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0 | MRI of the Meniscus | AMP (Acute Meniscal Pathology) | The menisci of the knee are accurately evaluated by MRI. Knowledge of normal anatomy, imaging parameters, imaging appearance of the normal and torn meniscus, and common anatomic variants and pitfalls are essential in obtaining the correct imaging diagnosis. There are multiple imaging signs of meniscal tear, including l... |
0 | Flexible fixation and fracture healing: do locked plating 'internal fixators' resemble external fixators? | Distal Radius Fractures | External and internal fixators use bone screws that are locked to a plate or bar to prevent periosteal compression and associated impairment of blood supply. Both osteosynthesis techniques rely on secondary bone healing with callus formation with the exception of compression plating of simple, noncomminuted fractures. ... |
1 | Body image dissatisfaction and body dysmorphic disorder in 100 cosmetic surgery patients | Reduction Mammoplasty for Female Breast Hypertrophy | This study was the first empirical investigation of body image dissatisfaction and body dysmorphic disorder in cosmetic surgery patients. Of 132 women, 100 women (response rate, 76 percent) completed two body image measures prior to surgery, the Multidimensional Body-Self Relations Questionnaire and the Body Dysmorphic... |
1 | Results of transphyseal anterior cruciate ligament reconstruction using patellar tendon autograft in tanner stage 3 or 4 adolescents with clearly open growth plates | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Drilling across the physes for intra-articular anterior cruciate ligament reconstruction is considered risky for skeletally immature patients. HYPOTHESIS: Skeletally immature patients with clearly open growth plates can safely undergo intra-articular anterior cruciate ligament reconstruction with patellar t... |
0 | Paradoxical cerebral embolism after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Deep vein thrombosis is a frequent complication following total joint arthroplasty and other major orthopedic procedures. Pulmonary embolism occurs with or without a diagnosis of deep vein thrombosis, although infrequently (1.5%-10%). In patients with congenital cardiac defects, such as a patent foramen ovale, paradoxi... |
0 | Incidence, clinical features and subtypes of delirium in elderly patients treated for hip fractures | Management of Hip Fractures in the Elderly | Objective: To describe the incidence, risk factors and clinical features (subtypes) of delirium during the postoperative period after hip fracture surgery in elderly patients. Design: Prospective study. Methods: Thirty-four consecutive patients (9 men and 25 women) were included in this study between June 16 to July 14... |
0 | Meta-analysis for dorsally displaced distal radius fracture fixation: volar locking plate versus percutaneous Kirschner wires | CTS PM Lit Search Update Late 2016 | BACKGROUND: Dorsally displaced distal radius fractures (DDDRF) are frequent injuries in clinical practice. Traditional percutaneous Kirschner wires (K-wire) and open reduction with volar locking plate (VLP) are the two most common surgical fixation techniques used to manage DDDRF. However, there is no current consensua... |
0 | A study investigating short-and medium-term effects on function, bone mineral density and lean tissue mass post-total knee replacement in a caucasian female post-menopausal population: Implications for hip fracture risk | OAK 3 - Non-arthroplasty tx of OAK | Summary Significant increased hip fracture incidence has been reported in the year following total knee replacement. This study demonstrates that bone and muscle loss is a postsurgical consequence of total knee replacement, alongside poor outcomes in function and activity potentially contributing to reduced quality of ... |
0 | How do bisphosphonates affect fracture healing? | MSTS 2018 - Femur Mets and MM | Bisphosphonates (BPs) have been in use for many years for the treatment of osteoporosis, multiple myeloma, Paget's disease, as well as a variety of other diseases in which there is reduced bone mineral density. Given that bisphosphonates inhibit bone resorption, an important stage of fracture healing; this class of com... |
0 | Functional outcomes of outpatient balance training following total knee replacement in patients with knee osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate whether balance training after total knee replacement surgery improves functional outcomes and to determine whether postoperative balance is associated with mobility. DESIGN: A prospective intervention study and randomized controlled trial with an intention-to-treat analysis. SETTING: The rehabil... |
0 | The central indwelling venous catheter in the pediatric patient--dental treatment considerations | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Dentists need to understand and recognize the special needs of this unique patient population before dental therapy is instituted. The primary objective of this paper is to familiarize the dental practitioner with the central venous catheter and its indications in pediatric medicine. In addition, recommendations concer... |
0 | Anesthesia for Same-Day Total Joint Replacement | AAHKS (2) Corticosteroids | Demand for low-cost, high-quality health care has forced the total joint replacement (TJR)industry to evaluate and mitigate high variable costs. Minimizing hospital stay can significantly reduce total cost of care. A shortened hospital stay does not compromise patient safety or satisfaction, and may reduce perioperativ... |
0 | Cause of death and factors associated with early in-hospital mortality after hip fracture | Hip Fx in the Elderly 2019 | The aims of this study were to identify the early in-hospital mortality rate after hip fracture, identify factors associated with this mortality, and identify the cause of death in these patients. A retrospective cohort study was performed on 4426 patients admitted to our institution between the 1 January 2006 and 31 D... |
0 | The role of reactive oxygen species scavenging enzymes in the development of septic loosening after total hip replacement | PJI DX Updated Search | In this study of 41 patients, we used proteomic, Western blot and immunohistochemical analyses to show that several reactive oxygen species scavenging enzymes are expressed differentially in patients with primary osteoarthritis and those with non-loosening and aseptic loosening after total hip replacement (THR). The pa... |
1 | Comparison of 30-day Clinical Outcomes with SimpliDerm and AlloDerm RTU in Immediate Breast Reconstruction | Acellular Dermal Matrix | BACKGROUND: Acellular dermal matrix (ADM) is widely used in breast reconstruction, and outcomes of these procedures may be improved through optimized product design. SimpliDerm is a new human ADM designed to closely preserve the architecture of native dermis, with the goal of improving surgical outcomes. This study rep... |
0 | Morpho-histological analysis of abdominal skin as related to liposuction | Panniculectomy & Abdominoplasty CPG | The analysis of the abdominal skin on cadavers has made it possible for the authors to evaluate the skin's regional characteristics, taking into consideration the age group to be lipoaspirated regardless of race or sex. In this way, norms are established which in the future may be used to comparatively analyze results ... |
0 | Current Knowledge, Drug-Based Therapeutic Options and Future Directions in Managing Osteoporosis | MSTS 2018 - Femur Mets and MM | Osteoporotic fractures are a worldwide problem that increase mortality of elderly patients leaving a high cost to the world economy. In addition to exercise and supplementary regimens, medications and pharmaceutical agents are used for osteoporosis management. Anti-resorptive drugs particularly bisphosphonates are the ... |
1 | Allograft versus autograft anterior cruciate ligament reconstruction: 3- to 5-year outcome | Anterior Cruciate Ligament Injuries CPG | Sixty-four patients whose knees underwent anterior cruciate ligament reconstruction with nonirradiated allograft tissue were compared with 26 patients whose anterior cruciate ligaments were reconstructed using autograft tissue 3 to 5 years after their operation. Detailed symptoms, activity-level, and functional outcome... |
0 | Changes in proprioceptive weighting during quiet standing in women with early and established knee osteoarthritis compared to healthy controls | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Knee osteoarthritis (OA) is highly prevalent in people above the age of 60, and is typically associated with pain, stiffness, muscle weakness and proprioceptive deficits. Muscle-tendon vibration has been used to assess the spatial reweighting of proprioceptive input during standing. The current study aimed ... |
0 | Is routine splintage following primary total knee replacement necessary? A prospective randomised trial | Surgical Management of Osteoarthritis of the Knee CPG | It was hypothesised that routine splintage following primary total knee replacement has no affect on flexion deformity and offers no benefit over simple wool and crepe. Fifty-five patients undergoing primary total knee replacement were entered into a prospective study. The patients were randomly assigned to two groups:... |
0 | Tamoxifen for prevention of breast cancer: report of the National Surgical Adjuvant Breast and Bowel Project P-1 Study | Management of Hip Fractures in the Elderly | BACKGROUND: The finding of a decrease in contralateral breast cancer incidence following tamoxifen administration for adjuvant therapy led to the concept that the drug might play a role in breast cancer prevention. To test this hypothesis, the National Surgical Adjuvant Breast and Bowel Project initiated the Breast Can... |
0 | A case report of severely damaged hip joint caused by SAPHO syndrome treated with 2-stage total hip arthroplasty | PJI DX Updated Search | Introduction: Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is an increasingly recognized entity. The hip joint is known as a less frequently affected site in SAPHO syndrome, and there has been limited reports about hip joint diseases caused by SAPHO syndrome, and as such adequate treatment f... |
0 | Press fit condylar total knee arthroplasty: Radiographic evaluation at a 5-year follow-up | Surgical Management of Osteoarthritis of the Knee CPG | The three standard views are necessary for the radiographic evaluation of a total knee arthroplasty, by the measurement of knee alignment, components position and prosthetic interface. We radiographically evaluated 100 Press-Fit Condylar (PFC) total knee replacements in 66 women and 18 men (mean age, 69.5 years), at a ... |
0 | The comparison of bedside point-of-care ultrasound and computed tomography in elbow injuries | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: The objective of the study was to compare the efficacy of point-of-care ultrasound (POCUS) and computed tomography (CT) in the diagnosis of the fracture of the bones that form the elbow joint and the determination of treatment method in elbow injuries. METHODS: Forty-nine patients aged 5 to 65 years, who wer... |
0 | Leg tissue perfusion in simple tibial shaft fractures treated with unreamed and reamed nailing | Management of Hip Fractures in the Elderly | BACKGROUND: To compare the effects of unreamed and reamed intramedullary nailing on tibialis posterior, dorsalis pedis, and sum (tibialis posterior plus dorsalis pedis) distal arterial peak pulses. Additionally, leg skin temperature and transcutaneous oxygen tension were measured in patients with low energy, closed tib... |
1 | Basal cell carcinoma of the nasolabial fold: An apparently 'benign' tumour that often needs complex surgery | Reconstruction After Skin Cancer | Background: Location of the tumour is a well-known prognostic factor for recurrence of basal cell carcinoma (BCC). We have observed that tumours located in the nasolabial fold may deserve a particular attention. Objective: The aim of this study is to evaluate the behaviour of BCC located on the nasolabial fold in compa... |
0 | Extended adjuvant endocrine therapy in hormone-receptor positive breast cancer | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A high ongoing recurrence rate in patients with endocrine responsive breast cancer provides the rationale for offering endocrine treatment for more than five years. The MA.17 study, comparing the aromatase inhibitor (AI) letrozole for five years after an initial five years of tamoxifen to no further treatment, provided... |
0 | Exercises for hand osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | This is the protocol for a review and there is no abstract. The objectives are as follows:The primary objective of the review will be to assess the benefits and harms of exercises compared to other interventions, including placebo or no intervention, for persons with hand OA. Main outcomes will be pain and physical fun... |
1 | Correlation between radiographically diagnosed osteophytes and magnetic resonance detected cartilage defects in the tibiofemoral joint | AMP (Acute Meniscal Pathology) | OBJECTIVE: To assess the correlation between the presence of radiographically diagnosed osteophytes in the tibiofemoral joint (TFJ) and (1) magnetic resonance (MR) detected cartilage defects and meniscal lesions in the same joint and (2) knee pain.
METHODS: Fifty-nine people, 29 men and 30 women, with chronic knee pain... |
1 | Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial | Anterior Cruciate Ligament Injuries CPG | In this prospective randomised study two treatments after non-traumatic medial meniscal tear diagnosed with radiological examination and magnetic resonance imaging were compared; arthroscopic partial meniscectomy followed by supervised exercise or supervised exercise alone. The aim was to evaluate knee function and phy... |
0 | Which screening strategy using BMD measurements would be most cost effective for hip fracture prevention in elderly women? A decision analysis based on a Markov model | Management of Hip Fractures in the Elderly | INTRODUCTION: Hip fractures are responsible for excessive mortality, decreasing the 5-year survival rate by about 20%. From an economic perspective, they represent a major source of expense, with direct costs in hospitalization, rehabilitation, and institutionalization. The incidence rate sharply increases after the ag... |
0 | Prospective Randomized Evaluation of a Collagen/Thrombin and Autologous Platelet Hemostatic Agent During Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study was to evaluate the effectiveness of a collagen/thrombin and autologous platelet hemostatic agent in preventing blood loss during primary total knee arthroplasty. This prospective, double-blinded, randomized study was designed to enroll a total of 100 patients. Patients were randomized 1:1 to ... |
0 | Hospital economics of primary total knee arthroplasty at a teaching hospital | Surgical Management of Osteoarthritis of the Knee CPG | Background: The hospital cost of total knee arthroplasty (TKA) in the United States is a major growing expense for the Centers for Medicare & Medicaid Services (CMS). Many hospitals are unable to deliver TKA with profitable or breakeven economics under the current Diagnosis-Related Group (DRG) hospital reimbursement sy... |
0 | Immediate breast reconstruction with acellular dermal matrix: factors affecting outcome | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The use of acellular dermal matrix (ADM) for coverage of the lower pole in immediate implant-based breast reconstruction has changed surgeons' practice. We present our experience using a porcine ADM (Strattice), focusing on short-term outcomes, patient selection, and technique adaptations that may influence... |
0 | More complications with uncemented than cemented femoral stems in total hip replacement for displaced femoral neck fractures in the elderly | Developmental Dysplasia of the Hip 2020 Review | Background and purpose - Total hip replacement (THR) is the preferred method for the active and lucid elderly patient with a displaced femoral neck fracture (FNF). Controversy still exists regarding the use of cemented or uncemented stems in these patients. We compared the effectiveness and safety between a modern ceme... |
0 | Does antibiotic prophylaxis reduce complication rates in dento-alveolar surgery? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objective: The aim of this audit was to assess the complication rates of patients undergoing dento-alveolar surgery in different clinical settings and to highlight the effect, if any, of prophylactic antibiotics on complication rates. Methods: Over a two-month period, we retrospectively reviewed 206 dento-alveolar surg... |
0 | Bactericidal micron-thin sol-gel films prevent pin tract and periprosthetic infection | DoD SSI (Surgical Site Infections) | Orthopedic injuries constitute the majority of wounds sustained by U.S. soldiers in recent conflicts. The risk of infection is considerable with fracture fixation devices. In this pilot study, we examined the use of unique bactericidal micron-thin sol-gel films on fracture fixation devices and their ability to prevent ... |
0 | The effect of surgical timing on operative duration and quality of reduction in Type III supracondylar humeral fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: To determine the influence of the time from injury to surgery of Type III supracondylar fractures on operative duration and quality of reduction. METHODS: A retrospective review of Type III supracondylar fractures treated by closed reduction and percutaneous pinning over a 3-year period was performed. RESULTS:... |
0 | Predictive factors for early hospital readmission and 1-year mortality in elder patients following surgical treatment of a hip fracture | DoD SSI (Surgical Site Infections) | BACKGROUND: Early hospital readmission after surgically treated hip fracture is a common entity, often involving an adverse event and causing strains on an already overburdened healthcare system. The main purposes of the present study were to determine the 30-day readmission rate, analyze the predictive factors for ear... |
1 | Community-based survey of amputation derived from the physically disabled person's certification in Kitakyushu City, Japan | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: There were no recent reports of community-based surveys on the incidence, level and causes of amputation in Japan. OBJECTIVES: To identify any changes in the incidence, level, causes of amputation and gender distribution. STUDY DESIGN: A community-based survey. METHODS: The subjects were Kitakyushu-citizens... |
0 | Alumina-on-alumina ceramic versus metal-on-highly cross-linked polyethylene bearings in total hip arthroplasty: a comparative study | Management of Hip Fractures in the Elderly | The aim of the study was to evaluate the reliability and durability of alumina-on-alumina ceramic in comparison to metal-on-highly cross-linked polyethylene (CoCr/HXLPE) bearing couples. This prospective randomised study involved 150 patients (157 hips). All patients (mean age: 54.7 years) obtained an identical fibre m... |
0 | Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty: complications in a 2-11 year follow-up study in 19 elderly patients | Management of Hip Fractures in the Elderly | We reviewed 19 elderly patients who underwent revision total hip arthroplasty with a proximal femoral replacement prosthesis for aseptic loosening and severe proximal femoral bone loss. The mean interval from initial hip replacement to revision arthroplasty was 8 (2-20) years. The mean age of the patients was 78 (63-87... |
0 | Blood Transfusion for Elderly Patients with Hip Fracture: a Nationwide Cohort Study | Hip Fx in the Elderly 2019 | BACKGROUND: This nationwide study aimed to investigate the blood transfusion status of elderly hip fracture patients and to examine the effect of packed red blood cell transfusion on all-cause mortality.
METHODS: From the Korean National Health Insurance Service-Senior cohort consisting of 588,147 participants aged ove... |
1 | Traditional Chinese medicine for knee osteoarthritis: An overview of systematic review | OAK 3 - Non-arthroplasty tx of OAK | Background Traditional Chinese medicine (TCM) has been accepted as a complementary therapy for knee osteoarthritis. However, the efficacy and safety of the intervention were still conflicting and uncertain. Meanwhile, the quality of methodology and evidence in the field was unknown. Objective To summarize the character... |
1 | Prospective, surgeon-randomized evaluation of crossed pins versus lateral pins for unstable supracondylar humerus fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | Controversy exists concerning pin placement for supracondylar humerus fractures in children. Both crossed pin and lateral only pin configurations have shown good results; however, prospective studies are lacking. We present a prospective, surgeon-randomized study comparing crossed pin (group A, n = 20) versus preferent... |
1 | Comparison of treatment of unstable intra articular fractures of distal radius with locking plate versus non-locking plate fixation | Distal Radius Fractures | INTRODUCTION: Unstable intra articular fractures of distal radius are frequently being managed with open reduction and internal fixation. Of late in some biomechanical studies locking plates have been shown to be better in terms of maintenance of radiological parameters in comparison to non-locking plates. We conducted... |
0 | Tamoxifen resistant and refractory breast cancer: the value of aromatase inhibitors | MSTS 2018 - Femur Mets and MM | Tamoxifen has dominated endocrine treatment of breast cancer for over two decades. It is useful in metastatic breast cancer, adjuvant therapy, preoperative treatment, ductal carcinoma-in-situ and chemoprevention. However, breast cancer may be refractory to tamoxifen or develop resistance to it with ongoing treatment. T... |
0 | A Combined Experimental and Computational Approach to Subject-Specific Analysis of Knee Joint Laxity | AMP (Acute Meniscal Pathology) | Modeling complex knee biomechanics is a continual challenge, which has resulted in many models of varying levels of quality, complexity, and validation. Beyond modeling healthy knees, accurately mimicking pathologic knee mechanics, such as after cruciate rupture or meniscectomy, is difficult. Experimental tests of knee... |
0 | Use of tantalum cones in primary arthroplasty of acute proximal tibial fractures | OAK 3 - Non-arthroplasty tx of OAK | Metaphyseal tantalum cones in primary total knee arthroplasty and their functional outcome is described using 3 case reports over 6 years. 3 knees in 3 elderly individuals (mean age of 70.4 years), with pre-existing osteoarthritis and complex proximal tibial fractures, were operated on. Ambulation with walking frame wa... |
0 | Does bone mineral density affect hip fracture severity? | Management of Hip Fractures in the Elderly | The association between hip fracture and reduced bone mineral density is well documented, with reduced bone mineral density predisposing to fracture. However, it is unknown whether an association exists between the magnitude of bone density lost and the severity of the hip fracture sustained. One hundred forty-two pati... |
1 | Pelvic obliquity as a factor in dysplastic hip in infancy | Developmental Dysplasia of the Hip CPG | Screening of the newborn to detect hip dysplasia has led to the increasing recognition of fixed pelvic obliquity, in which one hip has restriction of abduction and the other, restriction of adduction. The hip with limited abduction is apparently short, so that the infant presents signs clinically indistinguishable from... |
0 | Factors associated with diagnostic stage of hip osteoarthritis due to acetabular dysplasia among Japanese female patients: a cross-sectional study | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: In Japan, the majority of hip osteoarthritis (OA) was caused by acetabular dysplasia, and about 90Â % of patients were female. The present study focused on Japanese female patients with hip OA due to acetabular dysplasia, and examined the associated factors with OA staging at diagnosis, in special reference... |
0 | Development of a routine method for the determination of trace metals in whole blood by magnetic sector inductively coupled plasma mass spectrometry with particular relevance to patients with total hip and knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Joint-replacement surgery has revolutionized the treatment of osteoarthritis and is still the most effective therapy. A recent clinical trend reintroducing metal-on-metal bearing surfaces has in turn stimulated a requirement for accurate measurement of the concentrations of relevant metals in both pre- and ... |
0 | Implant survival and patient-reported outcomes after total hip arthroplasty in young patients with developmental dysplasia of the hip | Developmental Dysplasia of the Hip 2020 Review | Background: Developmental dysplasia of the hip (DDH) is a common cause of hip pain in young patients, and may require treatment with total hip arthroplasty (THA). This study evaluates implant survival and describes patientreported outcomes after primary THA in DDH patients aged 35 or younger. Methods: A retrospective s... |
0 | Minimum ten-year results of a prospective randomised study of autologous chondrocyte implantation versus mosaicplasty for symptomatic articular cartilage lesions of the knee | Osteochondritis Dissecans 2020 Review | Autologous chondrocyte implantation (ACI) and mosaicplasty are methods of treating symptomatic articular cartilage defects in the knee. This study represents the first long-term randomised comparison of the two techniques in 100 patients at a minimum follow-up of ten years. The mean age of the patients at the time of s... |
0 | Seasonal Variation in Hip Fracture Mortality | Hip Fx in the Elderly 2019 | OBJECTIVES: This study aims to identify if wintertime surgery increases the mortality of the patients after hip fracture operations.
DESIGN: Retrospective observational cohort study.
SETTING: The data for this citywide retrospective observational cohort study came from Clinical Data Analysis Reporting System.
PATIENT: ... |
0 | Antimicrobial resistance of Staphylococcus aureus and oral streptococci strains from high-risk endocarditis patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study sought to determine the antimicrobial susceptibility of Staphylcoccus aureus and viridans group streptococci strains collected from the forearm skin and saliva of 30 patients at high risk of endocarditis. Agar susceptibility tests of antibiotics routinely utilized in dentistry were used to verify antimicrobi... |
0 | Current use of thiazide diuretics and prevention of femur fractures | Management of Hip Fractures in the Elderly | A case control study of a defined population from The Netherlands was performed to evaluate the risk of femur fractures associated with the use of thiazide diuretics. Included were 386 patients hospitalized for femur fractures between 1986 and 1990 who were residents and 45 years of age and older. Per case, one age-, s... |
1 | The present state of arthroscopy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Arthroscopy, the endoscopy of joints, has brought a revolution to the management of knee disorders. The technique was first performed in 1918 but did not gain popularity until the rod-lens and glass fibre bundle were developed. Now, arthroscopic operations are high among the top 10 of all operations performed in the Un... |
0 | Subtrochanteric femur fractures: Review of the complete pathologic spectrum with emphasis on distinguishing imaging features | PJI DX Updated Search | Subtrochanteric femur fractures result from a variety of mechanisms of injury and underlying pathologies. Radiologists can play a pivotal role by differentiating the etiology of a subtrochanteric femur fracture, which assists the orthopedic surgeon in choosing the correct method of treatment. To provide this valuable s... |
0 | Arthroscopic Drilling for Stable Juvenile Osteochondritis Dissecans of the Knee Is Safe and Patients Reliably Return to Daily Activities by 3 Months | Osteochondritis Dissecans 2020 Review | PURPOSE: To assess the postoperative timeline for the return to activities of daily living (ADLs) in pediatric patients after arthroscopic drilling of a stable osteochondritis dissecans (OCD) lesion of the knee and to determine the rate of and risk factors for complications after the procedure. METHODS: In a retrospect... |
0 | Gait analysis in advanced Parkinson's disease--effect of levodopa and tolcapone | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine the therapeutic effect of levodopa/benserazide and tolcapone on gait in patients with advanced Parkinson's disease.METHODS: Instrumental gait analysis was performed in 38 out of 40 patients with wearing-off phenomenon during a randomized, double-blind, placebo-controlled trial of tolcapone.RESUL... |
0 | Three-dimensional surgical planning and clinical evaluation of the efficacy of distal tibial tuberosity high tibial osteotomy in obese patients with varus knee osteoarthritis | AMP (Acute Meniscal Pathology) | Purpose: High tibial osteotomy (HTO) is an effective surgical treatment for varus knee osteoarthritis. However, obese patients require reinforced internal fixation materials to prevent internal fixation fractures and hardware failure after osteotomy. Therefore, the purpose of our study is to evaluate the clinical effic... |
0 | Parental views on otitis media: systematic review of qualitative studies | DoD PRF (Psychosocial RF) | This study aims to describe parental experiences and perspectives of caring for a child with otitis media. We conducted a systematic review of qualitative studies on parental perspectives on caring for a child with otitis media. We searched electronic databases to July 2015. Seventeen studies involving 284 participants... |
0 | Congenital malformations in singleton infants conceived by assisted reproductive technologies and singleton infants by natural conception in Tehran, Iran | Developmental Dysplasia of the Hip 2020 Review | Background: Multiple pregnancies occur more frequently in assisted reproductive technology (ART) compared to normal conception (NC). It is known that the risk of congenital malformations in a multiple pregnancy are higher than single pregnancy. The aim of this study is to compare congenital malformations in singleton i... |
1 | The effect of incision choice on outcomes of nipple-sparing mastectomy reconstruction | Acellular Dermal Matrix | INTRODUCTION: The indications for nipple-sparing mastectomy (NSM) are broadening as more breast surgeons appreciate the utility of preserving the nipple-areolar complex. A number of incision locations are available to the mastectomy surgeon, including inframammary, lateral and periareolar approaches. The present study ... |
1 | Efficacy of platelet-rich plasma injections in osteoarthritis of the knee: a systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The effectiveness of platelet-rich plasma (PRP) injections for osteoarthritis (OA) is still controversial. We investigated the effect of PRP injections in patients with knee OA based on decreasing pain, improving function, global assessment and changes regarding joint imaging.
METHODS: We performed a compre... |
0 | Umbilicosculpture: a concept revisited | Panniculectomy & Abdominoplasty CPG | After birth the umbilicus is the only naturally formed visible scar on the body. To reconstruct a neo-umbilicus following abdominoplasty various local interposition flaps have been described to circumvent a circular scar contracture and to recreate a superior hood. The additional scarring with these techniques can give... |
0 | The association of adipokine levels in plasma and synovial fluid with the severity of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: We sought to determine the association between plasma and SF levels of leptin and adiponectin in patients with knee OA.
METHODS: Plasma and SF levels of adipokines and soluble leptin receptor (sOB-R) were determined by ELISA in 96 patients with knee OA at different stages, according to Ahlback's classificati... |
0 | Characteristics and outcomes of hip fractures in lower limb amputees | Hip Fx in the Elderly 2019 | INTRODUCTION: Lower limb amputees, regardless of age are at an increased risk of developing fragility fractures of the neck of femur. The characteristics and outcomes of the fractures of the neck of femur in lower limb amputees have not been studied in detail.
METHODS: We undertook a retrospective review of a prospecti... |
0 | Two-stage revision using a modified articulating spacer in infected total knee arthroplasty | PJI DX Updated Search | PURPOSE: To evaluate clinical results of two-stage revision using a modified articulating spacer for treatment of infected total knee arthroplasty (TKA). MATERIALS AND METHODS: We retrospectively reviewed 20 cases treated by two-stage revision arthroplasty using a modified articulating spacer under the diagnosis of inf... |
0 | Hip and ankle range of motion and hip muscle strength in young female ballet dancers and controls | Management of Hip Fractures in the Elderly | OBJECTIVES: To compare the hip and ankle range of motion and hip muscle strength in 8-11 year old novice female ballet dancers and controls.METHODS: Subjects were 77 dancers and 49 controls (mean (SD) age 9.6 (0.8) and 9.6 (0.7) years respectively). Supine right active hip external rotation (ER) and internal rotation (... |
0 | The EXCITE Trial: reacquiring upper-extremity task performance with early versus late delivery of constraint therapy | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: This study examines performance of Wolf Motor Function Test (WMFT) tasks in terms of the ability of EXCITE trial participants (who had suffered a stroke 3-9 months before recruitment) to complete the task within the timed interval. METHODS: Data were collected from participants who received constraint-induce... |
0 | Conus medullaris injury due to herniated disk and intraoperative positioning for arthroscopy | Surgical Management of Osteoarthritis of the Knee CPG | This report discusses the occurrence of a cauda equina syndrome from a herniated L1-L2 disc following knee arthroscopy |
0 | Course of dislocated posterior hip arthroplasty: A continuous 232-patient series at a mean 10 yearsâ?? follow up (range, 1â??22 years) | Hip Fx in the Elderly 2019 | Background: Dislocation rates in posterior total hip arthroplasty (THA) range between 2% and 5%, but long-term course (recurrence of dislocation or revision surgery) is not known, most series having short follow-up or small populations. We therefore conducted a retrospective study on a large series, to determine long-t... |
0 | Preventive oral surgery before bisphosphonate administration to reduce osteonecrosis of the jaws | MSTS 2018 - Femur Mets and MM | Objectives: The intravenous injection of bisphosphonates, currently used for osteoporosis, myeloma, or bone metastases, can cause ONJ especially in consequence of trauma. To avoid trauma during bisphosphonate treatment, preventive oral surgery is recommended. The research aimed to evidence whether inflammatory and oste... |
0 | The effects of the single or multiple injection technique on the onset time of femoral nerve blocks with 0.75% ropivacaine | Surgical Management of Osteoarthritis of the Knee CPG | We evaluated the effect of the injection technique on the onset time and efficacy of femoral nerve block performed with 0.75% ropivacaine. A total of 30 patients undergoing arthroscopic knee surgery were randomly allocated to receive femoral nerve blockade with 0.75% ropivacaine by using either a single injection (Sing... |
0 | Surgical treatment of the late - presenting developmental dislocation of the hip after walking age | PJI DX Updated Search | OBJECTIVE: Cases of developmental dislocation of the hip (DDH) still occur after walking age because of late or missed diagnosis and failed conservative treatment. The choice of treatment for DDH after walking age continues to be controversial, and one of the options is open reduction combined with innominate osteotomy... |
0 | Complications of smooth pin fixation of fractures and dislocations in the hand and wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A retrospective review of patients treated with internal fixation of fractures or dislocations of the hand or wrist over a four-year period was undertaken to determine the complication rates of pin fixation for stabilization of these injuries. One hundred thirty-seven patients who received 422 pins were studied. All pi... |
0 | Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle | DoD SSI (Surgical Site Infections) | Background: Despite advances in surgical skills, adipofascial flaps are still less preferred option for coverage of leg defect. We evaluate the use of perforator-based adipofascial flap in small-to-medium-sized soft-tissue defects in the lower limb.
Patients and Methods: After localisation of perforators along the majo... |
0 | Proximal hip geometry and hip fracture risk assessment in a Korean population | Management of Hip Fractures in the Elderly | Summary: The association between proximal femoral geometry and hip fracture risk were investigated. The risk of intertrochanteric fractures increased 1.64-fold and 2.32-fold with 1standard deviation (sd) increase of hip axis length and neck-shaft angle, respectively, while the risk of femur neck fracture 2.03-fold with... |
0 | Two stage revision knee arthroplasty for infection with massive bone loss. A technique to achieve spacer stability | PJI DX Updated Search | We report a technique for the intra-operative production of an antibiotic-impregnated cement spacer, reinforced with an intramedullary nail. The spacer is designed for use in cases where significant bone loss and/or ligamentous instability prevent the formation of a stable joint when using a conventional spacer during ... |
1 | Foam padding in casts accommodates soft tissue swelling and provides circumferential strength after fixation of supracondylar humerus fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Varying casting techniques are used after surgical treatment of pediatric supracondylar humerus fractures. The goals are to maintain fracture reduction, while accommodating soft tissue swelling and minimizing the risk of compartment syndrome. METHODS: A retrospective chart review of consecutive patients age... |
0 | Outcome of trochanteric femoral nailing in intertrochanteric fracture femur - A Prospective study | DoD SSI (Surgical Site Infections) | Trochanteric fwnoral nail is recently used as intramedullary device for treatment of intertrochanteric fractures. Trochanteric Femoral Nail [TFN] Is very useful In osteoporotic, severely comminuted intertrochanteric fractures. Twenty two patients with i intertrochanteric fractures ware treated at Co! lege of Medicine a... |
0 | Osteochondral sequelae of meningococcemia: Radiographic aspects | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The authors retrospectively analyzed the files of 11 patients with osteochondral sequelae of meningococcemia, which were referred to this service between 1988 and 1996. The purpose of this study was to radiographically evaluate bone and physeal injuries observed in these patients, deformities caused by them and correla... |
1 | Does discharge disposition after primary total joint arthroplasty affect readmission rates? | Surgical Management of Osteoarthritis of the Knee CPG | We reviewed 90-day readmission rates for 9150 patients with a primary total hip or knee arthroplasty performed between April 2001 and December 2004. Patients with an American Society of Anesthesiologists score of 3 or greater or with perioperative complications were excluded. We correlated the readmission rate with dis... |
0 | Do Corticosteroids Attenuate the Peri-Operative Acute Phase Response After Total Knee Arthroplasty? | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Following tissue injury, the acute phase response (APR) functions to survive and then repair injured tissue. An exuberant APR, which can be evoked by total knee arthroplasty (TKA), results in a hyper-inflammatory state, leading to pain, nausea, venous thromboembolism, or potentially life-threatening complic... |
1 | The 6-Hour Rule for Surgical Debridement of Open Tibial Fractures: A Systematic Review and Meta-Analysis of Infection and Nonunion Rates | DoD SSI (Surgical Site Infections) | OBJECTIVES: The aim of this study was a systematic review and meta-analysis of studies comparing early (<6 hours) versus late (>6 hours) surgical debridement of open tibial fractures, with regards to infection and nonunion rates.
METHODS: A systematic literature search of MEDLINE, Excerpta Medica Database, Cumulative I... |
0 | Risk factors for onset of delirium after neck of femur fracture surgery: a prospective observational study | Hip Fx in the Elderly 2019 | BACKGROUND: Delirium is a common complication after surgery in the elderly that leads to increased length of stay and other adverse outcomes. The aim of this study was to better understand the exact causes of post-operative delirium in patients undergoing surgery for neck of femur (NOF) fractures.
METHODS: We performed... |
0 | Bone turnover in bone biopsies of patients with low-energy cortical fractures receiving bisphosphonates: a case series | Management of Hip Fractures in the Elderly | Recent reports of long-term bisphosphonate-treated patients developing cortical fractures have raised concerns that such fractures may relate to excessive suppression of bone turnover after prolonged use of these drugs. To evaluate the bone histology of patients presenting with cortical fractures after bisphosphonate t... |
0 | Long-term outcome of patients with avascular necrosis, after internal fixation of femoral neck fractures | Management of Hip Fractures in the Elderly | We retrospectively reviewed 84 patients who underwent internal fixation of an intracapsular femoral neck fracture. The mean age was 58 years and the time from injury to operative treatment was 5.3 days. The mean follow-up was 4.7 years (range, 2-8 years). At the latest follow-up, in the 46 patients with undisplaced (Ga... |
1 | Compression mononeuropathies in the post-polio population: A cross-sectional study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Compression mononeuropathies at the wrist and elbow have been reported as an overuse syndrome in people with chronic disabilities. The prevalence of these disorders have ranged from 25 to 60% in disabled populations (spinal cord injured, polio survivors and wheelchair users). A cohort of 62 poliomyelitis survivors with... |
0 | Changes in temporomandibular joint anatomy, changes in condylar translation, and their relationship with disc displacement: magnetic resonance imaging study | Glenohumeral Joint OA | Objective: To assess changes in the articular surfaces of the temporomandibular joint (TMJ) and in condylar translation, as detected by magnetic resonance imaging (MRI), determining whether such changes correlate with disc displacement.
Materials and Methods: We retrospectively analyzed the MRI scans of 2076 TMJs of 10... |
0 | Falling short: Underestimation of fracture risk in atypical parkinsonian syndromes | DoD PRF (Psychosocial RF) | There is currently little data regarding how clinicians evaluate fracture risk in patients with progressive supranuclear palsy (PSP) and multiple system atrophy (MSA) and whether appropriate treatments are being offered. We therefore applied the internationally validated fracture risk assessment tool (FRAX), for simple... |
0 | Assessing the impact of fracture pattern on transfusion requirements in hip fractures | Hip Fx in the Elderly 2019 | PURPOSE: Hip fractures in the elderly represent a major source of morbidity and mortality, with allogeneic blood transfusions (ABTs) associated with increased mortality. This study assesses the ABT requirements between the most common patterns of hip fracture; intertrochanteric (IT) and intracapsular (IC). The impact o... |
0 | Miniplate osteosynthesis in fracture surgeries: Case series with review of concepts | Hip Fx in the Elderly 2019 | Purpose: Miniplates were initially developed as targets for foot and hand fractures, but they have been used in the treatment of fixation of small bone fragments, reduction of long bone fractures and non-union treatment, which have been difficult to treat. In this study, the authors used miniplates to treat fractures o... |
0 | In vivo pharmacokinetics of a gentamicin-loaded collagen sponge in acute periprosthetic infection: serum values in 19 patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: The in vivo pharmacokinetics of gentamycin- loaded collagen fleeces in humans have not been described in the current literature. We therefore analyzed in vivo pharmacokinetics of these fleeces when used in the treatment of periprosthetic infections. PATIENTS AND METHODS: Gentamycin concentrations were measu... |
0 | Anterior tibial compartment syndrome in a child: an unusual complication of cardiac catheterization | DOD - Acute Comp Syndrome CPG | The incidence of complications in children following retrograde arterial catheterization varies from nearly zero to over 7%. The commonest complication is arterial thrombosis. In addition, arterial dissections, tears and perforations, false aneurysms, peripheral arteriovenous fistulas, and hemorrhage have also been rep... |
1 | Prospective evaluation of patients with suspected hip fracture and indeterminate radiographs: use of T1-weighted MR images | Management of Hip Fractures in the Elderly | To assess the diagnostic efficacy of T1-weighted magnetic resonance (MR) images when findings on radiographs of the hip are indeterminate, 20 patients with suspected hip fracture and indeterminate radiographs were prospectively evaluated. MR imaging was performed with surface coil technique; one coronal T1-weighted (re... |
0 | Psychological consequences of maxillofacial trauma: a preliminary study | DoD PRF (Psychosocial RF) | AIMS: To identify the prevalence of post-traumatic psychological symptoms after maxillofacial trauma and prognostic factors related to poor outcome.
METHODS: Thirty-nine patients were assessed within 10 days of injury and 24 again 4-6 weeks later using five standardised self-report measures on each occasion and a short... |
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