Foot Product Portfolio

PUT YOUR BEST FOOT FORWARD

Toe HemiCAP®Lesser Metatarsal

Hemi-Arthroplasty

CheckMATE®Fusion Plate

System

ToeMATE®Hammertoe

Correction System

OsteoMATE®Fusion

Allograft

ToeMotion®Total Toe

Implant System

With Our Best in Class Forefoot Products

KISSloc®Hallux Valgus

Correction System

Toe DF HemiCAP®First-Metatarsal

Hemi-Arthroplasty

AlignMate™Lapidus

Procedure

Implant Systems

HemiCAP® Toe -Lesser Met HemiCAP® Toe DF

ToeMotion® Total Toe BaseCAP™

Dual curves allow for dorsal roll off and dorsal flange

prevents osteophytes

Multiple sizes & curvatures Easy & accurate instrumentation

Double rock solid fixation with morse taper interlock

Inlay arthroplasty provides stability and preserves bone

Poly inserts available with multiple offsets & thicknesses

1.5mm offset

3.6mm 4.6mm

2.5mm offset

3.6mm 4.6mm

Features & BenefitsThe Toe HemiCAP Systems

Specifically designed for the lesser metatarsals

Proven fixation provides a stable implant

Minimal bone removal maintains future options

Anatomic “Inlay” maintains the length of the 2nd metatarsal

without compromiseSURFACE RESTORATION

This newer resurfacing technique has allowed rapid recovery and dramatic im-provement in pain and function in advanced cases where a joint destructive pro-cedure will be necessary.

Lesser Metatarsal Head Resurfacing Procedure for Freiberg’s Infraction.Goecker, RM. McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, Chapter 2, 2012

LESSER METATARSAL

RESULTS

“Radiographic evaluation of the HemiCAP prosthesis in 56 patients demonstrated no significant evidence of loosening; it appeared to show superior radiographic results compared to those of other metallic implants using a stemmed design.”

Thomas San Giovanni, MD; Arthrosurface HemiCAP Resurfacing. Chapter 21. Operative Techniques in Orthopaedic Surgery, 2010

PROVEN

The HemiCAPDF has rock solid fixation, a uniquemetatarsal based design and a proven clinical history

with over 30,000 MTP implants.

The ToeMotion® Modular Restoration System restores mobility and maintains native biomechanics using a dual curved HemiCAP DF® and a modular tray-style

phalangeal implant with a threaded baseplate. Fourth generation fixation components provide stable constructs on both sides of the joint.

®

DESIGN

FIXATIONROCK SOLID

UNIQUE

Designed to address the primary failure mode of MTP implants-loosening.

Bead blasted MTP screw surface provides superior fixation Morse Taper interlocks the two components Screw based fixation provides a stable implant on both sides of the joint

Engineered to reproduce the unique kinematics of the MTP joint.

Poly inserts available with multiple offsets & thicknesses Standardized thread pitch for precise depth adjustment Dual MTP implant curvatures improves dorsal roll-off

FIXATION.ARTICULATION. PRESERVATION.

®

2.5mm offset1.5mm offset

3.6mm 4.6mm 3.6mm 4.6mm

WHAT FUSION?

®

Overall Satisfaction

98% of surgeons surveyed reported Very Good to Excellent Satisfaction ratings with the Toe HemiCAP® & ToeMotion® Implant systems.

Surgeons’ Choice

PATIENT GUIDEFOR THE TREATMENT OF TOE ARTHRITISA NATIONWIDE SURGEON SURVEY ON OVER 2,000 HEMICAP TOE PROCEDURES

97% of surgeons indicated that they would undergo a Toe HemiCAP® Arthroplasty themselves and would recommend the procedure to their friends and family.

33%67%

SATISFACTION WITHRETURN TO WORK

SATISFACTIONWITH RETURN TO

SPORT/ LIFESTYLE

SATISFACTIONWITH RETURN TODAILY ACTIVITIES

Excellent49%43%

8%0%0%

Very GoodGoodFairPoor

Excellent57%37%

6%0%0%

Very GoodGoodFairPoor

Excellent40%46%14%

0%0%

Very GoodGoodFairPoor

43% 49%

8%

37% 57%

6% 14%

46%40%

Typical Timepoints for the Resumption of Activity After Toe HemiCAP® or ToeMotion® Total Toe Surgery (Weeks)

The Only Phalangeal Implant that matches the anatomic curvature of the metatarsal head

Universal Instrumentation for ease of use

The BaseCAP™ Hemiarthroplasty System uses proven f ixation technologywith surface mapping to recreate a congruent articulation.

A MATCH MADE IN

MOTIONPhalangeal Hemiarthroplasty

One instrument tray for 3 different implant systems

Simple instrumentation for quick installation

References native anatomy to optimize implant fit

RESULTS

DESIGN

INSTRUMENTATION90°

ANATOMIC

PROVEN TECHNOLOGY

UNIVERSAL

(1) Engineered to match the anatomic curve of the metatarsal head(2) Super smooth modular implants available in 4 curvatures(3) Minimal bone resection and implant stability preserves joint anatomy

10 years of MTP clinical history

Over 30,000 MTP implants performed

No published implant dissociation or subsidence

MTP Arthrodesis System

When it’s your last move...

CheckMATE 1.0 Plate• 1.7 mm Thick• 50 mm Long• 11 mm Wide

• 4 Locking Holes• 2 Non-Locking Holes• 1 Compression Slot

CheckMATE 2.0 Plate• 1.7mm Thick• 55mm Long• 15mm Wide

• 6 Variable Angle Locking Holes• 1 Compression Slot

CheckMATE 3.0 Plate• 1.7mm Thick• 45mm Long• 14-15mm Wide

• 6 Variable Angle Locking Holes• 1 Compression Slot

Locking Bone Screws: Ø3.0 mm; L: 8 mm to 24 mm

Bailout Screws: Ø3.5 mm; L: 14 mm, 16mm,18 mm

Interfragmentary Bone Screws: Ø3.5 mm; L: 18 mm to 30 mm

Non-Locking Bone Screws: Ø3.0 mm; L: 8 mm to 24 mm

Custom low profile elevator to gain exposure of metatarsal head & phalangeal base. Includes built in templates for sizing purposes.

Metatarsal and Phalangeal Reamers designed to prevent over-reaming and shortenting of bones

Tack pins provide temporary fixation to stabilize bone plate over the MTP Joint

Multiple plate options with either a combination of locking and non-locking holes or all-locking variable angle holes for primary or revision cases.

Plates are provided sterile, in Right & Left Configurations with lengths from 45mm to 55mm.

3.0mm and 3.5mm bailout screws are available in lengths ranging from 8mm to 24mm.

Compression clamp technology built into the plate allows up to 3mm compression across the MTP joint.

Variable angle locking holes allow desired orientation of screw placement.

With the CheckMATE® plate you also get built in “Surgical Speed Elements”

SIMPLE.STRONG.FAST.

Other Devices

KISSloc®(Arthrosurface®)

KISSloc®Double hole plate showing uniform load dispersion with evenly distributed strain points

Mini TightRope®Single hole plate showing non-uniform load dispersion with high strain points

A factor in second metatarsal protection is plate size. A plate with a larger footprint will disperse a load over a larger area, reducing the bone stress. The KISSloc® Plate has approximately 3x the footprint of the Mini TightRope Suture Button.

Suture System

Construct Slip (mm) vs. Cycles Tested KISSloc® (Arthrosurface®) Mini TightRope® (Arthrex)

100 Cycles 200 Cycles 400 Cycles

3.53 mm

6.07 mm

0 Cycles 300 Cycles

42% Less Construct Slippage

Dynamic ramp test data on file at Arthrosurface Inc.

The KISSloc® Suture System consists of two low profile titanium plates and a self-cinching suture construct. The system corrects Hallux Valgus by reducing the intramedullary angle between the 1st and 2nd metatarsal bones. KISSloc® allows accurate tunnel placement, uses strong #5 suture, and the self-cinching feature adjusts the correction angle for each patient individually. The small Ø1.2 mm bone tunnels and low profile plates minimize stress risers and distributes the load across each bone bridge.

Stability & flexibility without stiffness:KISSloc® can be placed proximally or distallyand locks motion in the coronal plane whilestill allowing sagittal motion.

Artifact-free titanium plates allow for better post-op imaging.

A STRONG Step inthe Right Direction

ToeMATE® is an easy to implant bone screw system intended for the correction of hammertoe deformity. It is provided in a complete packaged and sterile kit.

HammertoeImplant

Post-OpX-ray

®

PROVEN, STRONG & STABLE FIXATION

QUICK & ACCURATE JOINT ALIGNMENT

Implant components completely embedded in the phalangeal bones i.e. no implant exposure post-op avoids complications associated with pin tract infection.

Available in 3 Sizes: • Large - Ø 4.7mm• Small - Ø 3.8mm• X-Small - Ø 3.2mm

* Implants not shown to scale

Tapered screw design & morse taper lock provide maximum grip & strong construct fixation.

1

3

4

5

6

All instruments hand driven. No power tools or connection required.

*Except for xsmall

Easy to separate and remove implant components in case of revisions.

All implants and instruments provided in a complete packaged & sterile kit. This eliminates missing instruments, incomplete trays and minimizes the risk of infection.

SMALL & LARGE TAPERED SCREWS WITH CONICAL DESIGN

STRAIGHT & 10o PLANTAR FLEXED IMPLANT OPTIONS

2

#STAYACTIVE

ThinStrong

Secure

Provide Stability with the AlignMate® Lapidus SystemNow, you no longer need to sacrifice patient comfort for strength with the AlignMate Lapidus Arthrodesis System. A strong, thin, titanium plate which conforms to your patients’ anatomy and provides the strength needed during the healing period.

Features & Benefits:

• 1.0mm low profile plate design conforms to anatomy

• Titanium material provides strength during the healing period

• Plates are pre-contoured to be Left, Right specific

• Large & Small plates to accomodate patient size

• Will accept both locking and non-locking screws

• Compression slot which accepts tack pin, allowing use of compression pliers

PN 4001-4003 REV E

PLATES

9B00-100L Bone Plate, Left 39mm

9B00-100R Bone Plate, Right, 39mm

9B00-200L Bone Plate, Left 34mm

9B00-200R Bone Plate, Right 34mm

INTERFRAGMENTARY SCREWS

9B01-5036 dia 4.0mm x 36mm

9B01-5038 dia 4.0mm x 38mm

9B01-5040 dia 4.0mm x 40mm

9B01-5042 dia 4.0mm x 42mm

9B01-5044 dia 4.0mm x 44mm

9B01-5046 dia 4.0mm x 46mm

9B01-5048 dia 4.0mm x 48mm

9B01-5050 dia 4.0mm x 50mm

INSTRUMENTS

9B09-1000 Pin Kit, AlignMATE

9B09-2000 Driver Kit, AlignMATE

Plates are provided sterile, in Right & Left Configurations and are used with the CheckMATE Arhrodesis System Instrumentation

Compression Clamp provides manual compression prior to screw fixation - eliminates bone surface separation during screw insertion

Interfragmentary Guide easily fits over tack pin, provides management of IF Screw trajectory for consistant screw placement.

S T R O N G , T H I N & S E C U R E

INCORPORATE BONE INTO YOUR LISFRANC ARTHRODESIS

The OsteoMATE™ Allograft Fusion System utilizes a pre-shaped/pre-drilled implant harvested from dense cortical bone. The rounded edge radiolucent allograft bone implant design provides;

• 360-degree bone against bone transition area to facilitate bony incorporation

• Visualization of fusion area under x-ray

• A streamlined implant fit which addresses concerns related to impingement

• Cortical allograft stiffness provides strength of the implant and may result in less micromotion

The First Arthrodesis System Comprised of Allograft Bone

PEEK Implant vs. OsteoMATE™Construct Rigidity

OsteoMATE™PEEK

10

8

6

4

2

0

20

18

16

14

12

Con

stru

ct R

igid

ity (

N/m

m)

TM

Allograft Fusion System

ALLOGRAFT BONE FUSION COMPLEX - when using the OsteoMATE™ Allograft implant, screw forces are transmitted over “like” materials; allograft and native bone, which have a consistent modulus. Consistency in modulus results in a more streamlined force transmission within a fusion complex. This minimal force transmission change can lead to a more stable fixation.

CREATE AN ANATOMIC FUSION COMPLEX OF ALLOGRAFT AND NATIVE BONE

Disposable instruments are ready when you are, facilitating quick room turnover.

A dedicated, specialized reamer allows visual confirmation of reaming depth, with a resultant reamed geometry matched to the allograft implant.

EASE OF USE

The proprietary Screw Guide allow visual confirmation of screw placement into each bone prior to final implant placement.

Divergent angled pre-drilled screw holes facilitates dynamic compression of the bones being fused. 4.7mm thick

20mm Implant 16 & 20mm Implants

Specially designed curve for hard to access ankle lesions* “The overriding finding of the present study is that small subchondral drill holes reflecting the physiolog-ical subchondral trabecular distance significantly improve osteochondral repair.”Eldracher M, et. al. Small subchondral drill holes improve marrow stimulation of articular cartilage defects. AJSM 2014 Nov;42(11):2741-50.

Reduces surface skyving for off-axis channel preparation

Improves bone marrow access for cartilage repair procedures

Thumble Handle Instrument

A-Curve

* “Significant enhancements were observed at the level of individual parameters and of overall histological articular cartilage repair, together with improved immunoreactivity to type II and type I collagen of the cartilaginous repair tissue. Second, the microarchitecture of both the subchondral bone plate and the subarticular spongiosa was better reconstituted.” Eldracher M, Orth P, Cucchiarini M, Pape D, Madry H. Small subchondral drill holes improve marrow stimulation of articular cartilage defects. Am J Sports Med. 2014 Nov;42(11):2741-50.

Microfracture Nanofracture

Figures: open trabecular channels; closed trabecular channels, microCT

comparison: Axial (top), Sagittal (bottom).

1mm ChannelsNanoFx

3mm ChannelsMicrofracture

1mm K-Wire

Step 1: Assemble & Orient on Lesion

Step 2: Gently tap to depth stop

Step 3: Push thumble to extract pluristik. Repeat.

28 Forge Parkway • Franklin, MA 020381 508 520 3003

fax: 1 508 528 3785

For more information, visit our website:www.arthrosurface.com

This product is covered by one or more of U.S. Patent Nos. 6,520,964;6,610,067; 6,679,917 and other patents pending.

HemiCAP® is a trademark of Arthrosurface, Inc. U.S.© 2016 Arthrosurface, Inc. All rights reserved.

Printed in U.S.A.

This pamphlet and information is intended for markets where regulatory approval has been granted.

PN 0025-1013 REV B