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Suitable fracture types

13-E/4.1L and 13-E/4.1M with displacement of more than 2 mm in the metaphyseal area, fully displaced, or with elbow instability.

Note: Salter-Harris IV fractures of the medial column are so rare that they will not be considered further in detail. Care must be taken not to damage the ulnar nerve in case of open stabilization of a displaced and unstable fracture of the medial column.