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Preliminary LCP or LISS fixation

Distal femoral shaft fracture – Minimally invasive LISS bridge plate - Preliminary LISS fixation

Position on the proximal femur

It is very important to confirm the correct plate position proximally. Especially in the minimal invasive technique, this can be challenging. Even the use of an image intensifier does not guarantee an optimal position.

To overcome this problem, the proximal incision is enlarged, and the correct plate position is palpated with the index finger. The finger is placed on the anterior aspect of the femur, and the upper rim of the plate is brought into contact with the volar aspect of the finger.