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0 | The cost-effectiveness of multi-component interventions to prevent delirium in older people undergoing surgical repair of hip fracture | Hip Fx in the Elderly 2019 | This article summarizes the detailed cost-effectiveness analysis of delirium prevention interventions in people undergoing surgical repair of hip fracture. We compared a multi-component delirium prevention intervention with usual care using a model based on a decision tree analysis. The model was used to estimate the i... |
0 | Long-term follow-up of a prospective, double-blind, placebo-controlled randomized trial of clodronate in multiple myeloma | MSTS 2018 - Femur Mets and MM | Oral clodronate (1600 mg/d) has been shown to significantly reduce the incidence of skeletal complications in multiple myeloma. Preliminary analysis of a double-blind placebo-controlled trial of this treatment indicated that clodronate might prolong survival in patients without vertebral fractures at presentation. This... |
1 | Determining the effectiveness of various treatment modalities in carpal tunnel syndrome by ultrasonography and comparing ultrasonographic findings with other outcomes | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Firstly, we aimed to determine the effectiveness of various treatment modalities using ultrasonography (US), and secondly, we aimed to assess the correlations between the ultrasonographic findings and electrophysiological tests, symptom severity, functional status and physical findings. 74 hands of 47 patients with car... |
0 | Revisions of extensive acetabular defects with impaction grafting and a cement cup | PJI DX Updated Search | Background: Loosening of acetabular components often leads to bony defects. Management of extensive acetabular bone loss in hip revision arthroplasty can be a tremendous challenge. Questions/purposes: We asked whether a reconstruction with impacted bone grafts will provide a durable and pain-free function in extensive ... |
0 | Combined Elbow Release and Humeral Rotational Osteotomy in Arthrogryposis | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: The purpose of this study was to determine if a simultaneous posterior elbow release and humeral osteotomy to correct both the elbow extension contracture and the humeral internal rotation contracture in children with arthrogryposis can produce similar results as a posterior elbow release alone. METHODS: This ... |
1 | The Clinical Efficacy and Safety of the Sahastara Remedy versus Diclofenac in the Treatment of Osteoarthritis of the Knee: A Double-Blind, Randomized, and Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | Introduction. The Sahastara (SHT) remedy is a Thai traditional medicine that has been acknowledged in the Thai National List of Essential Medicine and has been used as an alternative medicine to treat knee osteoarthritis. Although SHT remedies have been used in Thai traditional medical practices for a long period of ti... |
0 | Clinical and immunological evaluation of zoledronate-activated Vgamma9gammadelta T-cell-based immunotherapy for patients with multiple myeloma | MSTS 2018 - Femur Mets and MM | OBJECTIVE: To evaluate the potential anti-tumor activity of zoledronate-activated Vgamma9gammadelta T cells in vivo, we initiated a pilot study involving administration of zoledronate-activated Vgamma9gammadelta T lymphocyte-activated killer (LAK) cells to patients with multiple myeloma.
MATERIALS AND METHODS: Subjects... |
0 | Radiographic changes at the elbow in primary osteoarthritis: A comparison with normal aging of the elbow joint | Glenohumeral Joint OA | A retrospective case-control study was undertaken to evaluate the pathologic radiographic changes that occur in primary osteoarthritis of the elbow. The radiographs of 50 patients with primary osteoarthritis of the elbow were compared with an age- and sex-matched control group to distinguish those features specific to ... |
0 | Unicompartmental arthroplasty of the knee with the cemented MOD3(TM) prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | A consecutive prospective series of 19 knees had unicompartmental arthroplasty between 1991 and 1992 for gonarthrosis and AVN. The MOD3(TM) prosthesis was used in all cases. A total follow-up evaluation was undertaken after 6 to 7.5 years (mean 6.5 years) in 18 patients (1 patient has died during the observation period... |
1 | Cemented Hemiarthroplasties Are Associated with a Higher Mortality Rate after Femoral Neck Fractures in Elderly Patients | Hip Fx in the Elderly 2019 | PURPOSE OF THE STUDY The postoperative outcomes of total hip replacement and hemiarthroplasty after femoral neck fractures in elderly patients were analysed to determine general and local complications as well as morbidity and mortality rates in order to detect risk profiles and assess the best individual treatment opt... |
1 | Complications in proximal tibial osteotomies in children with presentation of technique | DOD - Acute Comp Syndrome CPG | Proximal tibial osteotomies in children have been associated with a number of complications, including peroneal nerve palsies, compartment syndromes, deep and superficial infections, vascular injuries, iatrogenic fractures, apophyseal or growth plate damage, and recurrence of deformity. A retrospective review of the re... |
0 | The effect of an educational program to improve health-related quality of life in patients with osteoarthritis on waiting list for total knee replacement: a randomized study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To evaluate the effect of therapeutic education and functional readaptation (TEFR) on health-related quality of life (HRQL) in patients diagnosed with osteoarthritis on a waiting list for total knee replacement (TKR). METHODS: Randomized controlled trial of 9 months duration was conducted. One hundred consec... |
0 | The influence of platelet rich plasma on synovial fluid volumes, protein concentrations, and severity of pain in patients with knee osteoarthritis | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Knee pain is commonly seen in orthopedic and rehabilitation outpatient clinical settings. Patients with knee osteoarthritis (OA) are often complicated with joint soreness, swelling, weakness, and pain. These complaints are often caused by the excessive amount of synovial fluid (SF) accumulated in the bursae around the ... |
0 | Treatment of unstable distal radius fractures with the volar locking plate | Distal Radius Fractures | BACKGROUND: Open reduction and internal fixation using an interlocking plate system has gained popularity for the treatment of dorsally displaced distal radius fractures.
PURPOSE: To evaluate the functional and radiological results of treating unstable distal radius fractures with the volar locking plate.
PATIENTS AND ... |
0 | Residual fatigue in Guillain-Barre syndrome is related to axonal loss | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To determine the occurrence of residual loss of peripheral nerve axons by motor unit number estimation (MUNE) and conventional nerve conduction studies (NCS) in patients with and without severe fatigue. Methods: Thirty-nine patients at a median of 8 years (range 1-23 years) after diagnosis of Guillain-Barre ... |
0 | Early results of femoral reconstruction with a tapered, cementless, modular stem | Hip Fx in the Elderly 2019 | Objective: The orthopedic surgeon is faced with various challenging problems on the femoral side while performing a revision total hip arthroplasty. Some of these challenges may arise acutely or even intra operatively with limited resources. The aim of this study is to evaluate clinical and radiological outcomes with a... |
0 | Paraesthesiae and tetany induced by voluntary hyperventilation. Increased excitability of human cutaneous and motor axons | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Anxiety can induce hyperventilation, and the resultant hypocapnia and hypocalcaemia can lead to paraesthesiae and tetany. To define the nature of the disturbance created in peripheral nerve, the excitability of cutaneous and motor axons was monitored in 6 normal subjects requested to hyperventilate until paraesthesiae ... |
1 | Computer navigation vs conventional total knee arthroplasty: five-year functional results of a prospective randomized trial | Surgical Management of Osteoarthritis of the Knee CPG | Seventy-one patients were randomly allocated to undergo either computer-navigated or conventional arthroplasty. A statistically significant improvement in alignment was seen in the computer-navigated cohort. Five-year functional outcome was assessed using the Knee Society, Short Form-36, Western Ontario and McMaster Un... |
0 | The Prevention and Treatment of Delirium in Elderly Patients Following Hip Fracture Surgery | Hip Fx in the Elderly 2019 | Osteoporotic hip fracture needs a specific approach and treatment, since elderly patients are at high risk for adverse outcomes after surgery. In particular, delirium often occurs in the peri-operative period, and it is associated with death, hospital-acquired complications, persistent cognitive impairments, poor funct... |
0 | Current concepts in carpal tunnel syndrome: A review of the literature | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome is the most common entrapment neuropathy of the upper limb, occurring due to compression of the median nerve at the wrist. The condition has an estimated economic cost in excess of 2 billion. This article reviews the history, diagnosis and current management of this frequently encountered conditi... |
1 | Study to assess differences in outcome following open carpal tunnel decompressions performed by surgeons of differing grade | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION: Carpal tunnel decompression is the most commonly performed surgical procedure within a hand unit. Although very effective, the complications following the procedure can be significant. In an attempt to identify the causes of such complications, we assessed whether seniority of the surgeon impacts on outco... |
1 | Delayed flap coverage of open extremity fractures after previous vacuum-assisted closure (VAC) therapy - worse or worth? | DoD SSI (Surgical Site Infections) | BACKGROUND: Controversy remains regarding timing in the management of complex traumatic lower extremity defects. Many authors recommend a definitive bony and soft tissue reconstruction within a critical period of 72 h, yet in many patients this may be impossible due to concomitant injuries or delayed referral. However,... |
1 | Reinnervated free muscle transplantation for extremity reconstruction | DoD LSA (Limb Salvage vs Amputation) | Reinnervated free muscle transplantation was used to rehabilitate severely impaired extremities in patients with brachial plexus palsy and for functional limb salvage in cases of traumatic muscle loss or radical excision of a malignant soft-tissue tumor. Fifty-eight reinnervated free muscle transplantations were implan... |
0 | Periodontitis and abdominal aortic aneurysms: a random association or a pathogenetic link? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A number of micro-organisms have been implicated in the development/progression of abdominal aortic aneurysms (AAAs), thus suggesting an infective theory of AAA pathogenesis. Periodontitis may be involved in the development of AAAs by means of introduction of subgingival plaque periodontal bacteria into the bloodstream... |
0 | C-reactive protein levels in patients with knee osteoarthritis and their relationship to the clinical parameters of the disease | OAK 3 - Non-arthroplasty tx of OAK | The aim of the present study was to investigate the relationship between CRP and clinical parameters of the disease, including quality of life of patients with knee osteoarthritis (KOA) in Bulgarian population. 132 patients (81% female) with symptomatic KOA (mean age of 63.45 years) and 31 healthy volunteers were inclu... |
1 | An audit on factors influencing infection in operated ankle fractures | DoD SSI (Surgical Site Infections) | A prospective 1-year audit was carried out on consecutive patients admitted to a district general hospital of the UK with ankle fractures needing open reduction internal fixation in order to analyse the factors affecting infection. Ninety seven percent patients had had their operative procedure within 24 h from the tim... |
0 | Lumbrical-interosseus motor latency-a useful test when the motor response of APB is absent | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Question: Is measurement of the lumbrical-interosseus latency a useful test in clinical routine? Background: The recording of lumbrical-interosseus latency is a sensitive test for carpal tunnel syndrome (CTS). The test has been shown to be especially useful in severe cases of CTS, when motor responses are absent from m... |
0 | Prospective study on the incidence of bone metastasis (BM) and skeletal-related events (SREs) in Patients (pts) with Stage IIIB and IV Lung Cancer - CSP-HOR 13 | MSTS 2018 - Femur Mets and MM | BACKGROUND:: Bone metastasis (BM) is a frequent complication in patients with advanced lung cancer and it causes skeletal-related events (SREs). Our study aim is to prospectively investigate the incidence of BM, incidence and types of SRE, and predictive factors of BM and SREs. METHODS:: Newly diagnosed, advanced non-s... |
0 | Frontozygomatic approach to intraorbital tumors | Upper Eyelid and Brow Surgery | We removed 12 intraorbital tumors (5 schwannomas, 3 meningiomas, 2 cavernomas, 1 pleomorphic adenoma, and 1 neuroblastoma) using the frontozygomatic approach. No patients died. Postoperatively, 1 patient developed transient ptosis, and 3 patients had mild enophthalmos. Two patients with a meningioma developed transient... |
0 | Effect of teriparatide on bone mineral density and biochemical markers in Japanese women with postmenopausal osteoporosis: a 6-month dose-response study | Management of Hip Fractures in the Elderly | The dose-response efficacy and safety with three doses of teriparatide and placebo was assessed, using once-daily subcutaneous injections for 24 weeks, in Japanese postmenopausal women with osteoporosis at high risk of fracture for reasons of preexisting fracture(s), advanced age, and/or low bone mineral density (BMD).... |
0 | Effects of post-hospital Medicare home health and informal care on patient functional status | Management of Hip Fractures in the Elderly | OBJECTIVE: To examine the effect of post-hospital Medicare home health and informal care on the functional status of 755 Medicare beneficiaries six weeks after hospital discharge for treatment of stroke, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), hip procedures, and hip fractures. STU... |
0 | Hypoalbuminemia is a risk factor for predicting early postoperative complications after proximal humerus fracture fixation | Hip Fx in the Elderly 2019 | Background: Hypoalbuminemia is a marker for malnourishment and is associated with poor outcomes in the setting of hip fractures, periprosthetic joint fractures, and spine surgery. We hypothesized that hypoalbuminemia is associated with higher rates of early complication in patients undergoing surgical treatment for pro... |
1 | Adipose-Derived Stem Cell Treatments and Formulations | OAK 3 - Non-arthroplasty tx of OAK | This article analyzes the current literature on the use of adipose-derived stem cells (ASCs) to evaluate the available evidence regarding their therapeutic potential in the treatment of cartilage pathology. Seventeen articles were included and analyzed, showing that there is overall a lack of high-quality evidence conc... |
0 | Correlation Between Anatomic Landmarks and Bony Trough Position in Lateral Meniscal Allograft Transplant | AMP (Acute Meniscal Pathology) | Background: Determining the rotational axis of the bony trough during lateral meniscal allograft transplant (MAT) is difficult. The use of anatomic landmarks may help a surgeon determine the rotational alignment of the graft during the procedure.
Purpose: To investigate the association between the knee's anatomic landm... |
1 | Gender differences in expectations and outcomes for total shoulder arthroplasty: a prospective cohort study | Glenohumeral Joint OA | BACKGROUND: Gender has an impact on the expectations and the outcomes of orthopedic procedures. The data examining the effect of gender on total shoulder arthroplasty (TSA) are limited but suggest that women may have worse outcomes. We performed a prospective comparison between men and women with regard to expectations... |
0 | Impact of selected medical conditions on self-reported lower-extremity function in Mexican-American elderly | Management of Hip Fractures in the Elderly | OBJECTIVE: To examine the independent impact of common medical conditions on lower-extremity function in Mexican-American elderly. DESIGN: Cross-sectional study using a probability sample of non-institutionalized Mexican Americans aged 65 or older. SETTING: The five Southwestern states, Texas, New Mexico, Arizona, Colo... |
1 | Outcome of tissue sparing surgical intervention in mine blast limb injuries | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To describe the pattern of mine blast limb injuries in civilian population of Kashmir, to evaluate the outcome of tissue sparing surgical intervention in these injuries and to determine the sensitivity of hand-held percutaneous Doppler for tissue viability. DESIGN: Descriptive study. PLACE AND DURATION OF ST... |
0 | The short stem THA provides promising results in patients with osteonecrosis of the femoral head | AAHKS (2) Corticosteroids | Background: The short stem prosthesis showed good results in patients with primary osteoarthritis. However, there were a few studies about the short stem total hip arthroplasty (THA) in patients with osteonecrosis of the femoral head (ONFH). Objective: To evaluate the clinical and radiographic results of the short stem... |
0 | Cosmetic surgery growth and correlations with financial indices: A comparative study of the United Kingdom and United States from 2002-2011 | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Over the past 10 years, there has been significant fluctuation in the yearly growth rates for cosmetic surgery procedures in both the United States and the United Kingdom. Objectives: The authors compare cosmetic surgical procedure rates in the United Kingdom and United States with the macroeconomic climate... |
0 | Identifying Dyslexia Risk in Student-Athletes: A Preliminary Protocol for Concussion Management | DoD PRF (Psychosocial RF) | Learning disability (LD) has been identified as a potential risk factor for a sport-related concussion, yet students with LD are rarely included in concussion research. Here, we draw special attention to dyslexia, a common but often underdiagnosed LD. Reading and learning problems commonly associated with dyslexia are ... |
0 | Low-molecular weight heparin for pulmonary embolism: a shot in the dark? | Management of Hip Fractures in the Elderly | Both meta-analyses included large numbers of patients from randomized controlled trials with objectively diagnosed PE or VTE. Quinlan has the advantage of only including trials of patients with documented PE, which more closely pertains to the patient in the clinical question. The study was of excellent quality and sho... |
0 | Volumetric findings of MRI after platelet rich plasma injection in knee osteoarthritis (A randomized clinical trial) | AMP (Acute Meniscal Pathology) | Introduction/Background: Most of studies have focused on subjective and clinical symptoms effect of PRP and fewer papers have studied its objective effect on cartilage. In this study, we investigated the effect of PRP on cartilage characteristics by special MRI sequencings. Material and method: In the double blind rand... |
0 | Ultrasonographic findings in a large series of patients with knee pain | Osteochondritis Dissecans 2020 Review | Background: Musculoskeletal ultrasound (MSKUS) is becoming more and more popular in the evaluation of different musculoskeletal abnormalities. The aim of this retrospective study was to document the prevalence and spectrum of MSKUS findings at the painful knee. Materials and Methods: All the studies of MSKUS that were ... |
1 | Treatment and complications in orthopaedic trauma patients with symptomatic pulmonary embolism | DOD - Acute Comp Syndrome CPG | Objectives: The purpose of this study is to characterize the presentation, size, treatment, and complications of pulmonary embolism (PE) in a large series of orthopaedic trauma patients who developed PE after injury. Methods: We reviewed the records of orthopaedic trauma patients who developed a PE within 6 months of i... |
1 | Bisphosphonate-induced osteonecrosis of the jaw | MSTS 2018 - Femur Mets and MM | OBJECTIVE: To review the risk of osteonecrosis of the jaw associated with bisphosphonates. DATA SOURCES: A MEDLINE search (1966-January 2007) and a search of International Pharmaceutical Abstracts (1970-January 2007) were conducted to identify relevant literature. Additional references were reviewed from selected artic... |
0 | Pedicled Vascularized Bone Graft of the Distal Radius for Recalcitrant Nonunion of the Distal Humerus | Distal Radius Fractures | Objectives:To analyze the clinical and radiological outcomes of a series of patients treated with a pedicled vascularized bone graft (VBG) of the distal radius for the treatment of recalcitrant atrophic nonunions of the distal humerus.Design:Retrospective clinical study.Setting:University-affiliated teaching hospital.P... |
0 | Automatic digital quantification of bone marrow myeloma volume in appendicular skeletons - clinical implications and prognostic significance | MSTS 2022 - Metastatic Disease of the Humerus | Multiple myeloma (MM) is a clonal plasma cell disorder originating in bone marrow. Whole body low-dose multidetector CT (MDCT) can depict bone marrow infiltration by myeloma cells into the adipose-rich fatty marrow of the appendicular skeleton. However, automated and objective volume measurement of bone marrow infiltra... |
0 | Patterns of CT use and surgical intervention in upper limb periarticular fractures at a level-1 trauma centre | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVES: The universal availability of CT scanners has led to lower thresholds for imaging despite significant financial costs and radiation exposure. We hypothesised that this recent trend has increased the use of CT for upper limb periarticular fractures and led to more frequent operative management. METHOD: A 5-y... |
0 | The distribution of vascular endothelial growth factor in human meniscus and a meniscal injury model | AMP (Acute Meniscal Pathology) | BACKGROUND: The meniscus plays an important role in controlling the complex biomechanics of the knee. Meniscus injury is common in the knee joint. The perimeniscal capillary plexus supplies the outer meniscus, whereas the inner meniscus is composed of avascular tissue. Angiogenesis factors, such as vascular endothelial... |
0 | Unusual appearance of an osteochondral lesion accompanying medial meniscus injury | AMP (Acute Meniscal Pathology) | An osteochondral lesion in the knee joint is caused by a focal traumatic osteochondral defect, osteochondritis dissecans, an isolated degenerative lesion, or diffuse degenerative disease. An osteochondral lesion with a cleft-like appearance accompanying medial meniscus injury is rare without trauma. We report the case ... |
1 | Trabecular metal in total knee arthroplasty associated with higher knee scores: a randomized controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | 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 | Lesser tuberosity osteotomy with cerclage wire repair for total shoulder arthroplasty: Surgical technique | Glenohumeral Joint OA | Total shoulder arthroplasty has been widely accepted as an effective treatment for patients suffering from primary glenohumeral osteoarthritis. The traditional deltopectoral approach involves mobilization of the subscapularis tendon by tenotomy, followed by a soft-tissue repair of the tendon. The high prevalence of sub... |
0 | Human cartilage-derived progenitor cells from committed chondrocytes for efficient cartilage repair and regeneration | PJI DX Updated Search | Articular cartilage is not a physiologically self-renewing tissue. Injury of cartilage often progresses from the articular surface to the subchondral bone, leading to pathogenesis of tissue degenerative diseases, such as osteoarthritis. Therapies to treat cartilage defects using autologous chondrocyte-based tissue engi... |
0 | Biomechanical evaluation of femoral anteversion in developmental dysplasia of the hip and potential implications for closed reduction | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Earlier clinical reports have identified femoral anteversion as a factor associated with developmental dysplasia of the hip. This study investigates the biomechanical influence of femoral anteversion on severe dislocations and its effect on hip reduction using the Pavlik harness. METHODS: A computational mo... |
1 | Acellular Dermal Matrix-sparing Direct-to-implant Prepectoral Breast Reconstruction: A Comparative Study Including Cost Analysis | Acellular Dermal Matrix | INTRODUCTION: Refined mastectomy techniques, the advent of new technologies and materials such as acellular dermal matrix (ADM), cohesive gel silicone implants, and intraoperative tissue perfusion analysis, have fueled a resurgence in prepectoral breast reconstruction. This article aims to compare an immediate direct-t... |
0 | The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care | HipFx Supplemental Cost Analysis | BACKGROUND: The health implications of regional differences in Medicare spending are unknown. OBJECTIVE: To determine whether regions with higher Medicare spending achieve better survival, functional status, or satisfaction with care. DESIGN: Cohort study. SETTING: National study of Medicare beneficiaries. PATIENTS: Pa... |
1 | The role of resiliency and coping strategies in occurrence of positive changes in medical rescue workers | DoD PRF (Psychosocial RF) | BACKGROUND: Working in the emergency services entails exposure to traumatic events; however, their effects can be both negative and positive. Among the factors determining posttraumatic growth (PTG) after an experienced trauma are the personal resources and coping strategies. The purpose of the research was to investig... |
0 | Evaluation of a Permanent Synthetic Osteochondral Implant in the Equine Medial Femoral Condyle | PJI DX Updated Search | OBJECTIVE: To evaluate bone ingrowth, integration, and tolerance of a synthetic osteochondral implant in the medial femoral condyle (MFC) of normal horses. STUDY DESIGN: Experimental study. ANIMALS: Adult horses (n = 6). METHODS: Horses were anesthetized and bilateral femorotibial arthrotomies were performed for placem... |
0 | Additional effect of iyengar yoga and EMG biofeedback on pain and functional disability in chronic unilateral knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: There are limited data about Iyengar Yoga and EMG biofeedback in knee OA, although the efficacy of EMG biofeedback in the rehabilitation of patients with quadriceps muscle weakness secondary to immobilization, contracture, and joint surgery has been well established.
MATERIALS AND METHODS: Thirty subjects w... |
1 | Patellofemoral Pain After Arthroscopy: Muscle Atrophy Is Not Everything | AMP (Acute Meniscal Pathology) | BACKGROUND: It remains unclear as to why patellofemoral pain (PFP) appears in some patients after knee arthroscopy and what influence the quadriceps muscle has on its onset.
PURPOSE: To compare muscle thickness, neuromuscular contractility, and quadriceps femoris muscle strength between patients who develop PFP after a... |
0 | The role of markers of bone remodeling in multiple myeloma | MSTS 2018 - Femur Mets and MM | Osteolytic bone disease is a frequent complication of multiple myeloma, resulting in skeletal complications that are a significant cause of morbidity and mortality. A characteristic feature of myeloma bone disease is that the lesions rarely heal and bone scans are often negative in myeloma patients who have extensive l... |
1 | Multimodal pain management for total hip arthroplasty | AAHKS (8) Anesthetic Infiltration | Multimodal pain management uses a variety of pharmacological agents administered at different perioperative times to target both peripheral and central nerve transduction and the various biochemical pathways, enzymes and receptors that signal painful stimuli and inflammation. This article reviews the role of patient-co... |
1 | Interdisciplinary intervention for hip fracture in older Taiwanese: benefits last for 1 year | Management of Hip Fractures in the Elderly | BACKGROUND: Little is known about the effects of interventions for elderly patients with hip fracture in Asian countries, particularly beyond the short term. METHODS: Outcomes (service utilization, clinical outcomes, self-care ability, and depressive symptoms) were assessed at 1, 3, 6, and 12 months after discharge. Se... |
0 | Distal femoral varus osteotomy for lateral osteoarthritis of the knee: a minimum ten-year follow-up | Surgical Management of Osteoarthritis of the Knee CPG | Distal femoral varus osteotomy (DFVO) may be indicated for symptomatic lateral compartment gonarthrosis associated with valgus deformity in younger, active patients. Thirty-three consecutive DFVOs (31 patients) with a minimum follow-up of ten years (mean 15.1, range 10-25) were reviewed. Fifteen DFVOs were converted to... |
0 | Effect of intra-articular local anesthesia on articular cartilage in the knee | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To evaluate the hypothetical toxic effect of local anesthetics on the articular cartilage using patient data from autologous chondrocyte cultivation with different anesthesia types used for arthroscopic cartilage biopsy specimen procurement. METHODS: A retrospective analysis of patient data from the national a... |
0 | Anterior knee pain. The need for a specific diagnosis, stop calling it chondromalacia! | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Clinically, chondromalacia of the patella is a collection of conditions that cause anterior knee pain. The clinical use of the term 'chondromalacia' to describe anterior knee pain is equal to employing the term 'interior derangement of the knee' to explain tibiofemoral pain. We must make more specific diagnoses if we a... |
1 | A comparison of malreduction after plate and intramedullary nail fixation of forearm fractures | Distal Radius Fractures | A study was performed to compare the degree of malreduction after intramedullary nail and plate fixation of the forearm and to determine if the degree of malreduction was clinically significant. Eight matched pairs of forearms, including the wrist and elbow joints, were harvested from cadaver upper extremities. The for... |
0 | The medial femoral condyle free corticoperiosteal flap versus traditional bone graft for treatment of nonunions of long bones: a retrospective comparative cohort study | Hip Fx in the Elderly 2019 | Fracture healing is a complex process and many factors change the local biology of the fracture and reduce the physiologic repair process. Since 1991 the free vascularised corticoperiosteal graft has been proposed to treat nonunions. In this study we compare the healing rate and the healing time of the free vascularise... |
0 | Relationship between retention of the posterior cruciate ligament and postoperative flexion in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | This study was conducted to retrospectively analyzed the outcome of 192 total knee arthroplasties in 132 patients with rheumatoid arthritis (118 women, 14 men). The Okayama Mark II prosthesis, which requires the posterior cruciate ligament (PCL) to be resected, was used in 83 knees (group I), the Mark II prosthesis, wh... |
0 | Monopolar electrocautery dissection in ophthalmic plastic surgery | Upper Eyelid and Brow Surgery | Monopolar electrocautery in the cutting mode is a superb surgical technique in many types of oculoplastic surgery because it efficiently dissects tissue with excellent hemostasis. The purpose of this article is to define how monopolar electrocautery functions and point out specific steps of certain oculoplastic procedu... |
1 | Factors affecting rates of infection and nonunion in intramedullary nailing | DoD SSI (Surgical Site Infections) | We report a retrospective study over five years to determine the incidence of infection and nonunion after intramedullary nailing in fractures of 214 long bones; 122 femoral, 75 tibial and 17 humeral. The indications for nailing were trauma (n = 161), pathological fracture (n = 30) and nonunion (n = 23). There were 30 ... |
0 | Distal humerus fractures: a review of current therapy concepts | Pediatric Supracondylar Humerus Fracture 2020 Review | Fractures of the distal humerus in the adult comprise approximately one third of all humeral fractures. Successful management of distal humerus fractures depends on correct reduction of the fracture, reconstruction of the articular surface if needed, stability and rigidity of the fixation, and appropriate rehabilitatio... |
0 | Titanium elastic nailing in femoral diaphyseal fractures in children of 6-14 years age | Distal Radius Fractures | PURPOSE: The purpose of this study is to report our experience of fractures in children riding Hoverboards. METHODS: We undertook a prospective review of all children attending our hospital who sustained fractures whilst riding a Hoverboard. Data such as patient demographics, type of fracture sustained, treatment recei... |
0 | Psoas compartment block in children: Part I--description of the technique | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Until recently only small series of psoas compartment blocks (PCB) in children have been reported. A high incidence of epidural spread as an important side effect was noted. A series of 100 consecutive blocks using new standardized landmarks is reported. METHODS: In 100 consecutive children (5.9-106 kg) PCB... |
0 | Periorbital Surgery: Forehead, Brow, and Midface | Upper Eyelid and Brow Surgery | Periorbital rejuvenation requires a careful understanding of the interplay between the eyelids, brow, forehead, and midface. Reversing periorbital signs of aging requires a correction of volume loss, soft tissue ptosis, and skin changes. Many surgical and nonsurgical techniques exist to treat the aging periorbital regi... |
0 | Alteration at transcriptional level of cardiac renin-angiotensin system by letrozole treatment | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: The use of aromatase inhibitors (AIs) for breast cancer led to a marked change in ventricular function. Since accumulating evidence indicates that overactivation of the cardiac renin-angiotensin system (RAS) plays an important role in the development of cardiovascular diseases such as hypertrophy and remo... |
0 | Utility and Cost Effectiveness of Routine, Histologic Evaluation of the Mastectomy Scar in Two-Stage, Implant-Based Reconstruction during Expander-to-Implant Exchange | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Routine histologic analysis of the mastectomy scar is well studied in the delayed breast construction population; no data regarding its utility in the immediate, staged reconstruction cohort have been published. METHODS: A retrospective review of all of the senior author's (C.D.C.) patients who underwent im... |
0 | Acute limb ischemia in patients with COVID-19 pneumonia | Coronavirus Disease 2019 (COVID-19) | OBJECTIVES: The aim of our study is to describe the incidence and characteristics, as well as clinical outcomes of patients presenting and treated for acute limb ischemia (ALI) in patients with novel coronavirus (COVID-19) infection during the 2020 coronavirus pandemic. METHODS: This is a single center, observational c... |
0 | Salmonella septic arthritis complicating rheumatoid arthritis in a patient with total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Objective and Importance: Salmonella septic arthritis (SSA) in any age group is a relatively rare disease. The prime objective of this communication is to report a relatively uncommon presentation of SSA in a prosthetic knee joint of a patient with rheumatoid arthritis. Clinical Presentation: We report a 51-year-old la... |
0 | Treatment of low subcondylar fractures - A 5-year retrospective study | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The aim of the present study was to retrospectively review the treatment outcome of low subcondylar temporomandibular joint fractures. The retrospective analysis was performed on all patients treated for low subcondylar fractures (below the sigmoid notch) between 2006 and 2011. Patients were divided into two groups: th... |
0 | Liposuction: Concepts, safety, and techniques in body-contouring surgery | Panniculectomy & Abdominoplasty CPG | Liposuction is the second most commonly performed cosmetic surgery in the United States and the most common surgical procedure in patients between the ages of 35 and 64; practitioners of medicine and surgery will undoubtedly encounter these patients in their practice. This brief review discusses the role of liposuction... |
1 | One-stage versus two-stage bilateral unicompartmental knee replacement: a comparison of immediate post-operative complications | Surgical Management of Osteoarthritis of the Knee CPG | We retrospectively studied the major complications occurring after one- and two-stage bilateral unicompartmental knee replacements (UKR). Between 1999 and 2008, 911 patients underwent 1150 UKRs through a minimally invasive approach in our unit. Of these, 159 patients (318 UKRs) had one-stage and 80 patients (160 UKRs) ... |
0 | Clomethiazole Acute Stroke Study in ischemic stroke (CLASS-I): final results | Upper Eyelid and Brow Surgery | BACKGROUND AND PURPOSE: A previous trial (the Clomethiazole Acute Stroke Study) generated the hypothesis that clomethiazole is effective in patients with a major ischemic stroke (total anterior circulation syndrome), and this was tested in the present study. METHODS: A total of 1198 patients with major ischemic stroke ... |
0 | Correlation between osteoporosis and degeneration of intervertebral discs in aging rats | OAK 3 - Non-arthroplasty tx of OAK | This study examined the correlation between osteoporosis and the degeneration of intervertebral discs. Sprague-Dawley rats were maintained up to 22 or 28 months. The femoral bone, tibial bone and lumbar vertebra were histologically studied and the expression of collagen type II and X in intervertebral discs was immunoh... |
0 | Proximal Row Carpectomy Using Decellularized Dermal Allograft: Preliminary Results | AMP (Acute Meniscal Pathology) | Objective The purpose of this study was to evaluate the short-term outcomes of patients undergoing proximal row carpectomy (PRC) with interposition arthroplasty using a decellularized dermal allograft. Methods Patients with a minimum of 1-year follow-up after undergoing a PRC using decellularized dermal allograft were ... |
0 | Classification and management of intra-articular fractures of the distal radius | Distal Radius Fractures | A classification of distal radial articular fractures is described, based on observations of consistent patterns of fracture fragmentation and displacement. The classification categorizes articular fractures into four types, with the medial complex assuming a pivotal position as the cornerstone of both the radiocarpal ... |
0 | Does surgical approach affect outcome after fixation of intra-articular fractures of distal humerus? Retrospective cohort study from a level-1 trauma centre in a metropolitan city | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: Fractures around the distal humerus fractures make up to 2% of all fractures. Complex intra-articular distal humerus fractures present as challenge to restore of painless, stable and mobile elbow joint. Surgical exposure to all critical structures is of paramount importance to achieve anatomic reduction. ... |
0 | Twenty-year outcomes of a longitudinal prospective evaluation of isolated endoscopic anterior cruciate ligament reconstruction with patellar tendon autografts | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Long-term prospective follow-up studies of single-incision endoscopic anterior cruciate ligament (ACL) reconstruction are limited and may include confounding factors.
PURPOSE: This longitudinal prospective study reports the outcomes of isolated ACL reconstruction using middle-third patellar tendon autograft... |
0 | Knee extensor and flexor strength in elderly women after recent hip fracture: assessment by the Cybex 6000 dynamometer of intra-rater inter-test reliability | Management of Hip Fractures in the Elderly | The reliability of knee extensor and flexor strength measurements was assessed in 20 women (aged 68-88 years) who had experienced a hip fracture two to four weeks before but who were otherwise healthy. Using the Cybex 6000 isokinetic dynamometer, isokinetic knee extensor and flexor strength (peak torque, total work and... |
0 | Knee arthroplasty rating | Surgical Management of Osteoarthritis of the Knee CPG | A number of rating systems used to evaluate the results of total knee arthroplasty exist. Many of these systems are based on different concepts, and might be expected to give divergent results. To see if this was so, the authors examined a consecutive series of 235 posterior stabilized knee arthroplasties recording the... |
0 | Underlying mechanisms and therapeutic strategies for bisphosphonate-related osteonecrosis of the jaw (BRONJ) | MSTS 2018 - Femur Mets and MM | Bisphosphonates (BPs), with a non-hydrolysable P-C-P structure, are cytotoxic analogues of pyrophosphate, bind strongly to bone, are taken into osteoclasts during bone-resorption and exhibit long-acting anti-bone-resorptive effects. Among the BPs, nitrogen-containing BPs (N-BPs) have far stronger anti-boneresorptive ef... |
0 | Radiofrequency chondroplasty may not have a long-lasting effect in the treatment of concomitant grade II patellar cartilage defects in humans | AMP (Acute Meniscal Pathology) | The effect of radiofrequency chondroplasty on cartilage tissue is not well studied. This prospective pilot study investigates the effect of radiofrequency chondroplasty on International Cartilage Repair Society (ICRS) grade II patellar cartilage defects using high-resolution magnetic resonance imaging (MRI) with T2 map... |
0 | Direct medical costs attributable to osteoporotic fractures | Management of Hip Fractures in the Elderly | Osteoporotic fractures are a major cause of morbidity in the elderly, the most rapidly growing segment of our population. We characterized the incremental direct medical costs following such fractures in a population-based cohort of men and women in Olmsted County, Minnesota. Cases included all County residents 50 year... |
0 | Influence of treatment with APD-bisphosphonate on the bone lesions in the mouse 5T2 multiple myeloma | MSTS 2018 - Femur Mets and MM | The effects of the treatment of multiple myeloma (MM) with APD-bisphosphonate on bone destruction, the dissemination pattern of the MM, and toxicity for normal and malignant cells were investigated in an animal model, the 5T2 MM. This mouse MM very closely resembles the human disease, including the typical bone lesions... |
0 | Axonal excitability in HNPP | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Hereditary neuropathy with liability to pressure palsies is an autosomal dominant disorder due to a 1.5 Mb deletion in chromosome 17p11.2-p12 resulting in reduced expression of the PMP22 gene, the same gene that is duplicated in CMT1A. HNPP generally presents with an increased susceptibility to pressure palsies althoug... |
0 | Bilateral lateral congenital discoid cartilage | AMP (Acute Meniscal Pathology) | Congenital discoid cartilage is an interesting anomaly. Though rare on the medial side, lateral semilunar cartilage involvement is fairly frequent. It is believed that discoid lateral menisci are probably more frequent than statistics indicate. Many remain symptomless or are probably not diagnosed. A case in a 12 year ... |
0 | Epidemiology of basketball injuries among adults presenting to ambulatory care settings in the United States | DoD PRF (Psychosocial RF) | OBJECTIVE: Little information exists that examines the epidemiology of injuries among adults who engage in sports and recreational activities. The purpose of this study is to examine basketball-related injuries among adults presenting to ambulatory settings in the United States. DESIGN: Retrospective review of medical ... |
0 | Outwardly rectifying deflections in threshold electrotonus due to K(+) conductances | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A transient decrease in excitability occurs regularly during the S1 phase of threshold electrotonus to depolarizing conditioning stimuli for sensory and, less frequently, motor axons. This has been attributed to the outwardly rectifying action of fast K(+) channels, at least in patients with demyelinating diseases. Thi... |
0 | Biological knee reconstruction for combined malalignment, meniscal deficiency, and articular cartilage disease | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The aim of this study was to analyze patient-reported outcomes in those undergoing the triad of simultaneous osteotomy, meniscal transplantation, and articular cartilage repair. METHODS: Patients undergoing simultaneous meniscal transplantation, distal femoral or proximal tibial osteotomy, and articular cartil... |
1 | Latissimus dorsi transfer for treatment of irreparable rotator cuff tears | Optimizing the Management of Full-Thickness Rotator Cuff Tears | Massive rotator cuff tendon ruptures are not uncommon in older patients. We propose the transfer of the latissimus dorsi muscle for treatment of irreparable ruptures associated with functional impairment and chronic pain. Five women and 11 men were so treated and reviewed with an average follow-up of 26 months. The mea... |
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