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7Final reduction and fracture compression

Articulated tension device

Articulated tension device

The articulated tension device is very useful to apply controlled compression across the fracture site. It should be utilized when possible. Metaphyseal compression can only be applied if there is some contact between the main proximal and distal fragments after reduction. Throughout compression, monitor the fracture zone carefully for any unwanted displacement.
It may not be used in situations of severe metaphyseal comminution and/or osteoporosis.