Figure 5

(a) Placement of rim plate and engagement of wires. (b) Reduction of proximal and distal fragments using reduction clamp. (c) An additional anterior cortical plate fixation for anterior cortical split fragment. (d) Tightening of vertical wires. (e) Postoperative radiographs show the rim-plate-augmented separate vertical wiring with supplementary fixation using two anterior cortical plates and embedded screws. All identified fragments were anatomically stabilized. (f) After 6 months, radiologic bony union was achieved and range of motion was fully recovered without extension lag.