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2Reduction and Fixation

Femoral shaft – Lag screw and protection plate - Reduction and Fixation

Wedge fixation to a main fragment

As a first step, the wedge fragment is reduced to a main fragment using a pointed reduction forceps and secured in this position by a lag screw. To preserve the vascularity of the wedge fragment, its soft-tissue attachments must not be violated.

Smaller gauge lag screws may be used if needed to avoid comminution of small fragments.

The gliding holes of the lag screws should be in the main fragments and the threaded holes in the wedge fragment, whenever possible.