Example embodiments relate generally to orthopedic plate assemblies comprising a fastener, a first and second bushing, and a plate. The fastener comprises a head and an elongated body. The first bushing comprises an interior surface operable to receive the fastener head and a notch actuatable to contact against the fastener head. The second bushing comprises an interior surface operable to receive at least a portion of an exterior surface of the first bushing, an exterior surface comprising flat surface portions disposed about opposite sides of the second bushing, an upper surface, and a lower surface. The plate comprises an opening operable to receive at least a portion of the exterior surface of the second bushing, said opening comprising a pair of flat surface portions operable to contact with the pair of flat surface portions of the second bushing.
