Technical TrickA Technical Trick Which Reduces the Need for Stab Incisions When Using Bone Tenaculums for Fracture ReductionAlves, Kristin BS; Dahners, Laurence E. MD Author Information Department of Orthopaedic Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC. Reprints: Laurence E. Dahners, MD, Department of Orthopaedic Surgery, University of North Carolina at Chapel Hill School of Medicine, CB 7055, Chapel Hill, NC 27599 (e-mail: [email protected]). The authors report no conflict of interest. No funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript. Accepted August 10, 2011 Journal of Orthopaedic Trauma 26(6):p e58-e59, June 2012. | DOI: 10.1097/BOT.0b013e3182323bbe Buy Metrics Abstract Summary: During the reduction of fractures using a bone tenaculum, rather than making a stab incision, a frequently successful strategy can be to place a folded operative towel placed between the patient's skin and the head of the tenaculum. Using this technique, the surgeon can decrease scarring and potential stab wound complications. When the angle is too steep for the towel to allow the tenaculum to remain stable during the reduction, the surgeon can use the towel as a safe means of trial and error to determine the necessary alignment of the tenaculum to achieve reduction and consequently the best location at which to make the stab incision for the tine of the tenaculum. © 2012 Lippincott Williams & Wilkins, Inc.