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Continuous loop fixation device improves ACL repair technique

Smith & Nephew Orthopaedics : 19 October, 2012  (New Product)
Smith and Nephew is introducing a new product designed for the growing number of surgeons who use the anatomic technique for anterior cruciate ligament (ACL) repair.

As the company's shortest ever continuous loop suture, the new ENDOBUTTON CL 10 mm fixation device addresses the challenges associated with the shorter femoral tunnels used in this method.

While the 10 mm CL fixation device can accommodate the needs of the anatomic technique, it is also appropriate for use with other techniques for arthroscopic 'keyhole' repair of the knee, including the traditional transtibial approach.  

"As an ACL surgeon, my primary goal is to restore my patients' anatomy as closely as possible to normal," explained Dr David Flanigan, Associate Professor, Department of Orthopaedics, Ohio State University. "Using an anatomic approach allows me to do that. And with this new 10 mm device, I know I will get incredibly strong fixation while optimizing the amount of soft tissue graft in even the shortest of tunnels."

The ENDOBUTTON CL Ultra family is pre-threaded with the company's proprietary continuous loop of suture, making it one of the strongest soft tissue femoral fixation devices on the market today. In addition to adding strength, this type of continuous loop won't stretch like other suture constructs can. In fact, in lab testing the ENDOBUTTON CL Ultra Device showed 90 percent less displacement than a leading competitor when both were placed under load.

Supported by more than 10 years of clinical experience and more than 20 peer-reviewed journals, the entire ENDOBUTTON family features Smith and Nephew's 'flipping' characteristic that provides surgeons with tactile feedback to ensure proper seating.

"Smith and Nephew was the first company to provide surgeons with a complete range of products and techniques specifically designed to simplify anatomic ACL reconstruction," said Romeo Catracchia, Vice President, Joint Repair for Smith and Nephew. "Our ENDOBUTTON family of fixation devices, along with our new ACUFEX PINPOINT Anatomic ACL Guide System, CLANCY Anatomic Cruciate Guide, FAST-FIX 360 Meniscal Repair System and BIOSURE Interference Screws present surgeons with complete options for performing a wide variety of  anatomic ACL reconstructions."

As one of the primary support structures for the knee, the ACL is made up of functional fibre bundles that prevent excessive left/right, front/back and rotational movement of the joint.

While traditional transtibial ACL repair is able to replicate some of the ligament functions, the anatomic technique attempts to more closely reproduce the overall function of the knee. For this reason, many surgeons feel that the anatomic technique is superior and may help to reduce further injury and degeneration of the patient's knee.  According to industry estimates, approximately one million ACL procedures are performed globally each year.

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