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.
Hazards and labeling
Due to varying countries’ legal and regulatory approval requirements, consult the appropriate local product labeling for approved intended use of the products described on this website. All devices on this website are approved by the AO Technical Commission. For logistical reasons, these devices may not be available in all countries worldwide at the date of publication.
This work was produced by AO Foundation, Switzerland. All rights reserved by AO Foundation. This publication, including all parts thereof, is legally protected by copyright.
Any use, exploitation or commercialization outside the narrow limits set forth by copyright legislation and the restrictions on use laid out below, without the publisher‘s consent, is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, scanning or duplication of any kind, translation, preparation of microfilms, electronic data processing, and storage such as making this publication available on Intranet or Internet.
Some of the products, names, instruments, treatments, logos, designs, etc referred to in this publication are also protected by patents, trademarks or by other intellectual property protection laws (eg, “AO” and the AO logo are subject to trademark applications/registrations) even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name, instrument, etc without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.
Restrictions on use: The rightful owner of an authorized copy of this work may use it for educational and research purposes only. Single images or illustrations may be copied for research or educational purposes only. The images or illustrations may not be altered in any way and need to carry the following statement of origin “Copyright by AO Foundation, Switzerland”.
Check www.aofoundation.org/disclaimer for more information.
If you have any comments or questions on the articles or the new devices, please do not hesitate to contact us.
“approved by AO Technical Commission” and “approved by AO Foundation”
The brands and labels “approved by AO Technical Commission” and “approved by AO Foundation”, particularly "AO" and the AO logo, are AO Foundation's intellectual property and subject to trademark applications and registrations, respectively. The use of these brands and labels is regulated by licensing agreements between AO Foundation and the producers of innovation products obliged to use such labels to declare the products as AO Technical Commission or AO Foundation approved solutions. Any unauthorized or inadequate use of these trademarks may be subject to legal action.
AO TC Innovations Magazine
Find all issues of the AO TC Innovations Magazine for download here.
Recognizing outstanding achievements in development and fostering excellence in surgical innovation.