Zimmer Biomet The AperFix Surgical Technique Download Page 2 | Manualshive

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Summary of Contents for The AperFix

Page 1: ...The AperFix System The Anatomic Implant PCL Surgical Technique ...

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Page 3: ...Table of Contents Posterior Cruciate Ligament Review 2 Graft Preparation and Tunnel Placement 2 Femoral Fixation and Graft Passage 5 Tibial Fixation 7 Ordering Information 10 Indications 11 ...

Page 4: ...emoral Implant AperFix 29 mm shown Figure 1 Note Taper graft ends for easier graft loading through the implant Posterior Cruciate Ligament Review Primary restraint to posterior tibial translation Larger anterolateral AL bundle tight in 90 flexion Posteromedial PM bundle tight in extension Origin Femur 8 10 mm posterior to the anterior articular surface of the medial femoral condyle Tibia 15 mm dis...

Page 5: ...tension the graft Figure 2 Note To achieve optimal anatomic placement of the bundles it is recommended to wrap the AL graft bundles on one suture cleat and PM graft bundles on the opposite suture cleat Step 6 Make a horizontal mark on the top of the tendon bundles at the inferior edge of the implant to serve as the aperture depth indicator Figure 3 Note It is recommended to make a second mark on t...

Page 6: ...rect visualization should be used as guidance Graft Preparation and Tunnel Placement cont Step 8 Drill the femoral tunnel first to avoid fluid outflow through the tibial tunnel With the knee flexed between 90 and 120 Figure 4 insert a guide wire through the lateral portal to the center of the PCL footprint approximately 6 8 mm posterior to the articular surface of the medial femoral condyle Create...

Page 7: ...the tibial tunnel retrieve through the intercondylar notch and out of the anterolateral portal Suture loop will be used to shuttle the graft bundles independently through the killer turn Figure 6 Note Place hemostats on the ends of the retrieval suture loops to keep the sutures in position while inserting the AperFix femoral implant Step 2 Insert the prepared AperFix device through the lateral por...

Page 8: ...the grafts as they begin to enter the lateral portal Once the graft ends have been pulled in release tension and allow the AL and PL bundles to pass through the tibial tunnel independently Figure 12 Femoral Fixation and Graft Passage cont Step 5 With the Inserter Handle held firmly in place rotate the white implant deployment knob clockwise until the deployment knob can no longer be turned and com...

Page 9: ...Tibial Implant size to match the drilled tunnel diameter Figure 13 Note The Tibial Implant will come with a Tendon Expander Guide Wire Cannulated Screw and a Driver pre loaded with the Tibial Sheaths and Sheath Holder Step 2 Hold the Tendon Expander arms perpendicular to the tibial tunnel and wrap the sutures from the tendon bundles around the suture cleats such that the sutures are first inserted...

Page 10: ...he Tibial Screw on the end Figure 18 Tibial Fixation cont Step 4 With the knee held at 90 and under an anterior tibial force and with the graft under tension to simulate the larger AL bundle insert the Tibial Sheaths over the Guide Wire and into the tibial tunnel such that the cortical engagement tabs are in the 12 o clock position Figure 16 The Tibial Sheaths should be positioned with the tabs fu...

Page 11: ...h the superior rim of the cortical wall Maintain tension on the graft to prevent loss of graft stiffness The Tibial Screw threads match that of the Sheath therefore excessive torque is not needed to engage and insert the Screw Step 9 Once the Tibial Screw is completely seated between the Sheaths remove the Driver by pulling the handle straight back Remove the Guide Wire Figure 20 Confirm the integ...

Page 12: ... CM 2910 CM 2911 AperFix Disposable Instruments Description Size Part Number Calibrated Drill Tipped Guide Wire 2 4 mm x 14 CM 7014 ACL Disposable Procedure Kit CM 1501 Accessory Portal Kit with Low Profile Drill and EZ Shuttle Suture Loop 9 mm 10 mm 11 mm CM 7609 CM 7610 CM 7611 Aperfix II Tibial Implant with Driver Description Size Part Number Tibial Implant with Driver 8 mm x 30 mm CM 3008 Cann...

Page 13: ...lly immature 8 Conditions which may limit the patient s ability or willingness to follow postoperative care instructions APERFIX TIBIAL IMPLANT INDICATIONS FOR USE The Cayenne Medical AperFix Tibial Implant with Inserter is intended for use in tenodesis procedures with soft tissue grafts utilizing either arthroscopic or open techniques during Anterior Cruciate Ligament ACL Posterior Cruciate Ligam...

Page 14: ...12 AperFix System PCL Surgical Technique Notes ...

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Page 16: ...mmer Biomet does not practice medicine This document is intended for surgeons and is not intended for laypersons Each surgeon should exercise his or her own independent judgment in the diagnosis and treatment of an individual patient and this information does not purport to replace the comprehensive training surgeons have received As with all surgical procedures the technique used in each case wil...

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