Active Compression System Stabilizes Foot and Ankle

An innovative medial column implant system integrates plate stability with active compression for multiple foot applications.

The CrossRoads Extremity Systems (CrossRoads; Memphis, TN, USA) DynaFORCE Active Stabilization Vero medial column implant system integrates the stability of a plate with active compression nitinol clip technology. Available top-loading compression clips, the system can be used to deliver the clips through a plate flush to the bone using only an inserter, with no tamping required. The clips, which are available in 15mm and 18mm, are delivered to the operating room completely sterile, and can be reloaded and repositioned intraoperatively.


“We believe the Vero plating system is a robust platform for medial column fusion with multiple fixation points throughout the plate,” said Chad Hollis, co-founder of CrossRoads. “It provides surgeons with the ability to address compression across multiple joints at the same time, without violating the joint surface.”

“The plate and staple combination is brilliant. The exciting and innovative engineering of the implants and instruments has direct application to foot and ankle fixation,” said Terrence Philbin, DO, of Orthopedic Foot and Ankle (Columbus, OH, USA). “The ability to use the dynamic compression staple in conjunction with a plate provides strong compression and stability. Another key benefit of nitinol fixation is the continuous compression you get after implantation.”

Bone plating is a method of fracture fixation in which one or more metal plates are applied across the fracture and anchored, usually by screws, into the fragments; the broken bones must first be surgically reset into their proper position. The method does have some drawbacks; after initially placing the plate on the break or fracture the bones are compressed together and held under some slight pressure, which helps to speed up the healing process of the bone. Unfortunately, the tension provided by the steel plate is lost after several days and the break or fracture is no longer under compression, slowing the healing process.

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