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Haroon Majeed Manchester University Foundation NHS Trust, Manchester, United Kingdom

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surface of the metatarsal head. 56 Clinically, silicone synovitis presents as joint pain and inflammation with tender swelling of regional lymph nodes. 23 This usually requires removal of the implant, which resolves the symptoms. 28 The

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Daniel Herren Schulthess Klinik, Zurich, Switzerland

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to functional performance, revision rate, and long-term outcomes. Silicone joint spacers carry a risk of implant breakage and associated silicone synovitis. Overall, the silicone spacer produces fairly consistent results with good pain relief and

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Jetske Viveen Department of Trauma and Orthopedic Surgery, Flinders Medical Centre and University, Adelaide, Australia
Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands

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Izaak F. Kodde Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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Andras Heijink Department of Orthopedic Surgery, Catharina Hospital, Eindhoven, The Netherlands

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Koen L. M. Koenraadt Foundation for Orthopedic Research, Care & Education, Amphia Hospital, Breda, The Netherlands

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Michel P. J. van den Bekerom Shoulder and Elbow Unit, Department of Orthopedic Surgery, Amsterdam, The Netherlands

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Denise Eygendaal Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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, with a substantial risk of fragmentation of the implant 8 – 10 resulting in silicone synovitis, it is unclear which type of metallic RHP is superior. Taking the enormous discrepancies in failure rates into account, the aim of the current study was

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