Visualize the future of accuracy in anatomic ACL and PCL reconstruction

ACUFEX™ DIRECTOR APPLICATONAnatomic Guide*

* 510(k) pending

Real-time visualization enables more anatomic ACL accuracy• Gain insight of the anatomy of the insertion

site on femur and tibia

• Overcome skeletal variation among patients

• Evaluate anatomic accuracy of tunnel placement before, during and after a procedure

• Achieve placement accuracy of 1–2 mm

• Facilitate optimal patient outcomes2,3

Intraoperative feedback data can be used to• Refine tunnel location before drilling

• Achieve anatomic accuracy

• Enable optimal patient outcome2,3

Postoperative feedback data can be used to• Evaluate repair

• Update/enhance patient record

• Train others visually

System is easy to use, versatile and intuitive• Adapts seamlessly to various patients,

procedures and ORs

Because accurate anatomic placement of the graft is essential for successful reconstruction1

Use of the ACUFEX™ DIRECTOR APPLICATION Anatomic Guide has been shown to result in more anatomic, more consistent cruciate ligament tunnel placement.2

ACUFEX™ DIRECTOR APPLICATION Anatomic Guide automatically generates overlay

Selectable overlay options support a variety of proceduresCustomizable Femoral Grid Overlay

• Single-bundle ACL

• Single-bundle PCL

• Double-bundle ACL

• Double-bundle PCL

Single-bundle

• Single-bundle ACL Femoral

• Single-bundle ACL Tibial

• Single-bundle PCL Femoral

Double-bundle

• Double-bundle ACL Femoral

• Double-bundle ACL Tibial

• Double-bundle PCL Femoral

More anatomic, more consistent surgeries through fluoroscopy2 – allowing surgeons to reproducibly define the geometric insertion points of the anteromedial and posterolateral bundles independently of the size and shape of the knee3.

Capture lateral x-ray image from C-arm

Mark intended femoral tunnel location with microfracture awl

Customizable single-bundle ACL femoral grid overlay option – Radiographic quadrant method adapted from Bernard and Hertel.

Use touchscreen or mouse to select the three key anatomic landmarks on the condyle e.g.

• Blumensaat’s line – anterior • Blumensaat’s line – posterior• Notch on condyle

T E C H N I Q U E E X A M P L E

Ordering Information

ACUFEX™ DIRECTOR APPLICATION Anatomic GuideReference # Description

72203260 ACUFEX Director Application, Anatomic Guide System*

System Includes:72203204 ACUFEX Director Application touchpanel, software and keyboard tray72203203 Adjustable height rolling monitor stand

Smith & Nephew, Inc.150 Minuteman RoadAndover, MA 01810 USA

* 510(k) pending

www.smith-nephew.comT +1 978 749 1000 US Customer Service: +1 800 343 5717International Customer Service: +1 978 749 1140

™Trademark of Smith & Nephew. Certain marks Registered US Patent and Trademark Office. ©2011 Smith & Nephew. All rights reserved.Printed in USA. 10/11 10600760 Rev. A

References

1 Lorenz S, et al. Radiological evaluation of the anterolateral and posteromedial bundle insertion sites of the posterior cruciate ligament. Knee Surgery Sports Traumatology Arthroscopy 2009. 17:683-690

2 UPMC Cadaver Study (ongoing)

3 Zantop T, et al. Tunnel positioning of anteromedial and posterolateral bundles in anatomic anterior cruciate ligament reconstruction: Anatomic and radiographic findings

Related articles

Colombet P, et al. Morphology of the anterior cruciate ligament attachments for anatomic reconstruction: A cadaveric dissection and radiographic study. Arthroscopy 2006. 22(9):984-992.

Li K, et al. Mapping ligament insertion sites onto bone surfaces in knee by co-registration of CT and digitization data. Journal of Biomechanics 2009. 42:2624-2626.

Pietrini SD, et al. Radiographic landmarks for tunnel positioning in double-bundle ACL reconstructions. Knee Surgery Sports Traumatology Arthroscopy 2011. Epub ahead of print.