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3Implant fixation

Implant fixation

A 21 gauge needle is then passed through the forehead skin above the fracture to determine the optimal location for a forehead incision to be used for screw fixation of the implant. The needle is repositioned under endoscopic visualization until it is optimally positioned to allow for two screws to be placed on opposite sides of the implant through one stab incision. While one screw is generally sufficient (1) to stabilize the implant, the stab incision should be appropriately positioned to allow for placement of a second screw (2) should that be required.