29/03/2007
AO Technical Commission Approved

LCP Pilon Plate

The treatment of multifragmentary fractures of the distal tibia with joint involvement, especially in combination with poor bone quality, is challenging. The double plating technique and the cloverleaf plate have a high rate of unsatisfactory results. Small fragments often cannot be secured with screws, extensive soft-tissue stripping is needed and the plate profile is thicker.

The LCP Pilon Plate is indicated for any fracture around the distal tibia, especially intraarticular and comminuted fractures. The LCP Pilon Plate is highly versatile. It can be used for either the left or right tibia because it can be easily contoured for precise anatomical fit and adaptation to the fracture. Unnecessary plate holes can be removed by a cutting device. The LCP Pilon Plate can be placed either in anterolateral or medial position. The plate has 5 locking holes in each arm, 2 distal locking holes, and a web-like design distally with 5 locking holes.

Combined with the possibility of using both locking head and standard screws in different dimensions (3.5 mm locking head screws, 2.7, 3.5, and 4.0 mm cortex screws), the surgeon has many options to choose from for the fixation of different fractures around the distal tibia.

The LCP Pilon Plate is available in a 7- or 9-hole LCP shaft version. The new version of the LCP Pilon features an unscalloped plate shaft which makes the plate stiffer and biomechanically more stable. The bending pliers and cutter have been modified accordingly. The plate is available in stainless steel and titanium.

21-years-old male fell from a height of 5 m (under influence of ethanol 1.3 g/l, cannabis +)

Case provided by Patrick Croniers, Angers, France

This Pilon fracture was classified as 43-C3.2. In emergency: provisional fixation by external fixator tibia-calcaneus. ORIF on day 5 after trauma: a lateral S shaped incision for the fibula and the chaput tubercle, and a large anteromedial one, following the tibial crest and slightly curved below the medial malleolus. Large femoral distractor tibia-talus used intraoperatively. No plaster cast.

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