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3DCS fixation to the distal fragment

Plate and screw combination

Insert the T-handle through the barrel of the plate and reconnect it to the screw. This can be challenging and may temporarily tilt the distal femoral articular block. It may be helpful to make an incision over the proximal end of the plate at this point to gain control of both ends of the plate. This will allow for easier connection of the plate to the screw.

In order for the barrel to slide over the screw the T-handle should be parallel, on the lateral view, to the long axis of the distal fragment.