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8Fixation of plate to proximal fragment

Sagittal plane alignment

Sagittal plane alignment

Once a second screw has been inserted into the main proximal segment, the sagittal plane alignment is fixed. Therefore, check the reduction on the lateral image intensifier image before the second proximal screw is placed. A common deformity is that the distal end of the proximal segment is projecting anteriorly and must be pushed down into appropriate reduction. This is often accomplished by pushing with a mallet.