11
Some preventative measures to consider to minimize the potential for complications:
•
Follow guidelines for indications and contraindications provided above
•
Identify prior pathology
•
Stabilize collapsed deformities
•
Bone graft pre-existing cysts
•
Use a properly sized implant
•
Avoid K-wires and sutures through the implant
•
Avoid open wedge osteotomies of the lower tibia which could be a higher load bearing
environment.
Avoid flawing implant surfaces to minimize the potential for early fatigue failure.
If complications develop, possible corrective procedures include:
•
Implant removal
•
Synovectomy
•
Bone grafting of cysts
•
Replacement of the implant
•
Removal of the implant with fusion of the joint
Clinical results depend on surgeon and technique, pre-operative and post-operative care,
the implant, patient pathology and daily activity. It is important that surgeons obtain
appropriate informed consent and discuss the potential for complications with each
patient prior to surgery. This may include a review of alternative, non-implant procedures
such as soft tissue reconstruction or arthrodesis.
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