Knee

Next Generation in Repair

and Reconstruction
Helping Surgeons Treat Their
Patients Better®
Since its inception, Arthrex has been committed to one mission:
Helping Surgeons Treat Their Patients Better. We are strategically
focused on constant product innovation through scientific research,
­surgeon ­collaboration, and medical education to make less invasive
surgical p
­ rocedures simple, safer, and more reproducible. Each year,
we develop more than 1000 new innovative products and procedures
to advance ­minimally invasive orthopedics worldwide.

Arthrex has always remained a privately held company, which allows

for the rapid evaluation of new technologies and ideas and the freedom
to develop products and techniques that truly make a difference. Our
­experienced team of dedicated professionals represents a shared
passion and ­commitment to delivering uncompromising quality to the
health care providers who use our products and the millions of patients
whose lives we impact.

The medical significance of our contributions serves as our primary

­benchmark of success and will continue into the future as the legacy
of Arthrex.

02 I Helping Surgeons Treat Their Patients Better

Table of Contents
Patient Positioning.................................................................................... 05

ACL Repair.................................................................................................. 09

ACL Reconstruction.................................................................................. 13

Tunnel and Socket Preparation and Drilling...................................... 17

ACL/PCL Accessories.............................................................................. 27

Graft Harvesting........................................................................................ 31

FiberWire® Suture..................................................................................... 37

Graft Prep, Sizing, and Pretensioning.................................................. 43

Graft Fixation.............................................................................................. 47

Screw Insertion and Removal................................................................ 61

PCL Reconstruction.................................................................................. 65

Collateral Ligament Reconstruction and Repair............................... 69

Patellofemoral Procedures..................................................................... 75

Meniscal Repair......................................................................................... 81

Meniscectomy Hand Instruments......................................................... 89

Cartilage Regeneration........................................................................... 93

Osteochondral Repair.............................................................................. 97
Osteochondral Transplant.......................................................................... 103

Osteotomies.................................................................................................... 107

Table of Contents I 03
04 I Patient Positioning
 Patient Positioning

PivotPost......................................................................................................................... 06

Low-Profile Leg Holders............................................................................................. 07

Patient Positioning I 05
 PivotPost

The PivotPost is a limb positioner with a lateral post that

Product description Item number
moves in 3 planes (rotation, in/out, up/down) to easily
PivotPost AR-1560
place the patient in the proper position and to pivot Knee post only AR-1560-02
out of the way when not in use. The unique over-the- Clark rail adapter only AR-1560-03
top sweeping design prevents the patient’s leg from Foam pads AR-1560-01
moving over the post when valgus stress or a figure 4
is applied. The small size and minimal weight makes
set-up simple and allows surgeons to operate around it
easily.

06 I Patient Positioning
 Low-Profile Leg Holders

The low-profile leg holder with its Velcro fastener for

Product description Item number
integration of pressure tourniquets or foam inserts
Leg holder, with Velcro fastener AR-1500G*
provides maximum patient safety while still allowing Foam cushion insert, for AR-1500G AR-1502
adaptation of the thigh circumference. The low-profile Replacement buckle AR-1500B
leg holder is delivered with a post to mount onto clark Replacement Velcro fastener AR-1500-10
rails.
* Post is compatible with standard rail adapters

Patient Positioning I 07
08 I ACL Repair
 ACL Repair

ACL Repair TightRope® System............................................................................... 10

ACL Repair I 09
 ACL Repair TightRope® System

(a)

The ACL Repair TightRope system is the first knotless,

Product description Item number
tensionable system designed for ACL primary repair.
ACL Repair TightRope® implant with FiberTape® AR-1588R-IB
This implant comes preassembled with a FiberTape suture for InternalBrace™ technique (a)
suture for the InternalBrace technique. The system uses
ACL button for the InternalBrace™ technique AR-1588TB-IB
FiberRing sutures to stitch the torn ligament tissue. The
FiberRing™ suture with shuttle loop, 25 mm (b) AR-7282-25
FiberRing sutures are then connected to the ACL Repair
FiberRing™ suture with shuttle loop, 35 mm (c) AR-7282-35
TightRope implant, enabling precise tensioning and
FiberRing™ suture with shuttle loop, 45 mm (d) AR-7282-45
retensioning of the ligament after cycling the leg. Fiber-
Ring sutures are available in multiple sizes to accommo- FiberRing™ suture with shuttle loop, 55 mm (e) AR-7282-55

date various stitching techniques. 2.4 mm cannulated dril and SutureLasso™ SD wire AR-1594D-24
loop (f)

Additional Products
Product description Item number

FlipCutter® III drill AR-1204FF

RetroConstruction™ drill guide system instrument AR-1510S
ACL ToolBox instrument set AR-1900S

10 I ACL Repair
(b)

(c)

(d)

(e)

(f)

ACL Repair I 11
12 I ACL Reconstruction
 ACL Reconstruction

ACL ToolBox Instrumentation Set............................................................................ 14

ACL Reconstruction I 13
 ACL ToolBox Instrumentation Set

(c)

(a)

(b)

The ACL ToolBox fits the needs of most modern ACL reconstructions. The streamlined, 3-layer case contains all the
reusable instruments necessary for completing most common ACLR procedures and includes an open “pin mat”
area for additional instruments. The toolbox contains the RetroConstruction drill guide set with commonly used ACL
marking hooks. Multiple drill sleeves are included for all techniques and can be used with standard 2.4 mm pins,
3 mm RetroDrill pins, and 3.5 mm FlipCutter reamers.

14 I ACL Reconstruction
ACL ToolBox Instrumentation Case (AR-1900) Third Level of Tray (c)
Product description Item number Femoral ACL marking hook, curved AR-1510F-01
First Level of Tray (a) Footprint femoral ACL guide, left AR-1510FL
Hook probe, 3.4 mm tip, with 5 mm marking AR-10010 Footprint femoral ACL guide, right AR-1510FR
Side-release RetroConstruction™ handle AR-1510HR Tibial ACL marking hook for RetroConstruction™ drill AR-1510T
Ratchet drill sleeve, 2.4 mm AR-1510FD-24 Tunnel notcher AR-1844
Stepped, ratchet drill sleeve, 7 mm step AR-1510FS-7 Transportal ACL guide, 6 mm offset AR-1800-06
Stepped, ratchet drill sleeve, 10 mm step AR-1204FDS-10 Transportal ACL guide, 7 mm offset AR-1800-07
Obturator, 3.5 mm AR-1204F-OB Transtibial femoral ACL drill guide, 6 mm AR-1804
Insert, 2.4 mm AR-1204F-24I Transtibial femoral ACL drill guidee, 7 mm AR-1801
Parallel guide sleeve, 2.4 mm pins AR-1245L Cannulated drill, 8 mm AR-1208L
Offset drill guide, 3.5 mm AR-1246-1 Cannulated drill, 9 mm AR-1209L
Offset drill guide, 3.5 mm pins AR-1246-3 Cannulated drill, 10 mm AR-1214L
Drill tip guide pin, 3.5 mm AR-1250F Cannulated drill, 11 mm AR-1217L
Second Level of Tray (b) Cannulated headed reamer, 8 mm AR-1408
Semitendinosus stripper, closed end, 7 mm AR-1278L Cannulated headed reamer, 9 mm AR-1409
Pigtail hamstring tendon stripper, open end, 7 mm AR-1278PL Cannulated headed reamer, 10 mm AR-1410
Atraumatic hamstring harvester AR-10300 Cannulated headed reamer, 11 mm AR-1411
Graft sizing block, 4.5-12 mm holes AR-1886 SlapDriver, quick connect, ratcheting handle AR-1999SD
(0.5 mm increments) FastThread™ screw tap, 7 mm quick connect AR-4020T-07
Tunnel plug for 8-12 mm drill holes AR-1258 FastThread™ screw tap, 8 mm quick connect AR-4020T-08
Reusable obturator for tibial tunnel cannula AR-1807 FastThread™ screw tap, 9 mm quick connect AR-4020T-09
Graft harvesting cutting guides, 8.5 mm AR-1809 FastThread™ screw tap, 10 mm quick connect AR-4020T-10
Graft harvesting cutting guides, 9.5 mm AR-1810 Quick connect BioComposite interference AR-1996CD-1
Graft harvesting cutting guides, 10.5 mm AR-1811 screwdriver
Graft harvesting retractor AR-1420 FastThread™ screwdriver for 6 mm-diameter, quick AR-4019D-1
connect (trilobe)
Chuck key AR-8241
Cannulated screwdriver shaft, 3.5 mm hex, AR-1988
Jacob´s chuck handle AR-1415
Ø5.5 mm × 17 cm
Parallel graft knife handle AR-2285H
Notchplasty and graft harvesting osteotome, 5 mm AR-1830 * N ot included in set. Order separately.

Tunnel/notchplasty rasp AR-1282

ACL Reconstruction I 15
16 I Tunnel and Socket Preparation and Drilling
 Tunnel and Socket
Preparation and Drilling

FlipCutter® III Drill......................................................................................................... 18

RetroConstruction™ Drill Guide Set......................................................................... 19

Transportal ACL Guides.............................................................................................. 20

Transtibial Femoral Guides........................................................................................ 20

Low-Profile Reamers.................................................................................................... 21

Cannulated Headed Reamers.................................................................................. 21

Guide Pins....................................................................................................................... 22

Cannulated and Sterile Cannulated Drill............................................................... 23

Coring Reamers............................................................................................................ 23

Tunnel Dilators............................................................................................................... 24

Notchplasty.................................................................................................................... 25

Tunnel and Socket Preparation and Drilling I 17

 FlipCutter® III Drill

The innovative FlipCutter III drill is an adjustable, The short FlipCutter II reamer decreases the distance
variable-size, all-in-1 guide pin and reamer that allows surgeons must reach while drilling, enabling more
minimally invasive inside-out socket creation. Arthrex’s control and accuracy. Together with the side-release
proprietary FlipCutter technology allows unconstrained RetroConstruction handle, the short FlipCutter II reamer
freedom of socket positioning and is ideal for difficult-­ makes anatomic, minimally-invasive drilling easier than
to-reach applications such as tibial socket creation ever.
for PCL reconstruction, anatomic femoral socket
creation for ACL reconstruction, and socket creation Product description Item number
for meniscal allograft transplantation or meniscal root FlipCutter® II, short, 5-13 mm AR-1204AS-50
repair. This single device drills size 6 mm and sizes 7 to Diameter: 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, to -130
12 mm, including half sizes. 10.5, 11, 11.5, 12, 13 mm
FlipCutter® II, 6-13 mm AR-1204AF-60
Product description Item number
Diameter: 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, to -130
10.5, 11, 11.5, 12, 13 mm
FlipCutter® III drill, 6-12 mm (including half sizes, AR-1204FF
except 6.5 mm)

18 I Tunnel and Socket Preparation and Drilling

 RetroConstruction™ Drill Guide Set

(a)

The small, easy-to-use RetroConstruction drill guide set accommodates up to 14 marking hook options for multiple
applications. The adjustable C-ring allows several drilling angles without sacrificing accuracy. Multiple drill sleeves
accommodate retrograde reaming with the FlipCutter reamer and antegrade reaming with standard 2.4 mm pins.
The additional stepped drill sleeve acts as a depth stop for retrograde drilling and maintains joint access during
reamer removal for insertion of graft-passing sutures.

RetroConstruction™ Drill Guide Set (AR-1510S) Accessories

Product description Item number Product description Item number

RetroConstruction™ drill guide handle AR-1510H Guide pin, with drill thread, 3.5 mm (predrill pin for AR-1250F
RetroConstruction™ drill guide handle, side release AR-1510HR FlipCutter®)
FlipCutter® drill sleeve, ratcheting, stepped, 3.5 mm AR-1510FS-7 Tibial ACL drill guide, pin tip AR-1510GT
Drill sleeve, for RetroConstruction™ drill guide, stepped, AR-1204FDS Tibial ACL marking hook, with guide pin, small angle AR-1510GTS
7 mm long tip, 3.5 mm Femoral ACL footprint drill guide, left AR-1510FL
Drill sleeve, for RetroConstruction™ drill guide, stepped, AR- Femoral ACL footprint drill guide, right (a) AR-1510FR
10 mm long tip, 3.5 mm 1204FDS-10 Femoral ACL footprint drill guide, with 7 mm offset, left AR-1510FPL
Drill sleeve, ratcheting, 3.5 mm AR-1510FD-35 Femoral ACL footprint drill guide, with 7 mm offset, right AR-1510FPR
Drill sleeve, ratcheting, 3 mm AR-1510FD-30 Femoral ACL footprint drill guide, small angle, left AR-1510FLS
Drill sleeve, ratcheting, 2.4 mm AR-1510FD-24 Femoral ACL footprint drill guide, small angle, right AR-1510FRS
Drill sleeve, for RetroConstruction™ drill guide, 3.5 mm AR-1510D Femoral ACL hook, for outside-in technique SP-1510F-02
Drill sleeve, for RetroConstruction™ drill guide, 3 mm AR-1778R-30 Femoral RetroConstruction™ drill guide, AM portal, left AR-1510FL-01
Drill sleeve, for RetroConstruction™ drill guide, 2.4 mm AR-1778R-24 Femoral ACL RetroConstruction™ drill guide, AM portal, AR-1510FR-01
Obturator, 3.5 mm AR-1204F-OB right
Guide pin sleeve, 2.4 mm AR-1204F-24I Anatomic contour PCL guide, left AR-1510PTL
Tibial ACL marking hook, for RetroConstruction™ drill AR-1510T Anatomic contour PCL guide, right AR-1510PTR
guide Popliteus marking hook, tibia AR-1510PT-1
Tibial ACL marking hook, blunt preservative, right AR-1510TR
Tibial ACL marking hook, blunt preservative, left AR-1510TL
Femoral ACL marking hook, for RetroConstruction™ drill AR-1510F
guide
Femoral ACL marking hook, curved AR-1510F-01
PCL tibial marking hook, for RetroConstruction™ drill AR-1510PT
guide
Femoral PCL marking hook, for RetroConstruction™ drill AR-1510PF
guide
Reusable marking hook, for RetroConstruction™ drill AR-1510M
guide
Popliteus marking hook, tibia AR-1510PT-1
RetroConstruction™ drill guide system case AR-1510C

Tunnel and Socket Preparation and Drilling I 19

 Transportal ACL Guides

The transportal ACL guides (TPGs) were designed

specifically for the anteromedial portal approach and
allow surgeons freedom in femoral socket placement,
while maintaining appropriate back wall thickness. The
open-angled offset tip allows reproducible back wall
thickness and facilitates anterior trajectory of the guide
pin. The longer tip stabilizes the guide over the poste-
rior cortex during hyperflexion.

Product description Item number

Transportal ACL guide, 4-8 mm AR-1800-04

Offset: 4, 5, 6, 7, 8 mm to -08

Transtibial Femoral Guides

The transtibial femoral ACL drill guides allow precise

placement of femoral tunnels by referencing the over-
the-top position. Five sizes (4, 5, 6, 7, and 8 mm offsets)
create a 1-2 mm tunnel back wall when used with an
appropriately sized drill.

Product description Item number

Transtibial femoral ACL drill guide, 4 mm, AR-1806

for 6-7 mm tunnels
Transtibial femoral ACL drill guide, 5 mm, AR-1803
for 7-8 mm tunnels
Transtibial femoral ACL drill guide, 6 mm AR-1804
Transtibial femoral ACL drill guide, 7 mm AR-1801
Transtibial femoral ACL drill guide, 8 mm, AR-1805
for 10-11 mm tunnels

Guide pin available sterile in the transtibial ACL disposables kit

20 I Tunnel and Socket Preparation and Drilling

Low-Profile Reamers

Low-profile reamers facilitate femoral socket prep­

aration through the medial portal and allow more
flexibility in femoral socket placement for transtibial
procedures. The drill’s extra thin shaft and “2-flute”
design provides a flat profile that easily passes through
the portal and avoids damaging the femoral condyle
and PCL.

Product description Item number

Headed reamers, low profile, 5-13 mm AR-1405LP

Diameter: 5, 6, 7, 8, 9, 10, 11, 12, 13 mm to -1413LP
Headed reamers, low profile, 5.5-12.5 mm AR-1405LP-50
Diameter: 5.5, 6.5, 7.5, 8.5, 9.5, 10.5, 11.5, 12.5 mm to -1412LP-50

Cannulated Headed Reamers

The cannulated headed reamers allow the femoral

tunnel to be created via the medial portal. The sharp,
easy-penetrating reamer design has rounded back
edges that help protect the PCL. Markings in 5 mm
increments provide precise depth control.

Product description Item number

Headed reamers, low profile, 5-13 mm AR-1405

Diameter: 5, 6, 7, 8, 9, 10, 11, 12, 13 mm to -1414
Headed reamers, low profile, 5.5-12.5 mm AR-1405.5
Diameter: 5 .5, 6.5, 7.5, 8.5, 9.5, 10.5, 11.5, 12.5 mm to -1410.5

Tunnel and Socket Preparation and Drilling I 21

 Guide Pins

(a) (a)

(b) (b)

End Tip

(c) (c)

(d) (e) (d) & (e)

The guide pins are available either with an 2.4 mm Product description Item number
or 4 mm outer diameter. The 2.4 mm guide pins with Guide pin with suture eye, 2.4 mm × 435 mm (a) AR-1297L
suture eye are designed for suture passage through Guide pin with suture eye, 2.4 mm × 435 mm, sterile (a) AR-1297LS
a bone tunnel and come with a trocar or drill tip. The Drill tip guide Pin, 2.4 mm × 311 mm (b) AR-1250SB
2.4 mm guide pins with straight end support guiding Drill tip guide pin, 2.4 mm × 311 mm, sterile (b) AR-1250SB-1S
Guide pin, 2.4 mm × 280 mm (c) AR-1250L-1
cannulated instruments and implants. All 2.4 mm guide
Guide pin, 2.4 mm × 280 mm, sterile (c) AR-1250LS
pins are available as single use or as reusable items.
ACL TightRope® drill pin, closed eyelet, 4 mm ACL (d) AR-1595TC
The 4 mm guide pins come with a spade tip drill and TightRope® drill pin, open eyelet, 4 mm (e) AR-1595T
markings for measuring the transosseous length and
for subsequent passage of TightRope implants. The
TightRope sutures can be loaded into an open or closed
eyelet.

22 I Tunnel and Socket Preparation and Drilling

 Cannulated and Sterile Cannulated Drill

Product description Item number

Reusable Cannulated Drills

Drill, cannulated, 4 mm AR-1204L
Drill, cannulated, 5 mm AR-1205L
Drill, cannulated, 6 mm AR-1206L
Drill, cannulated, 7 mm AR-1207L
Drill, cannulated, 8 mm AR-1208L
Drill, cannulated, 9 mm AR-1209L
Drill, cannulated, 10 mm AR-1214L
Drill, cannulated, 11 mm AR-1217L
Drill, cannulated, 12 mm AR-1221L
Drill, cannulated, 15 mm AR-1215L
Drill sleeve, cannulated, 6 mm AR-1206S
Drill sleeve, cannulated, 7 mm AR-1207S
Drill sleeve, cannulated, 8 mm AR-1208S
Drill sleeve, cannulated, 9 mm AR-1209S
Drill sleeve, cannulated, 10 mm AR-1214S
Drill sleeve, cannulated, 11 mm AR-1217S
Drill sleeve, cannulated, 12 mm AR-1221S
Drill sleeve, cannulated, 15 mm AR-1215S
Sterile Cannulated Drills
Drill, cannulated, 4-15 mm, sterile AR-1218-40
Diameter: 4 , 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, to -150
9, 9.5, 10, 10.5, 11, 11.5, 12, 15 mm
Full-thickness cannulated drills with graduated depth
marks are designed specifically for ACL tibial tunnels,
PCL tibial and femoral tunnels, and standard 2-inci-
sion ACL reconstruction procedures. The optional drill
sleeves help protect soft tissue during drilling.

Coring Reamers

The coring reamers are available in various diameters

and are used for tunnel and socket drilling in the tibia.
In this way, a graft plug is removed and space created
for cruciate ligament reconstruction. The removed bone
can be used to fill any remaining harvesting defects in
the tibia, patella, or femur.

Coring Reamer Sets

Product description Item number

Coring reamer and collared pin set, 7 mm AR-1220S

Coring reamer and collared pin set, 8 mm AR-1222S
Coring reamer and collared pin set, 9 mm AR-1223S
Coring reamer and collared pin set, 10 mm AR-1224S
Coring reamer and collared pin set, 11 mm AR-1226S
Coring reamer and collared pin set, 12 mm AR-1227S
Coring reamer and collared pin set, 13 mm AR-1229S
Coring reamer and collared pin set, 14 mm AR-1231S
Reusable Instrument
Graft extractor, for coring reamer AR-1232

Tunnel and Socket Preparation and Drilling I 23

 Tunnel Dilators

The cannulated tunnel dilators improve the fixation of

the soft tissue graft by compressing the cancellous
bone to the drilled femoral or tibial tunnel wall. The
dilators are available in sizes from 5.5 mm to 12 mm.
The Hudson quick connect T-handle is easy to connect
to the dilators and allows a quick change from one size
to the next.

ACL Tunnel Preparation

Instrumentation Set (AR-1856S)
Product description Item number

T-handle, Hudson, quick connect AR-1416T

ACL reaming instrumentation set AR-1856C
Graft sizing block AR-1886
Tunnel dilators, 5.5-12 mm (0.5 mm increments) AR-1854-05.5
to -12.0

24 I Tunnel and Socket Preparation and Drilling

Notchplasty

The curved tunnel/notchplasty rasp (a) is ideal for

­completing the notchplasty and chamfering of the tibial
and femoral tunnel rim. Designed specifically for rasping
or smoothing tunnel rims after drilling to reduce graft
abrasion or laceration, the rasp fits easily through the
tibial tunnel cannula in an 8 mm tunnel. The offset shaft
of the Notchplasty and graft harvesting osteotome (b)
provides easy access to the lateral wall of the intercon-
dylar notch from the anteromedial portal for anatomical
widening of the notch. The open ring curette (c), which
(a) is sharp on both sides, will help to perform the soft-tis-
sue notchplasty to identify the over-the-top position.

Product description Item number

Tunnel/notchplasty rasp (a) AR-1282

(c) Notchplasty and graft harvesting osteotome, 5 mm (b) AR-1830

Ring curette, 3.4 mm, one side cut AR-21010
Ring curette, 3.4 mm, both side cut AR-21020
Ring curette, 5.4 mm, one side cut (c) AR-20010
Ring curette, 5.4 mm, both sides cut AR-20020

(b)

Tunnel and Socket Preparation and Drilling I 25

26 I ACL/PCL Accessories
 ACL/PCL Accessories

ACL Disposables Kits.................................................................................................. 28

ACL/PCL Graft-Passing Forceps.............................................................................. 29

ACL/PCL Accessories I 27
 ACL Disposables Kits

The single-use transtibial ACL disposables kits provide a convenient and sterile, complete set of all the guide pins
and disposables required for an ACL reconstruction.

Transtibial ACL Disposables Kit Transtibial ACL Disposables TransFix® II Drill Set
With Hall-Style Saw Blade (a), Kit Without Saw Blade, qty 5 (AR-1978S-1)
qty 5 (AR-1897S) (AR-1898S)
Product description Item number
Product description Item number Product description Item number Guide pin, with drill thread, AR-1250L-1
2.4 mm guide pin, with AR-1297L Guide pin, with suture AR-1297L 2.4 mm, qty 6
suture eyelet eyelet, 2.4 mm Graft suture-passing wire AR-1255
Guide pin, with drill thread, AR-1250L-1 Guide pin, with drill thread, AR-1250L-1 TransFix® II guide pin, 3 mm –––––
2.4 mm, qty 6 2.4 mm, qty 6
Guide wire, for bio- AR-1249 Guide wire, for bio- AR-1249
interference screw, nitinol, interference screws, nitinol,
1.1 mm 1.1 mm
Guide wire, nitinol, 2 mm, AR-1254-1S Guide wire, nitinol, 2 mm, AR-1254
with 25 and 30 mm depth with 25 and 30 mm depth
markings markings
Tibial tunnel cannula AR-1802D Tibial tunnel cannula AR-1802D
Backflow cap AR-1812 Backflow cap AR-1812
Marking ruler and sterile 43-1032 Marking ruler and sterile 43-1032
marking pen marking pen
Hall-style sagittal saw blade, AR-1821
with 7 mm depth stop
Graft harvesting fix drill AR-1904

28 I ACL/PCL Accessories
ACL/PCL Graft-Passing Forceps

The ACL/PCL graft forceps are designed for atraumatic

manipulation of the graft intra-articularly during graft
passing. The smooth, curved jaws provide rotational
control of the graft during insertion into femoral tunnels
and also for large loose body removal.

Product description Item number

ACL/PCL graft-passing graspers, with SR handle AR-13400SRF

ACL/PCL graft-passing graspers, with NR handle AR-13400NRF

ACL/PCL Accessories I 29
30 I Graft Harvesting
 Graft Harvesting

QuadPro™ Tendon Harvester.................................................................................... 32

Minimally Invasive Quad Tendon Set..................................................................... 32

Atraumatic Hamstring Harvester............................................................................. 33

Hamstring Tendon Strippers..................................................................................... 33

Minimally Invasive Hamstring Harvesting Set...................................................... 34

Graft Harvesting Cutting Guides and Saw Blades............................................. 34

Parallel Graft Knife for Patella Tendon Harvesting............................................. 35

Graft-Harvesting Retractor........................................................................................ 35

ACL Graft Shaper.......................................................................................................... 35

Graft Harvesting I 31
 QuadPro™ Tendon Harvester

The QuadPro tendon harvester was specifically Minimally Invasive Technique:

engineered to allow for efficient, minimally invasive graft ■Minimal incision and dissection required
harvesting while reducing the morbidity and challenges ■ Reduces procedure time and graft site morbidity
associated with harvesting techniques.

Reproducible Graft Sizing: Graft Amputation:

■ Available in various sizes for the appropriate graft ■Graft retrieved through amputation window
diameter (8, 9, 10, and 11 mm) in device after harvesting

■ Sharp cylindrical tip harvests a round, ■ Sharp cutting edge in window amputates graft
true-to-size graft when push rod is completely deployed

■ Clear handle with graduations to determine

graft length QuadPro™ Tendon Harvester Kit
Product description Item number

QuadPro™ tendon harvester, 8 mm AR-2386-08

QuadPro™ tendon harvester, 9 mm AR-2386-09
QuadPro™ tendon harvester, 10 mm AR-2386-10
QuadPro™ tendon harvester, 11 mm AR-2386-11

Minimally Invasive Quad Tendon Set

The minimally invasive quad tendon harvest system Minimally Invasive Quad Tendon Set (AR-2382S)
allows surgeons to efficiently harvest a graft of a
Product description Item number
desired length and diameter through a small incision.
Quad tendon graft cutting guide AR-2383
The system has the versatility to create grafts from soft
Quad tendon stripper / cutter (b) AR-2384
tissue only, or from bone and soft tissue. Instrument case AR-2382C
Disposable Blades for Quadricep Tendon Graft Cutting Guide (a)
Quad tendon graft cutting blade, 9 mm AR-2385-09
Quad tendon graft cutting blade, 10 mm AR-2385-10
Quad tendon graft cutting blade, 11 mm AR-2385-11

32 I Graft Harvesting
Atraumatic Hamstring Harvester

The atraumatic tendon harvester facilitates minimally

invasive harvesting from an anterior or posterior incision.
Easily load hamstring tendons with the opening/closing
tip. The smooth edge bluntly dissects the tendon away
from muscle, reduces the chance of premature tendon
amputation, and potentially decreases patient morbidity.

Product description Item number

Atraumatic hamstring harvester AR-10300F

Hamstring Tendon Strippers

The 5 and 7 mm-diameter hamstring tendon strippers

provide maximum tendon length with less soft tissue
trauma through a small incision just medial to the tibial
tubercle. While harvesting, use the graduations on the
(a)
shaft to determine graft length. The spiral end of the
“pigtail” facilitates the capture of distally attached ten-
dons for proximal subcutaneous stripping of hamstring
grafts.

Product description Item number

(b) Semitendinosus stripper, 5 mm AR-1278
Semitendinosus stripper, 7 mm (a) AR-1278L
Pigtail hamstring tendon stripper, open end, 5 mm (b) AR-1278P
Pigtail hamstring tendon stripper, open end, 7 mm AR-1278PL

Graft Harvesting I 33
 Minimally Invasive Hamstring Harvesting Set

Minimally Invasive Hamstring Harvesting Set

(AR-1279S)
Product description Item number

Pigtail hamstring tendon stripper, open end, 5 mm AR-1278P

diameter
Pigtail hamstring tendon stripper, open end, 7 mm AR-1278PL
diameter
Hamstring harvesting instrument case AR-1279C

This set includes 2 harvesters designed for removal of

the hamstring tendons through a small, minimally inva-
sive posteromedial incision. Shorter shafts improve stiff-
ness and facilitate harvesting from the posteromedial
incision. The open harvester is large enough to load the
thicker, more proximal portion of the hamstring tendons.
The closed distal harvester is slightly sharper, permit-
ting elevation of the tendons off the tibial insertion.

Graft Harvesting Cutting Guides and Saw Blades

The cutting guides allow the removal of a trape-

zoid-shaped bone plug with pre-drilled suture holes
from the patella and tibia. Arthrex saw blades have the
adjusted width and tooth configuration for BTB graft
harvesting. A mechanical depth stop provides secure
depth control.

Product description Item number

Graft harvesting cutting guide, 8.5 mm wide AR-1809

Graft harvesting cutting guide, 9.5 mm wide AR-1810
Graft harvesting cutting guide, 10.5 mm wide AR-1811
Graft harvesting kit, with Hall-style sagittal saw blade AR-1821S
and 2 threaded fixation pins, short and long
Hall-style sagittal saw blade, with 7 mm depth stop AR-1821
Threaded fixation pins, for graft harvesting guide, AR-1904
1 long and 1 short

34 I Graft Harvesting
Parallel Graft Knife for Patella Tendon Harvesting

The parallel graft knife is designed for harvesting the

patellar or quadriceps tendon for use during ACL/PCL
reconstruction. The parallel blades create a precise
and a parallel proximal-to-distal incision. It is available
in sizes from 8 to 11 mm and is used with a reusable
handle.

Product description Item number

Parallel graft knife handle AR-2285H

Parallel graft knife blade, 8 mm AR-2285-08
Parallel graft knife blade, 9 mm AR-2285-09
Parallel graft knife blade, 10 mm AR-2285-10
Parallel graft knife blade, 11 mm AR-2285-11

Graft-Harvesting Retractor

The BTB graft-harvesting retractor is hooked over

the upper pole of the patella. This is then levered to
securely retract the surrounding skin and subcutaneous
tissue. The graft-harvesting retractor can also be used
for the retraction of skin and soft tissue when preparing
the tibial tunnel.

Product description Item number

Graft-harvesting retractor AR-1420

ACL Graft Shaper

The ACL graft shaper is a bone “press” that shapes and

compresses cancellous bone to accommodate a precise
graft fit into predrilled tibial or femoral tunnels during
ACL/PCL reconstruction. An adjustable spacer in the
handle provides controlled size compression of bone
plugs to 8, 9, 10, or 11 mm diameters.

Product description Item number

ACL graft shaper AR-1234

Graft Harvesting I 35
36 I FiberWire Suture
 FiberWire Suture ®

FiberLoop® and TigerLoop™...................................................................................... 38

FiberWire® Sutures With Needles........................................................................... 38

FiberWire® Sutures and SutureTape....................................................................... 39

FiberLink™ and TigerLink™.......................................................................................... 39

FiberStick™ and TigerStick®....................................................................................... 40

FiberSnare® Sutures.................................................................................................... 40

FiberTape®...................................................................................................................... 41

Suture Tensioner With Tensiometer........................................................................ 41

FiberWire Suture I 37
 FiberLoop® and TigerLoop™

Product description Item number

FiberLoop®, with 1.3 mm SutureTape suture (a) AR-7534

(a) TigerLoop™, with 1.3 mm SutureTape suture AR-7534T
#2 FiberLoop®, with straight needle AR-7234
#2 TigerLoop™, with straight needle, with TigerWire® AR-7234T
#2 FiberLoop®, blue, 51 cm, 1/2 circle, with curved needle AR-7234C
#2 FiberLoop®, with durable straight needle AR-7284
(b)
#0 FiberLoop® suture, blue, 33 cm, with straight needle, AR-7253
76 mm, with 7 mm loop
#0 TigerLoop® suture, white/green, with straight needle, AR-7253T
76 mm, with 7 mm loop
#2-0 FiberLoop®, blue, 76.2 cm, with diamond point AR-7232-01
needle, 48 mm, 1/2 circle
#2-0 FiberLoop®, blue, 60.96 cm, with diamond point AR-7232-02
needle, 26.2 mm, 3/8 circle
#2-0 FiberLoop®, blue, 33 cm, with diamond point AR-7232-03
The FiberLoop and TigerLoop is a continuous loop of straight needle, 64.8 mm

FiberWire on a thin, straight, nitinol needle that enables FiberLoop® with FiberTag® suture, with looped straight AR-7264
needle
the performance of a SpeedWhip technique. Graft
FiberLoop® with FiberTag® suture, with swedged-on AR-7266
preparation using the SpeedWhip technique drastically straight needle (b)
reduces time spent preparing the graft, uniformly
compresses the graft, improves strength, and allows Reference
adjustments of graft length.1 The FiberLoop and 1. Ostrander RV 3rd, Saper MG, Juelson TJ. A biomechanical comparison of
TigerLoop product line has grown to more than a dozen modified Krackow and locking loop suture patterns for soft-tissue graft fixation.
Arthroscopy. 2016;32(7):1384-1388. doi:10.1016/j.arthro.2016.01.054
different options for varying surgeon preferences.

FiberWire® Sutures With Needles

Product description Item number

#2 FiberWire®, with straight needle AR-7246

#2 FiberWire®, with 2 straight needles AR-7246-02
#2 FiberWire®, blue, 97 cm, with tapered needle, AR-7200
26.5 mm, 1/2 circle
#2 FiberWire®, 97 cm, 1 white/black, 1 blue, AR-7208
with tapered needle, 26.5 mm 1/2 circle
#2-0 FiberWire®, blue, 46 cm , with tapered needle, AR-7242
26.5 mm, 1/2 circle
#2-0 FiberWire®, blue, 46 cm, with tapered needle, AR-7220
17.9 mm, 3/8 circle
#0 FiberWire®, blue, 97 cm, with tapered needle, AR-7250
22.2 mm, 1/2 circle
#0 FiberWire®, blue, 97 cm, with diamond point needle, AR-7251
22.2 mm, 1/2 circle
This product family includes various FiberWire sutures
with directly attached straight or curved needles. These
products allow creating locking Krackow stitches for
graft prep and tendon avulsions in large tendons such
as quadriceps or patellar tendons.

38 I FiberWire Suture
 FiberWire® Sutures and SutureTape

virtually eliminating suture breakage during knot

tying. FiberWire mini SutureTape is just 0.9 mm wide,
compared to the 1.3 mm width of regular SutureTape.
It comes with rounded ends to link to 1/2 circle nee-
dles. The mini SutureTape allows for tying smaller knot
stacks, and the flat tape distributes the forces evenly.

Product description Item number

#0 FiberWire®, white, 97 cm AR-7255

#1 FiberWire®, blue, 97 cm AR-7216
#2 FiberWire®, blue, 97 cm AR-7233
#5 FiberWire®, blue, 97 cm AR-7210
Mini SutureTape, white/blue, 0.9 mm wide, qty 12 AR-7521
Free eye needles 3180

FiberWire suture is the polyester suture with an

Reference
ultra-high-molecular-weight-polyethylene (UHMWPE) 1. Wüst DM, Meyer DC, Favre P, et al. Mechanical and handling properties of
core. FiberWire has greater strength than polyester braided polyblend polyethylene sutures in comparison to braided polyester and
monofilament polydioxanone sutures. Arthroscopy. 2006;22(11):1146-1153.
suture of the same size, with superior feel, smooth tying doi:10.1016/j.arthro.2006.06.013
characteristics, and a lower knot profile.1 FiberWire is
the ideal suture for most orthopedic soft tissue repairs,

FiberLink™ and TigerLink™

Product description Item number

FiberLink™, SutureTape, white/blue, 0.9 mm, AR-7559

with closed loop
TigerLink™, SutureTape, white/black, 0.9 mm, AR-7559T
with closed loop
#0 FiberLink™ suture, FiberWire® suture, blue, AR-7258
with 3.8 cm closed loop at 1 end
#0 TigerLink™ suture, TigerWire® suture, white/black, AR-7258T
with 3.8 cm closed loop at 1 end

FiberLink and TigerLink SutureTape includes a 3.8 cm

closed loop with a 61 cm tail of #2-0 FiberWire suture
(0.9 mm). FiberLink SutureTape is solid blue and
TigerLink SutureTape is white with black stripes to
aid with suture management. Optionally a #0 FiberLink
and TigerLink version is available. Each product is
packaged in a box of 12.

FiberWire Suture I 39
 FiberStick™ and TigerStick®

FiberStick, available in #2 or #2-0 sizes, is FiberWire

with a 30 cm stiffened end. Used in conjunction with
small-diameter cannulated suture-passing instruments,
it makes suture passing easy. FiberSticks are sterile
and come packaged with the stiff end in a plastic tube.
TigerStick is a white #2 FiberStick with black stripes
and a stiffened 30 cm end.

Product description Item number

FiberStick™, #2 FiberWire®, blue, AR-7209

127 cm, 1 end stiffened, 30 cm (a)
(a)
#2 TigerStick®, #2 TigerWire®, white/black, AR-7209T
127 cm, 1 end stiffened, 30 cm
#2-0 FiberStick™, #2-0 FiberWire®, blue, AR-7222
127 cm, 1 end stiffened, 30 cm

FiberSnare® Sutures

Two color options enhance visibility and allow for easier suture identification and management. FiberSnare suture
can be used in any orientation, allowing the delivery of either the loop or free tail of the suture. For example, Fiber-
Snare serves as a suture shuttle to pass traction sutures through bone tunnels.

Product description Item number

#2 FiberSnare® with #2 FiberWire® braided polyblend suture, white/blue with closed loop, 66 cm, one end stiffened, 30 cm AR-7209SNL
#2 FiberSnare® with #2 FiberWire® braided polyblend suture, black/white with closed loop, 66 cm, one end stiffened, 30 cm AR-7209SNT

40 I FiberWire Suture
FiberTape®

FiberTape is an ultra-high-strength, 2 mm wide tape

using the same long-chain polyethylene structure as
the FiberWire suture. The broad base of the FiberTape
is suitable for repairs in degenerative tissue where
tissue pull-through may be a concern.

Product description Item number

FiberTape®, blue, 2 mm wide, 97 cm long, each end AR-7237

tapered to #2 FiberWire®, 20 cm, total length 137 cm

Suture Tensioner With Tensiometer

The suture tensioner with tensiometer enables a

defined tensioning of the ACL graft over a button.
It also makes it possible to knot a backup suture.

Product description Item number

Suture tensioner, with tensiometer AR-1529

Tensiometer foot AR-1530

FiberWire Suture I 41
42 I Graft Prep, Sizing, and Pretensioning
 Graft Prep, Sizing,
and Pretensioning

GraftPro® Graft Preparation Set............................................................................... 44

Graft Compression Tubes.......................................................................................... 45

Graft Prep, Sizing, and Pretensioning I 43

 GraftPro® Graft Preparation Set

(a) (b) (c) (d) (e)

The new GraftPro system brings graft preparation and GraftPro® Graft Preparation System (AR-2950DS)
tensioning to a new level of simplicity and convenience.
Product description Item number
The unique ratcheting adjustment track system allows
GraftPro® case AR-2950DC
1-handed movement of attachments along the length
GraftPro® board AR-2950D
of the board and locks them into place automatically. All GraftPro® posts (a) AR-2950AP
attachments are interchangeable, from the adjustable GraftPro® GraftLink® tensioner (b) AR-2950GT
tracks to the fixed positions. Two parallel rails allow GraftPro® GraftLink® holder (c) AR-2950GH
simultaneous preparation and tensioning of 2 grafts at a GraftPro® button holder (d) AR-2950BH
time, or when performing a single double-bundle graft. GraftPro® soft-tissue clamp (e) AR-2950SC
Graft sizing block AR-1886
The BTB well facilitates stable cutting of patella tendon
bone blocks to size and drilling of suture holes through Optional

the board. Enhanced attachments hold a variety of Cutting board clamp AR-2950CBC
implants and grafts in place firmly and atraumatically.

44 I Graft Prep, Sizing, and Pretensioning

Graft Compression Tubes

GraftLink compression tubes are full-circumference,

full-length, autoclavable, clear tubes that facilitate graft
compression, sizing, and preparation. The unique trans-
parent tubes with an etched ruler allow v­ isualization
of the graft during diameter and length sizing. The
­funneled entrance and attachable handle facilitate the
entry of grafts into the sizer, allowing compression of
up to 2 mm. The tapered tip allows delivery of the graft
directly into the tibial tunnel or medial portal.

GraftLink® Graft Tube Set (AR-1886-S)

Product description Item number

GraftLink® graft tubes, 5-13 mm AR-1886-050

(0.5 mm increments) to -130
GraftLink® graft tube flange AR-1886-001
GraftLink® graft tube instrument case AR-1886C-01

Graft Prep, Sizing, and Pretensioning I 45

46 I Graft Fixation
 Graft Fixation

ACL TightRope® II Implant System.......................................................................... 48

ACL TightRope® II RT With and Without InternalBrace™................................... 48

BTB TightRope® II Implants With and Without InternalBrace™........................ 49

FiberTag® TightRope® Implant.................................................................................. 49

TightRope® II ABS Implant......................................................................................... 50

TightRope® Button Extender..................................................................................... 50

ACL TightRope® Implants........................................................................................... 51

FastThread™ BioComposite Interference Screw................................................. 52

FastThread™ PEEK Interference Screw................................................................... 53

GraftBolt® Implant........................................................................................................ 54

Titanium Inteference Screws..................................................................................... 55

ACL Backup Fixation.................................................................................................... 56

Suture Buttons............................................................................................................... 57

RetroButton® Implant................................................................................................... 57

ACL/PCL Cortical Fixation Set.................................................................................. 58

Bio-Tenodesis™ Screw System.................................................................................. 59

Graft Fixation I 47
 ACL TightRope® II Implant System

or pull-through than traditional round sutures.1 An

improved, proprietary 5-point locking design resists
cyclic displacement and makes tying a knot unneces-
sary.2 It enables precise tensioning and the ability to
incrementally re-tension the construct. The TightRope
II product line is available in multiple configurations to
accommodate various graft types and techniques. RT
and BTB implants are available double-loaded or with
InternalBrace. ABS available as standard or open.

Accessories for All TightRopes® Except ABS

Product description Item number
The ACL TightRope fixation system offers adjustable
ACL TightRope® drill pin, closed eyelet, 4 mm AR-1595TC
cortical fixation for cruciate ligament reconstruc- ACL TightRope® drill pin, open eyelet, 4 mm AR-1595T
tion. ACL TightRope eliminates the need for different ACL TightRope® suture tensioner AR-1588H
implant sizes. It also facilitates complete graft passing TightRope® button extender AR-1589RT
in the short femoral tunnels that are common with
Reference
anatomic ACL drilling. The ACL TightRope II implant is
1. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017.
the first SutureTape braided adjustable loop system 2. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020.
on the market. Flat SutureTape offers better handling
characteristics and is more resistant to graft abrasion

ACL TightRope® II RT With and Without InternalBrace™

ACL TightRope II RT comes with double-loaded passing

sutures which allows safe suture passage and controlled
cortical button placement. The TightRope II RT with
InternalBrace ligament augmentation implant is loaded
(b) with an additional FiberTape suture in order to reinforce
the tendon graft by allowing individual tensioning of
the graft and the IB construct. On the tibial side, the
InternalBrace can be fixed with SwiveLock anchors,
(a) using the ACL backup fixation kit, or by knotting it on
top of the TightRope ABS button.

Product description Item number

TightRope® II RT (a) AR-1588RT-2J

TightRope® II RT-IB (b) AR-1588RT-IB
ACL SwiveLock® Backup Fixation Kit (AR-1593)
BioComposite SwiveLock® anchor, with closed AR-2324BCC
eyelet, 4.75 mm × 19.1 mm
Drill, spade tip AR-1927D
Punch/tap, for 4.75 mm SwiveLock® AR-2324PTB

48 I Graft Fixation
 BTB TightRope® II Implants With and Without InternalBrace™

passing sutures, which allow safe suture passage

and controlled cortical button placement. The BTB
TightRope II, InternalBrace is pre-loaded with an
additional FiberTape suture in order to reinforce the
BTB graft by allowing individual tensioning of the
graft and the IB construct. On the tibial side, the
InternalBrace can be fixed with SwiveLock anchors,
using the ACL backup fixation kit, or by knotting it on
top of the TightRope ABS Button.

Product description Item number

TightRope II BTB-2J AR-1588BTB-2J

TightRope II BTB-IB AR-1588BTB-IB
ACL SwiveLock® Backup Fixation Kit (AR-1593)
The simplicity and strength of ACL TightRope II can
also be used with bone-tendon ACL grafts. The BTB BioComposite SwiveLock® anchor, with closed AR-2324BCC
eyelet, 4.75 mm × 19.1 mm
TightRope II offers the same adjustable, 5-point
Drill, spade tip AR-1927D
locking system as the ACL TightRope II RT, but allows Punch/tap, for 4.75 mm SwiveLock® AR-2324PTB
placement through a small drill hole in the cortical bone
block. The BTB TightRope II comes with double-loaded

FiberTag® TightRope® Implant

The ACL TightRope with FiberTag implant facilitates

attachment of ACL TightRope RT and ABS implants to
single-ended grafts, such as quadriceps tendon grafts.
(a)
The suturing technique, along with innovative pack­
aging and new GraftClamp graft preparation instrument,
makes preparing quad tendon grafts faster and more
reproducible than ever.

Product description Item number

(b) FiberTag® TightRope® implant (a) AR-1588RTT

FiberTag® TightRope® ABS implant (b) AR-1588TNT
GraftClamp graft prep instrument (c) AR-2386T
FiberTag® Implants From First Generation
FiberLoop®, with FiberTag® AR-7264
FiberLoop®, with FiberTag®, suture loop, blue, AR-7266
with 5 cm FiberTape®, with reinforced needle
(c)

Graft Fixation I 49
 TightRope® II ABS Implant

Product description Item number

(b)
(a) TightRope® II ABS implant (a) AR-1588TN-20
TightRope® II ABS implant ,open AR-1588TN-21
Button Options
TightRope® ABS button, round, concave 11 mm, AR-1588TB-3IB
for InternalBrace™ technique (a)
TightRope®ABS, button, 8 mm × 12 mm AR-1588TB
TightRope® ABS, button, round, Ø14 mm AR-1588TB-1
TightRope® ABS, button, oblong 3.4 mm × 13 mm AR-1588TB-2
TightRope® ABS, button, round, concave, Ø11 mm AR-1588TB-3
(a) TightRope® ABS, button, round, concave, AR-1588TB-4
Ø14 mm (b)
TightRope® ABS, button, round, concave, Ø17 mm AR-1588TB-17
TightRope® ABS button, round, concave, Ø20 mm AR-1588TB-5

The TightRope II Attachable Button System allows the

ACL TightRope implants to be passed through the bone
tunnel without a button. After passage through the
bone tunnel, an individually selectable ABS button for
cortical fixation is threaded in and tightened. Can be
used for both all-inside and cortical standard fixation
with completely drilled tibial tunnels.

TightRope® Button Extender

The TightRope button extender is ideal for cortical

blow-outs, revisions, and the use of continuous bone
tunnels. Loading onto a TightRope button is easy with-
out having to remove the graft. A large 20 mm × 5 mm
footprint maximizes button-to-bone contact against the
cortex.

Product description Item number

TightRope® button extender AR-1589RT

50 I Graft Fixation
ACL TightRope® Implants

ACL TightRope RT allows surgeons to advance the graft

by pulling the tensioning strands in the same direction
of graft advancement. This innovation eliminates the
need to retrieve tensioning strands from the joint and
allows the surgeon to pull in line with graft advance-
ment. The TightRope RT also facilitates tibial fixation
with GraftLink.

Product description Item number

ACL TightRope® RT AR-1588RT

ACL TightRope® RT, double-loaded passing sutures AR-1588RT-J
ACL TightRope® RT implant system, AR-1588RTS
with ACL TightRope® guide pin
ACL TightRope implant AR-1588T
BTB TightRope® AR-1588BTB
ACL BTB TightRope®, with flip suture AR-1588BTB-J
ACL TightRope® No Button AR-1588TN
Open TightRope® ABS AR-1588TN-1
TightRope® ABS, with ABS button, Ø11 mm AR-1588TN-2
TightRope® ABS, with ABS button, Ø14 mm AR-1588TN-3
TightRope® ABS, with ABS button, Ø20 mm AR-1588TN-4

Graft Fixation I 51
 FastThread™ BioComposite Interference Screw

(a) 20 mm (b) 30 mm

(c)

(d)

FastThread BioComposite interference screws are a completely new design with a prominent leading and large
thread pitch to facilitate screw engagement and advancement. Vented sidewalls and screw geometry decrease
material by 22% without losing insertion or fixation strength.1 The cannulation and fenestrations in the screw design
allow for bony ingrowth and channeling of biologic growth factors during healing.1

The screws, which come in 20 and 30 mm lengths, offer excellent strength on insertion and have been
biomechanically tested.2

FastThread™ BioComposite Interference Screws Driver, for 20 mm screws only, quick connect (b) AR-4020D-1
Driver, for 20 mm screws only, flexible shaft, AR-4020DF
Product description Item number
quick connect
6 mm × 20 mm (used with 6 mm driver) AR-4020C-06 Screwdriver handle, nonratcheting AR-1999NR
7-10 mm × 20 mm screws (a) AR-4020C-07 to -10 Screwdriver handle, ratcheting AR-1999
7-12 mm × 30 mm screws (b) AR-4030C-07 to -12
Taps
Previous Generation: Biocomposite Interference
Tap shafts, quick connect, 6-10 mm AR-4020T-06 to -10
Screws
Tap shafts, quick connect, flexible, 6-10 mm AR-4020TF-06
to -10 Product description Item number

Guide Pins Screws, with protective sleeve, 6-10 mm × 23 mm AR-1360C to -1400C

Screws, full thread, 7-12 mm × 28 mm AR-1370TC to
Nitinol guide pin, 1.1 mm, AR-1249
-1404TC
with 25 & 30 mm depth markings
Delta screws, round head, 8-11 mm × 28 mm AR-5028C-08 to -11
Nitinol guide pin, 2 mm, AR-1254 Delta screws, 9-12 mm × 35 mm AR-5035TC-09 to -12
with 25 mm and 30 mm depth markings Interference screwdriver, quick connect, AR-1996CDL-1
SlapDriver Handle With Quick Connect Drivers BioComposite, long
SlapDriver, quick connect, ratcheting handle AR-1999SD Dilator, for BioComposite interference screw, AR-1377C-06
6-8 mm (1 mm increments) to -08
Driver, for 6 mm × 20 mm screws, quick connect (c) AR-4019D-1
Driver, for 20 and 30 mm screws, quick connect (d) AR-1996CD-1 Reference
Drivers for 6 mm × 20 mm screws 1. Arthrex, Inc. LA1-00096-EN. Naples, FL; 2018.
2. Arthrex, Inc. LA1-00097-EN. Naples, FL; 2018.
Driver, fixed handle AR-4019D
Drivers for 7-12 mm screws
Driver, for 20 and 30 mm screws, fixed handle AR-1996CD
Driver, for 20 mm screws only, fixed handle AR-4020D

52 I Graft Fixation
 FastThread™ PEEK Interference Screw

(a) 20 mm (b) 30 mm

(c)

(d)

The PEEK family of FastThread interference screws offer similar advantages to the BioComposite FastThread
screws, such as faster insertion, strength, and graft protection due to minimized friction against the graft.
PEEK-OPTIMA material allows for insertion similar to metal screws by eliminating the need to tap.

FastThread™ PEEK Interference Screws Previous Generation: PEEK Interference Screws

Product description Item number Product description Item number

6 mm × 20 mm (used with 6 mm driver) AR-4020P-06 Interference screw, sheathed, PEEK, AR-1360P

7-10 mm × 20 mm screws (a) AR-4020P-07 to -10 6-10 mm × 23 mm to -1400P
Delta screws, 7-12 mm × 28 mm AR-5028P-07 to -12
7-12 mm × 30 mm screws (b) AR-4030P-07 to -12
Round delta tapered PEEK interference screw, AR-5035P-09 to
SlapDriver Handle With Quick Connect Drivers
9-12 mm × 35 mm -12
SlapDriver, quick connect, ratcheting handle AR-1999SD
Driver, for 6 mm × 20 mm screws, quick connect (c) AR-4019D-1
Driver, for 20 and 30 mm screws, quick connect (d) AR-1996CD-1
Drivers for 6 mm × 20 mm Screws
Driver, fixed handle AR-4019D
Drivers for 7-12 mm Screws
Fixed handle driver for 20 mm and 30 mm screws AR-1996CD
Driver, for 20 mm screws only, fixed handle AR-4020D
Driver, for 20 mm screws only, quick connect (b) AR-4020D-1
Driver, for 20 mm screws only, flexible shaft, AR-4020DF
quick connect
Screwdriver handle, nonratcheting AR-1999NR
Screwdriver handle, ratcheting AR-1999
Taps
Taps, fixed handle, 6-10 mm AR-4020HT-06
to -10
Tap shafts, quick connect, 6-10 mm AR-4020T-06 to -10
Tap shafts, quick connect, flexible, 6-10 mm AR-4020TF-06
to -10

Graft Fixation I 53
 GraftBolt® Implant

Implants
Product description Item number

GraftBolt®, with screw, 7-10 mm AR-5100-07

Diameter: 7, 8, 9, 10 mm to -10

Transtibial Fixation Device Instrument Set (AR-5100S)

Product description Item number

T-handle, quick connect AR-1416T

GraftBolt® removal tool AR-5102
GraftBolt® inserter, 7 mm AR-5103
GraftBolt® inserter, 8-9 mm AR-5104
GraftBolt® inserter, 10 mm AR-5101
GraftBolt® dilator, 6-10 mm AR-5106
Diameter: 6, 7, 8, 9, 10 mm to -5110
Graft spreader AR-1842
Screwdriver handle, ratcheting AR-1999
(b) Driver, for 20 and 30 mm screws, quick connect AR-1996CD-1
Accessory Instruments
Suture tensioner, with tensiometer AR-1529
Tensiometer foot AR-1530
GraftBolt® instrument case AR-5100C

The GraftBolt is designed for tibial fixation of a soft

tissue graft in cruciate ligament reconstruction proce-
dures. The GraftBolt is available in PEEK and consists
of a sheath and mating screw, which are packaged
together. Both are fully cannulated. The GraftBolt
instrument set includes dilators and sheath insertion
and removal tools as well as the hexalobe driver for
insertion of the screw.

54 I Graft Fixation
Titanium Inteference Screws

All screws are precision-manufactured from titanium

alloy and are fully cannulated. They are supplied
sterile and individually packed. All screws are used in
(b)
conjunction with a 2 mm-diameter nitinol guide wire
and can be inserted with a 3.5 mm, cannulated hex
screwdriver. Soft screws come with a rounded head and
provide femoral graft protection. Titanium sheathed
interference screws come with a disposable sheath to
aid femoral insertion during transtibial ACL reconstruc-
tion. Full-thread titanium interference screws provide a
(a) secure bone block fixation. All screws can be inserted
(c)
with a 3.5 mm, cannulated hex screwdriver.

Full-Thread Titanium Interfer- Soft Screw (a) Sheathed Interference Screw™ (b)
ence Screw (c)
Product description Item number Product description Item number
Product description Item number Soft screw, cannulated, AR-1370H-25 Sheathed Interference AR-1360E
Interference screw, full AR-1370T 7 mm × 25 to 35 mm to -35 Screw™, cannulated,
thread, cannulated, (in 5 mm increments) 6 mm × 20 mm
7 mm × 20 mm Soft screw, cannulated, AR-1380H-25 Sheathed Interference AR-1370E
Interference screw, full AR-1371T 8 mm × 25 to 35 mm to -35 Screw™, cannulated, to 75E
thread, cannulated, (in 5 mm increments) 7 mm × 15 to 30 mm
7 mm × 25 mm Soft screw, cannulated, AR-1390H-25 (in 5 mm increments)
Interference screw, full AR-1372T 9 mm × 25 to 35 mm to -35 Sheathed Interference AR-1380E
thread, cannulated, (in 5 mm increments) Screw™, cannulated, to 82E
7 mm × 30 mm Soft screw, cannulated, AR-1400H-25 8 mm × 20 to 30 mm
10 mm × 25 to 35 mm to -35 (in 5 mm increments)
Interference screw, full AR-1380T
(in 5 mm increments) Sheathed Interference AR-1390E
thread, cannulated,
Screw™, cannulated, to 92E
8 mm × 20 mm
Accessories 9 mm × 20 to 30 mm
Interference screw, full AR-1381T
thread, cannulated,
Product description Item number
8 mm × 25 mm
Interference screw, full AR-1382T Guide pin, nitinol, 2 mm, AR-1254
thread, cannulated, with 25 and 30 mm depth
8 mm × 30 mm markings
Interference screw, full AR-1390T Guide pin, nitinol, 2 mm, AR-1254-1S
thread, cannulated, with 25 and 30 mm depth
9 mm × 20 mm markings, sterile
Interference screw, full AR-1391T PinLock II screwdriver, AR-1896
thread, cannulated, cannulated, 3.5 mm hex
9 mm × 25 mm driver, Ø5.5 mm × 14 cm,
Interference screw, full AR-1392T long
thread, cannulated, Screwdriver handle, AR-1999NR
9 mm × 30 mm nonratcheting
Transtibial screwdriver AR-1998T
Interference screw, full AR-1400T
shaft, cannulated, 3.5 mm
thread, cannulated,
hex, Ø4 mm × 19.6 cm
10 mm × 20 mm
Interference screw, full AR-1401T
thread, cannulated,
10 mm × 25 mm
Interference screw, full AR-1402T
thread, cannulated,
10 mm × 30 mm

Graft Fixation I 55
 ACL Backup Fixation

Arthrex offers a wide range of soft tissue fixation

devices for minimally invasive primary and backup
fixation for knee ligament reconstruction and
repair procedures.

SwiveLock® backup ACL fixation kit (AR-1593)

Product description Item number

SwiveLock® anchor, BioComposite, 4.75 mm AR-2324BCC

Drill, spade tip AR-1927D
Tap, 4.75 mm AR-2324PTB
Tap, for hard bone, 5.2 mm AR-1593-5
Suture Anchors
BioComposite Corkscrew® FT, 4.5 mm × 14 mm, AR-1927BCF-45
with two #2 FiberWire®
BioComposite Corkscrew® FT, 5.5 mm × 14.7 mm, AR-1927BCF
with two #2 FiberWire®
BioComposite Corkscrew® FT, 5.5 mm × 14.7 mm, AR-1927BCFT
with two #2 TigerTail®
BioComposite Corkscrew® FT, with 4 needles, AR-1927BCNF
5.5 mm × 14.7 mm, with two #2 FiberWire®
BioComposite Corkscrew® FT, 5.5 mm × 14.7 mm, AR-1927BCF-3
with three #2 FiberWire®
BioComposite Corkscrew® FT, 6.5 mm × 14.7 mm, AR-1927BCF-65
with two #2 FiberWire®

56 I Graft Fixation
 Suture Buttons RetroButton® Implant

Titanium suture buttons with 2 or 4 holes are made for The RetroButton implant is a suture-button fixation on
primary or backup FiberWire fixation of ACL/PCL grafts cortical bone. The 12 mm and 15 mm long titanium
and augmenting bone bridges. Suture buttons come buttons pass through a small cortical pinhole without
sterile and ready for use. overdrilling. The GraftPro button holder attachment
allows graft tensioning with the RetroButton implant in
Product description Item number place and confirms proper loop length.
Suture button, 3,5 × 10 mm AR-8920
Suture button, round, 12 mm AR-8922 Product description Item number

RetroButton® implant, 12 mm, AR-1588-15 to

with 15 up to 35 mm loop AR-1588-35
RetroButton drill pin II AR-1595
RetroButton drill pin, 3 mm AR-1590
RetroButton depth guide AR-1270
GraftPro® button holder AR-2950BH

Graft Fixation I 57
 ACL/PCL Cortical Fixation Set

(a) (b)

(c)

The ACL/PCL cortical fixation set combines the instruments of the bicortical low-profile post system (AR-1365S),
the low-profile ligament staple driver set (AR-1005S), and the low-profile cancellous screw and washer instruments
(AR-1359). The set also includes an implant caddy to hold the screws, washers, and staples (sold separately).

The system includes the 4.5 and 6.5 mm-diameter bicortical post and 6.5 mm cancellous screws.
Low-profile spiked and unspiked washers, as well as ligament staples, are also included.

ACL/PCL Cortical Fixation Set (AR-1359S)

Product description Item number Product description Item number

Instrumentation Implants
Driver, staple AR-1005 Bicortical posts, 4.5 mm × 27.5-50 mm, sterile AR-1365-275
Slap hammer/extractor AR-1005H (2.5 mm increments) to -50
Drill, cancellous screw 25 mm length AR-1355D Bicortical posts, 4.5 mm × 42.5-57.5 mm, nonsterile AR-1365NS-425
ACL/PCL cortical fix. case AR-1359C (2.5 mm increments) to -575
Drill, for bicortical post AR-1365D
Washers, for cancellous screws, spiked, 14 mm, AR-1349
Tap for bicortical post AR-1365T
sterile (a)
Bicortical post tap, 6.5 mm AR-1366T
Washers, for cancellous screws, spiked, 18 mm, AR-1349L
Bicortical Bio-Post drill bit AR-1367D
sterile (b)
Screwdriver shaft, short non-cann, 2.5 mm hex. AR-1995SHN
Screwdriver shaft, short 3.5 mm hex., cannulated AR-1998SH Screw, low profile, cancellous, 6.5 mm × 25-40 mm, AR-1355
Screwdriver handle, ratcheting AR-1999 sterile (5 mm increments) (c) to -1358
Depth device, large AR-8943-15 Ligament staple, spiked, 6 mm, sterile AR-1006
Ligament staple, spiked, 8 mm, sterile AR-1008
Ligament staple, spiked, 11 mm, sterile AR-1011
Ligament staple, spiked, 16 mm, sterile AR-1016

58 I Graft Fixation
 Bio-Tenodesis™ Screw System

Backup fixation of ACL grafts using the Tenodesis screw system should be considered in
situations of poor metaphyseal bone quality or when less than 1.7 Nm of insertion torque is
quantified during delta screw insertion. The Bio-Tenodesis screw may be used to secure the
graft end directly in a 1 cm distally drilled socket or with FiberWire alone as a screw/post
substitute. The Bio-Tenodesis system is also designed for collateral ligament, PCL, or ACL
reconstruction.

Bio-Tenodesis™ Master Set (AR-1675S)

Product description Item number Product description Item number

Handle, tear drop, with suture cleat AR-2001BT BioComposite Tenodesis Screws
Headed reamers, cannulated, 5-10 mm AR-1405 Tenodesis screw, BioComposite, 4 mm × 10 mm AR-1540BC
Diameter: 5, 6, 7, 8, 9, 10 mm to AR-1410 Tenodesis screw, BioComposite, 4.75 mm × 15 mm AR-1547BC
Drill bit, cannulated, 4 mm AR-1204L Tenodesis screw, BioComposite, 5.5 mm × 15 mm AR-1555BC
Drill bit, cannulated, 4.5 mm AR-1204.5L Tenodesis screw, BioComposite, 6.25 mm × 15 mm AR-1562BC
Tenodesis screw, BioComposite, 7 mm × 23 mm AR-1570BC
Driver, for 10 mm Tenodesis™ screw AR-1540DB
Tenodesis screw, BioComposite, 7 mm × 10 mm AR-1670BC
Driver, for 12 mm Tenodesis™ screw AR-1670DB
Tenodesis screw, BioComposite, 8 mm × 12 mm AR-1680BC
Driver, for 15 mm Tenodesis™ screw AR-1350D
Tenodesis screw, BioComposite, 8 mm × 23 mm AR-1580BC
Driver, for 23 mm Tenodesis™ screw AR-1570DB
Tenodesis screw, BioComposite, 9 mm × 23 mm AR-1590BC
Bio-Tenodesis™ screw instrumentation case AR-1675C
Tenodesis screw, PEEK, 4 mm × 10 mm AR-1540PS
Tenodesis™ screw and driver disposable pack, AR-1555DS Tenodesis screw, PEEK, 4.75 mm × 15 mm AR-1547PS
5.5 mm × 15 mm Tenodesis screw, PEEK, 5.5 mm × 8 mm AR-1655PS
Disposables Tenodesis screw, PEEK, 5.5 mm × 10 mm AR-1655PS-10
#2 FiberSnare®, #2 FiberWire®, green, 66 cm, AR-7209SN Tenodesis screw, PEEK, 5.5 mm × 12 mm AR-1655PS-12
stiffened end with closed loop, 30 cm Tenodesis screw, PEEK, 5.5 mm × 15 mm AR-1555PS
#2 FiberLoop®, with straight needle AR-7234 Tenodesis screw, PEEK, 6.25 mm × 15 mm AR-1562PS
Drill Tip Guide Pin, 2.4 × 311 mm AR-1250SB-1S Tenodesis screw, PEEK, 7 mm × 10 mm AR-1670PS
Tenodesis screw, PEEK, 7 mm × 23 mm AR-1570PS
Tenodesis disposables kit, qty 5 AR-1676DS
Tenodesis screw, PEEK, 8 mm × 12 mm AR-1680PS
Tenodesis disposables kit, qty 1 AR-1676DS-1 Tenodesis screw, PEEK, 8 mm × 23 mm AR-1580PS
Guide wire, with trocar tip and eyelet, 2.4 mm Tenodesis screw, PEEK, 9 mm × 23 mm AR-1590PS
Suture-passing wire, nitinol, 450 mm
#2 FiberWire®, with needle
#2-0 FiberWire®, with needle
#2 FiberWire®
#2-0 FiberWire®
#2 FiberLoop®, with needle
Ruler, 150 mm

Graft Fixation I 59
60 I Screw Insertion and Removal
 Screw Insertion
and Removal

FastThread™ Interference Screw Instrumentation Set....................................... 62

Interference Screw Insertion Kit............................................................................... 62

Tunnel Notchers............................................................................................................ 63

Screw Insertion and Removal I 61

 FastThread™ Interference Screw Instrumentation Set

The FastThread interference screwdriver family was

designed to combine the technology and reliability
of our hexalobe, trilobe, and quick connect ratchet-
ing screwdrivers with the convenience of a built-in
slap-hammer mechanism to make driver removal easier
and faster.

FastThread Interference Screw Instrumentation

Set (AR-1996S)
Product description Item number

SlapDriver, ratcheting quick connect handle AR-1999SD

Driver, for 20 and 30 mm screws, quick connect AR-1996CD-1
Driver, for 6 mm × 20 mm screws, quick connect AR-4019D-1
FastThread™ interference screw tap, 6 mm AR-4020T-06
FastThread™ interference screw tap, 7 mm AR-4020T-07
FastThread™ interference screw tap, 8 mm AR-4020T-08
FastThread™ interference screw tap, 9 mm AR-4020T-09
FastThread™ interference screw tap, 10 mm AR-4020T-10
FastThread™ interference screw case AR-1996C

Interference Screw Insertion Kit

This new tunnel notching system is designed to

Product description Item number
support in screw alignment and to reduce the risk of
Interference screw insertion kit, with dilator and AR-1249TK
screw breakage during anterior cruciate ligament (ACL) 1.1 mm trocar-tip guide wire
reconstruction.
Guide wire, trocar tip, 1.1 mm, qty 5 AR-1249T
Guide wire, trocar tip, qty 1 AR-1249T-1

62 I Screw Insertion and Removal

Tunnel Notchers

The tunnel notcher creates a perfectly sized “keyhole”

in the anterior wall of the femoral tunnel to facilitate
guide pin and interference screw insertion. The wider
tunnel notcher for the bio-interference screw creates a
broader “keyhole” in the anterior wall of the femoral
tunnel to facilitate insertion of a bio-interference screw.

(a) Product description Item number

Tunnel notcher (a) AR-1844

Tunnel notcher, for bio-interference screw (b) AR-1845

(b)

Screw Insertion and Removal I 63

64 I PCL Reconstruction
 PCL Reconstruction

PCL ToolBox Instrumentation Set............................................................................ 66

PCL Suture Passing...................................................................................................... 67

PCL Reconstruction I 65
 PCL ToolBox Instrumentation Set

PCL Cruciate ToolBox (AR-1269S)

(c) Product description Item number

Instrument case for PCL reconstruction system AR-1269C

First Level of Tray (a)
Hook Probe, 3.4 mm tip with 5 mm markings AR-10010
Side-release RetroConstruction™ handle AR-1510HR
Ratchet drill sleeve, 2.4 mm AR-1510FD-24
Stepped, ratchet drill sleeve, 7 mm step AR-1510FS-7
Stepped, ratchet drill sleeve, 10 mm step AR-1204FDS-10
Obturator, 3.5 mm AR-1204F-OB
Inserter for stepped drill sleeve, 2.4 mm AR-1204F-24I
Worm curving suture passer AR-1268D
(a) Parallel guide sleeve, 2.4 mm pins AR-1245L
Offset drill guide, 3.5 mm AR-1246-1
Offset drill guide pin, 3.5 mm AR-1246-3
Second Level of Tray (b)
(b)
PCL suture pusher AR-1263
PCL rasp AR-1264
PCL popliteal protector cap AR-1267
Graft sizing blocks, 4.5-12 mm AR-1886
(in 0.5 mm increments)
PCL curved curette, closed end AR-5013
(d) PCL straight curette, closed end AR-5014
PCL tibial marking hook, for RetroConstruction™ drill AR-1510PT
guide (e)
Femoral PCL marking hook, for RetroConstruction™ AR-1510PF
drill guide (f)
(e) Anatomic contour PCL guide, left (d) AR-1510PTL
Anatomic contour PCL guide, right AR-1510PTR
Tunnel plug for 8, 9, 10, 11, and 12 mm drill holes AR-1258
Tibial Tunnel Cannula AR-1802D
Third Level of Tray (c)
Tunnel notcher, for bio-interference screw AR-1845
Drill, cannulated, 9 mm AR-1209L
(f) Drill, cannulated, 10 mm AR-1214L
Drill, cannulated, 11 mm AR-1217L
Cannulated headed reamers, 8 mm AR-1408
Cannulated headed reamers, 8.5 mm AR-1408.5
Cannulated headed reamers, 9 mm AR-1409
The PCL ToolBox addresses most modern PCL
Cannulated headed reamers, 9.5 mm AR-1409.5
reconstruction techniques. The streamlined case Cannulated headed reamers, 10 mm AR-1410
includes three different levels. The first level of the tray Cannulated headed reamers, 10.5 mm AR-1410.5
holds the RetroConstruction handle with anatomic or Cannulated headed reamers, 11 mm AR-1411
standard femoral and tibial PCL marking hooks, drill SlapDriver, ratcheting quick connect handle AR-1999SD
sleeves, drill sleeve inserts, parallel guides and probe. Driver, for 20 and 30 mm screws, quick connect AR-1996CD-1
The top level has an open pin mat area for adding other Screwdriver shaft, cannulated, 3.5 mm hex, AR-1998
Ø5.5 mm × 17 cm
items specific to surgeons’ preferences. The middle
Jacobs chuck handle AR-1415
level holds curettes, rasps, a suture pusher, a popli-
Chuck key AR-8241
teal protector cap, a tunnel plugs, an obturator for the
cannulated tunnel plug, and a graft sizing block. The
bottom tray holds the drills, reamers, a ratcheting screw-
driver handle, 3 screwdriver shafts, a Jacob’s chuck
handle, and a chuck key.

66 I PCL Reconstruction
PCL Suture Passing

The PCL curving suture passer is designed to carry

graft-passing sutures through the tibial tunnel into the
intercondylar notch. As the wire loop and suture exit
the tube, the wire curves into the notch for good
visualization and suture retrieval through the femoral
tunnel. The diameter allows the curving suture passer
to be pushed through a 3.5 mm hole created by the
FlipCutter.

Product description Item number

Curving suture passer, disposable AR-1268D

PCL Reconstruction I 67
68 I Collateral Ligament Reconstruction and Repair
 Collateral Ligament
Reconstruction and Repair

Collateral Ligament Reconstruction Set................................................................ 70

Medial Collateral Ligament (MCL) Augmentation............................................... 71

Anterolateral Ligament Reconstruction Set......................................................... 71

Iliotibial Band Tenodesis With FiberTag® TightRope® Implant........................ 72

Collateral Ligament Reconstruction and Repair I 69

 Collateral Ligament Reconstruction Set

Collateral Ligament Reconstruction Set (AR-5500S)

Product description Item number

Fibular marking hooks AR-5500

Tibial marking hook, for the posterolateral corner AR-5501
Tibial popliteal marking hook AR-1510PT-1
Femoral collateral marking hook AR-5502
Parallel drill guide AR-5503
Collateral ligament retractor AR-5504
Collateral ligament rasp AR-5506
RetroConstruction™ drill guide handle AR-1510H
Graft sizing blocks, 4.5-12 mm AR-1886
(in 0.5 mm increments)
Drill, cannulated, 6 mm AR-1206L
Drill, cannulated, 7 mm AR-1207L
Drill, cannulated, 8 mm AR-1208L
Drill, cannulated, 9 mm AR-1209L
Drill, cannulated, 10 mm AR-1214L
Drill, cannulated, 11 mm AR-1217L
Drill, cannulated, 15 mm AR-1215L
Accessories
Zebra guide pin for isometry testing, 2.4 mm AR-1250Z
ACL TightRope® drill pin, closed eyelet, 4 mm AR-1595TC
The collateral ligament reconstruction set allows for ACL TightRope® drill pin, open eyelet, 4 mm AR-1595T
Tunnel notcher, for bio-interference screw AR-1845
anatomic reconstructions of individual components and
#2 FiberLoop®, with straight needle AR-7234
main structures of the posterolateral and medial knee. FiberStick™, #2 FiberWire®, blue, 127 cm, AR-7209
For minimally invasive and open techniques performed one end stiffened, 30 cm
during fibular-based reconstructions, use the unique Implants
fibular marking hook, which tightly contours the fibular FiberTag® TightRope® implant AR-1588RTT
head and enables surgeons to get around anatomic FiberTag® TightRope® ABS implant AR-1588TNT
structures while placing the 8 mm-diameter paddle. This TightRope II RT implant with deploying suture AR-1588RT-2J
marking hook was designed specifically to fit onto the TightRope II RT implant with FiberTape® suture AR-1588RT-IB
fibular attachment of the popliteofibular ligament (PFL). for InternalBrace™ technique
TightRope II ABS implant AR-1588TN-20
TightRope II ABS implant, open AR-1588TN-21
The tibial marking hook was designed for posterolateral ABS button, round, concave, Ø11 mm AR-1588TB-3
and medial/posteromedia tibia-based reconstructions. ABS button, round, concave, Ø14 mm AR-1588TB-4
The ergonomic, 8 mm-diameter paddle provides tactile ACL PEEK SwiveLock® fixation kit AR-1593-P
feedback upon entry into the posterior popliteal sulcus BioComposite Corkscrew® FT, with 4 needles,
and confirms the zebra guide pin’s exit point during 5.5 mm × 14.7 mm, with two #2 FiberWire® sutures AR-1927BCNF
posterolateral corner reconstructions. FastThread™ BioComposite interference screws, AR-4020C-06
6 mm × 20 mm (used with 6 mm driver)

Using the parallel drill guide, reduces divergent tun- FastThread™ BioComposite interference screws, AR-4020C-07
7-10 mm × 20 mm screws to -10
nels and allows precision placement at multiple incre-
mental distances for medial and lateral femoral-based FastThread™ BioComposite interference screws, AR-4030C-07
7-12 mm × 30 mm screws to -12
reconstructions.

70 I Collateral Ligament Reconstruction and Repair

 Medial Collateral Ligament (MCL) Augmentation

MCL InternalBrace ligament augmentation repairs

consist of a 2 mm-wide FiberTape suture that spans
the distance between 2 knotless SwiveLock anchors
in order to provide protective reinforcement of primary
MCL repairs.

MCL InternalBrace™ Kit (AR-5511-CP)

Product description Item number

BioComposite SwiveLock® C, vented, with closed AR-2324BCC-1

eyelet, 4.75 mm × 19.1 mm, qty 2
Shoehorn cannula AR-6565
Drill bit, cannulated, 4.5 mm AR-1204.5L
Guide pins, 2.4 × 311 mm, qty 2 AR-1250LS
SwiveLock® punch/tap, disposable, 4.75 mm AR-2324PTB
FiberTape® suture, 43.2 cm AR-7237
#2 FiberWire® suture AR-7233

Anterolateral Ligament Reconstruction Set

Implant System, Anterolateral Ligament

Reconstruction (AR-5522)
Product description Item number

BioComposite SwiveLock® C anchor, vented, with AR-2324BCC-1

closed eyelet, 4.75 mm × 19.1 mm
PEEK SwiveLock® tenodesis, 7 mm × 19.5 mm AR-1662PSL-7
Guide pins, 2.4 × 311 mm, qty 2 AR-1250LS
Drill, cannulated, 4.5 mm AR-1204.5L
Drill, cannulated, 7 mm AR-1207L
SwiveLock® punch/tap, disposable, 4.75 mm AR-2324PTB
#2 FiberWire® suture AR-7233
#2 FiberLoop® suture, blue, with straight needle AR-7234
#2 TigerLoop™, with straight needle, with TigerWire® AR-7234T
suture

When used with the associated surgical technique

(LT2-80003-EN), this instrumentation helps surgeons
achieve anatomic ALL reconstruction, replicating the
native ALL in position and function.

Anterolateral ligament (ALL) reconstruction can be Optional 2-Stranded Technique

beneficial in high-grade pivot-shift patients or when
Product description Item number
there continues to be positive pivot shift after ACL
reconstruction. ALL reconstruction may also be ideal Transosseous drill guide, 18 mm AR-5523
Transosseous obturator, for Ø5 mm AR-5524
for ACL revision cases or patients who have Segond
Guide pin, 2.4 × 311 mm AR-1250LS
fractures. When used with the associated surgical Drill, cannulated, 5 mm AR-1205L
technique (LT1-0112-EN), this instrumentation helps Guide pin, nitinol, for bio-interference screws, AR-1249
surgeons achieve anatomic ALL reconstruction, 1.1 mm
replicating the native ALL in position and function. BioComposite SwiveLock® C, vented, with closed AR-2324BCC-1
eyelet, 4.75 mm × 19.1 mm
BioComposite tenodesis screw, 4.75 mm × 15 mm AR-1547BC
#0 FiberLoop®, with straight needle AR-7253
#2 FiberWire® suture AR-7233

Collateral Ligament Reconstruction and Repair I 71

 Iliotibial Band Tenodesis With FiberTag® TightRope® Implant

The FiberTag TightRope implant facilitates the attach-

ment of single-stranded grafts to an ACL TightRope
implant. FiberTag suture is integrated into the TightRope
implant for a strong, consistent connection between
the suture and TightRope loop. A simplified suturing
technique, along with an innovative suture management
card and the new GraftClamp graft preparation instru-
ment, make preparing single-stranded grafts faster and
more reproducible than ever.

The FiberTag TightRope implant offers several distinct

advantages when compared to other fixation devices:
■ Allows for precise, incremental tensioning of the graft

■ Minimizes the length and size of the graft required

■ Allows for smaller socket size to reduce chance of
tunnel convergence with an ACL tunnel
■ Allows for circumferential healing of the graft within
the socket
■ Cortical fixation eliminates the risk of graft laceration
from an interference screw

Product description Item number

ACL FiberTag® TightRope® implant AR-1588RTT

4 mm ACL TightRope drill pin, open eyelet AR-1595T
6 mm low-profile reamer, sterile AR-1406LP
GraftClamp, graft preparation instrument AR-2386T
#2 FiberWire® suture, 38 in, 2 strands AR-7201
(1 blue, 1 white/black)
#2 FiberWire® suture with tapered needle (blue) AR-7200

Literature
Product description Reference Number

Iliotibial Band Tenodesis with FiberTag TightRope LT1-000185-en-US

Implant

72 I Collateral Ligament Reconstruction and Repair

Collateral Ligament Reconstruction and Repair I 73
74 I Patellofemoral Procedures
 Patellofemoral
Procedures

Medial Patellofemoral Ligament (MPFL)................................................................ 76

Deepening Trochleoplasty........................................................................................ 77

Quadriceps Tendon PARS Technique.................................................................... 78

Patellofemoral Procedures I 75
 Medial Patellofemoral Ligament (MPFL)

The MPFL convenience pack was developed for reconstruction of the MPFL in cases of acute patellar dislocation
or chronic patellofemoral instability. These convenience packs allow the MPFL reconstruction to be accomplished
in an anatomic fashion, replicating the native MPFL in position and function. The MPFL convenience pack provides
a complete solution for MPFL reconstruction procedures. Each kit includes implants, instruments, and an intra­
operative radiographic template for identifying the femoral origin of the MPFL for to properly position the graft in
the femur.

MPFL Implant System with Interference

Screw (AR-1360C-CP)
Product description Item number

MPFL template AR-13211

BioComposite SwiveLock®, 4.75 mm × 19.1 mm, qty 2 AR-2324BCC
BioComposite interference screw, with disposable AR-1360C
sheath, 6 mm × 23 mm
Guide pin, with suture eyelet, 2.4 mm AR-1297L
Drill tip guide pin, 2.4 mm, qty 2 AR-1250L-1
Reamer, low profile, 7 mm AR-1407LP
Drill, cannulated, 4.5 mm AR-1204.5L

MPFL Implants-Only System with Interference

Screw (AR-2324BCC-CP)
Product description Item number

MPFL template (a) AR-13211

BioComposite SwiveLock®, 4.75 mm × 19.1 mm, qty 2 AR-2324BCC
BioComposite interference screw, with disposable AR-1360C
sheath, 6 mm × 23 mm

MPFL Implant System with TightRope® Implant

(AR-1360CST-CP)
Product description Item number

MPFL template AR-13211

BioComposite SwiveLock®, 3.5 mm × 15.8 mm, qty 2 AR-2325BCC
ACL TightRope® implant AR-1588RT
ACL TightRope® drill pin, closed eyelet, 4 mm AR-1595TC
Drill tip guide pin, 1.1 mm, qty 2 AR-8655K-11
Reamer, low profile, 6 mm AR-1406LP
Drill, cannulated, 3.5 mm AR-1531C-35

76 I Patellofemoral Procedures
Deepening Trochleoplasty

One of the most frequent causes of patellofemoral dys-

function is habitual patella dislocation or subluxation.
This system is designed to solve structural causes of
patellar instability through a reproducible, deepening
trochleoplasty. This instrumentation allows the cartilage
layer to be released using a marking hook and burr, at
which point the trochlea is deepened to a more natural
groove. The cartilage is reattached using a PushLock
suture anchor and resorbable sutures.

Deepening Trochleoplasty
Product description Item number

Implants
BioComposite PushLock® suture anchor, AR-1926BC
3.5 mm × 19.5 mm, VE 5
BioComposite PushLock® suture anchor, AR-1926BC-1
3.5 mm × 19.5 mm, 1 EA
PushLock® suture anchor, 3.5 mm × 19.5 mm AR-1926PS-1
Instrumentation
RetroConstruction™ drill guide handle AR-1510H
Marking hook, for trochleoplasty, 3 mm offset AR-1510TP-03
Marking hook, for trochleoplasty, 5 mm offset (a) AR-1510TP-05

(a) Punch, for 3.5 mm PushLock® anchor AR-1926P

Trochleoplasty tamp (b) AR-1282-01
Disposable
Trochleoplasty kit with 2.9 mm burr and sleeve AR-300-B301S

Disposable Kit (AR-300-B301S)

Product description Item number

Drill sleeve, for trochleoplasty, inner Ø4.5 mm -----

Burr, straight, 2.9 mm × 162 mm -----

(b)

Patellofemoral Procedures I 77
 Quadriceps Tendon PARS Technique

Ruptures of the quadriceps and patellar tendons are PARS Jig Instrument Set (AR-8860S)
common in elite and recreational athletes. Most sur-
Product description Item number
geons treat these injuries surgically to lessen the risk
PARS jig AR-8860J
of long-term disability and morbidity. Historically, open
PARS tendon elevator AR-8860J-01
techniques have been used for rupture repairs but may
be complicated by wound-healing issues and infection. Driver handle, AO connection, cannulated AR-13221AOC

The minimally invasive Percutaneous Achilles Repair PARS repair instrument case AR-8860C
System (PARS) technique can be used to treat quadri-
ceps, patellar, and Achilles tendon ruptures. Implants / Instruments
Product description Item number
The PARS system helps facilitate consistently reliable #2 FiberTape® suture, blue, 96.5 cm AR-7237-7
capture of the distal aspect of the quadriceps tendon #2 FiberTape® suture, white/black, 96.5 cm, qty 2 AR-7237-7T
and includes color-coded FiberWire and FiberTape #2 FiberTape® suture, blue, 101.6 cm, with loops, qty 2 AR-7235
sutures. The anatomically contoured guide is reusable, #2 FiberTape® suture, green, 101.6 cm, with loops AR-7209SN
while the suture and passing needles come packaged 2 Eye needles, qty 2 3180
Drill, spade tip AR-1927D
in a convenient kit. The PARS system provides the
One punch/tap AR-2324PTB
option of using transverse or locking sutures or both. SwiveLock® anchor, BioComposite, 4.75 mm, qty 2 AR-2324BCC
The colored FiberWire sutures offer a more organized
approach to identifying and securing matched pairs.

78 I Patellofemoral Procedures
Patellofemoral Procedures I 79
80 I Meniscal Repair
 Meniscal Repair

FiberStitch™ All-Inside Meniscal Repair.................................................................. 82

ZoneNavigator™ System............................................................................................. 83

Meniscal Repair Needles........................................................................................... 83

Knee Scorpion™ Suture Passer................................................................................. 84

Meniscal Root Marking Hooks.................................................................................. 84

Meniscal Root Repair................................................................................................... 85

Meniscal Repair and Resection Set......................................................................... 85

QuickPass™ SutureLasso™ for Meniscal Ramp Lesions..................................... 86

Micro SutureLasso™...................................................................................................... 86

Meniscal Repair Accessories.................................................................................... 87

Meniscal Viper™............................................................................................................. 87

Protector™ – Inside-Out Suture Repair................................................................... 87

Meniscal Repair I 81
 FiberStitch™ All-Inside Meniscal Repair

(b)

(c)

(d)

(a)

The FiberStitch implant is an innovative all-inside

Product description Item number
meniscal repair system that replaces hard PEEK
FiberStitch™ implant, 12° up curved (a) AR-4570
implants with soft suture sheaths. The FiberStitch deliv- FiberStitch™ implant, 24˚ up curve (b) AR-4570-24
ery system offers 4 different tip curves to accommodate FiberStitch™ implant, 12° reverse curve (c) AR-4570R
various meniscus tear configurations: 12º up curve, 24º FiberStitch™ implant, straight (d) AR-4570S
up curve, 12º reverse curve, and straight. Accessories
Knot pusher/suture cutter, with portal skid (e) AR-5845
A #2-0 coreless FiberWire® suture and a pretied sliding Portal skid AR-4505
knot provide secure arthroscopic all-suture meniscus Knot pusher / suture cutter AR-5815
repair. The ergonomic handle is designed for sin- Portal skid, reusable AR-6506LP
#2-0 suture cutter, straight, Ø2.75 mm, with FlushPort AR-11790F
gle-handed implant delivery and active implant deploy-
#2-0 suture cutter, 15° up, Ø2.75 mm, with FlushPort AR-11791F
ment technology minimizes needle exposure beyond Arthroscopic measurement probe, 60°, 220 mm AR-4070-01
the meniscus, eliminating the need to past-point the Meniscus repair rasp AR-4130
needle. Probe hook, 150 mm shaft, 3.4 mm tip, with 5 mm AR-10010
markings
Optional PEEK Implant
Meniscal Cinch II AR-4501

(e)

82 I Meniscal Repair
 ZoneNavigator™ System

(a)
(d)
(b)

(c)

The ZoneNavigator system precisely places suture for

Product description Item number
inside-out meniscal repair. Three interchangeable
ZoneNavigator™ system handle AR-7900
cannulas are available to reach any portion of the
ZoneNavigator™ system anterior cannula (a) AR-7905
meniscus to pass vertical or horizontal mattress sutures
ZoneNavigator™ system cannula, left posterior (b) AR-7910L
on the superior or inferior aspect of the meniscus.
The ergonomic handle allows a controlled needle ZoneNavigator™ system cannula, right posterior (c) AR-7910R
advancement. Needle catcher (d) AR-6660

Mini SutureTape
Product description Item number

#2-0 Mini SutureTape meniscal repair needles, qty 2 AR-7523

Meniscal Repair Needles

The FiberWire suture meniscal repair needles are made

of standard-length stainless steel with a 96.5 cm length
of #2-0 FiberWire suture or Mini SutureTape. The Mini
SutureTape disperses the compressive force across a
larger area compared to round suture. This allows sur-
geons to perform standard inside-out meniscal repair
with all the benefits of FiberWire suture and SutureTape.

Product description Item number

#2-0 Mini SutureTape meniscal repair needles AR-7523

#2-0 Mini SutureTape, no needles AR-7521
#2-0 FiberWire® suture meniscal repair needles, AR-7223
qty 2
#2-0 FiberWire® suture meniscal repair needles, AR-7223SM
small, qty 2

Meniscal Repair I 83
 Knee Scorpion™ Suture Passer

The low-profile Knee Scorpion suture passer allows

access in tight recesses of the knee for passing #0
and #2-0 FiberWire suture or 0.9 mm Mini SutureTape.
Ergo­nomically designed for 1-handed use, the
Knee Scorpion suture passer adds simplicity to suture
passing, efficiently passing and retrieving suture in 1
step. Achieve a variety of suture configurations for
soft-tissue repair and fixation using the Knee Scorpion
suture passer.

Product description Item number

Scorpion™ suture passer, knee AR-12990

Needles, for Scorpion™ suture passer, knee AR-12990N

Mini SutureTape
Product description Item number

FiberLink™, SutureTape, white/blue, 0.9 mm, AR-7559

with closed loop
TigerLink™, SutureTape, white/black, 0.9 mm, AR-7559T
with closed loop

Meniscal Root Marking Hooks

(c)

(a)

(b)

Arthrex offers two meniscus root marking hooks based ACL bone sockets. Final drilling is done using either a
on surgeon preference. Each hook has a low-profile tip FlipCutter reamer or a cannulated drill.
to avoid damaging intact anatomy while referencing the
meniscal root footprint. The point-to-point guide allows Product Description Item Number
to directly target the drill location, while the over-the- Point-to-Point Meniscal Root Marking Hook (a) AR-1610H
back guide sits over the back of the tibia to provide a Locking guide (b) AR-1610LG
2-point fixation for stable drilling. With each marking Meniscal root marking hook (c) AR-1610MR
hook a drill trajectory can be defined to work around

84 I Meniscal Repair
 Meniscal Root Repair Meniscal Repair and Resection Set

The kits offer all needed instruments and implants to The meniscal repair and resection set contains the most
complete a meniscal root repair through a transtibial popular instruments for addressing various meniscus
tunnel. Prepare the bone socket and create a transtibial procedures including meniscal root repair, all-suture
tunnel using the FlipCutter II reamer. Use the auto- meniscal repair, and meniscal contouring. The instru-
claveable Knee Scorpion to pass sutures through the ments are held securely within the slotted silicone pads
meniscus. Easily shuttle sutures using the nitinol wire in for protection. A removable shelf uncovers an open
the 2.4 mm SutureLasso needle. Secure the repair with space for placement of additional instrumentation.
a 4.75 mm PEEK SwiveLock anchor (AR-4550P) or a
Suture Button (AR-4550). Meniscal Repair and Resection Set Case
(AR-4555C)
Meniscal Root Repair Kit With PEEK
Product description Item number
SwiveLock® Anchor (AR-4550P)
Meniscal root marking hook AR-1610MR
Product description Item number Locking guide, for meniscal root marking hook AR-1610LG
Knee Scorpion™ suture passer AR-12990
Knee Scorpion™ needle AR-12990N
Mini suture retriever, straight, 2.75 mm AR-11540F
FlipCutter® II reamer, 6 mm AR-1204AF-60
Mini suture retriever, 15° up curved, with FlushPort AR-11550F
PassPort Button™ cannula, 8 mm × 3 cm AR-6592-08-30
MegaBiter™ resector, straight AR-41006
#2-0 FiberStick™ sutures, qty 2 AR-7222
MegaBiter™ resector, up-curved AR-41026
SutureLasso™ needle, with nitinol passing wire AR-4560
MegaBiter™ resector, straight left AR-41006L
#0 FiberLink™ suture AR-7258
MegaBiter™ resector, straight right AR-41006R
#0 TigerLink™ suture AR-7258T
Hook probe, 3.4 mm AR-10010
PEEK SwiveLock® anchor, 4.75 mm × 19.1 mm AR-2324PCT-1
Meniscal repair rasp AR-4130
Drill bit, spade tip AR-1927D
RetroConstruction™ handle, side release AR-1510HR
SwiveLock® anchor tap, for hard bone AR-1593-5
Drill sleeve, for side-release handle, ratcheting, 2.4 mm AR-1510FD-24
Stepped drill sleeve, for side-release handle, ratcheting AR-1510FS-7
Meniscal Root Repair Kit (AR-4550) Guide pin sleeve, for stepped drill sleeve, 2.4 mm AR-1204F-24I
Product description Item number

Knee Scorpion™ needle AR-12990N

FlipCutter® II reamer, 6 mm AR-1204AF-60
PassPort Button™ cannula, 8 mm × 3 cm AR-6592-08-30
#2-0 FiberStick™ sutures, qty 2 AR-7222
SutureLasso™ needle, with nitinol passing wire AR-4560
Suture button, 2-hole, 3.5 mm AR-8920
#0 FiberLink™ sutures, qty 2 AR-7258
Optional Accessories
SutureLasso™ needle, qty 1 AR-4560-1
SutureLasso™ needle, qty 5 AR-4560

Meniscal Repair I 85
 QuickPass™ SutureLasso™ for Meniscal Ramp Lesions

A meniscal ramp lesion is a disruption of the menisco-

Product description Item number
tibial ligament and the posteromedial meniscus in the
QuickPass™ SutureLasso™ suture passer, 25˚, curved left AR-6068-25L
meniscocapsular zone. The QuickPass SutureLasso can QuickPass™ SutureLasso™ suture passer, 25˚, curved right AR-6068-25R
be used via a posteromedial portal. It is anatomically,
25° curved with a 1.5 mm tip to precisely and safely
treat the location of the ramp lesion. The SutureLasso
is pre-loaded with a #2-0 FiberStick and is available in
2 versions, right and left.

Micro SutureLasso™

The Micro SutureLasso instrument, a 15 cm-long can-

Product description Item number
nulated stainless steel shaft with an ergonomic handle,
Micro SutureLasso™
facilitates the placement of simple mattress stitches
Micro SutureLasso™, minor bend AR-8701
to repair various meniscal tears using an outside-in
Micro SutureLasso™, major bend AR-8702
approach. These strong, stainless steel needles come Micro SutureLasso™, straight AR-8703
preloaded with a braided nitinol wire to be used as a Suture retriever, for SutureLasso™, sterile AR-8701SR
suture shuttle and are available in small-curve, large- Optional Accessories
curve, and straight configurations for accessing hard- FiberStick™, #2 FiberWire®, blue, 127 cm, AR-7209
to-reach areas. As an alternative, all FiberSticks can be one end stiffened, 30 cm
passed along the Micro SutureLassos with ease. #2 TigerStick®, #2 TigerWire®, white/black, 127 cm, one AR-7209T
end stiffened, 30 cm
#2-0 Mini SutureTape, no needles AR-7521
#2-0 FiberStick™, #2-0 FiberWire®, blue, 127 cm, AR-7222
one end stiffened, 30 cm
SutureLasso™ needle, qty 1 AR-4560-1
SutureLasso™ needle, qty 5 AR-4560

86 I Meniscal Repair
Meniscal Repair Accessories

Use the malleable Meniscal Dart measuring probe to

measure the width of the meniscus. The angled tip of
the meniscus repair rasp is ideally shaped to access
inside the meniscal tear for debridement prior to the
repair. The malleable portal skid can be used to clear
(a)
access into the knee joint and can be bent for anatomi-
cal customization.

Product description Item number

(b)
Arthroscopic measurement probe, 60° (a) AR-4070-01
Arthroscopic measurement probe, 70° AR-4070-70S
Meniscal repair rasp (b) AR-4130
Probe hook, 3.4 mm tip, 150 mm shaft, AR-10010
(c)
with 5.0 mm markings
Portal skid (c) AR-4505

Meniscal Viper™

The sterile meniscal Viper repair kit provides a method

of passing suture to repair posterior horn meniscal
tears. Each sterile kit contains a meniscal Viper pre-
loaded with #2-0 FiberWire and a small knot pusher.

Product description Item number

Meniscal Viper™ repair kit, small, disposable AR-13920DS

Meniscal Viper™ repair kit, medium, disposable AR-13930DS
Accessories
Meniscal repair rasp AR-4130
Suture cutter, 15° up curved, #2-0 suture only, reusable AR-11791F
Shoehorn cannula, 6 mm ID × 9 cm, qty 5 AR-6565

Protector™ – Inside-Out Suture Repair

The Protector meniscal suturing set provides a safe, ver-

satile system to perform either inside-out or all-inside
meniscal suturing. The malleable, single-use curved
(a) cannula and integrated plastic handle has a nitinol nee-
dle and a needle pusher for convenience.

Protector™ Meniscal Suturing Kit (AR-4060S)

Product description Item number

Cannula, malleable, curved, with handle ----

Needle, nitinol, with wire loop AR-1291S
Needle holder, adjustable ----
Accessories
Needle catcher (a) AR-6660
Cannula bending tool AR-6650
#2-0 Mini SutureTape, no needles (recommended suture) AR-7521

Meniscal Repair I 87
88 I Meniscectomy Hand Instruments
 Meniscectomy
Hand Instruments

Arthroscopic Meniscectomy Instrument Set........................................................ 90

MegaBiter™ Tissue Resection Series...................................................................... 91

Nano Instruments......................................................................................................... 91

Meniscectomy Hand Instruments I 89

 Arthroscopic Meniscectomy Instrument Set

Arthroscopic Meniscectomy Instrument Set

(AR-2200CS)
Product description Item number

Probe, hook, Ø3.4 mm tip, with 5 mm markings AR-10010

Punch, slender straight tip, straight shaft, Ø2.75 mm AR-11100F
Punch, large straight tip, straight shaft, Ø2.75 mm AR-11200F
Grasper, mini straight tip, 15˚ up curved shaft, AR-
Ø2.75 mm, with NR handle 11910NRF*
Punch, standard straight tip, straight shaft, Ø3.4 mm AR-12000F
Scissors, serrated tooth straight tip, straight shaft, AR-12140F
Ø3.4 mm
WideBiter™ punch, 15˚ up tip, 15˚ up curved shaft, AR-12241
Ø3.4 mm
Grasper, blunt straight tip, straight shaft, Ø3.4 mm, with AR-
NR handle 12500NRF*
Punch, medium reverse straight tip, straight shaft, AR-12530F
Ø3.4 mm
Punch, medium 45˚ right angled tip, straight shaft, AR-12800F
Ø3.4 mm
Punch, medium 45˚ left angled tip, straight shaft, AR-12810F
Ø3.4 mm
WideBiter™ punch, 90° right rotary tip, straight shaft, AR-12912F
Ø3.4 mm
WideBiter™ punch, 90° left rotary tip, straight shaft AR-12913F
Ø3.4 mm
Punch, rotary with scoop 90° right tip, straight shaft AR-12940F
Ø3.4 mm
Punch, rotary with scoop 90° left tip, straight shaft AR-12950F
Ø3.4 mm
Grasper, alligator hook tip, straight shaft, Ø4.2 mm, AR-
with NR handle 13600NRF*
MegaBiter™ resector, straight tip, 5.5 mm × 2.5 mm AR-41006
MegaBiter™ resector, up curved tip, 5.5 mm × 2.5 mm AR-41026
MegaBiter™ resector, straight tip, left cut, 5.5 mm AR-41006L
MegaBiter™ resector, straight tip, right cut, 5.5 mm AR-41006R
Hand instrument case, 20 slots AR-2200C

The lightweight arthroscopic meniscectomy instrument * S R graspers are available upon request at no additional charge.
set contains the most popular hand instruments. The
anodized aluminum case can safely store up to 20
arthroscopy instruments, which are held securely in
slotted silicone pads with the tips in the open position
for protection and easy identification.

90 I Meniscectomy Hand Instruments

 MegaBiter™ Tissue Resection Series

(a)

(b)

(c)

(d)

The MegaBiter resector has transformed meniscal

Product description Item number
resection with its large, 5.5 mm bite width. Its low-pro-
MegaBiter™, straight jaw, 5.5 mm × 2.5 mm (a) AR-41006
file design helps reach tight recesses in joint spaces. MegaBiter™, curved jaw, 5.5 mm × 2.5 mm (b) AR-41026
The straight MegaBiter resector provides the same bite MegaBiter™, straight shaft, left cut, 5.5 mm (c) AR-41006L
width without the curved tip, allowing access to tissue in MegaBiter™, straight shaft, right cut, 5.5 mm (d) AR-41006R
tighter joint spaces. The open, slotted shaft allows easy
and efficient instrument cleaning and does not require a
FlushPort connection.

Nano Instruments

(b)

(a)

Harnessing 20 years of engineering excellence in

Product description Item number
designing arthroscopic hand instrumentation, Arthrex
NanoScope™ probe (a) AR-10100N
has produced the next generation in tissue resection
NanoGrasper, straight, disposable, 130 mm (b) AR-10913D-1
and extraction instruments that are sharp and strong
enough to resect and remove meniscal tissue. The NanoScissor, straight, disposable, 130 mm AR-10915D-1

low-profile tip design facilitates safe introduction into NanoBiter, straight, disposable, 130 mm AR-10911D-1
most tight joint spaces without the need for a limb NanoBiter, 15˚ up, disposable, 130 mm AR-10922D-1
holder.

Meniscectomy Hand Instruments I 91

92 I Cartilage Regeneration
 Cartilage
Regeneration

AutoCart™ All Autologous Cartilage Regeneration............................................ 94

Cartilage Regeneration I 93
 AutoCart™ All Autologous Cartilage Regeneration

AutoCart describes the surgical procedure, where cartilage lesions are treated by using solely the patient´s own
materials. With a SabreTooth shaver blade 3 or 4mm cartilage particulates are resected, collected in the GraftNet
device and then transferred into a 1ml application syringe. After mixing with some PRP the particulates are applied
into the lesion by using an application cannula and then fixed with an autologous thrombin solution produced by
the Thrombinator device. At the end the whole construct is sealed with an additional layer of a PRP/Thrombin mix.

94 I Cartilage Regeneration
Product description Item number

Arthrex ACP® Double Syringe System

Arthrex ACP® double syringe ABS-10014
Arthrex ACP® kit, series I ABS-10011
Drucker Centrifuge
6-tube horizontal general purpose centrifuge (human use) HORIZON 24-AH
Hettich Centrifuge
Centrifuge, Hettich Rotofix 32 A, with swing out rotor, 220 V 1206-Art
Centrifuge, Hettich Rotofix 32 A, with swing out rotor, 110 V 1206-01-Art
Tubes, for Hettich Rotofix 32 A 1491
Screw cap, for Hettich tubes 1492
Counterweight, for centrifugation of Arthrex ACP® double syringe, 15 ml ABS-10027
Thrombinator™ System
Thrombinator™ system ABS-10080
GraftNet™
GraftNet™ autologous tissue collector ABS-1050
Shaver Blades
Sabre, shaver blade, 3 mm × 7 cm AR-7300SR
Bone cutter, 3.8 mm × 13 cm AR-8380BC
Accessories
Tuohy insertion needle, curved, with obturator ABS-1001

Cartilage Regeneration I 95
96 I Osteochondral Repair
 Osteochondral
Repair

Marrow Stimulation...................................................................................................... 98

PowerPick™ Microfracture Instruments.................................................................. 98

IntraOsseous BioPlasty®............................................................................................ 99

Chondral Dart™ Implant............................................................................................... 100

Osteochondral Flap Repair System......................................................................... 100

3 mm Bio-Compression Screw................................................................................. 101

Osteochondral Repair I 97
 Marrow Stimulation

These angled chondro picks are designed to perforate

the surface of osteochondral defects. Tips hardened
with titanium nitride provide visual 3 mm depth control
during defect perforation. Delrin endcaps permit use of
a mallet to assist in perforation.

Chondro Pick Kit (AR-1760S)

Product description Item number

Chondro pick, 20˚ AR-1761

Chondro pick, 40˚ AR-1762
Chondro pick, 60˚ AR-1763
Chondro pick, 25˚, curved tip AR-1764
Chondro pick, 35˚, curved tip AR-1765
Chondro pick instrument case AR-1766

PowerPick™ Microfracture Instruments

The PowerPick and PowerPick XL, which were devel-

Product description Item number
oped for the APS II shaver system, provide a fast and
PowerPick™ microfracture instruments, 30° AR-8150PP-30
easy method for performing microfracture procedures. PowerPick™ microfracture instruments, 45° AR-8150PP-45
The PowerPick has a drill depth of 4 mm and the PowerPick™ XL, 45˚, Ø1.5 mm × 13 cm AR-8150PX-45
PowerPick XL’s drill depth is 6 mm. All PowerPick APS II Shaver System
versions have a working length of 13 cm and a drill APS II console AR-8300
diameter of 1.5 mm. The PowerPick is available with tip APS II footswitch, standard AR-8310
angles of 30 and 45 degrees, while the PowerPick XL APS II shaver handpiece, with foot control AR-8330F
features a 45-degree tip angle. APS II shaver handpiece, hand-controlled AR-8330H
Optional
APS II multifunction footswitch, wireless AR-8315
APS II multifunction footswitch, corded AR-8315C

98 I Osteochondral Repair
 IntraOsseous BioPlasty®

The IntraOsseous BioPlasty (IOBP) procedure is a

Product description Item number
biologic treatment for bone pathologies resulting
Knee OCD disposables kit AR-3519K
from acute or chronic injury, including bone marrow
Delivery needle, open tip, 8 G × 11 cm RAN-811-OT
lesions associated with insufficiency fracture, osteo-
Delivery needle, closed tip, 8 G × 11 cm RAN-811-CT
arthritis, persistent bone bruises, avascular necrosis, Delivery needle, open tip, 8 G × 15 cm RAN-815-OT
and osteonecrosis. Arthrex offers multiple options for Anticoagulant ACD-A 20 ml SAAV222.G00
the biologic treatment of these pathologies, including Arthrex ACP® double-syringe system ABS-10014
decompressing the lesion and the delivery of a con- Angel® system ABS-10066
centrated dose of platelet-rich plasma concentrate AVN-OCD Instrument Set AR-3510S
from bone marrow aspirate (cPRPBMA) using the Angel Universal marking hook, OCD AR-3514K
cPRP and bone marrow processing system. The IOBP Drill sleeve, OCD AR-3515K
Drill sleeve insert, OCD AR-3516K
technique is intended to encourage physiologic bone
Obturator, blunt tip, OCD AR-3515KD
remodeling and repair to achieve normal bone anatomy T-handle AR-623-37
and function. Torque adapter G207163
RetroConstruction™ handle, side-release AR-1510HR
Slotted mallet AR-9231-21
AVN/OCD instrument case AR-3510C

Osteochondral Repair I 99
 Chondral Dart™ Implant

The bioabsorbable PLLA Chondral Dart has a unique,

double-reversed barbed design to facilitate fixation
and compression of osteochondral flap tears up to
2 cm in diameter. The 18 mm long, 1.3 mm diameter
Chondral Dart provides secure fixation under the
hyaline cartilage surface, eliminating contact with
sensitive articulating surfaces. Chondral Darts are an
ideal complement to Bio-Compression screws for larger
osteochondral defects. The placement instruments are
included in the osteochondral flap repair system.

Product description Item number

Chondral Dart™, 1.3 mm × 18 mm, sterile, qty 5 AR-4005B-18

Osteochondral Flap Repair System

These instruments compress osteochondral fragments

when inserting darts below the surface of the articular
cartilage for strong, bioabsorbable fixation of smaller
osteochondral flaps of 5-20 mm in diameter. Depending
on the size of the defect, either a single or multi-shot
instrument can be used.

Osteochondral Flap Repair

Single-Shot Kit
Product description Item number

Single-shot sheath, for osteochondral flap repair AR-4009S

Single-shot dart inserter, for osteochondral flap repair
Single-shot drill, for osteochondral flap repair
Cannula, for osteochondral flap repair

Osteochondral Flap Repair

Multi-Shot Kit
Product description Item number

Single-shot sheath, for osteochondral flap repair AR-4095S

Single-shot dart inserter, for osteochondral flap repair
Single-shot drill, for osteochondral flap repair
Cannula, for osteochondral flap repair
Guide pin, for osteochondral flap repair
Guide sleeve, 2-hole, for osteochondral flap repair
Guide sleeve, 4-hole, for osteochondral flap repair
Guide pins, for osteochondral lap repair, S, M, L, and XL

100 I Osteochondral Repair

 3 mm Bio-Compression Screw

For fracture and osteotomy fixation in periarticular applications, this screw offers interfragmentary compression and
a headless profile.

3 mm Bio-Compression Screw Implants

Instrumentation Set (AR-5025S) (Noncannulated)
Product description Item number Product description Item number

Bio-Compression screwdriver, noncannulated, 2.7 mm AR-5025DB Bio-Compression screw, 3-3.7 mm × 16 mm AR-5025B-16

Small handle, with AO connection AR-2001AOT Bio-Compression screw, 3-3.7 mm × 18 mm AR-5025B-18
Bio-Compression screw, 2.7-3.7 mm × 20 mm AR-5025B-20
Bio-Compression screw dilator tap, 20 mm AR-5025TB
Bio-Compression screw, 3-3.7 mm × 22 mm AR-5025B-22
Bio-Compression screwdriver guide, 20 mm AR-5025G Bio-Compression screw, 3-3.7 mm × 24 mm AR-5025B-24
Bio-Compression screw drill bit, 20 mm AR-5025TD Bio-Compression screw, 3-3.7 mm × 26 mm AR-5025B-26
Bio-Compression dilator tap, cannulated, 16 mm AR-5025TBC-16 Disposable
Bio-Compression dilator tap, cannulated, 18 mm AR-5025TBC-18 Guide wire, with trocar tip, 1.1 mm AR-5025K*
Bio-Compression dilator tap, cannulated, 20 mm AR-5025TBC
Optional
Bio-Compression dilator tap, cannulated, 22 mm AR-5025TBC-22
Bio-Compression dilator tap, cannulated, 24 mm AR-5025TBC-24 Bio-Compression screw instrumentation case AR-5025C
Bio-Compression dilator tap, cannulated, 26 mm AR-5025TBC-26
* N ecessary for procedure; order separately.
Bio-Compression screw drill bit, cannulated, 16 mm AR-5025TDC-16
Bio-Compression screw drill bit, cannulated, 18 mm AR-5025TDC-18
Bio-Compression screw drill bit, cannulated, 20 mm AR-5025TDC
Bio-Compression screw drill bit, cannulated, 24 mm AR-5025TDC-24
Bio-Compression screw drill bit, cannulated, 26 mm AR-5025TDC-26
Bone-reduction forceps, with teeth AR-4160FT
Depth device, cannulated AR-5025DG
Bio-Compression screw instrumentation case AR-5025C

Osteochondral Repair I 101

102 I Osteochondral Transplant
 Osteochondral
Transplant

Single-Use OATS® System......................................................................................... 104

Retrograde OATS™ System........................................................................................ 105

Bone Graft Harvesting From the Iliac Crest.......................................................... 105

Osteochondral Transplant I 103

 Single-Use OATS® System

The sterile, single-use Osteochondral Autograft Transfer

System (OATS) facilitates harvesting of 6, 8, and 10 mm
osteochondral / hyaline cartilage cylinders from a donor
site superior and lateral to the notch or above the sulcus
terminalis. Create a recipient socket, sized to the appro-
priate depth, in the chondral defect to accept the donor
graft. The bone cylinder can be visualized through the
clear graft delivery tube while it is inserted with the
collared pin delivery system for press-fit fixation. The
completely disposable, size-specific system includes:
Recipient harvester, donor harvester, alignment rod,
tamp, graft delivery tube, core extruder for controlled
push-in core insertion, and optional graft driver.

All of the system components are provided sterile,

packaged in a rigid thermo-formed tray, and nestled in
individual compartments.

Single-Use OATS® System

Product description Item number

OATS® set, 4.75 mm, single-use AR-1981-04S

OATS® set, 6 mm, single-use AR-1981-06S
OATS® set, 8 mm, single-use AR-1981-08S
OATS® set, 10 mm, single-use AR-1981-10S

Optional
Product description Item number

OATS® sizer/tamps set, 6, 8, and 10 mm (AR-1985S)

Sizer/tamp, red, 6 mm AR-1985-06
Sizer/tamp, purple, 8 mm AR-1985-08
Sizer/tamp, black, 10 mm AR-1985-10
OATS® sizer/tamps instrument case AR-1985C

104 I Osteochondral Transplant

Retrograde OATS™ System

Rely on the retrograde OATS set to harvest precisely

angled 8 and 10 mm osteochondral hyaline cartilage
cylinders for resurfacing lesions in the tibial plateau and
patella. Create an appropriately sized recipient tunnel
retrograde to the lesion site. Measure the tunnel’s arti­
cular surface and harvest the appropriate size and angle
bone cylinder from a donor site above the sulcus termi-
nalis. Exchange the cylinder from 1 donor harvester to
another, enabling the bone cylinder to be implanted into
the recipient tunnel, leading with the articular surface.
Gently extrude the bone cylinder into the recipient tun-
nel slightly countersunk to the articular surface. Use a
bioabsorbable interference screw to achieve final flush
seating and backup to the press-fit fixation.

The size-specific system includes 2 single-use OATS

harvesters; collared pins in 10°, 20°, and 30° angles;
bone core exchange tube; guide pin; size-specific
cannulated drills; and core extruder.

All system components are provided sterile, packaged

in a rigid thermoformed tray, and nestled in individual
compartments.

Retrograde OATS™ Set, 10 mm (AR-1982-10S)

Product description Item number

OATS® marking hook AR-1510M

Bone Graft Harvesting From the Iliac Crest

The single-use bone graft harvester set comprises a 6,

8, or 10 mm-diameter bone graft harvester, a punch,
and a twist knob. The system is used for the mini-
mally i­nvasive harvesting of bone from the iliac crest
for preparation as bone-filling material for opening
osteotomies.

Product description Item number

Bone graft harvester, 6, 8, and 10 mm AR-1981-06H

to -10H

Osteochondral Transplant I 105

106 I Osteotomies
 Osteotomies

PEEKPower™ HTO and LDFO Plates........................................................................ 108

Titanium HTO and LDFO Plates............................................................................... 110

iBalance® HTO Implants and Anchors.................................................................... 112

Osteotomy – Fracture Management....................................................................... 113

Hinge Pin Instrumentation With Extramedullar Guide....................................... 113

INNOTERE Paste-CPC................................................................................................. 114

INNOTERE 3D Scaffolds............................................................................................. 114

Osteotomies I 107
 PEEKPower™ HTO and LDFO Plates

(a)

(b)

PEEK (polyetheretherketone) as a high-performance polymer unites high mechanical stability and stiffness with
excellent biocompatibility. The use of PEEK in combination with endless carbon and tantal fibers in a fiber compos-
ite leads to revolutionary mechanical properties with higher long-term stability The PEEKPower osteotomy plates
are fixed to the bone with titanium screws.

PEEKPower offers the possibility to angle the locking screws up to 24° followed by subsequent fixation of the screw
head in the plate. Resterilizable x-ray templates of the plates facilitate the positioning of the plates before the
implants are unpacked.

108 I Osteotomies
 Instrument Set for PEEKPower™ HTO Plate
Implants and Screws (AR-13421S)
Product description Item number Product description Item number

Plates Osteotome, 10-25 mm AR-13421W-10

PEEKPower™ HTO plate (a) AR-13401L Width: 10, 15, 20, 25, 30 mm to -30
PEEKPower™ LDFO plate, left AR-13402L Bone spreader, for HTO AR-1340T
PEEKPower™ LDFO plate, right (b) AR-13402R Aiming adapter, tibial head AR-1340DGA
Screws Shortened aiming adapter tibial head AR-1341DGA

PEEKPower™ osteotomy locking screws, AR-13416T Drill, for PEEKPower™ HTO locking screws, Ø4.3 mm AR-1340D
5 mm × 16-90 mm to -13490T Drill guide, for PEEKPower™ HTO plate locking screws AR-1340DG
Length: 16, 20, 24, 26, 28, 30, 32, 34, 36, 40, 42, 44, Depth gauge, for PEEKPower™ HTO plate AR-1340G
46, 48, 50, 55, 60, 65, 70, 75, 80, 85, 90 mm Drill, for cortical screws, Ø3.2 mm AR-1343.2D
Drill guide, for cortical screws AR-1343DG
PEEKPower™ HTO compression screw, AR-13524T
4.5 mm × 24-52 mm to -13552T Screwdriver, for PEEKPower™ HTO plate AR-13435D
Length: 24, 28, 32, 36, 40, 44, 48, 52 mm Driver handle, AO connection AR-13421AO
Bone block template, for opening wedge osteotomy AR-13315
PEEKPower™ HTO locking screw, AR-13416TS
Trial wedge, for opening wedge osteotomy AR-13324
5 mm × 16-90 mm, sterile to -13490TS
AO adapter, cannulated AR-4160AOC
Length: 16, 20, 24, 26, 28, 30, 32, 34, 36, 38, 40, 42,
44, 46, 48, 50, 55, 60, 65, 70, 75, 80, 85, 90 mm Osteotomy guide pin, 2.4 mm AR-13303-2.4
Guide wire, with trocar tip, 1.57 mm AR-8941K
PEEKPower™ cortical screw, nonlocking, AR-13524TS
Retractor, radiolucent AR-13311
4.5 mm × 24-52 mm, sterile to -13552TS
Length: 24, 28, 32, 36, 40, 44, 48, 52 mm PEEKPower™ HTO DFO instrument case AR-13421C

Templates Hinge Pin Instrumentation

PEEKPower™ template, HTO plate AR-13401LT HTO hinge pin set AR-13315S
PEEKPower™ template, LDFO plate, left AR-13402LT Template, HTO hinge pin AR-13330
PEEKPower™ template, LDFO plate, right AR-13402RT Extramedullary instruments AR-13440-01
/ -02
Case, for EM instruments AR-13330C3

Saw Blade for DrillSaw Max 600™

Product description Item number

Thickness 1.27 mm, length 105 mm, width 19 mm AR-600-312S

Thickness 1.27 mm, length 90 mm, width 25.4 mm AR-600-305S
Thickness 1.27 mm, length 90 mm, width 13 mm AR-600-301S
Thickness 0.8 mm, length 65 mm, width 18 mm AR-600-352S
Thickness 0.6 mm, length 45 mm, width 9 mm AR-600-353S

EM instrumentation works only in conjunction with iBalance arthroplasty

instrumentation as follows: AR-623-30 / -31 / -32 / -33

Osteotomies I 109
 Titanium HTO and LDFO Plates

(c)
(d)

(a)

(b)

The ContourLockTM plates are made of titanium and designed for an opening wedge osteotomy of the medial
proximal tibia and the lateral distal femur. The plates come with clamping rings that combine a variable angle screw
placement with a locking mechanism. 6.5 mm cancellous screws and 4.5 mm cortical screws provide a stable
internal fixation system. The comprehensive ContourLockTM instrument set provides all relevant tools to complete
the HTO and LDFO procedure.

110 I Osteotomies
Implants and Screws Instrument Set for Titanium Plates (AR-13330S)
Product description Item number Product description Item number

HTO Plates All Sets Include a Handle for Osteotomes,

ContourLock™ HTO plate, flat, left, 67 mm (a) AR-13730-01 Disposable Blades Available Separately
ContourLock™ HTO plate, flat, left, 71 mm AR-13730-02 Osteotome blade, flexible, 10 mm AR-13302F-10
ContourLock™ HTO plate, flat, left, 84 mm AR-13730-03 Osteotome blade, flexible, 25 mm AR-13302F-25
ContourLock™ HTO plate, flat, right, 67 mm AR-13735-01 Osteotome blade, flexible, 35 mm AR-13302F-35
ContourLock™ HTO plate, flat, right, 71 mm AR-13735-02 Multiple-Use Osteotomes
ContourLock™ HTO plate, flat, right, 84 mm AR-13735-03
Osteotome blade, 10 mm AR-13421W-10
Tibial opening wedge osteotomy plates, AR-13200T-05
Osteotome blade, 15 mm AR-13421W-15
5-17.5 mm to -17.5
Osteotome blade, 20 mm AR-13421W-20
Tibial A/P sloped osteotomy plates, AR-13200ST-05
Osteotome blade, 25 mm AR-13421W-25
5-17.5 mm (b) to -17.5
Osteotome blade, 30 mm AR-13421W-30
LDFO Plates
Additional Instruments (Not Part of the Set)
ContourLock™ LDFO plate, right, small/medium (c) AR-13110R-01
AO osteotomy wedge AR-13300
ContourLock™ LDFO plate, right, large/extra large AR-13110R-02
AO guide pin, 3 mm AR-13303-3.0
ContourLock™ LDFO plate, left, small/medium AR-13110L-01
AO parallel guide positioning instrument AR-13304-1
ContourLock™ LDFO plate, left, large/extra large AR-13110L-02
Guide sleeve, for parallel pin AR-13304-2
Femoral Opening Wedge Osteotomy Plates, AR-13100T-05.0
AO C-ring drill guide AR-13305
5-17.5 mm (d) to -17.5
AO cutting guide AR-13306-01
Screws AO fixation pin, for cutting guide AR-13306-02
Cancellous screws, for HTO plate, AR-13280-35 Alignment rod, for axial determination AR-13308
6.5 mm × 35-70 mm to -70 Application instrument, for opening wedge osteotomy AR-13318
Length: 35, 40, 45, 50, 55, 60, 65, 70 mm plate
Cortical screws, for HTO plate, 4.5 mm × 26-60 mm AR-13380-26 Universal plate bending pliers, for osteotomy plates AR-13322-02
Length: 26, 28, 30, 32, 34, 36, 38, 40, 42, 44, 46, 48, to -60 Osteotomy jack callipers AR-13323G
50, 52, 54, 56, 58, 60 mm Measuring device, for osteotomy plates, AR-13325L
L, with A/P slope
Low-profile locking screw for LDFO plate, AR-8545L-18
Measuring device, for osteotomy plates, AR-13325S
4.5 mm × 18-75 mm to -75
S, with A/P slope
Screwdriver, 90˚, 3.5 mm hex AR-13326-90
Screwdriver, 3.5 mm hex AR-13326
Accessories (Optional, Not Included in the Set)
Handle, ratcheting, AO connection AR-8950RH
Anchor drill, AO connection AR-13434-02
Graft tamp AR-13432
Cobb elevator AR-13411-01
Osteotomy jack, 35 mm AR-13323-35

Osteotomies I 111
 iBalance® HTO Implants and Anchors

Product description Item number

iBalance® Implants
iBalance® HTO implant, SM 12˚ (a) AR-13400S-12
iBalance® HTO implant, SM 6˚ / MD 5˚ AR-13400M-05
(a) iBalance® HTO implant, SM 7˚ / MD 6˚ AR-13400M-06
iBalance® HTO implant, SM 8˚ / MD 7˚ AR-13400M-07
iBalance® HTO implant, SM 9˚ / MD 8˚ AR-13400M-08
iBalance® HTO implant, SM 10˚ / MD 9˚ AR-13400M-09
iBalance® HTO implant, SM 11˚ / MD 10˚ AR-13400M-10
iBalance® HTO implant, SM 13˚ / MD 11˚ AR-13400M-11
iBalance® HTO implant, SM 14˚ / MD 12˚ AR-13400M-12
iBalance® HTO implant, SM 15˚ / MD 13˚ AR-13400M-13
iBalance® HTO implant, MD 14˚ AR-13400M-14
iBalance® HTO implant, MD 15˚ AR-13400M-15
iBalance® HTO implant, LG 5˚ AR-13400L-05
iBalance® HTO implant, LG 6˚ / XL 5˚ AR-13400L-06
(b) iBalance® HTO implant, LG 7˚ / XL 6˚ AR-13400L-07
iBalance® HTO implant, LG 8˚ / XL 7˚ AR-13400L-08
iBalance® HTO implant, LG 9˚ / XL 8˚ AR-13400L-09
iBalance® HTO implant, LG 10˚ / XL 9˚ AR-13400L-10
iBalance® HTO implant, LG 11˚ / XL 10˚ AR-13400L-11
(c) iBalance® HTO implant, LG 12˚ / XL 11˚ AR-13400L-12
iBalance® HTO implant, LG 13˚ / XL 12˚ AR-13400L-13
iBalance® HTO implant, LG 14˚ / XL 13˚ AR-13400L-14
iBalance® HTO implant, LG 15˚ / XL 14˚ AR-13400L-15
iBalance® Anchors
iBalance® HTO anchor, cancellous bone, 20-32 mm AR-13401-20
Length: 20, 22, 24, 26, 28, 30, 32 mm (b) to -32
iBalance® anchor HTO, cortical bone, 24-52 mm AR-13402-24
Length: 24, 26, 28, 30, 32, 34, 36, 38, 40, 42, 44, to -52
46, 48, 50, 52 mm (c)
Specific Instruments
iBalance® instrument case AR-13400C
Tibial osteotomy toolbox case AR-13330C2
Driver handle, cannulated, with AO connection AR-13221AOC
HTO retractor, radiolucent AR-13310
Bone block template, for opening wedge osteotomy AR-13315
Steel rule, 120 mm AR-13410
Fastener and lock washer AR-13413
Hex driver AR-13415
Keyhole drill guide, L AR-13417L
Keyhole drill guide, M AR-13417M
Alignment handle AR-13418
The iBalance HTO system consists of nonabsorbable Osteotome, 10-25 mm AR-13421W-10
polyetheretherketone (PEEK) implants and anchors Width: 10, 15, 20, 25, 30 mm to -30
that are inserted in the osteotomy wedge to fix and Keyhole reamer AR-13425
maintain the medially opening proximal tibial osteotomy Keyhole provisional pin AR-13426
during HTO procedures. This system offers an alter­ iBalance® anchor drill guide AR-13433
native option to traditional metal plates and screws. The Drill, for iBalance® anchor, chuck connection AR-13434-01
Drill, for iBalance® anchor, AO connection AR-13434-02
iBalance HTO implants and anchors remain in the bone,
iBalance® anchor depth gauge AR-13435
which is why in some cases second surgical procedures iBalance® anchor tap guide AR-13436
for implant removal due to overlying soft tissue irritation
Cortical bone tap, for iBalance® anchor, 4.5 mm AR-13437
can be avoided. The implantation can be completed iBalance® anchor driver AR-13439
with a guided instrument set (AR-13400S) or in a Free- AO adapter, cannulated AR-4160AOC
Cut technique. To promote bone healing and provide
added stability, the suggested bone substitutes are
Innotere osteotomy wedges (721TS1 to 721TS4).

112 I Osteotomies
Osteotomy – Fracture Management

This 2-pilot hole plate is the perfect support for a

fractured lateral tibial cortex during HTO procedures as
well as supporting the anteromedial tibial cortex during
slope-changing HTO procedures. The plate can easily
be slightly bent to conform to variations in bone anat-
omy using universal bending irons from the opening
wedge osteotomy system set. It is fixed to the bone with
4 mm × 30 mm titanium cancellous screws.

Product description Item number

Osteotomy support plate implant system, 2 pilot hole AR-13215

iBalance® HTO instrument set AR-13400S

Hinge Pin Instrumentation With Extramedullar Guide

The HTO hinge pin system offers a solution for any HTO
system, regardless of the type of osteotomy, uniplanar
or biplanar. The system offers:
■ Determination of the endpoint of the osteotomy

■ Saw cutting guide with lateral stop

■ Reduced risk of fracture when folding open the
osteotomy wedge
Guide pins with predetermined breakaway facilitate
determination of the osteotomy plane.

Product description Item number

HTO hinge pin set AR-13315S

X-ray template, HTO hinge pin AR-13330
Osteotomy guide pin, 2.4 mm AR-13303-2.4
Osteotomy guide pin, 3 mm, qty 6 AR-13303-3.0
Osteotomy guide pin, 2.4 mm, non-sterile, qty 1 AR-13303-2.4-1
Osteotomy guide pin, 2.4 mm, sterile, qty 1 AR-13303-2.4-1S
Osteotomy guide pin, 3 mm, non-sterile, qty 1 AR-13303-3.0-1
Osteotomy guide pin, 3 mm, sterile, qty 1 AR-13303-3.0-1S
EM tibial guide, ankle clampx AR-623-33
EM tibial guide, proximal body AR-623-30
EM tibial guide, short distal body AR-623-31
HTO hinge pin EM guide AR-13440-01
HTO hinge pin EM guide, large AR-13440-02
HTO hinge pin EM guide case AR-13330C3

Osteotomies I 113
 INNOTERE Paste-CPC

INNOTERE Paste-CPC consists of biominerals and a

non-aqueous carrier fluid. A calcium phosphate cement,
corresponding to the mineral phase of the bone, is
produced by successive insertion into the osteotomy
gap. The biomaterial provides structural support
through the complete filling of the osteotomy wedge
and has a compressive strength of approximately
45 MPa.

Product description Item number

INNOTERE Paste-CPC, 3 ml 111VX2

INNOTERE 3D Scaffolds

INNOTERE 3D Scaffold wedges consist of syntheti-

Product description Item number
cally produced calcium phosphate that simulates the
INNOTERE 3D Scaffold, for opening wedge osteotomy, 721TS1
consistency of natural bone. These scaffolds offer a 7 mm × 30 mm
broad contact surface for opening osteotomies. They INNOTERE 3D Scaffold, for opening wedge osteotomy, 721TS2
are radiolucent and can be combined with autologous 10 mm × 30 mm
fluids. INNOTERE 3D Scaffold, for opening wedge osteotomy, 721TS3
12 mm × 35 mm
INNOTERE 3D Scaffold, for opening wedge osteotomy, 721TS4
15 mm × 35 mm

114 I Osteotomies
LEARN
MORE!
More information
on the management of knee related
fractures can be found in the Fracture
Management brochure under Knee
Indications:

■ Patella SuturePlateTM II 3 mm System

■ Patella Fracture

Learn More I 115

This description of technique is provided as an educational tool and clinical aid to assist properly licensed Arthrex Manufacturer,
medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical Authorized Representative
professional must use their professional judgment in making any final determinations in product usage and and Importer information:
elFU - Arthrex
technique. In doing so, the medical professional should rely on their own training and experience, and should
conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative
management is patient-specific and dependent on the treating professional’s assessment. Individual results will View U.S. patent information
at arthrex.com/corporate/
vary and not all patients will experience the same postoperative activity level and/or outcomes. virtual-patent-marking

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