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4Reduction

Distraction

Distraction

Intraoperative use of a small distractor is needed to restore the medial column and navicular length.
Pin placement into the talus is critical. It is placed into the mid-axial line at the base of the neck. Care must be taken not to penetrate adjacent joints.
Distraction allows access to the fracture site and the joint surfaces.
Care must be taken to maintain column alignment.