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Using a prospective protocol, the efficacy of this minimally invasive method in achieving union in cases of failed fusion after attempted ankle arthrodesis with existing subtalar joint pathology after multiple interventions has been evaluated.
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Money the players set aside with the union in case of a work stoppage will be paid back, an amount estimated at roughly $10,000 per month per player.
But they would be possible under the union's treaties in cases of "public order and public security," the commission said.
In exchange, they are entitled to strike pay, legal advice, and support by union officials in case of conflicts with their employers.
Operative treatment may also be indicated in cases of delayed union, nonunion, or malunion following nonoperative management.
Sub-clinical infection with low-pathogenic organisms is always suspected in cases of non-union.
Allograft has been used in certain conditions in conjunction with bone morphogenetic protein (BMP); this has been demonstrated to be of value in cases of non-union with bone defects by Johnson et al. [33].
BMP-2 is commonly used clinically to accelerate bone healing after fractures or in cases of non-union as well as in spinal fusion.
Several studies (Fann et al. 2004, Bezer et al. 2005, Bhangal et al. 2006, Kalamaras et al. 2008, Herrmann et al. 2009, Renger et al. 2009, Kaipel et al. 2010) suffered from loss to follow-up for different reasons, which led to incomplete data on functional outcome and union and possibly gave rise to bias in cases of selective dropout.
In cases of posterior non-union, hypertrophy of the anterior arch and cortical bone thickening of the posterior arches have been observed and interpreted as adaptive responses of the atlas to increased mechanical stress.
Initially indicated for the treatment of kidney stones [2], it has been applied in cases of bone non-unions, and then in several musculoskeletal disorders, given the satisfactory clinical outcomes reported in different randomized clinical trials and cohort studies.
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