They are open technique use of one or two incisions on the outside and the front of your ankle with screw fixation, open technique with external fixator fixation and arthroscopic ankle arthrodesis. Tibiotalocalcaneal arthrodesis is an important salvage method for patients with complex. This technique has proven successful in the treatment of the infected extended ankle arthrodesis after retrograde intramedullary nailing, especially in compromised patients, with retention of limb function in situations that would otherwise require an amputation. Manipulate and reduce the fracture in the usual fashion, according to the. The distal tibial nail is not cleared for primary ankle arthrodesis in the u.
Titanium cannulated hindfoot arthrodesis nail surgical technique depuy synthes 5 indications the hindfoot arthrodesis nailex is indicated to facilitate tibiotalocalcaneal arthrodesis to treat. Advances in surgical technique and implant design have lead to improved outcomes after both ankle arthrodesis aa and total ankle arthroplasty taa, yet a clear consensus regarding the most ideal form of treatment is lacking. The t2 arthrodesis nail is inserted with the existing t2 basic set, long together with the femur indication set. Tibiotalocalcaneal arthrodesis using retrograde intramedullary nail. The valgus nail such as the t2 ankle arthrodesis nail stryker. It also identifies the causative factors leading to potential. Hindfoot fusion nail surgical technique as described by.
However, it is recommended to position the patient in supine or lateral position on a fracture table, to allow closed reduction of the fracture fig. Stryker foot and ankle talonavicular fusion youtube. This website is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis andor treatment rendered or prescribed by a physician or competent healthcare professional. The t2 ankle arthrodesis nail should not be used if following conditions are present.
T2 ankle arthrodesis nail the t2 ankle arthrodesis nail offers strong biomechanical intramedullary stabilization using cannulated implants for the tibiotalocalcaneal fusion. Introduction the main advantages of the technique are. This article presents our preferred technique for triple arthrodesis. Ankle arthrodesis definition of ankle arthrodesis by. The patient is positioned supine on a radiolucent table with careful neutral alignment of the knee and ankle. Phoenix ankle arthrodesis nail system zimmer biomet. Standard 5mm cortical screws simplify the surgical procedure and offer the advantages of both reduced insertion torque and low profile heads. Also, the letter stated that in the interim a correct revision of the operative technique could be found online. Ankle arthrodesis fuses the bones of the ankle joint completely, making one continuous bone. In addition to the t2 femoral, tibial, and humeral nailing systems, stryker developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. The affected limb is elevated on a bolster under the calf to allow easy exposure to the carm for intra operative. Ankle arthrodesis is a common procedure that resolves many conditions of the foot and ankle. The core instruments of the t2 system provide the platform for all current and future stryker trauma nailing systems, thereby reducing complexity and inventory. Ankle arthrodesis is a challenging procedure due to poor host conditions e.
Chris coetzee, md, edina, mn demonstrates an ankle arthrodesis using the anterior ankle fusion plate. Nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions. Refer to the t2 femoral nailing system operative technique ref b004. Treatment of the infected extended ankle arthrodesis after. The design of this plate provides excellent compression options. It covers the incision, the desired outcome, the osteotomy. Severe foot ankle deformity arthritis instability and skeletal defects after tumor resection.
The t2 ankle arthrodesis nail is intended for tibiotalocalcaneal arthrodesis fusion and to provide stabilization of the hindfoot and ankle including the transverse tarsal joints coupling the midfoot to the hindfoot. T2 ankle arthrodesis nailing system the nailing system s targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. Minimally invasive ankle arthrodesis with a retrograde. This technique has gained popularity over the years, in part owing to the. Patients who have significant ankle deformity associated with their ankle arthritis may not be appropriate for the arthroscopic technique and may best be treated with an open technique. As with all diameters of t2 tibial nails, the proximal screws are 5mm. Posted on july 1, 2012 comments off on neuropathic ankle arthrodesis with intramedullary nail fixation. It incorporates a curvature which allows the nail to curve the length of the limb and is compatible with other stryker t2 instrumentation.
T2 ankle arthrodesis operative technique stryker yumpu. Class 3 device recall t2 ankle arthrodesis nail surgical. Stryker corporation or its divisions or other corporate affiliated entities. Minimally invasive ankle arthrodesis with a retrograde locking nail after failed fusion. Intramedullary nail for the tibiotalocalcaneal fusion. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. In addition to the t2 nailing systems for femoral, tibial, and humeral fractures, stryker osteosynthesis has developed the t2 knee arthrodesis nail and, more recently, the t2 ankle arthrodesis nail to provide the. Ankle arthrodesis anterior ankle fusion plate youtube.
This arthrodesis nail brochure is presented to demonstrate the surgical technique utilized by michael o. Orthobullets technique guides cover information that is not testable. The use of a retrograde fixedangle intramedullary nail for. The talus articulates with the calcaneus below and the ankle mortise above. On examination ankle range of motion is limited to a 10degree arc of motion with erythema and. According to the company, the hintermann series h2 total ankle replacement system is indicated for use with bone cement to treat ankle arthritis in either primary or revision surgery of ankle joints damaged by systemic arthritis of the ankle, primary arthritis and secondary arthritisas well as for patients with a failed total ankle replacement or nonunionmalunion of the ankle arthrodesis. Neuropathic ankle arthrodesis with intramedullary nail fixation. This device and technique is a safe and effective treatment of hindfoot. To date the most widely used techniques involve the use of screws 10. Concerning magnetic resonance environments the devices described in this.
This website uses cookies to improve your experience while you navigate through the website. The indications for arthroscopic ankle arthrodesis are for treatment of end stage ankle arthritis in those patients who have failed non operative treatments. Complications of triple arthrodesis are primarily technique dependent and include nonunion, malalignment, and degeneration of the adjacent, unfused articulations of the foot and ankle. Asnis iii cannulated screw system operative technique. The nailing systems targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. Ankle arthrodesis nailing system this publication sets forth detailed recommended procedures for using stryker devices and instruments. Operative techniqueguided locking via target deviceapposition compressionlocking modethe t2 ankle arthrodesis nailprovides the option to achieve. Valor hindfoot fusion nail system wright medical group. The information presented is for educational purposes only. Sf36, aofas anklehindfoot, and mazur ankle arthrodesis scores. Incisional approach and fixation technique should be based on the. Use of retrograde nail for ankle arthrodesis in charcot neuroarthropathy.
It may be caused by trauma, avascular necrosis avn and surgical. Total ankle arthroplasty versus ankle arthrodesisa. Conversion of ankle arthrodesis to total ankle arthroplasty has recently gained popularity. However, technical challenges are present when treating patients without a sufficient fibular buttress. Ankle joint arthrodesis should be considered the gold standard procedure for endstage ankle arthritis in the appropriate patient. For those patients with severe arthritis or joint damage, ankle fusion can be a reliable solution for pain relief and improving function. The surgical treatment of endstage tibiotalar arthritis continues to be a controversial topic. The core instruments of the t2 system provide the platform for all current and future stryker nailing systems, thereby reducing complexity and inventory. The t2 knee arthodesis nail system is a long intramedullary nail designed for fixation of femur and tibia. The achilles tendon inserts on the posterior process of the calcaneus and is responsible for the majority of dorsiflexion strength needed for the pushoff phase of ambulation. Ankle and hindfootdeformity reconstruction using the hindfoot arthrodesis nail expert nailing syst. 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 8mm t2 tibial nail can only be locked distally with 4mm fully threaded screws. Unlike other ankle arthrodesis nails that are currently available in the market, the. T2 ankle arthrodesis nail surgical protocol, catalog number lt2aaot, stryker orthopaedics. Ankle fusion is suitable for young or very active individuals with bad ankle damage. A comprehensive offering of specific anterior, lateral and posterior plates are available for both tt tibiotalar joint and ttc tibiotalocalcaneal arthrodesis. The letter stated that stryker orthopaedics customer service reps would place consignees reorders for the product being destroyed. It offers guidance that you should heed, but, as with any such technical guide. Biomet, as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. In addition to the t2 nailing systems for femoral, tibial, and humeral fractures, stryker osteosynthesis has developed the t2 knee arthrodesis nail and, more recently, the t2 ankle arthrodesis nail to provide the option for tibiotalocalcaneal fusion with a retrograde intramedullary nail. T2 also offers controlled internal compression, so with every turn, you achieve 1mm of internal compression and enhanced control. Recovering from shoulder replacement surgery stryker.
This video demonstrates a talonavicular, medial column, calcaneal cuboid fusion. The operation was performed either under general five patients or spinal anaesthesia five patients. Our technique uses perioperative imaging to determine the placement of the im nail. Operative technique the t2 arthrodesis nail is inserted with the existing t2 femoral instrument set. Refer to the t2 femoral nailing system operative technique cat. Expert nailing system titanium cannulated hindfoot. The surgical approach to placement of the im nail is described in terms of. Treatment options ankle replacement star ankle replacement ankle fusion t2 ankle arthrodesis nail. One common compression screw to close the fracture site, and end caps in eight sizes are available to provide an improved fit for every indication.
T2 nailing our history of continuous evolution and surgeon partnership has resulted in the comprehensive t2 nailing platform to treat a wide range of fractures in the uppper and lower extremities. The stryker t2 nail was used in all cases with the same surgical technique used by both surgeons. Ankle arthrodesis is a common treatment used for patients with endstage ankle arthritis esaa. T2 ankle arthrodesis nailing system the nailing systems targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. K091976 biomet ankle arthrodesis nail, biomet phoenix ankle nail system k051590 stryker t2 ankle arthrodesis nail device description. All implants of the t2 ankle arthrodesis nailing system are made of type ii anodized titanium alloy ti6al4v for enhanced biomechanical and biomedical performance. The t2 ankle arthrodesis nail offers strong biomechanical intramedullary stabilization using cannulated implants for the tibiotalocalcaneal fusion. The titanium ankle fusion plating system provides an anatomic solution for ankle fusion management. Retrograde im nail for tibiotalocalcaneal fusion youtube. Severe deformity or instability as a result of talipes. Usually performed to treat painful arthritis in the ankle, ankle fusion surgery referred to as tibiotalocalcaneal arthrodesis fuses the bones of the joint into one. Neuropathic ankle arthrodesis with intramedullary nail.
Phoenix ankle arthrodesis nail system the phoenix ankle arthrodesis nail system is indicated for tibiotalocalcaneal arthrodesis fusion. We describe a technique for restoration of an adequate fibular buttress. Ttc fusion utilizing wright medical valor nail, for correction of severe rearfoot deformity. The t2 ankle arthrodesis nail is intended for tibiotalocalcanela arthrodesis fusion and allow to stabilization of the hindfoot and ankle including the transverse tarsal joints coupling the midfoot to the hindfoot. The t2 ankle arthrodesis nail stryker was used exclusively for the last 77. Axsos distal tibia locking plate system operative technique.
Our commitment to innovation and a rich clinical history has enabled us to emerge as a market leader in intramedullary nailing. Clinical results depend on surgeon and technique, pre operative and post operative care, the implant, patient pathology and daily activity. Takedown of ankle arthrodesis with insufficient fibula. The gamma3 and t2 platforms address a wide range of indications to meet the evolving needs of our customers. Other medical or surgical conditions which would preclude the potential benefit of surgery.
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