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Trauma · Locking plates

PIONEER Lower extremity plates

Name: PIONEER Lower extremity plates
Brand: Normmed

Proximal femoral; distal femoral; proximal lateral, medial and posteromedial tibial; high tibial osteotomy; distal medial, anterolateral and posterior tibial; medial malleolus hook; distal lateral and posterolateral fibula; pilon; calcaneal.

EU MDR

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Overview

The PIONEER lower-extremity plates cover the proximal and distal femur, the proximal and distal tibia, the fibula, the pilon and the calcaneus. They are anatomically shaped locking plates. Femoral plates use the large-bone screw system. Fibular, pilon and calcaneal plates use the small-bone system. A dedicated high tibial osteotomy plate is included. Most plates have left and right versions. Indications are fractures, osteotomies and nonunions. The plates are supplied sterile or non-sterile.

Product group: Trauma
System: Locking plates
Anatomical region: Hip & pelvis Femur Knee Tibia Foot & ankle
Material: Titanium
Device class (EU MDR): IIb
Manufacturer: NORMMED MEDİKAL SAN. VE TİC. A.Ş., Ankara

Intended purpose, contraindications, warnings and precautions are given in the instructions for use. Search the e-IFU

Design rationale

Proximal and distal femur

The proximal femoral plate is intended for trochanteric fractures. These include simple, trochanterodiaphyseal, multifragmentary pertrochanteric and reverse or transverse intertrochanteric patterns. It is also intended for proximal fractures with an ipsilateral shaft fracture.

Proximal tibia from three sides

Plates are offered for the lateral, medial and posteromedial proximal tibia. The tibial locking plates are shaped to minimise contouring in theatre. All holes except the oblong hole accept locking and cortical screws. Fitted radiolucent aiming devices are designed to place drill guides at a preset angle.

High tibial osteotomy plate

The osteotomy plate carries four locking screws in its head to maintain stability. Its long shaft transmits forces evenly into the tibial shaft. Its tapered, rounded tip eases subcutaneous insertion. Pretensioning allows compression of the lateral hinge. It is used with a dedicated set alongside the Large Bone set, in a medial opening-wedge technique.

Distal tibia, malleolus and pilon

The distal medial and distal anterolateral tibial plates come left and right and are shaped to minimise contouring. All holes except the oblong hole take locking or non-locking cortical screws with small heads. Further plates cover the posterior distal tibia, the medial malleolus (hook plate) and the pilon. For the pilon, complex articular reconstruction is the emphasis.

Fibula and calcaneus

The distal lateral and posterolateral fibular plates are indicated for fractures, osteotomies and nonunions of the distal fibula. Indications cover the metaphyseal and diaphyseal region, especially in osteopenic bone. A further distal fibular plate completes the group.

Indications

Proximal femoral plate: fractures of the trochanteric region, including simple, trochanterodiaphyseal and multifragmentary pertrochanteric fractures.
Proximal femoral plate: reverse or transverse intertrochanteric fractures, medial cortex fractures and proximal fractures with an ipsilateral shaft fracture.
Proximal femoral plate: metastatic fracture of the proximal femur, osteotomies of the proximal femur, osteopenic bone, nonunions and malunions.
Proximal tibial plates (lateral, medial, posteromedial): fractures of the proximal tibia, proximal shaft, metaphyseal and intra-articular fractures.
Distal medial tibial plate and medial malleolus hook plate: complex intra-articular and extra-articular fractures and osteotomies of the distal or medial tibia.
Distal posterior tibial plate: fractures of the distal posterior tibia, distal shaft fractures, metaphyseal and intra-articular fractures.
Pilon plate: distal articular fractures of the tibia with emphasis on complex articular reconstruction.
Distal fibular plates: fractures, osteotomies and nonunions of the metaphyseal and diaphyseal region of the distal fibula, especially in osteopenic bone.
Calcaneal plate: complex fractures of the calcaneus, including extra-articular, intra-articular, joint-depression, tongue-type and severely comminuted fractures.

Source: Normmed product catalogue.