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4Surgical technique

When using a MIPO approach

When using a MIPO approach, the pin  is driven into the distal fragment with a power or hand chuck under imagining guidance until the tip of the pin reaches the bone of the distal metaphysis. The femur is distracted to its full length by pushing the pin against the distal femoral cortex. If intraoperative imaging is not available, an incision at the distal fragment must be made to ensure proper pin placement. If that is done, the pin tip can be cut like in the OBDNT approach