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One proximal and distal screw was inserted.
The distal screw was more prone to failure by a ratio of 5 1.
Subsequently, we proceed to implant the most distal screw of the frame.
The distal screw is available in four length sizes, 5 mm diameter, and is self-taping (Fig. 1).
Rest of the procedure to lock the second distal screw is same as for distal most screw.
Delayed union occurred in two patients in the IMN group, for which dynamization was performed by removing the distal screw.
Similar(11)
Medial and distal screws are not necessary.
Radiographs at 20 weeks showed broken distal screws.
The distal screws were fixed by the freehand technique.
Twenty-nine patients (6.9%) reported local pain with the distal screws.
Proximal screws support the dorsal subchondral bone; distal screws support the central subchondral bone.
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