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For the subsequent subgroup, the graft was sized in a special MegaOATS workstation (Arthrex Inc., Naples, FL, USA) allowing the graft to be fixed with six positioning screws for precisely millcutting the cylinder.
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For path lengths between four and nine hops, the delay window is set to be fixed with five packets.
The cartilaginous trochlea was fixed with three smooth Kirschner wires.
Hydroxyapatite spacers were fixed with two separate plates and screws to the lateral masses.
The dislocation was fixed with two 3.5-mm dynamic compression plates (DCPs).
Each ring is fixed with two wires or one wire and a half pin.
Finally, the AIIS bone fragment was fixed with two 3.5 mm cannulated titanium screws (Hit Medica, Italy).
In Group I the osteotomies were fixed with three 15 mm bicortical positional screws in an inverted-L pattern with an insertion angle of 90°.
The femoral head is fixed with two screws of 6.5 mm diameter, and there is a single 4.5 mm distal screw.
The cecum was fixed with four T-fasteners designed for gastropexy during radiological gastrostomy, and a large gastrostomy feeding tube was inserted.
The proximal ring was fixed with two proximal tibial wires and the distal ring with three wires, including a fibular wire.
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