Knee Procedures

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Thumbnail for ACL Injuries FAQs

ACL Injuries FAQs

Thumbnail for FiberTag® TightRope® II Graft Preparation

FiberTag® TightRope® II Graft Preparation

Thumbnail for ACL Repair FAQs

ACL Repair FAQs

Thumbnail for GraftLink® Technique Using FiberTape® Suture for the InternalBrace™ Technique

GraftLink® Technique Using FiberTape® Suture for the InternalBrace™ Technique

ACL Reconstruction

ACL Reconstruction

Advantages of Quad ACL and Internal Brace Technique

🔧 Technique — The Quad ACL and Internal Brace technique from Arthrex combines the use of a quadriceps tendon autograft with an internal brace, providing enhanced stability and strength during ACL reconstruction.

📏 Graft Size — Quadriceps tendon grafts offer a predictably large diameter, which is beneficial for knee ligament reconstruction, ensuring a strong and stable repair.

🩹 Internal Brace — The internal brace technology uses high-strength suture tape and knotless bone anchors to reinforce the ligament, reducing the risk of graft rerupture and allowing for early rehabilitation.

⚙️ Minimally Invasive — The QuadPro™ tendon harvester allows for a minimally invasive approach, reducing morbidity and facilitating a quicker recovery.

📈 Clinical Evidence — Preliminary studies suggest that the internal brace technique can significantly improve functional recovery and quality of life post-surgery, although more clinical evidence is needed to fully establish its efficacy.

Technique Overview

🔍 Description — The Quad ACL and Internal Brace technique involves using a quadriceps tendon autograft combined with an internal brace for ACL reconstruction.

🛠️ Equipment — The QuadPro™ tendon harvester is used to obtain the graft, and the FiberTag® TightRope® implant facilitates attachment.

🧬 Internal Brace — This component uses high-strength suture tape to reinforce the ligament, providing additional support during the healing process.

🩺 Surgical Process — The procedure is minimally invasive, which helps reduce recovery time and postoperative complications.

📊 Benefits — This technique aims to provide a stronger, more stable repair with a lower risk of rerupture compared to traditional methods.

Clinical Studies

📚 Research — Studies have been conducted to evaluate the efficacy of the internal brace technique in ACL reconstruction.

🧪 Trial Design — Randomized controlled trials compare the internal brace technique with standard ACL reconstruction methods.

📈 Outcomes — Primary outcomes include knee function and stability, with secondary outcomes assessing adverse events and recovery metrics.

🩺 Patient Reports — Patients report improved functional recovery and quality of life post-surgery with the internal brace technique.

🔬 Evidence Gap — While promising, more in vivo clinical evidence is needed to fully validate the benefits of the internal brace technique.

Comparative Analysis

🔄 Comparison — The Quad ACL and Internal Brace technique is compared to other ACL reconstruction methods like patellar tendon and hamstring grafts.

📊 Strengths — Offers a larger graft diameter and enhanced stability, reducing the risk of rerupture.

⚖️ Limitations — Requires more clinical evidence to establish superiority over traditional methods.

🩹 Recovery — Allows for early rehabilitation due to the internal brace's support, potentially leading to faster recovery times.

🔍 Research Needs — Further studies are needed to compare long-term outcomes and effectiveness against other techniques.

Internal brace technology for ligament repair has been promoted since 2010.

Sources

InternalBrace™ Technique in Cruciate Ligament Reconstructionarthrex.comInternal brace augmentation reconstruction versus standard anterior cruciate ligament reconstruction: a randomised controlled clinical trial study protocolpmc.ncbi.nlm.nih.govQuad Tendon Autograft ACL Reconstructionarthrex.comA Narrative Review of Four Different New Techniques in Primary Anterior Cruciate Ligament Repair: “Back to the Future” or Another Trend?pmc.ncbi.nlm.nih.govSupplemental ACL Tear Treatmentsacltear.comAnterior Cruciate Ligament Reconstruction With Double-Bundle Internal Bracing: A Technique Guidesciencedirect.comAnalysis of Graft Types used with Internal Brace Augmentation for ACL Reconstruction: A Systematic Reviewsma.orgQuadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction With Independent Suture Tape Reinforcementsciencedirect.comAnterior Cruciate Ligament Reconstruction With Quadriceps Tendon Autograft: Surgical Technique Using Augmentation With a Biocomposite Scaffoldarthroscopytechniques.orgQuadriceps Tendon (QT) ACL Reconstruction Scientific Update A review of the design rationale, techniques, and outcomesarthrex.com