PowerPick 45°, 6 mm Bohrtiefe, 1.5 mm x 13 cm, steril, VE 5

Power Pick 45°, 6 mm Drill Depth, 1.5 mm x 13 cm, VE5

Power Pick, 45°, Ø 1.5 mm x 13 cm, profundidad de perforación de 6 mm

lamina shaver Power Pick, 45°, 1.5 mm x 13 cm, 6 mm de profundidade de perfuração

Finished Product

AR-8150PX-45

Knee

Procedure

Microfracture surgery is an articular cartilage repairtechnique performed by creating small fractures in the underlying bone in orderfor new fibrocartilage to form. Arthrex provides products, including the PowerPick, allowingsurgeons to effectively perform microfracture surgery safely and reproducibly.

Microfracture

Child (D)

There has been a renewed interest in ACL primary repairs as the treatment for Sherman Type I and Type II ACL ruptures. Careful analysis of historical data has revealed that certain ACL tear subgroups, especially proximal tears with good tissue quality, have positive clinical outcomes with primary ACL repair.1
Studies reporting outcomes of remnant-preserving ACL surgeries have shown encouraging results and a greater potential for early healing and better functional outcomes compared with remnant-resecting surgeries.2 Preservation of the native ACL using the primary repair technique can achieve short-term clinical success and result in good clinical outcomes at 3-year follow-up in this carefully selected patient population.3
Arthroscopic primary repair is minimally invasive in that no grafts need to be harvested, no tunnels need to be drilled, and revision surgery, if necessary, is more analogous to primary reconstructions.4 The goal of the procedure is to preserve the remnant native ligament. By doing this, the native nerve endings and blood supply are preserved.5
References
1. van der List JP, DiFelice GS. Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: a systematic review of historical studies. Knee. 2017;24(5):898-908. doi:10.1016/j.knee.2017.05.009
2. van der List JP, DiFelice GS. Successful arthroscopic primary repair of a chronic anterior cruciate ligament tear 11 years following injury. HSS J. 2017;13(1):90-95. doi:10.1007/s11420-016-9530-8
3. Jonkergouw A, van der List JP, DiFelice GS. Arthroscopic primary repair of proximal anterior cruciate ligament tears: outcomes of the first 56 consecutive patients and the role of additional internal bracing. Knee Surg Sports Traumatol Arthrosc. 2019;27(1):21-28. doi:10.1007/s00167-018-5338-z
4. DiFelice GS, Villegas C, Taylor S. Anterior cruciate ligament preservation: early results of a novel arthroscopic technique for suture anchor primary anterior cruciate ligament repair. Arthroscopy. 2015;31(11):2162-2171. doi:10.1016/j.arthro.2015.08.010
5. DiFelice GS, van der List JP. Arthroscopic primary repair of proximal anterior cruciate ligament tears. Arthrosc Tech. 2016;5(5):e1057-e1061. doi:10.1016/j.eats.2016.05.009

ACL Repair

Foot and Ankle

Arthroscopic ankle fusion has many proven benefits when compared to open fusion techniques. Arthrex's comprehensive product line provides surgeons with all the necessary tools for safe and effective arthroscopic fusion of the ankle joint.
The ankle arthroscopy set includes multiple curettes and osteotomes to facilitate preparation of arthritic joints. The PoweRasp™ and PowerPick™ devices allow for simple cartilage removal and marrow stimulation at the distal tibia and talus.
After appropriate preparation of the fusion site, surgeons can use the GPS Targeting System to pinpoint placement of K-wires. Once the K-wires are in place, fusion can be achieved using the Arthrex 7.0 mm Compression FT Screws.

Arthroscopic Ankle Fusion

Shoulder

Biologic tuberoplasty harnesses the power of the ArthroFlex dermal allograft to provide a permanent spacer between the acromion and the tuberosity that can prevent bone-on-bone contact due to an irreparable rotator cuff tear.&nbsp;&nbsp;Self-punching tensionable knotless anchor technology allows the ArthroFlex graft to be placed in a quick, effective, and&nbsp; reproducible technique preventing shoulder with impingement syndrome, often associated with shoulder pain.&nbsp;
ArthroFLEX® is a trademark of LifeNet Health.

Biologic Tuberoplasty Technique

Orthobiologics

Product

The BioUni OATS Instrument Set is the new standard for restoration of the articular surface when presented with elongated cartilage defects in the medial femoral condyle. Through a series of precisely designed cutting instruments, surgeons can replace damaged cartilage with a single, elliptical piece of viable, hyaline cartilage.

BioUni® OATS® Instrument Set

Imaging and Resection

The PowerPick and PowerPick XL instruments provide a fast and easy method for performing marrow stimulation procedures using the SynergyResection™ shaver system. The PowerPick device has a drill depth of 4 mm and the PowerPick XL device has a drill depth of 6 mm. The additional 2 mm depth of the XL device allows for adequate penetration into subchondral bone when perpendicular positioning of the drill tip is difficult to achieve.
The PowerPick instruments have many applications, including microdrilling lesions within the knee, ankle, or shoulder prior to BioCartilage® supplementation; microdrilling the femoral notch footprint for an ACL repair to create a bleeding bone bed; and microdrilling the greater tuberosity prior to a rotator cuff repair or a superior capsular reconstruction to create bone marrow vents to allow autologous biologics to flow into the repair environment.
The PowerPick instruments are also ideal for measuring osteochondral defects by using the distal edge of the laser mark, which is 5 mm from the sheath end, as a guide.
When using an anteromedial over-the-top technique for ACL reconstruction, another useful application is to use the drill tip to mark the tunnel location within the femoral notch or footprint. By using the 2 mm wide laser mark, the approximate tunnel location can be determined through the medial portal by placing the end of the sheath at the over-the-top position. The proximal edge of the laser mark, which is 7 mm from the end of the sheath, is used to reference the center of a 10 mm tunnel in a single-bundle ACL technique.
The PowerPick instruments can clear debris from the holes they create as opposed to a chondral pick that compacts the holes with bone, thus hindering maximal bleeding. Since the PowerPick instruments are packaged sterile, they are sharp compared to worn chondral picks that pose a risk to skiving.
The PowerPick marrow stimulation instruments are offered in large-hub working lengths of 13 cm with a drill diameter of 1.5 mm. The PowerPick device is available with tip angles of 30° and 45°, while the PowerPick XL device features a 45° tip angle and 6 mm drill depth.
The PowerPick instrument is also offered for small-joint surgery with the Arthrex small-hub handpiece. The small-joint PowerPick devices have 7 cm working lengths with a drill diameter of 1 mm and are available with tip angles of 0° and 45°.

PowerPick™ Microfracture Instruments

The SCR technique was pioneered by Dr. Teruhisa Mihata in 2007 for patients with irreparable rotator cuff tears. In the SCR study, a 24- to 51-month follow-up on 23 patients shows outstanding outcomes in pain, ASES scores, and acromiohumeral distance measurements.1 The SCR technique reinforces the superior capsule, keeping the humeral head centered in the glenoid by attaching tissue from the glenoid to the greater tuberosity.
Reference
1. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459-470. doi:10.1016/j.arthro.2012.10.022

PowerPick, 45° 6 mm Drill Depth

AR-8150PX-45

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Related Pages

Knee

Microfracture

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Knee

ACL Repair

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Foot and Ankle

Arthroscopic Ankle Fusion

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Shoulder

Biologic Tuberoplasty Technique

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Orthobiologics

BioUni^® OATS^® Instrument Set

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Imaging and Resection

PowerPick™ Microfracture Instruments

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Shoulder

Superior Capsular Reconstruction (SCR) Technique

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