As the first adjustable-loop cortical suspensory fixation implant to use a flat tape design, the new ACL TightRope II implant offers superior biomechanics1, improved graft tensioning and better handling characteristics2, and the option of a preloaded FiberTape for the InternalBrace™ technique. The InternalBrace technique has been shown to provide improved PROMs, less pain, and a higher percentage of and earlier return to preinjury activity level3 with no evidence of complications3,4,5,6. Reinforcement of ACL/PCL reconstructions and repairs using the InternalBrace technique enhances the biomechanical strength of the construct and protects the graft during the early phases of graft remodeling7.
Introduction to the TightRope® II Implant
GraftLink® ACL Reconstruction Using TightRope® II Implant For InternalBrace™ Technique
GraftLink® PCL Reconstruction Using TightRope® II Implant With InternalBrace™ Technique
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References: 
1. Arthrex, Inc. Data on file (APT-G01155). Munich, Germany; 2020.
2. Arthrex, Inc. Data on file (LA1-00038-EN_B). Naples, FL; 2017.
3. Bodendorfer BM, Michaelson EM, Shu HT, et al. Suture augmented versus standard anterior cruciate ligament reconstruction: a matched comparative analysis. Arthroscopy. 2019;35(7):2114-2122. doi:10.1016/j.arthro.2019.01.054
4. Parkes CW, Leland DP, Levy BA, et al. Hamstring autograft anterior cruciate ligament reconstruction using an all-inside technique with and without independent suture tape reinforcement. Arthroscopy. 2021;37(2):609-616. doi:10.1016/j.arthro.2020.09.002
5. Burton, Denver A. et al. Primary Anterior Cruciate Ligament Repair Using Suture Tape Augmentation: A Case Series of 29 Patients With Minimum 2-Year Follow-Up. Arthroscopy, Volume 37, Issue 4, 1235 - 1241
6. Smith PA, Bozynski CC, Kuroki K, Henrich SM, Wijdicks CA, Cook JL. Intra-Articular Biocompatibility of Multistranded, Long-Chain Polyethylene Suture Tape in a Canine ACL Model. J Knee Surg. 2019 Jun;32(6):525-531. doi: 10.1055/s-0038-1655765. Epub 2018 May 31. PMID: 29852514.
7. Noonan BC, Bachmaier S, Wijdicks CA, Bedi A. Independent suture tape reinforcement of tripled smaller-diameter and quadrupled grafts for anterior cruciate ligament reconstruction with tibial screw fixation: a biomechanical full construct model. Arthroscopy. 2020;36(2):481-489. doi:10.1016/j.arthro.2019.06.036
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