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Bending the plate

Prepare a four-hole one-third tubular plate. To improve the anti-glide buttressing effect, the plate is slightly bent at its distal end.

The central section of the plate is left straight so that when the central screw is tightened, it will pull the plate against the bone. This applies posterior compression on the distal fragment, which augments compression across the fracture plane.


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Planning the plate position

Accurate positioning of the plate is essential in obtaining the buttress effect and allowing the insertion of a lag screw. The proximal hole closest to the fracture site should be located 3-5 mm proximal to the fracture line.