Âncora Cortical Femoral

A.C

.F

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A.C.F.Âncora Cortical Femoral

Introdução

A Âncora Cortical Femoral, mais conhecida como A.C.F, é um implante utilizado em cirurgias ligamentares de

Joelho tipo Endobutton e na reconstrução do ligamento cruzado anterior

O A.C.F. é composto de dois fios de tração de cores diferentes, os quais são montados em uma placa em liga

de titânio e um anél de polietileno.

Produtos esterilizados em Raio Gama.

Códigos e tamanhos

Implantes

A.C.F. 15

A.C.F. 20

A.C.F. 25

A.C.F. 30

A.C.F. 35

A.C.F. 40

Âncora cortical femoral 15 mm

Âncora cortical femoral 20 mm

Âncora cortical femoral 25 mm

Âncora cortical femoral 30 mm

Âncora cortical femoral 35 mm

Âncora cortical femoral 40 mm

Instrumentais indicados

3202-A

5702-A

2308-A

2309-A

Pino tipo broca

Medidor de Profundidade

Broca canulada 4.5mm

Broca canulada 5.0mm

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Técnica Cirúrgica DIDT

Transplant sampling

Semi tendinous sampling using an opened or closed stripper.

Sampling with a closed stripper.

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Put the tibial aimer and drill the tibial cortical with a pin, then a cannulated drill.2

Positioning of th femoral aimer and drilling of a blind tunnel (30 mm) using a pin with eye and a cannulated reamer.

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ORTHOMED ACF reconstruction system ensures a reproducible positioning of the tibial tunnel thanks to the anatomical criterions.(The center of the tunnel is located 7mm ahead of the PCL between the 2 tibial spines).

Insertion of the tibial aimer by the anteromedial way, 90º bended knee ( the aimer point will be placed at the base of the PCL).

Insertion of the guide pin with an angle of about 50º.

Insertion of the femoral aimer (5,6 or 7mm) by the antero-medial way (“over-the-top” position).Insertion of a drilled pin with eye, then a reamer to drill a 30mm femoral blind tunnel.

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Técnica Cirúrgica DIDT

Preparation of the femoral tunnel for the A.C.F4

Drill with a pin with eye up to the femoral cortical.Remover the reamer.

Preparation of the tendon on ORTHOMED`s benchwork5

Position the transplant on the benchwork and put it in tension with the dynamometric tension system.

Insert on the pin eith eye a 4,5 or 5 mm graduated cannulated drill and drill the tunnel up to the femoral cortical.

Measure the total length of the femoral tunnel using the gauge.

After suture and calibration, put the transplant it the ACF polyester loop once the length has been found.

The length of the ACF is determined considering the difference between the total length of the femoral tunnel and the length of the femoral tunnel where we put the transplant.

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Técnica Cirúrgica DIDT

Insertion of the transplant with the A.C.F. by the tibial tunnel, then fixation6

Put the transplant with the ACF by the tibial tunnel.Put the 2 sutures in the pin with eye, pull the transplant till the blind tunnel.

Once in the femoral cortical, pull one of the suture in order to tip up the ACF metallic part and pull it out of the femoral tunnel.

Tibial fixing using a MisBio® absorbable screw7

Position the flexible pin on the transplant in the tibial tunnel.Insert the MisBio® screw (length: 23, 30 or 35 mm - Ø 1or 2 mm superior to the one of the tibial tunner). Avoid any rotation of the transplant during the insertion of the absorbable screw.

Additional fixing using ligament staples (6, 8 or 11 mm).

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Principais Instrumentais

Instrumentais

Cannulated drillClosed and opened stripper

5803-A 2308-A2309-A

Cannulated reamerBenchwork

5620-A 2300-B2301-B2302-B2303-B2304-B2305-B

Screws jig - 7 to 9mmTibial aimer

1191-A1192-A1193-A

5010-A

Staple DriverFemoral aimer

1040-A1041-A1042-A

0210-A

ImpactorACF

0300-A

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Instrumentais KJ - DIDT (KD)

Insert nº1

2308-A

2309-A

2300-B

2301-B

2302-B

2303-B

2304-B

2305-B

Cannulated drill Ø 4,5 mm

Cannulated drill Ø 5 mm

Cannulated reamer Ø 7 mm

Cannulated reamer Ø 8 mm

Cannulated reamer Ø 9 mm

Cannulated reamer Ø 10 mm

Cannulated reamer Ø 11 mm

Cannulated reamer Ø 12 mm

5802-A

5803-A

Opened stripper Ø 5 mm

Closed stripper Ø 7 mm

2310-A

2311-A

2312-A

2313-A

2314-A

2315-A

Cannulated drill Ø 7 mm

Cannulated drill Ø 8 mm

Cannulated drill Ø 9 mm

Cannulated drill Ø 10 mm

Cannulated drill Ø 11 mm

Cannulated drill Ø 12 mm

5001-A

5005-A

5003-A

5006-A

Trephine Ø 9 mm

Collared Pin positioner Ø 9 mm

Trephine Ø 10 mm

Collared Pin positioner Ø 10 mm

3103-A

3202-A

Tibial drilled pin (2)

Drilled pin with eye (2)

3601-A Flexible pin (2) Ø 1 mm

Insert nº2

0031-A Absorbable interference

screw screwdriver

0010-C Titanium interference screw

screwdriver (6 sides, 3.5mm)

5010-A Screws jig Ø 7 à 9 mm

4910-B Rasp < curette >

1040-A

1041-A

1042-A

Femoral aimer Ø 5 mm

Femoral aimer Ø 6 mm

Femoral aimer Ø 7 mm

5701-A Length gauge

1191-A

1192-A

1193-A

Tibial aimer handle with variable

aiming angles

Tibial aimer point

Tibial aimer bush

4101-A Transplant gauge

Ø 7 to 12 mm

Transport box base

5620-A Workbench

5621-A Polyethylene sheet

5622-A

5623-A

Ligament tensiometer

Blocking hook for half

tendinous

5624-A

5625-A

Half tendinous adaptator

Closing pin

0300-A Impactor

4814-A

4815-A

4816-A

4822-A

Transport box base

Transport box insert nº 1

Transport box insert nº 2

Transportbox lid0210-A Staple driver

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