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6Reduction

Restoration of the articular surface

Restoration of the articular surface

In dealing with articular fractures one should endeavour to preserve all articular fragments. Free articular fragments (having an articular surface), if sufficiently large, can be salvaged and secured with K-wires. The articular surfaces of the tarsal bones with the exception of the talo-navicular articulation are not essential for the preservation of normal biomechanics of the foot and therefore, if too badly fragmented, can be fused at the time of the reduction. Column length and alignment should still be maintained.
Small flat surface elevators are very helpful in reducing the small fragments.