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Proximal Humerus Fractures
Updated: Dec 16 2024

[Blocked from Release] 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
    • Relying on plate bending for plate fit may cause early mechanical failure in trauma plating procedures. 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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