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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Asheesh Bedi, MD Share.

Arthrex – ACL TightRope® RT Graft Fixation Implant

Thank you for your patience. The sockets are made and graft is prepared and looped with the Tight Rope RT as described in the literature.

The ACL TightRope RT implant is the first adjustable loop device to allow surgeons to pull the shortening strands in the same direction of the graft. Hide Details Hide Thumbnails. Because the loop is long, the graft has not yet entered tightroep the joint. This article has been cited by other articles in PMC. GraftLink All-Inside ACL adjustable loop one size loop adjustable button suspensory fixation socket fill short socket.

Don’t have an account? Arthroscopic view of lateral wall of femoral intercondylar notch of right knee, ack femoral socket end-on. Support Center Support Center. This proprietary 4-point al fixation system resists cyclic displacement and offers strong pullout strength. The femoral socket is then created with a drill of the size determined from the diameter of the graft, leaving about 7 to 10 mm of cortical bone bridge laterally.

Select what is wrong As the button reaches the guide pin hole, resistance is felt. Kyle Anderson, MD Share. 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. This innovation eliminates qcl need to retrieve shortening strands from the joint and allows the surgeon to pull in-line with graft advancement. Another mark is made on the graft, with measurement from its femoral end, equal to the length of the femoral socket.


When the graft is pulled back in the reverse direction to check whether the button has flipped, the end of the button may temporarily become stuck at the lateral opening of the guide pin hole, giving the false impression that it has flipped and engaged on the lateral femoral cortex.

Its tip is engaged in the depression located on the side of the free end of the button, and a tightroppe 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.

Knee Surg Sports Traumatol Arthrosc. Use the checkboxes below to add items.

Direct arthroscopic visualization of TightRope RT button in femoral socket. Discussion Graft fixation with the TightRope RT is a recent technique, and complications with this technique have not yet been reported. 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.

Potential pitfall of the Endobutton. Click here to share via email. The adjustable graft tigghtrope 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 graft fixation.

Please tighrope again, or try refreshing the page. When you are ready to submit your request, simply click the “View Cart” button 5 or alternatively the “Cart Overview” button 4.

Share Contact Feedback Quote or Evaluation. All-inside anterior cruciate ligament graft-link technique: Its tip is engaged in the depression located on the side of the free end of the button the side facing the arthroscope in the socket. By artrhex the 2 small modifications described in this report during the insertion of the TightRope RT with graft in our practice, we have ensured proper seating of the button on the femoral cortex.

Arthrex – TightRope®

As a result, there is 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. This increases the possibility that the button may not flip even after passing through the lateral femoral cortex.


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Educational Resources Products Related Science. We visualize the TightRope RT button in the femoral socket and guide pin hole with the arthroscope during its passage. The TightRope RT button is seen entering the pin hole. The femoral socket is visualized end-on, and the TightRope RT button is passed through it. The ACL TightRope RT allows surgeons to advance the graft by pulling the tensioning strands in the same direction of graft advancement.

Please try again, or try refreshing the page. The right knee is being operated on. Anterior cruciate ligament reconstruction in the young athlete: Both of these complications can lead to late graft loosening.

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. A review of current concepts Anatomic landmarks utilized for physeal-sparing, anatomic anterior cruciate ligament reconstruction: The depth of the socket is 25 mm, and the length of the pin hole through the cortical bone bridge is 10 mm.

This indicates the flip distance, that is, the point at which the button has completely passed through the femoral guide pin hole and is ready for flipping. What is your comment most related to? In our experience with the TightRope RT, the button became jammed in the femoral guide pin hole in 1 of our patients.

What do you need? During graft passage, the reaching of this mark at the internal opening of the femoral socket marks the endpoint for graft tensioning.