Fig. 3

Fluoroscopic images show the technique. After introducing the plate through a small incision (a), cortical screws were inserted on the distal hole ② and the elongated hole ① (b). A bone holding clamp was used to compress the cortical screw and the drill sleeve locked to the plate ③. When the clamp was compressed, the distal fragment could be pushed downward (black arrow) to restore fibular length (c). Screws were inserted through the holes ④ while the reduction was maintained with the clamp (d)