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Product Description

Ankle Arthrodesis Nail

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Indication
  • Painful arthritic deformity of the ankle joint with stiffness in the subtalar joint
  • Fractures of the tibial plafond and/or talus where reconstruction is impossible
  • Fracture/dislocations of the ankle joint combined with severe arthritic changes and loss of function
  • Supramalleolar non-union with subtalar stiffness
  • Failed fusion of the ankle joint

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Surgeon Benefits
  • Posterior-anterior placed locking screws give more stability than medial-lateral screws due to greater bone purchase. Stability is essential for union and to prevent malunion
  • The system and straight nail design allow rotation on insertion, easing introduction
  • The nail and unique locking screw design have superior fatigue resistance
  • The system has a mechanical targeting device that is accurate and easy to use

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Surgeon Support Materials
Documents: * Protected PDF files: You will not be able to copy or print.
Videos:

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Clinical References:
  • The Results of a Primary and Staged Pantalar Arthrodesis and Tibiotalocalcaneal Arthrodesis in Adult Patients. Roman Acosta, M.D., James Ushiba, M.D. and Andrea Cracchiolo III M.D., Los Angeles, California. PubMed Abstract
  • Tibiotalocalcaneal Arthrodesis. Loretta B. Chou, M.D.1, Roger A. Mann, M.D.2, Burt Yaszay, B.S.1, Stanley C. Graves, M.D.3, William T. McPeake III M.D.4, Sharon M. Dreeben, M.D.5, Greg A. Horton, M.D.6, David A. Katcherian, M.D.7, Thomas O. Clanton, M.D.8, Richard A. Miller, M.D.9, John W. Van Manen, M.D.10 (1)Stanford, CA (2)Oakland, CA (3)Phoenix, AZ (4)Knoxville, TN (5)San Diego, CA (6)Kansas City, KS (7)West Bloomfield, MI (8)Houston, TX (9)Albuquerque, NM (10)Richmond, VA, USA. PubMed Abstract
  • Anatomic Structures at Risk: Combined Subtalar and Ankle Arthrodesis with a Retrograde Intramedullary Rod. David J. Pochatko, M.D., Judith W. Smith, M.D., Ruth Ann Phillips, P.A.C., Bobby D. Prince, M.D. and Mark R. Hedrick, M.D., Atlanta, Georgia. PubMed Abstract
  • Calcaneotalotibial Arthrodesis with a Retrograde Posterior-to-Anterior Locked Nail for Salvage of Severe Ankle Pathology. Konrad Mader, M.D., Dietmar Pennig, M.D., Thomas Gausepohl, M.D. and Theodor Patsalis, M.D.*, Department of Trauma Surgery, Hand and Reconstructive Surgery, St. Vinzenz Hospital, Cologne, Germany, *Department of Orthopedic Surgery Ev. Hospital Werden, University of Essen, Germany. PubMed Abstract
  • The Optimum Position of Arthrodesis of the Ankle. A Gait Study of the Knee and Ankle. Peter Buck, M.D., Bernard F. Morrey, M.D., and Edmund Y.S. Chao, PH.D., Rochester, Minnesota. PubMed Abstract
  • Pantalar and Tibiotalocalcaneal Arthrodesis for Post-Traumatic Osteoarthrosis of the Ankle and Hindfoot. John A. Papa, M.D., and Mark S. Myerson, M.D., Baltimore, Maryland. PubMed Abstract
  • Complications and Long-Term Results of Ankle Arthrodeses following Trauma. Major Bernard F. Morrey and Major Geoffrey P. Wiedeman, Jr., Medical Corps, United States Air Force. PubMed Abstract
  • Tibiotalocalcaneal Fusion With a Retrograde Intramedullary Nail: Clinical and Functional Outcomes. Peter J. Millett, M.D., MSc, Martin J. O'Malley, M.D., Eric T. Tolo, M.D., Jason Gallina, B.S., Stephen Fealy, M.D. and David L. Helfet, M.D. PubMed Abstract

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Patient Support Materials
Documents: * Protected PDF files: You will not be able to copy or print.
Videos:

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Part Reference Numbers

Instruments can be supplied individually or as a complete kit:

Part No. Description
1 10017 6 mm Polyhedral Allen Wrench
1 11008 Drill Bit Kit 4 mm, length 310 mm
1 17350 Screw T-wrench, hexagonal 3.5 mm
1 17351 Locking Screw Depth Gauge
1 17354 Straight Trocar 8 mm
1 17356 Graduated Angled Trocar 4/8 mm
1 17365 Drill Guide 4 mm
1 17640 Countersink Hand Drill 8/4 mm
1 17652 T-Handled Locking Screw Extractor
1 17710 Handle
1 17720 Short Guide Bar, 140-220 mm nails
1 17730 Locking Rod
2 17740 Smooth Screw Guide
1 17741 Reamer Guide Sleeve
1 17750 K-wire 3 mm, length 400 mm
1 17760 Cannulated Hand Reamer 12/10 mm
1 17606 Sterilization Box for Instruments
1 17607 Sterilization Box for Implants
1 177665 Graduated Drill, 10-12 mm
17700 Supracondylar and Ankle Arthrodesis Nailing Kit
Related Products and Accessories
Part No. Description
77900 Retrograde Nail End Cap
Additional Instrumentation
  • 1 - 5 mm Steinmann Pin (25 cm long)
  • 1 - Flexible Reamer Set 8-12.0 mm in 0.5 mm Steps

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Web Resources
  1. www.limblengthening.com
  2. www.limblength.com
  3. www.joshuakaye.com
  4. www.chicagofootandanklesurgery.com
  5. www.acfas.org
  6. www.llrs.org/
  7. www.asami.org/

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