There are inherent challenges in addressing syndesmotic repair including:
- Providing stable fixation while the syndesmosis heals
- Soft tissue irritation
- Screw fracture and removal of fractured implants
The Gorilla® Breakaway Screw System was designed with these challenges in mind. A rigid construct allows the syndesmosis to heal while a low-profile head limits soft tissue irritation. While broken and loose screws have demonstrated improved patient outcomes as compared to intact syndesmotic screws1, the location of screw breakage can be unpredictable with some breakage causing osteolysis from adjacent bony erosion leading to pain and difficult removal.2
The Breakaway Screw System was designed so that if screw fracture occurs, the screw breaks cleanly in the clear space at the notch point. Multiple removal features allow the surgeon to remove the screw fragments medially or laterally, if necessary.
Two notch lengths (14 and 17 mm) were designed to address differences in patient anatomy and to accommodate screw use with or without a plate. The notch is designed to be placed in the clear space when used for syndesmosis repair.
If removal is desired, the tibial component of the Breakaway Screw may be removed medially or laterally utilizing dedicated removal instrumentation.
Paragon 28® is grateful for the significant contributions Dr. John Kwon, MD and Dr. Matthew Riedel, MD have made as the surgeon designers of this system.
About Paragon 28, Inc.
Paragon 28, Inc. was established in 2010 to address the unmet and under-served needs of the foot and ankle community. From the onset, Paragon 28 has made it our goal to re-invent the space of foot and ankle surgery. We believe that through research and innovation we can create new and improved solutions to the challenges faced by foot and ankle specialists.
- Manjoo A, Sanders DW, Tieszer C, Macleod MD. Functional and radiographic results of patients with syndesmotic screw fixation: implications for screw removal.
J Orthop Trauma. 2010;24:2-6
- Riedel MD, Briceno J, Miller C, Kwon J Technical tip: Removal of a broken tri-cortical syndesmotic screw using a “perfect circle” technique. Injury. 201 B Apr;49(4):877-880. doi: 10.1 016/j.injury.2018.02.022. Epub 2018 Mar 2.
SOURCE Paragon 28, Inc.
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