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All grafts, all adjustable, all secure

Building on more than 25 years of experience in cortical fixation technology, the ULTRABUTTON Adjustable Fixation Device Family offers ultra-strong*1-4 fixation with low displacement during cyclic loading.*1,2,5-8

Featuring low-profile1,2,9,10 titanium buttons and expressly designed for graft protection, the expanded range offers dedicated solutions for all graft types and knee locations:

  • Quadriceps tendon: The ULTRABUTTON QUAD Device offers integrated button fixation and suture management with an average graft preparation time of under 4 minutes**7 and greater mean repair strength***1,11
  • Bone-tendon-bone (BTB) and quad tendon-bone (QT-B): The ULTRABUTTON BB Device features an open loop design to facilitate graft attachment in under 2 minutes,**12 shown to offer a stronger mean repair in bone block femoral fixation****11
  • Hamstring: The ULTRABUTTON Device’s large contact area helps to protect the graft, with interlocking adjustment requiring minimal force to reduce the loop13-17 while maximising graft in the tunnel
  • Tibial fixation:The ULTRABUTTON TIB Device is available in three sizes to accommodate common tunnel diameters and is suitable for quadriceps and hamstring grafts. An ultra-low profile small button18 facilitates all-inside techniques and medium/large sizes are preassembled for fewer technique steps

Product Features

Medical Education

Disclaimer

*For an adjustable fixation device. As demonstrated in benchtop testing.

**As demonstrated in bench top testing, compared to other commercially available Adjustable Fixation Devices. 

***As demonstrated in bench top testing; compared to other commercially available Adjustable Fixation Devices..

Citations
  1. Arthrocare Corporation 2016. Internal Report. P/N 69889-01 C.
  2. Ahmad, S, et al. Knee Surg Sports Traumatol Arthrosc, 2018; 26(5):1932-1398.
  3. Shelburne, KB, et al. J Biomech, 2004; 37(6): 797-805.
  4. Smith+Nephew 2022. Internal Report. 15012185 Rev A.
  5. Smith+Nephew 2022. Internal Report. 15011545 Rev A.
  6. Smith+Nephew 2022. Internal Report. 15011463 Rev A.
  7. Arthrocare Corporation 2018. Internal Report. P/N 69889-01 F.
  8. Arthrocare Corporation 2018. Internal Report. P/N 69889-01 D.
  9. Smith+Nephew 2022. Internal Report. 15012076.
  10. Smith+Nephew 2022. Internal Report. 15011883 Rev A.
  11. Smith+Nephew 2022. Internal Report. 15012185 Rev A.
  12. Smith+Nephew 2022. Internal Report. 15012018 Rev A.
  13. Smith+Nephew 2016. Internal Report. P/N 68688-01 B.
  14. Arthrocare Corporation 2015. Internal Report. P/N 65492-01 B.
  15. Smith+Nephew 2022. Internal Report. 15011670 Rev A.
  16. Smith+Nephew 2022. Internal Report. 1501147 Rev A.
  17. Smith+Nephew 2022. Internal Report. 15011448 Rev A.
  18. Smith+Nephew.com 2022. Internal Report. 15012083 Rev A.
  19. Smith+Nephew 2022. Internal Report. 150169 Rev A.
  20. Smith+Nephew 2022. Internal Report. 15011552 Rev A.
  21. Smith+Nephew 2022. Internal Report. 15011559 Rev A.
  22. Sengoku T, et al. Archives of Orthopaedic and Trauma Surgery. Published online April 2, 2021.
  23. Sherman O. Arthroscopy. 2021; 37:586-587.
  24. Snaebjornsson T, et al. Am J Sports Med. 2017;45:2092-2097.
  25. Spragg L, et al. Am J Sports Med. 2016;44:1475-1481.
  26. Vonhoegen J, et al. Orthop Traumatol Surg Res. 2019;14(1):12.
  27. Widner M, et al. Current Reviews in Musculoskeletal Medicine, 2019.1029; 12:460-465.
  28. Tibor L, et al. J Bone Joint Surg Am. 2016;98:1079-89.
  29. Smith+Nephew 2015. Internal Report. NCS250.

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