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2Reduction and preliminary fixation

Open reduction

Open reduction

In the event of delayed treatment, or if a bone fragment is stuck in the canal, open reduction is performed.

In open reduction, the preservation of the periosteum, and peripheral soft-tissue attachments is recommended.

Incision
Locate the fracture by palpation or with image intensifier. Make a small longitudinal incision over the fracture. Extend the incision sufficiently for access. Free up one side of the fracture at a time, with minimal dissection.