Arthrex® offers a variety of stainless steel and titanium plate and screw systems including the ContourLock family of plates for both femoral and tibial osteotomies designed to be anatomically curved and low profile.
Arthrex further revolutionizes tibial osteotomy with the patented iBalance® HTO PEEK implant and anchors system for proximal tibial osteotomies.

Knee

Product

The ContourLock HTO Plate® System is indicated for use as a fixation device during opening and closing wedge osteotomies of the proximal tibia. This next generation titanium plating system consists of three distinct plate variations, including a straight wedge, A/P sloped wedge and a flat plate with no wedge, that are compatible with the current titanium cortical and cancellous HTO Plate Screws. As the result of an improved locking bushing system, each of the screws lock tightly into the plate bushings without having to use the Locking Guide for Titanium HTO Plates, further simplifying the plate and screw insertion process. This plating system will be the focus of ongoing clinical studies that evaluate its potential for early weight-bearing postoperatively.

ContourLock HTO Plate® System

PINO DE GUIA DE OSTEOTOMIA 2.4MM X 215.9 MM

PINO DE GUIA DE OSTEOTOMIA 3.0MM X 215.9 MM

Human

Child (D)

Titanium
Anatomically curved and low profile, ContourLock DFO plates are available in right and left orientations and multiple sizes, depending on the desired amount of correction. The toothless design facilitates greater flexibility through infinite correction potential up to 20 mm without compromising strength.
Titanium Femoral Opening Wedge Osteotomy Plates provide a straight-toothed option to aid in maintaining the osteotomy correction.
These plates are fixated to bone using titanium locking 6.5 mm cancellous and 4.5 mm cortical screws. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being locked.
Stainless Steel
Low-profile, stainless steel Femoral Opening Wedge Osteotomy Plates are available with a straight tooth to facilitate maintaining the osteotomy. These plates are optimal for unique anatomy that requires a customized fit with multiple bends. The plates are fixated using standard AO stainless steel 6.5 mm cancellous and 4.5 cortical screws.
All of the Femoral Opening Wedge Osteotomy Plates are designed to work in conjunction with the standard <a href="http://www.arthrex.com/knee/opening-wedge-osteotomy-instrument-set">Opening Wedge Osteotomy Instruments Sets.</a>

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Femoral Opening Wedge Osteotomy With ContourLock™ Plate

ContourLock™ Distal Femoral Osteotomy (DFO) Plates and Screws

Kortikalisschraube, Titan, 4.5 x 26.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 26 mm

Kortikalisschraube, Titan, 4.5 x 28.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 28 mm

Kortikalisschraube, Titan, 4.5 x 30.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 30 mm

Kortikalisschraube, Titan, 4.5 x 32.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 32 mm

Kortikalisschraube, Titan, 4.5 x 34.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 34 mm

Kortikalisschraube, Titan, 4.5 x 36.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 36 mm

Kortikalisschraube, Titan, 4.5 x 38.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 38 mm

Kortikalisschraube, Titan, 4.5 x 40.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 40 mm

Kortikalisschraube, Titan, 4.5 x 42.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 42 mm

Kortikalisschraube, Titan, 4.5 x 44.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 44 mm

Kortikalisschraube, Titan, 4.5 x 46.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 46 mm

Kortikalisschraube, Titan, 4.5 x 48.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 48 mm

Kortikalisschraube, Titan, 4.5 x 50.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 50 mm

Kortikalisschraube, Titan, 4.5 x 52.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 52 mm

Kortikalisschraube, Titan, 4.5 x 54.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 54 mm

Kortikalisschraube, Titan, 4.5 x 56.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 56 mm

Kortikalisschraube, Titan, 4.5 x 58.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 58 mm

Kortikalisschraube, Titan, 4.5 x 60.0 mm, steril, IM

Tornillo para hueso cortical, Ti, Ø 4.5 mm x 60 mm

HTO Plate Screw, 6.5 x 35 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 35.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 35 mm

Parafuso para osso esponjoso, titânio, 6

HTO Plate Screw, 6.5 x 40 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 40.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 40 mm

HTO Plate Screw, 6.5 x 45 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 45.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 45 mm

HTO Plate Screw, 6.5 x 50 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 50.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 50 mm

HTO Plate Screw, 6.5 x 55 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 55.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 55 mm

HTO Plate Screw, 6.5 x 60 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 60.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 60 mm

HTO Plate Screw, 6.5 x 65 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 65.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 65 mm

HTO Plate Screw, 6.5 x 70 mm, Cancellous, Titanium

Spongiosaschraube, Titan, 6.5 x 70.0 mm, steril, IM

Tornillo para hueso esponjoso, Ti, Ø 6.5 mm x 70 mm

An alterative to traditional metal plates and screws, the iBalance HTO system consists of nonabsorbable polyetheretherketone (PEEK) implant anchors that are inserted into the proximal tibial opening wedge osteotomy site during HTO procedures to maintain and fixate the osteotomy. The iBalance HTO implants and anchors are intended for permanent implantation and, in some cases, may negate the need for a second surgical procedure to remove hardware due to overlying soft-tissue irritation.
To promote healing and provide additional strength to the repair, biologics such as OSferion osteotomy wedge, Quickset™* cement, AlloSync™ demineralized bone matrix, and autologous conditioned plasma may be used.
*Quickset is a trademark of Graftys, S.A.

Thomas M. DeBerardino, MD (San Antonio, TX), demonstrates a high tibial osteotomy using the iBalance® HTO implant.

video

HTO Using the iBalance® Osteotomy System

Orthobiologics

BioUni® Osteochondral Allograft Transplant with iBalance® HTO

Thomas M. DeBerardino, MD, (San Antonio,TX) discusses the various options available for utilization of the iBalance® HTO system in proximal tibial osteotomy.

Keeping HTO Safe and Simple

iBalance® HTO System for Medial High Tibial Opening Wedge Osteotomy

A Five Chapter Approach to: Opening Wedge Osteotomy Utilizing the Arthrex iBalance® HTO System

iBalance® HTO Implants and Anchors

Titanium
The titanium ContourLock HTO Plates were designed to be a anatomically curved and low profile. The ContourLock HTO Plate is a great choice for high demand patients needing a stronger locking construct for weight-bearing. These plates are available in wedgeless, straight, and sloped options.
The titanium Tibial Opening Wedge Osteotomy Plates feature a 4 hole design and are available with either a straight or sloped tooth to change or preserve the native tibial slope. The simplistic design facilitates minimally invasive surgery and is optimal for lower demand patients.
These plates are fixated using Arthrex titanium locking 6.5 mm cancellous and 4.5 mm cortical screws. Each screw can be angled to the proper anatomic orientation within a swiveling bushing before being locked to the plate.
Stainless Steel
The stainless steel Tibial Opening Wedge Osteotomy Plates are available with either a straight or sloped tooth to change or preserve the native tibial slope. These plates are optimal for unique anatomy where customizing fit with multiple bends may be required. The plates are fixated using standard AO stainless steel 6.5 mm cancellous and 4.5 mm cortical screws.
All of the Tibial Opening Wedge Osteotomy Plates were designed to work in conjunction with the standard <a href="http://www.arthrex.com/knee/opening-wedge-osteotomy-instrument-set">Opening Wedge Osteotomy Instrument Sets</a>.

Proximal Tibial Opening Wedge Osteotomy

Tibial Opening Wedge Osteotomy System With Titanium Plates and Screws and OSferion β-TCP Osteotomy Wedge

Jack Farr II, MD, (Indianapolis, IN) discusses his multi-step process in the evaluation and treatment of patellar tracking. When a tibial tuberosity osteotomy is needed, Dr. Farr explains how to properly evaluate the Tibial Tuberosity-Trochlear Groove (TT-TG). He goes on to discuss indications, publications and details on the technique.

Osteotomies for Patellar Tracking: An Update

Tibial Opening Wedge Osteotomy Plates

The Two-Hole Osteotomy Support Plate Implant System includes an anatomically contoured two-hole titanium plate and two 4 mm x 30 mm titanium self-tapping cancellous screws. It is indicated for fixation following proximal tibial or distal femoral opening and closing wedge osteotomies. These non-locking screws fit snugly into the plate in a recessed fashion to create a low profile construct, when inserted using a standard 2.5 mm hex driver. The two-hole plate is the perfect option for supporting a fractured lateral tibial cortex during HTO procedures, as well as supporting the anteromedial tibial cortex during slope changing HTO procedures. The plate has a built-in offset hole to accept small K-wires to facilitate positioning it over the osteotomy site. The plate can be slightly bent to conform to variations in bony anatomy easily using Universal Bending Irons from the Opening Wedge Osteotomy System Set.

Knee Osteotomy Implants

ContourLock HTO Plate^® System

ContourLock™ Distal Femoral Osteotomy (DFO) Plates and Screws

iBalance^® HTO Implants and Anchors

Tibial Opening Wedge Osteotomy Plates

Two-Hole Osteotomy Support Plate Implant System