Tibia Plates. Part of the Synthes locking
compression plate (LCP) system.
Technique Guide
Instruments and implants
approved by the AO Foundation
,Table of Contents
Introduction 3.5 mm LCP Anterolateral Distal Tibia Plates 2
AO Principles 4
Indications 5
Clinical Cases 6
Surgical Technique Preparation 8
Approach 10
Reduce Fracture/Articular Surface 10
Insert Plate 11
Position Plate 12
Screw Placement Verification (optional) 14
Insert Screws 15
Implant Removal 20
Product Information Screws 21
Instruments 22
Set List 25
Image intensifier control
Synthes
, 3.5 mm LCP Anterolateral Distal Tibia Plates
The 3.5 mm LCP Anterolateral Distal Tibia Plate is part of the
Synthes LCP system that merges locking screw technology
with conventional plating techniques.
The plate is stainless steel and features a limited-contact
shaft profile. The Combi holes in the LCP plate shaft
combine a dynamic compression unit (DCU) hole with a
locking screw hole. Combi holes provide flexibility of axial
compression and locking capability throughout the length
of the plate shaft.
The head of the plate features four locking holes that
accept 3.5 mm locking, 2.7 mm cortex, 3.5 mm cortex or
4.0 mm cancellous bone screws. The Combi holes in the
plate shaft accept 3.5 mm locking, 3.5 mm cortex, and
4.0 mm cancellous bone screws; the screwheads are
recessed in these holes to minimize screw prominence.
Fixation with the 3.5 mm LCP Anterolateral Distal Tibia Plate
has many similarities to traditional plate fixation methods,
with a few important improvements. Locking screws
provide the ability to create a fixed-angle construct while
using standard AO plating techniques. Locking capability
is important for fixed-angle constructs in osteopenic bone
or multifragmentary fractures where screw purchase is
compromised. These screws do not rely on plate-to-bone
compression to resist patient load, but function similarly
to multiple small angled blade plates.
Note: For information on fixation principles using conventional
and locked plating techniques, please refer to the Small Frag-
ment Locking Compression Plate (LCP) Technique Guide.
2 Synthes 3.5 mm LCP Anterolateral Distal Tibia Plates Technique Guide