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5Plate fixation to the proximal fragment

Using the articulated tension device

Final reduction

Loosely secure the plate to the proximal femur with a Verbrugge clamp.

Take care to restore the mechanical axis of the femur in all planes. Give consideration to fracture reduction in:

  • Varus/valgus
  • Flexion/extension
  • Internal/external rotation
  • Translation
  • Lengthening/shortening

Use of the articulated tension device
Secure the articulated tension device to the proximal femur with a bicortical screw.

The articulated tension device is very useful to apply controlled compression to the fracture site. It should be used when possible in fracture patterns where there is contact between the proximal and distal main fragments. It may not be used in situations of severe metaphyseal comminution and/or osteoporosis.