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- Dorsal approach
The skin is incised on the dorsum of the proximal and middle phalanges, and the extensor tendon is split.
- Removal of articular cartilage
Using a narrow Langenbeck retractor to gently separate the articular surfaces, the cartilage is removed by currettage.
- Plate placement
The narrow 5 hole DCP is placed dorsolaterally to prevent interference with the extensor process of the distal phalanx.
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