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3Option A: Creating a tension band with wire

Drilling the holes for the wire

If the wire is needed to create the palmar/plantar tension band, it is inserted with the joint luxated. A 3.2 mm hole is pre-drilled, with the joint reduced, in the dorsal plane in the mid-portion of the proximal phalanx prior to luxation of the joint. A second 3.2 mm hole is also created in the dorsal plane through the distal McIII/MtIII in similar distance proximal through the joint.

Note: care must be taken to place this hole in an area distant from the plate holes in the proximal phalanx. Therefore it may be advantageous to drill all four plates holes in the proximal phalanx prior to preparing the hole along the frontal plane.