Insert the first screw into the fragment which forms a blunt angle with the plate. The screw is inserted into the hole closest to the fracture site.
Insert the second screw eccentrically near the fracture in the fragment forming an acute angle with the plate.
Tightening the screws will compress the fracture.
Insert remaining screws
Remove the reduction forceps and insert the remaining screws in neutral position perpendicularly to the plate.
If the plate is conveniently placed laterally, leave one hole empty for a syndesmosis positioning screw.
If the fracture configuration permits, ie, if the fracture is oblique enough, a lag screw can be inserted through the plate after removing the forceps.
Insert the lag screw as perpendicularly as possible to the fracture plane.