Reduction Techniques, contd.

Compression

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ream for nail insertion 5.   Loosen the proximal Spindle Nut. Under image intensification, apply compression by moving the distal Spindle Nut proximally. After reduction, secure all distractor joints by tightening all connections. Pass the 3.0 mm Reaming Rod through the manipulation nail, across the fracture site and into the intercondylar region at the level of the physeal scar. Remove the manipulation nail, and ream for nail insertion.


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