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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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Clínica Alemana, Santiago, Chile
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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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Hospital Base de Valdivia, Valdivia, Chile
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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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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