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0 | Effects of Therapeutic Exercises in Elderly Women With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Knee Osteoarthritis is a degenerative disease associated with muscle weakness, arthralgia, rigidity and postural instability. Therapeutic exercise can reduce pain and improve muscle strength and postural balance, however benefits from association with pompage is not known. This study aims to evaluate the effects of the... |
0 | Supine Extensile Approach to the Anterolateral Humerus | Pediatric Supracondylar Humerus Fracture 2020 Review | The radial nerve is at risk of injury during surgical approaches to the humeral shaft. Previous authors have described an anterolateral approach to the humerus limited by the radial nerve, requiring that distal dissection be carried anterior into a neurovascularly crowded interval. A novel extensile approach is describ... |
0 | The Painful Total Knee Arthroplasty | PJI DX Updated Search | There are many causes of residual pain after total knee arthroplasty (TKA). Evaluation and management begins with a comprehensive history and physical examination, followed by radiographic evaluation of the replaced and adjacent joints, as well as previous films of the replaced joint. Further workup includes laboratory... |
1 | Addition of Infiltration Between the Popliteal Artery and the Capsule of the Posterior Knee and Adductor Canal Block to Periarticular Injection Enhances Postoperative Pain Control in Total Knee Arthroplasty: A Randomized Controlled Trial | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Periarticular injections (PAIs) are becoming a staple component of multimodal joint pathways. Motor-sparing peripheral nerve blocks, such as the infiltration between the popliteal artery and capsule of the posterior knee (IPACK) and the adductor canal block (ACB), may augment PAI in multimodal analgesic pat... |
0 | Pseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma of bone: Clinicopathologic features of 5 cases | MSTS 2018 - Femur Mets and MM | Pseudomyogenic hemangioendothelioma (PHE) is an uncommon mesenchymal tumor of intermediate malignant potential with characteristic clinicopathologic and genetic features. Although bone involvement accompanies nearly one-fourth of reported cases of soft tissue PHEs, primary intraosseous PHE is rare. Herein, we report fi... |
0 | Acupuncture for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Acupuncture was used to treat a 51-year-old 'lollipop lady' (school crossing patrol officer), with severe carpal tunnel syndrome (CTS) affecting her dominant hand, and co-existing cervical spondylosis. I postulate that her symptoms were work related. She responded well to acupuncture, which provided good symptomatic tr... |
0 | Femoral shaft osteotomy for obligate outward rotation due to SCFE | Pediatric Diaphyseal Femur Fractures 2020 Review | Slipped capital femoral epiphysis (SCFE) is an adolescent disease that leads to retroversion of the femoral neck and shaft, relative to the head. Observing that patients with SCFE must walk with an outward foot progression angle and externally rotate the leg in order to flex the hip, we have been performing a femoral s... |
0 | Importance of Ki-67 in human epidermal growth factor receptor 2 positive breast cancer | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: The aim of this study was to evaluate the importance of Ki-67 in Human Epidermal Growth Factor Receptor 2 (Her-2) positive breast cancer patients. Methods: We reviewed the records of patients diagnosed with Her-2-positive non-metastatic breast cancer between 2005 and 2011. Paraffin-embedded tissue samples were... |
0 | Management of musculoskeletal complications of hemophilia | AAHKS (4) Acetaminophen | Prophylactic treatment from ages 2 to 18 years could prevent the development of hemophilic arthropathy if the concentration of the patient's deficient factor is kept from falling below 1% of normal. Early treatment is of paramount importance because the immature skeleton is very sensitive to the complications of hemoph... |
0 | Surgery-induced changes and early recovery of hip-muscle strength, leg-press power, and functional performance after fast-track total hip arthroplasty: a prospective cohort study | PJI DX Updated Search | BACKGROUND: By measuring very early changes in muscle strength and functional performance after fast-track total hip arthroplasty (THA), post-operative rehabilitation, introduced soon after surgery, can be designed to specifically target identified deficits. OBJECTIVES: Firstly, to quantify changes (compared to pre-ope... |
1 | Gutâ??joint axis: The role of physical exercise on gut microbiota modulation in older people with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is considered one of the most common joint disorders worldwide and its prevalence is constantly increasing due to the global longevity and changes in eating habits and lifestyle. In this context, the role of gut microbiota (GM) in the pathogenesis of OA is still unclear. Perturbation of GM biodivers... |
1 | Intermediate-Term Outcome After Distal Radius Fracture in Patients With Poor Outcome at 1 Year: A Register Study With a 2- to 12-Year Follow-Up | Distal Radius Fractures | PURPOSE: Most patients recover well from a distal radius fracture (DRF). However, approximately one-fifth have severe disability after 1 year when evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. In the present study, we evaluated this subgroup of patients in our register with an in... |
0 | Vertebral body fracture of the lumbar spine in elderly women: more severe in osteoarthritis of the knee than in femoral neck fracture | Management of Hip Fractures in the Elderly | This study investigated bone fragility by comparing fractures of the vertebral body of the spine in elderly women receiving total knee replacement (TKR) (group 1) due to severe osteoarthritis of the knee and those with femoral neck fractures (group 2) attributable to osteoporosis. Forty-two women each were selected ret... |
0 | A new arthroscopic-assisted drilling method through the radius in a distal-to-proximal direction for osteochondritis dissecans of the elbow | Distal Radius Fractures | We developed a new arthroscopic-assisted drilling method through the radius in a distal-to-proximal direction for osteochondritis dissecans (OCD) of the elbow. Only 1 drill hole is created in the radius by use of a single 1.8-mm K-wire inserted from the shaft of the radius approximately 3 cm distal to the humeroradial ... |
0 | THA for a Fractured Femoral Neck: Comparing the Revision and Dislocation Rates of Standard-head, Large-head, Dual-mobility, and Constrained Liners | Hip Fx in the Elderly 2019 | BACKGROUND: THA is a reasonable surgical option for some patients with fragility fractures of the femoral neck, but it has the risk of prosthesis dislocation. The prosthesis combination that reduces the risk of dislocation and the rate of revision surgery is not known.
QUESTIONS/PURPOSES: In patients receiving primary ... |
0 | The role of hyperbaric oxygen therapy in orthopedics and rheumatological diseases | Pediatric Supracondylar Humerus Fracture 2020 Review | Hyperbaric oxygen therapy (HBOT) has been investigated as a primary/adjunctive treatment for a number of injuries and medical conditions including traumatic ischemia, necrotizing soft tissue injuries, non-healing ulcers and osteoradionecrosis, but the results are controversial. There is insufficient evidence to support... |
0 | The safety of office-based surgery: Review of recent literature from several disciplines | Panniculectomy & Abdominoplasty CPG | Objective: To review recent literature pertaining to adverse outcomes and mortality associated with office-based surgery. Study Selection: Representative articles from the general and plastic surgery, medical, health regulatory, and dermatology literature. Data Extraction: Information regarding which surgical treatment... |
0 | Associations of child maltreatment and intimate partner violence with psychological adjustment among low SES, African American children | DoD PRF (Psychosocial RF) | OBJECTIVE: This study assessed the unique and interactive effects of child maltreatment and mothers' physical intimate partner violence (IPV) status on low-SES African American children's psychological functioning.
METHODS: Mothers were recruited from a large, inner-city hospital, and those who met eligibility criteria... |
1 | Can Structural Joint Damage Measured with MR Imaging Be Used to Predict Knee Replacement in the Following Year? | Surgical Management of Osteoarthritis of the Knee CPG | Purpose To assess whether magnetic resonance (MR) imaging-based cross-sectional measures of structural joint damage can be used to predict knee replacement during the following year. Materials and Methods Participants were drawn from the Osteoarthritis Initiative, a longitudinal observational study that includes 4796 p... |
0 | Osteodensitometry in healthy postmenopausal women | Management of Hip Fractures in the Elderly | (1) Osteodensitometry is the standard method for measuring bone mineral density. Since the 1990s, diagnosis of osteoporosis has been defined, by convention, by a bone density T score cut-off of less than -2.5. This threshold, based on population statistics, is appropriate for the diagnosis of osteoporosis in Caucasian ... |
0 | Orthostatic intolerance during early mobilization after fast-track hip arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Early postoperative mobilization is a cornerstone in fast-track total hip arthroplasty (THA), but postoperative orthostatic intolerance (OI) may delay early recovery or lead to fainting, falls, and prosthesis dislocation or fracture. However, the prevalence and pathophysiology of OI has not been established... |
0 | Ethnic disparity in the treatment of women with established low bone mass | Management of Hip Fractures in the Elderly | OBJECTIVE: To assess the extent of bone-health treatment and to test for racial differences in that treatment among black and white women with documented low bone mass. METHODS: All women who underwent central dual-energy X-ray absorptiometry testing at the Washington, DC Veterans Affairs Medical Center (VAMC) from Jan... |
1 | The success of single débridement and primary closure of acute postoperative infections after open reduction and internal fixation | DoD SSI (Surgical Site Infections) | Background: The development of surgical site infection in the presence of hardware after open reduction and internal fixation is an ongoing dilemma. There are no evidence-based guidelines to guide the number of surgical débridements and irrigations before definitive wound closure. The purpose of the present study was t... |
1 | Using Care Bundles to Improve Surgical Outcomes and Reduce Variation in Care for Fragility Hip Fracture Patients | Hip Fx in the Elderly 2019 | Introduction: Fragility hip fractures constitute a large proportion of orthogeriatric admissions to orthopedic wards. This study looked at reducing variation in care in fragility hip fracture patients using a novel approach with care bundles. The care bundle comprises 5 elements targeted at providing adequate analgesia... |
0 | Description of an orthopedic-geriatric model of care in Australia with 3 years data | Management of Hip Fractures in the Elderly | AIM: Orthopedic-geriatric units have been established worldwide to improve the care of older patients admitted with fractures. This study describes one type of orthopedic-geriatric model which has been implemented in Victoria, Australia, named the Orthopedic Aged Care and Rehabilitation Service (OARS) and evaluates pat... |
0 | Reconstruction of orbital floor blow-out fractures with autogenous iliac crest bone: a retrospective study including maxillofacial and ophthalmology perspectives | DoD SSI (Surgical Site Infections) | This is a 10-year retrospective study of patients with an isolated unilateral orbital floor fracture reconstructed with an autogenous iliac crest bone graft. The following inclusion criteria applied: isolated orbital floor fracture without involvement of the orbital rim or other craniofacial injuries, pre-/post-operati... |
0 | Magnetic resonance imaging assessment of gluteal fat grafts | Panniculectomy & Abdominoplasty CPG | BACKGROUND: One goal of lipoplasty is to create a round and projected buttock contour. Despite multiple papers evaluating lipoinjection, controversies still remain. METHODS: This report describes a series of patients who underwent liposuction, gluteal lipoinjection, and evaluation with magnetic resonance imaging (MRI).... |
0 | Minimally invasive total knee arthroplasty: a systematic review | SR for PM on OA of All Extremities | The concept of minimally invasive total knee arthroplasty surgery evolved to reduce quadriceps muscle strength loss and improve clinical outcome following total knee replacement. We performed a systematic review of the published literature on Minimally Invasive Total Knee Arthroplasty (MITKA) and analyzed the reported ... |
1 | Fragility fracture-related direct medical costs in the first year following a nonvertebral fracture in a managed care setting | HipFx Supplemental Cost Analysis | The objective of this study was to estimate the fracture-related direct medical costs during the first year following a fragility nonvertebral fracture in a managed care setting. This was a retrospective cohort study conducted among patients (aged 45+ years) with a primary diagnosis for a fragility nonvertebral fractur... |
0 | Hip fracture programs: are they effective? | Hip Fx in the Elderly 2019 | This manuscript will evaluate the published evidence on efficacy of organized hip fracture programs to determine if they improve patient outcomes. A detailed literature search was conducted to find manuscripts published in the past 20 years about organized hip fracture care programs. Seventeen programs with published r... |
0 | The use of the 3-mm K-Wire to supplement reduction of humeral supracondylar fractures in children | DoD SSI (Surgical Site Infections) | BACKGROUND: Most children with humeral supracondylar fractures can be treated with simple closed reduction and cross-fixation with Kirschner (K)-wires. However, in a small proportion of cases, an acceptable closed reduction cannot be obtained, and open reduction becomes necessary. An alternative to open reduction is th... |
0 | Hospital Characteristics, Inpatient Processes of Care, and Readmissions of Older Adults with Hip Fractures | Hip Fx in the Elderly 2019 | OBJECTIVES: To determine hospital-level predictors of readmission after hip fracture or potentially related inpatient care processes.
DESIGN: Retrospective cohort study.
SETTING: U.S. acute care hospitals.
PARTICIPANTS: Fee-for-service Medicare beneficiaries who underwent hip fracture surgery between 2007 and 2009 (N =... |
0 | Assessment and reliability of the World Health Organisation quality of life (WHO QOL-BREF) questionnaire in total hip replacement patients | Hip Fx in the Elderly 2019 | Background: Several functional scoring tools are available to evaluate the outcomes of total hip replacements (THRs) for diseased or damaged hips. Majority of these scores were devised in western countries and their cross-cultural compatibilities are rarely demonstrated. The World Health Organisation quality of life (W... |
0 | Extending the role of liposuction in body contouring with ultrasound- assisted liposuction | Panniculectomy & Abdominoplasty CPG | The initial experience with ultrasound-assisted liposuction in treating difficult fibrous areas, such as gynecomastia, hitherto not uniformly responsive to traditional suction-assisted lipoplasty, has led to the evolution and improvement of ultrasound-assisted liposuction techniques. This prospective study examined 114... |
0 | Cytocompatibility with osteogenic cells and enhanced in vivo anti-infection potential of quaternized chitosan-loaded titania nanotubes | PJI DX Updated Search | Infection is one of the major causes of failure of orthopedic implants. Our previous study demonstrated that nanotube modification of the implant surface, together with nanotubes loaded with quaternized chitosan (hydroxypropyltrimethyl ammonium chloride chitosan, HACC), could effectively inhibit bacterial adherence and... |
0 | Coagulase-negative staphylococci | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Coagulase-negative staphylococci, long considered to be harmless commensals or contaminants, have emerged as major pathogens as medical technology has advanced. They are a major cause of intravenous-catheter-associated bacteremia, endocarditis, otitis media, and infection of joint prostheses, vascular grafts, cardiac p... |
0 | Fibrin-based biomaterial systems to enhance anterior cruciate ligament healing | PRP (Platelet-Rich Plasma) | Anterior cruciate ligament (ACL) tears are a common and potentially career-ending injury, particularly for athletes and soldiers. Partial and complete ruptures of this ligament cause instability in the knee, and the ACL does not have the capacity for healing due, in part, to its position within the highly thrombolytic ... |
0 | Popliteal Pseudoaneurysm After Total Knee Arthroplasty. A Report of 3 Cases | Surgical Management of Osteoarthritis of the Knee CPG | Although the incidence of vascular injuries after total knee arthroplasty is quite low, clinical outcome could be significantly impaired. Quick response and accurate management are important to achieve the best possible outcome. We present 3 cases of popliteal pseudoaneurysm formation after total knee arthroplasty and ... |
0 | Reliability of clinical outcome measures in Charcot-Marie-Tooth disease | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We assessed inter- and intra-rater reliability of outcome measures in Charcot-Marie-Tooth disease (CMT) patients. In 40 CMT patients, we assessed reliability of Overall Neuropathy Limitations Scale (ONLS), 10-m timed walk (T10MW), 9-hole-peg test (9-HPT), maximal voluntary isometric contraction (MVIC) of arm (elbow fle... |
0 | Orthopedic complications. Compartment syndrome, fat embolism syndrome, and venous thromboembolism | DOD - Acute Comp Syndrome CPG | Specialized education in the care of orthopedic patients includes an understanding of the common complications for which patients require monitoring. With a socioeconomic backdrop of decreasing hospital stays and prospective payment, patient care must be managed proactively. For all three complications presented, there... |
1 | Lateral Opening-wedge Distal Femoral Osteotomy: Pain Relief, Functional Improvement, and Survivorship at 5 Years | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Distal femoral varus osteotomy may be used to treat valgus knee malalignment or to protect a knee compartment in which cartilage restoration surgery (such as osteochondral or meniscus allografting) has been performed. Medial closing-wedge osteotomy has demonstrated good success in treatment of osteoarthriti... |
1 | Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients | Hip Fx in the Elderly 2019 | One hundred elderly patients who had an intertrochanteric femoral fracture were randomized to treatment with a compression hip-screw with a plate (fifty patients) or a new intramedullary device, the intramedullary hip-screw (fifty patients). All patients were followed prospectively for one year or until death. A detail... |
0 | Greater tissue mineralization heterogeneity in femoral neck cortex from hip-fractured females than controls. A microradiographic study | Management of Hip Fractures in the Elderly | In addition to bone quantity, bone quality affects bone strength. Bone quality depends in part on the degree of mineralization of bone tissue (DMB). The relationship between the DMB distribution and the risk of osteoporotic hip fractures remains incompletely investigated. Here, our aim was to compare DMB distribution i... |
1 | Safety of bilateral total knee arthroplasty in morbidly obese patients | Surgical Management of Osteoarthritis of the Knee CPG | There has been an increase in the prevalence of morbid obesity and the demand for total knee arthroplasty (TKA). Physicians must help patients with bilateral knee arthritis to make informed decisions regarding whether to undergo staged, sequential, or simultaneous TKA. The purpose of this study was to evaluate the peri... |
1 | Anaerobic osteomyelitis and arthritis in a military hospital: a 10-year experience | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: The methods of collecting, transporting, cultivating, and identifying aerobic bacteria in bone and joint infections have improved markedly since the early 1980s. In addition, many of the anaerobes have been reclassified and renamed. The purpose of this study was to provide more current information regarding th... |
0 | Evidence-based value of subcutaneous surgical wound drainage: the largest systematic review and meta-analysis | PJI DX Updated Search | BACKGROUND: The purpose of this study was to determine the evidenced-based value of prophylactic drainage of subcutaneous wounds in surgery. METHODS: An electronic search was performed. Articles comparing subcutaneous prophylactic drainage with no drainage were identified and classified by level of evidence. If suffici... |
0 | Efficacy of a specially designed hip protector for hip fracture prevention and compliance with use in elderly Hong Kong Chinese | Management of Hip Fractures in the Elderly | BACKGROUND: Hip protectors, while effective in prevention of hip fractures, have been designed for a Caucasian body build and may not be suitable for Asian subjects living in a subtropical climate. OBJECTIVE: Hip protectors and accompanying shorts were specially designed for use for the Chinese body build and subtropic... |
0 | Is intralesional treatment of giant cell tumor of the distal radius comparable to resection with respect to local control and functional outcome? | Distal Radius Fractures | BACKGROUND: A giant cell tumor is a benign locally aggressive tumor commonly seen in the distal radius with reported recurrence rates higher than tumors at other sites. The dilemma for the treating surgeon is deciding whether intralesional treatment is adequate compared with resection of the primary tumor for oncologic... |
0 | Antinociceptive effects of lacosamide on spinal neuronal and behavioural measures of pain in a rat model of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Alterations in voltage-gated sodium channel (VGSC) function have been linked to chronic pain and are good targets for analgesics. Lacosamide (LCM) is a novel anticonvulsant that enhances the slow inactivation state of VGSCs. This conformational state can be induced by repeated neuronal firing and/or under... |
0 | Rheumatoid arthritis of the forefoot | Surgical Management of Osteoarthritis of the Knee CPG | Severe and often debilitating involvement of the forefoot is seen frequently in patients with rheumatoid arthritis. The combination of destructive synovitis and weight bearing leads to a spectrum of disorders causing pain, deformity, and eventual loss of function. In addition, advances in total knee and total hip arthr... |
0 | 1H-nuclear magnetic resonance studies of human synovial fluid in arthritic disease states as an aid to confirming metabolic activity in the synovial cavity | AMP (Acute Meniscal Pathology) | 1. A 1H-n.m.r. method was used to measure concentrations of valine, alanine, lactate, acetate, hyaluronan and lipids in synovial fluid obtained, during the normal course of examination from the knee joints of patients attending rheumatology and orthopaedic clinics. Fluid was available from 16 patients with osteoarthrit... |
0 | Parosteal osteosarcoma dedifferentiating into telangiectatic osteosarcoma: importance of lytic changes and fluid cavities at imaging | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: This study was performed to assess the imaging findings in cases of parosteal osteosarcoma dedifferentiated into telangiectatic osteosarcoma. Parosteal osteosarcoma is a low-grade well-differentiated malignant tumor. Dedifferentiation into a more aggressive lesion is frequent and usually visible on imaging as ... |
0 | Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of artificial limb attachment system | PJI DX Updated Search | Integral-Leg-Prosthesis (ILP) is a comparatively new attachment system that allows direct skeletal docking of artificial limbs. Between January 1999 and December 2013, 69 patients with transfemoral amputation were fitted with ILPs by a single German surgeon. Device design iterations and surgical techniques evolved duri... |
0 | Relationship between radiologic morphology of the bone lengthening formation and its complications | DoD SSI (Surgical Site Infections) | The objective was to study the different types of lengthened bone regeneration and their development during the various phases of the process to correlate them with patient factors and the surgical technique used, and to establish a possible relation between the development of the bone lengthening formation and the pro... |
0 | Rheumatoid arthritis is associated with higher ninety-day hospital readmission rates compared to osteoarthritis after hip or knee arthroplasty: a cohort study | PJI DX Updated Search | OBJECTIVE: To examine whether an underlying diagnosis of rheumatoid arthritis (RA) or osteoarthritis (OA) impacts the 90-day readmission rates after total hip arthroplasty (THA) or total knee arthroplasty (TKA). METHODS: We analyzed prospectively collected data from an integrated health care system, Total Joint Replace... |
0 | Male Body Contouring | Panniculectomy & Abdominoplasty CPG | Men are increasingly turning to dermatologists and plastic surgeons to request procedures that correct or enhance physical features. With the advent of this emerging new patient population, alterations in preexisting aesthetic techniques, gender-specific uses of existing devices and overall approaches need to be revisi... |
0 | Limb pain and swelling | DOD - Acute Comp Syndrome CPG | Limb pain and swelling is one of the 'Top 20' presentations in acute medicine. Patients present mainly with lower limb signs and symptoms, but upper limb presentations also occur and should be investigated and managed in a similar way. The causes can be divided into those producing bilateral changes, including fluid ov... |
0 | Periarticular infiltration for pain relief after total hip arthroplasty: a comparison with epidural and PCA analgesia | AAHKS (4) Acetaminophen | PURPOSE: Epidural and intravenous patient-controlled analgesia (PCA) are established methods for pain relief after total hip arthroplasty (THA). Periarticular infiltration is an alternative method that is gaining ground due to its simplicity and safety. Our study aims to assess the efficacy of periarticular infiltratio... |
1 | Prospective outcome study of 360 patients treated with liposuction, lipoabdominoplasty, and abdominoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Patient-reported data, including effects on quality of life, have not been previously prospectively evaluated in liposuction patients, or in abdominoplasty patients treated simultaneously with liposuction. This prospective outcome study was undertaken to evaluate and compare liposuction and abdominoplasty f... |
1 | Ultrasound evaluation of patients with moderate and severe carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The objective of this study is to determine cut-off points for the crosssectional areas of the median nerve proximal and distal to carpal tunnel in moderate and severe Carpal Tunnel Syndrome (CTS) and compare the results of our study with those available in the literature. Forty-three patients with upper limb pain othe... |
0 | The prevalence of cardiac valvular pathosis in patients with systemic lupus erythematosus | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of this study was to determine the prevalence of valvular pathosis in a population of patients with SLE, to assess the candidacy of such patients for antibiotic prophylaxis before dental treatment. The hospital records of 112 patients with SLE were reviewed and screened for endocarditis, heart murmurs, and ... |
0 | Aesthetic Refinement of the Abdominal Donor Site after Autologous Breast Reconstruction | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The abdominal donor site has consistently demonstrated excellent aesthetic outcomes when used for autologous breast reconstruction. However, a consistent point of dissatisfaction is the location and appearance of the abdominal donor-site scar, which can be a frequent cause of distress for the patient. The a... |
0 | The Masquelet technique combined with the muscle flap for use in emergency management of acute Gustilo type III trauma of the lower limb with segmental bone loss:Case series | DoD SSI (Surgical Site Infections) | BACKGROUND: Gustilo-Anderson type III traumas have been described as high-energy injuries with severe bone defects and extensive soft tissue damage, which remain a challenging entity, due to an inherent risk of infection, nonunion and even amputation. The emergency management of such severe trauma presents additional d... |
0 | Function and quality of life following medial unicompartmental knee arthroplasty in patients 60 years of age or younger | PJI DX Updated Search | INTRODUCTION: UKA is an appropriate bone-sparing solution for focal advanced knee osteoarthritis in young patients. As the expectations of patients younger than 60 years of age are different from those in an older population, we aimed to evaluate quality of life and the quality of sports activity after UKA in this popu... |
0 | Do ceramic femoral heads reduce taper fretting corrosion in hip arthroplasty? A retrieval study | PJI DX Updated Search | Background: Previous studies regarding modular head-neck taper corrosion were largely based on cobalt chrome (CoCr) alloy femoral heads. Less is known about head-neck taper corrosion with ceramic femoral heads. Questions/purposes: We asked (1) whether ceramic heads resulted in less taper corrosion than CoCr heads; (2) ... |
0 | Cost-effectiveness of referrals to high-volume hospitals: an analysis based on a probabilistic Markov model for hip fracture surgeries | Management of Hip Fractures in the Elderly | Previous studies suggest that German hospitals that perform a high volume of hip fracture surgeries have a lower mortality rate and shorter length of stay than low-volume hospitals. The goal of this paper was to determine the long-term cost-effectiveness (over 20 years) of referring hip fracture surgeries to high-volum... |
0 | Lumbar Epidural Corticosteroid Injection Reduces Subacute Pain and Improves Knee Function in the First Six Weeks After Total Knee Arthroplasty: A Double-Blinded Randomized Trial | AAHKS (2) Corticosteroids | BACKGROUND: Pain control immediately following total knee arthroplasty (TKA) has been a focus for orthopaedists. However, control of subacute pain, which may persist up to 3 months, is usually not optimized. The efficacy of epidural corticosteroids in reducing pain after surgery is documented, but data on their efficac... |
0 | Intra-articular injuries of the elbow: pitfalls of diagnosis and treatment | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Poor results in treating fractures and dislocations about the elbow may be avoided if the surgeon is aware of the possible injuries, examines good radiographs of both elbows, and treats the injury promptly and appropriately. A displaced fracture of the lateral or medial condyle of the humerus should be suspected if the... |
0 | Staged Suprapectoral Expander/Implant Reconstruction without Acellular Dermal Matrix following Nipple-Sparing Mastectomy | Acellular Dermal Matrix | BACKGROUND: Since the introduction of nipple-sparing mastectomy as an oncologically safe procedure for the treatment of breast cancer, reconstructive efforts for immediate staged expander/implant reconstruction have focused on submuscular implantation with or without acellular dermal matrix. Suprapectoral reconstructio... |
1 | Carpal tunnel syndrome: the new 'industrial epidemic' | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | 1. Symptoms of carpal tunnel syndrome (CTS) include numbness, tingling, and decreased sensation in the fingers. 2. The main occupational causes of CTS include repetitive wrist flexion and extension, strong gripping with ulnar deviation, impact forces on the palm, and vibratory forces. 3. Conservative treatment includes... |
0 | Influence of different prophylactic antibiotic regimens on implant survival rate: A retrospective clinical study | Dental Implant Infection | Background: The routine use of antibiotics in oral implant treatment seems to be widespread. The pre- or postoperative use of antibiotics in conjunction with implant surgery and its correlation with failure and success rates are poorly documented in the literature. The debate regarding overprescription of antibiotics r... |
0 | Self-reported upper extremity health status correlates with depression | Distal Radius Fractures | Background: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is the most widely used upper extremity-specific health-status measure. The DASH score often demonstrates greater variability than would be expected on the basis of objective pathology. This variability may be related to psychosocial factor... |
0 | Active surveillance of Streptococcus pneumoniae bacteremia in Italian children | Patrick’s pharmacoepidemiology project | There are few data published regarding the incidence of Streptococcus pneumoniae bacteremia in Italian children. A 14-month surveillance study was conducted in 10 paediatric hospitals to investigate the rate of Sp bacteremia in children aged less than 5 years. The serotype prevalence and antimicrobial susceptibility of... |
0 | Correlation between anatomical parameters of intertubercular sulcus and retroversion angle of humeral head | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVE: To obtain anatomical data on intertubercular sulcus of humerus, evaluate the correlation between intertubercular sulcus and retroversion angle of humeral head, to guide the positioning of torsion angle of prosthesis during total shoulder arthroplasty and provide references for shoulder prosthesis design.
MET... |
1 | Osteochondral autologous transplantation for the treatment of full-thickness cartilage defects of the shoulder: results at nine years | Glenohumeral Joint OA | We describe the outcome at a mean follow-up of 8.75 years (7.6 to 9.8) of seven patients who had undergone osteochondral autologous transplantation for full-thickness cartilage defects of the shoulder between 1998 and 2000. These patients have been described previously at a mean of 32.6 months when eight were included.... |
1 | Knee Extensor Rate of Torque Development Before and After Arthroscopic Partial Meniscectomy, With Analysis of Neuromuscular Mechanisms | AMP (Acute Meniscal Pathology) | Study Design Descriptive, prospective single-cohort longitudinal study. Background Though rapid torque development is essential in activities of daily living and sports, it hasn't been specifically tested by most physical therapists or incorporated into rehabilitation programs until late in the treatment process. Littl... |
0 | No Difference in Recovery of Patient-Reported Outcome and Range of Motion between Cruciate Retaining and Posterior Stabilized Total Knee Arthroplasty: A Double-Blind Randomized Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | Both from the perspective of the individual and from a socioeconomic point of view (e.g., return to work), it is important to have an insight into the potential differences in recovery between posterior cruciate ligament retaining (PCR) and posterior stabilized (PS) total knee arthroplasty (TKA) implants. The primary a... |
0 | A Randomized Study of Exercise and Fitness Trackers in Obese Patients After Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Functional limitations persist in obese patients after total knee arthroplasty (TKA). This study assessed the effect of an exercise program (EP) and fitness trackers (FT) in obese patients with TKA. Sixty patients 1 year after orthopedic surgery were recruited and received a 16-week tailored EP; half were randomized to... |
1 | Effectiveness of low-level laser therapy for patients with carpal tunnel syndrome: design of a randomized single-blinded controlled trial | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Carpal tunnel syndrome is the most common neuropathy in the upper extremity, resulting from the compression of the median nerve at wrist level. Clinical studies are essentials to present evidence on therapeutic resources use at early restoration on peripheral nerve functionality. Low-level laser therapy has... |
0 | Subcapital femoral neck fracture following successful trochanteric fracture treatment with a dynamic hip screw: a report of five cases | Management of Hip Fractures in the Elderly | A subcapital femoral neck fracture complicating a healed trochanteric fracture is rare. Such cases are managed in a rather heterogeneous manner, i.e. there exists a mixture of cases treated by either fixed angle devices or dynamic compression screws. We describe 5 patients who developed subcapital femoral neck fracture... |
0 | Septic complications after interlocking nailing of the tibia | DoD SSI (Surgical Site Infections) | Infection, the primary cause of nonunion and unsatisfactory results in operative fracture treatment, occurs with unsettling frequency in spite of modern surgical methods and antibiotics. In the literature we find infection rates after interlocking nailing (IN) of tibial fractures between 1% (Vecsei, 1981) and 6.3% (4.2... |
1 | Favorable radiographic outcomes using the expandable proximal femoral nail in the treatment of hip fractures - A randomized controlled trial | Hip Fx in the Elderly 2019 | Aim: To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures. Methods: A randomized controlled trial of sixty hip fracture patients. Outcomes included mortality, residency, independence, mobility, function ... |
1 | Surgical treatment for meniscal injuries of the knee in adults | AMP (Acute Meniscal Pathology) | BACKGROUND: Injuries to the knee menisci are common and operations to treat them are among the most common procedures performed by orthopaedic surgeons.
OBJECTIVES: To evaluate the effects of common surgical interventions in the treatment of meniscal injuries of the knee. The four comparisons under test were: a) surger... |
0 | Ultrasonographic evaluation of radial nerve injuries associated with pediatric chronic monteggia lesions | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction: To determine the ultrasonographic evaluation of the radial nerve (RN) before correction of chronic pediatric Monteggia lesions in patients with suspected nerve injury. Methods: Twelve consecutive children with Monteggia lesions were investigated. The cross-sectional area (CSA) of the nerve and the nerve-t... |
0 | Postoperative acute compartment syndrome in the nonoperated "well leg": implications to orthopaedic nursing | DoD - ACS - Interrater Reliability | Acute compartment syndrome after fractures and injuries and in operated limbs is a dreadful complication and is well known to orthopaedic nursing community. Acute compartment syndrome in a nonoperated leg after an orthopaedic procedure has been infrequently reported and discussed. It has been more commonly discussed in... |
1 | Clinical-electrophysiological correlations in the carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | 56 patients with carpal tunnel syndrome (CTS) with 84 hands affected were investigated. All patients were assessed clinically and electromyographically in order to find out whether there is a correlation between clinical signs and/or symptoms and the EMG data. A highly significant correlation was found between sensory ... |
0 | Influences of preservation at various temperatures on liposuction aspirates | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Aspirated fat is not only a filler material but also an abundant source of adipose-derived stem cells. The aim of this study was to assess degeneration of aspirated fat during preservation and optimize the preservation method for lipoaspirates. METHODS: Aspirated fat was preserved at room temperature for 1,... |
0 | Arthroscopic repair of osteochondritis dissecans of the femoral condyles with metal staple fixation: a report of 28 cases | Diagnosis and Treatment of Osteochondritis Dissecans AUC | In a retrospective clinical study we evaluated the outcome of arthroscopic repair of osteochondritis dissecans (OCD) of the femoral condyles with metal stable fixation. Twenty-eight knees of 26 patients (mean age 20 years) with OCD of the knee were treated by fixation of the fragments with Hoffmann's dynamic metal stap... |
0 | Recordings from human dorsal column nuclei using stimulation of the lower limb | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Responses from the surface of the dorsal column nuclei and the dorsal surface of the spinal cord were recorded using monopolar electrodes after stimulation of the lower limbs (common peroneal nerve at the knee and posterior tibial nerve at the ankle) in patients undergoing neurosurgical operations for spasmodic tortico... |
0 | Ipsilateral patellofemoral arthroplasty and autogenous osteochondral femoral condylar transplantation | Surgical Management of Osteoarthritis of the Knee CPG | The aim of this study was to report the results of ipsilateral patellofemoral arthroplasty and autologous osteochondral transplantation for patellofemoral arthritis and focal full-thickness chondral defects of the femoral condyles. The size of the condylar cartilage defects ranged from as small as 10 x 9 mm to as big a... |
0 | Distal motor axonal dysfunction in amyotrophic lateral sclerosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Nerve conduction slowing in amyotrophic lateral sclerosis (ALS) is usually caused by loss of fast motor axons. We studied the frequency, extent, and distribution of prominently prolonged distal motor latencies in ALS. We reviewed results of median, ulnar, and tibial nerve conduction studies in 91 patients with ALS, 24 ... |
1 | A prospective evaluation of the clinical utility of the lower-extremity injury-severity scores | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: High-energy trauma to the lower extremity presents challenges with regard to reconstruction and rehabilitation. Failed efforts at limb salvage are associated with increased patient mortality and high hospital costs. Lower-extremity injury-severity scoring systems were developed to assist the surgical team w... |
0 | Resident and Program Director Perceptions of Aesthetic Training in Plastic Surgery Residency: An Update | Panniculectomy & Abdominoplasty CPG | Background: This is the third survey exploring the quality of cosmetic training in plastic surgery residency. We focused on determining: (1) the applied modalities and extent of resident exposure; and (2) resident confidence in performing variable cosmetic procedures. Objectives: To analyze trends in resident exposure ... |
0 | Association between drug-specific indicators of prescribing quality and quality of drug treatment: A validation study | Hip Fx in the Elderly 2019 | Purpose: To evaluate the concurrent validity of three European sets of drug-specific indicators of prescribing quality Methods: In 200 hip fracture patients (â?¥65years), consecutively recruited to a randomized controlled study in Sahlgrenska University Hospital in 2009, quality of drug treatment at study entry was ass... |
0 | Macroscopic and histopathologic analysis of human knee menisci in aging and osteoarthritis | AMP (Acute Meniscal Pathology) | OBJECTIVE: Meniscus lesions following trauma or associated with osteoarthritis (OA) have been described, yet meniscus aging has not been systematically analyzed. The objectives of this study were to (1) establish standardized protocols for representative macroscopic and microscopic analysis, (2) improve existing scorin... |
0 | Inflammatory myopathy associated with mixed connective tissue disease and scleroderma renal crisis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Mixed connective tissue disease is a rheumatological syndrome with neuromuscular manifestations that may include inflammatory myopathy and carpal tunnel syndrome. We report a patient who presented with an inflammatory myopathy and bilateral carpal tunnel syndrome prior to the diagnosis of a connective tissue disorder. ... |
0 | Arteriovenous fistulae for hemodialysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Primary arteriovenous fistulae remain the gold standard for hemodialysis access. The radiocephalic or Brescia-Cimino fistula is the autologous fistula of choice, with a primary success rate of nearly 93% and a 1 -year patency rate of up to 82%. Alternative arteriovenous fistulae include the snuff box fistula and a brac... |
0 | Use of an articulated external fixator for fractures of the tibial plafond | DoD SSI (Surgical Site Infections) | We performed a prospective study of forty-nine displaced fractures of the tibial plafond in forty-eight patients managed, at three centers, with an articulated external fixator placed medially across the ankle joint. Forty ankles had interfragmental screw fixation of a reduced articular fracture, and fourteen ankles ha... |
0 | A Pilot Study of Computed Tomography-Detected Asymptomatic Pulmonary Filling Defects After Hip and Knee Arthroplasties | PJI DX Updated Search | We asked what the incidence of asymptomatic filling defects is on routine multidetector computed tomography (MDCT) in primary hip (total hip arthroplasty [THA]) and knee arthroplasties (TKA) patients. We prospectively performed MDCT scans on the first postoperative day for THA (n = 21)/TKA (n = 27). Patients underwent ... |
0 | The cost of nocturia in Europe | Management of Hip Fractures in the Elderly | Hypothesis / aims of study Nocturia is common and can have a profoundly negative effect on those living with the condition, mainly due to its impact on sleep. Nocturia is the leading cause of sleep disruption in adults aged (greater-than or equal to)55 years, but the consequence of poor sleep as a result of nocturia is... |
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