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In most cases the tenon is an integral part of the stem and is turned on it, while the exception is the so-called unbreakable tenon, which is usually in Teflon and has the feature of withstanding accidental drops and everyday use

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The patients extremity may show signs of inadequate perfusion including cyanosis of the digits, cool temperature, pain, blisters, pale color, and formation of black eschar or mummified digits