Insertion of first screw
All types of 3.5mm plates can be used. A 5-hole standard 3.5 mm plate is
sufficient. The plate must be contoured with a light prebend, that is, there
should be a 1 mm gap between the central part of the plate and the bone.
Apply the buttress plate to the medial aspect of the distal femur. To press
the plate firmly to the femur a standard cortical screw is inserted into the
proximal hole, closest to the fracture. Perform drilling, screw length
measurement and tapping, as usual.