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instability, valgus deformity, and degenerative changes ( 5 , 15 , 16 , 17 ). Resection of the distal fibula without reconstruction can result in functional deficits in the ankle joint, as the fibula plays an important role in ankle stability and movement
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, stiffness, decreased range of motion, locking, and joint instability. 5 Furthermore, D-TGCT is classically found in large joints such as the knees or other weight-bearing joints like the hips, ankles, shoulders, or elbows, with a more aggressive pattern
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instability observed by Fujibuchi et al, although these patients had received a proximal humeral endoprosthesis wrapped in PMKM (Marlex mesh or Bard mesh, Warwick, RI, USA) fixed to soft tissues (4/12). 7 On the other hand, the same mesh fixed to bone
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Musculoskeletal Tumor Society score) with a 5-year estimated revision-free survival of 65–86% ( 10 , 11 , 12 , 13 , 14 , 15 ). Sites where reconstruction after large tumor resection is extremely difficult are the forearm, foot and ankle, and spinopelvic areas
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augmentation techniques have demonstrated potential in addressing these complications, providing pain relief and halting the progression of spinal instability ( 81 , 82 ). In order to determine whether or not to proceed with these treatments, it is important