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procedure and the potential complications that may occur. The benefits derived
from implant surgery may not meet the patient’s expectations or may deteriorate with
time, necessitating revision surgery to replace the implant or to carry out alternative
procedures. Revision surgeries with implants are common. The patient’s mental status
must also be considered. Willingness and/or ability to follow post-operative instructions
may also impact the surgical outcome. Surgeons must balance many considerations to
achieve the best result in individual patients.
IF EXCESSIVE LOADING CANNOT BE PREVENTED, AN IMPLANT SHOULD NOT BE
USED.
The main goal of surgery with this implant is to establish bony fusion. Abnormal or
excessive forces could lead to delayed union, non-union, or failure of the implant.
Abnormal force loading and subsequent wear may be caused by:
•
Uncorrected instability
•
Improperly sized implant
•
Inadequate soft tissue support
•
Implant malposition
•
Excessive motion
•
Uncorrected or recurrent deformity
•
Patient misuse or overactivity
Proper fixation at the time of surgery is critical to the success of the procedure. Bone
stock must be adequate to support the device.
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