Rival Bite

The RIVAL™ BITE™ Headed Cannulated and Headless Compression Screw System is comprised of sterile, cannulated, partially-threaded‐ titanium alloy screws. Featuring self-drilling and self-tapping design, the RIVAL BITE screws are offered in two head designs: headed cannulated and headless compression versions. Both screw types are available in a variety of diameters and lengths. The product line also includes washers and guide wires, as part of the system. The corresponding instrumentation necessary for insertion is found in the RIVAL Instrument Case and/or in sterile packs. The unique low profile head design, cutting characteristics and vast screw options of the RIVAL BITE screws provide extensive versatility in one comprehensive system.

The RIVAL Instrumentation is a comprehensive set of instruments designed to be used across all three product lines within the RIVAL foot & ankle portfolio. The tray has two levels that incorporate everything that is needed to perform surgeries from specific osteotomies to fractures including, but not limited to, the anatomical segments of forefoot, midfoot and hindfoot.

Instrumentation features are designed to:

Features & Benefits

Self-tapping thread design

The self-tapping, self-drilling feature of both, RIVAL BITE Headed Cannulated and Headless Compression Screws are designed to reduce the surgery time by simplifying the operative technique

Unique low profile head

The RIVAL BITE Headed Cannulated Screws were developed to reduce the risk of soft tissue irritation

Self-drilling thread design

Both the RIVAL BITE Headed Cannulated and the Headless Compression screws have been developed to reduce the need for pre-drilling

Variety of thread lengths

The RIVAL BITE Headed Cannulated and Headless Compression Screws have been designed with a wide range of sizes to provide surgeons an optimal implant selection to treat patients

The RIVAL BITE Headless Compression Screws are designed with differing thread pitches to allow surgeons to apply optimal compression to joints and osteotomies where the implants are used


The RIVAL BITE Compression Screws are indicated for use in bone reconstruction, osteotomy, arthrodesis, fracture repair, and fracture fixation of bones appropriate for the size of the device.

BITE Compression Screws are intended for use over a guide pin or wire. RIVAL washers may be used with the headed screws in cases where the patient has poor bone quality.

Examples of indications of use for which RIVAL BITE Compression screws may be used are:

  • Minimally invasive fracture/joint reconstructions
  • Multiple-fragment joint fractures
  • Simple epiphyseal fractures – Fractures of the head of the humerus – Fractures of the head of the tibia – Cooper fractures of the tibia – Fractures of the radius
  • Fractures of the wrist, ankle, elbow and shoulder
  • Scaphoid fractures and other fractures of the hand
  • Metatarsal fractures and other fracture of the foot
  • Ligament fixation of the proximal humerus
  • Ligament avulsion injuries (Apophysis)
  • Fractures of small joint bones – Malleolar fractures – Navicular fractures
  • Fractures of the calcaneus and talus
  • Arthrodesis of the ankle joint
  • Avulsion fracture
  • Fractures of the tarsal region
  • Osteotomies RIVAL BITE Compression Screws are not intended for use in the spine


  • In the presence of an active infection, or suspected latent infection or marked local inflammation in or about the affected area, or in patients who are immunocompromised
  • In patients with conditions such as limited blood supply, insufficient quantity or quality of bone and /or previous infections that may tend to delay healing and increase the possibility of infection and/or rejection of the implant
  • In patients with foreign body sensitivity. Where material sensitivity is suspected, a test should be performed to rule out this possibility prior to implantation
  • Patients with previous sensitivity to titanium
  • Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to failure of the device itself
  • In conditions that limit the patient’s ability and/or willingness to cooperate and follow instructions during the healing process
  • Other medical or surgical conditions which would preclude the potential benefit of surgery