Accu-Cut® Osteotomy Guide System

The Accu-Cut® Osteotomy Guide System is a disposable, sterile packaged system that includes guide(s), two universal saw blades, and two 0.045 double trocar K-wires. Guides are available for the most popular distal metatarsal osteotomies to address mild to moderate hallux valgus deformity. Using an Accu-Cut Osteotomy Guide ensures precise and accurate cuts every time, which is proven to provide improved stability and reduce the risk of displacement.

  • All-inclusive sterile package provides the surgeon with everything needed to perform the desired osteotomy.
  • Consistent and accurate correction reduces the risk of displacement.
  • Sterile packaged system reduces OR setup time and eliminates instrument cleanup.
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Chevron (Austin) Guide

The standard Chevron Guide offers a classic v-shape chevron osteotomy to address hallux valgus by lateral transposition of the metatarsal head. The guide features a 55° angle with 16mm long cutting slots.

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Youngswick Guide

The Youngswick Guide is available in either 1mm, 2mm, or 3mm dorsal wedges for performing a Youngswick chevron modification to address both hallux valgus and hallux rigidus. The guides feature a 55° angle with 16 and 19mm long cutting slots.

Long-Arm Guide

The Long-Arm Guide is a chevron modification with a long dorsal arm for multiple screw fixation. The guide features a 45° angle with a 28mm long dorsal cutting slot and 16mm long plantar cutting slot. Additionally, the guide offers three proximal mounting holes spaced 11° apart, allowing intra-operative adjustment of the cut angle.

Scarf Guide

The Scarf Guide is a “Z” shaped guide to assist in the popular Scarf procedure. The system includes two guides, a large and a small, for customization of the osteotomy based on the anatomy of the patient’s metatarsal. The short guide features a 38mm long transverse cutting slot with four distal dorsal and four proximal plantar cutting slots. The long guide features a 50mm long transverse cutting slot with three distal dorsal and three proximal plantar cutting slots. 

DMAA Guide

The DMAA Guide allows for correction of DMAA (Distal Metatarsal Articular Angle) or PASA (Proximal Articular Set Angle) with one simple guide. The guide features a chevron cut with a second dorsal slot, angled at 10°. This allows for lateral transposition plus rotation of the head. 

Two-Stage Guide

The Two-Stage Guide allows for correction of DMAA (Distal Metatarsal Articular Angle) or PASA (Proximal Articular Set Angle) with two guides similar to the Reverdin-Gerbert procedure. The system includes a Stage-1 guide for a standard 55° chevron cut, along with three angled Stage-2 guides allowing 5°, 10°, or 15° of rotation along with lateral transposition. 

Predictable Results.

A study was conducted to determine the accuracy of a freehand osteotomy, wire-guided osteotomy, and an osteotomy with an Accu-Cut Osteotomy Guide during a chevron procedure where 55 degrees is recommended.  Students (green), Residents (red), and Physicians (orange) performed the procedure with each method. The mean angles with the Accu-Cut Guide System resulted in precise and predictable results for all experience levels. Precise cuts allow for optimal bone contact which may reduce the chance of non-union or displacement of the osteotomy.

Your all-inclusive system for metatarsal osteotomies.

Our sterile packaged systems provide the surgeon with everything needed to perform the desired osteotomy. The custom sawblades feature inline teeth for a low-profile, uniform thickness allowing for tighter tolerances within the guide slots. 

Related Videos

Animation of the Youngswick Osteotomy Guide
Surgical demonstration of Youngswick Osteotomy Guide

Related Documents

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REFERENCES

  1. Hetherington VJ, Kawalec-Carroll JS, Melillo-Kroleski J, Jones T, Melillo M, McFarland N, Blazer M, Favazzo JA. Evaluation of surgical experience and the use of an osteotomy guide on the apical angle of an Austin osteotomy. Foot (Edinb). 2008 Sep;18(3):159-64. doi: 10.1016/j.foot.2008.01.008. Epub 2008 Apr 2. PMID: 20307431.