ENDOBUTTON™ DIRECT
Fixation Device
Technique
1. Measure the graft.
วัดขนาดกราฟ
2. Drill femoral and tibial tunnels ensuring that you
drill all the way through the cortex on the femoral
side.
drill all the way through the cortex on the femoral
side.
เจาะรูที่กระดูก ต้นขาและหน้าแข้งโดยต้องแน่ใจว่าทะลุ Cortex
TIP: Drilling the femoral tunnels through the
anteromedial portal will create shorter more
anatomic tunnels.
anteromedial portal will create shorter more
anatomic tunnels.
ทริก: เจาะรูที่กระดูก ต้นขา ผ่าน anteromedial portal จะทำให้รูที่เจาะสั้นตามต้องการ
3. Measure the total length of the tunnel and ensure
that you have enough graft to fill both the femoral
and tibial sides.
that you have enough graft to fill both the femoral
and tibial sides.
วัดความยาวของ tunnel และ กราฟให้เหมาะสมกัน
TIP: If graft is not long enough, use either the
ENDOBUTTON CL ULTRA device with XTENDOBUTTON
on the femoral side or a fixation post on the tibialside.
ENDOBUTTON CL ULTRA device with XTENDOBUTTON
on the femoral side or a fixation post on the tibialside.
ถ้ากราฟยาวไม่พอให้ใช้ ENDOBUTTON CL ULTRA กับ XTENDOBUTTON ด้วยกัน
4. Choose the ENDOBUTTON Direct Device size that
corresponds to the graft size. (Accommodates
sizes 5 mm through 9 mm.)
corresponds to the graft size. (Accommodates
sizes 5 mm through 9 mm.)
เลือกขนาด ENDOBUTTON Direct Device ให้เท่ากับ ขนาดกราฟร้อยตามรูป
5. Pull one end of the graft through the closed end of
the ENDOBUTTON◊ Direct Device.
the ENDOBUTTON◊ Direct Device.
TIP: Ensure that the whip stitch is tight to avoid
adding bulk to the graft. This will make it easier
to pull through the device. For single bundle
techniques, utilizing both the semi-tendinosus and
gracilis grafts, passing one graft at a time through
the closed end of the button will simplify loading
the button.
adding bulk to the graft. This will make it easier
to pull through the device. For single bundle
techniques, utilizing both the semi-tendinosus and
gracilis grafts, passing one graft at a time through
the closed end of the button will simplify loading
the button.
6. Wrap the graft around the center bar of the
ENDOBUTTON◊ Direct Device and through the open
end.
ENDOBUTTON◊ Direct Device and through the open
end.
เย็บให้เรียบร้อย
7. Ensure that the ends of your grafts are even.
8. Attach a #5 braided polyester or a #2 ULTRABRAID
co-braid lead suture to the ENDOBUTTON◊ Direct
Device in the hole on the closed end of the device.
TIP: Using heat tipped sutures and different colors
for leading and flipping will make it easier to load
the sutures and pass the graft.
co-braid lead suture to the ENDOBUTTON◊ Direct
Device in the hole on the closed end of the device.
TIP: Using heat tipped sutures and different colors
for leading and flipping will make it easier to load
the sutures and pass the graft.
ควรใช้ Ethibond เบอร์ 5 หรือ #2 ULTRABRAID และร้อยตามรูป
9. Attach a #2 braided polyester flipping suture to the
ENDOBUTTON Direct Device through the two holes
at the open end of the device.
ENDOBUTTON Direct Device through the two holes
at the open end of the device.
แต้มสีให้ทราบระยะพลิกและอย่าลืมต้องร้อยให้ครบสองรูของ ENDOBUTTON Direct Device
TIP: To ensure that the button is oriented completely
vertical in the tunnel, you may want to leave a small
loop in the suture between the two holes.
vertical in the tunnel, you may want to leave a small
loop in the suture between the two holes.
10. Measure the femoral tunnel length.
11. Mark the graft at the length of the femoral tunnel.
12. Mark the graft at the flipping distance required for
the size of the device that you are using. (See table
below for distance.)
the size of the device that you are using. (See table
below for distance.)
ด้านล่างมีตารางเพื่อบอกระยะ พลิกตัวของ ENDOBUTTON Direct Device
13. Pass the graft using the standard ENDOBUTTON
technique.
technique.
TIP: To prevent pulling the device into the soft tissue,
ENSURE that you apply sufficient counter tension to
the graft on the tibial side.
ENSURE that you apply sufficient counter tension to
the graft on the tibial side.
ระวังอย่าดึงกราฟให้เลยไปถึง Soft tissue นะครับ
ไม่มีความคิดเห็น:
แสดงความคิดเห็น