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. The design of the t2 ankle arthrodesis nail features a 5 lateral valgus bend providing an anatomical fit with better purchase through the calacaneal bone. Tibiotalocalcaneal fusion using the hindfoot arthrodesis nail. Expert nailing system titanium cannulated hindfoot. Tibiotalocalcaneal arthrodesis using retrograde intramedullary nail.
Ankle arthrodesis using antegrade intramedullary nail for. Introduction and purpose recently stryker added a new ankle arthrodesis nail to the t2 family of im nails. A simple technique allowing for consistent results is presented here. May 2015 minimally invasive retrograde nailing technique for rigid subtalar and ankle arthrodesis. The indications for arthroscopic ankle arthrodesis are for treatment of end stage ankle arthritis in those patients who have failed non operative treatments. 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. Many techniques have been described to achieve ankle arthrodesis. In addition to the t2 femoral, tibial, and humeral nailing systems, stryker developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. 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. The distal tibial nail is not cleared for primary ankle arthrodesis in the u. Apply internal compression by inserting screw driver into nail bolt. Matrix meditec ttc viva ankle arthrodesis nail surgical. In the present study, we describe the use of a ttc nail for treatment of ankle fragility fractures and found a low rate of overall complications.
We treated 2 patients with nonreconstructable tibial pilon fractures using ankle arthrodesis with an antegrade intramedullary nail. The use of a retrograde fixedangle intramedullary nail for. An ankle fusion nail is typically used for more severe cases of arthritisdamage bone and deformity of the ankle and the small subjoints in the upper foot. Apr 28, 20 the t2 knee arthodesis nail system is a long intramedullary nail designed for fixation of femur and tibia. This type of ankle surgery is usually carried out as a treatment for severe ankle pain, typically caused by arthritis. 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. Titanium cannulated hindfoot arthrodesis nail surgical technique depuy synthes 5 indications the hindfoot arthrodesis nailex is indicated to facilitate tibiotalocalcaneal arthrodesis to treat. Ankle arthrodesis is a type of surgery where the joint between the tibia and fibula bones of the lower leg, and the talus bone of the ankle, is fused together. Unlike other ankle arthrodesis nails that are currently available in the market, the trigen hfn offers threaded distal screw holes for added stability and reduced risk of screw back out. 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. The tibiocalcaneal arthrodesis was performed using a retrograde intramedullary nail t2 ankle arthrodesis nail aan. T2 ankle arthrodesis nails come in 10, 11 and 12mm diameters and 150, 200 and 300mm lengths. Fixation can be extended across the medial column and calcaneocuboid joints.
The t2 arthrodesis nail is inserted with the existing t2 femoral instrument set. Nov 18, 2016 ankle arthrodesis is indicated for patients with esaa that failed a minimum of 3 mo of conservative treatment. 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. Weeks 612 weeks 1220 at homeinitial evaluation evaluation pt in a castboot possible pwb wbat with crutches per md instructions.
Neuropathic ankle arthrodesis with intramedullary nail. The t2 recon nail is the realization of superior biomechanical intramedullary stabilization using strong, cannulated implants for the internal fixation of the femur. T2 8mm nails require the use of 4mm fully threaded locking screws. T2 also offers controlled internal compression, so with every turn, you achieve 1mm of internal compression and enhanced control.
It incorporates a curvature which allows the nail to curve the length of the limb and is compatible with other stryker t2 instrumentation. Orthoses, such as a moulded anklefootorthosis afo, solid ankle cushion heel insert sach or insoles, work by limiting the motion of the joint that. Overview anatomy history indications surgical options complications outcomes 3. All implants in the t2 tibial nailing system are gundrilled and made of type ii anodized titanium alloy ti6al4v for enhanced biomechanical and biomedical performance. 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. Like other nails in the t2 family, the t2 ankle arthrodesis nail. Ankle and hindfootdeformity reconstruction using the. 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 goal of ankle arthrodesis is to provide a painfree plantigrade foot during weightbearing activities. Postoperative oblique view demonstrating a successful arthrodesis using a laterally applied blade plate.
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. Retrograde ankle arthrodesis using an intramedullary nail. T2 ankle arthrodesis operative technique stryker yumpu. Ankle t2 ankle arthrodesis nail royal london hospital. Four issues were involved with the evolution of the technique. Valor hindfoot fusion nail system wright medical group. Managing complications after attempted hind foot and ankle arthrodesis with intramedullary nail fixation is a challenge. 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. Severe foot ankle deformity arthritis instability and skeletal defects after tumor resection. Intramedullary nail for the tibiotalocalcaneal fusion. The system consists of a series of cannulated nails, cannulated spiral blades, cannulated end. Nov 25, 2016 ankle and hindfootdeformity reconstruction using the hindfoot arthrodesis nail expert nailing syst.
Postoperative view of a successful arthrodesis with screw. K152966, k177319, k208221, k230272, k254574, k735537, k779942, k841062, k842726, k868798, k868816, k883947, and k892961. 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. Total ankle arthroplasty versus ankle arthrodesisa. Posttraumatic or primary arthrosis previously infected arthrosis second degree. K091976 biomet ankle arthrodesis nail, biomet phoenix ankle nail system k051590 stryker t2 ankle arthrodesis nail device description.
The surgical treatment of endstage tibiotalar arthritis continues to be a controversial topic. The stryker t2 ankle arthrodesis nail features a special bend that allows it to fit the anatomical angle of the joint. Ankle arthrodesis dr greg sterling surgery of the foot and ankle i n t ro d uc t i o n an ankle arthrodesis or fusion is an operation to fuse or stiffen the ankle joint. Ankle and hindfootdeformity reconstruction using the hindfoot arthrodesis nail expert nailing syst. T2 ankle arthrodesis nail stryker, mahwah, nj, trigen hindfoot fusion. Pdf concept of tibiotalocalcaneal fusion with a iiird generation. Refer to the t2 femoral nailing system operative technique cat. Three different retrograde imns were used during the course of this study including the versa nail depuy, warsaw, in, t2 ankle arthrodesis nail stryker, mahwah, nj, and trigen hindfoot fusion nail smith and nephew, memphis tn. Phoenix ankle arthrodesis nail static the most proximal screw site of the dynamic slot in the 210 mm phoenix ankle arthrodesis nail the most proximal screw site of the dynamic slot in the 180 mm phoenix ankle arthrodesis nail the most proximal screw hole of the 180 mm phoenix ankle arthrodesis nail the most distal screw site of. The fatigue strength of the t2 aan construct nail plus locking screws was found to be higher when compared directly to the biomet ankle arthrodesis construct. Union rate of fragility ankle fractures is an increasing concern, and we were able to obtain an ankle fracture union rate of 90.
The stryker foot plating system is intended for use in internal fixation, reconstruction or arthrodesis of small bones, including the fore, mid and hind foot and ankle. A new test method to determine the biomechanical strength of. This situation becomes more problematic in the patient with diabetes. 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. The t2 ankle arthrodesis nail is intended for tibiotalocalcaneal arthrodesis fusion and to provide stabilization of the hindfoot and ankle including the transverse tarsal. The t2 ankle arthrodesis nail offers strong biomechanical intramedullary stabilization using cannulated implants for the tibiotalocalcaneal fusion. Ankle arthrodesis may be a treatment option in such cases.
The core instruments of the t2 system provide the platform for all current and future stryker trauma nailing systems, thereby reducing complexity and inventory. The following 3 retrograde intramedullary nailing systems were used. The process of tibiotalocalcaneal arthrodesis using an intramedullary nail, usually involves an ankle arthrotomy, preparation of the joint surfaces, and then. The information contained in this document is intended for. Alignment following ankle arthrodesis must be slight valgus 05, neutral dorsiflexion, and slightly externally rotation. We are performing arthroscopic ankle arthrodesis fusion with the patient in the supine position and a posterior thigh post. As with all other t2 nails, the t2 recon nail is made of type ii anodized titanium alloy ti6al4v for enhanced biomechanical and biomedical performance. Nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions.
The titanium cannulated hindfoot arthrodesis nail tg. In addition, the surgeon may select not to use specific holes or to use shorter screws that allow the joints to maintain mobility. Ankle arthrodesis is a challenging procedure due to poor host conditions e. Primary retrograde tibiotalocalcaneal nailing for fragility. Ankle and hindfootdeformity reconstruction using the hindfoot. T2 ankle arthrodesis nailing system the nailing systems targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. All surgeries were done at a single hospital by 2 surgeons who exclusively performed foot and ankle surgery. A 56 year old female patient developed post traumatic ankle arthritis. 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. Examples of these procedures may include but are not limited to replantation, lag screw techniques, joint fusions, corrective osteotomies, and the treatment of.
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