The Bio-INTRAFIX screw and sheath are molded from a composite of PLA and osteoconductive TCP (Tricalcium Phosphate) TCP provides the. ACL reconstruction using femoral Rigid-fix and tibial Bio-intrafix devices. Singh R (1), Tripathy SK(2), Naik MA(1), Sujir P(1), Rao SK(1). Hamstring graft fixation using femoral Rigid-fix and tibial Bio-intrafix devices provide secure graft fixation and allows aggressive rehabilitation.
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Ligamentous laxity as measured with KT also showed significant improvement with postoperative laxity of 3. Tibial fixation in anterior cruciate ligament reconstruction: The cross pins were inserted as close to the joint line as possible to provide outlet graft fixation. Confirmation of pin placement at the centre of the tunnel with a guide pin. Meniscal injuries are addressed with partial resection or balancing. Contributions of femoral fixation methods to the stiffness of anterior cruciate ligament replacements at implantation.
Additionally, posterior wall blow-out does not seem to be a serious problem because the graft was fixed within the tunnel proximal to its intra-articular outlet. Institutional ethics committee permission was obtained and consent from the patients was taken prior to their recruitment in the study. Graft stabilization with absorbable pins inserted perpendicular to the femoral tunnel provides a secure fixation when compared with other soft-tissue fixation devices.
Certain technical tricks definitely helped us in avoiding intraoperative hurdles.
None of the patients complained of instability, joint swelling or severe pain in the postoperative period. Graft fixation ontrafix cruciate ligament reconstruction. After complete clinical and radiological evaluation, patients were arthroscopically treated with ACL reconstruction using hamstring graft.
Lysholm scores in the preoperative and follow up period were These fixation devices securely fix the graft to the tunnels till biological fixation has occurred and allows aggressive rehabilitation. The fixation has to be strong enough to withstand sudden overload ijtrafix repetitive submaximal loading and stiff enough to re-establish the stability of the knee and minimize graft-tunnel motion.
Postoperatively, the knee was stabilized for three days by a zero-degree splint.
Presentation of the patients within 3 months of their injury was an inclusion criterion for the study. Donor localization morbidity was markedly reduced and they had no complications. Hamstring graft fixation using femoral Rigid-fix and tibial Bio-intrafix devices provide secure graft fixation and allows aggressive rehabilitation. Perioperative antibiotic prophylaxis comprised 1. This score improved to The correlation coefficient of preoperative and postoperative KT was 0. None of the patients complained of instability, joint swelling or severe pain in the postoperative period.
Normally, full range of motion and weight bearing was achieved at 12 weeks of surgery.
The objective of this study is to report the clinical and functional outcomes of Hamstring graft ACL reconstruction fixed with femoral Rigid-fix and tibial Bio-intrafix devices.
DOTmed has partnered with uShip to get you the best quotes from reliable shippers. The guide pin passes exactly at the center of the femoral tunnel.
All international sales are final! The graft was retrieved through the tunnel and fixed with bio-Intrafix screw after the sheath placement Depuy, Mitek, Fig.
This suggests that all the patients had significant improvement bo ACL reconstruction with this technique of fixation. Open in a separate window. Need to ship this item? The mean age of patients included in this study was They cannot be returned. The femoral rigid-fix cross-pin and tibial bio-intrafix fixations are technically simple and reproducible.
DePuy, , Depuy Mitek Bio-Intrafix Tapered Screw mm x 30mm – eSutures
All reconstructions were carried out under regional or general anaesthesia, with the patient in a supine position. Graft fixation on tibial side with Bio-intrafix screw after tensioning the graft with a tensioner 30N force.
Knee Surg Relat Res. If the item is subject to FDA regulation, I will verify your status as an authorized purchaser of this item before shipping of the item. The knee joint was accessed through two to three standard portals anteromedial and anterolateral.
ACL reconstruction using femoral Rigid-fix and tibial Bio-intrafix devices.
Conflict of interest disclosure None. Anterior cruciate ligament fixation: In a randomized control trial, De wall et al. TCP provides the osteoconductive bioceramic material necessary to promote bone growth into the sheath and screw. Lysholm score in pre-op and post-op period was A comparison of quadruple semitendinosus and patellar tendon graft s in reconstruction of the anterior cruciate ligament.
At this point it is important to check that the pins will be placed in the center of the femoral tunnel and hence through the graft Fig. Kindly enlarge the images and see them with zooming. A prospective, randomized comparison of semitendinosus and gracilis tendon versus patellar tendon autografts for anterior cruciate ligament reconstruction: Biomechanical evaluation of tendon graft fixation at the tibial site in anterior cruciate ligament reconstruction with Intrafix and bioabsorbable interference screw.