Since the end of the 19th century, arthrodesis has been an accepted. Sep 18, 2015 complex ankle arthrodesis is defined as an ankle fusion that is at high risk of delayed and nonunion secondary to patient comorbidities andor local anklehindfoot factors. Intended for use in tibiotalocalcaneal arthrodesis and treatment of trauma to the hindfoot and distal tibia. Radiotransparent instrumentation system to apply compression. All lot numbers for panta arthrodesis nail support device catalogue nos. Reconstruction phoenix ankle arthrodesis nail system.
Integra lifesciences announces the release of the panta xl. Performing an ankle arthrodesis can be technically demanding because of the shape and small size of the talus. A retrograde nail with posteriortoanterior pa locking into os calcis, talus and tibia was used to correct deformity and achieve fusion after failed fusion. Another highlight of the system is the benefit of nail autodynamization. Depending on the particular patient factors, indications may include. The panta nail is intended for use in tibiotalo calcaneal arthrodesis and treatment of trauma to the hindfoot and distal tibia. The region of the nail near the driven end inferior when implanted has an increased outer diameter for additional rigidity and stability. The ascension ankle fusion nail system is to be implanted by insertion into the long bones for fixation of fractures, or the fixation of long bones that have been surgically prepared for. Jul 01, 2012 posted on july 1, 2012 comments off on neuropathic ankle arthrodesis with intramedullary nail fixation by brent bernstein, dpm facfas 1, zachary ritter, dpm 2, robert diamond, dpm facfas 3 the foot and ankle online journal 5 7. The carbon fibers are arranged in a unidirectional longitudinal orientation, as well as in a diagonal orientation, allowing multidirectional strength in all planes.
Tibiotalocalcaneal arthrodesis with retrograde intramedullary. The panta 2 ttc arthrodesis nail system offers surgeons and patients the latest innovations in implants and instrumentation for effective ttc fusion and was developed with the following orthopedic. The panta r nail is intended for use in tibiotalocalcaneal arthrodesis and treatment of trauma to the hindfoot and distal tibia. Before the nail is inserted, it is important to check alignment of the distal and proximal holes in the nail and the guide bar. Intramedullary nailing has proved to be a generally accepted method of fixation for achieving tibiotalocalcaneal arthrodesis or tibiotalar arthrodesis.
The panta nail has received clearance from the food and drug administration fda in the united states and a ce mark certification in the. A few weeks later, an antibiotic coated im nail is inserted and frame is removed. Tibiotalocalcaneal fusion reimbursement guide 2020. The panta 2 ttc arthrodesis nail system offers surgeons and patients the latest innovations in implants and. Phoenix ankle arthrodesis nail system zimmer biomet. An end cap may be inserted into the distal nail threads to prevent tissue ingrowth and facilitate future nail removal the nail, cross locking screws and end cap are manufactured from titanium alloy. Integra panta nail implant 798 the panta nail is intended for use in tibiotalocalcaneal arthrodesis and treatment of trauma to the hindfoot and distal tibia. Integra lifesciences introduces the panta arthrodesis nail. Ankle, hindfoot, integra, lower limb, orthopaedics tags. The use of intramedullary nails in tibiotalocalcaneal. The integra panta 2 ttc arthodesis nail system is indicated for tibiotalocalceneal ttc.
Phoenix ankle arthrodesis nail system surgical technique. Severe deformity or instability as a result of talipes. The aim is to achieve fusion of the bones using a retrograde nail that allows realignment of. Iart today announced the release of the panta r arthrodesis nail, an innovative solution for tibiotalocalcaneal fusion. Placement of an intramedullary nail entry point for tibiotalocalcaneal or tibiocalcaneal arthrodesis by ronald belczyk, dpm 1, wenjay sung, dpm 2, dane k. T2 ankle arthrodesis nailing system the nailing systems targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. The panta nail from integra has been designed to best achieve therapeutic targets related to talotibiocalcaneal arthrodeses. Valor hindfoot fusion nail system wright medical group. Hindfoot arthrodesis using retrograde intramedullary nailing requires careful preoperative planning regarding surgical approach, joint preparation, bone grafting, and type and size of nail to be used. Hindfoot fusion nail surgical technique as described by. The panta nail system meets these targets by means of. Panta arthrodesis nail system surgical technique integra. Apr 01, 20 dynanail is intended for tibiotalocalcaneal arthrodesis procedures. Background achieving stable fixation when performing tibiotalocalcaneal arthrodesis can be challenging, especially in osteopenic bone.
Class 2 device recall panta arthrodesis nail support device. This is a retrospective study of retrograde intramedullary rodding for ankle arthrodesis in 19 ankles in 16 patients. Panta 2 arthrodesis nail system set reference sheet item number description quantity in kit quantity used implants pan101010150 panta nail, 10mm dia. Ti6al4v eli, iso 58323,astm f6 for panta xl nail, use only partially threaded screws. Calcaneotibial arthrodesis using a retrograde nail is a good treatment option for nonreconstructable fractures of the ankle joint with severe bone loss and poor soft tissue quality in selected. This distinct, dualstage locking mechanism is preassembled and embedded in each nail, providing up to 7mm of internal tibiotalar compression, followed by. Register to receive a free small bone and joint orthopedic devices market report suite for us synopsis and brochure integra lifesciences has announced the launch of the integra panta 2, developed with orthopedic leaders james brodsky, md, christian royer, md, and ari kaz, md. This arthrodesis nail brochure is presented to demonstrate the surgical technique utilized by michael o. The panta 2 arthrodesis nail system is intended for use in tibiotalocalcaneal arthrodesis and treatment of trauma to the hindfoot and distal tibia.
Nail ailments ingrown toenails ingrown nails, the most common nail impairment, are nails whose corners. Im nails have been developed to apply compression to the ttc complex during installation. The best clinical results 100 percent union rate, 0 percent complication rate after tibiotalocalcaneal arthrodesis with. The panta nail is intended for use in tibiotalocalcaneal arthrodesis and treatment of trauma to the hindfoot and distal tibia. Posttraumatic and degenerative arthritis involving both. Pdf intramedullary rod fixation compared with blade. K091976 biomet ankle arthrodesis nail, biomet phoenix ankle nail system k051590 stryker t2 ankle arthrodesis nail device description. The trigen hindfoot fusion nail combines anatomic implant design featuring oblique screw positions with simplified instrumentation. Minimally invasive ankle arthrodesis with a retrograde locking nail. Biomet, as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical. Expert nailing system titanium cannulated hindfoot. The neff femorotibial nail surgical technique for knee arthrodesis open canal with 8mm twist drill. The panta s unique design allows the application of up to 12mm of bilateral axial compression across the ankle and subtalar joints.
Tibiotalar arthrodesis with the tibial compression nail. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. The purpose of the current investigation was to compare the stiffness and fatigue endurance of bladeplateandscrew fixation with intramedullary rod fixation in a cadaveric model. The neff nail surgical technique for knee zimmer biomet.
The panta intramedullary nail system surgeon video. Tibiotalocalcaneal fusion using the hindfoot arthrodesis nail. This publication is not intended for distribution in the usa. The journal of arthroplasty hospital for special surgery. The calcaneus is the largest bone in the foot and articulates with the talus above. The titanium ankle arthrodesis nail is intended for tibiotalocalcaneal arthrodesis fusion.
To accurately code for the procedure, it is appropriate to use 2 separate procedure codes. Stryker developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. The panta nail is a secondgeneration tibiotalocalcaneal arthrodesis device capable of providing good success rates for fusion. Introduction the goals of ankle and hindfoot arthrodesis are the relief of pain and deformity and the development of a solid fusion. The hindfoot arthrodesis nail, part of the expert nailing system, permits a. Posttraumatic and degenerative arthritis involving both ankle and subtalar joints. A nail of correct length usually 140160180 mm and diameter 10, 11 or 12 mm is inserted into the handle and locked into position with a 6 mm allen wrench.
Intramedullary nail in fixation of difficult ankle and hindfoot arthrodeses george e. Dynanail ankle arthrodesis nail mdea 20 finalist duration. The expert hindfoot arthrodesis nail provides secure. The titanium cannulated hindfoot arthrodesis nail expert system enables an intramedullary approach for the fixation and the fusion of the ankle and of the subtalar joints. T2 also offers controlled internal compression, so with every turn, you achieve 1mm of internal compression and enhanced control.
Any discoloration or infection on or about the nail should be evaluated by a podiatric physician. The system consists of a series of cannulated nails, cannulated spiral blades, cannulated end. Please keep in mind, there is a j1 status indicator associated with cpt code 27870, meaning payment for all. Retrograde intramedullary nailing for ankle arthrodesis. K05 1590 t2 ankle arthrodesis nail k09 1788 panta arthrodesis nail the vilex fuzeim is a singlepiece intramedullary nail fixed to the tibia and font with locking cross description of screws for fusing the ankle joints.
Talotibiocalcaneal arthrodesis is a challenging technique. The fuzetm is a straight cannulated metallic implant offered in five. Knee arthrodesis is an established procedure for limb salvage after failed total knee arthroplasty tka in cases of recurrent infection, soft tissue damage, reduced bone stock or with a deficient extensor mechanism. Posttraumatic and degenerative arthritis involving both ankle and subtalar joints rheumatoid arthritis. The pantar xl arthrodesis nail is an excellent addition to our family of hindfoot products. The concept of im nails for ttc arthrodesis began in the early 1900s by using bone allografts as a supporting rod through the. Extraction of the wichita fusion nail after knee arthrodesis. The use of curved nails prevents neurological damage. Phoenix ankle arthrodesis nail system featuring dual stage corelock technology capable of 7. The panta 2 arthrodesis nail system panta 2 is used to perform a tibiotalocalcaneal arthrodesis, a procedure undertaken for hindfoot problems that affect both the ankle and subtalar joints. Fixation can be extended across the medial column and calcaneocuboid joints. Titanium cannulated hindfoot arthrodesis nail surgical technique depuy synthes 3. A unique system to apply compression balanced with multiplanar screw fixation in the tibia, the talus and the calcaneus and enhanced calcaneal fixation to optimise stability and alignment of the arthrodesis. To avoid a new exposition and partial damage of a knee arthrodesis site due to the removal of the wichita fusion nail wfn, a new extraction technique was developed, using a femoral osteotomy at the proximal end of the nail.
Biomet arthrodesis nail,biomet arthrodesis nail indications include. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing is a useful procedure for limb salvage in both diabetic and nondiabetic patients with gross instability or fixed deformity. This nailing system was designed to facilitate arthrodesis of the calcaneus, talus, and tibia, allowing fusion of the calcaneocubo. This procedure may provide an alternative to below knee amputation for both diabetic and nondiabetic patients. Through the development of a common, streamlined and intuitive surgical approach, both in principle and in detail, the t2 arthrodesis nail offers significantly increased speed and functionality for the treatment of knee arthrodesis as well as simpli. Pseudoelastic intramedullary nailing for tibiotalo. Nearly all patients who underwent tibiotalocalcaneal arthrodesis with headless compression screws experienced satisfactory postoperative outcomes. A single staged pantalar arthrodesis combining both transfibular approach for ankle and olliers approach for triple arthrodesis is an effective surgical treatment option in a case of chronic. Some nail problems can be conservatively treated with topical or oral medications while others require partial or total removal of the nail. Phoenix ankle arthrodesis nail system the phoenix ankle arthrodesis nail system is indicated for tibiotalocalcaneal arthrodesis fusion. Haller2, and abebe chala feyissa1 1 soddo christian hospital, soddo, ethiopia 2 university of utah department of orthopaedics, salt lake city, utah, usa received 28 may 2015, accepted 30 november 2015, published online 5. Surgical options include an arthrodesis nail, external. Neuropathic ankle arthrodesis with intramedullary nail.
The panta arthrodesis nail is intended for use in tibiotalocalcaneal arthrodesis and treatment of trauma to the hindfoot and distal tibia. T2 ankle arthrodesis nails come in 10, 11 and 12mm diameters and 150, 200 and 300mm lengths. This website uses cookies to improve your experience while you navigate through the website. The nailing systems targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. The expert hindfoot arthrodesis nail is designed to. The design of the t2 ankle arthrodesis nail features a 5 lateral valgus bend providing an. Methods in ten matched pairs of freshfrozen cadaveric legs, a. The panta r xl arthrodesis nail is a complement to the current panta r product line, incorporating longer lengths and a conical extremity shape designed to reduce stress at the proximal tip of the nail.
Panta 2 arthrodesis nail system surgical technique integra. Full union is achieved, and the patient walks full weightbearing without any pain or sign of loosening or hardware failure. Arthrodesis of the ankle and subtalar joint via an intramedullary nail is known to be an effective surgical procedure in severe hindfoot and ankle deformities. The process of tibiotalocalcaneal arthrodesis using an intramedullary nail usually involves an ankle arthrotomy, preparation of the joint surfaces, and then placement of the nail through a plantar incision. Panta panta xl arthrodesis nail system surgical technique panta panta xl products for sale in europe, middleeast and africa only 6 surgical technique panta panta xl products for sale in europe, middleeast and africa only partially threaded screws cortical threads on the extremities only. The panta nail integra, plainsboro, nj uses transtibial rods to allow compression and will also allow compression without a talus. The valor nail wright medical technology, memphis, tn uses a transverse calcaneus screw for fixation, allowing the internal compression system to compress the ankle even in the absence of a talus. Dynanail ankle arthrodesis nail mdea 20 finalist youtube. Panta 2 arthrodesis nail system set reference sheet. Risk factors that contribute to defining this group of patients can be divided into systemic factors and local factors pertaining to coexisting ankle or hindfoot pathology. The panta nail has received clearance from the food and drug. The phoenix ankle arthrodesis nail is composed of titanium alloy and features proprietary corelock technology. Depending on particular patient factors, indications may include.
Phoenix ankle arthrodesis nail system featuring dual stage. The nail, crosslocking screws and end cap are manufactured from a titanium alloy. Moore tj1, prince r, pochatko d, smith jw, fleming s. Anteriorly these bones articulate respectively with the navicular and cuboid bones of the midfoot at the transverse tarsal joint. The titanium cannulated hindfoot arthrodesis nail tg. November 2, 2018 integra lifesciences corporation blesson. With its internal pseudoelastic nitinol element, dynanail provides the sustained compression of an external fixator, while. The bones of the hindfoot are the talus and calcaneus. Tibiotalocalcaneal arthrodesis with headless compression.
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