HINDFOOT

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.

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

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

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

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

 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.

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

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