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Below is a collection of resources&nbsp;for you&nbsp;to&nbsp;learn more about the&nbsp;latest innovative products and techniques in minimally invasive orthopedics.

AAOS 2024 Annual Meeting: Extremities Feature Products

Jorge I. Acevedo, MD, (Jacksonville, FL) and James McWilliam, MD, (New York, NY) demonstrate their technique for a minimally invasive cheilectomy using the Arthrex® DrillSaw Highspeed 200™ power system. The corresponding sawbones demonstration can be found via this link: <a href="https://www.arthrex.com/link/asset/qL2_GUgf7UyJKAFk1_QVfw">https://www.arthrex.com/link/asset/qL2_GUgf7UyJKAFk1_QVfw</a>

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video

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Videos - OP-Anleitung

Vídeos — Técnicas cirúrgicas

Videos de técnicas quirúrgicas

Surgical Technique Videos

Minimally Invasive Cheilectomy

Foot and Ankle

Kaitlin Neary, MD (Boise, ID), describes the advantages of using KreuLock™ locking compression screws in conjunction with the Arthrex Calcaneus Fracture System. KreuLock locking compression screws allow the surgeon to compress bone fragments and bring the plate to bone while achieving a low-profile construct.

Surgeons presenting one or more clinical cases

Case Presentation - Videos

Vídeos apresentações de casos

Video presentaciones de casos

Case Presentation Videos

Calcaneus Fractures Using KreuLock™ Locking Compression Screws

Hand and Wrist

Trauma Upper Extremities

Trauma Lower Extremities

application/pdf

A document containing information about Arthrex products and product lines.

Broschüren

Brochuras

Folletos

Brochures

KreuLock™ Locking Compression Screws Surgical Technique KreuLock™ Locking Compression Screws Introduction Titanium Locking Head 2.4 mm VAL Compression Screw 3.5 mm 3.0 mm 3.0 mm VAL Hybrid VAL Locking Stainless Steel 2.7 mm Locking 3.5 mm Locking Fully threaded (FT) compression screw with variable-stepped pitch and locking head The KreuLock locking compression screws combine the same proven variable-stepped pitch technology found in the Headless Compression FT screws with a locking head. Compress fractures and bony fragments and bring the plate to the bone while also locking into the plate Six KreuLock screw families available, housed in individual modules with size-specific instrumentation Saves time – May eliminate the need to use a nonlocking screw and later replace it with a locking screw Customizable universal tray can fit two caddies Offered in titanium and stainless steel Compatible with existing plating systems of the same size KreuLock Locking Compression Screws I 03 Surgical Technique After reduction of a fracture or fusion, select the appropriate plate to match the bony anatomy. Position the plate and provisionally fixate with a BB-Tak. 1 Insert the appropriate drill guide into the selected locking hole. Drill using the corresponding drill bit. 2 Prepare the near cortex with 3 to 4 turns of the corresponding KreuLock™ profile drill. The profile drill matches the tapered neck of the KreuLock screws. 3 04 I KreuLock Locking Compression Screws Surgical Technique (Cont.) Use the depth device to determine the necessary screw length. 4 Insert the desired KreuLock™ screw with the appropriate driver. 5 As the screw crosses the fracture or fusion site, it will begin to compress the bone. 6 KreuLock Locking Compression Screws I 05 Surgical Technique (Cont.) Final tightening should be performed by hand. The screw is designed to bring the plate securely to the bone during final tightening. 7 Intraoperative fluoroscopy may be used to verify final plate and screw placement. Note: If screw removal is necessary, use the appropriate solid driver option. 8 06 I KreuLock Locking Compression Screws Caddy Overview – Titanium KreuLock™ Compression Screw System, 2.4, VAL, Ti (AR-8724VCLS) Item Number Description AR-8724VD-01 Profile Drill, VAL, 2.4 mm AR-8950-04 Drill Guide, locking, 2.4 mm, qty. 2 AR-8916-05 Drill Guide, 1.7 mm/2.5 mm AR-8724GV Drill Guide, VAL, 2.4 mm AR-8724GVN Drill Guide, VAL, locking, 2.4 mm, qty. 2 AR-13120G-2 Depth Device, 2.4 mm AR-8916-27 Driver, T8, solid, qty. 2 AR-8916-14 Drill Bit, 1.7 mm, qty. 2 AR-4160-24 Drill Bit, 2.4 mm AR-13226T BB-Tak, threaded, qty. 2 AR-13226 BB-Tak, qty. 2 KreuLock Compression Screw System, 3.0, VAL, Ti (AR-8933VCLS) Item Number Description AR-8933VD-01 Profile Drill, VAL, 3.0 mm AR-8943-31 Drill Guide, 2.0 mm/3.0 mm AR-8950-07 Drill Guide, locking, 3.0 mm, qty. 2 AR-8933GV Drill Guide, VAL, 3.0 mm AR-8933GVN Drill Guide, locking, VAL, 3.0 mm, qty. 2 AR-8944DH Driver, T10, solid, qty. 2 AR-4166 Depth Device, 3.0 mm AR-8944-22 Drill Bit, 2.0 mm, qty. 2 AR-8950-05 Drill Bit, 3.0 mm AR-13226T BB-Tak, threaded, qty. 2 AR-13226 BB-Tak, qty. 2 KreuLock Locking Compression Screws I 07 Caddy Overview – Titanium KreuLock™ Compression Screw System, 3.0, Hybrid, VAL, Ti (AR-8933HVCLS) Item Number Description AR-8933HVD-01 Profile Drill, hybrid, VAL, 3.0 mm AR-8933HGL Drill Guide, hybrid, locking, 3.0, qty. 2 AR-8933HGV Drill Guide, hybrid, VAL, locking, 3.0, qty. 2 AR-8943-03 Drill Guide, 2.6 mm/1.35 mm AR-8944DH Driver, T10, solid, qty. 2 AR-8943-15 Depth Device, hybrid, 3.0 mm/3.5 mm AR-8933HD Drill Bit, 2.5 mm, qty. 2 AR-13226T BB-Tak, threaded, qty. 2 AR-13226 BB-Tak, qty. 2 KreuLock Compression Screw System, 3.5, Ti (AR-8935CLS) 08 I KreuLock Locking Compression Screws Item Number Description AR-8935D-01 Profile Drill 3.5 mm AR-8941DH Driver, T15, solid, qty. 2 AR-8943-43 Drill Guide, locking, 3.5 mm, qty. 2 AR-8943-15 Depth Device, 3.5 mm AR-8943-03 Drill Guide, 2.6 mm/1.35 mm AR-8943-42 Drill Bit, 2.5 mm, qty. 2 AR-4160-35 Drill Bit, 3.5 mm AR-8970-09T BB-Tak, threaded, qty. 2 AR-8970-09 BB-Tak, qty. 2 Caddy Overview – Stainless Steel KreuLock™ Compression Screw System, 2.7, SS (AR-8827CLS) Item Number Description AR-8827D-03 Profile Drill, 2.7 mm AR-8943-17 Drill Guide, locking, 2.7 mm, qty. 2 AR-8963-08 Drill Guide, locking, long, 2.7 mm, qty. 2 AR-8827D-02 Drill Guide, 2.7 mm/2.0 mm AR-8944DH Driver, T10, solid, qty. 2 AR-8943-08 Screwdriver, T10 AR-8943-16 Drill Bit, 2.0 mm, qty. 2 AR-8963-05 Drill Bit, long, 2.0 mm, qty. 2 AR-8827D-01 Drill Bit, 2.7 mm, qty. 2 AR-13226T BB-Tak, threaded, qty. 2 AR-13226 BB-Tak, qty. 2 KreuLock Compression Screw System, 3.5, SS (AR-8835CLS) Item Number Description AR-8935D-01 Profile Drill, 3.5 mm AR-8943-43 Drill Guide, locking, 3.5 mm, qty. 2 AR-8943-10 Screwdriver, T15 AR-8941DH Driver, T15, solid, qty. 2 AR-8943-15 Depth Device, 2.7 mm/3.5 mm/4.0 mm AR-8943-42 Drill Bit, 2.5 mm, qty. 2 AR-8970-09T BB-Tak, threaded, qty. 2 AR-8970-09 BB-Tak, qty. 2 KreuLock Locking Compression Screws I 09 Ordering Information – KreuLock™ Screw System, Titanium KreuLock Screw System (AR-8787CLS) Disposables Product Description Item Number Product Description Item Number KreuLock Compression Screw Case AR-8787CLC Drill Bit, 2.0 mm, qty. 2 AR-8944-22 Ratcheting Handle, AO QC AR-8700RH Drill Bit, 3.0 mm AR-8950-05 Screw Holding Forceps, self-retaining AR-8941F BB-Tak, threaded, qty. 2 AR-13226T BB-Tak, qty. 2 AR-13226 KreuLock Screw System, 2.4, VAL, Ti (AR-8724VCLS) Item Number KreuLock Screw System, 3.0, Hybrid, VAL, Ti (AR-8933HVCLS) Profile Drill, VAL, 2.4 mm AR-8724VD-01 Product Description Drill Guide, locking, 2.4 mm, qty. 2 AR-8950-04 Instruments Drill Guide, 1.7 mm / 2.5 mm AR-8916-05 Profile Drill, hybrid, VAL, 3.0 mm AR-8933HVD-01 Drill Guide, VAL, 2.4 mm AR-8724GV Drill Guide, hybrid, locking, 3.0 mm, qty. 2 AR-8933HGL Drill Guide, VAL, locking, 2.4 mm, qty. 2 AR-8724GVN Drill Guide, hybrid, VAL, locking, 3.0 mm, qty. 2 AR-8933HGV Depth Device, 2.4 mm AR-13120G-2 Drill Guide, 2.6 mm/1.35 mm AR-8943-03 Driver, T8, solid, qty. 2 AR-8916-27 Driver, T10, solid, qty. 2 AR-8944DH KreuLock Compression Screw Caddy AR-8724VCLC Depth Device, hybrid, 3.0 mm/3.5 mm AR-8943-15 KreuLock Compression Screw Caddy AR-8933HVCLC Product Description Instruments Accessories KreuLock Compression Screw Caddy Lid AR-8724VCLC-01 KreuLock Compression Screws, Ti, 2.4 mm × 10 mm-40 mm (2 mm increments) Accessories KreuLock Compression Screw Caddy Lid Implants (order separately) AR-8724VCL-10 - 40 AR-8933HVCLC-01 Implants (order separately) KreuLock Compression Screws, hybrid, VAL, Ti, 3 mm × 12 mm-60 mm (2 mm increments) Disposables Item Number AR-8933HVCL-12 - 60 Product Description Item Number Disposables Drill Bit, 1.7 mm, qty. 2 AR-8916-14 Product Description Item Number Drill Bit, 2.4 mm AR-4160-24 Drill Bit, 2.5 mm, qty. 2 AR-8933HD BB-Tak, threaded, qty. 2 AR-13226T BB-Tak, threaded, qty. 2 AR-13226T BB-Tak, qty. 2 AR-13226 BB-Tak, qty. 2 AR-13226 KreuLock Screw System, 3.0, VAL, Ti (AR-8933VCLS) Product Description Item Number Instruments Profile Drill, VAL, 3.0 mm AR-8933VD-01 Drill Guide, 2.0 mm/3.0 mm AR-8943-31 Drill Guide, locking, 3.0 mm, qty. 2 AR-8950-07 Drill Guide, VAL, 3.0 mm AR-8933GV Drill Guide, locking, VAL, 3.0 mm, qty. 2 AR-8933GVN Driver, T10, solid, qty. 2 AR-8944DH Depth Device, 3.0 mm AR-4166 KreuLock Compression Screw Caddy AR-8933VCLC Accessories KreuLock Compression Screw Caddy Lid AR-8933VCLC-01 Implants (order separately) KreuLock Compression Screws, Ti, 3.0 mm × 12 mm-40 mm (2 mm increments) 10 I KreuLock Locking Compression Screws AR-8933VCL-12 - 40 Ordering Information – KreuLock™ Screw System, Titanium (Cont.) KreuLock Screw System, 3.5, Ti (AR-8935CLS) Disposables Product Description Product Description Item Number Item Number Instruments Drill Bit, 2.5 mm, qty. 2 AR-8943-42 Profile Drill 3.5 mm AR-8935D-01 Drill Bit, 3.5 mm AR-4160-35 Driver, T15, solid, qty. 2 AR-8941DH BB-Tak, threaded, qty. 2 AR-8970-09T Drill Guide, locking, 3.5 mm, qty. 2 AR-8943-43 BB-Tak, qty. 2 AR-8970-09 Depth Device, 3.5 mm AR-8943-15 Drill Guide, 2.6 mm/1.35 mm AR-8943-03 KreuLock Compression Screw Caddy AR-8935CLC Accessories KreuLock Compression Screw Caddy Lid AR-8935CLC-01 Implants (order separately) KreuLock Compression Screws, Ti, 3.5 mm × 12 mm-60 mm (2 mm increments) AR-8935CL-12 - 60 Ordering Information – KreuLock Screw System, Stainless Steel KreuLock Screw System (AR-8787CLS) KreuLock Screw System, 3.5, SS (AR-8835CLS) Product Description Item Number Product Description KreuLock Compression Screw Case AR-8787CLC Instruments Ratcheting Handle, AO QC AR-8700RH Profile Drill, 3.5 mm AR-8935D-01 Screw Holding Forceps, self-retaining AR-8941F Drill Guide, locking, 3.5 mm, qty. 2 AR-8943-43 Screwdriver, T15 AR-8943-10 Driver, T15, solid, qty. 2 AR-8941DH Depth Device, 2.7 mm/3.5 mm/4.0 mm AR-8943-15 KreuLock Compression Screw Caddy AR-8835CLC KreuLock Screw System, 2.7, SS (AR-8827CLS) Product Description Item Number Instruments Item Number Profile Drill, 2.7 mm AR-8827D-03 Accessories Drill Guide, locking, 2.7 mm, qty. 2 AR-8943-17 KreuLock Compression Screw Caddy Lid Drill Guide, locking, long, 2.7 mm, qty. 2 AR-8963-08 Implants (order separately) Drill Guide, 2.7 mm/2.0 mm AR-8827D-02 Driver, T10, solid, qty. 2 AR-8944DH KreuLock Compression Screws, SS, 3.5 mm × 12 mm-50 mm (2 mm increments) Screwdriver, T10 AR-8943-08 KreuLock Compression Screw Caddy AR-8827CLC Accessories KreuLock Compression Screw Caddy Lid AR-8827CLC-01 Implants (order separately) KreuLock Compression Screws, SS, 2.7 mm × 10 mm-60 mm (2 mm increments) AR-8827CL-10 - 60 AR-8835CLC-01 AR-8835CL-12 - 50 Disposables Product Description Item Number Drill Bit, 2.5 mm, qty. 2 AR-8943-42 BB-Tak, threaded, qty. 2 AR-8970-09T BB-Tak, qty. 2 AR-8970-09 Disposables Product Description Item Number Drill Bit, 2.0 mm, qty. 2 AR-8943-16 Drill Bit, long, 2.0 mm, qty. 2 AR-8963-05 Drill Bit, 2.7 mm, qty. 2 AR-8827D-01 BB-Tak, threaded, qty. 2 AR-13226T BB-Tak, qty. 2 AR-13226 KreuLock Locking Compression Screws I 11 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level and/or outcomes. View U.S. patent information at www.arthrex.com/corporate/virtual-patent-marking arthrex.com © 2021 Arthrex, Inc. All rights reserved. LB1-000259-en-US_A

KreuLock™ Locking Compression Screws

The DualCompression Hindfoot Fusion Nail Implant System is intended to facilitate arthrodesis to treat severe foot/ankle deformity, arthritis, instability, and skeletal defects after tumor resection. This system creates a stable fusion site by providing two modes of compression for intraoperative and postoperative dynamic compression across both joints.

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

OP-Anleitung Animationen

Animações — Técnica cirúrgica

Animaciones de técnicas quirúrgicas

Surgical Technique Animations

DualCompression Hindfoot Nail

Shoulder

The Arthrex Minimally Invasive Bunionectomy offers a guided trajectory system to achieve and maintain correction and to accurately place fixation for MIS bunion correction.

Arthrex Minimally Invasive Bunionectomy System Surgical Technique

Greg Horton, MD (Kansas City, KS), demonstrates a midfoot arthrodesis using Snap-Off Compression FT pins and DynaNite® compression plates.

Midfoot Arthrodesis Using Snap-Off Compression FT Pins and DynaNite® Compression Plates

Damon C. Adamany, MD (Phoenix, AZ), performs a carpometacarpal suspensionplasty with the FiberLock™ Suspension Implant Kit.

CMC Suspensionplasty With the FiberLock™ Suspension System

A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

OP-Anleitungen

Guias de técnicas cirúrgicas

Guías de técnicas quirúrgicas

Surgical Technique Guides

Arthrex Minimally Invasive Bunionectomy Surgical Technique Minimally Invasive Bunionectomy System and Beveled FT Screws Introduction The Arthrex MIS product portfolio continues to grow with the introduction of the Minimally Invasive Bunionectomy System. This trajectory system helps achieve correction and fixation placement using a percutaneous approach. Designed specifically to work with the system, the Beveled FT screws are angled to provide zero-profile fixation. MIS Instrumentation DrillSaw Highspeed 200™ Power System Rasps and Elevators Burrs Rasps and Elevators 02 I Arthrex Minimally Invasive Bunionectomy Percutaneous Burrs System Overview Shifting device—shifts the capital fragment laterally; cannulation allows for maintaining the shift Intramedullary hook: slides into the intramedullary canal of the metatarsal (a) Thumb paddle: allows for leveraging of the first toe while applying lateral pressure (b) Capital fragment shifter: threads into the intramedullary hook to shift the capital fragment laterally (c) c b a Capital fragment guidewire—secures the shifting device to the capital fragment and serves as a target for the trajectory guide (d) d Trajectory guide—sets trajectory of the K-wires relative to the position of the capital fragment guidewire K-wire positioning knob: locks in position on capital fragment K-wire (e) Screw positioning knob: locks in the proximal-distal position of the guide relative to the capital fragment (f) e f K-wire guides Depth device: clicks into the drill sleeve; provides pinpoint accuracy for K-wire placement (g) Drill sleeve: allows for drilling and screw placement through the trajectory guide to maintain positioning and correction (h) g h MIS parallel guides—provide preset angles to direct K-wires toward the capital fragment 30° and 25° options are available depending on anatomy and desired startpoint Five K-wire slots provide various options for K-wire placement Arthrex Minimally Invasive Bunionectomy I 03 Assembly Steps K-Wire Guide Slots Screw Positioning Knob K-Wire Positioning Knob Trajectory Guide Assembly Thread the K-wire positioning knob into the largest hole, furthest from the K-wire guide slots. Thread the screw positioning knob into the hole nearest to the K-wire guide slots. The K-wire positioning knob controls the mediallateral placement of the trajectory guide. Final positioning is dictated by the laser lines of the capital fragment guidewire. The depth device clicks into the drill sleeve to assemble the K-wire guides. These are placed into the K-wire guide slots. Shifting Device Assembly Thread the capital fragment shifter into the intramedullary hook. At the start of the procedure, the capital fragment shifter should only thread in two to three rotations such that the end of the device is just flush with the intramedullary hook. The capital fragment shifter is offered in two different sizes—small and large. The larger size provides more surface area to push against for patients with poor bone quality. 04 I Arthrex Minimally Invasive Bunionectomy The screw positioning knob controls the distal-proximal placement of the K-wire guides. How It Works A small and simple patent-pending shifting device applies and holds correction of the capital fragment. The threads on the capital fragment shifter allow users to precisely dial in the desired lateral shift depending on the patient’s deformity. Prior to shifting the fragment, a K-wire is advanced through the shifting device, just to the lateral edge of the capital fragment. It is recommended to address any rotational correction prior to advancing this wire. Used together, the entire system works like a triangle, with the tip of the capital fragment wire serving as the aiming point for the screw K-wires. From this diagram, you can see that if the capital fragment wire or the trajectory guide is not placed appropriately, the entire triangular trajectory of the system can be affected. More distal placement of the capital fragment guidewire results in greater screw purchase in the capital fragment. The trajectory guide is placed over the capital fragment guidewire and secured at the laser line. Note: The intramedullary hook must remain engaged in the canal of the metatarsal to hold correction. Arthrex Minimally Invasive Bunionectomy I 05 Beveled FT Screws—4.0 mm and 3.5 mm The Arthrex Minimally Invasive Bunionectomy System also includes Beveled FT screws designed specifically for minimally invasive bunion correction. The 45° beveled head provides a zero-profile construct when fully inserted. The Beveled FT screws have a constant thread pitch compared to Compression FT screws as compression may result in tilting of the capital fragment. The Beveled FT screws also have an increased cannulation. This allows for the use of more robust instrumentation. The increased diameter of the guidewires reduces cortical skiving and provides stability throughout the case. The laser-marked guidewires also allow for quick screw measurements from the depth devices used with the system. Screw Diameter 4.0 mm Beveled FT 3.5 mm Beveled FT K-Wire Size 1.6 mm 1.4 mm Drill Bit 3.6 mm 2.9 mm Driver T15 Hexalobe T10 Hexalobe MIS Parallel Guide This simple, effective device helps with initial or secondary K-wire placement for the Beveled FT screws. These radiolucent parallel guides provide two different angles to advance the screw K-wires towards the capital fragment. The angle options are selected based on surgeon entry point preference, patient anatomy, and shift distance of the capital fragment. These guides allow for a percutaneous approach and can be used with the shifting device. The radiolucent material and ease of application assist with fluoroscopic imaging to confirm wire placement throughout the procedure. 06 I Arthrex Minimally Invasive Bunionectomy Minimally Invasive Bunionectomy Surgical Technique 1 Outline the bony anatomy of the metatarsal, marking the TMT joint and the MTP joint. 3 Make a stab incision on the midline of the metatarsal, just proximal to the sesamoid complex at the metatarsal neck. 2 Mark the midline of the metatarsal shaft. 4 Free the soft tissue at the osteotomy site using the specialized periosteal elevator. Arthrex Minimally Invasive Bunionectomy I 07 5 6 For a transverse osteotomy, introduce the burr at the apex of the osteotomy through both cortices, aiming in a slight plantar direction. First, perform the dorsal cut by rotating the hand plantar (burr moves dorsal). Next, perform the plantar cut by rotating the hand dorsal (burr moves plantar). 7 Use fluoroscopy to confirm that the osteotomy is complete. 08 I Arthrex Minimally Invasive Bunionectomy 8 Insert the hook into the intramedullary canal of the metatarsal. Make an incision where the capital fragment shifter contacts the head of the metatarsal and insert the end of the shifter through the skin onto the bone. Similarly, the initial incision can be extended to fit both the intermedullary hook and shifter. 9 While pulling the toe into varus, confirm appropriate positioning of the shifting device under fluoroscopic imaging. Advance the capital fragment guidewire through the capital fragment shifter to the lateral cortex of the fragment. Capital fragment guidewire placement should be parallel to the articular surface and centered in the sagittal plane. Note: For a bunion with a rotational deformity, apply rotational correction and properly align the sesamoid complex prior to inserting the K-wire into the capital fragment. Arthrex Minimally Invasive Bunionectomy I 09 10 Turn the capital fragment shifter clockwise to shift the capital fragment laterally. 11 Slide the trajectory guide onto the capital fragment K-wire through the K-wire positioning knob. Tighten the K-wire positioning knob onto the capital fragment guidewire such that the thickest laser line of the guidewire is in line with the top of the knob. 12 Turn the screw positioning knob clockwise to fix the proximal placement of the K-wire guide, close to the TMT joint. Ensure that the depth device contacts the metatarsal on the marked midline of the metatarsal shaft. 10 I Arthrex Minimally Invasive Bunionectomy 13 Advance the appropriately sized K-wire through the K-wire guide and into the metatarsal. Ideal placement of the K-wire for the most proximal screw traverses both cortices of the proximal metatarsal prior to penetrating the capital fragment. 4.0 mm screw—1.6 mm K-wire 3.5 mm screw—1.4 mm K-wire 14a 14b Insert the second K-wire guide distal to the first, being sure to skip one slot. Advance the appropriate diameter K-wire through the second K-wire guide. Additionally, the MIS parallel guide can also be used to place a wire distal to the first. Tip: Make an incision to ensure that the depth device is on bone and the bevel is aligned with the surface of the metatarsal. 15 For the most proximal screw, measure the screw length from the laser line on the K-wire. Remove the depth device, leaving the drill sleeve in place. Tip: At this stage, the guide can be removed. Steps 20-24, including measurement, drilling, and screw insertion can be completed over the placed K-wires without the guide. Shorter instrumentation is available for use outside of the guide. Tip: Use the cannulated knife handle to make an incision in line with the placed K-wires. 16 Drill the full length of the wire through the drill sleeve using the appropriately sized drill, leaving the K-wire in place. 4.0 mm screw—3.6 mm drill 3.5 mm screw—2.9 mm drill Arthrex Minimally Invasive Bunionectomy I 11 17 Remove the drill sleeve and insert the desired screw over the K-wire. 4.0 mm screw—T15 hexalobe driver 3.5 mm screw—T10 hexalobe driver 18 With fluoroscopic assistance, confirm that the bevel of the screw is properly aligned with the metatarsal. 19 Repeat steps 15-18 for the second screw. Insert the screw over the K-wire and confirm that the bevel of the screw is properly aligned with the metatarsal. 12 I Arthrex Minimally Invasive Bunionectomy 20 Once both screws have been placed, remove the trajectory guide, shifting device, and any remaining K-wires. Minimally Invasive Bunionectomy Surgical Technique With the MIS Parallel Guide 1 Once the shifting device has been fully placed and the capital fragment has been shifted, hold the parallel guide against the side of the foot. Parallel guide placement should match the declination of the metatarsal and the midline previously drawn. 2 The notch in the distal portion of the parallel guide can abut the post of the shifting device. Arthrex Minimally Invasive Bunionectomy I 13 3 Insert a K-wire into a proximal slot of the parallel guide. Use fluoroscopy to confirm that the desired K-wire trajectory is achieved for the distal wire. 5 Leaving the K-wire in place, slide the parallel guide off the wire. 14 I Arthrex Minimally Invasive Bunionectomy 4 Once the proper slot has been identified, advance the K-wire to its desired end point in the capital fragment. 6 Insert the K-wire into a more distal slot on the parallel guide, moving the guide to a more proximal position on the foot. 7 Insert a K-wire into a proximal slot of the parallel guide. Use fluoroscopy to confirm that the desired K-wire trajectory is achieved for the proximal wire. 9 Once both K-wires have been properly placed, remove the parallel guide and proceed with depth measurement for screw insertion steps. 8 Once the proper slot has been identified, advance the K-wire. Ideal placement of the K-wire for the most proximal screw traverses both cortices of the proximal metatarsal prior to penetrating the capital fragment. 10 Previous steps were shown with the 30° parallel guide. For more vertical wire placement, the 25° parallel guide option can be used. Note: For more proximal wire placement, the MIS parallel guide can be placed midline on the foot at the desired proximal position without abutting the shifting device. Arthrex Minimally Invasive Bunionectomy I 15 Minimally Invasive Akin Osteotomy Surgical Technique 1 Make an incision midline at the proximal phalanx and use the periosteal elevator to elevate the soft tissue both dorsal and plantar. 2 Insert the burr midline at the proximal phalanx and aimed 45° proximal toward the proximal lateral aspect of the proximal phalanx. Be careful not to advance the burr bicortically. 16 I Arthrex Minimally Invasive Bunionectomy 3 Next, rotate the burr dorsal and finally plantar, again ensuring not to violate the lateral cortex. 4 Use fluoroscopy to confirm an adequate osteotomy has been achieved. Manually reduce the osteotomy and insert a K-wire to prepare for definitive fixation. 6 The optional profile drill can be used at this time. 5 Use the beaver blade to create a small incision. Proceed to measure and drill for the Compression FT screw. 7 Insert the Compression FT screw to complete the construct. Optional: The direction of the osteotomy can be altered based on the direction of definitive fixation desired. Arthrex Minimally Invasive Bunionectomy I 17 8 9 Insert the wedge burr through the initial medial incision and proceed to shave down the prominence until it is no longer palpable outside the skin. Final AP and lateral views of the construct. Ordering Information DrillSaw Highspeed 200™ Set (AR-200) Product Description Burr Attachment Item Number Instruments DrillSaw Highspeed 200 Set Console AR-200C Motor w/ Cable, 0-15,000 rpm AR-200M Irrigation Clip AR-200SP Foot Pedal OEM06202400 IV Stand OEM04005900 Motor Support OEM06177800 Disposables, Sterile Product Description Item Number Osteotomies for Lesser Toe Deformity Correction Burr, straight, sterile, 8 mm × 2 mm Burr, straight, sterile, 12 mm × 2.2 mm AR-300-B002 AR-300-B003 Osteotomies for Hallux Valgus Correction Burr, straight, sterile, 13 mm × 2 mm Burr, straight, sterile, 19.5 mm × 2 mm AR-300-B001 AR-300-B201 Bone Resection for Hallux Valgus/Hallux Rigidus Correction Burr, conical, sterile, 13 mm × 4.3 mm Burr, straight, sterile, 13 mm × 2.9 mm Burr, oval, sterile, 15 mm × 5 mm AR-300-B101 AR-300-B102 AR-300-B103 Chevron Osteotomy for Calcaneal Displacement Burr, straight, sterile, 20 mm × 3.1 mm 18 I Arthrex Minimally Invasive Bunionectomy AR-300-B202 Product Description Item Number MIS Burr Adapter, 2.35 mm AR-300B Optional Short Instrumentation (not included in AR-8741S) Product Description Item Number Drill Bit, short, cannulated, 2.9 mm AR-8741-25S Drill Bit, short, cannulated, 3.6 mm AR-8741-32S Driver, short, T10 hexalobe, Beveled FT AR-8741-40S Driver, short T15 hexalobe, Beveled FT AR-8741-42S Profile Drill, short, Beveled FT, 3.5 mm AR-8741-36S Profile Drill, short, Beveled FT, 4.0 mm AR-8741-37S MIS Parallel Guides (ordered separately) Product Description Item Number MIS Parallel Guide, 25° AR-8741G-25 MIS Parallel Guide, 30° AR-8741G-30 Minimally Invasive Bunion Correction System (AR-8741S) Product Description Item Number Instruments Product Description Item Number Implants Beveled FT Screw, 3.5 mm × 20 mm-60 mm (2 mm increments) AR-8735BV-20-60 Beveled FT Screw, 4.0 mm × 20 mm-60 mm (2 mm increments) AR-8740BV-20-60 AR-8741LS-02 2.5 Micro Compression FT™ Screw, 2.5 mm × 14 mm-50 mm (2 mm increments) AR-8725-14H-50H Intramedullary Hook, qty. 2 AR-8741LS-03 Disposables Drill Sleeve, Beveled FT AR-8741-29 Drill, cannulated, 2.0 mm AR-8737-34 Depth Device, Beveled FT AR-8741-28 Drill, cannulated, hard bone, 2.2 mm AR-8737-58 Profile Drill, 3.5 mm Beveled FT AR-8741-36 Guidewire, .86 mm AR-8737-39 Profile Drill, 4 mm Beveled FT AR-8741-37 Guidewire, capital fragment , 1.6 mm AR-8741-16 Driver, T10 hexalobe, Beveled FT AR-8741-40 Guidewire, 1.4 mm, Beveled FT AR-8741-14 Driver, T15 hexalobe, Beveled FT AR-8741-42 Guidewire, 1.6 mm, Beveled FT AR-8741-15 Handle, ratcheting, AO AR-8700RH Drill Bit, cannulated, 2.9 mm AR-8741-25 Depth Device, 2.5 mm Compression FT AR-8737-51 Drill Bit, cannulated, 3.6 mm AR-8741-32 Driver Shaft, 1.5 mm hex, cannulated AR-8737-37 Profile Drill, 2.5 mm Compression FT AR-8737-46 Rasp and Blunt Elevator, small AR-8880-01 Rasp and Blunt Elevator, medium AR-8880-02 Combi Elevator, straight and curved ends, sharp AR-8880-03 Sayre Elevator AR-8954-05 Knife Handle, cannulated AR-8742KH Scalpel Handle, 13 cm 3KL Minimally Invasive Bunion Correction System AR-8741C Minimally Invasive Bunion Screw Caddy AR-8741C-01 Minimally Invasive Bunion Trajectory Guide AR-8741G K-Wire Positioning Knob, qty. 2 AR-8741G-01 Screw Positioning Knob, qty. 2 AR-8741G-02 Capital Fragment Shifter, small, qty. 2 AR-8741LS-01 Capital Fragment Shifter, large Optional Short Instrumentation Product Description Item Number Drill Bit, short, 2.9 mm AR-8741-25S Drill Bit, short, 3.6 mm AR-8741-32S T10 Driver, short AR-8741-40S T15 Driver, short AR-8741-42S Arthrex Minimally Invasive Bunionectomy I 19 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level and/or outcomes. View U.S. patent information at www.arthrex.com/corporate/virtual-patent-marking arthrex.com © 2023-03 Arthrex, Inc. All rights reserved. LT1-000195-en-US_D

Arthrex Minimally Invasive Bunionectomy

KreuLock™ locking compression screws allow surgeons to compress bone fragments and bring the plate to bone while achieving a low-profile construct.

Animations demonstrating the features and benefits of a specific product.

Produktdemonstrationsvideos

Videos de demostración de productos

Product Demonstrations

This animation demonstrates a carpometacarpal (CMC) suspensionplasty using the FiberLock™ suspension system. The FiberLock suspension system uses an all-suture FiberTak® anchor that is placed on the far cortex of the 2nd metacarpal using instrumentation developed specifically for this procedure. SutureTape from the FiberTak anchor is then brought underneath the thumb metacarpal and secured into the base of the 1st metacarpal with a 3.5 mm DX SwiveLock® suture anchor.

CMC Suspensionplasty Using the FiberLock™ Suspension System

CMC Suspensionplasty With the ™ FiberLock Suspension System CMC Suspensionplasty With the FiberLock™ Suspension System Introduction The FiberLock suspension system for carpometacarpal (CMC) arthritis is a two-anchor construct that provides cortical-to-cortical fixation using SutureTape suture. The FiberTak® guide is made to screw into the 2nd metacarpal and to ensure the correct trajectory is maintained while drilling and inserting the anchor. The FiberTak guidewire, drill, and anchor inserter have corresponding laser lines that ensure proper depth is reached to drill past the far cortex and to deploy the anchor. DX SwiveLock SL Anchor on Driver The 3.5 mm SwiveLock® SL anchor is on a shorter handle. The guidewire has a laser line at 10 mm and, when used with the drill guide, the drills have a depth stop to ensure proper depth is achieved. SutureTape is a 1.3 mm flat suture that sits against the saddle of the 1st metacarpal base to hold the suspension out to length. 1.35 mm Guidewires FiberTak Drill DX FiberTak Anchor Guidewire 3.0 mm Drill FiberTak Drill Guide Drill Guide 2.7 mm Drill Free Needle FiberLock™ Suspension System I 03 Surgical Technique Remove the trapezium. A McGlamry elevator can be used to facilitate removal. Place a guidewire from midline in the volar to dorsal plane on the radial base of the 2nd metacarpal through the far cortex, stopping just after the far cortex has been breached. Take care to place the guidewire as transverse as possible while still exiting distal to the 2nd and 3rd metacarpal interspace. This allows the FiberTak® anchor to deploy. Confirm placement of the wire using fluoroscopic guidance. 1 4 3 2 1 2 Once the guidewire breaches the far cortex, place the drill guide over the guidewire and thread the guide into the intramedullary canal. The guide should be firmly in bone without any play. The guide can be inserted up to, but not through, the far cortex if needed to obtain stability. Note which laser line you measure to on the back end of the guide. This will correspond to the drill and the FiberTak inserter to ensure proper depth is reached. 04 I FiberLock™ Suspension System 4 3 2 1 3 Remove the guidewire and then drill with the fluted drill to the same laser mark as used with the preliminary guidewire. Take care not to disengage or move the guide. Surgical Technique (Cont.) Remove the drill. Place the FiberTak® anchor through the guide and advance through the far cortex. While an assistant holds the drill guide, tap lightly on the FiberTak anchor to pass the inserter past the far cortex and to the corresponding laser line. Placement should be confirmed both by the laser line on the inserter and by fluoroscopy. 4 3 2 1 Note: Using fluoroscopic magnification aids in the passage of the anchor. Take multiple shots as the inserter is advanced through the bone to make sure the FiberTak anchor is following the predrilled trajectory. 4 5a The anchor can be set in two ways. The first technique is with the FiberTak inserter still attached to the anchor. Pull the handle back to seat the anchor. Once the anchor feels seated, remove the anchor driver and threaded drill guide as described in the next step. Pull back on the sutures to confirm the anchor has fully deployed against the far cortex. 5b Step 5 Alternative: Remove the suture-release tab from the inserter to free the ends of the suture. Pull the inserter straight out of the guide and unscrew the guide from the 2nd metacarpal. After removing the drill guide, set the FiberTak anchor by pulling back with slow, steady force on the sutures. FiberLock™ Suspension System I 05 Surgical Technique (Cont.) 6 Using the guidewire for the SwiveLock® anchor, insert the guidewire to the laser mark on the radial side of the 1st metacarpal base. The anchor should be midline between volar and dorsal, just dorsal to the insertion of the abductor pollicis longus (APL). This will allow the SutureTape to cross the saddle of the thumb metacarpal base. 8 While capturing both strands of the SutureTape, place the thumb in adduction with slight traction that allows visualization of the SutureTape exiting the 2nd metacarpal. Cut the remaining sutures flush to create the knotless construct. Note: Pulling too much traction on the metacarpal will create a longer SutureTape arm under the metacarpal, decreasing the trapezial height. 06 I FiberLock™ Suspension System 7 Use the blue drill guide and the appropriate drill over the guidewire to prepare the hole for insertion of the SwiveLock anchor. 9 Final construct. Ordering Information FiberLock™ Suspension Implant Kit Product Description Item Number DX FiberTak® Anchor on Short Driver Without Needles Guidewire for FiberTak Anchor, 1.35 mm FiberTak Drill, 1.6 mm FiberTak Drill Guide Free Needle 3.5 DX SwiveLock® SL Anchor on Short Driver Drill Bit, DX SwiveLock SL, cannulated (soft bone), 2.7 mm Drill Bit, DX SwiveLock SL, cannulated (normal bone), 3.0 mm Guidewire w/ Trocar Tip, 1.35 mm, qty. 2 Drill Guide With Depth Stop AR-8988-CP Optional DX Button, 2.6 mm × 8 mm AR-8919-SS FiberLock™ Suspension System I 07 View U.S. Patent information at www.arthrex.com/corporate/virtual-patent-marking This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. arthrex.com © 2022 Arthrex, Inc. All rights reserved. LT1-000216-en-US_B

Snap-Off Compression FT pins are an innovative new technology for small-joint arthrodesis and fracture repair for both upper and lower extremities.

Snap-Off Compression FT Pins

Steven J. Lee, MD (New York, NY), performs a distal radius fracture reduction using the NanoNeedle Scope for fracture visualization and the 2.4 mm Sterile Distal Radius Implant Kit. The implant kit contains all instrumentation and implants needed to perform the reduction.

Distal Radius Fracture Fixation With the Sterile Distal Radius Implant Kit

Snap-Off Compression FT Pins Surgical Technique Snap-Off Compression FT Pins Introduction Snap-Off Compression FT pins offer solutions for both the upper and lower extremities as well as in the trauma setting. The ease of use, variable-stepped thread pitch, and wide range of screw lengths in diameters of both 1.9 mm and 2.4 mm represent an innovative new technology for use in arthrodesis of joints and for repair and reconstructions of intra-articular and extra-articular fractures. They offer compression of bone fragments for a wide range of indications and can be used in conjunction with other Arthrex products. 01 I Snap-Off Compression FT Pins Variable-Stepped Thread Pitch–the screw tip’s wider thread pitch enters the bone faster than trailing threads, gradually compressing the fragments as the screw is advanced. Multiple size options available in both 1.9 mm and 2.4 mm diameters Self-drilling and self-tapping to facilitate easy insertion Solid, trimmable versions available Quick and convenient surgical technique Available in titanium Snap-Off Compression FT Pins Surgical Technique 1 After initial reduction, introduce the appropriately sized, calibrated measuring K-wire across the fracture or fusion site. Confirm wire placement position and appropriate depth under imaging. 2 The measuring drill guide may be used as both a tissue protector and a depth device for the K-wires and hard bone drills. If hard bone is present, the corresponding hard bone drill may be used. 3 Measure the K-wire using the depth gauge. 4 Slide the pin insertion guide over the K-wire and down to bone. Note: The corresponding single, or double, laser mark will indicate the correct size implant. Snap-Off Compression FT Pins I 02 5 While maintaining the position of the pin insertion guide and entry point, remove the K-wire. 7 Insert the implant until the laser mark on the shaft of the implant is no longer visible above the pin insertion guide, or until the snapping feature of the implant is flush with the cortex. Note: Use caution when advancing on power as to not over-insert the implant. 03 I Snap-Off Compression FT Pins 6 Introduce the Snap-Off Compression FT pin through the pin insertion guide. 8 Slide the pin insertion guide up the shaft and away from the bone to visually confirm the threads are buried, and the snapping feature is flush with the cortex. Remove the guide. Confirm position under imaging. 9 If minor adjustments are necessary, use the locking pin driver to advance or retract the implant to the desired depth. 11 This action may also be facilitated using the pin insertion guide as a fulcrum point. 10 With the pin fully inserted, stabilize the fixation site and bend the shaft in a singular direction until it separates from the threaded portion of the implant. 12 Check final placement under imaging. Snap-Off Compression FT Pins I 04 13 If removal is necessary, use the corresponding pin extractor on power and in reverse to expose the head of the implant and engage with the threads. 14 Apply downward force while on reverse. Once the extractor has engaged the threads of the implant, continue in reverse to remove the implant entirely. Note: Ensure that the extractor is oriented in the same axis as the implant. 15 If the implant is unintentionally left proud, you have multiple options to address this. 05 I Snap-Off Compression FT Pins 16 Advance the implant further using the locking pin driver. 17 18 If fixation and position is sufficient, cut the implant flush with the pin cutter. Any small fragment that is cut off should be contained by the rubber inserts in the cutter. Ordering Information Snap-Off Compression FT Pins (AR-9938S) Product Description Item Number Instruments Pin Insertion Guide AR-9938-01 Measuring Drill Guide AR-9938-02 Depth Device AR-9938-03 Locking Pin Driver AR-9938-09 Pin Cutter AR-9938-11 Cannulated Scalpel Handle, 1.35 mm AR-9938-12 Implants 1.9 mm Snap-Off Compression FT Pins, 10 mm-50 mm AR-9919-10-50 2.4 mm Snap-Off Compression FT Pins, 10 mm-50 mm AR-9924-10-50 Compression FT Pin, solid (sterile), 1.9 mm × 30 mm AR-9919T-30S Compression FT Pin, solid (sterile), 1.9 mm × 50 mm AR-9919T-50S Compression FT Pin, solid (sterile), 2.4 mm × 30 mm AR-9924T-30S Compression FT Pin, solid (sterile), 2.4 mm × 50 mm AR-9924T-50S Disposables for 1.9 mm Snap-Off Compression FT Pins Calibrated Measuring K-Wire, 1.1 mm, qty. 6 AR-9938-04 Hard-Bone Drill, 1.5 mm, qty. 2 AR-9938-05 Pin Extractor, 1.9 mm, qty. 2 AR-9938-08 Disposables for 2.4 mm Snap-Off Compression FT Pins Calibrated Measuring K-Wire, 1.35 mm, qty. 6 AR-9938-10 Hard-Bone Drill, 1.7 mm, qty. 2 AR-9938-06 Pin Extractor, 2.4 mm, qty. 2 AR-9938-07 Snap-Off Compression FT Pins I 06 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. View U.S. patent information at www.arthrex.com/corporate/virtual-patent-marking arthrex.com © 2022 Arthrex, Inc. All rights reserved. LT1-000253-en-US_A

The next generation of the Arthrex MIS platform, the MIS Achilles SpeedBridge™ system uses a percutaneous approach for the treatment of insertional Achilles pathology.

AAOS 2024 Annual Meeting: Extremities Feature Products