Ream

Following resections, create a pilot hole in the intramedullary canals
of both the proximal (Figure 1) and intermediate (Figure 2) phalanx
with the ARROW-LOK™ Reamer.

Broach

Prepare the pilot hole in the intermediate (Figure 3) phalanx with the
ARROW-LOK Broach.

Insert and Compress

Grasp the ARROW-LOK implant with the ARROW-LOK Insertion
Forceps at the depth corresponding to the reaming depth of the
proximal phalanx. Insert the ARROW-LOK into the proximal phalanx, engaging it in the subchondral bone at the base of the proximal phalanx (Figure 4). Grasp the digit and insert the distal aspect of the implant into the entry portal prepared in the intermediate phalanx (Figure 5), locking the implant into the intramedullary canal. Release and remove the Insertion Forceps.

Grasping the digits firmly, compress the two bones together to advance the implant both proximally and distally to its final locked position (Figure 6).
Grasping the digits firmly, compress the two bones together to advance the implant both proximally and distally to its final locked position (Figure 7).