Arthrex AR-1800-06 Transportal ACL Guide 6mm Offset Arthroscopy 9"

Arthrex AR-1800-06 Transportal ACL Guide 6mm Offset Arthroscopy 9"

• Model: AR-1800-06
• Offset: 6mm
• Overall Length: 9 inches

The AR-1800-06 Transportal ACL Guide from Arthrex is designed to support surgeons performing anatomical femoral socket/tunnel creation during anterior cruciate ligament reconstruction using the anteromedial (“AM”) portal technique. With a 6 mm offset from the guide’s centerline, this instrument enables the surgeon to place the femoral tunnel more posterior and lower in the femoral footprint while maintaining an effective back-wall, helping to avoid blow-out and preserve bone integrity. Because the transportal approach offers more flexibility in tunnel orientation compared to traditional transtibial methods, the guide serves an important role in aligning drill paths with the native footprint of the ACL insertion.

In practical use, the instrument is placed against the femoral condyle through the anteromedial portal, aligned with arthroscopic landmarks, and a guide pin (or cannulated reamer) is inserted through the guide sleeve. The 6 mm offset ensures that the trajectory is set with sufficient translation to reach the anatomic origin of the ACL while minimizing the risk of exiting prematurely or compromising posterior wall strength. This offset value is specifically chosen to balance access and safety in the femoral tunnel preparation. Surgeons benefit from having offset options (e.g., 4, 5, 6, 7, 8 mm) to match patient anatomy and individual graft/bone geometry.

From an instrumentation standpoint, this guide contributes to streamlined workflow in the operative field. Because it is purpose-built for transportal ACL reconstruction, it helps reduce guesswork in tunnel orientation, improves reproducibility of femoral socket placement, and supports anatomical reconstruction goals. Use of the AR-1800-06 guide may help optimize graft fixation, alignment, and ultimately graft function and durability by positioning the tunnel in a more native anatomical position. As with all surgical instrumentation, proper use in accordance with the manufacturer’s instructions, surgical technique guides, and surgeon judgment is essential to achieve the desired outcomes. 

These surgical instruments have been previously used and show visible signs of wear consistent with their prior usage. Despite these signs, they remain in a usable condition, suitable for continued medical procedures.