AAP LOQTEQ Proximal Medial Tibia Plate 3.5 Manual
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Contents
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12• Surgical Techniqueaap Implantate AGLorenzweg 5 • 12099 Berlin • GermanyFixating the plate shaftInserting screwsSurgical TechniqueProximal Medial Tibia Plate 3.5• First reposition the shaft relative to the tibial plateau, using indirectrepositioning techniques if possible. Then check axis as well asrotation of the tibia.• For the primary fixation of the plate shaft, a standard screw canbe inserted into the oblong hole. For this purpose use a doubledrill guide and a drill bit ø2.5 and drill to the desired depth.• Then determine the length of the screw using the depth gaugeand insert a screw of appropriate length using the hexagonalscrewdriver. The plate can be simultaneously pulled against theshaft using this screw.N N OTE :Securing the oblong hole before securing other plate holes canfacilitate the positioning of the plate on the bone.N N OTE :If compression of the fracture is necessary, an anatomicallycorrect and secure fixation of the plate in the periarticularfragment must first be achieved.• The gliding holes in the plate shaft can now be used in thefollowing ways:• Locking screw (red) with/without compression• Standard screw with/without compression• For inserting a standard screw use the double drill guide in neutralposition, i.e. center in the plate hole by applying pressure on thevariable end. Drill using a drill bit ø2.5, determine the length ofthe screw using the depth gauge and insert a screw of appro-priate length using the hexagonal screwdriver.N C AUTION :The standard cortical screws with small head as well as theblue locking screws are not suitable for use in a gliding hole!• After insertion of the first shaft screw or a compression screw, aclinical examination or check using fluoroscopy is recommendedto assess the alignment of the tibial plateau relative to the tibialshaft.Inserting standardscrews |
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