Abstract: A medical implant plate including at least two sets of apertures through an elongated shaft body to individually accommodate and orient set screws or pegs at various angles that may be selected depending on application, i.e., the apertures don't have fixed angled, but allow for a range of angles. Once the screw has been locked, the device becomes a fixed angled device. The screws or pegs laterally spaced relative to each other to resist torsion and to secure the plate against dislodgement. The body also includes a flared-end portion that accommodates and extends partially onto a metaphysis of a tubular bone of the hand while maintaining a low-profile to avoid soft-tissue irritation. The flared-end portion that extends on to the metaphysis does NOT have holes for screws but serves as a buttress. Screws that extend into the metaphysis come from the three holes located along the slightly angled portion of the plate.