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Midbody fracture of the proximal sesamoid bone - screw fixation

Stab incisions

Screw placement is performed either in proximal to distal or distal to proximal direction depending on the fracture configuration and the surgeon’s preference. Most commonly, the screws are inserted from distal to proximal, as described in the following steps.
A stab incision is placed palmar/plantar and median to the vascular bundle at the base of the proximal sesamoid bone. If two screws are inserted, two parallel stab incisions are placed.