“…Among the patients treated with Gouffon screws, 25/38 developed complications. This complication rate was unusually high for multiple pinning (Kofoed and Alberts 1980, Hoeg et al 1982, Stromqvist et al 1984, Madsen et al 1987, Husby et al 1989, Lindequist et al 1989, Rehnberg and Olerud 1989a. Poor reduction (1 1/38) (Kofoed and Alberts 1980, Hoeg et al 1982, Frandsen 1986, and, to a lesser degree, poor positioning of the screws (6/38) (Frandsen 1986, Skinner and Powles 1986, Rehnberg and Olerud 1989a could be important factors.…”