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Fixation

Insert the anterior K-wire

A second 1.6 mm K-wire is inserted into the medial malleolus, parallel to the first wire.

These two K-wires stabilize the fracture against rotation and will be used to anchor the figure-of-eight wire distally.

Check the reduction under image intensification.

Note
Care must be taken to avoid intraarticular positioning of the K-wires.