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It is not possible to use a supracondylar nail in a very distal fracture, as it may not provide any fixation to the distal screws.
The problem with using the ILN and a single osteotomy approach to correct this distal femoral flexion deformity is that a very distal osteotomy (less than 7 cm from the joint line) is needed at apex of the deformity, making intramedullary (IM) nail fixation, lengthening over nail (LON), and ILN corrections less reliable.
Thus, it has been hypothesized that the pancreatobiliary subtype should be seen as a very distal PDAC or dCC.
Extended molecular fingerprint analyses may help to answer the questions of whether the pancreatobiliary type of ampullary carcinoma is truly nothing else but a very distal pancreatic/biliary adenocarcinoma and whether the intestinal type should be seen as a plain duodenal cancer.
Two connections, however, exhibited a latency >4 ms, which may result from a disynaptic input, as observed between L4 pairs in rats (Feldmeyer et al., 1999) and between L2/3 human cortical neurons (Molnár et al., 2008), or from a very distal synaptic contact.
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CRT was indicated for a (1) very distal tumor or (2) tumormor or (3) tumormor with involved mesorectal fascia and/or N1 disease with distal or midrectal location or (4) N2 status.
As we had a high incidence of very distal osteoporotic fractures and did not use other implants throughout the duration of this study, we found adequate soft tissue coverage of even the very low profile plate to be important.
We will employ a battery of neuropsychological and functional assessments (see Table 3), measuring a range of parameters from proximal to very distal from program use (e.g., assessment of functional abilities and quality of life).
A biliary manipulation catheter (Cook, Brisbane, Australia) with a very short distal bend and high torque was then used with the guidewire to negotiate the bowel lumen.
The pubis bears a very large distal boot that is coossified with its opposite in the midline (Figure 15A).
The ungual is a relatively straight spike possessing a slight curvature along its long axis and a very prominent distal point.
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CEO of Professional Science Editing for Scientists @ prosciediting.com