Triangular screw configuration
Triangular screw configuration represents another option of screw placement.
The initial screw in the triangular configuration is placed slightly more dorsal than in the dorsal configuration.
A second screw is placed palmar/plantar to the initial screw, parallel to the first screw, again just distal to the joint.
A third screw is placed in the dorsal plane 25 mm distal to the proximal screws in the center of the proximal phalanx.
If the fracture plane spirals medially or laterally, the orientation of the screws are rotated as well to keep them perpendicular to the fracture plane.