膝盖韧带解决方案

Smith+Nephew invites you to reimagine reconstruction with our ligament portfolio based on patient pathology and high-quality techniques.

看着reimagine reconstruction animation:

Hamstring grafts are still the most popular graft choice for reconstructing the ACL globally.¹

对于想要使用腿筋移植但也希望减少腿筋收获的病例发病率的外科医生，Ultrastar ACL-R（单肌腱ACL重建）技术是一个很好的解决方案²without having to change their drilling approach.

极端主义者STAR features a doubleUltrabutton^◊Adjustable Fixation Deviceconstruct which has shown low displacement during cyclic loading.^*3-6

看着Ultrastar动画

Surgical technique videos with Dr. Mark Bowen

• 极端主义者STAR Hamstring Graft Harvest
• 极端主义者STAR Short Hamstring Graft Preparation
• 超级绳肌移植准备

想要全图吗？Read the brochure

*For an adjustable fixation device; as demonstrated in bench top testing

参考s

1. Isakos-通讯V1（2021）
2. Sengoku T，Nakase J，Asai K等。除半牙肌肌腱收获外，在前交叉韧带重建后，肌腱收获的影响对膝盖伸肌和屈肌强度。拱形矫形外伤。于2021年4月2日在线发布。
3. Arthrocare 2016. Test Report: Comparative Testing of ULTRABUTTON Adjustable Fixation Device to Competitive Devices P/N 69889-01 C. NOTE: The results of in vitro simulation testing have not been proven to predict clinical performance.
4. Ahmad SS, Hirschmann MT, Voumard B, et al. Adjustable loop ACL suspension devices demonstrate less reliability in terms of reproducibility and irreversible displacement. Knee Surg Sports Traumatol Arthrosc. 2018;26(5):1392-1398.
5. Arthrocare Corporation2018。测试报告：可调节固定设备对竞争设备的比较测试。P/N 69889-01 F.
6. Arthrocare 2018. Test Report: Comparative Testing of ULTRABUTTON Adjustable Fixation Device to Competitive Devices P/N 69889-01 D.

ACL重建最常用的移植物是带有gracilis的半齿齿。¹

Ultrasure ACL重建技术可以使用这种类型的移植物以及可信赖的固定技术与Ultrabutton^◊Adjustable Fixation Device and the advanced biocomposite screw, BIOSURE^◊REGENESORB^◊. Versatile drilling options provide the ability to use single fluted reamers designed to minimize iatrogenic damage to the femoral condyle when drilling or other preferred drilling options.

看着超大型animation

Vehniah Tjong博士的手术技术视频

• 超级绳肌移植收成
• 超大型Hamstring Graft Preparation

想要全图吗？Read the brochure

参考

1. Tibor L, Chan P, Funahashi T, et al. Surgical technique trends in primary ACL reconstruction from 2007 to 2014. J Bone Joint Surg Am. 2016;98:1079-89.

Quad tendon bone grafts can provide

• 移植物的直接骨头对骨整合，类似于BTB移植物
• Predictable, larger graft diameter^1,2,3

The REGENESORB quad tendon-bone (QT-B) technique uses the innovative, open-architecture BIOSURE^◊
REGENESORB Interference Screw for bone ingrowth across the screw^*4with a quadriceps tendon bone graft which provides a lower risk of anterior knee pain^1,5,6and predictable, larger graft diameter^1,2,3as compared to bone-tendon-bone and BTB or hamstring grafts, respectively.

Watch与李·墨菲博士的四肌肌腱移植的理由

Surgical videos with Dr. Geoffrey Van Thiel

• 带骨块移植收获技术的Qt-B Qt-B股四头肌肌腱
• REGENESORB QT-B Quadriceps Tendon with Bone Block Graft Preparation Technique

想要全图吗？Read the brochure

* As demonstrated in vivo

参考s

1. Buerba RA，Boden SA，Lesniak B.当代前交叉韧带重建中的移植物选择。Jaaos：全球研究和评论。2021; 5（10）。
2. Todor A，Nistor DV，Caterev S. ACL重建后的临床结局，旋转股四头肌肌腱自体移植与腿筋肌腱自体移植。一项回顾性研究，随访最少两年。Acta Orthop Traumatol Turc。2019; 53（3）：180-183。doi：10.1016/j.aott.2019.03.004
3.跑步者A，CSAPO R，HEPERGER C，HERBORT M，HOSER C，FINKC。具有股四头肌肌腱自动移植的前交叉韧带重建，导致较低的移植率破裂率，但与hampling肌触角自动移植相似的患者报告的结局相似：875名患者。AJSM。2020; 48（9）。
4. Smith+Nephew 2015. BIOSURE^◊REGENESORB^◊ovine ACL implantation study NCS250.
5. Lund, Bent et al. “Is Quadriceps Tendon a Better Graft Choice Than Patellar Tendon? A Prospective Randomized Study.” Arthroscopy 2014; 30(5): 593-598.
6. Malinowski K，Paszkowski J，Mostowy M，Goralczyk A，Laprade RF，Hermanowicz K. Quadriceps肌腱骨腱全厚度自动移植：可重复且易于使用简单的外科手术工具收获技术。关节镜技术。2021; 10（4）。

BTB移植物的ACL重建提供：

• 高初始移植强度和刚度^1,2,3
• Faster fixation site healing as compared to soft tissue to bone⁴
• Favorable clinical results^5,6
• High level of patient satisfaction after long term follow-up^5,6

The REGENESORB bone-tendon-bone (BTB) technique takes BTB ACL reconstruction procedure to the next level by utilizing an advanced biocomposite, open-architecture BIOSURE^◊REGENESORB Interference Screw for fixation. The CLANCY ANATOMIC CRUCIATE GUIDE Flexible Drill System provides the instrumentation to achieve the right trajectory and femoral entry point in anatomic repairs.^7-11

看着Regenesorb BTB动画

与Jorge Chahla博士一起观看手术技术视频

• Regenesorb BTB绳肌移植收成
• REGENESORB BTB Hamstring Graft Preparation

想要全图吗？Read the brochure

参考s

1. Cerulli G，Placella G，Sebastiani E等。ACL重建：选择移植物。关节。2013; 1（1）：18-24。
2. West RV，Harner CD。前交叉韧带重建中的移植物选择。J Am Acad Orthop Surg。2005; 13（3）：197-207。
3. Slone H, Romine S, Premkumar A, Xerogeanes J. Quadriceps Tendon Autograft for Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Literature and Systematic Review of Clinical Results. J Arthrosc Relat Surg. 2015;31(3):541-554.
4. Buerba RA, Boden SA, Lesniak B. Graft Selection in Contemporary Anterior Cruciate Ligament Reconstruction. JAAOS: Global Research and Reviews. 2021;5(10).
5. Salmon LJ, Russell VJ, Refshauge K, et al. Long-term outcome of endoscopic anterior cruciate ligament reconstruction with patellar tendon autograft: minimum 13-year review. Am J Sports Med. 2006;34(5):721-32.
6. Lebel B, Hulet C, Galaud B, Burdin G, Locker B, Vielpeau C. Arthroscopic reconstruction of the anterior cruciate ligament using bone-patellar tendon-bone autograft: a minimum 10-year follow-up. Am J Sports Med. 2008;36(7):1275-82.
7. Kim JG，Chang MH，Lim HC等。使用传输技术在双束前交叉韧带重建中，股骨隧道几何形状和螺旋形系统之间的股骨隧道几何形状和孔径形态的体内3D计算机断层扫描分析。关节镜检查。2015; 31（7）：1318-1329。
8. Smith+Nephew 2012.Validation, CLANCY Anatomic Flexible Drill Guide System. Internal Report. 15001409 Rev A.
9. Bedi A, Altchek DW. The "footprint" anterior cruciate ligament technique: an anatomic approach to anterior cruciate ligament reconstruction. Arthroscopy. 2009;25(10):1128-1138.
10. Rasmussen JF, Lavery KP, Dhawan A. Anatomic Anterior Cruciate Ligament Reconstruction With a Flexible Reamer System and 70° Arthroscope. Arthroscopy Techniques. 2013;2(4):e319-e322.
11. Runer A, Csapo R, Hepperger C, Herbort M, Hoser C, Fink C. Anterior Cruciate Ligament Reconstructions With Quadriceps Tendon Autograft Result in Lower Graft Rupture Rates but Similar Patient-Reported Outcomes as Compared With Hamstring Tendon Autograft: A Comparison of 875 Patients. AJSM. 2020;48(9).