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Below is a collection of resources for you to learn more about the latest innovative foot and ankle products and techniques in minimally invasive orthopedics.

AAOS 2026 Annual Meeting: Foot and Ankle Feature Products

Foot and Ankle

Arthrex.com

Rep Site

Rep App

Surgeon App

ArthrexTV

The DualCompression Hindfoot Fusion Nail Implant System is intended to facilitate arthrodesis to treat severe foot/ankle deformity, arthritis, instability, and skeletal defects after tumor resection. This system creates a stable fusion site by providing two modes of compression for intraoperative and postoperative dynamic compression across both joints.

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A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

Surgical Technique Animations

DualCompression Hindfoot Nail

The Arthrex Minimally Invasive Bunionectomy offers a guided trajectory system to achieve and maintain correction and to accurately place fixation for MIS bunion correction.

Arthrex Minimally Invasive Bunionectomy System Surgical Technique

The Arthrex. Minimally invasive bunionectomy offers a guided trajectory system to achieve and maintain correction and accurately place hardware for Miss Bunion correction. Included in the system are beveled feet screws designed specifically for minimally invasive bunion correction. These screws provide a zero profile construct with a 45 degree beveled head and non compressive threads to help maintain length. Larger cannulation allows for more robust instrumentation to limit cortical skiving. Upon insertion to begin the procedure, mark the bony anatomy and midline of the metatarsal. Make a stab incision on the midline of the metatarsal just proximal to the sesamoid complex. Use the periosteal elevator to free the soft tissues at the osteotomy site. Insert the 2.0 by 19.5mm millimeters burr through the incision at the midline of the metatarsal through both cortices. For the transverse osteotomy. Complete the dorsal portion of the cut first, followed by the plantar portion. Arthrex recommends continuous use of irrigation while performing the cut. Insert the shifting device by placing the hook into the intramedullary canal. Apply any rotational correction that may be needed prior to inserting the guidewire through the shifting device. Ensure that the tip of the guidewire terminates at the lateral cortex. Turn the knob on the shifting device clockwise to shift the capital fragment laterally. Slide the guide over the capital fragment guidewire and tighten knob one such that the top of the knob is flush with the thickest laser line. With the first K-wires sleeve in the most proximal slot, slide the guide proximally and tighten. Knob two. Based on the desired entry point for the proximal K-wires, make a stab incision at the site where the proximal K-wires sleeve contacts the skin. Slide the sleeve down to bone, ensuring that the bevel of the sleeve parallels the metatarsal. Advance a wire through this sleeve, traversing both cortices before entering the capital fragment. Slide the second K-wires sleeve distal to the first, being sure to skip at least one slot. With a stab incision. Advance the sleeve down to bone in a similar fashion to the first sleeve. Advance a K-wires through the sleeve for the distal screw placement using the depth gauge. Record the measured screw length from the laser marking on the guidewire. Remove the depth device, leaving the drill guide in place and insert the cannulated. Drill over the proximal guidewire. Ensure that the drill is advanced over the complete length of the screw into the capital fragment. Remove the drill sleeve and insert the appropriate length 4.0mm. Screw over the proximal guidewire. With fluoroscopic assistance, confirm that the bevel of the screw aligns with the surface of the metatarsal. Repeat the measure, drill and insertion steps for the distal screw. 24. zero millimeters screws or 23. five millimeters beveled feet screws can be used. Final adjustments to screw placement may be made by hand once both screws have been placed. Remove the guide and shifting device. An osteotomy is also recommended for this procedure for complete correction. Finally, if necessary, this bone shelf is removed with a burr or rasp. The Arthrex Minimally Invasive Bunionectomy system provides the hardware and instrumentation to help surgeons achieve precision alignment and accurate screw placement during minimally invasive bunion correction.

Greg Horton, MD (Kansas City, KS), demonstrates a midfoot arthrodesis using Snap-Off Compression FT pins and DynaNite® compression plates.

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

Surgical Technique Videos

Midfoot Arthrodesis Using Snap-Off Compression FT Pins and DynaNite® Compression Plates

I'm going to demonstrate the use of the snap off compression pins in a tarsometatarsal fusion. An incision is made over the dorsum of the foot. Oftentimes, you can palpate an osteophyte over the dorsum of the foot. That will estimate where the tarsometatarsal joint is located. Initial fixation with a pointed tenaculum can achieve reduction and initial compression after initial compression with the Tenaculum. A 1.1mm K wire is placed through the soft tissue Protector and inserted from the second metatarsal base into the intermediate cuneiform. After the placement of the K-wires confirmed radiographically, the size of the proposed implant is then estimated. The depth gauge is inserted over the K-wires and the size of the implant is then estimated. The single marking on the K-wires corresponds with a 28 millimeter implant. K-wires is then removed. The soft tissue Protector is held in place and then the implant is inserted through the soft tissue Protector, keeping the orientation of the K-wires and implant. Once this laser line is no longer visible, then the implant should be flush with the bone. Prior to snapping off the implant. A radiograph can be obtained to confirm placement. The pin is then snapped off in a single motion, either by hand or with the aid of the soft tissue. Protector. Final placement of the implant is then confirmed. A similar technique is then used on the third tarsometatarsal joint. This will be demonstrated utilizing a 2.4mm pin, again beginning with the 1.35mm guidewire. The 2.4mm snap off pin is pin is then inserted. Placement of the implant is confirmed. Radiographically. One can see the 2.4mm implant in the third tarsometatarsal, and the 1.9mm implant in the second tarsometatarsal Arthrodesis sites. Depending on surgeon preference, additional snap off pins can be placed. Typically, these would be placed from the cuneiform into the metatarsal. Today I'll be demonstrating the DynaNite compression plate. A tack is then used to secure the plate. The placement of the plate is estimated radiographically a 3.0mm crew lock. Locking compression screw is then utilized. This allows for low profile placement of the implant. Final tightening of the screw is then done manually. Using the manual screwdriver. The compression box is then removed. This allows the nitinol compression plate to then be activated. Final placement of the implant is then confirmed. Fixation of the third tarsometatarsal joint is done in a similar manner. Final placement of the implants are then confirmed. Use of a variable angled screw ensures avoidance of the underlying snap off pin. Planing of the dorsal aspect of the arthrodesis site ensures flat placement of the plate. This can be done either during joint prep or immediately prior to placement of the plate. The final construct is insane again. Dual compression with underlying static compression utilizing the snap off pin and dynamic compression with the DynaNite plate.

application/pdf

A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

Eine schrittweise Demonstration, wie ein Produkt in einer Operationsanleitung verwendet werden würde (oder könnte).

Operationsanleitungen

Demonstração passo a passo de como um produto seria utilizado em uma técnica cirúrgica.

Guias de técnicas cirúrgicas

Demostración paso a paso de cómo se utilizaría un producto en una técnica quirúrgica.

Guías de técnicas quirúrgicas

Surgical Technique Guides

Arthrex Minimally Invasive Bunionectomy Surgical Technique Minimally Invasive Bunionectomy System and Beveled FT Screws Introduction The Arthrex MIS product portfolio continues to grow with the introduction of the Minimally Invasive Bunionectomy System. This trajectory system helps achieve correction and fixation placement using a percutaneous approach. Designed specifically to work with the system, the Beveled FT screws are angled to provide zero-profile fixation. MIS Instrumentation DrillSaw Highspeed 200™ Power System Rasps and Elevators Burrs Rasps and Elevators 02 | Arthrex Minimally Invasive Bunionectomy Percutaneous Burrs System Overview Shifting device—shifts the capital fragment laterally; cannulation allows for maintaining the shift (c) Intramedullary hook: slides into the intramedullary canal (b) of the metatarsal (a) Thumb paddle: allows for leveraging of the first toe while applying lateral pressure (b) Capital fragment shifter: threads into the intramedullary (a) hook to shift the capital fragment laterally (c) (d) Capital fragment guidewire—secures the shifting device to the capital fragment and serves as a target for the trajectory guide (d) Trajectory guide—sets trajectory of the K-wires relative to the position of the capital fragment guidewire K-wire positioning knob: locks in position on capital fragment K-wire (e) Screw positioning knob: locks in the proximal-distal (f) (e) position of the guide relative to the capital fragment (f) K-wire guides Depth device: clicks into the drill sleeve; provides pinpoint accuracy for K-wire placement (g) (g) Drill sleeve: allows for drilling and screw placement (h) through the trajectory guide to maintain positioning and correction (h) MIS parallel guides—provide preset angles to direct K-wires toward the capital fragment 30° and 25° options are available depending on anatomy and desired startpoint Five K-wire slots provide various options for K-wire placement Arthrex Minimally Invasive Bunionectomy | 03 Assembly Steps K-Wire Guide Slots Screw Positioning Knob K-Wire Positioning Knob Trajectory Guide Assembly Thread the K-wire positioning knob into the largest hole, furthest from the K-wire guide slots. Thread the screw positioning knob into the hole nearest to the K-wire guide slots. The K-wire positioning knob controls the mediallateral placement of the trajectory guide. Final positioning is dictated by the laser lines of the capital fragment guidewire. The depth device clicks into the drill sleeve to assemble the K-wire guides. These are placed into the K-wire guide slots. Shifting Device Assembly Thread the capital fragment shifter into the intramedullary hook. At the start of the procedure, the capital fragment shifter should only thread in two to three rotations such that the end of the device is just flush with the intramedullary hook. The capital fragment shifter is offered in two different sizes—small and large. The larger size provides more surface area to push against for patients with poor bone quality. 04 | Arthrex Minimally Invasive Bunionectomy The screw positioning knob controls the distal-proximal placement of the K-wire guides. How It Works A small and simple patent-pending shifting device applies and holds correction of the capital fragment. The threads on the capital fragment shifter allow users to precisely dial in the desired lateral shift depending on the patient’s deformity. Prior to shifting the fragment, a K-wire is advanced through the shifting device, just to the lateral edge of the capital fragment. It is recommended to address any rotational correction prior to advancing this wire. More distal placement of the capital fragment guidewire results in greater screw purchase in the capital fragment. Used together, the entire system works like a triangle, with the tip of the capital fragment wire serving as the aiming point for the screw K-wires. From this diagram, you can see that if the capital fragment wire or the trajectory guide is not placed appropriately, the entire triangular trajectory of the system can be affected. The trajectory guide is placed over the capital fragment guidewire and secured at the laser line. Note: The intramedullary hook must remain engaged in the canal of the metatarsal to hold correction. Arthrex Minimally Invasive Bunionectomy | 05 Beveled FT Screws—4.0 mm and 3.5 mm The Arthrex Minimally Invasive Bunionectomy System also includes Beveled FT screws designed specifically for minimally invasive bunion correction. The 45° beveled head provides a zero-profile construct when fully inserted. The Beveled FT screws have a constant thread pitch compared to Compression FT screws as compression may result in tilting of the capital fragment. The Beveled FT screws also have an increased cannulation. This allows for the use of more robust instrumentation. The increased diameter of the guidewires reduces cortical skiving and provides stability throughout the case. The lasermarked guidewires also allow for quick screw measurements from the depth devices used with the system. Screw Diameter 4.0 mm Beveled FT 3.5 mm Beveled FT K-Wire Size 1.6 mm 1.4 mm Drill Bit 3.6 mm 2.9 mm Driver T15 Hexalobe T10 Hexalobe MIS Parallel Guide This simple, effective device helps with initial or secondary K-wire placement for the Beveled FT screws. These radiolucent parallel guides provide two different angles to advance the screw K-wires toward the capital fragment. The angle options are selected based on surgeon entry point preference, patient anatomy, and shift distance of the capital fragment. These guides allow for a percutaneous approach and can be used with the shifting device. The radiolucent material and ease of application assist with fluoroscopic imaging to confirm wire placement throughout the procedure. 06 | Arthrex Minimally Invasive Bunionectomy Minimally Invasive Bunionectomy Surgical Technique 1 2 Outline the bony anatomy of the metatarsal, marking the TMT joint and the MTP joint. Mark the midline of the metatarsal shaft. 3 4 Make a stab incision on the midline of the metatarsal, just proximal to the sesamoid complex at the metatarsal neck. Free the soft tissue at the osteotomy site using the specialized periosteal elevator. Arthrex Minimally Invasive Bunionectomy | 07 5 6 For a transverse osteotomy, introduce the burr at the apex of the osteotomy through both cortices, aiming in a slight plantar direction. First, perform the dorsal cut by rotating the hand plantar (burr moves dorsal). Next, perform the plantar cut by rotating the hand dorsal (burr moves plantar). 7 Use fluoroscopy to confirm that the osteotomy is complete. 08 | Arthrex Minimally Invasive Bunionectomy 8 Insert the hook into the intramedullary canal of the metatarsal. Make an incision where the capital fragment shifter contacts the head of the metatarsal and insert the end of the shifter through the skin onto the bone. Similarly, the initial incision can be extended to fit both the intermedullary hook and shifter. 9 While pulling the toe into varus, confirm appropriate positioning of the shifting device under fluoroscopic imaging. Advance the capital fragment guidewire through the capital fragment shifter to the lateral cortex of the fragment. Capital fragment guidewire placement should be parallel to the articular surface and centered in the sagittal plane. Note: For a bunion with a rotational deformity, apply rotational correction and properly align the sesamoid complex prior to inserting the K-wire into the capital fragment. Arthrex Minimally Invasive Bunionectomy | 09 10 11 Turn the capital fragment shifter clockwise to shift the capital fragment laterally. Slide the trajectory guide onto the capital fragment K-wire through the K-wire positioning knob. Tighten the K-wire positioning knob onto the capital fragment guidewire such that the thickest laser line of the guidewire is in line with the top of the knob. 12 13 Turn the screw positioning knob clockwise to fix the proximal placement of the K-wire guide, close to the TMT joint. Ensure that the depth device contacts the metatarsal on the marked midline of the metatarsal shaft. Check capital fragment position under fluoroscopy. Advance the appropriately sized K-wire through the K-wire guide and into the metatarsal. Ideal placement of the K-wire for the most proximal screw traverses both cortices of the proximal metatarsal prior to penetrating the capital fragment. 4.0 mm screw—1.6 mm K-wire 3.5 mm screw—1.4 mm K-wire 10 | Arthrex Minimally Invasive Bunionectomy 14a 14b Insert the second K-wire guide distal to the first, being sure to skip one slot. Advance the appropriate diameter K-wire through the second K-wire guide. Additionally, the MIS parallel guide can also be used to place a wire distal to the first. Tip: Make an incision to ensure that the depth device is on bone and the bevel is aligned with the surface of the metatarsal. Tip: Use the cannulated knife handle to make an incision in line with the placed K-wires. 15 16 For the most proximal screw, measure the screw length from the laser line on the K-wire. Remove the depth device, leaving the drill sleeve in place. Drill the full length of the wire through the drill sleeve using the appropriately sized drill, leaving the K-wire in place. Tip: At this stage, the guide can be removed. Steps 2024, including measurement, drilling, and screw insertion can be completed over the placed K-wires without the guide. Shorter instrumentation is available for use outside of the guide. 4.0 mm screw—3.6 mm drill 3.5 mm screw—2.9 mm drill Arthrex Minimally Invasive Bunionectomy | 11 17 18 Remove the drill sleeve and insert the desired screw over the K-wire. With fluoroscopic assistance, confirm that the bevel of the screw is properly aligned with the metatarsal. 4.0 mm screw—T15 hexalobe driver 3.5 mm screw—T10 hexalobe driver 19 Repeat steps 14-17 for the second screw. Insert the screw over the K-wire and confirm that the bevel of the screw is properly aligned with the metatarsal. 12 | Arthrex Minimally Invasive Bunionectomy 20 Once both screws have been placed, remove the trajectory guide, shifting device, and any remaining K-wires. Minimally Invasive Bunionectomy Surgical Technique With the MIS Parallel Guide 1 2 Once the shifting device has been fully placed and the capital fragment has been shifted, hold the parallel guide against the side of the foot. Parallel guide placement should match the declination of the metatarsal and the midline previously drawn. The notch in the distal portion of the parallel guide can abut the post of the shifting device. Arthrex Minimally Invasive Bunionectomy | 13 3 4 Insert a K-wire into a proximal slot of the parallel guide. Use fluoroscopy to confirm that the desired K-wire trajectory is achieved for the distal wire. Once the proper slot has been identified, advance the K-wire to its desired end point in the capital fragment. 5 6 Leaving the K-wire in place, slide the parallel guide off the wire. Insert the K-wire into a more distal slot on the parallel guide, moving the guide to a more proximal position on the foot. 14 | Arthrex Minimally Invasive Bunionectomy 7 8 Insert a K-wire into a proximal slot of the parallel guide. Use fluoroscopy to confirm that the desired K-wire trajectory is achieved for the proximal wire. Once the proper slot has been identified, advance the K-wire. Ideal placement of the K-wire for the most proximal screw traverses both cortices of the proximal metatarsal prior to penetrating the capital fragment. 9 10 Once both K-wires have been properly placed, remove the parallel guide and proceed with depth measurement for screw insertion steps. Previous steps were shown with the 30° parallel guide. For more vertical wire placement, the 25° parallel guide option can be used. Note: For more proximal wire placement, the MIS parallel guide can be placed midline on the foot at the desired proximal position without abutting the shifting device. Arthrex Minimally Invasive Bunionectomy | 15 Minimally Invasive Akin Osteotomy Surgical Technique 1 Make an incision midline at the proximal phalanx and use the periosteal elevator to elevate the soft tissue both dorsal and plantar. 2 3 Insert the burr midline at the proximal phalanx and aimed 45° proximal toward the proximal lateral aspect of the proximal phalanx. Be careful not to advance the burr bicortically. Next, rotate the burr dorsal and finally plantar, again ensuring not to violate the lateral cortex. 16 | Arthrex Minimally Invasive Bunionectomy 4 5 Use fluoroscopy to confirm an adequate osteotomy has been achieved. Manually reduce the osteotomy and insert a K-wire to prepare for definitive fixation. Use the beaver blade to create a small incision. Proceed to measure and drill for the Compression FT screw. 6 7 The optional profile drill can be used at this time. Insert the Compression FT screw to complete the construct. Optional: The direction of the osteotomy can be altered based on the direction of definitive fixation desired. Arthrex Minimally Invasive Bunionectomy | 17 8 9 Insert the wedge burr through the initial medial incision and proceed to shave down the prominence until it is no longer palpable outside the skin. Final AP and lateral views of the construct. 18 | Arthrex Minimally Invasive Bunionectomy Ordering Information Minimally Invasive Bunion Correction System (AR-8741S) DrillSaw Highspeed 200™ Set (AR-200) Instruments Instruments DrillSaw Highspeed 200 Set Console AR-200C Minimally Invasive Bunion Trajectory Guide AR-8741G Motor w/ Cable, 0-15,000 rpm AR-200M K-Wire Positioning Knob, qty. 2 AR-8741G-01 Irrigation Clip AR-200SP Screw Positioning Knob, qty. 2 AR-8741G-02 Foot Pedal OEM06202400 Capital Fragment Shifter, small, qty. 2 AR-8741LS-01 IV Stand OEM04005900 Capital Fragment Shifter, large AR-8741LS-02 Motor Support OEM06177800 Intramedullary Hook, qty. 2 AR-8741LS-03 Drill Sleeve, Beveled FT AR-8741-29 Disposables, Sterile Depth Device, Beveled FT AR-8741-28 Osteotomies for Lesser Toe Deformity Correction Profile Drill, 3.5 mm Beveled FT AR-8741-36 AR-300-B002 Profile Drill, 4 mm Beveled FT AR-8741-37 AR-300-B003 Driver, T10 hexalobe, Beveled FT AR-8741-40 Burr, straight, sterile, 8 mm × 2 mm Burr, straight, sterile, 12 mm × 2.2 mm Driver, T15 hexalobe, Beveled FT AR-8741-42 Burr, straight, sterile, 13 mm × 2 mm AR-300-B001 Handle, ratcheting, AO AR-8700RH Burr, straight, sterile, 19.5 mm × 2 mm AR-300-B201 Osteotomies for Hallux Valgus Correction Depth Device, 2.5 mm Compression FT AR-8737-51 Bone Resection for Hallux Valgus/Hallux Rigidus Correction Driver Shaft, 1.5 mm hex, cannulated AR-8737-37 Burr, conical, sterile, 13 mm × 4.3 mm AR-300-B101 Profile Drill, 2.5 mm Compression FT AR-8737-46 Burr, straight, sterile, 13 mm × 2.9 mm AR-300-B102 Rasp and Blunt Elevator, small AR-8880-01 AR-300-B103 Rasp and Blunt Elevator, medium AR-8880-02 Combi Elevator, straight and curved ends, sharp AR-8880-03 Sayre Elevator AR-8954-05 Knife Handle, cannulated AR-8742KH Scalpel Handle, 13 cm 3KL Minimally Invasive Bunion Correction System AR-8741C Minimally Invasive Bunion Screw Caddy AR-8741C-01 Burr, oval, sterile, 15 mm × 5 mm Chevron Osteotomy for Calcaneal Displacement Burr, straight, sterile, 20 mm × 3.1 mm AR-300-B202 Burr Attachment MIS Burr Adapter, 2.35 mm AR-300B Implants Optional Short Instrumentation (not included in AR-8741S) Beveled FT Screw, 3.5 mm × 20 mm-60 mm (2 mm increments) AR-8735BV-20-60 Beveled FT Screw, 4.0 mm × 20 mm-60 mm (2 mm increments) AR-8740BV-20-60 AR-8725-14H-50H Drill Bit, short, cannulated, 2.9 mm AR-8741-25S Drill Bit, short, cannulated, 3.6 mm AR-8741-32S Driver, short, T10 hexalobe, Beveled FT AR-8741-40S Driver, short, T15 hexalobe, Beveled FT AR-8741-42S 2.5 Micro Compression FT™ Screw, 2.5 mm × 14 mm-50 mm (2 mm increments) Profile Drill, short, Beveled FT, 3.5 mm AR-8741-36S Disposables Profile Drill, short, Beveled FT, 4.0 mm AR-8741-37S Drill, cannulated, 2.0 mm AR-8737-34 Drill, cannulated, hard bone, 2.2 mm AR-8737-58 Guidewire, 0.86 mm AR-8737-39 Guidewire, capital fragment, 1.6 mm AR-8741-16 Guidewire, 1.4 mm, Beveled FT AR-8741-14 Guidewire, 1.6 mm, Beveled FT AR-8741-15 Drill Bit, cannulated, 2.9 mm AR-8741-25 Drill Bit, cannulated, 3.6 mm AR-8741-32 MIS Parallel Guides (ordered separately) MIS Parallel Guide, 25° AR-8741G-25 MIS Parallel Guide, 30° AR-8741G-30 Optional Short Instrumentation Drill Bit, short, 2.9 mm AR-8741-25S Drill Bit, short, 3.6 mm AR-8741-32S T10 Driver, short AR-8741-40S T15 Driver, short AR-8741-42S T10 Driver AR-18800-25 or AR-2665-T10 T15 Driver AR-8750-06 Arthrex Minimally Invasive Bunionectomy | 19 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. Arthrex manufacturer, authorized representative, and importer information (Arthrex elFUs) US patent information © 2026-10 Arthrex, Inc. All rights reserved. LT1-000195-en-US_E arthrex.com

Arthrex Minimally Invasive Bunionectomy

KreuLock™ locking compression screws allow surgeons to compress bone fragments and bring the plate to bone while achieving a low-profile construct.

Animations demonstrating the features and benefits of a specific product.

Animationen, die die Funktionen und Vorteile eines bestimmten Produkts demonstrieren.

Produktdemonstrationen

Animações demonstrando os recursos e benefícios de um produto específico.

Vídeos de demonstração de produtos

Animaciones que demuestran las características y beneficios de un producto específico.

Videos de demostración de productos

Product Demonstrations

KreuLock™ Locking Compression Screws

Snap-Off Compression FT pins are an innovative new technology for small-joint arthrodesis and fracture repair for both upper and lower extremities.

Snap-Off Compression FT Pins

Snap-Off Compression FT Pins Surgical Technique Snap-Off Compression FT Pins Introduction Snap-Off Compression FT pins offer solutions for both the upper and lower extremities as well as in the trauma setting. The ease of use, variable-stepped thread pitch, and wide range of screw lengths in diameters of both 1.9 mm and 2.4 mm represent an innovative new technology for use in arthrodesis of joints and for repair and reconstructions of intra-articular and extra-articular fractures. They offer compression of bone fragments for a wide range of indications and can be used in conjunction with other Arthrex products. Variable-Stepped Thread Pitch–the screw tip’s wider thread pitch enters the bone faster than trailing threads, gradually compressing the fragments as the screw is advanced. Multiple size options available in both 1.9 mm and 2.4 mm diameters Self-drilling and self-tapping to facilitate easy insertion Solid, trimmable versions available Quick and convenient surgical technique Available in titanium Snap-Off Compression FT Pins Surgical Technique 1 2 After initial reduction, introduce the appropriately sized, calibrated measuring K-wire across the fracture or fusion site. Confirm wire placement position and appropriate depth under imaging. The measuring drill guide may be used as both a tissue protector and a depth device for the K-wires and hard bone drills. If hard bone is present, the corresponding hard bone drill may be used. 02 | Snap-Off Compression FT Pins 3 4 Measure the K-wire using the depth gauge. Slide the pin insertion guide over the K-wire and down to bone. Note: The corresponding single, or double, laser mark will indicate the correct size implant. 5 6 While maintaining the position of the pin insertion guide and entry point, remove the K-wire. Introduce the Snap-Off Compression FT pin through the pin insertion guide. Snap-Off Compression FT Pins | 03 7 8 Insert the implant until the laser mark on the shaft of the implant is no longer visible above the pin insertion guide, or until the snapping feature of the implant is flush with the cortex. Slide the pin insertion guide up the shaft and away from the bone to visually confirm the threads are buried, and the snapping feature is flush with the cortex. Remove the guide. Confirm position under imaging. Note: Use caution when advancing on power as to not over-insert the implant. 9 10 If minor adjustments are necessary, use the locking pin driver to advance or retract the implant to the desired depth. With the pin fully inserted, stabilize the fixation site and bend the shaft in a singular direction until it separates from the threaded portion of the implant. 04 | Snap-Off Compression FT Pins 11 12 This action may also be facilitated using the pin insertion guide as a fulcrum point. Check final placement under imaging. 13 14 If removal is necessary, use the corresponding pin extractor on power and in reverse to expose the head of the implant and engage with the threads. Apply downward force while on reverse. Once the extractor has engaged the threads of the implant, continue in reverse to remove the implant entirely. Note: Ensure that the extractor is oriented in the same axis as the implant. Snap-Off Compression FT Pins | 05 15 16 If the implant is unintentionally left proud, you have multiple options to address this. Advance the implant further using the locking pin driver. 17 18 If fixation and position is sufficient, cut the implant flush with the pin cutter. Any small fragment that is cut off should be contained by the rubber inserts in the cutter. 06 | Snap-Off Compression FT Pins Biologic Augmentation Options ArthroCell™ Viable Bone Allograft ArthroCell osteogenic, osteoinductive, and osteoconductive bone allografts deliver a 100% humanderived product that mimics the structure of native bone, provides optimal handling, and resists irrigation. The grafts are preserved in a novel DMSO-free cryoprotectant for preservation of cells, eliminating the need to rinse or decant during graft preparation. ArthroCell, 2.5 cc ABS-2009-02 ArthroCell, 5.0 cc ABS-2009-05 ArthroCell Plus allograft, 1 cc ABS-2090-01 ArthroCell Plus allograft, 2.5 cc ABS-2090-02 ArthroCell Plus allograft, 5.0 cc ABS-2090-05 AlloSync™ Pure Matrix AlloSync Pure demineralized bone matrix is derived from 100% allograft bone. Surgeons can adjust the viscosity of AlloSync Pure bone matrix to have a more flowable or putty-like consistency based on hydration ratio to readily mold into various fracture patterns or bone voids. AlloSync Pure, 1.0cc ABS-2010-01 AlloSync Pure, 2.5cc ABS-2010-02 AlloSync Putty, Gel, and Paste AlloSync putty, gel, and paste grafts provide ease of use with superior handling characteristics via a reversephase medium (RPM) carrier. Every lot of demineralized bone matrix is tested for osteoinductive potential with additional scaffolding properties provided. AlloSync DBM putty, 1cc ABS-2012-01 AlloSync DBM putty, 2.5 cc ABS-2012-02 AlloSync DBM gel, 1 cc ABS-2013-01 AlloSync CB DBM paste, 1 cc ABS-2015-01 AlloSync CB DBM paste, 3 cc ABS-2015-03 Snap-Off Compression FT Pins | 07 Ordering Information Snap-Off Compression FT Pins (AR-9938S) Instruments Pin Insertion Guide AR-9938-01 Measuring Drill Guide AR-9938-02 Depth Device AR-9938-03 Locking Pin Driver AR-9938-09 Pin Cutter AR-9938-11 Cannulated Scalpel Handle, 1.35 mm AR-9938-12 Implants 1.9 mm Snap-Off Compression FT Pins, 10 mm-50 mm AR-9919-10-50 2.4 mm Snap-Off Compression FT Pins, 10 mm-50 mm AR-9924-10-50 Compression FT Pin, solid (sterile), 1.9 mm × 30 mm AR-9919T-30S Compression FT Pin, solid (sterile), 1.9 mm × 50 mm AR-9919T-50S Compression FT Pin, solid (sterile), 2.4 mm × 30 mm AR-9924T-30S Compression FT Pin, solid (sterile), 2.4 mm × 50 mm AR-9924T-50S Disposables for 1.9 mm Snap-Off Compression FT Pins Calibrated Measuring K-Wire, 1.1 mm, qty. 6 AR-9938-04 Hard-Bone Drill, 1.5 mm, qty. 2 AR-9938-05 Pin Extractor, 1.9 mm, qty. 2 AR-9938-08 Disposables for 2.4 mm Snap-Off Compression FT Pins Calibrated Measuring K-Wire, 1.35 mm, qty. 6 AR-9938-10 Hard-Bone Drill, 1.7 mm, qty. 2 AR-9938-06 Pin Extractor, 2.4 mm, qty. 2 AR-9938-07 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. Arthrex manufacturer, authorized representative, and importer information (Arthrex elFUs) US patent information © 2025-09 Arthrex, Inc. All rights reserved. LT1-000253-en-US_B arthrex.com

The next generation of the Arthrex MIS platform, the MIS FiberTak® Achilles SpeedBridge™ system, uses a percutaneous approach for the treatment of insertional Achilles pathology.

MIS FiberTak® Achilles SpeedBridge™ System

The mass FiberTak. Achilles SpeedBridge technique is the latest innovation for the surgical treatment of insertional Achilles pathology. The proven technique of a robust tendon repair can now be performed with the benefits of an mis approach. When using the mis Achilles SpeedBridge for insertional Achilles pathology, start by making the portals that surround the Achilles at two, five, seven, and 10:00 positions when viewing the tendon posteriorly. The distal portals are placed at the distal portion of the resection, while proximal portals are just distal to the distal fibular line. Under fluoroscopy, the projected plane of resection of the posterior superior calcaneal tuberosity or haglund's is drawn with the most distal extent starting at the distal portals. Incisions are made and an elevator is inserted to develop a plane between the Achilles tendon and calcaneal tuberosity through all four portals. Next, the 4.3mm mis conical burr is introduced deep to the tendon through the distal portals, resecting the bone in the projected plane using a sweeping motion through all four portals. To irrigate and remove all of the excess bone with the option of using nano needle or a four millimeter arthroscope and shaver. Then use the Sayer elevator to free up the space between the Achilles and the skin, subcutaneous through all four portals, creating a space to work and pass the SpeedBridge sutures through the distal portals. The first guidewire for the 3.9mm Biocomposite SwiveLock anchor, is placed under Fluoroscopic guidance, showing the depth of wire insertion using the 3.9mm red drill guide and white K-wires centering sleeve, and repeat for the second guidewire. Remove the white K-wires centering sleeve and drill the distal anchor holes for the 3.9mm SwiveLock with the 2.6mm cannulated. Drill to the positive stop on the drill guide. Assure the drill guide is adjacent to bone. Next, use the 3.9 cannulated. Tap over the K-wires down to the laser line on the tap to meet the back of the drill guide for both distal anchor holes. The drill guide adjacent to bone assures accurate depth of tap. Moving on to the proximal anchor. Placement through the proximal portals, use the black handle guide and obturator for the 2.6mm. Knotless FiberTak Rd anchors. The slot on the Inserter needs to be facing down, so the proximal anchors will not converge with the distal anchors. The bevel on the guide will help placement of the guide in the correct plane on the calcaneus, where the haglund's deformity has been removed. Confirm. With fluoroscopy, the lateral view is showing the appropriate drill guide angle of insertion. Keeping the position. Drill and insert the first 2.6mm Knotless FiberTak dx mallet the handle of the inserter until the large laser line is met on the inserter with the back of the guide. Do not mallet flush to a positive stop on the guide, as this will plunge the guide and anchor too deep, creating too big of a hole for the anchor. Undo the orange O-ring from the back of the handle and remove the needle and sutures from the inserter, and then remove the inserter. Do not twist the inserter to remove the sutures, then will slide out of the slot in the guide and the guide can be removed. Give a gentle pull on the sutures to make sure the anchor is in good bone. Repeat for the second anchor, again using fluoroscopy, and insert the second 2.6mm knotless FiberTak rd through the proximal medial portal. The 1.7mm collagen coated FiberTape is passed with the existing needle through the medial Achilles tendon and up through skin, then through the proximal lateral portal. The contralateral FiberTape is passed with the existing needle through the lateral Achilles tendon and out through the skin. Now cut the needles off both of the fiber tapes at the swedge, creating four separate tails. Take the free needle in the system and load all three knotless sutures through the wire. Loop on the needle, and pass the medial sutures through the proximal medial achilles and the skin just distal and medial to the FiberTape. Repeat those steps again for lateral knotless FiberTak Rd, and place the knotless sutures through the lateral tendon, just distal and lateral to the FiberTape. Use the hook probe to shuttle the proximal lateral knotless sutures between the skin and the tendon and out through the proximal lateral portal, and then repeat for the contralateral side out the proximal medial portal. Next, a hemostat is used to shuttle the blue working knotless suture marked with purple from the medial to lateral proximal portal, and then repeat for the lateral white working knotless suture using the loop end. White black shuttling suture. Load the white knotless working suture through the looped end and double it over at the purple marking on the white knotless suture. Pinch and hold at the loop and marking. Take the tape end of the white black shuttling suture, and pull axially in line with the insertion of the anchor until resistance is met, and then use short jigs until the working knotless suture is shuttled all the way out of the portal, using the loop and white blue shuttling suture on lateral side, load the blue knotless suture through looped end and double it over at the purple marking on the blue knotless working suture. Repeat again, pulling axially, and use short jigs until the working knotless suture is shuttled all the way out of the portal. Now you can fully tension both working sutures to complete the rip. Stop stitch. Moving back to the FiberTape, use the hook probe to shuttle the medial tape between the skin and tendon and out through proximal portals using the yellow handle. Banana SutureLasso shuttling one at a time. One blue FiberTape straight down to the distal medial portal, then the other blue FiberTape from proximal, medial to distal lateral, then shuttle the one medial black FiberTape straight down to distal lateral portal and the other black FiberTape from proximal lateral to distal medial. Make sure that the tip of the banana SutureLasso doesn't pierce the FiberTape or the Achilles tendon. Using the orange tab on the 3.9mm biocomposite SwiveLock, pull the two ends of the collagen coated FiberTape one black and one blue through the eyelet, then align the anchor in the same trajectory as the K-wires were drilled and tapped previously through the distal portals, with the eyelet holes facing up and down. Remove the K-wires and insert the 3.9mm SwiveLock. Anchor and mallet it in to where the tip of the anchor meets bone, and then hold the paddle and twist the handle of the inserter until the laser line on the inserter meets the window of the inserter level, with the laser line ensuring the anchor is two millimeters Countersunk. Then remove the inserter. Repeat for the second 3.9mm. Swivelock anchor. Cut the sutures away from the SpeedBridge construct and the Miss Achilles SpeedBridge is complete. Finally, close, using simple knots to approximate skin of the portal incisions.

The InternalBrace™ ligament augmentation surgical technique is used to repair lateral or medial ankle instability. This innovative technique helps to support the primary ankle repair and prevent the possibility of secondary injury during the healing process.1,2&nbsp;
 
 
References
&nbsp;1. Coetzee JC, Ellington JK, Ronan JA, Stone RM. Functional results of open Broström ankle ligament repair augmented with a suture tape. Foot Ankle Int. 2018;39.107110071774236. doi:10.1177/1071100717742363&nbsp;
2. Viens NA, Wijdicks CA, Campbell KJ, Laprade RF, Clanton TO. Anterior talofibular ligament ruptures, part 1: biomechanical comparison of augmented Broström repair techniques with the intact anterior talofibular ligament. Am J Sports Med. 2014;42(2):405-411. doi:10.1177/0363546513510141&nbsp;
 
 
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

Diverses

Variados

Misceláneos

Miscellaneous

InternalBrace™ Ligament Augmentation Repair

The internal brace technique is a revolutionary advancement from arthrex that augments primary ligament repairs, allowing for dramatically faster recovery compared to traditional procedures and providing additional protection during the healing phase. Ankle sprains account for 15 to 20% of all injuries, with more than 2 million reported every year in the US. Loose ankle ligaments can lead patients to modify their activities, altering their kinematics and often resulting in early onset arthritis. When conservative treatments fail, surgery is often indicated to fix the unstable ankle. A nine year follow up study, published in the American Journal of Sports Medicine highlighted one challenge of traditional repairs. Historically, surgeons tithi already damaged lateral ankle ligaments back to bone using bone anchors and suture. Unfortunately, 42% of patients were unable to return to their pre-injury activity levels and 26% abandoned their prior activities altogether. These inconsistent and poor outcomes from this study were due in part to the repair not being as strong as the native ligament. The internal brace procedure addresses this problem by providing an augment to the repaired ligament that enhances strength in the repair construct, in the way a seat belt acts in a car for a passenger. Surgical repair with internal brace ligament augmentation procedure helps limit excess range of motion during healing. It reduces the risk of re-injury while allowing for accelerated rehab, getting patients back on their feet in less time than recovery without the internal brace procedure. Additionally, the fiber tape suture suspended over the injured repaired ligament is coated in collagen for better handling characteristics. Supported by more than 213 publications covering all areas of the body. The internal brace technique is a viable protective solution used during the ligament healing process, with extensive published research to support outcomes in a randomized, prospective level two study of internal brace repair for lateral ankle instability, patients return to Pre-injury levels four weeks earlier. In this trial, 119 patients were split into two groups that were randomized to receive either a traditional repair with anchors or anchors, plus an internal brace procedure. Results showed that patients who underwent an internal brace ligament augmentation procedure were back to pre-injury levels four weeks faster. In addition, none of the patients in this group had complications requiring a second surgery compared to two patients in the traditional group. Internal brace ligament repair is a safe, effective, and scientifically proven technique that allows people to recover from ankle ligament injuries sooner and return to their pre-injury lifestyle.

This animation demonstrates an all-knotless Brostrom repair using the DX Knotless FiberTak® anchor and InternalBrace™ ligament augmentation technique, highlighting the steps necessary for insertion and fixation.
The InternalBrace surgical technique is intended only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The InternalBrace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation.

InternalBrace™ Repair With DX Knotless FiberTak® Anchors

When using the DD Nautilus FiberTak for ArthroBrostrom repair. The incision is made on the outside of the ankle over the torn ligament. Place the slotted guide on the bone and drill using the 1.8mm K-wires. Drill and cycle the drill. Keeping the guide in place and stable, insert the knotless FiberTak with gentle mallet until the inserter is flush with the guide. Undo the rubber O ring and remove the suture and needles from the inserter handle, and then remove the inserter and guide. Separate out the shuttle stitches from the blue working stitch, ensuring there are not any tangles or knots. Gently pull back on the blue working stitch, but only to make sure it is engaged in the bone. Do not fully set the anchor. Repeat the steps for the second anchor location. Introduce the seven millimeters talus offset guide into the sinus tarsi and flush against the talus. Drill with a 3.4mm drill bit It and then tap with the 4.75mm tap. Leaving the guide in place. Insert the 4.75mm SwiveLock into the talus. Remove the inserter and the guide. Pass the needle from the blue working stitch from the knotless FiberTak through the ligament in a mattress fashion. Once the suture is passed, cut the needle off at the purple marking on the suture closest to the needle. Double over the blue working stitch through the loop end of the shuttling. Stitch at the purple marking and pinch and hold the sutures. Pull axially on the tape end of the shuttling. Stitch in line with the anchor, using short jigs until the blue working suture and shuttle loop are converted through the anchor. Place the foot in the desired position and continue to pull gently in an axial motion until the desired tension is met. Cut the suture and repeat for the second anchor. Place the drill guide for the 3.4mm. Drill on the fibula between the dx knotless FiberTaks and drill. Then tap using the 3.5mm. Tap. Remove the tap and guide. Load the FiberTape for the internal brace in the 3.5mm. Swivel lock and place the eyelet at the fibular hole. Pulling the FiberTape taut. Use a marking pen to mark the FiberTape tail even with the laser marking on the inserter. Then pull the eyelet back on the FiberTape to the mark. Insert the 3.5mm swivel lock and then cut the FiberTape flush to bone and the all knotless ligament repair is complete.

Microsites

The Syndesmosis TightRope® XP implant is indicated for syndesmosis repairs with or without ankle fractures. Isolated syndesmosis injuries or high ankle sprains can be treated with 2 Syndesmosis TightRope XP implants and a 2-hole fibular buttress plate for a minimally invasive construct with no medial incision.

Syndesmosis TightRope® XP Implant System

Isolated syndesmosis injuries can be treated with a minimally invasive technique by using two syndesmosis tightropes and a buttress plate. The Syndesmosis TightRope XP Implant system features a unique delivery mechanism that allows the user to insert a syndesmosis TightRope implant without pulling a needle through the medial skin. The XP gives the user control to flip the medial oblong button below the skin for less soft tissue interposition. A small incision is made along the lateral fibula. The fibula is first reduced as best as possible using a combination of fluoroscopic and visual cues. A low profile two hole syndesmosis plate is inserted along the lateral fibula. Bebe tacks can be inserted to hold plate on bone. Insert the K-wires through the distal hole, aiming 30 degrees. Interior on the medial tibia. A second K-wires is inserted in a diverging fashion. A 3.7mm cannulated drill is used. The inferior K-wires is removed. Insert the TightRope XP through the fibula and tibial bone tunnel. Check under fluoroscopy to ensure the medial button exits the tibial cortex. Position the blue driver in the coronal plane or inferior superior direction. Remove the red safety tab. Deploy the black button on the syndesmosis. Tightrope XP handle. Pull back on the Syndesmosis. Tightrope XP handle. To confirm on fluoroscopy, the oblong button is flipped and seated flush against the medial cortex of the tibia. Unwrap the trailing sutures from the TightRope XP driver to release the round button. Remove the TightRope XP inserter from the bone tunnel. Grasp the center sutures of the round button before tensioning. Slide the round button down to the plate. Wrap each suture tale 2 to 3 times around the XP tensioning handles. Pull the sutures straight back, one at a time. The lateral button will sit flush. A second syndesmosis tightrope is inserted in the same fashion. The suture tails are cut flush. Fixation is complete.

The PARS system is designed for a minimally invasive surgical repair of an Achilles tendon rupture. It features an anatomic contoured jig designed to fit within the paratenon. The PARS kit contains collagen-coated 1.3 mm SutureTape with new differentiating colors and PARS needles that are used to create strong percutaneous locking sutures on the distal and proximal ends of the Achilles tendon.

PARS Achilles Jig System

When using the percutaneous Achilles repair system, a small 1.5 to 2 centimeter incision is made in a transverse manner just proximal to the palpable rupture. Alternatively, a small longitudinal incision can be utilized. The tendon is grasped and the jig is inserted with the inner arms inside the peritoneum of the Achilles tendon. The first pass needle is placed in the number one hole in the jig to stabilize the construct, while passing the other needles and sutures in sequential order. Lastly, the white SutureTape is then passed through hole number one. The jig can then be removed, which pulls the sutures out of the incision. Separate out each of the five sutures, the white, blue, and black suture tapes, as well as the two green and white FiberLink sutures. Each suture should be tested by pulling light tension through ten cycles to confirm appropriate hold in the tissue. On both sides. Pass the blue SutureTape under and around both green and white. Fiberlink sutures twice and back through the loop, then advance each loop back through the tendon using the free end of the green and white FiberLink sutures. This creates the locking stitch. The proximal suture tapes are moved away from the rupture site, and the jig is then inserted distally and the SutureTape passing steps are repeated. Once the jig is removed, three suture tapes remain on each side, both proximal and distal, ready for re approximation of the tendon to complete the repair. The foot is placed in maximal plantar flexion, and the black suture tapes are tied first on both sides. 3 to 4 surgeon's knots are recommended. Next, the blue locked suture tapes are tied, followed by the white suture tapes completing the repair. The incision is closed. Jumpstart antimicrobial dressing can be utilized and the result is a secure repair of the Achilles tendon rupture.

MaxForce™ MTP Fusion Plating System

Arthrex introduces the MaxForce MTP plate for fusion of the first Metatarsophalangeal joint. Initially, prepare the joint for fusion by using the Cannulated metatarsal and Phalangeal reamers. It is important to remove all remaining cartilage from both joint surfaces while not depicted here. It is also important to create bleeding bone channels at the metatarsal and proximal phalanx by treating the joint surfaces by using a 1.6mm K-wires. Furthermore, autograft calcaneal bone may be inserted into the joint prior to setting the position of the toe prior to provisionally fixating the plate to bone. A 1.1mm wire for the compression feet, screws should be placed across the joint to set the desired final position of the toe, while using the black line of the plate to confirm proper placement at the joint line. Temporarily fixate the plate using two tacks. Next, create a bicortical bone tunnel using a Using a 2.0mm drill measure and place a 3.0mm flathead cortical screw to compress the plate down to the bone. The new flathead cortical screws allow for a zero profile construct within the plate. Proceed to place 23. zero millimeters variable angle locking screws into the proximal phalanx by using either the Val drill guides or the traditional locking drill towers. The 3.0mm Val screws have a 30 degree cone of variability. Next, use the MaxForce compression drill guide to create a bicortical bone tunnel with a 2.0mm drill. This creates the pilot hole for the geared Max force compression tool. With the BB-Tak still in place, insert the Max force Compression tool through the bone tunnel until the gears mate with the MaxForce plate. The black line on the plate should align with the black line on the compression tool. Once engaged, proceed to remove the proximal tag. Now, while maintaining the desired position of the toe, turn the compression tool with two finger tightness in a clockwise fashion until an end point is reached and maximum compression is achieved. Maintain the position of the compression tool and reinsert a BB-Tak in one of the smaller black holes in the plate. Utilization of the MaxForce compression tool allows surgeons to achieve an average of 25 pounds of compression through the geared mechanism, with the compression maintained through the BB-Tak. Remove the compression tool from the plate and proceed to drill an eccentric bone tunnel in the compression slot of the plate. Advance a 3.0mm flathead cortical screw until the head of the screw contacts the MaxForce plate. Remove the BB-Tak and fully insert the screw into the plate. This allows for another additional 9 pounds of pounds of compression across the Arthrodesis site. At this point, proceed to drill and implant the remaining 3.0mm screws into the metatarsal to complete the plating construct. Finally, to complete the fusion construct, a 3.5mm compression screw is inserted across the Arthrodesis site. First, measure with the Cannulated depth gauge drill and insert a 3.5mm compression foot screw to further compress and stabilize the joint. With this third mode of compression, the MaxForce MTP plating system allows surgeons to achieve more than 2.5 times the standard amount of compression compared to traditional MTP plate and screw constructs. Gear up for fusion with the MaxForce MTP plating system.

Trauma Lower Extremities

Ankle Fracture Management System

The DualCompression hindfoot fusion nail creates a stable fusion site by providing two modes of compression for intraoperative and postoperative dynamic compression across both joints.

DualCompression Hindfoot Fusion Nail Demonstration

The Arthrex dual compression Hindfoot nail mechanism demonstration with a distal calcaneal screw and the distal tibial screw already inserted. The t-handle is attached to begin tensioning the dual compression mechanism. As the cable is tensioned, it pulls the dual mechanism slider distally until the joint is fully compressed. When the joints can no longer compress, the nitinol element begins to stretch and continues to stretch until the distal slider reaches its final position in the distal slot hears the compression sequence again in slow motion. Once it has been fully seated, the second posterior to anterior calcaneal screw is inserted to lock the distal slider in position and maintain the compression across the joint. An optional Taylor screw is then inserted to provide rotational stability of the talus. An optional second proximal tibial screw can be inserted for additional support proximally.

Below is a collection of resources for you to learn more about the latest innovative foot and ankle products and techniques in minimally invasive orthopedics.