Insertion of the first K-wire
Whilst maintaining the closed reduction, a 1 cm incision is made over the tip of the radial styloid. The radial styloid is exposed by blunt dissection and taking great care is taken not to injure the superficial branch of the radial nerve, or the tendons of the first and third extensor compartments.
The drill guide is introduced between the tips of the soft-tissue spreader.
After checking reduction and anticipated direction of the K-wire using image intensification, the K-wire is introduced carefully with a power drill.
The K-wire should just penetrate the opposite cortex of the radial shaft.