Distal tibial L plate allows to manage the comminuted epiphyseal fractures of distal tibia.

The anatomically optimized plate profile increases the scope of application despite the wide range of tibia anatomies and facilitates anatomical reduction of fracture.

The plate design reduces the soft-tissues irritation, increases its strength in the shaft part and metaphysis and improves stress distribution.

The holes’ distribution in the epiphyseal part of the plate provides stable support for the articular surface.

The oblong hole for the plate positioning, located in the shaft part of the plate, allows for compression in both directions.

Each locking hole is adapted to all types of screws: non-locking, locking and variable-angle VA. Thus gives multiple configuration for individual case.

The heads of the locking screws do not protrude above the plate surface what significantly reduces tissue irritation.

is designed for stable osteosynthesis of the tarsus and distal tibia, for the treatment of degenerations and deformities of the tarsal joints.

INDICATIONS:

• tibio-calcaneal arthrodesis;
• combined arthrodesis of talocrural joint and talocalcaneal joint;
• avascular necrosis of talocrural joint and talocalcaneal joint;
• rheumatoid arthritis;
• severe, secondary deformity of untreated congenital clubfoot (talipes equinovarus) or in case of neuromuscular disease;
• seriously deformed foot/ankle, arthritic deformity of ankle with associated stiffness in the talocalcaneal joint;
• osteoarthritis;
• instability and skeletal defects after tumor resection;
• distal tibia fractures with non-unions;
• tibia and/or talus PLAFOND fracture where reconstruction is not possible;
• severe comminuted fractures with associated damage of talocalcaneal joint;
• fractures, dislocations of the ankle combined with serious arthritic changes and loss of function;
• above-ankle non-union combined with stiffness in the talocalcaneal joint;
• malunion of ankle;
• failed total ankle replacement with talocalcaneal joint intrusion.