Figure 1. Forces applied across an atypical fracture following traditional and novel fixation techniques.

The red arrows indicate the direction of force applied by the body weight (w) and the resultant forces across the fracture caused by the fixation technique.

A) Cephalomedullary nail alone caused distraction at the lateral side of the fracture, increased if the natural varus is not corrected. B) With the addition of a lateral tension band plate, wedge excision of the lateral cortex and valgising reduction, compression is achieved across the entire fracture.