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A.C.F.Âncora Cortical Femoral
Introdução
A Âncora Cortical Femoral, mais conhecida como A.C.F, é um implante utilizado em cirurgias ligamentares de
Joelho tipo Endobutton e na reconstrução do ligamento cruzado anterior
O A.C.F. é composto de dois fios de tração de cores diferentes, os quais são montados em uma placa em liga
de titânio e um anél de polietileno.
Produtos esterilizados em Raio Gama.
Códigos e tamanhos
Implantes
A.C.F. 15
A.C.F. 20
A.C.F. 25
A.C.F. 30
A.C.F. 35
A.C.F. 40
Âncora cortical femoral 15 mm
Âncora cortical femoral 20 mm
Âncora cortical femoral 25 mm
Âncora cortical femoral 30 mm
Âncora cortical femoral 35 mm
Âncora cortical femoral 40 mm
Instrumentais indicados
3202-A
5702-A
2308-A
2309-A
Pino tipo broca
Medidor de Profundidade
Broca canulada 4.5mm
Broca canulada 5.0mm
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Técnica Cirúrgica DIDT
Transplant sampling
Semi tendinous sampling using an opened or closed stripper.
Sampling with a closed stripper.
1
Put the tibial aimer and drill the tibial cortical with a pin, then a cannulated drill.2
Positioning of th femoral aimer and drilling of a blind tunnel (30 mm) using a pin with eye and a cannulated reamer.
3
ORTHOMED ACF reconstruction system ensures a reproducible positioning of the tibial tunnel thanks to the anatomical criterions.(The center of the tunnel is located 7mm ahead of the PCL between the 2 tibial spines).
Insertion of the tibial aimer by the anteromedial way, 90º bended knee ( the aimer point will be placed at the base of the PCL).
Insertion of the guide pin with an angle of about 50º.
Insertion of the femoral aimer (5,6 or 7mm) by the antero-medial way (“over-the-top” position).Insertion of a drilled pin with eye, then a reamer to drill a 30mm femoral blind tunnel.
3
Técnica Cirúrgica DIDT
Preparation of the femoral tunnel for the A.C.F4
Drill with a pin with eye up to the femoral cortical.Remover the reamer.
Preparation of the tendon on ORTHOMED`s benchwork5
Position the transplant on the benchwork and put it in tension with the dynamometric tension system.
Insert on the pin eith eye a 4,5 or 5 mm graduated cannulated drill and drill the tunnel up to the femoral cortical.
Measure the total length of the femoral tunnel using the gauge.
After suture and calibration, put the transplant it the ACF polyester loop once the length has been found.
The length of the ACF is determined considering the difference between the total length of the femoral tunnel and the length of the femoral tunnel where we put the transplant.
4
Técnica Cirúrgica DIDT
Insertion of the transplant with the A.C.F. by the tibial tunnel, then fixation6
Put the transplant with the ACF by the tibial tunnel.Put the 2 sutures in the pin with eye, pull the transplant till the blind tunnel.
Once in the femoral cortical, pull one of the suture in order to tip up the ACF metallic part and pull it out of the femoral tunnel.
Tibial fixing using a MisBio® absorbable screw7
Position the flexible pin on the transplant in the tibial tunnel.Insert the MisBio® screw (length: 23, 30 or 35 mm - Ø 1or 2 mm superior to the one of the tibial tunner). Avoid any rotation of the transplant during the insertion of the absorbable screw.
Additional fixing using ligament staples (6, 8 or 11 mm).
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Principais Instrumentais
Instrumentais
Cannulated drillClosed and opened stripper
5803-A 2308-A2309-A
Cannulated reamerBenchwork
5620-A 2300-B2301-B2302-B2303-B2304-B2305-B
Screws jig - 7 to 9mmTibial aimer
1191-A1192-A1193-A
5010-A
Staple DriverFemoral aimer
1040-A1041-A1042-A
0210-A
ImpactorACF
0300-A
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Instrumentais KJ - DIDT (KD)
Insert nº1
2308-A
2309-A
2300-B
2301-B
2302-B
2303-B
2304-B
2305-B
Cannulated drill Ø 4,5 mm
Cannulated drill Ø 5 mm
Cannulated reamer Ø 7 mm
Cannulated reamer Ø 8 mm
Cannulated reamer Ø 9 mm
Cannulated reamer Ø 10 mm
Cannulated reamer Ø 11 mm
Cannulated reamer Ø 12 mm
5802-A
5803-A
Opened stripper Ø 5 mm
Closed stripper Ø 7 mm
2310-A
2311-A
2312-A
2313-A
2314-A
2315-A
Cannulated drill Ø 7 mm
Cannulated drill Ø 8 mm
Cannulated drill Ø 9 mm
Cannulated drill Ø 10 mm
Cannulated drill Ø 11 mm
Cannulated drill Ø 12 mm
5001-A
5005-A
5003-A
5006-A
Trephine Ø 9 mm
Collared Pin positioner Ø 9 mm
Trephine Ø 10 mm
Collared Pin positioner Ø 10 mm
3103-A
3202-A
Tibial drilled pin (2)
Drilled pin with eye (2)
3601-A Flexible pin (2) Ø 1 mm
Insert nº2
0031-A Absorbable interference
screw screwdriver
0010-C Titanium interference screw
screwdriver (6 sides, 3.5mm)
5010-A Screws jig Ø 7 à 9 mm
4910-B Rasp < curette >
1040-A
1041-A
1042-A
Femoral aimer Ø 5 mm
Femoral aimer Ø 6 mm
Femoral aimer Ø 7 mm
5701-A Length gauge
1191-A
1192-A
1193-A
Tibial aimer handle with variable
aiming angles
Tibial aimer point
Tibial aimer bush
4101-A Transplant gauge
Ø 7 to 12 mm
Transport box base
5620-A Workbench
5621-A Polyethylene sheet
5622-A
5623-A
Ligament tensiometer
Blocking hook for half
tendinous
5624-A
5625-A
Half tendinous adaptator
Closing pin
0300-A Impactor
4814-A
4815-A
4816-A
4822-A
Transport box base
Transport box insert nº 1
Transport box insert nº 2
Transportbox lid0210-A Staple driver