Compression with a plate
In transverse and short oblique fractures, placement of a lag screw is not possible. In these cases, compression can be achieved using a plate.
Sequence of screw insertion
In oblique fractures, there is a risk of shortening if the screws are not inserted in the correct sequence.
The first screw should be inserted into the fragment with a fracture angle >90 degrees beneath the plate. This creates an "axilla" into which the other fibular fragment will be compressed. A second, eccentric screw is inserted into the fragment with an angle <90 degrees.