Spinal implant manufacturer CoreLink, LLC, is announcing the U.S. launch of the Entasis Sacroiliac Joint Fusion System. The company indicates that Entasis, which features circumferential helical graft windows, was “designed to better address the challenges of SI [sacroiliac] joint fusion procedures through innovation in the delivery of autograft and compression across the joint. Further innovations also provide improvements in ease of use and decreased operative time for this rapidly growing surgical procedure.”
CoreLink Launches Entasis SI Fusion System

As noted in the May 3, 2016 news release, “…Entasis is the only SI joint fusion device that self-harvests bone graft while simultaneously compressing the joint, which, according to Wolff’s law, may help aid the fusion process. Entasis supports a percutaneous or open lateral approach, and utilizes a more rigid guide wire to ease device placement. Entasis implants feature self-drilling/self-tapping tips and dual-lead threads allowing easier initial purchase, limited placement trauma as opposed to current market leaders, and faster implantation. The system offers three diameters and nine length options, more than any other SI product on the market, enabling the surgeon to better match the device to varying patient anatomies. In the event of misplacement, the implant also features an Easy-Out interface and matching tools to quickly explant.”
“The aggressiveness of the cage and the obvious superiority of the instrumentation made placement markedly easier than other systems I have used. Entasis will become the number one choice in my armamentarium for treatment of the SI joint, ” said Dan Scodary, M.D., in the news release. Dr. Scodary, Medical Director of Neurosciences for SSM Health, has performed more than 150 SI fusion procedures with multiple different implant systems.
Dr. Scodary told OTW, “The Entasis system is great in that the cage itself is tapered so that it makes grabbing the hole that you’ve reamed much easier. The variety of sizes is a plus, and the distribution of the holes in the cage will augment fusion rates. In addition, the instrumentation is easy to use, in part because of the ergonomic handles. This is a system that you can use in pneumatic drills rather than having to drill by hand. The guide tube has a very secure tooth that holds to the bone of the ilium so that it doesn’t ‘walk’ on you when drilling.”

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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