Wedge Osteotomy, Reinvented
ARKEO™ delivers accurate, stable, and adaptable fixation for flatfoot correction.
What Is ARKEO™?
ARKEO™ is a titanium implant featuring Auxano® technology, engineered to support accurate, consistent placement in wedge osteotomies.
Built for precision and control, the ARKEO™ implant design conforms to anatomy and empowers surgeons to achieve stability with every patient.
The ARKEO™ wedge system is the only system that I’ve used that checks all of the boxes. Its pillar technology and shape allows for a stable and secure fit. The open architecture makes it simple and easy to utilize a graft and promote bony incorporation. The instrumentation also makes handling and implantation of the wedge much more controllable. This system has exceeded my expectations.
– John Constantino, DPM, AACFAS
Advancing Flatfoot Correction by Design
ARKEO™ is built with Auxano® technology to deliver superior stability at the site of correction. Its thru-growth fenestrations and micropillar technology enable osseointegration and support improved patient outcomes.
Frequently Asked Questions
Auxano® Medical has provided this information as an educational resource tool. This is not intended as a substitute for professional medical care or for the Directions for Use.
What are the use cases for ARKEO™?
ARKEO™ is intended to be used as internal bone fixation for osteotomies, specifically Cotton and Evans, in the ankle and foot.
What is the surgical technique?
The ARKEO™ Wedge Fixation System is designed for use in both Cotton and Evans osteotomy procedures, with distinct surgical guidance for each.
For detailed, step-by-step instructions, refer to Surgical Technique – Auxano® Wedge Fixation System.
What are the sizing options?

What comes in the ARKEO™ Wedge Fixation System?
The ARKEO™ Wedge Fixation System includes single-use implants, implantation instruments (both reusable and single-use), and a steam-sterilizable tray. The instruments include:
- Hintermann distractor
- Impactor
- Implant trials
- Inserter
- K-wires
- Mallet
- Osteotomes
- Slap hammer
Refer to Processing Instructions – Auxano® Wedge Fixation System for cleaning, inspection, sterilization, and storage instructions.
What are the contraindications for ARKEO™?
Contraindications for ARKEO™ include:
- Active or suspected infection, sepsis, and osteomyelitis.
- Compromised immune status.
- Conditions that may limit bone healing, such as blood supply limitations and previous infections.
- Insufficient quantity or quality of bone to permit stabilization of the fusion complex.
- Malignant primary or metastatic tumors that preclude adequate bone support.
- Patient factors that restrict their ability or willingness to follow postoperative instructions.
- Skin atrophy, which poses an increased risk of wound healing problems and infection.
- Suspected or documented foreign body sensitivity or intolerance.
To learn more about contraindications and instructions for using ARKEO™, see Instructions for Use – ARKEO™ Wedge Fixation System.