The Iowa orthopaedic journal
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Review Case Reports
Epidural steroid injections for the treatment of cervical radiculopathy in elite wrestlers: case series and literature review.
Elite wrestlers place tremendous stress through their cervical spine. These athletes are at risk for cervical trauma and may develop radiculopathy from recurrent episodes of injury. Team physicians and athletic trainers are faced with the challenge of treating these injuries in such a way as to allow the athlete to safely and expeditiously return to competition. Epidural steroid injections can be a successful complement to a conservative treatment algorithm for these complex injuries. ⋯ Elite wrestlers with cervical radiculopathy can be effectively and safely managed with a conservative regimen that includes cervical epidural steroid injections, which may allow them to continue to compete at a high level.
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Injuries of the posteromedial corner of the knee are relatively common. These can be isolated or combined with other ligament lesions. ⋯ After a brief description of the anatomy and biomechanics of the medial side of the knee, this paper reviews the indications for isolated and multiligamentous medial/posteromedial corner injuries both in the acute and in the chronic setting. In addition, the most common surgical techniques for repair and reconstruction are described in addition to outcomes based upon a review of the literature.
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Case Reports
Definitive treatment of bilateral acetabular and pelvic ring injuries using external fixation.
Bilateral pelvic ring and acetabular fractures are rare injuries. The optimal treatment of these patients and their outcomes remain largely unknown. We present a three year follow up of a case of bilateral posterior pelvic ring injuries and acetabular fractures treated successfully with limited internal fixation and external fixation.
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Numerous studies have examined the elution characteristics and the effects of antibiotics from bone cement. this study seeks to determine the effect that surface area and volume have on the elution characteristics and bioavailability of tobramycin and vancomycin when mixed in polymethylmethacralate (PMMA) bone cement in various combinations. It also investigates the mechanical properties of antibiotic-impregnated bone cement and its relationship to surface area and volume. ⋯ This study advanced our overall understanding of the elution characteristics and biomechanics of PMMA bone cement impregnated with tobramycin and vancomycin.
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Randomized, controlled study in a laboratory setting. Blinded observations/assessment of study outcomes. ⋯ In this commonly used rabbit posterolateral fusion model, Mastergraft(®) Strip with BMA in an autograft extender mode produces biomechanical and radiographic results similar to autograft fusion alone.