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3Preoperative planning

LISS plate length

Generally speaking, plates for the bridging technique should be longer than for conventional open plating techniques, in order to distribute the forces and to provide relative stability.

The preoperative x-ray planning template is useful in determining the length of the LISS plate and the positions of the screws.

Number of screws
In healthy bone, five well placed monocortical screws are inserted to secure the LISS to the main femoral shaft fragment.

The use of bicortical screws in severely osteoporotic bone may need to be considered.