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4Reduction

Preliminary fixation

Preliminary fixation

Once reduced, it is supported with K-wires, which are introduced from the lateral side into the “constant” medial fragment. In inserting the K-wires, one should keep in mind that they should not occupy the place judged best for the insertion of the subchondral lag screw(s) which will stabilize the articular surface.
While the reduction and fixation proceeds, one must be careful at every step to make certain that the hindfoot remains in neutral, or in slight valgus, in the axial view. Varus of the hindfoot must be avoided.