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Tibial Shaft Fractures
Updated: Dec 2 2024

[Blocked from Release] Pangea™ Distal Posterior 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.
    • 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.
      • Note: Hybrid LC Holes are not available with every plate type. Refer to the “Plate details” page for additional information. 
    • 1.6mm K-Wire Hole
      • K-wire holes at distal aspect
    • Variable-Angle Screw Holes
      • Circular universal holes accept nonlocking screws, and locking screws within a 30° cone
    • Oblong Hole
      • To aid in plate placement
    • 3.5mm Screws in the Shaft
      • 3.5mm screw holes in the shaft and 2.7mm screw hole options distally for versatile fixation option
    • 2.7mm Distal Row
      • Accepts variable angle locking screws to reduce the potential for implant prominence and allow for capture of articular fragments
    • Distal Cluster
      • Designed to sit immediately medial to the posterior aspect of the tibial incisura
  • Placement
    • The plate is placed on the posterior surface of the distal tibia, specifically to sit on the lateral side of the posterior surface over the posterior malleolus
    • Proper position is achieved when the distal end of the plate is adjacent to the articular surface, allowing for the distal screws to support the plafond.
    • Contour of the distal plate is designed to allow placement immediately proximal to the joint line for rafting while reducing plate prominence.
  • Fit
    • Distal Posterior Tibia Plate is designed to act as a buttress of the posterior malleolus or posterior fixation of pilon fractures.
    • The rotation of the plate is designed to allow for central placement on the tibial shaft while facilitating capture of the posterior malleolus.
    • The fit and placement is designed to reduce the potential for irritation of the flexor hallucis longus (FHL tendon).
    • Designed with the use of SOMA: Stryker Orthopedics Modeling and Analytics.
    • SOMA analysis shows better anatomic plate fit of the Distal Posterior Tibia plate compared to competitive VA-LCP distal tibia plates.
  • Technical specifications
    • Standard plate lengths: 2-10 hole (75-187mm)
    • Shaft thickness: 3.3mm
    • Distal thickness: 2.3mm
    • 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 Posterior Tibia Plate
      • T15 Screw Platform
      • Multiaxial locking
      • 3.5 (10-120mm)
      • Cortex
      • 3.5 (10-120mm)
      • Cancellous
      • 4.0 (10-100mm)
      • 4.0 (10-100mm)
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