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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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. Diagnostic cornerstone: stability In addition to the diagnostic process applicable for any skeletal metastases, the evaluation of a spinal metastasis has to be completed by the determination of the biomechanical stability of the spine. Instability is
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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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, 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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Resection–reconstruction with modular prosthesis Preventive osteosynthesis ± PMMA Osteosynthesis ± PMMA Forearm Resection-reconstruction ± PMMA Preventive osteosynthesis ± PMMA Osteosynthesis ± PMMA Reconstruction if instability
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. Spinopelvic reconstruction should be considered, in relation to expected neurologic loss and functional instability ( Fig. 1 ), following a total or high sacrectomy or sacroiliac joint removal. Figure 1 Types of sacral bone resection: type 1 – low
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result in instability with high rates of complications such as implant loosening and failure and postoperative infection. Endoprosthetic replacement using a constrained hinged megaprosthesis ( Fig. 3a – h ) cannot allow good function compared to that
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curettage that combined both morselized bone and cortical structural bone graft ( 29 ). In that study, only one patient had recurrence, and no patient had a fracture, an infection, or knee instability. He et al. reported a large case series that included
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L Szuhai K Krenács T Hogendoorn PC Szendroi M Benassi MS Kopper L Füle T & Sápi Z . Genomic instability in giant cell tumor of bone. A study of 52 cases using DNA ploidy, relocalization FISH, and array-CGH analysis . Genes
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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