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the USA, there is a natural trend towards the use of fixed-bearing implants. Furthermore, even if not definitively proven, fixed-bearing implants are thought to reduce peri-prosthetic cyst formation and, thus, to possibly increase implant survival
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. Specifically noted complications included soft tissue inflammatory reaction simulating infection, silicone particulate synovitis, osteolysis, prosthetic wear and fragmentation with proximal migration of silicone particles causing inguinal lymphadenopathy. 12
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Introduction Ankle fusion has traditionally been the “gold standard” treatment for end-stage ankle arthritis. However, because of recent improvements in prosthetic design and encouraging short- to medium-term results, there has been a renewed
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returning to the operating theatre, with a pooled proportion of 12% (95% CI: 0.07–0.19, I 2 = 19%) ( Fig. 3F ). This was usually as a consequence of deep infection requiring debridement, implant failure requiring removal, or peri-prosthetic fractures
