All Inclusive ACL Portfolio Zimmer Biomet Sports Medicine’s heritage is founded on teaming with leading visionaries in the field to deliver innovative, outcome-focused ACL Reconstruction solutions. Over the past quarter century, this unflinching focus has resulted in the industry’s leading and most differentiating portfolio of ACL solutions. Femoral Tunnel Preparation Outside-In Approach SwitchCut™ Reaming System • System consists of left or right specific guide, bullet, and reamer with Nitinol passer • 6 –12 mm reamer sizes, including half sizes • Quick and easy deployment of reamer blade by simply switching power on the drill from forward to reverse • Blade will deploy once it contacts bone in a reverse setting • Cannulated reamers allow for passing of the Nitinol loop through the tunnel to assist in keeping tunnel placement Point to Hole Medial Portal Approach Precision Flexible Reaming Instrumentation • Two plane bend geometry allows the knee to stay at 90˚ and enters through a medial portal rather than an accessory medial portal • Two alignment options limit the guesswork of the femoral tunnel • Comprehensive sizing for flexible reamers and femoral guides I have been utilizing a medial portal technique for femoral drilling during ACL Reconstruction for seven years and the Precision Flexible System from Zimmer Biomet Sports Medicine has distinct advantages. The most exciting feature for my practice is the two-plane bend geometry of the guide. This medial/lateral curvature allows the opportunity to utilize a standard medial portal and keeps the reamer away from the medial condyle. The increased curvature on the aimer also allows the ability to drill and ream without excessive hyperflexion. I personally prefer flexible reamers, like the Precision Flexible System from Zimmer Biomet, to the outside drilling for femoral tunnels because of the simplicity and accuracy in placing the guide wire in the I.D.E.A.L.™ tunnel position. -Andrew Pearle, MD* Hospital for Special Surgery (HSS) *Endorsement provided at the request of Zimmer Biomet. This surgeon has received financial remuneration from Biomet. Standard Medial Portal Femoral Aimers • Ranging in sizes from 5–12 mm offset, allowing for surgeon backwall preference • Color coded system provides a 1 mm back wall • Allows good visibility of femoral guide wire Low Profile Drill & EZ Shuttle® Suture Loop • Single paddle design provides a low profile which avoids condylar abrasion • Sterile packed for convenience and dependability • Includes EZ Shuttle Suture Loop for shuttling grafts from the anteromedial portal thru the tibial tunnel Transtibial Approach Transtibial Femoral Aimers • Ranging in sizes from 5–12 mm offset, allowing for surgeon backwall preference • Color coded system provides a 1 mm backwall Tibial Tunnel Preparation Anatomy Specific Tibial Guide • Tip of the guide yields the ability to position the tibial tunnel to accommodate the variability and roof angle of a particular patient’s anatomy • Anatomy specific tunnels referenced off of boney anatomy • Designed to limit PCL and roof impingement