1200-18
TOOLMED
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1 Pcs
5-7 days
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Product Description
h2 style="font-weight: bold; color: rgb(0, 112, 192);">Hindfoot Fusion Ankle Nail Set Overview
The system features a specialized jig designed for plantar entry, ensuring the nail is centered within the calcaneus while maintaining correct hindfoot alignment.
Equipped with a dedicated internal compression tool that allows the surgeon to apply controlled mechanical pressure across the fusion sites for maximum stability.
The targeting arm is constructed from carbon fiber to ensure unobstructed lateral fluoroscopic views of the talus and calcaneus during locking screw placement.
Includes jigs for specialized calcaneal and talar locking, allowing for divergent screw placement to provide superior anchorage in osteoporotic bone.
The set is primarily indicated for patients with end-stage degenerative joint disease affecting both the tibiotalar and subtalar joints, requiring a unified fusion construct.
Specifically indicated for the stabilization of the diabetic "Charcot foot," providing the heavy-duty fixation needed to reconstruct collapsed hindfoot architecture.
Equipped with the specialized reamers and targeting tools indicated for revision cases where a failed ankle replacement must be converted to a stable TTC fusion.
Indicated for the correction of complex mal-unions or non-unions following calcaneal or talar fractures, where anatomical realignment and rigid stabilization are required.

| Product name | Hindfoot Fusion Ankle Nail Set |
| Material | TA3 |
| Diameter | / |
| Length | / |
| Application | / |
| Certificate | CE Certificate |
| Brand | TOOLMED |
| MOQ | 1 Pcs |
| OEM | Avaliable |
| Package | PE Inner Bag+Carton |
| Payment Method | T/T,Bank transfer, Western Union |
| Delivery Time | 5-7 days |
| Shipping | DHL EMS UPS TNT FEDEX |


The Hindfoot Fusion Ankle Nail Set is a specialized system of high-precision orthopedic instruments designed to facilitate tibiotalocalcaneal (TTC) arthrodesis. This procedure involves the fusion of the tibia, talus, and calcaneus to stabilize the hindfoot. The set includes all the critical tools for a plantar-entry approach, including specialized entry awls, flexible medullary reamers, and an advanced targeting jig. These instruments are engineered to guide a retrograde nail through the calcaneus and talus into the tibial canal. Manufactured from medical-grade stainless steel and radiolucent carbon fiber, the set provides the accuracy needed to align multi-planar locking screws, ensuring that the ankle joint is fused in the correct anatomical position for functional weight-bearing.
This instrument set is primarily applied in the surgical treatment of end-stage ankle and subtalar joint destruction. It is extensively applied in cases of severe rheumatoid arthritis, post-traumatic osteoarthritis, and neuromuscular deformities that have led to hindfoot instability. A major application is in the management of Charcot neuroarthropathy, where it is used to create a rigid internal scaffold to prevent further foot collapse. Furthermore, the set is applied in revision surgeries where previous ankle fusions or total ankle replacements have failed. Its specialized compression and targeting tools make it an essential application for foot and ankle specialists performing complex limb salvage and reconstruction procedures.
The primary advantage of the TOOLMED Hindfoot Fusion Set is its ability to achieve precise alignment and high-pressure compression with a single system. The radiolucent carbon-fiber jig provides a significant advantage by allowing the surgeon to see exactly where the screws are entering the talus and calcaneus under X-ray. The set’s integrated compression tool is another major advantage, as it allows the surgeon to mechanically "draw" the joints together before final locking, which is critical for successful bone fusion. Additionally, the high-quality stainless steel reamers and drills are designed for durability and sharp cutting, reducing surgical time and minimizing the risk of heat-induced bone necrosis in the dense cortical bone of the calcaneus.
Biomechanically, the instrument set facilitates the creation of a rigid, internal load-sharing construct. The reaming system is calibrated to create a precise canal that maximizes the contact area between the nail and the surrounding bone. The targeting jigs are biomechanically aligned to place locking screws in the strongest available bone within the calcaneus and talus. By enabling the application of axial compression, the tools help create a "primary fusion" environment where bone-to-bone contact is maximized and micromotion is eliminated. This stability is essential for the construct to resist the high torsional and bending forces experienced by the hindfoot during the initial stages of post-surgical healing.
The surgical technique begins with the patient in a prone or supine position. A plantar entry point is established using the set’s specialized awl and protection sleeve. A guide wire is advanced through the calcaneus and talus into the tibial canal. The medullary canal is then prepared using the flexible reamers provided in the tray. The TTC nail is mounted to the inserter handle and driven in a retrograde fashion. The targeting jig is attached, and the internal compression tool is used to close the joint gaps. Once compression is achieved, the jig guides the placement of the distal calcaneal and talar screws, followed by the proximal tibial locking screws. The technique concludes with the placement of an end cap to protect the nail's internal threads.
Postoperative care for the instrument set requires a thorough decontamination and maintenance protocol. After surgery, all instruments must be disassembled and cleaned with pH-neutral detergents. Particular attention must be paid to the internal compression mechanisms and the cannulated drills, which should be cleaned with specialized wire brushes and ultrasonic cleaners. Sterilization is performed in a steam autoclave at 134°C. For the hospital, it is critical to regularly check the calibration of the radiolucent jig and ensure that the reamer heads maintain their sharpness. Proper maintenance of this specialized set ensures that the high precision required for hindfoot fusion is preserved, guaranteeing the best possible outcomes for future patients.
The TOOLMED Hindfoot Fusion Ankle Nail Set is a vital system for surgeons treating severe hindfoot pathology. By providing the precision targeting and powerful compression required for TTC arthrodesis, this set ensures that complex ankle and subtalar fusions are performed with maximum stability and anatomical accuracy, leading to successful limb salvage and improved patient mobility.
Our internal compression tool is designed to apply up to 5-10mm of controlled axial compression across the tibiotalar and subtalar joints, which is essential for ensuring bone-to-bone contact and successful arthrodesis.
Yes, the plantar-entry jig is adjustable and features multiple sleeve positions to accommodate variations in calcaneal anatomy and talar height, ensuring accurate screw placement for all adult patients.
Yes, the set includes heavy-duty, cannulated "entry drills" specifically designed to penetrate the thick cortical bone of the plantar calcaneus without drifting or overheating.
We use a high-strength, radiolucent carbon fiber composite for the targeting arm. This ensures that the arm is invisible under X-ray, allowing you to perfectly visualize the locking screws within the talus and calcaneus.
Absolutely. The set includes the necessary reaming and extraction tools required to prepare the bone for a TTC nail after a failed total ankle prosthesis has been removed.


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