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Fixation with non-cannulated screws

Screw selection

The chosen 4.0 mm cancellous screw must lie with its threads completely beyond the fracture line and totally within the Volkmann's fragment, to achieve good interfragmentary compression. If possible, engage the posterior cortex. Use a washer.

If the thread of the 4.0 mm cancellous screw should come to lie on both sides of the fracture, insert a 3.5 mm cortex screw as a lag screw instead, overdrilling the anterior tibia as a gliding hole.