• There doesn't seem to be a consensus on how these things
    Recent literature all suggests that plate fixation leads to maximal functional outcome.

    Clinically, the decision is based on complexity of the fracture - multiple fractures / compound fractures / fractures with significant deviation, are all contraindicated for plate fixation.

    However, your local NHS Trust will have its own policies, driven as much by budget as by clinical best practise.

    If you are swimming, you want the plate.

    If it is not offered, and you want it, you will need to insist on it and raise a stink to get it, as you will be fobbed off by everyone from the orthos down to the receptionists.

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