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do for that comment thank you very much for the nice presentation i think also this is it
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solution it to make an internal fixation with not with
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minimal distance of this stuff to she she
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yes i like to say that every time you have okay why are you can uh put on a scroll
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kind of it it's cool on it and then you would the account the wire and just wasn't right
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thank you but i i i think we if you use the trends articulate approach
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you have only one shot with the screen and you uh if you put you if you try several times to get to know
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who the good direction you will distort little cottage show you need
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to be very sure that your k. y. is positioned
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as it should be the the important point is where you go in because afterwards uh actually
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uh this to me is not very much and also important because metal or canal is going to give you whatever action you
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don't have to court to go with okay why am i so is important where you're going these questions from the floor
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no more questions yes one then please go to the microphone and if you have a question please go to
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microphone set then i clearly can see if somebody's liner
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sorry do you have any streak to retrieve screw
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in case of money and i have i have one yeah yeah yeah the
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there's a the group of um balconies have a special a screwdriver
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with a teapot catches the distal end of the of the school i never use it
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um normally you up a lid dislocated fractious all the that's right great in the
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barn comes out and as soon as you have one for right out
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you can put a clamp in in ever happen to me to remove it in a in a finger it happen to me to
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remove in a utterance copy could meet couple fusion and i never
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had really a problem but i agree with you struck a
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uh is not always so easy in um one colleague of mine one
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in one case had to open a window and the cortical
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bone to put a wire inside and to push the school outside
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but is ours yeah you have to adopt a situation
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hi my question was similar but uh i want to know have
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you had any failures with this technique and if so
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whatever you down to the tree this crew which is completely in german i um actually i
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must say that uh uh in a naive worse cases where the one actual it broke
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but we left it inside and uh in two cases of uh of
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partially commuted fractures of ahead of them into carpal we had um a um
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a kind of absorption of a bone and this crew was protruding in the in the joint so we had to take it out
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but uh if you have a scroll remaining intimate american i'll
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there's no i'm not it's not a problem there's one publication i was reading yesterday where the patient
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fall on the french factor band the of those school and he the that finger had healed
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in a slide mode when and but it was a stable so
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uh i think that uh if you have a true um
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non union you can freshen up the has the um uh surveys
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and you can drafted and you can leave us go inside
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but i must say it's a safe procedure if you look at the
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views if you keep district of indications then is a nice procedure
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i agree with you it might be easy to retrieve it out in a non union
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but one best with this technique would be creating a rotational manually and as
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we produce crew and yes that is you have to check out the beginning yeah
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and if you end up with the rotational union but the screw inside
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i prayed okay thank a there have to be honest with
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i mean yeah and that's the case ad and it's it's a location
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in the fast what i'm going to do this correctly i bet
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yes this is also not hers but anyway the point is really uh uh if you you it's not
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again it you have to to to state with a technique you have to compress
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the the the fracture so there you have a little bit of a
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inventing and you put your wire inside and then you have to be careful with like
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a skateboard i mean with the new screws you don't trail you cannot just
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users why do the screwdriver you're going to does that make us this location
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in some cases you can even think about having a a secondary studies they think a wires i never used it but uh
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i think it's important that we stick to the normal uh
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do this or common sense of fixate a bomb fixation