Peter Attia· MD
I do almost all of mine percutaneously through it I mean literally an incision this big and I'll go either retrograde often or anti-grade it's just a it's it's really a 3D effort to just get in the right position get a central core guide wire down and then and then you use a little um a little drill hand drilled to drill out that and then put the screw down over the wire and it's really great because patients already hardly feel that they've had any surgery they heal very quickly faster and you can even start movement earlier so that when it is healed you already have your movement back so you're not stiff and having to