The surgeon uses pins, plates and screws, or rods to hold the bones in the proper position while the joints fuse. Ankle arthrodesis fuses the bones of the ankle joint completely, making one continuous bone. 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. The varus or valgus position of the calcaneus and the form of the hindfoot are determined by rotations and translations of the other tarsal bones around the talus. In the present description of a surgical technique for performing a triple arthrodesis of the tarsus, it. Stryker, kalamazoo, michigan of 10mm diameter was inserted over the guide wire into the talus.
The indications for arthroscopic ankle arthrodesis are for treatment of end stage ankle arthritis in those patients who have failed non operative treatments. A triple arthrodesis consists of the surgical fusion of the talocalcaneal tc, talonavicular tn, and calcaneocuboid cc joints in the foot. In the present description of a surgical technique for performing a triple arthrodesis of the tarsus, it is. Unlike other ankle arthrodesis nails that are currently available in the market, the.
Jan 07, 2015 retrograde im nail for tibiotalocalcaneal fusion. It incorporates a curvature which allows the nail to curve the length of the limb and is compatible with other stryker t2 instrumentation. Two ofthe four failures toget bone fusion occurred incases where tile tibia had been split bytheproximal pinand where, therefore, thecompression force wasinadequate. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a. Incisional approach and fixation technique should be based on the. When conservative treatment measures such as nsaids nonsteroidal antiinflammatory drugs, physical therapy, strapping, steroid injections and bracing are. 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. Valor hindfoot fusion nail system wright medical group. The t2 tibial nailing system represents strykers latest and most comprehensive development of the original intramedullary principles presented by prof. 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 core instruments of the t2 system provide the platform for all current and future stryker trauma nailing systems, thereby reducing complexity and inventory.
It is normally reserved for patients who have tried non surgical. The affected limb is elevated on a bolster under the calf to allow easy exposure to the carm for intraoperative. The t2 ankle arthrodesis nail stryker was used exclusively for the last 77. Surgical fusion of the ankle tibiotalar and subtalar talocalcaneal joints at the same operative sitting is termed tibiotalocalcaneal arthrodesis. 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. The goal of ankle arthrodesis is to provide a painfree plantigrade foot during weightbearing activities. The primary goals of a triple arthrodesis are to relieve pain from arthritic, deformed, or unstable joints. 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. T2 ankle arthrodesis nail surgical protocol, catalog number lt2aaot, stryker orthopaedics the surgical protocol instructs surgeons on proper surgical technique for the t2 ankle arthrodesis nail. Oct 31, 2019 a triple arthrodesis consists of the surgical fusion of the talocalcaneal tc, talonavicular tn, and calcaneocuboid cc joints in the foot. 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. When good surgical technique is used in carefully selected patients, ankle arthrodesis can be a reliable procedure for the relief of functionally.
In this study, the outcomes and complications following aa and taa are. The titanium cannulated hindfoot arthrodesis nail tg. T2 knee arthrodesis nail system which medical device. D, the medial and lateral gutters are debrided with a rongeur. The stryker t2 nail was used in all cases with the same surgical technique used by both surgeons. 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. T2 8mm nails require the use of 4mm fully threaded locking screws. Apply internal compression by inserting screw driver into nail bolt. Ttc fusion utilizing wright medical valor nail, for correction of severe rearfoot. 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.
This arthrodesis nail brochure is presented to demonstrate the surgical technique utilized by michael o. Apr 28, 20 the t2 knee arthodesis nail system is a long intramedullary nail designed for fixation of femur and tibia. T2 ankle arthrodesis nail the t2 ankle arthrodesis nail offers strong biomechanical intramedullary stabilization using cannulated implants for the tibiotalocalcaneal fusion. The hindfoot arthrodesis nailex provides secure fixation with minimal trauma to the vascular supply, which creates an improved environment for healing, and permits controlled, early, active rehabilitation conducive to optimum recovery. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers. Hindfoot fusion nail surgical technique as described by. May 18, 2017 the surgical treatment of endstage tibiotalar arthritis continues to be a controversial topic. T2 ankle arthrodesis operative technique stryker yumpu. It is normally reserved for patients who have tried nonsurgical remedies, such as specially modified shoes and pain. E, the first guide pin is placed through the medial malleolus. The procedure aims at correcting the deformity, restoring stability at the back of the foot, and relieving pain.
Class 3 device recall t2 ankle arthrodesis nail surgical protocol. The surgical treatment of endstage tibiotalar arthritis continues to be a controversial topic. Phoenix ankle arthrodesis nail system featuring dual stage. 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. 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. The t2 knee arthodesis nail system is a long intramedullary nail designed for fixation of femur and tibia. Arthrodesis transfibular ankle fusion surgery nucleus health duration. Hence, our results show that anterior ankle plating is a convenient and effective way of ankle arthrodesis with low complication rates. Nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions. This website uses cookies to improve your experience while you navigate through the website. Ankle joint arthrodesis should be considered the gold standard procedure for endstage ankle arthritis in the appropriate patient. You may also apply external compression using apposition handle. 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.
Class 3 device recall t2 ankle arthrodesis nail surgical. The nailing systems targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. In addition to the t2 femoral, tibial, and humeral nailing systems, stryker developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. Phoenix ankle arthrodesis nail system surgical technique featuring dual stage corelock technology capable of 7. A bone graft is sometimes needed if there is bone loss. Most surgeons use all three of these techniques, with the open technique with screw fixation the. Most surgeons use all three of these techniques, with the open technique with screw fixation the most commonly used. For those patients with severe arthritis or joint damage, ankle fusion can be a reliable solution for pain relief and improving function. 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 system features a strong, lightweight radiolucent. Operative technique the t2 arthrodesis nail is inserted with the existing t2 femoral instrument set. T2 also offers controlled internal compression, so with every turn, you achieve 1mm of internal compression and enhanced control.
Nov 18, 2016 ankle arthrodesis is indicated for patients with esaa that failed a minimum of 3 mo of conservative treatment. The t2 ankle arthrodesis nail is intended for tibiotalocalcaneal arthrodesis fusion and to provide stabilization of the hindfoot and ankle including the transverse tarsal. Other medical or surgical conditions which would preclude the potential benefit of surgery. May 2015 minimally invasive retrograde nailing technique for rigid subtalar and ankle arthrodesis. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of. The ankle arthrodesis with an intramedullary arthrodesis nail in combination with a cage filled with and surrounded by morsellized bone graft appears to meet these requirements. The patient is positioned supine on a radiolucent table with careful neutral alignment of the knee and ankle. Stryker t2 knee arthrodesis nail system which medical. As with all other t2 nails, the t2 recon nail is made of type ii anodized titanium alloy ti6al4v for enhanced biomechanical and. 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. This type of ankle surgery is usually carried out as a treatment for severe ankle pain, typically caused by arthritis. Ankle arthrodesis is a common treatment used for patients with endstage ankle arthritis esaa.
Fixation can be extended across the medial column and calcaneocuboid joints. The t2 recon nail is the realization of superior biomechanical intramedullary stabilization using strong, cannulated implants for the internal fixation of the femur. Jul 10, 2014 ankle arthrodesis transfibular approach. Through the development of a common, streamlined and intuitive surgical approach, both in principle and in detail. Refer to the t2 femoral nailing system operative technique cat. The distal tibial nail is not cleared for primary ankle arthrodesis in the u. Matrix meditec ttc viva ankle arthrodesis nail surgical technique. Alignment following ankle arthrodesis must be slight valgus 05, neutral dorsiflexion, and slightly externally rotation. The information contained in this document is intended for. Figure 372 the miniarthrotomy approach to ankle arthrodesis. The ankle may be opened up with cuts on either side, or a camera arthroscope keyhole surgery may be put in to the ankle to guide instruments. Titanium cannulated hindfoot arthrodesis nail surgical technique depuy synthes 1 titanium cannulated hindfoot arthrodesis nail 2 expert system ao principles 4 indications 5 preoperative planning 6 opening the hindfoot 8 reaming recommended 12 inserting the nail distal locking with spiral blade 15. The most important joint in the tarsus, determining the mobility of this complex, is the talonavicular joint.
Total ankle arthroplasty versus ankle arthrodesisa. Tibiotalocalcaneal arthrodesis using retrograde intramedullary nail. This report illustrates our experience using an arthrodesis nail and morsellized allograft in a cage to perform an ankle arthrodesis for salvage of failed ankle prosthesis. Conversion of failed ankle arthroplasty to an arthrodesis. Retrograde im nail for tibiotalocalcaneal fusion youtube. Phoenix ankle arthrodesis nail system featuring dual stage corelock technology 20 biomet orthopedics form no. However, accuracy in performing the technique and attention to arthrodesis alignment, joint denoding, and compression are mandatory in order to acheive excellent results. Triple arthrodesis is a surgical procedure carried out to fuse these joints.
Phoenix ankle arthrodesis nail system surgical technique featuring dual stage. The main advantages of the technique are limited soft tissue damage in the ankle area, high primary stability allowing early weight bearing, 3 as well as. Ankle arthrodesis nail is universal and available in 10mm, 11mm, and 12 mm diametersall of which are available in lengths of 150 mm 300mm. Expert nailing system titanium cannulated hindfoot. To learn more about this product, contact your local biomet sales representative today. Intramedullary nail for the tibiotalocalcaneal fusion. K152966, k177319, k208221, k230272, k254574, k735537, k779942, k841062, k842726, k868798, k868816, k883947, and k892961. Ankle replacement resources, faqs and stats stryker. 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 t2 ankle arthrodesis nail offers strong biomechanical intramedullary stabilization using cannulated implants for the tibiotalocalcaneal fusion. Matrix meditec ttc viva ankle arthrodesis nail surgical technique duration. Ankle arthrodesis is defined as surgical fusion of the tibia to the talus.