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The learning points emphasised within this manuscript draw attention to the procedure selection for a silastic implant, as well as its proposed mode of action and various potential associated complications. Surgery was based on careful analysis of overall function, prior surgery conducted and patient expectations to achieve a shared decision-making process.<\/jats:p>","DOI":"10.1136\/bcr-2023-257031","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T12:36:05Z","timestamp":1703162165000},"page":"e257031","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Particulate synovitis granuloma complication following a first metatarsophalangeal joint silastic implant"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2138-5523","authenticated-orcid":false,"given":"Derek","family":"Protheroe","sequence":"first","affiliation":[{"name":"Hywel Dda University Health Board, Carmarthen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Green","sequence":"additional","affiliation":[{"name":"Wye Valley NHS Trust, Hereford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Hayes","sequence":"additional","affiliation":[{"name":"Wye Valley NHS Trust, Hereford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"2025082703540033000_16.12.e257031.1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-203804"},{"key":"2025082703540033000_16.12.e257031.2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1302\/0301-620X.102B2.BJJ-2019-0518.R2","article-title":"Silastic first metatarsophalangeal joint arthroplasty for the treatment of end-stage Hallux Rigidus","volume":"102-B","author":"Clough","year":"2020","journal-title":"Bone Joint J"},{"key":"2025082703540033000_16.12.e257031.3","unstructured":"Salim M , Alderton E , Limaye R . 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