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Tightening the locking screw by a torque screwdriver. Sometimes soft tissues are between the tip of the screw and the bone surface, which makes it difficult for the screw to get into the hole. Apply more force, supporting the crest with the index finger to oppose the pressure and avoid damaging the crest. Locking the screw into the plate. The screwdriver clutch clicks ensuring the consistent tightening of the screw.
Position the distal hole of the plate in the center of the proximal metaphysis of the tibia. Using a plate with two distal holes, select the one the fits better with the scheduled position. Insert the drill bit in the hole in the direction for making the hole on the frontal plane of the tibia. Important: make this hole by the left hand for the left tibia and by the right hand for the right tibia, to avoid drilling through the caudo-medial corner of the tibia. Flush thoroughly to avoid thermal necrosis. The feeling of a free drill bit means that both cortices of the bone have been passed through.