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After Abutment Connection
The patient may complain of pain during screw tightening. Any clinical evidence should be looked into. It is important not to overtighten and overtorque the abutment to prevent the loosening of the implant and breaching the osseointegrated interface and leading to a "Spinner".
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Technique: Careful re-opening of sternum and release of steinum from the underlying adhesion is done. Femoral artery and vein are exposed for going on femoro fenioral bypass
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