Insertion of first screw into distal fragment
Two blunt Hohmann retractors placed ventrally and dorsally around the femoral shaft can help to control the lateral position of the plate.
If the overall reduction is found to be satisfactory, the first cortical non-locking screw in the distal fragment is inserted. This screw helps to reduce the bone to the anatomically shaped implant. Nevertheless, this screw should not fully be tightened, still allowing fine tuning of the plate position on the lateral surface of the femur.