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1 | Total knee arthroplasty using cementless keels and cemented tibial trays: 10-year results | Surgical Management of Osteoarthritis of the Knee CPG | The problem of early mechanical stability of cemented and cementless keels of the tibial component in total knee arthroplasty (TKA) is controversial. The purpose of this study was to assess clinical and radiographic outcomes of a cohort of 51 TKAs using a cemented platform with cementless keel fixation. At a mean follo... |
0 | Distal locking stem for revision femoral loosening and peri-prosthetic fractures | Management of Hip Fractures in the Elderly | Revision total hip arthroplasty in the setting of a large proximal femoral deficiency or a peri-prosthetic fracture remains a challenging problem. We describe the development, surgical technique and the use of cementless revision stems with distal inter-locking screws to provide immediate stability of the femoral impla... |
0 | Current concepts review: 3T magnetic resonance imaging of the ankle and foot | Osteochondritis Dissecans 2020 Review | The increasing technological advances in MR imaging continue to expand the clinical applications and increase the diagnostic accuracy of this modality. The MR evaluation of the foot and ankle has benefited substantially from the implementation of 3T scanners and associated imaging techniques. From this topical review, ... |
0 | Reconstruction of elbow ligaments in athletes | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The anterior band of the MCL is the primary restraint to valgus stresses at the elbow. Injury to the MCL is common in overhead throwing athletes, particularly baseball pitchers. Excessive and repetitive stresses on the medial elbow can lead to MCL attenuation and insufficiency, resulting in medial elbow pain and inabil... |
0 | Time course of quad strength, area, and activation after knee arthroplasty and strength training | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: changes in strength, activation, and morphology of the quadriceps femoris muscle group were assessed in 61 individuals that underwent unilateral total knee arthroplasty, with progressive postoperative strength training, for primary knee osteoarthritis. METHODS: assessments of these three parameters were m... |
0 | The effect of myopic optical defocus on the humphrey matrix 30-2 threshold test | Upper Eyelid and Brow Surgery | PURPOSE: To examine the effect of the myopic optical defocus on the Humphrey Matrix 30-2 test. DESIGN: Prospective, nonrandomized, comparative case series. METHODS: Forty eyes from 40 patients with and without glaucoma underwent 2 consecutive tests using the Humphrey Matrix 30-2 threshold program. The first and second ... |
0 | Body composition is more closely related to the development of knee osteoarthritis in women than men: a cross-sectional study using the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1, 2) | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the association between knee osteoarthritis (OA) and body composition parameters, and to analyze the correlations of both obesity and lower extremity muscle mass with radiographic knee OA in relation to sex.
METHODS: This was a cross-sectional study using data on body composition parameters measu... |
0 | CT in established Volkmann's contracture in forearm muscles | DOD - Acute Comp Syndrome CPG | Differential diagnosis between true and pseudo-Volkmann's contracture should not be based on clinical grounds alone, because clinical data are often insufficient in determining the severity and the extent of muscle damage. CT has been utilised in 11 cases where a flexion contracture of the forearm muscles was present a... |
1 | Challenging the Surgical Axiom: Albumin Level Does Not Reliably Predict Development of Wound Complications in Patients Undergoing Body Contouring | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Hypoalbuminemia has traditionally been associated with a poor nutritional status and subsequent high incidence of postoperative wound complications in surgical patients. Recent evidence, however, suggests that traditional nutritional markers are inadequate in predicting postoperative morbidity. OBJECTIVE:... |
0 | Does regional anesthesia improve outcome after total knee arthroplasty? | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty (TKA) is amenable to various regional anesthesia techniques that may improve patient outcome. We sought to answer whether regional anesthesia decreased mortality, cardiovascular morbidity, deep venous thrombosis and pulmonary embolism, blood loss, duration of surgery, pain, opioid-related advers... |
1 | Predictors of moderate-severe functional limitation after primary Total Knee Arthroplasty (TKA): 4701 TKAs at 2-years and 2935 TKAs at 5-years | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Investigate whether body mass index (BMI), comorbidity, gender and age predict patient-reported functional limitation 2- and 5-years after primary Total Knee Arthroplasty (TKA). METHODS: Overall moderate-severe activity limitation was defined as > or = 2 activities (walking, stairs, rising from chair) with m... |
0 | Treatment of giant cell tumors with allograft transplants: a 30-year study | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We retrospectively reviewed 144 patients with giant cell tumors who had resection and implantation of cadaveric allografts from 1971-2001. Most procedures were done in the distal femur, proximal tibia, proximal femur, and proximal humerus. Seventy-eight percent of patients have retained their grafts and remain function... |
0 | The Innocuity of triclosan. A review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Triclosan is currently one of the most researched antimicrobial agents of the oral cavity. A consensus meeting organized by Colgate-Palmolive Romania took place on February 15, 2008 at Athenee Palace Hilton Bucharest to collect the conclusions of Romanian opinion leaders regarding the applicability of triclosan in dent... |
0 | Treatment of diabetic foot ulcer: an overview strategies for clinical approach | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot disease is a major health problem, which concerns 15% of the 200 million patients with diabetes worldwide. Major amputation, above or below the knee, is a feared complication of diabetes. More than 60% of non-traumatic amputations in the western world are performed in the diabetic population. Many patient... |
0 | American college of rheumatology/association of rheumatology health professionals - 2015 annual meeting | TO: WNT2 Pathway Modulator | The 2015 Annual meeting of the American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ACR/ARHP), held in San Francisco, California, brought together players in the field of rheumatic diseases to discuss the latest research innovations in the treatment of the diseases, as well as pr... |
0 | Early revisions of the Femoro-Patella Vialla joint replacement | PJI DX Updated Search | The aim of this study was to review the early outcome of the Femoro-Patella Vialla (FPV) joint replacement. A total of 48 consecutive FPVs were implanted between December 2007 and June 2011. Case-note analysis was performed to evaluate the indications, operative histology, operative findings, post-operative complicatio... |
0 | Optimizing patient selection in ventral hernia repair with concurrent panniculectomy: an analysis of 1974 patients from the ACS-NSQIP datasets | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Panniculectomy (PAN) during ventral hernia repair (VHR) can be a challenging procedure associated with added risk. We utilized the ACS-NSQIP datasets to generate a risk model of morbidity following these combined interventions. METHODS: The 2005-2012 ACS-NSQIP databases were queried to identify all patients... |
0 | Preclinical and clinical evaluation of osteogenic protein-1 (BMP-7) in bony sites | DoD SSI (Surgical Site Infections) | Osteogenic proteins (OPs), also referred to as bone morphogenetic proteins (BMPs), are a family of bone-matrix polypeptides isolated from a variety of mammalian species. Implantation of osteogenic proteins induces a sequence of cellular events that leads to the formation of new bone. In preclinical studies, the implant... |
0 | The Location and Severity of Preoperative Subchondral Bone Marrow Lesions Were Not Associated With Inferior Postoperative Outcomes After Medial Unicompartmental Knee Arthroplasty or Total Knee Arthroplasty | PJI DX Updated Search | BACKGROUND: Inferior outcomes for medial unicompartmental knee arthroplasty (UKA) patients with preoperative medial tibial bone marrow lesions (BMLs) were recently reported. The purpose of this study was to compare the location and severity of BML on postoperative outcomes after medial UKA and TKA using a larger sample... |
0 | Families experiencing a traumatic accident: implications and nursing management | DoD PRF (Psychosocial RF) | Families experiencing a traumatic accident experience significant psychosocial disruption. The traumatic event is sudden and unexpected. Families have no opportunity to prepare themselves emotionally, have limited experience with such catastrophic events, and are overwhelmed by the magnitude of the patient's injuries. ... |
0 | All-inside meniscal repair devices | AMP (Acute Meniscal Pathology) | All-inside meniscal repair devices provide an alternative to traditional suture techniques. Each device or system has a unique set of characteristics in regard to configuration, biochemical and biomechanical profile. This article reviews the specifications and current literature available for the all-inside devices and... |
0 | Endothelial progenitors promote hepatocarcinoma intrahepatic metastasis through monocyte chemotactic protein-1 induction of microRNA-21 | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Endothelial progenitor cells (EPCs) circulate with increased numbers in the peripheral blood of patients with highly-vascularised hepatocellular carcinoma (HCC) and contribute to angiogenesis and neovascularisation. We hypothesised that angiogenic EPCs, that is, colony forming unit-endothelial cells (CFU-EC... |
0 | The validity of the diagnostic criteria used in chronic exertional compartment syndrome: a systematic review | DOD - Acute Comp Syndrome CPG | Chronic exertional compartment syndrome (CECS) of the lower limb is part of a group of overuse lower limb injuries with common presenting features. It is commonly diagnosed by the measurement of raised intramuscular pressures in the lower limb. The pathophysiology of the condition is poorly understood, and the criteria... |
0 | Estimating invisible target speed from neuronal activity in monkey rontal eye field | Upper Eyelid and Brow Surgery | Working memory involves transient storage of information and the ability to manipulate that information for short-range planning and prediction. The computational aspect of working memory can be probed using dynamic sensorimotor behavior requiring complex stimulus-response mappings. Such a transformation occurs when ex... |
0 | Hemodynamic changes associated with tourniquet use under epidural anesthesia for total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVES: Epidural anesthesia is administered commonly for total knee arthroplasty, a procedure using a thigh tourniquet. Tourniquet use has been associated with intraoperative hypertension and with occasional circulatory collapse after deflation. The purpose of this study was to define the hemodynamic... |
0 | The effect of talus osteochondral defects of different area size on ankle joint stability: a finite element analysis | Osteochondritis Dissecans 2020 Review | BACKGROUND: Osteochondral lesion of the talus (OLT) is one of the most common ankle injuries, which will lead to biomechanical changes in the ankle joint and ultimately affect ankle function. Finite element analysis (FEA) is used to clarify the effect of talus osteochondral defects on the stability of the ankle joint a... |
1 | Use of an abduction brace for developmental dysplasia of the hip after failure of Pavlik harness use | Developmental Dysplasia of the Hip CPG | The authors reviewed the records of 15 infants who were treated with an abduction brace after Pavlik harness use for developmental dysplasia of the hip (DDH) failed. Failure was defined as persistent dislocation or instability of the hip. Thirteen of these 15 patients had resolution of DDH with the use of an abduction ... |
0 | Radiologists and rheumatologists on performing and reporting shoulder ultrasound: from disagreement to consensus | Glenohumeral Joint OA | Shoulder pain is a common condition in the rheumatologist's practice, yet there are no guidelines on how to report shoulder ultrasound (US) examinations. The aim of this study was to compare scanning and reporting techniques performed by radiologists and rheumatologists and identify any discrepancies between the two. T... |
1 | The treatment of supracondylar fractures in children with an absent radial pulse | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The purpose of this study was to determine the outcome of patients with a supracondylar fracture and an absent radial pulse. All children with displaced extension-type supracondylar fractures from 1984-1992 were eligible. Of 326 children with supracondylar fractures, 22 had an absent radial pulse on admission. Fifteen ... |
0 | AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty), Third Edition | AMP (Acute Meniscal Pathology) | Management of Osteoarthritis of the Knee (nonarthroplasty) Evidence-Based Clinical Practice Guideline is based on a systematic review of published studies for the nonarthroplasty treatment of osteoarthritis of the knee in adults (ages 17 years and older). The purpose of this clinical practice guideline is to evaluate c... |
0 | Feasibility and tolerance of pulsed dose rate interstitial brachytherapy | DoD SSI (Surgical Site Infections) | PURPOSE: Pulsed dose rate (PDR) treatment is a new approach that associates the physical advantages of high-dose-rate (HDR) technology with the potential radiobiological advantages of low-dose-rate (LDR) brachytherapy. This retrospective study analyzes the feasibility, toxicity, and preliminary oncologic results in a s... |
0 | Patellofemoral joint replacement â?? Mean five year follow-up | OAK 3 - Non-arthroplasty tx of OAK | Background: The Femoro Patella Vialli FPV is a second-generation patellofemoral arthroplasty implant. It is the second most commonly used patellofemoral implant in the National Joint Registry of England and Wales. This is the first published mid-term outcome series for this prosthesis. Methods: We reviewed the outcomes... |
0 | Study of the QUadratus Lumborum Bloc in Total Hip ARthroplasty: efficacy and Safety | AAHKS (8) Anesthetic Infiltration | A sample size of 100 patients (50 per group) was calculated based on 20% reduction in morphine consumption with 0.05% significance and a power of 0.8. After ethical committee approval, eligible patients scheduled to have a fastâ?track total hip arthroplasty are screened during preoperative evaluation clinic. Informed ... |
0 | What is the best way to fix a polyurethane meniscal scaffold? A biomechanical evaluation of different fixation modes | AMP (Acute Meniscal Pathology) | PURPOSE: Ingrowth of meniscal tissue into a meniscal scaffold can be optimized by securely fixing the scaffold into the meniscal remnants. The purpose of this research was to test and compare commonly used suture types and suture materials to fix a meniscal scaffold. METHODS: Forty fresh porcine menisci were used. All ... |
0 | Anorectal malformations, associated congenital anomalies and their investigation in a South African setting | Developmental Dysplasia of the Hip 2020 Review | Purpose: This study was undertaken to investigate the types of anorectal malformations (ARM), incidence of associated abnormalities and investigative methods used in patients treated at Red Cross War Memorial Childrenâ??s Hospital and to determine whether these are in keeping with recent literature. Mortality rates wer... |
0 | CD146 as a new marker for an increased chondroprogenitor cell sub-population in the later stages of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Cartilage-derived mesenchymal stem cells (MSCs) have been isolated with different methods. In this study lateral and medial femoral condyles were respectively collected from patients with late-stage osteoarthritis during the total knee arthroplasty. After digestion of the cartilage tissues with type II collagenase and ... |
0 | Neurocognitive dysfunction in antidepressant-free, non-elderly patients with unipolar depression: alerting and covert orienting of visuospatial attention | Upper Eyelid and Brow Surgery | BACKGROUND: Cognition is impaired across various domains in young and middle-age adults with unipolar depression. Performance appears in general worse in effortful tasks requiring executive function and attention. Probing specific cognitive operations in depressed patients, such as alerting and covert orienting of visu... |
0 | Bilateral hip and knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Twenty-six severely deformed patients with prosthetic arthroplasty of both hips and both knees because of rheumatoid arthritis (16), juvenile rheumatoid arthritis (6), ankylosing spondylitis (2), osteoarthritis (1), and inflammatory arthritis, cause unknown (1), were followed for a mean of 6.8 years. Severe pain was th... |
0 | Ptosis: An Underestimated Complication after Autologous Fat Injection into the Upper Eyelid | Upper Eyelid and Brow Surgery | BACKGROUND: Autologous fat injection into the upper eyelid is a commonly used technique in plastic surgery for volume restoration. However, ptosis, as one of the potential complications of the procedure, has been less well-discussed than other complications. OBJECTIVE: To present five cases of ptosis after autologous f... |
0 | Autologous Biologic Treatment with Fat, Bone Marrow Aspirate and Platelet Rich Plasma Is an Effective Alternative to Total Knee Arthroplasty for Patients with Moderate Knee Arthrosis | BMAC (Bone Marrow Aspirate Concentrate) | <b>Background:</b> Osteoarthrosis (OA) of the knee afflicts millions worldwide. Total Knee Arthroplasty (TKA) is common, but associated with substantial cost and morbidity. Prior studies of intra-articular injection of fat, bone marrow aspirate (BMA), and platelet rich plasma (PRP) have shown clinical benefit. We hypot... |
0 | Identification of early postmenopausal women with no bone response to HRT: results of a five-year clinical trial | Management of Hip Fractures in the Elderly | Hormone replacement therapy (HRT) prevents postmenopausal bone loss and fractures. However, the occurrence of women with no bone response to HRT has not been widely examined. We identified the densitometric nonresponders to long-term HRT and investigated some characteristics and biochemical variables as possible predic... |
0 | Evaluation of complications in patients with open fractures of the upper and lower extremity treated with internal fixation after the external fixation | DoD SSI (Surgical Site Infections) | BACKGROUND: Open fractures constitute an important mortality and morbidity cause among all musculoskeletal system injuries and bring along many social and economic problems. The cost occurring due to both long treatment duration and the delay in returning to work made these conditions more complicated. The present stud... |
0 | Kaposi's sarcoma and mTOR: a crossroad between viral infection neoangiogenesis and immunosuppression | Reconstruction After Skin Cancer | The incidence of Kaposi's sarcoma (KS) among the recipients of solid organ transplants is about 500 times the rate in the general population, suggesting a role for immunosuppression in the development of the disease. The drugs used for the induction and maintenance of immunosuppression and the length of treatment with ... |
0 | Association of ionizing radiation dose from common medical diagnostic procedures and lymphoma risk in the Epilymph case-control study | MSTS 2022 - Metastatic Disease of the Humerus | Medical diagnostic X-rays are an important source of ionizing radiation (IR) exposure in the general population; however, it is unclear if the resulting low patient doses increase lymphoma risk. We examined the association between lifetime medical diagnostic X-ray dose and lymphoma risk, taking into account potential c... |
0 | Knee-specific quality-of-life instruments: which ones measure symptoms and disabilities most important to patients? | AMP (Acute Meniscal Pathology) | BACKGROUND: Knee-specific quality-of-life instruments are commonly used outcome measures. However, they have not been compared for their ability to detect symptoms and disabilities important to patients.
STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 1.
METHODS: Subjective portions of 11 knee-specific instr... |
0 | Delivery of local anesthesia: Current strategies, safety, and future prospects | AAHKS (9/10) Regional Nerve Blocks | Background: The systemic administration of anesthesia is associated with severe and undesirable side effects such as sedation, vomiting, nausea, allergies, respiratory problems, and neutrophil dysfunction. With the increase in the procedures of limb surgery, cosmetics, facial, skin, and cancer reconstruction, the deman... |
0 | Management of the Failed OCD | Osteochondritis Dissecans 2020 Review | PURPOSE OF THE REVIEW: Osteochondritis dissecans (OCD) is a pathologic condition of subchondral bone most frequently occurring in the medial femoral condyle of the knee in children and adolescents. Salvage techniques are necessary when either nonoperative or typical operative treatments fail, or the OCD presents in an ... |
0 | Nulliparity and fracture risk in older women: the study of osteoporotic fractures | Distal Radius Fractures | Whether nulliparity increases fracture risk is unclear from prior studies, which are limited by small samples or lack of measured bone mineral density. No study has evaluated whether the effect of parity differs by skeletal site. We prospectively analyzed the relationship of parity to the risk of incident nontraumatic ... |
0 | Electrophysiological evaluation of effects of aging on sensorimotor integration: A somatosensory evoked potential and corticomuscular coherence study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: This study evaluates somatosensory evoked potentials (SEPs) and corticomuscular coherence (CMC) under different conditions to investigate the effects of ageing on sensorimotor integration. Methods: During 128-channel SEP recording, periods of twenty seconds of isometric contraction of the abductor pollicis b... |
1 | Symptomatic Discoid Meniscus in Children and Adolescents: A Review of 470 Cases | AMP (Acute Meniscal Pathology) | BACKGROUND: Discoid meniscus is a congenital variant, typically involving the lateral meniscus, that comprises a spectrum of meniscal shapes and degrees of instability in an estimated 1% to 15% of the population. The purpose of this study was to describe the clinical and operative course of a large cohort of children a... |
0 | Geographic region, socioeconomic position and the utilisation of primary total joint replacement for hip or knee osteoarthritis across western Victoria: a cross-sectional multilevel study of the Australian Orthopaedic Association National Joint Replacement Registry | OAK 3 - Non-arthroplasty tx of OAK | Abstract: Summary: Compared to urban residents, those in rural/regional areas often experience inequitable healthcare from specialist service providers. Independent of small between-area differences in utilisation, socially advantaged groups had the greatest uptake of joint replacement. These data suggest low correlati... |
0 | ADAMTS-4 activity in synovial fluid as a biomarker of inflammation and effusion | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the potential of ADAMTS-4 (aggrecanase -1) activity in synovial fluid (SF) as a biomarker of knee injury and joint disease.
DESIGN: We have measured ADAMTS-4 activity in the synovial fluid of 170 orthopaedic patients with different degrees of joint pathology, using a commercial ADAMTS-4 fluoresce... |
0 | Comparison of Three Fixation Techniques for Displaced Distal Radius Fractures | Distal Radius Fractures | Fractures of the distal radius, the most common fracture to occur in adults, are increasing in incidence and cost due to ageing of the population and the link with senile osteoporosis. Young adults also suffer these injuries albeit involving higherâ?energy mechanisms. Closed reduction and casting is often unsuccessful... |
0 | Evaluation of ultrasound-guided diagnostic local anaesthetic hip joint injection for osteoarthritis | AAHKS (9/10) Regional Nerve Blocks | PURPOSE: The diagnosis of hip osteoarthritis is often complicated by co-existing pathology in the knee and spine, and mismatch between clinical and radiological signs. Temporary pain relief from a local anaesthetic injection into the hip joint has been reported to help localise symptoms, reducing the risk of unnecessar... |
0 | Internal derangements of the knee associated with patellofemoral joint degeneration | AMP (Acute Meniscal Pathology) | The objective of the present study was to evaluate whether internal derangements of the knee joint are associated with patellofemoral joint (PFJ) degeneration. Data were collected prospectively from 1,000 consecutive knee arthroscopies. Chondral lesions were observed in 854 patients, and these patients were included in... |
0 | Lipectomy as a new approach to secondary procedure superficialization of direct autogenous forearm radial-cephalic arteriovenous accesses for hemodialysis | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The depth of veins can discourage surgeons from creating radial-cephalic arteriovenous accesses for hemodialysis in obese patients. Elevation and tunneled transposition are the two techniques that have been described to superficialize these veins and make them accessible for cannulation. Unfortunately, such... |
0 | Pain in malignant hematology | MSTS 2018 - Femur Mets and MM | Pain is frequently experienced by patients with hematological malignancies, although it often receives little attention. Different underlying causes and mechanisms may sustain several pain syndromes in hematological malignant patients. Pain may be due to disease itself, to disease-related complications, to iatrogenic c... |
0 | Magnetic resonance imaging of the knee menisci | AMP (Acute Meniscal Pathology) | MRI remains the most useful noninvasive test for diagnosis of meniscal tears. Knowledge of normal anatomy and familiarity with patterns of meniscal tears are prerequisites when interpreting MRI studies of the knee. Radiologists should pay close attention to technical factors, normal variants, and associated abnormaliti... |
0 | Intra-articular interleukin-1 receptor antagonist (IL1-ra) microspheres for posttraumatic osteoarthritis: in vitro biological activity and in vivo disease modifying effect | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Interleukin-1 receptor antagonist (IL-1 ra) can be disease-modifying in posttraumatic osteoarthritis (PTOA). One limitation is its short joint residence time. We hypothesized that IL-1 ra encapsulation in poly (lactide-co-glycolide) (PLGA) microspheres reduces IL-1 ra systemic absorption and provides an enh... |
0 | Etiologic factors in the development of medial tibial stress syndrome: a review of the literature | DoD - ACS - Interrater Reliability | BACKGROUND: Medial tibial stress syndrome is a type of exercise-induced leg pain that is common in recreational and competitive athletes. Although various studies have attempted to find the exact pathogenesis of this common condition, it remains unknown.
METHODS: Various theories in literature from 1976 to 2006 were re... |
0 | Cartilage quantitative T2 relaxation time 2â??4 years following isolated anterior cruciate ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | Cartilage T2 relaxation time in isolated anterior cruciate ligament reconstruction (ACLR) without concomitant meniscal pathology and their changes over time remain unclear. The purpose of this exploratory study was to: (i) compare cartilage T2 relaxation time (T2 values) in people with isolated ACLR at 2â??3 years post... |
0 | Spinal chloroprocaine versus lidocaine for day case knee arthroscopy: Discharge times and fluid policy | Surgical Management of Osteoarthritis of the Knee CPG | Background: In the ongoing quest for the ideal spinal local anesthetic for day case procedures many products have been weighed but not found wanting because of TNS or prolonged duration. Fluid restriction is generally accepted to prevent urinary retention in spinal anesthesia. This randomized, double blind prospective ... |
1 | Effects of cold and compression dressings on early postoperative outcomes for the arthroscopic anterior cruciate ligament reconstruction patient | Anterior Cruciate Ligament Injuries CPG | Efforts to minimize the morbidity of anterior cruciate ligament (ACL) reconstruction include the use of cryotherapy and/or compressive dressings in the immediate postoperative period. We undertook the present study to determine if the alleged benefits of the Cryo/Cuff, which combines these modalities, are more attribut... |
0 | Repeatability of quantification of extrusion of the medial meniscus in knee osteoarthritis using three-dimensional models | AMP (Acute Meniscal Pathology) | Objective: Meniscal damage is one of risk factors for the development of knee osteoarthritis (KOA). Medial meniscal extrusion (MME) is associated with the progression of cartilage loss in the medial compartment. The objective of this study was to determine the intra-rater repeatability of our method of three-dimensiona... |
0 | The scapholunate interosseous ligament afferent proprioceptive pathway: A human in vivo experimental study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose To examine the afferent pathways of the scapholunate interosseous ligament (SLIL)generated stimuli and their contribution to the overall carpal proprioception. Methods We examined 5 selected patients with preganglionic global root avulsion, confirmed by previous brachial plexus exploration, during the initial s... |
0 | Single-stage total knee arthroplasty and osteotomy as treatment of secondary osteoarthritis with severe coronal deviation of joint surface due to extra-articular deformity | PJI DX Updated Search | PURPOSE: Severe extra-articular deformities can be treated with single-stage total knee replacement (TKA) and osteotomy. Aim of this study was to examine the patient-reported outcome measures (PROMs) and the complications after single-stage TKA and osteotomy. We hypothesized patients achieve good outcome after single-s... |
0 | Diagnosis of morphological internal knee derangements associated with osteoarthritis on magnetic resonance imaging sequences for quantitative T2 and T1RHO mapping of articular cartilage composition | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Novel quantitative magnetic resonance imaging (MRI) techniques for articular cartilage composition show promise for early detection of osteoarthritis (OA). However, large-scale application of quantitative MRI techniques in clinical OA research studies or in routine clinical patient care is hampered by long sca... |
0 | Clinical Interrogation for Unveiling an Isolated Hypophysitis Mimicking Pituitary Adenoma | Upper Eyelid and Brow Surgery | BACKGROUND: Hypophysitis is a rare disease entity mimicking a pituitary adenoma. Despite crucial disease involving a pituitary gland which is a main component of the hormonal axis, there have been minimal researches regarding the hypophysitis. In this study, we described the constellation of the preoperative findings i... |
1 | Shoulder ultrasonography: performance and common findings | Glenohumeral Joint OA | Ultrasound (US) of the shoulder is the most commonly requested examination in musculoskeletal US diagnosis. Sports injuries and degenerative and inflammatory processes are the main sources of shoulder pain and functional limitations. Because of its availability, low cost, dynamic examination process, absence of radiati... |
0 | A double-blind comparison of piroxicam mane with piroxicam nocte in patients awaiting hip and/or knee joint replacement | AAHKS (4) Acetaminophen | Thirty-three patients (9 males and 24 females) awaiting hip or knee joint replacement received 8 weeks treatment with piroxicam 20 mg mane or piroxicam 20 mg nocte. Patients were allocated to each treatment group in random order and initiated therapy with a one week placebo period. Active treatment was double blinded t... |
0 | Periprosthetic hip and knee fractures: the scope of the problem | DoD SSI (Surgical Site Infections) | This review covers the present incidence, site, and outcome of periprosthetic fractures of the hip and the knee. Fractures can occur intraoperatively or postoperatively as an early or a late complication. Late postoperative fractures are related to osteolysis secondary to wear debris. These late fractures will become m... |
0 | The reliability and minimal detectable change of Timed Up and Go test in individuals with grade 1 - 3 knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background: The Timed Up and Go (TUG) test is quick and easy tests to assess patients' functional mobility. However, its reliability in individuals with knee osteoarthritis (OA) has not been well established. The aims of this study were to determine the reliability and minimal detectable change of the TUG test in indiv... |
0 | Time trends in incidence rates of first hip fracture in the Uppsala Health Care Region, Sweden, 1965-1983 | Hip Fx Time to Surgery | Time trends from 1965 through 1983 for age-specific and age-standardized rates of first hospital admission for a proximal femur fracture were studied in the Uppsala Health Care Region, Sweden, using a centralized register for inpatient care. During the 19-year study period, 29,277 hospital admissions for a first hip fr... |
0 | Achilles tendon rupture and tendinopathy: Management of complications | DOD - Acute Comp Syndrome CPG | Achilles tendon rupture and tendinopathy and the associated complications of conservative and surgical management present many challenges. Good clinical acumen, knowledge of management options, the appropriate surgery, and good soft tissue handling helps to avoid complications, but they do occur, even in experienced ha... |
0 | Predictors of distant recurrence in clinical stage I or II endometrial carcinoma treated by combination surgical and radiation therapy | MSTS 2022 - Metastatic Disease of the Humerus | A retrospective analysis of 201 patients with clinical Stage I or II endometrial carcinoma treated by combined surgery and radiation therapy from January 1976 to December 1992 is reported. The aim of the study was to determine predictors, if any, for distant recurrence. Twenty-eight patients (13.9%) in our series devel... |
0 | Hydrogen (H<sub>2</sub>) Alleviates Osteoarthritis by Inhibiting Apoptosis and Inflammation via the JNK Signaling Pathway | AMP (Acute Meniscal Pathology) | BACKGROUND: Osteoarthritis (OA) is a very common condition and leads to joint pain, disability, and price tag all over the world. Pathogenesis of OA is closely related to numerous inflammatory and apoptosis cytokines. Hydrogen (H<sub>2</sub>) reportedly exhibits a diversity of effects such as anti-apoptotic, anti-infla... |
1 | A dose reduction study of local anesthetic with addition of dexmedetomidine on postoperative epidural analgesia after total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | Background Epidural analgesia is still the preferred method of postoperative analgesia for total knee arthroplasty in many countries. Dexmedetomidine is a new alpha-2 agonist which had many beneficial effects when administered epidurally. The aim of study was to provide effective postoperative analgesia with hemodynami... |
0 | Surgical resection of metastatic renal cell carcinoma and melanoma after response to interleukin-2-based immunotherapy | Reconstruction After Skin Cancer | Thirty-one patients with disseminated melanoma or renal cell cancer (RCC) who had a limited relapse or persistent disease after a partial or complete response to interleukin-2 (IL-2)-based immunotherapy underwent resection of progressing tumors or residual sites of disease. There were no surgery-related deaths. The med... |
0 | Novel approaches to the treatment of primary amyloidosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Primary (AL, amyloid light-chain) amyloidosis is a plasma cell disorder in which deposits of amyloid light-chain protein cause progressive organ failure. It is important to recognise that amyloidosis is a dynamic process and chemotherapy-induced reduction of the activity of the plasma cell clone reduces the supply of t... |
1 | Vascular factors in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An increase in hand and forearm volume was induced without hand movement in ten subjects who had carpal tunnel syndrome (CTS). A tester, unaware of sides affected by CTS, performed the Volume Provocation Test (VPT) by inflating a sphygmomanometer cuff around the upper arm to 15 mm Hg less than diastolic pressure for fo... |
0 | Intraocular pressure before and after cataract surgery in participants of the Melbourne Visual Impairment Project | Upper Eyelid and Brow Surgery | The purpose of this study was to investigate the effect of cataract surgery on intraocular pressure (IOP) in a cluster-stratified random sample of the population of Victoria, Australia. A total of 3271 participants aged 40 years or older were examined at baseline for the Visual Impairment Project. The baseline study (1... |
0 | CC chemokine receptor 9 enhances proliferation in pancreatic intraepithelial neoplasia and pancreatic cancer cells | MSTS 2018 - Femur Mets and MM | INTRODUCTION: Chemokine receptors may regulate the progression and metastasis of invasive malignancies. There are little data, however, regarding their role in premalignant lesions. Our objective was to determine the role of CC chemokine receptor 9 (CCR9) in pancreatic intraepithelial neoplasia (PanIN).
METHODS: Human ... |
0 | NSAIDs/corticosteroids--primum non nocere | AAHKS (2) Corticosteroids | NSAIDs/Corticosteroids are the most used and maybe misused drugs against "aches and pains of the musculoskeletal system". Their effectiveness to reduce (not cure) inflammation and related pain is without doubt. The problem is that of their side effects in particular of the GI-tract and other body systems. It is clear t... |
0 | Medial opening wedge high tibial osteotomy alters knee moments in multiple planes during walking and stair ascent | OAK 3 - Non-arthroplasty tx of OAK | Medial opening wedge high tibial osteotomy is a surgical procedure intended to redistribute loads on the knee in patients with medial compartment knee osteoarthritis (OA). The surgery may affect moments in multiple planes during ambulation, with potential beneficial or detrimental effects on joint loads. The objective ... |
1 | Pugh nail fixation of displaced femoral neck fractures. A long term follow-up | Management of Hip Fractures in the Elderly | Of 695 intracapsular hip fractures with known end results, 80 per cent occurred in women whose average age was 71 years; of 101 consecutive undisplaced intracapsular fractures reported up to 1959, 81 were treated by internal fixation and 20 nonoperatively and all united but 11 per cent developed necrosis. From 1937 to ... |
0 | Proximal and distal femoral centralizers in modern cemented hip arthroplasty | AAHKS (2) Corticosteroids | Third generation cementing techniques using intramedullary restrictors, low porosity cement with pressurization, lavage, and cement-stem bond enhancement do not prevent implant malalignment and inadequate cement mantle thickness. This has led to the development of modular proximal and distal centralizers to control the... |
0 | Knee replacement for osteoarthritis | AAHKS (2) Corticosteroids | Knee replacement is one of the commonest surgical procedures performed in older adults, and its incidence is increasing rapidly. It is the only curative procedure for knee osteoarthritis, and it has excellent outcomes overall in terms of reoperation, functional outcomes and cost-effectiveness. However, a significant pr... |
0 | Rotational references for total knee arthroplasty tibial components change with level of resection | AMP (Acute Meniscal Pathology) | Background: Various landmarks can guide tibial component rotational alignment in routine TKA, but with the deeper tibial resection levels common in complex primary and revision TKAs, it is unknown whether these landmarks remain reliable. Questions/purposes: We asked whether three techniques for determining tibial compo... |
1 | Comparison of ceftibuten vs. amoxicillin/clavulanic acid as antibiotic prophylaxis in cholecystectomy and/or biliary tract surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A randomized, comparative, prospective clinical trial was carried out at a tertiary care center to compare the efficacy of two antibiotic regimens in the prophylaxis of postoperative infection in patients undergoing biliary tract surgery. One hundred patients undergoing cholecystectomy or biliary tract exploration were... |
0 | Fewer bone disease events, improvement in bone remodeling, and evidence of bone healing with bortezomib plus melphalan-prednisone vs. melphalan-prednisone in the phase III VISTA trial in multiple myeloma | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Bone disease is a key presenting feature of myeloma. This post hoc analysis of the phase III VISTA trial of bortezomib plus melphalan-prednisone (VMP) vs. MP in previously untreated myeloma patients assessed clinical bone disease events and changes in alkaline phosphatase (ALP), a marker for osteoblast acti... |
0 | Longitudinal changes in subchondral bone structure as assessed with MRI are associated with functional outcome after high tibial osteotomy | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: The primary objective of this study was to evaluate the effects of high tibial osteotomy (HTO) on subchondral bone structure assessed with magnetic resonance (MR)-based trabecular bone imaging and the correlations of these effects with functional outcome and clinical symptoms.
METHODS: Patients with varus m... |
0 | Methicillin-resistant Staphylococcus aureus incidence and outcome in patients with neck of femur fractures | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Since the 1980s, methicillin-resistant Staphylococcus aureus (MRSA) has been identified as a significant infectious agent with an increasing incidence within both hospitals and the community. The aim of this study was to measure the incidence of MRSA colonization in patients admitted with a neck of femur fracture requi... |
0 | Bilateral Simultaneous vs Staged Total Knee Arthroplasty: A Comparison of Complications and Mortality | PJI DX Updated Search | BACKGROUND: The purpose of this study was to compare the complications and mortality between bilateral simultaneous total knee arthroplasty (BTKA-Simultaneous) and bilateral staged TKA (BTK-Staged) while adjusting for differences in patient, surgeon, and hospital characteristics. METHODS: An integrated health care syst... |
0 | Influence of Age on Muscle Strength and Knee Function following Arthroscopic Meniscectomy | AMP (Acute Meniscal Pathology) | In an effort to examine thigh muscle strength following partial arthroscopic meniscectomy of the knee, 24 surgical patients were studied. They were divided into group 1 (age <20 years), group 2 (age 24-45 years), and group 3 (age >50 years). Subjects were studied immediately after surgery, weekly during isokinetic reha... |
0 | Remaining lifetime and absolute 10-year probabilities of osteoporotic fracture in Swiss men and women | Management of Hip Fractures in the Elderly | SUMMARY: Remaining lifetime and absolute 10-year probabilities for osteoporotic fractures were determined by gender, age, and BMD values. Remaining lifetime probability at age 50 years was 20.2% in men and 51.3% in women and increased with advancing age and decreasing BMD. The study validates the elements required to p... |
0 | High-flexion total knee arthroplasty: a systematic review | SR for PM on OA of All Extremities | This study is a systematic literature review of outcomes following total knee arthroplasty with implants specifically designed to enable increased knee flexion. English language comparative studies without date restriction were identified through a computerised literature search and bibliography review. Nine studies me... |
0 | Serum IL-1(beta) levels in health and disease: A population-based study. 'The InCHIANTI study' | Management of Hip Fractures in the Elderly | Interleukin-1 plays a role in normal homeostasis and in the inflammatory response which is deemed to be responsible for the development of major chronic diseases that are highly prevalent in the elderly. Aim of this study is to evaluate the factors influencing the serum levels of Interleukin-1 (beta), in a large and re... |
0 | Rapid response: activity from a hospital based Urgent Dental Care Centre during the COVID-19 pandemic | Coronavirus Disease 2019 (COVID-19) | On 23rd March, the UK Government announced a nationwide lockdown in response to the COVID-19 pandemic, resulting in the unequivocal and absolute cessation of all elective dental treatment. With much conflicting evidence on best practice to deliver safe treatment comprising of emergency dento-alveolar surgery, this pape... |
0 | Repair of large osteochondral defects in a beagle model with a novel type I collagen/glycosaminoglycan-porous titanium biphasic scaffold | OAK 3 - Non-arthroplasty tx of OAK | The limited repair potential of articular cartilage, which hardly heals after injury or debilitating osteoarthritis, is a clinical challenge. The aim of this work was to develop a novel type I collagen (Col)/glycosaminoglycan (GAGs)-porous titanium biphasic scaffold (CGT) and verify its ability to repair osteochondral ... |
0 | A comparison of fixed-bearing and mobile-bearing total knee arthroplasty at a minimum follow-up of 4.5 years | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Durable long-term independent results with the Low Contact Stress rotating-platform (mobile-bearing) and the Insall Burstein-II (fixed-bearing) total knee prostheses have been reported, but no studies describing either the mid-term or long-term results and comparing the two prostheses are available, to our ... |
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