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5Preparation

Short oblique shaft fractures of the proximal phalanx – Compression plate fixation

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 fracture line.
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.