PCD18

Human

Orthobiologics

Product

Revision Bone Dowels offer surgeons a quick and effective solution for filling bone tunnels during staged ACL/PCL revision cases. The use of bone dowels provides an immediate structural and biologic architecture for stability and incorporation. Soaking the dowels in PRP or bone marrow concentrate provides an infusion of growth factors and cells to assist with the incorporation of the scaffold.
The Revision Bone Dowels were treated with the Allowash XG®* process to remove blood and bone marrow elements from the scaffold. The dowels are then preshaped with a tapered tip and cannulated for easier implantation. Treatment with Preservon®* technology allows for the Revision Bone Dowels to be stored in a prehydrated state for up to 5 years.
*Allowash XG and Preservon are a registered trademark of LifeNet Health.

Cannulated Revision Bone Dowels

Child (D)

Knee

Procedure

It is estimated that between 1.8% and 10.4% of patients who undergo an ACL reconstruction will require a revision.1 Restoring a previously malpositioned ACL tunnel or widened tunnels can be challenging, sometimes requiring a two-stage approach.2 The Cannulated Bone Dowel Kit offers surgeons a simplified solution to effectively address these issues. Allograft bone dowels act as a biologic scaffold to provide an immediate structural architecture and promote osseous integration. The bone dowels can be soaked in platelet-rich plasma (PRP) or bone marrow concentrate to provide autologous cells and growth factors that facilitate graft incorporation.
Additionally, press-fit nature and structural integrity of the bone dowels provides surgeons the option to take a single-stage approach in cases where no more than half of the failed tunnel is violated. Favorable outcomes have been reported for patients undergoing single-stage ACL reconstruction using allograft bone dowels.3 &nbsp;
Along with allograft bone dowels, the FlipCutter® III drill is particularly advantageous in setting a revision ACL reconstruction. The all-in-one adjustable guide pin and reamer allows surgeons to precisely debride remnant tissue and maximize residual bone stock during tunnel preparation.
References&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
1. MARS Group, Ding DY, Zhang AL, et al. Subsequent surgery after revision anterior cruciate ligament reconstruction: rates and risk factors from a multicenter cohort. Am J Sports Med. 2017;45(9):2068-2076. doi:10.1177/0363546517707207
2. Richter DL, Werner BC, Miller MD. Surgical pearls in revision anterior cruciate ligament surgery. when must I stage? Clin Sports Med. 2017;36(1):173-187. doi:10.1016/j.csm.2016.08.008&nbsp;
3. Werner BC, Gilmore CJ, Hamann JC, et al. Revision anterior cruciate ligament reconstruction: results of a single-stage approach using allograft dowel bone grafting for femoral defects. J Am Acad Orthop Surg. 2016;24(8):581-587. doi:10.5435/JAAOS-D-15-00572
<ul>
 <li>Revising Two-Stage BioACL Technique
 <ul>
 <li><a href="https://www.arthrex.com/orthobiologics/bioacl-technique">Arthrex - BioACL™ Technique</a></li>
 </ul>
 </li>
 <li>Revising Two-Stage Quad Tendon Autograft
 <ul>
 <li><a href="https://www.arthrex.com/knee/quad-tendon-graft-acl-reconstruction">Arthrex - Quad Tendon Graft ACL Reconstruction</a></li>
 </ul>
 </li>
 <li>Revising Two-Stage BTB Autograft
 <ul>
 <li><a href="https://www.arthrex.com/knee/acl-btb-graft-fixation">Arthrex - BTB Autograft ACL Reconstruction</a></li>
 </ul>
 </li>
 <li>Revising Two-Stage HT Autograft
 <ul>
 <li><a href="https://www.arthrex.com/knee/hamstring-autograft-acl-reconstruction">Arthrex - Hamstring Autograft ACL Reconstruction</a></li>
 </ul>
 </li>
 <li>Revising Two-Stage Allograft
 <ul>
 <li><a href="https://www.arthrex.com/knee/allograft-acl-reconstruction">Arthrex - Allograft ACL Reconstruction</a></li>
 </ul>
 </li>
 <li>Allograft Bone
 <ul>
 <li><a href="https://www.arthrex.com/orthobiologics/allograft-bone?objectID=human.taxonomy_item.en.e41edfe6-c0f7-445f-91b9-930ee54d242b&amp;queryID=7c33852b43f7f746d4376f56bca1f901">Bone Grafting with Revision Bone Dowels 
Arthrex - Cannulated Revision Bone Dowels</a></li>
 </ul>
 </li>
</ul>

Revision Dowel 18 mm Diameter