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4Wire placement

Planning of wire placement

2 mm diameter wires are recommended.

Placement of wires for proximal tibial fixation must be carefully planned. The fracture planes must be determined. Wires must support rather than prevent reduction. Provisional reduction and temporary K-wires might be required.

Interfragmentary compression may be achieved using reduction wires perpendicular to the fracture plane.

Alternatively, lag screws may be placed before the fixator.

Note: If opposed reduction wires will be used for fracture compression, their location must be planned with regard to both fracture anatomy and local structures.

In addition to proximal ring and tensioned wires, the distal pins and frame, and its connection to the ring, must be planned for maximal stability.