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7Preliminary fixation

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.