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MagnetOs Putty

MagnetOs Putty bone graft

Move the needle in fusion with speed and efficiency

Molding our solutions to your needs. MagnetOsTM Putty is our most robust moldable formulation. Delivering resilient handling with all the benefits of our NeedleGripTM powered surface technology.1,3

Simply warm MagnetOs Putty in your hands, mold into the desired shape, and use it to fill voids and spaces found in joint fusion or traumatic indications of the foot and ankle and upper extremity.​1,3

Powered by harnessing the immune system ​

MagnetOs Putty is capable of polarizing macrophages from the M1 pro-inflammatory to the M2 pro-healing phenotype, which is known to influence bone growth through the secretion of proteins such as BMP-2. Furthermore, MagnetOs has demonstrated the ability to form bone in a canine intramuscular pouch model without the addition of cells or growth factors.*†‡2,4,5 These understandings and evidence combine to define MagnetOs as a powered solution for predictable fusions and traumatic reconstructions of the extremity.

Easy to store with predictable handling ​

Unlike frozen allografts, MagnetOs can be stored at ambient temperature (max. 45ºC / 113°F) with no special requirements.3 MagnetOs Putty is ready-to-use straight out of the package with no preparation time or thawing needed. The carrier is designed to maximize handling properties, so you can twist, tear, and mold it into any shape desired before implantation and remain confident that it will stay in place during fusion related joint compression while also resisting migration and irrigation.1,3,6,7

Free of animal & human tissues ​

MagnetOs Putty contains no animal or human-derived tissue – just like MagnetOs Granules and MagnetOs Easypack Putty.1,3 This alleviates patient concerns during consent for use of allograft or xenograft-derived products in surgery.​

Clinical Storyboard

MagnetOs Putty in a Double Arthrodesis of the Talonavicular and Subtalar Joints

Dr. Jesse Doty MD is an orthopedic surgeon with responsibilities as director of foot & ankle surgery at Erlanger Health System and Professor of Orthopedic Surgery at University of Tennessee. Dr. Doty treats a wide range of foot and ankle conditions, including complex lower extremity deformities sports injuries, minimally invasive surgery of the foot and ankle, lower extremity fractures, chronic foot and ankle deformities, and ankle replacement.

In the interactive Clinical Storyboard below, one of Dr. Doty’s patient is followed before and after fusion using MagnetOs Putty for a double arthrodesis of the hindfoot.

Demographics​

72-year-old female

BMI 25 kg/m2

Past medical history:​

  • Hypothyroidism
  • Hypertension
  • Hyperlipidemia
  • Gastric reflux disease

Patient History

The patient reports a decades-long history of chronic right foot pain. The patient describes progressive discomfort during ambulation, localized to both the medial and lateral aspects of the ankle and hindfoot. Additional pain is noted in the plantar arch region.

Preoperative Exam​

Motor function:
There is a lack of active inversion in a plantarflexed position, with compensatory recruitment of the tibialis anterior tendon.

Passive correction:
The foot can be partially repositioned to neutral at the hindfoot. This limited correction is due to spasticity in the peroneal tendons and the presence of ankle equinus.

Preoperative Radiograph Assessment

Radiographic assessment

Ankle congruence with peritalar subluxation and collapse of the longitudinal arch. Lateral

Preoperative X-rays

Diagnosis

Progressive collapsing foot deformity with:

  • Peritalar subluxation including spring ligament incompetence
  • Posterior tibial tendon dysfunction
  • Peroneus brevis contracture
  • Subfibular impingement
  • Gastrocnemius contracture

Procedure

Double arthrodesis of the talonavicular and subtalar joints to correct all planes of deformity with gastrocnemius recession, brevis to longus transfer and flexor digitorum longus (FDL) tendon transfer.

Product Selection

Graft:

  • Subtalar: 2.5cc MagnetOs Putty synthetic bone graft, not mixed or combined
    with other graft
  • Talonavicular: 2.5cc MagnetOs Putty synthetic bone graft, not mixed or
    combined with other graft

Fixation:

  • Subtalar: 2 x 6.5mm cannulated screws
  • Talonavicular: 3 x 3.0mm cannulated screws

6 Week X-rays

12 Week Postoperative Exam

At 12 weeks, stable fixation is still apparent with evidence of bony union and further indication of overall construct stability even after six weeks of ambulation. For this reason, the patient was confidently transitioned out of a walking boot and into standard footwear.

12 Week X-rays

Evidence

Explore the MagnetOs vast body of evidence with “Project Fusion”

Product code     Volume         Dimensions (mm)             Granule size (mm)

703-029-US         1                    18 L x 8 W x 7 H                1 – 2

703-043-US         2.5                 28.5 L x 11 W x 8 H           1 – 2

703-035-US         5                    40 L x 18 W x 7 H              1 – 2

703-038-US         10                  40 L x 36 W x 7 H              1 – 2

Want to learn more about MagnetOs Putty?

Book your own appointment with one of our scientific experts.