Composite Fibula Plate — Locking Titanium and Stainless Versions

Mixing screw functions along one plate solves a practical problem at the distal fibula. The malleolar fragment often needs fixed-angle support, because it is small and its bone may be weak, while the shaft above the fracture is best compressed with standard screws to restore length and rotation. A composite hole layout provides both within the same implant, so the fixation plan is set hole by hole rather than by choosing between plate families.

Three sub-families share this layout. The composite plate is the base version; the composite locking plate in stainless steel adds threaded holes across the pattern; and the composite locking plate in titanium combines the composite holes with the lower weight and imaging behaviour of titanium alloy. The titanium version is offered in the widest hole-count run, and aiming-guide variants allow percutaneous placement of the shaft screws. Sub-family and size selection rests with the operating surgeon.

At surgery the plate is contoured to the lateral surface of the distal fibula with the head over the malleolus. Locking screws placed through the threaded holes form a fixed-angle frame in the distal fragment; compression holes along the shaft accept standard cortical screws that close the plate onto the bone and can lag the fracture where the line allows. In the aiming-guide variants the plate is inserted through a limited approach and the shaft screws are placed percutaneously through the guide. Reduction, screw type per hole and sub-family choice are determined by the operating surgeon.

Because these are genuine original implants, the composite hole geometry and thread interfaces match the original system documentation exactly, and the plates work directly with the instruments and screws described in the corresponding surgical technique. All three sub-families are stocked for both legs, and wholesale orders can consolidate the complete line in one shipment.