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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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The femoral socket is visualized end-on, and the TightRope RT button is passed through it.

Graft fixation with the TightRope RT is a recent technique, and complications with this technique have not yet been reported. At this crucial juncture, no further pulling force is applied. There was an error retrieving the content. Gordon Mackay, MD Share.

The remaining process of surgery is completed without any modification. This would subsequently result in postoperative graft loosening and failure of reconstruction. We will review your message shortly after it is submitted and if approved it will appear on the product page.

A mark is 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. Author information Article notes Copyright and License information Disclaimer. Its tip is engaged in the depression located on the side of the free end of the button, and a controlled push is then applied on the button with its help, until the button has passed completely through the femoral cortical bone bridge, as visualized arthroscopically.

Select what is wrong The guide pin is then withdrawn, the graft is pulled from the tibial end, and the button becomes seated at the femoral cortex. A guide pin is then introduced through the anteromedial portal.


The ACL TightRope RT allows surgeons to advance the graft by pulling the tensioning strands in the same direction of graft advancement. In our experience with the TightRope RT, the button became jammed in the femoral guide pin hole in 1 of our patients.

The authors report that they have no conflicts of interest in the authorship and publication of this article. Educational Resources Products Related Science. Get more help on how to request a quote or surgical evaluation. All-inside anterior cruciate ligament graft-link technique: Scope This Out Winter – Vol. Biomechanical Testing File Type: What do you need?

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Share Contact Feedback Quote or Evaluation. When you are ready to submit your request, simply click the scl Cart” button 5 or alternatively the “Cart Overview” button 4.

Arthrwx unidentified pitfall of Endobutton use: What type of insight would you like to leave? In such a situation, the repositioning of the button back on the femoral cortex may result in soft-tissue interposition between the button and the cortex. Walter Lowe, MD Share. Iliotibial Band Tenodesis File Type: The button is then pushed gently or tapped slowly through the pinhole with the help of this guide pin Fig 2Video 1.

Scope This Out Spring – Vol. Use the checkboxes below to add items. As a result, there tighttope no risk of toggling or change of direction of the button while pushing, provided that the pushing guide pin is held parallel to the guide pin hole. We drill a through-and-through tibial tunnel for fixation with a Bio-Interference screw Arthrex, Naples, FL on the tibial side.

Second-generation, no-incision anterior cruciate ligament reconstruction. The ACL TightRope implant eliminates the need for multiple implant sizes and facilitates complete graft fill of short femoral sockets, which are common with anatomic ACL drilling.

Asheesh Bedi, MD Share. Hide Details Hide Thumbnails.

By use of this suture, the TightRope Arthrwx passing sutures are passed through the tibial tunnel and then through the femoral socket and brought out laterally. This innovation eliminates the need to retrieve shortening strands from the joint and allows the surgeon to pull in-line with graft advancement.


The adjustable graft loop allows the surgeon some freedom in terms of the length of the femoral socket, eliminates the need for bothersome intraoperative calculations for selecting loop length, ensures that the socket is completely filled with graft, and provides the possibility of tensioning the graft even after tightripe fixation.

Arthrex – ACL TightRope® RT Graft Fixation Implant

The guide pin is introduced through the anteromedial portal, inserted at the femoral footprint of the anterior cruciate ligament, and brought out arthgex the lateral cortex. 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.

Published online May Click here to login. However, in our patients, we have experienced some of the complications with the TightRope RT that have earlier been described in the literature for the EndoButton, such as jamming in the femoral tunnel and soft-tissue interposition. Under arthroscopic vision, a 2.

Arthrex – ACL TightRope®

Please review our privacy policy. The depth of the socket is xrthrex mm, and the length of the pin hole through the cortical bone bridge is 10 mm. 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.

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