ENDOBUTTON SMITH AND NEPHEW PDF

Bild 1: Grafische Darstellung eines Endobuttons, wie er zur Rekonstruktion eines Kreuzbandes verwendet wird. Bild 2: Grafische Darstellung eines Endobuttons mit Schleife, wie er mit einem Patellasehen-Transplantat verbunden ist. Endobuttons werden vor allem zur femoralen Oberschenkelknochen Fixation von Transplantaten bei der Rekonstruktion von Kreuzbandrissen verwendet. Durch diese Bohrung wird die Schlaufe durchgezogen.

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This revolutionary technology provides an ideal solution for accommodating shorter femoral tunnels which often result from anatomic techniques including single- and double-bundle ACL reconstructions.

Features and benefits: Designed without a continuous loop of suture Utilises one-step drilling Accommodates different size grafts 5 mm - 9 mm Technique Technique 1. Measure the graft. Drill femoral and tibial tunnels ensuring that you drill all the way through the cortex on the femoral side.

TIP: Drilling the femoral tunnels through the anteromedial portal will create shorter more anatomic tunnels. Measure the total length of the tunnel and ensure that you have enough graft to fill both the femoral and tibial sides. Accommodates sizes 5 mm through 9 mm. TIP: Ensure that the whip stitch is tight to avoid adding bulk to the graft. This will make it easier to pull through the device. For single bundle techniques, utilising both the semi-tendinosus and gracilis grafts, passing one graft at a time through the closed end of the button will simplify loading the button.

Ensure that the ends of your grafts are even. TIP: Using heat tipped sutures and different colors for leading and flipping will make it easier to load the sutures and pass the graft. TIP: To ensure that the button is oriented completely vertical in the tunnel, you may want to leave a small loop in the suture between the two holes.

Measure the femoral tunnel length. Mark the graft at the length of the femoral tunnel. Mark the graft at the flipping distance required for the size of the device that you are using. See table below for distance.

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