ANNOUNCEMENTS
Busy week for product releases, 4 companies announce the launch of 6 new products. We then go back to a FAN original of “QUICK HITS” from around the web that looks at a couple ex-fix specialty companies, new TAR literature, and some May F&A podcast releases with links for your listening enjoyment.
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As always, thank you very much for reading this week, please tell all of your friends or share. We are very grateful for all of our 16,000+ FAN’s!
Sincerely,
Big Foot
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This week we have:
- Golden Sawbone Award - Social Media
- New Product Releases (In2Bones, Extremity Medical, Paragon28, Stryker)
- FAN Quick Hits (Frame Game, TAR Survivorship, May Podcasts)
- Access Past FAN Newsletters
- PodiatryMeetings.com Calendar of Events
- AOFAS Meetings Updated Listing
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This week, the Golden Sawbone Award is heading out West to Boise, ID. Our winner has an Instagram page packed with interesting posts that include big revisions, 3D customs, sports medicine, and much more. Congrats to Kaitlin Neary, MD.
Her FEATURED POST is a complex revision of a failed TAR with significant bone loss and a rigid valgus hindfoot. Dr. Neary salvaged the ankle with a RESTOR3D custom cage and a TTC fusion
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Follow FAN on LinkedIn!
https://www.linkedin.com/company/footandanklenews/
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In2Bones, soon to be part of Conmed, launches an anterior ankle fusion plating system this week. The Colink Neofuse System includes 2 anterior plating style options – direct anterior and anterior lateral designs in two sizes (3 hole or 5 hole). The system includes a cannulated lag screw guide, now standard with all ankle fusion systems. The instrument set for the system includes the basics including plate templates to be used to size for the sterile packed plates and screws.
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Overall, this system checks another box for In2Bones. It is hard to knock a company that is putting out product to compete with the market leaders for business, but if we are being honest this system is as vanilla as it gets. There is nothing remarkable about the system, not one thing. It lacks many plating options in terms of size and style, the most glaring is not offering a lateral plate of any kind. This system is better than nothing but will need to be significantly expanded upon by ConMed in order to realistically compete against Stryker, Arthrex, and Paragon28. |
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Paragon is back at it again, looking to take more market share in the soft tissue arena by expanding their suture anchor offering and releasing a V2 rendition of the unique TenoTak hammertoe product.
Let’s take a look at both:
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TenoTac® 2.0 offers an alternative tendon fixation method for hammer toe correction. While the procedure looks to have some fiddle factor, if it works, and the market adopts to the system, the number of these procedures offers a huge opportunity for P28. With TenoTac® 2.0, the Paratrooper Plantar Plate, and the Hammer Tube hammertoe implant, Paragon has a complete line of unique offerings to tackle tough forefoot deformities.
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Grappler Soft Tissue Line
1) All Suture Anchor (1.4mm & 2.8mm options)
2) Titanium Corkscrew
(3.0mm & 4.5mm options)
3) Peek with Eyelet
(4.5mm & 5.5mm options)
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This anchor portfolio offers options to get in the game and start to pick up some of the easy cases they are losing to Arthrex or Stryker when it comes to the basics. While titanium corkscrews are for sure "old school", the all-suture anchors are growing in popularity and the sizes offered are a nice option for lateral anchor stabilization. All these anchors come individually sterile packed with instruments making it very rep and ASC friendly for isolated or ancillary soft tissue procedures. The next line of innovation will need to come to battle the Internal Brace and Speed Bridge. |
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Extremity Medical launches the Omni Ankle Fracture set this week, offering a wide variety of lateral, medial, and posterior plating options. The anatomic lateral fibula plate and the medial tibia plate offer a unique distal split tab design for versatile, anatomic plate contouring.
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Extremity’s Omni Ankle Fracture System offers a stability post that can be combined with a distal to proximal, targeted cannulated lag screw for additional fracture stability. Overall, the set looks to be fairly complete, but will need a few longer plate options to be able to handle the vast majority of complex pilon fractures. A nice addition for the Jersey boys at Extremity Medical who are revamping their presence in foot and ankle.
One more thing…in addition to the Ankle Fracture release, Extremity also announced a new partnership with Dr. Joel Vernois to develop an MIS platform and training system for the company. Dr. Vernois developed the ProStep MIS system, owned by Stryker, now one of the most widely used MIS platforms on the market.
Exciting times for Extremity Medical and the future of MIS.
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Stryker was in need of an upgrade to their Staple line to better compete with the strength profiles of DJO’s DynaClip. The EasyFuse Staple is a wide-bridge nitinol staple, complete with sterile instrumentation in a wide variety of sizes. While the product isn’t a gamechanger, it offers an upgrade to the Stryker FuseForce line in the lucrative nitinol staple market.
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TruAim: Lisfranc Guide
Stryker also teased the release of the TrueAim Lis Franc Guide and we were able to track down a little info on the product. It is a sterile packed screw targeting guide.
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The TruAim Lisfranc System is a sterile single-use (single-procedure) Instrument Kit intended to aide in surgical reduction, targeting, and implantation of 5.0mm (cannulated) screws (such as Stryker Asnis III) and/or 4.5mm screws (such as Stryker Charlotte Lisfranc screws) during fixation of Lisfranc arthrodesis.
The Charlotte Lis Franc System with a unique combo reduction/targeting guide has been a mainstay for many surgeons. I assume the TruAim was a Stryker project that was underway prior to the Wright buyout and it has been released because it was ready to go. I don’t really get it, but maybe people will like it? Who knows?
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Seal and Metalogix seem to be the two biggest free agent frames on the market. SEAL has a more robust portfolio and has recently hinted at some technology comparable to Orthospin that was recently purchased in December by Synthes for use with the MaxFrame. Metalogix has a unique posterior opening designed to eliminate the worry of patient swelling and a dual level forged base with strength testing equivalent to full circular frame fixators.
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SEAL’s purchase price will be much higher as the line is fully developed with – Pin to Bar, Mini Rail, Speed Frame, and Circular Frame. Eccentric CEO Nick Riccione, who previously sold his Stealth Ex-Fix Line to Wright Medical back in 2007, has stated that SEAL has cash on hand. If that is the case, they will not be looking to take a low level offer for their blood, sweat, and tears. Black and Red as they say!
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Metalogix on the other hand has some uniquely patented technology that will need to be improved upon and expanded to make it a threat. In the right hands, and with a few tweaks, a company could potentially acquire the device, invest some R&D, add in some surgeon input, and make Metalogix into an extensive ex-fix line.
Keep an eye on both of these companies, one will sell before the end of the year.
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MAY TAR SURVIVORSHIP PAPERS
There are now a total of 10 FDA approved total ankle's on the market today. The Zimmer TM and the Hintegra are far down the list of in terms of market share. Neither have PSI. The Hintegra H3 is newer to the US market with an inexperienced sales force at Vilex. The lateral approach with a jig offers some hesitation for surgeons, even though, the design of the implant makes a ton of sense.
Does data matter to you?
New survivorship data for both were release this week:
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- 87.6% Survivorship at 15 years.
- Mid Term – 96.6% Survivorship
- Largest Study Cohort of Largest Study Cohort of Total Ankle Long Term Outcomes (683 patients, 722 ankles)
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- 97.7% Survivorship at 5 years
- 86 patients
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MAY FOOT/ANKLE UPDATED PODCAST RELEASES
Big month for Podcast’s, tons to listen to below.
Dr. Anand Vora, MD gives a great syndesmotic breakdown in a two-part AOFAS Orthopod-Cast Series.
Dr. McAllister, DPM lays down some bone grafting knowledge in Podiatry Today’s May release.
Roll down the windows, pop in the ear pods, and enjoy!
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PodiatryMeetings.com Calendar
Looking for a meeting?
This resource has an extensive amount of information for meeting opportunities where you can earn your required continuing education credits.
Click below to access the extensive meeting calendar.
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AOFAS Upcoming Meetings & Courses |
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July 7-9, 2022
September 14-17, 2022 | Québec City, Canada
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Foot and Ankle News is curated roundup of the most impactful news for Foot and Ankle Doctors, Rep’s, and Exec’s delivered weekly directly to your inbox.
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