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Oh JK et al. – Minimal invasive technique along with the widespread use of the new pre contoured locking plates has given rise many alignment related problems in fractures of proximal tibia. A significant implant related problem with the use of pre contoured locking plate in proximal tibia fractures is the hardware irritation of the subcutaneous tissue by upper end of plate. This is caused by the large profile of the implant which sits off the bone at the proximal end.

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