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    Arthrex Meniscal Cinch

    Uploaded by

    Nicusor Anghel

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Arthrex Meniscal Cinch

    Uploaded by

    Nicusor Anghel
    136 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    136 views2 pages

    Arthrex Meniscal Cinch

    Uploaded by

    Nicusor Anghel

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Placing the Meniscal Cinch into the Joint

    Use an arthroscopic probe as a Switching Stick by cupping the open cannula tip of the Meniscal Cinch around the shaft of the probe
    and sliding the cannula into the joint. An Arthrex Shoehorn Cannula or PassPort Button Cannula™ may also be used.

    Advancing the Trocars through the Meniscus

    Hold the Meniscal Cinch by placing the index finger above the cannula, the middle finger below the cannula and the first trocar
    pinched between the base of the thumb and index fingers. Deploy the implant by squeezing the trocar and handle together.

    Dealing with Resistance of the Trocar through the Meniscus and Capsule
    If resistance is encountered while trying
    to pass the implant, it is important not
    to push too firmly on the handle of
    the Meniscal Cinch as this could cause
    damage to the meniscus from the tip
    of the cannula. It is best to advance the
    trocar all the way to the depth stop,
    allowing the trocar to come out of the
    cannula in the joint.

    Keep controlled forward pressure of the trocar while rotating back and forth 90˚. This can be done using a one-handed tech-
    nique. Since the depth stop is already bottomed out, the trocar is inserted until the tip of the cannula touches the meniscus.
    This signals appropriate insertion depth.
    Removing Excess Suture Slack between Implants

    When advancing the second implant forward, excess suture tends to accumulate in the joint and cause difficulty with visualiza-
    tion. This slack can be reduced by gentle tension on the external suture while advancing the second implant forward. Once
    the implant is visible out of the cannula, stop pulling the suture. If no slack was taken out, gently move the cannula away from
    the excess suture and advance the implant through tissue. Important: Do not put tension on external suture before second trocar
    is released from the locked position in the depth stop as this can cause the second implant to deploy prematurely. Once unlocked,
    push the second trocar forward before pulling slack from the suture.

    Order of Implant Insertion


    As the knot tightens between implants
    it will slide down to the first implant.
    For a vertical mattress the first implant
    should be placed in the body of the
    meniscus and the second implant at the
    2 2
    upper edge of the meniscus or directly
    1 1 into the capsule. This will prevent
    “curling up” of the meniscus when
    the suture is tightened.

    If the meniscus is “curled up”, place the


    next stitch in a vertical mattress configu-
    ration on the inferior side of the menis-
    cus to pull the meniscus back down.
    For horizontal mattress stitches place
    the most posterior implant first so that
    the visualization of the second implant
    is not compromised by suture from the
    first implant.

    Meniscal Cinch AR-4500 Accessories:


    Knot Pusher/Suture Cutter, disposable AR-4515
    Shoehorn Cannula, disposable AR-6565
    2-0 Suture Cutter, straight AR-11790
    2-0 Suture Cutter, 15˚ up AR-11791
    Measurement Probe AR-13920P

    For more information go to:


    http://meniscalcinch.arthrex.com
    © 2010, Arthrex Inc. All rights reserved. PATENT PENDING LT0127B

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