Lower Extremities | M.R.S. Ortho

Lower Extremeties

MRS Ortho proudly distributes the full line of In2Bones, Extremity Medical, and Medline surgical products.

Each surgical system listed below links to the Extremity Medical website, where you can find more information on that specific system.

5th METATARSAL FRACTURE REPAIR

Jones Union System
DESIGNED FOR 5th METATARSAL ANATOMY

Screws designed to optimize purchase and compression specifically for Jones unions

Distal threads have a cortical thread pitch
Proximal threads have a cancellous thread pitch

Innovative instruments

Intramedullary reamers provide a local autogenous graft to assist in healing
Instruments assist in placing the shortest screw to avoid fracture displacement

ANKLE FRACTURE SYSTEM

Omni AF Ankle Fracture System

• Anatomically contoured for optimal patient fit
• Unique distal screw hole clusters designed to offer multiple screw placement options.
• Low profile and chamfered lead-in edges minimize soft tissue irritation.

ANKLE FUSION SYSTEM

AlignX® Ankle Fusion

Establish maximum compression across the joint and robust fixation rigidity for challenging patient anatomies with one implant and one incision.

CANNULATED IMPLANTS

Hammer Fix
IP Fusion System

PEEK improves stability as it mimics the stiffness of cortical bone
Designed to provide stable IP Joint Fixation
Cannulated Design allows for the option to pin the MPJ temporarily

CHARCOT FIXATION SYSTEM

Axis Beam^® Charcot Fixation System

The Axis Fixation System provides a Superconstruct™ designed to:

Bridge Beyond the Area of Injury
Optimize Implant Strength
Maximize Mechanical Function

Axis Plate^® Charcot Fixation System

Amplifies compression regardless of the patient’s bone quality
Adds multiplanar fixation and stability for enhanced construct durability
Reduces risk of implant pullout

COMPRESSION SCREWS

CompressX2 Compression Screw

With precision instrumentation, the CompressX2 headless compression screw system offers a variety of diameters and lengths to cover all the bases for mid and rear-foot procedures.

LOW PROFILE FOOT

Omni Plating System

PlantarFiX Post uses advanced technology to provide greater compression across the joint and increase stability, which reduces the risk of plantar gapping and improves fusion outcomes, regardless of patient bone quality.

Omni MTP
Consistent Plantar-side Compression

• Post acts as a metal cortex
• Lag Screw interdigitates with Post plantar (where it is needed most)
– Lag compression not dependent on bone quality
– Better lag screw purchase = better compression Increased Stability
• Lag Screw/Post interface enhances pull-out strength

MIDFOOT FUSION

IO Fix 2.o

Unique X-Post technology distributes compressive force across greater surface area, delivering uniform compression and higher peak compression. The X-Post creates a reinforced bone bridge that provides higher peak compression and added stability in compromised bone.

IO Fix Plus (Classic)

The unique Post system in IO Fix delivers and maintains better lag screw purchase—delivering consistent plantar side compression. Performs even in patients with poor bone quality.

IO Fix Trio

The low-profile Trio plate provides uniform compression and rotational stability—without any lateral wall hardware, to minimize peroneal tendon irritation.

STAPLE SYSTEMS

Express Staple System

High-quality titanium construction inserter with fast and consistent loading of the low-profile staple. Available in two reusable instrument kits, eliminating the waste of plastic inserters. Sized for all foot and ankle applications.

SALES

Contact your local Extremity Medical sales representative

ABOUT

To learn more about Extremity Medical, visit their website.

Extremity Medical Website

PRESS RELEASES & ARTICLES

For Extremity Medical press releases & articles visit their website

Extremity Medical PR

CONTACT

To contact Extremity Medical, visit their website

Extremity Medical Contact

Each surgical system listed below links to the In2Bones website, where you can find more information on that specific system.

5th METATARSAL FRACTURE REPAIR

5MS^®Bunionette Plate
Low-profile plate designed to provide strong fixation of 5^th metatarsal diaphyseal osteotomies.

$5th met jones fracture screws$ 5MS^® Jones Fracture Screws
The dual lead primary threads and differential pitch secondary threads provide increased rotational stability of bone fragments, while the uniquely designed low profile head provides improved holding power.

5MS^® Lateral Neck Plate
Anatomically curved and scalloped to fit the midshaft metatarsal and distal metatarsal tuberosity.

5MS^® Plantar Plates
Designed for improved resistance to torsion and plantar gapping for highly active patients including athletes.

5MS^® Pseudo Jones Hook Plate
Plate hooks are placed intra-osseous, proximal to the fracture to provide a means of reducing the avulsed fragment.

ALLOGRAFT NAIL - CHEVRON & AUSTIN

ENGINEERED STERILE ALLOGRAFT
AlloAid^®NAIL
New Fixation for Chevron/Austin Osteotomies
Engineered with multiple wedge facets
Designed to anchor the Nail in the bone and secure bone segments together

ALLOGRAFT PIP ARTHRODESIS

AlloAid^®PIP
ENGINEERED STERILE ALLOGRAFT FOR ARTHRODESIS

Straight and 10° Angled Configurations

Designed with Positioning Ramps at the joint line to help accurately position the implant and assure a press fit, and reduce the chance of subsidence.

ANKLE FUSION NAIL

TriWay^TMAnkle Fusion Nail
TibioTaloCalcaneal Arthrodesis System
– Solid nail for increased strength with cannulated reaming system for ease of insertion
– Anatomical 7° Posterior Offset Nail
– Multi-planar fixation for optimal stability
– Radiolucent targeting guide with aiming guide for subtalar compression screw

COMPRESSION SCREWS

STERILE DELIVERY I.B.S.^®C Sterile Screws
With Instruments
Individually Packaged
2.0, 2.5, 3.0, 3.5, 4.5, 6.5 and 8.0mm

ENDOSCOPIC SOFT TISSUE RELEASE

ClearGuard LE^TM
ENDOSCOPIC SOFT TISSUE RELEASE SYSTEM
360° Panoramic Visualization
Proprietary Guided Track System

HEADLESS COMPRESSION SCREWS

In2Bones headless compression screws for foot and ankle STERILE DELIVERY
I.B.S.^®C Sterile Screws
With Instruments
Individually Packaged
2.0, 2.5, 3.0, 3.5, 4.5, 6.5 and 8.0mm

LOW PROFILE FOOT & ANKLE PLATING

$In2Bones low profile ankle fracture plating system$ Ultra Low Profile
CoLink^® Afx
ANKLE FRACTURE PLATING SYSTEM

CoLink^®NX Plate
Up to 1.5mm of compression is possible using the Compression Slot, an elliptical slot with progressive depth.

UNIQUE, SEE-THROUGH PLATING
CoLink^®View Plates
Dynamic, Transverse Compression

CoLink^®XP Plating System
MTP, Lapidus, H-Plates, Y-Plates as well as several Universal Plates

MTP ARTHROPLASTY

Reference Toe System^®
1^ST MTP Implant
– No angled cuts
– Broachless implantation
– Angled metatarsal stem matches natural declination angle

RTS^®Lesser MTP
Implant System
– For Treatment of Degenerative, Painful, and/or Alignment Deformities of the Lesser MTP Joints
– Designed to Eliminate Pain and Restore Joint Function

PEEK PIP IMPLANT

PEEK
DuaFit^®PIP
Proximal Interphalangeal Implant

4 lengths
2 angles: 10° and 0°

PEEK STAPLES

PEEK COMPRESSION STAPLE
O.S.2^®VP Fixation
Low Profile Design
For Akin type osteotomies with compression on release
26° Angles option to match the metaphysis of the phalanx

In2Bones peek staples for foot and ankle

SNAP-OFF SCREWS

STERILE DELIVERY
I.B.S.^®S Sterile Screws
With Instruments
SNAP-OFF SCREWS
Individually Packaged
2.2 and 2.7mm

STAPLES

NeoSpan^®SE SUPERELASTIC COMPRESSION STAPLE
Sterile, Disposable Kit with Instrumentation
Easy To Use Staple Inserter
Designed to deliver constant active compression
Multiple sizes from 8 to 25mm

NeoSpan Hercules^®SE SUPERELASTIC COMPRESSION STAPLE
Sterile, Disposable Kit with Instrumentation
Easy To Use Staple Inserter
STRENGTH = Solid 2.5mm legs for strength and reliable, constant active compression
Multiple sizes from 15 to 25mm

SUBTALAR IMPLANT

In2Bones compression screws for foot and ankle Compressive Stability
CoLag^®CS Screws
Differential Pitch Compression
Unique Thread / Head Design Creates Compressive Stability^SM
Available in 2.5, 3.0, 4.0, 5.0 & 6.7mm Dia.

PitStop^®
Subtalar Implant
Anatomical Shape with Lock-in Flanges
X-ray Markers for Placement Confirmation
Invisible on x-ray

SALES

Contact your local In2Bones sales representative

ABOUT

To learn more about In2Bones, visit their website.

In2Bones Website

PRESS RELEASES & ARTICLES

For In2Bones press releases & articles, visit their website

In2Bone PR

CONTACT

To contact In2Bones, visit their website

In2Bones Website

Each surgical system listed below links to the Medline website, where you can find more information on that specific system.

ANCILLARY FOOT RECON PLATING SYSTEM

TNC Extension Revision Plate

The uniquely contoured TNC (Talo-Naviculo-Cuneiform) Extension Revision plate is the first of its kind to address complex clinical scenarios involving the midfoot and hindfoot. The plate has been specially designed to fit dorsally and span the Navicular for TN non-union revisions, Navicular AVN (Mueller-Weiss Syndrome) cases, degenerative flatfoot cases with midfoot collapse/sag, and Lisfranc injuries that extend proximally through the NC/TN joints. The plate features our advanced dual-mode compression technology, giving the surgeon the freedom to select either traditional dynamic compression or cross-plate interfragmentary compression.

Sizes/Options:
Universal
Polyaxial Locking: Ø2.7/3.5/4.0mm

NC Fusion Plates

NC Fusion plates feature our advanced dual-mode compression technology, giving the surgeon the freedom to select either traditional dynamic compression or cross-plate interfragmentary compression. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Left and Right
Polyaxial Locking: Ø2.7/3.5/4.0mm

Cotton Osteotomy Plate

The Cotton plate is designed specifically to fit the anatomy following a plantarflexing osteotomy of the medial cuneiform, and can be used over our pre-hydrated, pre-shaped Cotton Wedge Bioimplant. The system comes equipped with an articulating pin distractor, and trials are available for use with the wedge allografts.

Sizes/Options:
Universal
Polyaxial Locking: Ø2.7/3.5/4.0mm

Middle Column Fusion Plates

The uniquely contoured Middle Column Fusion plates are the first of their kind to address complex midfoot arthritis patterns with NC joint involvement. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Standard and Large (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Evans Osteotomy Plates

The Evans Osteotomy Wedge plates are designed with barbs to securely anchor onto the proximal cortex, while a flat plate is available to be used over our pre-hydrated, pre-shaped Evans Wedge Bioimplant. The system comes equipped with an articulating pin distractor, and trials are available for use with the wedge allografts.

Sizes/Options:
0mm, 6mm, 8mm, and 10mm Wedge
Polyaxial Locking: Ø2.7/3.5/4.0mm

TNCM Extension Revision Plate

The uniquely contoured TNCM (Talo-Naviculo-Cuneiform-Metatarsal) Extension Revision plate is the first of its kind to address complex clinical scenarios involving the midfoot and hindfoot. The plate has been specially designed to fit dorsally and span the Navicular for TN non-union revisions, Navicular AVN (Mueller-Weiss Syndrome) cases, degenerative flatfoot cases with midfoot collapse/sag, and Lisfranc injuries that extend proximally through the NC/TN joints. The plate features our advanced dual-mode compression technology, giving the surgeon the freedom to select either traditional dynamic compression or cross-plate interfragmentary compression.

Sizes/Options:
Universal
Polyaxial Locking: Ø2.7/3.5/4.0mm

MDCO Plates

MDCO plates feature a compression hole that targets the sustentaculum tali to help firmly compress the calcaneal tuberosity.

Sizes/Options:
5mm, 7.5mm, and 10mm Step
Polyaxial Locking: Ø2.7/3.5/4.0mm

Medial Column Fusion Plates

Medial Column Fusion plates feature our advanced dual-mode compression technology, giving the surgeon the freedom to select either traditional dynamic compression or cross-plate interfragmentary compression. Additionally, these plates are up to 2.5mm thick in certain sections and accommodate up to Ø4.0mm locking and non-locking screws for patients requiring more robust fixation. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Standard and Long (Left and Right)
Talus Extension Standard and Long (Left and Right)
Polyaxial Locking: Ø2.7/3.5/4.0mm

ANKLE FRACTURE SYSTEM

ANKLE FRACTURE PLATING SYSTEM

Syndesmosis Buttress Plates

Syndesmosis buttress plates are thinner and narrower than Medline’s traditional straight plates, and more similar to the Flex Fibula plate design, with the added advantage of the SYNDEX™ with Constrictor® Technology specific button feature, allowing for the lowest profile construct to minimize soft tissue irritation.

Sizes/Options:
2-Hole
4-Hole

Flex Fibula Plates

Flex Fibula plates provide a unique, hybrid solution when neither anatomical plates nor conventional one-third tubular plates are ideal for the patient’s anatomy or fracture pattern. Compared to traditional, more robust or rigid one-third tubular plates, the low profile, scalloped design of the Flex Fibula plates is more malleable and can be contoured in-situ with ease. An in-line, closely spaced two hole cluster allows the plate to achieve more fixation distally when used in lieu of anatomical plates.

Sizes/Options:
4-, 5-, 6-, 7-, 8-, 9-, 10-, 11-, 12-Hole (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Posterolateral Tibia Plates

Optimized for the treatment of tri-malleolar ankle fractures and the posterior approach, the Posterolateral Tibia plates feature a built-in anterosuperior screw trajectory to avoid impinging the tibiotalar joint space. Longer and more robust posterolateral tibia options are available in the Distal Tibia Plating System.

Sizes/Options:
Small and Standard (Left and Right)
Polyaxial Locking: Ø2.7/3.5/4.0mm

SYNDEX™ with Constrictor® Technology

SYNDEX™ with Constrictor® Technology is a knotless adjustable button technology indicated for syndesmosis repair. The implant features a novel, self-locking design to help prevent loss of reduction. The device demonstrates superior fixation under cyclic loading and a substantial difference in load-to-failure compared to the market leader¹. UNITE Lateral Fibula plates feature specially designed holes to accommodate the lateral suture button with minimal prominence.

Sizes/Options:
One Size

Lateral Fibula Plates

Lateral Fibula plate feature specially designed slots to accommodate the SYNDEX™ knotless syndesmosis implant’s lateral button, as well as Ø3.5mm or Ø4.0mm syndesmotic screws up to 60mm in 2mm increments to avoid medial soft tissue irritation. The system comes equipped with a unique articulating fibula lengthening distractor and DrillGauge system for increased efficiency.

Sizes/Options:
Extra Small, Small, Medium, and Large (Left and Right)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Malleolar Hook Plates

The Malleolar Hook plates features long, sharp hooks for enhanced small fragment fixation, while its guide aids in proper plate alignment and trajectory for the optional homerun screw.

Sizes/Options:
Small and Standard (Left and Right)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Straight Tibia-Fibula Plates

Straight Tibia-Fibula plates are stronger, yet more malleable than conventional stainless steel one-third tubular plates, and accommodate Ø2.7mm, Ø3.5mm, or Ø4.0mm polyaxial locking or non-locking screws in any hole. The system comes equipped with a unique articulating fibula lengthening distractor and DrillGauge system for increased efficiency.

Sizes/Options:
3-, 4-, 5-, 6-, 7-, 8-, 9-, 10-, 11-, 12-Hole (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Posterior Fibula Plates

Optimized for the treatment of tri-malleolar ankle fractures and the posterior approach, the Posterior Fibula plates offer superior distal fixation and fit compared to conventional one-third tubular plates. The system comes equipped with the unique DrillGauge system for increased efficiency.

Sizes/Options:
Extra Small, Small, Medium, and Large (Left and Right)
Polyaxial Locking: Ø2.7/3.5/4.0mm

ANKLE FUSION PLATING SYSTEM

Pilon Primary Fusion Plates

Primary Pilon Fusion Plates are designed with a distal row of screw holes which accept either 3.5 mm or 4.0 mm polyaxial locking screws. An additional larger hole accommodates either a single 4.5 or 5.5 mm locking screw. The plate is designed for patients with severely comminuted distal tibia fractures with intra-articular involvement where primary arthrodesis of the tibiotalar joint is indicated. These plates feature a long anterolateral proximal shaft to span comminution up through the metadiaphyseal region.

Sizes/Options:
Universal (Left and Right)
Polyaxial Locking: ø3.5/4.0/4.5/5.5mm

Petite Inline Plates

Inline and T-Style Petite plates are designed to be used in conjunction with an arthroscopic MIS or mini-open surgical technique, and may be used with crossing lag screws. The plates require a smaller incision when compared to traditional anterior plating options, and may be ideal for patients with smaller anatomy, such as a narrow or short talar neck.

Sizes/Options:
Small and Standard (Universal)
Polyaxial Locking: ø4.5/5.5mm

Posterior TTC Fusion Plates

The Posterior TTC plates are ideal when a traditional anterior approach is not viable due to a poor soft tissue envelope or anatomical abnormalities of the talar neck. The plates are contoured to hug the posterior lip without the need for resection. The design includes three points of fixation in the calcaneus and may be used in lieu of the lateral approach plate to spare removal of the fibula.

Sizes/Options:
Universal (Left and Right)
Polyaxial Locking: ø3.5/4.0/4.5/5.5mm

Standard Anterior Plates

The standard anterior plate options are designed for a traditional open ankle fusion approach with maximum fixation in the talus. Plates are designed with a distal row of screw holes which accept either 3.5 mm or 4.0 mm polyaxial locking screws. An additional larger hole accommodates either a single 4.5 or 5.5 mm locking screw.

Sizes/Options:
Small and Standard (Left and Right)
Polyaxial Locking: ø3.5/4.0/4.5/5.5mm

Petite T-Style Plates

Sizes/Options:
Small and Standard (Universal)
Polyaxial Locking: ø4.5/5.5mm

Lateral TTC Fusion Plates

Lateral TTC Fusion plates feature three dedicated holes allowing for compression across both the subtalar and the tibiotalar joints, as well as a minimum of three locking holes in each bone to ensure a robust construct.

Sizes/Options:
Universal (Left and Right)
Polyaxial Locking: ø4.5/5.5mm

Anterior Short Talar Neck

The short talar neck plate options are ideal for surgeons utilizing a traditional open ankle fusion approach with a distal cluster designed to avoid impingement of the talonavicular (TN) joint. The distal aspect of the plate accommodates two 4.5 mm or 5.5 mm polyaxial locking screws.

Sizes/Options:
Small and Standard (Left and Right)
Polyaxial Locking: ø4.5/5.5mm

Posterior TT Fusion Plates

The Posterior TT plates are ideal when a traditional anterior approach is not viable due to a poor soft tissue envelope or anatomical abnormalities of the talar neck. The plates are contoured to hug the posterior lip without the need for resection.

Sizes/Options:
Universal (Left and Right)
Polyaxial Locking: ø4.5/5.5mm

CALC FRACTURE PLATING SYSTEM

Sinus Tarsi Plates

Designed to address all fracture patterns including those with heavy comminution through a minimally invasive sinus tarsi approach. The plates are available in both standard and offset configurations in order to address variations in patient anatomy.

Sizes/Options:
Standard and Offset
Small, Medium, Large (Left and Right)
Polyaxial Locking: Ø3.5mm *Ø2.7/4.0mm locking and non-locking screws available in the Core and Ancillary Foot Recon trays.

Sinus Tarsi Extension Plates

The extension plates are designed to address fracture patterns with significant collapse and involvement of the posterior tuberosity with the aid of a dedicated plate inserter. The inserter features an adjustable arm for use with all plate sizes, along with drill and screw sleeve inserts, allowing for percutaneous locking screw fixation of the posterior plate hole cluster.

Sizes/Options:
Small, Medium, Large (Left and Right)
Polyaxial Locking: Ø3.5mm *Ø2.7/4.0mm locking and non-locking screws available in the Core and Ancillary Foot Recon trays

Posterolateral Tibia Plates

Sizes/Options:
Small and Standard (Left and Right)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Perimeter Plates

Made from CP4 commercially pure titanium, the perimeter plates are more malleable than the sinus tarsi style plates for greater ease of contouring. The plates are designed for complete coverage of the lateral calcaneal wall through an extensile lateral approach.

Sizes/Options:
Small, Medium, Large (Left and Right)
Polyaxial Locking: Ø3.5mm *Ø2.7/4.0mm locking and non-locking screws available in the Core and Ancillary Foot Recon trays

CORE FOOT RECON PLATING SYSTEM

MTP Fusion Plates

MTP Fusion plates are designed with a narrower, elongated distal cluster for reduced prominence over the proximal phalanx and easier soft tissue closure. Plates are available in various dorsiflexion angle and length options to address variations in patient size. The system comes equipped with metatarsal and phalangeal joint reamers and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Extra Small, Small, Medium, Revision, and Long Revision (Left and Right))
0°, 5°, and 10° Dorsiflexion Options
Polyaxial Locking: Ø2.7/3.5/4.0mm

Utility Compression Plate

Utility Compression plates are available in two lengths and feature one polyaxial locking hole and one oblong compression slot. These plates are ideal for instances where plate fixation is desired in areas with limited space. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Standard and Long (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Lisfranc Plates

Unique deconstructed U-style Lisfranc plates address variations in injury pattern and patient anatomy. The non-constraining designs provide the intraoperative flexibility to choose the most appropriate construct for isolated TMT joints. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
1st TMT ICJ Bridging Arm (Left and Right)
2nd TMT ICJ Bridging Arm (Left and Right)
Straight 3-, 4-, 5-Hole (Universal)
Offset 4- and 5-Hole (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Lapidus Dual-Mode Compression

Lapidus Dual-Mode Compression plates feature our advanced dual-mode compression technology, giving the surgeon the freedom to select either traditional dynamic compression or cross-plate interfragmentary compression. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Left and Right
Polyaxial Locking: Ø2.7/3.5/4.0mm

Midfoot Fusion Straight Plates

Midfoot Fusion Straight plates provide an alternative option when anatomically designed plates may not be ideal for a specific patient or procedure. The plates are available in a variety of lengths and accommodate Ø2.7mm, Ø3.5mm, or Ø4.0mm polyaxial locking or non-locking screws in any hole for maximum versatility.

Sizes/Options:
3-, 4-, 5-, 6-, 7-, 8-Hole (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

TN Fusion Plates

TN Fusion plates feature our advanced dual-mode compression technology, giving the surgeon the freedom to select either traditional dynamic compression or cross-plate interfragmentary compression. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Standard and Large (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

Lapidus Plates

The extensive Lapidus plate family offers standard (primary), revision (graft-spanning), intercuneiform joint-bridging, and step-off options to address various scenarios encountered during 1st TMT joint arthrodesis. All plates feature an oblong slot with a steep ramp design, strategically located over harder diaphyseal bone for more effective joint compression. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Standard, Revision Graft-Spanning, 1, 2, 3, and 4mm Step (Universal)
1st TMT ICJ Bridging Arm (Left and Right)
Polyaxial Locking: Ø2.7/3.5/4.0mm

TMT Fusion Plates

TMT Fusion plates feature a 15 degree plantar bend for a more anatomical fit, and are available in both straight and offset “T” configurations in various lengths. The system comes equipped with an articulating pin distractor, a small joint arthrotome, and fluted joint fenestration drill pins to prepare the fusion site.

Sizes/Options:
Straight 3-, 4-, 5-Hole (Universal)
Offset 4- and 5-Hole (Universal)
Polyaxial Locking: Ø2.7/3.5/4.0mm

DISTAL TIBIA PLATING SYSTEM

IM Fibula Implant

The IM Fibula Implant is designed to address transverse fibula fractures requiring intramedullary fixation. The implant features a tapered diameter to fit within the fibular canal, with a dual-lead thread for faster insertion. It comes included in the Distal Tibia Plating System set to reduce cost and inefficiency of pulling another tray with an extra long screw, such as a pelvic fracture set..

Sizes/Options:
Ø3.7/4.0mm: 65 – 150mm

Anterolateral Distal Tibia Plates

Anterolateral Distal Tibia plates feature a lateral tab with a machined relief on the underside of the plate to allow for bending and contouring to capture the Chaput fragment. The machined relief feature also allows for easier removal of the tab if desired. Plates feature a transitional profile with a robust shaft proximally, and a lower profile design distally to minimize hardware prominence in an area with minimal soft tissue coverage. Medial screw trajectories are oriented to obtain maximum bone purchase from the surgical approach and plate placement. The Distal Tibia Plating System is an ancillary tray that complements the core Ankle Fracture Plating System. The tray comes equipped with additional instrumentation including a ball spike pusher and locking wheel clamp to aid in reduction, as well as a plate inserter to facilitate proper plate positioning and orientation.

Sizes/Options:
4-Hole (88mm)
6-Hole (112mm)
8-Hole (120mm)
10-Hole (144mm)
12-Hole (168mm)
14-Hole (196mm)
16-Hole* (216mm)
18-Hole* (240mm)
Left and Right
Polyaxial Locking: Ø2.7/3.5/4.0mm

Anterior Distal Tibia Plates

Anterior Distal Tibia plates feature a low-profile distal cluster that hugs the anterior tibial crest to minimize hardware prominence in an area with minimal soft tissue coverage. The Anterior Distal Tibia plate feautres nine points of fixation, with on-axis screw trajectories that aim superior to the ankle joint. These plates are ideal for clinical scenarios including anterior shearing fractures or multiple anterior fragments, without significant extension into the tibial shaft. The Distal Tibia Plating System is an ancillary tray that complements the core Ankle Fracture Plating System. The tray comes equipped with additional instrumentation including a ball spike pusher and locking wheel clamp to aid in reduction, as well as a plate inserter to facilitate proper plate positioning and orientation.

Sizes/Options:
3-Hole (62mm)
6-Hole (98mm)
9-Hole (134mm)
Universal
Polyaxial Locking: Ø2.7/3.5/4.0mm

Posterolateral Distal Tibia Plates

Posterolateral Distal Tibia plates are designed for severely comminuted fractures requiring a posterior approach. The plates feature an anatomical design similar to the smaller Posterolateral Tibia plates in the Ankle Fracture system, with additional holes distally for greater fixation, and longer length options to address segmental fractures that extend proximally into the tibial shaft. The Distal Tibia Plating System is an ancillary tray that complements the core Ankle Fracture Plating System. The tray comes equipped with additional instrumentation including a ball spike pusher and locking wheel clamp to aid in reduction, as well as a plate inserter to facilitate proper plate positioning and orientation.

Sizes/Options:
3-Hole (58mm)
5-Hole (82mm)
7-Hole (106mm)
9-Hole (130mm)
Left and Right
Polyaxial Locking: Ø2.7/3.5/4.0mm

Medial Distal Tibia Plates

Medial Distal Tibia plates feature a distal tab with a machined relief on the underside of the plate to allow for bending and contouring to adapt to anatomical variations from patient-to-patient and hug the medial malleolus. The machined relief feature also allows for easier removal of the tab if desired. Plates feature a transitional profile with a robust shaft proximally, and a lower profile design distally to minimize hardware prominence in an area with minimal soft tissue coverage. The Distal Tibia Plating System is an ancillary tray that complements the core Ankle Fracture Plating System. The tray comes equipped with additional instrumentation including a ball spike pusher and locking wheel clamp to aid in reduction, as well as a plate inserter to facilitate proper plate positioning and orientation.

Sizes/Options:
4-Hole (72mm)
6-Hole (96mm)
8-Hole (136mm)
10-Hole (160mm)
12-Hole (184mm)
14-Hole (208mm)
16-Hole* (232mm)
18-Hole* (256mm)
Left and Right
Polyaxial Locking: Ø2.7/3.5/4.0mm

MINI FOOT PLATING SYSTEM

Metatarsal Straight Plates

Unlike general mini frag style plates, these plates are designed specifically for lesser metatarsal fractures and osteotomies, and accommodate Ø2.0mm, Ø2.4mm, or Ø2.7mm polyaxial locking or non-locking screws in any hole for greater patient-customized fixation. The short, 4-hole plates feature a unique bridge for increased strenght when spanning fractures or osteotomies.

Sizes/Options:
4-, 5-, 7-, 9-Hole
Polyaxial Locking: Ø2.0/2.4/2.7mm

Metatarsal Z Plates

Metatarsal Z plates function as a unique and more robust fixation option for fractures of the 1st and 5th metatarsals.

Sizes/Options:
Small, Medium, Large
Polyaxial Locking: Ø2.0/2.4/2.7mm

Talar Neck Fracture Plate

The Talar Neck Fracture plate features a bracket design with diverging screw trajectories for secure fracture fixation.

Sizes/Options:
Universal
Polyaxial Locking: Ø2.0/2.4/2.7mm

Metatarsal T Plates

Sizes/Options:
4-, 5-, 7-, 9-Hole
Polyaxial Locking: Ø2.0/2.4/2.7mm

Cuboid Fracture Plate

The Cuboid Fracture plate is anatomically contoured and provides eight screw holes for greater fixation when addressing comminuted fracture patterns.

Sizes/Options:
Universal
Polyaxial Locking: Ø2.0/2.4/2.7mm

Metatarsal L Plates

Sizes/Options:
4-, 5-, 7-, 9-Hole
Polyaxial Locking: Ø2.0/2.4/2.7mm

5th Metatarsal Hook Plates

The 5th Metatarsal Hook plate system utilizes a unique guide and inserter to aid in proper plate alignment, fracture reduction, and plate placement for increased speed and efficiency.

Sizes/Options:
Standard and Large (Left and Right)
Polyaxial Locking: Ø2.0/2.4/2.7mm

Navicular Fracture Plate

Navicular Fracture plates are anatomically contoured and provide nine screw holes for greater fixation when addressing comminuted fracture patterns.

Sizes/Options:
Left and Right
Polyaxial Locking: Ø2.0/2.4/2.7mm

SALES

Contact your local Medline sales representative

ABOUT

To learn more about Medline, visit their website.

Medline Website