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Proximal Humerus Fractures
Updated: Dec 21 2024

Pangea™ Proximal 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.
    • Evidence-based Screw Trajectories
      • Proximal Screw Row Incorporates Cross-Diverging Screw Trajectories
      • The most proximal screw row creates a lattice that is designed to decrease the likelihood of posterior superior screw penetration and cutout.
    • 7 Beveled and Angled 2.0mm Suture Hole Cutouts
      • Provides flexibility in tendon and tuberosity fixation and to facilitate easier passage of suture after the plate is placed on bone.
    • 3 Variable Angle Calcar Screw Holes
      • Provides additional flexibility to achieve screw placement in the calcar bone of varying fracture patterns and patient morphologies.
    • Waisted Scalloped Shape
      • Reduced potential for periosteal disturbance while maintaining strength of plate and final construct.
  • Placement
    • Correct calcar screw placement should be the primary driver of plate placement, but it is recommended that the plate sits 5-10mm distal to the posterior aspect of the greater tuberosity.
    • The plate is positioned directly lateral to the bicipital groove which can act as a reference landmark for plate placement.
    • Helps to ensure the positioning lateral and parallel to the bicipital groove.
  • Fit
    • The Pangea systems were designed with this in mind. Using the Stryker Orthopaedics Modeling and Analytics (SOMA) database, Pangea offers an evidence-based, anatomically informed implant.
    • The Pangea Proximal Humerus Plate provides better anatomic fit compared to the PHILOS plate from Synthes.1
  • Technical specifications
    • Standard plate lengths: 3-18 holes (86-301mm)
    • Thickness: 3.2mm
    • Left and right anatomic plate options
    • Drill bits: Ø2.5mm x 135mm (542020) Ø2.5mm x 215mm (542021)
  • Screws
    • Pangea Humerus Plate
      •                                                                                                                                                                       Pangea Proximal Humerus Plate
      • Multiaxial locking
      • 3.5 (10-120mm)
      • Cortex
      • 3.5 (10-120mm)
      • Cancellous
      • Partially threaded 4.0 (10-100mm) 
      • Fully threaded 4.0 (10-100mm)
  • References
    • 1. Internal Report № D0000262573, Rev AA, Selzach, Switzerland
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