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Toe HemiCAP DF

Patellofemoral Arthroplasty System

Patellofemoral (PF) Implant Systems (PF HemiCAP Classic, PF Wave & WaveKahuna)

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Description

Anika’s Patellofemoral Arthroplasty Systems are designed to restore the native shape of the Patella and Femoral Trochlea Groove while preserving native joint anatomy. This creates a congruent pathway by using an intraoperative 3-dimensional mapping system with anatomically designed implants.

The PF HemiCAP® Classic, PF Wave® & WaveKahuna® are available in 3 different sizes, with 29 trochlear convexities and 12 different patellas, making it the most versatile PF arthroplasty system. The PF Classic System is indicated for isolated and contained lesions of the trochlear groove and patella. The PF Wave and WaveKahuna Arthroplasty Systems are indicated for those patients with more diffuse and/or extensive damage to their PF joint and can be used to treat a variety of patellofemoral pathology including:

  • Isolated PF Arthrosis and Arthritis
  • PF Malalignment
  • PF Instability
  • Dysplasia

Both the trochlea and patella implants are designed as inlay implants in order to maintain and restore congruency in the PF joint, which is very important for proper patella tracking.

A recent study showed, “None of the patients in the inlay group showed progression of tibiofemoral OA. In contrast, the onlay group showed significant progression… with 53% of the patients showing progression of medial and/or lateral tibiofemoral OA.”  This was followed by a study at 5 years with the same results, “At 5-year follow-up…no significant progression of tibiofemoral OA was observed.”1

Key Features & Benefits:

  • Preserves native anatomy and can be performed in conjunction with soft tissue alignments and/or on dysplastic femurs
  • Multiple anatomic inlay trochlea and patella implants provide an off-the-shelf custom fit
  • Inlay components preserve the joint by only removing a small amount of bone, maintaining future options; “No Bridges Burned”
  • Components are connected via morse taper
  • Minimally invasive procedure can be performed as an outpatient procedure with this simple, intuitive, and reproducible technique that leaves supporting tissues intact and maintains proprioception
  • No activity restrictions following recovery
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Hyalofast

Hyalofast® is a biodegradable, non-woven scaffold composed of HYAFF® (benzyl ester of hyaluronic acid) intended as support for the entrapment of mesenchymal stem cells (MSC) for the repair of chondral and osteochondral lesions. It acts as a support for bone marrow aspirate (BMA), bone marrow aspirate concentrate (BMAC), or as a chondroprotective coverage which favors in situ residence of mesenchymal stem cells after their mobilization following bone marrow stimulation procedures. Hyalofast fibers favor cell adhesion, allowing MSC arrangement inside the three-dimensional matrix. Once implanted, it fills the defect and temporarily substitutes the chondral and osteochondral tissue in the lesion until it is absorbed and replaced by the cartilage tissue. As the HYAFF fibers degrade, the polymer releases the parent molecule enriching the implantation site with hyaluronic acid, a naturally occurring extracellular matrix molecule and a major component of human cartilage. The unique handling properties of Hyalofast make it quickly and easily implantable via arthroscopy or mini-arthrotomy. The soft texture allows it to conform easily to the lesion anatomy. It readily adheres to the site of application without requiring additional fixation in most cases. The scaffold can be applied in any orientation or stacked due to its uniform single-layer 3D structure. Hyalofast has been clinically demonstrated to be safe and effective in medium-to-long-term follow-up of 8 years in the repair of ankle, knee or hip chondral and osteochondral lesions, permitting the filling of the lesion with a high volume of new hyaline-like cartilage tissue, and smooth integration with the surrounding cartilage. Patients reported reduction in pain and good functional improvement of the affected injured joint, thus enabling return to their daily/non-impact sport activities with substantial pain relief and high satisfaction.
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Wrist Implants

WristMotion Hemiarthroplasty System

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NanoFx Microfracture System

The NanoFx® (Nanofracture®) system consists of a reusable hand instrument and a single-use disposable PleuriStik™ k-wire used to perform a microfracture procedure for the treatment of small, localized articular cartilage defect sites. The 1mm PleuriStik disrupts less surface area than a standard microfracture technique and was purposefully designed to reduce damage to the subchondral plate. It penetrates down to a standardized 9mm depth to reach the targeted marrow cells, three times deeper than comparable microfracture techniques. When tested against an awl or generic k-wire, NanoFx resulted in thin, fragmented cancellous bone channels without rotational heat generation. It also demonstrated deep cancellous bone perforation with a higher number of open trabecular channels. The NanoFx handle is available with a 15° angle and as an A-Curve, specifically designed for hard to access ankle lesions.

Key Features & Benefits:

  • Disposable, always sharp 1mm PleuriStik with reusable targeting handle is an easy-to-use cell delivery system that disrupts less surface area than a standard microfracture technique, reducing damage to the subchondral plate
  • Standardized 9mm perforation depth provides improved access to the targeted marrow cells
  • No secondary blood or marrow aspiration step required to access Mysenchymal cells
  • No centrifuge or additional equipment necessary to prepare plasma or aspirate
  • Compared to traditional microfracture and k-wire stimulation, NanoFx showed superior bone marrow access with multiple trabecular access channels extending 9mm into subchondral bone1
Anika products may not be available in all geographies. Product availability is subject to the regulatory clearances in individual markets. Please reach out to your local representative or Contact Us if you have questions about specific market approvals.
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Toe HemiCAP DF

  • Toe HemiCAP DF
  • ToeMotion Total Toe Arthroplasty System
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