Where the tibio-tarsal joint can be preservedintertarsal arthrodesis is preferred topantarsal arthrodesis,allowing a near normarange of motion to be maintained.Hybrid plates are very helpful in permittingarger diameter screws to be used in thecalcaneous and smaller diameter screws to be used in the metatarsals. Hybridisation isalso helpful for thinning the plates distally. aiding closure of soft tissues. Many of theearly intertarsal arthrodesis plates weremodified pancarpal plates with lengthadjustments made to squeeze them onto theateral aspect of the limb.For most patients, the use of modifiedpancarpal plates results in sub-optimal screw placement with the biggest criticism beingthat the spacing of the holes for engaging the fourth tarsal bone and the proximametatarsal bone was too great. Site specific plates provide a very much better fit. In 2013 with the help of Geoff Robins. we extendedour range of intertarsal plates by another foursizes to cover much more of the population.

Matched with 2.0mm locking screw and 2.0mm cortical screw