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4Wire fixation

Pass 0.6 mm stainless steel wire through the hole. Alternatively, a 4.0 nonabsorbable multifilament suture can be used, ...

Pass wire through the hole

Pass 0.6 mm stainless steel wire through the hole. Alternatively, a 4.0 nonabsorbable multifilament suture can be used, double-mounted on a straight needle.