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Distal Medial Tibial Locking Plate-II

The Distal Medial Tibial Locking Plate-II is an advanced evolution of the medial column fixation system, specifically optimized for cases where soft tissue integrity is the primary concern. In many Pilon and distal tibia fractures (AO/OTA Type 43), the skin on the medial ankle is thin and prone to wound complications. The Plate-II addresses this with an ultra-low profile design and beveled edges that sit flush against the medial malleolus. Manufactured from high-strength Titanium Alloy (Ti6Al4V ELI), this plate offers a more refined anatomical contour than its predecessor, providing a "second skin" fit. It features a high-density cluster of Locking Screws in the distal head, allowing for precise rafting of the articular surface and stabilization of small medial fragments. The TOOLMED Plate-II system is the ideal choice for surgeons performing minimally invasive plate osteosynthesis (MIPO), offering a perfect balance between mechanical rigidity and biological respect for the delicate ankle environment.
  • Locking Plate

  • TOOLMED

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  • 1 Pcs

  • 5-7 days

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Product Description

Distal Medial Tibial Locking Plate-II Overview


Distal Medial Tibial Locking Plate-II Features and Benefits

·Ultra-Low Profile Refinement

The thickness of the plate is minimized in the distal head and malleolar region, significantly reducing hardware prominence and the associated risk of skin irritation or tendon friction.

·Enhanced Multi-Fragmentary Fixation

The Plate-II features an optimized screw hole density, allowing for the use of smaller 2.7mm locking screws alongside 3.5mm screws to secure even the smallest articular fragments of the tibial plafond.

·Tapered MIPO-Ready Shaft

The proximal end of the shaft is tapered and the edges are rounded, making it easy to slide percutaneously under the soft tissue sleeve while preserving the periosteal blood supply.

·Precision Anatomical Mapping

Based on advanced anatomical studies, the Plate-II contour matches the natural flare and twist of the medial distal tibia more accurately, virtually eliminating the need for intraoperative plate bending.


Distal Medial Tibial Locking Plate-II Indications

·Complex Pilon Fractures

Preferred for high-energy intra-articular fractures where multiple small fragments require stable "rafting" from the medial side.

·Soft Tissue Compromised Patients

Specifically indicated for patients with poor skin quality, diabetic neuropathy, or those at high risk for wound dehiscence at the ankle.

·Vertical Medial Malleolar Fractures

The dense distal screw pattern provides superior buttressing for vertical shear fractures of the medial malleolus.

·Revision and Salvage Procedures

Used to restabilize the medial column in cases where previous, bulkier hardware has failed or caused tissue necrosis.

Distal Medial Tibial Locking Plate-II


Distal Medial Tibial Locking Plate-II Specifications

Product name Distal Medial Tibial Locking Plate-II
Material TA3
Diameter /
Length /
Application /
Certificate CE Certificate
Brand TOOLMED
MOQ 1 Pcs
OEM Avaliable
Package PE Inner Bag+Carton
Payment Method T/T,Bank transfer, Western Union
Delivery Time 5-7 days
Shipping DHL EMS UPS TNT FEDEX


Toolmed Medical


Actual Pictures of Distal Medial Tibial Locking Plate-II

Distal Medial Tibial Locking Plate-II

Distal Medial Tibial Locking Plate-II


Distal Medial Tibial Locking Plate-II Insights


What is Distal Medial Tibial Locking Plate-II?

This is a "next-generation" titanium plate used to fix severe breaks on the inner side of the ankle. Because the skin over your inner ankle bone (the medial malleolus) is very thin, standard metal plates can sometimes feel bulky or irritate the skin. The Plate-II is specially designed to be ultra-thin and smooth. It works like a tiny, high-strength internal splint that holds the broken pieces of your ankle joint together so perfectly that you can eventually return to walking and daily activities.


Applications of the Plate-II Design

Surgeons choose the Plate-II for the most complex "puzzle-like" fractures. By using a denser pattern of smaller screws, the plate can capture and hold tiny fragments of bone that a larger screw might break. It is also the best choice for "keyhole" (MIPO) surgery, where the plate is slipped in through a small incision to protect the healthy skin around the fracture.


Advantages of the Low-Profile Medial System

The biggest advantage is biological safety. By reducing the height of the plate, there is less pressure on the skin from the inside out. This helps prevent the wound from opening up after surgery, which is a common challenge in ankle repairs. The Locking technology provides a "fixed-angle" frame, meaning the screws and plate work together as one unit to keep the bone aligned, even if the patient has softer bone quality.


Biomechanics of the Plate-II Fixation

Biomechanically, the Plate-II acts as a buttress. When you stand, the weight of your body tries to push the ankle bones out of place. The Plate-II stands in the way of that movement, locking the pieces in their original anatomical position. The subchondral rafting screws create a supportive "floor" beneath the joint cartilage, ensuring the joint remains smooth and level.


Surgical Technique of the Plate-II

The surgery is done with great care for the soft tissues. Once the surgeon has realigned the joint surface using temporary wires and X-ray imaging, the Plate-II is positioned. Its refined shape means it hugs the bone perfectly. Small, high-precision locking screws are then driven through the plate to secure the repair, and the plate is anchored to the main shinbone.


Postoperative Care of Plate-II Fixation

Because the Plate-II is so sleek and causes less irritation, patients often find their post-surgical swelling goes down faster. While you will still need to avoid putting weight on the ankle for a few weeks, the rigid stability allows for earlier gentle stretching and movement of the joint, which is vital for preventing long-term stiffness.


Conclusion

The Distal Medial Tibial Locking Plate-II is the ultimate solution for complex medial ankle trauma. Its combination of ultra-low profile design and high-density locking stability ensures that even the most difficult fractures can be reconstructed with maximum respect for the patient's soft tissue and long-term comfort.


FAQs of Distal Medial Tibial Locking Plate-II


Why should my surgeon use Plate-II instead of Plate-I?

Plate-II is usually chosen if you have thin skin or if the fracture has many small pieces. Its lower profile reduces the chance of the metal being felt through the skin, and its screw pattern is better for "shattered" bone fragments.


Is this plate safe for someone with diabetes?

Yes. In fact, it is often preferred for diabetic patients because its low-profile design and MIPO-compatibility reduce the risk of skin complications and infections, which are more common in people with diabetes.


Will I be able to run again after this surgery?

The goal of the plate is to restore your joint surface perfectly. If the joint is smooth and the bone heals well, many patients return to high levels of activity, including running, though this depends on the severity of the initial injury.


Does the plate come in different sizes?

Yes, it comes in several lengths (number of holes) to handle fractures that stay near the ankle or those that extend further up the leg. It is also available in specific Left and Right versions.


How long after surgery can I wear a normal shoe?

Once the swelling has gone down and the surgeon allows you to start putting weight on the foot (usually around 6–10 weeks), you can typically transition into a comfortable sneaker.


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Our Factory


Our factory is equipped with over 60 advanced CNC machines operated by 100+ skilled technicians, a 300 m² GMP-compliant clean room, and a 10,000 m² production facility. We maintain a CNAS and ISO 17025 certified testing center, invest heavily in CNC turning technology, and utilize high-precision inspection systems including CMM, PP, and QV to ensure product quality and consistency.

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FAQs of Our Company and Factory - Distal Medial Tibial Locking Plate-II


What is your typical delivery time?

We offer fast and reliable global shipping. Standard lead times range from 7 to 15 working days, depending on order quantity and customization requirements. Express delivery options are also available upon request.


Do you ship internationally?

Yes, we ship to most countries worldwide. We work with trusted logistics partners to ensure timely and secure delivery.


What payment methods do you accept?

We accept a variety of payment options, including T/T (bank transfer), L/C, and PayPal for smaller orders. Payment terms can be discussed based on order volume and partnership agreements.


Can I get samples before placing a bulk order?

Yes, samples are available for evaluation. Please contact our sales team to request product samples and shipping arrangements.


Do you support OEM or custom manufacturing?

Absolutely. We offer OEM/ODM services including custom packaging, branding, and product development tailored to your specifications.

Toolmed Medical

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