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Deals & Acquisitions

Total Ankle Shake-Up: The STAR Lands at DJO

Regulators force a divestiture, Vilex takes Hintegra, and APEX 3D clears the FDA.

Originally published September 9, 2020DJO · DePuy Synthes · Paragon 28 · Stryker · Vilex · Wright Medical · Zimmer

In this issue


STAR has a New Home? | Infinity TAR Upgrades | AOFAS 3-Day Webinar Schedule

FAN Quick Hits - TAR Edition

New Home for the STAR

A final hurdle to completing the acquisition of Wright Medical is the requirement by the UK Competition and Markets Authority to divest the STAR ankle replacement. It appears that the orthopedic division of Don Joy (DJO, LLC) will be the new home of the mobile bearing, Scandinavian Total Ankle Replacement.

DJO, known for their bracing dominance, in recent years has become an entry level player in knee, hip, and shoulder arthroplasty. Adding an ankle replacement to the bag will round out their arthroplasty offerings and add to their continuum of patient care mantra. DJO is a low risk competitor that will pose little threat to Stryker’s new market leading TAR portfolio which is coming with the Wright acquisition.

Stryker reps will be under a non-compete and will not be able to move with the STAR ankle. DJO reps will need to get up to speed quickly to support the cases of the doctors who choose to stick with the STAR. In addition, Stryker reps who sold and covered STAR cases will not be able to sell or cover Wright TAR products to those same STAR doctors for a period of 1 year.

Overall, a brilliant dump off for Stryker.

Infinity TAR Upgrades

Wright Medical announced that the Infinity Total Ankle line will now be available with Adaptis Technology.

Adaptis tibial and talar components are 3D printed, porous metal components designed to act as a scaffold that facilitates bone in-growth “in as early as 4 weeks.” The Adaptis technology migrated down from their Tornier upper extremity team, where it continues to be used in their Total Shoulder Platform.

In addition to Adaptis, Wright released Everlast, a highly cross-linked vitamin E infused polyethlene. This type of poly has been the industry standard in large joint arthroplasty for a while now as it has been proven to increase wear resistance. Considering all the well documented issues surrounding osteolysis and cyst formation in the literature, this was a much needed and long overdue upgrade for the leader in ankle arthroplasty.

Hintegra Aquired by Villex

DT MedTech, LLC the owners of the the Hintegra H2 (fixed bearing) and Hintegra H3 (mobile bearing) were acquired by McMinnville, TN based Vilex.

Vilex will be the only company in the US to offer both a mobile and fixed bearing prosthesis option. The H3, developed by world renowned surgeon Beat Hinterman, with over 20 years of success in Europe, has yet to make much noise in the US market. Vilex with 50 distributors in the US will look to move the needle this year and carry over some of the success the implant has had overseas, no doubt an uphill battle awaits.

Paragon 28's APEX 3D Receives FDA Approval

The long-awaited approval of P28’s APEX 3D ankle finally arrived.

Similar to Wright Medical’s announcement, the APEX has 3D printed tibial trays along with highly cross-linked polys. A unique feature offered by this implant is that the tibial trays are available in two styles – flat cut and a coronal ARC which will potentially provide additional rotational stability.

The fixation for both style trays come in the form of “Two vertical pegs positioned slightly posterior to midline where peak bone density is located for initial fixation and stabilization." The system offers both chamfer and flat cut talus options that are tapered to avoid gutter impingement.

Their instrumentation as seen on their technique guide looks very similar to Wright’s Infinity. Paragon is still awaiting FDA approval on their PSI system. It will be interesting to see how the APEX performs clinically and from a sales perspective in an all of a sudden, very crowded TAR space.

AOFAS Summer Meeting - 2020

The live, virtual portion of the AOFAS at Home summer meeting will kick off tomorrow at 2pm CST.

At this time last year attendees were arriving at O’Hare and Exhibitor's were scrambling to set-up in the convention center.

This year, things are obviously different. A virtual conference has been organized over the last two months and many new tech focused challenges had to be answered by both industry participants and AOFAS leadership and staff.

We are happy to report, that even with some of the virtual fatigue that we all have experienced during this pandemic, registration for the meeting is now well over 800 attendees.

If you need a reason to attend outside of the content offered it should be mentioned the meeting will offer triple the CME (75 Hours) at half the price, so if you haven’t yet find the link below to register and learn more.

Register now!

FORWARD TO FRIENDS/COLLEAGUES AND SHARE!

AOFAS 2020 Corporate Webinars

AOFAS at Home is offering 3 days of live Industry Symposiums. The list below is extensive with the majority of the big players participating.

Even if you are not registered for the meeting, these webinars are available for your viewing pleasure. In each time slot, events are competing head to head so you will need to decide what you want to watch.

  • Thursday 9/10 - 8pm to 9:30pm CST
  • Friday 9/11 - 4pm to 5:30pm CST
  • Friday 9/11 - 8:10pm to 9:40pm CST
  • Saturday 9/12 - 8am to 9:30am CST

No CME will be offered for the Industry Symposiums.

Webinars listed by date/time. Some webinars will be held more than once with differnt presenters.

Bioventus LLC

Difficult Cases: The Role of Bone Stimulation in Fracture Care

Thursday, September 10

8:00 – 9:30 pm Central Time

Faculty: Robert B. Anderson, MD

This interactive discussion will feature a review of how Robert B. Anderson, MD (Green Bay, WI) utilizes bone stimulators in his practice. During the presentation he will review the bone stimulators on the market today, and the science behind the market leader the EXOGEN Ultrasound Bone Healing System. Dr. Anderson will also share several case studies from his practice where bone stimulators have been used to treat these patients.

This session is intended to be interactive and will include audience participation, Q&A and open discussion.

REGISTER HERE

Paragon 28

Paragon 28 Precision Ankle Solutions

Thursday, September 10

8:00 – 9:30 pm Central Time

Faculty: Mark Myerson, MD

Dr. Myerson will introduce APEX 3D™ Total Ankle Replacement System from Paragon 28, including contributing research and design rationale.

He will also present Paragon 28’s Precision Guided Ankle and TTC Fusion Systems inclusive of Silverback™ Ankle Fusion Plating System and Phantom® TTC/TC and ActivCore™

REGISTER HERE

Stryker

Managing Midfoot Reconstruction with Stryker's NEW T2 ICF Nailing System

Thursday, September 10

8:00 – 9:30 pm Central Time

Faculty:

Michael C. Aynardi, MD

Jason T. Bariteau, MD

Adam P. Schiff, MD

REGISTER HERE

Treace Medical Concepts, Inc.

Lapiplasty® System Innovations

Thursday, September 10

8:00 – 9:30 pm Central Time

Faculty:

Mark E. Easley, MD

Robert D. Santrock, MD

W. Bret Smith, DO

Join us for a technology overview of the Lapiplasty® System, including cases studies and an introduction of the new Lapiplasty® Mini-Incision™ System.

REGISTER HERE

Wright Medical Group N.V.

LapiFuse™ Live Cadaveric Experience: Why Patients Deserve More Than

Triplanar Correction

Thursday, September 10

8:00 – 9:30 pm Central Time

Faculty:

W. Hodges Davis, MD

Jesse F. Doty, MD

Learn how surgeons are helping to improve their Lapidus procedures by:

  • Preserving length of first ray
  • Gaining reproducible triplanar correction
  • Utilizing implant-driven compression

Dr. Davis and Dr. Doty will take you through a live cadaveric surgery of LapiFuse™, Wright’s newest technology in bunion correction. This webinar will include the step-by-step surgical technique incorporating surgical pearls and fluoroscopy. This will be a very interactive session providing you the opportunity to ask questions throughout the procedure. Join us to discuss the benefits of achieving triplanar correction, as well as how to reduce the risk of metatarsalgia and recurrence.

REGISTER HERE

Zimmer Biomet

Continuum of Care: Hallux Valgus and Lisfranc Repair

Thursday, September 10

8:00 – 9:30 pm Central Time

Faculty:

Ricardo Cook, MD

Rob Grunfeld, MD

In this session, we will review a variety of Hallux Valgus and Lisfranc cases and discuss appropriate treatment options under differing circumstances.

REGISTER HERE

3M+KCI

Next Generation Negative Pressure Therapy For Incision And Soft Tissue Management: Improving Outcomes Following Lower Extremity Surgery

Friday, September 11

4:00 – 5:30 pm Central Time

Faculty:

Ravi A Karia, MD

University of Texas Health Science Center

You’re invited to join Ravi Karia, MD for this symposium, designed to increase knowledge of appropriate and safe use of ciNPT and improve outcomes in lower extremity surgery. Dr. Karia will review clinical evidence, case studies and provide a practical demonstration of the latest evolution in incision and surrounding soft tissue management in lower extremity.

Program Highlights:

Understand the impact of surgical site infections

Tips and pearls for successful outcomes in lower extremity surgery

Review recent evidence examining the importance of using negative pressure therapy for incision and surrounding tissue management

Discuss case examples of outcomes associated with negative pressure therapy in complex lower extremity cases

REGISTER HERE

DePuy Synthes

Flexible Syndesmotic Repair with the FIBULINK System

Friday, September 11

4:00 – 5:30 pm Central Time

Faculty:

Samuel B. Adams, MD

Douglas Lucas, DO

Dr. Adams and Dr. Lucas will present the new DePuy Synthes FIBULINK® Flexible Syndesmosis Repair System, including clinical literature review, case outcomes, surgical technique, and best practices.

REGISTER HERE

Paragon 28

Why the Lapidus and Emergent Minimally Invasive Approaches

Friday, September 11

4:00 – 5:30 pm Central Time

Faculty:

Gregory P. Guyton, MD

Cesar de Cesar Netto, MD, PhD

Dr. Guyton and Dr. Cesar will present Paragon 28’s Phantom® MIS System for the Lapidus procedure, including outcomes, technique and best practices.

REGISTER HERE

Stryker

Addressing Ankle Fusions with Stryker's NEW AxSOS 3 Ankle Fusion Plating System

Friday, September 11

4:00 – 5:30 pm Central Time

Faculty:

Michael J. Coughlin, MD

Armen S. Kelikian, MD

Keith L. Wapner, MD

REGISTER HERE

Zimmer Biomet

Total Ankle Replacement: Complex Cases

Friday, September 11

4:00 – 5:30 pm Central Time

Faculty:

Steven Herbst, MD

This session will present a selection of cases that illustrate complex pre- and post-operative challenges in total ankle replacement such as infection, existing hardware, bony anatomy, wound complications or post-operative fractures.

REGISTER HERE

Paragon 28

Changes in Thinking and Approaches to Ankle and TTC Arthrodesis

Friday, September 11

8:10 – 9:40 pm Central Time

Faculty:

Mark Myerson, MD

Michael Brage, MD

Dr. Myerson and Dr. Brage will present Paragon 28’s Silverback Ankle Fusion Plating and Phantom® TTC/TC and ActivCore™ Systems, including contributing experience and design rationale.

REGISTER HERE

Stryker

Addressing Ankle Fusions with Stryker's NEW AxSOS 3 Ankle Fusion Plating System

Friday, September 11

8:10 – 9:40 pm Central Time

Faculty:

Michael J. Coughlin, MD

Andrew Harston, MD

Armen S. Kelikian, MD

Keith L. Wapner, MD

REGISTER HERE

DePuy Synthes

Flexible Syndesmotic Repair with the FIBULINK System

Saturday, September 12

8:00 – 9:30 am Central Time

Faculty:

Michael Swords, DO

Sarang Desai, DO

Dr. Swords and Dr. Desai will present the new DePuy Synthes FIBULINK® Flexible Syndesmosis Repair System, including clinical literature review, case outcomes, surgical technique and best practices.

REGISTER HERE

GMReis

What Is New in Foot and Ankle Sports Injuries Treatment

Saturday, September 12

8:00 – 9:30 am Central Time

Faculty:

Cristian A. Ortiz, MD

The session will emphasize some of the new updates in common sports injuries. There will be interactive discussion about how to improve rehabilitation and early return to sports.

REGISTER HERE

Paragon 28

Emerging Concepts and Research in Pilon Fx, Ankle Fx and Syndesmosis Repair

Saturday, September 12

8:00 – 9:30 am Central Time

Faculty:

John Y. Kwon, MD

Dr. Kwon will discuss Paragon 28’s Gorilla® Ankle Fracture, Pilon Plating Systems and the R3LEASE™ Soft Tissue Stabilization System, including research and technologies in addressing fractures of the fibula, distal tibia, and repair of the syndesmosis.

REGISTER HERE

Stryker

Managing Midfoot Reconstruction with Stryker's NEW T2 ICF Nailing System

Saturday, September 12

8:00 – 9:30 am Central Time

Faculty:

Michael C. Aynardi, MD

Jason T. Bariteau, MD

Adam P. Schiff, MD

REGISTER HERE

Zimmer Biomet

Fusion and Pain in the Foot and Ankle

Saturday, September 12

8:00 – 9:30 am Central Time

Faculty:

Robert B. Anderson, MD

John S. Early, MD

In this session, we will review foot and ankle cases that require fusion repair and review options. This session will also address sources of pain, such as bone marrow lesions and cysts and review options for treatment.

REGISTER HERE

FORWARD TO FRIENDS/COLLEAGUES AND SHARE!

If you have an upcoming webinar or event you would like to promote, please contact us at footandanklenews@gmail.com

Or if you have an article you would like to share, please email it to us at footandanklenews@gmail.com


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