The Gorilla NC Fusion Plating System is the latest addition to Paragon 28's robust foot and ankle specific portfolio. The system is made up of four plates, left and right specific, ranging from 28 – 35.5 mm in length to span the Naviculocuneiform joint. The plates provide five different screw options for compression across multiple joints. The patent-pending NC Plate with PRECISION Guide technology allows for a crossing screw that passes from the medial cuneiform to the lateral aspect of the navicular. A locking screw in the plate allows for fixation between the proximal medial navicular to the intermediate cuneiform. A second locking screw in the navicular helps guard against plantar gapping, while two distal screws in the medial cuneiform have the ability to be placed across one, two or three cuneiforms. All plates are anatomically contoured for optimal fixation and low profile to minimize prominence and avoid soft tissue irritation.
The system also includes templates to facilitate proper plate placement and screw alignment across each joint. The patent-pending NC Fusion PRECISION Guide provides three options for the crossing screw trajectory to account for variations among patient anatomy and can accommodate a 3.5 mm, 4.0 mm, 4.5 mm or 5.5 mm cannulated cross screw. Compression can be achieved by use of a partially threaded cross screw or with external compression using a fully threaded cross screw.
Key Features and Benefits of the System:
- Guided Screw Targeting – simplifies screw placement and helps to ensure fixation is achieved in highest quality bone
- Anatomic Plate Contouring – cylindrical curvature minimizes the need for interoperative manipulation of plate to conform to anatomy
- Templating and Trialing System – ensures plates and screws are prepositioned to achieve best fit and intended compression
- Compression through and Outside the Plate – maximizes distribution of compression across fusion sites
Paragon 28 is grateful for the significant contributions Dr. Byron Hutchinson, DPM, made as the surgeon designer of this system.