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. 69 Pertaining to foot and ankle surgery, a novel off-label use of Cerament has been described in a series (Level IV) by Karr, 71 in which vancomycin-impregnated Cerament beads were implanted successfully in the management of patients with
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( 45 ). A higher proportion of ankles treated with a non-ankle fusion nail used ‘off-label’ have implant failure than those that used nails specific for hindfoot stabilisation. Furthermore, short nails that do not cross the tibial isthmus were assumed