Cleaning the fracture site
It is important to visualize and inspect the joint, searching for bone and cartilage fragments detached from the medial malleolus or from the talus.
Reduce the fracture anatomically with the use of small pointed reduction forceps taking care with the soft tissues.
Do not strip the periosteum more than necessary.
Insert a 1.6 mm K-wire as perpendicularly as possible to the fracture plane.
As decided in preoperative planning, this K-wire should occupy the planned position of the posterior screw.
Check the reduction under image intensification.