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The projection of the deformity on the AP view is drawn with a 10° angulation displacement medialward. Likewise, in the mediolateral axis at 5 cm from the intersection of the coordinates a 20° deformity is drawn with its displacement anteriorly. Where the hypotenuses cross the coordinat~s, a rightangled projection is constructed running anterior from the AP view and medial from the lateral view. From the point at which these two projections intersect, a line is drawn to the intersection of the coordinates.

0 Final X-ray after metal removal at 134 weeks. Traces of previous internal fixation are still evident. This patient had a subsequent trauma with a tension fracture of the lateral femoral cortex. This problem was treated by closed nailing 29 30 Fig. 7. a, b AP and oblique views of a closed comminuted femoral shaft fracture associated with a tibial plateau fracture. The femoral shaft fracture extends down into the intercondylar notch with displacement of the lateral condyle. c, d Tracing of the fracture in the frontal and sagittal planes.

12) and fixed by one or two screws to the distal fragment. When distraction is complete, the Verbrugge clamp is tightened and the laminar spreader is removed. A no. 0 or no. 3, pages 61,62 Fig. 4, page 63 Fig. 5, page 64 Fig. 6, pages 65, 66 Fig. 7, page 67 Fig. 8, page 68 Fig. 9, page 69 Fig. 12, page 72 52 placed such that its broad plate - holding end embraces the screwhead and the pointed end is placed in the distal hole of the plate. By closing the clamp the fractures can be coapted. The compression is then achieved by the usual method by means of the DC holes or by eccentric loading of a one-half or one-third tubular plate.

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