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1Principles

It is important, that the screws through the distal aspect of the plates engage the eminence fragments

Further considerations

It is important, that the screws through the distal aspect of the plates engage the eminence fragments to provide for reestablishment of the palmar/plantar support and to reduce the fractures on the palmar/plantar aspect of the middle phalanx.

Two plates are necessary to neutralize the bending forces acting across the pastern joint and provide transarticular compression to encourage arthrodesis.