Bone plates, and related systems and methods

A bone plate configured to attach to an underlying bone, the bone plate comprising:

• a plate body having a first end and a second end opposite each other along a longitudinal direction, the plate body defining a longitudinal axis that extends between the first and second ends along the longitudinal direction, the plate body having a first side and a second side opposite each other along a lateral direction offset from the longitudinal direction, the plate body having a bone-facing surface and an outer surface opposite each other along a transverse direction offset from the longitudinal and lateral directions,
• the plate body defining a first hole and a second hole arrangement each extending from the outer surface to the bone-facing surface, the second hole arrangement spaced distally from the first hole along the longitudinal direction, the first hole configured to receive a first fixation member that is configured to purchase with the underlying bone, the second hole arrangement configured to receive at least one second fixation member that is configured to purchase with the underlying bone,
• wherein the plate body is configured to pivot along an angulation range about the first fixation member extending through the first hole and into the underlying bone,
• wherein the second hole arrangement extends laterally across the longitudinal axis, defines the angulation range, and is configured such that the at least one second fixation member is configured to substantially secure the bone plate to the underlying bone at any selected angulation within the angulation range, and
• wherein the plate body defines a plurality of third holes that are each configured to receive a respective third fixation member that is configured to purchase with the underlying bone, wherein each of the plurality of third holes extend from the outer surface to the bone-facing surface and are spaced distally from the second hole arrangement.

A method for treating a bone, comprising:

• inserting an intramedullary nail into a medullary canal of the bone;
• placing a bone plate alongside the bone, the bone plate having proximal and distal ends opposite each other along a longitudinal direction;
• inserting a first locking member through a first plate hole defined in the bone plate, into an underlying bone, and at least into a nail hole defined in the intramedullary nail, the first plate hole defined in a proximal portion of the bone plate;
• pivoting the bone plate about the first locking member until a portion of the bone plate distal of the proximal portion is aligned with a distal portion of the intramedullary nail;
• inserting at least one fixation member through at least one fixation hole defined in the portion of the bone plate distal of the proximal portion and into the underlying bone;
• inserting at least one second locking member through at least one second plate hole defined in the bone plate and into the underlying bone adjacent the intramedullary nail, advancing the at least one second locking member through the at least one second plate hole such that a head of the at least one second locking member becomes fully seated in the at least one second plate hole, wherein the at least one second plate hole is distally spaced from the first plate hole along the longitudinal direction;
• and
• after the pivoting and aligning step, further advancing the first locking member until a head of the first locking member is fully seated in the first plate hole.