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9Fixation of plate to proximal fragment

First proximal screw insertion

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 femur.

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 both cortices.

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.