Arthrocentesis involves both the puncture of a joint and the aspiration of its synovial fluid. It is typically wont to make an accurate diagnosis of a painful, warm, swollen joint. Removal of excess fluid can be therapeutic. Analysis of the removed fluid helps to decipher its etiology. Ankle dislocations without fracture occur when significant force applied to the joint leads to loss of opposition of the articular surfaces. Because of the massive amount of force required and therefore the inherent stability of the tibiotalar joint, dislocation of the ankle is never seen without an associated fracturs. Certain researchers argue this is often due partially to the strength of the ankle ligaments and therefore the relative weakness of the bones that structure the ankle. Infection, though an uncommon complication of arthroplasty, could also be among the foremost devastating complications for the patient, also as for the surgeon.
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