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InCore Lapidus System
The InCore Lapidus System is a three-part construct intended for internal fixation for first tarsometatarsal fusion.
This system is internal to the bone, minimizing the need for hardware removal due to pain and irritation reported with traditional external plating constructs of first tarsometatarsal arthrodesis.1
This product is distributed by Zimmer, Inc.
Reference
1. Cottom JM, Vora AM. Fixation of Lapidus arthrodesis with a plantar interfragmentary screw and medial locking plate: a report of 88 cases. J Foot Ankle Surg. 2013; 52(4):465-469.
Medartis
Medartis
5.9mm x 28mm titanium post
3.5mm diameter headless compression screws offered from 24 to 56mm in length
Robust T10 hexalobe driver
Tri-Planar Correction
Targeting Guide is intended to aid and stabilize angular/rotational correction in all three planes (transverse, sagittal and frontal plane)
Fully Guided
Post and targeting guide utilize anatomical landmarks to facilitate fixation placement
Angular correction of the metatarsal facilitated and maintained by the targeting guide
Solid Intermedullary Construct
Solid 5.9mm titanium post provides large surface area engagement in the cancellous bone of the medial cuneiform
Headless compression screws thread directly into the 5.9mm post
Post and screws construct may reduce hardware prominence and resultant hardware removal due to pain or irritation related to such hardware prominence
Hardware removal due to pain and irritation is reported in up to 17% of first tarsometatarsal arthrodesis cases when using plating constructs.1,2
Joint Preparation
Targeting Guide provides distraction of the joint for visualization and joint preparation
Distraction allows space for curettage and microfracture
Controlled Compression
Targeting guide includes built-in compression-distraction fixture providing compression parallel to the long axis of the first metatarsal
The Nextremity Solutions InCore™ Lapidus System is a three-part construct intended for internal fixation for first metatarsocuneiform arthrodesis (also known as Lapidus or first tarsometatarsal fusion)
(1) Patient conditions including insufficient quantity or quality of bone. (2) Blood supply limitations and previous or active infections that may inhibit healing. (3) Surgical procedures other than for the indications listed. (4) Patients with conditions that limit their ability or willingness to follow postoperative care instructions. (5) The device may not be suitable for patients with insufficient or immature bone. The physician should carefully assess bone quality before performing orthopedic surgery on patients who are skeletally immature. (6) Where material sensitivity is suspected, appropriate testing should be performed and sensitivity ruled out prior to implantation. (7) The InCore Lapidus System requires placement of a titanium post in the medial cuneiform bone. For optimum fixation strength, the post should be fully encapsulated in bone. The device may be unsuitable for patients with small, thin, bifurcated, split, fractured, or otherwise abnormally shaped bone.
