Tack TIN in ACL

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Aug 6th, 2022
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  1. Click New Document to add your ACL to your DocHub account.
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How to tack TIN in ACL

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[Applause] evolving in orthopedic surgery to new techniques and technology is definitely something that has to be part of your practice i heard about the tightrope being the new approach for acl surgery and at that time i was a fixed loop device surgeon and now i feel like there are few cases in knee ligament reconstruction where a tightrope is not part of my practice the key with the tightrope is the ability that we can now retention graphs on the operating table iamp;#39;ll fix the femoral side iamp;#39;ll fix the tibial side arrange the knee put a lock one on it iamp;#39;ll put a pivot shift on it and then i can re-tension the graft to eliminate any creep in the construct thatamp;#39;s a huge advancement that you canamp;#39;t do with static screw fixation i remember in the past sometimes youamp;#39;d blow out the posterior wall when drilling a femoral tunnel in an acl and then youamp;#39;d have to go make a secondary incision to get fixation and it really created a pr

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The surgeon drills small holes into the upper and lower leg bones where these bones come close together at the knee joint. The holes form tunnels through which the graft will be anchored. The surgeon will also make another incision in the knee and insert the graft (replacement tissue).
The graft is threaded across the knee, leaving a piece of bone in each of the tunnels and the patellar tendon in the position of the original ACL, thus reconstructing the ligament. The graft is then secured in this position, most commonly by wedging a screw between the side of the bone and the tunnel.
The BEAR (Bridge Enhanced ACL Repair) Implant is a bovine extracellular matrix collagen-based implant for treatment of anterior cruciate ligament (ACL) injuries. The BEAR Implant is indicated for skeletally-mature patients at least 14 years of age with a complete rupture of the ACL, as confirmed by MRI.
Common techniques for ACLR graft fixation include intratunnel fixation with interference screws, suspensory fixation, or hybrid fixation strategies, along with several supplemental fixation techniques.
Most commonly, patients need around 9-12 months to return to full sports participation, with some returning sooner and others later. Return to sports activities takes time.
Graft Insertion A guide wire is inserted through the tibia and femur to help accurately drill tunnels. A surgical drill is inserted over the guide wire and a new tunnel in the femur and tibia is created for your new ACL Graft. The end of the graft is tied to a loop on the guide wire and the graft is pulled into place.
Staying away from the physical activity that may have contributed to the ACL tear is also necessary. During the first few days after the injury, applying ice and elevating your knee for 15 minutes, 3 times a day, can reduce swelling. Wearing a compression bandage on the knee may also reduce swelling.
With a cadaver procedure, one in five athletes will need to have it done again. With an autograft, one in 20 athletes will have to endure another surgery. Stated differently, an athlete with an allograft has a four times greater chance of having to go through it again.

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