Anatomic plates with locking screw option are available from various manufacturers. To illustrate the principles of the procedure, the use of a classic plate is described.
The plate must be long enough both to cover the length of the fracture zone and ideally to allow insertion of three screws in each main fragment.
Contouring the plate
Before the plate is applied, it must be contoured.
Contouring is best done with the help of the appropriate aluminum template. The plate should perfectly fit the bone contour throughout its entire length.
If a plate with locking screws is used on the shaft of the fibula, it does not have to fit perfectly against the bone.
Position the plate firmly by hand and plan the position of the first proximal screw near the fracture.
Remove the plate.