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3Reduction and fixation

Sequence of reduction

Sequence of reduction

In general, the dorsal plane fracture of the medial aspect of the proximal phalanx, if present, is reduced and repaired first (2 to 3), followed by the repair of the dorsal plane fracture on the lateral aspect of the bone (1 to 4), to create a two-part fracture. Finally any sagittal fractures are repaired (1 to 2).