The Extremity Medical XMCP is an intramedullary fusion device for arthrodesis of the metacarpophalangeal joints. A metacarpal implant is seated in the metacarpal and a lag screw is passed through it into the proximal phalanx, locking into the implant by a Morse taper, compressing across the joint and holding it at a fixed 25° angle, so no plate or hardware bending is required. The construct is fully contained within the bone and is removable.
Metacarpal implants come in Small (4.0 mm), Medium (5.0 mm), Large (6.0 mm) and Extra Large (7.0 mm) diameters, all 30 mm long. Lag screws are 4.0 mm, cannulated or solid, 20 to 36 mm long in 2 mm steps.
Features
- Zero profile: the implant is fully contained within the bone.
- Post-and-screw locking mechanism (Morse taper).
- Stable intramedullary fixation with compression across the joint.
- Fixed 25° angle for a reproducible fusion position.
- No need to bend plates or hardware.
- Removable.
Indications
Fixation for arthrodesis of the metacarpophalangeal (MCP) joints.
Indications, contraindications, warnings and precautions are listed in the instructions for use (IFU).
Sizes and ordering
Codes are from the XMCP surgical technique (LBL-120-99102-EN Rev F, 12/2020). For availability, kit contents or a quote, use Enquire above or call us.
Implants22 items
| Ref. | Description |
|---|---|
| 120-12530 | Small Metacarpal Implant - 4.0mm x 30mm |
| 120-22530 | Medium Metacarpal Implant - 5.0mm x 30mm |
| 120-32530 | Large Metacarpal Implant - 6.0 x 30mm |
| 120-42530 | Extra Large Metacarpal Implant - 7.0 x 30mm |
| 102-40020 | Small Lag Screw - 4.0mm x 20mm |
| 102-40022 | Small Lag Screw - 4.0mm x 22mm |
| 102-40024 | Small Lag Screw - 4.0mm x 24mm |
| 102-40026 | Small Lag Screw - 4.0mm x 26mm |
| 102-40028 | Small Lag Screw - 4.0mm x 28mm |
| 102-40030 | Small Lag Screw - 4.0mm x 30mm |
| 102-40032 | Small Lag Screw - 4.0mm x 32mm |
| 102-40034 | Small Lag Screw - 4.0mm x 34mm |
| 102-40036 | Small Lag Screw - 4.0mm x 36mm |
| 113-40020 | Small Lag Screw (solid) - 4.0mm x 20mm |
| 113-40022 | Small Lag Screw (solid) - 4.0mm x 22mm |
| 113-40024 | Small Lag Screw (solid) - 4.0mm x 24mm |
| 113-40026 | Small Lag Screw (solid) - 4.0mm x 26mm |
| 113-40028 | Small Lag Screw (solid) - 4.0mm x 28mm |
| 113-40030 | Small Lag Screw (solid) - 4.0mm x 30mm |
| 113-40032 | Small Lag Screw (solid) - 4.0mm x 32mm |
| 113-40034 | Small Lag Screw (solid) - 4.0mm x 34mm |
| 113-40036 | Small Lag Screw (solid) - 4.0mm x 36mm |
Disposable instruments8 items
| Ref. | Description |
|---|---|
| 101-00006 | Single-Ended Guidewire - 1.6mm |
| 101-00023 | Cleaning Brush - 1.6mm |
| 102-00002 | Cannulated Drill - 3.0mm |
| 120-01000 | Metacarpal Reamer |
| 120-02012 | 12mm Dorsal Window Rasp |
| 120-02016 | 16mm Dorsal Window Rasp |
| 120-04012 | 12mm Lag Screw Rasp |
| 120-04016 | 16mm Lag Screw Rasp |
Reusable instruments12 items
| Ref. | Description |
|---|---|
| 102-00003 | Small Implant Guide |
| 102-00009 | 3.0mm Screwdriver |
| 102-00017 | AO Quick Connect Handle |
| 102-00020 | Removal Screwdriver |
| 102-00021 | Removal Tool |
| 102-00022 | Slap Hammer |
| 113-00003 | Depth Gauge |
| 120-03000 | Dorsal Window Reamer |
| 120-01250 | Small Metacarpal Trial |
| 120-02250 | Medium Metacarpal Trial |
| 120-03250 | Large Metacarpal Trial |
| 120-04250 | Extra-Large Metacarpal Trial |
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.
Surgical Technique, Brochures & Papers
- Surgical techniqueXMCP Surgical Technique
- BrochureUpperFiX Product Brochure
- BrochureXMCP Brochure
- Case studyMCP Fusion
- Case studyMCP Fusion with Trapezial Resection
- DocumentMCP Arthrodesis Using an Intramedullary Interlocking Device (Hand, 2013)
- DocumentOutcomes of Thumb Metacarpophalangeal Joint Arthrodesis Using the XMCP Intramedullary Interlocking Device (J Hand Surg Glob Online, 2023)
Case report – B. Chalkin, DO
Sawbone demonstration of the surgical technique
Used in
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