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Lateral fixation

As the lateral side in B3.3 fractures is comminuted, these fractures are best fixed with a bridging plate and relative stability.


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Fixation of Volkmann's fragment

This may be fixed through direct reduction via a posterolateral approach with lag screws. 


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If indirect reduction is chosen, sagittal lag screws are inserted through separate stab incisions.


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Medial fixation

Most medial fractures are fixed with lag screws, which should be inserted perpendicular to the plane of the fracture.


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If the fragment is too small or in poor quality bone, K-wires and tension band wiring may be better.