Reduction of the articular block
The chosen approach must adequately expose the articular surface of the
distal femoral condyles. Reduction aids which are helpful include:
- A 5.0 mm or 6.0 mm Schanz pin in the medial and/or lateral femoral condyle
to act as a joystick.
- Pointed reduction forceps to clamp from medial to lateral across an
Pearl: combination of reduction aids
Attempts at reduction of an intercondylar split with the pointed reduction
forceps alone (2) are often unsuccessful, as rotational control of the femoral
condyle is also needed. The use of the Schanz pin in conjunction with the
pointed reduction forceps is helpful.