Building a frame - make a small incision over the most distal hole
Once the LISS is properly aligned with the bone, the drill sleeve is removed
from hole labeled “C”. Next insert the drill sleeve and trocar though the most
distal hole of the drill guide depending on the length of plate you have chosen
(5,9, or 13). Before you can reach the plate with the drill sleeve and trocar
you must must make a stab incision. If you are using a long plate (9 in a short
individual or 13 in a normal individual) dissect down to the plate to avoid
injuring the superficial peroneal nerve. Once all is secure insert the drill
sleeve and trocar and secure the drill sleeve to the guide handle. Remove the
trocar and replace it with the fixation bolt which you thread into the plate.
This completes the building of the frame.
You must check the position of the LISS with the image intensifier in both
the AP and lateral position.