Implant Device Offers Streamlined Stability

When choosing a metatarsal implant device, stability and simplicity are essential. One emerging product may provide the precise fit and streamlined technique that practitioners are looking for.    The EnCompass implant offers a precise match to the resurfaced metatarsal, capping the entire head and smoothing the articulating surface, notes the manufacturer OsteoMed. According to the company, this one-piece design promotes anti-rotational stability while its streamlined implantation technique results in reduced OR time.    The device utilizes a four-finned stem and reverse cutting teeth, which prevents implant rotation and pullout, according to OsteoMed.    Additionally, OsteoMed explains that the EnCompass implant’s titanium plasma spray and hydroxyapatite coating encourage osseointegration.    James DeJesus, DPM, FACFAS, has been using EnCompass since its launch in 2009.    “The EnCompass implant is superior to similar products due to the simple application technique and the availability of multiple sizes,” explains Dr. DeJesus, who is in practice in Naugatuck, Conn.    OsteoMed notes that with five sizes, the EnCompass implant accommodates individual anatomy and promotes minimal bone removal. When the device is fully seated, it covers the metatarsal head and provides a smooth articulating surface while deterring bony overgrowth, according to the company.    “The key advantage (of EnCompass) is the ability to avoid excess bone resection, which would avoid bone grafting if an arthrodesis is required in the future,” says Dr. DeJesus.    He advises first-time users to incorporate the use of fluoroscopy to ensure the initial guide wire is in an ideal position to provide patients with the most comfort.    “Make sure the initial guide wire is in the central portion of the metatarsal with a slight dorsal angulation so the implant remains neutral, therefore avoiding a dorsally prominent implant, which could cause some discomfort in shoes,” he explains.    Dr. DeJesus notes that in his clinical practice, he has found the EnCompass implant to be best suited for stage three hallux rigidus. Alternately, he explains that one should not use the implant in patients with a severely elevated first metatarsal.    OsteoMed explains that the company has instituted a minimum step procedure with a color-coded sequential layout to provide practitioners with an efficient, streamlined technique to facilitate precise stability.    Ms. Chicano is a freelance writer who lives in Philadelphia.