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Application of Hex Nut Compression

- Discussion:
    - in most cases, antegrade screw insertion across the fracture site, will result in fracture site compression;
    - once the medial threads have passed the fracture site, fracture compression usually takes place;
    - remove one of the two hexagonal nuts, and then advance the remaining screw up to the fracture site, in order to apply compression;
    - once adequate compression is achieved, consider applying a second hexagonal nut in order to prevent migration of the compression nut