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This article aims to analyse the reasons why the Aptis prosthesis was not used in France, the second-largest economy in Europe, for 20 years after its approval in the European market. In our opinion, there are two major reasons: the first is financial and regulatory, related to the French Social Security system and private insurance; the second is related to the degree of openness of French surgery to Anglo-Saxon concepts and ideas.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    V\n                  <\/jats:p>","DOI":"10.1177\/17531934251357129","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T07:08:46Z","timestamp":1752476926000},"page":"34-38","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The first two Aptis distal radioulnar joint prostheses in France. Why so late? 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