Ends of Maxon sutures were inserted into the PDS loop and retrieved through the femoral tunnel. Graft passage was then started from the tibial tunnel to the femoral tunnel. During graft passage, the remnant tissue was retracted by a probe to allow passage of the graft to the femoral tunnel. After confirming graft passage, the suture was tied with a TightRope device (Arthrex) over a button. Then, sutures were tied with each other (Fig. 3 ). For tibial side graft fixation, the knee joint was held at a flexion of about 20°–30°. Then, an absorbable interference screw was fixed in the tibial tunnel with a spiked washer and a cortical screw.
Tightrope device
Manufactured by Arthrex
Sourced in United States
The TightRope device is a surgical implant used in orthopedic procedures. It is designed to provide secure attachment and stabilization of bone structures during the healing process.
Automatically generated - may contain errors
Lab products found in correlation
4 protocols using tightrope device
1
Graft Fixation Technique for ACL Reconstruction
2
Anatomic ACL Reconstruction with Hamstring Autograft or Allograft
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
For the autograft reconstruction, the semitendinosus and gracilis tendons were harvested and prepared as a 4-stranded or 6-stranded hamstring autograft. If the combined diameter of the autograft tendons was less than 8 mm, the γ-irradiated tibialis anterior allograft was used as augmentation to achieve a minimum desired diameter of 8 mm. In the allograft group, the γ-irradiated tibialis anterior allograft was prepared as a 2-stranded or 4-stranded graft. All the allografts were irradiated at a dose of 2.5 Mrad, and supplied by a certified tissue bank (Shanxi OsteoRad Biomateral Co., Ltd., Taiyuan, China).
Diagnostic arthroscopy was performed to identify the ACL tear. The combined meniscal injuries were addressed as needed before ACL reconstruction. The ACL remnant was generally preserved. All patients underwent anatomic single-bundle ACL reconstruction, with the femoral and tibial tunnel placed in the center of the femoral and tibial ACL insertion sites. The tunnel diameter was equal to the graft tendon diameter. The graft was then pulled into both tunnels from tibia to femur. The femoral side was fixed with a TightRope device (Arthrex, Naples, FL, USA), and the tibial side was fixed with an interference screw (Arthrex, Naples, FL, USA).
Diagnostic arthroscopy was performed to identify the ACL tear. The combined meniscal injuries were addressed as needed before ACL reconstruction. The ACL remnant was generally preserved. All patients underwent anatomic single-bundle ACL reconstruction, with the femoral and tibial tunnel placed in the center of the femoral and tibial ACL insertion sites. The tunnel diameter was equal to the graft tendon diameter. The graft was then pulled into both tunnels from tibia to femur. The femoral side was fixed with a TightRope device (Arthrex, Naples, FL, USA), and the tibial side was fixed with an interference screw (Arthrex, Naples, FL, USA).
3
Hamstring Autograft Preparation Technique
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
The graft harvest was performed using a 2-cm vertical incision over the pes anserine to harvest both the ST and GT. Each side of the tendons was whipstitched using a FiberLoop suture (Arthrex, Naples, FL). The ST and GT were placed together and folded in half to create a quadrupled hamstring autograft and were then sized using the Arthrex AR-1886 graft-sizing block, which comes in 0.5-mm increments from 4.5 to 12.0 mm. The graft size was determined as the diameter hole that the entire graft could traverse easily. A No. 3-0 absorbable suture was then buried into the graft on each side to prevent sliding, and an Arthrex TightRope device was placed on the femoral side of the graft. The graft was placed onto the tensioning device. All measurements were performed before the graft was tensioned.
4
Arthroscopic Hamstring Graft ACL Reconstruction
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
Preliminary arthroscopic inspection was performed in order to confirm the diagnosis.
Hamstring tendon autografts were harvested with a tendon stripper through an incision over the pes anserinus on the anteromedial (AM) aspect of the tibia and then prepared to form a 4-stranded replacement graft. The tibial and femoral tunnels were drilled with an arthroscopically assisted transtibial technique. After the remnants of the torn reconstructed ligament were removed, the tibial tunnel was drilled with the aid of a guide (Acufex; Smith & Nephew, Andover, MA, USA) at a 55° angle in the horizontal plane on the tibial plateau.
The femoral tunnel was then drilled with the knee flexed from 90° to 120° in the intercondylar notch posterior and lateral on the medial aspect of the lateral femoral condyle to a depth of 30 mm and a diameter matched to the width of the prepared graft, at the 11 o'clock position in a right knee and at the 1 o'clock position in a left knee. Then, the graft was fixed proximally with the use of a Tightrope device (Arthrex, Naples, FL, USA). Distal locking was achieved through a BioRCI screw (Bioadsorbable Rounded Cannulated Interference; Smith & Nephew), having a diameter 1 or 2 mm larger than that of the graft, while the knee was kept at 20° of flexion under maximal manual tension.
Hamstring tendon autografts were harvested with a tendon stripper through an incision over the pes anserinus on the anteromedial (AM) aspect of the tibia and then prepared to form a 4-stranded replacement graft. The tibial and femoral tunnels were drilled with an arthroscopically assisted transtibial technique. After the remnants of the torn reconstructed ligament were removed, the tibial tunnel was drilled with the aid of a guide (Acufex; Smith & Nephew, Andover, MA, USA) at a 55° angle in the horizontal plane on the tibial plateau.
The femoral tunnel was then drilled with the knee flexed from 90° to 120° in the intercondylar notch posterior and lateral on the medial aspect of the lateral femoral condyle to a depth of 30 mm and a diameter matched to the width of the prepared graft, at the 11 o'clock position in a right knee and at the 1 o'clock position in a left knee. Then, the graft was fixed proximally with the use of a Tightrope device (Arthrex, Naples, FL, USA). Distal locking was achieved through a BioRCI screw (Bioadsorbable Rounded Cannulated Interference; Smith & Nephew), having a diameter 1 or 2 mm larger than that of the graft, while the knee was kept at 20° of flexion under maximal manual tension.
About PubCompare
Our mission is to provide scientists with the largest repository of trustworthy protocols and intelligent analytical tools, thereby offering them extensive information to design robust protocols aimed at minimizing the risk of failures.
We believe that the most crucial aspect is to grant scientists access to a wide range of reliable sources and new useful tools that surpass human capabilities.
However, we trust in allowing scientists to determine how to construct their own protocols based on this information, as they are the experts in their field.
Ready to get started?
Sign up for free.
Registration takes 20 seconds.
Available from any computer
No download required
Revolutionizing how scientists
search and build protocols!