One-third tubular 3.5 mm Locking Compression Plate: A simple technique for increasing mechanical stability and reducing complications associated with lateral malleolar fracture surgery

The disadvantages of the one-third-tubular plate construct to stabilize lateral malleolar fractures include; difficulty achieving adequate cancellous screw thread purchase in the bone of the distal fragment, with subsequent risk of the screws backing out. This can cause irritation and pain, and may require further surgery to remove the screw. We describe a variation of the standard technique that eliminates the risk of the distal lateral malleolar screws backing out and provides a lower profile construct. This has the potential advantages of reduced wound related problems and less postoperative pain and irritation.