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Plate application


  1. In osteopenic bone, fully threaded cancellous screws should be used in the malleolus.
  2. In some transsyndesmotic fractures, the fibular fracture line is more distal and can conflict with the third hole from the distal end of the plate. When this is the case, that hole has to be left empty and only the lower 2 plate holes can be used for the lateral malleolar screws.