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5Reduction and fixation of the articular surface

Single or double distractor

Fracture reduction techniques in the proximal tibia rely on the concept of indirect reduction to realign the fracture fragments where one relies on ligamentotaxis, that is the attachment of soft-tissue hinges such as ligaments and muscle. These techniques require the use of one or two large distractors bridging the slightly flexed knee. Ligamentotaxis can reduce a considerable portion of the fracture, primarily large condylar fragments, as well as realign the diaphyseal-metaphyseal shaft extension of the fracture.