Ankle Fusion (Arthrodesis)

Arthrodesis, also known as ankle fusion, is a procedure that may be considered in the case of severe ankle arthritis. There are 50,000 new cases of ankle arthritis in the U.S. every year, and about 100,000 patients undergo ankle arthrodesis annually (often for pes planus, ankle arthritis or a combination of the two).¹

When non-surgical treatments have failed, ankle arthrodesis may be performed to fuse the bones of the lower leg – tibia, fibula and talus – into one bone, to prevent them from rubbing and provoking inflammation and pain, and to maintain or improve function by eliminating motion in the arthritic ankle.

Approximately six weeks after fusion, the ankle should typically be well on its way to uniting, and be fully united by 12 to 14 weeks. The bone will get stronger over time. Ankle arthrodesis may be a combined procedure of using either internal and/or external fixation, depending on the severity of the ankle’s condition.

Gallagher B. Treatment for end-stage ankle arthritis re-evaluated. Nashville, TN: Vanderbilt University Medical Center. http://www.mc.vanderbilt.edu/documents/orthopaedics/files/Gallagher%20-%20f-a%20NMN.pdf [Accessed December 2015].

Agile Nail™

The Agile Nail is intended for insertion in the medullary canal of a femur for the alignment and the stabilization of fractures and for the correction of deformities. It is indicated for the treatment of subtrochanteric fractures and of femoral shaft fractures, in pediatric patients, with the exception of newborns and infants, and in adult patients with an appropriate medullary canal. The indications include:

Prophylactic nailing of impending pathologic fractures;
Fixation of femurs that have been surgically prepared (osteotomy);
Non-unions and malunions;
Reconstruction following tumor resection and grafting and bone lengthening and shortening.

Ankle Hindfoot Nailing System™

The Orthofix Ankle Hindfoot Nailing (AHN) System is intended to facilitate tibiotalocalcaneal arthrodesis (fusion). Specific indications include:

Avascular necrosis of the talus
Failed total ankle arthroplasty
Trauma (malunited tibial pilon fracture)
Severe deformity or instability as a result of talipes equinovarus, cerebral vascular accident, paralysis or other neuromuscular disease
Revision ankle arthrodesis
Neuroarthropathy
Rheumatoid arthritis
Osteoarthritis
Pseudoarthrosis
Post-traumatic arthrosis
Previously infected arthrosis
Charcot foot
Severe endstage degenerative arthritis
Severe defects after tumor resection
Pantalar arthrodesis

eight-Plate Guided Growth System & eight-Plate Guided Growth System+™

INTENDED PURPOSE
The Guided Growth Plate Systems are plates intended to provide bone fixation.

INDICATIONS FOR USE
The Guided Growth Plate Systems are indicated for gradually correcting deformities of long bones in growing children. Specific acquired or congenital patterns of bone deformity for which the device will be indicated include:
• Valgus, varus or flexion, extension deformities of the knee (femur and/or tibia);
• Valgus, varus, or plantar flexion deformities of the ankle.

Fitbone™

Fitbone is an intramedullary lengthening system for limb lengthening of the femur and tibia.

G-Beam™

The G-Beam Fusion Beaming System is intended to be inserted in the bones of the foot and ankle for alignment, stabilization and fixation of various fractures and osteotomies, fusions and reconstructions. It is indicated for fracture and osteotomy fixation, reconstruction procedures, non-unions and fusions of bones of the foot and ankle including metatarsals, cuneiforms, cuboid, navicular, calcaneus and talus. Specific example: medial and lateral column fusions resulting from neuropathic osteoarthropathy (Charcot osteoarthropathy).

JuniOrtho™ Plating System

The JuniOrtho Plating System is indicated for internal fixation and stabilization of femoral and tibial fractures, osteotomies, mal-unions and non-unions. Indications include:

Varus, valgus, rotational and/or shortening osteotomies
Femoral neck and/or pertrochanteric fractures
Proximal and distal metaphyseal fractures
Pathological and impeding pathological fractures

Use of the JuniOrtho Plating System is indicated in pediatric (excluding newborns) and small stature adult patients.

LRS ADVanced Limb Reconstruction System

Indications:

Short Stature
Bone loss
Open fractures
Non-union
Angular deformities

Minirail™

Indications:

Metacarpal and metatarsal lengthening
Calcaneal lengthening
Pediatric forearm lengthening
Metacarpal, metatarsal and phalangeal lengthening
Joint arthrodesis
Joint stiffness; Comminuted intra-articular fractures
Soft tissue correction in patients with neurological disorders (e.g. cerebral palsy)
Arthrodesis of the 1st carpo-metacarpal joint following soft tissue correction
Complex upper extremity deformities
Hand contractures
Wrist contractures
Indicated for pediatrics through adult

TL-HEX TrueLok Hexapod System™

The TL-HEX system is intended for limb lengthening by metaphyseal or epiphyseal distractions, fixation of open and closed fractures, treatment of non-union or pseudoarthrosis of long bones and correction of bony or soft tissue defects or deformities.

TrueLok™

INDICATIONS:

Fractures
Non-unions/ malunions
Limb lengthening
Deformity corrections
For pediatrics, the same indications apply provided a growth plate is not compromised

Ankle Fusion (Arthrodesis)

Intro

Orthofix Solutions