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 Oblong Hole To aid in plate placement K-Wire Holes at Distal Aspect Single Distal Variable Angle Locking Screw Hole Designed for unicortical capture of the medial malleolus Placement This plate is placed on the medial surface of the distal tibia. Position is achieved when the distal end of the plate is over the medial malleolus. Fit Distal Medial Tibia plate designed for fixation of varus failure injuries of the distal tibia. Designed with the use of SOMA: Stryker Orthopedics Modeling and Analytics. Plate contour is SOMA designed to reduce potential for malrotation of the medial malleolus fragment. 2 SOMA analysis shows Distal Medial Tibia plate fits closer to bone compared to Synthes VA-LCP distal medial tibia plates. 2 Indications The Pangea Tibia Plating System is indicated for the internal fixation and stabilization of tibia 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 medial or anteromedial approach to the distal medial tibia. Care must be taken to protect the saphenous vein and saphenous nerve. Technical specifications Standard plate lengths: 3-18 hole (97-307mm) Thickness: Shaft 3.3mm, Distal 1.6mm Left and right anatomic plate options Drill bits for T15: Ø2.5mm x 135mm (542020) Ø2.5mm x 215mm (542021) Drill bits for T8: Ø2.0mm x 135mm (542000(S)) Ø2.0mm x 175mm (542001(S)) Screws Pangea Distal Medial Tibia Plate T15 Screw Platform Multiaxial locking 3.5 (10-120mm) Cortex 3.5 (10-120mm) Cancellous Partially threaded 4.0 (10-100mm) Fully threaded 4.0 (10-100mm) Pangea Distal Medial Tibia Plate T8 Screw Platform Multiaxial locking 2.7 (8-80mm) Cortex 2.7 (8-80mm) References 1. Pangea Distal Tibia Plating Operative Technique. PGA-ST-5, 03-2023 2. Internal Report № D0000262573, Rev AA, Selzach, Switzerland