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3Reduction and preliminary fixation

Plate as reduction aid

Plate as reduction aid

Particularly for proximal tibial fractures it may be difficult to achieve and maintain reduction while inserting the nail.
As illustrated, a small plate with unicortical screws can be used, both as a reduction aid and to hold the reduction during nail insertion.
This is an open technique, but little soft-tissue dissection is required. The plate can be left in place after the nail is inserted.