Summary Designed with SOMA (Stryker Orthopedics Modeling and Analytics) which includes a database with CT scans from hospitals across the world and state of the art algorithms that analyze shape variability, bone density, and implant fit Designed to link with the T2 Alpha Femur Retrograde Nail when using nail plate combination fixation Nine distal T20 screw holes, including 2 linking holes, 2 kickstand screw holes, and 1 threaded monoaxial hole Related Implants The Pangea® Femur Reconstruction System includes Lateral NPC Plate (this topic) Medial NPC Plate T2 Alpha™ Femur Retrograde Nailing System Design Tapered end designed for atraumatic submuscular insertion 2.0mm K-wire holes Variable-angle screw holes circular universal holes accept non-locking screws, and locking screws within a 30° cone Proximal interface universal junction provides a snap-in interface between the lateral place and a femur spanning attachment the junctions ratcheting mechanism allows for up 22 mm of proximal-distal adjustment Femur spanning attachment three 5.0 mm screw holes accept T20 cortical and cancellous non-locking screws, providing the option for fixation in the femoral neck Kickstand screw holes two variable-angle screw holes for use in stand-alone plating applications with predetermined trajectories targeting the medial femoral condyle Staggered screw holes designed to enable surgeon to choose points of fixation and allows for placement of screws around an intramedullary implant or a prothesis Linking holes designed to allow for seamless linking of the plate to a T2 Alpha Femur Retrograde Nail using an AlphaLink Dowel Indications Indications lateral unicondylar fractures bicondylar fractures involving the lateral plateau lateral split fractures depression fracture split-depression fractures Contraindications active or suspected infection at the surgical site severe local inflammation around the operative area hypersensitivity or allergy to implant materials inadequate soft-tissue coverage over the implant Anatomy Osteology lateral tibial plateau articulates with the lateral femoral condyle intercondylar eminence attachment for cruciate ligaments gerdy’s tubercle insertion of the iliotibial band tibial tuberosity insertion of the patellar tendon proximal tibial metaphysis common fracture region treated with plates Muscles tibialis anterior dorsiflexion and inversion of the foot extensor digitorum longus biceps femoris attaches to the fibular head important landmark Ligaments lateral collateral ligament attaches to fibular head Approach Surgeons may use a standard lateral, modified lateral (anterolateral), or lateral parapatellar approach to the distal lateral femur Technical specifications Plate lengths 160-438mm range (11 different options) Plate thickness 5mm Left and right anatomic options Screws Multiaxial locking 5.0 (14-120 mm) 4.0 (14-95mm) 5.0 (10-20mm) Cortex 4.5 (14-150mm) Cancellous 6.0 (20-150mm) 6.0 (30-150mm) 6.0 (45-150mm) Cable plug washer AlphaLink Dowel 50-90mm