Fixation

The screw configuration should always be determined based on the fracture type and bone quality. The NCB System technology allows polyaxial screw placement in a 30° cone. Screw locking is achieved through the use of locking caps that are threaded into the holes in the plate.
In this case example the femur was not exposed in the diaphyseal area and  all screws in the diaphyseal region were inserted percutaneously. Distal screws have been inserted first and the proximal screws could be placed bicortical anterior or posterior to the prosthesis.

Surgeons Tip
The offset holes of the NCB Periprosthetic Plates allow  for easier screw placement  anterior or posterior to the prosthesis. While tightening the first screw, ensure that the plate does not tilt in order to keep the reduction in place and ensure a correct anatomical alignment of the axis.