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0 | Validity of routinely collected data in identifying hip fractures at a major tertiary hospital in Australia | Hip Fx in the Elderly 2019 | OBJECTIVES: To examine the validity of routinely collected data in identifying hip fractures (HFs) and to identify factors associated with incorrect coding.
METHOD: In a prospective cohort study between January 2014 and June 2016, HFs were identified using physician diagnosis and diagnostic imaging and were recorded in... |
1 | Immediate single-stage breast reconstruction using implants and human acellular dermal tissue matrix with adjustment of the lower pole of the breast to reduce unwanted lift | Acellular Dermal Matrix | Breast reconstruction using implants remains an aesthetic challenge toward achieving symmetry and natural appearance. Closing the areolar defect results in a vertically elevated breast mound. The use of human acellular dermal tissue matrix has been reported to provide coverage and durability over breast implants while ... |
0 | The RIZ Pro704 insertion-deletion polymorphism, bone mineral density and fracture risk: the Rotterdam study | Management of Hip Fractures in the Elderly | Estrogens play a major role in the maintenance of bone and bone strength, and they exert their effects via estrogen receptors. Recently, an estrogen receptor alpha (ESR1) specific co-activator, retinoblastoma-interacting zinc-finger protein (RIZ1, 1p36), was shown to strongly enhance ESR1 function in vitro. The same st... |
0 | Autologous drains in arthroplasty a randomized control trial | OAK 3 - Non-arthroplasty tx of OAK | The use of wound drains in arthroplasty patients is controversial. This study was designed to assess the use of retransfusion drains in arthroplasty patients and prove the null hypothesis that there is no difference in postoperative hemoglobin levels or transfusion with their use. Eighty patients undergoing hip and kne... |
1 | A comparison of MRI and bone SPET in the diagnosis of knee pathology | AMP (Acute Meniscal Pathology) | Bone single photon emission tomography (SPET) of the knees has been shown to be of diagnostic value for the investigation of knee pain. This study compared bone SPET with magnetic resonance imaging (MRI) for the diagnosis of knee disorders. Thirty-six patients were studied with both modalities, performed an average of ... |
0 | Partial mastectomy reconstruction with local and distant tissue flaps | Reduction Mammoplasty for Female Breast Hypertrophy | Breast-conserving surgery combined with radiotherapy has become the treatment of choice for the majority of women presenting with primary breast cancer over the last 20 years. The extent of local excision remains a controversial issue in breast-conserving surgery. The wider the margins of clearance, the less the risk o... |
1 | Surgical management and outcome of skeletal metastatic disease of the humerus | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE OF THE STUDY Evaluation of outcome after surgical treatment of humerus metastases with a focus on tumour and patient derived factors, timing and strategy of intervention, surgical outcome and complications. MATERIAL AND METHODS Sixty-fie patients with a mean age of 64.3 years (range 25-89) with 66 metastases of... |
0 | World experience with low contact stress mobile-bearing total knee arthroplasty: A literature review | Surgical Management of Osteoarthritis of the Knee CPG | This article reviews recent data regarding the low contact stress (LCS) mobile-bearing total knee prosthesis recently published in the literature; conclusions are based on literature controls. The LCS Total Knee System (DePuy Orthopaedics Inc, Warsaw, Ind) has addressed the issues of implant polyethylene wear and impla... |
0 | The Desired Role of Health Care Providers in Guiding Older Patients With Distal Radius Fractures: A Qualitative Analysis | Distal Radius Fractures | PURPOSE: Understanding patient preferences for shared decision making is valuable for surgeons to advance patient-centered care, particularly in cases where there is not a clearly superior treatment option, like distal radius fracture. The existing evidence presents conflicting views on the desired role of the provider... |
0 | Wetting solutions in ultrasound-assisted lipoplasty | Panniculectomy & Abdominoplasty CPG | Wetting solutions play a crucial role in traditional lipoplasty by reducing blood loss in the aspirate and diminishing postoperative ecchymosis and edema. From the inception of ultrasound-assisted lipoplasty a "wet environment" has been considered essential for efficient fat emulsification and for control of thermal si... |
0 | Ultrasonography of the hand and wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Musculoskeletal ultrasonography(US) of the hands and wrist has recently been increasing in popularity. Recent rapid technical advances in the US, such as new ultra-high frequency probes and smaller probe sizes, have led to improved image quality. This, in turn, has accelerated the growth of musculoskeletal US. Known ad... |
0 | Condylar fractures of the distal humerus in adults | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Condylar fractures of the distal humerus are serious and in many instances pose a difficult treatment problem for the orthopedist. From 1969 to 1974, 24 condylar fractures of the distal humerus were treated at the University of Alabama Hospitals. Twenty of the fractures were closed and four were open. Eighteen fracture... |
0 | Dorsal pin placement and external fixation for correction of dorsal tilt in fractures of the distal radius | Distal Radius Fractures | Insertion of a dorsal fixation pin was performed in 10 patients treated for distal radius fractures associated with dorsal angulation of the distal fragment. These fractures did not improve position with direct traction. Reduction was achieved with the use of a dorsal pin, used as a lever, to correct dorsal tilt of the... |
0 | Fall-related self-efficacy, not balance and mobility performance, is related to accidental falls in chronic stroke survivors with low bone mineral density | Management of Hip Fractures in the Elderly | Chronic stroke survivors with low hip bone density are particularly prone to fractures. This study shows that fear of falling is independently associated with falls in this population. Thus, fear of falling should not be overlooked in the prevention of fragility fractures in these patients. INTRODUCTION: Chronic stroke... |
1 | Radiographic detection of hip and pelvic fractures in the emergency department | Hip Fx in the Elderly 2019 | OBJECTIVE: Our purpose was to evaluate the detection of hip and pelvic fractures with radiography in the emergency department. MATERIALS AND METHODS: All MR images of the lower extremity or pelvis ordered from July 2005 through June 2008 by the emergency department after the patient had undergone radiography were retro... |
0 | Bone microarchitecture assessed by TBS predicts osteoporotic fractures independent of bone density: the Manitoba study | Management of Hip Fractures in the Elderly | The measurement of BMD by dual-energy X-ray absorptiometry (DXA) is the "gold standard" for diagnosing osteoporosis but does not directly reflect deterioration in bone microarchitecture. The trabecular bone score (TBS), a novel gray-level texture measurement that can be extracted from DXA images, correlates with 3D par... |
0 | Inguinofemoral lymphadenectomy: randomized trial comparing inguinal skin access above or below the inguinal ligament | Reconstruction After Skin Cancer | METHODSThis prospective randomized clinical trial of 62 consecutive patients affected by vulvar carcinoma requiring inguinal lymphadenectomy compared skin inguinal incision carried out 3-4 cm above the inguinal ligament (group A) or below it (group B).RESULTSInguinal dehiscence was present in 17 of 53 (32.1%) patients ... |
0 | The epiphyseal spur | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A small spur seen at the edge of an open epiphyseal line indicates the presence of an open epiphysis when this is not clear radiographically. In addition, the spur should not be mistaken for an avulsion fracture |
0 | e-Flap nipple reconstruction in amputation mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Although widely used in women who have gigantomastia, free nipple graft breast reduction has several disadvantages with respect to the nipple-areola graft. In this report, we present the use of a nipple reconstruction method instead of free nipple grafting.
METHOD: Free nipple reduction mammaplasty is perfo... |
1 | A 12-week randomized study of topical therapy with three dosages of ketoprofen in Transfersome gel (IDEA-033) compared with the ketoprofen-free vehicle (TDT 064), in patients with osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the safety and efficacy of ketoprofen in Transfersome gel (IDEA-033) in comparison with a ketoprofen-free vehicle (TDT 064) for the treatment of osteoarthritis (OA) of the knee.
METHODS: Patients with knee OA (N = 866) were randomly assigned to receive topical IDEA-033 containing 100, 50, or 25 m... |
0 | No difference in union and recurrence rate between iliac crest autograft versus allograft following medial opening wedge high tibial osteotomy: a randomized controlled trial | DoD SSI (Surgical Site Infections) | PURPOSE: Using iliac crest autograft has been considered as gold standard for gap filling in medial opening wedge high tibial osteotomy (MOW-HTO) but is associated with donor site morbidity and pain. The purpose of this study was to compare the results of the use of iliac crest autograft versus allograft from the same ... |
0 | Monocular deprivation in the siamese cat: Development of cortical orientation and direction sensitivity without visual experience | Upper Eyelid and Brow Surgery | Siamese kittens were reared with monocular eyelid suture and single units were recorded in area 17 contralateral to the deprived eye. Response properties of these units were compared with units studied in normally reared Siamese cats. Eyelid suture had little if any effect on the development of specific cortical respon... |
0 | Early post-surgical cognitive dysfunction is a risk factor for mortality among hip fracture hospitalized older persons | Hip Fx in the Elderly 2019 | This study investigates the relationship between cognitive dysfunction or delirium detected in the early post-surgical phase and the 1-year mortality among 514 hip fracture hospitalized older persons. Patients with early cognitive dysfunction or delirium experienced a 2-fold increased mortality risk. Early post-operati... |
0 | Duration of action of a single, early oral application of chlorhexidine on oral microbial flora in mechanically ventilated patients: a pilot study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: The purpose of this study was to describe the effect of an early post-intubation oral application of chlorhexidine gluconate on oral microbial flora and ventilator-associated pneumonia. METHODS: Thirty-four intubated patients were randomly assigned to chlorhexidine gluconate by spray or swab or to control gr... |
0 | Iloprost in the management of peripheral arterial disease in patients with diabetes mellitus | DoD LSA (Limb Salvage vs Amputation) | Diabetic complications in the lower extremities, especially those secondary to diabetic macroangiopathy, have increasingly become a clinical emergency, given the high prevalence and progression of the disease. Until recently, the only approach to treating advanced stage disease was medical therapy and major amputation;... |
0 | Inhibition of proliferation and modulation of estradiol metabolism: novel mechanisms for breast cancer prevention by the phytochemical indole-3-carbinol | Reduction Mammoplasty for Female Breast Hypertrophy | Aberrant proliferation is an early-occurring intermediate event in carcinogenesis whose inhibition may represent preventive intervention. Indole-3-carbinol (I3C), a glucosinolate metabolite from cruciferous vegetables, inhibits organ site carcinogenesis in rodent models. Clinically relevant biochemical and cellular mec... |
0 | Streptococcus gordonii prosthetic joint infection in the setting of vigorous dental flossing | PJI DX Updated Search | A 65-year-old woman with osteoarthritis, who underwent knee replacement 5 years prior, developed sudden onset knee pain and swelling. She had voluntarily starting a vigorous dental flossing regimen prior to the onset of symptoms. The patient underwent right knee arthrotomy, irrigation and debridement of right total kne... |
0 | Hip fracture patients' cognitive state affects family members' experiences - a diary study of the hip fracture recovery | Management of Hip Fractures in the Elderly | BACKGROUND: Many patients with hip fractures suffer from dementia disease, which has shown to affect the outcome of recovery strongly, as well as care and treatment. As most hip fracture patients are discharged home early after surgery, caregiving often falls on family members - spouses, daughters, sons, or even neighb... |
0 | Regaining functional independence in the acute care setting following hip fracture | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: Factors that predict functional recovery in the first few days following hip fracture and that may facilitate discharge to the home directly from the acute care setting have not been identified. This study investigated the attainment of key functional milestones by patients and discharge status ... |
0 | Long-term analysis of patients having surgical treatment for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This retrospective study of 100 patients who had surgical treatment for their carpal tunnel syndrome was performed to determine what factors were associated with long-term success or failure. One hundred thirty hands were treated surgically with an average follow-up of 4 years (range, 2 to 6 years). All patients were g... |
0 | Magnetic resonance imaging (MRI)-defined cartilage degeneration and joint pain are associated with poor physical function in knee osteoarthritis - the Oulu Knee Osteoarthritis study | AMP (Acute Meniscal Pathology) | OBJECTIVE: The main aim was to investigate the associations between Magnetic Resonance Imaging (MRI)-defined structural pathologies of the knee and physical function.
DESIGN: A cohort study with frequency matching on age and sex with eighty symptomatic subjects with knee pain and suspicion or diagnosis of knee osteoart... |
0 | The hand arm vibration syndrome: A review | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Since its first description over eight decades ago, the hand arm vibration syndrome - vibration white finger as it was previously known - has become one of the most common prescribed diseases in the industrialized world. This article is intended to provide a broad review of existing evidence and knowledge regarding a d... |
0 | Reliability analysis of 16-MDCT in preoperative evaluation of total knee arthroplasty and comparison with intraoperative measurements | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE. The aim of our study was to determine how consistent measurements of the distal femoral condyle on 16-MDCT are with intraoperative measurements and the reliability of 16-MDCT for the preoperative planning of total knee arthroplasty. MATERIALS AND METHODS. Between August 2003 and March 2004, 33 consecutive pa... |
0 | Understanding readmission after primary total hip and knee arthroplasty: Who's at risk? | DoD SSI (Surgical Site Infections) | Readmission has been cited as an important quality measure in the Patient Protection and Affordable Care Act. We queried an electronic database for all patients who underwent Total Hip Arthroplasty or Total Knee Arthroplasty at our institution from 2006 to 2010 and identified those readmitted within 90. days of surgery... |
0 | Factors associated with a protracted hospital stay after hip fracture surgery in Japan | Hip Fx in the Elderly 2019 | Aim: Hip fracture is a major injury in the elderly and has a high impact on quality of life and use of health-care resources. In this study, we aimed to identify the factors related to prolonged hospital stay and poor outcome after hip fracture surgery. Methods: We evaluated data from 8920 cases at 398 acute-care hospi... |
0 | Targeting the bone marrow: Applications in stem cell transplantation | MSTS 2018 - Femur Mets and MM | Therapeutic doses of radiation can be selectively directed to the bone marrow either directly using vectors that bind to myeloid and/or lymphoid specific antigens or indirectly by targeting bone matrix. The combination of an accessible target tissue and relatively radiation sensitive malignant cells favours the use of ... |
0 | The burden of osteoporotic fractures beyond acute care: the Canadian Multicentre Osteoporosis Study (CaMos) | Management of Hip Fractures in the Elderly | BACKGROUND: the burden associated with osteoporotic fractures has commonly been reported in terms of utilisation of acute care. However, individuals with fractures suffer lasting deficits in quality of life and the burden of care extends well beyond the initial acute care period. The burden of fractures related to post... |
0 | Fatigue and pain limit independent mobility and physiotherapy after hip fracture surgery | Hip Fx in the Elderly 2019 | PURPOSE: The patient's ability to complete their planned physiotherapy session after hip fracture surgery has been proposed as an independent predictor for achieving basic mobility independency upon hospital discharge. However, knowledge of factors limiting mobility is sparse. We therefore examined patient reported fac... |
0 | Physical restraint among hospitalized nursing home residents: Predictors and outcomes | Management of Hip Fractures in the Elderly | We examined physical restraint use among 1856 nursing home residents hospitalized with hip fracture using a data set of hip fracture patients in 20 U. S. hospitals from 1983-1993. Mean age of patients was 85.2 years, 81.7% were women, and 91.3% were white. Rate of physical restraint use was 59.4%. Pre-operative physica... |
0 | Coronavirus Neurosurgical/Head and Neck Drape to Prevent Aerosolization of Coronavirus Disease 2019 (COVID-19): The Lenox Hill Hospital/Northwell Health Solution | Coronavirus Disease 2019 (COVID-19) | Background: The coronavirus disease 2019 (COVID-19) pandemic has infected more than 13 million people on a global scale and claimed more than half million deaths across 213 countries and territories. While the focus is currently on recovery from the pandemic, the disease has significantly changed the way we practice me... |
0 | Does total knee arthroplasty affect the patellar tendon reflex? | Surgical Management of Osteoarthritis of the Knee CPG | Background: There may be a perception in clinical practice that any deficit in the patellar tendon reflex arc could be attributed to a total knee arthroplasty (TKA). There is no evidence in the literature to support this conclusion. Methods: Sixty-six knees were examined to determine whether TKA affects the patellar te... |
0 | Total hip arthroplasty after prior surgical treatment of hip fracture is it always challenging? | Management of Hip Fractures in the Elderly | Salvage total hip arthroplasty (THA) presents a viable solution for failed open reduction internal fixation. This study compares salvage THA in patients with prior femoral neck fractures vs patients with prior intertrochanteric fractures. One hundred fifty-four hips in 152 patients underwent conversion from open reduct... |
0 | Chronic opioid use prior to total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Chronic use of opioid medications may lead to dependence or hyperalgesia, both of which might adversely affect perioperative and postoperative pain management, rehabilitation, and clinical outcomes after total knee arthroplasty. The purpose of this study was to evaluate patients who underwent total knee art... |
0 | The effect of add-on yogic prana energization technique (YPET) on healing of fresh fractures: A randomized control study | MSTS 2022 - Metastatic Disease of the Humerus | Objectives: The objective was to study the effect of the add-on yogic prana energization technique (YPET) on healing of fresh fractures. Materials and methods: Thirty (30) patients (22 men and 8 women) between 18 and 55 years with simple extra-articular fractures of long and short bones were selected from the outpatien... |
1 | Levator Aponeurosis and Muller Muscle Plication Reinforced With Levator Sheath Advancement for Blepharoptosis Correction | Upper Eyelid and Brow Surgery | The authors innovated the levator aponeurosis and Muller muscle plication reinforced with levator sheath advancement (AMPSA) for blepharoptosis correction. The orbital septum was opened 1 mm above its fusion with the levator aponeurosis. The preaponeurotic fat was retracted and the thickened part of the levator sheath ... |
0 | Different patterns of cerebral injury in dementia with or without diabetes | DoD PRF (Psychosocial RF) | Background: Diabetes mellitus (DM) increases the risk of dementia in the elderly. However, its underlying mechanisms, its connection with Alzheimer disease and vascular cognitive impairment, and effects of therapy remain unclear. Objective: To test the hypothesis that DM promotes specific neuropathology processes that ... |
0 | The value of the three-point index in predicting redisplacement of diaphyseal fractures of the forearm in children | Distal Radius Fractures | Redisplacement is the most common complication of immobilisation in a cast for the treatment of diaphyseal fractures of the forearm in children. We have previously shown that the three-point index (TPI) can accurately predict redisplacement of fractures of the distal radius. In this prospective study we applied this in... |
1 | Improved pain control with adductor canal block using liposomal bupivacaine after total knee replacement: a retrospective cohort study | AAHKS (9/10) Regional Nerve Blocks | Background: Adductor canal blocks (ACBs), typically administered with a local anesthetic such as bupivacaine, help control perioperative pain after total knee arthroplasty. Recently, liposomal bupivacaine (LB) was introduced in an attempt to extend the duration of analgesia, used primarily in periarticular injections (... |
0 | Osmidrosis Treatment Approaches: A Systematic Review and Meta-Analysis | Panniculectomy & Abdominoplasty CPG | BACKGROUND: There are many treatment modalities associated with osmidrosis. The purpose of this study was to identify and compare effective osmidrosis treatments. METHODS: A systematic literature review and meta-analysis were performed using MEDLINE, EMBASE, and Cochrane databases. The osmidrosis treatment modalities w... |
1 | Effect of functional bracing on subsequent knee injury in ACL-deficient professional skiers | Anterior Cruciate Ligament Injuries CPG | The effect of functional bracing on subsequent knee injury in anterior cruciate ligament (ACL) deficient professional skiers was evaluated. A cohort of 180 ACL-deficient skiers was identified from a knee screening of 9410 professional skiers from 1991-1997. An ACL-deficient knee was defined by an abnormal examination (... |
0 | Gene-gene interactions in RANK/RANKL/OPG system influence bone mineral density in postmenopausal women | Management of Hip Fractures in the Elderly | Receptor activator of nuclear factor kappaB (RANK) is one of the proteins in regulation of osteoclastogenesis via RANK/RANKL/OPG. Gene that codes for RANK protein (TNFRSF11A) was associated with osteoporotic fractures in a recent genome-wide association study. As variations in the RANK gene could alter its expression a... |
0 | Results of displaced subcapital fractures treated by primary total hip replacement | DoD SSI (Surgical Site Infections) | We present morbidity, mortality and functional outcome in mobile, socially independent and alert patients with displaced subcapital hip fractures, treated by primary total hip replacement (THR). Fifty-one consecutive socially independent and mentally alert patients with displaced subcapital fractures were treated by pr... |
0 | Distal radius correction osteotomy with tricortical bone graft is a successful method in heavy smokers | Distal Radius Fractures | Background: Corrective osteotomy is a technically challenging surgical option to improve wrist function in tilted distal radius malunions. However fracture healing in smokers is adversely affected. The aim of this study was to evaluate the clinical and radiological effect of cigarettes on bone union in heavy-smokers wh... |
0 | Orchidopexy in children with Praderâ??Willi syndrome: Results of a long-term follow-up study | Developmental Dysplasia of the Hip 2020 Review | Introduction: Praderâ??Willi syndrome (PWS) is a rare (1:20.000) genetic condition affecting both males and females. Among other features, in boys, the syndrome is characterized by cryptorchidism in 86â??100% of cases, hypogonadism, delayed puberty and infertility. The aim of the present study is to appraise the result... |
0 | Modified Desmanet's intramedullary pinning for fractures of the distal radius | Distal Radius Fractures | The purpose of this article is to present the results of Desmanet's intramedullary pinning for distal radius fractures, and also to present modifications of the cut-end management of pins; the cut-ends were shaped like a tear-drop for the radial pin and like a curtain-hook for the ulnar pin. One hundred and two operate... |
0 | Multimodal analgesia without parenteral narcotics for total knee arthroplasty | AAHKS (4) Acetaminophen | Use of parenteral narcotics after total knee arthroplasty is considered by most orthopedic surgeons to be the standard of care. This study tested the hypothesis that a multimodal oral pain medication protocol could control pain and minimize complications of parenteral narcotics. Postoperative oral analgesia was augment... |
1 | Autologous Dermal Mesh in Severe Postpregnancy Recti Muscles Diastasis | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: The severe postpregnancy diastasis of recti muscles causes a biomechanical alteration of the statics of the trunk and an unaesthetic bulging of the abdominal wall. This is always combined with cutaneous and subcutaneous excess, which is different on a case-by-case basis. There is not a consensus on the be... |
0 | Management of osteoarthritis in older people | AAHKS (4) Acetaminophen | Osteoarthritis is a common cause of disability in the elderly. Management involves pharmacological and non-pharmacological therapies, often in combination. Paracetamol is regarded as the drug of first choice in the management of pain, however anti-inflammatory drugs or other analgesics should be considered if regular p... |
0 | A statistical review of 100 consecutive "U.C.I." low friction knee arthroplasties with analysis of results | Surgical Management of Osteoarthritis of the Knee CPG | In 100 U.C.I. low friction knee arthroplasties, the primary goal of relief from pain was accomplished in most patients. However, the precise evaluation of the result of a knee arthroplasty can be difficult. Many of the patients who rated good or better within an average follow up time of one year had patellofemoral com... |
0 | The Wagner Cone Stem for the Management of the Challenging Femur in Primary Hip Arthroplasty | Hip Fx in the Elderly 2019 | BACKGROUND: Splined conical stems offer design features that facilitate their use in the misshapen, dysplastic proximal femur.
METHODS: This study assessed the survivorship of a conical prosthesis when applied to secondary coxarthrosis because of a range of pathologies. Fifty-one prostheses were implanted in 50 patient... |
1 | MRI-guided percutaneous retrograde drilling of osteochondritis dissecans of the knee | Osteochondritis Dissecans 2020 Review | OBJECTIVE: The purpose of this study was to evaluate the feasibility of a new method for osteochondritis dissecans (OCD) treatment. MATERIALS AND METHODS: Ten OCD lesions of the knee unresponsive to conservative management were treated with MRI-guided percutaneous retrograde drilling to reduce symptoms and promote ossi... |
0 | Ultra-low dose ketamine infusion for limb ischemia-a case report | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Ketamine has been widely used in anesthesia and pain management [1]. It has found special application in the pain management of patients with opioid tolerance, acute hyperalgesia and chronic neuropathic pain [2]. The conventional nulllow-dosenull ketamine described is as bolus of 0.1-0.2 mg/kg and continuous i... |
0 | Prehospital management of lower limb fractures | DOD - Acute Comp Syndrome CPG | Lower limb fractures are common injuries in prehospital care. Untreated fractures can lead to hypovolaemic shock especially if open, and should be treated with effective haemorrhage control and splintage. A brief assessment for open fractures, deformity, and neurovascular compromise should be followed by effective anal... |
0 | COVID-19 Community Stabilization and Sustainability Framework: An Integration of the Maslow Hierarchy of Needs and Social Determinants of Health | Coronavirus Disease 2019 (COVID-19) | All levels of government are authorized to apply COVID-19 protection measures, however, they must consider how and when to ease lockdown restrictions to limit long-term societal harm and societal instability. Leaders that employ a well-considered framework with an incremental approach will be able to gradually restart ... |
0 | Hospital readmissions among the elderly | Management of Hip Fractures in the Elderly | This paper investigates the six-month hospital readmission rates among 444 patients 65 years of age or older admitted to a large metropolitan teaching hospital who had a primary discharge diagnosis of cerebrovascular disease, hip fracture, or congestive heart failure. Twenty-four percent were readmitted to the same ins... |
0 | Biomechanical evaluation of novel ultrasound-activated bioresorbable pins for the treatment of osteochondral fractures compared to established methods | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteochondral injuries often lead to osteoarthritis of the affected joint. All established systems for refixation of osteochondral defects show certain disadvantages. To address the problem of reduced stability in resorbable implants, ultrasound-activated pins were developed. By ultrasound-activated melting... |
0 | Outpatient Panniculectomy and Skin Graft for Adult Buried Penis | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: To demonstrate a technique for performing panniculectomy and skin graft for a patient with adult buried penis, highlighting a number of technical modifications that allow for the procedure to be performed as an outpatient. METHODS: Pannus is mobilized with a modified trapezoid incision, leaving superior atta... |
0 | Injection with corticosteroids (ultrasound guided) in patients with an ulnar neuropathy at the elbow, feasibility study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION AND PURPOSE: Unlike carpal tunnel syndrome, little is known about injection with corticosteroids in patients with an ulnar neuropathy at the elbow (UNE). The purpose of this feasibility study is to see whether injection with corticosteroids is safe in patients with UNE and whether there are grounds to laun... |
0 | Information processing of sexual abuse in elders | DoD PRF (Psychosocial RF) | Sexual abuse is considered to be a pandemic contemporary public health issue, with significant physical and psychosocial consequences for its victims. However, the incidence of elder sexual assault is difficult to estimate with any degree of confidence. A convenience sample of 284 case records were reviewed for Post-Tr... |
0 | Diacerein protects against iodoacetate-induced osteoarthritis in the femorotibial joints of rats | OAK 3 - Non-arthroplasty tx of OAK | The present study was undertaken to investigate the effect of diacerein on the histopathology of articular cartilage and subchondral bone of the femorotibial joint in rats. Osteoarthritis was induced in rats after single intra-articular injection of sodium iodoacetate. Rats were sacrificed 1, 2, 4, and 8 weeks post int... |
0 | Duplication of Superficial Femoral Artery: An Uncommon Variation of the Lower Limb Arterial System | Management of Hip Fractures in the Elderly | The most common anatomical variation of the superficial femoral artery (SFA) is hypoplasia or aplasia, associated with persistent sciatic artery. Duplication of SFA remains uncommon. We report a case of SFA duplication discovered on an angiogram performed for critical limb ischemia, in an 80-year-old man. (copyright) 2... |
0 | Carpal tunnel syndrome impairs sustained precision pinch performance | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The purpose of this study was to investigate effects of carpal tunnel syndrome (CTS) on digit force control during a sustained precision pinch. METHODS: Eleven CTS individuals and 11 age- and gender-matched healthy volunteers participated in the study. The subjects were instructed to isometrically pinch an i... |
0 | Bone mineral density and singh index predict bone mechanical properties of human femur | Management of Hip Fractures in the Elderly | The aim of our study was to assess the predictive value of the Singh index (SI), which estimates bone architecture, and bone density (BMD) when dealing with the mechanical competence of bone and to analze possible differences in bone properties between gender in humans. The relationship between SI, BMD, and mechanical ... |
0 | The effectiveness of osteopathic manipulative treatment as complementary therapy following surgery: A prospective, match-controlled outcome study | Management of Hip Fractures in the Elderly | Context: Osteopathic manipulative treatment has been reported to relieve a variety of conditions, but no studies have examined the outcome effects of osteopathic manipulative treatment as a complementary modality for treating musculoskeletal problems during postoperative recovery. Objective: To assess osteopathic manip... |
1 | Management of traumatic popliteal vascular injuries in a level I trauma center: A 6-year experience | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: Popliteal vascular trauma remains a challenging entity, and carries the greatest risk of limb loss among the lower extremity vascular injuries. Operative management of traumatic popliteal vascular injuries continues to evolve. We aim at describing our experience with such complex injuries, with associated... |
1 | Avascular necrosis of the talus: Current treatment options | DoD LSA (Limb Salvage vs Amputation) | This article discusses current treatment options for avascular necrosis of the talus. |
0 | Recurrent hemarthrosis after unicompartmental knee arthroplasty | PJI DX Updated Search | Recurrent hemarthrosis after knee arthroplasty can be disabling, requiring adequate and immediate diagnosis and treatment for recovery of symptoms and joint function. The most commonly reported cause is impingement of proliferative synovium between prosthetic components. Although various procedures for hemarthrosis hav... |
0 | Preventing lymphedema and morbidity with an omentum flap after ilioinguinal lymph node dissection | MSTS 2018 - Femur Mets and MM | Background: Pedicled omentoplasty has been advocated to prevent the formation of lymphocysts and lymphedema after pelvic lymph node dissection, We evaluated the possible benefit of a pediculated omentoplasty placed in the groin for preventing complications after ilioinguinal lymph node dissection. Methods: In this pilo... |
0 | Neurotization with the brachialis muscle motor nerve | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Function of the wrist and hand in lower root avulsions is severely impaired. Based on anatomic and experimental studies which suggest that the motor nerve of the brachialis muscle could be used as a selective neurotizator in lower root avulsions with intact C5-C6 (plus or minus) C7 roots (Klumpke paralysis), we conside... |
0 | Prolactin secretion in women after plastic breast augmentation and reduction | Reduction Mammoplasty for Female Breast Hypertrophy | Prolactin secretion in women undergoing augmentation and reduction mammaplasties was studied by determining serum prolactin concentrations preoperatively, intraoperatively, and for one year postoperatively. Thyrotropin-releasing hormone tests for prolactin secretion were performed in a small subgroup of these patients.... |
0 | Precision of Ci-navigated extension and flexion gap balancing in total knee arthroplasty and analysis of potential predictive variables | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: The aim of this study was to evaluate the accuracy of final limb alignment and flexion-extension and medial-lateral gap balancing in computer navigated total knee arthroplasty and to analyze various possible predictive variables that may affect the gaps in computer navigated knee arthroplasty. MATERIALS A... |
1 | Clinical spectrum of acute compartment syndrome of the thigh and its relation to associated injuries | DOD - Acute Comp Syndrome CPG | The reason for the described clinical variability of acute compartment syndrome of the thigh, with high morbidity and mortality in some patients and an uncomplicated clinical course in others, is not known. To better define the clinical spectrum and factors determining the clinical course of this rare clinical entity, ... |
0 | Single versus staged epidural injections of 0.75% bupivacaine: pharmacokinetic and pharmacodynamic effects | AAHKS (9/10) Regional Nerve Blocks | Epidural anesthesia may be performed as a single injection or by staged doses. Thirty patients undergoing primary total hip replacement were randomly assigned to have epidural anesthesia using a single injection or a staged technique with 25 mL of 0.75% bupivacaine. Arterial plasma bupivacaine concentrations were signi... |
0 | Effects of repetitive arm cycling exercise on post-stroke upper limb function and satisfaction: A preliminary study | Pediatric Supracondylar Humerus Fracture 2020 Review | Background/Objectives: The aim of this preliminary study was investigated the effect of repetitive arm cycling exercise on upper extremity function and satisfaction in patients with acute stroke. Methods/Statistical analysis: Twenty patients with stroke were participated in present study. All subjects randomly assigned... |
0 | Treatment of posttraumatic bone defects of the forearm with vascularized fibular grafts. Follow up after fourteen years | DoD SSI (Surgical Site Infections) | Background: Among several techniques proposed for the reconstruction of posttraumatic bone defects of the forearm, that of free vascularised fibular graft (FVFG) is one of the most widely used. Patients and method: We study the long-term outcomes of 14 patients who underwent FVFG between 1994 and 2009, with a minimum f... |
0 | Three-year multicenter surveillance of pneumococcal meningitis in children: clinical characteristics, and outcome related to penicillin susceptibility and dexamethasone use | Patrick’s pharmacoepidemiology project | OBJECTIVES: To evaluate the antibiotic susceptibility of Streptococcus pneumoniae isolates obtained from the blood and cerebrospinal fluid of children with meningitis. To describe and compare the clinical and microbiological characteristics, treatment, and outcome of children with meningitis caused by S pneumoniae base... |
0 | An Analysis of Knee Injuries in Rugby League: The Experience at the Newcastle Knights Professional Rugby League Team | AMP (Acute Meniscal Pathology) | BACKGROUND: Epidemiologic data in professional sport is becoming an increasingly valuable tool in identifying frequently occurring injuries and developing strategies to reduce their occurrence. Currently, there is a paucity of literature on the epidemiology of knee injuries in professional male rugby league players.
ME... |
0 | Lubricin expression in human osteoarthritic knee meniscus and synovial fluid: a morphological, immunohistochemical and biochemical study | AMP (Acute Meniscal Pathology) | The purpose of this study was to investigate the expression of lubricin, the product of the human PRG4 (proteoglycan 4) gene, in menisci and synovial fluid from normal donors and patients with osteoarthritis (OA), using a combination of histology, immunohistochemistry, ELISA and Western blotting analysis, to provide fu... |
0 | Pattern of Care, Health Care Disparities, and Their Impact on Survival Outcomes in Stage IVB Cervical Cancer: A Nationwide Retrospective Cohort Study | MSTS 2022 - Metastatic Disease of the Humerus | Objective Although locally advanced cervical cancer can be cured, patients with stage IVB disease have poor prognosis with limited treatment options. Our aim was to describe the pattern of care and analyze health disparity variables that may account for differences in treatment modalities and survival in this populatio... |
1 | Transmission dynamics of the COVID-19 outbreak and effectiveness of government interventions: A data-driven analysis | Coronavirus Disease 2019 (COVID-19) | Using the parameterized susceptible-exposed-infectious-recovered model, we simulated the spread dynamics of coronavirus disease 2019 (COVID-19) outbreak and impact of different control measures, conducted the sensitivity analysis to identify the key factor, plotted the trend curve of effective reproductive number (R), ... |
1 | The effects of pre-operative intra-articular glenohumeral corticosteroid injection on infective complications after shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: Many shoulder surgeons use intra-articular corticosteroid injections (IACI) in shoulder osteoarthritis, with the caveat that it precludes arthroplasty for at least 6 months to 12 months because of the theoretical risk of infection. To our knowledge, there is nothing available in the literature to support th... |
0 | Open fractures: epidemiological pattern, initial management and challenges in a sub-urban teaching hospital in Nigeria | DoD SSI (Surgical Site Infections) | Introduction: Management of open fractures poses a constant challenge to Orthopaedic surgeons in Nigeria. Our aim is to determine the epidemiological pattern of open fractures in our centre and share our experiences on the initial management and problems encountered.
Methods: This was an 18 month prospective study of p... |
0 | Factors associated with patient satisfaction | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: This investigation tested the null hypothesis that psychological factors have no effect on patient satisfaction in a hand and upper limb practice. METHODS: The Center for Epidemiologic Studies Depression Scale, the Pain Catastrophizing Scale, and the Disabilities of the Arm, Shoulder, and Hand questionnaire we... |
0 | The clinical outcomes of extracorporeal irradiated and re-implanted cemented autologous bone graft of femoral diaphysis after tumour resection | DoD SSI (Surgical Site Infections) | Purpose: We report the outcome of intercalary resection of the femoral diaphysis and extracorporeal irradiated autologous bone graft reconstruction, without the use of vascularized fibular graft. Methods: Six patients with Ewing sarcoma of the mid-shaft femur who were treated by limb sparing tumour resection and recons... |
0 | Factors associated with hospital stay length, discharge destination, and 30-day readmission rate after primary hip or knee arthroplasty: Retrospective Cohort Study | Hip Fx in the Elderly 2019 | Background: In France and in the US, predictions for 2030 include an increased number of total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures together with an overall trend towards shorter hospital stays. Predictors of hospital length of stay (LOS) include the day of surgery, discharge destination,... |
0 | Vitamin D and femoral neck fractures in elderly South Australian women | Management of Hip Fractures in the Elderly | The vitamin D status of women with femoral neck fractures and of male and female nursing-home residents in South Australia was assessed and compared with that of ambulant normal elderly women and young male and female controls. Serum 25-hydroxyvitamin D (25OHD) was assayed with a competitive protein-binding method incl... |
0 | Evaluation of the Effect of Adding Corticosteroid to Viscosupplementation | OAK 3 - Non-arthroplasty tx of OAK | So far there is no convincing evidence that any treatment can be really effective in slowing or preventing the development of OA. The viscosupplementation by intraarticular injection of hyaluronateâ?derived products has gained popularity as a treatment modality of gonarthrosis. Today there are various papers on the tr... |
0 | Thyroid hormone use and the risk of hip fracture in women > or = 65 years: a case-control study | Management of Hip Fractures in the Elderly | BACKGROUND: There is controversy about whether thyroid hormone therapy may lead to osteoporosis, and less is known about the clinically more important end point of whether its use increases fracture risk. METHODS: We used a case-control study to examine the association between thyroid hormone use and hip fractures amon... |
0 | Lipedema: A Review of the Literature | Panniculectomy & Abdominoplasty CPG | Lipedema is a disorder of adipose tissue that primarily affects females and is often misdiagnosed as obesity or lymphedema. Relatively few studies have defined the precise pathogenesis, epidemiology, and management strategies for this disorder, yet the need to successfully identify this disorder as a unique entity has ... |
0 | Being a quantitative interviewer: qualitatively exploring interviewers' experiences in a longitudinal cohort study | DoD PRF (Psychosocial RF) | BACKGROUND: Many studies of health outcomes rely on data collected by interviewers administering highly-structured (quantitative) questionnaires to participants. Little appears to be known about the experiences of such interviewers. This paper explores interviewer experiences of working on a longitudinal study in New Z... |
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