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6Screw placement

Screw placement

Insertion of fourth screw

If the distal fragment needs some final adjustment on the lateral aspect, the following reduction techniques may be helpful before inserting the fourth screw:

  • placement of a linen bolster under the distal fragment;
  • using a periosteal elevator inserted through the approach in order to push the fragment into the correct position; or
  • using a percutaneous K-wire / Schanz screw.