As a general principle with all plate fixation, at least two screws should
be placed on both sides of the fracture. This often requires a plate with at
least one extra screw hole to span the fracture. Ideally, the first screw
should be placed on the side of the mobile fragment, and the plate used as a
handle to close the gap and reduce the bone.
The first two screws should be placed in the plate holes closest to the
fracture, one on each side of the fracture. Make sure that the fracture is
adequately spanned so that each screw is placed in solid bone.