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PERO registration number CRD42019120314. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.Various technical tips have been described on the placement of poller screws during intramedullary (IM) nailing; however studies reporting outcomes are limited. Overall there is no consistent conclusion about whether intramedullary nailing alone, or intramedullary nails augmented with poller screws is more advantageous.We conducted a systematic review of PubMed, EMBASE, and Cochrane databases. Seventy-five rec