Supporting indications

  • Unacceptable deformity
  • Need for more stability and/or earlier mobilization
  • Bone quality and fracture pattern suitable for fixation with screws alone

Advantages

  • Less retained hardware, may protect vascularity
  • Earlier mobilization might be achievable under favorable circumstances

Disadvantages

  • Disimpaction causes instability, which fixation must overcome
  • Risk of secondary loss of reduction, possibly greater than with angular stable plate