LCP Medial Distal Tibia Plate w/o tab 3.5
The LCP Medial Distal Tibia Plates 3.5 are indicated for fixation of complex intra- and extraarticular fractures and osteotomies of the distal tibia.
The LCP Medial Distal Tibia (LCP MDT) has a lower profile distally which is optimal for the medial side of the distal tibia where there is often little soft-tissue coverage. Since certain fracture patterns require more distal screw options, the LCP MDT has three diverging distal screws above the joint that capture the anterior and posterior fragments and place the plate more distally. The 3 distal locking head screws diverge across the subchondral bone. The distal locking holes accept 3.5 mm locking head screws, 2.7, 3.5 and 4.0 mm cortex screws.
Additionally, 2 combination holes were added distally in the head of the plate to allow placement of cancellous and cortex screws. These 2 combination holes distally accept 3.5 mm locking head, 3.5 mm or 4.0 mm cortex, or 4.0 mm cancellous bone screws. The distal K-wire hole accepts a 1.6 mm K-wire.
The plate shaft has been widened to 13.5 mm, which is comparable to a narrow LC-DCP 4.5. At the proximal end of the plate, an articulated tension device (ATD) hole was added to allow for compression and distraction
using the articulated tensioning device.
The plate shaft ranges from 414 combination holes.
The LCP MDT 3.5 is available in stainless steel (316L) and titanium.
29-year-old female after a motor vehicel crash
Case provided by Sean Nork, Washington, USA
The fibula was reduced and stabilized through a posterolateral surgical approach. A small anterior incision was used to apply multiple clamps and to access the fracture reduction. A medial locked distal tibial plate was placed adjacent to the anteromedial surface of the tibia through a 4 cm distal incision. Multiple proximal screws were placed through small incisions overlying the plate.
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