Total arthroscopic reconstruction of cranial cruciate ligament rupture in dogs with Artelon® as graft.
 

 A short live inside veiw from the CCL reconstruktion >>      Click on the photo for enlargement >>


Sagittal view of CCL reconstructed stifle joint immediately post-op.


 Frontal view of CCL reconstructed stifle joint immediately post-op.



Shaved and washed stifle joint ready for dressing.



Drilling equipment.







Arthroscopy equipment.
 



Dressings.



Saline solution ready for use.



Arthroscopy monitor and control units.



Patient on surgery table.







X-ray unit.



Surgery theatre with sedated patient ready for surgery.



Surgery theatre with sedated patient ready for surgery.


Established lateral portal.

Established portals.


Arthroscopic intraarticular diagnosis.

Arthroscopic intraarticular diagnosis.


Applied 3 mm guide wire with length scale .
 

Drilling of the guide wire to give a femur tunnel with native CCL foot print entrance and extraarticular exit.


Guide wire tip that aims at the center of the CCL femur footprint.

Guide wire tip that aims at the center of the CCL femur footprint.


Exiting guide wire.

Femur tunnel length determination.


Assemblance of cannulated 6 mm drill bit.
 

Overdrilling of the femur tunnel.
 


Retrobutton, graft fixation element for the femur tunnel.

Application of passing sutures used to pull the Retrobutton through the femur tunnel.


Application of passing sutures used to pull the Retrobutton through the femur tunnel.

Intraarticular view of loop of passing suture. The loop is later pulled through the tibia tunnel to retrieve the Retrobutton and graft.


Assemblance of the drill head on the tibia drill guide.
 

Assemblance of the drill head on the tibia drill guide.


Assemblance of the drill head on the tibia drill guide.
 

Tibia drill guide in place to aim for the tibia CCL footprint.


Tibia drill guide in place to aim for the tibia CCL footprint.

Tibia drill guide in place to aim for the tibia CCL footprint.


Intraarticular view of Retrodrill head in place.

Tibia guide wire ready for drilling.


Drill shaft with threaded tip.

Retrievement of passing suture loop.


Retrobutton and Artelon graft.

Retrobutton and Artelon graft.


Retrobutton and Artelon graft.

Retrobutton with applied Artelon graft.


Passing suture loop holding femur fixation device and graft.

Passing suture with attached hold suture.


 

Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.


Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.

Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.


Pull of femur fixation device and graft through tibia tunnel and into femur tunnel.

Retrobutton in place and flip of the same.


Tibia fixation by cannulated interference screw placed inbetween graft portions.

Tibia fixation by cannulated interference screw placed inbetween graft portions.


Check of proper screw placement by translucence detection of the screw driver tip.

Check of proper screw placement by translucence detection of the screw driver tip.






Intraarticular view of screw placement by translucence detection of the screw driver tip.


Trimmed off graft and closure of wounds in layers.
 

Stapled wounds.

 
 A short live inside veiw from the ccl reconstruktion>>               Click on the photo for enlargement

 
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