Consult Arthrex’s ACL TightRope® RT – LS brochure on MedicalExpo. Page : 1/2. The ACL TightRope RT (Arthrex, Naples, FL) is a recently introduced fixation device. The adjustable graft loop allows the surgeon some freedom in terms of the. The TightRope RT (Arthrex, Naples, FL) is a suspensory device for anterior cruciate ligament reconstruction. However, there is a potential risk of the button being.
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Footnotes The authors report that they have no conflicts of interest in the authorship and publication of this article. The only precaution that needs to be kept in mind is to prevent widening of the femoral guide pin hole or breaking of the cortical bone bridge by the guide pin by an uncontrolled push. Under arthroscopic vision, a 2. After reviewing the cart details, click the “Submit Request” button to finalize and submit your request.
The depth tightroope the femoral socket is 25 mm, and the pin hole through the cortical bone bridge is 10 mm long.
Scope This Out Fall – Vol.
A guide pin is then introduced through the anteromedial portal. Minor Outlying Islands U. The guide pin engages adequately in the depression present on the end of the button. We visualize the TightRope RT button in the femoral socket and guide pin hole with the arthroscope during its passage. Technique The sockets are made and graft is prepared and looped with the Tight Rope RT as described in the literature.
The passing sutures are then pulled from the lateral side, with the TightRope RT button being pulled into the femoral socket under direct arthroscopic vision Fig 1Video 1. All-inside anterior cruciate ligament graft-link technique: Don’t have an account? Go back to search. Select what is wrong Intra-articular detachment of the Endobutton more than 18 months after anterior cruciate tiyhtrope reconstruction.
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The guide tightfope hole is seen in the center of the socket. Direct arthroscopic visualization of TightRope RT button in femoral socket. Its medial end is passed through the tibial tunnel and brought out medially using a suture grasper. By use of this suture, the TightRope RT passing sutures are passed through the tibial tunnel and then through the femoral socket and brought out laterally.
A mark adl made on the loop equal to the femoral intraosseous distance, measuring from the distal tip of the button with the button held parallel to the loop i. The depth of the socket is 25 mm, and the length of the pin hole through the cortical bone bridge is 10 mm. We have found no difficulty in visualizing the whole socket and the guide pin hole with the arthroscope, as well as the passage of the button and the graft through the socket.
Using a single hamstring tendon looped between two ACL TightRopes allows for simplified graft passing and graft tensioning from the femoral and tibial side in any degree of flexion. Dropping of an EndoButton into the knee joint 2 years after anterior cruciate ligament repair using proximal fixation methods.
We have found that the direct and controlled push on the button until the feeling of giving way occurred was an easier, safer, and sure way to seat the button on the femoral cortex compared with the pull.
Journal List Arthrosc Tech v. Use the checkboxes below to add items. Scope This Out Winter – Vol. Please try again, or try refreshing the page. At this crucial juncture, no further pulling force is applied.
We have experienced this twice in our practice.
Arthrex – ACL TightRope®
Iliotibial Band Tenodesis File Type: When you are ready to submit your request, simply click the “View Cart” button 5 or alternatively the “Cart Overview” button 4. An unidentified pitfall of Endobutton use: Author information Article notes Copyright and License information Disclaimer. When there is a feel of loss of resistance or giving way, the button slips away from the guide pin tip. This innovation eliminates the need to retrieve shortening strands from the joint and allows the surgeon to pull in-line with graft advancement.
Another complication is that the button can be pulled out through the skin laterally while one is pulling it from the outside or it may flip within the substance of the vastus lateralis. This would subsequently result in postoperative graft loosening and failure of reconstruction.
Discussion Graft fixation with the TightRope RT is a recent technique, and complications with this technique have not yet been reported. Educational Resources Products Related Science. Scope This Out Winter – Vol. A guide pin is introduced through the anteromedial portal parallel to the socket and arthex hole.
The femoral socket is visualized end-on, and the TightRope RT button is passed through it. The right knee is being operated on. Yightrope drill a through-and-through tibial tunnel for fixation with a Bio-Interference screw Arthrex, Naples, FL on the tibial side.
Please fill out all the information before registering. National Center for Biotechnology InformationU. Scope This Out Spring – Vol. Hide Details Hide Thumbnails.
Walter Lowe, MD Share. The guide pin is introduced through the anteromedial portal, inserted at the femoral footprint of the anterior cruciate ligament, and brought out through the lateral cortex.