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4DCS fixation to the distal fragment

The ideal entry point for the DCS is shown on the diagram.

The ideal entry point for the DCS is shown on the diagram. The guide wire for the DCS is positioned at 2 cm proximal to the distal end of femur. On the lateral view, the distal femur is divided into thirds and the DCS entry site is located at the junction of the anterior and middle thirds.

Insert the guide wire at the chosen entry site of the DCS. Insert the guide wire under image intensifier control all the way across the femur. Check the position of the guide wire carefully to ensure it has been correctly positioned, with the parallelism already described.