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5Fixation

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

Order of screw insertion

The screws are inserted in an order depending on the direction of the oblique fracture line:
If the fracture runs from dorsal/proximal to palmar/distal, the proximal screws are inserted first, and the distal load screw second, followed by the lag screw, and then a final neutral screw.
If the fracture line runs from dorsal/distal to palmar/proximal, the distal screws are inserted first, and the proximal load screw second, followed by the lag screw, and then a final neutral screw.