The Hamstring Donor Site Delivery Tube allows a surgeon to directly administer an anesthetic after autograft hamstring harvest during ACL reconstruction. for allograft for an all-inside ACL reconstruction. An ACL can be injured in several ways: Sudden directional change Slowing down while running Anterior cruciate ligament (ACL) . Hamstring graft preparation techniques for ACL reconstruction. read more 0 Comments Login to view comments. The tendon is loaded into a suspensory device. Berg E.E., Pollard M.E., Kang Q., 2001. You can revoke this consent at any time and delete the cookies at any time. Used in combination with anatomic guides, the FlipCutter III drill allows independent femoral and tibial "retrodrilling" to create sockets while maintaining the cortices to maximize fixation. Purpose/Hypothesis: The purpose of thi. By agreeing to the use of these cookies, you also consent to processing by the cookies. Footnote. As the first adjustable-loop cortical suspensory fixation implant to use a flat SutureTape design, the new ACL TightRope II implant offers better handling characteristics and is more resistant to graft abrasion or tissue pull-through than traditional round sutures.1 Engineered for precise graft tensioning, the adjustable-loop mechanism allows , Arthrex offers a variety of tendon allografts, including a wide portfolio of presutured tendons, for primary and revision ligament repairs and reconstruction procedures. For over 30 years, Arthrex has maintained its dedication to one simple goal: responding to the needs of the orthopaedic surgeon by helping make technically demanding surgical procedures simpler, safer and reproducible. The Hamstring Donor Site Delivery Tube allows a surgeon to directly administer an anesthetic after autograft hamstring harvest during ACL reconstruction. The needle is then passed through the 2 other strands of the graft. The anterior cruciate ligament is a key translational and . Bone and Joint Clinic. After . As a private corporation, Arthrex has an unparalleled commitment to the orthopaedic surgeon and the patients they treat. Data on your use of this website will be passed on to the providers of the analytical services. This was a retrospective comparison study of patients undergoing ACL surgery between September 2011 and April 2018. In our technique, we perform a distal release of the hamstring tendons at the level of the pes anserinus. The nonphysical factors germane to successful return to play (RTP) are bein. TECHNIQUE VIDEO. ICH GCP. The ACL with internal brace Arthrex is one of the best ways to restore the stability knee. ACL BTB Graft Harvest and Preparation Arthrex offers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. The parallel blades create a precise cut in a single pass. Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation. Surgical Technique Step 1: Graft Harvest After prepping and draping, hamstring tendon har-vest can be performed according to surgeon preference. Causes. Click here to Login Performance cookies may be set by us or third parties whose services we use on our sites. For more information on these techniques refer to the educational resources tab. In the majority of patients who have torn their anterior cruciate ligament (ACL), surgery is recommended. 8.5 mm femoral . of Vail Summit Orthopaedics explains and performs Anterior Cruciate Ligament (ACL) Surgery.Anterior Cruciate . With these cookies, we can count visits and identify traffic sources to help us determine and improve the performance of our site. Full thickness cannulated drills, with calibrated depth marks, are designed specially for ACL tibial tunnels, PCL tibial and femoral tunnels and standard two-incision ACL reconstruction procedures. 1 the objective mechanical stability of a reconstructed acl ranges from 85% to ACL Hamstring Graft Harvest and Preparation Procedure Knee Hamstring Graft Harvest and Preparation Instruments Product Knee PCL Hamstring Graft Harvest and Preparation Procedure Knee ACL Repair Procedure ACL Repair TightRope Implant with FiberRing Sutures Knee Transtibial ACL Reconstruction Procedure Knee ACL ToolBox Product How can we help you? Harvesting can be accomplished safely and reproducibly both from the traditional anterior approach or through a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. Femoral and tibial TightRope II implants, with a proprietary 5-point locking system . This may cause some areas of the site not to work. Frontal and sagittal lower limb alignment has gained attention in recent years, as it has been shown to affect pressure distribution across the articular cartilage, anterior cruciate ligament (ACL) graft forces, failure rates, and clinical outcomes. Arthrex offers a comprehensive selection of soft-tissue fixation devices for a variety of techniques. femur-anterior cruciate ligament-tibia complex. Identication of the gracilis and semitendinosus tendon according to muscular belly shape and anatomic location. Used in combination with anatomic guides, the FlipCutter III drill allows independent femoral and tibial "retrodrilling" to create sockets while maintaining the cortices to maximize fixation. Harvesting can be accomplished and reproducibly with the traditional anterior approach or remove a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. Arthrex offers several options for femoral ACL socket creation through the medial portal. and April 2018. Harvesting can be accomplished and reproducibly with the traditional anterior approach or remove a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. 5,9,10,17,20,24 The number of ACLR procedures performed in the United States has increased significantly since the mid-1990s, owing in part to a dramatic increase in the number of ambulatory . Yoo JH, Chang CB, Shin KS, Seong SC, Kim TK . Harvesting can be accomplished and reproducibly with the traditional anterior approach or remove a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. Harvesting can be accomplished and reproducibly with the traditional anterior approach or remove a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. Arthrex Tendon Allografts. 12. Groups: 1. Through his research Dr. Lubowitz found that patients experienced statistically significant less pain. in the tibia with an ACL tight rope (Arthrex, Naples, Florida) Knee Surgery, Sports Traumatology, Arthroscopy (2022) 30:3488-3498 3491 . 10 specimens were tested in each group. For more information about the third-party vendors we work with, read the section "Data collection when visiting our website" in our Data Privacy Statement. With a corporate mission of Helping Surgeons Treat Their Patients Better, Arthrex has pioneered the field of arthroscopy and develops more than 1 000 innovative products and procedures each year. Please try again, or try refreshing the page. . The distal 90 mm features 16 fenestrations in an offset pattern to deliver the anesthetic effectively over a wide area. method of hamstrings ACL reconstruction remains contro-versial [27, 36]. There was an error retrieving the content. The inherent variability in graft diameter has been stated as a disadvantage in its use.1 Graft diameter has been correlated with the increased risk of re-rupture. Integration of hamstring tendon graft with bone in reconstruction of the anterior cruciate ligament. To achieve better graft integration, we propose a variation of the graft link suture technique wherein the graft is linked chain-like to the femoral and . Welcome to Arthrex, a global medical device company and leader in new product development and medical education in orthopedics. Certain products may not be approved for sale in all countries. The ACL TightRope RT implant is the first adjustable loop device to allow surgeons to pull the shortening strands in the same direction of the graft. Background: Biomechanical studies support the use of suture tape reinforcement for limiting graft elongation and increasing strength in knee ligament reconstruc. The ACL is within the knee joint and is bathed in synovial fluid (normal joint fluid) which actually works to prevent healing of the ACL tear, and also works against our ability to directly repair the ligament when torn. Gravest harvest and graft preparation two key steps in the surgery.This video demonstrates detailed . . RetroConstruction Drill Guide System Instrument Set, Marking Hook, RetroConstruction ACL Guide, Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide, Footprint Femoral ACL Guide with 7 mm offset, Left, Footprint Femoral ACL Guide with 7 mm offset, Right, Pin Tip Tibial Marking Hook for RetroConstruction ACL Guide, Small Angle, Footprint Femoral ACL, Guide, Small Angle, Left, Footprint Femoral ACL Guide, Small Angle, Right, TightRope II RT, with Additional Flipping Suture, TightRope II RT, with FiberTape for InternalBrace Technique, TightRope II BTB, with Additional Flipping Suture, TightRope II BTB, with FiberTape for InternalBrace Technique, TightRope II RT-IB Implant System, with FlipCutter III and FiberStick, TightRope II BTB-IB Implant System, with FlipCutter III and FiberStick, Implant System, Secondary Fixation with BioComposite SwiveLock Anchor 4.75 x 19.1 mm, Implant System, Secondary Fixation with PEEK SwiveLock Anchor 4.75 x 19.1 mm, PassPort Button Cannula, 12 mm ID x 3 cm, qty. Interarticular bone tunnel healing. The continuous loops of #2 or #0 suture and free-floating straight or curved needles allow reproducible graft suturing of traditional straight sutures. The goal of this study was therefore to assess (I) the accuracy of MRI on rerupture of the repaired ligament and (II . 17 however, with increased use, concerns arose regarding the ability of this technique to restore the native anatomy and function of To date, no studies have assessed the role of postoperative magnetic resonance imaging (MRI) on the status and maturation of the repaired ligament. Femoral and tibial TightRope . AR-1588RT-J: ARTHREX ACL TIGHTROPE RT DOUBLE LOADED PASSING SUTURES. Background: Hamstring autograft is a common graft choice when performing ulnar collateral ligament reconstruction (UCLR). Proprietary technology gives the FlipCutter drill unconstrained freedom of socket positioning and is ideal for difficult-to-reach applications such as tibial socket creation , The GraftLink technique provides the ultimate in anatomic, minimally invasive, and reproducible ACL reconstruction. However, there are still controversies regarding undes. TECHNIQUE STEPS. Sterile Cannulated Reamers The tibial tunnel was drilled with the help of an ACL tibial guide (Arthrex, Naples, Fla., USA). Harvesting can be accomplished and reproducibly with the traditional anterior approach or remove a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. It may be pre-ordered in Germany by calling +4989-909005-2800. Arthrex allograft. AWANA; Children's Church; Youth and Teens; Good News Bible Club; Vacation Bible School Watch: Watch: Sports Medicine Fellowship Forum: ACL Graft SelectionQuad, Hamstring, BTB, and The gracilis tendon is above and proximal to semitendinosus and has a rounded-shaped muscular belly, whereas the semite- Dedicated transportal offset guides and low-profile reamers work together to facilitate visualization and help minimize possible damage to the medial femoral condyle while drilling in the hyperflexed position. The GraftLink technique provides the ultimate in anatomic, minimally invasive, and reproducible ACL reconstruction. Hamstring curls Leg press Initiate proprioceptive program, including single leg stance and balance board. These cookies are necessary for the functioning of our website and cannot be deactivated in our systems. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during ACL/PCL reconstruction. Although elegant, it does not always provide an anatomical ACL reconstruction. anterior cruciate ligament reconstruction during single-leg squat-ting. L'obiettivo di questo studio valutare l'uso di avvolgere un innesto ACL con un collagene avvolgere il tessuto della matrice e iniettare il concentrato . Used in combination with anatomic guides, the FlipCutter III drill allows independent femoral and tibial "retrodrilling" to create sockets while maintaining the cortices to maximize fixation. Arthrex offers a comprehensive selection of fixation devices for a variety of bone-patella tendon-bone (BTB) graft techniques. Cpt code repair of peroneal longus tendon of foot with graft. So, if you feel instability, lack of confidence, or maybe not able to enjoy your life due to knee pain, then you are at a very right place. Anterior cruciate ligament (ACL) reconstruction hamstring method is a surgical procedure that replaces the injured ACL with a hamstring tendon. Recently, there has been a resurgence of interest in arthroscopic primary anterior cruciate ligament (ACL) repair. ACL tear best seen on sagittal view bone bruising occurs in more than half of acute ACL tears middle 1/3 of LFC (sulcus terminalis) . aimed at recovering strength in the quadriceps and hamstrings. Hamstring autografts are frequently used for anterior cruciate ligament (ACL) reconstruction. Arthroscopy 13, 641-643. Anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft with . The Arthrex Flexible Reamer System reduces the The technique of arthroscopic anterior cruciate ligament reconstruction (ACLR) has undergone many modifications in the recent times with improved understanding of anatomy, kinematics, and biology of the graft. Type of study: Prospective randomized study. Harvesting can be accomplished and reproducibly with the traditional anterior approach or remove a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers. Bone Graft Substitutes American . Registro delle prove cliniche. Technique demonstrated for obtaining hamstring graft for ACL reconstruction 1, ACL TightRope, Drill Pin, Open Eyelet, 4 mm, Graft Sizing Block, 4.5-12 mm holes in 0.5 mm increments, #2 FiberSnare suture, 26" length with 2 closed loop (Black/White), #2 FiberSnare suture, 26" length with 2 closed loop (White/Blue), TigerLoop SutureTape, 1.3 mm, 20 Loop (White/Black) w/76 mm Straight Needle, 12/Box, FiberLoop SutureTape, 1.3 mm, 20 Loop (White/Blue) w/76 mm Straight Needle, 12/Box, #2 FiberLoop Suture, 20" (Blue) w/Straight Needle, #2 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle, #2 FiberWire Suture w/ Straight Needle (Blue), 0 FiberWire Suture, 38" (Blue) w/Tapered Needle, 22.2 mm 1/2 circle, 12/box. Pigtail Hamstring Tendon Stripper, open end, 5 mm, #2 FiberLoop Suture, 20" (Blue) w/Straight Needle, #2 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle, #2 FiberLoop, Braided Polyblend Blue Suture Looped with 20" Working Length Curved Needle, Mini SutureTape Meniscus Repair Needles w/ 0.9 mm SutureTape and 2 Needles, #0 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle, FiberLoop with FiberTag and Straight Needle, FiberLoop with FiberTag with Swaged Straight Needle. Youm YS, Cho SD, Lee SH, Youn CH (2014) Modied tran- One-third of the tendon is loaded in a suspensory device according to the marks. Moreover, the Arthrex ACL tray helps in improvising the knee 7 also furnishes the balancing of joints. The GraftBolt (Arthrex; Naples, FL) is a sheath design for tibial fixation, aimed at providing concentric aperture fixation. This innovation eliminates the need to retrieve shortening strands from the joint and allows the surgeon to pull in-line with graft advancement. Bone Joint Open 2:569-575 Surgical Technique Videos | 16:11 | English | 10/25/2021 | VID1-001492-en-US B, Surgical Technique Guides | English | 06/30/2021 | LT2-00120-EN A, Surgical Technique Videos | 14:36 | English | 11/09/2021 | VID1-00375-en-US B, Surgical Technique Animations | 02:36 | English | 05/18/2021 | AN1-000282-en-US B, Surgical Technique Videos | 18:24 | English | 06/30/2021 | VID1-001858-en-US A, Surgical Technique Animations | 03:43 | English | 08/17/2022 | AN1-00371-en-US B, 08:26 | English | 11/29/2021 | VID1-01435-en-US B, 14:36 | English | 11/09/2021 | VID1-00375-en-US B, 16:11 | English | 10/25/2021 | VID1-001492-en-US B, 18:24 | English | 06/30/2021 | VID1-001858-en-US A, 13:11 | English | 05/16/2018 | VID1-00827-EN E, 05:38 | English | 12/08/2016 | VID1-00461-EN B, 11:41 | English | 06/30/2015 | VID1-00423-EN A, 37:50 | English | 09/17/2014 | VID1-00112-EN A, Surgical Technique Videos | 12:58 | English | 06/05/2014 | VID1-00028-EN A, Surgical Technique Videos | 04:22 | English | 03/07/2014 | VID1-00113-EN A, 03:43 | English | 08/17/2022 | AN1-00371-en-US B, 02:36 | English | 05/18/2021 | AN1-000282-en-US B, 03:26 | English | 03/22/2016 | AN1-00136-EN B, Surgical Technique Guides | Spanish | 10/23/2014 | LT1-0103-ES A, Surgical Technique Guides | Spanish | 08/22/2014 | LT1-0151-ES A, Surgical Technique Guides | German | 12/02/2013 | LT1-0158-DE A, Surgical Technique Guides | German | 12/02/2013 | LT1-0178-DE A, Surgical Technique Guides | Spanish | 06/02/2011 | LT0178-ES B, English | 06/25/2020 | DOC1-000332-en-US A, 10:25 | English | 05/18/2020 | VID1-000981-en-US A, 16:40 | English | 07/30/2019 | VID1-000350-en-US A, 09:48 | English | 04/04/2017 | VPT1-00829-EN A, 11:53 | English | 03/30/2017 | VPT1-00796-EN A, 09:45 | English | 03/13/2017 | VPT1-00821-EN A, 12:11 | English | 03/22/2016 | VPT1-00634-EN A, 11:02 | English | 03/22/2016 | VPT1-00627-EN A, 16:10 | English | 06/24/2015 | VPT1-00537-EN A, Presentation Videos | 05:26 | English | 09/05/2014 | VPT1-00262-EN A, Presentation Videos | 10:27 | English | 05/13/2014 | VPT1-00191 A, Presentation Videos | 05:16 | English | 03/24/2014 | VPT1-00194-EN A, 03:26 | English | 07/20/2021 | VID1-002610-en-US A, 05:30 | English | 05/25/2016 | VID1-00758-EN A, English | 07/08/2020 | DOC1-000235-en-US A, English | 02/11/2022 | LA2-000147-en-US A. For additional information, see our Data Privacy Statement. The effects of specimen age and . ULTRABUTTON* Device and BIOSURE* REGENESORB Screw for ACL Reconstruction with a Hamstring Graft Smith & Nephew 147K views 5 years ago Frank R. Noyes, MD - Six Strand GraftLink Preparation. One patient was lost to follow-up in the ACL reconstruction group leaving 272 patients (99.6%) for the nal analysis. Background:Variables affecting return to sport after anterior cruciate ligament reconstruction (ACLR) are multifactorial. You can set your browser to block these cookies or to notify you about these cookies. The Arthrex Flexible Reamer System reduces the need for knee flexion during socket creation and may allow for longer sockets and better orientation. The parallel blades create a precise cut in a single pass. This website uses its own cookies and cookies from analytical services to provide its services, personalize advertisements, and analyze traffic. Graft preparation has been revolutionized with the line of FiberLoop suture and the SpeedWhip technique. The GraftLink technique provides the ultimate in anatomic, minimally invasive, and reproducible ACL reconstruction. With firm tension on the sutures, use the Arthrex stripper/cutter to strip the tendon proximally and . Fig 1. Dr. Lubowitz has dedicated himself to researching injury analysis and treatment techniques. After hamstring graft preparation, diameters were measured and recorded for each end of the graft as well as the midsubstance. Methods: We prospectively followed up a group of 97 patients who underwent reconstruction with . Measurement was accomplished with a standard proprietary graft sizing block (0.5-mm increments), and the smallest diameter recorded was chosen for final . Hamstring Contracture After ACL Reconstruction Is Associated With an Increased Risk of Cyclops Syndrome . In this Technical Note, we describe a technique of hamstring autograft harvest for ACL reconstruction for a quadruple (4-strand) hamstring graft using the gracilis and semitendinosus tendons . Anterior cruciate ligament reconstruction Wikipedia April 28th, 2018 . ACL Reconstruction with All-Inside Graftlink Technique and Hamstring Allograft - YouTube 0:00 / 5:17 Sign in to confirm your age This video may be inappropriate for some users. Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation. Two hundred and 73 patients underwent ACL reconstruction using hamstring autograft. Three-strand graft preparation with 1 tendon. by loss of terminal knee extension due to proliferative fibrous nodule formation in the intercondylar notch after anterior cruciate ligament . 11 Used in combination with anatomic guides, the FlipCutter. Ethical approval . (Smith & Nephew or Arthrex). The tendon is divided into 3 equal parts. ACL. Typically, these cookies are only set to meet a service request in response to actions you take, such as setting your privacy preferences, signing up, and completing forms. receives research support, and has made presentations for Arthrex. ACL Reconstruction - Hamstring Autograft. . TECHNIQUE STEPS. Injuries involving the anterior cruciate ligament are among the most common athletic injuries, and are the most common involving the knee. ACL Reconstruction with Arthrex GraftLink 5,220 views Jul 20, 2017 8 Dislike Share Save Tony Jabbour, MD 505 subscribers For more details, visit www.tulsasportsmedicine.com Show more Total. The Arthrex Graft Prep , Arthrexoffers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. code it GRAVITY Home Wright Medical Group. These cookies enable the provision of advanced functionality and customization. interference screw at the tibia (Arthrex, Naples, USA). Four different interference screw types were used in this study (from left to right: MITEK, WOLF, STORZ, ARTHREX). Innovative designs and cutting-edge materials allow surgeons to achieve strong, less invasive anatomic ACL reconstructions with soft-tissue grafts. 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Dilute epinephrine can be added safely at 1 mg/L. (2) A stich in each end of the tendon is made with a nonabsorbable suture. There has been a renewed interest in ACL primary repairs as the treatment for Sherman type I and type II ACL ruptures. MQ Mitek Quadriceps, 3.WH Wolf Hamstring, 4. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during ACL/PCL reconstruction. Background: A precise and consistent definition of return to sport (RTS) after anterior cruciate ligament (ACL) injury is lacking, and there is controversy surr. ACL, anterior cruciate ligament; BTB, boneepatellar tendonebone; MRI, magnetic resonance imaging. the less invasive arthroscopic transtibial technique for anterior cruciate ligament (acl) reconstruction was popularized in the early 1990s after comparable results to the open 2-incision technique were obtained. The gracilis is usually preserved in this technique unless the semitendinosus is not of adequate length or prematurely amputated. The overall length of the tube is 247 mm. Case report. Your language settings, for example, are stored as functional cookies. Am J Sports Med 46:1545-1550 45. Tourniquet Verres outflow cannula No. Tears of the ACL frequently cause ongoing pain, swelling, and episodes of instability in the knee. 41-1) 4.5-mm arthroscope 30-degree lens Light source Arthroscopy fluid: lactated Ringer solution or normal saline. Graft harvesting cutting guides and , Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation. First, we show the 2-strand technique with 1 tendon. If you do not allow these cookies, we will not know when you visited our website. WQ Wolf Quadriceps, 5. Femoral and tibial TightRope II implants, with a proprietary 5-point locking system, make the GraftLink technique the most reproducible ACL reconstruction available. Athletes were permitted to resume sports 6-8 months after sur- . Arthrex ACL Reconstruction techniques include: Hamstring or BTB Graft Harvest Preparation, ACL RetroConstruction / FlipCutter or All-Inside ACL Reconstruction / FlipCutter drill Medial Portal Femoral Socket Preparation, Transtibial ACL Reconstruction, ACL Soft Tissue Graft Fixation, and ACL BTB Graft Fixation. Below you can either accept all cookies, reject all cookies, or edit the cookie settings individually. Arthrex TightRope Fixation of a Soft Tissue Graft Introduction Classically, techniques for all-inside anterior cruciate ligament (ACL) reconstruction involved the use of transtibial drilling of the ACL femoral socket. surface and Medi Bayreuth and receives royalties from Arthrex and Arthrosurface. Certain products may not be approved for sale in all countries. Richard Cunningham, M.D. While some studies reported an increased . SHStorz Hamstring, 6. Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation. Houston Methodist Orthopedics & Sports Medicine. Patrick C. McCulloch MD. J Orthop 18:284-289 59. These options include adjustable, continuous-loop suspensory fixation, and interference screws in a variety of materials. ACL Reconstruction with Hamstring Tendon Transportal Technique Using Arthrex Tightrope By Sharath Kittanakere Ramanath 19 Videos FEATURING Sharath Kittanakere Ramanath October 31, 2019 ST & G tendon prepared with internal bracing done using fibretape . The use of hamstring autograft for anterior cruciate ligament (ACL) reconstruction was first reported in 1934 with the use of the semitendinosus tendon.1 Advancements in surgical techniques have led surgeons to use 2 hamstring tendons for ACL autograft reconstruction with both the semitendinosus and gracilis tendons in a 4-stranded construct. MH Mitek Hamstring, 2. Hamstring tendons are used routinely to reconstruct ACL. The aim of this study was to determine the frequency of secondary surgery following anterior cruciate ligament (ACL) repair with suture tape augmentation in comparison to conventional hamstring ACL reconstruction. Anterolateral ligament reconstruction could play a role in augmenting rotational stability in the ACL-reconstructed knee and are most likely to benefit hyperlax patients, revision cases, pivoting athletes, and those , The new, innovative FlipCutter III drill is an adjustable, variable-size, all-in-one guide pin and reamer that allows minimally invasive socket creation from the inside out. Arthrex offers the most advanced techniques and instruments for hamstring harvesting and preparation. Certain products may not be approved for sale in all countries. H. P. Lobenhoffer Department of Trauma and Reconstructive Surgery, The parallel blades create a precise cut in a single pass. During the same timeframe, 137 patients with an acute proximal ACL rupture underwent ACL repair with suture tape augmen-tation. 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. In . Only the semitendinosus is harvested using an open-ended tendon stripper (Pigtail Hamstring Tendon Stripper; Arthrex). http://vailknee.comDr. Preparation of All-Inside Hamstring Autograft with Internal Brace Graft for ACL Reconstruction - YouTube 0:00 / 4:55 Preparation of All-Inside Hamstring Autograft with Internal Brace Graft. Allograft tendons provide many benefits over autograft tendons in reconstructive procedures, including less donor-site morbidity,1,2 fewer incisions, shorter operative time,1,2 , Lateral extra-articular augmentation or reconstruction aims to eliminate residual laxity and reduce the risk of ACL graft rupture. 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