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Reduction with small pointed reduction forceps

Reduce the fracture with small pointed reduction forceps.


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Preliminary stabilization

Drill a 1.6 mm K-wire parallel to the fibular axis into the anterior portion of the tip of the lateral malleolus using a 2.0 mm drill sleeve.

Insert the K-wire until its point reaches a minimum of 2.0 cm proximal to the antero-posterior drill hole for the wire.


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Insert a second K-wire

A second 1.6 mm K-wire is inserted parallel to the first one into the posterior portion of the tip of the lateral malleolus.

These two parallel K-wires stabilize the fracture against rotation and will anchor the figure-of-eight wire distally.

Check the reduction under image intensification.

Note

Care must be taken to avoid intraarticular insertion of the K-wires - check specifically with the image intensifier.