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Optional: additional K-wire or screw insertion

Some surgeons prefer to insert, in addition, a K-wire (but it can also be a second screw) to gain more stability of the fragment, especially to prevent rotation in the epiphyseal area.

Situations when a second implant might be selected are:

  • Small additional fragments in the metaphyseal zone
  • Very large metaphyseal fragment
  • Older and bigger children
  • Surgeon's personal preference
  • Mobility of fracture line at the joint surface