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0 | Impact of large-volume liposuction on serum lipids in orientals: a pilot study | Panniculectomy & Abdominoplasty CPG | Recent advances in liposuction techniques now make it possible to remove considerable amounts of subcutaneous adipose tissue. However, the metabolic consequences of this procedure are not well documented. The aim of this study was to identify the effects from the surgical removal of subcutaneous fat on the body weights... |
0 | Physiotherapy management of knee osteoarthritis in Nigeriaâ??A survey of self-reported treatment preferences | OAK 3 - Non-arthroplasty tx of OAK | Background knee osteoarthritis (OA) is a prevalent condition. Little is known about whether treatments provided by physiotherapists to patients with knee OA in Nigeria follow recommended clinical practice guidelines. Objective The aims of this study were to investigate Nigerian physiotherapistsâ?? treatment preferences... |
0 | Arthroscopic treatment of the young degenerative shoulder joint ; is there a role for interpositioning arthroplasty ? | Glenohumeral Joint OA | We evaluate our experience with arthroscopic interpositioning arthroplasty as a treatment of the young degenerative shoulder joint. Between 2007 and 2009 ten patients were treated with either a dermal allograft or a meniscal allograft. In seven patients the graft failed and within 13 months these were revised to a tota... |
0 | Solid organ transplant patients experience high rates of infection and other complications after total knee arthroplasty | PJI DX Updated Search | Survival after solid organ transplants in the United States is increasing, and there is a need to understand the complications in knee arthroplasty patients who underwent organ transplantation. A retrospective study was conducted from 1993-2008 on 19 patients (23 knee arthroplasties) with previous successful solid orga... |
0 | Perforation of the small intestine caused by fixation plate penetration into the abdomen | Management of Hip Fractures in the Elderly | The authors report a case of intestinal loop penetration and peritonitis caused by penetration of the tip of the fixation into the abdominal cavity after internal fixation of an unstable intertrochanteric fracture. Complete regression of acute infection was achieved by suturing the intestinal wound, removing the intern... |
0 | Vacuum phenomenon: prevalence and appearance in the knee with 3 T magnetic resonance imaging | AMP (Acute Meniscal Pathology) | OBJECTIVES: To determine the prevalence of vacuum phenomenon (VP) in the knee on magnetic resonance (MR) images, describe the imaging features that characterize VP, and assess how often VP mimics pathological knee lesions.
MATERIALS AND METHODS: Consecutive knee MR studies performed on a 3 T MR system over a 9-month pe... |
0 | A new technique in the treatment of distal radius fractures: The Micronail® | Distal Radius Fractures | Objective: In 2006, an intramedullar titanium osteosynthesis for the stabilization of distal radius fractures was introduced in The Netherlands: the Micronail®. The Micronail® can be used in approximately 30% of distal radius fracture treatments. This article presents the introduction of this new treatment, and first... |
0 | Treatment of femoral neck fractures in young adults | Management of Hip Fractures in the Elderly | Femoral neck fractures in physiologically young adults, which often result from high-energy trauma, are less common than intracapsular femoral neck fractures in elderly patients. They are associated with higher incidences of femoral head osteonecrosis and nonunion. Understanding the multiple factors that play a signifi... |
0 | Skeletal and Uterotrophic Effects of Endoxifen in Female Rats | Reduction Mammoplasty for Female Breast Hypertrophy | Endoxifen, the primary active metabolite of tamoxifen, is currently being investigated as a novel endocrine therapy for the treatment of breast cancer. Tamoxifen is a selective estrogen receptor modulator that elicits potent anti-breast cancer effects. However, long-term use of tamoxifen also induces bone loss in preme... |
0 | An algorithm recommendation for the management of knee osteoarthritis in Europe and internationally: A report from a task force of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) | Surgical Management of Osteoarthritis of the Knee CPG | Objectives: Existing practice guidelines for osteoarthritis (OA) analyze the evidence behind each proposed treatment but do not prioritize the interventions in a given sequence. The objective was to develop a treatment algorithm recommendation that is easier to interpret for the prescribing physician based on the avail... |
0 | Effect of single or combined treatment of naproxen, acetaminophen and omega- 3 on Knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Intervention 1: The first group receive acetaminophen(1000milligram(mg),q8h) for 6 weeks. Intervention 2: The second group receive naproxen(500 mg,q12h) for 6 weeks. Intervention 3: The third group receive naproxen(500 mg,q12h) and Omegaâ?3(1000 mg,q8h) for 6 weeks. Intervention 4: The fourth group recei... |
0 | Clinical Outcomes of Ready-Made J-Shaped Nail Fixation for Unstable Metacarpal Fractures | DoD SSI (Surgical Site Infections) | <b>Background:</b> The purpose of this study was to report the clinical outcomes of ready-made J-shaped intramedullary nail fixation for unstable metacarpal fractures. |
0 | Anterior thigh compartment syndrome after prone positioning for lumbosacral fixation | DOD - Acute Comp Syndrome CPG | We report a case of a patient who developed anterior thigh compartment syndrome after being positioned prone for instrumented lumbar spine surgery. Although rare, clinicians should be aware that compartment syndrome is a possible complication of spinal surgery. © 2012 Springer-Verlag. |
0 | The effects of rivaroxaban on the complications of surgery after total hip or knee replacement: results from the RECORD programme | PJI DX Updated Search | Post-operative complications after total hip or knee replacement can delay recovery, prolong hospitalisation, increase rates of re-admission and, in the most severe cases, lead to long-term disability or even death. In this analysis of pooled data from four large, randomised, phase III clinical trials that compared the... |
0 | Reliability of measuring long-standing lower extremity radiographs | Surgical Management of Osteoarthritis of the Knee CPG | The mechanical axis of the lower extremity was measured using preoperative long-standing radiographs in 56 patients undergoing total knee arthroplasty with the Stryker Navigation System (Stryker, Kalamazoo, Mich). Each radiograph was measured by four physicians, three times, in random order, and at delayed intervals. M... |
0 | Oral ulcers: clinical aspects. A tool for dermatologists. Part I. Acute ulcers | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Oral ulcers are generally painful lesions that are related to various conditions developing within the oral cavity. They can be classified as acute or chronic according to their presentation and progression. Acute oral ulcers are be associated with conditions such as trauma, recurrent aphthous stomatitis, Behcet's dise... |
0 | The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To examine if supervised progressive resistance training was superior to home-based exercise in rehabilitation after unicompartmental knee arthroplasty. DESIGN: Single blinded, randomized clinical trial. SETTING: Surgery, progressive resistance training and testing was carried out at Aarhus University Hospit... |
0 | Recovery time and patient satisfaction in ambulatory knee arthroscopy: Prospective study comparing three anaesthetic methods | Surgical Management of Osteoarthritis of the Knee CPG | The aim of this study was to compare recovery time and satisfaction of patients operated under two anaesthetic techniques. A randomised-controlled trial that enrolled ASA I-II patients submitted to ambulatory knee arthroscopy was designed. Patients included were randomly assigned to one of the three study groups: gener... |
0 | Ischaemic monomelic neuropathy (IMN) following vascular access surgery for haemodialysis: An under-recognized complication in non-diabetics | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Ischaemic monomelic neuropathy (IMN) is an infrequently recognized type of neuropathy, produced after acute arterial occlusion or reduced blood flow to an extremity. In the upper limb, it usually occurs after vascular access surgery for haemodialysis. IMN has been reported largely in diabetics with peripheral neuropath... |
1 | Treatment of isolated diaphyseal fractures of the radius with an intramedullary nail in adults | Distal Radius Fractures | BACKGROUND: The goal of the radius diaphysis fractures in surgical treatment is restoration of bone length, rotation correction and to secure fixation that allows early mobilization. The purpose of this study is evaluating the results of intramedullary (IM) radius nail for the treatment of isolated adult diaphyseal fra... |
0 | Economic return from the women's health initiative estrogen plus progestin clinical trial : A modeling study | HipFx Supplemental Cost Analysis | Background: The findings of the Women's Health Initiative (WHI) estrogen plus progestin (E+P) trial led to a substantial reduction in use of combined hormone therapy (cHT) among postmenopausal women in the United States. The economic effect of this shift has not been evaluated relative to the trial's $260 million cost ... |
0 | The threshold of bone mineral density for vertebral fractures in female patients with primary hyperparathyroidism | Distal Radius Fractures | BACKGROUND AND OBJECTIVE: Primary hyperparathyroidism (pHPT) is one of the causal diseases that induce secondary osteoporosis. Although patients with pHPT have reduced bone mineral density (BMD) especially at the cortical bone, there have been controversies about risk of fracture. Moreover, no reports have been availab... |
0 | A biomechanical comparison of two methods of fixation of fractures of the forearm | Distal Radius Fractures | In this study two different types of forearm internal fracture fixations were compared: limited-contact dynamic compression (DC) plates and fluted intramedullary (IM) rods. Eight matched pairs of intact forearms, consisting of the distal part of the humerus, elbow joint, radius, ulna, interosseus membrane, wrist joint,... |
0 | Vicarious resilience in sexual assault and domestic violence advocates | DoD PRF (Psychosocial RF) | OBJECTIVE: There is little research related to sexual assault and domestic violence advocates' experiences, with the bulk of the literature focused on stressors and systemic barriers that negatively impact efforts to assist survivors. However, advocates participating in these studies have also emphasized the positive i... |
0 | Salvage of recurrence after failed surgical treatment of hallux valgus | PJI DX Updated Search | Recurrence of the deformity is unfortunately a common occurrence following surgical treatment of hallux valgus. The underlying reason for recurrence is multifactorial and includes surgeon's factor, patient's factor, and deformity components that were not addressed at the index procedure. Salvage of recurrence can be ch... |
0 | Bone disease in Myeloma: The claws of CRAB | MSTS 2018 - Femur Mets and MM | A dynamic approach to use bisphosphonates according to biomarkers of bone metabolism is presented in the Z-MARK study by Raje and colleagues. This is a major step forward toward a rational approach to bisphosphonate usage. |
0 | Strain development in carpal scaphoid for various wrist positions: A cadaveric study using strain gauges | Distal Radius Fractures | In order to investigate the ideal position in which the wrist should be immobilized during scaphoid fracture, treatment the strains which are developed in the carpal scaphoid for various wrist positions has been recorded in cadaveric wrists, using strain gauges. The data obtained shows that during radial deviation with... |
0 | Cathepsin B Expression and the Correlation with Clinical Aspects of Oral Squamous Cell Carcinoma | MSTS 2018 - Femur Mets and MM | BACKGROUND: Cathepsin B (CTSB), a member of the cathepsin family, is a cysteine protease that is widely distributed in the lysosomes of cells in various tissues. It is overexpressed in several human cancers and may be related to tumorigenesis. The main purpose of this study was to analyze CTSB expression in oral squamo... |
0 | Second somatosensory area (SII) plays a significant role in selective somatosensory attention | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In order to explore human cortical areas involved in active attention toward a somatosensory modality, somatosensory evoked cortical magnetic fields were recorded in ten healthy adults with a 122-channel whole-head magnetometer while the subjects performed the selective attention task. Two kinds of stimulus modality, s... |
0 | In vivo high-resolution MR imaging of the carpal tunnel at 8.0 tesla | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To determine the feasibility of acquiring in vivo images of the human carpal tunnel at 8 tesla (T). DESIGN: The wrist of an asymptomatic volunteer was imaged with an 8 T /80 cm magnet. The subject was imaged prone with the arm over the head and the wrist placed in neutral position in a custom-built dedicated... |
0 | Construct validity of Comprehensive High-Level Activity Mobility Predictor (CHAMP) for male servicemembers with traumatic lowerlimb loss | DoD LSA (Limb Salvage vs Amputation) | This study examined the convergent construct validity of a new performance-based assessment instrument called the Comprehensive High-Level Activity Mobility Predictor (CHAMP) as a measure of high-level mobility in servicemembers (SMs) with traumatic lower-limb loss (LLL). The study was completed by 118 SMs. Convergent ... |
0 | Carpal tunnel syndrome in pregnancy - you need to ask! | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION: Carpal tunnel syndrome (CTS) is a common pregnancy complication. However, it is often overlooked by medical practitioners and patients alike. This study aimed to describe CTS in relation to pregnancy and assess how significant the disease was among pregnant women. METHODS: In a prospective cross-sectional... |
0 | Morphological analysis of knee synovial membrane biopsies from a randomized controlled clinical study comparing the effects of sodium hyaluronate (Hyalgan) and methylprednisolone acetate (Depomedrol) in osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The study was part of a randomized openâ?label clinical trial designed to evaluate the effects of intraâ?articular injections of hyaluronan (Hyalgan) (HY) in osteoarthritis (OA) of the human knee. Data were compared with those obtained after treatment with methylprednisolone acetate (Depomedrol) (MP). METH... |
0 | A cross-sectional study of risk factors for musculoskeletal symptoms in the workplace using data from the General Social Survey (GSS) | DoD PRF (Psychosocial RF) | OBJECTIVE: Assessments of potential risk factors for musculoskeletal disorders (MSDs) from large, national study populations using personal interviews are critical to our understanding of exposure-response relationships. To address this need, we analyzed two outcome measures-self-reported back pain and upper extremity ... |
1 | Platelet-Rich Plasma Compared With Other Common Injection Therapies in the Treatment of Chronic Lateral Epicondylitis | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | CLINICAL SCENARIO: Lateral epicondylitis (LE) is a relatively common pathology capable of producing chronic debilitation in a variety of patients. A newer treatment for orthopedic conditions is platelet-rich plasma (PrP) local injection.
FOCUSED CLINICAL QUESTION: Is PrP a more appropriate injection therapy for LE than... |
0 | Evaluation of patients with thoracic outlet syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This prospective study evaluated 50 patients with thoracic outlet syndrome. Detailed history and pain scale evaluation preceded physical examination, which included provocative tests (positional and compressive) and sensory evaluation (baseline and postprovocative vibration thresholds and two-point discrimination). Onl... |
0 | Meniscal repair enhancement techniques | AMP (Acute Meniscal Pathology) | Although other methods of meniscus repair enhancement are being investigated (e.g., growth factors, synthetic matrices, stem cells), the results are too preliminary to warrant speculation about their potential for clinical use. Repair of the white-white meniscal tear remains an enigma. Although repair enhancement techn... |
0 | Acupuncture: What Does the Most Reliable Evidence Tell Us? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Many trials of acupuncture and numerous systematic reviews have recently become available. Their conclusions are far from uniform. In an attempt to find the most reliable type of evidence, this article provides an overview of Cochrane reviews of acupuncture. Such reviews were studied, their details extracted, and they ... |
0 | Magnetic resonance imaging evidence of meniscal extrusion in medial meniscus posterior root tear | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate the relation between meniscal extrusion on magnetic resonance imaging (MRI) and tearing of the posterior root of the medial meniscus, as well as to understand the relation between meniscal extrusion and chondral lesions.
METHODS: From January 2007 to December 2008, 387... |
0 | Risk factors for revision surgery after humeral head replacement: 1,431 shoulders over 3 decades | MSTS 2022 - Metastatic Disease of the Humerus | Hypothesis: To assess the long-term risk of revision surgery and its predictors after humeral head replacement (HHR). Methods: We used prospectively collected data from the Mayo Clinic Total Joint Registry and other institutional electronic databases. Revision-free survival for HHR at 5, 10, and 20 years was calculated... |
0 | The Effect of Early Weight Bearing on Migration Pattern of the Uncemented CLS Stem in Total Hip Arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Forty-two patients (younger than 65 years) with osteoarthritis were operated on with an uncemented CLS stem and randomized to early unrestricted weight bearing combined with intensive physiotherapy or to partial weight bearing combined with self-training. Radiostereometric analysis showed 1.2 (+0.11 to -6.76) mm subsid... |
0 | Modest utility of quantitative measures in (18)F-fluorodeoxyglucose positron emission tomography scanning for the diagnosis of aortic prosthetic graft infection | PJI DX Updated Search | BACKGROUND: The clinical dilemma in suspected aortic graft infection (AGI) is how to noninvasively obtain a reliable proof of infection. In addition to confirming the presence of infection, obtaining information regarding the extent of infection to select a proper strategy for reoperation is also necessary. Therefore, ... |
0 | Time trends of age-adjusted incidence rates of first hip fractures: a register-based study among older people in Viborg County, Denmark, 1987-1997 | Management of Hip Fractures in the Elderly | INTRODUCTION: A retrospective cohort study was performed to investigate if incidence rates of first hip fractures are changing in a Danish county. Study material was obtained from an excerpt from a computerized national health register and covers the period 1987-1997. METHODS: First hip fractures were identified throug... |
0 | Front line treatment of elderly multiple myeloma in the era of novel agents | MSTS 2018 - Femur Mets and MM | Melphalan combined with prednisone (MP) has long been the historical treatment of reference for a large proportion of elderly myeloma (MM) patients ineligible for autologous stem cell transplantation, and is still the backbone of new regimens that include the new era of novel agents. Melphalan-prednisone-thalidomide (M... |
0 | Physicians measure up. A study of 13 surgical procedures | AMP (Acute Meniscal Pathology) | The Colorado Foundation for Medical Care Professional Standards Review Organization performed a six-month study in the latter half of 1978 to determine if the following surgical procedures were performed in accordance with the appropriate indications: primary appendectomy, cataract surgery, cholecystectomy, coronary ar... |
0 | Fear of falling in patients with hip fractures: prevalence and related psychological factors | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine the prevalence of fear of falling (FoF) in patients after a hip fracture, to investigate the relation with time after fracture, and to assess associations between FoF and other psychological factors. DESIGN: Cross-sectional study performed between September 2010 and March 2011 in elderly patient... |
0 | Assessment of chondrogenic differentiation potential of autologous activated peripheral blood stem cells on human early osteoarthritic cancellous tibial bone scaffold | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Current therapeutic regimens in osteoarthritis (OA) address mainly pain but not the slow progressive degradation of the extracellular matrix (ECM) and the loss of a chondrogenic phenotype in articular cartilage. In the present study, using an early OA cancellous bone scaffold, we aimed to uncover evidence... |
0 | Assessment and management of periodontal infections: a medical-surgical approach | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Over the last 30 years, significant advances have been achieved in elucidating the etiology, pathogenesis, and treatment of periodontal diseases. A new paradigm has emerged that includes the initiation of disease by specific bacteria within a biofilm that stimulate an immunoinflammatory host response, resulting in host... |
0 | Assessment of the risk of systemic fat mobilization and fat embolism as a consequence of liposuction: ex vivo study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Adverse consequences of liposuction, including those associated with fat embolism, have been reported in the literature. Fat embolism syndrome after liposuction may be underestimated because of the unspecific nature of the symptoms. The aim of this study was to determine whether there is a generic risk of t... |
0 | Subchondroplasty for Bone Marrow Lesions in the Arthritic Knee Results in Pain Relief and Improvement in Function | BMAC (Bone Marrow Aspirate Concentrate) | Subchondroplasty is a relatively new joint preserving procedure, which involves the localized injection of calcium pyrophosphate bone substitute into the bone marrow lesion. The advent of magnetic resonance imaging (MRI) has greatly facilitated the identification of these bone marrow lesions. We investigated the clinic... |
0 | Is lateral pin fixation for displaced supracondylar fractures of the humerus better than crossed pins in children? | DOD - Acute Comp Syndrome CPG | Background: Closed reduction and percutaneous pin fixation is considered standard management for displaced supracondylar fractures of the humerus in children. However, controversy exists regarding whether to use an isolated lateral entry or a crossed medial and lateral pinning technique. Questions/purposes: We performe... |
1 | The development of a population-based automated screening procedure for PTSD in acutely injured hospitalized trauma survivors | DoD PRF (Psychosocial RF) | Objective: This investigation aimed to advance posttraumatic stress disorder (PTSD) risk prediction among hospitalized injury survivors by developing a population-based automated screening tool derived from data elements available in the electronic medical record (EMR). Method: Potential EMR-derived PTSD risk factors w... |
1 | The pathophysiology of venous thromboembolism: implications with compression garments | Panniculectomy & Abdominoplasty CPG | The highest risk of venous thromboembolism lies with abdominoplasty and liposuction and deaths increase when combined with other procedures. The objective of this study was to evaluate physiologic changes in the deep venous system with compression-garments and asses whether there is a correlation between these procedur... |
0 | Unicondylar fractures of the distal humerus: an operative approach | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | This paper retrospectively reviews a series of 22 unicondylar fractures of the distal end of the humerus that were treated by open reduction and internal fixation over a 10 year period. The fracture patterns were classified according to the system of Muller et al. A strict rating scale was developed that incorporated s... |
0 | Liver disease and mortality among patients with hip fracture: A population-based cohort study | Hip Fx in the Elderly 2019 | Purpose: The aim of this study was to examine the prognostic impact of liver disease on mortality following hip fracture (HF). Patients and methods: This nationwide cohort study, based on prospectively collected data retrieved from Danish registries, included all patients diagnosed with incident HF in Denmark during 19... |
0 | Intramedullary osteosynthesis of complex proximal femoral fractures with the Targon PF nail | DoD SSI (Surgical Site Infections) | We evaluated the performance of the Targon PF nailing system in the treatment of complex proximal femoral fractures with a retrospective analysis of prospectively collected data for 94 patients with a complex proximal femoral fracture (subtrochanteric fracture or fracture with reversed fracture line pattern) treated wi... |
0 | Percutaneous Transphyseal Intramedullary Kirschner Wire Pinning: A Safe and Effective Procedure for Treatment of Displaced Diaphyseal Forearm Fracture in Children | Distal Radius Fractures | Percutaneous transphyseal intramedullary Kirschner wire (K-wire) fixation was performed for diaphyseal fracture of the forearm in 84 children. In 60 patients (71%) closed reduction was performed, while in the remaining 24 (29%) closed reduction was supplemented with a mini-open reduction. The K-wire was inserted transp... |
0 | Cost-effectiveness of fracture prevention in men who receive androgen deprivation therapy for localized prostate cancer | HipFx Supplemental Cost Analysis | BACKGROUND: Androgen deprivation therapy (ADT) increases the risk for fractures in patients with prostate cancer. OBJECTIVE: To assess the cost-effectiveness of measuring bone mineral density (BMD) before initiating ADT followed by alendronate therapy in men with localized prostate cancer. DESIGN: Markov state-transiti... |
0 | Arthroscopic inside-out repair of complete radial tears of the meniscus with a fibrin clot | AMP (Acute Meniscal Pathology) | PURPOSE: To report on the results of 12 complete radial tears of the meniscus treated using arthroscopic inside-out repair with fibrin clots, the results showed good meniscal healing and excellent clinical outcomes.
METHODS: From 2007 to 2009, 12 patients with complete radial tears of the meniscus were treated by arthr... |
0 | Three-dimensional analysis of the proximal anterior femoral flare and torsion. Anatomic bases for metaphyseally fixed short stems design | Hip Fx in the Elderly 2019 | PURPOSE: The use of femoral stems with a short metaphyseal fixation may lead to fractures or subsidence. Such failures may be related to a mismatch between the torsions or the sagittal flares of the stem and the femur. The goal of our study was to perform a 3D analysis of the proximal metaphyseal femur anatomy with a s... |
0 | Results of geometric arthroplasty for rheumatoid and osteoarthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | The Geometric Total Knee Arthroplasty was one of the earliest unconstrained knee arthroplasties available for the replacement of knees severely affected by destructive arthritis. This paper presents the results of Geometric knee arthroplasty performed by surgeons of the Alfred Hospital, Melbourne, during the years 1973... |
0 | The transtibial versus the anteromedial portal technique in the arthroscopic bone-patellar tendon-bone anterior cruciate ligament reconstruction | SR for PM on OA of All Extremities | The transtibial (TT) drilling of the femoral tunnel in the bone-patellar tendon-bone (BPTB) anterior cruciate ligament (ACL) reconstruction was found to place the tunnel non-anatomically. The use of the anteromedial portal (AMP) for the femoral drilling would provide the surgeon with more freedom to anatomically place ... |
0 | Subintimal Ki-67 as a synovial tissue biomarker for inflammatory arthropathies | AMP (Acute Meniscal Pathology) | OBJECTIVES: Ki-67 is expressed in the nuclei of dividing cells and can be used to assess proliferation of synovial inflammatory and stromal cells. We evaluated subintimal Ki-67+ cell density as a tissue biomarker for inflammatory arthropathies and compared it to subintimal CD68, a synovial biomarker of RA.
METHODS: Sub... |
0 | Fat transplantation for treatment of the senescent face | Panniculectomy & Abdominoplasty CPG | For more than a century, clinicians have attempted to utilize fat for the treatment of tissue deficiencies and contour abnormalities. Autologous fat transplantation for soft tissue augmentation has become increasingly popular in recent years. This has occurred as a result of the present authors' comprehension that the ... |
0 | What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study | Hip Fx in the Elderly 2019 | BACKGROUND: Hip dislocation after treatment of a femoral neck fracture with a hemiarthroplasty remains an important problem in the treatment of hip fractures, but the associations between patient factors and surgical factors, and how these factors contribute to dislocation in patients who have undergone bipolar hemiart... |
0 | Donor site morbidity with reamer-irrigator-aspirator (RIA) use for autogenous bone graft harvesting in a single centre 204 case series | DoD SSI (Surgical Site Infections) | Donor site morbidity and complication rate using the reamer-irrigator-aspirator (RIA) system for intramedullary, non-structural autogenous bone graft harvesting were investigated in a retrospective chart and radiographic review at a University affiliated Level-1 Trauma Centre. 204 RIA procedures in 184 patients were pe... |
1 | Arthroscopic repair of rotator cuff tears using absorbable anchors with a single-row technique | Optimizing the Management of Full-Thickness Rotator Cuff Tears | PURPOSE: To review outcomes of arthroscopic repair of rotator cuff tears using absorbable anchors with a single-row technique. METHODS: 66 patients underwent arthroscopic repair for rotator cuff tears using absorbable anchors with a single-row technique. 51 of them aged 37 to 73 (mean, 57) years had been followed up fo... |
0 | A high ratio of dietary animal to vegetable protein increases the rate of bone loss and the risk of fracture in postmenopausal women. Study of Osteoporotic Fractures Research Group | Management of Hip Fractures in the Elderly | BACKGROUND: Different sources of dietary protein may have different effects on bone metabolism. Animal foods provide predominantly acid precursors, whereas protein in vegetable foods is accompanied by base precursors not found in animal foods. Imbalance between dietary acid and base precursors leads to a chronic net di... |
0 | Anomalous muscle belly to the index finger | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An unusual variation of flexor digitorum superficialis was observed during the cadaver dissection. The flexor digitorum superficialis (FDS) had a normal origin and insertion, except to the index finger, where a muscle belly replaced the tendon of FDS. The unusual muscle belly originated as a continuation of FDS tendon ... |
0 | Trauma related to falls from trees treated in a specialized trauma centre in Burkina-Fasoâ??one hundred and six cases treated in one year | Distal Radius Fractures | Purpose: Falls from trees related traumas are rarely reported in literature. They are public health problems in developing countries where their frequency is still important. The aim of the study is to describe falls from trees related trauma patterns and to present preventative measures. Methods: An annual ongoing pro... |
0 | Does the application of tape influence quadriceps sensorimotor function in knee osteoarthritis? | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Using additional data from two previously reported studies, the aim was to determine the effects of immediate and shortâ?term continuous (3 weeks) application of knee tape on quadriceps sensorimotor function in individuals with symptomatic knee osteoarthritis (OA). METHODS: A withinâ?subjects study (n = 1... |
0 | The efficacy of 48-week oral ibandronate treatment in postmenopausal osteoporosis when taken 30 versus 60 minutes before breakfast | Management of Hip Fractures in the Elderly | Since effective prevention and treatment of osteoporosis demands a high degree of long-term compliance, optimization of the dosing regimen in terms of efficacy and convenience of drug intake is a critical issue of oral bisphosphonate treatment. The purpose of the present study was to investigate whether the efficacy of... |
0 | Twenty years with the 'ball' personal technique for breast reduction | Reduction Mammoplasty for Female Breast Hypertrophy | The authors present their personal technique for breast reduction. They call it the 'Ball' technique because of the shape that the breast acquires when it is remodeled. Their philosophy is to achieve a new breast and cover it with two layers, the internal one dermal and the external one cutaneous, without detaching the... |
0 | Is there still a role for osteoarticular allograft reconstruction in musculoskeletal tumour surgery? | DoD SSI (Surgical Site Infections) | Aims: To assess complications and failure mechanisms of osteoarticular allograft reconstructions for primary bone tumours. Patients and Methods: We retrospectively evaluated 38 patients (28 men, 74%) who were treated at our institution with osteoarticular allograft reconstruction between 1989 and 2010. Median age was 1... |
0 | Asymptomatic peripheral vascular disease in total knee arthroplasty: preoperative prevalence and risk factors | OAK 3 - Non-arthroplasty tx of OAK | Background: Although vascular disease is commonly accepted as a risk factor for wound complications and prosthetic joint infections, little is known about the preoperative prevalence of lower-extremity peripheral vascular disease in patients undergoing total knee arthroplasty (TKA). In this study, we investigated the p... |
0 | The effects of a moderate exercise program on knee osteoarthritis in male wistar rats | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE(S): Osteoarthritis (OA) or degenerative joint disease is the commonest form of arthritis and can lead to joint pain, decrease in joint's range of motion, loss of function, and ultimately disability. Exercise is considered as one of the non-pharmacological treatments of OA. But the effects of exercise on knee ... |
0 | Evaluation of the usefulness of intrathecal bupivacaine infusion for analgesia after hip and knee arthroplasty | AAHKS (8) Anesthetic Infiltration | Spinal anaesthesia in 47 ASA I-III patients was induced with 0.5% bupivacaine 2 ml via a 28-gauge spinal catheter (L3-4 interspace) and 0.5-ml increments were given if needed before or during hip or knee arthroplasty. Intrathecal 24-h infusions consisted of 0.5% bupivacaine 0.4 ml h-1 (2 mg h-1) (n = 12), 0.5% bupivaca... |
0 | Anterior reconstructive spinal surgery with Zielke instrumentation for metastatic malignancies of the spine | MSTS 2018 - Femur Mets and MM | From March 1984 to April 1996, 60 consecutive patients with spinal metastasis underwent palliative surgery by anterior corpectomy and Zielke instrumentation. Their ages ranged from 21 to 76 years (mean 54 years). Thirty-two patients had metastasis to the thoracic spine, 20 to the lumbar spine, and 8 had both thoracic a... |
1 | Diagnosis and treatment of cuff tear arthropathy | Glenohumeral Joint OA | Rotator cuff tears account for a significant majority of shoulder pain presentations. Without diagnosis and management, advanced cuff tears may progress to cuff tear arthropathy, a degenerative arthritis condition of the shoulder. This article discusses the causes and management of cuff tear arthropathy, including defi... |
0 | Sonography of tendons | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Musculoskeletal ultrasonography (MSUS) has been refined by improved examination techniques and higher frequency transducer technology. Sonography is the modality of choice in the screening of tendon disorders. The accuracy in diagnosing tendon lesions has improved with better understanding of the sonographic anatomy an... |
0 | Mono- and Combined Therapy of Metastasizing Breast Carcinoma 4T1 with Zoledronic Acid and Doxorubicin | MSTS 2018 - Femur Mets and MM | The efficiency of monotherapy with zoledronic acid (Resorba), doxorubicin, and their combination was studied on the model of metastasizing breast carcinoma in BALB/c mice. Doxorubicin monotherapy was accompanied by a significant increase in median survival up to 57 days (vs. 34 and 35 days in control groups); 27% anima... |
1 | Incidence and risk factors of injuries and their impact on academic success: A prospective study in PETE students | DoD PRF (Psychosocial RF) | Injuries can have a major impact on the physical performance and academic career of physical education teacher education (PETE) students. To investigate the injury problem, risk factors, and the impact of injuries on academic success, 252 PETE students were followed during their first semester. Risk factor analysis was... |
0 | Management of Periprosthetic Femur Fractures | PJI DX Updated Search | Total joint replacement (TJR) is among the most clinically successful reconstructive surgeries in orthopaedics. The incidence of periprosthetic femur fractures has increased for many reasons, including longer duration of in situ use of the TJRs, more active lifestyle, wear debris and associated osteolysis, and trauma. ... |
1 | The outcome at 15 years of endoscopic anterior cruciate ligament reconstruction using hamstring tendon autograft for 'isolated' anterior cruciate ligament rupture | Anterior Cruciate Ligament Injuries CPG | The purpose of this study was to report the outcome of 'isolated' anterior cruciate ligament (ACL) ruptures treated with anatomical endoscopic reconstruction using hamstring tendon autograft at a mean of 15 years (14.25 to 16.9). A total of 100 consecutive men and 100 consecutive women with 'isolated' ACL rupture under... |
0 | Identification of hip fracture patients from radiographs using fourier analysis of the trabecular structure: A cross-sectional study | Management of Hip Fractures in the Elderly | Background: This study presents an analysis of trabecular bone structure in standard radiographs using Fourier transforms and principal components analysis (PCA) to identify contributions to hip fracture risk. Methods: Radiographs were obtained from 26 hip fracture patients and 24 controls. They were digitised and five... |
0 | The trauma and acute care surgeon in the COVID-19 pandemic era | Coronavirus Disease 2019 (COVID-19) | The World Health Organization recognized in March 2020 the existence of a pandemic for the new coronavirus that appeared in China, in late 2019, and whose disease was named COVID-19. In this context, the SBAIT (Brazilian Society of Integrated Care for Traumatized Patients) conducted a survey with 219 trauma and emergen... |
0 | The geometric osteotomy: joint preservation in juxta-articular surface bone neoplasms | MSTS 2022 - Metastatic Disease of the Humerus | Purpose . To present the oncologic and functional results of a consecutive series of patients treated by geometric osteotomy and allograft reconstruction for juxta-articular surface bone neoplasms.Patients. Twelve consecutive patients (mean age 28 years) underwent excision of benign aggressive or malignant juxta-articu... |
0 | Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging | AMP (Acute Meniscal Pathology) | PURPOSE: To determine the incidence of ramp lesions and posteromedial tibial plateau (PMTP) bone bruising on magnetic resonance imaging (MRI) in patients with multiligament knee injuries (MLKIs) and an intact anterior cruciate ligament (ACL).
METHODS: A retrospective review of consecutive patients surgically treated fo... |
1 | MR imaging based strategies in limb salvage surgery for osteosarcoma of the distal femur | MSTS 2018 - Femur Mets and MM | Objective. To analyse to what extent MR imaging based decisions were correct in determining the surgical procedure in patients with osteosarcoma of the distal femur. Design. We compared the findings on MR imaging that determined the surgical strategy with the actual surgical findings or histopathological specimen. We a... |
1 | Long-term effectiveness of steroid injections and splinting in mild and moderate carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | To evaluate the long-term efficacy of non-surgical treatment methods for mild and moderate carpal tunnel syndrome, 120 patients with clinical symptoms and electrophysiologic evidence were included in a prospective, randomized and blinded trial: 60 patients were instructed to wear splints every night, 30 received inject... |
0 | The malignant clone and the bone-marrow environment | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) is characterized by the clonal expansion of monoclonal immunoglobulin-secreting plasma cells within the bone marrow (BM). It has become clear that the intimate reciprocal relationship between the tumor cell clone and the niches of the BM microenvironment plays a pivotal pathophysiologic role in MM... |
0 | Reorientational proximal femoral osteotomies for arthrogrypotic hip contractures | Pediatric Diaphyseal Femur Fractures 2020 Review | Background: Severe hip contractures in arthrogrypsosis are multiplanar, which can preclude or can greatly complicate sitting and ambulation. The reorientational osteotomy at the intertrochanteric level preserves preoperative hip motion but moves it to a more functional domain. We retrospectively compared preoperative a... |
0 | Fatigue contributes to the strength training stimulus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | To investigate the role of fatigue in strength training, strength increases produced by a training protocol in which subjects rested between contractions were compared with those produced when subjects did not rest. Forty-two healthy subjects were randomly allocated to either a no-rest group, a rest group, or a control... |
1 | Total hip replacement in congenital dislocation and dysplasia of the hip | Developmental Dysplasia of the Hip CPG | The results of thirty-one total hip replacements in twenty-four patients with either severe congenital dysplasia or dislocation, after an average follow-up of four years, were excellent in eleven, good in sixteen, fair in one, and poor in one. The operative technique included superolateral bone grafts to increase the a... |
0 | Diagnosis of acute maxillofacial infections: the role of computerized tomography | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Most acute maxillofacial infections are diagnosed by conventional dental and maxillofacial radiographic techniques. Computed tomography has greatly improved our ability to evaluate infections of the maxillofacial region that originate or extend into the contiguous soft tissues and paranasal sinuses. Four cases in which... |
0 | Distal humerus fractures nonunion with elbow stiffness in working adults: Can triple tension band technique and Lambda Plate(®) be a standby solution? | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Distal humerus fracture nonunion and associated elbow stiffness are two intermingled orthopaedic challenges for working adults. This prospective study aimed to evaluate the short-term results of the triple tension band and Lambda plate in managing both problems. METHODS: The study included fourteen cases. T... |
0 | Geometric mismatch of the gamma nail to the Chinese femur | Management of Hip Fractures in the Elderly | The geometric mismatch of the femoral component of the Gamma nail to the Chinese femora resulted in intraoperative complications. To provide scientific data for modification of the implant, 28 pairs of normal Chinese femora were studied with the 3-dimensional reconstruction from the computed tomography scan data. Measu... |
0 | Pediatric Sports Medicine Injuries: Common Problems and Solutions | Osteochondritis Dissecans 2020 Review | The treatment of sports injuries in the skeletally immature has a unique set of complications. Growth deformity may occur after anterior cruciate ligament reconstruction; therefore, skeletal age is used to help guide the choice between physeal sparing and transphyseal techniques. Arthrofibrosis after tibial spine fract... |
0 | A New Guide for the Arthroscopically Assisted Latarjet Procedure | DoD SSI (Surgical Site Infections) | The Latarjet procedure is a commonly used treatment for recurrent shoulder instability. However, its neurological complication rate has been reported to be as high as 10%. During the Latarjet procedure, the neurovascular structures are relocated inferiorly and medially. I hypothesized that the risk of nerve injury woul... |
0 | Frailty in Surgical Preoperative Evaluation and Postoperative Recovery | Hip Fx in the Elderly 2019 | Purpose of Review: Major abdominal surgery in the elderly is challenging and complex. Frailty as a clinical entity in the elderly is increasingly recognized as a useful assessment tool to identify at-risk patients. We aim to review recent literature on frailty in surgical preoperative evaluation and postoperative recov... |
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