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Zimmer Biomet The AperFix Surgical Technique
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Zimmer Biomet The AperFix Surgical Technique

The anatomic implant
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The AperFix
System
®
The Anatomic Implant
PCL Surgical Technique

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Summary of Contents for Zimmer Biomet The AperFix

  • Page 1 The AperFix System ® The Anatomic Implant PCL Surgical Technique...

  • Page 3: Table Of Contents

    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: Posterior Cruciate Ligament Review

    (when doubled over, graft should ideally fit an 11 mm Pass the prepared soft tissue grafts through the implant to maximally fill the PCL footprint). Split the eyelets of the AperFix Femoral Implant (AperFix 29 graft longitudinally to half of its length (pant leg). mm shown) (Figure 1).
  • Page 5 AperFix System PCL Surgical Technique Figure 2 Figure 3 Graft Preparation and Tunnel Placement (cont.) Step 5 Step 7 Anterolateral scope portal should be made 10-12 mm Wrap the sutures of the prepared tendons around the suture cleats of the Femoral Inserter Handle to pre- from the patellar tendon to facilitate femoral drilling.
  • Page 6 AperFix System PCL Surgical Technique Figure 4 Figure 5 Graft Preparation and Tunnel Placement (cont.) Step 8 Note: A posteromedial portal is recommended Drill the femoral tunnel first to avoid fluid outflow to fully debride the posterior tibia for tunnel through the tibial tunnel.

  • Page 7: Femoral Fixation And Graft Passage

    Load a looped, high tensile strength suture through the tibial tunnel; retrieve through the intercondylar bundles, rotate the AperFix inserter until the AL notch and out of the anterolateral portal. Suture loop bundle is positioned anterior and the PM bundle is positioned posterior in the femur (Figure 8).
  • Page 8 AperFix System PCL Surgical Technique Figure 10 Figure 11 Figure 12 Femoral Fixation and Graft Passage (cont.) Step 5 Step 8 With the Inserter Handle held firmly in place, rotate Feed the sutures of the tendon bundles through the the white implant deployment knob clockwise until retrieval suture loop.

  • Page 9: Tibial Fixation

    AperFix System PCL Surgical Technique Figure 14 Figure 13 Figure 15 Tibial Fixation Step 1 Step 3 With the AL and PM bundles anatomically separated, Insert the Guide Wire through the Tendon Expander, select the Tibial Implant size to match the drilled into the tibial tunnel (between the tendons), and into tunnel diameter (Figure 13).
  • Page 10 AperFix System PCL Surgical Technique Figure 16 Figure 17 Figure 18 Tibial Fixation (cont.) Step 4 Step 5 With the knee held at 90° and under an anterior tibial Pull the Driver back along the Guide Wire to disengage force, and with the graft under tension (to simulate from the Tibial Sheaths (Figure 17).
  • Page 11 AperFix System PCL Surgical Technique Figure 19 Figure 20 Tibial Fixation (cont.) Step 7 Step 9 Keep the knee in 90° of flexion and insert the Tibial Once the Tibial Screw is completely seated between Screw over the Guide Wire until the tip of the Screw the Sheaths, remove the Driver by pulling the handle engages the Sheaths (Figure 19).

  • Page 12: Ordering Information

    AperFix System PCL Surgical Technique 10 | Ordering Information AperFix Femoral Implant with Inserter Description Size Part Number AperFix AM Femoral Implant with Inserter 9 mm x 24 mm CM-2409 10 mm x 24 mm CM-2410 AperFix Femoral Implant with Inserter 9 mm x 29 mm CM-2909 10 mm x 29 mm...

  • Page 13: Indications

    APERFIX / APERFIX AM FEMORAL IMPLANT APERFIX TIBIAL IMPLANT INDICATIONS FOR USE INDICATIONS FOR USE The AperFix Femoral Implant is intended for use The Cayenne Medical AperFix Tibial Implant with in tenodesis procedures with soft tissue grafts, Inserter is intended for use in tenodesis procedures...
  • Page 14 AperFix System PCL Surgical Technique 12 | Notes...
  • Page 16 Biomet sales force only. Distribution to any other recipient is prohibited. All content herein is protected by copyright, trademarks and other intellectual property rights owned by or licensed to Zimmer Biomet or its affiliates unless otherwise indicated. This material must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of Zimmer Biomet.