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Location of Frx
- distal 1/3 : 75%
- middle 1/3 : 18%
- proximal 1/3: 7%
Surgical Approach
Comminution
- side of comminution may dictate plate placement;
- comminution involving more than 1/3 of circumference of shaft may necessitate bone grafting;
- bone grafting should be away from interosseous membrane to decrease risk for synostosis;
- reference:
Lag Screw
- plate needs sufficient length for 4-6 cortices on either side;
Reduction Clamps
- ensure that a wide variety of reduction clamps are available, especially if there is fracture comminution