GraftClamp Graft Preparation Instrument

Hakenzange, für die Transplantatpräparation

GraftClamp, instrumental de preparación del injerto

Finished Product

AR-2386T

Human

Collateral Ligament Reconstruction Set

Orthobiologics

Knee

Procedure

The BioACL technique harnesses the power of next-generation biologics to provide the ultimate anatomic, minimally invasive, reproducible approach for taking patient outcomes to the next level.
By prefilling ACL bone tunnels with a powerful composite of concentrated platelet-rich plasma (cPRP) from bone marrow aspirate (BMA) or whole blood processed with the Angel® system, the patient’s own bone collected with the GraftNet™ device, and AlloSync® Pure demineralized bone matrix, the BioACL technique provides all the necessary healing components for an ACL reconstruction procedure.
In conjunction with the QuadLink™ with InternalBrace™ technique, the BioACL technique has been shown to result in earlier range of motion, improved limb symmetry, less bone-tunnel widening, and improved patient-reported outcomes as compared to nonaugmented ACL procedures.1&nbsp;
 
 
Reference
1. Lavender CD, Schaver AL, Taylor S, et al. Anterior cruciate ligament reconstruction augmentation with bone marrow aspirate concentrate, demineralized bone matrix, and suture tape shows no difference in outcomes—but faster functional recovery—versus non-augmented anterior cruciate ligament reconstruction. Arthroscopy. Published online July 22, 2024.&nbsp;<a href="https://doi.org/10.1016/j.arthro.2024.06.042">https://doi.org/10.1016/j.arthro.2024.06.042</a>
 
The&nbsp;InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The&nbsp;InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

BioACL™ Technique

Child (D)

Product

The FiberTag TightRope implant facilitates attachment of single-ended grafts, such as quad tendon grafts, to the ACL TightRope RT and ABS implants. FiberTag suture is integrated into the TightRope implant for a strong,1 consistent connection between the suture and TightRope loop. A simplified suturing technique, along with innovative packaging and the new GraftClamp graft preparation instrument, make preparing quadriceps tendon grafts faster and more reproducible than ever.
Reference
1. Arthrex, Inc. LA1-000023-EN_A. Naples, FL; 2020.

FiberTag® TightRope® Implant

The goal of lateral extra-articular augmentation or reconstruction is to eliminate residual laxity and reduce the risk of ACL graft rupture. Two common techniques include iliotibial band (ITB) tenodesis and anterolateral ligament (ALL) reconstruction. These procedures play a role in augmenting rotational stability in the ACL-reconstructed knee. Patients who see the benefits, include hyperlax patients, revision cases, pivoting athletes, and those with IKDC grade III pivot shifts.
There are several distinct advantages of using adjustable, tensionable implant technology, such as the Knotless FiberTak® anchor or FiberTag® TightRope® implant, when compared to traditional techniques using staples or interference screws:
<ul>
 <li>Simple: Quick, easy, and reproducible techniques</li>
 <li>Safe: Knotless FiberTak anchor sets just below the cortex, reducing the risk of femoral tunnel convergence of the ACL; the self-punching anchor technique is designed to reduce the risk of damaging the ACL graft as with traditional techniques that require drilling; no risk of graft laceration as described with interference-screw techniques1</li>
 <li>Low profile: Techniques using additional hardware, such as staples, may lead to pain or discomfort, warranting removal; no prominent hardware is part of the Knotless FiberTak anchor or TightRope implant1</li>
 <li>Preserves anatomy: No socket drilling involved in the Knotless FiberTak onlay technique&nbsp;</li>
 <li>Titratable graft tensioning: Using these techniques, a surgeon can provisionally tension and incrementally retension the graft after checking for isometry and overconstraint</li>
</ul>
Reference
1. Muller B, Willinge GJA, Zijl JAC. Minimally invasive modified Lemaire tenodesis. Arthrosc Tech. 2020;10(1):e29- e36. doi:10.1016/j.eats.2020.09.006

Lateral Extra-Articular Tenodesis

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

Tenotomo/Cortador de tendón del cuádriceps, 8 mm

Tenotomo/Cortador de tendón del cuádriceps, 9 mm

Tenotomo/Cortador de tendón del cuádriceps, 10 mm

Tenotomo/Cortador de tendón del cuádriceps, 11 mm

Arthrex pioneered quadriceps tendon (QT) autograft harvesting in 2014 with the minimally invasive QT harvest instrument set, which was designed for a much easier and more reproducible QT harvest. The next evolution in graft harvesting for ACL reconstruction, the QuadPro™ tendon harvester was specifically engineered to allow for efficient, safe graft harvesting while reducing the morbidity and challenges associated with traditional quad harvesting techniques.

Quad Tendon Harvest and Preparation

Once the minimally invasive or open incision is made and proper soft-tissue windows are established, use the fibular, tibial, and/or femoral collateral marking hooks for anatomic precision and osseous measurements when drilling the appropriate reconstruction tunnels. Using the femoral collateral marking hook with the parallel drill guide will increase anatomic femoral drilling efficiency by significantly reducing convergent tunnels and allowing for accurate guide pin placement at multiple incremental distances. During tunnel creation, use the spooned ends of the collateral ligament retractor to retract the neurovascular structures and the collateral ligament rasp to chamfer the aperture of the completed reconstruction tunnels. Then use FiberWire® or FiberStick™ suture to pass the prepared grafts and tension to the desired position prior to graft fixation.

Anatomic Collateral Ligament Reconstruction

Aguja Zebra para comprobación de isometría, Ø 2.4 mm

ACL TightRope, Drill Pin, Open Eyelet, 4 mm

Zieldraht für ACL TightRope, 4 mm mit Fadenöse

Drill Pin, ACL TightRope, Open Eyelet, 4 mm

Aguja perforadora, ACL TightRope, ojal abierto, Ø 4 mm

Tunnel Notcher for Bio-Interference Screws

Tunnel Notcher for Bio-Interference Screw

Escariador de túnel para tornillo interferencialreabsorbible

ENTALHADOR DE TUNEL PARA PARAFUSO DE BIO-INTERFERENCIA

#2 FiberLoop Suture, 20" (Blue) w/Straight Needle

FiberLoop #2, Geflochtener Polyblend Faden,Blau,mit gerader Nadel ,steril, VE12

FiberLoop #2 , 40'' (101,6cm), 20'' Working Length, Braided Polyblend Suture, Blue, Looped, with straight Needle

FiberLoop #2, sutura Polyblend trenz. 101.6 cm, con lazo,long. de uso50

#2 FIBERLOOP WITH NITINOL GRAFTING NEEDLE

Sutura de polimistura entrançada FiberLo

FiberStick, #2 FiberWire, 50" (Blue), one end stiffened, 12", 5/box

FiberStick #2, mit 30.0 cm gesteiftem Ende, ohne Nadeln, steril

TigerStick, #2 TigerWire, 50" (White/Black), one end stiffened, 12", 5/box

TigerStick #2, mit 30.0 cm gesteiftem Ende, ohne Nadel, steril

FiberSnare, #2 FiberWire, 26", (green), stiffened w/Closed Loop 12"

FiberWire #2, Geflochtener Polyblend Faden, mit Schlaufe und 30.0 cm versteiftem Ende

FiberWire #2, Braided Polyblend Suture, with Closed Loop

FiberWire de calibre #2, hilo de sutura de Polyblendtrenzado, con lazo

ACL FiberTag TightRope ABS Implant

FiberTag TightRope,implante con sistema de botón acoplable para ACL

TightRope II RT, with FiberTape for InternalBrace Technique

ACL TightRope II RT, mit InternalBrace-Bandaugmentation

TightRope II RT, Reconstruction with InternalBrace Ligament Augmentation Repair

TightRope II, ACL, RT,con aumento de ligamento InternalBrace

TightRope II BTB, with FiberTape for InternalBrace Technique

TightRope II-BTB, Rekonstruktion mit InternalBrace-Augmentations-Bandnaht

TightRope II BTB, Reconstruction with InternalBrace Ligament Augmentation Repair

TightRope II, BTB, con aumento de ligamento InternalBrace

TightRope ABS-Button, für InternalBrace-Technik, rund, konkav, Ø 11 mm

TightRope ABS Button, Round, Concave 11 mm, for InternalBrace Technique

TightRope ABS Button, Round, Concave 14 mm

TightRope ABS, Button, Round, Concave, Ø 14 mm

TightRope ABS, button, redondo, cóncavo, Ø 14 mm

BOTAO TIGHTROPE ABS ARREDONDADO CONCAVO (14MM DE DIAMETRO)

TightRope ABS Button, Round, Concave 20 mm

TightRope ABS Button, Round, Concave, Ø 20 mm

TightRope ABS, button, redondo, cóncavo, Ø 20 mm

BOTAO TIGHTROPE ABS ARREDONDADO CONCAVO (8 X 12MM)

Fixed Handle SlapDriver for 20 mm and 30 mm Screws

SlapDriver, Ratcheting Quick Connect

Ratschenschraubendreherhandgriff, QuickConnect, für SlapDriver

Ratcheting Handle SlapDriver (Quick Connect)

Cabo de mão SlapDriver (Rápida conexão)

CABO DE MÃO SLAPDRIVER (RÁPIDA CONEXÃO)

FastThread Interference Screw Instrument Set

FastThread-Interferenzschrauben-Instrumentenset

BioComposite Interference Screw Instrument Set

Suture Anchor, SwiveLock Tenodesis, BioComposite, 7 mm x 19.5 mm

SwiveLock für Bizeps Tenodese, BioComposite, 7 mm, mit gegabelter Spitze und einem #2 FiberWire

SwiveLock Tenodesis, BioComposite, 7 mm, with one Screw, one Fork Tip PEEK Eyelet and one #2 FiberWire

SwiveLock Tenodesis, BioComposite, Ø 7 mm, con tornillo,ojal con punta

ANCORA DE SUTURA BIOCOMPOSTA SWIVELOCK TENODESIS, EYELET DE PEEK ABERTOCOM FIBERWIRE #2 ( 7MM X 19,5MM)

Suture Anchor, SwiveLock Tenodesis, BioComposite, 8 mm x 19.5 mm

SwiveLock für Bizeps Tenodese, BioComposite, 8 mm, mit gegabelter Spitze und einem #2 FiberWire

SwiveLock Tenodesis, BioComposite, 8 mm, with one Screw, one Fork Tip PEEK Eyelet and one #2 FiberWire

SwiveLock Tenodesis, BioComposite, Ø 8 mm, con tornillo,ojal con punta

ANCORA DE SUTURA BIOCOMPOSTA SWIVELOCK TENODESIS, EYELET DE PEEK ABERTOCOM FIBERWIRE #2 ( 8MM X 19,5MM)

Suture Anchor, SwiveLock Tenodesis, BioComposite, 9 mm x 19.5 mm

SwiveLock für Bizeps Tenodese, BioComposite, 9 mm, mit gegabelter Spitze und einem #2 FiberWire

SwiveLock Tenodesis, BioComposite, 9 mm, with one Screw, one Fork Tip PEEK Eyelet and one #2 FiberWire

SwiveLock Tenodesis, BioComposite, Ø 9 mm, con tornillo,ojal con punta

ANCORA DE SUTURA BIOCOMPOSTA SWIVELOCK TENODESIS, EYELET DE PEEK ABERTOCOM FIBERWIRE #2 ( 9MM X 19,5MM)

FastThread BioComposite Interference Screw, 6 x 20 mm

FastThread-BioComposite-Interferenzschraube, 6 mm x 20 mm

FastThread BioComposite Interference Screw 6 x 20 mm

Tornillo Interferencial FastThread Biocompuesto 6 x 20 mm

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 6X20MM

FastThread BioComposite Interference Screw, 7 x 20 mm

FastThread-BioComposite-Interferenzschraube, 7 mm x 20 mm

FastThread BioComposite Interference Screw 7 x 20 mm

Tornillo Interferencial FastThread Biocompuesto 7 x 20 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 7X20MM

FastThread BioComposite Interference Screw, 8 x 20 mm

FastThread-BioComposite-Interferenzschraube, 8 mm x 20 mm

FastThread BioComposite Interference Screw 8 x 20 mm

Tornillo Interferencial FastThread Biocompuesto 8 x 20 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 8X20MM

FastThread BioComposite Interference Screw, 9 x 20 mm

FastThread-BioComposite-Interferenzschraube, 9 mm x 20 mm

FastThread BioComposite Interference Screw 9 x 20 mm

Tornillo Interferencial FastThread Biocompuesto 9 x 20 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 9X20MM

FastThread BioComposite Interference Screw, 10 x 20 mm

FastThread-BioComposite-Interferenzschraube, 10 mm x 20 mm

FastThread BioComposite Interference Screw 10 x 20 mm

FastThread, tornillo interferencial, BioComposite,10 mm x 20 mm

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 10X20MM

FastThread BioComposite Interference Screw, 7 x 30 mm

FastThread-BioComposite-Interferenzschraube, 7 mm x 30 mm

FastThread BioComposite Interference Screw 7 x 30 mm

Tornillo Interferencial FastThread Biocompuesto 7 x 30 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 7X30MM

FastThread BioComposite Interference Screw, 8 x 30 mm

FastThread-BioComposite-Interferenzschraube, 8 mm x 30 mm

FastThread BioComposite Interference Screw 8 x 30 mm

Tornillo Interferencial FastThread Biocompuesto 8 x 30 mm

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 8X30MM

FastThread BioComposite Interference Screw, 9 x 30 mm

FastThread-BioComposite-Interferenzschraube, 9 mm x 30 mm

FastThread BioComposite Interference Screw 9 x 30 mm

Tornillo Interferencial FastThread Biocompuesto 9 x 30 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 9X30MM

FastThread BioComposite Interference Screw, 10 x 30 mm

FastThread-BioComposite-Interferenzschraube, 10 mm x 30 mm

FastThread BioComposite Interference Screw 10 x 30 mm

Tornillo Interferencial FastThread Biocompuesto 10 x 30 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 10X30MM

FastThread BioComposite Interference Screw, 11 x 30 mm

FastThread-BioComposite-Interferenzschraube, 11 mm x 30 mm

FastThread BioComposite Interference Screw 11 x 30 mm

Tornillo Interferencial FastThread Biocompuesto 11 x 30 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 11X30MM

FastThread BioComposite Interference Screw, 12 x 30 mm

FastThread-BioComposite-Interferenzschraube, 12 mm x 30 mm

FastThread BioComposite Interference Screw 12 x 30 mm

Tornillo Interferencial FastThread Biocompuesto 12 x 30 mm -

BIOCOMPOSITE FASTTHREAD INTERFERENCE SCREW VENTED 12X30MM

FastThread PEEK Interference Screws 6 mm × 20 mm (used with 6 mm driver)

FastThread-Schraube, Interferenz, PEEK, 6 mm x 20 mm

FastThread PEEK Interference Screw with Disposable Sheath, 6x20mm

FastThread, tornillo de interferencia PEEK, 6 mm x 20 mm

FastThread PEEK Interference Screw 7 mm × 20 mm screw

FastThread-Schraube, Interferenz, PEEK, 7 mm x 20 mm

FastThread PEEK Interference Screw with Disposable Sheath, 7x20mm

FastThread, tornillo de interferencia PEEK, 7 mm x 20 mm

FastThread PEEK Interference Screw 8 mm × 20 mm screw

FastThread-Schraube, Interferenz, PEEK, 8 mm x 20 mm

FastThread PEEK Interference Screw with Disposable Sheath, 8x20mm

FastThread, tornillo de interferencia PEEK, 8 mm x 20 mm

FastThread PEEK Interference Screw 9 mm × 20 mm screw

FastThread-Schraube, Interferenz, PEEK, 9 mm x 20 mm

FastThread PEEK Interference Screw with Disposable Sheath, 9x20mm

FastThread, tornillo de interferencia PEEK, 9 mm x 20 mm

FastThread PEEK Interference Screw 10 mm × 20 mm screw

FastThread-Schraube, Interferenz, PEEK, 10 mm x 20 mm

FastThread PEEK Interference Screw with Disposable Sheath, 10x20mm

FastThread, tornillo de interferencia PEEK con vástagodesechable, 10 mm

FastThread PEEK Interference Screw 7 mm × 30 mm screw

FastThread-Schraube, Interferenz, PEEK, 7 mm x 30 mm

FastThread PEEK Interference Screw, 7x30mm

FastThread, tornillo de interferencia PEEK, 7 mm x 30 mm

FastThread PEEK Interference Screw 8 mm x 30 mm screw

FastThread-Schraube, Interferenz, PEEK, 8 mm x 30 mm

FastThread PEEK Interference Screw, 8x30mm

FastThread, tornillo de interferencia PEEK, 8 mm x 30 mm

FastThread PEEK Interference Screw 9 mm × 30 mm screw

FastThread-Schraube, Interferenz, PEEK, 9 mm x 30 mm

FastThread PEEK Interference Screw, 9x30mm

FastThread, tornillo de interferencia PEEK, 9 mm x 30 mm

FastThread PEEK Interference Screw 10 mm × 30 mm screw

FastThread-Schraube, Interferenz, PEEK, 10 mm x 30 mm

FastThread PEEK Interference Screw, 10x30mm

FastThread, tornillo de interferencia PEEK, 10 mm x 30 mm

FastThread PEEK Interference Screw 11 mm × 30 mm screw

FastThread-Schraube, Interferenz, PEEK, 11 mm x 30 mm

FastThread PEEK Interference Screw, 11x30mm

FastThread, tornillo de interferencia PEEK, 11 mm x 30 mm

FastThread PEEK Interference Screw 12 mm × 30 mm screw

FastThread-Schraube, Interferenz, PEEK, 12 mm x 30 mm

FastThread PEEK Interference Screw, 12x30mm

FastThread, tornillo de interferencia PEEK, 12 mm x 30 mm

Fixed Handle SlapDriver for 20 mm Screws

Fixed Handle SlapDriver for 6 mm x 20 mm Screws

#2 FiberSnare suture, 26" length with 2” closed loop (Black/White)

#2 FiberSnare with #2 FiberWire Braided Polyblend Suture, Black/White with Closed Loop, 26 inches, One End Stiffened, 12 inches

#2 FiberSnare suture, 26" length with 2” closed loop (White/Blue)

#2 FiberSnare with #2 FiberWire Braided Polyblend Suture, White/Blue with Closed Loop, 26 inches, One End Stiffened, 12 inches

SutureTape FiberLoop, 0.9 mm, with one Straight Tapered Needle, (White/Blue)

FiberLoop-SutureTape, weiß / blau, 0.9 mm, mit gerader Nadel (Multipack)

FiberLoop 0.9 mm SutureTape, White/Blue Looped With Attached Needle (straight needle, multi-pack)

GraftClamp Graft Preparation Instrument

AR-2386T

AR-2386T is a Set Item Of (1)

AR-5500S

Related Pages

Orthobiologics

BioACL™ Technique

Procedure

Knee

FiberTag^® TightRope^® Implant

Product

Knee

Lateral Extra-Articular Tenodesis

Procedure

Knee

Quad Tendon Autograft ACL Reconstruction

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Quad Tendon Harvest and Preparation

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Anatomic Collateral Ligament Reconstruction

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Medial Collateral Ligament (MCL) Reconstruction

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Collateral Ligament Reconstruction Set

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