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.

Release brachialradialis and pronate the proximal bone to help reduce the fracture.

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.