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0 | Revision of hemiarthroplasty to total hip arthroplasty using the cement-in-cement technique | PJI DX Updated Search | Revision of a cemented hemiarthroplasty of the hip may be a hazardous procedure with high rates of intra-operative complications. Removing well-fixed cement is time consuming and risks damaging already weak bone or perforating the femoral shaft. The cement-in-cement method avoids removal of intact cement and has shown ... |
0 | Fat rebalancing: the new "Facelift" | Panniculectomy & Abdominoplasty CPG | The fat compartments of the face undergo changes and are responsible for age-related alterations in facial shape. The overlying skin responds to changes in fat in much the same way as a garment clings or sags to the body underneath. By rearranging the underlying fat via suction and fat replacement techniques, a younger... |
0 | Oral mucositis complicating chemotherapy and/or radiotherapy: Options for prevention and treatment | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Chemotherapy- and radiotherapy-induced oral mucositis represents a therapeutic challenge frequently encountered in cancer patients. This side effect causes significant morbidity and may delay the treatment plan, as well as increase therapeutic expenses. The pathogenesis of this debilitating side effect can be attribute... |
0 | Current therapy for multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma is an incurable plasma cell malignancy that accounts for 10% of all hematologic cancers. For decades the mainstay of therapy has been the use of melphalan and prednisone; with this regimen, the median survival is approximately 3 years. Recently, important advances were made that have substantially alte... |
0 | Hip resurfacing versus total hip arthroplasty: a systematic review comparing standardized outcomes | SR for PM on OA of All Extremities | BACKGROUND: Metal-on-metal hip resurfacing was developed for younger, active patients as an alternative to THA, but it remains controversial. Study heterogeneity, inconsistent outcome definitions, and unstandardized outcome measures challenge our ability to compare arthroplasty outcomes studies. QUESTIONS/PURPOSES: We ... |
0 | The outcome of Austin Moor vs Bipolar hemiarthoplasty in elderly patients in terms of harris hip score and charnley hip score | PJI DX Updated Search | Aim: To determine the outcome of hemiarthroplasty using unipolar and bipolar prosthesis and to evaluate their results in terms of Harris hip score and Charnley hip score. Place and duration of study: The study was conducted at Khawaja Muhammad Safdar Medical College/Allama Iqbal Memorial Teaching Hospital, Sialkot from... |
1 | A Retrospective Head-to-head Comparison Between TiLoop Bra/TiMesh® and Seragyn® in 320 Cases of Reconstructive Breast Surgery | Acellular Dermal Matrix | BACKGROUND/AIM: Clinical data concerning synthetic meshes in comparison to acellular dermal matrices (ADMs) in breast reconstruction are limited. Also, direct comparisons between titanium-coated polypropylene mesh and partially absorbable polypropylene mesh have not yet been reported. MATERIALS AND METHODS: This analys... |
0 | Clinical results of posterior cruciate ligament retaining TKA with alumina ceramic condylar prosthesis: comparison to Co-Cr alloy prosthesis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In a prospective study, 194 knees undergoing total knee arthroplasty (110 knees with alumina ceramic prostheses; 84 knees with Co-Cr alloy prostheses) were clinically and radiologically evaluated. Average follow-up period was 66 months (36-124 months). Average age at the time of surgery was 66 years. In the ceramic pro... |
0 | War, gender and culture: Mozambican women refugees | DoD PRF (Psychosocial RF) | Analyses of the psychological sequelae of war-related violence for women tend to rely on the concepts developed in research on male combatants. Post-traumatic stress disorder or varying combinations of its symptoms are identified as the principal outcomes of war-related events for women. By and large, the dominant lite... |
0 | A case of acute spinal intradural hematoma due to spinal anesthesia | PJI DX Updated Search | Spinal intradural hematoma is a rare complication of diagnostic lumbar puncture or spinal anesthesia. This complication could be overlooked with devastating neurological consequences due to a delay in diagnosis. Here, we reported a case of a patient with a lumbar spinal intradural hematoma as a result of a difficult sp... |
1 | Determinants of patient satisfaction following reconstructive shoulder surgery | Glenohumeral Joint OA | BACKGROUND: Obtaining patient satisfaction is a key goal of surgical treatment. It was the purpose of this study to identify pre-, peri- and postoperative factors determining patient satisfaction after shoulder surgery, quantify their relative importance and thereby allow the surgeon to focus on parameters, which will ... |
0 | Hybrid total knee arthroplasties in rheumatoid arthritis | Surgical Management of Osteoarthritis of the Knee CPG | One hundred and sixty-eight total knee arthroplasties (TKA) with cementless femoral components, cemented tibial and patellar components were performed in 98 patients with rheumatoid arthritis (RA) between 1989 and 1992. At 1-4 years followup the hybrid TKA in RA provided satisfactory results when compared to the cement... |
0 | Cost effectiveness and quality of life in knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Few studies quantitate the cost of a quality well being as produced by arthroplasty surgery. The objective was to use the Quality of Well Being Index to calculate the cost per quality of well year in knee arthroplasty surgery. The difference in Quality of Well Being Index scores before and after the intervention was ca... |
0 | The chemokine system, and its CCR5 and CXCR4 receptors, as potential targets for personalized therapy in cancer | MSTS 2018 - Femur Mets and MM | Chemokines and their receptors regulate the trafficking of leukocytes in hematopoiesis and inflammation, and thus are fundamental to the immune integrity of the host. In parallel, members of the chemokine system exert a large variety of functions that dictate processes of cancer development and progression. Chemokines ... |
1 | MRI diagnosis of occult hip fractures | Management of Hip Fractures in the Elderly | BACKGROUND: Most fractures of the proximal femur are easily diagnosed by conventional radiography. When the images are judged to be negative or equivocal and a clinical suspicion of fracture persists, another approach is to use magnetic resonance imaging (MRI) to help reach a diagnosis. METHODS: In a prospective study ... |
0 | Use of direct oral anticoagulants with regional anesthesia in orthopedic patients | AAHKS (9/10) Regional Nerve Blocks | The use of direct oral anticoagulants including apixaban, rivaroxaban, and dabigatran, which are approved for several therapeutic indications, can simplify perioperative and postoperative management of anticoagulation. Utilization of regional neuraxial anesthesia in patients receiving anticoagulants carries a relativel... |
0 | The level of vitamin D in the serum correlates with fatty degeneration of the muscles of the rotator cuff | Glenohumeral Joint OA | This study examined the role of vitamin D as a factor accounting for fatty degeneration and muscle function in the rotator cuff. There were 366 patients with disorders of the shoulder. A total of 228 patients had a full-thickness tear (group 1) and 138 patients had no tear (group 2). All underwent magnetic resonance ar... |
0 | Extended medial gastrocnemius rotational flap for treatment of chronic knee extensor mechanism deficiency in patients with and without total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Nine patients with chronic extensor mechanism disruption were treated with an extended medial gastrocnemius rotational flap reconstruction of the extensor mechanism. Seven patients previously had total knee arthroplasty and two patients had chronic infection of nonreplaced, native knees. Four patients previously had fa... |
0 | A Retrospective Analysis: A Novel Index Predicts Survival and Risk-Stratification for Bone Destruction in 419 Newly Diagnosed Multiple Myelomas | MSTS 2022 - Metastatic Disease of the Humerus | Objective: Multiple myeloma (MM) patients with bone destruction are difficult to restore, so it is of great clinical significance to further explore the factors affecting MM bone destruction.
Methods and results: This study retrospectively analyzed 419 cases with MM. Multiple linear regression analysis showed that thos... |
0 | Socioeconomic aspects of total hip arthroplasty: A one-year survey in a Belgian university hospital | Management of Hip Fractures in the Elderly | We prospectively analysed hospital stay, discharge policy, hospital cost and postoperative recovery of 102 consecutive total hip arthroplasties performed in a Belgian university hospital during a one-year period starting in October 2001. Of the independent patients, 87.4% regained independence after 6 weeks and 19.6% u... |
0 | Total joint arthroplasty following intra-articular steroid injection: a literature review | SR for PM on OA of All Extremities | This study aimed to identify, by systematic review of the literature, whether intra-articular steroid injection before total joint replacement confers an increased risk of post-operative deep prosthetic infection. All studies assessing the incidence of deep prosthetic infection in patients who had undergone steroid inj... |
0 | Internal fixators: a safe option for managing distal femur fractures? | DoD SSI (Surgical Site Infections) | OBJECTIVE: Evaluate safety and reliability of internal fixator for the treatment of intra-articular and periarticular distal femur fractures.
METHODS: Retrospective data evaluation of 28 patients with 29 fractures fixed with internal fixator was performed. There was a predominance of male patients (53.5%), with 52% of ... |
1 | Chronic low back pain in individuals with lower-limb amputation | DoD LSA (Limb Salvage vs Amputation) | Low back pain (LBP) is a common condition in individuals which experienced psychology and physical trauma. LBP is usually found in persons with lower-limb amputation (LLA), as the most common sign of somatisation or inappropriately made prostheses. Our goal was to investigate cases of chronic pain syndrome in persons w... |
0 | Themistocles Gluck: Biographic remarks emphasising his contributions to laryngectomy | PJI DX Updated Search | Themistocles Gluck was one of the most imaginative representatives of early modern surgery. During his life he developed landmark innovations in many different areas of surgery. His ideas were often far ahead of his time, a circumstance, which exposed him to severe criticism by his peers. In an era before surgical spec... |
0 | Incidence of fractures of neck of femur (Intracapsular) | Hip Fx in the Elderly 2019 | Objective: To determine the incidence of fractures of neck of femur (intracapsular). Study Design: Observational Study Place and Duration of Study: This study was conducted at the Surgery, Idris Teaching Hospital Sialkot Medical College Sialkot from Jan 2017 to Jan 2018. Materials and Methods: This Study was conducted ... |
0 | Effect of alcoholic extract of Entada pursaetha DC on monosodium iodoacetate-induced osteoarthritis pain in rats | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND & OBJECTIVES: Osteoarthritis (OA) is a degenerative disease characterized by joint pain and progressive loss of articular cartilage. Entada pursaetha has been traditionally used in the treatment of inflammatory disease, liver ailment, etc. In this study we investigated suppressive effect of ethanolic extract... |
0 | Secondary prevention of osteoporotic fractures - An "oPTIMAL" model of care from Singapore | Hip Fx in the Elderly 2019 | A significant care gap exists in the management of osteoporotic fractures. Osteoporosis Patient Targeted and Integrated Management for Active Living (OPTIMAL) is a secondary fracture prevention program instituted in the public hospitals of Singapore. We aim to describe the operational characteristics of OPTIMAL and ini... |
0 | In vitro chondrogenesis and in vivo repair of osteochondral defect with human induced pluripotent stem cells | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The purpose of this study was to investigate the chondrogenic features of human induced pluripotent stem cells (hiPSCs) and examine the differences in the chondrogenesis between hiPSCs and human bone marrow-derived MSCs (hBMMSCs). Embryoid bodies (EBs) were formed from undifferentiated hiPSCs. After EBs were dissociate... |
0 | The relationship between bone density and incident vertebral fracture in men and women | Management of Hip Fractures in the Elderly | Bone mineral density (BMD) is an important predictor of future fracture risk in women; however, there are few prospective data in men. The aim of this analysis was to determine whether there are differences in the relationship between BMD and incident vertebral fracture in men and women. Men and women were recruited fr... |
0 | A randomised trial of hip protector use by frail older women living in their own homes | Management of Hip Fractures in the Elderly | OBJECTIVES: To investigate the efficacy and effectiveness of hip protectors in frail community living older women. DESIGN: Randomised controlled trial. SETTING: Aged care health services in New South Wales, Australia. PATIENTS: 600 women 74 years of age or more (mean age 83 years), who had two or more falls or one fall... |
0 | Osteonecrosis of the knee following arthroscopic meniscectomy in patients over 50-years old | AMP (Acute Meniscal Pathology) | We reviewed eight patients over 50-years old, with an initial diagnosis of medial meniscal tear confirmed with magnetic resonance imaging (MRI) and with no evidence of osteonecrosis. After arthroscopic meniscectomy, all patients had recurrent aggravated knee pain and reevaluation with MRI showed images compatible with ... |
0 | Ultrasound measurements for the prediction of osteoporotic fractures in elderly people | Management of Hip Fractures in the Elderly | In this prospective study we investigated the predictive value of quantitative ultrasound (QUS) measurements and other potential predictors of osteoporotic fractures in the elderly. During a 1-year period, 710 participants (132 men and 578 women), aged 70 years and older (mean age +/- SD: 82.8 +/- 5.9), were recruited ... |
1 | Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013 | DoD PRF (Psychosocial RF) | Objective: Few have compared short-term outcomes following knee dislocations with or without concomitant popliteal artery disruption (PAD). Methods: The Nationwide Inpatient Sample was used to identify 2175 patients admitted for knee dislocation from 2005 to 2013 (concomitant PAD: n = 210/9.7%; without: n = 1965/90.3%)... |
0 | Value of a coordinated management of osteoporosis via Fracture Liaison Service for the treatment of orthogeriatric patients | Hip Fx in the Elderly 2019 | INTRODUCTION: The prevalence of osteoporosis in female patients over 75 years of age is 59.2 %. In Germany ~6.3-7.8 million patients are affected by osteoporosis. In 77 % of german patients osteoporosis is not treated adequately. Even after fragility fractures only 16-21 % of female patients and 3 % of male patients ar... |
0 | Compartment Syndrome of the Lower Extremity | DOD - Acute Comp Syndrome CPG | Acute compartment syndrome of the lower extremity is a limb-threatening emergency that requires prompt surgical treatment. Early detection and decompression are necessary in order to avoid irreversible damage. In the lower extremity, compartment syndrome may occur around the pelvis, in the thigh, the lower leg or the f... |
0 | Total joint arthroplasty of the knee | Surgical Management of Osteoarthritis of the Knee CPG | The total knee experience at a hospital in Baltimore with the Universal Instruments and Total Condylar and Kinematic prostheses in 1978 and 1979, and with the PCA prosthesis with and without cement since 1980, has led to the development of the philosophy that impacts on all aspects of total knee arthroplasty. In most i... |
1 | Strategies in evaluation and management of Bam earthquake victims | DoD SSI (Surgical Site Infections) | BACKGROUND: On 26 December 2003, an earthquake measuring 6.5 on the Richter scale occurred in the city of Bam in southeastern Iran. Bam was destroyed completely, > 43,000 people were killed, and 30,000 were injured. The national and international responses were quick and considerable. Many field hospitals were created ... |
0 | Different effects of startling acoustic stimuli (SAS) on TMS-induced responses at rest and during sustained voluntary contraction | Pediatric Supracondylar Humerus Fracture 2020 Review | Previous studies have shown that a habituated startling acoustic stimulus (SAS) can cause a transient suppression of motor evoked potentials (MEPs) induced by transcranial magnetic stimulation (TMS) during light muscle contraction. However, it is still unknown whether this phenomenon persists when at rest or during a s... |
1 | Factors Predicting Meniscal Allograft Transplantation Failure | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal allograft transplantation (MAT) is performed to improve symptoms and function in patients with a meniscal-deficient compartment of the knee. Numerous studies have shown a consistent improvement in patient-reported outcomes, but high failure rates have been reported by some studies. The typical pati... |
0 | Proximal tibial bone density is preserved after unicompartmental knee arthroplasty | PJI DX Updated Search | BACKGROUND: Bone mineral density (BMD) in the proximal tibia decreases after TKA and is believed to be a factor in implant migration and loosening. Unicompartmental knee arthroplasty (UKA) is a less invasive procedure preserving knee compartments unaffected by degeneration. Finite element studies have suggested UKA may... |
0 | Platelet Rich Plasma on Osteoarthritis of Knee | OAK 3 - Non-arthroplasty tx of OAK | Patients with bilateral OA knee will be enrolled and randomized into intervention and control knee. One dose of PRP is applied in the intervention knee and normal saline in control side. Outcome measurements included visual analog scale (VAS)ã?Lequesne's severity indexã?Western Ontario and McMaster Universities Osteo... |
0 | The position of the popliteal artery in the arthritic knee | Surgical Management of Osteoarthritis of the Knee CPG | We studied the position of the popliteal artery in 32 patients with primary osteoarthritis of the knee. A total of 45 knees were studied using a noninvasive technique with color-flow duplex scanning. The distance between the popliteal artery and the posterior tibial cortex was measured in various positions of flexion. ... |
0 | Ibandronate reduces osteolytic lesions but not tumor burden in a murine model of myeloma bone disease | MSTS 2018 - Femur Mets and MM | We determined the effects of the potent bisphosphonate ibandronate in a murine model of human myeloma bone disease. In this model, bone lesions typical of the human disease develop in mice following inoculation of myeloma cells via the tail vein. Treatment with ibandronate (4 micrograms per mouse per day) significantly... |
0 | Functional biomechanical assessment of the Oxford Meniscal Knee | Surgical Management of Osteoarthritis of the Knee CPG | The Oxford Meniscal Knee is an unconstrained surface arthroplasty that has given good clinical results. The biomechanics of knee function during walking in patients with this arthroplasty were examined using a three-dimensional television/force platform/computer system. Two groups of patients were studied: a retrospect... |
0 | The effect of telomere length, a marker of biological aging, on bone mineral density in elderly population | Management of Hip Fractures in the Elderly | Telomere length (TL), as a reflection of aging and inflammatory processes, may be associated with bone mineral density (BMD). This study examines the association between TL and BMD cross-sectionally and the rate of bone loss over a 4-year period in 1,867 Chinese elderly community living subjects. After adjusting for co... |
0 | Ultrasound with neurostimulation compared with ultrasound guidance alone for lumbar plexus block: A randomised single blinded equivalence trial | AAHKS (2) Corticosteroids | BACKGROUND: Ultrasound-guided lumbar plexus blocks usually require confirmatory neurostimulation. A simpler alternative is to inject local anaesthetic inside the posteromedial quadrant of the psoas muscle under ultrasound guidance.
OBJECTIVE: We hypothesised that both techniques would result in similar total anaesthesi... |
0 | Pomalidomide in the management of relapsed multiple myeloma | MSTS 2022 - Metastatic Disease of the Humerus | Pomalidomide, a very potent member of the immunomodulatory drug family, is considered a standard of care for patients with relapsed and refractory myeloma, who have previously been treated with bortezomib and lenalidomide. Pomalidomide induces both direct myeloma cell death, and indirect antimyeloma response through it... |
1 | Negative pressure wound therapy versus conventional dressing for open fractures in lower extremity trauma | DoD SSI (Surgical Site Infections) | AIMS: It has been generally accepted that open fractures require early skeletal stabilization and soft-tissue reconstruction. Traditionally, a standard gauze dressing was applied to open wounds. There has been a recent shift in this paradigm towards negative pressure wound therapy (NPWT). The aim of this study was to c... |
1 | Medial Opening-Wedge High Tibial Osteotomy for Medial Compartment Arthrosis/Overload | OAK 3 - Non-arthroplasty tx of OAK | Medial opening-wedge high tibial osteotomy has become increasingly popular for treating isolated, medial compartment arthrosis in younger, more active patients. Relative indications include age younger than 55 to 60 years, normal weight, preserved range of motion, and isolated medial compartment osteoarthritis or overl... |
0 | The effect of undernutrition on thermoregulation in the elderly | Management of Hip Fractures in the Elderly | With use of a liquid-conditioned coverall, the thermoregulatory responses to a lowering of environmental temperature from 35 degrees C to 23 degrees C were assessed in eight normally nourished and six undernourished elderly female patients, during their convalescence after surgical repair of a fracture of the femoral n... |
0 | Association of plasma total homocysteine levels with subclinical brain injury: Cerebral volumes, white matter hyperintensity, and silent brain infarcts at volumetric magnetic resonance imaging in the Framingham Offspring Study | DoD PRF (Psychosocial RF) | Background: Elevated plasma total homocysteine (tHcy) levels have been associated with increased risk of dementia and stroke, but it is uncertain whether the mediating mechanisms are predominantly cellular, vascular, or both. Objective: To evaluate the relationship between tHcy levels and findings at brain magnetic res... |
0 | Biochemical stress evaluation after medial parapatellar and subvastus approach in total knee replacement | AAHKS (2) Corticosteroids | INTRODUCTION: Even if different surgical approaches for total knee arthroplasty are well known since decades, the standard medial parapatellar incision remains the most common one; general agreement about significant advantages with minimally invasive techniques is lacking. Furthermore, the surgical stress effect on th... |
0 | Steady state pharmacokinetics (PK) of bupivacaine following continuous femoral nerve catheter placement in children and adolescents undergoing ACL repair: A simple 'finger stick' technique! | Surgical Management of Osteoarthritis of the Knee CPG | Aim: The aim of this study was to determine the pharmacokinetics of bupivacaine following nerve blocks and continuous femoral nerve catheter infusions for adolescents undergoing ACL reconstructive surgery. Methods: After IRB approval, as well as parental permission and adolescent assent, were obtained, 5 adolescents un... |
1 | Heterogeneity in hip fracture patients: age, functional status, and comorbidity | Management of Hip Fractures in the Elderly | OBJECTIVES: To examine unidentified heterogeneity in hip fracture patients that may predict variation in functional outcomes. DESIGN: Observational, longitudinal, multisite cohort study. SETTING: Three separate cohorts from five hospitals in the metropolitan New York area and eight hospitals in Baltimore. PARTICIPANTS:... |
1 | Antibiotic prophylaxis in orthognathic surgery: a 1-day versus 5-day regimen | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: The effect on infection rates of 1-day and 5-day administration of prophylactic antibiotics in orthognathic surgical procedures was compared. PATIENTS AND METHODS: A prospective, randomized, double-blind clinical trial using placebo was conducted. Thirty patients were distributed equally between two groups. Ea... |
0 | Secondary abdominal compartment syndrome is an elusive early complication of traumatic shock resuscitation | DOD - Acute Comp Syndrome CPG | BACKGROUND: The term secondary abdominal compartment syndrome (ACS) has been applied to describe trauma patients who develop ACS but do not have abdominal injuries. The purpose of this study was to describe major trauma victims who developed secondary ACS during standardized shock resuscitation.
METHODS: Our prospectiv... |
0 | Reflex sympathetic dystrophy of the knee. Causes, diagnosis, and treatment | Surgical Management of Osteoarthritis of the Knee CPG | Sixty patients with the diagnosis of reflex sympathetic dystrophy of the knee were evaluated retrospectively at our institution. The average followup was 2 years. Fifty-five (92%) patients treated with outpatient sympathetic blockade had resolution of the symptoms attributed to reflex sympathetic dystrophy. The time fr... |
0 | Yields and chondrogenic potential of primary synovial mesenchymal stem cells are comparable between rheumatoid arthritis and osteoarthritis patients | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Mesenchymal stem cells derived from the synovial membrane (synovial MSCs) are a candidate cell source for regenerative medicine of cartilage and menisci due to their high chondrogenic ability. Regenerative medicine can be expected for RA patients with the inflammation well-controlled as well as OA patients ... |
0 | The rate of hip osteoarthritis in patients with proximal femoral fractures versus hip contusion | Management of Hip Fractures in the Elderly | We found no difference in the rate of radiological hip osteoarthritis in the injured hip when comparing 349 patients with proximal femoral fractures and 112 patients with hip contusion. There was, however, a tendency for more osteoarthritis in patients with trochanteric fractures than in patients with femoral neck frac... |
0 | Late laceration of the superficial femoral artery by an intertrochanteric fracture fragment | Management of Hip Fractures in the Elderly | Injury to the femoral vessels is a rare complication after intertrochanteric fractures, and usually involves the profunda femoris artery. We report the case of a 79-year-old male with an intertrochanteric fracture, treated by closed antegrade intramedullary nailing, which was complicated by late injury to the superfici... |
0 | Osseointegrated Prosthetic Ear Reconstruction in Cases of Skin Malignancy: Technique, Outcomes, and Patient Satisfaction | Reconstruction After Skin Cancer | BACKGROUND: Ear reconstruction with osseointegrated prosthetic implants is a well-established method of reconstruction after resection of skin malignancies on the external ear. There is limited literature reporting technique, outcomes, and patient satisfaction. METHODS: We evaluated our outcomes over a 5-year period lo... |
0 | Incidence of low-grade infection in aseptic loosening of total hip arthroplasty: A prospective multicenter study using extensive routine and broad-range 16S PCR with reverse line blot diagnostics | PJI DX Updated Search | Purpose We investigated the hypothesis that many total hip arthroplasty revisions that are classified as aseptic are in fact low-grade infections missed with routine diagnostics. Methods In 7 Dutch hospitals, 176 consecutive patients with the preoperative diagnosis of aseptic loosening of their total hip arthroplasty w... |
0 | Determining meaningful changes in gait speed after hip fracture | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: Older subjects after hip fracture walk more slowly than age-matched peers. The extent to which they walk more slowly is difficult to define because the standard error of the measure (SEM), sensitivity to change, and clinically important change have not been reported for gait speed. The purposes ... |
0 | Impaction bone grafting for the reconstruction of large bone defects in revision knee arthroplasty | PJI DX Updated Search | OBJECTIVE: Regeneration of autologous bone stock and formation of a stable implant bed by impaction of morselized bone allograft. INDICATIONS: Bone loss after septic and aseptic loosening or tumour resection. CONTRAINDICATIONS: Persistent infection, one-stage septic revision, poor therapeutic compliance, extensive unco... |
1 | Irrigation solutions in open fractures of the lower extremities: evaluation of isotonic saline and distilled water | DoD SSI (Surgical Site Infections) | INTRODUCTION: Open fractures are widely considered as orthopaedic emergencies requiring immediate intervention. The initial management of these injuries usually affects the ultimate outcome because open fractures may be associated with significant morbidity. Wound irrigation forms one of the pivotal principles in the t... |
1 | Subgroups of patients with osteoarthritis and medial meniscus tear or crystal arthropathy benefit from arthroscopic treatment | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to perform a systematic review of prospective randomized controlled trials comparing arthroscopic treatment for knee osteoarthritis (OA) with either other therapeutic interventions or sham treatment.
METHODS: A systematic search for randomized controlled trials (RCT) about arthros... |
1 | Diagnosis of partial tears of the anterior cruciate ligament of the knee: value of MR imaging | Anterior Cruciate Ligament Injuries CPG | OBJECTIVE: The purpose of our study was to assess the ability of MR imaging to detect partial tears of the anterior cruciate ligament (ACL) as these injuries, if extensive enough, may result in ligamentous insufficiency or predispose to subsequent acquired knee instability. MATERIALS AND METHODS: A review of all arthro... |
0 | Haemophilus aphrophilus endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We report a case of Haemophilus aphrophilus endocarditis involving mitral and tricupsid valves in a boy with congenital heart disease. He had received dental treatment without antibiotic cover. Prolonged high-dose ampicillin with gentamicin was necessary for cure. Short courses of ampicillin alone may not successfully ... |
1 | Rehabilitation of children after elbow injuries | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | OBJECTIVES: To review the efficiency of early physical therapy to achieve successful rehabilitation after elbow injuries in children. SETTING: Tertiary medical institution, Department of Physical Therapy, University Clinical Center of Kosovo, rr. Spitalit pn. 10000 Prishtina, Kosovo. METHODS: We retrospectively reviewe... |
1 | Bone imaging after total replacement arthroplasty of the hip joint. A follow-up with different radiopharmaceuticals | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Bone imaging was done in patients after total replacement arthroplasty of the hip joint every 3rd month using 99mTc-HEDP and 18F. Uptake ratios were estimated over cup/normal hip and femur prosthesis/normal thigh. Ratios decline rapidly and reach a stable level 6-9 months, postoperatively. Eight cases of late infection... |
0 | Collagen-based porous scaffolds containing PLGA microspheres for controlled kartogenin release in cartilage tissue engineering | OAK 3 - Non-arthroplasty tx of OAK | A scaffold composed of different collagen (COL)/chitosan (CS)/hyaluronic acid sodium (HAS) salt ratios was evaluated by determining porosity, swelling, loss rate in hot water, mechanical property, and cell proliferation to obtain optimum conditions for manufacturing porous scaffolds. |
0 | Upper Eyelid Blepharoplasty: A Novel Method to Predict and Improve Outcomes | Upper Eyelid and Brow Surgery | Background: In some upper eyelid blepharoplasties, maximal skin removal may not result in desired outcomes and raising crease height can be considered. Currently, there is no method to determine the amount of skin to be excised and/or crease elevation required to achieve a specific outcome. Objective: This study extrap... |
1 | The anterior interosseous nerve latency in the diagnosis of severe carpal tunnel syndrome with unobtainable median nerve distal conduction | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This study assesses the role of the anterior interosseous nerve latency (AINL) in the differential diagnosis of severe carpal tunnel syndrome (CTS) with unobtainable median nerve distal conduction (UMNDC). The nonrandomized control trial took place at a referral center. Patients and other participants were categorized ... |
0 | Thromboprophylaxis practice patterns in hip fracture surgery patients: experience in Perth, Western Australia | Management of Hip Fractures in the Elderly | BACKGROUND: International guidelines recommend that all patients undergoing hip fracture surgery receive specific thromboprophylaxis. The purpose of the present study was to examine current thromboprophylaxis practice patterns in patients undergoing hip fracture surgery at Royal Perth Hospital. METHODS: A total of 129 ... |
0 | The use of ceramic-on-ceramic bearings in isolated revision of the acetabular component | Hip Fx in the Elderly 2019 | The practice of removing a well-fixed cementless femoral component is associated with high morbidity. Ceramic bearing couples are low wearing and their use minimises the risk of subsequent further revision due to the production of wear debris. A total of 165 revision hip replacements were performed, in which a polyethy... |
0 | Clinical and laboratory assessments of camphorated monochlorophenol in endodontic therapy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of this study was to evaluate the effect of camphorated monochlorophenol (CMCP) on bacterial status of root canals of nonvital teeth during treatments. The presence of bacteria in 15 single-rooted teeth with periapical lesions was studied throughout a whole period of treatment. Patients were randomly divide... |
1 | Morphology of the normal and arthritic glenoid | Glenohumeral Joint OA | The normal glenoid has a pear-shape aspect and is slightly retroverted. It has a variable orientation in the sagittal plane. The cartilage surface area corresponds to 28 % of the area of the humeral head with a radius of curvature greater than the humeral head. Mechanical properties are significantly higher at the cent... |
0 | Underutilization of antiosteoporotic drugs by orthopedic surgeons for prevention of a secondary osteoporotic fracture | Distal Radius Fractures | BACKGROUND: Despite the availability of effective treatment and well-publicized treatment guidelines for preventing osteoporotic fractures, there are significant gaps in implementing the recommendations, and it is unknown how many patients are treated for prevention of secondary osteoporotic fractures. In this study, w... |
0 | Intra-arterial chemotherapy for stage-III/IV pancreatic cancer | MSTS 2018 - Femur Mets and MM | Objective: The very limited efficacy of current chemotherapeutic strategies in advanced pancreatic cancer (APC) and the pattern of metastastic spread, largely confined to the upper abdominal organs within the arterial supply of celiac axis, induced us to design this phase-II study of locoregional intra-arterial chemoth... |
0 | Association between XRCC3 Thr241Met polymorphism and risk of osteosarcoma in a Chinese population | MSTS 2022 - Metastatic Disease of the Humerus | Osteosarcoma is one of the most common bone malignancies in adolescents, and hereditary factors may influence its susceptibility. We assessed the association between XRCC3 Thr241Met polymorphism and susceptibility to osteosarcoma in a Chinese population. Between May 2012 and May 2014, a total of 136 osteosarcoma patien... |
0 | Comparison of the effects of alendronate and alfacalcidol on hip bone mineral density and bone turnover in Japanese men having osteoporosis or osteopenia with clinical risk factors for fractures | Management of Hip Fractures in the Elderly | PURPOSE: The comparative effects of alendronate and alfacalcidol on bone mineral density (BMD) and bone turnover have already been established in postmenopausal women with osteoporosis. An open-labeled prospective study was conducted to compare the treatment effects of alendronate and alfacalcidol on hip BMD and bone t... |
0 | Liberal versus restrictive fluid management in knee arthroplasty: A randomized, double-blind study | AAHKS (4) Acetaminophen | BACKGROUND: There are few data describing the relationship between amount of perioperative fluid and organ function. In this study we investigated the effects of two levels of intravascular fluid administration ("liberal" versus "restrictive") in knee arthroplasty on physiological recovery as the primary outcome variab... |
0 | The patient with symptomatic chronic anterior cruciate ligament insufficiency. Results of minimal arthroscopic surgery and rehabilitation | AMP (Acute Meniscal Pathology) | Forty-nine patients with 51 chronic symptomatic anterior cruciate deficient knees were studied retrospectively by chart review and follow-up examination an average of 5.8 years postinjury and 1.5 years from arthroscopic evaluation, with or without arthroscopic surgery, and the institution of a conservative rehabilitati... |
0 | The effect of upper blepharoplasty on eyelid position when performed concomitantly with Müller muscle-conjunctival resection | Upper Eyelid and Brow Surgery | Purpose: To determine the effect on eyelid elevation of excising excess skin, orbicularis oculi muscle, and herniated orbital fat and reconstructing the upper eyelid crease (blepharoplasty) concomitant with a Müller muscle-conjunctival resection. Methods: The charts of 202 patients who had undergone Müller muscle-con... |
0 | Clinical and radiological outcome after periacetabular osteotomy: a cross-sectional study of 127 hips operated on from 1999-2008 | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: Few papers have described results after periacetabular osteotomy (PAO) and risk factors for conversion to total hip arthroplasty (THA). The aim of the present paper was to analyse clinical and radiographic outcome, survival of the hip joint and risk factors of early conversion to THA in patients with PAO. BASI... |
0 | Assessment of knowledge of dental staff at a saudi arabian university regarding the prophylaxis for infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The use of prophylactic antibiotics for the prevention of infective endocarditis following dental procedures has long been debated and there is still confusion regarding its efficacy. As a result, the prophylactic treatment varies considerably amongst different countries across the world and amongst different dental pr... |
0 | The torture or stretch arthritis syndrome (a modern counterpart of the medieval 'manacles' and 'rack') | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The characteristic symmetrical bilateral polyarthritis syndrome is described, affecting the compartments of the wrist joints in a characteristic sequence. The pisiform-triquetral joint gives first, exposing the inferior radio-ulnar joint so that pisiform pain and tenderness are followed by painful supination. The proxi... |
0 | Immunohistochemical evaluation of gap junction proteins connexions 26, 30 and 43 in Dupuytren's Disease | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: Dupuytren's disease is a benign progressive fibromatosis of the hand and fingers that leads to a permanent and irreversible flexion contracture of the fingers. To investigate a possible involvement of gap junction proteins in the pathogenesis of Dupuytren's disease, the aim of our study was to evaluate the e... |
0 | PACU bypass after outpatient knee surgery is associated with fewer unplanned hospital admissions but more phase II nursing interventions | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The authors recently proposed a recovery scoring system for outpatients receiving regional anesthesia (RA) or general anesthesia (GA). This scoring system was designed to allow qualifying patients to be directly routed to the phase II (step-down) recovery unit instead of the traditional postanesthesia care ... |
1 | The comparison of ultrasound treatment and local steroid injection plus splinting in the carpal tunnel syndrome: a randomized controlled trial | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: This study aimed to compare the efficacy of ultrasound treatment to local corticosteroid injection plus splinting in carpal tunnel syndrome (CTS). There is still limited knowledge on the efficacy of conservative treatment options for CTS. METHODS: Fourty-nine hands of 34 patients with CTS were enrolled in t... |
0 | Total hip arthroplasty for hip fractures: 5-year follow-up of functional outcomes in the oldest independent old and very old patients | AAHKS (9/10) Regional Nerve Blocks | INTRODUCTION: This study aimed to determine the dislocation and reoperation rate, functional outcomes, and the survival rate of the unique subset of very old but lucid and independent patients with hip fractures following a total hip arthroplasty (THA) and geriatric team-coordinated perioperative care.
METHOD: Between ... |
0 | Ulnar Shortening Osteotomy After Distal Radius Fracture Malunion: Review of Literature | Distal Radius Fractures | Malunion of distal radius fracture is often complicated with shortening of the radius with disturbed radio- ulnar variance, frequently associated with lesions of triangular fibrocartilage complex and instability of the distal radioulnar joint. Positive ulnar variance may result in wrist pain located in ulnar part of th... |
0 | Bone mineral density in patients with rapidly destructive or common hip osteoarthritis | Management of Hip Fractures in the Elderly | BACKGROUND: Recent findings that subchondral insufficiency fracture in the femoral head may precede rapid chondrolysis suggest a role for systemic low bone mass in the genesis of rapidly destructive hip osteoarthritis (RDHOA). OBJECTIVE: To compare bone mineral density (BMD) in females with RDHOA and those with common ... |
0 | The effectiveness of radiotherapy for painful humeroscapular periarthritis (PHS) | MSTS 2022 - Metastatic Disease of the Humerus | Study aim. The analysis of radiotherapy effectiveness as a treatment modality for periarthritis humeroscapularis (PHS) Material and method. 30 patients irradiated because of PHS (1 Gy per fraction up to 6 Gy). Follow-up ranged from 1 to 216 months. The arm mobility and pain relief were assessed at the completion of rad... |
0 | Both resistance and agility training increase cortical bone density in 75- to 85-year-old women with low bone mass: a 6-month randomized controlled trial | Management of Hip Fractures in the Elderly | A randomized, controlled, single-blinded 25-wk prospective study was conducted to compare the effects of group-based resistance and agility training on bone, as measured by both dual-energy X-ray absorptiometry (DXA) and peripheral quantitative computed tomography (pQCT), in older women with low bone mass. Ninety-eight... |
1 | Helmet Modification to PPE With 3D Printing During the COVID-19 Pandemic at Duke University Medical Center: A Novel Technique | Coronavirus Disease 2019 (COVID-19) | Care for patients during COVID-19 poses challenges that require the protection of staff with recommendations that health care workers wear at minimum, an N95 mask or equivalent while performing an aerosol-generating procedure with a face shield. The United States faces shortages of personal protective equipment (PPE), ... |
1 | Effect of l-carnitine supplementation on clinical symptoms in women with osteoarthritis of the knee: A randomized, double-blind, placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Introduction: l-carnitine has been reported to be helpful in the treatment of osteoarthritis due to its prophylactic role in cartilage degradation. The aim of this study was to investigate the effect of l-carnitine supplementation on clinical symptoms of females with knee osteoarthritis (OA). Methods: In this randomize... |
0 | Cerebrospinal fluid neurotransmitter changes during the perioperative period in patients undergoing total knee replacement: a randomized trial | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total knee replacement (TKR) is of enormous benefit to patients with osteoarthritis of the knee; however, the acute postoperative pain can be severe and difficult to manage. The role of major spinal cord neurotransmitters in this acute postoperative period is not clear, although there are a few studies in h... |
0 | Management of subtrochanteric femoral fractures and metastases using long proximal femoral nail | MSTS 2022 - Metastatic Disease of the Humerus | We report our initial experience with a new reconstruction nail, the long proximal femoral nail (L.PFN), in the treatment of subtrochanteric femoral fractures and metastases. We performed 52 L.PFN in 49 patients over a period of 18 months with an average follow-up period of 47.7 weeks. Group I consisted of 24 patients,... |
1 | Age and Meniscal Extrusion Are Determining Factors of Osteoarthritis Progression after Conservative Treatments for Medial Meniscus Posterior Root Tear | AMP (Acute Meniscal Pathology) | BACKGROUND: With a growing understanding of biomechanical disadvantages following medial meniscus posterior root tear (MMPRT), recent studies have focused on surgical repair of MMPRT. Because not all tears are repairable, surgical indications can be properly established when the outcomes of conservative treatments are ... |
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