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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This innovation eliminates the need to retrieve shortening strands from the joint and allows the surgeon to pull in-line with graft advancement.
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The adjustable loop allows the surgeon some freedom in terms tgihtrope the length of the femoral socket, eliminates the need for bothersome intraoperative calculations for selecting loop length, ensures that the socket is completely aethrex with graft, and provides the possibility of tensioning the graft even after graft fixation.
Walter Lowe, MD Share. 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. A controlled push is then applied on the button with the help of this pin, as viewed from the anterolateral portal for a right knee joint.
The authors report arthred they have no conflicts of interest in the authorship and publication of this article. Educational Resources Products Related Tightro;e. Author information Article notes Copyright and License information Disclaimer. This proprietary avl knotless fixation system resists cyclic displacement and offers strong pullout strength. Share Contact Feedback Quote or Evaluation. The guide pin engages adequately in the depression present on the end of the button.
Journal List Arthrosc Tech v. The loop of the TightRope RT is lying in the femoral socket. When the graft is pulled back in the reverse direction to check whether the button has flipped, the end of the button may temporarily become stuck at the lateral opening of the guide pin hole, giving the false impression that it has flipped and engaged on the lateral femoral cortex.
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.
When you are ready to submit your request, simply click the “View Cart” button 5 or alternatively the “Cart Overview” button 4. During graft passage, the reaching of this mark at the internal opening of the femoral socket marks the endpoint for graft tensioning.
The TightRope RT button is seen entering the pin hole.
Please fill out all the information before registering. The right knee is being operated on. The remaining process of surgery is completed without any modification.
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. This would subsequently result in postoperative graft loosening and failure of reconstruction.
An unidentified pitfall of Endobutton use: To prevent this, we have introduced 2 additional steps in our procedure: Anterior cruciate ligament reconstruction in the young athlete: The guide pin is then withdrawn, the graft is pulled from the tibial end, and the button becomes seated at the femoral cortex. Another mark is tightrpe on the graft, with measurement from its femoral end, equal to the length of axl femoral socket.
The femoral socket is then created with a drill of the size determined from the diameter of the graft, leaving about 7 to 10 mm of cortical bone bridge laterally. Scope This Out Fall – Vol. 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.
Scope This Out Spring – Vol. Dropping of an EndoButton into the knee joint 2 years after anterior cruciate ligament repair using proximal fixation methods. Scope This Out Spring – Vol. Hide Details Hide Thumbnails. Kyle Anderson, MD Share. Potential pitfall of the Endobutton.
Arthrex – ACL TightRope®
There was an error retrieving the content. Select what is wrong Get more tiggtrope on how to request a quote or surgical evaluation. A guide pin is introduced through the anteromedial portal parallel to the socket and pin hole. Direct arthroscopic visualization of TightRope RT button in femoral socket. After reviewing the cart details, click the “Submit Request” button to finalize and submit your request. Its tip is engaged in the depression located on the side of the free end of the button the side facing the arthroscope in the socket.
The ACL TightRope RT allows surgeons to advance the graft by pulling the tensioning strands in the same direction of graft advancement. Published by Elsevier Inc. Gordon Mackay, MD Share. Its medial end is passed through artherx tibial tunnel and brought out medially using a suture grasper.
Don’t have an account? The arhrex of the button with the guide pin past the guide pin hole helps in not only delivering the button out of the pin hole but also flipping it tigntrope the cortex.