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ACL reconstruction and fixation techniques are usually determined according to the doctor’s surgical habits, graft selection and surgical technique. Arthroscopic ACL reconstruction has been routinely used in clinical practice, and the fixation method of the tibia side reconstruction ligament is relatively uniform, and external fixation of the tibia tunnel is mostly used. In recent research, a range of viewpoints has been expressed regarding the fixation of reconstructed femoral ligaments: intra-articular femoral tunnel screw extrusion fixation belongs to ligament insertion fixation, but there are tendon-bone healing and cutting injuries at the extrusion interface; extra-articular femoral tunnel screw extrusion fixation needs to be performed at the knee joint. The soft tissue is re-cut to create a new trauma. The advantage of using suspended titanium plate fixation on the femoral side is that it is easy to operate under the microscope, avoids an external femoral incision and the cortical bone is firmly fixed, which can facilitate double-bundle reconstruction and is beneficial to revision.
Canwell CanLoop™ Plate application in the distal femur
Adjustable suspension titanium plate has gradually become the most commonly used suspension external fixation method in ligament reconstruction surgery, mostly used for femoral cortical external fixation. The adjustable cortical bone fixation system (adjustable suspension titanium plate) is an innovative technology for arthroscopic reconstruction of the ACL.
The convenience and quickness of the adjustable suspension titanium plate come from its original design, which uses adjustable coils to make implants of universal size. Only one model is required, simplifying inventory management. In addition, surgery is simplified by eliminating the need for multi-step calculations to determine coil size or tunnel depth – the implant will adapt no matter how deep the tunnel is drilled. Secure fixation with minimal graft slippage is a key prerequisite for early rehabilitation after cruciate ligament reconstruction. The distinctive one-way sliding design, locking knot device, adjustable coil, simplified suture management and suspended titanium plate can help physicians easily achieve the goal of early recovery. In addition, with adjustable coils, physicians can increase the length of the graft within the femoral tunnel and the graft-tunnel healing surface, improving postoperative outcomes. The looped titanium plate, developed by Canwell Medical, expands its utility beyond ACL reconstruction. It can be utilized for the repair of acromioclavicular joints, inferior tibiofibular joints, and medial patellofemoral ligament injuries, thereby restoring joint function and enabling patients to return to their sport of choice. This adaptability provides clinicians with a broader range of treatment options.
CanLoop ™ Plate Fixed
CanLoop™ Plate Adjustable
| Fixed length tabs | Adjustable tab |
| Many models with fixed length | Adjustable length only single model |
| Reserve loop distance | No need to reserve loop distance |
| The graft does not completely fill the bone canal | The graft can completely fill the bone canal |
| Bone canal length needs to be calculated | No need to calculate |
| Need to rely on the feel to turn the loop | Looking directly at the flip loop under the lens |
| Thicker loops cut the graft less | The loop is thinner, and the graft is cut larger |
Comparison between fixed titanium plate and adjustable titanium plate
According to clinical experience in recent years and recent follow-up observations, the adjustable suspension titanium plate has the advantages of simple operation steps, optimized biomechanical effects, and reliable fixation. The application of an adjustable suspension titanium plate can achieve the fixed strength of early functional exercise, and the postoperative recovery is fast, which is beneficial to early rehabilitation.
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