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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Arthrex – ACL TightRope®

Iliotibial Band Tenodesis File Type: 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.

There was an error retrieving the content. The femoral socket is visualized end-on, and the TightRope RT button is passed through it.

This innovation eliminates the need to retrieve shortening strands from the joint and allows the surgeon to pull in-line with graft advancement. The button is then pushed gently or tapped slowly through the pinhole with the help of this guide pin Fig 2Video 1.

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Published by Elsevier Inc. Learning from our experience, we have introduced two additional steps in our procedure to ensure proper seating of the button on the femoral tightro;e.

Arthrex – ACL Reconstruction with ACL TightRope® DB

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. Biomechanical Testing File Type: This innovation eliminates the need to retrieve shortening strands from the joint and allows the surgeon to pull in-line with graft advancement. Tighgrope passing sutures are then pulled from the lateral side, with the TightRope RT button being pulled into the femoral socket under direct arthroscopic vision Fig 1Video 1.


By introducing 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. What is your comment most related to?

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Using a single hamstring tendon looped between 2 ACL TightRope implants allows for simplified graft passing and tensioning from the femoral and tibial side in any degree of flexion. Direct arthroscopic visualization of TightRope RT button in femoral socket.

This can potentially result in late graft loosening after ischemic necrosis of the interposed tissues. We visualize the TightRope RT button in the femoral socket and guide pin hole with the arthroscope during its tightrlpe.

Articles from Arthroscopy Techniques are provided here courtesy of Elsevier. Kyle Anderson, MD Share. Hide Details Hide Thumbnails. For example, in our experience, sometimes the button of the TightRope RT may not flip, may become jammed inside the femoral canal, or may flip in the substance of the vastus lateralis.

Go back to search. Arthroscopic view of lateral wall of femoral intercondylar notch of right knee, showing femoral socket end-on.

A guide pin is tightropee through the zrthrex portal parallel to the socket and pin hole.

Educational Resources Products Related Science. Minor Outlying Islands U. Dropping of an EndoButton into the knee joint 2 years after anterior cruciate ligament repair using proximal fixation methods. A guide pin is then introduced through the anteromedial portal. Supplementary data Video 1: Because the loop is long, the graft has not yet entered into the joint. National Center for Biotechnology InformationU.


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Open in a separate window. In our experience with the TightRope RT, the button became jammed in the femoral guide pin hole in 1 of our patients.

Scope This Out Fall – Vol. Thus proper seating of the button is ensured by direct visualization and the crucial push helps in flipping and seating of the button. The TightRope RT button is seen entering the pin hole. Anterior cruciate ligament reconstruction in the young athlete: Another mark is made on the graft, with measurement from its femoral end, equal to the length of the femoral socket. To prevent this, we have tighttrope 2 additional steps in our procedure: 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.

The patient is lying supine with the knee and hip flexed, and the arthroscope has been inserted through the anterolateral portal. This article has been cited by other articles in PMC.