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0 | Alterations in the collagen framework of osteoarthritic cartilage and subchondral bone | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Specimens obtained from human osteoarthritic knee joints and dog knees with experimentally induced osteoarthritis were used to study the collagenous framework of articular cartilage and subchondral bone in relation to osteoarthritic changes using scanning electron microscopy and light microscopy. Degenerative articular... |
1 | Blood transfusions in hip fracture patients: implications for blood conservation programs | Management of Hip Fractures in the Elderly | To address the potential role of innovative blood conservation interventions in nonelective surgery, we reviewed blood transfusions and blood losses during hospitalization of patients undergoing open reduction internal fixation of an intratrochanteric hip fracture. Sixty-four orthopaedic patients consecutively admitted... |
0 | Tool for patient selection to optimize patient-reported outcomes following total joint arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: When medical management of hip or knee arthritis fails, total joint arthroplasty (TJA) is recommended. On average, TJA outcomes are good to excellent, but significant variability has been observed. We previously identified predictors of suboptimal TJA outcome, defined as insufficient improvement in ... |
0 | Outcome of porous tantalum acetabular components for Paprosky type 3 and 4 acetabular defects | PJI DX Updated Search | Porous tantalum acetabular implants provide a potential solution for dealing with significant acetabular bone loss. This study reviews 24 acetabular revisions using tantalum implants for Paprosky type 3 and 4 defects. The mean Harris Hip Score improved from 35 +/- 19 (range, 4-71) to 88 +/- 14 (range, 41-100), p < 0.00... |
0 | On being a neurologist in Italy at the time of the COVID-19 outbreak | Coronavirus Disease 2019 (COVID-19) | Italy is facing its fifth week of crisis due to the COVID-19 outbreak, with affected patients and deaths near to 70.000 and 6000 respectively [1], numbers that are increasing every day. Whether government imposition of quarantines, travel bans and lockdown throughout the country will have effect in the next weeks in li... |
0 | Can Teicoplanin Be an Effective Choice for Antibiotic-Impregnated Cement Spacer in Two-Stage Revision Total Knee Arthroplasty? | PJI DX Updated Search | The main purpose of this study was to evaluate the clinical results of two-stage revision total knee arthroplasty using a teicoplanin-impregnated cement spacer for infected primary total knee replacements. Twenty-five patients operated between 2005 and 2012 were included in this study. At the clinical status analysis, ... |
0 | Risk factors for death among children less than 5 years old hospitalized with diarrhea in rural Western Kenya, 2005-2007: A cohort study | Patrick’s pharmacoepidemiology project | Background: Diarrhea is a leading cause of childhood morbidity and mortality in sub-Saharan Africa. Data on risk factors for mortality are limited. We conducted hospital-based surveillance to characterize the etiology of diarrhea and identify risk factors for death among children hospitalized with diarrhea in rural wes... |
0 | Determinants of bone microarchitecture and mechanical properties in obese men | Distal Radius Fractures | CONTEXT: Recent studies have suggested that obesity in men is associated with increased fracture risk. Obesity in men is also associated with dysregulation of the GH/IGF-I and gonadal steroid axes, important regulators of bone homeostasis.
OBJECTIVE: The aim of the study was to investigate body composition and endocrin... |
1 | Functional outcome following fixed-angle volar plating or intrafocal K-wire fixation for extraarticular fractures of the distal part of the radius: A retrospective analysis of treatment outcomes | Distal Radius Fractures | Purpose: The objective of this retrospective study was to compare the results of two operative techniques used for the treatment of distal radius fractures classified as AO type A3. Patients and Methods: Patients were treated with either fixed-angle volar plates or intrafocal Kirschner wires (K-wires) using a Kapandji-... |
0 | Treating human meniscal fibrochondrocytes with hIGF-1 gene by liposome | AMP (Acute Meniscal Pathology) | The menisci are intraarticular fibrocartilaginous structures essential to the normal function of the knee that lack the ability to self-repair. Human meniscal fibrochondrocytes may respond to beneficial genes like human insulin growth factor-1 (hIGF-1) and the meniscal cell may be a feasible donor for gene therapy. To ... |
0 | A reference database of cartilage 3 T MRI T2 values in knees without diagnostic evidence of cartilage degeneration: data from the osteoarthritis initiative | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: 1) To establish a gender- and BMI-specific reference database of cartilage T2 values, and 2) to assess the associations between cartilage T2 values and gender, age, and BMI in knees without radiographic osteoarthritis or MRI-based (WORMS 0/1) evidence of cartilage degeneration.
DESIGN: 481 subjects aged 45-6... |
0 | Utility and feasibility of ultrasound-guided access in patients with critical limb ischemia | DOD - Acute Comp Syndrome CPG | Background Patients with advanced peripheral vascular disease (PVD) and critical limb ischemia (CLI) require immediate revascularization to improve blood flow and prevent amputation. Vascular, and especially tibial, access is arguably a very important part of the procedure. Utilization of ultrasound (US) guidance to ac... |
0 | Evaluation of postoperative analgesia with continuous iliofascial nerve sheath block after total hip arthroplasty replacement: a pilot study | AAHKS (8) Anesthetic Infiltration | STUDY DESIGN: open and prospective pilot study. PATIENTS AND METHODS: Before induction of general anaesthesia (GA), an iliofascial catheter was inserted (group KT, n = 11) or not (group NKT, n = 10). In the KT group, 30 ml of ropivacaïne 4,75 mg/ml (maximum dose) were injected, and 14 mg/h of ropivacaïne 2 mg/ml were... |
0 | The effect of medroxyprogesterone acetate on estrogen-dependent risks and benefits - An attempt to interpret the Women's Health Initiative results | Management of Hip Fractures in the Elderly | The results of the two arms of the Women's Health Initiative (WHI) study allow a comparative assessment of the contribution of the progestogen component to the changes in risk of cardiovascular disease and cancer during treatment of postmenopausal women with conjugated equine estrogens and medroxyprogesterone acetate (... |
1 | Diagnosis of acute knee injuries with hemarthrosis | AMP (Acute Meniscal Pathology) | One hundred thirteen consecutive athletes, who had sustained significant acute trauma to the knee wit; immediate disability and the early onset of hemarthrosis but who did not have demonstrable clinical laxity, were examined under anesthesia and had arthroscopy within 3 weeks of injury (the majority within 10 days). Le... |
1 | Use of reduced-dose periarticular injection for pain management in simultaneous bilateral total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | We investigated the safety and efficacy of the bilateral periarticular multimodal drug injection (PMDI) at a reduced dosage in patients undergoing simultaneous bilateral total knee arthroplasty (SBTKA). In total, 45 patients undergoing SBTKA received 65 mL PMDI in each knee (reduced-dose group). The incidence of drug-r... |
0 | Porcine-derived acellular dermal matrix in primary augmentation mammoplasty to minimize implant-related complications and achieve an internal mastopexy: a case series | Acellular Dermal Matrix | INTRODUCTION: Patients who present for augmentation mammoplasty with poor quality mammary soft-tissue support may be at increased risk for post-operative complications. Non-crosslinked intact porcine-derived acellular dermal matrix (Strattice™ Reconstructive Tissue Matrix, LifeCell Corp., Branchburg, NJ, USA) may enhan... |
0 | Do Anti-Oxidants Modulate the Outcome of Fractures? The Effect of Vitamin C on Functional Outcome Following Fracture of Distal Radius: a Prospective randomised controlled trial. - Do Anti-Oxidants Modulate the Outcome Followin Fractures? | Distal Radius Fractures | INTERVENTION: Product Name: Ascorbic Acid Capsules 500 mg Product Code: Ascorbic Acid Pharmaceutical Form: Capsule, soft INN or Proposed INN: Ascorbic Acid Current Sponsor code: Ascorbic Acid Other descriptive name: Vitamin C Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 500â? Pha... |
0 | Mid-term results with a neck-preserving femoral stem for total hip arthroplasty | Hip Fx in the Elderly 2019 | INTRODUCTION:: This prospective study aims to evaluate the mid-term clinical and radiological performance of a new short, neck-preserving femoral stem in total hip arthroplasty (THA).
PATIENTS AND METHODS:: 178 consecutive patients (190 hips) underwent THA from November 2008 to July 2016. Mean follow-up is 62.4 months.... |
0 | Evaluation of Persian Gulf veterans with symptoms of peripheral neuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Persian Gulf syndrome is a set of symptoms that do not fit into well-understood diagnostic categories. Among these symptoms, there are some that could suggest a generalized neuropathic process. OBJECTIVE: Correlate neurological symptoms with objective electrodiagnostic findings. METHODS: A randomized sample... |
0 | Symptom-modifying effect of chondroitin sulfate in knee osteoarthritis: A meta-analysis of randomized placebo-controlled trials performed with Structum((registered trademark)) | SR for PM on OA of All Extremities | Objective: To perform a meta-analysis of randomized double-blind placebo-controlled clinical trials to assess the efficacy of a specific chondroitin sulfate preparation (Structum((registered trademark)), Laboratoires Pierre Fabre, Castres; France) as a symptom-modifying drug in osteoarthritis (OA) of the knee. Methods:... |
1 | Postoperative Analgesia After Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | Total knee arthroplasty (TKA) is associated with moderate to severe postoperative pain. Although epidural treatment provides good and reliable postoperative pain relief after THA, it may cause urinary retention, nausea, hypotension, diminished muscle control, and delayed mobilization. The challenge of new analgesic reg... |
0 | Hip fractures in patients with Parkinson's syndrome | Management of Hip Fractures in the Elderly | Hip fractures in patients with Parkinson's syndrome present a continuing challenge to orthopaedic surgeons. Sixty-two consecutive such patients have been reviewed. With or without operation, there was very high rate of mortality (31%) and complications. However, the functional results, the ability to walk, progression ... |
1 | Is antibiotic prophylaxis necessary for preventing prosthetic device infection? | Dental Implant Infection | Preventing bacteremia in patients with implanted prostheses is a logical concern, but whether the danger of infection is real, and whether people actually benefit from antibiotic prophylaxis for dental procedures is not clear. This article examines and discusses currently available data concerning the use of antibiotic... |
0 | Sleep disturbances after fast-track hip and knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Major surgery is followed by pronounced sleep disturbances after traditional perioperative care potentially leading to prolonged recovery. The aim was to evaluate the rapid eye movement (REM) sleep duration and sleep architecture before and after fast-track hip and knee replacement with length of stay (LOS)... |
1 | Comparison of mammography sensitivity after reduction mammoplasty targeting the glandular and fat tissue | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: Mammography may have some limitations in the diagnosis and screening of breast cancer for women who have previously undergone breast reduction surgery. This study aimed to investigate how the structural defects in the breast tissue formed by postoperative changes are reflected on mammography.
MATERIAL AND ME... |
0 | Bisphosphonates and mortality: confounding in observational studies? | Hip Fx in the Elderly 2019 | Summary: Numerous observational studies suggest that bisphosphonates reduce mortality. This study showed that bisphosphonate use is associated with lower mortality within days of treatment, although the association was not significant until the second week. Such an early association is consistent with confounding, alth... |
0 | The prognostic implication of perioperative cardiac enzyme elevation in patients with fractured neck of femur: A systematic review and meta-analysis | Hip Fx in the Elderly 2019 | BACKGROUND: Neck of Femur (NOF) fractures are a common injury in comorbid elderly patients which are associated with increased rates of morbidity and mortality following fracture. Because of their injury, patients can experience reductions in quality of life and independent living leading to transfer to nursing home or... |
0 | Interprosthetic Femoral Sleeves in Revision Arthroplasty: A 20-Year Experience | Hip Fx in the Elderly 2019 | Background: Interprosthetic femoral fractures in patients with ipsilateral stemmed total hip arthroplasty (THA) and total knee arthroplasty (TKA) can be technically demanding to treat surgically. Nonunion and implant failure are among the main complications following fixation of interprosthetic femoral (IF) fractures. ... |
0 | 18[F]FDG small animal PET study of sorafenib efficacy in lymphoma preclinical models | Example Literature Review | AIM: Kinase inhibitors have been proposed as novel therapeutic agents in different forms of solid tumours. The Food and Drug Administration (FDA) approved the use of Sorafenib, an oral multikinase inhibitor, for advanced renal carcinoma and unresectable hepatocellular carcinoma. On-going studies are investigating the e... |
1 | Concomitant Panniculectomy Affects Wound Morbidity but Not Hernia Recurrence Rates in Abdominal Wall Reconstruction: A Propensity Score Analysis | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Studies of abdominal wall reconstruction with concurrent panniculectomy have reported contradictory results. The authors hypothesized that patients undergoing abdominal wall reconstruction with concurrent panniculectomy experience more wound healing complications but similar rates of hernia recurrence compa... |
0 | Vancomycin-rifampin combination therapy has enhanced efficacy against an experimental Staphylococcus aureus prosthetic joint infection | PJI DX Updated Search | Treatment of prosthetic joint infections often involves a two-stage exchange, with implant removal and antibiotic spacer placement followed by systemic antibiotic therapy and delayed reimplantation. However, if antibiotic therapy can be improved, one-stage exchange or implant retention may be more feasible, thereby dec... |
1 | Treatment with or without internal fixation for ulnar styloid base fractures accompanied by distal radius fractures fixed with volar locking plate | Distal Radius Fractures | The purpose of this study was to evaluate the treatment results, with and without internal fixation of ulnar styloid base fractures associated with acute distal radius fractures. A total of 48 patients were enrolled, including 20 patients treated by internal fixation (fixation group) and 28 treated without internal fix... |
1 | Performance and Return to Sport After Meniscal Repair in Professional Baseball Players | AMP (Acute Meniscal Pathology) | Background: Meniscal repair is an effective treatment option for certain meniscal injuries to preserve meniscal function and limit the progression of knee osteoarthritis. Outcomes after meniscal repair in professional baseball players are not well documented.
Purposes/Hypothesis: The purposes of this study were to dete... |
1 | Successful Treatment of Advanced Primary Cutaneous Apocrine Carcinoma on the Scrotum with Systemic Chemotherapy and Radiotherapy Followed by Denosumab | MSTS 2018 - Femur Mets and MM | Primary cutaneous apocrine carcinoma (PCAC) is a rare and highly aggressive cutaneous adnexal type of tumor that has a high metastasis rate and a poor prognosis. Although there are several case reports describing the successful treatment of PCAC with chemoradiotherapy or molecular targeting therapy, no standard therapy... |
0 | Pelvic reconstruction for severe periacetabular metastatic disease | Management of Hip Fractures in the Elderly | The functional outcome of acetabular reconstruction in 21 patients with severe acetabular deficiency was examined. The surgical indications were pain, immobility, and loss of independence. Surgical reconstruction included curettage, placement of an acetabular roof ring with screws crossing the defect, cementation of th... |
1 | Are Routine Radiographs Needed the Day After Open Reduction and Internal Fixation Surgery for Distal Radius and Ankle Fractures: Study Protocol for a Prospective, Open Label, Randomized Controlled Trial | Distal Radius Fractures | BACKGROUND: Distal radius and ankle fractures are one of the most common operatively treated fractures. To date, there is no consensus concerning the need for a standard postoperative radiograph. This leads to undesirable practice variations. A standardized radiograph in the department of radiology would theoretically ... |
0 | Oral Tranexamic Acid vs. Oral Aminocaproic Acid to Reduce Blood Loss and Transfusion After Total Knee Replacement | AAHKS (9/10) Regional Nerve Blocks | Background Total knee arthroplasty is the most common orthopedic procedure in knee surgery for the treatment of degenerative diseases such as OA and rheumatoid arthritis (RA), with nearly 700,000 procedures performed in 2012 in the USA. The TKA frequently results in a significant loss of blood in a postâ?operative man... |
0 | Multiple myeloma. New treatment options | MSTS 2018 - Femur Mets and MM | Before proceeding to treatment selection for multiple myeloma, it is important to exclude monoclonal gammopathy of unknown significance or any similar smouldering or indolent type of myeloma not requiring immediate chemotherapy. In patients with active myeloma, pretreatment prognostic classification is important for ap... |
0 | Optimal Positioning for Volar Plate Fixation of a Distal Radius Fracture: Determining the Distal Dorsal Cortical Distance | Distal Radius Fractures | Distal radius fractures are currently among the most common fractures of the musculoskeletal system. With a population that is living longer, being more active, and the increasing incidence of osteoporosis, these injuries will continue to become increasingly prevalent. When operative fixation is indicated, the volar lo... |
0 | Validity, reliability, and repeatability of the useful field of view test in persons with normal vision and patients with glaucoma | Upper Eyelid and Brow Surgery | PURPOSE: To determine the validity, test-retest reliability and repeatability of the UFOV test in healthy controls and glaucoma patients. METHODS: Three substudies with the UFOV test were conducted: (1) validity was evaluated in 77 older controls (mean age 64 [SD, 7] years) and 53 glaucoma patients (mean age 69 [SD, 8]... |
0 | Orthopedic trauma surgery and hospital cost analysis in refugees; the effect of the Syrian civil War | DoD LSA (Limb Salvage vs Amputation) | Purpose: The aim of this study was to evaluate the musculoskeletal injury types, injury mechanisms, surgical techniques and treatment costs of Syrian refugees. Methods: Totally 158 patients (67 female, 91 male) treated in our clinic in 34Â months period between January 2012 and October 2014 were included in the study. ... |
0 | Efficacy and prognosis of first-line egfr-tyrosine kinase inhibitor treatment in older adults including poor performance status patients with egfr-mutated non-small-cell lung cancer | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are standard first-line treatments for advanced EGFR-mutated non-small-cell lung cancer (NSCLC) patients. The efficacy of EGFR-TKIs in older patients including poor Eastern Cooperative Oncology Group (ECOG) performance status (PS) is ... |
0 | Minimizing Posttraumatic Osteoarthritis After High-Energy Intra-Articular Fracture | AAHKS (2) Corticosteroids | This article serves to provide an overview of molecular and surgical interventions to minimize the progression of posttraumatic arthritis following high-energy intra-articular fractures. The roles of cartilage and the microcellular environment are discussed, as well as the response of the joint and cartilage to injury.... |
0 | The Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV-2) in Dentistry. Management of Biological Risk in Dental Practice | Coronavirus Disease 2019 (COVID-19) | The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a novel coronavirus first identified in Wuhan, China, and the etiological agent of Coronavirus Disease-2019 (COVID-19). This infection spreads mainly through direct contact with Flügge micro droplets or core droplets that remain suspended as aerosol. ... |
0 | Section of the sciatic nerve by a metal acetabulum reinforcement ring: A literature review through one case | PJI DX Updated Search | We report the case of a sciatic nerve section in a patient operated for a multi-acetabular loosening. Clinical symptoms were a progressive sensitive and motor deficit in the sciatic nerve territory. At the last loosening, the Burch-Schneider metal frame, which builds on the ischium, tipped on its axis causing the large... |
0 | Predisposing conditions for Candida spp. carriage in the oral cavity of denture wearers and individuals with natural teeth | Dental Implant Infection | Candida species are a normal commensal present in a large percentage of healthy individuals. Denture wearers are predisposed to the development of candidosis and to the presence of Candida spp. The presence of the yeast, even in healthy subjects, should be considered more carefully. We investigated the prevalence of Ca... |
0 | Zhuang Gu Guan Jie Wan: Reasonable Application Can Alleviate the Liver Injury for Osteoarthritis Treatment | AMP (Acute Meniscal Pathology) | The potential toxicity of herbal drugs, particularly drug-induced liver injury (DILI), has received extensive attention as the use of Chinese herbal medicine has rapidly increased globally. As a classic Chinese patent medicine, Zhuang Gu Guan Jie Wan (ZGGJW) has been brought into focus recently because of its satisfact... |
0 | The use of classification trees to determine criteria for nullVirtual total joint replacementnull for patients with hip and knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: An OARSI-OMERACT Task Force was charged with reviewing the literature and developing an outcome of nullVirtual Total Joint Replacement (TJR)null for use in clinical trials and observational clinical studies. The Task Force conducted a study that used receiver operating characteristic (ROC) curves and logistic ... |
0 | The health-related quality of life and cost implications of falls in elderly women | HipFx Supplemental Cost Analysis | Summary: Fractures and falls are serious cause of morbidity and cost to society. Our results suggest that the main burden to morbidity, measured as impact on health-related quality of life, is due to fear of falling rather than falls or their sequelae, such as fractures. Introduction: Fractures and falls are serious ca... |
0 | Intra-articular fractures of the upper extremity: new concepts in surgical treatment | Distal Radius Fractures | New techniques of internal fixation, postoperative rehabilitation, and emphasis on functional as well as radiographic outcome have refined the surgical treatment of complex fractures of the glenoid, humeral head, supracondylar and intracondylar humerus, olecranon, radial head, distal radius, and distal radioulnar joint... |
0 | A simple technique to prevent limb ischemia during veno-arterial ECMO using the femoral artery: the posterior tibial approach | DoD LSA (Limb Salvage vs Amputation) | Lower extremity ischemia is common when the femoral artery is used for veno-arterial extracorporeal membrane oxygenation (VA ECMO). We describe a new technique to reperfuse the extremity. The ipsilateral posterior tibial artery is exposed via a small incision behind the medial malleolus. The vessel is cannulated in a r... |
0 | Non-opioid IV adjuvants in the perioperative period: Pharmacological and clinical aspects of ketamine and gabapentinoids | AAHKS (5) Gabapentinoids | Untreated acute postoperative pain can transform into chronic pain that may have major negative effects on the individual's quality of life. It can also prolong recovery, rehabilitation and length of hospital stay, thus affecting societal economic burden. Given the multiplicity of mechanisms involved in postoperative p... |
0 | The expanded inframammary fold triangle: Improved results in large volume breast reductions | Reduction Mammoplasty for Female Breast Hypertrophy | CONTEXT: The inferior pedicle, Wise-pattern reduction mammaplasty is the most popular technique for breast reduction because of its reproducible results and reliability. However, complication rates in super obese patients or patients receiving large volume reductions are high, ranging from 35 to 78%. These complication... |
0 | Epidural technique for postoperative pain: gold standard no more? | Surgical Management of Osteoarthritis of the Knee CPG | Epidural analgesia is a well-established technique that has commonly been regarded as the gold standard in postoperative pain management. However, newer, evidence-based outcome data show that the benefits of epidural analgesia are not as significant as previously believed. There are some benefits in a decrease in the i... |
0 | Non-inflammatory enthesopathies of the spine: a diagnostic approach | Surgical Management of Osteoarthritis of the Knee CPG | Ankylosing vertebral hyperostosis, or hyperostotic disease, is an ossification of the entheses, the regions of insertion of tendons, ligaments or joint capsules into the bone. These ossifications create intervertebral bridges (ossifications of the common anterior, lateral and posterior intervertebral ligaments as well ... |
1 | The role of aspiration and contrast-enhanced arthrography in evaluating the uncemented hip arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: The purpose of this study was to determine the value of aspiration and contrast-enhanced arthrography in evaluating uncemented total hip arthroplasty components. A retrospective study was performed to determine the sensitivity, specificity, and accuracy of these procedures. MATERIALS AND METHODS: Preoperativ... |
0 | Differential diagnosis of shoulder pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Pains in the region of the shoulder belong to the commonest pains of old people. Their treatment is often only slightly or temporarily successful due to the causal physiopathological changes which are often difficult to recognize. Various clinical syndromes that seem in themselves uniform have the most widely differing... |
0 | The arthroscopic Latarjet: a multisurgeon learning curve analysis | DoD SSI (Surgical Site Infections) | Background: The open Latarjet procedure is a standard surgical treatment option for anterior shoulder instability in patients with a high risk of failure following soft tissue stabilization. The arthroscopic technique has potential advantages of minimal invasiveness, reduced postoperative stiffness, and faster rehabili... |
0 | Parathyroid surgery is associated with a decreased risk of hip and upper arm fractures in primary hyperparathyroidism: a controlled cohort study | Management of Hip Fractures in the Elderly | OBJECTIVES: To study if parathyroid surgery reduced fracture risk in patients with primary hyperparathyroidism. DESIGN: Controlled cohort study. SETTING: All subjects diagnosed with primary hyperparathyroidism (ICD8 codes: 252.00, 252.01, 252.03, 252.04, 252.05, 252.08, 252.09, and ICD10 codes: E21.0, E21.2, E21.3) bet... |
0 | Dynamic beat-to-beat QT-RR relationship during physiotherapy effort in elderly patients without primary heart disease | Management of Hip Fractures in the Elderly | The ECGs from 18 patients hospitalized in a rehabilitation setting, following surgery for hip fracture, were examined to characterize the dynamic behavior of uncorrected QT interval in relation to changing RR interval during physiotherapy effort. ECG waveforms were analyzed to extract beat-to- beat QT and RR intervals ... |
0 | A long-term (20 years') follow-up after arthroscopically assisted repair of the TFCC | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: The present study aimed to assess long-term functional outcome for patients after arthroscopic assisted suture for peripheral tears of the triangular fibrocartilage complex (TFCC). METHODS: Eleven patients, 26 (15-59) years old at time of surgery, 48 (35-78) years old at time of follow-up, were available for... |
0 | Factors associated with resumption of sex before complete wound healing in circumcised HIV-positive and HIV-negative men in Kisumu, Kenya | DoD PRF (Psychosocial RF) | Background: We evaluated time to resumption of sex in relation to wound healing following circumcision of adult males. The purpose was to assess factors associated' with adherence to the WHO recommendation of 42-days postcircumcision sexual abstinence and with engaging in sex before complete healing. Methods: Participa... |
1 | Efficacy and safety of intramuscular glucosamine sulfate in osteoarthritis of the knee. A randomised, placebo-controlled, double-blind study | OAK 3 - Non-arthroplasty tx of OAK | Glucosamine sulfate (Dona, CAS 29031-19-4) is a drug used in the treatment of osteoarthritis. When orally given, it is more effective than placebo and at least as effective as non-steroidal anti-inflammatory drugs in relieving osteoarthritis symptoms. The aim of this multicentre, randomised, placebo-controlled, double-... |
0 | Excellent outcomes after double-locked plating in very low periprosthetic distal femoral fractures | DoD SSI (Surgical Site Infections) | INTRODUCTION: Very low periprosthetic distal femur fractures (PPDFFs) are rare injuries and often have a relatively high failure rate after single lateral locked plating. The double plating technique yields good outcomes in osteoporotic fractures of the distal femur. To date, there is limited information on double-lock... |
0 | Heterogeneity of bone lamellar-level elastic moduli | Management of Hip Fractures in the Elderly | Advances in our ability to assess fracture risk, predict implant success, and evaluate new therapies for bone metabolic and remodeling disorders depend on our understanding of anatomically specific measures of local tissue mechanical properties near and surrounding bone cells. Using nanoindentation, we have quantified ... |
0 | Expression of chemokine receptor CXCR4 in nasopharyngeal carcinoma: pattern of expression and correlation with clinical outcome | MSTS 2018 - Femur Mets and MM | Nasopharyngeal carcinoma (NPC) is a tumor derived from epithelial cells and Epstein-Barr virus infection has been reported to be a cause of this disease. Chemokine receptor CXCR4 was found to be involved in HIV infection and was highly expressed in human malignant breast tumors and the ligand for CXCR4, CXCL12 (SDF-1),... |
0 | Proximal Femoral Shortening after Operation with Compression Hip Screws for Intertrochanteric Fracture in Patients under the Age of 60 Years | Hip Fx in the Elderly 2019 | PURPOSE: We aimed to quantify proximal femoral shortening after operation with compression hip screws for intertrochanteric fracture in patients under the age of 60 years.
MATERIALS AND METHODS: We followed 37 consecutive patients with intertrochanteric fractures treated with compression hip screws from March 2005 to F... |
0 | The Effect of Subluxation of Articulating Antibiotic Spacers on Bone Defects and Degree of Constraint in Revision Knee Arthroplasty | PJI DX Updated Search | This study investigated whether subluxation of articulating antibiotic spacers is associated with the bone defects found and constraint required when re-implanting the knee arthroplasty components. Staged revisions for infections of primary total knee arthroplasties between 2004 and 2012 were examined. Radiographic sag... |
0 | Comparison of early surgical alternatives in the management of open abdomen: a randomized controlled study | DOD - Acute Comp Syndrome CPG | METHODS: The study included 40 patients who developed ACS during follow-up or following trauma and abdominal surgery. As part of the treatment for ACS, these patients underwent decompressive laparotomy at the Cukurova University Medical Faculty, General Surgery Department and followed up in the Intensive Care Unit of t... |
0 | Region-Specific Effect of the Decellularized Meniscus Extracellular Matrix on Mesenchymal Stem Cell-Based Meniscus Tissue Engineering | AMP (Acute Meniscal Pathology) | BACKGROUND: The meniscus is the most commonly injured knee structure, and surgical repair is often ineffective. Tissue engineering-based repair or regeneration may provide a needed solution. Decellularized, tissue-derived extracellular matrices (ECMs) have received attention for their potential use as tissue-engineered... |
0 | Evaluation of change in aceclofenac usage pattern in knee osteoarthritis following viscosupplementation: A prospective interventional study | PRP (Platelet-Rich Plasma) | Introduction: Osteoarthritis (OA) of knee is one of the most common musculoskeletal disorders affecting the elderly population in Asia-Pacific region. Array of diverse treatment options exist including analgesics, Non Steroidal Anti-Inflammatory Drugs (NSAIDs), opioids, physical therapy, orthotic devices, structure mod... |
0 | Conditions of the talus in the runner | DOD - Acute Comp Syndrome CPG | The anatomy and biomechanics of the talus in its relationship with ankle and subtalar joints expose it to increased stresses and forces in the runner. Many injuries to the talus, such as stress fractures, anterolateral compression syndromes, osteochondral Stage I and II lesions, and posterior compartment fractures can ... |
0 | The differential time courses of the vasodilator effects of various 1,4-dihydropyridines in isolated human small arteries are correlated to their lipophilicity | Panniculectomy & Abdominoplasty CPG | OBJECTIVES: To investigate a possible relationship between the time courses of action of various calcium antagonists and their lipophilicity, characterized as log P-values. METHODS: The functional experiments were performed in vitro in human small subcutaneous arteries (internal diameter 591 +/- 51 microm, n = 7 for ea... |
0 | A Case of Breast Cancer Metastatic to the Pituitary Gland | Upper Eyelid and Brow Surgery | A case of breast cancer that developed pituitary metastasis 22 years after mastectomy is reported. The pituitary metastasis was associated with hypopituitarism, impairment of the visual field and later diabetes insipidus. The serum levels of CA15-3 and NCC-ST-439, tumor markers of breast cancer, were increased, and CA1... |
0 | Trabecular bone score (TBS)--a novel method to evaluate bone microarchitectural texture in patients with primary hyperparathyroidism | Distal Radius Fractures | CONTEXT: In the milder form of primary hyperparathyroidism (PHPT), cancellous bone, represented by areal bone mineral density at the lumbar spine by dual-energy x-ray absorptiometry (DXA), is preserved. This finding is in contrast to high-resolution peripheral quantitative computed tomography (HRpQCT) results of abnorm... |
0 | Changes in knee muscle strength and muscle mass after weight loss in obese patients with knee osteoarthritis: A prospective cohort study | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | Purpose: To investigate the effects of a low-energy-diet induced weight loss in obese knee osteoarthritis (OA) patients on knee muscle strength and lower extremity muscle mass, and their association. Methods: Data from a randomized controlled trial enabled us to explore 159 obese knee osteoarthritis patients having the... |
0 | Operative treatment of extra-articular proximal tibial fractures | DOD - Acute Comp Syndrome CPG | Background: Extra-articular proximal tibial fractures are often the result of high-energy trauma with displacement and comminution. Most authors agree that operative management of these fractures is warranted to optimize patient outcomes. It is unclear, however, which surgical option (plate, nail, external fixator, or ... |
0 | Immunologic mechanisms in RCC and allogeneic renal transplant rejection | MSTS 2018 - Femur Mets and MM | The tolerance state that exists between renal cell carcinoma (RCC) and the host's immune system would be an ideal situation in the setting of human kidney transplantation, in which graft tolerance is the ultimate goal of immunosuppressive therapy. On the other hand, acute rejection, as it appears in renal allografts, w... |
0 | Surgical treatment of infrapatellar contracture syndrome | Surgical Management of Osteoarthritis of the Knee CPG | Infrapatellar contracture syndrome (IPCS) results in significant functional disability. This syndrome can be caused by injury or surgery but is most often associated with intraarticular anterior cruciate ligament or extensor mechanism reconstruction. Improvements in surgical timing, techniques, and rehabilitation have ... |
0 | Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials | Management of Hip Fractures in the Elderly | OBJECTIVE: To assess the effects of inpatient rehabilitation specifically designed for geriatric patients compared with usual care on functional status, admissions to nursing homes, and mortality. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Medline, Embase, Cochrane database, and reference lists from pub... |
1 | Allograft failure in cruciate ligament reconstruction. Follow-up evaluation of eighteen patients | Anterior Cruciate Ligament Injuries CPG | Previous authors have reported the efficacy of cruciate ligament allograft reconstruction of the knee suggesting that allograft strength is not significantly different than that of autografts. The purpose of this study was to elicit the cause of a higher-than-expected failure rate in cruciate ligament allograft reconst... |
0 | Prophylaxis against deep-vein thrombosis following trauma: a prospective, randomized comparison of mechanical and pharmacologic prophylaxis | DoD SSI (Surgical Site Infections) | BACKGROUND: Deep-vein thrombosis following skeletal trauma is an important yet poorly studied issue. The purpose of the present study was to evaluate the efficacy of two different strategies for prophylaxis against deep-vein thrombosis and pulmonary embolus following blunt skeletal trauma. METHODS: Two hundred and twen... |
0 | Total condylar knee replacement in patients who have rheumatoid arthritis. A ten-year follow-up study | Surgical Management of Osteoarthritis of the Knee CPG | Eighty knee replacements with a total condylar prosthesis in patients who had rheumatoid arthritis were followed for ten years. At ten years, nineteen knees needed revision and sixty-one prostheses were still functioning. The major reasons for revision were loosening of the tibial component or late bacteremic seeding f... |
0 | Pathogenic synergy: mixed infections in the oral cavity | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In almost all infections in the oral cavity, mixed populations of bacteria are present. However, recent evidence points to a certain specificity in these infections: Streptococcus mutans is related to caries and black-pigmented Bacteroides species are suspected pathogens in periodontal disease. Periodontal diseases, en... |
0 | Is the Right Research Being Conducted to Advance Knowledge about Breast Reconstruction? An Analysis of the Research Pipeline | Acellular Dermal Matrix | BACKGROUND: It has been estimated that up to 85 percent of research is of limited value or wasted, in part because of the wrong research questions being addressed. In this study, the authors identified research gaps for breast reconstruction using guideline recommendations based on low-quality or no evidence. The autho... |
0 | Saphenous Nerve Block vs. Femoral Nerve Block for Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | Currently, the regional anesthetic standard of care for total knee replacement surgery is combined spinal/epidural to provide longâ?lasting pain relief with or without a femoral nerve block (FNB). The femoral nerve block refers to a technique that your anesthesiologist can use to numb the thigh muscle for approximatel... |
0 | Assessment of meniscus with adiabatic T1? and T2? relaxation time in asymptomatic subjects and patients with mild osteoarthritis: a feasibility study | AMP (Acute Meniscal Pathology) | Objective: To investigate the ability of magnetic resonance imaging (MRI) adiabatic relaxation times in the rotating frame (adiabatic T1? and T2?) to detect structural alterations in meniscus tissue of mild OA patients and asymptomatic volunteers. Method: MR images of 24 subjects (age range: 50–67 years, 12 male), incl... |
0 | Orthopaedic plaster casting: nurse and patient education | DOD - Acute Comp Syndrome CPG | Orthopaedic casts are used in the management of fractures and to support and correct deformities. The application and removal of plaster casts is a skill requiring knowledge, judgement and sensitivity. Nurses need to have a good working knowledge of the main principles of plaster casting to ensure safety and provide pa... |
0 | Continuous extradural infusion of ropivacaine for prevention of postoperative pain after major orthopaedic surgery | AAHKS (8) Anesthetic Infiltration | We studied 151 patients undergoing total hip or knee arthroplasty, or cruciate ligament reconstruction in a multicentre study in Australia and New Zealand. Patients were openly allocated randomly to one of five treatment groups or to a control group. General anaesthesia was induced after introduction of extradural bloc... |
1 | Manual milking: A risk factor for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is the most common entrapment syndrome. Occupations which include repetitive and forceful wrist and arm movement result with CTS. Our goal was to investigate the frequency of CTS among people who are manually milking their animals. Methods: One hundred and sixty hands of 80 women dealing wi... |
0 | Collagen Type III Glomerulopathies | Osteochondritis Dissecans 2020 Review | The 2 rare disorders characterized by the pathological accumulation of collagen type III in glomeruli are discussed. These are collagenofibrotic glomerulopathy, also known as collagen type III glomerulopathy, and the nail-patella syndrome. Although there are similarities in abnormal morphology, with type III collagen i... |
0 | Treatment of cubitus varus with osteotomy and Ilizarov external fixation | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A cubitus varus deformity, secondary to a supracondylar fracture, was treated with a short oblique osteotomy and the Ilizarov external fixator. An excellent anatomic and functional outcome resulted. This method may prove to be of significant value in the treatment of this difficult deformity |
1 | Prevalence of Work-Related Musculoskeletal Disorders Among Surgeons and Interventionalists: A Systematic Review and Meta-analysis | Glenohumeral Joint OA | Importance: Physicians in procedural specialties are at high risk for work-related musculoskeletal disorders (MSDs). This has been called "an impending epidemic" in the context of the looming workforce shortage; however, prevalence estimates vary by study.
Objectives: To estimate the prevalence of work-related MSDs amo... |
0 | Mortality and morbidity in nonagenarian patients following hip fracture surgery | Management of Hip Fractures in the Elderly | BACKGROUND: The number of people living more than 90 years is increasing, and this population shows a high incidence of hip fractures. OBJECTIVE: To study prospectively the mortality and morbidity following hip fracture surgery in nonagenarian patients. METHODS AND SUBJECTS: 106 nonagenarian patients were admitted for ... |
0 | Anterior Cruciate Ligament OsteoArthritis Score (ACLOAS): Longitudinal MRI-based whole joint assessment of anterior cruciate ligament injury | Diagnosis and Treatment of Osteochondritis Dissecans AUC | OBJECTIVE: To develop a whole joint scoring system, the Anterior Cruciate Ligament OsteoArthritis Score (ACLOAS), for magnetic resonance imaging (MRI)-based assessment of acute anterior cruciate ligament (ACL) injury and follow-up of structural sequelae, and to assess its reliability. DESIGN: Baseline and follow-up 1.5... |
0 | A case of acute thrombotic occlusion of the popliteal artery occurring immediately after the total knee arthroplasty recanalized by ballooning alone | Surgical Management of Osteoarthritis of the Knee CPG | Arterial complications associated with total knee arthroplasty are rare but occasionally life-threatening. Although popliteal artery injuries have been repaired by bypass surgery historically, there are potentially multiple useful methods for the restoration. In this report, we describe a case of acute thrombotic occlu... |
1 | Long-term results of conservative treatment of fractures of the distal radius | Distal Radius Fractures | The long-term results of the conservative treatment of wrist fractures were observed in a follow-up study of 297 cases over a period of one and one-half years to six years. The evaluation of the results was based on clinical parameters, both subjective and objective, as well as radiological features. The results were: ... |
0 | Intra-articular fractures of the distal femur. A long term follow-up study of surgically treated patients | DoD SSI (Surgical Site Infections) | Objective: To analyze the long-term (5-25 years) functional and radiologic results of surgically treated intra-articular fractures of the distal femur. Design: Retrospective study. Setting: University hospital. Patients and Methods: Sixty-seven surgically treated consecutive patients with 67 intra-articular distal femo... |
0 | The syndrome of rhabdomyolysis: complications and treatment | DoD - ACS - Interrater Reliability | Rhabdomyolysis is a syndrome of skeletal muscle cell damage that leads to the release of toxic intracellular material into the systemic circulation. The pathogenesis of rhabdomyolysis is based on an increase in free ionized calcium in the cytoplasm. Its main complications include (a) acute renal failure, which is trigg... |
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