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2Reduction and fixation of the larger eminence fragment

In most cases, the proximal articular...

Reduction

In most cases, the proximal articular surface of the middle phalanx is reconstructed with the joint dorsally luxated to allow direct visualization of the major fracture fragments.
Alignment is generally achieved through a combination of flexion and extension of the digit and placement of large pointed reduction forceps to engage the major eminence fragments from dorsal to palmar/plantar.