[1/4] Older child with distal both bone forearm with significant coronal plane translation. I thought this would continue to drift radially with time and would not end up looking good in a cast.
![[1/4] Older child with distal both bone forearm with significant coronal plane translation. I though...](https://pbs.twimg.com/media/E1bxJErWQAI_CZ6.jpg)
![[1/4] Older child with distal both bone forearm with significant coronal plane translation. I though...](https://pbs.twimg.com/media/E1bxJErXMAYr7tV.jpg)
[2/4] This is the best closed reduction I could get and I didn’t want the morbidity of opening it to get it better. So I lined up the wire distal to the physis, and another one further proximally. The distal wire is smooth, but the proximal is threaded.... why?...
![[2/4] This is the best closed reduction I could get and I didn’t want the morbidity of opening it to...](https://pbs.twimg.com/media/E1bxLDhXoAA0fiH.jpg)
![[2/4] This is the best closed reduction I could get and I didn’t want the morbidity of opening it to...](https://pbs.twimg.com/media/E1bxLE6XsAw06Kc.jpg)
[3/4] This is my reduction, manually on distal fragment, with my other hand on threaded wire pulling it radially, using it as joystick. Once lined up, since distal wire already in and pointing in correct direction, all my resident has to do is fire wire into proximal fragment.
![[3/4] This is my reduction, manually on distal fragment, with my other hand on threaded wire pulling...](https://pbs.twimg.com/media/E1bxNAbXsAA7edx.jpg)
![[3/4] This is my reduction, manually on distal fragment, with my other hand on threaded wire pulling...](https://pbs.twimg.com/media/E1bxNCFWYAgr1SP.jpg)
[4/4] I didn’t I think one wire was going to be enough, so I removed joystick and then placed another smooth wire proximal to distal; there wasn’t much room in there because trying not to get the physis. Cast, then pins pulled in clinic at 4 weeks. Xrays done at 2, 4, 8 weeks.
![[4/4] I didn’t I think one wire was going to be enough, so I removed joystick and then placed anothe...](https://pbs.twimg.com/media/E1bxOeXXEAEEOdX.jpg)
![[4/4] I didn’t I think one wire was going to be enough, so I removed joystick and then placed anothe...](https://pbs.twimg.com/media/E1bxOfIXsAAf1s5.jpg)
![[4/4] I didn’t I think one wire was going to be enough, so I removed joystick and then placed anothe...](https://pbs.twimg.com/media/E1bxOgpXEAQs7YH.jpg)
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