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Martin Riegger Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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Nermine Habib Department of Orthopedic Surgery, Hopital fribourgeois (HFR) – Freiburger Spital (HFR), Fribourg, Switzerland

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Enrique Adrian Testa Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland

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Jochen Müller Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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Marco Guidi Department of Plastic Surgery and Hand Surgery, Kantonsspital, Aarau, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland

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-union. In this light, evidence-based data could guide surgeons in understanding the biomechanical properties of the different options to choose the most suitable implant and provide the best fixation strategy. Figure 1 Classic crossed screw fixation

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Wout Füssenich Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Gesine H Seeber Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
University Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany

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Julian R Zwoferink Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Matthijs P Somford Department of Orthopedic Surgery, Rijnstate Hospital, Arnhem, The Netherlands

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Martin Stevens Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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.2) Joint fixation  Plate + screw 285 277 (97.2) 8 (2.8)  Crossplate compression screw 16 14 (87.5) 2 (12.5)  Crossed screws 415 369 (88.9) 46 (11.1)  Plate 199 186 (93.5) 13 (6.5)  Other* 19 16

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Maciej Otworowski Idea Ortopedia, Warsaw, Poland

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Dariusz Grzelecki Department of Orthopedics and Rheumoorthopedics, Centre of Postgraduate Medical Education, Otwock, Poland

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Krzysztof Starszak Department of Human Anatomy, Medical University of Silesia, Katowice, Poland

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Andrzej Boszczyk Trauma and Orthopedics Department, Centre of Posgraduate Medical Education, Otwock, Poland

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Mateusz Piorunek Medical University of Warsaw, Warsaw, Poland

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Bartłomiej Kordasiewicz Idea Ortopedia, Warsaw, Poland
Trauma and Orthopedics Department, Centre of Posgraduate Medical Education, Otwock, Poland

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options. Methodology Methodology of this systematic review was designed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations ( 41 ). Two authors cross-checked the PubMed and Web of Science

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Amer Sebaaly Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Maroun Rizkallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Guillaume Riouallon Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Zhi Wang Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.

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Pierre Emmanuel Moreau Department of Orthopedic Surgery, Groupe Hospitalier Paris Saint Joseph, France.

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Falah Bachour Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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Ghassan Maalouf Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon.

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. Dick JC Jones MP Zdeblick TA Kunz DN Horton WC . A biomechanical comparison evaluating the use of intermediate screws and cross-linkage in lumbar pedicle fixation . J Spinal Disord 1994 ; 7 : 402 - 407 . 53

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Christos Garnavos Orthopaedic and Trauma Department, ‘Evangelismos’ General Hospital, Athens, Greece

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eccentric trajectory. (f) As the guide wire crosses the pathway of the ‘blocking’ screw, it is withdrawn (but not removed from the distal segment) and the ‘blocking’ screw is inserted antero-posteriorly, at a position (g) (h) that will allow both the

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Horacio Caviglia Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Adrian Mejail Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Maria Eulalia Landro Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Nosratolah Vatani Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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intramedullary fixation of the ilium, ischium and pubic bones and clearly identified the respective bone corridors where screws must be placed. Subsequently, the results of clinical applications of this technique were presented. 32 , 33 The approach for

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Jorge de-las-Heras Romero Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Avda Intendente Jorge Palacios 1, Murcia 30003, Spain

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Ana María Lledó Alvarez Regional Statistical Center, Treasury and public administration council, Murcia, Spain

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Fernando Moreno Sanchez Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Alejandro Perez Garcia Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Pedro Antonio Garcia Porcel Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Raul Valverde Sarabia Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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Marina Hernandez Torralba Department of Orthopaedics and Traumatology, University General Hospital Reina Sofía, Murcia, Spain

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operatively. 2 The goals of surgery are reduction and maintenance of the structures in their correct position so that the ligaments can heal properly. 12 This is achieved by syndesmotic screw fixation, suture-button dynamic fixation or repair of the

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Lukas Fraissler University of Würzburg, Germany

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Christian Konrads University of Würzburg, Germany

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Maik Hoberg University of Würzburg, Germany

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Maximilian Rudert University of Würzburg, Germany

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Matthias Walcher University of Würzburg, Germany

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first TMT joint are described in the literature: screw fixation with different screw positions, two crossed screws through the first TMT joint in most of the studies, staple fixation, external fixation, as well as dorso-medial, medial and plantar locking

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Alpaslan Senkoylu Gazi University Faculty of Medicine, Ankara, Turkey

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Mehmet Cetinkaya Erzincan University, Mengucek Gazi Education and Research Hospital, Erzincan, Turkey

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: 1598 - 1604 . 5 Suk SI , Lee CK , Kim WJ , Chung YJ , Park YB . Segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis . Spine 1995 ; 20 : 1399 - 1405 . 6 Rho

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Diogo Lino Moura Spine Unit, Department of Orthopedics, Coimbra University Hospital, Coimbra, Portugal, Coimbra, Portugal
Anatomy Institute and Orthopedics Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal

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JC Jones MP Zdeblick TA Kunz DN & Horton WC . A biomechanical comparison evaluating the use of intermediate screws and cross-linkage in lumbar pedicle fixation . Journal of Spinal Disorders 1994 7 402 – 407 . ( https://doi.org/10

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