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Healing after LISS fixation relies on maintenance of the fracture viability in the metaphyseal / diaphyseal component of the fracture. This is made possible through closed reduction techniques and results in high union rates and low infection.

Malreductions (external rotation / valgus) can be common without meticulous intraoperative technique and radiographic control. The articular surface should be addressed under direct vision using standard techniques of interfragmentary compression.