• 3.1: Orthopaedics and Trauma
• 3.6: Top 10 indications for ActivaPin and ActivaScrew
  • 3.6.1: 1. Chevron Osteotomy
  • 3.6.2: 2. Proximal osteotomy of the First Metatarsal
  • 3.6.3: 3. Akin osteotomy
  • 3.6.4: 4. Arthrodesis of the MTP joint
  • 3.6.5: 5. Radial Head and Neck
  • 3.6.6: 6. Osteochondritis Dissecans (OCD)
  • 3.6.7: 7. Chondylar and epicondylar fractures
  • 3.6.8: 8. Capitellum Humeri
  • 3.6.9: 9. Ankle Fractures
  • 3.6.10: 10. Fixation of tibio-fibular syndesmosis
  • 3.8: Product lines under R&D

9. Ankle Fractures

Fixation of

• Unimalleolar fractures,
• Bimalleolar fractures,
• Trimalleolar fractures,
• Pilon fractures

using ActivaScrew™ and ActivaPin™ implants.

Used implants: 3.5 mm and 4.5 mm ActivaScrews™ (also cannulated and LAG), 2.0 mm, 2.7 mm and 3.2 mm ActivaPins™. Activa implants can also be used in combination with metallic implants e.g. ActivaScrew with metallic plate in fixation of the tibia-fibular syndesmosis (see indication 9).

The used implants, implant combinations and the exact positioning depend on the location of the fracture lines. The fractures are exposed by lateral and medial incisions. The fracture is reduced with bone clamps in anatomically correct position. The hole is drilled across the fracture site with a proper drill bit and the depth of the channel is measured with the depth gauge. The ActivaPins™ are inserted with the applicator and cut along the bone surface. When ActivaScrews™ are used the drill channel need to be tapped and countersunk before inserting the screw. Radiograph is taken to ensure the result.