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Tibial Shaft Fractures
Updated: Dec 20 2024

Pangea™ Distal Anterolateral Tibia Plate

Images
https://upload.orthobullets.com/topic/423208/images/d4cd364b-a204-4653-871f-0c890c7ecdb8_pangea_distal_anterolateral_tibia_1.jpg
https://upload.orthobullets.com/topic/423208/images/58ee0e4e-1fa0-4254-b14b-e14cd1767e3d_pangea_distal_anterolateral_tibia_3..jpg
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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.
    • 1.6mm K-Wire Hole
    • Variable-Angle Screw Holes
      • Circular universal holes accept nonlocking screws, and locking screws within a 30° cone
    • Oblong Hole
      • To aid in plate placement
    • Kickstand Screw
      • Facilitates fixation of the posteromedial fragment
    • 2.7mm Distal Row
      • Accepts variable angle locking screws, allowing for a low profile plate fit to reduce the potential for soft tissue irritation
    • 2.7mm Screw
      • Distal row allows for a low profile plate fit to reduce the potential for irritation
    • Waisted Scalloped Shape
  • Placement
    • This plate is placed on the anterolateral surface of the distal tibia
    • Proper position is achieved when the distal end of the plate is adjacent to the articular surface, allowing for the distal screws to support the plafond
  • Fit
    • Curvature of the Distal Anterolateral Tibia plates allow screw placement immediately proximal to the joint line for rafting while reducing the potential for soft tissue irritation
    • Shaft is anatomically curved proximally to the joint line for support distally, and designed to allow for a more centered placement of the distal screw cluster.
    • Designed with the use of SOMA: Stryker Orthopedics Modeling and Analytics.
    • The Distal Anterolateral Tibia Plate provides better anatomic fit compared to competitive VA LCP distal anterolateral plates. 2
  • Technical specifications
    • Standard plate lengths: 3-18 hole (91-301mm)
    • Thickness: Shaft, 3.3mm, Distal 2.9mm
    • Left and right anatomic plate options
    • Drill bits for T8: Ø2.0mm x 135mm (542000(S)) Ø2.0mm x 175mm (542001(S))
    • Drill bits for T15: Ø2.5mm x 135mm (542020) Ø2.5mm x 215mm (542021)
  • Kickstand Screw
    • Kickstand screw with a predetermined angle designed to assist with the fixxation of the posteromedial fragment. Variable angle option of the kickstand screw allows further reach for the fixxation of medial malleolus fragments.
  • Screws
    • Pangea Distal Anterolateral Tibia Plate
      • T15 Screw Platform
      • Multiaxial locking
      • 3.5 (10-120mm)
      • Cortex
      • 3.5 (10-120mm)
      • Cancellous
      • Partially threaded 4.0 (10-100mm)
      • Fully threaded 4.0 (10-100mm)
    • Pangea Distal Anterolateral Tibia Plate
      •                                                                                                                                         T8 Screw Platform
      • Multiaxial locking
      • 2.7 (8-80mm)
      • Cortex
      • 2.7 (8-80mm)
  • References
    • 1. Pangea Distal Tibia Plating Operative Technique. PGA-ST-5, 03-2023
    • 2. Internal Report № D0000262573, Rev AA, Selzach, Switzerland
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