Hybrid triangular construct

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1. Examine the fracture. Usually, the distal segment is displaced medially and in recurvatus.

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2. Insert a pin in each of the fracture segments. The distal one is in the condyle, the proximal one in the metaphyseal are.

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3. Connect the distal pin to a half ring by an aluminum clamp.

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4. Reduce the fracture and stabilize it by connecting the proximal pin to an inclinable rail. Connect the rail to ring as required to stabilize the fracture.

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5. Proceed with the stabilization adding a second pin to the proximal fragment. Take care to avoid the unsafe area of the radial nerve.

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6. Add more pins to the epicondyles, stabilizing the distal fragment.

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7. In order to further stabilize the frame structure, add hooks for strut construct using the coplanar holes in the ring and in the rail.

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8. Connect a malleable stainless steel bar at its extremities to the hooks, in order to complete the strut contruct, and tighten the nuts on the hooks to firmly clamp the bar.