An
orthopedic plate and
fastener system is provided for fixation of bones which has an
implant that can selectably be used to achieve
fixed angle and variable locking of the fasteners, as well as non-locking of the fasteners. The
system includes a variable locking
assembly that includes a locking insert, having threads which mates with internal threads of a through opening in the
implant. The
system also provides for locking
fixed angle fixation, and non-locking
variable angle fixation, all of which can be used with the threaded holes of the plates. The locking insert is provided on a ring driver, which is similar to or acts as the
drill guide used with the locking fasteners of the present. Thus, the invention also relates to a method of enabling
surgery where the surgeon can select the mode of fixation of fasteners between variable axis locking, variable axis non-locking, and
fixed angle locking fixation, all utilizing the same
fastener opening within the
implant.