The Top 10 Innovations In Podiatry

Brian McCurdy, Senior Editor

Emerging advances in podiatry include a new system to facilitate plantar plate repair, new diagnostic tools, a topical wound care gel and the development of amniotic membrane for use in podiatric surgery. Accordingly, this author talks to various experts to get their insights on these new innovations.

In the latest roundup of innovations in podiatry, emerging modalities range from a new plating system for the Lapidus procedure and a non-pharmaceutical topical for dystrophic nails to an intriguing bone graft modality and an advanced diagnostic tool for detecting peripheral arterial disease. Without further ado, here is what the experts have to say on ten of the most innovative products for podiatric physicians.

1. Anchorage (Stryker). An innovative surgical solution can help surgeons achieve enhanced compression in internal fixation while maintaining stability.

   The Anchorage system (Stryker) is very procedure specific and designed for Lapidus and first metatarsophalangeal joint (MPJ) fusions, according to Lowell Weil Jr., DPM. He says the compression ramp technology permits interfragmentary compression incorporated in plates. The Anchorage creates “an unusual amount of stability with compression” for internal fixation, which Dr. Weil notes somewhat mimics the properties of external fixation.

   Stryker notes that the compression ramp technology creates mechanical compression between two corresponding bone segments. The company adds that the Anchorage has dedicated plates for each indication to boost anatomical congruence and the product’s cannulated instrumentation can increase efficiency in the operating room.

   Dr. Weil, the President of the Weil Foot and Ankle Institute in Chicago, says there are “some rumors” that there will be greater plating options for the Anchorage system in the near future.

2. Contours Lapidus Plating System (Orthofix). Another option for Lapidus procedures is the Contours Lapidus Plating System (Orthofix). The company notes the placement of the locking screw captures the “sweet” spots of bone to permit optimal purchase and the screw configuration is trapezoidal to facilitate the stability of the fusion. Orthofix adds that the system’s stable construction can resist significant loads.

   Raymond Smith, DPM, has been using the Contours Lapidus Plating System since its release a few months ago. He cites its innovative design, anatomical configuration, easy application, compression and reproducibility. Orthofix notes that the Contours system is designed specifically for the tarsometatarsal anatomy and Dr. Smith concurs, citing the plating system’s anatomical fit to the first tarsometatarsal joint as a key advantage.

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