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A new systematic review concludes that internal fixation of unstable OCDs in adults leads to good function, and the healing rates are more than acceptable. That's a good thing; keep on fixing those OCDs. However, there are surprisingly few good articles to base our knowledge on. Only 13 studies with a grand total of 148 patients could be included in the review. With different methodologies and different implants, we still don't know how to best treat these patients. 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