Bone plate with a transfixation screw hole

A system for securing bones together across a joint, comprising a transfixation screw and a plate wherein:

• the plate comprises:
• an elongate spine having a first end comprising at least one attachment point for attaching the first end to a first bone on a first side of a joint, a second end comprising at least one attachment point for attaching the second end to a second bone on a second side of the joint, and a bridge portion disposed between the first end and the second end, the bridge portion configured to span across the joint;
• and
• a transfixation screw hole disposed along the spine, the transfixation screw hole comprising an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint;
• and
• the transfixation screw comprises a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.