Advanced instrumentation Provided for accurate and reliable soft tissue tensioning and gap balancing for preservation of bone stock, stability and implant positioning for optimum function. The approach enables maximum visibility of the joint space throughout the procedure for confirmation without excessive on-table and radiographic checks. Ligament tensioning technique for optimum tension in the soft tissue envelope with lowest profile construct and minimal bone resection Soft tissue balancing technique for validation of component positioning, ensuring stability and maximised ROM Precise alignment and precise preparation instruments for restoration of alignment, stable fixation and protection of tissues including malleoli Intuitive instrument layout for OR efficiency and ease of use Reduced learning curve with a fully jigged procedure from start to finish and instruments that produce repeatable results. Flavin et al. Foot Ankle Int. 2013; 34(10): 1340-48. Haddad et al. JBJS-Am. 2007; 89(9): 1899-1905. Coester et al. JBJS-Am. 2001; 83(2): 219-28. Fuchs et al. JBJS-Br. 2003; 85: 994-8. Leardini et al. CORR. 2004; 424: 39-46. Affatato et al. J Biomech. 2007; 40: 1871-76. NJR for England, Wales, Northern Ireland and the Isle of Man. 13th Annual Report. 2016. www.njrcentre.org.uk Ingrosso et al. Gait & Posture. 2009; 30: 132-7. Cenni et al. Clin Biomech. 2013; 28: 79-87. Giannini et al. CORR. 2010; 468(10): 2746-53. Giannini et al. J FootAnkleSurg. 2011; 50: 641-7. Bianchi et al. JBJS-Br. 2012; 94(6): 793-8. NJR Implant Summary Report. August 2016: Summary.Report.AP_Talar_Box.15/08/2016.11:20. MatOrtho Limited | 13 Mole Business Park | Randalls Road | Leatherhead | Surrey | KT22 7BA | United Kingdom. T: +44 (0)1372 224 200 | [email protected] | For more information visit: www.MatOrtho.com Part No. ML-300-037 L | Issue 3 Balanced Natural Movement

BOX Total Ankle Replacement The BOX® Total Ankle Replacement stands apart from other contemporary devices. Its design is based on original research into the movement and stability of healthy ankle joints and the role of the ligaments in controlling and limiting joint movement. A more natural gait and function The unique bearing geometry restores a more normal pattern of movement in the ankle with large coupled rotations. It works without imposing a non-physiological fixed flexion axis, resulting in an excellent range of motion and better function. Physiological freedom of movement for the normal...