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Proximal Third Tibia Fracture
Updated: Jan 15 2025

Pangea™ Proximal Posteromedial 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 universal holes accept nonlocking screws, and locking screws within a 30° cone
    • Posterolateral Extension
      • Asymmetric plate shape designed to support posterior buttressing by extending the plate more laterally
    • Posteromedial Extension Hole
      • Allows buttress effect while facilitating lateral capture of the medial fragment
    • Proximal Rafting Screws
      • Designed with variable angle locking technology which allows improved placement in conjunction with lateral based implant
    • Oblong Hole
      • To aid in plate placement
    • 2.0mm K-Wire Hole Distally
  • Placement
    • This plate is designed to be used for a medial coronal shear fracture of a Schatzker VI 
    • Plate position as well as screw options facilitate the use with Pangea proximal lateral tibia plates.
    • This plate sits on the posterior medial side and wraps around posteriorly
  • Fit
    • Proximal Posteromedial Tibia Plate is designed to address both partial articular medial plateau fractures as well as support medial fracture fragments associated with bicondylar fractures
    • The posterorlateral extension is designed to support more lateral posterior buttressing
    • Designed with the use of SOMA: Stryker Orthopedics Modeling and Analytics
    • The Pangea Proximal Posteromedial Tibia Plates provide better anatomic fit compared to competitive Synthes LCP Medial 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
  • Approaches
    • Surgeons may use a standard medial or posteromedial approach to the proximal medial tibia.
  • Technical specifications
    • Standard plate lengths: 4-12 hole (68-180mm)
    • Thickness: 3.0mm
    • Left and right anatomic plate options
    • Drill bits: Ø2.5mm x 135mm (542020) Ø2.5mm x 215mm (542021)
  • Screws
    • Pangea Proximal Posteromedial Tibia Plate
      • Pangea Proximal Posteromedial Tibia Plate
      • Multiaxial locking
      • 3.5 (10-120mm)
      • Cortex
      • 3.5 (10-120mm)
      • Cancellous
      • 4.0 Partially threaded (10-100mm)
      • 4.0 Fully threaded (10-100mm)
  • References
    • 1. Pangea Tibia Plating Operative Technique. PGA-ST-4, 03-2023
    • 2. Internal Report № D0000262573, Rev AA, Selzach, Switzerland
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