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3Reduction and plate fixation

Insertion of the plate

Choose a plate which will be of sufficient length to obtain adequate fixation in the proximal and distal fragments after the fracture has been reduced.

If available, a low profile plate should be used, as soft tissue irritation is a common postoperative problem. 

The plate is inserted using one screw distally, then alignment of the distal fragment with the proximal shaft is achieved, before the second screw is inserted.

If the distal fragment is small, fixation may be more secure if a condylar or a T-plate is used.