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Martin Clementson Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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Anders Björkman Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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Niels O. B. Thomsen Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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screw protrusion, and to allow detection of associated intrinsic and extrinsic ligament injuries. 36 We recommend retrograde screw fixation with visualization of fracture reduction through the mid-carpal portals. Particularly, in cases with severe

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J. Javier Masquijo Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina

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Cristian Artigas Hospital Roberto del Rio, Santiago, Chile
Clínica Alemana, Santiago, Chile

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Julio de Pablos Advanced Bone Reconstruction Surgery, Hospital San Juan de Dios y Complejo Hospitalario de Navarra, Pamplona, Spain

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. However, downsides related to implant failure, migration or breakage have led to the search for improved techniques. In 1998, Métaizeau and colleagues introduced a percutaneous technique using transphyseal screws (PETS). 7 The technique involved

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Benjamín Cancino Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Hospital Base de Valdivia, Valdivia, Chile
Universidad Austral de Chile, Valdivia, Chile

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fracture (A), and subsequent postoperative control after fixation with two laterally crossed smooth K-wires (B). Salter–Harris type III injuries Approximately 25% of all ankle fractures are type III injuries. 40 The most common type III

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Christian Smith Guys and St Thomas NHS Foundation Trust, London, UK

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Razi Zaidi Guys and St Thomas NHS Foundation Trust, London, UK

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Jagmeet Bhamra Guys and St Thomas NHS Foundation Trust, London, UK

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Anna Bridgens Evelina Children’s Hospital, Westminster Bridge Road, London, UK

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Caesar Wek Guys and St Thomas NHS Foundation Trust, London, UK

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Michail Kokkinakis Evelina Children’s Hospital, Westminster Bridge Road, London, UK

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required fixation, with a large bony defect found in the talar neck. It is believed that initial implant malpositioning was responsible for this. 53 Both talar neck fractures occurred following the use of a metallic screw implant placed in the sinus

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