Drill a 2mm unicortical hole distal to the fracture at an angle towards the fracture. Then use a tenaculum clamp to reduce that fracture by placing one end in the drill hole and one tip proximal olecranon. compress and reduce the fracture. Then use jig to advance k-wires and drill holes for the implant. Keep tenaculum clamp engaged until final fixation is accomplished then remove.

hand drill, no power.

Modification of technique on biplanar cut needed in those with near patellar baha anatomy to avoid patella baha (i.e. leave tibial tubercle attached to proximal tibia). As also seen in the French literature, have not found bone grafting of osteotomy site necessary or helpful (Has filled in without graft or issues in osteotomies as large as 22 degrees). Has higher need of implant removal in my patient population than the European literature suggests.

I use a mid-lateral incision and then come up under the extensor tendon rather then cutting it at all. I then will saw from medial or lateral to medial rather then posterior to anterior.

The plate is small enough to keep it from becoming symptomatic and easy to place in correct position. Screw direction provides stable fixation.

The plate is small enough to keep it from becoming symptomatic and easy to place in correct position. Screw direction provides stable fixation.

Great compression across the fracture or fusion site.

the groove on the plate helps it sit nicely on the ulna.