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Short oblique shaft fractures of the proximal phalanx – Compression plate fixation

Direct reduction

Direct reduction is necessary when the fracture can not be reduced by traction and flexion, or is unstable.
When indirect reduction is not possible, this is usually due to interposition of parts of the extensor apparatus.
It is wise to use magnifying loupes in order to be able to recognize undeveloped fracture lines.
Gently use pointed reduction forceps for direct reduction. For better direct vision, irrigate the fracture zone.
Confirm reduction under image intensification.