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Surgical Technique
ACL Reconstruction using
AUXILOCK® GFS Ultimate Mini & AUXILOCK® Interference Screw
GFS Ultimate Mini & Interference Screw
PRODUCT OVERVIEW
GFS Ultimate Mini
GFS Ultimate Mini is an adjustable loop with an
oblong shaped titanium button used for Cruciate
Graft Reconstructions. GFS Ultimate provides a Flipping Suture
double locking mechanism which eliminates the (#5 BioBraid, White/Black)
Adjustable Suture
need for knot tying. (#7 BioBraid, White/Blue)
GFS Ultimate Mini provides three sutures
(UHMWPE):
Adjustable Suture (#7, White/Blue): It allows the Pulling Suture
Adjustable Loop (#5 BioBraid, White)
surgeon to maximize the amount of graft inside the (#7 BioBraid, White/blue)
femoral tunnel, thereby optimizing the healing Titanium Button
process. It also enables calibration of the loop to its
optimum size.
Pulling Suture (#5, White): It is available to pull the
graft inside the tunnel.
Flipping Suture (#5, White/Black): It ensures the
ipping of the button.
Graft Protection
Frame
Interference Screw
The Interference Screws are available in Titanium, PEEK Ø1.6mm Cannulation
OPTIMA and PEEK CF. The Interference Screw has a fully
Fully Threaded Design
threaded design which provides strong mechanical
fixation for both bone tendon bone (BTB) and soft tissue
grafts. Being a cannulated screw, it is used with a guide
wire and a cannulated screw driver. It is available in
diameter ranging from 7mm to 12mm. The PEEK OPTIMA
and PEEK CF are renowned for their radiolucent
properties, less imaging artefact and for being MR safe.
Both interference screws offer revision ability of an
absorbable screw.
Diameter in mm Length in mm (Polymer) Length in mm (Ti)
Star Drive
Square Drive
7, 8, 9 20, 25, 30 20, 25, 30, 35
10, 11, 12 25, 30, 35 25, 30, 35
Surgical Technique 02
1 2
Harvest desired tendons using tendon stripper (Open Whip-stitch end of the graft using BioBraid sutures or BioBraid
end/Closed end) Put the tendons on the graft station where in nity loop with needles. Make sure the graft is in good
residual muscle is removed. tension by adjusting the clamp. The graft should be covered
by a moist sponge.
3 4
Fold up the graft and measure the diameter using the Graft Select the appropriate size of the Femoral Offset Guide
sizer The graft should moderately pass through the hole, not (5/6/7mm). Always ensure that enough posterior cortex (at least
too tightly not too loosely. 2mm) remains.
Femoral Offset Guide size = Radius of the tunnel + 2mm posterior
cortex.
(E.g. If Femoral tunnel diameter is 8 mm, Femoral Offset Guide =
4 + 2 = 6mm).
5 6
Insert Transportal Femoral Offset Guide through anteromedial Use the Pin, Drill Tip, Ø2.4mm to drill through the femur and
portal. Place the hook of the Femoral Offset Guide at the over- penetrate the skin.
the-top position, in direct contact with the bony cortex. For
ideal position of the footprint of ACL, use 10–11 o'clock in the
right knee or 1–2 o'clock in the left knee as the reference.
Surgical Technique 03
7 8
An Cannulated Headed Reamer, Ø4.7mm (7-014-06) is used over Measure the total length of passing tunnel using the Depth
Drill Tip pin to make the femur passing tunnel. Gauge for Knee ACL/PCL Instrument.
Pass graft through the loop of GFS Ultimate.
Mark the loop of GFS Ultimate according to the total femoral tunnel length. This mark signals when the button is ready to be ipped.
10 11
Select the appropriate sized Femoral Cannulated Reamer over Mark a line on the graft (From distal of the loop of GFS Ultimate)
the Drill Tip pin that corresponds to the graft size needed to according to the socket depth. When this mark is ush with the
create the femoral tunnel. Then remove Femoral Cannulated tunnel aperture, the graft has completely lled the socket.
Reamer, Drill Tip pin is left in place.
Tip: Mark the graft 5.0mm shorter than the socket depth. When
Note: Any breach of the cortical bone of femur creating a hole this mark reaches the tunnel aperture, you can stop tensioning.
larger than that created by an appropriately sized headed The 5.0mm is left for tension post tibial xation. Insert your tibial
reamer may compromise the xation. If the distal cortex of the screw and then tension the graft the rest of the 5.0mm to get the
femur is breached, use of GFS Ultimate Large Device (Button perfect tension on the graft.
Dimensions: L 16.5mm X W 3.9mm X H 1.5mm) may be required.
Surgical Technique 04
12 13
Assemble the ACL tibial drill guide (Drill Guide Handle ACL Tip/ Push the drill guide bullet to the bone surface and x the
ACL Tip O, ACL Tip C Aimer and ACL Elbow Aimer. position. Use the Ø2.4mm Passing pin to drill through the tibia.
(Monitor the passing pin so not to damage the femoral
Fix the angle on Drill Guide Handle (To achieve a longer tibial cartilage). Disassemble the tibial drill guide. Leave only the
tunnel, increase the angle of Drill Guide Handle). Place the tip of Passing pin in place.
drill guide in the centre of ACL footprint.
Drill the tibial tunnel using the corresponding Tibial
Cannulated Reamer that matches the graft diameter.
14 15
Load a #2 or #5 polyester suture as the passing suture through A suture retriever/hook is used to retrieve and pull out the other
the eyelet of the Ø2.4mm Drill Tip pin. end of the suture through the tibial tunnel.
Pull the pin through the femoral tunnel. Pass one end of the
suture out of the knee joint via femoral tunnel and leave
another end of the suture in the knee joint.
16 17
Load all the sutures (Pulling, Flipping and Adjustable) of GFS Pull the pulling suture (White) of GFS Ultimate rst to advance
Ultimate loop on the passing suture. Pull the passing sutures the ACL graft into femoral tunnel until the marking line on the
to pull all the sutures of GFS Ultimate on lateral side. Then loop reaches the internal femoral aperture.
remove the passing suture.
Surgical Technique 05
17 18
Pull the ipping suture (White/Black) to ip the button on lateral Then pull the ipping suture (White/Black) to ip the button on
cortex. Then pull back the graft to lock the button to the femoral lateral cortex. Then pull back the graft to lock the button to the
cortex. femoral cortex.
19
Advance Nitinol Guide Wire Ø1.2mm x Length 400mm (7-014-43) into tibial tunnel. Insert interference screw with the cannulated
screwdriver (7-014-04, 7-014-05) (match screwdriver with the interference screw) over the guide wire. Insert the screw up to the tibial
plateau, but ensure that the screw tip remains completely inside the bone.
Re-tension the adjustable suture of GFS ultimate to get perfect tension on the graft.
Cut off the excess graft outside the tibial tunnel.
Remove both pulling and ipping suture on femur side by just pulling it. Cut off the adjustment suture with the help of scissors or suture
cutter.
Surgical Technique 06
ORDERING INFORMATION
GFS Ultimate Mini
Code Product Description
6-006-01 AUXILOCK® GFS Ultimate Mini Button, Button L: 12mm, W: 3.9mm (Adjustable Loop)
6-006-02 AUXILOCK® GFS Ultimate Large Button, Button L: 16.5mm, W: 3.9mm (Adjustable Loop)
PEEK OPTIMA Interference Screw PEEK CF Interference Screw
Code Product Description Code Product Description
6-014-01 AUXILOCK® 7mm x 20mm PEEK OPTIMA Interference Screw 6-009-01 AUXILOCK® 7mm x 20mm PEEK CF Interference Screw
6-014-02 AUXILOCK® 7mm x 25mm PEEK OPTIMA Interference Screw 6-009-02 AUXILOCK® 7mm x 25mm PEEK CF Interference Screw
6-014-03 AUXILOCK® 7mm x 30mm PEEK OPTIMA Interference Screw 6-009-03 AUXILOCK® 7mm x 30mm PEEK CF Interference Screw
6-014-04 AUXILOCK® 8mm x 20mm PEEK OPTIMA Interference Screw 6-009-04 AUXILOCK® 8mm x 20mm PEEK CF Interference Screw
6-014-05 AUXILOCK® 8mm x 25mm PEEK OPTIMA Interference Screw 6-009-05 AUXILOCK® 8mm x 25mm PEEK CF Interference Screw
6-014-06 AUXILOCK® 8mm x 30mm PEEK OPTIMA Interference Screw 6-009-06 AUXILOCK® 8mm x 30mm PEEK CF Interference Screw
6-014-07 AUXILOCK® 8mm x 35mm PEEK OPTIMA Interference Screw 6-009-07 AUXILOCK® 8mm x 35mm PEEK CF Interference Screw
6-014-08 AUXILOCK® 9mm x 20mm PEEK OPTIMA Interference Screw 6-009-08 AUXILOCK® 9mm x 20mm PEEK CF Interference Screw
6-014-09 AUXILOCK® 9mm x 25mm PEEK OPTIMA Interference Screw 6-009-09 AUXILOCK® 9mm x 25mm PEEK CF Interference Screw
6-014-10 AUXILOCK® 9mm x 30mm PEEK OPTIMA Interference Screw 6-009-10 AUXILOCK® 9mm x 30mm PEEK CF Interference Screw
6-014-11 AUXILOCK® 9mm x 35mm PEEK OPTIMA Interference Screw 6-009-11 AUXILOCK® 9mm x 35mm PEEK CF Interference Screw
6-014-12 AUXILOCK® 10mm x 25mm PEEK OPTIMA Interference Screw 6-009-12 AUXILOCK® 10mm x 25mm PEEK CF Interference Screw
6-014-13 AUXILOCK® 10mm x 30mm PEEK OPTIMA Interference Screw 6-009-13 AUXILOCK® 10mm x 30mm PEEK CF Interference Screw
6-014-14 AUXILOCK® 10mm x 35mm PEEK OPTIMA Interference Screw 6-009-14 AUXILOCK® 10mm x 35mm PEEK CF Interference Screw
6-014-15 AUXILOCK® 11mm x 25mm PEEK OPTIMA Interference Screw 6-009-15 AUXILOCK® 11mm x 25mm PEEK CF Interference Screw
6-014-16 AUXILOCK® 11mm x 30mm PEEK OPTIMA Interference Screw 6-009-16 AUXILOCK® 11mm x 30mm PEEK CF Interference Screw
6-014-17 AUXILOCK® 11mm x 35mm PEEK OPTIMA Interference Screw 6-009-17 AUXILOCK® 11mm x 35mm PEEK CF Interference Screw
6-014-18 AUXILOCK® 12mm x 25mm PEEK OPTIMA Interference Screw 6-009-18 AUXILOCK® 12mm x 25mm PEEK CF Interference Screw
6-014-19 AUXILOCK® 12mm x 30mm PEEK OPTIMA Interference Screw 6-009-19 AUXILOCK® 12mm x 30mm PEEK CF Interference Screw
6-014-20 AUXILOCK® 12mm x 35mm PEEK OPTIMA Interference Screw 6-009-20 AUXILOCK® 12mm x 35mm PEEK CF Interference Screw
Titanium Interference Screw
Code Product Description
6-010-01 AUXILOCK® 7mm x 20mm Titanium Interference Screw
6-010-02 AUXILOCK® 7mm x 25mm Titanium Interference Screw
6-010-03 AUXILOCK® 7mm x 30mm Titanium Interference Screw
6-010-04 AUXILOCK® 7mm x 35mm Titanium Interference Screw
6-010-05 AUXILOCK® 8mm x 20mm Titanium Interference Screw
6-010-06 AUXILOCK® 8mm x 25mm Titanium Interference Screw
6-010-07 AUXILOCK® 8mm x 30mm Titanium Interference Screw
6-010-08 AUXILOCK® 8mm x 35mm Titanium Interference Screw
6-010-09 AUXILOCK® 9mm x 20mm Titanium Interference Screw
6-010-10 AUXILOCK® 9mm x 25mm Titanium Interference Screw
6-010-11 AUXILOCK® 9mm x 30mm Titanium Interference Screw
6-010-12 AUXILOCK® 9mm x 35mm Titanium Interference Screw
6-010-13 AUXILOCK® 10mm x 25mm Titanium Interference Screw
6-010-14 AUXILOCK® 10mm x 30mm Titanium Interference Screw
6-010-15 AUXILOCK® 10mm x 35mm Titanium Interference Screw
6-010-16 AUXILOCK® 11mm x 25mm Titanium Interference Screw
6-010-17 AUXILOCK® 11mm x 30mm Titanium Interference Screw
6-010-18 AUXILOCK® 11mm x 35mm Titanium Interference Screw
6-010-19 AUXILOCK® 12mm x 25mm Titanium Interference Screw
6-010-20 AUXILOCK® 12mm x 30mm Titanium Interference Screw
6-010-21 AUXILOCK® 12mm x 35mm Titanium Interference Screw
Surgical Technique 07
USA MEXICO INDIA
Auxein Inc. Auxein México, S.A. de C.V. Auxein Medical Pvt. Ltd.
1500 Nw 89th Court, Suite 107-108 Tepic 139 int 801, Colonia Roma Sur, Plot No. 168-169-170, Phase-4,
Doral, Florida 33172 Alcaldía Cuauhtémoc, CDMX, Kundli Industrial Area,
Tel: +1 305 395 6062 México, C.P. 06760 HSIIDC, Sector-57, Sonepat - 131028, Haryana
E Fax: +1 305 395 6262 Tel: +521 55 7261 0318 Tel: +91 99106 43638 | Fax: +91 86077 70197
Email: USoffi[email protected] Email: [email protected] Email: [email protected]
www.auxein.com
