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Overview

IO FiX 2.0 is a two-part, zero-profile intraosseous fixation system from Extremity Medical for arthrodesis, osteotomy and fracture fixation in the foot and ankle. An X-Post, a metallic bone bridge, is seated in one bone; a lag screw is passed across the joint and either locks into the X-Post at a fixed 60° by a Morse taper or, as a headed non-locking screw, lags against it. The construct sits entirely within the bone, so there is no plate on the bone surface and no hardware to bend.

Implants

  • X-Posts: Small (aqua; 4.5 mm major, 3.0 mm minor diameter; 15 to 30 mm) and Medium (blue; 6.5 mm major, 4.5 mm minor diameter; 20 to 30 mm), both at 60°.
  • Tapered locking screws: Ø4.3 mm (2.8 mm minor diameter) and Ø5.0 mm (3.4 mm minor diameter), 26 to 40 mm in 2 mm steps, plus 45 and 50 mm; thread length 15 mm. Both work with either X-Post.
  • Low-profile headed screws (non-locking): Ø4.5 mm (3.0 mm minor diameter), same lengths, with a 26° cone of angulation when used with the X-Post; can also be used on their own.

Features

  • Zero profile: X-Post and screw are placed within the bone, to limit soft-tissue irritation.
  • X-Post: a reinforced metallic bone bridge, intended to add stability in compromised bone.
  • Tapered locking screws lock into the X-Post at a fixed 60° by Morse taper.
  • Non-locking headed screw option with a 26° cone of angulation.
  • Self-drilling, self-tapping screws.
  • Clearing jig and trephine remove bone at the 60° screw trajectory.
  • Removable.

Indications

The IO FiX Intraosseous Fixation System is intended for reduction and internal fixation of arthrodeses, osteotomies, intra- and extra-articular fractures and non-unions of the small bones and joints of the foot and ankle.

The two-part construct is specifically intended for use in talonavicular, calcaneocuboid, metatarsocuneiform and ankle arthrodesis, and in metatarsal osteotomies.

Indications, contraindications, warnings and precautions are listed in the instructions for use (IFU).

Sizes and ordering

Codes are from the IO FiX 2.0 surgical technique (LBL-118-99402-EN Rev B, 01/2020). For availability, kit contents or a quote, use Enquire above or call us.

X-Posts7 items
Ref.Description
118-70615Small X-Post (aqua), 60°, 15mm
118-70620Small X-Post (aqua), 60°, 20mm
118-70625Small X-Post (aqua), 60°, 25mm
118-70630Small X-Post (aqua), 60°, 30mm
118-80620Medium X-Post (blue), 60°, 20mm
118-80625Medium X-Post (blue), 60°, 25mm
118-80630Medium X-Post (blue), 60°, 30mm
Ø4.3 mm tapered locking screws10 items
Ref.Description
118-43026Ø4.3 Tapered Locking Screw x 26mm
118-43028Ø4.3 Tapered Locking Screw x 28mm
118-43030Ø4.3 Tapered Locking Screw x 30mm
118-43032Ø4.3 Tapered Locking Screw x 32mm
118-43034Ø4.3 Tapered Locking Screw x 34mm
118-43036Ø4.3 Tapered Locking Screw x 36mm
118-43038Ø4.3 Tapered Locking Screw x 38mm
118-43040Ø4.3 Tapered Locking Screw x 40mm
118-43045Ø4.3 Tapered Locking Screw x 45mm
118-43050Ø4.3 Tapered Locking Screw x 50mm
Ø5.0 mm tapered locking screws10 items
Ref.Description
118-50026Ø5.0 Tapered Locking Screw x 26mm
118-50028Ø5.0 Tapered Locking Screw x 28mm
118-50030Ø5.0 Tapered Locking Screw x 30mm
118-50032Ø5.0 Tapered Locking Screw x 32mm
118-50034Ø5.0 Tapered Locking Screw x 34mm
118-50036Ø5.0 Tapered Locking Screw x 36mm
118-50038Ø5.0 Tapered Locking Screw x 38mm
118-50040Ø5.0 Tapered Locking Screw x 40mm
118-50045Ø5.0 Tapered Locking Screw x 45mm
118-50050Ø5.0 Tapered Locking Screw x 50mm
Ø4.5 mm low-profile headed screws (non-locking)10 items
Ref.Description
118-45126Ø4.5 Low Profile Headed Screw x 26mm
118-45128Ø4.5 Low Profile Headed Screw x 28mm
118-45130Ø4.5 Low Profile Headed Screw x 30mm
118-45132Ø4.5 Low Profile Headed Screw x 32mm
118-45134Ø4.5 Low Profile Headed Screw x 34mm
118-45136Ø4.5 Low Profile Headed Screw x 36mm
118-45138Ø4.5 Low Profile Headed Screw x 38mm
118-45140Ø4.5 Low Profile Headed Screw x 40mm
118-45145Ø4.5 Low Profile Headed Screw x 45mm
118-45150Ø4.5 Low Profile Headed Screw x 50mm
Disposable instruments10 items
Ref.Description
101-00006Guidewire - 1.6mm
101-00023Cleaning Brush - 1.6mm
118-02030Cannulated Drill - 3.0mm
118-02034Cannulated Drill - 3.4mm
101-00013Cannulated Drill - 4.5mm
118-02002IO FiX 2.0 X-Ray Template
118-02076Small X-Post Countersink
118-02077Medium X-Post Countersink
118-02045Headed Screw Countersink
118-02111Clearing Trephine
Reusable instruments13 items
Ref.Description
101-00009Guidewire Holder - 1.6mm
102-00017AO Quick Connect Handle
118-000303.0 Hex Driver
118-02000Instrument Tray and Screw Caddy
118-02013Headed Screw Drill Guide
118-02015Clearing Tool
118-02031Clearing Jig
118-02032Alignment Guide
118-02039Handle (Medium AO Ratchet)
118-02040Depth Gauge
118-02160Wire Guide - 1.6mm
118-02300Drill Guide - 3.0mm
118-02340Drill Guide - 3.4mm

Codes and sizes are taken from the manufacturer's marketing literature and may change. For current information, check the Extremity Medical website or the instructions for use before ordering.

IO FiX 2.0 surgical technique

IO FiX 2.0 sawbone technique demonstration

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