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Outcomes of Shoulder Arthroplasty Performed for Postinfectious Arthritis
DoD SSI (Surgical Site Infections)
Background: The purpose of this study was to evaluate the functional outcomes, infection rate, and complications associated with shoulder arthroplasty for sequelae of prior septic arthritis. Methods: This is a retrospective cohort study of 17 patients who underwent shoulder arthroplasty for sequelae of septic arthritis...
0
A comparison of GlideScope(registered trademark) videolaryngoscopy and direct laryngoscopy for nasotracheal intubation in children
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Summary Background: The relative effectiveness of GlideScope(registered trademark) videolaryngoscopy (GV) for nasotracheal intubation in pediatric patients is unclear. The purpose of this study is to evaluate the usefulness of GV for nasotracheal intubation compared with direct laryngoscopy (DL) in pediatric patients. ...
0
The long-term outcome of the Gschwend-Scheier-Bahler III elbow replacement
Glenohumeral Joint OA
BACKGROUND: The Gschwend-Scheier-Bahler III (GSBIII) is a semiconstrained, sloppy-hinge total elbow replacement. We report the long-term functional and radiological outcome of a cohort of patients more than 10 years after surgery. METHODS: All GSBIII prostheses implanted from September 1996 to June 2004 were identified...
1
Intramedullary fixation of fibular fractures associated with pilon fractures
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVES: The purpose of this study was to determine the ability of intramedullary fibular fixation to maintain reduction until healing and to determine the overall complication rate in high-energy pilon fractures associated with fibular fractures. DESIGN: Retrospective study. SETTING: Level I university trauma cente...
0
Current trends of HIV disease of the mouth
Reduction Mammoplasty for Female Breast Hypertrophy
HIV infection affects residents of all countries of the world, but the greater majority of affected individuals reside in the developing world. In the past decade there have been substantial changes in the management of HIV disease, particularly the introduction of highly active antiretroviral therapy (HAART). Such age...
0
Meniscal repair in anterior cruciate ligament reconstruction: a long-term outcome study
AMP (Acute Meniscal Pathology)
PURPOSE: To study the long-term outcome of patients who have undergone inside-out, vertical stacked mattress suture repair of meniscal tears combined with anterior cruciate ligament (ACL) reconstruction. METHODS: From a database of ACL reconstructed patients, consecutive patients undergoing concomitant meniscal repair ...
0
Epidemiology of acetabular fractures in Qatar
DoD SSI (Surgical Site Infections)
Objectives: This study aimed to review the epidemiological aspects of acetabular fractures treated at Hamad Medical Corporation in Qatar. The study is the first orthopaedic trauma epidemiological study in Qatar and will provide a platform to advance high-level clinical research. Methods: We obtained data for 103 patien...
0
Production of tissue-engineered skin and oral mucosa for clinical and experimental use
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Since the early 1990s, our understanding of how epithelial and stromal cells interact in 3D tissue-engineered constructs has led to tissue-engineered skin and oral mucosa models, which are beginning to deliver benefit in the clinic (usually in small-scale reconstructive surgery procedures) but have a great deal to offe...
0
Postural control in women with breast hypertrophy
Reduction Mammoplasty for Female Breast Hypertrophy
Objectives: The consequences of breast hypertrophy have been described based on the alteration of body mass distribution, leading to an impact on psychological and physical aspects. The principles of motor control suggest that breast hypertrophy can lead to sensorimotor alterations and the impairment of body balance du...
0
Outbreak of acute renal failure due to cefodizime-vancomycin association in a heart surgery unit
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECTIVE: To describe an outbreak of acute renal failure (ARF) occurring in a group of patients undergoing open-heart surgery, simultaneously to a change in perioperative antibiotic prophylaxis. DESIGN: Case series. SETTING: A nine-bed heart surgery intensive care unit, serving a 1,300-bed University teaching hospital...
0
Anterior capsule re-attachment in terrible triad elbow injury with coronoid tip fracture
Pediatric Supracondylar Humerus Fracture 2020 Review
Background: During the surgical treatment of terrible triad elbow injury (TTEI), the usefulness of re-attaching the anterior joint capsule when the coronoid tip is fractured remains unclear. The primary objective of this study was to assess potential benefits during surgery for TTEI of re-attaching the joint capsule wh...
0
Tennis elbow, study protocol for a randomized clinical trial: needling with and without platelet-rich plasma after failure of up-to-date rehabilitation
PRPs for Lateral Epicondylitis/Elbow Tendinopathies
BACKGROUND: The conservative management of lateral epicondylitis is known to be a difficult-to-treat annoying condition. A treatment with platelet-rich plasma (PRP) is often performed, but its efficacy remains controversial. METHODS: This study is a single-center, randomized double-blind controlled trial, preceded by a...
0
Diagnostic reliability of a protocolized care program for carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Introduction: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and its management is multidisciplinary. It has a wide etiology, and treatment depends on the severity of the entrapment and comorbidity. We designed a specific program for management of CTS that included training courses to improve dia...
0
An updated algorithm recommendation for the management of knee osteoarthritis from the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO)
OAK 3 - Non-arthroplasty tx of OAK
Objectives: The European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) sought to revisit the 2014 algorithm recommendations for knee osteoarthritis (OA), in light of recent efficacy and safety evidence, in order to develop an updated stepwise algorithm th...
0
Good short-term outcome of arthroplasty with Wagner SL implants for unstable intertrochanteric osteoporotic fractures
Hip Fx in the Elderly 2019
The purpose of this study was to evaluate the clinical and radiologic results of a consecutive series of Wagner SL arthroplasties in patients with unstable intertrochanteric osteoporotic fractures. Forty-seven consecutive arthroplasties for unstable intertrochanteric fractures using Wagner SL hip stems were studied. Al...
1
Meniscal substitution, a developing and long-awaited demand
AMP (Acute Meniscal Pathology)
The menisci represent indispensable intraarticular components of a well-functioning knee joint. Sports activities, traumatic incidents, or simply degenerative conditions can cause meniscal injuries, which often require surgical intervention. Efforts in biomechanical and clinical research have led to the recommendation ...
0
Stun gun induced myotendinous injury of the iliopsoas and gluteus minimus
PJI DX Updated Search
We report a 57-year-old man with a complete tear of his iliopsoas tendon at the distal myotendinous junction, a near complete tear of the iliopsoas tendon at the lesser trochanter of the femur, and a high-grade tear of his gluteus minimus tendon at the greater trochanter of the femur after being struck by a stun gun in...
0
Reliable techniques to avoid damaging the superficial radial nerve due to percutaneous Kirschner wire fixation of the distal radius fracture through the radial styloid process
Distal Radius Fractures
PURPOSE: The use of percutaneous Kirschner wires for fixation of unstable fractures of the distal radius has been widely accepted as the least invasive procedure. However, the injury to the superficial branch of the radial nerve (SBRN) is common. Our purpose in this study was to develop a reliable technique to avoid da...
0
Concordance of treatment recommendations for metastatic non-small-cell lung cancer between watson for oncology system and medical team
MSTS 2022 - Metastatic Disease of the Humerus
Objective: The disease complexity of metastatic non-small-cell lung cancer (mNSCLC) makes it difficult for physicians to make clinical decisions efficiently and accurately. The Watson for Oncology (WFO) system of artificial intelligence might help physicians by providing fast and precise treatment regimens. This study ...
0
Treatment of post-traumatic elbow deformities in children with the Ilizarov distraction osteogenesis technique
Pediatric Supracondylar Humerus Fracture 2020 Review
OBJECTIVE: The present study assessed functional and radiographic outcomes of distraction osteogenesis treatment of post-traumatic elbow deformities in children. METHODS: Eight children were treated between 2008 and 2013 for post-traumatic elbow deformities using distraction osteogenesis. Mean age at time of operation ...
0
Circulating C reactive protein in osteoarthritis: A systematic review and meta-analysis
SR for PM on OA of All Extremities
Background: There is emerging evidence that the development and progression of osteoarthritis (OA) is associated with inflammation. C reactive protein (CRP), a systemic marker for inflammation, may be elevated in OA patients but the evidence is conflicting. Objective: To systematically review the literature for the rel...
0
Articular penetration is more likely in Garden-I fractures of the hip
Management of Hip Fractures in the Elderly
Plain radiographs show only two dimensions of a three-dimensional object. On anteroposterior and lateral radiographs an implant may appear to be safely within the head of the femur although surface penetration has occurred. We have attempted to identify this complication in the treatment of fractures of the femoral nec...
0
An analysis of oral biopsies extracted from 1995 to 2009, in an oral medicine and surgery unit in Galicia (Spain)
MSTS 2018 - Femur Mets and MM
Objective: To conduct an analysis of the frequency of oral lesions in biopsies over a 14-year period in the Oral Medicine, Oral Surgery and Implantology Unit. Material and Methods: We conducted a retrospective study of biopsies removed from 1995-2009, recording data regarding age, sex, location of the lesions, biopsy t...
1
Carpal tunnel syndrome: objective measures and splint use
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
One hundred five adults with carpal tunnel syndrome (CTS) were studied to assess the efficacy of a neutral-angle wrist splint, and to identify criteria for splint referral. Ten observations before and after treatment were analyzed with descriptive and inferential statistics. After splint use, 67% of the subjects report...
0
Incidental unilateral and bilateral ductal carcinoma in situ encountered in the surgical management of young male gynecomastia
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: The increased risk for malignant tumors associated with male gynecomastia has been well established and many authors have reported cases of concurrent gynecomastia and ductal carcinoma in situ (DCIS) in the same breast. Synchronous bilateral breast cancer in association with gynecomastia is exceptionally ra...
0
Manchester knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
The results of 51 Manchester knee arthroplasties in 41 patients are reviewed and discussed. Excellent and good results were obtained in 85.4 % of arthroplasties. Varus and valgus deformity can be corrected and stability preserved or restored. Complications occurred in only 12 patients but resolved in all except one
0
Factors associated with the lumbar spine and proximal femur bone mineral density in older men
Management of Hip Fractures in the Elderly
Bone mass is a major determinant of fracture, but there have been few comprehensive studies of the correlates of bone mineral density (BMD) in older men. The objective of the current cross-sectional analysis was to determine the factors associated with BMD of the lumbar spine and proximal femur in a large population-ba...
0
Fulminant clostridium difficile colitis post total hip replacement
PJI DX Updated Search
Background: Clostridium difficile-infection (CDI) is the predominant cause of nosocomial diarrhea. Approximately 300,000 new cases occur in hospitals in the United States each year and these rates nearly doubled between 2000 and 2003. There is also an increase in mortality and complications related to CDI. Case Report:...
0
A randomized trial of once-daily fluticasone furoate/vilanterol or vilanterol versus placebo to determine effects on arterial stiffness in COPD
Hip Fx in the Elderly 2019
Introduction: Chronic obstructive pulmonary disease (COPD) is associated with increased cardiovascular morbidity and mortality. Elevated arterial stiffness, measured by aortic pulse wave velocity (aPWV), is a cardiovascular risk surrogate and is potentially modifiable by inhaled corticosteroid/long-acting beta2-agonist...
0
Drug evaluation: Tesamorelin, a synthetic human growth hormone releasing factor
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Theratechnologies, under license front Valeant, is developing tesamorelin as a potential vaccine adjuvant and for the potential treatment of wasting, hip fracture recovery, immune disorders, HIV-related lipodystrophy, sleep maintenance insomnia and mild cognitive impairment. Phase III clinical trials for the treatment ...
1
Effect of Delay to Definitive Surgical Fixation on Wound Complications in the Treatment of Closed, Intra-articular Calcaneus Fractures
DoD SSI (Surgical Site Infections)
BACKGROUND: There are conflicting data regarding the benefits of delaying operative fixation of calcaneus fractures to decrease wound complication rates. The purpose of this study was to examine the effect of delaying fixation on wound complication rates as well as to identify other risk factors. METHODS: A retrospecti...
0
Different regional healing rates with the outside-in technique for meniscal repair
AMP (Acute Meniscal Pathology)
Fifty-one patients with meniscal repair using the outside-in technique were reassessed with second-look arthroscopic procedures (N = 15), arthrographic examination (N = 41), magnetic resonance imaging (N = 36), or a combination of these techniques. Forty-one medial and 10 lateral menisci were repaired. The average clin...
0
Spurling's test - inconsistencies in clinical practice
Pediatric Supracondylar Humerus Fracture 2020 Review
OBJECTIVE: The purpose of this study was to investigate the methodology, interpretation, and perceived value of Spurling's test toward diagnosis/classification and treatment. METHODS: An anonymous web-based survey was made available to physical therapist members of the Academy of Orthopaedic Physical Therapy of the Ame...
1
Ambulatory abdominoplasty tailored to patients with an appropriate body mass index
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The office-based surgery setting potentially offers advantages to both the patient and the plastic surgeon, but some patients may not be considered good candidates for abdominoplasty or combined abdominoplasty/lipoplasty performed in the ambulatory setting. OBJECTIVE: We conducted a retrospective case revie...
0
Update on the etiology of revision TKA -- Evident trends in a retrospective survey of 1449 cases
PJI DX Updated Search
BACKGROUND: A working and complete knowledge of the different causes of dysfunction and pain after TKA is essential for the ability to correctly determine the cause of failure and to address this problem specifically. The purpose of this study was to update the etiology of implant failure. New diagnosis and current tre...
0
Infected total knee arthroplasty treatment outcome analysis
PJI DX Updated Search
Background/Aim: Infected total knee arthroplasty (TKA) is a topic of great importance, because its diagnosing and treatment requires a lot of resources, and often has an unsatisfactory outcome. The aim of this study was to analyze the outcome of the treatment of infection developed following TKA. Methods: This retrospe...
0
Use of 2 column screws to treat transcondylar distal humeral fractures in geriatric patients
Hip Fx in the Elderly 2019
We describe fixation of transcondylar distal humeral fractures with column screws in geriatric patients and review our initial results. We conducted a retrospective review of a prospectively collected database at a Level I trauma center. Six patients met inclusion criteria of age older than 65 years and treatment of mi...
0
Discoid Meniscus in the Pediatric Population:: Emphasis on MR Imaging Signs of Instability
AMP (Acute Meniscal Pathology)
Discoid meniscus (DM) is currently considered as a spectrum of disorders in meniscal shape and stability. Diagnosing DM on MR imaging has clinical and surgical implications. When diagnosing a DM on MR imaging, identification of tears and signs of instability is of utmost importance. The literature has focused on the di...
1
Necrosis of abdominoplasty and other secondary flaps after TRAM flap breast reconstruction
Panniculectomy & Abdominoplasty CPG
The risks of abdominoplasty flap necrosis, umbilical necrosis, and mastectomy flap edge necrosis were compared in a series of 227 patients who had undergone transverse rectus abdominis myocutaneous (TRAM) flap breast reconstructions. Abdominoplasty flap necrosis was more common in patients who smoked or previously had ...
1
Identification of cultivable microorganisms from primary endodontic infections with exposed and unexposed pulp space
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This study was aimed at comparing the cultivable microorganisms in canals with periapical radiolucencies with exposed and unexposed pulp space. Microbiological samples were taken and analyzed from 45 canals with exposed pulp space, and 43 canals with unexposed pulp space. The canal contents were analyzed by aerobic/ana...
1
Knee Arthroscopy: A Diagnostic and Therapeutic Tool for Management of Ochronotic Arthropathy
OAK 3 - Non-arthroplasty tx of OAK
The surgical treatment of ochronotic arthropathy remains unclear. Although there is no absolute cure for ochronotic arthropathy, current management typically begins with conservative treatment. Total joint replacement may eventually be necessary for joints that become severely degenerative. Ochronotic arthropathy is pr...
0
A systematic review of musculoskeletal pain among bariatric surgery patients: Implications for physical activity and exercise
OAK 3 - Non-arthroplasty tx of OAK
Background: Physical activity (PA) can play an integral role in protecting the success of bariatric surgery by promoting weight loss and preventing weight regain. Although engagement in PA before surgery predicts postoperative PA levels, this may be undermined by weight-related co-morbidities. The importance of preoper...
0
Cell-sheet technology combined with a thienoindazole derivative small compound TD-198946 for cartilage regeneration
OAK 3 - Non-arthroplasty tx of OAK
Articular cartilage is a permanent tissue, with poor self-regenerative capacity. Consequently, a tissue engineering approach to cartilage regenerative therapy could greatly advance the current treatment options for patients with cartilage degeneration and/or defects. A successful tissue engineering approach would requi...
0
The pathologist and the hip
Diagnosis and Treatment of Osteochondritis Dissecans AUC
A practical overview is given of the gross and histopathological examination of hip specimens that are sent to the pathologist, as well descriptions of most lesions that can be found. Some pitfalls that should be avoided are pointed out. (copyright) 2009
0
Prehabilitation and quality of life three months after total knee arthroplasty: A pilot study
OAK 3 - Non-arthroplasty tx of OAK
Knee osteoarthritis (OA), which affects over 27 million Americans, decreases the individual's quality of life through decreasing mobility, deconditioning, reducing functional ability, and increasing knee pain. The present aim was to assess whether such patients engaging in exercise prior to surgery ("prehabilitation"; ...
0
Barriers and facilitators to recommended physical activity in lower-limb osteoarthritis: Protocol for a qualitative study exploring patients and physiotherapist perspectives using the theoretical domains framework and behaviour change taxonomy
OAK 3 - Non-arthroplasty tx of OAK
Introduction Osteoarthritis (OA) is the leading cause of disability and pain in older adults. Although increasing physical activity (PA) can help reduce symptoms, patients with lower-limb OA are less active than the general public. Although physiotherapists commonly deliver PA programmes, they lack knowledge of key bar...
0
The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study
OAK 3 - Non-arthroplasty tx of OAK
Background Total joint replacements for end-stage osteoarthritis of the hip and knee are cost-effective and demonstrate significant clinical improvement. However, robust population based lifetime-risk data for implant revision are not available to aid patient decision making, which is a particular problem in young pati...
0
Inflammatory cytokines IL-6 and TNF-alpha in patients with hip fracture
Hip Fx in the Elderly 2019
Mortality and remaining bedridden following the hip fracture surgery are not rare. We tried to measure the levels of inflammatory markers tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) following the hip fracture surgery and compare their levels with controls. We aimed to show a relationship between th...
0
Pharmacological mythology? Or an evidence-based approach to the pharmacologically-challenged dental patient?
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A number of fallacies and even fads and rarely facts have arisen in regard to catering to the medically-complex/pharmacologically-challenged dental patient. Dentists face an ever-increasing problem in addressing the needs of their medically-complex patients, given the increase in their numbers, with the advances in med...
1
Ultrasound-guided reduction of distal radius fractures
Distal Radius Fractures
BACKGROUND: Ultrasound (US) may provide the emergency physician with the ability to do real-time assessment of fracture reduction adequacy. OBJECTIVES: To assess whether US guidance aids in determining the adequacy of distal radius fracture reduction in the emergency department (ED), and to compare the rates of success...
0
Clinical outcomes after arthroscopic microfracture for osteochondral lesions of the talus are better in patients with decreased postoperative subchondral bone marrow edema
Osteochondritis Dissecans 2020 Review
PURPOSE: Magnetic resonance imaging (MRI) findings of subchondral bone marrow edema (SBME) in osteochondral lesions of the talus (OLT) after arthroscopic microfracture are associated with poor clinical outcomes. However, the relationship between SBME volume change and clinical outcomes has not been analyzed. It was hyp...
0
The association between physical activity and osteoporotic fractures: a review of the evidence and implications for future research
Management of Hip Fractures in the Elderly
PURPOSE: Physical activity helps maintain mobility, physical functioning, bone mineral density (BMD), muscle strength, balance and, therefore, may help prevent falls and fractures among the elderly. Meanwhile, it is theoretically possible that physical activity increases risk of fractures as it may increase risk of fal...
0
Same-Day Physical Therapy Following Total Knee Arthroplasty Leads to Improved Inpatient Physical Therapy Performance and Decreased Inpatient Opioid Consumption
OAK 3 - Non-arthroplasty tx of OAK
Background: Early ambulation with physical therapy (PT) following total knee arthroplasty (TKA) has demonstrated benefits in the literature. However, the impact of early PT on rehabilitation performance and opioid consumption has not been elucidated. We evaluate the effect of same-day PT on inhospital functional outcom...
1
Clinical use of vibratory stimuli to evaluate peripheral nerve injury and compression neuropathy
DOD - Acute Comp Syndrome CPG
The classical approach to evaluating the hand with impaired sensibility is unsatisfactory and frequently incorrect. Since the perception of vibratory stimuli is mediated through the same neural pathways as moving touch, we investigated the clinical use of the tuning fork in 101 patients with peripheral nerve injury and...
0
Physician and treatment characteristics in a randomised multicentre trial of acupuncture in patients with osteoarthritis of the knee
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: The aim of this paper is to describe the treatment and physician characteristics in a randomised trial of acupuncture for osteoarthritis of the knee. DESIGN: Three�armed, randomised, controlled multicentre trial with 1�year follow�up. SETTING: Twenty�eight outpatient centres in Germany. INTERVENTIONS...
0
Vitamin D concentrations in women of postmenopausal age with fractures of the femoral neck
Management of Hip Fractures in the Elderly
Thirty-eight women of postmenopausal age, suffering from fractures of the femoral neck or vertebral bodies were studied in relation to differences in bone metabolism. The blood and urinary changes concerned in mineral and bone metabolism were recorded within 10 days of trauma, and in some femoral neck fractures, a hist...
1
Platelet-rich plasma injections for knee osteoarthritis: Systematic review of duration of clinical benefit
OAK 3 - Non-arthroplasty tx of OAK
Both researchers and clinicians have exhibited growing interest in the use of platelet-rich plasma (PRP) and other autologous products for a variety of clinical conditions. Newly published data suggest that PRP injections can be an effective complement to conventional management strategies for knee osteoarthritis (OA) ...
0
Open Abdomen in Trauma and Critical Care
DOD - Acute Comp Syndrome CPG
The open abdomen technique and temporary abdominal closure after damage control surgery is fast becoming the standard of care for managing intra-abdominal bleeding and infectious or ischemic processes in critically ill patients. Expansion of this technique has evolved from damage control surgery in severely injured tra...
1
Are radiographic measurements of the displacement of a distal radial fracture reliable and reproducible?
Distal Radius Fractures
AIMS: The degree of displacement of a fracture of the distal radius is an important factor which can be assessed using simple radiographic measurements. Our aim was to investigate the reliability and reproducibility of these measurements and to determine if they should be used clinically. PATIENTS AND METHODS: A 10% sa...
0
Bilateral changes in somatosensory sensibility after unilateral below-knee amputation
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVE: To evaluate possible alteration in proprioceptive and cutaneous sensibility in the nonamputated leg of unilateral transtibial amputees. DESIGN: Cross-sectional study with between-subjects (amputees vs controls) and within-subjects (nonamputated vs amputated leg) comparisons. SETTING: Canadian rehabilitation ...
0
Specific mannose-6-phosphate receptor-independent sorting of pro-cathepsin D in breast cancer cells
MSTS 2018 - Femur Mets and MM
The secretion of pro-cathepsin D (pro-cath-D) in some human metastatic breast cancer cells (MCF7, MDA/MB231), contrary to normal mammary cells, is not increased by ammonium chloride treatment, indicating a mannose-6-phosphate-independent sorting to lysosomes. By studying a variety of cell lines and lysosomal enzymes, w...
0
Clinical and functional comparison of uni- and bicondylar sledge prostheses
Surgical Management of Osteoarthritis of the Knee CPG
The aim of the present study was the evaluation of differences in clinical results, proprioceptive performance and gait in patients with unicondylar and bicondylar sledge prostheses of the knee. In a retrospective study, 17 patients with unicondylar sledge prostheses were compared with 15 patients with bicondylar sledg...
0
Glove perforation and contamination in primary total hip arthroplasty
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
We conducted a randomised, controlled trial to determine whether changing gloves at specified intervals can reduce the incidence of glove perforation and contamination in total hip arthroplasty. A total of 50 patients were included in the study. In the study group (25 patients), gloves were changed at 20-minute interva...
1
The role of magnetic resonance imaging and clinical assessments in predicting meniscal tear surgery
AMP (Acute Meniscal Pathology)
OBJECTIVES: This study aims to investigate the role of physical examination and magnetic resonance imaging (MRI) findings in predicting meniscal tear surgery. PATIENTS AND METHODS: Medical records of a total of 997 patients (563 females, 434 males; mean age 40.53 years; range 18 to 66 years) who were recommended surger...
0
The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA)
DoD LSA (Limb Salvage vs Amputation)
INTRODUCTION Aortic occlusion (AO) for resuscitation in traumatic shock remains controversial. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers an emerging alternative. METHODS The American Association for the Surgery of Trauma Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery ...
1
Patient-Report Satisfaction and Health-Related Quality of Life in TiLOOP® Bra-Assisted or Implant-Based Breast Reconstruction Alone
Acellular Dermal Matrix
INTRODUCTION: Implant-based breast reconstructions (IBBR) using alternatives to acellular dermal matrixes are increasing. Data on complications are limited, and information concerning health-related quality of life (HR-QoL) following the use of these synthetic meshes do not exist. METHODS: Between January 2006 and Janu...
0
Does cartilage volume measurement or radiographic osteoarthritis at baseline independently predict ten-year cartilage volume loss? Epidemiology of musculoskeletal disorders
OAK 3 - Non-arthroplasty tx of OAK
Background: The aim of this study was to examine whether cartilage volume as measured by MRI and radiographic osteoarthritis (OA) at baseline predict cartilage volume loss over ten years independent of each other and other structural co-pathologies. Methods: 219 participants [mean-age 45(26-61); 57 % female] were studi...
0
Implementation of subject-specific collagen architecture of cartilage into a 2D computational model of a knee joint-data from the osteoarthritis initiative (OAI)
AMP (Acute Meniscal Pathology)
A subject-specific collagen architecture of cartilage, obtained from T 2 mapping of 3.0 T magnetic resonance imaging (MRI; data from the Osteoarthritis Initiative), was implemented into a 2D finite element model of a knee joint with fibril-reinforced poroviscoelastic cartilage properties. For comparison, we created two...
0
Risk factors for post-operative periprosthetic fractures following primary total hip arthroplasty with a proximally coated double-tapered cementless femoral component
Hip Fx in the Elderly 2019
AIMS: The aim of this study was to identify patient- and surgery-related risk factors for sustaining an early periprosthetic fracture following primary total hip arthroplasty (THA) performed using a double-tapered cementless femoral component (Bi-Metric femoral stem; Biomet Inc., Warsaw, Indiana). PATIENTS AND METHODS:...
0
Low back injury risk during repositioning of patients in bed: The influence of handling technique, patient weight and disability
DoD PRF (Psychosocial RF)
The objective of the study was to investigate the low back load during repositioning of patients in bed and to assess the influence of patient's weight and disability. Nine female health care workers (HCWs) carried out six patient-handling tasks with different patient weight (59 ± 1, 83 ± 2 and 110 ± 4 kg) and handi...
0
Exposure to Tumescent Solution Significantly Increases Phosphorylation of Perilipin in Adipocytes
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Lidocaine and epinephrine could potentially decrease adipocyte viability, but these effects have not been substantiated. The phosphorylation status of perilipin in adipocytes may be predictive of cell viability. Perilipin coats lipid droplets and restricts access of lipases; phospho-perilipin lacks this pro...
0
The clinical study for the joint treatment by allogeneic cell sheet
OAK 3 - Non-arthroplasty tx of OAK
INTERVENTION: Chondrocytes isolated from samples obtained at polydactyly surgery are passaged in culture as allogeneic cells and then cryopreserved. From the cryopreserved samples, cells which have been verified for safety and property checked as chondrocyte sheet are cultured and fabricated into an allogeneic chondroc...
0
Osteotomy around the knee: Evolution, principles and results
AMP (Acute Meniscal Pathology)
Purpose: This article summarises the history and evolution of osteotomy around the knee, examining the changes in principles, operative technique and results over three distinct periods: Historical (pre 1940), Modern Early Years (1940-2000) and Modern Later Years (2000-Present). We aim to place the technique in histori...
0
Intramedullary osteosynthesis versus plate osteosynthesis in subtrochanteric fractures
PJI DX Updated Search
Due to an ever-aging population and a growing prevalence of osteoporosis and motor vehicle accidents, the number of subtrochanteric fractures is increasing worldwide. The choice of the appropriate implant continues to be critical for fixation of unstable hip fractures. The subtrochanteric region has certain anatomical ...
1
Bone graft versus non-bone graft for treatment of calcaneal fractures: A protocol for meta-analysis
DoD SSI (Surgical Site Infections)
BACKGROUND: Calcaneal fractures are a prevalent form of injury caused by high-energy trauma. This study aimed at investigating whether bone graft and non-bone graft are essential for the internal fixation of calcaneal fractures. A meta-analysis of relevant clinical studies evaluated radiographic parameters, functional ...
0
Early results using ultrasound-assisted liposuction as a treatment for fat necrosis in breast reconstruction
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Fat necrosis is a common complication from autologous breast reconstruction that can compromise the aesthetic outcome and can be confused with recurrent breast cancer. Removal of fat necrosis through direct excision can be difficult with lesions in the periphery and may result in contour deformities. The ar...
0
Use of Bone-Modifying Agents in Myeloma and Bone Metastases: How Recent Dosing Interval Studies Have Affected Our Practice
MSTS 2018 - Femur Mets and MM
The management of bone lesions from advanced solid tumors and multiple myeloma typically includes use of a bone-modifying agent to reduce the risk of skeletal-related events. Recent data demonstrate that when using zoledronic acid to reduce the risk of skeletal-related events in metastatic breast cancer, metastatic pro...
1
Complications of Colles' fractures
Distal Radius Fractures
Patients with Colles' fractures have serious complications more frequently than is generally appreciated. A study of 565 fractures revealed 177 (31 per cent) with such complications as persistent neuropathies of the median, ulnar, or radial nerves (forty-five cases), radiocarpal or radio-ulnar arthrosis (thirty-seven c...
0
Smoking may be a harbinger of early failure with ultraporous metal acetabular reconstruction
PJI DX Updated Search
BACKGROUND: Smoking is considered a risk factor for surgical complications in total hip arthroplasty (THA) and has been linked to a higher rate of aseptic loosening in uncemented acetabular components. Acetabular reconstruction with newer ultraporous metals in both complex primary and revision THA has increased survivo...
0
Inzidenz und Risikofaktoren eines Delirs nach Hüftoperation. [Incidence and Risk Factors of Delirium After Hip Surgery.]
DoD PRF (Psychosocial RF)
Objective: Postoperative delirium is common among elderly hip surgery patients. The objective of the current study was to determine the incidence of delirious states and to identify possible risk factors. Method: The sample consisted of 200 consecutive patients, age 60 years and older, who underwent hip surgery because...
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Anatomy of the median nerve and its clinical applications
Pediatric Supracondylar Humerus Fracture 2020 Review
The median nerve is a mixed sensory and motor nerve. It is classically described as the nerve of pronation, of thumb, index finger, middle finger and wrist flexion, of thumb antepulsion and opposition, as well as the nerve of sensation for the palmar aspect of the first three fingers. It takes its name from its middle ...
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Concurrent adaptation to opposing visual displacements during an alternating movement
Upper Eyelid and Brow Surgery
It has been suggested that, during tasks in which subjects are exposed to a visual rotation of cursor feedback, alternating bimanual adaptation to opposing rotations is as rapid as unimanual adaptation to a single rotation (Bock et al. in Exp Brain Res 162:513-519, 2005). However, that experiment did not test strict al...
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Tractography for Optic Radiation Preservation in Transcortical Approaches to Intracerebral Lesions
Upper Eyelid and Brow Surgery
We present a case of intraventricular meningioma resected via a transcortical approach using tractography for optic radiation and arcuate fasciculus preservation. We include a review of the literature. A 54-year-old woman with a history of breast cancer presented with gait imbalance. Workup revealed a mass in the atriu...
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Lack of Association Between the Use of Nerve Blockade and the Risk of Postoperative Chronic Opioid Use Among Patients Undergoing Total Knee Arthroplasty: Evidence From the Marketscan Database
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND: Total knee arthroplasty (TKA) is associated with high rates of prolonged opioid use after surgery (10%-34%). By decreasing opioid use in the immediate postoperative period, perioperative nerve blockade has been hypothesized to decrease the risk of persistent opioid use. METHODS: Using health care utilizatio...
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AlloDerm Sling for Correction of Synmastia After Immediate, Tissue Expander, Breast Reconstruction in Thin Women
Acellular Dermal Matrix
INTRODUCTION: Synmastia is a condition in which the breasts are conjoint and the natural intermammary sulcus is obliterated. It is the rarest type of breast implant malpositioning during breast augmentation; however, it is the most difficult one to correct. AlloDerm is an acellular dermal matrix that is assuming a majo...
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Similar effects of rofecoxib and indomethacin on the incidence of heterotopic ossification after hip arthroplasty
AAHKS (4) Acetaminophen
BACKGROUND: Although indomethacin is effective in preventing heterotopic ossification (HO) after primary total hip arthroplasty, side effects are frequently observed. In the last decade a new class of drugs--the COX-2 selective nonsteroidal anti-inflammatory drugs--has been developed. To investigate the effect of these...
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Failed vascularized fibular graft in treatment of osteonecrosis of the femoral head. A histopathological analysis
AAHKS (2) Corticosteroids
PURPOSE: vascularized fibular grafting has been used to treat osteonecrosis of the femoral head in younger patients. Although the results described in the literature are promising, the failure rate is still significant, especially in steroid users. This study was undertaken to learn more, on a histopathological level, ...
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Association between 5-alpha reductase inhibition and risk of hip fracture
Management of Hip Fractures in the Elderly
CONTEXT: For more than 15 years, 5-alpha reductase inhibitors, which block the conversion of testosterone to dihydrotestosterone, have been used in the treatment of benign prostatic hyperplasia (BPH). Short-term studies show no effects of these agents on bone metabolism,but long-term data are not available. OBJECTIVE: ...
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Psychosocial factors affecting hip fracture elder's burden of care in Taiwan
Management of Hip Fractures in the Elderly
OBJECTIVE: The aim of this study was to analyze the factors that affect the burden of care for primary caregivers of older people during the transition period after discharge from the hospital to home. METHODS: Using convenience sampling, 95 older patients who had been hospitalized for a hip fracture and their primary ...
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Low early complication rates after arthroscopic meniscus repair and meniscectomy
AMP (Acute Meniscal Pathology)
PURPOSE: To evaluate the 30-day complication rates after arthroscopic meniscus repair and meniscectomy using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database, with subgroup analysis of patients aged > 40 years. METHODS: NSQIP registries between 2006 and 2019 were queri...
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Reducing the risk of deep wound infection in primary joint arthroplasty with antibiotic bone cement
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Despite significant advances in intraoperative antimicrobial procedures, deep wound infection remains the most serious complication associated with primary, cemented total joint arthroplasty. A systematic review was conducted to evaluate studies of antibiotic bone cement prophylaxis for reducing the risk of deep wound ...
1
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OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Osteoarthritis (OA) is the most common long-term condition managed in UK general practice. However, care is suboptimal despite evidence that primary care and community-based interventions can reduce OA pain and disability. OBJECTIVES: The overall aim was to improve primary care management of OA and the heal...
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Can change in FRAX score be used to "treat to target"? A population-based cohort study
Hip Fx in the Elderly 2019
It is unknown how responsive the Fracture Risk Assessment (FRAX) tool is to osteoporosis treatment (OTX) or whether it can serve as a target for "goal-directed" treatment. We studied 11,049 untreated women aged â?¥50 years undergoing baseline and follow-up DXA examinations in Manitoba, Canada. We identified clinical ri...
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Dose-finding Study of Intrathecal Paracetamol Administered Immediately Before Spinal Anaesthesia
AAHKS (8) Anesthetic Infiltration
This is a prospective, single centre, two�part, three doses study. Part 1 is a Phase I, three cohorts, dose�ascending, open�label, safety study. Part 2 is a Phase II, randomised, parallel�group, double�blind, placebo�controlled, exploratory efficacy and safety study The objective of the study is to investig...
1
Upper extremity tourniquet effects in carpal tunnel release
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We studied the presence and extent of upper extremity denervation in limb muscles after surgical release of the carpal tunnel. Sixty consecutive patients were randomly assigned to have the procedure performed with (31 patients) or without (29 patients) tourniquet application. Cervical paraspinal and upper extremity mus...
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The grid/staple adjunct to abdominoplasty
Panniculectomy & Abdominoplasty CPG
BACKGROUND: A variety of designs have been described for skin resection in abdominoplasty, but all have in common the need for intraoperative modification. Comparison of the different techniques is problematic because the actual skin resection may differ from the preoperative design. In addition, it may be difficult to...
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Ultrasonography of the pediatric hip and spine
Developmental Dysplasia of the Hip 2020 Review
Ultrasonography (US) is a useful screening method for the diagnosis of developmental dysplasia of the hip (DDH) and congenital spinal anomalies in infants. In addition, US is a useful, noninvasive imaging modality for the diagnosis of transient synovitis in children. The early detection of DDH leads to a better prognos...
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Clinicopathologic features and treatment of postirradiation sarcoma of bone and soft tissue
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND AND OBJECTIVES: An analysis of the clinicopathologic features and treatment of patients with postirradiation sarcoma of bone and soft tissue was performed to guide modern evaluation and management. METHODS: A retrospective analysis of 135 sarcomas in 130 patients was performed. RESULTS: The mean age of the 1...
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Predictive Factors Associated With Short-Term Clinical Outcomes and Time to Return to Activity After Arthroscopic Partial Meniscectomy in Nonathletes
AMP (Acute Meniscal Pathology)
Background: Although arthroscopic partial meniscectomy is a widely implemented surgical procedure, studies investigating the time to return to activity (RTA) are rare. Purpose: To explore which factors are associated with the RTA times after arthroscopic partial meniscectomy and to investigate whether those factors can...
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Titanium elastic nail or external fixator in pediatric femoral diaphyseal fractures: Complication rate
Pediatric Diaphyseal Femur Fractures 2020 Review
Objective: To compare complications rate of Titanium elastic nail with External fixator in pediatric femoral diaphyseal fractures. Study Design: Prospective randomized study. Place and Duration of Study: This study was carried out at the Orthopedic Department, Lahore General Hospital/PGMI, Lahore from 01.10.2013 to 01....