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Isometric strength and endurance in patients with severe rheumatoid arthritis or osteoarthrosis in the knee joints. A comparative study in healthy men and women
Surgical Management of Osteoarthritis of the Knee CPG
Maximum isometric muscle strength on extension and flexion of the knee joints and endurance on extension has been studied in patients with rheumatoid arthritis (RA) and osteoarthrosis (OA), with such severe degeneration of the knees that arthroplasty was indicated. This material was compared with a group of healthy vol...
0
Quadriceps Arthrogenic Muscle Inhibition: Neural Mechanisms and Treatment Perspectives
AAHKS (2) Corticosteroids
Objectives: Arthritis, surgery, and traumatic injury of the knee joint are associated with long-lasting inability to fully activate the quadriceps muscle, a process known as arthrogenic muscle inhibition (AMI). The goal of this review is to provide a contemporary view of the neural mechanisms responsible for AMI as wel...
0
Reducing bacterial aerosol contamination with a chlorhexidine gluconate pre-rinse
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The authors compared the effects of chlorhexidine gluconate, an antiseptic mouthwash with essential oils and water on the bacterial aerosol contamination generated by an air polishing device. Patients rinsed with one of the three solutions before treatment. Bacterial counts collected during the treatment indicate that ...
0
Intra Articular Ozone or Hyaluronic Acid Injection: which One is Superior in Patients with Knee Osteoarthritis? a 6-Month Randomized Clinical Trial
OAK 3 - Non-arthroplasty tx of OAK
INTERVENTION: Intervention 1: Intervention group 1: Hyaluronic acid, knee intraarticuar injection, 20mg/2ml solution, 3 times, 1 week interval. Intervention 2: Intervention group 2: Ozone�Oxygen solution, knee intraarticuar injection, 10 milliliter, 3 times, 1 week interval. Intervention group 1: Hyaluronic acid, kne...
0
Bone mineral density differences at the femoral neck and Ward's triangle: a comparison study on the reference data between Chinese and Caucasian women
Management of Hip Fractures in the Elderly
The incidence of hip fracture is lower in Chinese women compared with those from western countries, though they usually have lower bone mineral density (BMD). In this study, reference data (from Caucasian women) supplied by the manufacturer of Hologic Inc. was compared with data obtained from healthy women in Changsha,...
0
Percutaneous transphyseal intramedullary pinning for displaced diaphyseal forearm fractures in children
Distal Radius Fractures
Background: A prospective analysis of a case series of diaphyseal forearm fractures in children treated with percutaneous transphyseal intramedullary pinning is presented. Methods: Between 2004 and 2006, 30 children aged 9-15 years with displaced diaphyseal forearm fractures underwent percutaneous transphyseal intramed...
0
Total hip arthroplasty infected by Brucella: a report of two cases
Management of Hip Fractures in the Elderly
Infection caused by Brucella following total joint arthroplasty is very rare. We present 2 cases of brucellar infection following total hip arthroplasty (THA). A 66-year-old woman who had prolonged contact with cattle presented with pain at the thigh and groin areas. The patient had undergone an uncemented THA for a hi...
1
Cognitive appraisals, coping and quality of life outcomes: a multi-centre study of spinal cord injury rehabilitation
DoD PRF (Psychosocial RF)
STUDY DESIGN: Longitudinal, multiple wave panel design. OBJECTIVES: To investigate the degree to which current thinking in terms of early appraisals and coping predicts adjustment and quality of life outcomes after spinal cord injury, and to what degree social and demographic variables are involved. SETTING: Data were ...
0
Functional outcome of bilateral limb threatening: lower extremity injuries at two years postinjury
DoD PRF (Psychosocial RF)
OBJECTIVES: To describe the functional outcome of bilateral limb-threatening injuries at 2 years postinjury and to evaluate whether a different decision-making process should be used for these patients as opposed to patients with unilateral limb-threatening injury. DESIGN/SETTING/PATIENTS: This study population of 32 p...
1
Searching for the Best Way to Assess the Risk of Thrombosis in Aesthetic Plastic Surgery; The Role of the Caprini/Pannucci Score
Panniculectomy & Abdominoplasty CPG
INTRODUCTION: There is concern regarding the high incidence of thrombosis in plastic surgery patients. For this reason, we wanted to compare the results of the Caprini/Pannucci score in patients with and without a past history of thrombosis admitted for aesthetic plastic surgery. METHODS: This was a case-control study ...
0
Anterior interbody grafting and instrumentation for advanced spondylodiscitis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Objective: To evaluate the surgical outcomes of ventral interbody grafting and anterior or posterior spinal instrumentation for the treatment of advanced spondylodiscitis in patients who had failed medical management. Methods: A total of 28 patients were evaluated for associated medical illness, detected pathogen, leve...
0
Putting science into practice: the clinical translation of medical approaches
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Proving a relationship between inflammatory periodontal disease and systemic disease will bring significant changes to the average periodontal practice. First, there will be a time of confusion with competing ideas and techniques. Determination of acceptable levels of inflammation will bring an end to the discussion. A...
0
Antimicrobial sensitivity patterns of cerebrospinal fluid (CSF) isolates in Namibia: Implications for empirical antibiotic treatment of meningitis
Patrick’s pharmacoepidemiology project
Objective: Bacterial meningitis is a medical emergency associated with high mortality rates. Cerebrospinal fluid (CSF) culture is the " gold standard" for diagnosis of meningitis and it is important to establish the susceptibility of the causative microorganism to rationalize treatment. The Namibia Standard Treatment G...
0
Vitamin K(1) intake is associated with higher bone mineral density and reduced bone resorption in early postmenopausal Scottish women: No evidence of gene-nutrient interaction with apolipoprotein E polymorphisms
Management of Hip Fractures in the Elderly
Background: Polymorphisms in the apolipoprotein E (APOE) gene are associated with fracture risk, and a potential mechanism is through vitamin K transport. Objective: We investigated the relation between dietary vitamin K(1) intake, APOE polymorphisms, and markers of bone health. Design: We measured bone mineral density...
0
Prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) use for the treatment of infection after shoulder arthroplasty
DoD SSI (Surgical Site Infections)
BACKGROUND: There are limited data on Prosthesis of Antibiotic-Loaded Acrylic Cement (PROSTALAC) use for the treatment of infection following shoulder arthroplasty. We performed a retrospective review of our experience with the PROSTALAC in terms of infection eradication, complications, and outcomes. METHODS: Twenty-ei...
0
Management of nutritional problems in subacute care
Management of Hip Fractures in the Elderly
Poor nutritional status is one of the major factors associated with functional decline and mortality in older persons. Older persons are at increased risk for malnutrition because of the physiologic anorexia of aging. During a stay in a subacute care facility, attention to nutrition is a major component of the rehabili...
1
Aspiration of the knee joint before revision arthroplasty
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Sixty-four operative procedures were performed on 55 patients with knee arthroplasties for pain, loosening, instability, or suspicion of infection. Forty-three knees had a preoperative aspiration. In 19 knees, the aspiration showed growth on solid media, and in 18 of these knees the diagnosis of infection was confirmed...
0
Recovery after fracture of the distal radius
Distal Radius Fractures
Stretching exercises are an important part of recovery after sustaining a fracture of the distal radius. However, from the patient's perspective, painful stretching exercises can be counterintuitive after injury. Stretching exercises are straightforward and do not require a significant amount of coaching. It is ultimat...
1
Geriatric co-management of proximal femur fractures: total quality management and protocol-driven care result in better outcomes for a frail patient population
Management of Hip Fractures in the Elderly
Hip fractures in older adults are a common event, leading to substantial morbidity and mortality. Hip fractures have been previously described as a "geriatric, rather than orthopedic disease." Patients with this condition have a high prevalence of comorbidity and a high risk of complications from surgery, and for this ...
0
Total knee arthroplasty without patellar resurfacing. Clinical outcomes and long-term follow-up evaluation
Surgical Management of Osteoarthritis of the Knee CPG
Total knee arthroplasty (TKA) without resurfacing of the patella by a single surgeon was reviewed retrospectively in 125 patients: 66 patients (79 knees) were included in the final study group, 32 patients were deceased, 13 were without current address and not able to be contacted, and 14 patients were unable to comple...
0
Efficacy of office ergonomics education
DoD PRF (Psychosocial RF)
Examined the efficacy of worker education programs in preventing musculoskeletal injuries in 154 reservation center employees (aged 20â??63 yrs) who spend the majority of their workdays using the computer. Ss were assigned to 1 of 3 study groups (control, traditional education, or participatory education). Data were co...
0
Gartland type III supracondylar humerus fractures: outcome and complications as related to operative timing and pin configuration
Pediatric Supracondylar Humerus Fracture 2020 Review
PURPOSE: Supracondylar fractures of the humerus are the most common fracture of the elbow in children. The purpose of this study was to evaluate, in terms of outcomes and complications, Gartland type III pediatric supracondylar humerus fractures treated at a pediatric level-one trauma center over a 7-year period, speci...
0
Early complications of anterior supine intermuscular total hip arthroplasty
PJI DX Updated Search
Anterior supine intermuscular total hip arthroplasty (THA) performed on a fracture table has been increasingly used for primary THA. Accurate cup placement, low incidence of dislocation, shorter hospital stay, and faster return of function are potential benefits of the technique. However, a high complication rate, part...
0
[Psychoeducation in knee arthroplasty patients : Additional pain management]
OAK 3 - Non-arthroplasty tx of OAK
Approximately 20-30% of patients remain dissatisfied with their treatment outcome after primary knee arthroplasty. Particularly frequent pain with limited flexibility contrives to reduce the quality of life of affected patients. Psychotherapeutic methods for pain processing after knee arthroplasty have hardly been inve...
0
Stress fracture of the proximal humeral epiphysis in an elite junior badminton player
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
An elite junior badminton player presented with a chronic painful dominant shoulder after an intense training course. An acute stress fracture to the proximal humeral epiphysis was found. Two-plane radiography will identify abnormalities of the growth plate but comparative films of the unaffected side may also be requi...
0
Comparison of home versus hospital administration of pamidronate in patients with multiple myeloma
MSTS 2018 - Femur Mets and MM
Annual Scientific Meeting of the British Society of Haematology; 2001 April 23Î?Ã?Ã?26; Harrogate, UK
0
The Oxford medial unicompartmental knee replacement using a minimally-invasive approach
Surgical Management of Osteoarthritis of the Knee CPG
This prospective study describes the complications and survival of the first 688 Phase 3 Oxford medial unicompartmental knee replacements implanted using a minimally-invasive technique by two surgeons and followed up independently. None was lost to follow-up. We had carried out 132 of the procedures more than five year...
0
Italian guidelines for the diagnosis and infectious disease management of osteomyelitis and prosthetic joint infections in adults
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Bone and joint infections are recognized as difficult-to-treat infections that result in significant morbidity and mortality among patients and increased healthcare costs. This article presents the recommendations for the diagnosis and management of osteomyelitis and prosthetic joint infections in adults developed by B...
0
Bariatric Surgical Practice During the Initial Phase of COVID-19 Outbreak
Coronavirus Disease 2019 (COVID-19)
There is no data on patients with severe obesity who developed coronavirus disease 2019 (COVID-19) after bariatric surgery. Four gastric bypass operations, performed in a 2-week period between Feb 24 and March 4, 2020, in Tehran, Iran, were complicated with COVID-19. The mean age and body mass index were 46â??±â??12 ...
1
Techniques of Concomitant Abdominoplasty and Umbilical Hernia Repair: A Review
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Different methods of performing full abdominoplasty and umbilical hernia (UH) repair simultaneously have been proposed. OBJECTIVES: The aim of this study was to review and compare UH repair outcomes and umbilical stalk survival. METHODS: A literature research was performed through 28 December 2019. Other he...
1
A Prospective, Randomized Trial Comparing Liposomal Bupivacaine vs Fascia Iliaca Compartment Block for Postoperative Pain Control in Total Hip Arthroplasty
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND: Increasing demand for total hip arthroplasty (THA) in a climate of increasing focus on clinical outcomes, patient satisfaction, and cost has created a need for better acute postoperative pain control for patients. An ideal pain control method would have few side effects, decreased opioid consumption, improv...
0
Costs of care after hospital discharge among women with a femoral neck fracture
Management of Hip Fractures in the Elderly
A prospective study was done among women who are postmenopausal and who had a displaced femoral neck fracture. The objective was to identify potential predictors of medical care costs during the 1-year after hospital discharge, and to examine the impact of the type of surgical procedure. The design was a 1-year prospec...
0
The Prevention of Medication-related Osteonecrosis of the Jaw
MSTS 2018 - Femur Mets and MM
BACKGROUND: Medication-related osteonecrosis of the jaw (MRONJ) is a preventable complication of antiresorptive treatment. It arises in 1-20% of patients with bone metastases of solid tumors and hematologic malignancies and in 0.1-2% of patients being treated for osteoporosis with bisphosphonates. Depending on the unde...
0
Massive Pulmonary Embolism after Application of an Esmarch Bandage
Surgical Management of Osteoarthritis of the Knee CPG
A 71-yr-old patient who underwent spinal anesthesia for left femoral fracture operation became hypotensive and unconscious after the application of an Esmarch bandage. The transesophageal echocardiography performed during resuscitation revealed pulmonary embolism and acute right ventricular failure. Pulmonary embolecto...
0
Reconstruction of the proximal femur with a modular resection prosthesis
Hip Fx in the Elderly 2019
BACKGROUND: Various megaprostheses are currently available for reconstruction of the proximal femur after tumor resection. This study evaluates the survival and complications of a modular megaprosthesis for reconstruction of the proximal femur. MATERIALS AND METHODS: We studied the medical files of 109 tumor patients (...
0
Multipurpose external fixation for unstable comminuted intraarticular fracture of distal radius
Distal Radius Fractures
BACKGROUND: Most of the Intraarticular distal radius fractures are complex and unstable. They are caused by high-energy injuries. The optimal and appropriate treatment remains a topic of controversy. Many different methods of treatment have been advocated such as closed reduction maintained by cast, K-wire fixation wit...
0
Floating elbow injuries in adults: prognostic factors affecting clinical outcomes
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Floating elbow fractures in adults are rare and complex injuries with unpredictable outcomes. The present study was designed to assess our experience, analyze possible compilations and illustrate prognostic factors of the final outcome. METHODS: Between 2002 and 2009, 19 patients with floating elbow fractur...
0
Quadriceps Function, Knee Pain, and Self-Reported Outcomes in Patients With Anterior Cruciate Ligament Reconstruction
OAK 3 - Non-arthroplasty tx of OAK
CONTEXT: Interactions among muscle strength, pain, and self-reported outcomes in patients with anterior cruciate ligament reconstruction (ACLR) are not well understood. Clarifying these interactions is of clinical importance because improving physical and psychological function is thought to optimize outcomes after ACL...
0
Risk factors for hip fracture in european women: The MEDOS study
Management of Hip Fractures in the Elderly
The aims of this study were to determine common international risk factors for hip fracture in women aged 50 years or more. We studied women aged 50 years or more who sustained a hip fracture in 14 centers from Portugal, Spain, France, Italy, Greece, and Turkey over a 1-year period. Women aged 50 years or more selected...
0
Efficacy of the different types of reciprocating cannulas: A comparative clinical and surgical research study
Panniculectomy & Abdominoplasty CPG
Lipoplasty has been evolving toward safer techniques and better results. The author presents a comparative study of pneumatic-assisted liposculpture with Microaire (Charlottesville, VA) and the electrical-assisted Power Cannula and Becker-Rojas unit (Wells Johnson, Tucson, AZ).
0
Photodynamic therapy of bacterial and fungal biofilm infections
Dental Implant Infection
Biofilms have been found to be involved in a wide variety of microbial infections in the body, by one estimate 80% of all infections. Infectious processes in which biofilms have been implicated include common problems such as urinary tract infections, catheter infections, middle-ear infections, sinusitis, formation of ...
0
Burn scar neoplasm
DoD LSA (Limb Salvage vs Amputation)
Marjolin's ulcer is a rare and aggressive cutaneous malignancy that occurs in previously traumatized and chronically inflamed skin, especially after burns. The majority of burn scar carcinomas are seen after a lag period in burns that were not grafted following injury. Between 2000 and 2006, 48 patients with Marjolin's...
0
A rare case of pseudotumor formation following total knee arthroplasty
PJI DX Updated Search
A 59 year old man who had undergone left total knee arthroplasty in 2008 presented with a 5 month history of left knee pain and persistent swelling. Workup for infection was negative and the patient was suspected to be suffering from particle disease and chronic synovitis. Imaging revealed an internally rotated tibial ...
0
Outcomes of Internal Fixation with Compression Hip Screws in Lateral Decubitus Position for Treatment of Femoral Intertrochanteric Fractures
Hip Fx in the Elderly 2019
Purpose: Internal fixation using compression hip screws (CHS) and traction tables placing patients in the supine position is a gold standard option for treating intertrochanteric fractures; however, at our institution, we approach this treatment with patients in a lateral decubitus position. Here, the results of 100 co...
1
Twelve-year follow-up on anterior cruciate ligament reconstruction: long-term outcomes of prospectively studied osseous and articular injuries
Anterior Cruciate Ligament Injuries CPG
BACKGROUND: Although successful at restoring near normal laxity to the knee in the short term, anterior cruciate ligament reconstructions have not been shown to prevent the development of posttraumatic arthritis. HYPOTHESIS: Bone bruises and articular cartilage injuries sustained at the time of initial injury (1991) wo...
0
Lower leg overuse injuries in athletes
DOD - Acute Comp Syndrome CPG
Achilles paratenonitis and medial tibial syndrome are the most common specific overuse injuries among athletes in Finland, and they are a problem especially in endurance sports, such as long-distance running and jogging. Conservative treatment is often successful, but if it fails operative treatment is necessary. The s...
0
99mTc-MDP bone SPECT in evaluation of the knee in asymptomatic soccer players
AMP (Acute Meniscal Pathology)
OBJECTIVE: To evaluate stress fractures in leg (particularly around the knee, tibia, and femur) and knee pathology in active asymptomatic (no symptoms in the preceding month) soccer players. METHOD: The study included 42 asymptomatic soccer players (21 women, 21 men; age range 19-31 years). Players from seven teams in ...
0
Supracondylar periprosthetic fractures of the knee in the elderly patients: A comparison of treatment using allograft-implant composites, standard revision components, distal femoral replacement prosthesis
PJI DX Updated Search
The following study is a review of 3 different treatment methods for treating comminuted distal periprosthetic femur fractures in 23 patients over the age of 70 (average age 80, range 70-90). Reconstruction techniques included 7 allograft prosthesis composite (APC), 9 revision systems (RSA), and 7 distal femur endopros...
0
Spontaneous rapid osteolysis in Paget's disease after internal fixation of subtrochanteric femoral fracture
Management of Hip Fractures in the Elderly
Rapidly-progressive spontaneous progression of the osteolysis following internal fixation of pathological fracture in patients with Paget's disease has not been previously reported. We describe two patients, aged 59 and 65 years, respectively, who had pathological subtrochanteric fractures in Pagetic femora fixed inter...
0
Reconstruction of a patellar tendon with Achilles tendon allograft for severe patellar infera - A case report
PJI DX Updated Search
Severe patellar infera accompanied by pathologic shortening and fibrosis of the patellar tendon is relatively an uncommmon condition but can cause recalcitrant joint stiffness and limited range of motion after knee surgery or injury. This report presents a case of a 49-year-old male with severe patellar infera and limp...
0
Bone mass changes in weight-loaded and unloaded skeletal regions following a fracture of the hip
Management of Hip Fractures in the Elderly
Higher bone mineral density (BMD) has been reported in weight-loaded skeletal regions and lower BMD in unloaded regions in active athletes compared with controls. These discrepancies remain the first decades after cessation of active careers in former athletes with no remaining discrepancies found after age 65 years co...
0
Managing the side effects of oral aromatase inhibitors
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Aromatase inhibitors (AIs) are increasingly being used to treat postmenopausal estrogen receptor-positive breast cancer. In the short term they enhance or induce menopausal symptoms that compromise AI adherence, while in the long-term they adversely affect bone and probably also cardiovascular health, although this is ...
0
Extracorporeal irradiated tumor bone: A reconstruction option in diaphyseal Ewing's sarcomas
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Limb salvage in extremity tumors is now established as an oncologically safe option without compromising long-term survival. En bloc resection followed by extracorporeal radiation and reimplantation is a biological reconstruction option in diaphyseal Ewing's sarcomas. We analyzed the results of 12 cases of ...
0
Sensitivity of medial and lateral knee contact force predictions to frontal plane alignment and contact locations
OAK 3 - Non-arthroplasty tx of OAK
Musculoskeletal models are increasingly used to estimate medial and lateral knee contact forces, which are difficult to measure in vivo. The sensitivity of contact force predictions to modeling parameters is important to the interpretation and implication of results generated by the model. The purpose of this study was...
0
The pseudoradicular syndrome. Lower extremity peripheral nerve entrapment masquerading as lumbar radiculopathy
Surgical Management of Osteoarthritis of the Knee CPG
Of approximately 4,000 patients with complaints of lower extremity pain who were referred to our center for evaluation of suspected lumbar radiculopathy, 36 were found to have peripheral nerve entrapments as the sole cause of their leg pain. Nine patients had femoral nerve entrapments just proximal to the inguinal liga...
0
Exercises and orthosis for limb osteoarthritis (knee, hand, hip)
OAK 3 - Non-arthroplasty tx of OAK
Best practice guidelines for the management of limb osteoarthritis emphasize the non-pharmacological treatment that combines information and patientsâ?? education, regular practice of a physical activity program and weight reduction. Physical activity programs involve both specific exercises and aerobic activity. These...
1
Nurse administered fascia iliaca compartment block for pre-operative pain relief in adult fractured neck of femur
Management of Hip Fractures in the Elderly
Aim: To assess the efficacy of fascia iliaca compartment block (FICB) administered by pain specialist nurses to relieve pain after fractured neck of femur in adults. Method: Approval was obtained to train two pain nurses on how to perform FICB. Exclusion criteria were set out and adhered to. 30 ml of 0.25% plain bupiva...
0
Surgical approach with Er: YAG laser on osteonecrosis of the jaws (ONJ) in patients under bisphosphonate therapy (BPT)
MSTS 2018 - Femur Mets and MM
Osteonecrosis of the jaw (ONJ) in patients on long-term bisphosphonate Therapy (BPT) has been reported with increasing frequency in literature over the past 4 years. Therapy for this condition is still a dilemma. Temporary suspension of BPT offers no short-term benefits; hyperbaric oxygen has no proven efficacy and the...
0
A phenomenological mathematical model of the articular cartilage damage
AMP (Acute Meniscal Pathology)
Articular cartilage (AC) is a biological tissue that allows the distribution of mechanical loads and movement of joints. The presence of these mechanical loads influences the behavior and physiological condition of AC. The loads may cause damaged by fatigue through injuries due to repeated accumulated stresses. The aim...
0
Analysis of inflammatory and metabolic biomarkers in patients submitted to abdominoplasty after bariatric surgery
Panniculectomy & Abdominoplasty CPG
PURPOSE: To evaluate the serum variations of Interleukins (Il) and CPR of abdominoplasties in post-bariatric patients and, to equate the homeostasis (HOMA) from the variations of glycemia and insulin to evolute the metabolic modifications. METHODS: Fourteen women were submitted to abdominoplasties with weight loss afte...
0
Intrathecal morphine and postoperative delirium in elderly orthopaedic patients
Management of Hip Fractures in the Elderly
Background and aim: Postoperative delirium is common in elderly orthopedic patients with hip fracture. The quality of postoperative analgesia is related to the postoperative delirium, so we evaluated the effect of 0.1mg Morphine intratecal on the incidence of postoperative delirium in elderly patients. Methods: After a...
0
ACL reconstruction with lateral extra-articular tenodesis using a continuous graft: 10-year outcomes of 50 cases
PRP (Platelet-Rich Plasma)
Background: Persistence of pivot shift is the main problem after isolated intra-articular anterior cruciate ligament (ACL) reconstruction. Adding lateral extra-articular tenodesis (LET) to the ACL procedure increases the knee's stability by controlling rotational laxity. The aim of this study was to evaluate the long-t...
0
Medium-term results of patellofemoral joint arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
The results of a multi-surgeon, multi-implant series of patellofemoral joint arthroplasties performed over a ten year period are presented. All patellofemoral joint arthroplasties performed from 1997 to 2006 were retrospectively reviewed using case notes, radiographs and clinic appointments until their latest follow-up...
0
Predictive factor analysis of poor outcomes after early hip surgery in osteoporotic hip fracture patients
Hip Fx in the Elderly 2019
Objective: To analyze the predictive factors related to the postoperative poor outcome within one year in the elderly patients sustained hip fracture (HF) and underwent early hip surgery (EHS) protocol. Materials and Methods: A single-centered, retrospective study was conducted between 2010 and 2012 on elderly patients...
0
Prophylaxis of falls and treatment of fractures
Distal Radius Fractures
This review has highlighted important preventive measures for falls and fractures in elderly osteopenic patients, and has discussed the therapeutic possibilities after an osteoporotic fracture has occurred. Assuming that a large proportion of osteoporotic fractures are a consequence of traumatic falls, and are not spon...
0
The prevalence of hip labral and chondral lesions identified by method of detection during periacetabular osteotomy: arthroscopy versus arthrotomy
SR for PM on OA of All Extremities
PURPOSE: Periacetabular osteotomy (PAO) has become an accepted treatment option for patients with severe hip dysplasia. In addition to correcting acetabular architecture, consideration has been given to concomitant joint evaluation and treatment of coexisting intra-articular pathologic conditions, which can be identifi...
1
Is femoral nerve block necessary during total knee arthroplasty?: a randomized controlled trial
AAHKS (9/10) Regional Nerve Blocks
There remains a lack of randomized controlled trials comparing methods of perioperative analgesia for total knee arthroplasty. To address this deficiency, a blinded, randomized controlled trial was conducted to compare the use of femoral nerve block (group F) and local anesthetic (group L). A sample of 55 patients who ...
0
Evaluation of Medial Compartment Decompression by Fibular Osteotomy to Treat Medial Compartment Knee Osteoarthritis: A Retrospective Study
AMP (Acute Meniscal Pathology)
Introduction: Osteoarthritis (OA) of the knee is a debilitating old age disease causing pain and restriction in movement. Proximal Fibular Osteotomy (PFO) can be a novel surgical technique which may provide an increase in the joint space and balance the load bearing of the knee joint. The present study was conducted to...
0
Changes in bone mineral density after total parathyroidectomy without autotransplantation in the end-stage renal disease patients with secondary hyperparathyroidism
Hip Fx in the Elderly 2019
BACKGROUND: The patients with secondary hyperparathyroidism (SHPT) usually had reduced bone mineral density, which might lead to a substantial increase in osteoporosis, fracture and mortality. Although surgical intervention is effective in reducing parathyroid hormone (PTH) levels in suitable candidates refractory to m...
0
Effect of supraspinatus deficiency on humerus translation and glenohumeral contact force during abduction
Glenohumeral Joint OA
BACKGROUND: Supraspinatus deficiency is the most frequent and important problem associated to rotator cuff pathologies. It reduces shoulder stability and can lead to osteoarthritis. The goal of this study was to develop a numerical model of the shoulder to analyse the biomechanical consequences of this pathology. METHO...
0
Functional articular cartilage repair: Here, near, or is the best approach not yet clear?
Osteochondritis Dissecans 2020 Review
In this Review we describe three approaches for cartilage tissue repair at the rheumatology-orthopaedics interface: disease-modifying osteoarthritis (OA) drug (DMOAD) treatment; cell-based therapies, and intrinsic cartilage repair by joint distraction. DMOADs can slow the progression of joint damage. Cell-based therapi...
0
The Overexpression of NALP3 Inflammasome in Knee Osteoarthritis Is Associated with Synovial Membrane Prolidase and NADPH Oxidase 2
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis is characterized by the presence of proinflammatory cytokines and reactive oxygen species. We aimed to clarify the role of prooxidant enzyme content at the synovial membrane level and how it correlates with the inflammatory process in patients with knee osteoarthritis (KOA). In synovial membranes from KO...
1
Lack of peripheral analgesic effect of low-dose morphine during intravenous regional anesthesia
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: To determine whether 1 mg morphine injected intravenously in conjunction with prilocaine has any effect on postoperative pain and analgesic requirement during intravenous regional anesthesia. METHODS: This was a randomized, double-blind study that included 37 patients undergoing carpal tunnel operations of t...
0
Treatment of pertrochanteric and subtrochanteric fractures of the femur by the Ender method
Management of Hip Fractures in the Elderly
The Ender method consists of insertion of round, flexible, condylocephalic intramedullary nails. In 104 patients with a median age of 77 years and 80% older than 70 years, the morbidity was high (owing to concomitant diseases in 73%). Follow-up examination of survivals showed good functional results. There was some ten...
0
Digital nerve conduction velocity for evaluation of peripheral nerve impairments in vibration syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
In order to evaluate peripheral nerve impairments in vibration syndrome, sensory nerve conduction velocity (SCV) in the digital segment of the median nerve was measured by applying electrical stimulation to the wrist and recording from two pairs of electrodes attached to the middle finger. Fractionated SCVs were also m...
0
Early experience of dynamic hip screw with spiral blade and locking side plate for the stabilization of trochanteric fractures
Hip Fx in the Elderly 2019
OBJECTIVE: To evaluate early experience with helical hip system in osteoporotic elderly patients with per-trochanteric fractures. METHODS: The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised records of patients having low-velocity pertrochanteric fractures who were fixed with s...
0
Lightbulb technique for the treatment of osteonecrosis of the femoral head
AAHKS (2) Corticosteroids
Introduction: The aim of this study was to report the clinical and radiological outcomes for 21 patients (28 hips) treated for osteonecrosis of the femoral head using the lightbulb technique, a nonvascularised bone grafting technique. Methods: The study group included 14 men and 7 women, with a mean age of 33.2 (range ...
0
Vascular diseases and oral infections
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Vascular diseases are multifactorial, and several risk factors, such as increasing age, male sex, hypertension, diabetes, dyslipidemias and smoking, are well-known. In recent studies, associations have also been found between preceding infections and development of myocardial or cerebral infarction. Preceding acute res...
0
Intraoperative Liposomal Bupivacaine Injection in Primary Total Knee Arthroplasty
AAHKS (9/10) Regional Nerve Blocks
Postoperative pain control in total knee arthroplasty is generally managed by a multimodal approach of premedication, epidural and/or peripheral nerve blocks, narcotic medications, and anti�inflammatories. Multiple studies have evaluated the efficacy of anesthetic "cocktails" of various medications for local tissue i...
1
Magnetic resonance imaging of arthroscopic supraspinatus tendon repair
Optimizing the Management of Full-Thickness Rotator Cuff Tears
BACKGROUND: While a number of studies have documented the very good clinical results of arthroscopic rotator cuff repair, very few authors have specifically assessed cuff integrity, supraspinatus atrophy, and fatty infiltration and their influence on the clinical outcome. METHODS: We evaluated fifty-three consecutive p...
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Managing pain after thoracic surgery
AAHKS (4) Acetaminophen
It is generally accepted that thoracic surgery for lung cancer produces some of the most intense and difficult perioperative and chronic pain challenges. In the acute period of recovery, practitioners must optimize patient comfort and pulmonary function. This can be achieved through a combination of systemic treatment ...
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CaP cement is equivalent to iliac bone graft in filling of large metaphyseal defects: 2 year prospective randomised study on distal radius osteotomies
Distal Radius Fractures
The purpose of this prospective randomised study was to compare the clinical and radiological outcomes of injectable CaP bone cement with corticocancellous bone graft used to fill voids after corrective opening wedge osteotomies in the distal radius. 17 women/3 men, median age 56 (51.3; 61.0), underwent an open-wedge o...
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F-18 Fluorodeoxyglucose positron emission tomography/computed tomography in tuberculosis of the hip: A case report and brief review of literature
PJI DX Updated Search
Tuberculosis (TB) has become a global health concern. Cross-sectional imaging modalities like ultrasound, computed tomography and magnetic resonance imaging play an important role in the diagnosis, assessment of disease extent and response to treatment. PET/CT, a unique molecular imaging technique, allows the most accu...
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Factors associated with the treatment of osteoporosis in Korean postmenopausal women
DoD PRF (Psychosocial RF)
This retrospective study was designed to investigate the treatment rate of osteopenia and osteoporosis after diagnosis and determine factors related to osteoporosis treatment in Korea. This analysis included postmenopausal women who had visited the health promotion center from March 2010 to May 2011 (n = 375) and been ...
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Imaging of periprosthetic infection
PJI DX Updated Search
Periprosthetic infection is one of the most challenging and difficult complications in orthopaedics. It can result in significant patient distress and disability, with repeated surgeries, increased cost and utilization of medical resources, and in rare cases even mortality. The biggest challenge to date is the correct ...
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Isolation of Cryptococcus albidus var. albidus in patient with pemphigus foliaceus
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Cryptococcus albidus var. albidus was isolated from the blood of a patient with pemphigus foliaceus after steroid therapy. This organism was found in triple extract peptone medium which is used in our laboratory for blood culture to detect aerobic and anaerobic bacteria. Identification of Cryptococcus was made by the A...
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Health workers' safety during tracheostomy in COVID-19 patients: Homemade protective screen
Coronavirus Disease 2019 (COVID-19)
As an aerosol and droplets generating procedure, tracheostomy increases contamination risks for health workers in the coronavirus disease context. To preserve the health care system capacity and to limit virus cross-transmission, protecting caregivers against coronavirus infection is of critical importance. We report t...
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Role of character strengths in outcome after mild complicated to severe traumatic brain injury: a positive psychology study
DoD PRF (Psychosocial RF)
OBJECTIVE: To examine the effects of character strengths on psychosocial outcomes after mild complicated to severe traumatic brain injury (TBI). DESIGN: Prospective study with consecutive enrollment. SETTING: A Midwestern rehabilitation hospital. PARTICIPANTS: Persons with mild complicated to severe TBI (N=65). INTERVE...
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Risk factors for failed closed reduction of pediatric supracondylar humerus fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
The purpose of this retrospective study was to examine pediatric supracondylar humerus fractures at a Level I trauma center. Data were analyzed to identify risk factors associated with closed reduction failure. Closed pediatric supracondylar humerus fractures that were treated at the authors' trauma center between Octo...
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Loosening of matt and polished cemented femoral stems
Management of Hip Fractures in the Elderly
We have compared prospectively the incidence of loosening of 20 femoral stems with a matt surface with that of 20 polished stems of an otherwise identical tapered, non-modular design of Exeter hip replacement. The stems were inserted using the same technique at operation and radiographs showed no difference in the adeq...
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Analysis of risk factors for failure of arthroscopic ankle fusion in a series of 52 ankles
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The purpose of this retrospective study is to analyze the effect of different variables on union rate and functional outcome in patients who underwent arthroscopic ankle fusion for end-stage arthritis of ankle. METHODS: Clinical records and radiographs were reviewed to evaluate the variables that could pred...
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A comparison of the excitability of motor axons innervating the APB and ADM muscles
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: Threshold tracking allows the non-invasive assessment of axonal excitability. This study aimed to determine whether axonal excitability of the motor axons of the median nerve (to APB) and ulnar nerve (to ADM) to the small muscles of the hands is sufficiently similar to be interchangeable; confirm the feasibi...
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Cost-effectiveness study of outpatient physiotherapy after medial meniscectomy
AMP (Acute Meniscal Pathology)
In a randomised controlled trial comparing the outcome of two groups of men aged 16-45 one group received outpatient physiotherapy after medial meniscectomy and the other did not. In clinical aspects of knee function there was no significant difference between the test group and control group measured at specified inte...
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Direct and buffering effects of social support among gynecologic cancer survivors
DoD PRF (Psychosocial RF)
BACKGROUND: There are few studies of QoL among long-term gynecologic cancer survivors; available data suggest significant sequelae of disease and treatment. Research clarifying circumstances that improve difficult survivorship trajectories is lacking. PURPOSE: The present study examines whether social support moderates...
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Arthroscopic repair of glenoid rim fractures: a ligamentotaxis surgical technique
Glenohumeral Joint OA
PURPOSE: Glenoid fractures occur as a result of direct impact of the humeral head against the glenoid rim following high-energy trauma. They frequently involve one-third of the glenoid surface with an oblique fracture rim from 2 to 6-7 o'clock, and they must not be confused with bony Bankart lesions. In medium-age pati...
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The current status and future of multiple myeloma in the clinic
MSTS 2018 - Femur Mets and MM
It is now recognized that all cases of multiple myeloma (MM) are preceded by the premalignant condition of monoclonal gammopathy of undetermined significance (MGUS). Although patients with MGUS are generally asymptomatic and currently managed by "watch and wait," the identification of high-risk patients whose disease w...
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Neurological deficit following combined spinal-epidural anesthesia for knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
A healthy man developed cauda equina syndrome after uneventful combined spinal and epidural anesthesia. No pre-existing neurologic disorder was recorded. There was no pain or paresthesia during needle placement, drug injection or catheter insertion. The sensory levels were improved within a few days following the defic...
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Lidocaine local anesthesia for arthroscopic knee surgery
Surgical Management of Osteoarthritis of the Knee CPG
Forty-five patients were evaluated during knee arthroscopy performed using local anesthesia produced by lidocaine with epinephrine to determine the dose-response relationship for operative analgesia. Serum lidocaine concentrations were also measured. Patients were randomized prospectively to receive 20 mL of 0.5%, 1.0%...
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Correction of the Tear Trough Deformity and Concomitant Infraorbital Hollows With Extracellular Matrix/Stromal Vascular Fraction Gel
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The tear trough deformity is a sign of eye aging. Filling is an ideal choice for the tear trough accompanied by infraorbital hollows. OBJECTIVE: To evaluate the efficacy and safety of stromal vascular fraction gel (SVF-gel) as a filler for the tear trough deformity which is combined with infraorbital hollow...
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Medium term results of the Miller-Galante unicompartmental knee arthroplasty with 10 year survivorship
Surgical Management of Osteoarthritis of the Knee CPG
Seventy-four Miller-Galante unicompartmental knee arthroplasty procedures were performed in 69 patients between 1990 and 2003. All patients underwent regular prospective clinical and radiological follow-up. Their average age at the time of surgery was 63.9 years (range: 47-80 years). Seventeen patients died during the ...