Cadaver Lab in Vienna: “TM ANKLE PROSTHESIS”

Zimmer-Biomet organize a new Master Class for discussing the present and future of Ankle Prosthesis and the cure for Ankle Arthritis

Today and tomorrow I will be in Vienna attending Zimmer-Biomet’s Master Class: “Ankle Prosthesis and Lateral Access”.
My highly esteemed colleague, and now friend, Dr Lew Schon and I, will share our experiences with selected fellow surgeons from all of Europe.
Dr Lew Schon is the surgeon who designed the TM Ankle on behalf of Zimmer-Biomet. During the next few days, he will share with us the birth and development of this revolutionary project, which has given orthopaedic surgeons numerous advantages such as:

1. The possibility of directly choosing where to position the centre of rotation. The importance of this aspect resides in the possibility of increasing this surgery’s replication. The surgeon can therefore truly decide where to position the fulcrum of the patient’s new articulation.

2. The use of curved cuts, a true and proper resurfacing. The patient suffering from ankle arthritis is most commonly young and was likely subjected to a past trauma and fracture. The possibility of diminishing the cutting of the bone, therefore almost literally ‘filing’ the joint space, renders this treatment possibility available to young patients. Before the advent of the TM Zimmer-Biomet Ankle Prosthesis, the duration and relative adjustment procedures were perceived as numerous unanswered questions. One must only consider the true limit of a revision procedure as represented by the quality of the residual bone after a prosthetic implant. Thanks to Dr Schon, orthopaedic surgeons today can utilize prosthetics that reduce bone sacrifice to the minimum, therefore offering the possibility of a more secure revision procedure.

3. Use of the “Trabecular Metal”: a metal that has positively revolutionized first hand both hip and knee prosthetic surgeries. Today it is finally available also for the ankle. It’s advantages? It can offer the hosting tissue (bone) a true nest in which it can grow. For the first time, our discussions are no longer limited to osteointegration (process in which the prosthesis attaches itself to the bone) but have evolved to bone-ingrowth (process in which the can also grow inside the material).

In 2015, the request for the preservation of the joint’s movement is legitimized and extremely important in order to maintain a regular step in life as well as happy relationships. A run after a hard day’s work, kneeling down to hug your child; low impact sporting activities should not be aspects of life a patient suffering from arthritis should give up on.

My role during this meeting will be that of explaining how to best use this extraordinary instrument. Instructions, limits and small surgical ‘tricks’ in order to better heal our arthritis affected patients.

Events such as these two days organized by Zimmer-Biomet are fundamental for a surgeon. To discuss and share our know–how and experiences, to observe and try to solve issues that might occur during cadaver surgery, is a gift which gives me the possibility to become a better doctor.

Thank you to all the colleagues I have met today and to whom has made this meeting possible. A special thanks to Dr Schon who has given all of us the possibility to use a “FERRARI” to cure our patients. Thank you Lew!