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3Reduction and preliminary fixation

Transverse fractures

Alternatively, a Hohmann retractor can be used for reduction by placing it between the fracture fragments and prying them apart. It is important to hold this position for at least 30 seconds in order to allow the visco-elastic tissues to stretch gradually.

It is very important to maintain the reduction while the nail is inserted. This often requires an assistant, or temporary use of distractor, external fixator, or plate with unicortical screws.