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5Large fragment fixation

Hastings and Weiss described a fracture type in which the fracture plane changes between the condylar and metaphyseal zones.

Caveat: Changing fracture plane

Hastings and Weiss described a fracture type in which the fracture plane changes between the condylar and metaphyseal zones.
In such a fracture configuration, it is important to observe that all the lag screws are inserted as perpendicularly to the local fracture plane as possible.
Be careful to confirm correct fracture planes under direct vision and in different radiographic views.