iBalance® HTO Implants and Anchors

An alterative to traditional metal plates and screws, the iBalance HTO system consists of nonabsorbable polyetheretherketone (PEEK) implant anchors that are inserted into the proximal tibial opening wedge osteotomy site during HTO procedures to maintain and fixate the osteotomy. The iBalance HTO implants and anchors are intended for permanent implantation and, in some cases, may negate the need for a second surgical procedure to remove hardware due to overlying soft-tissue irritation.

To promote healing and provide additional strength to the repair, biologics such as OSferion osteotomy wedge, Quickset™* cement, AlloSync™ demineralized bone matrix, and autologous conditioned plasma may be used.

*Quickset is a trademark of Graftys, S.A.

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An alterative to traditional metal plates and screws, the iBalance HTO system consists of nonabsorbable polyetheretherketone (PEEK) implant anchors that are inserted into the proximal tibial opening wedge osteotomy site during HTO procedures to maintain and fixate the osteotomy. The iBalance HTO implants and anchors are intended for permanent implantation and, in some cases, may negate the need for a second surgical procedure to remove hardware due to overlying soft-tissue irritation.

To promote healing and provide additional strength to the repair, biologics such as OSferion osteotomy wedge, Quickset™* cement, AlloSync™ demineralized bone matrix, and autologous conditioned plasma may be used.

*Quickset is a trademark of Graftys, S.A.

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Educational Resources and Products

Featured Resources
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HTO Using the iBalance® Osteotomy System

Thomas M. DeBerardino, MD
Surgical Technique Videos | 27:00 | English | 03/09/2021 | VID1-001861-en-US A
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BioUni® Osteochondral Allograft Transplant with iBalance® HTO

Jeffrey A. Macalena, MD
Case Presentation Videos | 04:53 | English | 07/10/2017 | VPT1-00765-EN A
Keeping HTO Safe and Simple
Thomas M. DeBerardino, MD
Presentation Videos | 09:04 | English | 03/15/2017 | VPT1-00841-EN A
iBalance® HTO System for Medial High Tibial Opening Wedge Osteotomy
Surgical Technique Guides | English | 10/15/2021 | LT1-0122-EN H
A Five Chapter Approach to: Opening Wedge Osteotomy Utilizing the Arthrex iBalance® HTO System
Thomas Hackett, MD
Surgical Technique Videos | 14:12 | English | 03/31/2017 | VID1-01056-EN A
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Surgical Technique Videos (2)

HTO Using the iBalance® Osteotomy System
Thomas M. DeBerardino, MD
27:00 | English | 03/09/2021 | VID1-001861-en-US A
A Five Chapter Approach to: Opening Wedge Osteotomy Utilizing the Arthrex iBalance® HTO System
Thomas Hackett, MD
14:12 | English | 03/31/2017 | VID1-01056-EN A

Surgical Technique Animations (2)

HTO Freecut Technique
04:29 | English | 06/15/2018 | AN1-00219-EN B
iBalance® HTO
06:54 | English | 03/09/2015 | AN1-00120-EN B

Surgical Technique Guides (3)

iBalance® HTO System for Medial High Tibial Opening Wedge Osteotomy
English | 10/15/2021 | LT1-0122-EN H
HTO Hinge Pin and FreeCut Systems
English | 07/02/2018 | LT1-00051-EN B
Système d’OTV iBalance® pour ostéotomie d’ouverture tibiale interne
French | 12/14/2011 | LT0122F C

Brochures (3)

iBalance® High Tibial Osteotomy (HTO) System
English | 09/27/2021 | LB1-0124-EN E
iBalance® Système d'OTV
French | 12/14/2011 | LB0124F B
Système d'OTV iBalance® pour ostéotomie d’ouverture tibiale interne Guide de montage de l'ancillaire
French | 12/14/2011 | LB0122F A

Case Presentation Videos (1)

BioUni® Osteochondral Allograft Transplant with iBalance® HTO
Jeffrey A. Macalena, MD
04:53 | English | 07/10/2017 | VPT1-00765-EN A

Orthopedia.com Video Links (1)

OTIF: Long-Term Outcomes and New Trends in High Tibial Osteotomy (HTO)
English | 02/21/2022 | LINK_VID1-003214-en-US A

Patient Education Animations (1)

HTO with iBalance® HTO System
03:57 | English | 06/22/2018 | PAN1-00120-EN F

Presentation Videos (5)

High Tibial Osteotomy to Correct Varus Malalignment
Matthew J. Matava, MD
21:31 | English | 01/11/2022 | VID1-002916-en-US A
Keeping HTO Safe and Simple
Thomas M. DeBerardino, MD
09:04 | English | 03/15/2017 | VPT1-00841-EN A
Lower Extremity Alignment Solutions
John J. Klimkiewicz, MD
21:35 | English | 10/21/2014 | VPT1-00362-EN A
iBalance® HTO
Thomas M. DeBerardino, MD
16:53 | English | 11/14/2013 | VPT1-00042-EN A
iBalance® HTO
Bruce A. Levy, MD
11:57 | English | 10/15/2013 | VPT1-0047-EN A

White Papers (7)

Hinge Pin Reduces Fracture Risk in Medial Opening Wedge Procedures
English | 04/11/2017 | LA2-00030-EN B
Biomechanical Load to Failure in Torsion of iBalance® HTO with and without Arthrex Quickset™
English | 03/25/2015 | LA1-0801-EN B
Load-Bearing Features of the iBalance® Implant - A Technical Overview of how the iBalance® Implant Supports Compressive and Shear Loads in the Tibia
English | 11/04/2010 | LA0124 A
The iBalance® HTO Opening Jack - A Technical Overview of Opening the Osteotomy with the iBalance® HTO Opening Jack
English | 11/04/2010 | LA0126 A
Importance of Maintaining Tibial A/P Slope A Technical Overview of the Biomechanical Importance of Tibial Slope in High Tibial Osteotomy
English | 11/04/2010 | LA0127 A
Implant Sizing and Determination of Correction Angle: A technical overview of Arthrex’s iBalance® HTO approach to proximal tibial osteotomy - preoperative planning
English | 11/03/2010 | LA0123 A
Bi-Planar Alignment: A Technical Overview of Arthrex’s iBalance® HTO Approach to Alignment of the Osteotomy-to-Patient Anatomy
English | 11/03/2010 | LA0122 A

AR-13400S-12

iBalance HTO Implant, SM 12˚

AR-13400M-05

iBalance HTO Implant, SM 6˚/MD 5˚

AR-13400M-06

iBalance HTO Implant, SM 7˚/MD 6˚

AR-13400M-07

iBalance HTO Implant, SM 8˚/MD 7˚

AR-13400M-08

iBalance HTO Implant, SM 9˚ / MD 8˚

AR-13400M-09

iBalance HTO Implant, SM 10˚/MD 9˚

AR-13400M-10

iBalance HTO Implant, SM 11˚/MD 10˚

AR-13400M-11

iBalance HTO Implant, SM 13˚/MD 11˚

AR-13400M-12

iBalance HTO Implant, SM 14˚/MD 12˚

AR-13400M-13

iBalance HTO Implant, SM 15˚/MD 13˚

AR-13400M-14

iBalance HTO Implant, MD 14˚

AR-13400M-15

iBalance HTO Implant, MD 15˚

AR-13400L-05

iBalance HTO Implant, LG 5˚

AR-13400L-06

iBalance HTO Implant, LG 6˚/XL 5˚

AR-13400L-07

iBalance HTO Implant, LG 7˚/XL 6˚

AR-13400L-08

iBalance HTO Implant, LG 8˚/XL 7˚

AR-13400L-09

iBalance HTO Implant, LG 9˚/XL 8˚

AR-13400L-10

iBalance HTO Implant, LG 10˚/XL 9˚

AR-13400L-11

iBalance HTO Implant, LG 11˚/XL 10˚

AR-13400L-12

iBalance HTO Implant, LG 12˚/XL 11˚

AR-13400L-13

iBalance HTO Implant, LG 13˚/XL 12˚

AR-13400L-14

iBalance HTO Implant, LG 14˚/XL 13˚

AR-13400L-15

iBalance HTO Implant, LG 15˚/XL 14˚

AR-13440-01

HTO Hinge Pin EM Guide

AR-13440-02

HTO Hinge Pin EM Guide, Large

AR-13402-24

HTO Anchor, iBalance, Cortical 4.5 x 24 mm

AR-13402-26

HTO Anchor, iBalance, Cortical 4.5 x 26 mm

AR-13402-28

HTO Anchor, iBalance, Cortical 4.5 x 28 mm

AR-13402-30

HTO Anchor, iBalance, Cortical 4.5 x 30 mm

AR-13402-32

HTO Anchor, iBalance, Cortical 4.5 x 32 mm

AR-13402-34

HTO Anchor, iBalance, Cortical 4.5 x 34 mm

AR-13402-36

HTO Anchor, iBalance, Cortical 4.5 x 36 mm

AR-13402-38

HTO Anchor, iBalance, Cortical 4.5 x 38 mm

AR-13402-40

HTO Anchor, iBalance, Cortical 4.5 x 40 mm

AR-13402-42

HTO Anchor, iBalance, Cortical 4.5 x 42 mm

AR-13402-44

HTO Anchor, iBalance, Cortical 4.5 x 44 mm

AR-13402-46

HTO Anchor, iBalance, Cortical 4.5 x 46 mm

AR-13402-48

HTO Anchor, iBalance, Cortical 4.5 x 48 mm

AR-13402-50

HTO Anchor, iBalance, Cortical 4.5 x 50 mm

AR-13402-52

HTO Anchor, iBalance, Cortical 4.5 x 52 mm

AR-13401-20

HTO Anchor, iBalance, Cancellous 6.5 x 20 mm

AR-13401-22

HTO Anchor, iBalance, Cancellous 6.5 x 22 mm

AR-13401-24

HTO Anchor, iBalance, Cancellous 6.5 x 24 mm

AR-13401-26

HTO Anchor, iBalance, Cancellous 6.5 x 26 mm

AR-13401-28

HTO Anchor, iBalance, Cancellous 6.5 x 28 mm

AR-13401-30

HTO Anchor, iBalance, Cancellous 6.5 x 30 mm

AR-13401-32

HTO Anchor, iBalance, Cancellous 6.5 x 32 mm,HTO Anchor, iBalance, Cancellous 6.5 x 32 mm

AR-13370-1

OSferion Osteotomy Wedge, 7 mm

AR-13370-2

OSferion Osteotomy Wedge, 10 mm

AR-13370-3

OSferion Osteotomy Wedge, 12 mm

AR-13370-4

OSferion Osteotomy Wedge, 15 mm

ABS-3005

Arthrex Quickset 5 cc Kit

ABS-3008

Arthrex Quickset 8 cc Kit

ABS-3016

Arthrex Quickset 16 cc Kit

ABS-3103

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 3 cc

ABS-3105

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 5 cc

ABS-3105-2

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 10 cc

ABS-2010-01

AlloSync Pure, 1.0 cc

ABS-2010-02

AlloSync Pure, 2.5 cc

ABS-2010-05

AlloSync Pure, 5.0 cc

ABS-2010-10

AlloSync Pure, 10.0 cc

ABS-2014-05

AlloSync CB DBM Putty, 5 cc

ABS-2014-10

AlloSync CB DBM Putty, 10 cc

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