Nof fixation sequence
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sequence of reduction and internal fixation with cancellous screws.
Transcript of Nof fixation sequence
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Pre-reduction
Poor reduction on Lateral
Repeat ReductionExternal Rotation
Mild TractionInternal Rotation
1st Drill bitskimming calcar
Wire as length measure
Subchondral Tip of Screw2nd Drill skimming posterior cortex
2nd Drill central in APScrew inserted
3rd Drill slightly anterior on LATproximal on AP
All 3 screws inserted