Anatomic reduction of the articular surface is of paramount importance for successful surgical management and future athletic soundness. Failure to properly reduce the fracture and create friction between the two fracture components will load the cortex screws in bending, leading eventually to implant breakage. Failure to reconstruct the proximal articular surface will lead to osteoarthritis and lameness.
A lateral incision into the fracture plane and possibly an arthrotomy of the lateral joint capsule of the fetlock joint may help to achieve perfect anatomic reduction.
The result should always be confirmed radiographically once temporary fixation is in place.