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Lateral screws are used for valgus deformity.
A complication we encountered with this plate in our series was perforation of the AC joint by the most lateral screws.
These results were obtained by the activation of the lateral screws which contribute to the forward movement of the dentoalveolar process and the labial movement of the incisors.
These results were obtained by the activation of the lateral screws during active growth which contribute to the forward movement of the dentoalveolar process and the labial movement of the incisors.
In specimens reconstructed with the jail technique, a deformation of the two lateral screws at the site directly above the jail screw was documented as the typical failure mode (85%; Figure 4b) but no cut-outs in the cancellous bone were observed.
In this paper, we describe the so-called "jail" technique which combines the osteosynthesis method with an additional screw implanted in the proximal tibia from the anterior at an angle of 90° below the two lateral screws as a counter bearing.
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One medial screw and one lateral screw were inserted in the distal fragment near the osteotomy site to prevent varus or valgus tilt of the fragment.
In 1 patient, loosening of the lateral screw, fracture of the distal end of the clavicle, and incomplete rupture of the synthetic ligament (Fig. 8) required removal of the ligament and stabilization using coracoacromial ligament transposition according to a modified Weaver Dunn procedure [13].
Lateral screw insertion was a favorable prognostic factor in ISF.
Four patients had an early postoperative bone block fracture due to inadequate centering of the screw in the bone block (Table 3).> The mean inclination angle between the screw and the glenoid surface was 20.4° ± 8.9° (range, 5° 32°); there was no violation of the articular surface by the screw in any patient (eg, no lateral screw).
Subsequently, various screw fixation techniques using the lateral mass screw, pedicle screw and transarticular screw have been introduced, and clinical experiences with these techniques have been reported [ 2– 7].
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