{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:50:50Z","timestamp":1792687850129,"version":"4.5.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[1999,11,1]],"date-time":"1999-11-01T00:00:00Z","timestamp":941414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1999,11]]},"abstract":"<jats:p> Intramedullary nailing of metaphyseal fractures may be associated with deformity as a result of instability after fixation. Our aim was to evaluate the clinical use of Poller screws (blocking screws) as a supplement to stability after fixation with statically locked intramedullary nails of small diameter. <\/jats:p><jats:p> We studied, prospectively, 21 tibial fractures, 10 in the proximal third and 11 in the distal third in 20 patients after the insertion of Poller screws over a mean period of 18.5 months (12 to 29). <\/jats:p><jats:p> All fractures had united. Healing was evident radiologically at a mean of 5.4 \u00b1 2.1 months (3 to 12) with a mean varus-valgus alignment of \u22121.0\u00b0 (\u22125 to 3) and mean antecurvatum-recurvatum alignment of 1.6\u00b0 (\u22126 to 11). The mean loss of reduction between placement of the initial Poller screw and follow-up was 0.5\u00b0 in the frontal plane and 0.4\u00b0 in the sagittal plane. There were no complications related to the Poller screw. <\/jats:p><jats:p> The clinical outcome, according to the Karstr\u00f6m-Olerud score, was not influenced by previous or concomitant injuries in 18 patients and was judged as excellent in three (17%), good in seven (39%), satisfactory in six (33%), fair in one (6%), and poor in one (6%). <\/jats:p>","DOI":"10.1302\/0301-620x.81b6.0810963","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:50:51Z","timestamp":1519213851000},"page":"963-968","source":"Crossref","is-referenced-by-count":350,"title":["The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails"],"prefix":"10.1302","volume":"81-B","author":[{"given":"C","family":"Krettek","sequence":"first","affiliation":[{"name":"Trauma Department, Hannover Medical School, D 30623 Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Stephan","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, D 30623 Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Schandelmaier","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, D 30623 Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Richter","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, D 30623 Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. C.","family":"Pape","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, D 30623 Hannover, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Miclau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, San Francisco General Hospital, 1001 Potrero Avenue, Room 3A36, San Francisco, California 94110, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.81B6.0810963","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.81B6.0810963","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:20:57Z","timestamp":1629141657000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.81B6.0810963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,11]]},"references-count":0,"aliases":["10.1302\/0301-620x.81b6.10000","10.1302\/0301-620x.81b6.10000"],"journal-issue":{"issue":"6","published-print":{"date-parts":[[1999,11]]}},"alternative-id":["10.1302\/0301-620X.81B6.0810963"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.81b6.0810963","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,11]]}}}