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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.


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Lateral fixation

The lateral side is usually a simple oblique fracture, and is fixed with a lag screw and neutralization plate. 


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Alternatively, and in particular if there is poor bone or a small fragment, an Antiglide plate may be used.