Under fluoroscopic guidance, closed reduction of the fracture is performed. A size 0.62 Kirschner wire can be placed percutaneously into the distal fragment to use as a joystick to regain the normal anatomical volar tilt.
The break-off driving mechanism of the pin is easily removed by bending the smooth shaft. This can be accomplished by hand bending, with care being taken to secure the bending point to ensure breaking at the juncture of threads and driver. The removal tool is usefully applied to this task
The postoperative dressing is a plaster volar
short arm splint which allows for unrestricted
finger range of motion. Following the usual
instructions of elevation, icing and splint
care, the patient returns for a follow-up
visit on postoperative day 1 to 3.
