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Plate selection and preparation

Plate selection and preparation

The chosen plate (usually a narrow, 4.5 mm DCP) should allow

1. screws 1 and 2 to be placed proximal and distal of the fracture, and screw 3 to be placed centrally and perpendicular to the fracture, as illustrated.
2. at least 3 additional screw holes proximal, and 3 screw holes distal of the fracture site.

Usually a 9-10 hole straight narrow 4.5 mm DCP is used.
Remember that whenever the plate is placed distally, the plate must be twisted and bent to match the shape of the tibia in that region.