A.L.P.S.®
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A.L.P.S.® - 1

A.L.P.S.® Distal Tibia Plating System Surgical Technique

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A.L.P.S.® - 5

A.L.P.S. Distal Tibia Plating System Low Profile Anatomically Contoured The Distal Tibia Locking Plate System • A low-profile designed to help minimize potential discomfort and soft tissue irritation Contoured plates mimic the anatomy of the distal tibia Anterolateral plate is available in wide and narrow widths to suit patient size Bullet tip designed to minimize soft tissue disruption during insertion Plate insertion handle simplifies submuscular application For distal tibia procedures that often involve complex fractures and minimal tissue coverage, the Distal Tibia Plating System...

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A.L.P.S. Distal Tibia Plating System Fast, Accurate Surgeries F.A.S.T. Guide ® and F.A.S.T. Tabs ® Technologies F.A.S.T. Guide • Facilitates accurate drilling • Pre-loaded and disposable • Saves time in the OR since no intraoperative assembly is required • Color-coded guides make identification easy: Red guide=Right, Lime guide=Left F.A.S.T. Tabs • Distal tabs of the Anterolateral Plate easily contour to conform to the bone • Threaded holes in the tabs of the Anterolateral Plate allow screws to lock to the plate, providing stability and support • Interlocking alignment of distal screws can...

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A.L.P.S.® - 9

A.L.P.S. Distal Tibia Plating System Versatility in construct Locking, non-locking, and multi-directional screw options • Choose Locking, Non-Locking, or Multi-Directional Screws according to need • All options available in each construct • Tapered, threaded screws lock into position when tightened to establish a fixed angle construct for strong fixation or when optimal screw purchase is required • Locking Multi-Directional Screws (MDS) allow for up to 15 degrees of angulation from center • Non-Locking Screws can be positioned and used in compression, neutral, and buttress modes...

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A.L.P.S.® - 11

The Zimmer Biomet A.L.P.S. Distal Tibia Plating System represents the next generation in anatomic plate design. It combines the benefits of low-profile titanium plate metallurgy with the advantages of multiplanar locked screw technology. These features allow the formation of a three dimensional matrix of fixed and variable angle screws to create a true subchondral scaffold that can provide strong fixation in comminuted fractures or osteopenic bone. The Medial Locking Plate is indicated for: The Zimmer Biomet A.L.P.S. Distal Tibia Plating System features Type 2 Anodized Titanium Alloy...

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A.L.P.S.® - 12

A.L.P.S. Distal Tibia Plating System Anterolateral Distal Tibia Locking Plate Proximal bullet tip facilitates submuscular plate insertion Type 2 Anodized Titanium Alloy for strength and biocompatibility Threaded holes for Locking 3.5 mm, 4.0 mm, and 3.5 mm Multi-Directional Screws Low-profile, anatomically contoured plate design to minimize soft tissue irritation Compression holes in the shaft of the plate for 3.5 mm and 4.0 mm Non-Locking Screws F.A.S.T. Guide inserts for easy drilling 3.5 mm Multi-Directional Locking Screws allow for up to 15 degrees of angulation from center Versatile...

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A.L.P.S.® - 13

Anterolateral Plate Specifications Anterolateral Plate Wide Narrow Head Width 39 mm 34 mm Head Thickness 3 mm 3 mm Tab Thickness 3 mm 3 mm Shaft Width 12 mm 12 mm Shaft Thickness 3 mm 3 mm Distance between center holes of shaft Left / Right Left / Right 3.5 mm Locking Cortical Screw: 3.5 mm Locking Multi-Directional Screw: • Large core diameter and shallow thread pitch for bending and shear strength • Cobalt-Chrome screw with large core diameter • elf-tapping tip minimizes the need for pre-tapping and S eases screw insertion • apered screw head helps ensure alignment T of the screw head...

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A.L.P.S.® - 14

A.L.P.S. Distal Tibia Plating System Medial Distal Tibia Locking Plate Proximal bullet tip facilitates submuscular plate insertion Type 2 Anodized Titanium Alloy for strength and biocompatibility Threaded holes for locking 3.5 mm, 4.0 mm, and 3.5 mm Multi-Directional Screws Low-profile, anatomically contoured plate design to minimize soft tissue irritation Compression holes in the shaft of the plate for 3.5 mm and 4.0 mm Non-Locking Screws F.A.S.T. Guide inserts for easy drilling 3.5 mm Multi-Directional Locking Screws allow for up to 15 degrees of angulation from center Distal tab for 3.5...

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A.L.P.S.® - 15

Medial Plate Specifications Medial Plate Head Width Average Head Thickness Shaft Width Shaft Thickness Distance between center holes of shaft Left / Right 3.5 mm Locking Cortical Screw: 3.5 mm Locking Multi-Directional Screw: • arge core diameter and shallow thread pitch for L bending and shear strength • Cobalt-Chrome screw with large core diameter • elf-tapping tip minimizes the need for pre-tapping and S eases screw insertion • apered screw head helps ensure alignment T of the screw head into the plate hole • apered threaded head minimizes screw back-out and T construct pullout •...

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A.L.P.S.® - 16

A.L.P.S. Distal Tibia Plating System Figure 1 When planning to treat a distal tibia fracture surgically using plates, application of a spanning external fixator should be performed as soon as possible. Staged Protocol Suggested by Surgeon Design Team Portable Traction When planning to treat a distal tibia fracture surgically using plates, application of a spanning external fixator should be performed as soon as possible (Figure 1). Pin placement distally is dependent on the type of frame employed. Proximally placed tibial pins should be away from planned incisions to avoid pin tracts...

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Figure 2 One of three surgical approaches can be used. An example of an Antero-Medial approach. Surgical Approaches Approaches include an antero-medial incision, a standard anterior incision, or the lateral Böhler approach. When plating the fibula through a standard lateral approach, the surgeon should identify the tibial incision first to avoid narrow skin bridges between the two incisions. Begin at the level of the distal shaft of the tibia, just lateral to the anterior crest, and continue distally as far as needed, staying medial to the anterior tibial tendon. Take the skin together with...

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