First proximal screw insertion
After ensuring that the appropriate length and rotation have been obtained,
insert a standard bicortical screw into the proximal segment. Generally, use
the most proximal plate hole through the previously made approach to the
Remove the previously inserted K-wire. Palpate and maintain the position of
the plate on the lateral aspect of the femur.
Drill, measure screw length and insert the chosen self-tapping screw through
The single plane fracture must be reduced before proximal plate fixation is
performed. There is the potential for minor adjustment in the sagittal plane,
after the insertion of the first proximal screw, but not thereafter.