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4Reduction and fixation

Reduction and fixation of the third TMT

Reduction and fixation of the third TMT

The 3rd TMT is reduced through the dorsolateral incision. The position is held using a pointed reduction (Weber) clamp, or K-wires placed under image intensification. A lag screw is then placed from the dorsal base of the third metatarsal into the cuneiform row. The screw can be inserted into either the lateral or middle cuneiform.