| PANTA® - PANTA®XL Arthrodesis Nail System - Indications for Use |
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Indications for Use
The PANTA® - PANTA®XL Arthrodesis Nail System
is intended for use in tibio-talo-calcaneal arthrodesis
including deformities of the hindfoot and the distal tibia.
Depending on the particular patient factors, indications
may include:
- Post-traumatic and degenerative arthritis involving
both ankle and subtalar joints
- Rheumatoid arthritis
- Revision of failed ankle arthrodesis with subtalar
involvement or with an insufficient talar body
- Revision of failed total ankle arthroplasty with subtalar
intrusion
- Talar deficiency conditions requiring tibiocalcaneal
arthrodesis
- Avascular necrosis of the talus
- Neuroarthropathy or neuropathic ankle deformity
- Severe deformity as a result of talipes equinovarus,
cerebral vascular accident, paralysis or other neuromuscular
disease
- Severe pilon fractures with trauma to the subtalar
joint
Contraindications
The implant should not be used in a patient who has currently,
or who has a history of:
- Intact asymptomatic subtalar joint
- Active local or systemic infection
- Severe peripheral vascular disease
- Severe longitudinal deformity
- Insufficient quantity or quality of bone to permit
stabilization of the arthrodesis
- Obliterated medullary canal or otherconditions which
tend to retard healing such as blood supply limitations,
previous infections
- Conditions that restrict the patient's ability or
willingness to follow postoperative instructions during
the healing process
- Insufficient plantar pad
- Suspected or documented metal allergy or intolerance
