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Home/Foot & Ankle/Paragon 28 Launches 5th Metatarsal Fracture Plating System
Foot & Ankle

Paragon 28 Launches 5th Metatarsal Fracture Plating System

September 29, 2017 2 min read Premium comments

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Paragon 28 Launches 5th Metatarsal Fracture Plating System
Courtesy of Paragon 28
Secondary

The foot and ankle experts at Englewood, Colorado-based Paragon 28 have announced the expansion of the company’s Baby Gorilla 5th Metatarsal Plating System.

As the company wrote in its September 21, 2017 news release, “The Baby Gorilla 5th Metatarsal Plating System includes multiple styles of hook plates as well as non-hooked compression style plates specifically designed to fit the unique anatomy and fracture patterns of the 5th Metatarsal.”

“The Jones Fracture Hook Plates contain sharp hooks that seat into the bone of the 5th Metatarsal and are intended to be utilized for zone 1 and 2 fractures. These plates are ideal for when a revision may be necessary or as a means of additional fixation.”

“The Jones Fracture Compression Plates are sized and contoured to match the anatomic curvature of the 5th Metatarsal and are intended to be used in zone 2 and 3 fractures. Additionally, 5th Metatarsal Fracture Hook Plates (Avulsion Plates) are available and specifically designed to capture and secure fragments for avulsion type fracture patterns.”

“The 5th Metatarsal Plate System includes procedure specific instrumentation including plate templates and tamps to allow for optimal plate placement and to ensure hooks are seated securely in the bone. A drill guide included in the set is designed to allow a crossing screw to pass in-between the hooks of the 5th Metatarsal Fracture Hook Plates (Avulsion Plates) while avoiding screws in the construct and allowing the screw to cross the fracture site for additional stability.”

“This modularity of the Baby Gorilla Mini Plating System allows the 5th Metatarsal Plating system to utilize the same screws and instrumentation used by all other Baby Gorilla plates. All plates are designed to accept both 2.0 mm and 2.5 mm locking and non-locking variable angle plate screws. Additionally, the Baby Gorilla system includes a robust assortment of foot and ankle specific instrumentation including curettes, reduction clamps, osteotomies, as well as small pin compression and distraction devices.”

Keith Price, associate product manager for Paragon 28, told OTW, “One of the major milestones we hit during this development process in designing these plates was optimizing the contour to best match the curvature and anatomy of the 5th metatarsal. Additionally we wanted to make sure the hooks on the hook plates were sharp and sized correctly so that they can help secure the proximal fragment and maintain a low profile.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

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?

8
JT
James Thornton, MDSpine Fellow · HSS

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.

5
RP
R. PatelSports Medicine · Stanford

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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