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 holes that accommodate screws are universal, accepting non-locking screws and locking screws within a 30° cone 3 Dedicated Syndesmotic Holes Offset for fixation and recessed to accommodate buttons. Anterior Distal Hole Designed to allow for capture of syndesmotic avulsion fracture fragment Distal 2.7mm Cluster Designed to allow for increased fixation options 2 Distal K-Wire Holes Designed for distal placement Placement The distal portion of the plate should be placed so the 2.7mm cluster is centered over the lateral aspect of the metaphyseal fibula (Confirm there is no overhang over the edge of the distal fibula) When positioned correctly, the distal cluster should cup the lateral metaphyseal fibula The proximal aspect of the plate should be centered on the lateral face of the shaft of the fibula Fit The anatomical contour of the Distal Lateral Fibula plate is designed to support the surface of the lateral malleolus 7 hole distal cluster accepts 2.7mm variable angle locking screws to reduce the overall profile of the construct, reduce the potential for irritation, and allow for capture of articular fragments Anatomical plate contour may reduce the potential for malrotation by allowing center placement of the distal screw cluster over the lateral malleolus with shaft placement on the lateral face of the shaft Placement and screw trajectories are designed to allow for capture of distal and anterior fragments that avulse with the anterior syndesmotic ligaments Variable angle ability of the screws so that surgeons can choose a trajectory for syndesmosis capture based on the fracture, their experience, preference and patient anatomy Designed with the use of SOMA: Stryker Orthopedics Modeling and Analytics. 1 The SOMA bone database contains a collection of 5570 and growing clinical CT scans and contains over 34,600 3D bone models. The low profile 2.0mm distal end and 2.6mm shaft are designed to reduce the potential for soft tissue irritation Technical specifications Standard plate lengths: 4-15 hole (81-235mm) Thickness: Shaft: 2.6mm Distal Cluster: 2.0mm 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) Screws Pangea Distal Lateral Fibula Plate T8 Screw Platform Multiaxial locking 2.7 (8-80mm) Cortex 2.7 (8-80mm) Washers Pangea Distal Lateral Fibula Plate T15 Screw Platform Multiaxial locking 10-120mm Cortex 10-120mm Cancellous Partially threaded 10-100mm Fully threaded 10-100mm Washers References 1. Internal Report № D0000262573, Rev AA, Selzach, Switzerland