Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Mar 2009
ReviewStrategies for neuroprotection following spinal cord injury.
Progress in neuropathology has made possible the description of local responses of neural tissue in early stages after traumatic spinal cord injury (SCI). The recent identification of multiple factors responsible for secondary spinal cord damage and for potential regenerative abilities has not resulted in the development of a standard for neuroprotective therapy in SCI patients. The paper reviews current knowledge concerning the sequence of biochemical events in the injured spinal cord and gives an overview of therapeutic possibilities for preventing the spread of secondary injury. ⋯ Inflammation in the region of secondary injury, apart from having a destructive impact, is the source of substances which may induce neural tissue repair. 3. The administration of methylprednisolone and surgical decompression of the spinal cord within several hours after SCI improves functional and neurological outcomes in patients with incomplete neurological deficits. Currently there is no sufficient scientific evidence to support the safety and efficacy of other neuroprotective methods in humans.
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Ortop Traumatol Rehabil · Mar 2009
Results of treatment of mallet finger by internal splinting - a preliminary report.
Mallet finger, although common represents a spectrum of injuries for which there are many questions about the best form of treatment. Many authors advocate orthopedic treatment which is less invasive but requires greater patients dedication to implement. Despite a great number of different sort of orthosis none has proved superiority. The method of internal splinting of the DIP joint is less troublesome for the patient uniting the assets of orthopedic and surgical treatment. The goal of the study is the evaluation of the above mentioned method. ⋯ Internal splinting method of treatment of mallet finger is a recommendable alternative for other methods.