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However, this is the first case associated with a distal locking screw broken.
After 7 months of the initial surgery he presented with a three part broken intramedullary nail and the distal locking screw broken.
Late complications, including implant cutout, Z-effect, reverse Z-effect, calcification of the tip of the greater trochanter, femoral neck shortening, nonunion, malunion, cortical thickening at the distal locking region, broken locking screw, broken PFN, and diaphyseal femoral fractures, were considered during radiographic assessment.
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With a few firm taps from a hammer, delivered via the socket wrench, the screw broke free of the wood.
It is important to drive the screws so the heads are slightly depressed below the surface of the panel yet not so deep the screw breaks through the paper.
It is important to drive the screws so the heads are slightly depressed below the surface of the panel yet not so deep that the screw breaks through the paper.
Complications included quadriceps adhesions requiring further surgery in two patients who had open fractures, and malunion in one patient who had an early design of the implant and a 4.5 mm condylar screw broke.
This time the craft's operator succeeded in boring a hole in the ship's copper sheathing, but the screw broke loose as the explosive was being attached to the ship's hull.
One screw broke during removal.
In agreement with these authors, we removed the trans-syndesmotic screw 8 weeks after surgery in all cases but one, in which the screw broke 2 months after full weight bearing.
In one case, the severity of the fracture and the weight of the patient were not fully appreciated; the distal locking screw broke in the course of the second month.
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