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10Screw insertion into the proximal fragment

Distal femoral shaft fracture – Minimally invasive LISS bridge plate - Screw insertion into the proximal fragment

Reduction of the proximal femoral shaft with LHS fixation

With the help of the pull reduction instrument (or a co-linear clamp), the desired position of the shaft, in relation to the plate, is secured. This is an important step because otherwise some displacement may occur during the insertion of self-drilling / self-tapping screws (note: this instrument has a 4.0 mm diameter which still allows for the insertion of a 5.0 mm locking screw into the same hole later on).

A syringe, filled with saline, can be attached to the drill sleeve to provide cooling during the bone drilling procedure.