Kinos Total Ankle Replacement System
with Axiom
PSRTM cut guides

Restore natural motion.
Tailor solutions to each patient.
Enhance your personalization.

Tri-Planar Motion
Increase patient satisfaction with industry leading range of motion and a biomimetic articular design based on award winning biomechanical research1

Optimized Porous Architecture
3D printed Tibial and Talar Implants with TIDAL Technology™ at bone contacting surfaces for proven osseointegration potential2,3

Maximized Implant Stability
Robust fixation designed to maximally resist clinical loading5


Specs and Benefits

The Kinos Total Ankle Replacement System is the first-ever biomechanically accurate ankle replacement to be backed by science1, and the only system with motion in 3 anatomic planes. The semi-congruent design is better able to distribute loads across the ankle and helps patients by reducing pain, restoring alignment, and extending movement in the joint. 3D printed integrated TIDAL TechnologyTM on all tibial and talar implants provides proven osseointegration potential.2,3

Maximized Implant Fixation and Stability
  • X-Stem tibial fixation perpendicular to the predominant loading vector
    • Provides twice the stability of pegs5
    • Smooth, sharp and low profile tips designed tomaximize the effect’s of Wolff’s law by reducing axial loading experienced awayfrom the porous TIDAL surface
  • Integrated, proprietary TIDAL Technology at bone contacting surfaces of tibial and talar implants
    • Proven osseointegration potential5
  • Low-profile, yet highly secure fixation components of the tibia and talus
    • X-stem geometry, orientation and height optionsprovide superb resistance to rotational loading
    • Talar peg design provides enhanced fixation and rotational resistance
Anatomic Preservation

Minimized bony resections required for implantation.

Maximum Compatibility

Pair any size Tibial Implant with any size talar implant.

Streamlined Instrumentation

A single instrument tray for the complete system. Use with or without Axiom PSRTM, the only fully metal patient-specific resection guides for total ankle replacement.

Patient Specific Process

From initial onboarding through patient recovery, restor3D’s patient specific process is designed to provide an optimized experience for every clinician and an optimal surgical plan for every patient.  Coupled and standalone versions of the Axiom PSR™ ensure a tailor made solution to both surgeon preference and patient anatomy.

  1. Diagnostics

  2. r3id Case Creation

  3. Pre-Operative Planning

  4. Manufacturing

  5. Surgery

  6. Recovery

Who should be treated with the restor3d Kinos Total Ankle Replacement System?

The restor3d Kinos Total Ankle Replacement System is indicated for:

  • Patients with ankle joints damaged by severe rheumatoid, post-traumatic or degenerative arthritis.
  • Patients with a failed previous ankle surgery.

The implants may be provided with Axiom PSR™, the only fully metal patient-specific resection guides for Total Ankle Replacement (TAR). Axiom PSR™ are designed from a computed tomography (CT) scan. The anatomical landmarks necessary for the design and creation of the restor3d Axiom PSR™ must be present and identifiable on CT scan. In addition to reading the information provided in this guide, please talk with your doctor. Your doctor will help you to understand the benefits and risks associated with the procedure and determine if you are a candidate for a TotalAnkle Replacement.

Versus the leading competitor, the Kinos Design provides:

Increased range of motion; the only available TAR system with tri-planar motion1

Enhanced load distribution and maximized resistance to axial loading5

Reduced likelihood of point stress concentrations5

Sufficient constraint to resist excessive loading during rotation5

  • Optimized porous architecture designed for osseointegration
    • 100%Interconnectivity and up to 80% porosity4
    • Mesoscale pores support graft retention and bony ingrowth2
    • Direct bony apposition to implant surface guided by surface topography and curvature demonstrated in preclinical model2,3

These positive impacts afford patients the ability to return to work, maintain a healthy lifestyle through physical activity, and engage with friends and family.

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