​​APEX™ – Interphalangeal Fusion

​CarpalFiX™ – Carpal Fusions

​XMCP™ – Metacarpal Phalangeal Fusion

RTS Lesser Toe – MTP Joint Replacement

Footmotion Hallux Valgus

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About Us

Who are
Lavender Medical

Founded in 2009, Lavender Medical is strategically based just north of London in Letchworth, Hertfordshire. We specialise in supplying innovative osteosynthesis products to the orthopaedic community with a particular emphasis on extremities and fragility fractures throughout the skeletal system. The company represents several leading research-focused manufacturers from Europe and the rest of the world to bring the latest technology and techniques available in the field of fracture fixation to the United Kingdom.

ISO 9001 – LAVENDER MEDICAL LIMITED Lavender MEdical Quality Policy

FlexPasser™ Tendon Retrieval Kit

FlexPasser® Tendon Retrieval Kit – Minimally Invasive Solution for Flexor Tendon Repair The FlexPasser® Tendon Retrieval Kit is a single-use surgical instrument system designed to assist in the precise retrieval of retracted proximal tendon stumps during the repair of lacerated digital flexor tendons in the hand. This innovative tool supports minimally invasive tendon retrieval while reducing the risk of additional trauma.
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VIMFIX®-BT Ligament Anchor (Knotless)

VIMFIX®-BT Tenodesis implants are designed for all-arthroscopic proximal biceps tenodesis. This implant feature a unique PEEK tip that is used to steer the biceps tendon to the bottom of the bone socket without the need to externalize or whipstitch the tendon. It eliminates the need to predetermine tendon length, as position and tension are easily set and visualized prior to final anchor insertion. Strong fixation is obtained by simply advancing the preloaded VIMFIX®-BT Tenodesis Screw. The system also features Tenodesis Fluted Solid reamers with built-in guide tips that eliminate the need to ream over a guide pin. The average pull-out strength of VIMFIX®-BT ligament anchor (knotless) is 470.8 N*. Anchor Dimensions: Dia. 5.0mm x Len. 19.0mm; Dia. 6.0mm x Len. Eyelet: 4.0mm; 19.0mm; Dia. 7.0mm x Len. 19.0mm; Dia. 8.0mm x Len. 19.0mm Type: Knotless Tenodesis Screw
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VIMFIX-PK® Ligament Anchor

VIMFIX-PK® is a fully threaded suture anchor featuring dual Biofiber to maximize cortical and cancellous fixation, has a covered saddle tip to protect the sutures and is cannulated to channel growth factors. These anchors are manufactured with PEEK material which is a thermoplastic material with excellent biocompatibility and biostability characteristics. Clinical Used for Primary or Medial Row Fixation. Fully threaded; Cancellous and cortical threads provide exceptional fixation strength. Available in 4.5mm and 5.5mm diameters with double & triple loaded options with fiber & fiber tape combination for greater footprint contact pressure on cuff. The average pullout strength of VIMFIX-PK® ranges from 334.8 N* to 357.5 N*. Anchor Dimensions: Dia. 4.5mm x Len. 17.0mm; Dia. 5.5mm x Len. 17.0mm Type: Screw-in anchor    
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FIBERKNOT® Ligament Anchors (Dia. 2.9mm)

FIBERKNOT® Soft ligament anchors helps overcome the traditional anchors for rotator cuff fixation methods with strong fixation, less bone removal and a simple, self-punching technique. FIBERKNOT ® ligament anchor Dia. 2.9mm requires a pilot hole for the insertion. Specially designed Punch for FIBERKNOT® ligament anchor which provides the accurate hole placement for the anchor. The small 2.9mm footprint of FIBERKNOT® ligament anchor provides placement and fixation advantages when bone real estate is limited, especially during the revision surgeries. It is available in double and triple loaded options with various combinations of BioFiber® and BioFiber® Tape. Also available with a needle option for mini open procedures. These anchors are ideal for Rotator Cuff Repair Procedures and Remplissage. Anchor Dimensions: Dia. 2.9mm x Len. 15.0mm    
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MINI-VIM PK® Ligament Anchor (PEEK, Knotless)

MINI-VIM PK® Ligament anchor is available in diameters of 2.8mm and 3.5mm. It is a non-absorbable PEEK suture anchor with a material eyelet which provides superior abrasion resistance due to PEEK’s low coefficient friction. The knotless technology of MINI-VIM PK® Ligament anchor provides a step-saving alternative to conventional “knotted” suture anchors and eliminates “knot stacks” associated with soft tissue irritation. The average pull-out strength of MINI-VIM PK® 2.8mm ligament anchor is 228.6 N* Anchor Dimensions: Dia. 2.8mm x Len. 12.0mm    
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MINI-VIM® Ligament Anchor (Titanium)

MINI-VIM® Ligament anchors are titanium anchors available in 2.8mm and 3.5mm diameters and come preloaded with USP #2 suture. Ideal for SLAP and subscapularis repairs where a small stab incision and percutaneous delivery of the implant is preferred It’s a self-drilling anchor. A drill bit is available for use in hard bone, if desired. The average pull-out strength of MINI-VIM® 2.8mm ligament anchor is 129N* and MINI-VIM® 3.5mm ligament anchor is 135.8N*. Also available in needled version for mini open procedures. Anchor Dimensions: Dia. 2.8mm x Len. 11.5mm and Dia.3.5mm x Len. 11.5mm.    
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MINI-VIM PK® Ligament Anchor (PEEK)

MINI-VIM PK® Ligament anchor is a non-absorbable PEEK suture anchor with a material eyelet that provides superior abrasion resistance due to PEEK’s low coefficient of friction. Anchor insertion and delivery are made simple by drilling through a spear and inserting the anchor through the same spear into the drilled hole. It is available in 3 size options, Dia. 2.8mm (single loaded), Dia. 3.0mm (double loaded) & Dia. 3.5mm (double loaded). Dia. 3.0mm is also available with a needle option for mini open procedures. The average pull-out strength of MINI-VIM PK® 2.8mm ligament anchor is 221.0 N*, MINI-VIM® II PK 3.0mm ligament anchor is 127.1 N* & MINI-VIM ® II PK 3.5mm ligament anchor is 368.8 N*. Anchor Dimensions: Dia. 2.8mm x Len. 15.0mm; Dia. 3.0mm x Len. 12.0mm; Dia. 3.5mm x Len. 12.0mm Type: Tap-in / Bang-on anchor    
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MINI-VIM® PK Knotted

The MINI-VIM PK® is a non-absorbable PEEK suture anchor with same material eyelet which provides superior abrasion resistance due to PEEK’s low coefficient of friction. Anchor insertion and delivery are made simple by drilling through a sleeve and inserting the anchor into the drilled hole. It is a tap-in anchor. It is available in 3.0mm diameter with needle. It is a double loaded anchor available with combinations of fiber and fiber tape. It can be used for any soft tissue fixation of foot & ankle.
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FIBERKNOT®

FIBERKNOT® is an all suture anchor which is smaller in size and is composed of ultra-high molecular weight polyethylene (UHMWPE) suture and is available in diameter of 1.5mm (single loaded), 1.8mm (double loaded) & 2.9mm (double loaded). FIBERKNOT® requires a smaller pilot hole compared to traditional anchors, minimizing bone removal and decreasing the overall anchor footprint, while still providing superior strength. The FIBERKNOT® anchors can be used in any soft tissue fixation of -. E.g. Achilles Tendinosis Repair, Ankle Instability Repair, Lisfranc ligament repair, CMC Arthroplasty etc.
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BioFiber Tape

BioFiber® Tape is an ultra-high strength tape using a similar long chain polyethylene structure as the BioFiber® suture. It can be used in many indications in Foot & Ankle repair surgeries like bridge construct in Achilles Tendinosis and Brace for the ligaments. The broad footprint of the BioFiber® Tape is appropriate for repairs in degenerative tissue where tissue pull-through may be a concern.
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BioFiber

BioFiber® is a braided sterile surgical fiber prepared from ultra-high molecular polyethylene (UHMWPE). BioFiber® is non-absorbable and there are no significant changes in tensile strength retention known to occur in vivo. BioFiber® is preloaded in many Biotek Anchors for foot & ankle procedures that have fibers.
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SOFTFIX-PK®

Non-absorbable SOFTFIX-PK® interference screw incorporates PEEK-VESTAKEEP® polymer from Evonik® which exhibits an ideal combination of strength, stiffness and toughness that surpasses absorbable materials. It provides the interference screw fixation, while eliminating the need of trans osseous tunnels in tendon repairs and ligament reconstruction. It can be used for Distal Biceps Repair. Dimensions: Dia. 4.0mm x Len. 10.0mm & 15.0mm and Dia. 5.0mm x Len. 15.0mm & 20.0mm
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FIBERKNOT®

The FIBERKNOT® soft ligament anchor is composed of ultra-high molecular weight polyethylene (UHMWPE) suture and is available in diameter of 1.8mm (double loaded). FIBERKNOT® requires a smaller pilot hole compared to traditional anchors, minimizing bone removal and decreasing the overall anchor footprint, while still providing superior strength. Anchor Dimensions: 1.8mm x 15.0mm Type: Tap-in/Bang-on suture anchor Suture / Tape Colour: White-Blue, White-Black
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MINI-VIM®

The MINI-VIM® Ligament anchors are titanium anchors available in 2.8mm, 3.5mm diameter and come preloaded with USP #2 suture and needle. The implant can be manually inserted using the handled version. A drill is available for use in hard bone if desired. Anchor Dimensions: 2.8mm x 11.5mm, 3.5mm x 11.5mm Type: Screw in suture anchor Suture Colour: White
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MINI-VIM PK®

The MINI-VIM PK® Ligament anchor, Knotless are available in diameter of 2.8mm & 3.5mm. It is a non-absorbable PEEK suture anchor with a material eyelet which provides superior abrasion resistance due to PEEK’s low coefficient friction. The knotless technology of MINI-VIM PK® Ligament anchor provides a step-saving alternative to conventional “knotted” suture anchors and eliminates “knot stacks” associated with soft tissue irritation. Anchor Dimensions: 2.8mm x 12.0mm, 3.5mm x 12.0mm Type: Tap-in/Bang-on suture anchor Suture Colour: White-Green (Holding Suture)
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AK-FIX

The AK-Fix Fixation Button is a low profile Titanium button with slots enabling the insertion of the Biofiber loop. The oblong shaped button can be used with USP size 5 BioFiber Loop to treat Distal Biceps Repair. Button Dimensions: 10.0mm x 3.0mm x 1.3mm
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MR-FIX Meniscus Repair

Low profile design Ideal for All Inside ACL Reconstruction Tapered button which easily fits on the tibia side Cutting edges on the both sides of the button helps easy passing and sliding of the sutures
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PIVOT-FIX™

Low profile design, ideal for the tunnel in meniscus root repair. Flat Button fits on tibia side. Open and close holes combination to pass the sutures and slide sutures easily.
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BIOCINCH® AI2

The BIOCINCH® AI2 Meniscal Repair System provides a strong 360º technique for meniscal repair. The limitations of the inside-out and outside-in repair techniques, and the need for intra-articular knot tying are eliminated in this system. The system gives the surgeon the possibilities of placing horizontal or vertical mattress sutures on the femoral or tibial surfaces of the meniscus, and greatly reducing risk to the posterior neurovascular tissues. Eliminates the need for a posterior incision and dissection Allows access to tears in the posterior and middle thirds of the meniscus Deployment of anchors made very easy, efficient and hassle-free Penetration depth of needle is controlled Low-profile and sturdy needle shaft Constructed with a functional, ergonomic, user-friendly handle Equipped with 360° rotating slider that makes a clicking sound upon deployment of the anchors Available in curved, straight and reverse curved needle tip options with laser marking on needle tip Two 1.4 X 5mm PEEK anchors with a pretied, self-sliding knot constructed by 2-0, non-absorbable UHMWPE Biofiber® Needle Dia. 1.8mm
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BIOCINCH®

BIOCINCH® Meniscal repair set comprises of two straight meniscal repair needles preloaded with USP size 2-0 or 0 suture. Meniscal repair needles are made of stainless steel, and are ultrathin and strong, yet flexible for easy passage through guide sleeves. The suture is made of UHMWPE material provides ultra-high strength.
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MR-FIX

Low profile design Ideal for All Inside ACL Reconstruction Tapered button which easily fits on the tibia side Cutting edges on the both sides of the button helps easy passing and sliding of the sutures.
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SMART-FIX

It is the upgraded version of tibial base plate. It may be used for tibial fixation of the graft in Cruciate reconstruction technique (All Inside ACL reconstruction technique) The two cutting edges of button helps in holding and twisting to further tense the graft. The serration provided on the bottom side helps to lock the button on the tibial cortex. It is available in two sizes – Medium and Large. Medium size can be used with the tunnel dia. of 7 and 8mm. Large size can be used with the tunnel dia. of 9, 10 and 11mm.
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SOFTFIX

Specifically designed for endoscopic femoral fixation where graft protection is needed. Polished, fully radiused threads provide maximum graft protection. Wide-bore cannulation for easy guide wire insertion and removal. The Taper-Tip style offers sharper initiating threads and a more pronounced taper for faster, easier insertion. Designed to reduce the possibility of bone plug migration during placement. Round head reduces possibility of graft damage during or after implantation. Universal screw for either tibial or femoral applications. Standard 4.5mm hex for easy insertion and removal. Cannulated for use with a guide wire. Material -Titanium alloy.
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SOFTFIX-PK

SOFTFIX-PK® Interference Screws provide strong mechanical fixation for both bone patellar tendon-bone (BTB) and soft tissue grafts in ACL and PCL reconstruction. SOFTFIX-PK® Interference Screws feature a thread pattern that allows for a simple surgical technique, with minimal tunnel preparation. on-absorbable SOFTFIX-PK® interference screw incorporates PEEK-VESTAKEEP® polymer from Evonik® PEEK-VESTAKEEP® material exhibits an ideal combination of strength, stiffness and toughness which surpasses absorbable materials. PEEK (Poly-Ether-Ether-Ketone) is a thermoplastic material with excellent biocompatibility and bio stability characteristics as per ASTM F2026. SOFTFIX-PK® interference screws offer the revision ability of an absorbable screw. PEEK has inherent radiolucent characteristics that have widely gained confidence and acceptance in the medical community.
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BIOTWIN

Biocompatible Interference Resorbable Screw Biotwin™ was designed to fulfill two core aims: provide appropriate mechanical properties necessary for ligament reconstruction whilst ensuring a regulated resorption and osteointegration to form architectural bone through hydrolysis*. Canulated Resorbable Screw Design The thread is specific to each screw diameter so as to systematically provide the maximum amount of contact between implant and bone. 75% PLDLLA & 25% BCP: the convenient ratio between the necessary mechanical resistance for the indication and the faculty to generate bone growth.
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BT-FIX

The BT-FIX Adjustable Fiber Loop for Attachable Button System is an implant that can be used for cortical fixation with SMART-FIX Tibial base plate over the cortical bone. The BT-FIX Adjustable loop can be used for the tibial fixation in all inside ACL-PCL Reconstruction technique. The slotted holes of SMART-FIX Tibial base plate can be loaded over the buttonless BT-FIX Adjustable Fiber loop. During procedure, the adjustable loop of the system is passed through the narrow tunnel and the SMART-FIX remains on the cortex which maximizes button to bone contact. The system provides the knotless locking mechanism for strong and stiff graft fixation.
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BUTTONFIX

BUTTONFIX® Very strong fixation and unique design for graft protection   The BUTTONFIX® Fixation Button with Adjustable Loop provides Leading strength and incorporating a unique design to help protect the graft during loop reduction. Single loop size of BUTTONFIX® can be universally used with any graft length. The graft support frame protects the graft from damage and any abrasion. UTS-Ultimate Tensile Strength of BUTTONFIX® is 1300 N.   Features   Maximized graft in tunnel Preloaded with braided sutures (white as pulling suture and green as flipping suture) Requires minimal force to reduce loop Compatible with common extension devices Familiar Loop Reduction Procedure
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Onbutton CL

New CL construct Continuous loop of suture braid eliminates the need for knot tying and allows for a larger portion of graft to reside in the tunnel. Efficient Preloaded with braided sutures (#5 Biofiber®, white-blue as Pulling/leading suture and #5 polyester, green as Flipping suture)for added procedure efficiency. Greater strength Tested for UTS-Ultimate Tensile Strength. Meets or exceeds 2200 N. Highest failure load compared to competitive technologies Accommodates various graft lengths One size titanium button is available with multiple pre-measured loop sizes of 12, 15, 20, 25, 30, 35, 40mm lengths. Most comprehensive line of femoral fixation solutions Can be used in Single-Bundle soft tissue fixation; Double-Bundle soft tissue fixation; Bone-Tendon-Bone fixation Hassle-free revision surgeries Standard technique allows for arthroscopic revision without lateral incision and bone removal Provides tactile “flipping” feedback Ensures proper seating of device Strong cortical fixation Provides dependable fixation regardless of cancellous bone quality Promotes insertion site healing Rests on the cortical bone surface Clinically Proven Supported by over 125000 cases of clinical success all over India and abroad. Truly endoscopic procedure Does not require a second incision. Solid fixation for either primary or auxiliary fixation in ACL or PCL reconstruction.
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ONBUTTON

The titanium button is the original endoscopic femoral soft tissue fixation device. It can be used for single incision, soft tissue, or bone-tendon-bone fixation.
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Onbutton Ex

Fixation device is designed to provide extended surface area. It can be used in conjunction with Onbutton CL which provides an effective solution for cortical blowouts. It also helps overcome intraoperative complications seen in revision cases.
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BUTTONFIX-W One Fixation Button

BUTTONFIX®-W kit comprises of one oblong shaped fixation titanium button, preloaded with Fiber Loop USP size 2. This system supports and maintains the thumb and index metacarpals in proper alignment after trapezial resection or removal for treatment of CMC arthritis and thumb CMC instability. WT-Fix fixation button is used with this system for final fixation on the ulnar side of the index finger after the preloaded button is pulled from the radial side of the first metacarpal. This knotted system is ideal for the treatment of CMC Arthritis and/or CMC instability. The system requires a very small hole of 1.5mm to pass from radial to ulnar side metacarpal through the 1.5mm tapered trocar tip Suture Passing Wire with loop. Button Dimensions: 8.0mm x 2.5mm x 1.1mm
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FIBERKNOT

FIBERKNOT® Ligament Anchors FIBERKNOT® is an all suture anchor and is composed of ultra-high molecular weight polyethylene (UHMWPE) suture. It is available in 1.5 mm (single loaded) and 1.8 mm (double loaded) sizes with needle. FIBERKNOT® requires a smaller pilot hole compared to traditional anchors, minimizing bone removal and decreasing the overall anchor footprint, while still providing superior strength. The FIBERKNOT® anchors can be used for any soft tissue fixation, Eg.: CMC Arthritis, TFCC Repair, SL Repair, etc. Small inserter provides easy and quick insertion. Anchor Dimensions: Dia. 1.5mm x Len. 15.0mm; Dia. 1.8mm x Len. 15mm Type: Tap-in / Bang-on anchor
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BUTTONFIX-W two fixation buttons

BUTTONFIX®-W kit comprises of two oblong shaped fixation titanium buttons loaded with Fiber Loop USP size 2 and Fiber USP size 0 for flipping of the button. This knotted adjustable loop system is ideal for the fixation of distal radioulnar joint (DRUJ) dislocation. This system comprises of a self-adjustable fiber loop size 2. The length of the loop can be adjusted by pulling the adjustable sutures one by one. This system comprises of a self-adjustable fiber loop size Button Dimensions: 8.0mm x 2.5mm x 1.1mm
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FIBERKNOT®

FIBERKNOT® is an all suture anchor and is composed of ultra-high molecular weight polyethylene (UHMWPE) suture and is available in 1.5 mm (single loaded) and 1.8 mm (double loaded) sizes. FIBERKNOT® requires a smaller pilot hole compared to traditional anchors, minimizing bone removal and decreasing the overall anchor footprint, while still providing superior strength. The FIBERKNOT® anchor is available with flexible driver for easy insertion through straight and curved sleeve. The drill ensures accurate pilot hole placement with both straight and curved sleeves.
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MINI-VIM PK®

MINI-VIM PK® Ligament Anchor is a knotless anchor with long inserter suitable for hip arthroscopy surgery. The knotless technology of MINI-VIM PK® Ligament anchor provides a step-saving alternative to conventional “knotted” suture anchors and eliminates “knot stacks” associated with soft tissue irritation. It is a tap-in/bang-on anchor. The spear, trocar and drill bit are designed specifically for arthroscopic hip procedures
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MINI-VIM PK® Ligament Anchor PEEK

The MINI-VIM PK® is a non-absorbable PEEK suture anchor with a material eyelet which provides superior abrasion resistance due to PEEK’s low coefficient of friction. Anchor insertion and delivery are made simple by drilling through a spear and inserting the anchor through the same spear into the drilled hole. Mini-Vim PK® Ligament anchor is a Tap-in/Bang-on anchor. It is available in Dia. 2.8mm (single loaded) for Hip Arthroscopy procedures.
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Biofix-NP (Narrow Profile)

Anatomically designed low profile plate minimizes the need for intraoperative contouring and prevents soft tissue irritation due to hardware prominence. The tapered bevelled plate end facilitates minimally invasive insertion. The solid midsection provides the strength necessary to support the osteotomy gap. Plates are not side-specific and can be used for the left or right tibia. Use of Locking Head Screws provides angular stability. Spacers ensure adequate distance between the plate and the periosteum and pes tendons. This preserves the vascularity and pes irritation. Variable angles facilitates redirection of screws without adversely affecting the locking performance of that screw. The locking screws in this system can be angled up to 15 degrees off-center The screw holes are numbered from A-D being proximal and 1-4 being distal to osteotomy downslope in the holes A/B/C fixed angle ensures the screws are directed distally from the joint. The System has three different types of plates to address three indications:     High Tibial Osteotomy     ACL Reconstruction with HTO      Medial Meniscus Posterior Root Repair with HT. Hole numbers D & 1 are variable angled in all the three plates. A variable hole no. D allows the screw to be directed as desired due to the small bone in the proximal segment of the osteotomy. A variable hole no. 1 allows placement of hinge compression cortex screw and later change to a locking head screw in a different angle. The Biofix™-NP (Cat. No. 10162) plate has additional variable angle hole no. B. This is to prevent tunnel coalition between the ACL tibial tunnel and the screw. The Biofix™-NP (Cat. No. 10163) plate has additional variable angle hole nos. A and C. This is to prevent tunnel coalition between the medial meniscus trans-tibial repair tunnel and the screw. Material: Titanium.
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STAYFIX-T

STAYFIX-T staples are made of stainless steel, available in two sizes: small and large. It can be used for bone correction of osteotomy and also stabilization of hinge fracture.
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The Cartilaginator

The Cartilaginator is a specialized surgical instrument engineered for precise joint preparation prior to fusion procedures. Its compatibility with the Stryker TPS power unit ensures seamless integration into existing surgical setups. Surgeons have reported that The Cartilaginator significantly facilitates joint preparation in foot fusion surgeries.
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Omni Ankle Fracture Plating System

Comprehensive Anatomic Solutions for Every Fracture Location Anatomically contoured for optimal patient fit Unique distal screw hole clusters designed to offer multiple screw placement options. Low profile and chamfered lead-in edges minimize soft tissue irritation.               *NOTE: Post/Screw construct is only available on special request.  
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Temporary Silicone Tendon Replacement

Also recognised as tendon rods or tendon spacers, that are part of a staged, passive reconstruction of the hand tendons. Our temporary silicone tendon replicates the natural tendon allowing a pseudosynovial sheath to form which is intended to later nourish and lubricate an autogenous tendon. ORDERING CODES CAN BE FOUND ON DOWNLOAD OF “ORDERING INFORMATION” BROCHURE ON THE RIGHT.   FEATURES: Oval cross-section Elongated shape Four diameters: 3mm, 4mm, 5mm, 6mm Three lengths Can be cut to specific size
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MICRO-VIM™

MICRO-VIM™ ligament anchor This anchor is made of radiopaque titanium. The screw-in design of the anchor is ideal for soft-bone matrix. The MICRO-VIM™ Ligament Anchor is available in 1.8mm and 2.0mm diameters. The Inserter is preloaded with anchor and 1 pc USP size 2-0/0 fiber with tapered needle. MICRO-VIM™ ligament anchor can be used for tarsal-metatarsal and phalanges ligament repair.
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NeoSpan® SE Compression Staples for Hand

Features:   Low-Profile Inside / Outside stepped-tooth design that resists pullout Available in multiple sizes from 8 to 25mm Easy-to-Use Staple Inserter NeoSpan® SE is a SuperElastic, compression-ready fixation system designed for fixation of fusions or osteotomies of the bones in the hand. NeoSpan® SE’s compressive properties and stepped-tooth design resist pullout.  The instrumentation kit is sterile and disposable. The inserter spreads the legs of the staple before released for compression loading.       Compression loading: With the Staple firmly in the Inserter’s metal prongs, slowly twist the top handle clockwise, extending the internal plunger to spread the staple’s legs.   Release: Slowly twist the top handle counterclockwise.      
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RTS 1st MTP JOINT REPLACEMENT

Features:   Broachless Implantation Angled Metatarsal Stem Matches Natural Declination Angle No angled Cuts, Simple Disposable Instruments  
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INITIAL F™ – Lapidus Plating Single Use Kit

Fixation: Single screw diameter: Ø3.5 mm, both locking and non locking available. The threads below the screw head and inside the hole have exactly the same characteristics. Coaptation of both profiles during locking improves removal properties. Implants: A low profile plate of 1,7mm thick , limits the amount of soft tissue irritation while providing optimized mechanical stability. A range of precontoured plates for optimized congruence between the plate and the bone. Available with three Planter Lapidus Arthrodesis plates, available in both left and right versions: Size 0 (length 37mm), Size 1 (length: 42mm), Size 2 (length 50mm).
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AXIS – Charcot Beaming System

Each Axis Fusion Beam has a corresponding X-Clip. The X-Clip is designed to provide increased thread purchase, compression, and stability for patients with poor quality bone. The use of an X-Clip with an Axis Fusion Beam is optional and left to the surgeon’s discretion. Bridging Advances in Technology and Technique. The Axis Fixation System is cleared specifically for use with Charcot patients. These limb salvage cases require fixation and techniques beyond the standard principles of orthopaedics. The Axis Fixation System provides a Superconstruct™ designed to: Bridge Beyond the Area of Injury Optimize Implant Strength Maximize Mechanical Function
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​​​OsteoSinter® EVANS and COTTON wedges

The wedges are intended to be used as an implant specifically designed for Evans procedures (for lateral foot column lengthening) or Cotton (improve the inclination of the first radius and avoid overloading the external column). These wedges allow very precise control of the amount of lengthening or declination of osteotomies. OsteoSinter® EVANS and COTTON wedges are delivered with a single-use and recyclable surgical instrument kit, made of Polyamide grade 12, which contributes to a precise implantation of the product. The product is presented unitarily packed in blister and sterilized with gamma radiation. OsteoSinter® EVANS and COTTON wedges are metallic implants and therefore do not present reabsorption issues. The OsteoSinter® EVANS and COTTON wedges and their single-use related accessories reduce the surgery time compared to unconfigured allografts, because: They do not require prior defrosting. Direct placement, without carving or on-site adjustment. They provide greater precision. They facilitate reproducibility. No sterilization or instrument treatment is required. They do not need a fixing plate.
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​​​IOFiX™ TRIO – Calcaneal Osteotomy Plate

Features:  Speed and Simplicity Plate Surface acts as a cutting guide 3 Screw construct for rapid implantation 6+ and 10+ sizes allow the flexibility to dial in the desired correction TRIO can be used for both medial and lateral translations Low Profile TRIO has no lateral wall hardware TRIO has been designed to minimise peroneal tendon irritation Stability  TRIO utilises the IOFIX Morse Taper Lock Technology with two 5.0mm Compression screws Gives uniform compression across the osteotomy Rotational Stability Manufacturers Website :http://www.extremitymedical.com
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C-NAIL – Intraarticular Calcaneal Fixation

Product Features: Minimally Invasive Approach Only requires small incisions for re-positioning the fragments and inserting the screws and nail High biomechanical stability of Fixation Minimal Risk of Infection Improved hindfoot motion Simple, accurate and reproducible results Indications Intraarticular Fractures Sanders I – IV Joint Depression Type Tongue Type C-NAIL is an intramedullary nail for minimal-invasive fixation of intraarticular calcaneal fractures. The principle is to stabilize with the nail the four to five main fragments of the fractured calcaneus in conjunction with up to seven interlocking screws and thus creating angular stable fixation. The maximum of stability is achieved by fixing the sustentacular fragment towards the nail with two interlocking screws guided by a very precise aiming device. C-Nail Surgical Procedures Record of surgical technique for osteosynthesis of calcaneal bone using C-NAIL. Operating team: Dr. Martin Pompach Dr. Martin Carda Department of Traumatology, Pardubice, Czech Republic
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Activ Fuse – Ankle Fusion Plating

Three pre-contoured implants for ankle fusion for different scenarios and reduced risk of soft tissue irritation Two surgical approaches: anterolateral and anterior Transfixation screws for compression and neutralization Multiple points of talar fixation Implants Three types of plates: Anterolateral plate with two transfixation screws going through the joint for compression and optimal stability in the talus. Anterior Narrow plate associated with two crossed screws sizes Ø6.0 or Ø8.0 mm for joint fusion stability. The anterior narrow plate is positioned on the anterior part of the ankle. Anterior plate with two transfixation screws going through the joint for compression
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TriWay Ankle Fusion Nail​

TriWay®TibioTaloCalcaneal (TTC) Arthrodesis System Solid Nail for increased strength, with cannulated instrument and reaming system for ease of insertion Anatomical 7° Posterior Offset Nail Multiplanar fixation for optimal stability Radiolucent targeting guide with aiming guide for subtalar compression screw The addition of an IBS® 6.5mm Compression Screw through the subtalar joint and through the Nail is required
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PitStop – Arthroereisis Implant

 Surgical Technique A 1-3 cm incision is made on the lateral side of the foot in the skin overlying the sinus tarsi. Blunt dissection with a hemostat to the level of the joint capsule. The Viladot’s Lever is introduced through the sinus tarsi. Move the lever slightly dorsal / medial and anterior / posterior to dilate the tarsal canal. Once the talus is positioned on the calcaneus, the 1.6mm Guide Wire is introduced into the axis of the sinus tarsi until the wire is felt on the medial aspect of the hindfoot. Accurate placement may be confirmed with fluoroscopy. Invisible on X-ray The PitStop® Subtalar Implant facilitates the correction of pes plano valgus deformities. Anatomical Shape with Lock-in Flanges Biocompatible, PEEK Radiolucence (invisible on X-ray) X-ray Markers for Placement Confirmation Cannulated Insertion The Inserter is used to press fit the Implant in the correct position with a pushing motion.  Do not screw Implant into place. X-ray markers at each end of the Implant help achieve the adequate depth with fluoroscopy visualization. The corresponding flat surfaces of the Implant and Inserter handle are aligned parallel to the lateral talar process, which is an approximate 45° angle to the fibula and the plantar aspect of the foot on the lateral view. Unscrew the Internal Holder to release the Implant and push with finger pressure to remove the Holder from the Implant. Hindfoot mobility is assessed to verify adequate correction. The wound should be closed according to surgeon preference.
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​NeoSpan® SE Compression Staples for Foot

Features:   Low-Profile Inside / Outside stepped-tooth design that resists pullout Available in multiple sizes from 8 to 25mm Easy-to-Use Staple Inserter NeoSpan® SE is a SuperElastic, compression-ready fixation system designed for fixation of fractures, fusions or osteotomies of the bones in the forefoot, midfoot and rearfoot. NeoSpan® SE’s compressive properties and stepped-tooth design resist pullout.  The instrumentation kit is sterile and disposable. The inserter spreads the legs of the staple before released for compression loading.       Compression loading: With the Staple firmly in the Inserter’s metal prongs, slowly twist the top handle clockwise, extending the internal plunger to spread the staple’s legs.   Release: Slowly twist the top handle counterclockwise.      
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Footmotion Large Cannulated Screws

These , self-drilling and self-tapping screws can be easily implanted in any kind of cortex, using the supplied ergonomic and easy-to-use instrumentation. Features:  Titanium Alloy cannulated screws Three diameters available – 4.0mm, 6.0mm and 8.0mm Self-Drilling, Self-Tapping Screws – simple and time effective Low profile head design easily countersink (countersink provided only for hard bone) K-Wires 1.3mm, 1.7mm & 2.5mm respectively reduces the chance of K-wires deviating/snapping upon insertion Easy to use and colour coded instrumentation Available  pre-sterile
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MI – Chevron Screw for HV Fixation

The bevelled proximal area of the screw enables it to be positioned flush with the medical cortex of the first metatarsal, this minimalizes any potential screw prominence or soft tissue irritation. The increased head length provides a greater thread contact upon angled insertion with the medial cortex which creates interfragmentary compression and increased stability. Key Features: Self-drilling Self-tapping
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​MIS Foot Surgery

The following equipment can be hired: Low-speed, high-torque burr machine Range of burrs (shannon, wedge, conical) MIS specialist rasps and other equipment Range of self drilling/ self tapping cannulated screws 2.6mm, 3.0mm, 4.0mm, 6.0mm and 8.0mm Whether you are planning to do a Calcaneal Osteotomy or a Minimally Invasive Chevron Akin surgery Lavender Medical is able to offer a competitive option for all your Minimally Invasive needs. We are also able to offer courses and live surgery should you wish to learn more about MIS in the foot. Indications and what is needed: MIS Akin – MIS equipment with 2.6mm or 3.0mm cannulated screws MIS Cheilectomy – MIS equipment only MIS Chevron & Akin – MIS equipment with 2.6/ 3.0 and/or 4.0mm cannulated screws MIS DMMO – MIS Equipment only MIS Calcaneal – MIS Equipment with 6.0mm or 8.0mm cannulated screws
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​​IOFiX™ – Foot & Ankle Fusion System

The Extremity Medical IO-FIX IntraOsseous Fixation Device is intended for the reduction and internal fixation of arthrodesis, osteotomy, intra-articular and extra-articular fractures and nonunions of the small bones and joints of the foot & ankle. This two-part construct is specifically intended for use in the Ankle Fusion, Calcanealcuboid , , Lapidus, MTP, Metatarso-Cuneiform, TMTJ’s (2nd,3rd,4th), Subtalar, Talonavicular,  and Tibia-Talar joints. Features:    Zero Profile – no soft tissue irritation Implant compresses across joint – uniform compression Reinforced Bone Bridge Stable Fixation Avoids the need to bend plates or hardware Easy, Fast, & Reproducible Results Versatile Applications Removable Manufacturers Website :http://www.extremitymedical.com
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​HammerFiX – IP Fusion System

Features: Made of PEEK (Polyetheretherketone) A non-resorbable polymer that has been shown to be highly biocompatible with a long track record in orthopaedics Stability by Design Opposing threads (screw and barbed segments) allow the ability to generate extra compression across the joint Cannulated Provides an option to temporarily pin the corrected phalanx across the MPJ with a guidewire Available in 3 sizes to accommodate size variations of the lesser toes
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INITIAL F™ – MTP Plating Single Use Kit

​Fixation: Single screw diameter:  Ø2.8 mm, both locking and non locking available with hexalobular stamp. The threads below the screw head and inside the hole have exactly the same characteristics. Coaptation of both profiles during locking improves removal properties. ​Implants: A low profile plate of 1,7mm thick , limits the amount of soft tissue irritation while providing optimized mechanical stability. A range of precontoured plates for optimized congruence between the plate and the bone. Available with two  plates, available in both left and right versions: Size 1 (length: 36,4mm), Size 2 (length 41.4mm).​​ The plate consists of a hole for the transfixation screw, holes for screws in the distal and proximal areas and a ramp oblong hole to enable simple yet controlled compression.
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​Footmotion Plating System

Features and Benefits Plate Strength – plates are contoured during the production rather than bent giving extra strength One type of hole for two screw diameters: 2.8mm and 3.5mm in both locking and non locking screws The screw head is minimally invasive and buried in the plate so as to limit the risk of soft tissue irritation. The hexalobe screw recess design improves torque transmission and ability to cope with difficulty arising from screw insertion into the bone.
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Footmotion Hallux Valgus

These compact, self-drilling and self-tapping screws can be easily implanted in any kind of cortex, using the supplied ergonomic and easy-to-use instrumentation. Features:  Titanium Alloy cannulated screws Three diameters available – 2.25mm, 2.60 mm and 3.00mm Self-Drilling, Self-Tapping Screws – simple and time effective Low profile head design easily countersink (countersink provided only for hard bone) Allows for minimally invasive surgery using percutaneus instrumentation K-Wires 0.8mm and 1.0mm reduces the chance of K-wires deviating/snapping upon insertion Easy to use and colour coded instrumentation Available non-sterile (on tray) and pre-sterile
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RTS Lesser Toe – MTP Joint Replacement

  JOINT PREPARATION (Metatarsal) A skin incision is made over the dorsum of the lesser metatarsal phalangeal joint. The distal portion of the metatarsal head is resected at the appropriate level for the existing deformity or disease. Using the supplied Reamer, prepare the medullary canal of the metatarsal. The three laser mark lines refer to the three proximal Implant stem lengths. Refer to Sizing Chart for proximal stem lengths. JOINT PREPARATION (Phalanx) The base of the proximal phalanx is preserved if possible. Using the supplied Reamer, the medullary canal of the proximal phalanx is prepared. Refer to Sizing Chart dimension for distal stem lengths. IMPLANT SIZING Place the Implant Trials into the prepared joint in order to select the correct size of Implant. With the Trial in place, load the foot to check that there is no jamming of the Implant. The Trial is then removed and the joint is thoroughly irrigated. The color of the chosen Trial corresponds to the color code on the associated Implant package. IMPLANT PLACEMENT The appropriate Implant is then inserted. Important – HANDS ONLY INSERTION: Do not use forceps or other instruments to grab, grasp and/or insert the Implant. This can damage the Silicone Implant. Excessive handling of the Implant should be avoided. After Implant placement, flush the joint with copious irrigation. CLOSURERepair and suture the joint capsule, being certain to completely cover the Implant. (Optional technique procedure: Tack down the extensor digitorum longus tendon proximal to the MTP joint, using one or two absorbable sutures, with the digit just slightly plantar flexed at the MTP joint. This will prevent retrograde buckling (dorsal contracture) of the joint while the foot is elevated post operatively, thus allowing the joint capsule to heal in its normal position. The sutures will dissolve after a few weeks, and the tendon and joint will resume function.) Wound closure is performed with sutures of the surgeon’s choice.
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​XMCP™ – Metacarpal Phalangeal Fusion

The Extremity Medical XMCP Intramedullary Fusion Device is intended for fixation arthrodesis of the metacarpal-phalangeal joints. Features: Stable intramedullary fixation Implant compresses across joint Fixed 25 degree  angle for reproducible results Advanced instrumentation can reduce procedure time Avoids the need to bend plates or hardware Superior bending resistance minimizing implant cut out Removable
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​CarpalFiX™ – Carpal Fusions

The Extremity Medical CarpalFiX IntraOsseous Fixation Device  is intended for the reduction and internal fixation of arthrodesis, osteotomy, intra-articular and extra-articular fractures and nonunions of the small bones and joints of the hand & wrist. This two-part construct is specifically intended for use in the Radiolunate Fusion Thumb Basal Joint Fusion Capito-Lunate Fusion Carpal Fusions Wrist Fusions Four Corner Fusion
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​​APEX™ – Interphalangeal Fusion

Features: Stable intramedullary fixation Implant compresses across joint Choice of 30 or 45 degree  angle for fusion Reproducible results Advanced instrumentation can reduce procedure time Avoids the need to bend plates or hardware Superior bending resistance minimizing implant cut out Removable
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