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Distal Humerus Fractures
Updated: Dec 20 2024

Pangea™ Extra Articular Distal Humerus Plate

Images
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  • Pangea Design
    • Variable Angle Locking Technology
      • Pangea’s variable angle locking technology uses a CoCr locking screw, which is harder than the Ti6Al4V ELI plate, allowing for the screwhead’s threads to form a definitive plate-screw interface in the plate's locking hole by engaging the softer, Ti6Al4V material.
      • This technology allows the user to aim and lock the screw into the plate within a true 30° cone of the predetermined hole trajectory. The variable angle drill guide provided with the system offers guidance with respect to the limit of the 30° cone. The locking mechanism remains functional for up to three attempts at locking screw insertion.
    • Increased Proximal Plate Thickness
      • Designed to provide robust humerus shaft fixation
    • 2.0mm Proximal K-Wire Hole
      • Designed to provide temporary fixation
    • Rounded and Tapered End
      • Designed to allow for smooth insertion under the soft tissue
    • Waisted Scalloped Shape
    • Hybrid LC Holes (locking/compression)
      • Hybrid LC Holes allow for either active compression with the use of a non-locking screw in the compression section of the hole or variable angle locking with the use of a locking screw in the universal section of the hole. If locking is not desired, the universal section of the hole also accepts non-locking screws. Each Hybrid LC Hole is designed to provide up to 2mm of compression.
    • Variable-Angle Screw Holes
      • Circular holes that accommodate screws are universal; accepting non-locking screws and locking screws within a 30° cone
    • Distal 2.0mm K-Wire Hole
      • Points into the center of the capitellum to ensure correct plate placement and reduce the potential for impingement
  • Placement
    • The distal portion of the plate should be placed lateral to the trochlea and the olecranon fossa on the posterior aspect of the distal humerus
    • Fixed angle drill sleeve may be used as a handle for control of plate placement and positioning. 1
  • Fit
    • Plate was designed using SOMA analytics to improve anatomic fit and reduce the potential for impingement with the radial head in full extension. 2
    • Plate extends further distally than competitive systems such as Synthes and Skeletal Dynamics, further increasing the distal fixation by increasing the working length of the plate. 2
  • Technical specifications
    • Plate Lengths: 4-14 holes (130-300mm)
    • Thickness: 4.2mm proximally, 2.0mm distally
    • Left and right anatomic plate options
    • Drill bits: Ø2.5mm x 135mm (542020) Ø2.5mm x 215mm (542021)
  • Clinical Corner
    • A maximum of 2mm of compression per hole, provides surgeons the ability to achieve more compression with fewer screws.
  • Screws
    • Extra Articular Distal Humerus
      • Extra Articular Distal Humerus
      • Multiaxial locking
      • 3.5 (10-120mm)
      • Cortex
      • 3.5 (10-120mm)
      • Cancellous
      • 3.5 (10-120mm)
      • Partially threaded 4.0 (10-100mm)
      • Fully threaded 4.0 (10-100mm)
  • References
    • 1. Pangea Distal Humerus Operative Technique, PGA-ST-2, 03-2023
    • 2. Internal Report № D0000262573, Rev AA, Selzach, Switzerland
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