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5Reduction and fixation of the palmoulnar and radial styloid fragments

Buttressing of the radial column

A radial S-shaped plate of appropriate length is chosen to buttress the radial column, and is contoured further as necessary. This is applied through a dorsal approach.

The plate is positioned and fixed to the diaphysis using a standard cortical screw through the oblong hole. A pointed reduction forceps is then used to reduce the radial styloid fragment and to hold the plate in place.

At this stage, reduction and plate position are checked by image intensification.