PMC6579837_01
Custom designed prosthesis.
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F1
The prostheses elements are pictured in Figure 1.
Intraoperative radiograph to assess implant position and alignment.
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F2
ITAP implant was inserted and pushed into position with a slap-hammer and secured by one 3.5 mm and two 2.7 mm locking screws both at the dorsal and medial plate. Intraoperative radiographs were taken to assess the implant position and its alignment before the final tightening of locking screws (Figure 2).
Radiogram at 8 weeks after implantation.
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F3
A radiographic examination at 8 weeks revealed thickening and bone remodeling around the distal end of the bone (Figure 3).
Skin-implant junction infested with larvae of the screwworm fly.
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F4
It was observed that the subsequent infection with sanguine-purulent discharge affected the skin and subcutaneous tissue around the prosthesis (Figure 4).