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4Wire fixation

Do not overtighten the wire, as the central slip may be cut, or the bone penetrated, loosening the fixation.

Tighten the wire

Now make a figure of eight and twist the wire. Check reduction using image intensification. Tighten the wire.

Pitfall: overtightening
Do not overtighten the wire, as the central slip may be cut, or the bone penetrated, loosening the fixation.