4. Arthrodesis of the 1st MTP joint with two 2.0mm ActivaPin™ implants.
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Articular cartilage and other unevenness are removed. An exact contact between the freshened surfaces is essential with good compression. Reduction should be as anatomical as possible. From the medial sides of the metatarsal and phalangeal bone two channels are drilled. Both implants are inserted through both cortex’s. Use of hot loop is recommended when possible to improve fixation stability.
Combination of one 2.0mm ActivaPin™ and 2.7mm ActivaScrew™ can be also used for this indication.



