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Renal effects of molecular targeted therapies in oncology: A review by the Cancer and the Kidney International Network (C-KIN)
MSTS 2018 - Femur Mets and MM
A number of cancer therapy agents are cleared by the kidney and may affect renal function, including cytotoxic chemotherapy agents, molecular targeted therapies, analgesics, antibiotics, radiopharmaceuticals and radiation therapy, and bone-targeted therapies. Many of these agents can be nephrotoxic, including targeted ...
1
Outcome analysis of reduction mammaplasty using the modified Robertson technique
Reduction Mammoplasty for Female Breast Hypertrophy
The benefits of reduction mammaplasty have been well documented in previous literature. Anticipating and correcting for pseudoptosis (bottoming-out), however, can impair the cosmetic outcome as the inferior skin envelope stretches and lengthens over time. We present long-term results on patients using the modified Robe...
0
Ultrasound diagnosis of fracture-separation of the distal humeral chondro-epiphysis: a rare but important condition that a radiologist must not miss
Pediatric Supracondylar Humerus Fracture 2020 Review
Fracture-separation of the distal humeral epiphysis is a rare condition known to be associated with non-accidental injury. Ultrasound is useful in diagnosis of this important disease entity with the humeral epiphysis not yet ossified.
0
IL-17-mediated M1/M2 macrophage alteration contributes to pathogenesis of bisphosphonate-related osteonecrosis of the jaws
MSTS 2018 - Femur Mets and MM
PURPOSE: Osteonecrosis of the jaw (ONJ) is emerging as one of the important complications in cancer patients treated with antiresorptive agents. This study explored the potential role of interleukin (IL)-17-mediated M1/M2 macrophage alterations in the pathogenesis of bisphosphonate-related osteonecrosis of the jaw (BRO...
0
Fractures around the lateral cortical hinge after a medial opening-wedge high tibial osteotomy: a new classification of lateral hinge fracture
PJI DX Updated Search
PURPOSE: The purpose of this study was to determine the frequency of lateral hinge fractures after opening-wedge high tibial osteotomy and investigate the patterns of fracture and their clinical outcome. METHODS: We analyzed 104 knees in 93 patients with a mean age of 68 +/- 7 years. Of the knees, 74 were diagnosed as ...
0
Characteristics of the Oxford knee. Basic concepts of surface replacements
Surgical Management of Osteoarthritis of the Knee CPG
Mechanical and kinematic principles are very important in knee prostheses. The use of artificial menisci is the only way to provide a kinematically free range of motion with a wide area of load transfer. This allows polyethylene wear to be minimized. However, not only the design of the prosthesis, but also the patient'...
0
The Impact of Meniscal Tear Type and Surgical Treatment on Quadriceps Strength: A Study of Adolescent Patients Post Anterior Cruciate Ligament Reconstruction
AMP (Acute Meniscal Pathology)
BACKGROUND: Treatment of meniscal injuries at the time of anterior cruciate ligament reconstruction (ACLR) can result in restrictions on weightbearing and range of motion in the early rehabilitative phases. What is unknown is the effect of (1) meniscal tear type and location at the time of anterior cruciate ligament in...
0
A Machine Learning Approach for Knee Injury Detection from Magnetic Resonance Imaging
AMP (Acute Meniscal Pathology)
The knee is an essential part of our body, and identifying its injuries is crucial since it can significantly affect quality of life. To date, the preferred way of evaluating knee injuries is through magnetic resonance imaging (MRI), which is an effective imaging technique that accurately identifies injuries. The issue...
0
Management of knee injuries: consensus-based indications from a large community of orthopaedic surgeons
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: To describe preferences and to quantify the amount of agreement among orthopaedic surgeons regarding treatment options for four clinical scenarios of knee pathologies. METHODS: A web-based survey was developed to investigate the attitudes of members of an international association of surgeons specialised in sp...
0
Overweight postmenopausal women lose bone with moderate weight reduction and 1 g/day calcium intake
Management of Hip Fractures in the Elderly
UNLABELLED: Overweight postmenopausal women may be more susceptible to bone loss with weight reduction than previously studied obese women. The influence of energy restriction and Ca intake on BMD was assessed in 66 individuals. Weight reduction resulted in bone loss at several sites in women consuming 1 g Ca/day and w...
0
Knee orthoses for treating patellofemoral pain syndrome
SR for PM on OA of All Extremities
This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the effects (benefits and harms) of knee orthoses (knee brace, sleeve, bandage or strap) for treating PFPS
0
"Primary free-flap tibial open fracture reconstruction with the Masquelet technique" and internal fixation
DoD SSI (Surgical Site Infections)
BACKGROUND: . Grade III open fractures of the lower extremity are serious injuries and are difficult to reconstruct. The optimal treatment for such injuries is unclear. We aimed to determine the safety and efficacy of orthoplastic reconstruction, using a primary free anterolateral thigh flap combined with the Masquelet...
0
Evaluating the feasibility of extended partial mastectomy and immediate reduction mammoplasty reconstruction as an alternative to mastectomy
Reduction Mammoplasty for Female Breast Hypertrophy
OBJECTIVES: To assess the efficacy of using concurrent partial mastectomy and reduction mammoplasty for resection of a wide range of tumor sizes and compare oncologic outcomes and postoperative complications on the basis of tumor size. BACKGROUND: Although tumor size greater than 4 cm has been considered an indication ...
0
Incidence of total knee and hip replacement for osteoarthritis in relation to the metabolic syndrome and its components: A prospective cohort study
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To examine whether components of metabolic syndrome (MetS), either singly or additively, were associated with the incidence of severe knee and hip OA, and whether these associations were independent of obesity assessed by body mass index (BMI). METHODS: Twenty thousand, four hundred and thirty participants w...
0
Epidemiology of fracture of the upper end of the humerus
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
The age and sex specific indicence was calculated in 729 cases of fracture of the upper end of the humerus. The prevalence of other fractures and conditions in these patients was investigated. The age and sex specific incidence is as that of femoral neck fracture with a rapid increase with age, twice as fast in women a...
0
Visual impairment of open angle glaucomas at first presentation and after a five to ten year follow-up
Upper Eyelid and Brow Surgery
Of all patients attended to in a clinic during 1986, 441 had open angle glaucoma diagnosed during 1974-1986 on the basis of either a verified visual field defect, a glaucomatous disc, or a repeated intraocular pressure value of at least 35 mm Hg. At first presentation of recent cases 1984-1986 (N = 128) 65 per cent wer...
1
Pain Management during Rehabilitation after Distal Radius Fracture Stabilized with Volar Locking Plate: A Prospective Cohort Study
Distal Radius Fractures
Introduction: Internal fixation with volar locking plate (VLP) was widely adopted as a first-line choice in treatment of distal radius fracture (DRF). Methods: Total 315 patients with distal radius fracture receiving VLP fixation were included for analysis in this study. The rehabilitation protocol was started immediat...
0
Internal fixation of scaphoid non-union: a comparative study of three methods
Distal Radius Fractures
In this study we compared the results of three methods of fixation for scaphoid non-union. The implants used were the AO 2 mm mini-fragment screw, the Herbert screw and the Kirschner (K) wires. Between 1990 and 1999, 132 patients underwent surgery for scaphoid fractures. We used the modified Filan and Herbert classific...
0
Total joint arthroplasty in transplant recipients: in-hospital adverse outcomes
PJI DX Updated Search
This study aims to determine in-hospital complications and mortality in transplant recipients following total joint arthroplasty. The Nationwide Inpatient Sample database was queried for patients with history of transplant and joint arthroplasty (primary or revision) from 1993 to 2011. Kidney transplant increased risk ...
1
The treatment of displaced supracondylar humerus fractures: evidence-based guideline
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: Supracondylar humerus fractures are widely considered the most common fracture of the elbow in children. Fractures can range from a less severe, nondisplaced type I fracture to a more severe, displaced type III fracture with no cortical contact. Type III fractures can lead to adverse physical, social, and e...
0
Analysis of trabecular bone microstructure in osteoporotic femoral heads in human patients: in vivo study using multidetector row computed tomography
Hip Fx in the Elderly 2019
BACKGROUND: Lag screw position is very important in the treatment of intertrochanteric femoral fracture to prevent complications such as screw cut-out. Current studies recommend central or inferior placement of the lag screw on the anteroposterior radiograph, and central placement on the lateral radiographs. These repo...
0
Enhanced recovery for fractured neck of femur: a report of 3 cases
Hip Fx in the Elderly 2019
Enhanced recovery is now a standard model of care in most UK elective surgical units. For hip and knee arthroplasty this approach typically includes opioid-sparing anesthesia (OSA), local infiltration analgesia (LIA), and day of surgery mobilization. There is evidence that these interventions shorten hospital stay and ...
1
Inferior tilt of the glenoid component does not decrease scapular notching in reverse shoulder arthroplasty: results of a prospective randomized study
Glenohumeral Joint OA
HYPOTHESIS: The purpose of this study was to determine if inferior tilt of the glenoid component decreased the amount of radiographic scapular notching after reverse shoulder arthroplasty. A secondary goal was to determine if inferior tilt had any effect on clinical outcome. MATERIALS AND METHODS: A prospective randomi...
0
Myofascial pain in patients waitlisted for total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Knee pain is one of the major sources of pain and disability in developed countries, particularly in aging populations, and is the primary indication for total knee arthroplasty (TKA) in patients with osteoarthritis (OA). OBJECTIVES: To determine the presence of myofascial pain in OA patients waitlisted for...
0
Human dental pulp stem cells derived from different cryopreservation methods of human dental pulp tissues of diseased teeth
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Background: Successful isolation of human dental pulp stem cells (hDPSCs) has been documented at least 120h after tooth extraction. Viable hDPSCs have been isolated chiefly from cryopreserved healthy molar teeth and their undigested dental pulp tissue. Isolation of hDPSCs from diseased but vital teeth after cryopreserv...
0
Clinical gait evaluation of patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Knee osteoarthritis (KOA) is the most common osteoarthritis in lower limbs, and gait measurement is important to evaluate walking function of KOA patients before and after treatment. The third generation Intelligent Device for Energy Expenditure and Activity (IDEEA3) is a portable gait analysis system to evaluate gaits...
1
Treatment of bone tumors in the femoral trochanteric area
MSTS 2018 - Femur Mets and MM
OBJECTIVE: To report the management of bone tumor in the femoral trochanteric area in terms of safety,functional outcome and patient satisfaction. MATERIAL AND METHOD: Thirty-eight patients with impending or pathological fracture at the trochanteric region of the femur were treated surgically at the Department of Ortho...
0
Effects of exercise intervention on knee morphology in middle-aged women: a longitudinal analysis using magnetic resonance imaging
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: Epidemiological studies show a positive relationship between physical activity and cartilage volume, suggesting that exercise may protect against osteoarthritis. Cross�sectional experimental studies, however, have failed to show significant differences in knee cartilage morphology between athletes and n...
1
Low incidence of ulnar nerve injury with crossed pin placement for pediatric supracondylar humerus fractures using a mini-open technique
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
OBJECTIVES: Several recent studies have suggested that medial pinning in pediatric supracondylar humerus fractures leads to increased rates of ulnar nerve injury. The purpose of this study was to determine the risk of iatrogenic ulnar nerve injury in a consecutive series of supracondylar fractures treated using a stand...
0
Lower body adipose tissue removal decreases glucose tolerance and insulin sensitivity in mice with exposure to high fat diet
Panniculectomy & Abdominoplasty CPG
It has been postulated that the protective effects of lower body subcutaneous adipose tissue (LBSAT) occur via its ability to sequester surplus lipid and thus serve as a "metabolic sink." However, the mechanisms that mediate this protective function are unknown thus this study addresses this postulate. Ad libitum, chow...
0
Peri-implant bone remodeling after total hip replacement combined with systemic alendronate treatment: a finite element analysis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
In order to decrease the peri-implant bone loss during the life-time of the implant, oral use of anti-osteoporosis drugs (like bisphosphonates) has been suggested. In this study, bone remodeling parameters identified from clinical trials of alendronate were used to simulate the effect of those drugs used after total hi...
0
Pre-operative and post-operative kinematic analysis in total knee arthroplasty. A pilot study
OAK 3 - Non-arthroplasty tx of OAK
Introduction: Total knee replacement is the treatment of choice in knee osteoarthritis. Despite this, there is still a percentage of unsatisfied patients. Recently, prosthetic designs have been developed to improve the kinematics of the prosthetic knee. Materials and methods: Between June 2016 and November 2016 we enro...
0
Cell-assisted lipotransfer for facial lipoatrophy: efficacy of clinical use of adipose-derived stem cells
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Lipoinjection is a promising treatment, but its efficacy in recontouring facial lipoatrophy remains to be established. OBJECTIVE: The objective was to evaluate the efficacy and adverse effects of lipoinjection and supplementation of adipose-derived stem/stromal cells (ASCs) to adipose grafts. METHODS: To ov...
0
Mobility after hip fracture predicts health outcomes
Management of Hip Fractures in the Elderly
OBJECTIVES: Balance and gait are essential to physical functioning and the performance of activities of daily living. The objective of this study was to determine the predictive value of a balance and gait test on subsequent mortality, morbidity, and healthcare utilization among older hip fracture patients. DESIGN: A p...
0
Non-accidental injury, femoral shaft and neck fractures in children
Pediatric Diaphyseal Femur Fractures 2020 Review
Fractures of the femur present some unique challenges to the treating orthopaedic surgeon. Non-accidental injury must always be considered. There are various modalities that can be used in the management of shaft fractures and these should be treated with careful consideration of not just the fracture pattern but also ...
0
PRP Treatment of Osteoarthritic Knee With a New Autologous Blood Product (CytoRich)
OAK 3 - Non-arthroplasty tx of OAK
This active�controlled, randomized, double�blind, prospective study will enroll subjects with knee OA. Subjects will be randomized equally to treatment with 4 injections of ABP (test treatment) or 4 injections of PRP (active control).
1
Perioperative multi-system optimization protocol in elderly hip fracture patients: a randomized-controlled trial
Hip Fx in the Elderly 2019
Purpose: Hip fractures in elderly patients are associated with increased postoperative morbidity and mortality. We evaluated whether a perioperative multi-system optimization protocol can reduce postoperative complications in these patients. Methods: Immediately after diagnosis of hip fracture, patients â?¥ 60 yr were ...
0
How to measure wear following total hip arthroplasty
PJI DX Updated Search
Total hip arthroplasty has yielded excellent results in decreasing pain and enhancing function in patients with hip degenerative disease. However, the problems associated with prosthetic failure and the consequent need for revision surgery still represent a major clinical issue. The most common reasons for revision sur...
0
Patterns of prescription opioid use before total hip and knee replacement among US Medicare enrollees
OAK 3 - Non-arthroplasty tx of OAK
Objective: To examine patterns of prescription opioid use before total joint replacement (TJR) and factors associated with continuous use of opioids before TJR. Design: We conducted an observational cohort study among Medicare enrollees aged â?¥65 years who underwent TJR between 2010 and 2014. Preoperative opioid use w...
0
Metal-Backed Versus All-Polyethylene Tibias in Megaprostheses of the Distal Femur
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
In megaprostheses, the tibial component is rarely a source of failure. The evolution of these implants has followed standard arthroplasty trends moving from majority use of all-polyethylene tibias (APT) to high volume use of metal-backed tibial (MBT) components. We report the results of 72 endoprostheses using either M...
0
Minimally Invasive Interventional Management of Osteoarthritic Chronic Knee Pain
AAHKS (2) Corticosteroids
Chronic knee pain is a widely prevalent issue that can have a significant impact on a patient's quality of life. One of the leading causes of chronic knee pain is osteoarthritis. Total knee replacement is often the last and definitive resort for patients with severe symptomatic osteoarthritis after trial of less invasi...
0
Glucocorticoid-induced osteoporosis in patients with sarcoidosis
Management of Hip Fractures in the Elderly
BACKGROUND: Patients with sarcoidosis are at risk for osteoporosis caused by glucocorticoid therapy. However, because of potential hypercalciuria and hypercalcemia, the usual conservative treatment for low bone mass, calcium and vitamin D supplements, may not be well tolerated. METHODS: Patients with sarcoidosis referr...
1
Morphometric analysis of collagen fibrils in idiopathic carpal tunnel syndrome: Part 2
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Morphometric parameters were evaluated in order to analyze the relation between number and covered area of collagen fibrils in normal and carpal tunnel syndrome tissue. This analysis revealed that in normal tissue twice as many collagen fibrils as in pathological tissue occupy an equal area. Taking these facts into acc...
1
Wound complications following operative fixation of calcaneal fractures
DoD SSI (Surgical Site Infections)
The aim of our study was to find the incidence of wound complications following operative fixation of fractured calcanea and identify the risk factors contributing to them. We retrospectively reviewed the results of operative treatment of 33 calcaneal fractures in 30 patients over a 4-year period. We report an overall ...
0
Carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Between April 2000 and March 2009, carpal tunnel syndrome was managed 1700 times among 885,400 encounters in the BEACH program (Bettering the Evaluation and Care of Health) at a rate of two contacts per 1000 encounters. This extrapolates to about 195,000 contacts annually across Australia
0
Clinical and radiographic results of metal-on-metal hip resurfacing with a minimum ten-year follow-up
Management of Hip Fractures in the Elderly
BACKGROUND: There was a need for information about the long-term performance of the modern generation of hip resurfacing implants. A retrospective review of the first 100 hips that had implantation of one resurfacing design and had been followed for a minimum of ten years was performed. METHODS: Between 1996 and 1998, ...
0
Hook of the hamate fracture
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The patient was a 44-year-old man who reported palmar/ulnar-sided right wrist pain after injuring his wrist while playing golf. Although pain and function were improved at 6 months following the injury with conservative treatment measures and golfing with a modified grip, the patient was still limited during golf. This...
0
Preoperative treatment with Botulinum Toxin A before total hip arthroplasty in a patient with tetraspasticity: Case report and review of literature
PJI DX Updated Search
We report on a patient with tetraspasticity due to perinatal cerebral palsy requiring total hip joint endoprosthesis because of hip dysplasia. In order to minimize the risk of postoperative luxation Botulinum Toxin A was injected preoperatively into hip flexor and adductor muscles guided by CT-fluoroscopy. Outcome meas...
0
Transcarpal carpometacarpal dislocations, excluding the thumb
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
During a 9-year period, we treated 13 patients with major fractures of bones of the distal carpal row creating instability of the corresponding carpometacarpal joints. Diagnosis of the injury was made early in only eight patients whose treatment consisted of open reduction, pin or screw fixation, and immobilization fro...
0
Dichloromethylene diphosphonate in the treatment of lytic bone metastases
MSTS 2018 - Femur Mets and MM
Dichloromethylene diphosphonate (Clodronate) has powerful activity against osteoclasts. We studied its effects on calcium balance in patients with malignant osteolytic lesions. Ten normocalcemic patients with advanced metastatic bone disease or myeloma were evaluated in a baseline 20Î?Ã?Ã?day calcium balance and kineti...
0
All-arthroscopic repair of Palmer 1B triangular fibrocartilage complex tears using the FasT-Fix device
AMP (Acute Meniscal Pathology)
PURPOSE: The FasT-Fix device (Smith and Nephew Endoscopy, Andover, MA), initially developed for knee meniscal tears, is described for all-arthroscopic triangular fibrocartilage complex (TFCC) repairs. Potential benefits of this technique are ease of use, the lack of prominent suture knots, and strength of repair. This ...
0
Effect of a video intervention on functional recovery following hip replacement and hip fracture repair
Management of Hip Fractures in the Elderly
Although much research has documented the functional outcomes in hip repair surgery, few studies have identified effective interventions to improve functional outcomes. The purpose of this study was to test the use of generic and individualized videos on patients' return to preoperative levels of independent functionin...
1
Treatment of external fixation pins about the wrist: a prospective, randomized trial
Distal Radius Fractures
BACKGROUND: Pin-track infection remains one of the most troublesome complications of external fixation, in some cases compromising otherwise successful fracture treatment. METHODS: One hundred and eighteen patients (120 wrists) who had been managed with the placement of an external fixation device for the treatment of ...
0
Prevalence and Impact of Hip Arthroscopic Surgery on Future Participation in Elite American Football Athletes
Developmental Dysplasia of the Hip 2020 Review
Background: Intra-articular injuries to the hip in elite athletes represent a source of significant pain and disability. Hip arthroscopic surgery has become the gold standard for the treatment of disorders involving the hip joint. Purpose: To examine the incidence of and abnormalities treated with hip arthroscopic surg...
0
Paleoepidemiology, healing, and possible treatment of trauma in the medieval cemetery population of St. Helen-on-the-Walls, York, England
Distal Radius Fractures
Traumatic lesions are commonly found in the archeological record and have potential to provide insight into the lives of past populations. This paper examines patterns of long bone fractures in the British medieval population of St. Helen-on-the-Walls from York (approximately 1100-1550) in an effort to determine patter...
0
An Algorithm for Surgical Approach to the Anterior Skull Base
Reconstruction After Skin Cancer
Objective characterize our experience with the surgical management of anterior skull base malignancy, and to propose an algorithm for surgical approach to anterior skull base malignancies. Design Retrospective review. Setting Academic cranial base center. Participants Sixty-seven patients who underwent resection of par...
0
A comparative study of azapropazone and ibuprofen in the treatment of osteoarthrosis of the knee
OAK 3 - Non-arthroplasty tx of OAK
A double�blind crossover study in 41 patients with knee joint osteoarthrosis was carried out to compare the efficacy of 1200 mg. azapropazone per day with 1600 mg. ibuprofen per day. After an initial week on placebo, patients received one or other of the active medications for 2 weeks, then a 1�week placebo wash�...
0
Treatment of refractory postoperative pyoderma gangrenosum with infliximab
Surgical Management of Osteoarthritis of the Knee CPG
Pyoderma gangrenosum (PG) was once considered pathognomonic of idiopathic ulcerative colitis. It has since been described in association with Crohn disease, arthritis, rheumatologic and hematologic conditions, hypogammaglobulinemia, and malignancy. Fifty percent to 70% of PG cases are associated with systemic disease. ...
0
A 2-dimensional glenoid vault method for measuring glenoid version on computed tomography
Glenohumeral Joint OA
BACKGROUND: Accurate placement of the glenoid prosthesis in shoulder arthroplasty is critical; precise glenoid prosthesis alignment being a key element to avoid poor fixation and early loosening. The current recognized 2-dimensional (2-D) method for measuring glenoid version may be irrelevant to the above, as it does n...
0
TNF-alpha inhibitors for ankylosing spondylitis
Management of Hip Fractures in the Elderly
This is the protocol for a review and there is no abstract. The objectives are as follows:To summarize the efficacy and safety of infliximab, etanercept and adalimumab (TNF-alpha inhibitors) for the short-term and long-term treatment of ankylosing spondylitis
0
Junctional Epidermolysis Bullosa
DoD PRF (Psychosocial RF)
CLINICAL CHARACTERISTICS: Junctional epidermolysis bullosa (JEB) is characterized by fragility of the skin and mucous membranes, manifest by blistering with little or no trauma. Blistering may be severe and granulation tissue can form on the skin around the oral and nasal cavities, fingers and toes, and internally arou...
0
Scaphoid AARIF arthroscopically assisted reduction and internal fixation of scaphoid fractures
Distal Radius Fractures
The unstable scaphoid fracture can be treated by a variety of different methods including open reduction and internal fixation (ORIF), percutaneous fixation with either K-wires or cannulated screws, and arthroscopic-assisted reduction and internal fixation (AARIF) with various cannulated screw systems. The drawbacks of...
0
Liability in plastic surgery. A romanian forensic perspective
Panniculectomy & Abdominoplasty CPG
Plastic and cosmetic surgery covers a wide range of medical interventions, dealing with either restoration of form and function or enhancing morphological characteristics. Objective complications in plastic surgery are rare as the mortality is very low, vital organs are rarely affected, and the patients are usually hea...
0
Ongoing MRI remodeling 3-7 years after collagen meniscus implantation in stable knees
AMP (Acute Meniscal Pathology)
PURPOSE: The purpose of the present study was to evaluate the clinical and radiological 3-7 years outcomes of patients who underwent collagen meniscus implantation in stable or stabilized knees. It was the hypothesis that using the collagen meniscus (CMI) good clinical 3-7 years outcomes with low pain levels are achiev...
0
Geriatric Nutritional Risk Index and Controlling Nutritional Status Score can predict postoperative 180-day mortality in hip fracture surgeries
DoD SSI (Surgical Site Infections)
Background: The Geriatric Nutritional Risk Index (GNRI) based on serum albumin level and body weight and the Controlling Nutritional Status Score (CONUT) based on serum albumin level, total cholesterol level, and total lymphocyte count were created to evaluate objectively a patient’s nutritional status in 2005. Here we...
0
MR findings in iliotibial band syndrome
AMP (Acute Meniscal Pathology)
OBJECTIVE: To elucidate the MR findings in iliotibial band (ITB) syndrome. DESIGN AND PATIENTS: The subjects comprised four patients (five knees) with lateral knee pain: two athletes and two non-athletes. One non-athlete was engaged in work requiring repetitive knee movement, and the other suffered from Cushing syndrom...
0
Application of free autogenous fibular graft in the treatment of aggressive bone tumours of the distal end of the radius
Distal Radius Fractures
Long-term results of the application of free autogenous fibular graft in the treatment of aggressive bone tumours of the distal end of the radius are presented. Six patients underwent radical resection of the tumour including the articular surface of the distal radius during the period 1969 to 1978, the average follow-...
0
Radiographic outcomes after treatment of pediatric supracondylar humerus fractures using a treatment-based classification system
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
OBJECTIVES: To develop a radiographic method to categorize supracondylar fractures into four types that have logical treatment correlations. The new classification is described, illustrated, and then tested to see if it is reproducible, safe, and effective. DESIGN: Clinical follow-up study. SETTING: Level I trauma cent...
0
Trabecular metal in total knee arthroplasty associated with higher knee scores: A randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
Background: Porous tantalum is an option of cementless fixation for TKA, but there is no randomized comparison with a cemented implant in a mid-term followup. Questions/purposes: We asked whether a tibial component fixed by a porous tantalum system might achieve (1) better clinical outcome as reflected by the Knee Soci...
0
Cartilage repair: A review of Stanmore experience in the treatment of osteochondral defects in the knee with various surgical techniques
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Articular cartilage damage in the young adult knee, if left untreated, it may proceed to degenerative osteoarthritis and is a serious cause of disability and loss of function. Surgical cartilage repair of an osteochondral defect can give the patient significant relief from symptoms and preserve the functional life of t...
0
Patient Satisfaction After Total Knee Arthroplasty: A Realistic or Imaginary Goal?
OAK 3 - Non-arthroplasty tx of OAK
This article summarizes the current literature regarding patient satisfaction after total knee arthroplasty. In 10% to 15% of cases, the operation has not met the patientsâ?? expectations. The causes of this dissatisfaction are multifactorial, and include patient-related factors, details related to the surgical procedu...
0
The impact of long-term moderate physical activity on functional performance, bone mineral density and fracture incidence in elderly women
Distal Radius Fractures
BACKGROUND: Earlier studies have shown that physical exercise and a higher workload increase muscle strength and improve gait and balance at all ages for both sexes. Published studies have, so far, failed to investigate the functional performance of elderly individuals concerning their long-term physical activity and v...
0
Bipolar hip arthroplasty as a salvage treatment for instability of the hip
Management of Hip Fractures in the Elderly
Background: Recurrent instability of the hip in the absence of an identifiable cause is a challenging problem. It has been proposed that bipolar hip arthroplasty may have a role in the treatment of these complex cases. The purpose of our study was to evaluate the results of bipolar hip arthroplasty for the treatment of...
0
Age-related declines in activity level: the relationship between chronic illness and religious activities
Management of Hip Fractures in the Elderly
OBJECTIVES: When they are faced with major life transitions such as worsening health, older adults may selectively withdraw from activities. Because of the importance of religion to a large proportion of the elderly population, research is needed to determine whether levels of religious involvement are affected by seri...
1
The use of a fine-gauge needle to reduce pain in open carpal tunnel decompression: a randomized controlled trial
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
This randomized controlled study on 86 patients compared the level of pain experienced by patients on instillation of local anaesthetic into the palm with a 23-gauge and a 27-gauge (dental) needle in open carpal tunnel decompression. Patients were asked to score the amount of pain they experienced during the injection ...
0
Mandibular reconstruction with composite microvascular tissue transfer
DoD SSI (Surgical Site Infections)
Microvascular free tissue transfer has provided a variety of methods of restoring vascularized bone and soft tissue to difficult defects created by tumor resection and trauma. Over 7 years, 26 patients have undergone 28 free flaps for mandibular reconstruction, 15 for primary squamous cell carcinoma of the floor of the...
0
Fixation of the Fractured Lunate in Kienböck Disease
Distal Radius Fractures
Purpose: To describe an uncommon subset of fractured lunates in Kienböck disease that is salvageable by internal fixation. Methods: We performed a retrospective review for patients with Kienböck disease treated by internal fixation. Demographic data, objective and radiographic measurements, patient-reported outcome m...
0
The efficiency of root canal disinfection using a diode laser: in vitro study
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
AIMS: The aim of this study is to verify the disinfection of diode laser, following chemo-mechanical procedures against Enterococcus fecalis. MATERIALS AND METHODS: Crowns of 30 extracted premolar teeth were sectioned at the cemento- enamel junction. The canals were shaped using step-back technique to K-file #40. The t...
0
Basic Photographic Standards for Abdominal Contouring Procedures and Abdominoplasty/Lipectomy
Panniculectomy & Abdominoplasty CPG
Standardized reliable medical photographic documentation should be made by every plastic surgeon for valid comparisons of preoperative and post-operative illustrations. However, photographic documentation in aesthetic surgery has also an important medico-legal impact as if not performed accurately it can result in seve...
0
Femoral and Tibial Reconstruction for Skeletal Metastases and Pathologic Fractures
DoD SSI (Surgical Site Infections)
Skeletal metastases of the femur and tibia leading to pathologic fractures or large skeletal defects can be managed with surgical reconstruction, resulting in improved patient outcomes and functionality. The indications for femoral and tibial reconstruction are dependent on several factors, including goals of managemen...
0
Tantalum Cones Provide Durable Mid-term Fixation in Revision TKA
PJI DX Updated Search
BACKGROUND: Multiple studies have reported favorable short-term outcomes using tantalum cones to reconstruct massive bone defects during revision TKA. However, longer-term followup is needed to determine the durability of these reconstructions. QUESTIONS/PURPOSES: We wished to determine the mid-term (1) reoperation rat...
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Remarkable improvement of activity by CAPD in a hemodialysis patient with a pseudotumor of the craniocervical junction
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Pseudotumor of the craniocervical junction and destructive spondyloarthropathy (DSA) are the most serious forms of dialysis amyloidosis (DAA). Pain and paralysis due to these lesions significantly impair activity of a patients' daily life (ADL). CAPD improved ADL of a 54 year-old male patient complicated with various f...
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Physical activity and osteoporotic hip fracture risk in men
Management of Hip Fractures in the Elderly
BACKGROUND: Physical activity has been related to reduced risk of osteoporotic hip fractures, but the evidence among men is weak. OBJECTIVE: To determine the association between baseline leisure physical activity and future risk of osteoporotic hip fracture in men. METHODS: At baseline in 1975 our prospective study coh...
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Wnt-related genes and large-joint osteoarthritis: Association study and replication
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis (OA) has a strong genetic component, and experimental evidence suggests the involvement of the Wnt pathway in its pathogenesis. Hence, we explored the association of common single nucleotide polymorphisms (SNPs) related to the Wnt pathway with hip and knee OA. Seventy-eight SNPs were analyzed in 606 pati...
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The impact of capsular repair on the risk for dislocation after revision total hip arthroplasty - a retrospective cohort-study of 259 cases
Developmental Dysplasia of the Hip 2020 Review
BACKGROUND: Dislocation following total hip arthroplasty has to date not been resolved satisfactorily. Previous work has shown that using a less-invasive adaption of Bauer's lateral transgluteal approach with capsular repair significantly reduces dislocation rates in primary total hip arthroplasty. The aim of this retr...
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Correlation analysis of potential factors influencing graft maturity based on MRI after lateral meniscal allograft transplantation
AMP (Acute Meniscal Pathology)
The aim of this respective study was to assess the graft signal/noise quotient (SNQ) value and associated factors based on magnetic resonance imaging (MRI) after lateral meniscal allograft transplantation (LMAT). Patients with LMAT were included. The SNQ, width of the anterior horn (WAH), width of the midbody (WMB), wi...
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Posterior tibial tendon dysfunction: an overlooked cause of foot deformity
OAK 3 - Non-arthroplasty tx of OAK
Posterior tibial tendon dysfunction is the most common cause of adult acquired flatfoot. Degenerative changes in this tendon, lead to pain and weakness and if not identified and treated will progress to deformity of the foot and degenerative changes in the surrounding joints. Patients will complain of medial foot pain,...
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EPIDEMIOLOGY OF CHILDHOOD FRACTURES IN THE CITY OF KARACHI
Pediatric Diaphyseal Femur Fractures 2020 Review
BACKGROUND: The epidemiology of paediatric fractures is crucial for developing preventive strategies, but when it comes to developing countries, the urban scenario has rarely been studied in the context of childhood trauma. This study aims to identify the epidemiology of paediatric injuries occurring in the largest and...
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The Clinical Use of Biologics in the Knee Lesions: Does the Patient Benefit?
AMP (Acute Meniscal Pathology)
PURPOSE OF REVIEW: Overview the outcomes of the latest use of platelet-rich plasma (PRP) for the treatment of knee lesions in the clinics and discuss the challenges and limitations. RECENT FINDINGS: Recent clinical studies mainly indicate there may be benefit of PRP usage for the treatment of knee lesions. As an autolo...
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Erratum: Epidemiology of periprosthetic fracture of the femur in 32 644 primary total hip arthroplasties: A 40-year experience (Bone Joint J. (2016) 98:4 (461-467) DOI: 10.1302/0301-620X.98B4.37201)
Hip Fx in the Elderly 2019
In Table I, the column headings under 'Age' are the incorrect way round, and should have been listed as > 65 years, followed by = 65 years.
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White blood cell scintigraphy for differentiation of infection and aseptic loosening: a retrospective study of 76 painful hip prostheses
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Diagnosis of an infected arthroplasty is often difficult. Fever, abnormal physical findings, radiographic changes, findings at bone scintigraphy, an elevated erythrocyte sedimentation rate, CRP, and leucocytosis are not specific enough. We evaluated the diagnostic value of white blood cell scintigraphy. MET...
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Opioids before and after initiation of pregabalin in patients with diabetic peripheral neuropathy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objectives: To examine opioid prescription claims before and after initiation of pregabalin in patients with a diagnosis of diabetic peripheral neuropathy (DPN). Methods: This retrospective analysis used a national commercial database of integrated inpatient, outpatient, and prescription claims to identify adults with ...
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Breast Reconstruction Free Flaps
Panniculectomy & Abdominoplasty CPG
Breast cancer is a common diagnosis, with 252710 new invasive cases and 63410 in situ cases diagnosed annually, according to the American Cancer Society data in 2017. Despite its incidence, it is commonly a treatable disease, with a 90% 5-year survival rate and an 83% 10-year survival rate. Currently, 3 million women a...
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Inefficacy of the cementation of femoral head collapse in glucocorticoid-induced osteonecrosis
AAHKS (2) Corticosteroids
The objective of this paper was to assess the efficacy of cementation of the femoral head in stage III glucocorticoid-induced osteonecrosis. Ten hips (nine patients) were treated by the injection of low-viscosity cement to reduce the collapse. The follow up included clinical and radiological assessments preoperatively ...
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Meniscal and articular cartilage changes in knee osteoarthritis: a cross-sectional double-contrast macroradiographic study
AMP (Acute Meniscal Pathology)
OBJECTIVE: In knee osteoarthritis (OA) damage to meniscal cartilage is associated with the changes in articular cartilage. Using double-contrast macroradiographs we determined whether the degree of meniscal cartilage damage was similar to or different from that at the corresponding regions of the articular cartilage on...
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Total hip arthroplasty in the treatment of degenerative disorders in rural and urban patients â?? A retrospective, randomised and controlled study
OAK 3 - Non-arthroplasty tx of OAK
Introduction. Farming is hard work which may lead to overstrain and osteoarthritis of the hip and knee. Hip osteoarthritis has been rarely discussed in the Polish literature. Objective. The objective of the study was to determine the differences in hip osteoarthritis in urban and rural patients. The differences concern...
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Arthroscopic reconstruction of the anterior cruciate ligament with patellar-tendon autograft and interference screw fixation. The results at seven years
Anterior Cruciate Ligament Injuries CPG
Deficiency of the anterior cruciate ligament (ACL) is a common disorder which can lead to changes in lifestyle. We followed 59 patients who had had arthroscopic reconstruction of the ACL using a central-third patellar-tendon autograft for seven years to assess the long-term effectiveness of recent advances in reconstru...
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Prognostic factors of mortality one year after a hip fragility fracture. Anoia hip study
Hip Fx in the Elderly 2019
Introduction: Most of the patients who had a hip fragility fracture are characterized by advanced age, frailty, multimorbidity and high mortality rate into the first year. Our aim is to describe the prognostic factors of mortality one year after a hip fragility fracture. Material and methods: Observational prospective ...
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Long-Term Survivorship and Clinical Outcomes of a Single Radius Total Knee Arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: To ensure the continued success of total knee arthroplasties (TKAs), we must employ ever-evolving modifications to our techniques and implant designs. As part of this process, a knee prosthesis with a single radius (SR) has been developed to more precisely emulate the anatomy and biomechanics of the nativ...
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Genome-wide profiling of bone reveals differentially methylated regions in osteoporosis and osteoarthritis
Management of Hip Fractures in the Elderly
OBJECTIVE: To determine genome-wide methylation profiles of bone from patients with hip osteoarthritis (OA) and those with osteoporotic (OP) hip fractures. METHODS: Trabecular bone pieces were obtained from the central part of the femoral head of 27 patients with hip fractures and 26 patients with hip OA. DNA was isola...