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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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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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, leading to stem breakage at the junction with the central body of the spacer. Moreover, in such cases silastic debris may induce a synovial inflammatory reaction leading to the well-known ‘silicone-related synovitis’. Thus, the need for alternative
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s by means of ulna head replacement with silastic implants. We define these implants as Type 1 implants, aimed at creating an interposition between the bone ends. Since the failed silicone arthroplasty was abandoned, until recently few reports could
Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
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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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first toe. This in turn leads to greater strain on the lesser toes, which makes their supporting structures more likely to fail. 9 Pathology can also be linked to inflammatory arthritis, synovitis, diabetes mellitus and neuromuscular disorders
