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5Landmarks for pin insertion in the radial shaft

The screws are inserted through the parallel drill guide, as previously described for the metacarpal screw, perpendicular to the long axis of the radius.

If self-drilling, self-tapping Schanz screws are used, they are inserted using a slow-running power drill with continuous irrigation, through the long sleeve of the combined drill guide.

If standard Schanz screws are used, predrilling through a drill sleeve to protect the soft tissues is recommended. Schanz screws are then inserted by hand.