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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.


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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.


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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.