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Fixation of multifragmentary suprasyndesmotic fractures

Applying the plate after preliminary fixation with a K-wire

If the fracture has been preliminarily fixed with a K-wire, position the plate over the K-wire.

If the wire gets in the way of the plate, it can be advanced to project medially and then cut off flush with the lateral fibular cortex. This way it can be removed medially after the plate has been applied over it.