POSITION ACL is a system for minimally invasive arthroscopic anterior cruciate ligament reconstruction. The surgical procedure allows for free selection for the transplant. With the POSITION Basic Instrument Set, positioning of drill channels and fixation of the transplant are performed without a femoral incision. The POSITION Suture Board facilitates and supports the transplant preparation

The freedom of selection of transplant together with the special POSITION titanium implants Suture Plate (femoral) and Suture Disk (tibial) represents an important advance compared to fixation devices such as intra- or extraarticular screws or staples. With precise assembly, transplant fixation at a distance from the joint obtains the same results as fixation close to the joint. Fixation at a distance from the joint also significantly facilitates any later revision.

Two innovations have improved the results of ACL reconstruction surgery: the introduction of arthroscopic operating techniques and targeted, early-functional postoperative therapy with immediate full extension.

For a long time patellar tendon surgery was considered the gold standard in ACL surgery. Femoral fixation with the Suture Plate enables the use of the semitendinosus tendon with a quadruple technique. This means that the gracilis tendon can be preserved for the most part. The semitendinosus tendon alone is suitable for performing the double bundle technique, involving the gracilis tendon only if necessary. The quadriceps tendon is now being increasingly used for revision transplants.

Product Features POSITION Implants

POSITION Suture Plate
Femoral graft fixation

• Less invasive, since there is no lateral incision
• Easy revision thanks to extra-articular implant
• Improved isometry thanks to precision of tunnel position
• Free selection of the transplant with high resistance against tearing out

POSITION Suture Disk
Tibial graft fixation

• Enhanced graft integration due to central position of the tendon in the tunnel
• Secondary haemorrhage reduced due to distal covering ot the tunnel
  No implant removal due to minimal protrusion of the suture disk from the bone surface and accommodation of knots in the implant recess