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Home/Foot & Ankle/Hintermann H2 Ankle Replacement Cleared in U.S.
Foot & Ankle

Hintermann H2 Ankle Replacement Cleared in U.S.

November 13, 2017 1 min read Premium comments

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Hintermann H2 Ankle Replacement Cleared in U.S.
Hintermann Series H2 Total Ankle Replacement / Courtesy of DT Medtech, LLC
Secondary

The Hintermann Series H2 Total Ankle Replacement System (H2) manufactured by DT MedTech, LLC is now cleared for sale in the U.S.

The H2 is a semi-constrained, total ankle replacement prosthesis developed by Professor Beat Hintermann, M.D., a foot and ankle surgeon based in Liestal, Switzerland.

The system is indicated for use with bone cement to treat ankle arthritis in either primary or revision surgery of ankle joints damaged by systemic arthritis of the ankle (e.g., rheumatoid arthritis, hemochromatosis), primary arthritis (e.g., degenerative disease), and secondary arthritis (e.g., post-traumatic, avascular necrosis).

It is also indicated for patients with a failed total ankle replacement or non-union/mal-union of the ankle arthrodesis, provided that sufficient bone stock is present.

In a November 8, 2017 announcement of the FDA 510(k) clearance, the company said it anticipates a limited release of the system in early December 2017 outside the U.S., as it has already received the CE mark for the device, along with registrations in other markets. The company said it will be focusing on training, sales, and distribution of the system in all markets through DT MedTech International Limited, DTM’s subsidiary and distribution arm located in Dublin, Ireland, in the upcoming months.

DT MedTech maintain offices in Baltimore, Maryland; Dublin, Ireland; Saint-Louis, France; and Liestal, Switzerland

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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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