Tekyard Medical closeout auctions take place on DOTmed.com. 33. 19. Meniscus Arrow Surgical Technique Guide. $1,190.00 + $21.79 shipping. (From Mitek Meniscal Repair System Instructional Brochure, 2000. 3-6-584/F, Near Sai Baba Temple Lane, With the development of a plethora of all-inside meniscal repair devices touting simpler surgical techniques, shorter surgical times, and reduced surgical risk, the clinician has more devices at his disposal to repair tears previously thought irreparable. Meniscal repair using the FasT-Fix all-inside meniscal repair device. Select the proper-length Arrow for each part of the tear and arrange on the back table before proceeding. Hantes ME, Zachos VC, Varitimidis SE, Dailiana ZH, Karachalios T, Malizos KN. Correspondence to: C. Benjamin Ma, MD, University of California, San Francisco, Department of Orthopaedic Surgery, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143. For more information, please refer to our Privacy Policy. Generally, all-inside devices require simpler surgical techniques and shorter surgical times, and have reduced surgical risk because accessory incisions are not necessary. This site needs JavaScript to work properly. Endoscopic meniscus repair using the T-Fix suture device (Acufex Microsurgical, Inc, Mansfield, MA) allows ease of suture placement for meniscus stability without the problems associated with ancillary incisions such as neurovascular compromise. (B) Bionix Arrows placed sequentially at 5 mm intervals. 34. Based upon our review we cannot make any conclusions regarding which devices have the lowest failure rates. Extrusion of the medial meniscus. We presumed all-inside meniscal repair devices would have equal failure rates that would increase with longer followups. Repair of meniscus tears in ACL-deficient knees has a much higher failure rate than patients undergoing meniscal repair with stable knees. Bid today on 246 lots of medical equipment. The concave, curved retractor efficiently retracts tissue and directs the needles for easy retrieval. Asik M, Sener N. Failure strength of repair devices versus meniscus suturing techniques. My Blog acufex meniscal stitcher set Please contact 760-438-8835 ext. This scatter chart shows the trend of increasing failure rates with longer followup for the meniscus arrow. Power Supply Voltage 2009 Jul;22(3):180-6. doi: 10.1055/s-0030-1247746. Repair of lateral meniscus tears tends to be slightly more successful than repairs of medial meniscus tears. Endoscopic meniscus repair using the T-Fix suture device (Acufex Microsurgical, Inc, Mansfield, MA) allows ease of suture placement for meniscus stability without the problems associated with ancillary incisions such as neurovascular compromise. Circular saw blade WOOD UNIVERSAL HW 260x2,5x30 SMITHCO SX2 LEAD Federal government websites often end in .gov or .mil. Meniscal repair using the Polysorb Meniscal Stapler XLS. We note several limitations. Pull the trigger to advance the fastener. 2014 Jan;42(1):194-9. doi: 10.1177/0363546513505190. Complete radial tears are typically not suitable for repair because the circumferential collagen bundles of the meniscus have been disrupted and there is little hope of functional restoration. For example, failures were defined as need for further surgery in certain studies, while persistent low clinical outcome scores or failure to heal with repeat arthroscopy was designated a failure in other studies. Thank you. Each meniscus is divided into radial thirds represented by the letters A to F. The meniscus is then subdivided into circumferential thirds represented by 1, 2, or 3. Comparable Outcomes After Bucket-Handle Meniscal Repair and Vertical Meniscal Repair Can Be Achieved at a Minimum 2 Years' Follow-up. Barber FA, Herbert MA. Barber FA, Coons DA. Repair of tears that are less than 3.9 cm have a much lower failure rate than repairs of larger tears. official website and that any information you provide is encrypted Height Smith & Nephew T-MAX Beach Chair Positioner & Cart 7210551 7210553 - eBay The ZoneNavigator System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Hechtman and Uribe. Meniscus arrows, by far the most studied device, had a failure rate between 5% to 43.5%.24,38 Though at first glance this may seem like a very high failure rate, it is worth noticing more than half of these studies had a failure rate less than 15%. Maintain the cannula position and pass the driver-screw assembly through the cannula to the repair site. 72201252 ACUFEX DIRECTOR Anatomic ACL Guide System, 72202437 Anatomic ACL Double Bundle Instrument Tray. Arthroscopy 2000;16:E17, 20 Kumar A, Malhan K, Roberts SN. Used ACUFEX Meniscal Repair Kit Acufex Meniscal Repair Kit With Bid today on 82 lots of medical equipment. Indications and Techniques for Meniscus Repair, Primary Repair of Posterior Cruciate Ligament Tears, Posterolateral Corner Hamstring Figure-Eight Reconstruction, Arthroscopic Treatment of Lateral Tibial Plateau Fractures, Repair and Reconstruction of Acute and Chronic Patellar Tendon Rupture, Patients with peripheral meniscus tears are the best candidates for repair. The device with the longest average followup is the meniscus arrow with Lee and Diduch27 reporting an average followup of 79.2 months. Arthroscopy 1997;13:183187, 10 Johnson & Johnson. Red-on-white tears are on the periphery of this vascular zone. The type, location, size, and vascularity of the meniscus tear are evaluated and noted. New In Box . Surgical Technique Guides | English | 10/25/2021 | LT1-000005-en-US D, Surgical Technique Videos | 05:36 | English | 09/16/2019 | VID1-000508-en-US A, White Papers | English | 03/10/2021 | LA2-000137-en-US A, 06:34 | Spanish | 02/13/2020 | VID1-000898-es-NT B, 05:36 | English | 09/16/2019 | VID1-000508-en-US A, 05:33 | English | 09/16/2019 | VID1-000507-en-US A, 08:28 | English | 05/31/2019 | VID1-000141-en-US B, 02:57 | English | 03/07/2019 | VID1-000140-en-US A, 02:20 | English | 03/07/2019 | VID1-000139-en-US A, 06:26 | English | 03/07/2019 | VID1-000056-en-US B, 06:23 | English | 05/13/2013 | VID1-0190-EN A, English | 10/25/2021 | LT1-000005-en-US D, Vietnamese | 10/08/2021 | LT1-000005-vi-VN C, English | 07/21/2022 | LB1-000220-en-US C, English | 07/28/2021 | FL2-000306-en-US F, 05:27 | English | 11/15/2022 | VID1-003497-en-US A, 05:42 | English | 08/29/2022 | VID1-003498-en-US A, 07:43 | English | 10/07/2021 | VID2-002769-en-US A, 10:15 | English | 09/17/2015 | VPT2-00571-EN A, 10:36 | English | 08/20/2014 | VPT2-00265-EN A, English | 03/10/2021 | LA2-000137-en-US A. We found no substantial differences in the failure rates among various meniscus devices. Depth We are sorry but you must be a DOTmed user to save searches. The barbed meniscal repair devices available include the Dart (Arthrex, Naples, FL) and the Arrow (Bionix, Blue Bell, PA). Branch offices at Vijayawada, Vizag, and Tirupathi for effective coverage of territory Our principals are smith & nephew, Adler, Eucare, DOU, TriCell Bio, Star, etc. Once located, the tear(s) should be measured and probed for depth and configuration. Click to enlarge. One disadvantage is all-inside meniscal repair techniques tend to perform inferiorly to traditional suture repair in biomechanical strength testing.5,7,22,30,32 Whether this is of clinical importance has not been determined. This will leave a 2 to 3 mm suture tail. Meniscal function includes load transmission and distribution, joint nutrition, joint stability, and neuromuscular proprioception. Cannulas attach to the handle to efficiently target specific zones of the meniscus. Sarimo J, Rantanen J, Tarvainen T, Harkonen M, Orava S. Evaluation of the second-generation meniscus arrow in the fixation of bucket-handle tears in the vascular area of the meniscus: a prospective study of 20 patients with a mean follow-up of 26 months. This device comes in 6 and 8 mm sizes with either a 27- or 34-degree delivery needle ( Fig. (C) Approximating the meniscal tear. Arthrex - Inside/Out Meniscal Repair A simple sterile nonadherent dressing is placed with a compression stocking. Hook the probe over to the capsule and measure the distance to the exterior edge of the tear. Linvatec Zone Specific II Meniscal Repair System. A computer system, comprising: a computer processor; and a non-transitory computer-readable storage medium storing processor-executable instruction that, when executed by the processor, cause the processor to perform a method of determining a condition of a tissue of a patient, the method comprising: determining, using a first trained statistical classifier, a . Midterm results of meniscal repair using the BioStinger meniscal repair device. Pagnani MJ, Cooper DE, Warren RF. Insert the cutting needle, and advance across the tear (the needle protrudes 13 mm). Use the ergonomic handle to advance and retract 2-0 SutureTape with meniscal repair needles in 1 cm increments. Arthroscopy 2000;16:754756, 19 Seil R, Rupp S, Dienst M, Mueller B, Bonkhoff H, Kohn D. Chondral lesions after arthroscopic meniscus repair using meniscus arrows. Our initial search was very broad and included the following MESH headings: (meniscus OR meniscal) AND (device OR all inside repair). Shop by category. how long can you live with a coiled aneurysm? Open meniscal repair was done by to close the mouth of surgically open intrameniscal cyst with the help of 2.0 FiberWire horizontal sutures were taken by inside out technique and meniscus repair was done. Withdraw the needle from the tissue, and the fastener will remain in place across the tear. sharing sensitive information, make sure youre on a federal All of the studies, except one1 in this review, have a minimum followup of at least 6 months (Table 2). Formal physical therapy is employed for about 12 weeks after surgery. Subscribe to get full access to this operation and the extensive Knee Surgery Atlas. acufex meniscal repair system Menu crave frozen meals superstore. History and physical exam can often accurately predict the presence of a meniscus tear but typically are not helpful in determining whether a particular tear is amenable to repair. One disadvantage of the barbed devices is their relatively low pullout strength compared with vertical mattress suture repair in cadaver and porcine menisci. 0 . acufex meniscal repair systemgive examples of simile for beach. Clin Sports Med 1991;10:529547, 2 DeHaven K. Meniscus repair. Arthroscopic Probe | KARL STORZ | Bioz According to Warrens zone system for the classification of meniscal tears. Designed to freshen the edge of the meniscal tear prior to repair. Buy electronics, fashion apparel, collectibles, sporting goods, digital cameras, baby items, and everything else from Korean eBay sellers PDF The evidence is in - Smith & Nephew All rights reserved. Picture 1 of 6. 13. MRI is not a good predictor of clinical healing in menisci that have already undergone repair. Proximity of the Neurovascular Bundle During Posterior-Lateral Meniscal (B) Placement of the driver into the cannula to facilitate screw delivery. With an all-suture method of fixation, the AS Meniscal Repair Device eliminates any migration risk of broken tacks or anchors which could cause damage inside the knee and may lead to increased operative time during removal. It is made of PLA and is delivered via a flexible square nitinol needle-tipped driver. S/N Business & Industrial; Agriculture & Forestry; Construction; Electrical & Test Equipment; Fuel & Energy; Healthcare, Lab & Life Science; Dental; Imaging & Aesthetics . MRI does not accurately predict those tears that will be amenable to repair. Central, avascular meniscus tears have poor prognosis for healing. Meniscal repair using the inside-out technique with cross stitch. The Mitek meniscus fastener is a double T-shaped device (polypropylene or PLA) that is delivered via a loaded needle and gun system. The new device, designed for intuitive use, works with only one thumb slide actuation and no complex components. The ZoneNavigator System revolutionizes inside-out meniscal repair with single-handed control of needle placement. From basic science and clinical outcome studies, a tear in the red-red zone has higher healing potential than a tear in the white-white zone because of the limited vascularity in this area.12,34 All of these variables are not accounted for when comparing different clinical studies. Patients undergoing concomitant anterior cruciate ligament (ACL) reconstruction and meniscus repair have a higher success rate for meniscal healing as compared with patients with isolated tears. The operating surgeon should be prepared to perform several meniscal repair techniques including all-inside and traditional, suture-based repairs. 35. Summary: This investigation documented the locations of endoscopically applied T-Fix suture devices (Acufex Microsurgical, Mansfield, MA) placed in si The remaining devices had either one or two studies looking at clinical outcomes. They are designed to approximate the sides of meniscus tears and resist pullout or deformation through mechanical engagement of barbs in the meniscus tissue. Arthroscopic scissors may also be used. Power Requirements A biomechanical evaluation of all-inside 2-stitch meniscal repair devices with matched inside-out suture repair. BR9305860A - Aparelho e processo para a fixao de sutura - Google Patents Aparelho e processo para a fixao de sutura Moreover, difference in clinical failures may also be influenced by how failure was defined in the study. This presentation gives a high level of detail about routine knee arthroscopy, using a pump and a 30 degree scope. In addition a lateral meniscal repair is described using Smith and Nephews FastFix 360 system and coblation of the retropatellar articular cartilage. acufex meniscal repair system. Spindler KP, McCarty EC, Warren TA, Devin C, Connor JT. After visual assessment, probe the tear and measure for proper Arrow length. STRYKER 67-80MM ACETABULAR REAMERS SET TRAY. Branch offices at Vijayawada, Vizag, and Tirupathi for effective coverage of territory Our principals are smith & nephew, Adler, Eucare, DOU, TriCell Bio, Star, etc. The FasT-Fix device compares favorably to vertical mattress sutures for maximum force at failure in human meniscus, and it showed the least deformity of fixation when studied in vitro:5, 6. Warranty Miscellaneous Surgical Orthopedic Instruments Acufex - Depuy - Mitek. 8. Arthroscopic techniques include inside-out repairs, outside-in repairs, and all-inside repairs. J&J Syn Locking Set, Titanium Trohanteric Fixation Instrument Set W Meniscal repair devices. Overall meniscal repair Meniscal root repair only Projected 10-year costs were 33% less ($31,528-$22,590) for meniscal root repair compared to meniscectomy.56 In the USA contact: fda.gov Steenbrugge F, Verdonk R, Hurel C, Verstraete K. Arthroscopic meniscus repair: inside-out technique vs. Biofix meniscus arrow. Disclaimer. 31. Knee flexion should not exceed 90 degrees during the first 4 weeks after meniscal repair. Select the proper Dart size and load to the end of the sheath. Venkatachalam S, Godsiff SP, Harding ML. Covidien has announced the launch of the AS Meniscal Repair Device which the company says enables orthopedic surgeons to perform all-inside, minimally invasive arthroscopic surgery to repair a torn meniscus in the knee using what it calls the gold standard all-suture method of fixation. Deteriorating outcomes after meniscal repair using the Meniscus Arrow in knees undergoing concurrent anterior cruciate ligament reconstruction: increased failure rate with long-term follow-up. The decision to proceed with meniscal repair should be based on arthroscopic findings (tissue quality, vascularity). As such, the appropriate technical materials should be available prior to the start of the procedure. (B) The red safety trigger is depressed, and then the main trigger is pressed to deliver the dart across the tear. The entire inferior surface of both medial and lateral menisci extending to the meniscosynovial junction is evaluated. (B) Delivery of first implant. If the needle tip is just palpated, then use a 13 mm Arrow. - We are temporarily unable to ship medical products to the state of California. Meniscal Repair Solutions animation - YouTube Migration of these permanent implants may be of long-term concern (chondral damage, loose body formation). Barrett GR, Treacy SH, Ruff CG. National Library of Medicine The repair begins with a careful evaluation of the tear pattern with the probe (A), followed by a preparation of the meniscal rim to a bleeding bed using the ACUFEX meniscal diamond rasp (Smith & Nephew) or a 4.5-mm shaver (B). Surgical Technique Videos | 09:15 | English | 03/30/2017 | VID1-00943-EN B, Presentation Videos | 09:03 | English | 05/11/2020 | VID1-000979-en-US A, 06:43 | English | 09/27/2021 | VID1-002665-en-US B, 09:15 | English | 03/30/2017 | VID1-00943-EN B, 02:48 | English | 12/23/2016 | VID2-00955-EN A, 02:03 | English | 06/09/2021 | AN1-00392-EN B, English | 07/28/2021 | FL2-000306-en-US F, 05:42 | English | 08/29/2022 | VID1-003498-en-US A, 01:08 | English | 07/25/2019 | pAN1-00392-EN A, 09:03 | English | 05/11/2020 | VID1-000979-en-US A, 12:28 | English | 03/29/2019 | VID1-000234-en-US A, 11:16 | English | 03/26/2018 | VPT1-00798-EN C, 04:50 | English | 12/11/2018 | VID1-000019-en-US A, English | 02/14/2023 | evBR1-002467-en-US B, English | 07/19/2022 | DOC1-000605-en-US C. Certain products may not be approved for sale in all countries. 5. Smith And Nephew Endoscopy - Smith And Nephew Footprint Ultra PK Letters, biomechanical studies, animal studies, in vitro studies, duplicate studies and non-English language papers were excluded. Clinical Orthopaedics and Related Research455:134-141, February 2007. Acufex - 013382 - MPN: 013382 1 Select the needle most appropriate for the tear you are repairing. (From Caborn D. Illustrated Guide for the FasT-Fix Meniscal Suture System. Designed to freshen the edge of the meniscal tear prior to repair. This PubMed search strategy yielded 749 hits. Penetrate the tissue with the delivery needle until the collar abuts the tissue. Enter your search keyword. Orthopedic - Sterilization It also features clear, laser-etched depth markings on the specially coated needles, allowing for precision in depth of penetration. Using the criteria above, this process of exclusion yielded 30 manuscripts. 2009;25(9):951-958. doi:10.1016/j.arthro.2009.03.018, Implant System, Meniscal Root Repair with BioComposite SwiveLock, Implant System, Meniscal Root Repair with PEEK SwiveLock, FiberLink SutureTape, 0.9 mm, with Loop (White/Black), TigerLink SutureTape, 0.9 mm, with Loop (White/Black), 2-0 FiberStick, 2-0 FiberWire, 50" (blue) one end stiffened, 12", Locking Guide for Meniscal Root Marking Hook. Clinical results of arthroscopic meniscal repair using biodegradable screws. BR9305860A - Aparelho e processo para a fixao de sutura - Google Patents Starting at $104/mo with Affirm. The Global Unique Device Identification Database (GUDID) contains key device identification information submitted to the FDA about medical devices that have Unique Device Identifiers (UDI). Meniscal Root Repair ; Ear, Nose and Throat; Orthopaedic Reconstruction; Robotics and Digital Surgery; . The decision to proceed with meniscal repair is made following a thorough arthroscopic assessment of the knee joint. Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country. acufex meniscal repair system Arthroscopy 2000;16:749753, 18 Ross G, Grabill J, McDevitt E. Chondral injury after meniscal repair with bioabsorbable arrows. Choose a Specification All-inside meniscus repair techniques were designed to eliminate the potential risks and morbidity of the inside-out and outside-in repair methods, such as nerve injury, and the need for additional knee incisions. Amperage Lead Trailer Option, Hyd/Air/Elect to Rear w/Air Cushion 2023 Machinio Corp., a subsidiary of Liquidity Services, Inc. [Expired] Smith & Nephew Fast-Fix AB Straight Needle, [Expired] Smith & Nephew Ultra Fast Fix AB Straight Needle, [Expired] Smith & Nephew Ultra Fast Fix AB Curved Needle Delivery,Split, Body Solid EXM3000LPS Home Gym -2 Stack Multi Gym. NBH (3) Device Packaged As Sterile Circumferential-Surrounding ("Sandwich") Meniscal Repair: A Salvage 17. Sold as pictured. 25. Dimensions l x w x h (inches): 54 x 16 x 78 | Weight (lb): 620 | Showroom aisle: 004 | Showroom Commercial Body Solid EXM 3000LPS Multi Gym These tears may be treated with rasping or shaving to stimulate healing. Position the sheath 4 to 6 mm from the tear to obtain maximal fixation. The Bionix Meniscal Arrow is a sharp-tipped, barbed polylactic acid (PLA) device with a head. 30. Call For Best Price 888-502-2348, Acufex Meniscal Repair Flexible Fifteen Set, OB35 13.6m ASGB coachbuilt triple expanding trailer. Rimmer MG, Nawana NS, Keene GC, Pearcy MJ. ACUFEX Anatomic ACL Guide System for double bundle ACL reconstruction lets you restore the anatomic footprints of the AM and PL bundles. Some error has occurred while processing your request. CLAIMS . It is ideal for the central posterior horn tears that are difficult using conventional techniques. The T-fix technique for endoscopic meniscus repair: technique, complications, and preliminary results. Anatomic ACL Reconstruction is a new interactive technique guide, that will review the latest innovations in anatomic ACL reconstructions. Two-year follow-up of meniscal repair using a bioabsorbable arrow. Perpendicular repair is critical to achieve the necessary engagement of the devices barbs. acufex meniscal repair systemproforce senior vs safechoice senior. Find Smith & Nephew, Arthrex, ConMed, and Arrow for sale on Machinio. Instructional Brochure, 2000, 13 Dervin G, Downing K, Keene G, McBride D. Failure strengths of suture vs. biodegradable arrow for meniscal repair: an in vitro study. Unauthorized use of these marks is strictly prohibited. Tsai AM, McAllister DR, Chow S, Young CR, Hame SL. Repair of meniscal tears with the absorbable Clearfix screw: results after 1-3 years. 014550. Auction Alert - Live Now: ZRG Medical Surplus Auctions March 10th, Auction Alert - Live Now: Tekyard Medical Surplus Auctions March 8th, Not finding the equipment you need? Device failure for all of the all-inside meniscus repair devices ranged from 0% to 43.5%28,38 (Table 2). From the *University of California, San Francisco School of Medicine; and the University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco, CA. In the UK contact: gov.uk Search for used meniscus repair. Started business operation in the name of Balamurugan Traders in 1981, Based in Hyderabad, Telangana, Andhra Pradesh, India.We are distributor of medical Devices. Given the paucity of randomized controlled studies comparing different all-inside meniscal repairs, no definite conclusions can be made regarding the difference in clinical outcomes of various all-inside meniscal repair devices. Would you like email updates of new search results? The entire superior surface of the lateral meniscus is typically visible. Please try after some time. Kocabey Y, Nyland J, Isbell WM, Caborn DN. Andover, MA: Smith & Nephew, 2001, 5 Becker R, Schroder M, Starke C, Dietmar U, Nebelung W. Biomechanical investigations of different meniscal repair implants with horizontal sutures on human meniscus. Asik M, Sen C, Erginsu M. Arthroscopic meniscal repair using T-fix. 36. Preliminary results of the T-fix endoscopic meniscus repair technique in an anterior cruciate ligament reconstruction population. A torn meniscus is one of the most common injuries to the knee with reportedly more than 840,000 injury-related procedures performed annually in the United States, albeit most of these will be meniscectomies rather than repairs. Laprell H, Stein V, Petersen W. Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study. 22. Distance From Tip To Bend Zone 0 is the meniscosynovial junction. Your message has been successfully sent to your colleague. The Dart system comes with a flexible probe with indexed measuring lines to help determine proper Dart size. Acufex (3) GMDN Term. Release the triggers and turn the knob until tight. 19 ), Pre-Owned MPR Minimally Invasive Knee Positioner (MIKP). Clinical evaluations of these devices consisted largely of case series. Fetzer GB, Spindler KP, Amendola A, Andrish JT, Bergfeld JA, Dunn WR, Flanigan DC, Jones M, Kaeding CC, Marx RG, Matava MJ, McCarty EC, Parker RD, Wolcott M, Vidal A, Wolf BR, Wright RW. Used. We performed a systematic literature review using PubMed (January 1966-July 2006) to identify clinical studies looking at outcomes of meniscal repairs using various all-inside meniscal repair devices. Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH. 10. Dr. Cassandra Lee completes an all-soft tissue quadriceps tendon ACL reconstruction featuring the Smith+Nephew ULTRABUTTON QUAD and Ultrabutton TIB Devices. Published clinical results of meniscal repairs are variable because of different inclusion criteria. The screw comes mounted on a cartridge. Business & Industrial; Agriculture & Forestry; Construction; Electrical & Test Equipment; Fuel & Energy; Healthcare, Lab & Life Science; Dental; Imaging & Aesthetics . Skip to main content. Failure strength of new meniscus repair arrow technique: biomechanical comparison with horizontal suture. Hurel C, Mertens F, Verdonk R. Biofix resorbable meniscus arrow for meniscal ruptures: results of a 1-year follow-up. Injury of the anterior cruciate ligament (ACL) can lead to knee instability associated with damage to other knee structures and the increased risk of degenerative joint disease.This has led to the frequent use of intra-articular tissue grafts for ACL reconstruction tissue grafts for ACL reconstruction
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