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5Fixation

Completed fixation

Completed fixation

Image intensification intraoperatively will ensure accurate reduction of all talar facets. The Canale views of the ankle and foot will demonstrate whether talar neck reduction and fixation has been achieved satisfactorily.
Stable fixation with this Hawkins type 2 fracture shows non-parallel screws. The lateral screw is in compression and the medial screw is a position screw.
In experienced hands, posterior to anterior screws are sometimes used.