Promising to reduce costs, Biomet, Inc. released the ePAK single-use delivery system for internal fracture fixation on July 9, 2013.
Biomet’s Single-Use Delivery System for Fractures

“We are excited to be the first orthopedic company to release a device in this category that addresses the needs of the orthopedic surgeon, patient, and the hospital system, ” said Wil Boren, president of Biomet Sports Medicine, Extremities and Trauma (SET).
A company statement said the system is a pre-sterilized, single-use procedure pack designed to add value by addressing the productivity needs of the operating room in one complete package that is designed to help save time, reduce cost, improve efficiency, and ultimately increase productivity.
The system addresses distal radius fractures and features Biomet’s DVR Crosslock implant and instrumentation. “With over 10 years of clinical heritage in treating distal radius fractures using the volar approach, the DVR plate and instrumentation continue to refine fracture fixation, ” said the statement.
Excluding the DePuy Trauma acquisition last year, Biomet’s SET division increased quarterly sales by 8% to $161.4 million for the latest quarter reported by the company. The increase was driven by significant Extremities growth of 22% globally and 29% in the U.S. on a constant currency basis.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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