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Fixation transsyndesmotic fractures

Insertion of first proximal screw

Drill a 2.5 mm hole through both fibular cortices at the planned screw site, 3 mm proximal to the fracture.

Measure the length through the plate, tap with the cortical tap and tap sleeve.

Carefully apply the plate. Insert the first proximal screw.

The screw should just penetrate the far cortex.