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3Reduction

Reduction is achieved by pulling the finger laterally, in the direction opposite to the forces that created the fracture, ...

Indirect reduction

Reduction is achieved by pulling the finger laterally, in the direction opposite to the forces that created the fracture, and into MP flexion, as necessary, to approximate the fragment. The avulsed fragment is pushed into place by the surgeon’s thumb.

With tiny fragments, indirect reduction can be achieved by tightening the tension-band wire at the end of the fixation procedure.