Hence, the reported high failure rate at the distal nail-holes may be mainly attributed to the surface damage during the screw insertion rather than only the internal stressing by body weight.

• 因此，文献中观察到的高比例的在远端螺丝孔的破坏现象，主要应该来至于螺丝植入时造成的破坏而非体重造成的内力。