A guide for temporary fixation to a fastener hole in a bone plate includes a bottom threaded portion, a top portion, and a central passage for guiding an orthopedic device. The threaded end is preferably provided with a triple lead taper thread. The central passage is sized for receiving an orthopaedic device, such as a drill bit or K-wire. The top portion is provided with tool engagement structure for coupling to a guide driver. The length of the device permits multiple guides to be pre-assembled to the plate without obscuring and crowding the area of interest. When the bone plate includes polyaxial bushings, the guides are initially lightly screwed therein, permitting the surgeon to modify the angle of each guide and bushing to a selected orientation before locking the bushing at an orientation by tightening the guide into the bushing.
