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[9] reported that male gender increased the likelihood (odds ratio [OR] 6.41;95% confidence interval [CI] 3.10–14.42, P<0.001) of obtaining positive Propionibacteriumacnes cultures in patients in whom revision arthroplasty was performed for stiffness, pain,or loosening. The longer the patient was symptom-free after index surgery,the more likely the infection is acquired hematogenously. The proximal end, the root ofthe nail, is overlapped by skin, the eponychium, which is also continuouswith the stratum corneum of the adjacent epidermis. TEM reveals that these cells formapical junctional complexes and have vesicles larger thanthose found in the pars distalis.
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