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Protocol
1. Place the arms of the Distractor flush against the periosteum of the bones to be separated. Note: The arms must be flush on the bone (i.e. bone to steel contact).
2. Using the holes in the Distractor's arms as guides for the K-wires, drive the K-wires through the holes and into the bone.
Note: Use only .062 K-wires or 5/64 (2mm) Steinman pins. There cannot be any ?play' of the K- wires or Steinman pins in the guide holes.
Note: Drive the K-wires through the cortices to avoid uneven distraction of the bone.
3. When the pins are in place, distract the joint by rotating the Distractor's handle.
* This protocol must be followed in this order to avoid bending of K-wires or Steinman pins and to obtain optimal access to the joint.