InFrame™ Intramedullary Micro Nail System

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Overview

The InFrame Intramedullary Threaded Micro Nail system features a 2.0 mm diameter, stainless steel micro nail with a non-compressive design to achieve various implantation constructs for phalangeal fractures, providing superior rotational and bending stability and intramedullary fixation. The innovative delivery mechanism via the dual diameter guidewire eliminates the need for a dedicated reamer, simplifying a more precise implant placement.

Indications For Use

The InFrame cannulated micro nail is intended for fixation of intra-articular and extra-articular fractures and nonunions of small bones and small bone fragments; arthrodesis of small joints; bunionectomies and osteotomies, including scaphoid and other carpal bones, metacarpals, tarsals, metatarsals, patella, ulnar styloid, capitellum, radial head and radial styloid.

The system is provided sterile-packed. The implants are single-use, while a separate disposable instruments kit is available for use with all implant sizes.

A New Standard for Phalanx Fracture Fixation

InFrame is designed to treat phalangeal fractures through a simple, minimally invasive approach.

The small 2.0 mm diameter, wide array of lengths, and unique delivery mechanism allow various implantation constructs to custom fit the intramedullary canal, generating greater rotational and bending stability and precise reduction for all types of phalangeal fractures.

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Features

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  • Purpose-built for phalangeal fractures
  • 2.0 mm diameter design and robust 12-48 mm length (2 mm increments) offering
  • Unique dual-diameter guidewire eliminates the need for a dedicated reamer and simplifies a more precise implant placement
  • Fully threaded, non-compressive design achieves abundant cortical and cancellous bone purchase for precise, anatomic reduction for all fracture types without complications such as shortening
  • Cannulated micro nail
  • Stainless steel
  • Both implant and instrument kit are sterile
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Key Benefits

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  • Bending & rotational stability

    Greater stability compared to other traditional approaches for proximal phalanx fractures.1

  • No immobilization necessary

    Immediate to early, active mobilization for accelerated healing and quicker return to work and/or daily activities.1,2

  • Multiple construct options

    Small 2.0 mm diameter and wide array of lengths enable a more precise fit of the narrow intramedullary canal for enhanced stability of various phalangeal fracture patterns.

  • Surgical efficiency

    Innovative, proprietary delivery mechanism combines a dual diameter guidewire and reamer in one device, simplifying the implantation surgical technique.1

  • Minimally invasive

    Minimally invasive with no secondary procedure required.3,4

Videos

System Overview
Learn how InFrame sets the standard for phalangeal fracture fixation.
Surgical Technique
See InFrame’s efficient surgical technique using its proprietary dual diameter guidewire.

Documents

2 Brochures
Acumed Hand Indication Solutions Brochure
ExsoMed InFrame Intramedullary Threaded Micro Nail System Brochure
17 Case Studies
Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for a Midshaft Transverse Fracture to the First Proximal Phalanx - Tibor Warganich, MD
Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for a Transverse, Comminuted Fracture of the Fifth Middle Phalanx - Robert Foster, MD
Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for a Transverse, Comminuted Fracture of the Fifth Proximal Phalanx - W. Brad Stephens, MD
Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for an Oblique Fracture of the Fifth Proximal Phalanx - Marissa Matarrese, MD
Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for an Oblique Fracture of the Second Proximal Phalanx - Timothy Iorio, MD
Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for an Oblique, Articular Base Fracture with Comminution to the First Proximal Phalanx - Timothy Niacaris, MD
Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for an Oblique, Comminuted Fracture of the Fifth Proximal Phalanx - Lloyd Champagne, MD
Case Study: Use of the InFrame Intramedullary Threaded Micro Nails for Oblique Fractures to the Fourth and Fifth Proximal Phalanges - Derek Masden, MD, FACS
ExsoMed Case Study: Use of the InFrame Intramedullary Threaded Micro Nail for an Oblique Comminuted Fracture of the 3rd Proximal Phalanx
ExsoMed InFrame Intramedullary Threaded Micro Nail System Case Study Outsert
ExsoMed Product Portfolio Case Study Outsert
InFrame Case Study - Use of the InFrame Intramedullary Threaded Micro Nail for Oblique, Comminuted Fractures of the 4th and 5th Proximal Phalanges - Jeffrey Yao, MD
The Latest Innovations in Upper Extremity Solutions - Treatment of Hand and Wrist Fractures Case Study
Use of the InFrame IM Threaded Micro Nail for Percutaneous Proximal Phalanx Fracture - Lloyd Champagne MD - Case Study
Use of the InFrame Intramedullary Threaded Micro Nail for an Oblique Fracture to the 5th Proximal Phalanx – Yorell Manon-Matos MD – Case Study
Use of the InFrame to Treat a Transverse Fracture to the 5th Proximal Phalanx - C. Klifto MD Case Study
Use of the INnate Intramedullary (IM) Threaded Nail and InFrame IM Threaded Micro Nail for Multiple Comminuted Fractures of the Metacarpals and Phalanges -Leslie Sisco-Wise, MD Case Study
1 eIFU
Exsomed InFrame Intramedullary Threaded Micro Nail Instructions for Use (IFU)
1 Other
ExsoMed Product Portfolio Brochure
1 Surgical Technique
ExsoMed InFrame Intramedullary Threaded Micro Nail System Surgical Technique
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References

    1. Data on file.
    2. del Piñal, F., et al. Minimally invasive fixation of fractures of the phalanges and metacarpals with intramedullary cannulated headless compression screws. J Hand Surg Am. 2015;40(4):692-700.
    3. Gaspar, M.P., et al. Dual Antegrade Intramedullary Headless Screw Fixation for Treatment of Unstable Proximal Phalanx Fractures. Hand (N Y). 2019 Jul;14(4):494-499.
    4. Giesen, et al. Intramedullary Headless Screw Fixation for Fractures of the Proximal and Middle Phalanges in the Digits of the Hand: A Review of 31 Consecutive Fractures. J Hand. 2016.