Schraubendreher Handgriff mit Quick-Lock-Konnektierung

Finished Product

AR-1999NR

Human

Knee

Product

The ACL/PCL Cortical Fixation Case is a system that incorporates a variety of fixation options. The set includes low-profile 4.5 mm cortical, 6.5 mm cortical, and 6.5 mm cancellous screw options. It also includes low-profile spiked washers and ligament staples. The screws have extremely low profile heads to reduce soft tissue irritation. A step drill with laser depth marking countersinks the screw head flush to bone when used as a suture fixation post. The smooth shank with suture groove orients the sutures safely under the head during screw insertion. The optional, low profile spiked washer may be used in conjunction with the cancellous screw for fixation of soft tissue or tendons directly to bone. The instrumentation set includes a 2.5 mm Drill for Bi-Cortical Post to broach the cortical bone, while the depth device is used to obtain accurate sizing information. Although the post has a self-tapping feature, a tap is included for those who prefer the “drill-measure-tap” insertion technique. Ligament staples, with a low profile bridge, reduce the frequency of secondary removal due to patient discomfort caused by soft tissue irritation. The cobalt chrome spiked fixation staple has sharp leg points for easier penetration into cortical bone without predrilling. The Staple Driver with attachable impactor/extractor allows complete impaction since the staple driver tip is flush with the staple bridge. The Staple Seating Punch may be used for further impaction. All staples are 20 mm in length.

ACL/PCL Cortical Fixation Instrument Set

Child (D)

Procedure

The ZoneNavigator™ System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Use the ergonomic handle to advance and retract 2-0 SutureTape with meniscal repair needles in 1 cm increments. Cannulas attach to the handle to efficiently target specific zones of the meniscus.
Use the needle catcher to guide needles away from neurovascular structures. The concave, curved retractor efficiently retracts tissue and directs the needles for easy retrieval.

Inside/Out Meniscal Repair

The ZoneNavigator™ System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Use the ergonomic handle to advance and retract 2-0 SutureTape with meniscal repair needles in 1 cm increments.

Interference screws are constructed using the high quality that is synonymous with the Arthrex name. The complete family includes biocomposite interference screws (comprised of 30% biphasic calcium phosphate and 70% PLDLA), PEEK interference screws (made from PEEK-OPTIMA™), metal interference screws (made from titanium for femoral and tibial fixation of soft-tissue or bone).
 
PEEK-OPTIMA is a trademark of Invibio.

Interference Screws

Meniscal root avulsions are a challenging injury causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis.1 Arthrex offers multiple implant systems for meniscal root repair.&nbsp;
The SutureLoc™ implant allows for direct tibial fixation of the meniscal root. 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. Traditional transtibial implant systems using a FlipCutter® II reamer and multiple fixation options are also available.
A complete system for meniscal root repair includes the meniscal root marking hooks and the Knee Scorpion™ suture passer. Two meniscal root marking hooks are available, so surgeons can choose their preferred hook.&nbsp;
The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint, while the over-the-back marking hook sits securely over the back of the tibia to allow stable drilling tunnel preparation. Use the low-profile Knee Scorpion suture passer to simplify suture passing in tight recesses of the knee.
Reference:
1. Pagnani MJ, Cooper DE, Warren RF. Extrusion of the medial meniscus. Arthroscopy. 1991;7(3):297-300. doi:10.1016/0749-8063(91)90131-g

Meniscal Root Repair

2-0 FiberStick, 2-0 FiberWire, 50" (blue) one end stiffened, 12"

FiberStick #2-0, mit 30.0 cm gesteiftem Ende, steril

Ramp lesions, which are commonly associated with ACL injuries and are often misdiagnosed,1 disrupt the meniscotibial ligament and the posteromedial meniscus in the meniscocapsular zone. Disruption of the posterior horn of the medial meniscus could lead to excessive forces within the knee joint and surrounding structures.
The QuickPass™ SutureLasso™ suture passer is preloaded with a #2-0 FiberStick™ suture and is available with a left or right 25° curve and 1.5 mm tip.
Reference 
1. Peltier A, Lording TD, Lustig S, et al. Posteromedial meniscal tears may be missed during anterior cruciate ligament reconstruction. Arthroscopy. 2015;31(4):691-698. doi:10.1016/j.arthro.2014.12.003.

Meniscus Ramp Lesion

Ramp lesions, which are commonly associated with ACL injuries and are often misdiagnosed,1 disrupt the meniscotibial ligament and the posteromedial meniscus in the meniscocapsular zone. Disruption of the posterior horn of the medial meniscus could lead to excessive forces within the knee joint and surrounding structures.
The QuickPass™ SutureLasso™ suture passer is preloaded with a #2-0 FiberStick™ suture, and is available with a left or right 25° curve and 1.5 mm tip.
Reference 
1. Peltier A, et al.&nbsp;&nbsp;Arthroscopy. 2015;31(4):691-698. doi:10.1016/j.arthro.2014.12.003.

Meniscus Ramp Lesion Repair

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.
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.

Non-Ratcheting Screwdriver Handle

AR-1999NR

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