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4Closed reduction

Alternative reduction

For articular fractures with metaphyseal comminution, longitudinal traction is essential to restore radial length, but attention also has to be paid to correcting any associated angular deformity - dorsal, palmar and/or radial. In very unstable fractures, reduction can be achieved with the use of a temporary spanning external fixator. This will hold the reduction whilst the stabilizing K-wires are inserted, and in many cases, it can then be removed.