Rediscover the
natural ACL anatomy

CONCEPT
REDISCOVER THE NATURAL ACL ANATOMY

Medacta M-ARS ACL Set has been designed to perform the reconstruction of a torn ACL using the Anatomic Ribbon Technique.
Medacta M-ARS system allows the reconstruction of the ACL insertion site mimicking the native ACL footprint by twisting the ribbon shaped transplant before the graft is pulled into the femoral tunnel. The graft is fixed by means of Medacta Tibial Pull Suture Plate and Medacta Extracortical Femoral Button implants.

 

WHY M-ARS ACL?

Innovative single bundle with more natural stress distribution

Improved healing

Dedicated implants

Dedicated instruments

Dedicated surgical technique

 

PRODUCT RANGE

EXTRACORTICAL FEMORAL BUTTON

The Medacta Extracortical Femoral Button is an implantable suspension device used to guarantee the graft fixation on the femoral side during ACL reconstruction

TIBIAL PULL SUTURE PLATE (PSP)

The Medacta Tibial Pull Suture Plate is an implantable extra cortical suspension device used to guarantee the graft fixation on the tibial side during ACL reconstruction following the M-ARS ACL Medacta Anatomic Ribbon Surgery.

REFERENCES

[1] Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, Stuart MJ, Krych MJ. Incidence of Anterior Cruciate Ligament Tears and Reconstruction: a 21-Year Population-Based Study. American Journal Sports Medicine. 2016 June; 44(6): 1502-7. doi 10.1177/0363546516629944.
[2] David Zbrojkiewicz, Christopher Vertullo and Jane E Grayson. Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000–2015. Medical Journal of Australia. 2018; 208 (8): 354-358. || doi: 10.5694/mja17.00974.
[3] Pierre Chambat,corresponding author Christian Guier, Bertrand Sonnery-Cottet, Jean-Marie Fayard, and Mathieu Thaunat. The evolution of ACL reconstruction over the last fifty years. Int Orthop. 2013 Feb; 37(2): 181–186. doi: 10.1007/s00264-012-1759-3.
[4] Śmigielski R, Zdanowicz U, Drwięga M, Ciszek B, Ciszkowska-Łysoń B, Siebold R. Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site: a cadaveric study including 111 knees. Knee Surgery, Sports Traumatology, Arthroscopy. 2015;23(11):3143-3150. doi:10.1007/s00167-014-3146-7.
[5] Rainer Siebold, Peter Schuhmacher, Axel Brehmer, Francis Fernadez, Robert Smigielski, Joachim Kirsch. Tibial C-Shaped Insertion of the Anterior Cruciate Ligament Without Posterolateral Bundle. Anterior Cruciate Ligament Reconstruction: A Practical Surgical Guide, Springer Berlin Heidelberg. 2014;19-27.
[6] Robert Śmigielski, Urszula Zdanowicz, Michał Drwięg, Bogdan Ciszek , and Rainer Siebold, Ribbon like Anatomy of the Anterior Cruciate Ligament from Its Femoral Insertion to the Midsubstance. Anterior Cruciate Ligament Reconstruction: A Practical Surgical Guide, Springer Berlin Heidelberg. 2014;3-10.
[7] Tomoyuki Mochizuki, Akimoto Nimura, Kazunori Yasuda, Takeshi Muneta, and Keiichi Akita, Anatomic and Histological Analysis of the Midsubstance and Fanlike Extension Fibers of the ACL, Anterior Cruciate Ligament Reconstruction: A Practical Surgical Guide, Springer Berlin Heidelberg. 2014;11-17.
[8] Rainer Siebold and Robert S´migielski, Arthroscopic Appearance of the “C” –Shaped Insertion of the Anterior Cruciate Ligament, Anterior Cruciate Ligament Reconstruction: A Practical Surgical Guide, Springer Berlin Heidelberg. 2014;33-35.
[9] CD. Murawski et al, Anatomic Anterior Cruciate Ligament Reconstruction Current Concepts and Future Perspective, Cartilage. 2013 Jul; 4(3 Suppl): 27S–37S. doi: 10.1177/1947603513486557.
[10] Petersen W, Forkel P, Achtnich A, Metzlaff S, Zantop T. Technique of anatomical footprint reconstruction of the ACL with oval tunnels and medial portal aimers. Arch Orthop Trauma Surg. 2013 Jun;133(6):827-33. doi: 10.1007/s00402-013-1741-6. PMID: 23632778 [PubMed - indexed for MEDLINE].
[11] R. Siebold, P Schuhmacher, F Fernandez, R S´migielski, C Fink, A Brehmer, J Kirsch Flat midsubstance of the anterior cruciate ligament with tibial ‘‘C’’-shaped insertion site Knee Surg Sports Traumatol Arthrosc (2015) 23:3136–3142.
[12] R. Śmigielski, U. Zdanowicz, M. Drwięga, B. Ciszek, A. Williams The anatomy of the anterior cruciate ligament and its relevance to the technique of reconstruction Bone Joint J 2016;98-B:1020–6.
[13] C Janovsky, C Cohen Kaleka, MT Seixas Alves, M Ferretti, M Cohen Synovial C-Shaped Tibial Footprint of the Anterior Cruciate Ligament The Orthopaedic Journal of Sports Medicine, 4(11), 2325967116671300.

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