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Injury of the anterior cruciate ligament (ACL) can lead to knee instability associated with damage to other knee structures and the increased risk of degenerative joint disease.This has led to the frequent use of intra-articular tissue grafts for ACL reconstruction tissue grafts for ACL reconstruction An alternative depth limiter (white plastic sheath) is also available that can be modified or trimmed according to tear morphology. Insert additional Darts as needed in 5 mm increments. Acufex (3) GMDN Term. Oper Orthop Traumatol. To assemble the gun, depress the red and silver triggers, and slide the T-handle assembly into the back end of the gun. We performed an evidence based review of the outcomes of all-inside meniscus repair devices. The over-the-back marking hook sits securely over the back of the tibia to allow stable drilling using a 6 mm FlipCutter II reamer for socket preparation. Site by Redwire. Tears within this zone are known as red-on-red tears, where both sides of the tear are vascular. Search for used meniscus repair. Onsite or virtual inspection available. Meniscal Root Repair ; Ear, Nose and Throat; Orthopaedic Reconstruction; Robotics and Digital Surgery; . The FasT-Fix (Smith and Nephew, Andover, MA) is a suture-based repair device that is composed of two 5 mm polymer bars and a zero polyester nonabsorbable suture that has a pre-tied sliding knot that can be tensioned with arthroscopic assistance. For all other tears place the first Arrow in the center of the tear initially. The end result is a single loop of suture with a clever self-locking knot on the meniscal surface. Figure 3-1 The zone system of meniscal tears. (C) First implant and tensioned suture construct after release. Arthroscopic meniscal repair with use of the outside-in technique. Published clinical results of meniscal repairs are variable because of different inclusion criteria. Acufex - 013382 - MPN: 013382 A biomechanical evaluation of all-inside 2-stitch meniscal repair devices with matched inside-out suture repair. Description. Copyright 2014 BMT Medical Devices. Standard arthroscopy portals may be used in combination with one of the six color-coded, zone-related cannulae. The https:// ensures that you are connecting to the The decision to proceed with meniscal repair is made following a thorough arthroscopic assessment of the knee joint. USED. Meniscal repair using the FasT-Fix all-inside meniscal repair device. 2012 Jun;20(2):101-5. doi: 10.1097/JSA.0b013e3182515d79. Cannulas attach to the handle to efficiently target specific zones of the meniscus. and transmitted securely. Picture 1 of 6. 22. Instructional Brochure, 2000, 13 Dervin G, Downing K, Keene G, McBride D. Failure strengths of suture vs. biodegradable arrow for meniscal repair: an in vitro study. Figure 3-2 (Continued) (D) Insertion of second implant. The stability of the repaired meniscus should be confirmed after placement of any meniscal repair device using a probe. Clin Sports Med 1991;10:529547. We also found no notable differences in the reported failure rates of various devices with the length of fol-lowup. Miscellaneous Surgical Orthopedic Instruments Acufex - Depuy - Mitek. The Bionix Meniscal Arrow is a sharp-tipped, barbed polylactic acid (PLA) device with a head. Historically, inside-out repair is the most common type of arthroscopic meniscal repair, but all-inside meniscus repairs are becoming more common with the invention of various implants including: meniscal arrows, darts, screws, staples, and other suture devices. PASSER (3) Fastener, fixation, biodegradable, soft tissue (2) 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 Securing the meniscus in a small bone socket has proven to be an effective means to restore hoop stresses and improve outcomes.2 The FlipCutter II reamer and meniscal root marking hook allow for a minimally invasive RetroConstruction repair technique that helps preserve bone while securely fixing meniscal tissue. Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH. S/N Before selecting a cannula, load the screw onto the driver by placing the needle into the cannula of the screw and turning the driver counterclockwise. 09792457 | Has some marks. government site. Albrecht-Olsen P, Kristensen G, Burgaard P, Joergensen U, Toerholm C. The arrow versus horizontal suture in arthroscopic meniscus repair: a prospective randomized study with arthroscopic evaluation. Using the criteria above, this process of exclusion yielded 30 manuscripts. Repair of meniscal tears with the absorbable Clearfix screw: results after 1-3 years. Bid today on 82 lots of medical equipment. All rights reserved. Central, avascular meniscus tears have poor prognosis for healing. Withdraw the needle from the tissue, and the fastener will remain in place across the tear. Straight leg raise, quadriceps isometrics, and calf pump exercises are performed daily. BR9305860A - Aparelho e processo para a fixao de sutura - Google Patents Aparelho e processo para a fixao de sutura Pagnani MJ, Cooper DE, Warren RF. 25. Tekyard Medical closeout auctions take place on DOTmed.com. The Meniscal Root Repair System from Smith & Nephew is designed to support one- or two-tunnel arthroscopic knee procedures. Chondral injury, foreign-body reaction, and hematoma formation are also of concern with the use of all-inside meniscal repair devices. 2014 Jan;42(1):194-9. doi: 10.1177/0363546513505190. Designed to freshen the edge of the meniscal tear prior to repair. National Library of Medicine Orthopaedic implant calibration pin (1) Surgical drill guide obturator (1) Surgical instrument handle, non-torque-limiting (1) FDA Product Code Name. This package includes a(n) (2) Adjustable Incline Bench, For warranty information please visit our FAQ page. 24 ), Pin/Wire Racks ( From the *University of California, San Francisco School of Medicine; and the University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco, CA. 014550. Remove the driver, and the screw will remain in place. view more. ?We will notify you as soon as Submit a, ACUFEX 013382 SURETAC and TAG Systems Shoulder Accessory Kit For Sale, ACUFEX 013351 Suretac Surgical Driver For Sale, Access and use of this site is subject to the terms and conditions of our. Correspondence to: C. Benjamin Ma, MD, University of California, San Francisco, Department of Orthopaedic Surgery, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143. The leg is braced in extension (optional). Longitudinal tears that are greater than 5 mm from the peripheral rim are considered avascular and are poor candidates for repair without healing enhancement techniques such as the use of a fibrin clot or the creation of vascular access channels (trephination). Tears can only be repaired if they are not deformed and easily reducible. 31. All-inside techniques obviate the need for additional incisions and decrease the risk to neurovascular structures. Select the appropriate-size device and delivery needle. Arthroscopy 2000;16:613618, 12 Mitek. Hantes ME, Zachos VC, Varitimidis SE, Dailiana ZH, Karachalios T, Malizos KN. Needles are available in two configurations, curved and straight, to meet surgeons diverse repair needs. (E) Tightened suture construct. Loose devices should be removed and replaced. Extrusion of the medial meniscus. Lastly, clinical studies were gathered using a PubMed search and additional information was found through cross-referencing. Based upon our review we cannot make any conclusions regarding which devices have the lowest failure rates. 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Tsai AM, McAllister DR, Chow S, Young CR, Hame SL. 100 for an appointment. Please try again soon. Our initial search was very broad and included the following MESH headings: (meniscus OR meniscal) AND (device OR all inside repair). If a meniscal repair cannot be adequately achieved using all-inside methods, a suture-based repair should be employed to increase the likelihood of a successful repair. Barber FA, Coons DA. 14. The Clearfix Screw (Mitek, Norwood, MA) is a meniscal repair device that uses a threaded, cannulated screw to obtain fixation across tears. Shop by category. 19. Registered in England and Wales No. This device comes in 6 and 8 mm sizes with either a 27- or 34-degree delivery needle ( Fig. The innovation seen in the design of the AS Meniscal Repair Device provides orthopedic surgeons with the confidence and security of an all-suture repair without the concern of rigid implant placement in soft tissue. Loose fragments and frayed edges should be debrided and smoothed. Your message has been successfully sent to your colleague. Repair of lateral meniscus tears tends to be slightly more successful than repairs of medial meniscus tears. official website and that any information you provide is encrypted Arthroscopy 1997;13:183187, 10 Johnson & Johnson. These tears may be treated with rasping or shaving to stimulate healing. Vertical tears, bucket handle tears, flap tears, and horizontal tears can be approached using a temporary "anchor stitch" to stabilize the meniscus before T-Fix repair. Sarimo J, Rantanen J, Tarvainen T, Harkonen M, Orava S. Evaluation of the second-generation meniscus arrow in the fixation of bucket-handle tears in the vascular area of the meniscus: a prospective study of 20 patients with a mean follow-up of 26 months. Our e-learning platform contains high resolution images and a certified CME of the Meniscal repair using Smith and Nephew fast-fix 360 system and knee arthroscopy surgical procedure. 13. A meniscus rasp (ACUFEX; . 90 Rasp. Length Of Electrode Lead Trailer Option, Hyd/Air/Elect to Rear w/Air Cushion 2023 Machinio Corp., a subsidiary of Liquidity Services, Inc. [Expired] Smith & Nephew Fast-Fix AB Straight Needle, [Expired] Smith & Nephew Ultra Fast Fix AB Straight Needle, [Expired] Smith & Nephew Ultra Fast Fix AB Curved Needle Delivery,Split, Body Solid EXM3000LPS Home Gym -2 Stack Multi Gym.