A distal tibia plate system for the distal tibia, comprising: a) a medial plate configured for the medial side of the distal tibia, including i) a shaft having a longitudinal axis and including a plurality of first triple lead tapered threaded holes and a plurality of elongate compression slots longitudinally displaced relative to said axis, each of the threaded holes and compression slots for receiving a respective bone fastener, the shaft having a proximal end tapered in width, and ii) a distal head broader than the shaft, the head including an arrangement of seven second triple lead tapered threaded holes provided with parallel axes, the head further including a distal extension extending from the distal end of the plate and provided with a non-threaded oblong hole oriented in an as-manufactured configuration to direct a fastener in a generally proximal direction toward the axes of the second threaded holes; b) a plurality of distinct guides, wherein each of the threaded holes in the distal head are pre-assembled with one of the distinct guides for guiding a drill; c) a fixed angle fastener (500, 600) having a tapered threaded head (502, 602) and a shaft (508, 608), the head (502, 602) sized to be engaged in either the first or second threaded holes; d) a multidirectional locking fastener having a threaded head and a shaft, the head being made of a harder material than the medial plate and sized to engage either of the first or second threaded holes; and e) a compression fastener having a head and a shaft, the head sized to be received in either of the first or second threaded holes. a) a medial plate configured for the medial side of the distal tibia, including i) a shaft having a longitudinal axis and including a plurality of first triple lead tapered threaded holes and a plurality of elongate compression slots longitudinally displaced relative to said axis, each of the threaded holes and compression slots for receiving a respective bone fastener, the shaft having a proximal end tapered in width, and ii) a distal head broader than the shaft, the head including an arrangement of seven second triple lead tapered threaded holes provided with parallel axes, the head further including a distal extension extending from the distal end of the plate and provided with a non-threaded oblong hole oriented in an as-manufactured configuration to direct a fastener in a generally proximal direction toward the axes of the second threaded holes; i) a shaft having a longitudinal axis and including a plurality of first triple lead tapered threaded holes and a plurality of elongate compression slots longitudinally displaced relative to said axis, each of the threaded holes and compression slots for receiving a respective bone fastener, the shaft having a proximal end tapered in width, and ii) a distal head broader than the shaft, the head including an arrangement of seven second triple lead tapered threaded holes provided with parallel axes, the head further including a distal extension extending from the distal end of the plate and provided with a non-threaded oblong hole oriented in an as-manufactured configuration to direct a fastener in a generally proximal direction toward the axes of the second threaded holes; b) a plurality of distinct guides, wherein each of the threaded holes in the distal head are pre-assembled with one of the distinct guides for guiding a drill; c) a fixed angle fastener (500, 600) having a tapered threaded head (502, 602) and a shaft (508, 608), the head (502, 602) sized to be engaged in either the first or second threaded holes; d) a multidirectional locking fastener having a threaded head and a shaft, the head being made of a harder material than the medial plate and sized to engage either of the first or second threaded holes; and e) a compression fastener having a head and a shaft, the head sized to be received in either of the first or second threaded holes.