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Mr. Malakian paused to screw open a jar, pull out a marijuana bud and stuff it into a glass pipe.
Renewing anything meaningful is never as easy as screwing open a lid.
Open image in new window Fig. 1 Fenestrated cannulated pedicle screw Open image in new window Fig. 2 Postoperative CT scan showing the cement extruded around the screws.
This problem could be addressed with smaller diameter screws Open image in new window Fig. 1 a Case No.1, C. R. Female 28-years-old.
Note poor-quality marrow between proximal screws Open image in new window Fig. 5 Critical defect (1.6 mm) at 5 weeks postsurgery shows inadequate healing of the defect.
The transferred osteotomized fragment was fixed with a 4.5-mm cortical screw Open image in new window Fig. 4 Typical postoperative radiograph.
Note the absence of the bioabsorbable screw Open image in new window Fig. 3 Plain radiographs showing the minimally displaced fracture.
Open image in new window Fig. 1 AP view showing the fibular graft reconstruction with physeal breach and mechanical failure of the proximal screws Open image in new window Fig. 2 Lateral view with marked procurvatum deformity.
Open image in new window Fig. 3 Postoperative check showing that the fracture had been stabilized by cannulated screws Open image in new window Fig. 4 X-rays showing that the fracture had healed at one year of follow up.
Open image in new window Fig. 2 Post operative radiographs of the same patient, showing restoration of distal radius anatomy Open image in new window Fig. 3 Radiographs 6 weeks after the surgery, after removal of K wires and screw Open image in new window Fig. 4 Radiographs at final follow-up at 2 years.
Open image in new window Fig. 3 The X-ray shows the talus-scaphoid and talus-calcaneal arthrodesis and the two screws Open image in new window Fig. 4 The middle sub-malleolar area of the right foot sustained a soft tissue necrosis with a thick scar.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com