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PANGEA

Flashcards 29 questions Medicine & Health Sciences by steven marone ★ 5.0
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Flashcards (29)

Card 1
Why is a well-fitting implant important?
Answer
Relying on plate bending for plate fit may cause early mechanical failure in trauma plating procedures.1 The Pangea systems were designed with this in mind. Using the Stryker Orthopaedics Modeling and Analytics (SOMA) database, Pangea offers an evidence-based, anatomically informed implant.
Card 2
Variable angle locking technology
Answer
Pangea’s variable angle locking technology uses a cobalt chrome (CoCr) locking screw, which is harder than the Ti6Al4V plate, allowing for the screw head’s threads to form a definitive plate-screw interface in the plate’s locking hole by engaging the softer, Ti6Al4V material. This technology allows the user to aim and lock the screw into the plate within a true 30° cone revolving the predetermined hole trajectory. The variable angle drill guide provided with the system offers guidance with respect to the limit of this 30° cone. The locking mechanism remains functional for up to two locking screw reinsertion.
Card 3
Proximal humerus plating placement
Answer
Correct calcar screw placement should be the primary driver of plate placement, but it is recommended that the plate sits 5-10mm distal to the posterior aspect of the greater tuberosity The plate is positioned directly lateral to the bicipital groove which can act as a reference landmark for plate placement Helps to ensure the positioning lateral and parallel to the bicipital groove
Card 4
proximal humerus posterior plate option
Answer
Designed to improve tuberosity fixation and prevent tuberosity escape • Designed to increase fixation by providing an option for perpendicular screw placement in the setting of tuberosity fractures • Extension arms are designed to facilitate in-situ contouring to capture tuberosity fragments
Card 5
Pangea proximal humerus
Answer
7 beveled and angled 2.0mm suture hole cutouts Provides flexibility in tendon and tuberosity fixation and to facilitate easier passage of suture after the plate is placed on bone 3 variable angle calcar screw holes Provides additional flexibility to achieve screw placement in the calcar bone of varying fracture patterns and patient morphologies
Card 6
comparison Pangea proximal humerus
Answer
Fit • The Pangea Proximal Humerus Plate provides better anatomic fit compared to the PHILOS plate from Synthes1 • Pangea Proximal Humerus Plates have shown to capture calcar bone in 100% of patients for 2 calcar screws and in 99.7% of patients for 3 calcar screws (SOMA analysis on 777 CT models)2
Card 7
Pangea proximal humerus Technical specifications
Answer
Standard plate lengths: 3-18 holes (86-301mm) • Posterior plate lengths: 3-8 holes (86-161mm) • Thickness: 3.2mm • Left and right anatomic plate options • Drill bits: Ø2.5mm x 135mm Ø2.5mm x 215mm
Card 8
pangea proximal humerus Evidence-based screw trajectories
Answer
The most proximal screw row creates a lattice that is designed to span the whole humeral head, if required
Card 9
pangea distal humerus plates
Answer
Increased proximal plate thickness Designed to provide robust humerus shaft fixation 2.0mm proximal K-wire hole Designed to provide temporary fixation Rounded and tapered end Designed to allow for smooth insertion under the soft tissue Hybrid LC Holes Allows up to 2mm of compression per hole or can be used for a variable angle locking screw A: Universal: For locking or non-locking screws B: Compression: For non-locking screws only Variable-angle screw holes Circular holes that accommodate screws are universal; accepting non-locking screws and locking screws within a 30° cone Distal 2.0mm K-wire hole Points into the center of the capitellum to ensure correct plate placement and reduce the potential for impingement
Card 10
distal humerus plate placement
Answer
The distal portion of the plate should be placed lateral to the trochlea and the olecranon fossa on the posterior aspect of the distal humerus • Fixed angle drill sleeve may be used as a handle for control of plate placement and positioning1
Card 11
distal humerus plate fit
Answer
Plate was designed using SOMA analytics to improve anatomic fit and reduce the potential for impingement with the radial head in full extension2 • Plate extends further distally than competitive systems such as Synthes and Skeletal Dynamics, further increasing the distal fixation by increasing the working length of the plate2
Card 12
distal humerus technical specs.
Answer
Plate Lengths: 4-14 holes (130-300mm) • Thickness: 4.2mm proximally, 2.0mm distally • Left and right anatomic plate options • Drill bits: Ø2.5mm x 135mm (542020) Ø2.5mm x 215mm (542021)
Card 13
distal humerus clinical corner
Answer
A maximum of 2mm of compression per hole, provides surgeons the ability to achieve more compression with fewer screws. Screw trajectories using variable angle locking to obtain the widest allowable screw trajectory
Card 14
Pangea™ PeriPRO™ Proximal Femur Plate
Answer
Proximal screw cluster Designed to offer bicortical screw fixation around a hip stem Oblong hole To aid in plate placement and serve as an attachment site for targeter Cable plug compatible Cable plugs accepted in any round screw hole and may be used in conjunction with a 2.0mm vitallium cable Staggered screw pattern Staggered screw hole trajectories in the diaphysis are designed to accommodate screw placement in the anterior and posterior cortex around an intramedullary nail or a prosthesis
Card 15
peripro proximal femur plate cont.
Answer
Variable-angle screw holes Circular universal holes accept non- locking screws, and locking screws within a 30° cone Cable plug compatible Cable plugs accepted in any round screw hole and may be used in conjunction with a 2.0mm vitallium cable Tapered end For atraumatic submuscular insertion
Card 16
peripro proximal femur plate cont.
Answer
Plate lengths range from 257mm to 371mm • Radius of Curvature changes for longest plate length to fascilitate fit1 • Maximum THA Stem Coverage: ≤100mm to 215mm
Card 17
peripro proximal femur plate plate offering.
Answer
Length: 257mm Max. THA Stem Coverage: ≤100mm Length: 292mm Max. THA Stem Coverage: 140mm Length: 320mm Max. THA Stem Coverage: 165mm Length: 371mm Max. THA Stem Coverage: 215mm
Card 18
peripro proximal femur tech specs
Answer
Material: Ti6Al4V ELI (plates and non locking screws) and Cobalt chrome (CoCr alloy locking screws) • Maximum THA Stem Coverage: ≤100mm to 215mm • Variable angle locking within a 30° cone • Left and right anatomic plate options
Card 19
peripro proximal femur Variable angle screw trajectory
Answer
The PeriPRO Proximal Femur Plates offer an evidence-based design with a variety of plate lengths, screw diameters and SOMA designed screw trajectories, allowing for the ability to achieve a desired construct.
Card 20
PeriPRO™ Distal Femur Plate design
Answer
Tapered end Designed for atraumatic submuscular insertion Cable plug compatible holes Cable plugs accepted in any round screw hole and may be used in conjunction with a 2.0mm vitallium cable Staggered screw pattern Staggered screw hole trajectories in the diaphysis are designed to accommodate screw placement in the anterior and posterior cortex around an intramedullary nail or a prosthesis. Oblong hole To aid in plate placement and serve as an attachment site for targeter Waisted scalloped shape Tapered end Designed for atraumatic submuscular insertion Cable plug compatible holes Cable plugs accepted in any round screw hole and may be used in conjunction with a 2.0mm vitallium cable Staggered screw pattern Staggered screw hole trajectories in the diaphysis are designed to accommodate screw placement in the anterior and posterior cortex around an intramedullary nail or a prosthesis. Metaphyseal screw cluster Designed to provide anatomic fixation through size adapted options1
Card 21
distal femure plate placement
Answer
Radius of Curvature and distal screw cluster plate width changes for longest plate length to fascilitate fit1
Card 22
Pangea™ PeriPRO™ Distal Femur Plate plate offering
Answer
Length: 173mm Max. TKA Stem Coverage: N/A Length: 241mm Max. TKA Stem Coverage: 100mm Length: 280mm Max. TKA Stem Coverage: 120mm Length: 318mm Max. TKA Stem Coverage: 160mm Length: 355mm Max. TKA Stem Coverage: 200mm Length: 396mm Max. TKA Stem Coverage: 240mm
Card 23
Pangea™ PeriPRO™ Distal Femur Plate, tech specs
Answer
Material: Ti6Al4V ELI (plates and non locking screws) and Cobalt chrome (CoCr alloy locking screws) • Distal femur plate lengths: 173 - 396mm Screw platform • Variable angle locking within a 30° cone • Left and right anatomic plate options
Card 24
PeriPRO™ Interprosthetic Femur Plate
Answer
Proximal screw cluster Designed to offer bicortical fixation around a hip stem Oblong hole To aid in plate placement and serve as an attachment site for targeter Staggered screw pattern For effective bicortical screw placement around an intramedullary nail, hip prosthesis, or stemmed femoral component Cable plug compatible holes Cable plugs accepted in any round hole and may be used in conjunction with a 2.0mm vitallium cable Oblong hole To aid in plate placement and serve as an attachment site for targeter Metaphyseal screw cluster Designed to provide anatomic fixation through multiple distal cluster hole options depending on size of plate
Card 25
PeriPRO™ Interprosthetic Femur Plate placement
Answer
The first dedicated interprosthetic plate designed to span from the femoral condyle to the greater trochanter to maximize plate working length • As the length of the plate changes, so does the radius of curvature.
Card 26
PeriPRO™ Interprosthetic Femur Plate placement
Answer
The first dedicated and patented interprosthetic plate designed to span the entire femur
Card 27
Pangea™ PeriPRO™ Interprosthetic Femur Plate offering
Answer
xLength: 320mm Length: 334mm Length: 358mm Length: 379mm Length: 402mm Length: 420mm
Card 28
Pangea™ PeriPRO™ Interprosthetic Femur Plate tech specs
Answer
Material: Ti6Al4V ELI (plates and non locking screws) and Cobalt chrome (CoCr alloy locking screws) • Interprosthetic femur plate lengths: 320 – 420mm • Variable angle locking within a 30° cone • Left and right anatomic plate options
Card 29
peripro inter prosthetic femure plate Variable angle screw trajectory
Answer
Variable angle locking screws are compatible in all circular holes across the entire plate to provide options for bicortical fixation around a prosthesis

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