Designed to perform.
The APTUS Ankle Trauma System 2.8/3.5 provides low profile straight and anatomically precontoured plates for a variety of surgical approaches for treatment of fractures and osteotomies around the ankle.
Anatomical design
The anatomical design of the precontoured plates is based on CT data to accommodate different anatomies.
Anatomical flaps
Flaps in the lateral fibula plates and anterolateral tibia plates allow for capture of the Wagstaffe fragment and Chaput fragment.
Specialized instrumentation
Controlled reduction of the syndesmosis.
TriLock
TriLock locking technology provides multidirectional locking of the screw in the plate.
Approaches
The APTUS Ankle Trauma System 2.8/3.5 is designed for surgical approaches around the ankle including specific MIPO instrumentation.
TriLock Distal Fibula Plates 2.8/3.5, Lateral
Highlights
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Plate is available with and without flap for Wagstaffe fixation.
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20° posterior-anterior oblong hole and single syndesmotic hole for placement of syndesmotic screws or suture button implants (single hole).
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Plate position can be adjusted on the bone before final fixation.
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Eight screw holes in the distal end of the plate offer fixation options for comminuted fractures or extra fixation in osteoporotic bone.
Features
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Oblong hole
Oblong hole for minor plate adjustments
Rounded edges
Rounded edges for soft tissue protection
TriLock Distal Fibula Plates 2.8
Highlights
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The oblong hole allows for the plate position to be adjusted before final fixation.
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Plates are 1.6 mm thick with an offset screw holes geometry.
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The plate has three screw insertion options in the distal section of the plate.
Features
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Oblong hole
Oblong hole for minor plate adjustments
Rounded edges
Rounded edges for soft tissue protection
3.5 TriLock Straight Plates
Highlights
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Fibula fractures with syndesmosis injuries can be stabilized using the 2-, 3- and 4-hole 3.5 TriLock straight plates.
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Holes are designed to fit the lateral button of a syndesmosis suture implant, allowing the button to sit flush within the plate.
Features
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Rounded edges
Rounded edges for soft tissue protection
Dimensions
Dimensions of the plate
TriLock Distal Tibia Plates 2.8/3.5, Medial
Highlights
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Screw combination in the distal end of the plate allows for the capture of small comminuted as well as large fragments.
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Thin distal metaphyseal section accepts 2.8 mm screws for malleolar fracture fixation.
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Plate can also be used for supramalleolar osteotomy with 2–3 mm axial compression through the compression hole.
Features
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Oblong hole
Oblong hole for minor plate adjustments
Preangled holes
Preangled screw holes facilitate less invasive plate placement and fixation
TriLock Distal Tibia Plates 2.8/3.5, Anterolateral
Highlights
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2.8 flap for capture of Chaput fragment if required.
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Double row of screws in the distal end of the plate allows for reconstruction and realignment of the plafond (rafting effect).
Features
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Oblong hole
Oblong hole for minor plate adjustments
Rounded edges
Rounded edges for soft tissue protection
TriLock Distal Tibia Plates 3.5, T and L
Highlights
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Distal holes are angled 10° proximally to enable further angulation of the screws.
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Reconstruction plate design allows for the plates to be bent 3D.
Features
TriLock
Multidirectional locking, screws can pivot freely by ± 15° in all directions
HexaDrive
Simplified screw pick-up due to patented self-holding technology
Preangled holes
Preangled screw holes facilitate less invasive plate placement and fixation
Rounded edges
Rounded edges for soft tissue protection
Screws
Non-locking
2.8 Cortical Screws,
HexaDrive 7
Locking
2.8 TriLock Screws,
HexaDrive 7
Non-locking
3.5 Cortical Screws,
HexaDrive 15
Locking
3.5 TriLock Screws,
HexaDrive 15
The science behind
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Joint-Preserving Surgery in Varus Ankle Osteoarthritis.2022J Clin Med.
In this paper, Alajlan et al. review the causes and treatment options in varus ankle osteoarthritis, focussing on Joint-Preserving Surgery (JPS). The authors conclude that:" ...JPS is a valuable treatment option in Varus OA, which should not be neglected since it has showed a promising result, optimizing biomechanics and improving the survivorship of the ankle joint."
Read More -
Joint Preserving Surgery for Valgus Ankle Osteoarthritis.2022Foot Ankle Clin.
This review by Alajlan and Valderrabano provides a comprehensive overview of valgus ankle osteoarthritis, including its etiology, clinical presentation, and classification. The authors discuss different treatment options, with a focus on joint-preserving surgical techniques- They conclude that JPS, especially the varisating medial closing-wedge supramalleolar osteotomy of the tibia with solid plate fixation, has been consistently associated with good outcomes for patients with valgus ankle OA.
Read More
Instrument Highlights
Large Reduction Forceps
Reduction of the syndesmosis can be achieved using the reduction forceps 230 mm.
MIPO Instrument for Tunnel Preparation
In percutaneus tibia or fibula procedures, the MIPO instrument prepares a path for the plate next to the periosteal tissue.
3.5 Drill Sleeve, Self-Holding
The drill guide or self-holding drill sleeve prevents damage to the screw hole and protects the surrounding tissue from direct contact with the drill. The drill guide also serves to limit the pivoting angle.
Storage
Example of a configuration
Customized system arrangement and modular concept.
- Easy to use and sterilize
- Lightweight components
- Validated cleaning and sterilization of the implants
Explore various perspectives.
APTUS Ankle – Surgical Technique Animation
APTUS Ankle – Posterolateral Approach
APTUS Ankle – Medial Approach
APTUS Ankle – Anterior Approach
APTUS Ankle – Lateral Malleolar Approach
Documentation
Results
- Ankle Trauma System 2.8 / 3.5 – Surgical Technique 22.01.2024 10 MB Surgical Technique Lower Extremities English
- Case Study – Ankle Fracture, Fibula Plate 2.8/ 3.5 Tibia T-Plate, Dr. Joshua A. Sebag, US 17.11.2023 1 MB Case Study Lower Extremities English
- Case Study – Ankle Fracture, Fibula Plate 2.8, Dr. Joshua A. Sebag, US 17.11.2023 879 KB Case Study Lower Extremities English
- Case Study – Ankle Fracture, 2.8 Fibula Plate & 3.5 Tibia T-Plate, Dr. Tim Schepers, Netherlands 17.11.2023 161 KB Case Study Lower Extremities English
- Case Study - Fixation of Fibula Fracture Dislocation Utilizing APTUS Fibula Plate with 2.8 mm Flap for Fixation of Wagstaffe Fragment - Dr. Gillette 21.05.2024 683 KB Case Study Lower Extremities English
- Case Study – STUDYFixation of a Supination External Rotation IV Trimalleolar Ankle Fracture 17.11.2023 1 MB Case Study Lower Extremities English
- APTUS Ordering Catalog/Bestellkatalog/Catalogue (High Resolution) (Version 0, MDR) 18.01.2024 22 MB Ordering Catalog Upper Extremities English
- APTUS Ordering Catalog/Bestellkatalog/Catalogue (Low Resolution) (Version 0, MDR) 18.01.2024 16 MB Ordering Catalog Upper Extremities English
- Ankle Trauma System 2.8, 3.5 – Product Information 17.11.2023 674 KB Product Information Lower Extremities English
- Ankle Trauma 2.8, 3.5 – White Paper 17.11.2023 407 KB White paper Lower Extremities English
