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Lateral Tibial Head Buttress Locking Plate

The Lateral Tibial Head Buttress Locking Plate is a specialized trauma implant designed for the rigid fixation of lateral tibial plateau fractures (AO/OTA Type 41-B and 41-C). The tibial plateau is the weight-bearing surface of the knee; fractures here often involve joint surface depression or splitting. This plate is anatomically pre-contoured to fit the lateral proximal tibia, acting as a powerful buttress to prevent the joint surface from collapsing under axial load. Constructed from high-strength Titanium Alloy (Ti6Al4V ELI), the plate features a dense cluster of fixed-angle Locking Screws in the head. These screws create a "subchondral raft" that provides structural support directly beneath the articular bone fragments. The TOOLMED Lateral Tibial Head Plate is engineered to restore joint congruity and anatomical alignment, facilitating early knee mobilization and reducing the long-term risk of post-traumatic osteoarthritis.
  • Locking Plate

  • TOOLMED

  • /

  • /

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  • 1 Pcs

  • 5-7 days

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Product Description

Lateral Tibial Head Buttress Locking Plate Overview


Lateral Tibial Head Buttress Locking Plate Features and Benefits

·Anatomical "L" or "T" Shape Contour

Precisely pre-shaped to match the lateral flare of the proximal tibia, ensuring the plate sits flush against the bone to provide maximum buttress support while minimizing soft tissue bulk.

·Subchondral "Rafting" Screw Cluster

The distal head contains multiple locking screw trajectories designed to sit just below the joint surface. These screws provide a fixed-angle scaffold that "rafts" the articular fragments, preventing secondary depression.

·Low-Profile & Beveled Design

Engineered with thin edges and a smooth surface to reduce irritation of the iliotibial (IT) band and the lateral collateral ligament (LCL) structures, which are located directly over the plate.

·Combi-Hole Versatility

The plate shaft utilizes combination holes, allowing for initial compression of the fracture using cortical screws followed by permanent fixed-angle stabilization with locking screws.


Lateral Tibial Head Buttress Locking Plate Indications

·Lateral Tibial Plateau Fractures

Primary indication for split-type, depression-type, or combined split-depression fractures (Schatzker I, II, and III).

·Proximal Tibial Metaphyseal Fractures

Used to stabilize fractures where the break extends from the joint surface down into the proximal shaft of the tibia.

·Non-unions and Malunions

Indicated for corrective procedures of the proximal tibia where high-strength buttressing is required to restore anatomical alignment.

Lateral Tibial Head Buttress Locking Plate


Lateral Tibial Head Buttress Locking Plate Specifications

Product name Lateral Tibial Head Buttress Locking Plate
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


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Actual Pictures of Lateral Tibial Head Buttress Locking Plate

Lateral Tibial Head Buttress Locking Plate

Lateral Tibial Head Buttress Locking Plate


Lateral Tibial Head Buttress Locking Plate Insights


What is Lateral Tibial Head Buttress Locking Plate?

This is a titanium plate used to fix severe breaks at the top of the shinbone (tibia) where it meets the knee. This area is called the tibial plateau. Because the knee carries the full weight of the body, a fracture here can cause the joint surface to "sink" or collapse. This plate acts like a supportive shelf (buttress) on the outside of the bone, using "rafting" screws to hold the joint surface up and in place while it heals.


Applications of the Tibial Head Plate

This plate is the "workhorse" for lateral plateau fractures. In many cases, the surgeon must first lift the depressed joint surface and fill the void with a bone graft. The plate is then applied to lock everything in place. It is essential for ensuring that the knee joint remains smooth and aligned, which is the only way to prevent rapid joint wear and arthritis after the injury.


Advantages of the Locking Buttress System

The Locking technology is superior to traditional plates because it creates a "fixed-angle" construct. In traditional plating, if the bone is soft (osteoporotic), the screws might pull out. With a locking plate, the screws lock into the plate itself, making the whole system act as one solid unit that resists the heavy axial forces of the leg much more effectively.


Biomechanics of Plateau Fixation

Biomechanically, the plate functions through the buttress principle. When you stand, the femur pushes down on the tibia. The plate, positioned on the lateral wall, prevents the lateral fragment from sliding down or tilting outward. The rafting screws provide a horizontal support layer that keeps the articular cartilage at the correct height.


Surgical Technique of the Tibial Head Plate

The surgery involves a lateral incision. The surgeon often has to "peek" into the joint to ensure the bone is perfectly smooth. Once the joint is reduced, the plate is slipped under the muscle and onto the bone. K-wires are used for temporary hold, followed by the insertion of the subchondral locking screws to secure the "raft," and finally, the shaft screws are placed.


Postoperative Care of Plate Fixation

Because the tibial plateau is a primary weight-bearing surface, patients are usually strictly "non-weight bearing" for 6 to 10 weeks. However, the rigid stability of the locking plate allows the patient to begin bending and straightening the knee almost immediately after surgery, which is vital for preventing permanent stiffness.


Conclusion

The Lateral Tibial Head Buttress Locking Plate is an essential implant for preserving the knee joint after a plateau fracture. Its anatomical fit and rafting screw technology provide the necessary stability to maintain joint congruity, allowing for a successful return to function and reducing the risk of long-term joint complications.


FAQs of Lateral Tibial Head Buttress Locking Plate


What are "rafting screws"?

Rafting screws are a row of parallel locking screws placed directly beneath the joint surface. They act like the floorboards of a raft, providing a solid platform that prevents the joint fragments from sinking down into the bone.


Can this plate be used for medial plateau fractures?

No. The medial side of the tibia has a different shape. A specific Medial Tibial Plateau Plate is required for fractures on the inner side of the knee. Using a lateral plate on the medial side would result in a poor fit and potential soft tissue damage.


Is bone graft always needed with this plate?

Not always, but it is very common. If the fracture caused the joint surface to "depress" or sink, lifting it back up leaves a hole (void) in the bone. Surgeons often fill this hole with a bone graft or bone substitute to provide extra support alongside the plate.


Will I be able to feel the plate after surgery?

The lateral side of the knee has relatively thin skin and muscle. While the plate is designed to be low-profile, some patients may feel the edge of the plate or the screw heads, especially if they are very lean. It is only removed if it causes significant irritation after the bone has healed.


What is the Schatzker classification?

It is a system surgeons use to describe tibial plateau fractures. Schatzker types I, II, and III are all lateral-side fractures where this buttress plate is most commonly applied.


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