The instructions for use for the geminus distal radius plating system states the following: "all screws must be implanted and fully tightened into the plate to maintain the integrity and strength of the finished construct.If the screws are not attached and/or fully tightened, a non-union, delayed union or construct failure may occur." review of fluoroscopic images from the case revealed that the surgeon did not insert the 3.5mm cortical locking screw, leaving its intended screw hole empty.Discussion with the surgeon further established that they were not following standard practice while preparing the implant site.Under these conditions, the plate failed after five months.
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