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5Plate positioning and contouring

Plate preparation

Many plates are available for this application, some with locking screws. The most recently designed plates have variable angle locking screws. Locking screws are particularly helpful for small fragments of osteoporotic bone.

Because of the shape of the dorsal distal metaphysis, the plate may need to be adapted to fit the bone surface and the proximal limb may require some torsional adaptation.