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Prospective study of distal radial fractures treated with an intramedullary nail
Distal Radius Fractures
BACKGROUND: Intramedullary nailing for the treatment of unstable distal radial fractures is reported to provide stable fixation with minimal soft-tissue complications, but there is a paucity of data documenting the results of this technique. The purpose of this study was to prospectively determine the functional outcom...
0
Wrist arthrodesis after failed wrist implant arthroplasty
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Wrist arthroplasty has not achieved large success to date, and there are patients with failures in their procedures who will need arthrodesis. We review our experience in revising a wrist implant arthroplasty to an arthrodesis with a block graft of fresh-frozen allograft femoral head or iliac crest bone graft. Fixation...
0
Comparison of the Tight Rope Technique and Clavicular Hook Plate for the Treatment of Rockwood Type III Acromioclavicular Joint Dislocation
Glenohumeral Joint OA
AIM: Acromioclavicular joint dislocation is one of the most common shoulder problems and may lead to instability or degenerative changes. The aim of this study was to compare the clinical outcomes of the Tight Rope system and clavicular hook plate for Rockwood type III acromioclavicular joint dislocation in adults. MAT...
0
Total Knee Arthroplasty in Patients With Excessive External Tibial Torsion >45�° and Patella Instability - Surgical Technique and Follow Up
PJI DX Updated Search
Patients presenting with advanced knee osteoarthritis (OA), excessive external tibial torsion (EETT) and chronic patella subluxation pose significant surgical challenges. A combination of TKA, tibial derotation osteotomy, and tibial tuberosity transfer was performed in ten patients (twelve knees) with OA secondary to E...
0
The effects of active release technique on carpal tunnel patients: A pilot study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: To examine changes in electromyography (EMG) and a valid self-administered outcome measure after applying active release technique to carpal tunnel syndrome (CTS) patients. METHODS: Five subjects (mean age 48.2 SD +/- 16.7) with CTS were included in the trial. Subjects completed the Boston Questionnaire (BQ)...
0
Assessment of immediate conservative breast surgery reconstruction: a classification system of defects revisited and an algorithm for selecting the appropriate technique
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Although various techniques have been used for breast conservation surgery reconstruction, there are few studies describing a logical approach to reconstruction of these defects. The objectives of this study were to establish a classification system for partial breast defects and to develop a reconstructive...
0
Comparison of interobserver reliability between junior and senior resident in assessment of developmental dysplasia of the hip severity using tonnis and international hip dysplasia institute radiological classification
Developmental Dysplasia of the Hip 2020 Review
Introduction: The radiographic classification for developmental dysplasia of hip to quantify the severity of disease consist of Tonnis and International Hip Dysplasia Institute (IHDI) classification. The Ossification center of the femoral head in DDH patient more than six months is still vague or eccentric, so the reli...
0
The economic value of an innovative knee implant system for total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVES: New Innovative Knee Implants (IKIs) have the potential to reduce patients' awareness of the artificial knee, increase their confidence in performing daily activities, and reduce problems leading to revisions compared with Contemporary Knee Implants (CKI). This study aimed to illustrate the expected economic...
0
A journey through liposuction and liposculture: Review
Reduction Mammoplasty for Female Breast Hypertrophy
Introduction: Nowadays, liposuction is the most frequently performed aesthetic surgery procedure in Western Countries. This technique has had rapid development since the 1970s, when it was experimented for the first time by A. and G. Fischer. It is currently widely used in clinical practice for many different situation...
0
The Addition of Hip Arthroscopy to Periacetabular Osteotomy Does Not Increase Complication Rates: A Prospective Case Series
Developmental Dysplasia of the Hip 2020 Review
BACKGROUND: Previous studies on periacetabular osteotomy (PAO) reported complication and reoperation rates of 5.9% and 10%, respectively. Hip arthroscopy is increasingly utilized as an adjunct procedure to PAO to precisely treat associated intra-articular pathology. The addition of this procedure has the potential of f...
0
Palacos Gentamicin for the treatment of deep periprosthetic hip infections
Management of Hip Fractures in the Elderly
Between 1983 and 1986, 40 hip arthroplasties in 40 patients with documented deep infection were reimplanted using Palacos Gentamicin at The Hospital for Special Surgery. Palacos Gentamicin was added to the standard protocol, which included removal of the prosthesis, cement, if present, and a thorough debridement of inf...
0
Managing vascular impairment following orthopaedic injury
DOD - Acute Comp Syndrome CPG
Orthopaedic trauma is associated with vascular impairment in approximately 1% of cases, complicating management of the injury, particularly to the shoulder, elbow, pelvis and knee. Doctors treating trauma would be expected to detect and manage several such patients a year. [References: 24]
0
Economic evaluation of zoledronic acid versus pamidronate for the prevention of skeletal-related events in metastatic breast cancer and multiple myeloma
MSTS 2018 - Femur Mets and MM
Skeletal complications of cancer decrease health-related quality of life. Bisphosphonates can prevent skeletal-related events. We collected resource use data prospectively for 930 patients alongside a multinational trial of zoledronic acid versus pamidronate for patients with metastatic multiple myeloma or breast cance...
0
Facial cosmetic surgery: a primary care perspective
Upper Eyelid and Brow Surgery
Primary care providers are often the source of information regarding health matters including elective cosmetic surgery. Practitioners should know about the more common cosmetic surgical procedures to assist their clients in making informed decisions regarding these operations. This article describes facial cosmetic su...
0
All-Inside Technique for Ramp Lesion Repair: Arthroscopic Suture With Knee Scorpion Suture Passer
AMP (Acute Meniscal Pathology)
Ramp lesions are peripheral tears of the posterior horn of the medial meniscus that involve the meniscocapsular attachments. They are commonly associated with anterior cruciate ligament injury and frequently not diagnosed. There are several suture techniques for ramp lesions. However, most have a long learning curve to...
0
Salvage of humeral nonunions with onlay bone plate allograft augmentation
MSTS 2018 - Femur Mets and MM
Eight women and one man were treated for 10 established diaphyseal humeral nonunions. Six patients sustained fractures in motor vehicle accidents and two patients sustained fractures in a fall. Two of the fractures were open. One patient with multiple myeloma originally was treated conservatively and received local rad...
0
The effect of low-intensity pulsed ultrasound on callus maturation in tibial distraction osteogenesis
DoD SSI (Surgical Site Infections)
Callus distraction is currently the most popular method of bone lengthening. Prolonged treatment time is one of its major problems. In this study, we investigated the effect of low-intensity pulsed ultrasound on tibial distraction osteogenesis. We managed 20 patients with tibial defects ranging from 5 cm to 8 cm with d...
0
New developments in abdominal wall reconstruction after abdominal compartment syndrome decompression
DOD - Acute Comp Syndrome CPG
The acute abdominal compartment syndrome (ACS) is most often treated with surgical abdominal decompression. After the acute phase, primary closure of the abdominal wall may not be possible, due to tissue loss and retraction of the abdominal wall and its musculofascial components. This article gives an update of the rec...
0
Median nerve injuries associated with distal radius fractures
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Median nerve dysfunction associated with distal radius fractures may present acutely, subacutely, or late, and may also be thought of as being from either primary or secondary causes. Primary nerve injuries are rare and secondary factors are more commonly responsible for median nerve dysfunction following distal radius...
1
Early internal fixation and soft tissue cover of severe open tibial pilon fractures
DoD LSA (Limb Salvage vs Amputation)
We studied 32 consecutive patients with open distal tibial pilon fractures. All patients had radical debridement with immediate skeletal stabilisation and early soft-tissue cover with a vascularized muscle flap. The minimum follow-up was 1 (range 1-8) year. There were four superficial infections, two deep infections an...
0
Management of hematological malignancies in patients affected by renal failure
MSTS 2018 - Femur Mets and MM
The management of hematological malignancies (HM) in renally impaired patients may be a difficult task. Indeed, the kidney represents a major elimination pathway for many chemotherapeutic agents and their metabolites, whose serum levels are not usually measured in daily clinical practice. In addition, many antineoplast...
0
Displaced fracture of the neck of the radius with complete 180 degrees rotation of the radial head during closed reduction
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
We report a case of fracture of the radial neck in a teenage girl in which 180 degrees rotation of the radial head occurred at close reduction. Although this was corrected, avascular necrosis of the radial head occurred. To our knowledge only four cases of such iatrogenic malpositioning have been described in the liter...
0
Sympathetically modulated vasomotor activity producing atypical patterns of neuropathic pain: Case series
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background and Aims: When reported pain distributions from peripheral neuropathies do not fit known somatosensory nerve distributions, nonorganic etiology may be suspected. However, neuropathies involving sympathetic efferent fibers may manifest symptoms of pain, paresthesia, or numbness due to ischemia or hyperemia in...
0
Mortality rates after incident non-traumatic fractures in older men and women
Management of Hip Fractures in the Elderly
Summary: Non-traumatic fractures at typical osteoporotic sites are associated with increased mortality across all age groups, particularly in men. Furthermore, in certain age subgroups of women and men, this rate remained elevated beyond 5 years for fractures of the hip, vertebrae, humerus, and other sites. Introductio...
0
A comparative study of the use of bioactive glass S53P4 and antibiotic-loaded calcium-based bone substitutes in the treatment of chronic osteomyelitis: A retrospective comparative study
DoD SSI (Surgical Site Infections)
The treatment of chronic osteomyelitis often includes surgical debridement and filling the resultant void with antibiotic-loaded polymethylmethacrylate cement, bone grafts or bone substitutes. Recently, the use of bioactive glass to treat bone defects in infections has been reported in a limited series of patients. How...
0
Dual-energy CT virtual non-calcium: an accurate method for detection of knee osteoarthritis-related edema-like marrow signal intensity
AMP (Acute Meniscal Pathology)
Objectives: To evaluate the performance of a dual-energy computed tomography (DECT) virtual non-calcium (VNCa) technique in the detection of edema-like marrow signal intensity (ELMSI) in patients with knee joint osteoarthritis (OA) compared to magnetic resonance imaging (MRI). Methods: The study received local ethics b...
0
P300 in neglect
Upper Eyelid and Brow Surgery
OBJECTIVE: Attentional deficits have been thought to underlie hemispatial neglect. The present study investigates this using the P300 component of the event-related potential, which is assumed to reflect the allocation of attention. METHODS: We recorded the P300 and oddball detection performance from patients with negl...
0
Optical coherence tomography in optic neuritis and multiple sclerosis: a review
Upper Eyelid and Brow Surgery
Optical coherence tomography (OCT) is a new noninvasive high-resolution method that measures the retinal nerve fiber layer (RNFL) thickness. An overview of the use in optic neuritis (ON) and multiple sclerosis (MS) is presented. Literature survey of PubMed was carried out. RNFL thickness in eyes of healthy control subj...
1
Repair of the rotator cuff. End-result study of factors influencing reconstruction
Optimizing the Management of Full-Thickness Rotator Cuff Tears
In fifty patients who had fifty tears of the rotator cuff that had been repaired, we correlated the preoperative findings by history, physical examination, and radiography with the operative findings, the difficulty of the repair, and the results after an average follow-up of 3.5 years. The results, which were rated on...
0
Investigation of neutrophilic peptides in periprosthetic tissue by matrix-assisted laser desorption ionisation time-of-flight imaging mass spectrometry
PJI DX Updated Search
PURPOSE: The accurate diagnosis of periprosthetic joint infection (PJI) relies on clinical investigation, laboratory parameters, radiological methods, sterile joint aspiration for synovial fluid leucocyte count and microbiological analysis and tissue sampling for histopathology. Due to the limits in specificity and sen...
0
Ultrasonographic guidance for sciatic and femoral nerve blocks in children
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Recent studies have shown that ultrasound guidance for paediatric regional anaesthesia can improve the quality of upper extremity and neuraxial blocks. We therefore investigated whether ultrasound guidance for sciatic and femoral nerve blocks prolongs sensory blockade in comparison with nerve stimulator gui...
1
Ulnar Neck Fractures Associated with Distal Radius Fractures
Distal Radius Fractures
<b>Background</b> There is little published data to guide management of ulnar neck fractures associated with fractures of the distal radius. <b>Purpose</b> As unplanned surgery usually reflects adverse events and this injury combination is relatively uncommon, we used a large database to study the incidence of unplanne...
0
Using a modified Pauwels method to predict the outcome of femoral neck fracture in relatively young patients
Hip Fx in the Elderly 2019
Background Pauwels classification has long been used in femoral neck fracture to measure the inclination of the fracture line and is still widely used. In recent years, however, some studies have contested the reliability of this measurement method. This study investigates modified measurement method to assess the incl...
0
Acute hemorrhagic edema of infancy: the experience of a large tertiary pediatric center in Israel
DOD - Acute Comp Syndrome CPG
Background: Acute hemorrhagic edema of infancy (AHEI) is a rare leukocytoclastic vasculitis of the small vessels occurring at a young age and considered as a benign self-limited disease. Due to its low prevalence, there are limited data on the presentation and complications of this disease. Methods: All computerized fi...
0
Relevance of primary reduction for the clinical outcome of femoral neck fractures treated with cancellous screws
Management of Hip Fractures in the Elderly
INTRODUCTION: Femoral head-preserving treatment for femoral neck fractures with cancellous screws is a method widely performed, but its success depends on the quality of primary reduction. The goal of our study was to evaluate the relevance of reduction quality on the clinical outcome. PATIENTS AND METHODS: We retrospe...
0
Continuous peripheral nerve blocks in clinical practice
AAHKS (9/10) Regional Nerve Blocks
Purpose of review: The present review highlights new insights into indications and guidance during procedures for continuous peripheral nerve blocks. Recent findings: Continuous peripheral nerve blocks consistently provide better analgesia than traditional systemic opioid-based analgesia. The literature shows that cont...
0
The influence of obesity on functional outcome and quality of life after total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
Aims: This study investigated the influence of body mass index (BMI) on patients' function and quality of life ten years after total knee arthroplasty (TKA). Patients and Methods: A total of 126 patients who underwent unilateral TKA in 2006 were prospectively included in this retrospective study. They were categorized ...
0
Anti-osteoporosis drug use: too little, too much, or just right? The HUNT study, Norway
Hip Fx in the Elderly 2019
Use of anti-osteoporotic drugs (AODs) was examined in a Norwegian population 50-85 years. Among them with Fracture Risk Assessment Tool (FRAX) score for major osteoporotic fracture >= 20, 25% of the women and 17% of the men received AODs. The strongest predictors for AODs were high age in women and use of glucocorticoi...
0
Reconstruction of the proximal humerus after wide resection of tumors: comparison of three reconstructive options
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: Assessment of the functional results and complications of three bone reconstructive procedures after resection of primary tumors of the proximal humerus. MATERIAL AND METHODS: Between 2000 and 2008, 32 patients having primary malignant, aggressive benign or metastatic tumors of the proximal humerous were selec...
0
Management of Emotional Disorders in Elderly Patients Undergoing Surgical Treatment of Proximal Femoral Fractures
Hip Fx in the Elderly 2019
The goal of our research was to study the to identify key aspects of the management of emotional disorders in the practice of operative treatment of proximal femoral fractures in elderly patients. The study was conducted with 24 patients who needed surgical treatment of proximal femoral fracture and were at risk for th...
0
Women with carpal tunnel syndrome show restricted cervical range of motion
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
STUDY DESIGN: A case control, blinded study. OBJECTIVES: To compare the amount of cervical range of motion in women with minimal, mild/moderate, and severe carpal tunnel syndrome (CTS) to that of healthy control participants. We also assessed the relationships between cervical range of motion and clinical variables rel...
0
Carcinoma of the breast arising in microglandular adenosis
MSTS 2018 - Femur Mets and MM
Breast carcinoma arose in or in conjunction with microglandular adenosis (MGA) in 14 of 60 (23%) patients with MGA listed in the authors' files. This article describes the clinicopathologic and immunohistochemical features and prognosis of these carcinomas. The median patient age was 47 years (range, 26-68 years). All ...
0
Quantitative echogenicity of small intra-articular deposits of calcium, hyaline cartilage thickness and sonographic aspects of the synovium in patients without radiographic chondrocalcinosis
OAK Recommendation 9 Articles
Purpose: Ultrasonography is very helpful in the detection of intraarticular crystal deposits and also in distinguishing gout from chondrocalcinosis (CC). However, only three patients without CC on radiographies with evidence of calcium deposits within the cartilage detected by ultrasound (US) have been reported. Method...
1
Does an increase in modularity improve the outcomes of total shoulder replacement? Comparison across design generations
Glenohumeral Joint OA
BACKGROUND/PURPOSE: Modularity in total shoulder arthroplasty (TSA) has increased over the past 30 years. Our institution previously showed shoulders treated with modular humeral head/stem arthroplasties had similar outcomes to monoblock designs. Presently, we aim to update clinical follow-up of 2nd generation TSAs and...
1
The effect of the involvement of the dominant or non-dominant hand on grip/pinch strengths and the Levine score in patients with carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The Levine questionnaire is a disease-oriented instrument developed for outcome measurement of carpal tunnel syndrome (CTS) management. The objective of this study was to compare Levine scores in patients with unilateral CTS, involving the dominant or non-dominant hand, before and after carpal tunnel release. Records o...
0
Relationships between surface, volume, and thickness of iliac trabecular bone in aging and in osteoporosis. Implications for the microanatomic and cellular mechanisms of bone loss
Management of Hip Fractures in the Elderly
We devised a new method for examining the structural changes that occur in trabecular bone in aging and in osteoporosis. With simultaneous measurement of total perimeter and bone area in thin sections, indirect indices of mean trabecular plate thickness (MTPT) and mean trabecular plate density (MTPD) can be derived, su...
1
CT differential diagnosis of COVID-19 and non-COVID-19 in symptomatic suspects: a practical scoring method
Coronavirus Disease 2019 (COVID-19)
BACKGROUND: Although typical and atypical CT image findings of COVID-19 are reported in current studies, the CT image features of COVID-19 overlap with those of viral pneumonia and other respiratory diseases. Hence, it is difficult to make an exclusive diagnosis. METHODS: Thirty confirmed cases of COVID-19 and forty-th...
0
Three-dimensional analysis of computed tomography-based navigation system for total knee arthroplasty: the accuracy of computed tomography-based navigation system
Surgical Management of Osteoarthritis of the Knee CPG
We evaluated the postoperative alignment of 37 primary total knee arthroplasties performed using a computed tomography-based navigation system (Vector Vision Knee 1.5; Brain Lab, Germany) with a new 3-dimensional analysis. The mean coronal femoral angle was 89.0 degrees +/- 1.4 degrees (85.5 degrees -92.8 degrees ), an...
0
What is the Responsiveness and Respondent Burden of the New Knee Society Score?
OAK 3 - Non-arthroplasty tx of OAK
Background: Although the new Knee Society score (NKSS) has been validated by a task force, a longitudinal study of the same cohort of patients to evaluate the scoreâ??s responsiveness and respondent burden has not been reported, to our knowledge. Questions/Purposes: We analyzed the NKSS for (1) responsiveness; (2) resp...
0
Case Presentation of Soft Tissue Defect after Bimalleolar Fracture Osteosynthesis
DoD SSI (Surgical Site Infections)
A 59-year-old patient presented in the ER with wound dehiscence and skin necrosis on the right ankle, with osteosynthesis implant visible, after open reduction and fixation with plate and screws, performed abroad, 16 days prior to the presentation, for a bimalleolar fracture. The patient was admitted to the plastic sur...
1
Operative Treatment of Early Peri-Prosthetic Femur Fractures Following Primary Total Hip Arthroplasty
Developmental Dysplasia of the Hip CPG
The risk factors for and results of operatively treated peri-prosthetic femoral fractures sustained within 90 days following primary THA were evaluated. 5,313 consecutive THAs were reviewed and 32 (0.60%) fractures were identified which included 9 A(g), 2 B(1), 18 B(2), 1 B(3), and 2 A(g)/B(2) fractures. 19 (61%) patie...
0
The Infected Hip: A Treatment Algorithm
PJI DX Updated Search
The management of periprosthetic joint infection following total joint arthroplasty is presently a major challenge to orthopedic surgeons. Despite various treatment options available, the two-stage revision procedure is most often chosen in North America because of a high success rate, especially in cases involving res...
0
Current concepts in bone metastasis, contemporary therapeutic strategies and ongoing clinical trials
MSTS 2018 - Femur Mets and MM
Background: Elucidation of mechanisms regulating bone metastasis has progressed significantly in recent years and this has translated to many new therapeutic options for patients with bone metastatic cancers. However, the rapid rate of progress in both the basic science literature and therapies undergoing clinical tria...
0
Meniscus bucket-handle fixation with an absorbable Biofix tack: development of a new technique
AMP (Acute Meniscal Pathology)
The authors present a new method for fixation of meniscus bucket-handle lesions. This technique is based on the development of a Biofix self-reinforced polylactic acid tack and an application system. The main goal of this technique has been to eliminate or at least reduce the risk of neurovascular injury during meniscu...
0
Three-dimensional pattern of knee movement in patients with gonarthrosis
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: The main goal of this study was to estimate the variability of gait parameters in patients diagnosed with arthroplasty of the knee joint. Angular changes of the knee joint in three planes, and spatio-temporal parameters of gait were analysed. MATERIALS AND METHODS: A three-dimensional analysis of locomotion...
0
Suture Anchor Refixation of Meniscal Root Tears Without an Additional Portal
AMP (Acute Meniscal Pathology)
The biomechanical consequences of a tear of the posterior root of the medial meniscus are comparable to that of a complete meniscectomy. The integrity of the meniscal roots is crucial to enable the important function of load sharing and shock absorption. An untreated root tear leads to extrusion and loss of function of...
0
Four or twelve months' follow-up in the evaluation of functional outcome after hip fracture surgery?
Management of Hip Fractures in the Elderly
BACKGROUND AND AIMS: As a rule, follow-up for at least one year is recommended for fracture studies. This is considered the shortest reliable interval. Still, in the case of hip fractures of the elderly, shorter follow-up might be more practical, since the life expectancy of these patients is often short. The aim of th...
0
Hallmarks of amputation surgery
DoD LSA (Limb Salvage vs Amputation)
Summary: This study aims to detect whether there remains valuable prognostic information in fluctuation of red cell distribution width (RDW) in hip fracture patients. Results show that this readily available parameter may provide a more effective strategy for assessment of mortality risk, therefore providing a referenc...
0
Intraarticular injuries associated with anterior cruciate ligament tear: Findings at ligament reconstruction in high school and recreational athletes. An analysis of sex-based differences
AMP (Acute Meniscal Pathology)
Background: Despite research on the increased risk of anterior cruciate ligament tears in female athletes, few studies have addressed sex differences in the incidence of associated intraarticular injuries. Hypothesis: When patients are stratified by sport and competition level, no sex differences exist in either the me...
0
Phantom Pain and Risk Factors: A Multivariate Analysis
DoD PRF (Psychosocial RF)
Phantom pain has been given considerable attention in literature. Phantom pain reduces quality of life, and patients suffering from phantom pain make heavy use of the medical system. Many risk factors have been identified for phantom pain in univariate analyses, including phantom sensations, stump pain, pain prior to t...
1
Prevention of bone loss in cardiac transplant recipients. A comparison of biphosphonates and vitamin D
Management of Hip Fractures in the Elderly
Bone mineral density is already abnormally reduced at the moment of cardiac transplantation and bone loss occurs at an impressive rate in the first postoperative year. The aim of the study was to compare two prophylactic medical regimens as to their efficacy in mitigating bone loss after transplantation. Forty-eight co...
0
The mid-term outcomes of the Oxford Domed Lateral unicompartmental knee replacement
Surgical Management of Osteoarthritis of the Knee CPG
Mobile-bearing unicompartmental knee replacements (UKRs) with a flat tibial plateau have not performed well in the lateral compartment, owing to a high dislocation rate. This led to the development of the Domed Lateral Oxford UKR (Domed OUKR) with a biconcave bearing. The aim of this study was to assess the survival an...
0
Distal posterior tibial artery perforator flaps for the management of calcaneal and Achilles tendon injuries in diabetic and non-diabetic patients
DoD SSI (Surgical Site Infections)
Management of Achilles tendon and heel area defects is a common challenge for the reconstructive surgeon due to the lack of soft tissue availability in that region. In this article, we present our experience in covering these defects by using the distal perforator propeller flaps based on the posterior tibial artery. P...
0
The Latarjet Procedure at the National Football League Scouting Combine: An Imaging and Performance Analysis
Glenohumeral Joint OA
Background: The Latarjet procedure is commonly performed in the setting of glenoid bone loss for treatment of recurrent anterior shoulder instability; however, little is known regarding the outcomes of this procedure in elite American football players. Purpose: (1) Determine the prevalence, clinical features, and imagi...
0
A pilot study of the efficacy of a 1,064 and 1,320 nm sequentially firing Nd:YAG laser device for lipolysis and skin tightening
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Laser-assisted lipolysis with a medium pulsed 1,064 nm Neodymium:Yttrium-Aluminum-Garnet (Nd:YAG) system has been used since FDA approval in October 2006 [1]. Since then, this technology has been advanced to include an additional wavelength (1,320 nm) and an accelerometer designed to improve efficacy and sa...
0
Better skeletal microstructure confers greater mechanical advantages in Chinese-American women versus white women
Distal Radius Fractures
Despite lower areal bone mineral density (aBMD), Chinese-American women have fewer fractures than white women. We hypothesized that better skeletal microstructure in Chinese-American women in part could account for this paradox. Individual trabecula segmentation (ITS), a novel image-analysis technique, and micro-finite...
0
Double transosseous pull out suture technique for transection of posterior horn of medial meniscus
AMP (Acute Meniscal Pathology)
Transection injury (complete radial tear, root tear) in the posterior horn of medial meniscus will lead to loss of hoop strain, extrusion of the meniscus and early degenerative changes. The posterior horn of medial meniscus is amenable to repair due to its good blood supply and repair is the procedure of choice for the...
0
Comparison of adverse events between the Bryan artificial cervical disc and anterior cervical arthrodesis
DOD - Acute Comp Syndrome CPG
Study Design. Randomized controlled study. Objective. To compare the rates of adverse events associated with disc arthroplasty versus those of anterior cervical discectomy and arthrodesis with allograft and plate. Summary of Background Data. Cervical disc arthroplasty as a substitute for fusion has been developed to ma...
1
Postoperative epidural analgesia compared with intraoperative periarticular injection for pain control following total knee arthroplasty under spinal anesthesia: a randomized controlled trial
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Although epidural analgesia has been used for postoperative pain control after total knee arthroplasty, its usefulness is being reevaluated because of possible adverse effects. Recent studies have proven the efficacy of periarticular analgesic injection and its low prevalence of adverse effects. The present...
1
Community integration, social support and life satisfaction in relation to symptoms 3 years after mild traumatic brain injury
DoD PRF (Psychosocial RF)
PRIMARY OBJECTIVE: To investigate the relation between psychosocial functioning (community integration, life satisfaction and social support) and symptoms (post-concussion, post-traumatic stress and depression) in persons with mild traumatic brain injury (MTBI) 3 years after the trauma. METHODS: Population-based follow...
0
New observations on carrying angle
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Based on experiments on fresh cadaveric and accidentally amputated 8 upper limbs of children, study of ulnae for presence and absence of non articular strip on the trochlear notch, measurements of carrying angle, length of forearm bones, pronation-supination, height and weight in 2250 infants, children and adults of va...
0
Medical management of patients over 50 years admitted to orthopedic surgery for low-energy fracture
Management of Hip Fractures in the Elderly
Objective: To develop a cost-effective strategy for improving osteoporosis management in patients admitted to an orthopedic surgery department for low-energy fractures. Methods: From November 2003 to July 2004, all patients over 50 years admitted to the orthopedics department of the Caen Teaching Hospital (France) for ...
1
Oral microflora as a cause of endocarditis and other distant site infections
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Bacteremia originating from the oral cavity is common, but the role of bacteremia in the genesis of infective endocarditis and other distant site infections is unclear. Only a small percentage of oral flora have been associated with distant site infection. Important issues remain unresolved concerning the identificatio...
0
The Use of Serratus Anterior Fascial Flap in Integrated Mastectomy and Implant Reconstruction
Acellular Dermal Matrix
BACKGROUND: Tissue reinforcement with acellular dermal matrix (ADM) in implant-based breast reconstruction contributes to the coverage of the implant and avoids its direct exposure to skin incision, yet not without risk of infection. Our integrated technique makes use of the in situ serratus anterior fascia as a suppor...
1
Early flexion routine: An alternative method of continuous passive motion
Surgical Management of Osteoarthritis of the Knee CPG
One hundred knees that underwent primary total knee arthroplasties were divided into 2 groups: the first 50, consecutive knees were assigned retrospectively to Group I (control), and the following 50 knees were assigned prospectively to Group II (early flexion). All procedures were cementless meniscal-bearing total kne...
1
Does flexion of the femoral implant in total knee arthroplasty increase knee flexion: A randomised controlled trial
Surgical Management of Osteoarthritis of the Knee CPG
INTRODUCTION: Prosthetic and operative modifications in total knee arthroplasty (TKA) have been proposed to maximise post-operative knee flexion as it is essential in routine functional activities. METHODS: We performed a double blind randomised controlled trial to compare clinical outcomes of primary cruciate-retainin...
0
Quantifying Quadriceps Muscle Strength in Patients With ACL Injury, Focal Cartilage Lesions, and Degenerative Meniscus Tears: Differences and Clinical Implications
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Reduced quadriceps strength influences knee function and increases the risk of knee osteoarthritis. Thus, it is of significant clinical relevance to precisely quantify strength deficits in patients with knee injuries. PURPOSE: To evaluate isokinetic concentric quadriceps muscle strength torque values, asses...
0
Evaluation of breast fat by preoperative mammography, histology, and thermal extraction of surgical specimens
Reduction Mammoplasty for Female Breast Hypertrophy
The fat contained in the breasts of 33 unselected patients submitted to breast-reduction procedures was studied by three methods: preoperative mammography, histological examination of samples from the surgical specimens, and thermal fat extraction from these specimens. The 3 methods showed that the majority of the pati...
1
Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Background: Total knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Because inadequate postoperative pain control can hinder early physiotherapy and rehabilitation, it is the most influential factor dictating a good outcome. The purpose of this study wa...
0
Understanding of endocarditis risk improves compliance with prophylaxis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Congenital heart disease (CHD) is the most common predisposing cause for childhood infective endocarditis (IE), accounting for 80% of cases. Knowledge about the disease and its complications is a key factor in promoting adherence to prophylaxis recommendations. OBJECTIVE: To assess the level of understandin...
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Dietary supplements: Navigating the pharmacologic influences of natureâ??s medicine
OAK 3 - Non-arthroplasty tx of OAK
The use of dietary supplements occurs in the majority of American adults >20 years old and has been reported to be on the rise by the National Health and Nutrition Examination Survey. People are not only taking more dietary supplements, but taking them without the advice of a health care provider. With the lack of educ...
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Custom intramedullary intercalating device for treatment of supracondylar fracture between constrained total knee arthroplasty and well-fixed total hip arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Management of periprosthetic fractures between ipsilateral total knee arthroplasty (TKA) and total hip arthroplasty (THA) is difficult, and is further complicated in the setting of poor femoral bone stock. We present a case of supracondylar fracture between THA and long-stemmed TKA femoral components in a patient with ...
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Posturography and dynamic pedobarography in lame dogs with elbow dysplasia and cranial cruciate ligament rupture
OAK 3 - Non-arthroplasty tx of OAK
Background: The usefulness of studying posture and its modifications due to locomotor deficiencies of multiple origins has been widely proven in humans. To assess its suitability in the canine species, static posturography and dynamic pedobarography were performed on lame dogs affected with unilateral elbow dysplasia a...
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The effect of weight-bearing exercise on bone mineral density: a study of female ex-elite athletes and the general population
Management of Hip Fractures in the Elderly
The aim of this retrospective cohort study was to estimate the changes in bone mineral density (BMD) as a consequence of exercise in female ex-athletes and age-matched controls. Eighty-three ex-elite female athletes (67 middle and long distance runners, 16 tennis players, currently aged 40-65) were recruited from the o...
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Promontory of radius: A new anatomical description on the distal radius
Distal Radius Fractures
Surgical treatment of distal radius fractures with palmar plates has gained popularity as the preferred approach to achieve anatomical fracture reposition. One hundred and thirty four radii of human cadavers were examined to elucidate the anatomy of the distal radius, especially the transition of the anterior into the ...
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Patellofemoral problems following total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
We reviewed 350 knee arthroplasties performed between 1977 and 1984 for patellar problems. Seventeen knees with four types of patellofemoral complications were found. The diagnosis in both the group of 350 and the study group of 17 knees was evenly distributed between rheumatoid arthritis and osteoarthritis. The compli...
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Liposuction: the tumescent technique
Panniculectomy & Abdominoplasty CPG
The tumescent technique involves the removal of moderate to large amounts of fat from several body areas in an office setting using only local anesthesia. The technique eliminates significant blood loss, rendering transfusion unnecessary. Less bruising and swelling, more even fat removal, and decreased expense are othe...
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Phantom limb related phenomena and their rehabilitation after lower limb amputation
DoD LSA (Limb Salvage vs Amputation)
This paper reviewed the various hypotheses on phantom limb and phantom limb pain as well as all the related rehabilitation techniques to control these symptoms. The uncertainty in their pathophysiology strongly affects all the rehabilitation approaches so far used, as no single parameter has been found to predict or co...
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Comparison of snakebite cases in children and adults
DOD - Acute Comp Syndrome CPG
OBJECTIVE: There are very few studies that compare the snakebite cases in children and adults. The present study aimed to compare the demographic characteristics, clinical presentations, laboratory findings, and developed complications in pediatric and adult patients due to snakebites. PATIENTS AND METHODS: This study ...
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Femoral press-fit fixation technique in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: a prospective clinical evaluation of 285 patients
Anterior Cruciate Ligament Injuries CPG
BACKGROUND: The security of the graft fixation is an important factor of anterior cruciate ligament reconstruction, especially in the early postoperative period. HYPOTHESIS: The femoral press-fit fixation technique is a safe, alternative technique for the fixation of the bone-patellar tendon-bone graft. STUDY DESIGN: C...
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Endoscopic versus open surgical treatment of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The impact of CTS is significant as evidenced by the fact that only back injuries result in greater rates of employee absenteeism in the workplace. CTR is now the most commonly performed surgical procedure in the United States. Earlier efforts using open surgical techniques were associated with significant morbidity, w...
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Pirogoff ankle disarticulation as an option for ankle disarticulation
DoD LSA (Limb Salvage vs Amputation)
Eleven patients (12 ankles) who had Pirogoff ankle disarticulation were followed up for an average of 5.6 years (range, 2.1-8.9 years). After disarticulation of the Chopart joint, the talus was removed and the calcaneus was cut off in the coronal plane. The heel then was rotated 90 degrees to the tibial plafond. The po...
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Anatomical variations of the carpal tunnel structures
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
There are many anatomical variations in and around the carpal tunnel that affect the nerves, tendons and arteries in this area. Awareness of these variations is important both during the clinical examination and during carpal tunnel release. The purpose of the present review is to highlight recognized anatomical variat...
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Functional considerations in aesthetic eyelid surgery
Upper Eyelid and Brow Surgery
BACKGROUND: Aesthetic eyelid surgery involves intricate techniques to improve the appearance of the periorbital region. In the presence of preoperative ptosis, lower lid laxity or malposition, prominent eyes, and xerophthalmia (dry eyes), patients are at an increased risk of developing postoperative complications such ...
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Sustainability of Forefoot Reconstruction for the Rheumatoid Foot
DoD SSI (Surgical Site Infections)
Ninety percent of patients with rheumatoid arthritis will display foot and ankle pathologic features, including hallux valgus, lesser metatarsophalangeal (MTP) joint subluxation/dislocation, and hammertoe deformity. Recently, a trend has ensued toward joint preservation with distal metatarsal osteotomies and various bu...
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Role of MR imaging in acute injuries to the appendicular skeleton
DOD - Acute Comp Syndrome CPG
Clinical applications of MR imaging in the setting of acute extremity injuries are discussed in general and by anatomic regions. General indications include physeal injuries, occult fractures, stress fractures, musculotendinous injuries, and ligamentous injuries. Indications of MR imaging in the acute injury setting ha...
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Rapid remineralization of the distal radius after forearm fracture in children
Distal Radius Fractures
Background: Bone mineral content (BMC) and density (BMD) have been shown to diminish after fracture and immobilization in adults. Distal radius fractures are common in children, and unlike adults, there is a low incidence of refracture. The primary aim of this study was to assess the change in radial BMC and BMD after ...
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Joint space width measures cartilage thickness in osteoarthritis of the knee: high resolution plain film and double contrast macroradiographic investigation
AMP (Acute Meniscal Pathology)
OBJECTIVE: To test reliability of joint space width (JSW) measurements as a predictor of cartilage thickness in knees of patients with osteoarthritis (OA), using high definition microfocal radiography. METHOD: JSW was measured from weight bearing plain film macroradiographs taken in the tunnel view and compared with th...
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Transdermal fentanyl for improvement of pain and functioning in osteoarthritis: a randomized, placebo-controlled trial
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: Although common treatments for osteoarthritis (OA) pain, such as nonsteroidal antiinflammatory drugs (NSAIDs), simple analgesics, and weak opioids, provide relief in some cases, they fail to control pain or are poorly tolerated in many cases. Strong opioids have been used to successfully treat several types ...
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Risk factors for erectile dysfunction in patients with urethral strictures secondary to blunt trauma
DoD PRF (Psychosocial RF)
Introduction: Erectile dysfunction (ED) is a well-known consequence of pelvic fracture, particularly in cases involving urethral injury. There are several risk factors that may be related to ED. However, no systemic approach is used to assess erectile function secondary to urethral trauma. Aim: To investigate ED associ...