuadLink™ Presutured Allograft and TightRope® II Implants
ACL Reconstruction Using QuadLink™ Presutured Allograft and TightRope® II Implants
Michael G. Baraga, MD
15:47 | English | 06/29/2021 | VID1-002169-en-US A

Surgical Technique Animations (1)


Surgical Technique Guides (2)

BTB TightRope® II Implant
BTB TightRope® II Implant
English | 06/30/2021 | LT2-000025-en-US B

Catalogs (1)

Knee Next Generation in Repair and Reconstruction
Knee Next Generation in Repair and Reconstruction
English | 11/05/2024 | LB1-0115-en-US AC

Presentation Videos (1)

BTB TightRope®
BTB TightRope®
Jack Farr, MD
11:00 | English | 05/13/2013 | VPT1-0034-EN A

Scientific Updates (2)

ACL TightRope® Implant Scientific Update
ACL TightRope® Implant Scientific Update
English | 11/10/2021 | LA1-00021-EN M
BTB TightRope® Implant Scientific Update
BTB TightRope® Implant Scientific Update
English | 04/26/2019 | DOC1-000030-en-US A