For Surgeons

Choose joint preservation.

The Accu-Joint™ system is a revolutionary, FDA-approved treatment for MTP joint disorders that enables restoration of MTP joint function and motion.

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Glenn

Learn why Dr. Glenn Vitale chooses the Accu-Joint™ for his patients

“Simply said, the Accu-Joint™ restores anatomical function. It allows natural joint motion by design and does not preclude the option of future treatments if required. I am excited to offer the Accu-Joint™ to my patients and select joint preservation over joint fusion.”

— Dr. Glenn C. Vitale, DPM, FACFAS

Don’t replace, resurface!

The Accu-Joint™ is a simple, elegant system that resurfaces the MTP joint instead of resecting the hard bone, strengthening the implant and restoring function and motion.

2-Stage MTP Joint Reamer

Our unique 2-stage reamers remove worn cartilage, smooth bone spurs, and create a 1 mm recess to countersink the implant into the hard subchondral bone end in one single process. This results in complete resurfacing of the bone ends, preserving bone anatomy thereby creating an exact radius match of bone to implant for precise seating.

At the same time, second-stage blades produce 360-degree clearance around the implant edge, enabling articulation from cortex to cortex. This allows the newly resurfaced joint to articulate in a smooth manner across the entire articular surface.

  1. Outer-articular radius cheilectomy of the articular surface to the outer cortex.
  2. Intra-articular radius cheilectomy for precise bone radius and implant countersinking.

Accu-Joint™ Implant

The Accu-Joint™ is designed to replace original cartilaginous anatomy. This is accomplished by preserving the subchondral bone end, thus providing a true articular surface replacement, and the solid rigid internal fixation needed for support, function and longevity. By preserving its existence, it will continue to support the implanted articular surface. The implant is sized to be 10-15% smaller than the diameter of the bone end, which ensures that the bone, not the implant, bears the full weight of the body. The preservation of the joint’s anatomical structures creates the strength and stability necessary for foot function.

  1. Non-cannulated, solid stem, cancellous threads help to prevent entry of infection into the medullary canal, and provide superior strength to the implant.
  2. The implant is rigidly fixated into subchondral bone, is 10 degrees wider than the stem, thus transferring the dynamic and static stresses off of the medullary stem, and into the hard subchondral bone.
  3. Grooves and scalloped edges under the head of the implant allow bone ongrowth, reducing implant rotation or loosening, thus preventing anti-rotation.
  4. Implant diameter is 10-15% less than the diameter of the bone which prevents weight bearing on the implant and transfers the load to the preserved hard bone.
Joint Implant

Accu-Joint™ System Instruments

Trials

Trials

Cannulated Drill Bit

Torx Driver

Torx Driver

The Accu-Joint™ difference

Regain functionality

Unlike fusions, the Accu-Joint™ enables patients to regain mobility and joint functionality.

No resection of the bone end

Our patented 2-stage reamer resurfaces the bone end without the need for resection.

Non-weight bearing design

Body weight is transferred to the preserved bone, rather than the implant.

Fast, active recovery

The Accu-Joint™ is weight-bearing from day 1 and patients are back on their feet in days, not weeks.

How it works

Step 1

Obtain full exposure by performing an extra articular cheilectomy using a bone saw, rongeur, and  rasp where indicated. In all cases it is essential that a McGlamry elevator is used to free the  sesamoids.

Step 2

Use the opposing side trial to size 10% to 15% smaller than the outer cortical diameter of the  bone surface.

Step 3

Center and align the trial to the bone articular surface. The trial for the Accu-Joint™ Hemi Implant  should be positioned perpendicular to the articular set angle.

Step 4

Drive the k-wire axial, leaving 30 – 40mm (1.2 – 1.6 inches) exposed. Position for the articular set angle should be confirmed with imaging.

Step 5

Start the cannulated two-stage reamer at high and forward speed first, then gently and lightly remove the worn cartilage. This will create a recess for the implant, prepare the outer articulation, and allow for no more than 3 millimeters of decompression. The subchondral bone remains preserved providing four-points of rigid fixation for the Accu-Joint Hemi Implant. 

Step 6

Drill the pilot hole until the top of the counterbore is flush with the surface of the bone. For soft  bone only drill to the bottom of the counterbore.

Step 7

Use the trial to ensure complete 360 degree seating, range of motion, and alignment of the  Accu-Joint™ Hemi Implant. Any remaining extra articular osteophytes are removed to ensure  smooth range of motion.

Step 8

Remove the K-wire and thread the Accu-Joint Hemi Implant into the pilot hole using the T-6 driver. Use two finger tightness to secure the implant. (cleared for use with bone cement).

Step 9

Simulate weight-bearing and assess range of motion.

Who is the Accu-Joint™ for?

The Accu-Joint™ Hemi Implant should be used to treat patients with degenerative and post-traumatic arthritis of the MTP joint who have hallux limitus or hallux rigidus, or any arthritic conditions having unstable or painful MTP joints. The Implant is intended to be used with bone cement.*

Indications for use

*At the surgeon’s discretion/decision

Become an Accu-Joint™ surgeon and join us in the fight for function over fusion

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