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5DCS fixation to the distal fragment

Using the impactor to bring the plate down to the bone.

Plate impaction

Use the impactor to bring the plate down to the bone, with the barrel sliding over the screw shank.

The compression screw may be utilized to couple the screw to the plate.

Additionally, the compression screw will provide additional compression across the intraarticular split.

Pearl: do not use compression screw in osteoporotic patients
Do not use the compression screw in osteoporotic patients – it can cause the DCS thread to strip out from the soft cancellous bone of the medial femoral condyle.