Rosemont, IL: American Academy of Orthopaedic Surgeons (AAOS), 2019, Nam D., et al. hb```b`` vAX,3Mp X':Z$PY"}n5. It covers the incision, the desired outcome, the osteotomy and fixation. Screw & Pin The Lancet (2017), volume 389, Issue 10077, P1374-1375. # 1 - 6541-1 . Silverstein et al. Medial column arthrodesis with VariAx plate. Silverstein et al. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. The Patella Fracture System includes everything needed to repair transverse patella fractures. Innovate With Us The implant is held . Sagittal fractures are more easily reduced with the knee flexed. Naples, FL; 2013. Both plates are anatomically shaped and provide unidirectional angular-stability as well as suture holes for the fixation of soft tissue to the plate. The Patella Fracture System includes everything needed to repair transverse patella fractures. It covers the incision, the desired outcome, the osteotomy and fixation. American Academy of Orthopaedic Surgeons (AAOS) 2019 Annual Meeting poster. More . J Arthroplasty. <]/Prev 484465>> 100% all-cause survivorship in 72 Triathlon Tritanium TKAs at mean three-year follow-up.10Tritanium Baseplate, Tritanium Metal-Backed Patella and CR PA beaded femurs were used. Universal Neuro III. View and Download Stryker Triathlon Knee System surgical protocol online. Abdel et al. Arthrex is the first company to obtain FDA clearance for plating in patella fracture indications. Reduction should be verified by careful intraoperative X-ray and finger palpation. Presented at: American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting. This video depicts a correction of a hallux valgus deformity using a lapidus procedure, a fusion of the first metatarsal with the medial cuneiform. TI4579 Mesh Upgrade 3D Mesh Impression Test with Maximum Defect. Shoulder, Resources 0000002146 00000 n The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. Plating that fits. Patellar stability and osteosynthesis rates have been shown to improve significantly with locked plates.2 Arthrex mesh plates can be used in conjunction with this set for fixation of these frequently challenging injuries. 10 Pages. It is, therefore, highly desirable, in patellar fractures to strive for anatomical reduction of the joint surface and stable fixation. 0000019398 00000 n 0000007480 00000 n Talonavicular joint arthrodesis with VariAx plate. Usually the anterior incision is slow to heal as it is over a flexion surface and so it is usually best to leave the knee in extension for at least a week.Afterwards, special emphasis should be given on active knee and hip movement. Henderson, CE et al. The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. Evidence-based clinical practice guideline. 0000001485 00000 n Every minute counts in the OR. The Patella Fracture System includes everything needed to repair transverse patella fractures. Accepted manuscript. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Anchorage, Stryker, VariAx. Adherus AutoSpray and Adherus AutoSpray ET. Masini et al. The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. Consideration should be given to thrombo-embolic prophylaxis, according to local treatment guidelines. The Acumed Scapula Plating System offers indication-specific titanium plates that can address challenging fractures of the scapula, including the glenoid, medial and lateral border, acromion, and scapular spine. 0000000016 00000 n This video demonstrates a lateral column lengthening. Implant removal may be required, as the wires may be prominent under the skin. Static isometric quadriceps exercises should be started on postoperative day 1 with the splint in place. T: 888.627.9957 Current Problems in Diagnostic Radiology, July/August 2010. Asnis Micro Xpress. 0000008580 00000 n The Acumed Scapula Plating System offers indication-specific titanium plates that can address challenging fractures of the scapula, including the glenoid, medial and lateral border, acromion, and scapular spine. 12 Pages. 2018;41(6):e765-e771. Fit for patients Fit for procedures Fit for you Fit for the future Contact Related categories E: info@acumed.net 0000015320 00000 n They are small and very malleable which facilitates contouring to the patella surface. 0000044584 00000 n Transport chair (98 pages) Medical Equipment Stryker Triathlon Knee System Surgical Protocol. This visual case study of a poly-trauma patient, presented by William Geissler, Professor and Chief, Division of Hand and Upper Extremity Surgery, University of Mississippi Medical Center, demonstrates the step-by-step process for plate fixation of a scapula fracture. American Academy of Orthopaedic Surgeons (AAOS). J Knee Surg. In addition, FiberTape suture has been attached to 5 in needles designed to pass through the screws, subsequently allowing for its use as a tension band. Please contact your sales representative if you have questions about the availability of products in your area. Triathlon Tritanium combines the kinematics of Triathlon with the latest in highly porous biologic fixation technology. National Joint Registry for England, Wales and Northern Ireland and Isle of Man. Monoaxial locking plate system for treating proximal tibia fractures. Medial border, lateral border, acromion, and glenoid plates for comprehensive fixation of scapula fractures. Manufactured byHyperBranch Medical Technology, Inc., a subsidiary of Stryker, located in Durham, North Carolina USA. Delivered by Stryker, the leader in foot and ankle 5, PROstep minimally invasive surgery helps you give patients the bunion pain relief they need, while also providing the faster recovery 2,3 they desire 5. Designed for direct medial or posteromedial placement, You can use it in conjunction with proximal lateral tibia plate, May allow for a less rigid construct, potentially resulting in increased callus formation and secondary healing, Superior posterior rafting and kick-stand, You can use it in conjunction with proximal medial tibia plate. If you choose to logout it will log you out from all the applications. The Journal of Arthroplasty 32 (2017) 2151-2155. The depth and placement of these pegs was optimised by using the SOMA database, Stryker's unique population-based orthopaedic design environment . About Acumed 0000034919 00000 n 6541-4-801 Universal Driver 6541-4-804 Headless Pin Extractor Figure 20 6541-4-400 Bladerunner > Remove the 4:1 Strike Plate from the 4:1 Cutting Block. 0000034071 00000 n Gold 3D mesh Countersink - designed to reduce palpability Has stiffness equivalent to golden 2D mesh 2 Used for open defects up to 70mm and muscle attachment 3 Pre-formed minimizes bending effort to fit patient MR conditional allows diagnostics after implantation Silver 3D mesh Countersink - designed to reduce palpability The patented polyaxial locking technology and low profile design were created using our SOMA database. March 24-28, 2018. AP postoperative X-ray image demonstrating dorsal and circumferential plating of the multifragmentary patella fracture. Get In Touch with a Sales Consultant 0000016739 00000 n 98% all-cause survivorship in 261 Triathlon Tritanium Metal-Backed Patella at 4.5-year follow-up.15, Harwin et al. The Acumed Lateral Border Plate provides an innovative plating system for stabilizing scapula body and glenoid neck fractures. 2020, 100% aseptic survivorship in 28 Triathlon Tritanium Baseplates with CR PA beaded femur at five-year follow-up.14. If you choose to logout it will log you out from all the applications. This construct has been shown to be stronger than the traditional K-wire with cerclage wire constructs.1. Bhowmik-Stoker et al. Documents Roughly 97 percent of all recalls during that timeframe involved knee replacements from just three manufacturers: Zimmer-Biomet, DePuy and Stryker. Personalized Care. The 2.7mm VA Locking Anterior Patella Plate is designed for utility across various fracture patterns. For plates, screws, bone void fillers, and DBM: C1713 - Implantable pins and/or screws that are used to oppose soft tissue-to-bone, tendon-to-bone, or bone-to-bone. Plating that fits. 2015; Tarazi et al. Images These are preoperative X-rays in a 25-year-old female injured in a motorcycle crash. 2 Pages. 2019, Matched comparison of 200 Triathlon Tritanium Baseplates with PS PA beaded femur vs. 200 Triathlon PS cemented TKAs showed similar functional and survivorship outcomes between two cohorts with 99.95% aseptic survivorship for Triathlon Tritanium baseplate at mean 2.4 year follow-up.19, Miller et al. The information presented is intended to demonstrate the breadth of Stryker's product offerings. Patella SuturePlate II To address various types of fractures, the Patella SuturePlate II system offers three types of plates in different sizes. Bhowmik-Stoker et al. 2020;35(2): 407-412. 2018, https://www.aaos.org/globalassets/quality-and-practice-resources/surgical-management-knee/smoak-cpg_4.22.2016.pdf, Memtsoudis et al. The procedure uses a Stryker Asnis III 4.0mm cannulated screw and a VariAx Foot oblique t-plate. Clinical video of 25-year-old patient three months after patellar plating, demonstrating excellent function of the extensor mechanism. Published online June 19, 2020. %PDF-1.7 % Recon nailing system r2.0 (44 pages) Medical Equipment Stryker Triathlon Surgical Manualline. Provides an innovative plating system for stabilizing scapula body and glenoid neck fractures. EasyClip. The patello-femoral joint is biomechanically very stressed when the knee is loaded. TheDall-MilesTrochantericGripPlatecanbeaugmentedwithStrykerSPScorti-cal bonescrewstoprovideadditionalrotational stability.Arangeof4.5mmscrewscommencingwith14mmlengthareavailableinbothTitaniumandStainlessSteel. Mller EC, Frosch KH. Humanitarian Aid Outcomes of cementless-backed patellar components. 0000044805 00000 n Elbow The use of cementless components does not significantly increase procedural costs in total knee arthroplasty. Implant removal should not be undertaken until a minimum of 1 year postoperatively. 0000016139 00000 n Cohen et al. Orthopedic Implants, Materials, and Devices More. J Arthroplasty. Early progressive, active mobilization is beneficial after surgery. PROSTEP MIS utilizes percutaneous, micro incisions to correct bunions as well as perform DMMO, cheilectomy and other procedures. Adherus and Adherus ET are the only FDA-approved hydrogel dural sealant with a patent pendingAutoSpray applicator with internal air pump. Cementless designs with features that aid in initial implant stability have been show to provide durable long-term results 2; the Triathlon Tritanium baseplate features a keel and four (4) bullet cruciform pegs to reduce micromotion and liftoff 3,4. Tritanium's innovative tibial baseplate and metal-backed patella components are SOMA-designed and enabled by Stryker's proprietary Additive Manufacturing technology. Our e-learning platform contains high resolution images and a certified CME of the Pilon Fracture: C-type fixed with Stryker AxSOS 3 Periarticular Plating System surgical procedure. Orthopaedic Research Society 2020 Annual Meeting. Despite, wearing a splint to protect against never losing complete extension, range of motion is done throughout the day with the splint off. Hand & Wrist 0000030877 00000 n 0000049387 00000 n In addition, FiberTape suture has been attached to 5 in needles designed to pass through the screws, subsequently allowing for its use as a tension band. All other trademarks are trademarks of their respective owners or holders. Total Joint Arthroplasty in Younger Patients: Heading for Trouble? Simplicity and adaptability with seven new indication specific plates using the comprehensive locking and non-locking screw system. Poster presented at: Orthopaedic Research Society (ORS) 2020 Annual Meeting; February 8-11, 2020; Phoenix, AZ. Published online May 29, 2020. Triathlon Tritanium combines the kinematics of Triathlon with the latest in highly porous biologic fixation technology. Our plating portfolio ranges from indication specific plates and patented Smartlock technology to streamlined instrumentation for ease-of-use in the OR. All other trademarks are trademarks of their respective owners or holders. 0000001156 00000 n 2017. Manufactured by. 3. The anatomically contoured plates may minimize the need for plate bending, while implant placement and screw fixation to osseous regions of superior scapular thickness may increase construct strength. This video depicts a correction of a hallux valgus deformity using a lapidus procedure, a fusion of the first metatarsal with the medial cuneiform. 2 Pages. A surgeon must always refer to the package insert, product label and/or instructions for use before using any of Stryker's products. Wright PB, Kosmopoulos V, Cot RE, Tayag TJ, Nana AD. Orthopedics. Naples, FL; 2013. <>stream Miller et al. Marmon UK tax strategy, OsteoMed is a wholly-owned subsidiary of Acumed, Products 0000036910 00000 n Patellar fixation is generally quite stable. Stryker's Tritanium 3D porous metal technology is found on the metal underside of the patella, as demonstrated by the Tritanium Metal-Backed Patella*. Large bone fragments compression bone plate AxSOS Stryker Cystoscope endoscope / rigid Stryker Human intramedullary nail / humerus Gamma3 Stryker Discover more about AxSOS 3 Ti Proximal Tibia by exploring our collection of clinical resources including surgery videos, brochures, and more. 2019;34(2):309-314, American Joint Replacement Registry (AJRR): 2019 Annual Report. Portfolio Product type Show All Show All Show All Show: All Product System Asnis III Asnis Micro AxSOS 3 Ti Distal Lateral Femur This construct has been shown to be stronger than the traditional K-wire with cerclage wire constructs.1. Cementless Tritanium Baseplate total knee arthroplasty: survivorship and outcomes at 5-year minimum follow-up. Version or Model: 6776-8-945 Commercial Distribution Status: In Commercial Distribution 1 ). 0000019905 00000 n X-rays should be taken at 2, 6 and 12 weeks. . 0000036452 00000 n 5256. Licensed from Prof. D. Wolter, Hamburg, GermanyStryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Anchorage, Stryker, VariAx. Certain products may not be approved for sale in all countries. Arthrex, Inc. Data on file (Patella Fracture Study [Study #318]). Rome, Italy. 0000001594 00000 n 0000036569 00000 n J Arthroplasty 2015;30:2181e4. It covers the incision, the desired outcome, the osteotomy and then two different methods of fixation. The Acromion Plates are an integral piece of the Scapula Plating System, and may be used individually or together with the Acumed Medial Border Plate, Lateral Border Plate, and Glenoid Plate. 0000002054 00000 n This procedure is normally performed with the patient in a supine position with the knee flexed 30. If you choose to logout it will log you out from all the applications. 18 0 obj The progressive increase in loading of the patello-femoral joint depends on many factors and requires planned individual programs, designed by the surgeon and physical therapists. Note the extensive multifragmentary fracture pattern on the AP. The plates can be used circumferentially around the patella, in a similar fashion to a cerclage wire, or across the surface to resist distraction forces. Arthrex, Inc. Data on file (Patella Fracture Study [Study #318]). To achieve a satisfactory stability, the combination with multiple techniques including lag screws, lag screws through a plate, and K-wire fixation with or without cerclage may be needed. For further information please read our cookie policy. Foot & Ankle 0000032321 00000 n Dr. Adam Schiff demonstrates a Metatarsal Fracture procedure using VariAx fracture plates. 18 43 Tritanium's innovative tibial baseplate and metal-backed patella components are SOMA-designed and enabled by Stryker's proprietary Additive Manufacturing technology. The surgical technique guide includes two sections: Complex Fractures - 3-hole and 6-hole plates are recommended. 3: Conditional 6 More. A low prole 2.3 mm titanium mesh plate (Stryker, Mahwah, NJ) was cut to t, and then it was xed to the anterior surface of the patella using non-locking 2.3 mm screws (Figure 7A). 0000024602 00000 n Lapidus procedure for hallux valgus correction. The mesh plates, which are offered in short and long lengths, can be cut and contoured to the desired size and shape based on fracture patterns. The Patella Fracture System includes everything needed to repair transverse patella fractures. #2263, A prospective, randomized controlled study of 76 Triathlon Tritanium Baseplates with CR PA beaded femurs vs. 65 Triathlon CR cemented TKAs demonstrated excellent clinical results with no aseptic loosening in either cohort at two-year follow-up.8, Nam et al. 0000002679 00000 n Stryker Corporation or its divisions or other corporate aff iliated entities own, use or have applied for the following trademarks or service marks: Adherus, Colorado, Cranial iD, DirectInject, Facial iD, Hoffman II, Hybrid MMF, HydroSet, iD Solutions, Leibinger, MEDPOR, Multi-Guide II, SMARTLock, Stryker, TruForm, Universal 2, Universal Neuro, VSP. 2017;32(7):2156-2160. Screws oppose tissues via drilling as follows: soft tissue-to-bone, tendon-to-bone, or bone-to-bone fixation. A Review of factors that affect artifact from metallic hardware on multi-row detector computed tomography. Hoffmann II Compact External Fixation System For Use in Maxillofacial Surgery. Florian Gebhard, Phil Kregor, Chris Oliver. Mont MA, Harwin SF. Injury 31 (2000) S-D7-13. Simplicity and adaptability with seven new indication specific plates using the comprehensive locking and non-locking screw system. Surgical Technique Videos | 07:26 | English | 07/05/2016 | VID1-00635-EN B, Surgical Technique Videos | 09:57 | English | 04/04/2022 | VID1-002599-en-US A, Surgical Technique Animations | 01:54 | English | 03/19/2020 | AN1-00144-EN D, Surgical Technique Guides | English | 06/16/2016 | LT1-00012-EN B, 09:57 | English | 04/04/2022 | VID1-002599-en-US A, 04:22 | English | 02/04/2022 | VID1-003070-en-US A, 06:28 | English | 01/06/2020 | VID1-000674-en-US A, 13:59 | English | 06/04/2018 | VID1-01280-EN A, 07:26 | English | 07/05/2016 | VID1-00635-EN B, 02:32 | English | 06/10/2021 | AN1-000273-en-US A, 01:54 | English | 03/19/2020 | AN1-00144-EN D, English | 03/03/2023 | LT1-000206-en-US B, English | 11/25/2020 | LT1-000190-en-US A, 01:08 | English | 09/20/2018 | PAN1-00144-EN D, 09:28 | English | 05/19/2020 | VID1-000948-en-US A, 01:20 | English | 11/10/2017 | VID1-00639-EN C, 08:25 | English | 10/23/2017 | VPT1-00849-EN A, English | 04/12/2019 | DOC1-000054-en-US A. Precontoured plates are designed to act as a template by replicating scapular anatomy and may help save operating time by reducing the need for plate bending. Journal of Bone and Joint Surgery. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. The set includes everything needed to perform a traditional repair. Increased survivorship of cementless versus cemented TKA in the morbidly obese. 0000042563 00000 n Clinical Orthopaedics and Related Research (2011) 469:1757-1765. Offers an effective plating system for stabilizing fractures of the scapula body. Cementless TKA allows the potential to reduce operating room time8,9and save expenses without the use of bone cement and cement accessories.10 A healthcare economic study in the U.S. concluded that the actual overall cost of cementless TKA could be offset by shortened operating room time and the lack of need for cement and cementing accessories.10, Cementless TKA is growing in popularity.7The 2019 National Joint Registry Report in the U.K. supports the long-term outcome of cementless femoral components,11and the AAOS evidence-based clinical practice guideline found strong evidence suggesting similar functional outcomes between cemented and cementless tibial baseplates.12Triathlon Tritanium cementless TKA demonstrated excellent clinical outcomes in multiple studies with five-year follow-up12,14and achieved similar functional outcomes as well as pain reduction compared to cemented Triathlon TKA in multiple short- to midterm studies.8,19, 99.5% implant survivorship in 228 Triathlon Tritanium Baseplates at five-year follow-up.13, Tarazi et al. In addition, FiberTape suture has been attached to 5 in needles designed to pass through the screws, subsequently allowing for its use as a tension band. The 4.0 mm blunt-tipped cannulated screws were designed specifically for patella fractures. The Patella Fracture System includes everything needed to repair transverse patella fractures. The demonstration is performed by Dr. Kai Olms. Research UDI Lookup, Events Low patella complication and accurate patella tracking can be achieved with this product. Given this range, surgeons may choose how best to fix the bone with the approach that they see fit. All other trademarks are trademarks of their respective owners or holders. TI4580 Mesh Upgrade 3D Mesh Impression Test with 70mm Defect. Orlando, FL. Utilization rates of knee-arthroplasty in OECD countries. Lateral column lengthening with VariAx plate. 0000001573 00000 n Harwin et al. The procedure uses a Stryker Asnis III 4.0mm cannulated screw and a VariAx Foot oblique t-plate. 2010 Mid-America Orthopedic Association Physician in Training Award: Healing Complications are Common After Locked Plating for Distal Femurs. Follow Stryker's Trauma team on Social Media! A removable full extension knee splint is applied and worn until good quadriceps control is regained. With this in mind, Stryker has developed the VariAx Clavicle Locking Plate System: an anatomically shaped, variable angled locking plate system, which offers a range of plate choices designed to address these common fractures. The surgical technique guide includes two sections: Complex Fractures - 3-hole and 6-hole plates are recommended. 0000031476 00000 n trailer Tradeshows, About Patella fractures represent approximately 1% of all fractures and present in a variety of patterns, which can make osteosynthesis challenging. Triathlon Tritanium Knee System. If you choose to logout it will log you out from all the applications. Calcaneo cuboid arthrodesis with VariAx plate. Locate A Rep, Compliance The recalls included nearly 250,000 package and label issues, knee implant parts and tools used in knee replacement surgery from 2014 through 2017 alone. The Acumed Medial Border Plate offers an effective plating system for stabilizing fractures of the scapula body. Further customization through contouring of the plate onto the bone may be performed before placing the screws. . 60 0 obj Send us a message to learn more about AxSOS 3 Ti Proximal Tibia and its capabilities. Sinicrope et al. 0 0000025109 00000 n 0000033193 00000 n Trends in demographics, comorbidity profiles, in-hospital complications and mortality associated with primary knee arthroplasty. Journal of Knee Surgery. Organize in-house training events for your surgical staff, Hand Distal phalanges revision published. Instrument Bar 6541-3-602 Patella Caliper 6541-3-702 Small Patella Clamp Jaw Right 6541-3-703 . The reduction of this fracture requires careful planning. This construct has been shown to be stronger than the . The multifragmentary pattern can also be seen in the lateral view. Harwin et al. Single-use instruments surgical protocol (48 pages) Medical Equipment Stryker Prime TC 1450 Operation & Maintenance Manual. Any compromise of the joint surface is likely to lead to degenerative joint disease. The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. The resulting construct should be strong enough for early motion to be started. Presented at: 2nd World Arthroplasty Congress; April 19-21, 2018. If you continue to browse this website, we will assume that you are happy to receive all our cookies. 0000048947 00000 n Yayac et al. Patents No revision due to aseptic or septic loosening of Triathlon Tritanium Baseplate at two-year follow-up.18, Masini et al. The patello-femoral joint is biomechanically very stressed when the knee is loaded. 1. Cementless total knee arthroplasty (TKA) with Triathlon Tritanium is the latest evolution in the Triathlon knee portfolio. Outcomes of newer generation cementless total knee arthroplasty: beaded periapatite-coated vs highly porous titanium-coated implants. 99% all-cause survivorship in 708 Triathlon Tritanium TKAs at two- to four-year follow-up.17Tritanium Baseplate, Tritanium Metal-Backed Patella and PS PA beaded femurs were used. STRYKER PATELLA TEMPLATE ATTACHMENT Company Name: Howmedica Osteonics Corp. Locking plate system for reconstruction or arthrodesis of small bones, including the fore, mid- and hind foot and ankle. Designed for direct medial or posteromedial placement You can use it in conjunction with proximal lateral tibia plate May allow for a less rigid construct, potentially resulting in increased callus formation and secondary healing1 Provides increased CT imaging clarity2 Offers excellent biocompatibility3,4 AxSOS 3 Ti Proximal Lateral Tibia Countersink - designed to reduce palpability, MR conditional - allows diagnosticsafter implantation, Variety of mesh types - strength vs malleability, New 0.3mm Hybrid mesh - 3x stronger than 0.3mm Dynamicmesh1, Has stiffness equivalent to golden 2D mesh2, Used for open defects up to 70mm and muscle attachment3, Pre-formed minimizes bending effort to fitpatient, MR conditional allows diagnostics after implantation, Countersink - designed to reducepalpability, Increased stiffness, for increased patientprotection, compared to 2D mesh2, Used for open defects up to the size of the mesh and muscle attachment3, Anatomically pre-formed minimizes bending to fit patient, MR conditional allows diagnostics afterimplantation, 1. First-to-market scapula plating system with anatomically precontoured, fracture-specific plates. Compared to traditional K-wires, this construct has been shown to be stronger.1. Dr. Adam Schiff demonstrates a First tarsometatarsal joint fixation procedures using VariAx fracture plates. Hip & Pelvis Harwin et al. In frontal/coronal (transverse) fractures, reduction is easier with the knee extended. In addition, FiberTape. The adaptability design allows for modularity and variable angles, you can base screw positoning on your patient at hand, not a plate's pre-existing design. Surgical management of osteoarthritis of the knee. Pilon fractures are defined as intra-articular fractures of the distal tibial plafond and being in a load bearing joint they are serious and usually life changing . Unalloyed titanium for implants in bone surgery. Simple Fractures - Core, 3-hole, and 6-hole plates may be used, based on fracture complexity. This video demonstrates a medial column fusion. It is, therefore, highly desirable, in patellar fractures to strive for anatomical reduction of the joint surface and stable fixation. Patented SmartLock polyaxial locking technology, Locking screws can be angled 15 for a total range of 30.