Fracture plane & plate position
Obliquity of the fracture is possible either in the plane visible in the AP
view, or in the plane visible in the lateral view. Always confirm the fracture
configuration with views in both planes.
If the obliquity is visible in the AP view, a lateral plate should be applied
so that a lag screw can be inserted through the plate perpendicular to the
The plate should be applied either dorsally or laterally on the phalanx,
depending on the plane of the obliquity. If the obliquity is visible in the
lateral view, the plate should be applied dorsally for the same reason.
We shall now show an oblique fracture with a dorsally applied plate.