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Consideration must be given to fracture reduction in:

  • varus/valgus
  • flexion/extension
  • internal/external rotation
  • translation
  • lengthening/shortening

Reduction can be performed with a single reduction tool (e.g., large distractor), or by combining several steps (for example fracture table +/- external fixator, +/- reduction via the implant, etc.) to achieve the final reduction.

The preferred method depends on the fracture and soft-tissue injury pattern, the chosen stabilization device and the experience and skills of the surgeon.

If a large fragment has separated from the fracture zone and impaled the adjacent muscle, direct reduction of that fragment may be required.