Fixation with lag screws
Partially (or fully – in case of comminution) threaded lag screws (cannulated screws, if available) may be used for fixation.
When inserting the transverse screw over its guide wire, make sure that it does not penetrate the sigmoid notch and enter the distal radioulnar joint.
Do not overly compress the radial styloid fragment when inserting the oblique screw, to avoid displacing the fragments.
Image intensifier control of screw positions and fracture reduction is mandatory.
The guide wires are now removed.