Graft Tunnel Solutions
The Smith & Nephew GTS SYSTEM offers technologically advanced instruments to assist surgeons during ACL reconstruction procedures. More than just a means of simplifying the technique, this system is able to effectively anchor and compress soft tissue grafts, giving surgeons the confidence of a strong, accurate fixation.
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| A non-absorbable, three-lumen woven mesh sleeve that provides ultimate pullout strength above 1,000N and a stiffness of 100N/mm. The bottom lumens are used to house each strand of the Gracilis ligament, while the central lumen houses the GTS Tapered Screw once the graft is positioned and tensioned within the tibial tunnel. Surrounding the sleeve is a Type 0, braided, polyester cinching suture. | ||
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| Available in sizes 7-9 mm x 30 mm and 8-10 mm x 30 mm, this absorbable screw made from PLLA is inserted into the central lumen of the GTS sleeve to enable fixation of the sleeve and graft. Because it is designed with a shorter pitch and closer thread, the GTS screw provides higher compression at the site once it is implanted. |
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| Used to position the GTS sleeve in the correct area of the graft so that maximum fixation strength will be obtained once the graft is inserted into the tunnel. Positioning the GTS sleeve involves the use of threading tubes for each Gracilis ligament strand as well as the Graft Tensioning Device, which provides equal tension of all four ligament strands while the graft is being prepared. |
Used to measure the overall length of the tibial and femoral tunnels prepared during the first step of the procedure. This measurement determines where the GTS Sleeve will be placed on the graft prior to its insertion into the tunnel. The probe locator knob is a retro-fit device that can be purchased separately.
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| Eliminates the need for whip stitching during graft preparation. WHIPKNOT◊ offers a pre-tied knot that can easily be placed on a graft strand through use of a pre-loaded cannula. |
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| Features four adjustable knobs that capture suture strands and apply equal tension to soft tissue grafts during graft preparation. It can also be used at the knee during the procedure to keep distal strands of the graft separate and in line with the tibial tunnel. |