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About this product

Division: Trauma
Category: Intramedullary Nails

The Hindfoot Arthrodesis Nail, part of the Expert Nailing System, permits a proper hindfoot alignment due to a unique lateral bend of the nail along with an optimal stability provided through various locking options.

Titanium Cannulated Hindfoot Arthrodesis Nail, part of the Expert Nailing System - image of nail and screws in foot

Indications for Use

The Hindfoot Arthodesis Nail–EX is indicated to facilitate tibiotalocalcaneal arthrodesis to treat:

  • Severe foot/ankle deformity
  • Arthritis
  • Instability and skeletal defects after tumor resection; these include, but are not limited to, neuro-osteoarthropathy (Charcot’s foot)
  • Avascular necrosis of the talus
  • Failed joint replacement or failed ankle fusion
  • Distal tibial fracture nonunions
  • Osteoarthritis
  • Rheumatoid arthritis and pseudoarthrosis


Features & Benefits

The lateral bend of the nail is designed to do the following:

  • Restore 3° to 5° of valgus positioning to improve patient’s gait
  • Avoid damage to the lateral plantar artery and nerve

Various locking options are available within the nail:

  • Distally, the spiral blade increases surface area and optimizes load distribution in the calcaneus
  • The 6.0 mm locking screws allow a posterior-to-anterior fixation for greater purchase in the calcaneus as well as a calcaneocuboid fusion option
  • The appropriate endcap provides a fixed-angle construct with the spiral blade and/or the 6.0 mm locking screw
  • The angulated 5.0 mm locking screw through the talus facilitates the subtalar fusion by additional fixation and provides an optional talar/navicular fusion
  • Proximally, the placement of the two 5.0 mm locking screws are targeted through the aiming arm, regardless of nail length
  • The system allows different locking orientations: Medial-to-lateral or lateral-to-medial
  • The dynamization slot allows optional postoperative compression

All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative.
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