In AO type C1 and C2 and Schatzkar type 4 and 5 fractures, this plate is combined with a medial or posteromedial plate to hold the fragments. The most important prerequisite in treating intraarticular fractures is to reduce the intraarticular fragments anatomically. If needed sub meniscal dissection, punching up the depressed fragment, and filling the gap caused by the crushing of cancellous bone with a bone graft or bone substitute are to be done. After reduction, the plate is temporarily fixed with K wires. The elongated combi hole allows sliding the plate up and down so the screws do not penetrate the articular surface of the medial condyle which is at a slightly lower level than the Lateral condyle.
After temporarily placing the plate first the proximal end is fixed and then the distal fragment. Compression is given if necessary with regular cortical screws or Compression device.