Hintermann Series H3®

Total Ankle Replacement System

(Available for use in markets outside the US)

The Hintermann Series H3® Total Ankle Replacement System is a non-constrained, three-component total ankle replacement system consisting of a tibial implant component, a talar implant component, and an ultra-high molecular weight polyethylene mobile bearing insert (PE inlay). The tibial and talar implants can also be custom-manufactured in an alternative material for patients who are sensitive to Cobalt-Chrome (CoCr) alloys.

The Hintermann Series H3® Total Ankle Replacement System is indicated for use as a non-cemented implant to replace a painful arthritic ankle joint due to systemic caused arthritis of the ankle (e.g., rheumatoid arthritis, hemochromatosis), primary arthritis (e.g., degenerative disease), secondary arthritis (e.g., posttraumatic, infection, or avascular necrosis if at least two-thirds of the talus is preserved), and if bone stock is sufficient, salvage for failed total ankle replacement or non-union/mal-union of ankle arthrodesis.

The tibial implant is comprised of a flat-loading plate and an anterior shield. The anatomically shaped flat surface allows for optimal contact with the subchondral bone of the entire resected tibia, including the cortical rim of the metaphysis to maximize the load transfer area without creating stress shielding. The tibial implant is available in seven sizes 0-6.

The talar implant is conically shaped to mimic the anatomic shape of the talus. Rims are provided on each side of this implant to provide mediolateral stability to the PE inlay bearing and to serve as a guide for anteroposterior translation. Polished overhangs on the medial and lateral side serve as anatomical articular surfaces. The talar implant is available in seven sizes 0-6.

The PE inlay provides a flat planar surface to interface with the polished flat plane of the tibial implant and a concave surface to interface with the anatomically oriented polished surface of the talar implant. The PE inlay is available in four thicknesses (5, 6, 7 and 9mm) and matched sizes 0-6 to either orientation (right/left) of the prosthesis.

Component Sizing

Tibial Implant Component:
Sizes 0 – 6 in right or left orientation
Talar Implant Component:
Sizes 0 – 6 in right or left orientation
PE Inlay:
Sizes 0 – 6 as well as thicknesses of 5, 6, 7 and 9mm

Key Features & Benefits

  • Anatomic design of components
  • Complete offering of seven sizes for both metallic components
  • Size-matched PE inlay available in 4 different thicknesses
  • Offering of Hintermann Series H3 Revision for patients requiring a revision of a competitive TAR, H3, or even to convert an existing ankle fusion
  • Optimal contact area at bone-implant interface with the tibia
  • Anatomic conical articulation surface on talar implant
  • Anatomic loading (non-stress shielding) at both bone-implant interfaces
  • Bone interfaces double-coated with porous Titanium and Hydroxyapatite for optimal bone ingrowth and non-cemented application
  • Intuitive, reliable, and clinically-validated instrumentation
  • 20 years of documented clinical evidence in countries outside of the United States in treating primary ankle arthroplasty, revision of failed ankle arthrodesis, and failed ankle replacements
  • Custom manufacturing available for Hintermann Series H3 Sensitive metallic components for patients who may have immune response to CoCr alloys