Ankle Hindfoot Nailing (AHN) System

The Orthofix Ankle Hindfoot Nailing™ (AHN) system is an intra medullary nailing system, intended to be used for tibiotalocalcaneal arthrodesis.

Features & Benefits

  • Excellent stability with the capacity of both, powerful internal and external compression
  • Simplicity with the internal compression mechanism pre-assembled within the nail
  • Wide range of implant sizes with 4 sizes across three different diameters

Physician Benefits

  • Flexibility with the freedom to lock the talar screw within any position of the 7mm internal compression mechanism
  • The radiolucent, two-piece targeting handle allows for freedom to implant screws in the desired orientation
  • Simplicity of the system, allowing for reliable and reproducible results
  • Independently locked talar screw, increasing amount of fixation and stability
  • Dedicated Revision Ankle Hindfoot Nail range with 3 sizes across 3 different diameters


The Orthofix Ankle Hindfoot Nailing (AHN) System is intended to facilitate tibiotalocalcaneal arthrodesis (fusion). Specific indications include:

  • Avascular necrosis of the talus
  • Failed total ankle arthroplasty
  • Trauma (malunited tibial pilon fracture)
  • Severe deformity or instability as a result of talipes equinovarus, cerebral vascular accident, paralysis or other neuromuscular disease
  • Revision ankle arthrodesis
  • Neuroarthropathy
  • Rheumatoid arthritis
  • Osteoarthritis
  • Pseudoarthrosis
  • Post-traumatic arthrosis
  • Previously infected arthrosis
  • Charcot foot
  • Severe endstage degenerative arthritis
  • Severe defects after tumor resection
  • Pantalar arthrodesis


The Orthofix Ankle Hindfoot Nailing (AHN) System is not designed or sold for any use except as indicated. Use of the Orthofix Ankle Hindfoot Nailing (AHN) System is contraindicated in the following situations:

  • Active or latent infection in the affected area
  • General medical conditions including: impaired blood supply, pulmonary insufficiency (i.e. ARDS, fat embolism) and insufficient quantity or quality of bone
  • Patients who are unwilling or incapable of following post-operative care instructions
  • Suspected or documented metal allergy or intolerance
  • Severe longitudinal deformity
  • Insufficient plantar heel pad
  • Situations where an isolated ankle or subtalar fusion can be performed
  • Dysvascular limb