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11Completed osteosynthesis

Additional screw insertion

Additional screw insertion

Insert additional screws proximal and distal for a total of 4-5 distal and 4-5 proximal screws.

Final check of fracture reduction and fixation
Gently move the knee through a full range of motion. Carry out a clinical assessment of the rotational profile. Finally, perform a radiographic assessment of the frontal-plane alignment (varus/valgus) and sagittal-plane alignment (extension/flexion).

Examine the knee for any ligamentous instability.

Wound closure
Irrigate all wounds copiously. Close the iliotibial tract using absorbable sutures. The use of suction drains may be considered. Close the skin and subcutaneous tissue in the routine manner.