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Reduction

Ligamentotaxis

Following fixation of the fibular fracture, reduction of the Volkmann’s triangle may be attempted through ligamentotaxis by dorsiflexing the foot.

If necessary, hold the Volkmann’s fragment in place with a dental hook through the lower extent of the lateral approach used for the fixation of the fibula.

If anatomic reduction of the Volkmann fragment is achieved with these methods, it can be fixed with screws inserted anteriorly.

If anatomic reduction is not achieved, the fragment should be exposed directly to obtain reduction and it can then be fixed with screws inserted posteriorly.