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5Option 2: Reduction with spreader/manual traction and plate fixation

The locking plate is first positioned distally on the flat reduced palmar surface of the distal radius at the anatomic watershed zone and fixed with distal locking screws parallel to the articular surface with at least one, preferably two screw(s) in each articular fragment (depending on the quality of the bone stock).

The first screw inserted is the ulnar one and its position should be checked under image intensification with the hand elevated 20-30° off the table – in lunate facet view.

Once the articular block is securely held to the plate the K-wire(s) may be removed.