Implant Systems

TRUFIT™ CB Plug Smith & Nephew

Arthrex OATS™ Mitek COR®
Size Code (diameter) MOSAICPLASTY™
Green (5 mm) 4

Yellow (6mm) 4.5

Red (7 mm) 6 6

Tan (7.5 mm) 6.5

Blue (9mm) 8

Orange (9.5 mm) 8 8.5

Purple (11 mm) 10

Note: Numeric sizes indicated under manufacturer’s name refer to the instrumentation size labeled by the
manufacturer. Smith & Nephew’s numeric sizes do not correspond to each manufacturer’s sizing. The TRUFIT
CB Plug is uniquely sized for a tight interference fit. Please refer to this chart for all sizing compatibility.

Ordering Information
Additional plug sizes are available for use with other
commercially available osteochondral transplant systems
(see implant systems). The TRUFIT Plug kit contains one of
each of the following:
Kit Components
• Cylindrical Implant, 18 mm long 1. TRUFIT CB Plug
• Delivery Device (outer sleeve and measuring tamp) 2. Delivery Device
a. Measuring Tamp
• Trimming Knife b. Outer Sleeve
3. Trimming Knife
TRUFIT CB Plug Kits
72200930 TRUFIT CB Plug Kit Green (5 mm)
72200931 TRUFIT CB Plug Kit Yellow (6 mm) 2a
72200932 TRUFIT CB Plug Kit Red (7 mm) 1
2b
72200933 TRUFIT CB Plug Kit Tan (7.5 mm)
72200934 TRUFIT CB Plug Kit Blue (9 mm)
3
72200935 TRUFIT CB Plug Kit Orange (9.5 mm)
72200936 TRUFIT CB Plug Kit Purple (11 mm)
Not to scale

Endoscopy www.smith-nephew.com
™Trademarks of Smith & Nephew. Certain marks Reg. US Pat. & TM Office.
Smith & Nephew, Inc. T +1 978 749 1000 All other trademarks acknowledged.
Andover, MA 01810 F +1 978 749 1108 ©2006 Smith & Nephew, Inc. All Rights Reserved.
USA US Customer Service: +1 800 343 5717 Printed in USA 10/06 10600215 Rev. B
TRUREPAIR™ Solutions

You fill the void, nature does the rest

The Smith & Nephew TRUFIT™ CB Plug is a cylindrical scaffold designed to
repair cartilage and bone in osteochondral defects left by surgery, trauma
or disease. Made with Smith & Nephew POLYGRAFT™ technology — a
proprietary, composite material with mechanical properties that mimic those
of surrounding tissue layers — the TRUFIT CB Plug provides a mechanically
stable environment with a porous nature that provides conduits for tissue
ingrowth. Each kit is packaged with a TRUFIT CB Plug, delivery device and
trimming knife to allow implantation of the plug arthroscopically or through
a mini-arthrotomy based on surgeon preference and defect location.

• Cylindrical implant is press-fit • Hydrophilic properties absorb • Plug completely resorbs in

into the site for close apposition,
encouraging migration of repair
tissue.
• Interconnected pores (mean
diameter of 250 μ) enhance
tissue ingrowth and remodeling.
blood, marrow, cells and proteins
on implantation.
• Scaffold can be finely contoured
at the time of surgery.
6–9 months.
• Offered in 5 mm (green),
7 mm (red), 9 mm (blue), and
11 mm (purple) to correspond to
Smith & Nephew TRUKOR™ Plus
Site Preparation Kit.

Clinical Case Report

9 mm TRUFIT CB Plug immediately post
implantation in medial femoral condyle.
Note: Blood has wicked into scaffold.
TRUFIT CB Plug 21 months after
implantation. Note complete plug
integration and defect coverage with
normal thickness hyaline-like cartilage.
Small amount of fibrillation due to
meniscal tear.
Biopsy (stained with Safranin 0/Fast
Green) 21 months after TRUFIT CB Plug
Implantation demonstrating healing
with hyaline-like cartilage and
subchondral bone.

Intended Use
The TRUFIT CB Plug is intended to serve as a support for cellular and matrix ingrowth in
osteochondral defect repair such as cartilage and/or bone, that is not intrinsic to the stability
of the bone. The device is a resorbable tissue regeneration scaffold for use in the treatment of
acute focal articular cartilage or osteochondral defects. The product is provided sterile for single
patient use and for implantation into precisely created defects. TRUFIT CB Plug can also be used to
repair osteochondral defects created during autogenous osteochondral transfer procedures. Please
use the size chart to determine the appropriately sized TRUFIT CB Plugs for other commercially
available instrument systems.
Surgical Technique: Osteochondral Repair
Assembly

1 2

Note: If implant
becomes dislodged
from delivery
device, reload into
the window end of
the outer sleeve
with the notched
end of the implant
facing outward.

To assemble the Smith & Nephew TRUFIT At this point, the implant should not extend
Delivery Device, insert the measuring tamp beyond the delivery device.
into the outer sleeve in the direction of the
arrow on the outer sleeve until contact with
the preloaded implant is made.

Implant Length Adjustment

3 4 5

Note: Caution
should be taken not
to nick the top of
the outer sleeve of
the delivery device.

Insert the measuring tamp of the delivery
device into the defect, ensuring that it
contacts the bottom of the defect.
Slide the outer sleeve down until the lip of
the outer sleeve is snugly placed against
the surface of the tissue (this automatically
adjusts the implant to the correct position
for trimming), then carefully remove the
delivery device from the surgical site.
Firmly grip the outer sleeve at the windows
to secure the implant during cutting.
Steady the hand and delivery device
against a table or other sterile surface.
Using the lip of the delivery device as a
guide, cut the notched end of the implant
with the trimming knife using a firm
downward motion.

Implant Placement

6 7 8

Once the implant has been cut to a flat
surface, the delivery device is used to
insert the implant into the defect. Slightly
advance the implant beyond the tip of the
outer sleeve.
Carefully seat the implant in the defect and
press fit into the defect by pushing on the
measuring tamp manually or lightly tamping
with a mallet. Remove the delivery device
from the surgical site.
If the implant needs further adjustment or
contouring, separate the measuring tamp
from the outer sleeve and use the tamp to
impact the implant. The final placement of
the implant should be flush with the
adjacent surface.