Journal of orthopaedic trauma
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To measure the failure rate of percutaneous iliosacral screw fixation of vertically unstable pelvic fractures and particularly to test the hypothesis that fixations in which the posterior injury is a vertical fracture of the sacrum are more likely to fail than fixations with dislocations or fracture-dislocations of the sacroiliac joint. ⋯ Percutaneous iliosacral screw fixation is a useful technique in the management of vertically unstable pelvic fractures, but a vertical sacral fracture should make the surgeon more wary of fixation failure and loss of reduction.
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To investigate the risk of axillary nerve injury during placement of the proximal interlock and tension screws of the Synthes Titanium Flexible Humeral Nail System (Synthes, Paoli, PA). ⋯ There is significant risk to the axillary nerve when inserting the proximal interlock screw and the tension screw of this flexible humeral nail system. We recommend blunt dissection through the deltoid, direct visualization of the lateral humeral cortex, and use of a soft tissue protection sleeve when predrilling and placing these screws.