Be aware of the superficial peroneal nerve
If a 13-hole LISS plate is being used or a 9 hole in a short stature
individual, careful soft-tissue dissection has to be carried out down to the
plate before inserting the trocar and drill sleeve, in order to visualize the
superficial peroneal nerve. Once all is secure the position of the drill sleeve
is held securely by tightening the fixation screw on the insertion guide. The
trocar is then replaced with the stabilization bolt. The stabilization bolt is
threaded into the LISS plate to close the frame.
It should be noted that once the bolt has been inserted, it becomes
difficult to change the position of the plate–guide assembly, due to the soft
tissues around the stabilization bolt.