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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.


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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.