Two patients. Similar fractures. The difference in outcome is not always surgical skill. Often, it is the quality of fixation at the plate-bone interface, the anatomical fit of the implant, and whether the system gives the surgeon enough flexibility to handle what the imaging did not fully predict. aap Implants built the LOQTEQ Anatomical Plating System around exactly those variables.

aap Implants Inc. is the US commercial arm of aap Implantate AG, a German medical device company headquartered in Berlin with a singular focus: trauma. As a pure player in trauma, aap develops products and innovative platform technologies to address unmet needs and challenges in fracture treatment. Their LOQTEQ system is FDA cleared, CE marked, and has achieved regulatory clearance across multiple international markets. Synchrocare distributes aap Implants products as part of its national specialty medical device portfolio.

The LOQTEQ core technology: compression and locking in one step

The foundation of the entire LOQTEQ system is a patented core technology that combines fracture compression and angular stable locking in a single surgical step. That combination is unique in its form and is the basis on which aap has built a comprehensive range of anatomical plates and screws covering more than 95% of all relevant indications in trauma surgery across upper and lower extremities.

Variable-angle locking is central to how LOQTEQ performs in practice. Unlike fixed-angle locking systems, where screw trajectory is predetermined by the plate design, LOQTEQ's variable-angle holes allow surgeons to adjust screw placement to accommodate patient anatomy, fracture pattern, and intraoperative findings. That flexibility is particularly valuable in cases with reduced bone quality, comminuted fractures, or anatomical variation that does not conform to textbook geometry.

Users throughout the world have achieved excellent results with the LOQTEQ Anatomical Plating System, which combines advanced locking-compression technology and excellent anatomical fit in a comprehensive range of products.

Lower extremity: ankle, foot, knee, and femur

The LOQTEQ ankle system includes distal tibia plates for medial and anterolateral application and lateral distal fibula plates, with screw trajectories designed for a wide range of fracture types. The distal design minimises implant prominence in an area with minimal soft tissue coverage, and all plates are available with variable-angle locking options in the metaphyseal portion.

The LOQTEQ foot system addresses forefoot and midfoot surgery with fracture, fusion, and osteotomy plates, including revision options in MTP plating and hook plates for fifth metatarsal fractures. The calcaneus plate is indicated for complex intra- and extra-articular fractures and osteotomies, with variable-angle round holes allowing up to 15 degrees of angulation in all directions from the preferred angle.

For the knee and femur, the LOQTEQ distal lateral femur plate combines anatomical fit, maximum strength, and angular stability with compression capability throughout the plate shaft. Targeting instruments permit minimally invasive insertion, reducing soft tissue trauma. The LOQTEQ VA Periprosthetic Plate addresses the unique challenges of fractures around existing prostheses through insertable hinges that allow variable-angle screw anchorage, with polyaxial screw fixation providing flexibility around implant stems where standard plating is technically demanding.

Upper extremity: elbow, wrist, and hand

The LOQTEQ elbow system is designed for fractures of the distal humerus and the proximal ulna. The anatomical plate design acts as a repositioning guide in complex fracture reduction and supports both 90-degree and 180-degree double plating techniques at the distal humerus. The reduced joint sections are stably fixated and allow early mobilisation.

Straight plates and locking utility plates extend the LOQTEQ system to small fragment applications across a broad range of indications, including tubular and reconstruction plates for small bones and locking compression plates for both small and large bone applications.

The antibacterial silver coating: addressing infection at the implant surface

aap has developed an antibacterial silver coating for LOQTEQ plates, representing a significant advance in infection prevention at the implant level. The coating addresses surgical site infection at the source, the implant surface itself, rather than relying solely on systemic antibiotic protocols. A randomised controlled multi-centre study is underway to demonstrate the safety of the LOQTEQ antibacterial silver-coated system compared to the uncoated LOQTEQ system, with FDA and CE regulatory pathways in progress. aap Implants data on file.

To learn more about aap Implants products available through Synchrocare, visit www.synchrocare.com.