- See:
L and T plate Characteristics - Discussion: - used to support cortex of a metaphysis from crumbling or displacing; - for the lateral condyle, use precontoured T butress plate & L butress plate which comes in a right and left version; - butress plates must be accurately contoured; - if a butress plate were to be accidentally placed under tension, it might lead to iatrogenic displacement of fracture; - to avoid plate tension, first screws should be placed thru the distal end of plate and remainder inserted from distal to proximal; - if two ends of the plate are fixed to bone first and there is a gap between plate and the bone, plate is brought under tension, as remaining screws are inserted, which risks frx displacement and deformity; - L plate allows more butressing w/o getting in the way of proximal fibula;