Knee Surgery: Double Bundle ACL Reconstruction - YouTube. The diameter of the bio-absorbable screw is made to be the same size as the graft. Copy link. August 31, 2020. There was no difference between the 2 groups with regard to age at surgery, sex, follow-up period, period before surgery, combined meniscus injuries, and athletic activity level. anatomy of the ACL at its anatomic attachment sites on both the tibia and the femur. Afterwards, the semitendinosus tendon is also inserted using the standard technique for bundle fixation with EndoButton CL (Smith & Nephew Endoscopy, And- over, MA). traditional single-bundle ACL reconstruction. The ACL reconstruction techniques have been developed in various ways. Single and Double Bundle ACL Reconstruction with Remnant Tissue. The Table 1. It was designed to improve graft fixation on the tibial side of ACL repairs, and can accommodate both single- and double-bundle reconstruction as well as primary and revision surgeries. Methods: A prospective study was performed in 80 subjects who underwent single-bundle ACL reconstruction. We first create the femoral tunnel using the transportal technique from a A Hybrid Repair Technique Combining Single-Bundle Reconstruction and Primary Repair With Internal Brace Augmentation for Anterior Cruciate Ligament Injury. Scientists and orthopaedic surgeons have been working hard trying to optimize the technique of Discussion The purpose of this technical note is to describe a single-bundle anatomic ACL reconstruction performed with the modified transtibial technique, especially for mm drill (Smith & Nephew, Andover, MA). ISAKOS Newsletter. If playback doesn't begin shortly, try restarting your device. When used to secure soft tissue grafts to bone during cruciate ligament reconstruction, the BIOSURE SYNC device provides industry-leading tibial fixation strength. Pearls and Pitfalls for PL Bundle Reconstruction of a Partial ACL Tear Pearls Pitfalls The BIOSURE family of interference screws incorporates the latest proven technologies to help deliver exceptional graft fixation in ACL reconstruction, whether your technique incorporates a single or double bundle reconstruction, fixating on the tibial and/or femoral side, or using soft tissue or bone-tendon-bone grafts, our line of BIOSURE Interference Screws are designed to … ... A tibial ACL guide with a tip aimer (Smith & Nephew) is placed at 50° at the center of the ACL footprint. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. A Hybrid Repair Technique Combining Single-Bundle Reconstruction and Primary Repair With Internal Brace Augmentation for Anterior Cruciate Ligament Injury, Fujian Provincial Science and Technology Department. The described products necessary to complete specific techniques may not be available in the country in which you practice. Biomechanical studies have demonstrated that anatomic single-bundle ACL reconstructions restore knee kinematics to near native states, comparable to double-bundle ACL reconstruction. Video resumen. This hybrid repair technique encourages natural healing of the primary ligament by the internal brace and single-bundle graft as a provisional scaffold during the healing phase, as well as early mobilization. ISAKOS Archive Videos. Find out all of the information about the Smith & Nephew product: ACL reconstruction suture button ENDOBUTTON. Placement of the graft into the femoral tunnel through the tibial tunnel. Surgical Technique: Single-Bundle ACL Reconstruction - Medial Portal Technique. Care is taken not to disrupt the femoral AM bundle footprint. The femoral ACL tunnel is placed through the lateral aspect of the intercondylar notch, in between the anatomic attachments of the anteromedial and posterolateral bundles. A 2-strand free tendon Achilles allograft fixed with an EndoButton (Smith & Nephew, Andover, MA) in the femoral tunnel and with a Bio-Interference screw (Arthrex, Naples, FL) in the tibial tunnel was used in group I. Info. As described by:Charles H. Brown Jr., MDMr Tim Spalding, FRCS Orth. 4 KNEETECHNUE UDE 10600926 Rev. In the medial portal technique described in this paper, the ACL femoral tunnel is drilled through an accessory anteromedial (AAM) portal with the … We use cookies to help provide and enhance our service and tailor content and ads. Smith & Nephew 15 September 2014. Clinical Results of Double-Bundle ACL Reconstruction with Remnant Preservation. Watch later. ISAKOS Webinar. Single-Bundle ACL Reconstruction: Medial Portal Technique. Dr Toby Leys conducts a brief demonstration of the single-tendon EndoSTAR technique for ACL reconstruction. July 18, 2017. Info. The AM tibial tun- nel was more anteriorly located than in the traditional single bundle reconstruction. Share. Copyright © 2021 Elsevier B.V. or its licensors or contributors. The anterior cruciate ligament (ACL) consists of two functional bundles, each with a different function. The ACUFEX TRUNAV Retrograde Drill is the ONLY cannulated drill designed for guided antegrade/retrograde reaming over a guide wire to deliver precision and control. We describe our ACL hybrid repair technique, using a video and illustrations. Watch later. ... (Smith & Nephew) over the lateral orifice (Fig 14). Published by Elsevier. 6 Clinical studies suggest that the BPTB autograft is superior to the hamstring tendon allograft in restoring stability, but functional outcomes are comparable. The anteromedial (AM) bundle appears more tensed in flexion, while the posterolateral (PL) bundle appears more tensed in extension. https://doi.org/10.1016/j.eats.2020.03.007. Up next. Copy link. For these cases, we conduct primary repair and apply an internal brace and single-bundle reconstruction as hybrid augmentation. The authors report the following potential conflicts of interest or sources of funding: This study was supported by health special funds from the Fujian Provincial Finance Department (2018B009), as well as the Natural Science Foundation of Fujian Provincial Science and Technology Department (2017J01283). What is anatomic ACL reconstruction and why should you perform It? Smith and Nephew Accufex director ACL tip aimer was set to 55° for the placement of the anteromedial guidewire, which exited at the center of the AM bundle and not the center of ACL. If the tear involves the midsubstance of the ACL fibers or Sherman type II or III injury, independent primary repair will cause a higher failure rate at long-term follow-up. This instructional technique guide is intended for educational purposes only. Supplementary fixation was performed with a post … ◊ Trademark of Smith & Nephew, www.smith-nephew.com/about-us/where-we-operate/, Reconstruct with Confidence – ACL Reconstruction, Single-Tendon ACL Reconstruction – EndoSTAR Technique. By Smith & Nephew FEATURING Brandon Bryant. Single bundle ACL reconstruction techniques do not exactly reproduce these two functional units, since their aim By continuing you agree to the use of cookies. Anatomical transtibial single-bundle ACL reconstruction is indicated for any complete ACL tear recommended for surgery in skeletally mature patients. By Smith & Nephew FEATURING Freddie Fu. Each group of 34 patients underwent either DB or SB ACL reconstruction using 4-strand ST with EndoButton femoral fixation (Smith & Nephew Endoscopy, Andover, MA) and anchor staple tibial fixation. Tibial Tunnel Preparation Attention is now turned to the tibial side, and the PL bundle is located at its origin on the tibial plateau. Share. With an overview of graft preparation using the X-WING™ Graft Preparation System, he shares guidance for soft-tissue resection, use of the XTENDOBUTTON™ Fixation Devices, and intraoperative assessment. It may improve the clinical outcomes of biological healing, preserve the proprioceptive function, and has shown less tibial tunnel widening postoperatively. Easily configurable, our ACL Guide System can be used for a variety of techniques including: - Double-bundle, Outside-in Technique - Single-bundle, Outside-in Technique - Double-bundle, Inside-out Technique - Single-bundle, Inside-out Technique. Benefits Include: Enhanced Visualisation • Optimised for use in 90° of flexion Recently, favorable outcomes of primary anterior cruciate ligament (ACL) repair have been reported in patients with proximal tears and good tissue quality. Full ICMJE author disclosure forms are available for this article online, as supplementary material. A study of ACL footprints allowed measurement of their characteristics and location in relation to the bony landmarks of both femur and tibia. July 18, 2017. Knee Surgery: Double Bundle ACL Reconstruction. This technical note provides important pearls for performing a reproducible ACL reconstruction based on reliable anatomic and arthro-scopically visualized landmarks. screw (BIORCI-HA, Smith and Nephew) and a cortical bone screw with washer. Anatomical single-bundle ACL reconstruction with remnant augmentation technique is the optimal reconstruction procedure. 1 This unique drill, coupled with Smith+Nephew's fixation devices, was designed to enable a consistently reproducible ligament construct that has low displacement 2 and high strength. Tap to … Contact a supplier or the parent company directly to get a quote or to find out a price or your closest point of sale. In the medial portal technique described in this paper, the ACL femoral tunnel is drilled through anaccessory anteromedial (AAM) portal with the knee flexed to 120° or higher. Smith & Nephew has developed Biomechanical studies have demonstrated that anatomic single-bundle ACL reconstructions restore knee kinematics to near native states, comparable to double-bundle ACL reconstruction. Abstract. Single-bundle ACL reconstruction restores normal kinematics to the knee, but double bundle PCL reconstruction is required for normal joint function. Nevertheless, up to now, no consensus has been reached on whether the DB technique was superior to … By Smith & Nephew FEATURING Charles Brown. Smith+Nephew. Background: Both single-bundle (SB) and double-bundle (DB) techniques were widely used in anterior cruciate ligament (ACL) reconstruction recently. Technique 7 We … Anatomic single-bundle ACL reconstruction is the gold standard treatment for ACL tears, especially in young, active individuals. ACL Reconstruction - Double Bundle, Single Tunnel. Fig 13. "In this video, Dr Charlie Brown discusses how he does an anatomic single bundle ACL reconstruction, specifically how he lays out his OR, adapting his methods to his patient's specific needs, creating custom grafts to achieve the most anatomic reconstruction and his procedure while in the OR. Upon completion of this Symposium, participants will be able to understand current knowledge on histology, physiology, and biomechanics of the ACL remnant tissue; functional evaluation of the knee with remnant tissue preserving ACL resconstruction; remnant preserving techniques of single- and double-bundle ACL reconstruction; and the pros and cons of the remnant preserving ACL reconstruction. Shopping. ACL tear is a very common sports injury and it leads to knee instability. A. Tibial fixation is then carried out with the knee flexed at 40° using a Biosure (Smith & Nephew Endoscopy, Andover, MA) interference screw 1 mm wider than the tunnel’s size. These considerations have drawn our interest to a more physiologic ACL reconstruction based on the anatomy of the native ACL. Global Insights: The Future of Hip & Knee Surgery 21 – 23 November 2013 Copenhagen, Denmark This video is provided for informational and educational purposes only. For product availability specific to your country, please contact your local Smith & Nephew representative, or select your country location website: www.smith-nephew.com/about-us/where-we-operate/(Note: you are being linked to the Smith & Nephew Corporate website), 2008 - 2021 Smith & Nephew Plc. Mitek. Accuracy achieved through these anatomically correct techniques may be critical to the success of ACL reconstruction.1 Smith & Nephew provides a wide array of instruments and techniques to aid clinicians in the anatomic repair of the ACL. Shopping. Tap to unmute. Dr. Brandon Bryant discusses and demonstrates a Single Tendon ALC Reconstruction technique using ULTRABUTTON. By Smith & Nephew FEATURING Charles Brown July 18, 2017 "In this video, Dr Charlie Brown discusses how he does an anatomic single bundle ACL reconstruction, specifically how he lays out his OR, adapting his methods to his patient's specific needs, creating custom grafts to achieve the most anatomic reconstruction and his procedure while in the OR. © 2020 by the Arthroscopy Association of North America. ISAKOS Video Series. In anatomic single-bundle ACL reconstruction with a soft-tissue graft, we use the EndoButton (Smith & Nephew, Andover, MA) for graft fixation at the femoral aspect and use an interference screw (Smith & Nephew) for graft fixation at the tibial aspect. preferred technique for an arthroscopic single-bundle anatomic ACL reconstruction using a boneepatellar tendonebone (BPTB) autograft fixed with biointerference screws.
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