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Haas AL, Schepsis AA, Hornstein J, Edgar CM. 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. Meniscal Root Repair ; Ear, Nose and Throat; Orthopaedic Reconstruction; Robotics and Digital Surgery; . 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. Meniscal Repair System. 2014 Jan;42(1):194-9. doi: 10.1177/0363546513505190. Arthrex offers two meniscus root marking hooks based on surgeon preference. 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 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 the meniscus arrow and T-fix device, there is a trend toward higher failure rates with longer followup. Hurel C, Mertens F, Verdonk R. Biofix resorbable meniscus arrow for meniscal ruptures: results of a 1-year follow-up. Rimmer MG, Nawana NS, Keene GC, Pearcy MJ. Al-Othman AA. Insert additional Darts as needed in 5 mm increments. Kocabey Y, Nyland J, Isbell WM, Caborn DN. Available in two styles: Acufex is a registered trademark of that corporation. barrel until the threads touch the gun barrel. Site by Redwire. Consequently, the repair of certain types of meniscus tears is theoretically preferable to partial meniscus excision. Common signs of a meniscus tear include joint line tenderness, effusion, lack of knee extension, positive McMurray test, and patient apprehension noted with hyperflexion of the affected knee. Probe the tear after Dart deployment to confirm tear stability. Once located, the tear(s) should be measured and probed for depth and configuration. It also features clear, laser-etched depth markings on the specially coated needles, allowing for precision in depth of penetration. Oberlander MA, Chisar MA. Phone: 415-353-7586; Fax: 415-353-9675; E-mail: [emailprotected]. Chondral injury from bioabsorbable screws after meniscal repair. Careers. Combined posterior incision and arthroscopic intra-articular repair of the meniscus: an examination of factors affecting healing. They are designed to approximate the sides of meniscus tears and resist pullout or deformation through mechanical engagement of barbs in the meniscus tissue. The Mitek meniscus fastener is a double T-shaped device (polypropylene or PLA) that is delivered via a loaded needle and gun system. To assess the vascularity of a tear, the tourniquet (if applied) should be deflated. 10. Review of the clinical results of arthroscopic meniscal repair. During the first weeks after surgery, the patient utilizes a home exercise regimen dedicated to maintaining quadriceps function. This chapter summarizes the form and mechanism of action of selected meniscus repair devices and demonstrates their surgical applications. Body Solid EXM3000LPS Home Gym -2 Stack Multi Gym. Most of the identified studies consisted of case series in which no comparison group existed. Arthroscopy 2000;16:754756, 19 Seil R, Rupp S, Dienst M, Mueller B, Bonkhoff H, Kohn D. Chondral lesions after arthroscopic meniscus repair using meniscus arrows. Attach the sheath to the front of the Dart gun handle; pull back the T section until a click is heard. Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH. The concave, curved retractor efficiently retracts tissue and directs the needles for easy retrieval. A biomechanical evaluation of all-inside 2-stitch meniscal repair devices with matched inside-out suture repair. 90 Rasp. My Blog acufex meniscal stitcher set Preliminary results of the T-fix endoscopic meniscus repair technique in an anterior cruciate ligament reconstruction population. In general, tears repaired with all-inside devices were longitudinal, vertical tears greater than 10 mm (Table 1). Because numerous all-inside meniscal repair devices have been developed, a review of their failure rates was undertaken to assist the clinician in choosing such a device. ACUFEX Anatomic ACL Guide System for double bundle ACL reconstruction lets you restore the anatomic footprints of the AM and PL bundles. ?We will notify you as soon as view more, Acufex - 12609 - Meniscal Stitcher Thimble It is ideal for the central posterior horn tears that are difficult using conventional techniques. Comparable Outcomes After Bucket-Handle Meniscal Repair and Vertical Meniscal Repair Can Be Achieved at a Minimum 2 Years' Follow-up. Thirty-one clinical manuscripts were identified that studied the following all-inside meniscus repair devices: the meniscus arrow,1,2,13,16,19,20,24,25,27,29,33,35,36,38 T-Fix (Acufex Microsurgical, Inc, Mansfield, MA)4,9,10,14,21,38 and FasT-Fix (Smith & Nephew Endoscopy, Boston, MA)17,23 devices, the meniscus screw,11,15,18,37 the Biostinger (Linvatec, Largo, FL),6,8 the RapidLoc (DePuy Mitek, Norwood, MA) device,18,31 a meniscal repair system26 and a meniscal stapler.28 The most studied device was the meniscus arrow with 14 studies looking at clinical outcomes. Barber and Herbert11 report a pullout strength similar to that of the meniscal Arrow, which is approximately half the strength of a single vertical suture. Gill SS, Diduch DR. Outcomes after meniscal repair using the meniscus arrow in knees undergoing concurrent anterior cruciate ligament reconstruction. One disadvantage of the barbed devices is their relatively low pullout strength compared with vertical mattress suture repair in cadaver and porcine menisci. Perpendicular repair is critical to achieve the necessary engagement of the devices barbs. Reduce the tear and maintain the position of the cannula with the flat dimension of the cannula parallel to the joint line. 1 Select the needle most appropriate for the tear you are repairing. For the meniscus arrows, Lee and Diduch27 did report higher failure rates (29%) with the same cohort of patient with longer followups at 79.2 months. National Library of Medicine Remove the obturator and grab the central portion of the tear with the top teeth of the cannula or stilt on the straight cannula. 8600 Rockville Pike 15. With the rising popularity of these new all-inside meniscal repair devices, it is necessary to assess the effectiveness of various all-inside surgical interventions used in the treatment of meniscal tears. Each of these 31 articles was reviewed independently by two authors (JL and CBM) who separately extracted data on the following categories: number of meniscal tear repairs, average patient age, meniscal tear characteristics (length, zone, type, medial versus lateral tear), simultaneous ACL repair, average followup, percent failures, definition of failure and level of evidence of articles. Am J Sports Med 1999;27:242250, 3 Cannon W. Arthroscopic Meniscal Repair. 22. Repair of meniscal tears with the absorbable Clearfix screw: results after 1-3 years. Arthroscopy 2001;17:439444, 6 Coen M, Caborn D, Urban W, Nyland J, Johnson D. An anatomic evaluation of T-fix suture device placement for arthroscopic all-inside meniscal repair. Open meniscal repair was done by to close the mouth of surgically open intrameniscal cyst with the help of 2.0 FiberWire horizontal sutures were taken by inside out technique and meniscus repair was done. Frequency (Hz) Given the paucity of randomized controlled studies comparing different all-inside meniscal repairs, no definite conclusions can be made regarding the difference in clinical outcomes of various all-inside meniscal repair devices. 24. sharing sensitive information, make sure youre on a federal 2009;25(9):951-958. doi:10.1016/j.arthro.2009.03.018, Implant System, Meniscal Root Repair with BioComposite SwiveLock, Implant System, Meniscal Root Repair with PEEK SwiveLock, FiberLink SutureTape, 0.9 mm, with Loop (White/Black), TigerLink SutureTape, 0.9 mm, with Loop (White/Black), 2-0 FiberStick, 2-0 FiberWire, 50" (blue) one end stiffened, 12", Locking Guide for Meniscal Root Marking Hook. Epub 2013 Oct 10. Using the criteria above, this process of exclusion yielded 30 manuscripts. It also serves to stop small cartilage fragments from flaking off are causing a reactive effusion. Thank you. Never insert the driver inside the cannula until the cannula is inside the joint due to the risk of bending the tip of the needle, The flexible needle is a guide for the screw and should be advanced through the proximal fragment until the screw tip touches the meniscus. Jones HP, Lemos MJ, Wilk RM, Smiley PM, Gutierrez R, Schepsis AA. The over-the-back marking hook sits securely over the back of the tibia to allow stable . Arthroscopy 1999;15:275280, 7 Arthrex. Request PDF | Proximity of the Neurovascular Bundle During Posterior-Lateral Meniscal Repair: A Comparison of the Transpatellar, Anteromedial, and Anterolateral Portals | Purpose: To compare the . You may be trying to access this site from a secured browser on the server. Failure strength of new meniscus repair arrow technique: biomechanical comparison with horizontal suture. Meniscus tears less than 1.5 cm in length and less than half the depth of the meniscus often do not require repair. We are distributor of medical Devices. A CryoCuff (Aircast, Summit, NJ) device is used in the immediate postoperative period. Quinby JS, Golish SR, Hart JA, Diduch DR. All-inside meniscal repair using a new flexible, tensionable device. The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint. For tears with a significant posterior component, place the first Arrow in the posterior portion of the tear and the second Arrow in the center. Loose repair devices may detach from meniscal tissue. Please contact 760-438-8835 ext. Meniscus Dart Product Brochure, 2001, 8 Bionix Implants. If the split cannula is used, the curve of the needle must be inserted at a 90-degree angle to the split, The inner fragment of the tear is pierced with the needle and advanced to the depth set by the limiter for horizontal repair or through the outer fragment for vertical repair. 18. In: McGinty J, Caspan R, Jackson R, et al., eds. This scatter chart shows the trend of increasing failure rates with longer followup for the T-fix device. Given the increased popularity of these new all-inside meniscal repair devices, we performed a systematic review to assess the failure rates of all-inside surgical devices used in the treatment of meniscal tears. Spindler KP, McCarty EC, Warren TA, Devin C, Connor JT. Reduce the tear with the needle and advance the screw by carefully turning the driver knob counterclockwise. To more fully evaluate a tear of the superior surface of the medial meniscus, a posteromedial portal or a 70-degree arthroscope placed through the intercondylar notch can be used. Figure 3-2 (Continued) (D) Insertion of second implant. The options for primary ACL reconstruction are the transtibial approach, the outside in (2 incision) approach, and the hyperflexion technique (accessory anterome As such, the appropriate technical materials should be available prior to the start of the procedure. how long can you live with a coiled aneurysm? Figure 3-6 (A) The Clearfix screw is can nulated with a square hole that mates with the square nitinol needle on the driver. 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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. $1,190.00 + $21.79 shipping. Only two prospective randomized studies,1,18 two prospective comparative studies,8,35 and three retrospective comparative studies19,36,38 were found relating to all-inside meniscal repair devices. Arthroscopy. OMNISPAN System Surgical Technique DePuy Synthes Mitek Sports Medicine 3 SURGICAL TECHNIQUE Meniscal Repair System The OMNISPAN Meniscal Repair System consists of a single-patient, multi-use applier and needles with pre-loaded implants in 0 (straight), 12, and 27 options. Used ACUFEX Meniscal Repair Kit Acufex Meniscal Repair Kit With Sterilization Tray Surgical Instruments For Sale - DOTmed Listing #2335491: Acufex Meniscal Repair Kit With Sterilization Tray Kit . Bionx Meniscus Arrow Inserter Using feedback from our surgeon customers, we designed the AS Meniscal Repair Device to deliver optimal performance to address one of the fastest-growing orthopedic procedures performed today.. 34. J Knee Surg. Recorded at: ESSKA Congress There are several reasons for the increased popularity of all-inside meniscal repairs. This package includes a(n) (2) Adjustable Incline Bench, For warranty information please visit our FAQ page. Width And the devices used to fix these repairable tears continue to evolve. Am J Sports Med. The Global Unique Device Identification Database (GUDID) contains key device identification information submitted to the FDA about medical devices that have Unique Device Identifiers (UDI). A complete system for meniscal root repair includes the meniscal root marking hooks, the Knee Scorpion suture passer, and meniscal root repair kit with PEEK SwiveLock anchor. Insert the cannula into the joint with the obturator in. Click to enlarge. There should be a vascular bed on the synovial side of the tear. Anteroposterior, lateral, Merchants, and intercondylar notch radiographs should be performed to rule out other joint derangements. 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. Picture 1 of 6. 24,38 Though at first glance this may seem like a very high failure rate, it is worth noticing more than half of these studies had a failure rate . As mentioned earlier, the difference in outcomes can be related to the limitations of these case series reports. Probes corresponding to cannulae may be used to determine proper cannula selection. The repaired meniscus should be stable, and the edges remain tightly approximated. 32. 09792457 | Designed to freshen the edge of the meniscal tear prior to repair. Has some marks. A simple sterile nonadherent dressing is placed with a compression stocking. Pagnani MJ, Cooper DE, Warren RF. Suturing unit, single-use (3) Orthopaedic fixation plate, non-bioabsorbable, sterile (2) Polyolefin suture, multifilament (2) FDA Product Code Name. Bid today on 246 lots of medical equipment. The T-fix technique for endoscopic meniscus repair: technique, complications, and preliminary results. Endoscopic meniscus repair using the T-Fix suture device (Acufex Microsurgical, Inc, Mansfield, MA) allows ease of suture placement for meniscus stability without the problems associated with . 3-7A, B). SN-L293. Longitudinal tears that are less than 3 mm from meniscosynovial junction are considered appropriately vascular. The distance of the tissue penetration of a . Indications and Techniques for Meniscus Repair, Primary Repair of Posterior Cruciate Ligament Tears, Posterolateral Corner Hamstring Figure-Eight Reconstruction, Arthroscopic Treatment of Lateral Tibial Plateau Fractures, Repair and Reconstruction of Acute and Chronic Patellar Tendon Rupture, Patients with peripheral meniscus tears are the best candidates for repair. In his presentation he covers the biomechanics of the meniscus, indications for this technique and meniscal repair, complications that may occur and how to avoid them, technique and he presents outcome data from this technique. Please try after some time. 1991;7(3):297-300. doi:10.1016/0749-8063(91)90131-g, 2. Lozano, Jesus BS*; Ma, C Benjamin MD; Cannon, W Dilworth MD, Editor(s): Spindler, Kurt P MD, Guest Editor; Wright, Rick W MD, Guest Editor. Blue Bell, PA: Bionix, 1998, 9 Albrecht-Olson P, Lind T, Kristensen G, Falkenberg B. 3. In addition a lateral meniscal repair is described using Smith and Nephews FastFix 360 system and coblation of the retropatellar articular cartilage.