Ankle Fracture Plating System

Apollo AFX is a plating platform that provides a distinguishing clinical advantage by drastically improving intraoperative and postoperative visualization of bones and joint spaces. All plates are made using proprietary composite consisting of an additive manufactured (3D printing) titanium shell injection molded with a novel PEEK polymer (TI-PEEK). The System features a comprehensive selection of 26 unique plate options from 6 plate families.

Hybrid Materials and Manufacturing

The System includes a comprehensive portfolio of one-third tubular, distal lateral fibula, posterior tibial, medial malleolar, hook, and syndesmosis plates. The plates are not only visually green, but also environmentally green. Produced using a zero waste process with TI-PEEK hybrid plating technology, which combines titanium additive manufacturing with PEEK injection molding. All plates are engineered to be malleable and provide contoured fit. Additional contouring to patient’s anatomy can be achieved as desired during surgery.

Tapered proximal end easily and comfortably fits under soft tissue upon insertion

Special syndesmotic holes are designed for the 4.3mm screws and standard suture buttons. They are anatomically angled 35°, posterior to anterior

Screw heads sit below the plate surface when fully engaged

Ø2.9mm and Ø3.7mm locking and non-locking screws can be placed up to 15° off-axis

Plate holes allow for Ø2.9mm and Ø3.7mm locking and non-locking screws

Proprietary Hybrid Titanium/ PEEK construction is ortholucent and malleable

Low profile, contoured plate offers strength while reducing soft tissue irritation

Distal fibula screw cluster allows for multiple points of fixation

Anatomical Profile – with additive manufacturing, the plates mimics anatomy, which supports superior contouring to accommodate complex anatomy and helps reduce contouring in the Operating Room (OR) during surgery. This technology creates the shell structure of the plate which offers the thinnest section of titanium on the market, giving Apollo AFX its radiolucent properties.*

* PEEK pellets are melted and injected into a custom mold. Any left over sprues or scrap can be reground into the raw material and used again. Components produced using additive manufacturing require minimal to no additional machining and create no titanium waste.

Technology:
- Left/Right anatomical designs
Length: 48
59
Shaft Width:10.6
Head Width: 23
Orientation: Universal
Hole Count: 3
4
5
6

Technology:
- Syndesmotic holes positioned to aim 35 degrees
  P to A
- Syndesmotic holes designed to accept typical suture buttons
- Multiple points of fixation on the distal cluster
Length: 67
89
111
Shaft Width:9.6
Hole Count: 9
11
13
Head Width: 18
Orientation: Left / Right

Technology:
- Versatile plate with hole choices from 4 to 12 holes
Length: 51
62
73
84
95
117
139
Hole Count: 4
5
6
7
8
10
12
Shaft Width:9.6
Head Width: N/A
Orientation: Universal

Technology:
- Extra thin distal portion to minimize soft tissue irritation
Length: 60
71
83
Shaft Width:9.6
Head Width: 21
Hole Count: 6
7
8
Orientation: Universal

Technology:
- Versatile design for both lateral and medial malleoli
- Compression slot with 2mm compressive action
Length: 48
59
70
81
Hole Count: 3
4
5
6
Shaft Width:10
Head Width: N/A
Orientation: Universal

Technology:
- 2 and 4 holes designs
- Syndesmotic hole designed for typical suture button
Length: 29
51
Shaft Width:10.8
Hole Count: 2
4
Orientation: Universal
Head Width: N/A

Apollo AFX Plating Options

All plates are designed pre-contoured, low-profile (0.7 mm titanium shell thickness or less) with rounded edges to minimize the risk of soft tissue irritation. The PEEKLOC^™ elastomeric plate holes design contributes to decreased axial stiffness which provides relief from stress shielding.

Medial Malleolar Plate

Hole	Orientation	Length
6	Universal	60mm
7	Universal	71mm
8	Universal	83mm

Extra thin distal portion to minimize soft tissue irritation.

Posterior Tibial Plate

Hole	Orientation	Length
5	Left	48mm
5	Right	48mm
6	Left	59mm
6	Right	59mm

Distal holes angled away from tibiotalar joint.

Distal Lateral Fibula Plate

Hole	Orientation	Length
9	Left	67mm
9	Right	67mm
11	Left	89mm
11	Right	89mm
13	Left	111mm
13	Right	111mm

Syndesmotic holes positioned to aim 35 degrees P to A.
Syndesmotic holes designed to accept typical suture buttons.
Multiple points of fixation on the distal cluster.

One Third Tubular Plate

Hole	Orientation	Length
4	Universal	51mm
5	Universal	62mm
6	Universal	73mm
7	Universal	84mm
8	Universal	95mm
10	Universal	117mm
12	Universal	139mm

Versatile plate with hole choices from 4 to 12 holes.

Syndesmosis Plate

Hole	Orientation	Length
2	Universal	29mm
4	Universal	51mm

Syndesmotic hole designed for typical suture button.

Hook Plate

Hole	Orientation	Length
3	Universal	48mm
4	Universal	59mm
5	Universal	70mm
6	Universal	81mm

Designed for both lateral and medial malleoli.
Compression slot with 2mm compressive action.

Ortholucent

The System offers an evidence-based design of see-through, “ortholucent” bone plates and screws. The thin cross-sectional structure of TI-PEEK plates gives a unique advantage over traditional metal implants where the radiolucent properties drastically improve the visualization of bones and joint spaces. Intraoperatively, surgeons benefit from improved fracture and joint reduction imaging, while postoperatively they can better assess if bone is healing properly, potentially leading to earlier weight bearing decisions.

Variable-Angle Locking Screw Technology

Plates utilize patented PEEKLOC^™ technology which permits polyaxial screw placement. You can angle locking screws up to 15˚in each direction for a total range of 30˚ providing you with the flexibility to position screws based on the patient, not a plate’s pre-existing design. With low-profile plate constructs, the System brings major benefits over conventional locking by offering flush screw head, no cold welding and minimized screw backing out.

Locking or Non Locking – You Choose

Every hole in every plate can be filled with either a 2.9mm or 3.7mm locking and non-locking cortical screws and 4.3mm non-locking cancellous screws, giving you the choice of screw size based on the anatomy, fracture pattern, and bone quality. Multi-lock functionality accepts repeatable lock and relock of screws, designed to reduce implant waste and save OR time.

Type:Locking and Non-Locking
Length:8-40mm
Core Size:Ø2.4mm
Material:Ti6AI4V
Color: Fuchsia

Type:Locking and Non-Locking
Length: 10–60mm
Core Size:Ø3.0mm
Material:Ti6AI4V
Color: Green

Type:Non-Locking
Length: 25-70mm
Core Size:Ø3.0mm
Material:Ti6AI4V
Color: Blue

Premium Single-Use Instrument (SUI) Kits,
Quick Caddy™ Sterile Screw System

The Apollo AFX SUI kits are designed to assist surgeons with the precise fixation of Apollo AFX plates and screws. They deliver performance similar to that of reusable instruments while minimizing carbon footprint and lowering costs by eliminating resource-intensive, expensive reprocessing steps. The screw Quick Caddy™ sterile system with “Push and Lift” function enables the screw to be ready for insertion in the plate without the need to pick it up and attach it to the driver manually.