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As previously stated [ 10], selenium compounds – especially sodium selenite – may have a direct inhibition of NF-κB to DNA binding through a reversible rupture of the disulfide bridge fixation.
The contact area of double-row and suture bridge fixation in fresh-frozen human shoulders has been tested previously [ 2]. Results showed that the mean pressurized contact area between the tendon and insertion was significantly greater for the 4-suture bridge technique (124.2 +/− 16.3 mm, 77.6 % footprint) than the double-row technique (63.3 +/− 28.5 mm, 39.6 % footprint).
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One possible surgical treatment method is bridging external fixation.
Twenty-eight patients were treated with one-stage articular reduction and bridging external fixation.
After cleaning and grafting focus and bridge-plate fixation with locking plate and screws, the nonunion is healed (right).
Conversely, bridging external fixation augmented (with or without additional Kirschner wires) is a less demanding, less invasive and faster procedure.
All randomized controlled trials that compared bridging external fixation directly with volar locked plating in patients with distal radial fractures were considered.
All randomized clinical trials that compared (augmented) bridging external fixation with volar locking plates in adult patients with unstable distal radial fractures were considered.
The latter option yielded the best results although two comparative groups used in their study, that of definitive bridging external fixation and primary plate fixation are not now considered as reliable management options.
Closed reduction and bridging external fixation rely on ligamentotaxis to reduce and keep the fracture in alignment.
We randomly allocated 100 patients into two groups treated surgically with modified De Palma percutaneous pinning and bridging external fixation.
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