The Dornhoffer implant line is a premier offering of the latest technology in ossicular reconstruction prostheses. All of the heads in the Dornhoffer line feature a low profile contoured HA head. A groove is added to accommodate the malleus if present. The Dornhoffer product line consists of a 2mm fixed length partial, adjustable partial, adjustable total and a titanium footplate shoe. The footplate shoe greatly stabilizes the implant and can be adjusted to fit between the stapes crus remnants. A recent new feature incorporates windows in the HA head for increased visualization. The ALTO Dornhoffer is packaged with disposable sizers and preloaded in the patented ALTO adjuster which simplifies the need to properly size the implant.