Position of the plate
Ideally, use a six hole one-third tubular plate that can be positioned in such a way that 3 screws find a secure hold in the distal and three in the proximal fragments.
If the fracture configuration and the positioning of the lag screw make it impossible to position a six hole plate so that three screws can be securely positioned above and below the fracture, a longer plate may be selected.
Contouring the plate
Before the plate is applied, it must be contoured with the help of an appropriate aluminum template.
In a distal fracture, where the plate needs to follow the shape of the lateral malleolus, it is contoured distally with a short, sharp bend.
The plate should now perfectly fit the bone contour throughout its entire length.