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About this product

Division: Mitek Sports Medicine
Category: Cruciate Ligament Reconstruction

The MILAGRO ADVANCE Interference screw improves ease of use when compared to traditional interference screws.  The thread design offers bone engagement, rapid insertion and fixation strength. MILAGRO ADVANCE screws are also comprised of, BIOCRYL® RAPIDE™, a second generation Biocomposite material, formed by combining osteoconductiveβ-TriCalcium Phosphate and a faster absorbing Polylactide co-glycolide (PLGA) copolymer.  A Human CT Imaging study of ACL reconstructions has shown that BIOCRYL RAPIDE absorbs and promotes bony ingrowth at the implant site2,3  

 

Please refer to Instruction for Use for product indications.

 

Features & Benefits

Features Benefits
Thread Form
  • Better Bite - The distal tip geometry requires less effort to achieve bone engagement. 
  • Ease of bone engagement - Allows for robust insertion in hard bone and reduces torque transmission to tendons and soft tissue grafts. 1
  • Stronger Fixation – The thread form enables enhanced interdigitation of soft tissue and bone grafts improving fixation.
BioComposite comprised of 70% PLGA and 30% β-TCP
  • Faster absorbing Second Generation Co-Polymer of Poly- L-Lactic Acid and Poly-Glycolic Acid (PLGA) plus Osteoconductive β-TriCalcium
  • Phosphate (β-TCP).
  • BIOCRYL RAPIDE has been shown to promote bony ingrowth at the implant site rather than leave metallic or plastic components implanted long term.2,3
Micro Particle Dispersion (MPD)Technology
  • MPD is a proprietary manufacturing process that ensures a homogenous blend of β-TCP and PLGA particles. The uniform blend of these materials offers consistent strength properties and ensures osteoconductive β-TCP particles are in contact with bone.

 
Radiopaque
  • β-TCP enables the implant to be visible on x-ray
Chamfered proximal end 
  • Provides a threaded screw with atraumatic tissue fixation
Cannulated 
  • Cannulation allows compatibility with 1.1mm guidewires
A variety of sizes are offered to accommodate the patient’s anatomy. 
  • 7x23, 7x30
  • 8x23, 8x30,
  • 9x23, 9x30, 9x35
  • 10x23, 10x30, 10x35
  • 11x30, 11x35
  • 12x30. 12x35
Compatible Instrumentation for Knee and Biceps Procedures 
  • Transtibial and anteromedial offset aimers, tibial guide, guidewires, tunnel notcher, taps, tendon forks, quick-connect ratcheting handle and modular driver shafts

1 DVE-002536. Data on File, Mitek Sports Medicine 3/2013
2 Barber FA, Dockery WD, Hrnack SA. Long-term Degradation of a Poly-lactide Co-glycolide/β-tricalcium Phosphate Biocomposite Interference Screw. Arthroscopy 2011; 27(5): 637-643.

3 Gladstone J and Caskin C. 3 year resorption and replacement of a biocomposite interference screw (PLLA/PGA/ β -TCP) used in tibial soft tissue graft fixation for ACL reconstruction. Poster presentation, Spring Arthroscopy Association of North America Meeting, May 2012. Poster e158.

DSEM/MTK/0614/0097(1)
Please refer to the surgical technique guide or package inserts if included for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative .
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