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Response Ortho
Ankle Fracture Plating System

Ankle Fracture Plating System

Product catalog summary

Introduction
The Ankle Fracture Plating System by Response Ortho is engineered to minimize soft tissue damage using low-profile, high-strength titanium alloy plates. These plates are anatomically pre-contoured to fit the average tibia, reducing the need for intraoperative adjustments and aiding in the restoration of bone anatomy in complex fractures.

Preoperative Planning
Effective surgery necessitates comprehensive preoperative planning, including the review of radiographic images to determine the appropriate plate and screw placement. The Click2Correct software assists in simulating fracture reduction and fixation.

Patient Positioning
Patients are generally positioned supine with a bump under the injured side to prevent limb rotation, aiding in precise fracture reduction. Fluoroscopic visualization is recommended throughout the procedure.

Screw Application
The system offers locking and non-locking screws in various sizes. Proper drill bits and guides are essential for screw application, with specific techniques for compression and fixation.

Plate Types and Features

Anterior Plate: Suitable for distal tibia fractures, available in short, medium, and long sizes, featuring low profile, locking screw holes, and compression slots.
Medial Spoon Plate: Designed for medial malleolar fractures, available in multiple lengths, providing strong fixation and fracture compression.
Medial Fork Plate: Supports medial fractures with a fork-shaped design for two-column reconstruction.
Anatomic Fibula Plate: For distal fibular fractures, offering enhanced screw angulation for better compression.
1/3 Tubular Plate: Indicated for tibular shaft fractures, available in various lengths.

Surgical Technique
Each plate type has specific surgical techniques involving articular reduction, plate placement, and fixation. Temporary fixation with K-wires is followed by fluoroscopic control to ensure proper reduction and positioning. Locking and non-locking screws are used based on fracture type and bone quality, with special considerations for osteoporotic patients.

Conclusion
The Ankle Fracture Plating System provides a comprehensive solution for various ankle fractures, emphasizing anatomical fit, strong fixation, and minimal soft tissue irritation.

Product Features

Includes locking screw holes for stronger fixation, designed for use as an anti-glide plate in fibular shaft and some distal tibial fractures.
Features rounded plate tips and smooth edges to prevent soft tissue irritation, with a plate thickness of 1.6mm.
Compression slots allow for plate positioning and fracture compression.

Surgical Technique

Reduction: Ensure precise restoration of fibular length, alignment, and rotation.
Plate Placement: Temporarily hold the plate with standard forceps, positioning the center over the fracture site for compression.
Fixation: Use a non-locking cortical screw to pull the plate to the fibula, ensuring screw tips do not pass the articular surface. Lag screws are recommended for spiral and oblique fractures, while cortical non-locking screws are suggested for transverse fractures.

Ordering Information

Provides a comprehensive list of plates, screws, and surgical tools, including various sizes and specifications for different surgical needs.
Details on the Click2CorrectTM Web App for preoperative planning and templating, offering features like multi-platform support and unlimited cloud storage.

Contact Information
Response Ortho LLC, with headquarters in Edgewater, NJ, USA, and Istanbul, Turkey, provides contact details for further inquiries.

Catalog excerpts

tep Ankle Fracture Plating System

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Response Ortho is a global orthopaedic trauma solutions manufacturer offering premium products created under its founding principles of innovation, excellence by design, and functional superiority.

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Surgical tecnique by Guvenir Okcu, M.D. CONTENTS 03 Introduction 04 Preoperative planning 06 Anterior Plate 08 Medial Spoon Plate 10 Medial Fork Plate 12 Anatomic Fibula Plate 14 1/3 Tubular Plate 16 Ordering Information Introduction The low proﬁle Ankle Fracture Plating System plates reduce the risk of injury to distal tibia medial soft tissue due to its shape and made of highstrength titanium alloy. The plates, due to its anatomic shapes, are placed sensitively close to joint areas towards the diaphysis The surgeons generally don’t need to bend the plates to match the patient’s anatomy (bone),...

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Surgical Technique STEP Foot & AnkLe Solutions AnkLe Fracture Plating System It is essential, to review all the radiographic images to pLan the surgery and determine appropriate pLate Length and Location of distaL Locking screws. Surgery is a compLicated process reguires severaL steps coordinated at once and simpLy seLecting a pLate is not adeguate. Patient positioning, proper incision, right pLate size, articuLar surface and metaphyseaL part meticuLous reduction technigues, understanding the pathoLogy, sufficient knowLedge of the patient's anatomy and soft tissue handLing are prereguisites of...

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STEP Foot & Ankle Solutions Surgical Technique Ankle Fracture Plating System 3. Locking and Non-Locking Screw Screw Size 2.3mm 2.7mm 3.5mm and 4.0mm Applying Non-Locking screw • Use related drill bit and non-threaded drill guide, • Determine necessary screw with gauge (00-0907-00) • Apply the selected screw with quick release( QR ) handle (00-1011-01) and applicable driver tip. Applying Non-Locking screw compression purposes • Use related drill bit and non-threaded drill guide from far cortex to fracture, • Determine necessary screw with depth gauge(00-0907-00), • Apply the selected screw with...

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STEP Foot & Ankle Solutions Product Features Ankle Fracture Plating System Anatomic Distal Tibia Anterior Plate Locking screw holes provide stronger fixation Low profile helps minimize potential discomfort and soft tissue irritation Compression slots provide plate positioning and fracture compression Average plate thickness 1,6mm Diverging styloid screw Contoured plates mimic the anatomy of the distal tibia 2,3mm locking raft screws are for subchondral support Plate window is for articular surface reduction, grafting, radiographic visualization and microflexion to support the healing Indications...

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STEP Foot & Ankle Solutions Surgical Technique Ankle Fracture Plating System 1. Articular Reduction The bone fracture will be reducted with the bone forceps after the incision. 2. Plate Placement Plate will be placed at the anterolateral part of the distal tibia just above the subchondral bone in order to support articular area and metaphyseal bone in case of comminution. There are three optional sizes of anteriolateral plates as short, medium and long ( see above ). The surgeon should select the one that fits on the patient’s anatomy and fracture pattern 3. Fixation 1.8mm K-wires (00-0919-00)...

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STEP Foot & Ankle Solutions Product Features Ankle Fracture Plating System Anatomic Distal Tibia Medial Spoon Plate Locking screw holes provide stronger fixation Low profile helps minimize potential discomfort and soft tissue irritation Compression slots provide plate positioning and fracture compression Average plate thickness 1,6mm Plate window is for articular surface reduction, grafting, radiographic visualization and microflexion to support the healing Distal screws provides inter fragmentary compression Indications Anatomic Distal Tibia Medial Spoon Plates are indicated for internal fixation...

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STEP Foot & Ankle Solutions Surgical Technique Ankle Fracture Plating System 1. Articular Reduction The bone fracture will be reducted with the bone forceps after the incision. 2. Plate Placement The plate should be placed distal tibia to support medial fractures. Plate will be placed at the medial part of the distal tibia. There are three optional sizes of spoon plates as short, medium and long. The surgeon should select the one that fits on the patients anatomy and fracture pattern. 3. Fixation 1.8mm K-wires (00-0919-00) are required for temporary fixation of the plate on the bone after open...

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STEP Foot & Ankle Solutions Product Features Ankle Fracture Plating System Anatomic Distal Tibia Medial Fork Plate Locking screw holes provide stronger fixation Fork shaped Metaphyseal plate provide radiographic visualization and two column bone reconstruction Compression slots provide plate positioning and fracture compression Low profile helps minimize potential discomfort and soft tissue irritation Average plate thickness 1,6mm Two column structure helps to fix two part separated fractures 2,3mm locking scew angulation is for infragmentary compression and articular support Indications Anatomic...

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STEP Foot & Ankle Solutions Surgical Technique Ankle Fracture Plating System 1. Articular Reduction The bone fracture will be reducted with the bone forceps after the incision. 2. Plate Placement Plate will be placed at the distal part of the distal tibia in order to support medial fractures. There are three optional sizes of spoon plates as short, medium and long. The surgeon should select the one that fits on the patients anatomy and fracture pattern. 3. Fixation 1.8mm K-wires (00-0919-00) are required for temporary fixation of the plate on the bone after open anatomic reduction. After optimal...

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STEP Foot & Ankle Solutions Product Features Ankle Fracture Plating System Anatomic Fibula Plate For patiens with highly comminuted distal fibular fractures and also minimizing the soft tissue problems Compression slots provide plate positioning and fracture compression Multiple enchanced distal screw angulation provide interfragmentary compression and better screw purchase in very short distal fragment The screw trajectory increases stabilization (over the locking screw technology) Indications Anatomic Fibula Plate is indicated for internal fixation for distal fibular fractures, osteotomies,...

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