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2Preoperative planning

Preoperative planning

Plate length and number of screws

Generally speaking, the plates for the bridging technique should be longer than for conventional "anatomical" fixations, in order to distribute the forces more widely, as well as to provide relative stability.

Depending on the extent of the zone of fracture comminution and the underlying bone stock (osteoporosis), the appropriate plate length is chosen.

If the fracture location allows, the plate length should be chosen so that six plate holes are over each main fracture fragment.

Sufficient bicortical screws (a minimum of three up to six) should be inserted into each fracture fragment as necessary. The relative stability results from leaving plate holes empty over the fracture zone.

In total, no more than half of the screw holes need to be filled with screws. Remember, that no screws are inserted into the fracture zone.