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In only one patient was a fair result (>10 mm) obtained; he presented wide pre-operative displacement, and because of the long trauma to surgery time, interposition of soft tissue and fibrous callus formation prevented a better result; nevertheless, we decided not to perform open reduction because the skin and subcutaneous tissues were compromised.
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At that time, no cement was interpositioned between the cup and augment as instructed by the manufacturers.
If these modalities show a large degree of gastric involvement, then the stomach may not be suitable for interposition at the time of esophagectomy; in such patients, a colonic interposition may be necessary.
It is uncertain whether chondrocytes containing gel acquire sufficient mechanical stiffness at transplantation, but transplanted chondrocytes can proliferate and synthesise the extracellular matrix some time after transplantation, thereby providing a stiffer interposition material.
In seven patients, the fistula healed after gracilis muscle interposition at a median follow-up time of 14 months after stoma closure.
At the present time, we believe there is no longer question that the interposition method is the best method of treatment of joint ankylosis.
By that time metals, including Vitallium as advocated by Smith-Petersen for hip interposition arthroplasty [11], had become more widely accepted.
Interposition of vein graft is possible; however, it takes longer time than end-to-end anastomosis at the contralateral side.
The success of ligament reconstruction tendon interposition arthroplasty in treating trapeziometacarpal arthritis has withstood the test of time.
In our experience, compared with tendon interposition, the implant operative procedure is easier to perform (mean implant operative time, 44 minutes versus 63 minutes) and the recovery time is shorter (mean, 12 weeks versus 22 weeks).
Before this time, the only salvage procedures available for destructive joint disease about the elbow were resection arthroplasty, fascial interposition arthroplasty, or elbow arthrodesis.
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