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1 | Compression neuropathies of the median nerve | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Specific compression syndromes of the median nerve are known in the proximal forearm and at the wrist. Carpal tunnel syndrome is the best known and most common, but pronator teres syndrome and anterior interosseous nerve syndrome also are clinically significant. In this discussion, we review the history, relevant anato... |
0 | Morbid obesity: a significant risk factor for failure of two-stage revision total knee arthroplasty for infection | PJI DX Updated Search | BACKGROUND: Obese patients have a higher risk of complications following primary total knee arthroplasty, including periprosthetic joint infection. However, there is a paucity of data concerning the efficacy of two-stage revision arthroplasty in obese patients. METHODS: We performed a two-to-one matched cohort study to... |
0 | Gait Analysis of Leg Length Discrepancyâ??Differentiated Hip Replacement Patients With Developmental Dysplasia: A Midterm Follow-Up | OAK 3 - Non-arthroplasty tx of OAK | Background: Few studies investigate gait characteristics and symmetry of developmental dysplasia of the hip patients (Crowe II and III) after total hip arthroplasty (THA) whose leg length discrepancy (LLD) is within 20 mm. Our study aimed to explore whether gait analysis parameters in these patients can return to the l... |
0 | Intertrochanteric osteotomy using a dynamic hip screw for femoral neck nonunion | Management of Hip Fractures in the Elderly | The dynamic hip screw, which is routinely used for intertrochanteric hip fractures, also provides a technically simple means of fixation for intertrochanteric valgus osteotomies in the treatment of femoral neck nonunions. Eight patients underwent intertrochanteric valgus osteotomy for femoral neck nonunion using a dyna... |
0 | Study Comparing Peri-articular Injection of Bupivacaine With and Without Epinephrine | OAK 3 - Non-arthroplasty tx of OAK | Total hip and knee arthroplasties are associated with considerable blood loss, and can conservatively range from 480 ml to 1.39 liters. Current research has focused on the prevention of allogeneic blood transfusion with the preâ?operative donation and use of epoetin alfa. While the preâ?operative use of epoetin alpha... |
0 | Runx2, an inducer of osteoblast and chondrocyte differentiation | Reduction Mammoplasty for Female Breast Hypertrophy | Runx2 is a transcription factor that is essential for osteoblast differentiation and chondrocyte maturation. Ihh, expressed in prehypertrophic and hypertrophic chondrocytes, is required for the specification of Runx2(+) osteoprogenitors in endochondral bone development. Runx2 induces Sp7, an essential transcription fac... |
1 | Body contouring surgery improves long-term satisfaction with appearance and health-related quality of life after bariatric surgery: BODY-Q results from a Danish cohort study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Patient-reported outcomes are crucial in bariatric surgery (BaS) and body contouring surgery (BC) since patients' goals include improvement in appearance and health-related quality of life (HR-QOL). The BODY-Q is a patient-reported outcome measure developed to measure change in satisfaction with appearance ... |
0 | Spread of Injectate Associated With Radial or Median Nerve-Type Motor Response During Infraclavicular Brachial-Plexus Block: An Ultrasound Evaluation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background and Objectives: We have compared ultrasound characteristics of spread during infraclavicular brachial-plexus blocks by use of electrically evoked radial-nerve- or median-nerve-type distal motor responses to guide the injection of 30 mL of 1.5% mepivacaine. Methods: Consecutive patients who required surgery d... |
1 | Microfracture versus microfracture and platelet-rich plasma: arthroscopic treatment of knee chondral lesions. A two-year follow-up study | PRP (Platelet-Rich Plasma) | PURPOSE: the aim of this study was to describe and compare the clinical results obtained in patients affected by chondral lesions of the knee submitted to an arthroscopic treatment with the microfracture technique or microfracture + intraoperative autologous platelet-rich plasma (PRP) injection.
METHODS: a prospective ... |
0 | Reverse Oblique and Transverse Intertrochanteric Femoral Fractures Treated With the Long Cephalomedullary Nail | Hip Fx in the Elderly 2019 | OBJECTIVE: To evaluate the healing rate, complications, role of reduction and screw placement, and the 1-year mortality in the treatment of reverse oblique and transverse intertrochanteric femoral fractures treated with the long cephalomedullary nail.
DESIGN: Retrospective review.
SETTING: Two different Level-1 trauma ... |
0 | Imaging of Skeletal Muscle | DOD - Acute Comp Syndrome CPG | Various diagnostic imaging techniques such as sonography, computed tomography, scintigraphy, radiography, and magnetic resonance imaging (MRI) have made possible the noninvasive evaluation of skeletal muscle injury and disease. Although these different modalities have roles to play, MRI is especially sensitive in the d... |
1 | The impact of operative time on complications after plastic surgery: A multivariate regression analysis of 1753 cases | Panniculectomy & Abdominoplasty CPG | Background: Little evidence within plastic surgery literature supports the precept that longer operative times lead to greater morbidity. Objective: The authors investigate surgery duration as a determinant of morbidity, with the goal of defining a clinically relevant time for increased risk. Methods: A retrospective c... |
0 | T1rho and T2 relaxation times of the normal adult knee meniscus at 3T: analysis of zonal differences | AMP (Acute Meniscal Pathology) | BACKGROUND: Prior studies describe histological and immunohistochemical differences in collagen and proteoglycan content in different meniscal zones. The aim of this study is to evaluate horizontal and vertical zonal differentiation of T1rho and T2 relaxation times of the entire meniscus from volunteers without symptom... |
0 | Hybrid total hip arthroplasty using specifically-designed stems for patients with developmental dysplasia of the hip. A minimum five-year follow-up study | Management of Hip Fractures in the Elderly | A 4-U hybrid total hip arthroplasty (THA) system was specifically designed for patients with developmental dysplasia of the hip (DDH). Straight stem with an appropriate offset and various size variations are advantages. We followed 128 hips in 124 patients, 13 men and 111 women, for a mean of 6.5 years (range, 5.0-7.5 ... |
0 | Correcting the saddlebag deformity in the massive weight loss patient | Panniculectomy & Abdominoplasty CPG | Skin redundancy of the trunk and thigh is treated by a circumferential abdominoplasty and a lower body lift. Despite preservation and tight approximation of the subcutaneous facial system, the authors have failed to adequately correct severe saddlebag deformity and midthigh laxity in the massive weight loss patient. Th... |
0 | Construction and Validation of New Nomograms to Predict Risk and Prognostic Factors of Breast Cancer Bone Metastasis in Asian Females: A Population-Based Retrospective Study | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: To construct a breast cancer bone-only metastasis (BCBM) risk and prognostic model for Asian females and provide a reference for treatment selection in breast cancer (BC) patients with bone-only metastasis (BM).
Patients and Methods: The data for newly diagnosed female patients of Asian Pacific Islander (API) ... |
1 | The health economics of calcium and vitamin D3 for the prevention of osteoporotic hip fractures in Sweden | HipFx Supplemental Cost Analysis | OBJECTIVE: The objective of this study was to examine the economics of administering calcium and vitamin D3 to post-menopausal women in Sweden. We focus primarily on the cost-effectiveness of treating older women for whom clear evidence of efficacy is available. We supplement this information, however, with estimates o... |
0 | Evaluation of calcaneus bone densitometry against hip and spine for diagnosis of osteoporosis | Management of Hip Fractures in the Elderly | Dual X-ray absorptiometry (DXA) is now widely available as a method for assessing bone density. However, the place of peripheral bone densitometry in clinical practice for diagnosis of osteoporosis is not yet clear. To examine the potential use in our district general hospital setting, we compared calcaneus measurement... |
1 | Neurolysis in compressive neuropathies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The application of microsurgical neurolytic techniques in cases of peripheral nerve entrapments offers greater advantages than other techniques, as it allows a better understanding of the neural alterations. In most cases, a longitudinal epineurectomy is necessary to free the fascicles of the epineural fibrosis. Less f... |
0 | Treatment persistence and changes in fracture risk, back pain, and quality of life amongst patients treated with teriparatide in routine clinical care in France: Results from the European Forsteo Observational Study | HipFx Supplemental Cost Analysis | Objectives: The European Forsteo Observational Study assessed the clinical fracture incidence, back pain, quality of life (QoL), and treatment persistence amongst post-menopausal women, who were prescribed teriparatide in routine care in eight European countries. We present the results for France, with health-insurance... |
0 | Biologic Adjuvants in Meniscus Repair: A Review of Current Translational and Clinical Evidence | AMP (Acute Meniscal Pathology) | Meniscus tears are common injuries in all age categories and cover a broad subset of lesions. Due to the lack of vascularization and blood clot formation, meniscus tears in the avascular zone possess poor healing potential. Preserving meniscus tissue however, is crucial to avoid early onset osteoarthritic changes in th... |
1 | Rehabilitation at home after hip fracture | Management of Hip Fractures in the Elderly | Two series of patients with a hip fracture, sustained at home, were assessed regarding utilization of rehabilitation resources before and after adoption of an active policy favoring rehabilitation at home. Out of 86 consecutive patients in 1985 (Series I), 22 were discharged directly to their home versus 44 out of 84 i... |
0 | The evaluation of the radiological and functional outcome of distraction osteogenesis in patients with infected gap nonunions of tibia treated by bone transport | DoD SSI (Surgical Site Infections) | AIM: The aims of this investigation were: 1) to study the Functional outcome of performing distraction osteogenesis in cases of infected non-union of tibia treated with Ilizarov and Limb Reconstruction System, and 2) to study the Radiological outcome of performing distraction osteogenesis in cases of infected non-union... |
0 | First histological observations on the incorporation of a novel nanocrystalline hydroxyapatite paste OSTIM in human cancellous bone | Distal Radius Fractures | BACKGROUND: A commercially available nanocrystalline hydroxyapatite paste Ostim has been reported in few recent studies to surpass other synthetic bone substitutes with respect to the observed clinical results. However, the integration of this implantable material has been histologically evaluated only in animal experi... |
0 | Using a Dual-Input Convolutional Neural Network for Automated Detection of Pediatric Supracondylar Fracture on Conventional Radiography | Pediatric Supracondylar Humerus Fracture 2020 Review | Objectives This study aimed to develop a dual-input convolutional neural network (CNN)-based deep-learning algorithm that utilizes both anteroposterior (AP) and lateral elbow radiographs for the automated detection of pediatric supracondylar fracture in conventional radiography, and assess its feasibility and diagnosti... |
0 | Comparison of clinical features and outcomes of patients with leiomyosarcoma of bone and soft tissue: a population-based cohort study | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Leiomyosarcoma commonly occurs in soft tissue but rarely in the bone. Whether leiomyosarcoma of bone and soft tissue have similar clinical characteristics and outcomes remains unknown.
METHODS: This retrospective analysis was based on data from the Bone and Soft Tissue Tumor Registry in Japan. Patients with... |
0 | Idiopathic Spinal Subarachnoid Hemorrhage: A Case Report and Review of the Literature | PJI DX Updated Search | Study Design Case report. Objective Spinal subarachnoid hemorrhage (SSAH) makes up less than 1.5% of all the cases of subarachnoid hemorrhage. Most cases of spontaneous SSAH occur in association with coagulopathy, lumbar punctures, or minor trauma. Idiopathic SSAH is extremely rare with only 17 cases published. Idiopat... |
0 | Prospective demographic study of cosmetic surgery patients | Panniculectomy & Abdominoplasty CPG | Objectives: The authors sought to examine and assess cosmetic surgery patient demographics as well as age in relation to partner, in a prospective manner, analyzing data for any significant correlations. Design: The authors conducted a prospective study utilizing a survey. Setting: The study was conducted in a private,... |
1 | Bacterial colonization on different suture materials--a potential risk for intraoral dentoalveolar surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In this in vivo and in vitro study on resorbable (Monocryl and nonresorbable (Deknalon) monofilament sutures used in intraoral dentoalveolar surgery the bacterial colonization was compared. For the in vivo study the sutures were applied in 11 patients during dental surgery. Eight days postoperative the sutures were rem... |
0 | Moderate loading of the human osteoarthritic knee joint leads to lowering of intraarticular cartilage oligomeric matrix protein | OAK 3 - Non-arthroplasty tx of OAK | The non-pharmacological treatment of osteoarthritis (OA) includes exercise therapy; however, little is known about the specific effect of exercise on the joint per se. The purpose of the present study was to investigate the direct effects of a load-bearing exercise upon cartilage in a single, human osteoarthritic joint... |
0 | Nonarthritic inflammatory problems of the hand and wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | There is a group of painful inflammatory conditions that involve the soft tissues of the hand, wrist, and forearm. These generally occur without underlying systemic diseases, and the pain frequently results from tendon or nerve compression. Recognition of these difficulties can lead to appropriate treatment, often nono... |
0 | Ethnoracial differences in emergency department patients' tobacco use | DoD PRF (Psychosocial RF) | INTRODUCTION: This study examined ethnoracial differences in lifetime and recent tobacco use and related problems in a large convenience sample of Latino, Black, and Non-Latino White emergency department (ED) patients. In addition, ED patients' use rates were compared with those of a statewide sample.
METHODS: Trained ... |
0 | Cancellous bone screw purchase: a comparison of synthetic femurs, human femurs, and finite element analysis | Management of Hip Fractures in the Elderly | Biomechanical assessments of orthopaedic fracture fixation constructs are increasingly using commercially available analogues such as the fourth-generation composite femur (4GCF). The aim of this study was to compare cancellous screw purchase directly between these surrogates and human femurs, which has not been done p... |
1 | Gamma nail TM in pertrochanteric fractures in elderly patients: is anatomical reduction necessary? A preliminary study | Hip Fx in the Elderly 2019 | AIM OF THE WORK: This study analyzes the clinical and radiographic results of 100 patients who underwent osteosynthesis with Gamma nail TM, following fracture of the pertrochanteric region.
METHODS: These patients were divided into 2 groups: A, those without anatomical reduction of the fracture and B, those with anatom... |
0 | Adapting the multifamily group model for treating veterans with posttraumatic stress disorder | DoD PRF (Psychosocial RF) | The Department of Veterans Affairs (VA) health care system's leadership has endorsed family involvement in veterans' mental health care as an important component of treatment. Both veterans and families describe family participation as highly desirable, and research has documented that having healthy social support is ... |
1 | Hip fracture types in men and women change differently with age | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fractures are expensive and a frequent cause of morbidity and mortality in the elderly. In most studies hip fractures have been viewed as a unitary fracture but recently the two main types of fracture (intertrochanteric and subcapital) have been viewed as two fractures with a different etiology and requ... |
0 | Modified fluoroscopic imaging technique for the central screw placement in percutaneous screw fixation of scaphoid fracture | Distal Radius Fractures | BACKGROUND: The fluoroscopic imaging technique that has been used in the dorsal percutaneous screw fixation of scaphoid fracture was modified for more consistent central screw placement according to the different fracture locations. METHODS: Eighteen scaphoids of the fresh-frozen cadaver were used. The computed tomogra... |
1 | Low failure rate by means of DLBP fixation of undisplaced femoral neck fractures | Hip Fx in the Elderly 2019 | BACKGROUND: This study evaluated the clinical results of a new implant in the internal fixation of undisplaced femoral neck fractures.
METHOD: Irrespective of their age, 149 patients with undisplaced (Garden I and II) femoral neck fractures were included in a prospective multicentre clinical cohort study and were treat... |
0 | Revision of unicompartmental arthroplasty of the knee. Clinical and technical considerations | Surgical Management of Osteoarthritis of the Knee CPG | In 73 unicompartmental arthroplasties of the knee that were revised, the major causes of failure were progression of arthritis and implant failure. The interval between the primary and revision averaged 56 months. Eighty-eight percent were revised to a variety of total condylar prostheses. Bone loss was classified by d... |
0 | Long-term preservation of adipose aspirates after conventional lipoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Optimal cryopreservation permits the long-term storage of living cells or tissues that may have potential clinical applications. Unfortunately, there are no successful studies on the long-term preservation of adipose aspirates for possible autologous fat grafting. OBJECTIVE: The purpose of the current study... |
1 | Occurrence of carpal tunnel syndrome among slaughterhouse workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: The aim of this study was to examine the risk of carpal tunnel syndrome (CTS) among workers with daily occupational exposure to high-force and high-velocity manual work. METHODS: The study was carried out retrospectively among a cohort of 1591 workers employed at a slaughterhouse or at a chemical factory; 1... |
1 | Clinical outcome of cemented bipolar hemiarthoplasty versus Austin Moore hemiarthroplasty for displaced intracapsular fractures of hip in terms of anterior thigh pain in elderly | Hip Fx in the Elderly 2019 | OBJECTIVE: To explore a less pain-inciting implant in terms of anterior thigh pain after hip hemi-arthroplasty in displaced intra-capsular fractures of the neck of femur.
METHODS: The cross-sectional comparative study was conducted at the Combined Military Hospital, Rawalpindi, from November 2013 to June 2014, and comp... |
0 | Rheumatoid arthritis: Trends in antirheumatic drug use, C-reactive protein levels, and surgical burden | AAHKS (2) Corticosteroids | Objective. Over the past decade, the therapeutic approach used to treat patients with rheumatoid arthritis (RA) has considerably changed. It remains unclear whether these changes have been accompanied by decreased disease severity and surgical treatment burden at the population level. Therefore, we investigated time tr... |
1 | Timing of Debridement and Infection Rates in Open Fractures of the Hand: A Systematic Review | DoD SSI (Surgical Site Infections) | <b>Background:</b> Literature on open fracture infections has focused primarily on long bones, with limited guidelines available for open hand fractures. In this study, we systematically review the available hand surgery literature to determine infection rates and the effect of debridement timing and antibiotic adminis... |
0 | Prophylactic use of antibiotic-loaded bone cement in primary total knee arthroplasty: Justified or not? | PJI DX Updated Search | BACKGROUND: The routine use of antibiotic-loaded bone cement (ABLC) during primary or uninfected revision arthroplasty remains controversial. Many studies quote the total joint arthroplasty (TJA) infection rate to be less than 1%. Total knee arthroplasty (TKA) has a higher infection rate than total hip arthroplasty (TH... |
0 | Biological markers compound with dual-energy X-ray absorptiometry examination in the postoperative prediction of patients with postmenopausal osteoporotic fractures | Distal Radius Fractures | Osteoporosis is a systemic bone mass loss, a deterioration of the bone microarchitecture, which causes the bone to become more fragile. The most common places of these types of fractures take place on the hip, spine and wrist, but other anatomical regions can be affected as well. The most cost-effective diagnostic meth... |
0 | Selective STAT3 Inhibitor Alantolactone Ameliorates Osteoarthritis via Regulating Chondrocyte Autophagy and Cartilage Homeostasis | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA), which is identified by chronic pain, impacts the quality of life. Cartilage degradation and inflammation are the most relevant aspects involved in its development. Signal transducer and activator of transcription 3(STAT3), a member of the STATs protein family, is associated with inflammation. Alant... |
0 | Transmission and scanning electron microscopy confirm that bone microstructure is similar in osteopenic and osteoporotic patients | Hip Fx in the Elderly 2019 | OBJECTIVES: The objective was to confirm the finding of "Bone microstructure is similar in osteopenic and osteoporotic patients with femoral neck fracture." obtained in previous "light microscopy study", which was new and important data.
PATIENTS AND METHODS: Fourteen patients (5 males, 9 females) who were admitted wit... |
0 | Hip fracture protocols: what have we changed? | Management of Hip Fractures in the Elderly | Early surgical intervention is thought to reduce in-hospital morbidity and mortality as well as short-term mortality rates for elderly patients with hip fractures. However, hip fractures are also thought to be a symptom of progressive decline in elderly patients with multiple medical comorbidities. A measured approach ... |
0 | Open Fractures: Are We Still Treating the Same Types of Infections? | DoD SSI (Surgical Site Infections) | <b>Background:</b> To analyze the rate of methicillin-resistant Staphylococcus aureus (MRSA), gram-negative, and polymicrobial infections in open fractures, measure the efficacy of the current open fracture antibiotic regimen against these infections, identify the most effective agent(s) to cover these infections, and ... |
0 | Functional Outcome and Quality of Life after Patient-Specific Instrumentation in Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Patient-specific instrumentation (PSI) surgery may represent the next advancement in total knee arthroplasty (TKA). In 2011, 60 patients were prospectively recruited and divided into two groups based on the patient's choice: (1) PSI surgery; and (2) conventional TKA. At two years after surgery, the Knee Society Functio... |
0 | Ketoprofen in Transfersome Compared to Oral Celecoxib and Placebo for Pain Associated With Osteoarthritis of the Knee | OAK 3 - Non-arthroplasty tx of OAK | This is a multicenter, randomized (patients are assigned different treatments based on chance), doubleâ?blind (neither the patient nor the physician knows whether drug or placebo is being taken, or at what dosage), doubleâ?dummy, parallel group, placeboâ? and activeâ?controlled study to determine the safety and eff... |
0 | Do patients benefit from routine follow-up to detect recurrences after radical cystectomy and ileal orthotopic bladder substitution? | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The need for and intensity of follow-up to detect disease recurrence after radical cystectomy (RC) for transitional cell carcinoma (TCC) remains a matter for debate.
OBJECTIVE: To determine whether diagnosis of asymptomatic recurrence after RC by routine follow-up investigations confers a survival benefit v... |
0 | Spontaneous pneumothorax: An unusual occurrence in a patient with Ludwig's angina | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Airway obstruction with asphyxiation remains the most common life-threatening complication in Ludwig's angina. This particular case posed an interesting challenge because of the multiple complications that arose prior to and during treatment. A review of medical literature revealed that a case of Ludwig's angina with c... |
0 | Posterior Minimally Invasive Plate Osteosynthesis of Humeral Shaft Fractures: An Anatomic Study of "danger Zones" | Pediatric Supracondylar Humerus Fracture 2020 Review | The most utilized approach for minimally invasive plate osteosynthesis (MIPO) of humeral fractures has been an anterior percutaneous approach. Other approaches include posterior, which places the radial nerve at risk. We performed a cadaveric study to evaluate safe intervals for screw placement using a posterior approa... |
0 | Planned reoperation for severe trauma | DOD - Acute Comp Syndrome CPG | Objective: The authors review the physiologic basis, indications, techniques, and results to the planned reoperation approach to severe trauma. Summary Background Data: Multivisceral trauma and exsanguinating hemorrhage lead to hypothermia, coagulopathy, and acidosis. Formal resections and reconstructions in these unst... |
0 | Randomized clinical trials of constitutional acupuncture: A systematic review | SR for PM on OA of All Extremities | The aim of this systematic review is to compile and critically evaluate the evidence from randomized clinical trials (RCTs) for the effectiveness of acupuncture using constitutional medicine compared to standard acupuncture. Ten databases were searched through to December 2008 without language restrictions. We also han... |
0 | Editorial commentary: Doc, can you inject stem cells in my knee? | OAK 3 - Non-arthroplasty tx of OAK | Stem cell therapy is one of the most promising treatments to restore and repair damaged articulate cartilage. Koh et al. present in this issue their study on the treatment of articulate cartilage defects with adipose derived stem cell. We believe that it is a matter of time to when stem cells will become cost effective... |
0 | mTOR Inhibition Mitigates Molecular and Biochemical Alterations of Vigabatrin-Induced Visual Field Toxicity in Mice | Upper Eyelid and Brow Surgery | BACKGROUND: Gamma-vinyl-gamma-aminobutyric acid (GABA) (vigabatrin) is an antiepileptic drug and irreversible GABA transaminase inhibitor associated with visual field impairment, which limits its clinical utility. We sought to relate altered visual evoked potentials associated with vigabatrin intake to transcriptional ... |
0 | Ten-year survival and cardiovascular mortality in patients with advanced prostate cancer primarily treated by intramuscular polyestradiol phosphate or orchiectomy | MSTS 2022 - Metastatic Disease of the Humerus | BACKROUND. The aim of the study was to evaluate overall and prostate cancer (PCa) specific survival with special attention to cardiovascular (CV) mortality in patients primarily treated by parenteral polyestradiol phosphate (PEP) 240 mg/month or with orchiectomy (OE), taking into account the effect of pretreatment dise... |
0 | Septic pulmonary embolism due to periodontal disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Three weeks following a toothache, a 56-year-old man developed cough, sputum, fever, and pleuritic chest pain. He had mild periodontal disease and his chest radiographs and chest computed tomographic (CT) scans showed multiple pulmonary nodules. The CT scan strongly suggested septic pulmonary embolism. Aspirated pus fr... |
0 | Wintertime surgery increases the risk of conversion to hip arthroplasty after internal fixation of femoral neck fracture | Hip Fx in the Elderly 2019 | UNLABELLED: The study demonstrates that wintertime surgeries are associated with impaired fracture healing and increases the risk of conversion to hip arthroplasty after osteosynthesis of femoral neck fracture. Furthermore, the results raise the possibility of association between seasonal changes in vitamin D levels an... |
0 | Postoperative analgesia with no motor block by continuous epidural infusion of ropivacaine 0.1% and sufentanil after total hip replacement | AAHKS (8) Anesthetic Infiltration | UNLABELLED: We assessed the analgesic efficacy of postoperative epidural ropivacaine 0.1% with and without sufentanil 1 microgram/mL in this prospective, randomized, single-blinded study of 30 ASA physical status I-III patients undergoing elective total hip replacement. Lumbar epidural block using 0.75% ropivacaine was... |
0 | Tramadol as adjunct to psoas compartment block with levobupivacaine 0.5%: a randomized double-blinded study | AAHKS (4) Acetaminophen | BACKGROUND: Tramadol has been administered peripherally to prolong analgesia after brachial plexus and neuraxial blocks. Our aim was to evaluate the systemic and perineural effects of tramadol as an analgesic adjunct to psoas compartment block (PCB) with levobupivacaine.
METHODS: In a randomized, prospective, double-bl... |
0 | Lateral meniscus allograft biologic glenoid arthroplasty in total shoulder arthroplasty for young shoulders with degenerative joint disease | AMP (Acute Meniscal Pathology) | To avoid potential polyethylene problems in younger shoulders with degenerative joint disease (DJD) requiring arthroplasty, lateral meniscus allograft (LMA) was used as a biologic resurfacing of the glenoid. We report preliminary, short-term results of this technique in a younger, higher-demand population. The shoulder... |
1 | Obesity is associated with increased postoperative complications after operative management of tibial shaft fractures | DoD SSI (Surgical Site Infections) | OBJECTIVES: To assess the association of obesity and postoperative complications after operative management of tibial shaft fractures.
METHODS: Patients who underwent operative management of a tibial shaft fracture were identified in a national database by Current Procedural Terminology (CPT) codes for: (1) open reduct... |
0 | Moxibustion for the treatment of osteoarthritis: An updated systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to update previous reviews and examine recent evidence from randomised clinical trials (RCTs) of the use of moxibustion for osteoarthritis (OA). Twelve databases were searched from inception through to September 2016 with no language limits applied. Data extraction and risk-of-bias assessments... |
0 | Patient specific instrumentation in total knee arthroplasty: A state of the art | OAK 3 - Non-arthroplasty tx of OAK | Patient specific instrumentation (PSI) is a modern technique in total knee arthroplasty (TKA) aiming to facilitate the implant of the prosthesis. The customized cutting blocks of the PSI are generated from pre-operative three-dimensional model, using computed tomography (CT) or magnetic resonance imaging (MRI). A corre... |
0 | Epidemiology of osteoporosis-related fractures in the elderly: A population based study | Management of Hip Fractures in the Elderly | Aims: Osteoporosis-related fractures are a major source of both morbidity and cost in the elderly. This study retrospectively determined the incidence of osteoporosis-related fractures and the association between polypharmacy and fracture during the 1 year period. Methods: All patients with osteoporosis-related fractur... |
0 | Stimulation of neo-angiogenesis by combined use of irradiated and vascularized living bone graft for oncological reconstruction | Osteochondritis Dissecans 2020 Review | Reconstruction for large bone and osteochondral defects following musculoskeletal tumor excision remains challenging. Mega-prosthesis is clearly a useful reconstructive tool. Because the survival time of tumor patients has been increasing due to better treatment options, the aim of our group is to achieve complete biol... |
0 | Subcutaneous emphysema in a finger following an injection injury | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This is a case report of surgical emphysema in a finger resulting from a high velocity injection accident |
0 | Impact of the Orthopaedic Nurse Practitioner role on acute hospital length of stay and cost-savings for patients with hip fracture: A retrospective cohort study | Hip Fx in the Elderly 2019 | AIMS: To compare acute hospital length of stay and cost-savings for patients with hip fracture before and after commencement of the Orthopaedic Nurse Practitioner and identify variables that increase length of stay in hospital.
BACKGROUND: Globally, hip fractures are associated with significant morbidity and mortality.... |
0 | Retrospective analysis of factors influencing the operative result after percutaneous osteosynthesis of intracapsular femoral neck fractures | Management of Hip Fractures in the Elderly | A retrospective analysis of 104 patients with an intracapsular femoral neck fracture, treated with closed reduction and internal fixation showed that the Garden classification, the age of the patient and the quality of reduction and fixation are predictors for the final outcome. Fractures with a Garden classification o... |
0 | Deep neck infection: analysis of 185 cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: This study reviews our experience with deep neck infections and tries to identify the predisposing factors of life-threatening complications. METHODS: A retrospective review was conducted of patients who were diagnosed as having deep neck infections in the Department of Otolaryngology at National Taiwan Univer... |
0 | Natural history of osteonecrosis of the jaw in patients with multiple myeloma | MSTS 2018 - Femur Mets and MM | PURPOSE: To evaluate the natural history of bisphosphonate-related osteonecrosis of the jaw (ONJ) in patients with multiple myeloma.
PATIENTS AND METHODS: Ninety-seven patients with myeloma from the United States (n = 37) and Greece (n = 60) were observed prospectively for a minimum 3.2 years after ONJ. Patients charac... |
1 | Does Intra-articular Platelet-Rich Plasma Injection Provide Clinically Superior Outcomes Compared With Other Therapies in the Treatment of Knee Osteoarthritis? A Systematic Review of Overlapping Meta-analyses | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The aims of this study were (1) to perform a systematic review of meta-analyses evaluating platelet-rich plasma (PRP) injection in the treatment of knee joint cartilage degenerative pathology, (2) to provide a framework for analysis and interpretation of the best available evidence to provide recommendations f... |
0 | Teriparatide reduces bone microdamage accumulation in postmenopausal women previously treated with alendronate | Management of Hip Fractures in the Elderly | Suppression of bone turnover by bisphosphonates is associated with increased bone microdamage accumulation in animal models. Our objective was to study the effects of teriparatide treatment on changes in microdamage accumulation at the iliac crest in previously treatment-naive patients or in those switched from alendro... |
0 | The relationship of human wound vascular endothelial growth factor (VEGF) after breast cancer surgery to circulating VEGF and angiogenesis | Reduction Mammoplasty for Female Breast Hypertrophy | PURPOSE: The assessment of locally produced proangiogenic cytokines may be an indicator of the stromal response of an individual to wounding or cancer. This study describes the profile of VEGF production in human surgical wounds in both breast cancer patients and reduction mammoplasty controls, and assesses the changes... |
0 | Incidence and risk factors of surgical site infection after intertrochanteric fracture surgery: A prospective cohort study | DoD SSI (Surgical Site Infections) | Surgical site infection (SSI) is a challenging complication after intertrochanteric fracture surgery but without a large-sample size study to investigate the incidence and risk factors of it. The present study was to investigate the incidence and risk factors of SSI after intertrochanteric fracture surgery. A total of ... |
0 | THA with Delta ceramic on ceramic: results of a multicenter investigational device exemption trial | Management of Hip Fractures in the Elderly | Although the published studies on the outcomes of total hip arthroplasty (THA) performed with currently available ceramic components show high survivorship and low bearing wear at midterm followup, concern over ceramic fracture and squeaking persist. For these reasons, the use of ceramic is limited. Recently, a new alu... |
0 | Develop and evaluate a new modified mankin score system with special attention to subchondral bone | Surgical Management of Osteoarthritis of the Knee CPG | Background The MANKIN score is the most widely used histology evaluation on osteoarthritis (OA). It has been modified in number of studies by different research groups since it was first published 40 years ago. The MANKIN score investigate the degradation level of the articular cartilage by assessing four parameters in... |
0 | Clinical outcome after mosaicplasty of knee articular cartilage defects of patellofemoral joint versus tibiofemoral joint | Osteochondritis Dissecans 2020 Review | BACKGROUND: The purpose was to investigate survival of cartilage repair in the knee joint by osteochondral autograft transfer stratified by location of the lesion; patellofemoral joint (Nâ?¯=â?¯26) versus the medial or lateral femoral condyles (Nâ?¯=â?¯58). METHODS: For survival analyses, "failure" was defined as the e... |
0 | Surgical approach with Er: YAG laser on osteonecrosis of the jaws (ONJ) in patients under bisphosphonate therapy (BPT) | MSTS 2018 - Femur Mets and MM | Osteonecrosis of the jaw (ONJ) in patients on long-term bisphosphonate Therapy (BPT) has been reported with increasing frequency in literature over the past 4 years. Therapy for this condition is still a dilemma. Temporary suspension of BPT offers no short-term benefits; hyperbaric oxygen has no proven efficacy and the... |
0 | Partial breast reconstruction using various oncoplastic techniques for centrally located breast cancer | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: As the breast cancer incidence has increased, breast-conserving surgery has replaced total mastectomy as the predominant procedure. However, centrally located breast cancers pose significant challenges to successful breast-conserving surgeries. Therefore, we performed partial mastectomy and oncoplastic proc... |
0 | Bone loss from the hand in women following distal forearm fracture | Distal Radius Fractures | Bone loss occurs after distal forearm fracture, but it is unclear if this bone loss is fully recovered. We designed a cross-sectional study to evaluate the time course of the bone loss from the hand after distal forearm fracture. We identified 40 women who had a fracture of the distal forearm within the previous 4.5 ye... |
0 | Effects of continuous spinal anesthesia and combined spinal-epidural anesthesia techniques on post-operative pain in total hip replacement patients | AAHKS (8) Anesthetic Infiltration | Objective: Regional anesthesia techniques in total hip replacement (THR) surgery are preferred as they reduce the risk of perioperative thromboembolism, limit intraoperative blood loss and preserve cerebral and pulmonary functions postoperatively. In this study, we aimed to compare the continuous spinal anesthesia (CSA... |
1 | Two cycles of plasma rich in growth factors (PRGF-Endoret) intra-articular injections improve stiffness and activities of daily living but not pain compared to one cycle on patients with symptomatic knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To assess the clinical efficacy and safety of a treatment based on one cycle versus two cycles of intra-articular injections of plasma rich in growth factors (PRGF-Endoret) on patients with knee osteoarthritis (OA).
METHODS: Ninety patients with knee OA were included and evaluated. A total of 48 patients recei... |
1 | GEDOS-SECOT consensus on the care process of patients with knee osteoarthritis and arthoplasty | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To develop recommendations on the evaluation and management procedure in patients undergoing total knee replacement based on best evidence and the experience of a panel of experts.
METHODS: A multidisciplinary group of 12 experts was selected that defined the scope, users and the document parts. Three system... |
1 | Cochrane Review: Interventions for the interruption or reduction of the spread of respiratory viruses | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Viral epidemics or pandemics such as of influenza or severe acute respiratory syndrome (SARS) pose a significant threat. Antiviral drugs and vaccination may not be adequate to prevent catastrophe in such an event. OBJECTIVES: To systematically review the evidence of effectiveness of interventions to interru... |
0 | Can simple ultrasonography predict the clinical effect of intra-articular injection therapy of the knee joint? | OAK 3 - Non-arthroplasty tx of OAK | To investigate whether ultrasonographic joint assessment can predict the clinical response to intraâ?articular injection therapy of the knee. Patients with persistent gonarthritis intraâ?articularly received in a randomized doubleâ?blinded crossover fashion radiation synovectomy or a glucocorticoid injection, both f... |
0 | Obesity increases the likelihood of total joint replacement surgery among younger adults | Surgical Management of Osteoarthritis of the Knee CPG | We conducted a retrospective review of medical charts of patients, aged 18 to 59 years old, who underwent either a total knee replacement (TKR) or total hip replacement (THR) from January 2002 to December 2004. Of the 204 study subjects, 52% had a TKR while 48% had a THR. Obesity was significantly associated with the n... |
1 | Cement Augmentation of Dynamic Hip Screw to Prevent Screw Cut Out in Osteoporotic Patients with Intertrochanteric Fractures: A Case Series | Hip Fx in the Elderly 2019 | Purpose: The purpose of this study is to describe a method of inserting cement in the femoral head before fixation with dynamic hip screw to prevent screw cut out due to osteoporosis and to evaluate its clinical outcome in these patients.
Materials and Methods: In this prospective study, 30 patients aged 60 years and o... |
0 | Angular Stable Miniplate Fixation of Chronic Unstable Scaphoid Nonunion | Hip Fx in the Elderly 2019 | Background Around 5 to 15% of all scaphoid fractures result in nonunion. Treatment of long-lasting scaphoid nonunion remains a challenge for the treating surgeon. Healing of scaphoid nonunion is essential for prevention of scaphoid nonunion advanced collapse and the subsequent predictable pattern of radiocarpal osteoar... |
0 | Porcelain fused to metal (PFM) crowns and caries in adjacent teeth | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objective: To assess the discrepancies in marginal integrity and contact points of Porcelain Fused to Metal (PFM) crowns and its association with caries in adjacent teeth. Study Design: Cross-sectional study. Place and Duration of Study: Dental Section of the Aga Khan University Hospital, Karachi, from January to Augus... |
1 | Early complications following the operative treatment of pilon fractures with and without diabetes | DoD SSI (Surgical Site Infections) | BACKGROUND: An increased rate of complications has been clearly shown in diabetic patients undergoing operative treatment for displaced ankle fractures. To date, no studies have specifically looked at the complication rates following the operative management of pilon fractures in this difficult patient population. We p... |
0 | Spontaneous stress fractures of the femoral neck | Management of Hip Fractures in the Elderly | The diagnosis of spontaneous stress fractures of the femoral neck, a form of insufficiency stress fracture, can be missed easily. Patients present with unremitting hip pain without a history of significant trauma or unusual increase in daily activity. The initial radiographic features include osteoporosis, minor altera... |
1 | Iatrogenic ulnar nerve injury after pin fixation and after antegrade nailing of supracondylar humeral fractures in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND AND PURPOSE: Ulnar nerve injury may occur after pinning of supracondylar fractures in children. We describe the outcome and compare the rates of iatrogenic injuries to the ulnar nerve in a consecutive series of displaced supracondylar humeral fractures in children treated with either crossed pinning or anteg... |
0 | Magnesium Sulfate in Adductor Canal Blocks | AAHKS (9/10) Regional Nerve Blocks | Adequate analgesia after surgery is important for patient wellâ?being, satisfaction, rapid recovery, and timely discharge. Due to our aging population, total knee arthroplasties (TKAs) are an increasingly common surgical procedure in Canada, with 57,718 performed in 2012â?2013 alone. Improved functional outcomes and ... |
0 | Gallium nitrate for the treatment of bone metastases | MSTS 2018 - Femur Mets and MM | Gallium nitrate was originally developed as an antineoplastic agent; however, further studies have revealed that this drug has extremely potent effects on turnover of bone, and that low doses can be used to reduce bone resorption. Like the bisphosphonates, gallium nitrate has been studied in both malignant and in nonma... |
0 | Internal Fixation of Nonunions | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We review the two major types of internal fixation of nonunions (plating and intramedullary nailing), and analyze nonunions in different locations (upper and lower extremities). Depending on the type and the location of the nonunion, plating or intramedullary nailing may be selected. Both have advantages and disadvanta... |
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