Introduction to Ankle Fusion Nail Industry
Ankle fusion surgery is a procedure performed to fuse the bones in the ankle joint together, eliminating motion in the ankle. This is done to relieve pain from ankle arthritis or other ankle conditions that cannot be treated with other methods like physical therapy or medications. Fusing the ankle eliminates painful motion in the joint that occurs with conditions like advanced ankle arthritis.
History and Purpose of the Global Ankle Fusion Nail Industry
The global Ankle Fusion Nail (GAFN) was developed in 2010 as a dedicated implant designed specifically for ankle fusion procedures. Prior to this, surgeons would have to improvise with other implants not meant for the ankle, such as tibial nails used off-label. The GAFN was created to address some of the shortcomings of alternate implants used previously for ankle fusion. Its unique design aimed to provide improved stabilization of the ankle joint during fusion and easier implantation compared to other options. Its goal was to help increase fusion rates and improve clinical outcomes for patients undergoing ankle fusion surgery.
Design Features of the Global Ankle Fusion Nail
The GAFN features a specially contoured nail body designed to fit into the anatomy of the tibia and talus bones of the ankle joint. It has a unique 90° bend at the proximal end that allows it to be inserted perpendicular to the tibia, parallel to the joint line. This provides improved stability and alignment during fusion. The nail also features multiple screw holes along its length for securing it to the bones with cortical screws. Some key features include:
– Contoured shaft fits tibia and talar dome anatomy.
– 90° angled proximal bend for perpendicular tibial insertion.
– Multiple threaded screw holes for secure fixation.
– Smooth surface prevents soft tissue irritation.
– Comes in varying diameters and lengths for patient anatomies.
Surgical Technique for GAFN Placement.
The surgical technique for GAFN implantation involves careful preparation and alignment of the ankle joint. First, all soft tissues like cartilage are removed from the bones surfaces to be fused. The talus and tibia are then reshaped using surgical tools as needed. Guide wires are used to align the ankle perpendicular to the tibia. The appropriately sized GAFN is then inserted over the wire and down the center of the tibia and talus under fluoroscopic guidance. It is advanced until the bent proximal end is flush with the tibia. Cortical screws are then placed through the nail holes into the tibia and talus to firmly secure the construct.
Post-operative Care and Expected Outcomes
Following GAFN implantation, patients undergo a period of restricted weight-bearing in a splint or boot to allow the ankle fusion to heal. Physical therapy focuses on range-of-motion exercises of the subtalar and midfoot joints while the ankle remains immobilized. Weight-bearing is gradually advanced over 3-6 months as fusion progresses, monitored with follow-up imaging. Full fusion is generally expected within 4-6 months. Once solid fusion is seen on x-rays, patients can resume normal activities without restriction. Studies have found the GAFN achieves successful fusion in over 90% of cases with low complication rates. It provides a viable option for rigid stabilization compared to alternate internal fixation implants.
Benefits over Other Implants
Compared to implants not specifically designed for ankle fusion like tibial nails, the GAFN offers several advantages:
– Anatomically contoured shape provides a superior fit that tibial nails lack.
– 90° angled design allows perpendicular insertion into tibia for proper joint line alignment.
– Multiple screw holes allow for firm fixation of both tibia and talus.
– Smooth implant surface reduces risk of soft tissue irritation.
– Purpose-built for ankle fusion rather than adapted from other uses.
– Has led to improved fusion rates and clinical outcomes in studies.
In summary, the global ankle fusion nail provides surgeons with a dedicated implant designed specifically for ankle fusion surgeries. Its unique shape and metallurgical design allow for proper insertion and rigid stabilization of the ankle joint during the fusion process. Studies have found the GAFN achieves successful ankle fusions over 90% of the time with low complication rates. Its benefits over other off-label implants like tibial nails include improved fit, alignment, and fixation for optimal conditions for ankle fusion to occur. The GAFN has become a valuable tool for orthopedic surgeons treating end-stage ankle arthritis and other conditions requiring ankle arthrodesis.
*Note:
1. Source: Coherent Market Insights, Public sources, Desk research
2. We have leveraged AI tools to mine information and compile it
Author Bio:
Money Singh is a seasoned content writer with over four years of experience in the market research sector. Her expertise spans various industries, including food and beverages, biotechnology, chemical and materials, defense and aerospace, consumer goods, etc. (https://www.linkedin.com/in/money-singh-590844163)
