LCP Metaphyseal Plate for distal medial tibia. Anatomically precontoured metaphyseal plate.
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2 Indications The LCP Metaphyseal Plate for distal medial tibia is a preshaped plate that allows optimal treatment of juxta-articular fractures of the distal tibia extending into the shaft area. This plate takes the following characteristics of the distal tibia into account: Thin, soft tissue coverage Complex anatomic shape of the bone Features and benefits Anatomically precontoured plate The anatomical shape of the plate is especially designed to fit the complex shape of the distal part of the bone. A twist of the plate optimizes the fit on the tibia. LCP combination holes The LCP combination hole allows an internal fixation using standard screws, angle-stable locking head screws, or a combination of both. This takes into account the most diverse intraoperative requirements. Thinned plate profile The distal part of the plate is tapered to preserve the thin soft tissue envelope of the distal tibia. Optimal distal application of the locking head screws The specific orientation of the four distal screws allows optimal fixation in the epiphyseal area without penetrating the articulation. 2 Synthes LCP Metaphyseal Plate for distal medial tibia
3 Features and benefits Increased hole density provides improved anchorage In the distal part of the plate a tight network of 3.5 LCP combination holes allows inserting the screws closer to each other. Guiding blocks The guiding block allows an easy and correct insertion of the drill sleeves in the distal area of the plate. The guiding block can be removed or placed back onto the plate even with drill sleeves in place. If desired, standard screws can be inserted before placing the guiding block. Additional design features Bullet nose tip for easier application of a minimally invasive surgical technique. The K-wire hole in the bullet nose can be used conveniently for temporary fixation. The longer hole in the shaft area of the plate facilitates fine tuning of the reduction in the longitudinal axis. Improved vascularisation of the bone due to plate undercuts that reduce the plate-to-bone contact. 3
4 Surgical steps Implant preparation 1. Place the guiding block onto the plate. Thread the LCP Drill Sleeve ( ) through the guiding block into the plate. If desired, the guiding block can then be removed. 2. Precise contouring of the plate is un necessary. Take the screw direction into consideration when plate bending is required. 3. Use the Guide Sleeve for Kirschner Wires ( ) and insert the Kirschner wires to determine the direction of the screws or simply to temporarily fix the plate to the bone. For temporary fixation, a Kirschner wire can also be placed through the hole in the bullet nose. 4 Synthes LCP Metaphyseal Plate for distal medial tibia
5 Plate fixation 1. Use the LCP Metaphyseal Plate for distal medial tibia according to the LCP Principles; see LCP Application notes ( ). 2. For improved anchorage in the bone, the direction of the threaded screw holes in the distal part of the plate has been optimized. To insure correct insertion and locking of the locking head screws in this distal part of the plate, use the appropriate guiding block and LCP drill sleeves. For the distal part of the plate, use 3.5 mm locking head screws, 3.5 mm cortex screws, 4.0 mm cancellous bone screws, or a com bination of all three. 3. For the shaft of the plate, use 5.0 mm locking head screws, 4.5 mm cortex screws or a combination of both. 5
6 LCP Metaphyseal Plate for distal medial tibia, right St. Steel Titanium Designation Length LCP Metaphyseal Plate for distal medial tibia, right 4+4 holes 123 mm LCP Metaphyseal Plate for distal medial tibia, right 4+5 holes 141 mm LCP Metaphyseal Plate for distal medial tibia, right 4+6 holes 159 mm LCP Metaphyseal Plate for distal medial tibia, right 4+7 holes 177 mm LCP Metaphyseal Plate for distal medial tibia, right 4+8 holes 195 mm LCP Metaphyseal Plate for distal medial tibia, right 4+9 holes 213 mm LCP Metaphyseal Plate for distal medial tibia, right 4+10 holes 231 mm LCP Metaphyseal Plate for distal medial tibia, right 4+12 holes 267 mm LCP Metaphyseal Plate for distal medial tibia, right 4+14 holes 303 mm LCP Metaphyseal Plate for distal medial tibia, right 4+16 holes 339 mm LCP Metaphyseal Plate for distal medial tibia, right 4+18 holes 375 mm LCP Metaphyseal Plate for distal medial tibia, right 4+20 holes 411 mm Guiding Block for LCP Metaphyseal Plate for distal medial tibia, right LCP Metaphyseal Plate for distal medial tibia, left St. Steel Titanium Designation Length LCP Metaphyseal Plate for distal medial tibia, left 4+4 holes 123 mm LCP Metaphyseal Plate for distal medial tibia, left 4+5 holes 141 mm LCP Metaphyseal Plate for distal medial tibia, left 4+6 holes 159 mm LCP Metaphyseal Plate for distal medial tibia, left 4+7 holes 177 mm LCP Metaphyseal Plate for distal medial tibia, left 4+8 holes 195 mm LCP Metaphyseal Plate for distal medial tibia, left 4+9 holes 213 mm LCP Metaphyseal Plate for distal medial tibia, left 4+10 holes 231 mm LCP Metaphyseal Plate for distal medial tibia, left 4+12 holes 267 mm LCP Metaphyseal Plate for distal medial tibia, left 4+14 holes 303 mm LCP Metaphyseal Plate for distal medial tibia, left 4+16 holes 339 mm LCP Metaphyseal Plate for distal medial tibia, left 4+18 holes 375 mm LCP Metaphyseal Plate for distal medial tibia, left 4+20 holes 411 mm Guiding Block for LCP Metaphyseal Plate for distal medial tibia, left Synthes LCP Metaphyseal Plate for distal medial tibia
7 tibia Set Item no. Designation LCP Metaphyseal Plate for distal medial tibia Set with contents, stainless steel LCP Metaphyseal Plate for distal medial tibia Set with contents, titanium SYNCASE for LCP Metaphyseal Plate for distal medial tibia Set, consisting of: Case for LCP Metaphyseal Plate for distal medial tibia Plates Lid to SYNCASE for LCP Metaphyseal Plate for distal medial tibia Implants contained in the LCP Metaphyseal Plate for distal medial tibia Set Stainless steel Designation Units LCP Metaphyseal Plate for distal medial tibia, right 1 each LCP Metaphyseal Plate for distal medial tibia, left 1 each Implants contained in the LCP Metaphyseal Plate for distal medial tibia Set Titanium Designation Units LCP Metaphyseal Plate for distal medial tibia, right 1 each LCP Metaphyseal Plate for distal medial tibia, left 1 each Instruments contained in the LCP Metaphyseal Plate for distal medial tibia Set Item no. Designation Units Guiding Block for LCP Metaphyseal Plate for distal medial tibia, right Guiding Block for LCP Metaphyseal Plate for distal medial tibia, left 1 7
8 Ö öAAMä Presented by: SE_ AA Stratec Medical 2005 Printed in Switzerland LAG Subject to modifications.
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