Vantage ® Total Ankle System

A New Perspective in Total Ankle

Vantage ® Total Ankle System

A New Perspective in Total Ankle

Vantage® Total Ankle System

Through the collaboration and innovation of engineering and surgeon thought leader expertise, the Vantage Ankle achieves a new perspective in total ankle by addressing clinical challenges and patient outcomes.

Anatomic Redefined

Based on proprietary CT reconstruction data, the tibia and talar components were designed to mimic patients’ natural anatomy. The curved talar component was created to align with the trabecular bone structure of the talus and the tibia to provide anatomic cortical coverage and account for fibular articulation.1,2

Historical Tibia Design
Vantage Total Ankle System
Vantage Total Ankle System Curved Talus Implant
Vantage Total Ankle System Curved Talus Implant
Vantage Total Ankle System Flat Cut Talus Implant
Vantage Total Ankle System Flat Cut Talus Implant


The tibia’s press-fit bone cage and plasma pegs create initial fixation, while the talar component’s curve-on-curve shape is designed to provide stability in the A/P direction. The talar component pegs also provide stability in the medial/lateral direction.

Biomechanic-Focused Design

A CT reconstruction study of the healthy talus led to the articular design of the talar component that allows for anatomic replication of the natural ankle biomechanics.2,6

Bone Removal

The curved talar design addresses the disease process by reducing the amount of talar preparation required. The radius of the curvature on the underside of the talar component is based on studies that analyze the effect of an arthritic talus.2


The innovative tibial design and surgical technique are intended to preserve the integrity of the tibia anterior cortex while the anterior talar shield is designed to provide increased surface area that addresses subsidence.

Vantage Total Ankle Mobile Bearing Tibial Design

Vantage Total Ankle System Resources

  1. Valderrabano, V., Horisberger, M., Russell, I. et al. Etiology of ankle osteoarthritis. Clin Orthop Relat Res. 2009; 467: 1800. doi:10.1007/s11999-008-0543-6.
  2. Data on File at Exactech, Inc.
  3. Gougoulias NE, Khanna A, Maffulli N. History and evolution in total ankle arthroplasty. British Medical Bulletin. 2009;89:111-51. Epub 2008 Nov 13. doi: 10.1093/bmb/ldn039.
  4. Roche C, et al. Effect of varying screw configuration and bone density on reverse shoulder glenoid fixation following cyclic loading. Transactions of the 54th Annual Orthopaedic Research Society Meeting; 2008 Mar 2-5; San Francisco, CA.
  5. Siegler S, Toy J, Seale D, Pedowitz D. New observations on the morphology of the talar dome and its relationship to ankle kinematics. Clinical Biomechanics. 2014; 29:1-6.

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