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Reduction

Preliminary fixation with a K-wire

Fix the reduction with a 2.0 mm K-wire, inserted from the lateral side, distal to the planned distal screw and 1-2 cm above the joint line. The position of the ankle joint during this maneuver should be in neutral.

Confirm reduction under image intensification in both planes. Reduction must be anatomical. Compare with the uninjured ankle.