DIAG IM3 - Page 110

15Internal 3 Dental Equipment Fixation & Instrumentation www.vetinst.com Hybrid Intertarsal Arthrodesis Plates Case: Dr Neal Johnson Occasionally we still find surgeons with patients where current sizes do not fit. If you are one of these surgeons please follow the lead of Alex Li and get in touch with us. The new 152920SC (the SC stands for ‘short calcaneous’) came about as an answer to his direct clinical requirement and is now a stock item and ready for immediate dispatch for other patients. Where the tibio-tarsal joint can be preserved, intertarsal arthrodesis is preferred to pantarsal arthrodesis, allowing a near normal range of motion to be maintained. Hybrid plates are very helpful in permitting larger diameter screws to be used in the calcaneous and smaller diameter screws to be used in the metatarsals. Hybridisation is also helpful for thinning the plates distally, aiding closure of soft tissues. Many of the early intertarsal arthrodesis plates were modified pancarpal plates with length adjustments made to squeeze them onto the lateral aspect of the limb. For most patients, the use of modified pancarpal plates results in suboptimal screw placement with the biggest criticism being that the spacing of the holes for engaging the fourth tarsal bone and the proximal metatarsal bone was too great. Site specific plates provide a very much better fit. In 2013, with the help of Geoff Robins, we extended our range of intertarsal plates by another four sizes to cover much more of the population. Our intertarsal plates all now have a rounded proximal end to limit damage to overlying soft tissues. Case: Alex Li HYBRID INTERTARSAL ARTHRODESIS PLATE 152924 152923 152920 152922 152921 152925 152920SC Hybrid Intertarsal Arthrodesis Plate 1.5/2.0mm Hybrid Intertarsal Arthrodesis Plate 2.0/2.0mm Hybrid Intertarsal Arthrodesis Plate 2.0/2.7mm Hybrid Intertarsal Arthrodesis Plate 2.7/2.7mm Hybrid Intertarsal Arthrodesis Plate 2.7/3.5mm Hybrid Intertarsal Arthrodesis Plate 2.7/3.5mm Hybrid Intertarsal Arthrodesis Plate 2.0/2.7mm – Short Calcaneous Plate profiles on page 369. 94 £108.15 £108.15 £108.15 £108.15 £108.15 £108.15 £108.15