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NALA-TOE is indicated for use in the of the PIP and DIP joints of the toes. 1. Rigid PIP joint deformities 2. Rigid Hammertoe deformities 3. Claw toe deformities (PIP and DIP joints) 4. Revision hammertoe surgeries 5. Shortening osteotomies of the proximal phalanx CATALOG
The implant offers many benefits over newer, unproven implants designed for the metatarsal head. Multiple clinical studies have shown the implant to be successful with no cartilage on the metatarsal head, countering the belief that you must treat the side of the joint with visible cartilage damage. The base of the phalanx is subject to much lower forces than the metatarsal head (which can be subject to six times body weight when weight bearing). Additionally, the NAOS First MPJ Hemi Implant surgical procedure can be combined with distal metatarsal osteotomies for the correction of accompanying pathologies. CATALOG SURGICAL TECHNIQUE
Materials of Implants: All plates are made from pure titanium material in conformity with ASTM F67. All screws are made from titanium alloy material in conformity with ASTM F136. The titanium is an ideal material for implant. It is biocompatible, corrosion resistant, and non-toxic in biological environment.
The VOLANS Lesser MPJ Hemi implant is the metallic hemi implant designed to restore the normal biomechanics of the joint while improving range of motion and correcting dorsal subluxation. This is accomplished by minimal bone resection and the anatomic, contoured articulating surface simulating phalangeal articulation. The dedicated instrumentation allows for simple implantation which provides for rapid post-operative recovery while minimizing the possibility of transfer lesions. CATALOG SURGICAL TECHNIQUE
The comprehensive and versatile ORION Osteotomy Wedge device was designed for ease of use. The implant offers the following advantages: ■ Radiolucent body with properties similar to bone ■ Ti PEEK Titanium plasma spray coated PEEK specifically indicated for fusion ■ Initial stability through an optimized tooth profile with a high friction surface ■ Versatile, uncompromised angular correction ■ Sterile implant configuration optimized for allograft or autograft containment ■ Simple instrumentation designed for implant holding and impaction ■ Simple radiographic markers for precise placement ■ Titanium plasma sprayed coating on PEEK has been shown to encourage osteointegration [Walsh et. al., 2015]