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Medial fixation

The posteromedial fracture is fixed with lag screws, which should be inserted perpendicular to the planes of the fracture.


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Lateral fixation

In fractures when the quality of the bone and the size of the bone are large enough for good fixation to be obtained with plate and screws, this is the preferred method of fixation.


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If the fragment is too small, or the bone is of poor quality, tension band wiring is preferred.