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Where Will the STAR Ankle Land — and Should You Move Cases to an ASC?

Divestiture rumors swirl, plus the economics of surgery centers versus hospitals.

Originally published April 15, 2020Wright Medical · Zimmer

In this issue


More Webinar Listings | Where will STAR Ankle Go? | ASC vs Hospital for Surgery?

Upcoming Corporate Webinars

Webinars...Get your Webinars!!!

Industry is taking to the web to bring more content to physicians looking to sneak away from the family for an hour or so. We have found a few that we think you may find valuable and are due to launch as soon as tonight.

Webinars listed by date.

Medshape - Modern Technologies to Treat Complex Foot and Ankle Pathologies: 3D Printed Implants and Sustained Compression Devices

Wednesday – April 15 @ 6pm ET

Speakers :

Dr. Samuel Adams, MD – Duke Orthopedics

Dr. Gerard Cush, MD - Geisinger Health

Using modern technologies to treat complex foot and ankle pathologies.

REGISTER HERE

Paragon 28 - Strategies for Addressing a TTC and TC Arthrodesis using Hindfoot Nails

Presented by Foot Innovate

Thursday - April 16 @ 8pm ET

Speaker - Byron Hutchinson DPM

Product Focus – PHANTOM TTC FUSION NAIL

REGISTER HERE

Novastep Webinar - My Worst Cases of the Foot and Ankle

Saturday – April 18th @ 11am ET

Speakers:

Bob Anderson, MD

Jesse Doty, MD

Vinod Panchbani, MD

Have a case of quarantine blues? Join Drs., Vinod Panchbhavi , Robert Anderson and Jesse Doty as they air out their dirty laundry this spring presenting “My Worst Cases!”

REGISTER HERE

Curve Beam - Weight Bearing CT

Webinar 1 : Financial and Operational Perspectives

Wednesday - April 22 @ 12pm ET

Speaker: Dr. Calvin Rushing, DPM

Discussion on the limitations of traditional imaging, as well as the advantage of weight bearing CT imaging and how it improves clinical decision making. He will also discuss financial and operational considerations when planning for implementing the technology in your practice.

REGISTER HERE

Webinar 2 : How Important is Weight Bearing CT in Hallux Valgus?

Thursday April 23 @ 12 ET

Speaker - Dr. Christian Ortiz, MD

REGISTER HERE

Trilliant Surgical - Advances in Foot Plating Technology

Presented by ASPS

Wednesday – April 22 @ 7pm ET

Speaker – Matthew D. Hinderland DPM, FACFAS – Foot and Ankle Institute of Colorado

Educational highlights will include an overview, history, pros/cons, current theories, and concepts in foot plating, along with case reviews of advances in foot plating technologies and techniques.

REGISTER HERE

Additive Orthopaedics - Ankle Salvage: 3D Printing Options

Wednesday - April 29 @ 8pm ET

Speakers:

James DeOrio, MD

Mark Easley, MD

Selene Parekh, MD, MBA

(Duke University)

TO REGISTER EMAIL gameplan@additiveorthopaedics.com

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

Where Will the STAR Total Ankle End Up?

With the acquisition of Wright Medical, Stryker will have some decisions to make in terms of product line redundancies from both an inventory and legal perspective in the near future. The plates, screws, and biologic offerings will sort itself over time as Stryker will want to limit the disruption of any sales immediately post acquisition. However, the FTC will likely force the sale of one of their primary ankle replacement prosthesis prior to the completion of the deal.

According to Wells Fargo, Wright Medical currently owns about 70% of all total ankle market share in the US. Leaving the STAR, Integra’s Candence and Salto, Exactech's Vantage, and the Zimmer TM to make up the rest of the replacement volume. Wright currently offers a “full continuum of care” from low profile (Infinity), to large deformity (Inbone 2) to their revision platform (Invision). In addition, Wright’s Prophecy preoperative planning software is compatible to all 3 of those systems, seemingly making those aforementioned systems untouchable. Therefore, it is assumed that the STAR would be on the move similar to when the Salto was sold to Integra at the time of the Wright/Tornier merger back in 2015.

So who are the contenders for the STAR ankle?

ARTHREX?

DEPUY/SYNTHES?

ZIMMER/BIOMET?

SMITH AND NEPHEW?

And more...

READ FULL ARTICLE: CLICK HERE

Total Ankle – Single Stage vs. Two Stage and More...

Since we were talking Wright Medical in the previous post, we figured it wouldn’t be a bad idea to follow up with a few recent videos on Ankle Replacement.

Wright is offering a number of educational video’s on its MEDED channel. Some are available to watch, others you will need to register (name and email) to gain access. The two below are featured this week and it appears no registration is required:

William C. McGarvey, MD , shares his thought process on assessing coronal deformity in ESAA patients, choosing an appropriate prosthesis, and weighing the advantages and disadvantages of performing a single stage correction and arthroplasty. (21 MIN)

WATCH HERE

Gregory C Berlet MD , FAOA, FRCS(C) discusses disease states and how this helps one determine the best available options for your patient moving forward. This lecture covers End Stage Ankle Arthritis (ESAA), Ankle Arthritis, Ankle Fusion, and Arthroplasty. (11 MIN)

WATCH HERE

Outpatient ambulatory surgery or hospital based surgery? A new paradigm after the pandemic.

“Where will you be doing my surgery? I want to make sure it is at the hospital so everything is there in case of a ‘problem’. ”

This was not an unusual request of a patient to a surgeon prior to the pandemic.

What should we expect in the new world after COVID-19? Sure, the hospitals have “everything.” This “everything” may also include many things that are not in the best interest of care for foot and ankle patients. It is time to re-evaluate and re-educate our patients on the risk benefit profile of surgical care location and the potential risks. The increased risk for bacterial infection, and in particular, resistant bacterial infection such as MRSA has been recognized for years. Despite this well recognized evidenced based literature discrepancy, many outpatient surgical procedures are still being performed in an inpatient hospital setting.

There are certain risk factors that are inherent to patient risk factors. Patients that require dialysis, complex airway management, and other more critical issues will likely always require the safety net of the inpatient setting. But are there other factors involved in determining location of care for orthopaedic foot and ankle procedures? What is the basis for preferential increased payment schedule for procedures performed in the inpatient hospital setting versus the outpatient surgical center? Why are implant costs commonly paid for by insurers in the inpatient setting but must be absorbed and thus frequently not plausible in the outpatient setting for the same procedures?

READ FULL ARTICLE: CLICK HERE

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


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