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Description:Check stability of the fixation by passive flexion and extension of the PIP joint, and by applying gentle lateral and rotational motion. With self-tapping screws, the cutting flutes are especially dangerous, and great care has to be taken that the flutes do not protrude beyond the cortical surface. Screw length pitfalls Ensure that a screw of the correct length is used. In order to avoid such protrusion, slightly enlarge the entrance to the screw hole in order partially to sink the screw head. Too short screws do not have enough threads to engage the cortex properly. Be careful to place it in such a way that it will not conflict with later screw placement. Oblique measuring When measuring for screw length in oblique drill holes, the measurement to the acute angle is different from the measurement to the obtuse angle.

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