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Subtalar Screw(Tarsal Tunnel Approach/Tarsal Sinus Approach)

The Subtalar Screw is a specialized orthopedic implant designed to treat conditions of the subtalar joint, most notably Pediatric Flexible Flatfoot and adult joint instability. In procedures like Subtalar Arthroereisis, the screw is inserted into the Sinus Tarsi—the natural opening between the heel bone (calcaneus) and the ankle bone (talus). Once positioned, the screw acts as a mechanical spacer that prevents the talus from sliding inward and downward, effectively restoring the foot's natural arch without the need for bone cutting or joint fusion. Constructed from high-strength Titanium Alloy (Ti6Al4V ELI), the screw is engineered with a Cannulated Design, allowing for precise placement over a guide wire. The specialized thread profile and tapered shape ensure maximum stability and pull-out resistance within the dense bone of the midfoot. The TOOLMED Subtalar Screw features an ultra-smooth, anodized surface to minimize soft tissue irritation and inflammation. Whether used for corrective arch restoration or as a compression element in subtalar fusion, this screw provides a reliable, minimally invasive solution for improving foot biomechanics and patient mobility.
  • 3100-1901/3100-2001

  • TOOLMED

  • TA3

  • 1 Pcs

  • 5-15 Days

  • /

Availability:

Product Description

Subtalar Screw Overview


Subtalar Screw Features and Benefits

·Arch Restoration without Fusion

In arthroereisis procedures, the screw blocks excessive motion of the subtalar joint. This "internal splint" restores the foot's arch while still allowing the joints to move naturally during walking.

·Cannulated Design for Accuracy

The hollow center allows the surgeon to first place a thin wire into the perfect spot under X-ray, then slide the screw exactly over it. This ensures 100% accuracy in the tight spaces of the foot.

·Deep-Thread Tapered Profile

The screw is wider at the top and narrower at the tip. This tapered design allows it to wedge securely into the Sinus Tarsi, preventing it from migrating or backing out over time.

·Biocompatible Titanium Construction

Made from Grade 5 titanium, which is non-magnetic, lightweight, and highly resistant to the corrosive environment of the human body. It is optimized for long-term implantation.


Subtalar Screw Indications

·Flexible Flatfoot (Pes Planus)

The primary indication for pediatric or adolescent patients whose arches collapse when they stand, but are still flexible.

·Subtalar Joint Instability

Used to stabilize the hindfoot in patients who experience chronic "rolling" of the ankle or midfoot.

·Subtalar Arthrodesis (Fusion)

Used as a heavy-duty compression screw to fuse the talus and calcaneus in cases of severe trauma or end-stage arthritis.

·Posterior Tibial Tendon Dysfunction (PTTD)

Often used in early-stage adult flatfoot correction to take the load off the weakened tendons on the inside of the ankle.

Subtalar Screw 8Subtalar Screw 6


Subtalar Screw Specifications

Product Name

 Subtalar Screw(Tarsal Tunnel Approach/Tarsal Sinus Approach)

Material TA3
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 5-15 Days
Shipping DHL EMS UPS TNT FEDEX


Toolmed Medical


Actual Pictures of Subtalar Screw

Subtalar Screw 9Subtalar Screw 1


Subtalar Screw Insights


What is a Subtalar Screw?

Think of this screw as a "doorstop" for your foot. Between your ankle bone (talus) and your heel bone (calcaneus), there is a natural tunnel called the Sinus Tarsi. In people with flat feet, the ankle bone slides too far into this tunnel, causing the foot to collapse. This screw is placed in that tunnel to stop the collapse and push the arch back up into its natural position.


Why use a screw instead of surgery?

For many patients, especially children, this is a much better option than major surgery. It doesn't require cutting any bone. It’s a minimally invasive procedure—the surgeon makes a tiny 1-2cm incision, puts the screw in, and the patient can often start walking again within days or a few weeks.


How does the screw stay in place?

The screw doesn't actually go through the bone in arthroereisis; it sits between the bones. Its tapered threads and specific shape allow it to wedge into the tunnel. Over time, your body’s soft tissues grow around it, keeping it perfectly in place.


Biomechanics of the Hindfoot

Biomechanically, the subtalar joint is responsible for "inversion" and "eversion" (tilting your foot). If this joint is too loose, the whole foot collapses inward. The screw acts as a mechanical block, correcting the alignment of the entire lower leg and reducing strain on the knees and hips.


The Surgical Procedure

The procedure is very quick, usually taking less than 30 minutes. Using a guide wire and X-ray, the surgeon selects the correct size screw (from 5mm to 12mm) to find the perfect "fit" that creates a beautiful arch. Once the screw is tightened, the arch is restored instantly.


Living with a Subtalar Screw

Most patients don't even know the screw is there. Because it is made of Titanium, it is incredibly light and safe. In many pediatric cases, the screw is left in for 2-3 years until the foot finishes growing and the muscles are strong enough to hold the arch on their own, at which point it can be removed. In adults, it is often permanent.


Conclusion

The Subtalar Screw is a small but powerful tool for foot reconstruction. By restoring the foot's natural architecture with a minimally invasive approach, it helps patients walk straighter, run faster, and live without the pain of flatfoot deformities.


FAQs of Subtalar Screw


Will I be able to feel the screw in my foot?

Most patients cannot feel the screw once the incision has healed. It is tucked deep inside the "Sinus Tarsi" tunnel between the bones, far away from the skin surface.


Can my child still play sports with this screw?

Yes! Once the initial healing period is over (usually 4-6 weeks), children can return to all sports, including running and jumping. The screw is designed to handle those forces.


Is this screw safe for an MRI?

Yes. Titanium is non-magnetic. It is completely safe for MRI scans and will not set off metal detectors at the airport.


Does the screw ever need to be removed?

In children, the screw is often removed after 2 to 4 years once the foot has "learned" to stay in the correct position. In adults, the screw is typically intended to stay in permanently.


How do I know which size screw I need?

Your surgeon will use "trial" spacers during the surgery to see which size (from 5mm up to 12mm) gives you the best arch height and most comfortable movement.


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Our Factory


Our factory is equipped with over 60 advanced CNC machines operated by 100+ skilled technicians, a 300 m² GMP-compliant clean room, and a 10,000 m² production facility. We maintain a CNAS and ISO 17025 certified testing center, invest heavily in CNC turning technology, and utilize high-precision inspection systems including CMM, PP, and QV to ensure product quality and consistency.

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FAQs of Our Company and Factory - Subtalar Screw


What is your typical delivery time?

We offer fast and reliable global shipping. Standard lead times range from 7 to 15 working days, depending on order quantity and customization requirements. Express delivery options are also available upon request.


Do you ship internationally?

Yes, we ship to most countries worldwide. We work with trusted logistics partners to ensure timely and secure delivery.


What payment methods do you accept?

We accept a variety of payment options, including T/T (bank transfer), L/C, and PayPal for smaller orders. Payment terms can be discussed based on order volume and partnership agreements.


Can I get samples before placing a bulk order?

Yes, samples are available for evaluation. Please contact our sales team to request product samples and shipping arrangements.


Do you support OEM or custom manufacturing?

Absolutely. We offer OEM/ODM services including custom packaging, branding, and product development tailored to your specifications.

Toolmed Medical

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