OsteoMed® ExtremiLock™ Foot Plating System

Lisfranc Plating System

Overview

Designed in conjunction with Lawrence Fallat, DPM, J. Robert Faux, MD, and Nirmal Tejwani, MD, the Lisfranc plating system provides fixation for Lisfranc fractures-dislocations and fusions of the articulation between the first, second, and third metatarsal bones, and the cuneiform bones.

This system offers the most complete selection of plates for a dorsal, dorsomedial and medial approach. The plate design allows for compression and stabilization of the TMT joint while allowing surgeons to visualize the affected area during the healing process.

Indications for Use
The Lisfranc Plating System is indicated for use in trauma, general surgery, and reconstructive procedures of Lisfranc injuries. The Lisfranc Plating System implants are intended for single use only.

Lisfranc Plating System Procedures

The Lisfranc Plating System can be used in the following procedures:

Lisfranc Dislocation / Midfoot Fracture (Midfoot)

Plate Families

The Lisfranc plating system is used with the ExtremiLock Foot plating system screws and instrumentation. The instrumentation was designed to assist with soft tissue management, bone and plate manipulation as well as screw insertion. All threaded holes accept 2.7 mm, 3.5 mm and/or 4.0 mm locking and nonlocking screws for patient specific fixation.
Stabilization Plates, Left & Right Specific
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Dorsomedial Plates, Left & Right Specific
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Universal Medial Plate
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1st—2nd Dorsal Plates, Left & Right Specific
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2nd—3rd Dorsal Plates, Left & Right Specific
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Tray

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The ExtremiLock Foot Plating System tray features a modular design. Offering eight plate modules, three screw caddies and general instrumentation. The Lisfranc plating modules are housed within the ExtremiLock Foot plating system tray.

One module contains the 1st-2nd, 2nd-3rd ray plates and dorsomedial plates.

The second module contains the stabilization plates, medial plates, *2.7 mm locking and nonlocking screws, *3.5 mm nonlocking screws (32 mm—60 mm) and targeting guide.

Instrumentation and the 3.5 mm and 4.0 mm screws required to implant the Lisfranc plates are housed within the ExtremiLock Foot system tray.

Targeting Guide

The system provides a unique Lisfranc targeting guide that facilitates accurate Lisfranc screw fixation placement and trajectory for cases presenting with intermetatarsal instability. The guide is incredibly versatile, compatible with a wide range of screw sizes and types, making it the ideal instrument for any surgical situation.

  • Medial Arm

    Allows for dorsal & plantar and rotational adjustment of interfragmentary screw drill guide cannula.

  • Threaded TAK & Knob

    Secures targeting guide to Lisfranc plate screw hole.

  • Dorsal Rail

    Allows medial and lateral adjustment of targeting guide based on patient anatomy.

  • Left/Right Cannula

    Provides screw trajectory for interfragmentary screw.

  • Angle Locking Knob

    Secures medial arm in place for interfragmentary screw placement.

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Threaded Drill Guide & Guide Wire Insert

Allows interfragmentary screw placement of 2.7 mm and/or 3.5 mm solid cortical screws or 3.0 mm, 4.0 mm partially threaded cannulated screws

Screw Features

Variable Angle Locking & Nonlocking Screw
The ExtremiLock Foot Plating System features double lead screw technology and provides surgeons with a broad range of screw fixation options. All screws are made from titanium alloy and include 2.7 mm, 3.5 mm and 4.0 mm cortical locking and nonlocking screws.
  • T15 Hexalobe drive
  • Double lead threads
  • Self-tapping
  • Blunt tip
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Images

X-Ray

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