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3Screw insertion

Abaxial articular fracture of the distal phalanx - screw fixation


The distal interphalangeal joint is distended and the arthroscope inserted using routine technique through a stab incision located 2 cm proximal to the coronary band and 2 cm lateral to the sagittal plane.
The joint is explored and the fracture identified and, if needed, anatomically reduced through manipulations with the 3.2 mm drill guide inserted into the glide hole after loosening the aiming device. Once the fracture is reduced the aiming device is tightened again.