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4Wire fixation

Depending on the fracture geometry, the avulsed fragment may tilt when the wire is tightened. If this is the case, and the ...

Pitfall: tilting

Depending on the fracture geometry, the avulsed fragment may tilt when the wire is tightened.
If this is the case, and the fracture size allows it, one or two 0.6 mm K-wires can be inserted to secure the reduction.