Design The Gorilla® Ankle Fracture Plating System was designed to give the surgeon options including straight fibular, anatomic fibular, medial malleolus, posterior fibula, posterior tibia, lateral hook, straight hook, medial hook plates, and distal tibia plates All plates are low-profile, with recessed holes that allow for a locking or non-locking screw to be placed, depending on surgeon preference The recess is built in the hole to accommodate syndesmotic fixation while providing protection against screw head prominence when screws are placed off-axis 78 plate options for fracture fixation of the distal fibula and tibia The Compact Screw was designed with a smaller thread height to help reduce insertion torque in dense bone Indications The Gorilla® Plating System are indicated for Stabilization and fixation of fractures or osteotomies Intra and extra articular fractures Joint depression Multi-fragmentary fractures Revision procedures Joint fusion and reconstruction of small bones Approaches A posteromedial approach for Posterior malleolar fixation When Posteromedial Tibia Plate is used When Posterolateral Tibia Plate is used Technical specifications All circular plate holes accept 2.7 mm, 3.5 mm and 4.2 mm locking and non-locking screws A Ø3.5 mm Compact Screw is available in locking and locking screws in 10-40 mm lengths to address dense bone in the proximal tibia and fibula Ankle Fracture Plates Medial Malleolus Plate Plate designed to address vertical shear fractures and medial malleolar osteotomies Available in a 7 hole plate Straight Fibular Plate Plate optionality and malleability provides a plating solution for a variety of fracture types and patterns Available in 3-10 hole, 12 hole, 14 hole, and 16 hole plates Anatomic Fibular Plate Distal screw cluster allows for multiple fixation points in the lateral malleolus Available in 7 hole, 9 hole, 11 hole, 13 hole, 15 hole, and 17 hole right and left side specific plates Posterior Fibular Plate Plate optionality provides incision and fracture based configurations for the posterior, posterolateral and lateral fibula Available in 7 hole, 9 hole, and 11 hole alpha and beta plates Posteromedial Tibia Plate Contoured to the posteromedial tibia to treat posterior pilon variant fractures Available in 6 hole and 8 hole right and left side specific plates Trimalleolar Tibia Plate Slight concavity allows for plate placement posteriorly on the tibia with little to no bending Plate helps guard against superior translation of the posterior tibia fracture fragment in trimalleolar fractures Available in 3 hole and 4 hole plates Posterolateral Tibia Plate Contoured to the posterolateral tibia to treat posterior pilon variant fractures or large trimalleolar posterior tibia fragments Two most distal screw holes are angled superiorly to avoid the dome of the tibial plafond Available in 5 hole, 6 hole, 7 hole, and 8 hole right and left side specific plates Straight Fibular Hook Plate Hooks are designed to support a comminuted lateral malleolus or avulsion fragment Available in 5 hole and 6 hole plates Anatomic Fibular Hook Plate Distal screw cluster allows for crossing screw placement through hooks to provide support and additional fixation to distal fragment Available in 5 hole and 6 hole right and left side specific plates Medial Malleolus Hook Plate Intended for fixation of comminuted or small fractures of the medial malleolus that may not be conducive to lag screw fixation Available in 2 hole and 4 hole plates Anterior Distal Tibia Plate Nine hole distal cluster helps maximize capture of distal fracture fragments, while transitional thickness above this cluster helps provide increased strength and stability Available in 11 hole, 13 hole, and 15 hole plates Anterolateral Distal Tibia Plate Seven hole distal cluster is anatomically contoured to capture distal fragments, while proximal plate curves to mate with the anterior surface of the tibia Available in 4 hole, 6 hole, 8 hole, 10 hole, 12 hole, 14 hole, 16 hole, and 18 hole right and left side specific plates Medial Distal Tibia Plate Thicker proximal section transitions to thinner distal cluster to allow for capture of distal fragments while helping to limit soft tissue disruption Available in 4 hole, 6 hole, 8 hole, 10 hole, 12 hole, 14 hole, and 16 hole