Pangea Design Variable Angle Locking Technology Pangea’s variable angle locking technology uses a CoCr locking screw, which is harder than the Ti6Al4V ELI plate, allowing for the screwhead’s threads to form a definitive locking position in the plate’s locking hole by engaging the softer, Ti6Al4V ELI material. This technology allows the user to aim and lock the screw into the plate within a true 30° cone of the predetermined hole trajectory. The variable angle drill guide provided with the system offers guidance with respect to the limit of the 30° cone. The locking mechanism remains functional for up to three attempts at locking screw insertion. Circular holes that accommodate screws are universal; accepting non-locking screws and locking screws within a 30° cone 1.6mm K-Wire Hole High Screw Hole Density Allows flexibility for buttressing of plate and to match the thinner coronal width of the fibular shaft 6 Metaphyseal 2.7mm Distal Cluster Low profile metaphyseal cluster to reduce the potential for peroneal tendon irritation Placement The distal portion of this plate should be placed so the 2.7mm cluster is centered over the posterior metaphyseal fibula, just proximal to the peroneal groove (Confirm there is no overhang over the edge of the distal fibula) When positioned correctly, the distal aspect of the plate should not contact the peroneal tendons The proximal aspect of the plate should be centered on the posterior aspect of the shaft of the fibula Fit Designed for buttressing of oblique or supination external rotation ankle fractures Designed for direct posterior placement on the fibular shaft Designed for placement through the posterolateral approach and can be placed through a window medial or lateral to the peroneal tendons Distal cluster is tapered to sit immediately lateral and proximal to the peroneal retinaculum Pangea Distal Fibula plates were found to sit closer to the bone than competitve VA LCP plates. 1 Designed with the use of SOMA: Stryker Orthopedics Modeling and Analytics. 1 The SOMA bone database contains a collection of 5570 and growing clinical CT scans and contains over 34,600 3D bone models. 2 Uses 2.7mm screws in the plate shaft to match the thinner coronal width of the fibular shaft Indications The Pangea Fibula Plating System is indicated for the internal fixation and stabilization of fibula bone fractures and osteotomies in normal and osteopenic bone, including: Diaphyseal, metaphyseal, epiphyseal, extra- and intra-articular fractures Non-unions, malunions, and deformities Periprosthetic fractures Approaches Surgeons may use a standard lateral or posterolateral approach to the distal fibula. Technical specifications Standard plate lengths: 6-26 holes (79-231mm) Thickness: 2.0mm distal, 2.3mm shaft Left and right anatomic plate options Drill bits: Ø2.0mm x 135mm (542000(S)) Ø2.0mm x 175mm (542001(S)) Screws Pangea Humerus Plate Pangea Humerus Plate Multiaxial locking 2.7 (8-80mm) Cortex 2.7 (10-120mm) Washers References 1. Internal report № D0000262573, Rev AA, Selzach, Switzerland 2. Internal report № D0000124129, Rev AC, Schönkirchen, Germany