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Transverse head fracture of the proximal phalanx – Minicondylar compression plate fixation

Preliminary fixation

Pointed reduction forceps, or a K-wire, may be used for preliminary fixation. However, in many cases the position of the forceps, or the K-wire, will conflict with the planned plate, or screw position.
For that reason, in many cases, the reduction is preliminarily held by an assistant’s holding the finger in flexion. If the extensor apparatus is intact, it will act as a tension band and hold the reduction.