24/09/2006
AO Technical Commission Approved

LCP Anterolateral Distal Tibia Plate 3.5

Philip Kregor

The LCP Anterolateral Distal Tibia Plates 3.5 are indicated for fixation of fractures, osteotomies, nonunions and malunions of the distal tibia, particularly in osteopenic bone, and in cases with bad soft tissue or wounds at the anteromedial side. The plate has a 60 twist in the shaft to fit to the distal tibia anatomy. The plate width in the shaft was increased, and a proximal hole added for compression or distraction with the articulated tension device. The 3.6 mm shaft thickness tapers to 2.5 mm distally. The plate has a low profile which is optimal for the anterior surface of the distal tibia with little soft-tissue coverage.

An increased variety of distal screw options enables screw placement according to the fracture pattern. 4 distal head screw holes are angled 7 inferiorly to capture the posterior malleolus, Volkmans triangle and the Chaput fragment. 3 K-wire holes in the head, parallel to the joint, accept 2.0 mm K-wires to temporarily fix the plate to the distal tibia, temporarily reduce articular fragments, and show proximity to the joint.

The plate is available in lengths from 80-288 mm, shaft holes from 5-21, and comes in either stainless steel or titanium.

Clinical case:
28-year-old woman had a high energy motor vehicle collision and sustained an isolated distal left tibial fracture.

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