Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 49999

AbstractReferencesDOI and Others
Article in PDF How to Cite Citation Manager Readers' Comments (0) Audio Visual Article Statistics Link to PUBMED Print this Article Send to a Friend
Advertisers Access Statistics Resources

Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"



Dr Mohan Z Mani,
Professor & Head,
Department of Dermatolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018




Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018




Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."



Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
On Aug 2018




Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".



Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".



Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

Letter to Editor
Year : 2023 | Month : February | Volume : 17 | Issue : 2 | Page : RL01 - RL02 Full Version

Poller Screw Supplemented Fixation of Tibial Metaphyseal Fractures with IMN- Criticism and Update for Clinicians as per Existing Literature


Published: February 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/62106.17435
Sharat Agarwal

1. Professor, Department of Orthopaedics and Trauma, NEIGRIHMS, Shillong, Meghalaya, India.

Correspondence Address :
Sharat Agarwal,
B-10A, Faculty Quarters, NEIGRIHMS, Shillong, Meghalaya, India.
E-mail: drsharat88@yahoo.com

Abstract

Sir,

I read with great interest the article entitled “Intramedullary Nail Supplemented with Poller Screws for Proximal and Distal one-third Shaft Tibial Fracture: A Prospective Interventional Study from North India (1). I congratulate the authors for the study undertaken. However, certain key concerns have remained unaddressed and require some criticism and information on literature updates.

It should be highlighted that where the name “POLLER” or “BLOCKING” screw came from. It originated from the name “BOLLARD”. And it does exactly the same. It stands in the way of a nail and doesn’t let the nail go its way, and it only goes in the direction determined by the screw. Besides, can also reduce the fragments and compress them.

Here correction is required as the term blocking screw was first introduced by Donald G and Seligson D in 1983 as they ‘block’ the nail from malreducing the fracture (2). The author has not used nailing for the fixation of Grade 3 Gustilo and Anderson open tibial fractures. Unreamed intramedullary cannulated nailing has been used now, for a long time in type 3 open fractures. A meta-analysis summarised the existing evidence for the use of unreamed intramedullary nailing or external fixators to treat severe open tibial fractures in case of Gustilo Grade III and above cases (3).

Certain key points are required to be emphasised while considering the use of poller screws in tibial fractures for clinicians’ knowledge.

- Use the thinnest possible nail while using poller screws, to allow the nail to deform and not break the bone.
- Poller screws, placed adjacent to the nail and perpendicular to the interlocking screw holes, usually in an anteroposterior direction, have been suggested as one possible method for improving the stability of metaphyseal fractures (4),(5) and have been described as a reduction tool, used to overcome the displacing forces at the time of introduction of the intramedullary nail (5). The screws functionally decrease the width of the metaphyseal medulla and are particularly useful with nails of smaller diameter, which has not been emphasised by the authors.
- The screws used for blocking were 4-4.5 mm locking screws
- Intramedullary nails of 8 or 9 mm diameter are used which are unreamed and cannulated
- The acceptable mis-alignment as per Trafton’s recommendations is less than 5 degrees of varus-valgus angulation, 10 degrees of anteroposterior angulation, 10 degrees of rotation, and 15 mm of shortening (6),(7).

Moreover, it is pertinent to decide where to place a poller screw? Author failed to give details about it. As per literature, there are three known ways:

Concave side of the fracture.
The acute angle of the fracture lines. Alignment lines are drawn on both fragments and a screw is placed at the acute angle between both lines. The Poller screw goes in the bone slightly away from the centre.
Mobile and static fragment. Poller screw is usually placed in a dynamic fragment of the fractured tibia. It is very rare that poller screws are required in both static and dynamic fragments.

The author has not emphasised the evolution and generations developed of “Poller screws” over time. Readers will find it informative too, as mentioned below:

First generation of poller screws were screws inserted to create a corridor inside the bone.

Second generation of poller screws is inserted in a way that the fracture is reduced and compressed using the elastic properties of a nail. The nail would deflect and create long-term compression on the fracture. It was not a rare occurrence that reduction has improved over time. But the poller screws are placed on one side of the fracture only (one fragment).

Third generation of poller screws are screws inserted on both sides of the fracture.

Use of poller screws from the use of a single screw to create a corridor inside the bone, ‘first-generation’ of poller screw, through to the ‘third-generation’ of poller screw with poller screw placement on both sides of the fracture line to create long-term compression and reduce the working length of the nail (8),(9),(10). Author should have mentioned that depending on fracture pattern, at least one poller screw in the sagittal and one in the coronal plane may be needed to fully control alignment to avoid the failure seen in one patient in Ricci WM et al., cohort (11).

Poller screw are placed at right angle to the interlocking screw holes, usually in an anteroposterior direction, beside the nail close to apex of deformity, Centre of Rotation of Angulation (CORA) (12), improve the stability of metadiaphyseal fractures (4),(5) and enables control of angular deformities (9). Moreover, as an alternative to poller screws, K wires have been described as reduction aids and used in a similar fashion to poller screws to aid centralisation of IM nails, which are removed post locking screw insertion. Poyanli OS et al., place K wires before the guidewire, as we do with poller screws (13).

Other techniques to prevent malreduction include, the use of percutaneous clamps and provisional plating with unicortical screws. The use of a femoral distractor or an external fixator can be helpful to hold the fracture in a reduced position while nailing (14).

Results shown to be evaluated with Karlstro¨m-Olerud’s scoring criteria by the author. This does not include the functional outcomes of knee in these patients and as per the literature to circumvent this limitation for functional result evaluation, studies have used AOFAS (100 points) ANKLEHINDFOOT SCALE for ankle and RASMUSSEN’S FUNCTIONAL SCORE SYSTEM for knee (15).

Finally, author gave the details about the complications found in the study but he has not described as to how he managed those complications, which is a very important implications for the readers of this article. The current study has several limitations. It is a non randomised, non controlled clinical trial. There were several different surgeons carrying out the technique (16).

1. The term poller screw was first used by Kretek. The term blocking was used by Donald, however, the basic principle of both are the same.
2. In Grade 3 GUSTILO ANDERSON, clinician can do unreamed intramedullary cannulated nailing or external fixators but we had preferred exfix to prevent infection. In our clinical experience, the authors have found a high rate of infection by doing intramedullary nailing in grade 3.
3. The authors used 4.5 mm poller screws, with an Intramedullary nail of 8 mm diameter which was unreamed and cannulated.
4. Poller screws were placed on the concave side of the fracture as mentioned in the article.
5. Depending on fracture pattern, poller screws were used to decrease varus/valgus and procurvatum/recurvatum deformity. The authors used 2 poller screws in 2 different planes to correct the deformity.
6. The poller screws were retained to maintain the reduction and to increase the bone-implant construct stability.
7. In response to the query from the reader, whether K-wire can be used as an alternate to the poller screw, the authors emphasise that Kirschner wire cannot be used to maintain the reduction.
8. Regarding management of complications, nothing was done for shortening of 0.5 cm, physical therapy was advised for decreased range of motion and pus discharge was treated conservatively with debridement, and appropriate antibiotics after getting the antimicrobial sensitivity test.
9. Karlstro¨m-Olerud’s scoring was frequently used by many authors previously. This score includes 11 components to evaluate the functional outcome of the patient, that’s why Karlstro¨m-Olerud’s scoring have been used in the present study.

Keywords

Evolution, Generations, Intramedullary nailing, Placement

References

1.
Sahni G, Bansal H, Garg A, Singh A, Kavia A, Aggarwal HO. Intramedullary nail supplemented with poller screws for proximal and distal 1/3rd shaft tibial fracture: A prospective interventional study from North India. J Clin Diagn Res. 2022;16(12):RC01-RC04. https://www.doi.org/10.7860/JCDR/2022/57214/17202. [crossref]
2.
Donald G, Seligson D. Treatment of tibial shaft fractures by percutaneous Küntscher nailing: Technical difficulties and a review of 50 consecutive cases. Clin Orthop Relat Res. 1983;178:64-73. http://www.ncbi.nlm.nih.gov/pubmed/6883869. [crossref]
3.
Fang X, Jiang L, Wang Y, Zhao L. Treatment of Gustilo grade III tibial fractures with unreamed intramedullary nailing versus external fixator: A meta-analysis. Med Sci Monit. 2012;18(4):RA49-RA56. Doi: 10.12659/msm.882610. PMID: 22460106; PMCID: PMC3560815. [crossref] [PubMed]
4.
Krettek C, Schandelmaier P, Tscherne H. Nonreamed interlocking nailing of closed tibial fractures with severe soft tissue injury. Clin Orthop. 1995;315:34-47. https://pubmed.ncbi.nlm.nih.gov/7634684/. [crossref]
5.
Krettek C, Rudolf J, Schandelmaier P. Unreamed intramedullary nailing of femoral shaft fractures: Operative technique and early clinical experience with the standard locking option. Injury. 1996;27(4):233-54. [crossref] [PubMed]
6.
Canale ST. Campbell’s operative orthopedics. Vol. 3. 10 th edn. Philadelphia, Pa, USA: Elsevier 2003:467-469.
7.
Siddique PA, Chandak MP, Sasidharan S. Intramedullary nailing with blocking screws in the treatment of fractures of proximal and distal ends of tibia- a prospective observational study in a tertiary care hospital of Kannur, Kerala. J Evid Based Med Healthc. 2021;8(39):3448-53. Doi: 10.18410/jebmh/2021/625. [crossref]
8.
Krkovic M. Third generation poller screws. https://www.limbreconstructions. com/third-generation-poller-screws.html.
9.
Krettek C, Stephan C, Schandelmaier P, Richter M, Pape HC, Miclau T. The use of poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails. J Bone Joint Surg Br. 1999;81(6):963-68. Doi: 10.1302/0301-620x.81b6.10000. PMID: 10615966. [crossref] [PubMed]
10.
Hannah A, Aboelmagd T, Yip G, Hull P. A novel technique for accurate poller (blocking) screw placement. Injury. 2014;45(6):1011-14. Doi: https://doi.org/ 10.1016/j.injury.2014.02.029. [crossref] [PubMed]
11.
Ricci WM, O’Boyle M, Borrelli J, Bellabarba C, Sanders R. Fractures of the proximal third of the tibial shaft treated with intramedullary nails and blocking screws. J Orthop Trauma. 2001;15:264-70. http://www.ncbi.nlm.nih.gov/pubmed/11371791. [crossref] [PubMed]
12.
Kulkarni SG, Varshneya A, Kulkarni S, Kulkarni GS, Kulkarni MG, et al. Intramedullary nailing supplemented with poller screws for proximal tibial fractures. J Orthop Surg (Hong Kong). 2012;20(3):307-11. [crossref] [PubMed]
13.
Poyanli OS, Soylemez MS, Ozkut AT, Esenkaya I, Unal OK, Kilincoglu V. Use of provisional K wires instead of poller screws for treatment of diametaphyseal fractures of the distal femur and proximal and distal tibia. Acta Orthop Belg. 2016;82:579-85. http://www.ncbi.nlm.nih.gov/pubmed/29119900.
14.
Azevedo Filho FAS de, Cotias RB, Azi ML, Teixeira AA de A. Reliability of the radiographic union scale in tibial fractures (RUST). Rev Bras Ortop. 2017;52(1):35-39. [crossref] [PubMed]
15.
Rupeshkumar BF. An outcome analysis to determine the uses of poller screw in treatment of displaced proximal and distal shaft metadiaphyseal fractures of tibia treated with intramedullary nailing. Ortho & Rheum Open Access J. 2016;2(2):555585. Doi: 10.19080/ OROAJ.2016.02.555585. [crossref]
16.
Tennyson M, Krkovic M, Fortune M, Abdulkarim A. Systematic review on the outcomes of poller screw augmentation in intramedullary nailing of long bone fracture. EFORT Open Rev. 2020:5(3);189-203. Retrieved Dec 6, 2022, from https://eor.bioscientifica.com/view/journals/eor/5/3/2058-5241.5.190040.xml.[crossref] [PubMed]

DOI and Others

DOI: 10.7860/JCDR/2023/62106.17435

Date of Submission: Dec 06, 2022
Date of Peer Review: Dec 21, 2022
Date of Acceptance: Jan 03, 2023
Date of Publishing: Feb 01, 2023

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? NA
• For any images presented appropriate consent has been obtained from the subjects. NA

PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 08, 2022
• Manual Googling: Dec 30, 2022
• iThenticate Software: Jan 02, 2023 (17%)

ETYMOLOGY: Author Origin

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2017: 134.54
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • Embase
  • EBSCOhost
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com