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Proximal Third Tibia Fracture
Updated: Jan 15 2025

Pangea™ Extra Articular Proximal Tibia 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 locking position in the plate’s locking hole by engaging the softer, Ti6Al4V ELI 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.
      • Circular holes that accommodate screws are universal, accepting non-locking screws and locking screws within a 30° cone
    • 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.
    • 2.0mm Proximal Suture Holes with Undercuts
      • Allows for suture threading after plate placement
    • Proximal Cluster of Screws
      • Designed for screw fixation of the proximal tibia, while addressing metadiaphyseal fractures that may need compression
    • Kickstand Screw
      • Designed to provide support for the medial tibia plateau
    • Waisted Scalloped Shape
    • Robust Plate
      • Thicker than the other Pangea Proximal Tibia Plates and utilizes the large fragment screw platform for plating of proximal tibia fractures involving the metaphysis and meta diaphysis.
    • 2.0mm Distal K-Wire Hole
      • To provide temporary fixation
  • Placement
    • This plate is placed on the anterolateral surface of the proximal tibia.
    • Designed for single implant fixation of proximal tibial fractures and non-unions where increased construct rigidity is necessary
    • Proper position is achieved when the proximal end of the plate is adjacent to the articular surface, allowing for the proximal screws to support the joint surface.
  • Fit
    • Pangea Extra Articular Proximal Tibia Plate is designed to aid in the treatment of bicondylar fractures, allowing for treatment with a lateral plate and one incision.
    • This plate is designed for single implant fixation of proximal tibial fractures and non-unions where increased plate rigidity is necessary.
    • Designed with the use of SOMA: Stryker Orthopedics Modeling and Analytics
    • SOMA analysis shows the Extra Articular Proximal Tibia plate fits closer to the bone compared to Synthes LCP Proximal Tibia plates. 2
  • Indications
    • The Pangea Tibia Plating System is indicated for the internal fixation and stabilization of tibia bone fractures and osteotomies in normal and osteopenic bone, including:
      • Diaphyseal, metaphyseal, epiphyseal, extra- and intra-articular fractures
      • Non-unions, malunions, and deformities
      • Periprosthetic fractures
  • Technical specifications
    • Standard plate lengths: 6-16 hole (133-356mm)
    • Thickness: 4.3mm
    • Left and right anatomic plate options
    • Drill bits: Ø3.2mm x 145mm (542050) Ø3.2mm x 215mm (542051) Ø4.3mm x 145mm (542052) Ø4.3mm x 215mm (542053)
  • Kickstand Screw
    • Kickstand screw is designed to provide support for the medial and posterior medial tibia plateau
  • Screws
    • Pangea Extra Articular Proximal Tibia Plate
      • Pangea Extra Articular Proximal Tibia Plate
      • Multiaxial locking
      • 5.0 (14-120mm)
      • 4.0 (14-95mm)
      • 5.0 (10-20mm)
      • Cortex
      • 4.5 (14-150mm)
      • Cancellous
      • 6.0 (20-150mm)
      • 6.0 (30-150mm)
      • 6.0 (45-150mm)
  • References
    • 1. Pangea Tibia Plating Operative Technique. PGA-ST-4, 03-2023
    • 2. Internal Report № D0000262573, Rev AA, Selzach, Switzerland
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