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1Principles

Short oblique head fracture of the proximal phalanx – Lag screw with protection plate

Lag screw with protection plate

In short oblique fractures, only one lag screw can be inserted. This is insufficient to produce enough stability. The lag screw must be protected by a plate.
For fractures of the condylar metaphysis, a minicondylar plate is preferred, because of the angular stability that it provides, although any conventional plate can also be used for protection: these have the advantage of being less bulky. This reduces the risk of compromising the gliding of the extensor tendons.