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4Reduction and fixation of the articular block

Provisional fixation

Before definitive fixation is inserted, the fracture is clamped. Usually, one to two K-wires are inserted either from medial to lateral, or lateral to medial.

If the K-wires are inserted from medial to lateral, they may either go through small stab incisions in the skin, or through the medial parapatellar retinaculum.