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0 | Prevention of osteoporosis: cost-effectiveness of different pharmaceutical treatments | Management of Hip Fractures in the Elderly | The cost-effectiveness of different pharmaceutical programmes to prevent osteoporosis has been compared. The following pharmaceutical treatments were analysed and compared: calcium supplementation, etidronate and calcitonin. As a benchmark for comparison, oestrogen replacement therapy, in the form of both pills and pla... |
0 | Patients' awareness, utilization, and satisfaction with treatment modalities for the management of their osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | The objective of this study was to evaluate the knowledge, awareness, utilization, and satisfaction of patients with different treatment modalities for osteoarthritis (OA). Patients with a diagnosis of OA of the knee or hip who had attended a rheumatology referral clinic over the preceding 2 years were eligible. A six-... |
0 | Incident osteoarthritis and osteoarthritis-related joint replacement surgery in patients with ankylosing spondylitis: A secondary cohort analysis of a nationwide, population-based health claims database | OAK 3 - Non-arthroplasty tx of OAK | Background: Ankylosing spondylitis (AS) might be associated with an increased risk of secondary osteoarthritis. However, there is a lack of studies assessing its impact on osteoarthritis-related surgery. The aim of this secondary cohort study was to investigate the risk of symptomatic osteoarthritis and osteoarthritis-... |
0 | Next-Generation Marrow Stimulation Technology for Cartilage Repair: Basic Science to Clinical Application | Osteochondritis Dissecans 2020 Review | »: Given the relatively high prevalence of full-thickness articular cartilage lesions, including in patients who are <40 years of age, and an inability to detect some of these lesions until the time of arthroscopy, there is value in performing a single-stage cartilage procedure such as marrow stimulation (MS). »: While... |
0 | Trauma experience in the UK and Ireland: Analysis of orthopaedic training using the FHI eLogbook | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Surgical trainees routinely provide evidence of their training and operative experience for assessment. National comparative data on the number of procedures performed during training was previously unavailable in the UK. Since 2003 every trainee in Trauma and Orthopaedics (T&O) in the UK and Ireland has submitted data... |
0 | First-generation autologous chondrocyte implantation in patients with cartilage defects of the knee: 7 to 14 years' clinical and magnetic resonance imaging follow-up evaluation | Diagnosis and Treatment of Osteochondritis Dissecans AUC | PURPOSE: The purpose of this study was to evaluate the overall long-term improvement of autologous chondrocyte implantation (ACI) treatment in terms of patient satisfaction, clinical assessment, and magnetic resonance imaging (MRI) evaluation. Furthermore, we aimed to assess the impact of independent variables on clini... |
0 | Osteoporosis in men with prostate carcinoma receiving androgen-deprivation therapy: recommendations for diagnosis and therapies | Management of Hip Fractures in the Elderly | BACKGROUND: Androgen-deprivation therapy (ADT) is prescribed with increasing frequency for men with prostate carcinoma. There is growing concern about the effects of such therapy on the skeleton. In the current review, the authors addressed the current research, diagnostic methods, and treatment recommendations for bon... |
0 | Traumatic hip dislocation in Cotonou | Hip Fx in the Elderly 2019 | Purpose: Traumatic hip dislocation is an emergency. We studied their epidemiological, and therapeutic characteristics at Cotonou. Methods: This was a retrospective study from 2006 to 2014 including all inpatient for traumatic hip dislocation, whose minimum follow-up was 12 months. Results: Twenty-three cases in which 1... |
1 | Documentation of strength training for research purposes after ACL reconstruction | Anterior Cruciate Ligament Injuries CPG | PURPOSE: The purpose of this systematic literature review was to evaluate strength training protocol documentation during rehabilitation after anterior cruciate ligament (ACL) reconstruction. The aim was further to present recommendations concerning what components (i.e. methods, principles and training variables) coul... |
0 | Epidemiological survey of quantitative ultrasound in risk assessment of falls in middle-aged and elderly people | Distal Radius Fractures | UNLABELLED: The risk assessment of falls is important, but still unsatisfactory and time-consuming. Our objective was to assess quantitative ultrasound (QUS) in the risk assessment of falls. Our study was designed as epidemiological cross-sectional study occurring from March 2009 to February 2010 by community survey at... |
0 | What is the significance of monoclonal gammopathy of undetermined significance? | MSTS 2018 - Femur Mets and MM | Monoclonal gammopathy of undetermined signifi cance (MGUS) is characterised by the presence of a monoclonal paraprotein in the blood, without the characteristic end organ damage seen in multiple myeloma. MGUS is more common in older age groups and has a risk of progression to myeloma of 1% per year. Population screenin... |
0 | Sensitivity to Change of a Computer Adaptive Testing Instrument for Outcome Measurement After Hip and Knee Arthroplasty and Periacetabular Osteotomy | OAK 3 - Non-arthroplasty tx of OAK | Study Design Clinical measurement study. Background Computer adaptive testing (CAT) methods may allow detection of change across the continuum of osteoarthritis (OA) care. |
1 | Decreasing time trend in SSI incidence for orthopaedic procedures: surveillance matters! | DoD SSI (Surgical Site Infections) | BACKGROUND: Infection is the most common reason for early revision after hip and knee arthroplasty, and the revision rate is increasing. Surgical site infection (SSI) surveillance data are important to assess the true infection rate. There is little information regarding the potential time trend in SSI incidence follow... |
0 | KNEE JOINT STRUCTURAL CHANGES IN OSTEOARTHRITIS AND INJECTIONS OF PLATELET RICH PLASMA AND BONE MARROW ASPIRATE CONCENTRATE | PRP (Platelet-Rich Plasma) | The article presents the results of an experimental study on the knee joint structural changes and morphometric evaluation of articular cartilage with the injections of platelet rich plasma (PRP) and bone marrow aspirate concentrate (BMAC). Cartilage defect, anterior cruciate ligament intersection and medial meniscus r... |
0 | Work-related carpal tunnel syndrome: Current concepts | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal Tunnel Syndrome (CTS) has been the subject of a growing number of studies, most of them leading to contradictory outcomes. The dual aim of this paper is to provide the foundation for a thorough understanding of CTS history, and to emphasize the strong relationship between upper extremity activities and occupatio... |
1 | Anesthetic management in early recovery after surgery protocols for total knee and total hip arthroplasty | AAHKS (9/10) Regional Nerve Blocks | The aim of this integrative review was to provide current, evidence-based anesthetic and analgesic recommendations for inclusion in an Enhanced Recovery After Surgery (ERAS) protocol for patients undergoing total knee arthroplasty (TKA) or total hip arthroplasty (THA). Articles published between 2006 and December 2016 ... |
0 | Influence of control group on effect size in trials of acupuncture for chronic pain: A secondary analysis of an individual patient data meta-analysis | SR for PM on OA of All Extremities | Background: In a recent individual patient data meta-analysis, acupuncture was found to be superior to both sham and non-sham controls in patients with chronic pain. In this paper we identify variations in types of sham and non-sham controls used and analyze their impact on the effect size of acupuncture. Methods: Base... |
0 | Pitfalls in diagnosing carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The aim of this paper is to point out the differential diagnosis be-tween a thumb hypoplasia type 1/11 and a carpal tunnel syndrome. Both syndromes have symptoms in common. Two children and an adult with hypoplastic thumbs were sent to our department with the diagnosis carpal tunnel syndrome. In both children, the diag... |
1 | The timing of drain removal-empiricism or science? | Panniculectomy & Abdominoplasty CPG | Surgical drains are commonly used in plastic surgery. Drains are subsequently removed at arbitrary volumes depending on local protocols. The rational for when to remove a drain has not been scientifically determined. We compared removal of drains at â?¤30 ml/24 h vs. â?¤50 ml/24 h for 158 wounds, in 90 patients. Postop... |
0 | Single-stage revision for periprosthetic hip infection using antibiotic loaded impaction graft | Hip Fx in the Elderly 2019 | Background: Staged revision for periprosthetic infection of the hip is an accepted and widely used technique by many surgeons. However, single-stage exchange of the hip prosthesis remains an attractive option to others because of the advantages of reduced morbidity, shorter treatment time and hospital stay in addition ... |
0 | Continuing medical education article - Body contouring. Gynecomastia | Reduction Mammoplasty for Female Breast Hypertrophy | The male patient's degree of breast sagging is the guideline that this author uses to determine the correct surgical approach to gynecomastia. When the patient has no sagging, a small infraareolar incision suffices. With significant sagging, alternative incisions are usually necessary for skin excision and areolar repo... |
1 | Long-term outcome of head injuries: A 23 year follow up study of children with head injuries | DoD PRF (Psychosocial RF) | Conducted a 23-yr follow-up study to determine the relationship between trauma variables, including measures of head injury and very long-term sequelae, in 159 head-injured adults (mean age 8 yrs at the time of the injury). Extent of head injury was determined by unconsciousness, neurological status, skull fracture, EE... |
0 | Bone fractures in the haemophilic patient | DOD - Acute Comp Syndrome CPG | The goal of modern fracture treatment is to obtain an optimal outcome, with the patient's return to full activity as soon as possible. Nowadays, internal stabilization is indicated in most displaced fractures in adults, whereas external fixation remains the best choice for initial stabilization with severe soft-tissue ... |
0 | Psycho-social reflections on craniofacial morphogenesis | DoD PRF (Psychosocial RF) | Psychologists are now increasingly involved in understanding the challenges faced by people who experience facial disfigurements from many causes (congenital, traumatic, oncological, iatrogenic, neurological, ophthalmological or dermatological). This article describes how the author has combined the lessons of his pers... |
0 | One-stage debridement and knee fusion for infected total knee arthroplasty using the hybrid frame | Surgical Management of Osteoarthritis of the Knee CPG | In 1997 and 1998, a hybrid fixator was used for a one-step arthrodesis in 2 cases of infected total knee arthroplasty. One patient had rheumatoid arthritis, and the other had an infected reimplant arthroplasty. Neither patient was a candidate for reimplantation. Fusions were achieved with the hybrid frame in an average... |
0 | A biodegradable gentamicin-hydroxyapatite-coating for infection prophylaxis in cementless hip prostheses | PJI DX Updated Search | A degradable, poly (lactic-co-glycolic acid) (PLGA), gentamicin-loaded prophylactic coating for hydroxyapatite (HA)-coated cementless hip prostheses is developed with similar antibacterial efficacy as offered by gentamicin-loaded cements for fixing traditional, cemented prostheses in bone. We describe the development p... |
0 | The amplitude of Mmax in human wrist flexors varies during different muscle contractions despite constant posture | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The amplitude of the maximal direct motor response (Mmax) elicited by supramaximal peripheral nerve stimulation can vary with time and with changes in muscle length. We sought to investigate the variability in the amplitude of Mmax in the human wrist flexors (flexor carpi radialis, FCR) at a constant joint position dur... |
0 | Novel organ-slice culturing system to simulate meniscal repair: Proof of concept using a synovium-based pool of meniscoprogenitor cells | AMP (Acute Meniscal Pathology) | Meniscal injuries can occur secondary to trauma or be instigated by the changes in knee-joint function that are associated with aging, osteo- and rheumatoid arthritis, disturbances in gait, and obesity. Sixty percent of persons over 50 years of age manifest signs of meniscal pathology. The surgical and arthroscopic mea... |
0 | The impact of knee instability with and without buckling on balance confidence, fear of falling and physical function: The Multicenter Osteoarthritis Study | OAK 3 - Non-arthroplasty tx of OAK | Objective: Knee buckling, in which a knee gives way during weight-bearing, is common in people with knee pain and knee osteoarthritis (OA), but little is known about the prevalence of sensations of knee instability, slipping or shifting in which the knee does not actually buckle, or of the psychosocial and physical con... |
0 | Medical aspects of drug use in the gym | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Use of performance-enhancing drugs by athletes and bodybuilders appears to be common in the UK. Although there are no comprehensive national figures, there is evidence that such drugs are also widely used in sections of the general and gym-using populations, in the expectation of physical and cosmetic benefits. Use of ... |
0 | Toxic acute tubular necrosis following treatment with zoledronate (Zometa) | MSTS 2018 - Femur Mets and MM | Background. Renal failure and toxic acute tubular necrosis (ATN) may be seen following exposure to a variety of therapeutic agents. Zoledronate (Zometa) is a new, highly potent bisphosphonate used in the treatment of hypercalcemia of malignancy. We report the first clinical-pathologic study of nephrotoxicity associated... |
1 | Hyaluronic acid for the treatment of osteoarthritis in all joints except the knee: what is the current evidence? | Glenohumeral Joint OA | BACKGROUND: The use of intra-articular hyaluronic acid (HA) is a well known treatment in patients with knee osteoarthritis (OA). In other joints, less evidence is available about the efficacy of treatment with intra-articular HA. HA is also used intra-articularly in the metatarsophalangeal-1 joint, the ankle, the hip, ... |
0 | Role of hyaluronic Acid in early diagnosis of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Osteoarthritis of knee is traditionally diagnosed on the basis of clinical and radiological findings. Usually joint tissue degeneration is already advanced by the time a clinical diagnosis is made, hence the research focus has now shifted to use of biomarkers to diagnose the condition at an early stage of... |
0 | Skin-reducing mastectomy with immediate implant reconstruction as an indispensable tool in the provision of oncoplastic breast services | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Skin-reducing mastectomy (SRM) is a method of immediate breast reconstruction derived from a Wise breast reduction incision pattern that enables immediate subpectoral implant placement after mastectomy. Its virtue lies in the manner it provides for adequate implant coverage using muscle and a deepithelializ... |
0 | Bacterial arthritis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Reports pertinent to bacterial arthritis in 1997 included two large, multi-year surveys of joint infection in patients from defined European health districts, noting trends including the declining incidence of gonococcal arthritis and an increasing number of prosthetic joint infections. Children with infected joints ge... |
0 | Abdominal compartment syndrome--an old syndrome, a new perspective | DoD - ACS - Interrater Reliability | The abdominal compartment syndrome is a life threatening condition resulting from pathologic elevation of the intraabdominal pressure. Prompt diagnosis is required to avoid significant sequelae. Diagnosis of this syndrome is based on clinical findings and intra abdominal pressure monitoring. Treatment consists of decom... |
0 | Delirium after fast-track hip and knee arthroplasty | AAHKS (5) Gabapentinoids | BACKGROUND: Postoperative delirium (PD) is a serious complication after major surgery in elderly patients. PD is well defined and characterized by reduced attention and disorientation. Multimodal optimization of perioperative care (the fast-track methodology) enhances recovery, and reduces hospital stay and medical mor... |
0 | Static magnets for reducing pain: Systematic review and meta-analysis of randomized trials | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Static magnets are marketed with claims of effectiveness for reducing pain, although evidence of scientific principles or biological mechanisms to support such claims is limited. We performed a systematic review and meta-analysis to assess the clinical evidence from randomized trials of static magnets fortr... |
0 | Neu differentiation factor (heregulin) induces expression of intercellular adhesion molecule 1: implications for mammary tumors | MSTS 2018 - Femur Mets and MM | Neu differentiation factor (NDF, also called heregulin) is a 44-kilodalton glycoprotein that stimulates tyrosine phosphorylation of the Neu/HER-2 receptor and induces phenotypic differentiation of certain mammary cancer cell lines to growth-arrested and milk-producing cells. To determine which molecules participate in ... |
0 | Evaluation of subsidence, chondrocyte survival and graft incorporation following autologous osteochondral transplantation | Osteochondritis Dissecans 2020 Review | Purpose: The aim of this study was to evaluate subsidence tendency, surface congruency, chondrocyte survival and plug incorporation after osteochondral transplantation in an animal model. The potential benefit of precise seating of the transplanted osteochondral plug on the recipient subchondral host bone ('bottoming')... |
1 | Aseptic loosening of total hip arthroplasty: infection always should be ruled out | PJI DX Updated Search | BACKGROUND: It is believed that some cases of aseptic failure of THA may be attributable to occult infections. However, it is unclear whether preoperative erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are more likely elevated in these patients than those without overt infection. QUESTIONS/PURPOSES: ... |
0 | The management of subcapital fractures in the elderly population | HipFx Supplemental Cost Analysis | This paper is a general review concerning the subcapital fractures of the femur. The authors made a careful bibliographic research in order to define the optimum economic and medical attitude in cases of subcapital fractures in elderly. All the therapeutical options are declined, including conservative and operative tr... |
0 | Articulating spacers compared to fixed spacers for the treatment of infected knee arthroplasty: A follow-up of 37 cases | PJI DX Updated Search | BACKGROUND: The standard treatment of a periprosthetic infection after TKA involves a two-stage reimplantation with the intermittent implantation of spacers. Different designs of spacers have been described; currently articulating spacers and fixed spacers are used. The aim of the present study is to compare the advant... |
0 | Experimental emotional disclosure in women undergoing infertility treatment: Are drop outs better off? | DoD PRF (Psychosocial RF) | So far, the beneficial effects of personal written emotional disclosure have been mainly examined in relation to past or current stressful/traumatic experiences. The anticipation of a medical event has rarely been studied within this paradigm. This randomized-controlled study examined whether written emotional disclosu... |
1 | Stability results of hamstring anterior cruciate ligament reconstruction at 2- to 8-year follow-up | Anterior Cruciate Ligament Injuries CPG | PURPOSE: The purpose of this study was to test the hypothesis that hamstring (HS) anterior cruciate ligament (ACL) reconstructions using EndoButton (Smith & Nephew, Andover, MA) femoral and whipstitch/screw tibial fixation can produce a high rate of objective stability in a population of reconstructed patients with low... |
0 | Comparison of patient reported outcomes after Triathlon(registered trademark) and Kinemax Plus prostheses | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: The Triathlon(registered trademark) (Stryker, Kalamazoo, MI, US) total knee replacement was designed to improve patient function and survivorship. The aim of this study was to determine whether the Triathlon(registered trademark) prosthesis produces better patient reported outcomes than a previous design ... |
0 | Bridging versus Nonbridging Dynamic External Fixation of Unstable Distal Radius Fractures in the Elderly with Polytrauma: A Randomized Study | Distal Radius Fractures | Background Despite the high prevalence of unstable distal radius fractures (DRFs), there is no consensus regarding the optimal method and treatment timing, especially for elderly patients with multiple associated injuries. Purpose This study aimed to compare the grip strength achieved with two different methods for def... |
0 | Successful salvage of a primary total knee arthroplasty infected with Candida parapsilosis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Fungal infections of total joint arthroplasties are extremely rare with only 21 previous reported cases in the literature. In 19 of these cases, the offending organism has been a member of the candida species. In all of these cases, the patients had no clinical evidence of disseminated fungal infection. All previously ... |
1 | Rectus Plication Does Not Increase Risk of Thromboembolic Events Following Abdominal Body Contouring: A Matched Case-Control Analysis | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Rectus abdominis plication increases intra-abdominal pressure and lower-extremity venous stasis, which may increase the incidence of venous thromboembolism (VTE) events. OBJECTIVES: The aim of this study was to investigate the potential association between VTE and rectus abdominis muscle plication during su... |
0 | Cementless Mallory-Head HA-coated hip arthroplasty for osteoarthritis in hip dysplasia | Management of Hip Fractures in the Elderly | Sixty-three cementless Mallory-Head HA-coated femoral prostheses (Biomet, Warsaw, IN) were used in primary total hip arthroplasty in 50 patients with osteoarthritic hips because of congenital hip dysplasia. The implanted cup was also cementless (41 Harris Galante and 22 Ringlock). The patients were followed up for a me... |
0 | Scientific basis for the use of hypotonic solutions with ultrasonic liposuction | Panniculectomy & Abdominoplasty CPG | BACKGROUND: A number of plastic surgeons have advocated using hypotonic solution in ultrasound lipoplasty, theorizing that induced adipocyte swelling increases membrane susceptibility to ultrasonic disruption. Additionally, it has been theorized that potassium increases membrane permeability. This study aimed to determ... |
0 | Comparison of clinical results for patients undergoing unilateral total knee replacement with or without tranexamic acid | DoD SSI (Surgical Site Infections) | Background: Recent reports have suggested that mortality and morbidity in patients with concomitant upper limb and hip fractures vary depending on the sites of fracture. Objectives: To determine the mortality outcomes in elderly patients with concomitant upper limb (wrist or humerus) and hip fractures compared to patie... |
0 | Treatment efficacy of acupuncture: A review of the research literature | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A growing body of scientific literature provides strong evidence for the treatment efficacy of acupuncture for several medical conditions. Although it is premature to conclude that these findings are beyond question, the quality and consistency of the research is such that it can no longer be ignored by mainstream medi... |
1 | Smoking Negatively Effects Patient-Reported Outcomes Following Arthroscopic Partial Meniscectomy | AMP (Acute Meniscal Pathology) | PURPOSE: To determine whether active smokers have different patient-reported outcomes relative to nonsmokers for pain, function, and overall health at baseline and 1 or 2 years after an arthroscopic partial meniscectomy.
METHODS: Patients who underwent arthroscopic partial meniscectomy were identified. Demographic data... |
0 | Improving Resilience and Longevity for Workers Through Exercise | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study is to examine the impact of an OAâ?specific aerobic and strengthening exercise program, delivered within the workplace, on mobility, pain, physical capacity, and resilience among workers with knee or hip OA as well as those with no joint pain. The investigators hypothesize that exercise desig... |
1 | Heparin prophylaxis of deep vein thrombosis in patients with a fractured neck of the femur | Hip Fx in the Elderly 2019 | A double-blind controlled clinical trial of the efficacy of the prophylactic subcutaneous administration of calcium heparin in preventing deep vein thrombosis has been conducted in 50 patients with a fractured neck of the femur. Heparin was given every eight hours in a dose of 100 international units per kilogram of bo... |
0 | Difference in the joint space of the medial knee compartment between full extension and Rosenberg weight-bearing radiographs | AMP (Acute Meniscal Pathology) | OBJECTIVES: Radiographs are the most widespread imaging tool for diagnosing osteoarthritis (OA) of the knee. Our purpose was to determine which of the two factors, medial meniscus extrusion (MME) or cartilage thickness, had a greater effect on the difference in the minimum joint space width (mJSW) at the medial compart... |
0 | Avascular Necrosis of the Humeral Head: Hemi-Cap, Cap, or Stemmed Solution? | Glenohumeral Joint OA | Avascular necrosis of the humeral head, as in other joints, can have a spectrum of severity. The degree of humeral head involvement should dictate the degree of prosthetic replacement required to restore congruity and function. In some very early phases of disease, observation or core decompression and supportive bone ... |
0 | Management of the distal radioulnar joint and ulnar styloid fracture | Distal Radius Fractures | Fractures of the distal radius and ulnar styloid have the potential to disturb the normal function of the distal radioulnar joint (DRUJ), resulting in loss of motion, pain, arthritis, or instability. The DRUJ can be adversely affected by several mechanisms, including intra-articular injury with step-off, shortening, an... |
0 | Patterns of vulnerability to non-fatal injuries in Sudan: initial evidence from a national cross-sectional survey | DoD PRF (Psychosocial RF) | BACKGROUND: Successful injury prevention requires identification and targeting of particularly vulnerable groups. Little is known about injury vulnerability patterns in Sudan. This paper aimed to fill this gap using survey data.
METHODS: Data from the Sudan Household Health Survey were used. This was a national cross-s... |
0 | Large osteochondral defects of the femoral condyle: press-fit transplantation of the posterior femoral condyle (MEGA-OATS) | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND AND AIMS: Large osteochondral defects in the weight-bearing zone of the knee remain a challenging therapeutic problem. Surgical options include drilling, microfracturing, and transplantation of osteochondral plugs but are often insufficient for the treatment of large defects of the femoral condyle. PATIENTS ... |
0 | From regeneration to osteoarthritis in the knee joint: The role shift of cartilage-derived progenitor cells | AMP (Acute Meniscal Pathology) | A mount of growing evidence has proven that cartilage-derived progenitor cells (CPCs) harbor strong proliferation, migration, andmultiple differentiation potentials over the past 2 decades. CPCs in the stage of immature tissue play an important role in cartilage development process and injured cartilage repair in the y... |
0 | Importance of soft-tissue evaluation in hand and wrist trauma: statistical evaluation | Distal Radius Fractures | Four radiologists reviewed 197 hand and wrist radiographs to determine the usefulness of routine soft-tissue evaluation in the delineation of bony trauma. Soft-tissue changes at four sites in the lateral view were evaluated. Dorsal-hand fat-plane swelling was associated with second through fifth metacarpal fractures (p... |
0 | The efficacy of intra-articular injections for pain control following the closed reduction and percutaneous pinning of pediatric supracondylar humeral fractures: a randomized controlled trial | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The purpose of this single-blinded, randomized, controlled trial was to compare the analgesic efficacy of intra-articular injections of bupivacaine or ropivacaine with that of no injection for postoperative pain control after the operative treatment of supracondylar humeral fractures in a pediatric populati... |
1 | Maximizing outcomes in breast reduction surgery: A review of 518 consecutive patients | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Economic constraints and diminished healthcare resources mandate increased efficiency in labor-intensive plastic surgical procedures, such as reduction mammaplasty. The evolution to our current approach over a 9-year period was reviewed. Methods: From 1992 to 2001 a total of 518 patients underwent bilateral... |
0 | Oxford unicompartmental knee arthroplasty: medial pain and functional outcome in the medium term | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: In our experience results of the Oxford unicompartmental knee replacement have not been as good as had been expected. A common post operative complaint is of persistent medial knee discomfort, it is not clear why this phenomenon occurs and we have attempted to address this in our study. METHODS: 48 patients... |
0 | Tyrosylprotein sulfotransferase-1 and tyrosine sulfation of chemokine receptor 4 are induced by Epstein-Barr virus encoded latent membrane protein 1 and associated with the metastatic potential of human nasopharyngeal carcinoma | MSTS 2018 - Femur Mets and MM | The latent membrane protein 1 (LMP1), which is encoded by the Epstein-Barr virus (EBV), is an important oncogenic protein that is closely related to carcinogenesis and metastasis of nasopharyngeal carcinoma (NPC), a prevalent cancer in China. We previously reported that the expression of the functional chemokine recept... |
1 | Hydrocortisone injections for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The effects of local hydrocortisone acetate injections in patients with a carpal tunnel syndrome are reported. In a prospective study of sixty one wrists injected, fifty five (90%) had initial symptomatic relief. At review after one year forty one wrists had relapsed (67%) requiring decompression. In view of the poor l... |
0 | Serum levels of sclerostin and dickkopf-1: effects of age, gender and fracture status | Hip Fx in the Elderly 2019 | BACKGROUND: Fragility fractures, especially hip fractures, are a very common complication of osteoporosis in elderly subjects. Sclerostin (SOST) and dickkopf-1 (DKK-1) are inhibitors of the canonical wnt signalling pathway and thus could be involved in the pathogenesis of age-related bone fragility.
OBJECTIVE: To inves... |
0 | Treatment outcomes after insufficiency femoral diaphyseal fractures in nonambulatory children | Pediatric Diaphyseal Femur Fractures 2020 Review | We retrospectively reviewed the treatment and outcomes of diaphyseal femur fractures in a cohort of nonambulatory children. There were 30 patients (38 fractures) reviewed [average age of 10.1 years (range: 1.8-17.8)]. Fractures were treated with locked plate/screw fixation (n=18), with a complication rate of 24% (9/38)... |
0 | Double-blind comparative study of the effectiveness and tolerance of 900 mg dexibuprofen and 150 mg diclofenac sodium in patients with painful gonarthrosis | OAK 3 - Non-arthroplasty tx of OAK | In this randomized doubleâ?blind, parallelâ?group study the efficacy of 300 mg oral dexibuprofen three times daily and 50 mg oral diclofenac sodium three times daily was tested for equivalence in 110 patients with painful osteoarthritis of the knee. During the 15â?day treatment period the functional index for knee o... |
0 | Proteoglycans contribute locally to swelling, but globally to compressive mechanics, in intact cervine medial meniscus | OAK 3 - Non-arthroplasty tx of OAK | Loss of charged proteoglycans in the knee meniscus, which aid in the support of compressive loads by entraining water, is an effect of degeneration and is often associated with osteoarthritis. In healthy menisci, proteoglycan content is highest in the inner white zone and decreases towards the peripheral red zone. We h... |
0 | Total Hip Arthroplasty After Acetabular Fracture Is Associated With Lower Survivorship and More Complications | Hip Fx in the Elderly 2019 | BACKGROUND: Despite modern fracture management techniques allowing for near anatomic reduction of acetabular fractures, there continues to be a risk of posttraumatic arthritis and need for total hip arthroplasty (THA). Few well-controlled studies have compared THA after acetabular fractures with THAs performed for othe... |
0 | Medicinal and injection therapies for mechanical neck disorders | SR for PM on OA of All Extremities | Background: Controversy persists regarding medicinal therapies and injections.Objectives: To determine the effects of medication and injections on primary outcomes (e.g. pain) for adults with mechanical neck disorders and whiplash.Search methods: We searched CENTRAL, MANTIS, CINAHL from their start to May 2006; MEDLINE... |
1 | Evaluation of outcome measures for use in clinical practice for adults with musculoskeletal conditions of the knee: a systematic review | AMP (Acute Meniscal Pathology) | BACKGROUND: This systematic review reported on the clinimetric properties of outcome measures for use in clinical practice for adults with musculoskeletal conditions of the knee.
METHODS: A systematic search was performed in Medline, EMBASE, Cinahl and AMED to identify studies examining the clinimetric properties of ou... |
1 | Knee arthroscopy in meniscal lesions | AMP (Acute Meniscal Pathology) | Meniscal pathology does not usually present particular diagnostic problems, clinical examination being sufficient. In some patients, however, diagnosis is more arduous and examinations whose execution and interpretation may be more or less complex become necessary. Of the latter, arthroscopy is becoming increasingly po... |
0 | Knee manipulation under anaesthetic following total knee arthroplasty: A matched cohort design | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study was to compare clinical outcomes of total knee arthroplasty (TKA) after manipulation under anaesthesia (MUA) for post-operative stiffness with a matched cohort of TKA patients who did not requre MUA. In total 72 patients (mean age 59.8 years, 42 to 83) who underwent MUA following TKA were iden... |
0 | Referring advanced cancer patients for palliative treatment: a national structured vignette survey of Australian GPs | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Although (general practitioners) GPs have a role in managing patients with advanced cancer, little is known about their referral decisions.
AIM: The aim of this study was to explore, using structured vignettes, how GPs might manage patients presenting with advanced cancer.
DESIGN: A self-administered survey... |
0 | Trochanteric bone mineral density is associated with type of hip fracture in the elderly | Management of Hip Fractures in the Elderly | Hip fractures can be separated into femoral neck (cervical or intracapsular) or trochanteric (extracapsular). Trochanteric fractures have been associated with up to twice the short-term mortality of cervical fractures in the elderly. Fracture type may be influenced by the fall direction and local differences in proxima... |
0 | The subplatysmal supramylohyoid fat | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Liposuction of the neck has an established role in selected patients undergoing cervicoplasty. Some authors have suggested a role for subplatysmal fat removal. Observations in the anatomy laboratory suggested the presence of discrete regions of subplatysmal fat. This information may be useful during surgica... |
1 | Splinting for carpal tunnel syndrome: prognostic indicators of success | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To identify (combinations of) prognostic indicators for the long term success of splinting in patients with electrophysiologically confirmed idiopathic carpal tunnel syndrome (CTS). METHODS: This study was conducted within the framework of a randomised controlled trial on the efficacy of splinting and surge... |
0 | Humeral Supracondylar Fractures in Children: A Novel Technique of Lateral External Fixation and Kirschner Wiring | DoD SSI (Surgical Site Infections) | <b>Introduction:</b> Supracondylar fracture of the humerus is the most common fracture around the elbow in children. Pinning with Kirschner wires (K-wires) after open or closed reduction is generally accepted as the primary treatment modality. However, it comes with the risk of persistent instability and if the K-wire ... |
0 | Fracture risk associated with smoking: a meta-analysis | Management of Hip Fractures in the Elderly | OBJECTIVES: To assess fracture risk associated with smoking. DESIGN: Systematic review. DATA SOURCES: Cohort, case-control, and cross-sectional studies identified by searching PubMed and EMBASE, and by recursive screening of reference lists. SUBJECTS: Fifty studies including 512 399 subjects were included. MAIN OUTCOME... |
0 | Cerebral palsy of the elbow and forearm | Pediatric Supracondylar Humerus Fracture 2020 Review | Management of elbow and forearm involvement in cerebral palsy has evolved over the last 3Â decades with a better understanding of its neuropathophysiology, improved outcome measures, and evolving therapy protocols. Current nonoperative and surgical treatment methods are discussed. The use of standard function measuring... |
0 | The Oxford II medial unicompartmental knee arthroplasty: an independent 10-year survival study | Surgical Management of Osteoarthritis of the Knee CPG | Unicompartmental knee arthroplasty (UKA) is being used increasingly. We report the outcome of a series of 48 Oxford II meniscal bearing UKAs carried out for osteoarthritis of the medial compartment (38 knees in 32 patients) and for spontaneous avascular necrosis of the medial femoral condyle (10 knees in 10 patients). ... |
0 | Bone tumors in children: Incidence, diagnosis, surgical treatment and complications | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Bone tumor treatment changed considerably during past decades. Due to improvements in basic research in the areas of tumor biology, tumor detection and imaging, surgical procedures and development of modern surgical instruments, discovery and use of new technical equipment, and especially in the use of chemotherapy and... |
0 | Second primary malignancy risk among patients with gastric cancer: a nationwide population-based study in Taiwan | MSTS 2022 - Metastatic Disease of the Humerus | Background: Several studies have reported an increase in second primary malignancies (SPMs) among gastric cancer patients. Methods: Patients who were newly diagnosed with gastric cancer between 1997 and 2011 were recruited from the Taiwan National Health Insurance database. Those who had antecedent malignancies or gast... |
0 | Genetic associations of periodic limb movements of sleep in the elderly for the MrOS sleep study | DoD PRF (Psychosocial RF) | Objective: The objective of this study was to assess the relationship between single-nucleotide polymorphisms associated with restless legs syndrome and periodic limb movements of sleep in a population cohort of elderly individuals. Methods: Single-nucleotide polymorphisms previously associated with periodic limb movem... |
0 | The Opioid Crisis and the Orthopedic Surgeon | AAHKS (9/10) Regional Nerve Blocks | Opioid use and abuse has become a national crisis in the United States. Many opioid abusers become addicted through an initial course of legal, physician-prescribed medications. Consequently, there has been increased pressure on medical care providers to be better stewards of these medications. In orthopedic surgery an... |
0 | Autologous mesenchymal stem cells or meniscal cells: what is the best cell source for regenerative meniscus treatment in an early osteoarthritis situation? | AMP (Acute Meniscal Pathology) | BACKGROUND: Treatment of meniscus tears within the avascular region represents a significant challenge, particularly in a situation of early osteoarthritis. Cell-based tissue engineering approaches have shown promising results. However, studies have not found a consensus on the appropriate autologous cell source in a c... |
1 | Association of cognitive status with mobility and functioning after femoral neck fracture surgery in elderly patients: Differences between hemiarthroplasty and internal fixation | Hip Fx in the Elderly 2019 | Background: Comparison of outcomes between two different operative treatments of femoral neck fracture - hemiarthroplasty (HA) and internal fixation (IF) - remains an open issue. We performed new analyses of data from a previously published study with the aim of investigating the influence of cognitive problems on mobi... |
0 | Evidence-Based Abdominoplasty Review With Body Contouring Algorithm | Panniculectomy & Abdominoplasty CPG | Abdominal contour deformities are an aesthetic challenge to the plastic surgeon. Patients present with diverse clinical histories, multiple comorbidities, and unique aesthetic demands. Weight loss, previous pregnancy, and aging are 3 principal indications for abdominoplasty. Bariatric surgery has increased demand for b... |
0 | Stage I multiple myeloma: value of MR imaging of the bone marrow in the determination of prognosis | MSTS 2018 - Femur Mets and MM | PURPOSE: To determine the prognostic value of bone marrow findings at magnetic resonance (MR) imaging in patients with stage I multiple myeloma.
MATERIALS AND METHODS: In 24 patients with stage I multiple myeloma, findings from MR imaging of the vertebral, pelvic, and femoral bone marrow were analyzed and correlated to... |
0 | Antibiotic prophylaxis for dentoalveolar surgery: is it indicated? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Usually dentists in Australia give patients oral antibiotics after dentoalveolar surgery as a prophylaxis against wound infection. When this practice is compared to the principle of antibiotic prophylaxis in major surgery it is found to be at variance in a number of ways. In major surgery, the risk of infection should ... |
0 | Endovascular treatment for ruptured abdominal aortic aneurysm | Management of Hip Fractures in the Elderly | BACKGROUND: An abdominal aortic aneurysm (AAA) (the pathological enlargement of the aorta) can develop in both men and women as they grow older. It is most commonly seen in men over the age of 65 years. Progressive aneurysm enlargement can lead to rupture and massive internal bleeding, a fatal event unless timely repai... |
0 | Use of Nonopioid Analgesics and the Impact on Patient Outcomes | AAHKS (9/10) Regional Nerve Blocks | Although opioids are widely used for the management of pain in patients with hip fracture, these medications are known to have a wide range of adverse effects that can result in suboptimal outcomes or serious life-threatening complications. Common opioid-related adverse events include gastrointestinal effects, central ... |
0 | Straight stem and threaded cup in patients under 60 years of age: 28.8-30.2 years of follow-up | Hip Fx in the Elderly 2019 | PURPOSE: The aim of this retrospective observational study of one cohort was to evaluate the long-term outcome in patients younger than 60 years after total hip arthroplasty using a straight uncemented stem and an uncemented threaded cup.
METHODS: Between 1986 and 1987, 75 hips of 75 patients (mean age, 53.35 +/- 6.17 ... |
0 | Dietary protein intake and upper leg muscle strength in subjects with knee osteoarthritis: data from the osteoarthritis initiative | OAK 3 - Non-arthroplasty tx of OAK | The aims of this study were (1) to describe dietary protein intake, and (2) to evaluate the association between dietary protein intake and upper leg muscle strength in subjects with knee osteoarthritis (OA). Baseline data from the OA was used, in a cross-sectional study. All subjects were diagnosed with symptomatic and... |
1 | Prevalence of neurologic lesions after total shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: Clinically evident neurologic injury of the involved limb after total shoulder arthroplasty is not uncommon, but the subclinical prevalence is unknown. The purposes of this prospective study were to determine the subclinical prevalence of neurologic lesions after reverse shoulder arthroplasty and anatomic s... |
0 | The identification of CD163 expressing phagocytic chondrocytes in joint cartilage and its novel scavenger role in cartilage degradation | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Cartilage degradation is a typical characteristic of arthritis. This study examined whether there was a subset of phagocytic chondrocytes that expressed the specific macrophage marker, CD163, and investigated their role in cartilage degradation.
METHODS: Cartilage from the knee and temporomandibular joints ... |
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