ADJUSTABLE BUTTON
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Surgical Technique Joint

Adjustable Button Surgical Technique

TECHNICAL FEATURES Cortical fixation system for ACL reconstruction Indications Contraindications Surgical approach SOFT TISSUE ACL RECONSTRUCTION Harvest the graft Tibial tunnel Femoral tunnel Implant-graft fixation Implant positioning Tibial fixation

Adjustable Button Surgical Technique CORTICAL FIXATION SYSTEM FOR ACL RECONSTRUCTION External traction of the graft Adjustable length of loop Titanium performance Controlled blocking of the graft at the end of the tunnel Reliable flip Chinese finger trap locking system The device is designed to be used as cor tical fixation for ACL reconstruction. 2.2 • Any known allergy or hypersensitivity to implant materials. When sensitivity to a material is suspected, appropriate tests must be done to check that no sensitivity is detected prior to implantation. • Insufficient bone quantity or quality....

3. SOFT TISSUE ACL RECONSTRUCTION 3.1 • Harvest with a Closed (Ref. 0023) or Open (Ref. 0024) Tendon Stripper the semitendinosus tendon alone or with the gracilis tendon. • Prepare the graft and evaluate the diameter. Closed configuration FEMORAL TUNNEL Place the knee in flexion and use either a • Transtibial Femoral Aimer (Ref. 0057 or Ref. 0058) to position the femoral tunnel. Then use two diameters of reamers to produce the femoral tunnel: one for passing the implant through the tunnel and one corresponding to the graft diameter (minimum 15 mm). Open configuration TIBIAL TUNNEL • To...

Adjustable Button Surgical Technique IMPLANT POSITIONING Use a Passing Wire ø2.4 mm L380 to introduce a shuttle relay suture through the femoral tunnel and then retrieve the suture through the tibia with a suture manipulator. Pass all the implant threads through the shuttle relay suture. Using the relay suture, pull all the implant threads through the tibia in the femur. Tension all the threads by using the shuttle relay suture and use the white/ blue thread to pull the button through the external cortical surface. Pull alternately on the white threads until the implant is locked into...

TIBIAL FIXATION Position the knee at 10° flexion and tension the graft by reducing the anterior tibial translation. Apply tension by alternately pulling on the white threads of the implant until the implant is locked into place. Cycle the knee (flexion/extension), and tension the system once more. Alternatively, with the knee fully extended or in slighty flexed, insert an Interference Screw to conclude tibial fixation. Make sure the knee can be flexed, then use the cutting pliers to cut excess sutures. 10. Make sure the knee can be flexed, then remove the blue and white/blue threads. Cut...