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Fixation

Drilling

Make a stab incision through the deltoid ligament. With the protection of the drill sleeve, drill a 2.5 mm hole as perpendicularly as possible to the fracture plane, and parallel and anterior to the K-wire. Do not drill to the lateral cortex.

Care must be taken to avoid penetration of the ankle joint.

Keeping the drill in place, check its position and the reduction under image intensification.