Orthopedic - ARIX Ankle System - 3.5 Distal Tibia
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ANKLE DISTAL TIBIA SYSTEM 3.5 Distal Tibia Plate

Product Information Features - Distal Tibia Medial Plates - Distal Tibia Anterolateral Plates Surgical Technique - Distal Tibia Medial Plates - Distal Tibia Anterolateral Plates Ordering Information - Plates

The ARIX Ankle Distal Tibia System is intended for the following conditions; - Fixation of complex intra- and extra- articular fractures - steotomies of the distal tibia including distal tibia fractures in combination with diaphyseal O fracture

Product Information ARIX Ankle Distal Tibia System General Features • Medial and anterolateral types are available • Anatomically pre-contoured • Reduced thickness to minimize the irritation • Limited contact design for better blood supply • Variable locking up to ±15° • 3.5 mm or 4.0 mm diameter screws used Anterolateral Type ARIX Ankle Distal Tibia System

Product Information Screw Options Ø 3.5 mm Cortical Locking Screw Ø 3.5 mm Cortical Non-Locking Screw Ø 4.0 mm Cancellous Locking Screw Ø 4.0 mm Cancellous Non-Locking Screw (Optional) STARIX Screw with T10 • Prevents cam-out • Allows higher torque application • Self-retaining function • Locking & non-locking variations available Variable Locking Interface with Locking Screw • Poly-axial screw insertion • Angle range: ±15° • Plate-screw locking interface Variable Angle Locking 15°

ARIX Ankle Distal Tibia System Distal Tibia Medial Plate Facilitating submuscular plate insertion Threaded Holes 2-14 Shaft holes For locking and non-locking screws Ø 1.6 Guide Pin Holes For temporary fixation Reduced Thickness 1.3 mm (distal part) For minimizing the irritatio Screws can be inserted at pre-defined angles or variable angles ARIX Ankle Distal Tibia System

Low profile and contoured plate design Limited Contact Design For better blood supply Pre-defined Screw Angles Preventing screw pull-out Clinical Outcome Figure 1. Medial plate fixation on the distal tibia X-ray 3.5 Distal Tibia Plate

ARIX Ankle Distal Tibia System Distal Tibia Anterolateral Plate Facilitating submuscular plate insertion Threaded Holes 2 -14 Shaft holes For locking and non-locking screws Groove Design Reduced plate volume to minimize the foreign body sensation Oblong Hole Reduced Thickness 1.5 mm (distal part) For minimizing the irritation Screws are Inserted Parallel to the Articular Surface Preventing articular surface penetration For temporary fixation of the plate ARIX Ankle Distal Tibia System

Anatomically Contoured Design For the optimal fixation Limited Contact Design For better blood supply Clinical Outcome Figure 2. Anterolateral plate fixation on the distal tibia X-ray 3.5 Distal Tibia Plate

ARIX Ankle Distal Tibia System

Surgical Technique - Distal Tibia Medial Plate 3.5 Distal Tibia Plate

Surgical Technique Distal Tibia Medial Plate Determine the length of the plate from preoperative x-rays. This procedure is normally performed with the patient in a supine position. The anteromedial approach is used for open reduction and internal fixation of the articular part of the tibia. 4. Reduction and Preliminary Fixation Reposition fracture fragments and the articular surface under fluoroscopic view and temporarily fix in place with guide pins. Consider planned plate position by guide pin insertion to avoid interference between guide pins and plate. Required Instruments Required Set...

Surgical Technique Distal Tibia Medial Plate Position the plate on the distal part of tibia. Fix the plate to the bone temporarily with guide pins. 6. Drilling and Screw Insertion Insert first non-locking screw(35-SO-LXX-T) in the distal ❶ part of plate shaft. Non-locking screw compresses plate on the bone surface. For pre-drilling use drill guide(111-203) and drill bit(112-35-704). ❷ Determine the screw length with depth gauge(111-266). Required Instruments Guide Pin 3.5 Distal Tibia Plat

Surgical Technique Distal Tibia Medial Plate 6. Drilling and Screw Insertion - continued I ❸ nsert screw using screwdriver(113-HF-616) and T ❹ o insert Locking screws(35L-SO-LXX-TA) in the proximal part, the use of drill sleeve(111-264) is reco mmended for drilling in the pre-defined screw angle. Recommendation for Screw Fixation According to fracture pattern choose Locking- or Non-locking screw for appropriate fixation. To achieve a fixation stability, insert at least 4 screws in proximal- and distal part of the plate each. Required Instruments Driver ARIX Ankle Distal Tibia System

Surgical Technique Distal Tibia Medial Plate Examine the screw alignment and bone reduction status under image intensifier. Use the appropriate method for surgical closure of the incision. remove locking screws, unlock all screws from the plate To using appropriate surgical instruments. 3.5 Distal Tibia Plate

ARIX Ankle Distal Tibia System

Surgical Technique - Distal Tibia Anterolateral Plate 3.5 Distal Tibia Plate

Surgical Technique Distal Tibia Anterolateral Plate This procedure is normally performed with the patient in a supine position. this procedure, an anterolateral approach is used. For Reposition fracture fragments and the articular surface under fluoroscopic view and temporarily fix in place with guide pins. C onsider planned plate position by guide pin insertion to avoid interference between guide pins and plate. Required Instruments Required Set ARIX Ankle Distal Tibia Full Kit 112-116 ARIX Ankle Distal Tibia System

Surgical Technique Distal Tibia Anterolateral Plate Position the plate on the distal part of tibia. Fix the plate to the bone temporarily with guide pins. 5. Drilling and Screw Insertion Insert first non-locking screw(35-SO-LXX-T) in the distal ❶ part of plate shaft. Non-locking screw compresses plate on the bone surface. To adjust plate position use the oblong hole in the plate. pre-drilling use drill guide(111-203) and drill bit For ❷ blong hole in the plate shaft allows the Initial fixation O and adjustment of the plate location. Required Instruments Guide Pin 3.5 Distal Tibia Plat