Background: The new IOFIX is an intra-osseous fixation device comprising an "X-post" through which a lag screw passes to apparently improve force distribution across an arthrodesis. We conducted a novel human cadaveric study. Our null hypothesis was no difference in force exists in an ankle arthrodesis model stabilized with the IOFIX or a conventional single lag screw.
Method: In ten cadaver ankles a pressure transducer was compressed as an IOFIX and standard single lag screws were alternately compared.
Results: The median average force created by the IOFIX was 3.95kg and 2.4kg for the single conventional lag screw (p⩽0.01). The IOFIX improved contact area across the arthrodesis with a median average of 3.41cm(2) compared with 2.42cm(2) in the lag screw group (p⩽0.03).
Conclusion: Our results suggest an IOFIX improves force distribution across an ankle arthrodesis compared with a single conventional lag screw.
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