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4Plate selection and preparation

When the fracture zone is very distal or proximal, there may not be room enough for symmetric plate length in the segment...

When the fracture zone is very distal or proximal, there may not be room enough for symmetric plate length in the segment nearest the articular surface. In this situation, a plate with multiple hole options in the metaphysis is chosen to improve fixation in the short periarticular segment.

A locking plate may be indicated if the bone quality is poor or when the fracture extends into softer metaphyseal bone.