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0 | 12(S)-HETE, pleiotropic functions, multiple signaling pathways | MSTS 2018 - Femur Mets and MM | The arachidonic acid metabolite of 12 lipoxygenase, 12(S)-hydroxyeicosatetraenoic acid (12(S)-HETE) promotes metastatic behavior of tumor cells (1). In this study we set out to identify 12(S)-HETE stimulated signaling pathways, and their contribution to cellular functions in A431 epidermoid carcinoma. 1) 12(S)-HETE sig... |
0 | Peripheral nerve blocks result in superior recovery profile compared with general anesthesia in outpatient knee arthroscopy | Surgical Management of Osteoarthritis of the Knee CPG | It has been suggested that use of peripheral nerve blocks (PNBs) may have some potential benefits in the outpatient setting. There have been no studies specifically comparing PNBs performed with short-acting local anesthetics with general anesthesia (GA) in patients undergoing outpatient knee surgery. We hypothesized t... |
0 | Effect of irrigation solutions for arthroscopic surgery on intraarticular tissue: comparison in human meniscus-derived primary cell culture between lactate Ringer's solution and saline solution | AMP (Acute Meniscal Pathology) | In order to determine whether there is a difference in effect on cell morphology and function between two common arthroscopic irrigation solutions, primary cultures of cells derived from the surgically excised human menisci were incubated for 3 or 6 h in lactated Ringer's solution, isotonic sodium chloride solution, or... |
0 | Orthodontic and surgical camouflage for treatment of skeletal discrepancies | Panniculectomy & Abdominoplasty CPG | Masking procedures can be used for a variety of situations and must be tailored to the patient's individual needs. Although they can result in esthetic changes for the patient, they do little for functional concerns. The most commonly used procedure is a bony augmentation genioplasty. It is most effective when a patien... |
0 | Psychosocial outcomes at 18 months after good neurological recovery from aneurysmal subarachnoid haemorrhage | DoD PRF (Psychosocial RF) | OBJECTIVES: To evaluate functioning, 18 months after surgery, of 49 patients with good neurological recovery following aneurysmal subarachnoid haemorrhage (SAH), and to determine the extent of any improvements in disturbances of mood, cognitive functioning, and levels of activity and participation previously observed a... |
0 | Kinematic analysis of the flexion axis for correct femoral component placement | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: This study evaluates a new method for intraoperative determination of femoral component rotation by a navigation system (flexion axis, FA) driven by joint stability over the range of motion. METHODS: Seventy-five patients were treated with a navigated total knee replacement. Intraoperatively, the posterior con... |
0 | Similar incidence of hypotension with combined spinal-epidural or epidural alone for knee arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND: We hypothesized that the incidence of hypotension during total knee replacement (TKR) surgery is lower in patients given combined spinal-epidural (CSE) anesthesia vs those receiving epidural anesthesia alone.
METHODS: In a prospective study, 80 American Society of Anesthesiologists I-II patients (aged 40-80... |
0 | Cement-in-cement stem revision for Vancouver type B periprosthetic femoral fractures after total hip arthroplasty: A 3-year follow-up of 23 cases | Management of Hip Fractures in the Elderly | Background and purpose Revision surgery for periprosthetic femoral fractures around an unstable cemented femoral stem traditionally requires removal of existing cement. We propose a new technique whereby a well-fixed cement mantle can be retained in cases with simple fractures that can be reduced anatomically when a ce... |
0 | PROMIS PF correlates with HOOS, JR in patients with hip pain | OAK 3 - Non-arthroplasty tx of OAK | Background: Patient-reported outcome measures (PROMs) are increasingly integrated into reporting requirements tied to reimbursement. There may be advantages to computer adaptive tests that apply to many different anatomical regions and diseases, provided that important information is not lost. Questions: 1) Does the Pa... |
1 | Comparison of intra-articular sham and vehicle injection from a phase 2b trial of SM04690, a small-molecule Wnt inhibitor, for knee osteoarthritis | TO: WNT2 Pathway Modulator | Purpose: Intra-articular (IA) saline or vehicle, commonly used as placebo (PBO) comparators in knee osteoarthritis (OA) randomized controlled trials (RCTs), have consistently demonstrated statistically significant and clinically meaningful improvements in patient reported outcomes (PROs) from baseline. IA â??PBOâ? eff... |
1 | Blunt popliteal artery trauma: a challenging injury | DoD LSA (Limb Salvage vs Amputation) | Blunt popliteal artery trauma is a challenging injury, particularly when associated with major soft tissue damage. We reviewed our experience with this injury to determine 1) the incidence of vascular injury associated with fractures and/or dislocations about the knee, 2) the incidence of limb loss, and 3) factors asso... |
0 | Surgical complications after intestinal transplantation in infants and children--UK experience | DOD - Acute Comp Syndrome CPG | UNLABELLED: Surgical complications have a significant impact on morbidity and mortality following intestinal transplantation (ITx). Birmingham Children's Hospital commenced intestinal transplantation in 1993 and the following surgical strategies evolved: (a) pretransplant abdominal tissue expanders, 1998; (b) combined ... |
0 | The modified anterior ellipsoidal cap titanium cable tension band for comminuted patellar fractures | DoD SSI (Surgical Site Infections) | PURPOSE: The purpose of this study was to assess the outcomes in a series of patients, who underwent cerclage and figure-of-eight tension band wiring using a single titanium cable for comminuted patellar fractures.
METHODS: We describe a modified tension band technique using a single titanium cable to create an ellipso... |
1 | The use of antimicrobial acrylic strips in the nonsurgical management of chronic periodontitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Evidence to date has demonstrated the potential value of acrylic strips to deliver antimicrobial compounds into periodontal pockets. The present study was designed to evaluate further the therapeutic effect of antimicrobial acrylic strips in the management of chronic periodontitis. A total of 101 pockets in 69 patients... |
0 | Congenital hypoplasia of the Internal Carotid Artery | Patrick’s pharmacoepidemiology project | A newborn presented at 14 hrs of age with right sided clonic seizures and shrill cry. Magnetic Resonance Imaging of the brain showed left cerebral hemiatrophy with cystic changes in left fronto-parietal lobe and parasylvian region. The Magnetic Resonance Angiography revealed hypoplasia of left supraclinoid Internal Car... |
0 | Treatment of patients with multiple myeloma: an overview of systematic reviews | MSTS 2018 - Femur Mets and MM | Individual studies rarely provide definitive answers to questions related to the effects of treatments. Whether the treatment is associated with more good than harm is best answered by considering the totality of evidence on the topic through the methodology of systematic reviews. The objective of this overview is to s... |
0 | Sleep patterns and psychological distress in women living in an inner city | DoD PRF (Psychosocial RF) | Psychological distress, including symptoms of anxiety, depression, and psychological trauma, is common in women living in inner cities and can be associated with disturbed sleep. The purposes of the study of 115 women were to examine: (a) objective and subjective sleep patterns; (b) extent of psychological distress; an... |
0 | Hybrid closed wedge high tibial osteotomy improves patellofemoral joint congruity compared with open wedge high tibial osteotomy | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To evaluate clinical outcomes and radiographic changes in patellofemoral (PF) joint congruity between open wedge high tibial osteotomy (OWHTO) and hybrid closed wedge HTO (HCWHTO).
METHODS: From 2011 to 2013, 36 knees in 31 patients who underwent OWHTO and 21 knees in 17 patients who underwent HCWHTO were eval... |
0 | Abnormal loading of the hip and knee joints in unilateral hip osteoarthritis persists two years after total hip replacement | OAK 3 - Non-arthroplasty tx of OAK | A total hip replacement (THR) is a common and routine procedure to reduce pain and restore normal activity. Gait analysis can provide insights into functional characteristics and dynamic joint loading situation not identifiable by clinical examination or static radiographic measures. The present prospective longitudina... |
0 | Biomechanical comparison of vertical suture techniques for repairing radial meniscus tear | AMP (Acute Meniscal Pathology) | PURPOSE: The aim of this study was to (1) develop suture techniques in repairing radial meniscal tear; (2) to compare the biomechanical properties of the proposed repair techniques with the conventional double horizontal technique.
METHODS: Thirty-six fresh-frozen porcine medial menisci were randomly assigned into four... |
0 | Bipolar sealing in revision total hip arthroplasty for infection: efficacy and cost analysis | PJI DX Updated Search | Saline-coupled bipolar sealing has shown mixed results in primary arthroplasty. However, this technology has not been studied in infected revision total hip arthroplasty (THA), where morbidity is higher and conventional methods of blood management, such as cell salvage, often cannot be used. This case-matched study of ... |
0 | Arthroscopically assisted 2-bundle anatomic reduction of acute acromioclavicular joint separations: 58-month findings | Glenohumeral Joint OA | BACKGROUND: Currently, no clinical midterm results have been reported on arthroscopically assisted reduction of the acutely dislocated acromioclavicular (AC) joint using suture-button devices for fixation.
HYPOTHESIS: Athroscopically assisted reduction of the acutely dislocated AC joint yields satisfactory clinical out... |
0 | Aberrant methylation of the maspin promoter is an early event in human breast cancer | Reduction Mammoplasty for Female Breast Hypertrophy | The maspin gene functions as a tumor suppressor in human breasts, and its expression is frequently lost during breast cancer progression. In vitro models of human breast cancer indicate that the loss of maspin expression is closely linked to aberrant methylation of the maspin promoter. We conducted a study on 30 archiv... |
0 | Primary sternal plating to prevent sternal wound complications after cardiac surgery: Early experience and patterns of failure | DoD SSI (Surgical Site Infections) | Sternal closure with rigid titanium plates (primary sternal plating) may reduce sternal wound complications in high-risk patients. We began performing primary sternal plating for the following indications: obesity, manual laborer, osteoporotic sternum, or intraoperative transverse sternal fracture. Patients receiving p... |
1 | The use of circular wire external fixation in the treatment of salvage ankle arthrodesis | DoD LSA (Limb Salvage vs Amputation) | The authors retrospectively reviewed their experience with circular wire external fixation in the treatment of salvage ankle arthrodesis during the past 9 years. The results of 43 cases in a difficult patient population are presented with an average follow-up of 27.0 months. Thirty-three patients (80.5%) went on to ach... |
0 | Antiresorptive agent-related osteonecrosis of the jaw (ARONJ) in urological malignancies: a multi-center retrospective study | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: We evaluated the incidence and risk factors for antiresorptive agent-related osteonecrosis of the jaw (ARONJ) in prostate and kidney cancer patients. Materials and methods: We retrospectively reviewed the clinical data of 547 patients from 13 hospitals. Prostate and kidney cancer patients with bone metast... |
0 | Effect of suction pressures on cell yield and functionality of the adipose-derived stromal vascular fraction | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: The present study was performed to explore the effect of suction pressures on the cell yield of adipose-derived stromal vascular fraction (SVF) and the functionality of adipose-derived stem cells (ADSCs), situated in the SVF, and to develop optimal parameters of harvesting SVF for clinical use. METHODS: Adip... |
1 | FUNCTIONAL EXERCISE ON PATIENTS AFTER SPORTS MENISCUS INJURY | AMP (Acute Meniscal Pathology) | Introduction: Knee meniscus injury is a common sports injury, and minimally invasive surgery under knee arthroscopy has become an ideal method to treat meniscus injuries. This surgery rehabilitation has been improved, and several studies on the effects of functional exercise in the range of treatment are still inconclu... |
0 | Neuropathic-like knee pain and associated risk factors: A cross-sectional study in a UK community sample 11 Medical and Health Sciences 1103 Clinical Sciences 11 Medical and Health Sciences 1117 Public Health and Health Services | OAK 3 - Non-arthroplasty tx of OAK | Background: Neuropathic-like knee pain (NKP) is often reported in individuals with knee pain (KP), but the contribution of specific central and peripheral risk factors to NKP has not been studied previously. The aims of the present study were to determine the prevalence of NKP in a community-derived sample with KP and ... |
0 | Insufficient restoration of lumbar lordosis and FBI index following pedicle subtraction osteotomy is an indicator of likely mechanical complication | DoD SSI (Surgical Site Infections) | Purpose: Pedicle subtraction osteotomies (PSO) enable correction of spinal deformities but remain difficult and are associated with high complication rates. This study aimed to prospectively review different post-operative complications and mechanical problems in patients who underwent PSO as treatment for sagittal imb... |
0 | Early failure of total hip replacements implanted at distant hospitals to reduce waiting lists | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Aim: In the years 1990-1993, in an effort to reduce waiting- list time, a small number of patients were sent from Exeter to hospitals in London to undergo elective total hip replacement. No medium- or long-term follow-up was arranged. Our aim was to audit the outcome of these hip replacements. Patients and Methods: Rev... |
1 | Preoperative soft tissue laxity around knee was associated with less accurate alignment correction after hybrid closed-wedge high tibial osteotomy | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: This study aimed to assess the effect of soft tissue correction due to knee joint laxity, which induces alignment error after hybrid closed-wedge high tibial osteotomy (CWHTO). In addition, to verify whether postoperative soft tissue correction can be predicted from preoperative radiographic parameters. METHOD... |
0 | Duration of incapacity of work after tibial plateau fracture is affected by work intensity | OAK 3 - Non-arthroplasty tx of OAK | Background: Tibial plateau fractures requiring surgery are severe injuries of the lower extremity. Tibial plateau fractures have an impact not only on physically demanding jobs but notably on general professional life too. The aim of this study was to assess how the professional activity of patients will be affected af... |
1 | (untitled) | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Many interventions are available to manage chronic pain; understanding the durability of treatment effects may assist with treatment selection. We sought to assess which noninvasive nonpharmacological treatments for selected chronic pain conditions are associated with persistent improvement in function and ... |
0 | Femoral neck cortical geometry measured with magnetic resonance imaging is associated with proximal femur strength | Management of Hip Fractures in the Elderly | Introduction: Magnetic resonance imaging (MRI) is a promising medical imaging technique that we used to assess femoral neck cortical geometry. Objectives: Our primary objective was to assess whether cortical bone in the femoral neck assessed by MRI was associated with failure load in a simulated sideways fall, with and... |
0 | Undertreatment of osteoporosis and the role of gastrointestinal events among elderly osteoporotic women with Medicare Part D drug coverage | Hip Fx in the Elderly 2019 | Objectives: To examine the rate of osteoporosis (OP) undertreatment and the association between gastrointestinal (GI) events and OP treatment initiation among elderly osteoporotic women with Medicare Part D drug coverage. Methods: This retrospective cohort study utilized a 20% random sample of Medicare beneficiaries. I... |
0 | Antibacterial efficacy and effect of chlorhexidine mixed with irreversible hydrocolloid for dental impressions: a randomized controlled trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study aimed to evaluate whether chlorhexidine mixed with irreversible hydrocolloid powder decreases microbial contamination during impression taking without affecting the resulting casts. Twenty volunteers were randomly divided into two groups (n = 10) according to the liquid used for impression taking in conjunct... |
0 | High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | The aim of this randomized controlled study was to compare the effects of low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) on pain relief and functional improvement in patients with knee osteoarthritis (KOA). A total of 53 male patients participated in this study, with a mean (SD) age of 54.6 (8.4... |
0 | Myeloma: update on supportive care strategies | MSTS 2018 - Femur Mets and MM | Despite substantial innovations in the treatment of multiple myeloma (MM), it remains an incurable disease. In addition, it is debatable whether the progress in survival is attributable simply to the therapy used to destroy the tumor clone or if it is also because of therapy designed to ameliorate disease complications... |
0 | Negative Work Exercise for the Treatment of Knee Arthritis | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study is to develop a negative work exercise regimen as an intervention for posttraumatic osteoarthritis (PTOA). "Negative work" is the force produced by muscles as they lengthen, and regularly occurs with common activities such as lowering an object from a shelf or walking down stairs. In this stud... |
0 | Predictors for neurologic sequelae after regional anesthesia | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Neurological deficit is a recognized complication after regional anesthesia.(1) Although the risks are relatively low, this can be devastating and debilitating. Patient, surgical, and anesthetic risk factors may all contribute to peripheral nerve injuries after surgery.(2) We conducted a qualitative syste... |
0 | Imaging of diseases of the axial and peripheral skeleton | Management of Hip Fractures in the Elderly | Musculoskeletal complaints are common in the elderly population. The main concerns in geriatric orthopedics are the increased incidence of trauma, degeneration, and malignancy, commonly compounded by comorbidities and the effects of ageing. Imaging of common and important diseases of the axial and peripheral skeleton i... |
1 | The effect of bracing on varus gonarthrosis | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | BACKGROUND: The purpose of this study was to compare a custom-made valgus-producing functional knee (unloader) brace, a neoprene sleeve, and medical treatment only (control group) with regard to their ability to improve the disease-specific quality of life and the functional status of patients who had osteoarthritis in... |
0 | Back problems among postmenopausal women taking estrogen replacement therapy: the study of osteoporotic fractures | Management of Hip Fractures in the Elderly | STUDY DESIGN: Cross-sectional and prospective. OBJECTIVES: To investigate the association between estrogen replacement therapy use, back pain, and back function in a large cohort of elderly women. BACKGROUND: Several studies have suggested that women who use estrogen replacement therapy may be more likely to experience... |
0 | The Effect of Lipectomy/Liposuction on Lipid Profiles in Antiretroviral Drug-induced Lipodystrophy Syndrome | Panniculectomy & Abdominoplasty CPG | BACKGROUND: One of the adverse effects of antiretroviral (ARV) drugs in the treatment of human immunodeficiency virus is lipodystrophy, which is often associated with metabolic complications such as hyperlipidemia, increased cardiovascular risk factors, and altered body fat distribution. This is characterized by a dors... |
0 | Managing musculoskeletal complaints with rehabilitation therapy: summary of the Philadelphia Panel evidence-based clinical practice guidelines on musculoskeletal rehabilitation interventions | SR for PM on OA of All Extremities | OBJECTIVE: The Philadelphia Panel recently formulated evidence-based guidelines for selected rehabilitation interventions in the management of low back, knee, neck, and shoulder pain. STUDY DESIGN: The guidelines were developed with the use of a 5-step process: define the intervention, collect evidence, synthesize resu... |
0 | Repeat tears of repaired menisci after arthroscopic confirmation of healing | AMP (Acute Meniscal Pathology) | We undertook 114 arthroscopic meniscal repairs in 111 patients and subsequently carried out second-look arthroscopy to confirm meniscal healing at a mean of 13 months after repair. Stable healing at the repaired site was seen in 90. Of these, however, 13 had another arthroscopy later for a further tear. The mean period... |
0 | Mid-Treatment Sleep Duration Predicts Clinically Significant Knee Osteoarthritis Pain reduction at 6 months: Effects From a Behavioral Sleep Medicine Clinical Trial | OAK 3 - Non-arthroplasty tx of OAK | Study Objectives: To determine the relative influence of sleep continuity (sleep efficiency, sleep onset latency, total sleep time [TST], and wake after sleep onset) on clinical pain outcomes within a trial of cognitive behavioral therapy for insomnia (CBT-I) for patients with comorbid knee osteoarthritis and insomnia.... |
0 | Differences in subtrochanteric and diaphyseal atypical femoral fractures in a super-aging prefectural area: YamaCAFe Study | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: Atypical femoral fractures (AFFs) have been correlated with long-term use of bisphosphonates (BPs), glucocorticoids (GCs), and femoral geometry. We investigated the incidence and characteristics of subtrochanteric (ST) and diaphyseal (DP) AFFs in all institutes in a super-aging prefectural area. Materials... |
0 | The effects of arthroscopic joint debridement in knee osteoarthritis patients over the age of sixty | OAK 3 - Non-arthroplasty tx of OAK | Objective: The effects of arthroscopic joint debridement (AJD) on patients aged sixty or above who had symptoms of osteoarthritis according to functional status, pain levels and patient satisfaction were evaluated in the short- and mid-term. Materials and Methods: Between 2006 and 2011, 80 patients aged 60 or above who... |
0 | The risk of cardiorespiratory deaths persists beyond 30 days after proximal femoral fracture surgery | Hip Fx in the Elderly 2019 | INTRODUCTION: 30-day mortality is routinely used to assess proximal femoral fracture care, though patients might remain at risk for poor outcome for longer. This work has examined the survivorship out to one year of a consecutive series of patients admitted for proximal femoral fracture to a single institution. We wish... |
0 | Change in the spectrum of orthopedic trauma: Effects of COVID-19 pandemic in a developing nation during the upsurge; a cross-sectional study | DoD SSI (Surgical Site Infections) | Background: The COVID-19 pandemic has caused a great impact on orthopedic surgery with a significant curtailment in elective surgeries which is the major bread and butter for orthopedic surgeons. It was also observed that the spectrum of orthopedic trauma injuries has shifted from more severe and frequent road traffic ... |
0 | Gender and other factors associated with the use of hearing protection devices at work | DoD PRF (Psychosocial RF) | OBJECTIVE: To analyze whether sociodemographic, occupational, and health-related data are associated with the use of hearing protection devices at work, according to gender. METHODS: A cross-sectional study was conducted in 2006, using a random sample of 2,429 workers, aged between 18 and 65 years old, from residential... |
0 | Electrophysiologic assessment of a median nerve injury in the palm | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In median nerve lesions of the hand, electrophysiologic evaluation of the second lumbrical muscle can help to differentiate between lesions of the common digital nerves and the proper digital nerves, as illustrated by this case report. Median nerve conduction studies to the second lumbrical muscle can be performed by p... |
0 | Upper Limb Nerve Entrapment Syndromes in Veterans With Lower Limb Amputations | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To examine the prevalence and severity of upper limb entrapment syndromes in a sample of veterans with lower limb amputations. Design: A descriptive survey, pilot study. Setting: 2008 National Disabled Veterans Winter Sports Clinic. Participants: Twenty participants with various lower limb amputations. Metho... |
0 | Computed tomography-based diagnosis of occult fragility hip fractures offer shorter waiting times with no inadvertent missed diagnosis | Hip Fx in the Elderly 2019 | Purpose: Surgical delay due to the wait for advanced cross-sectional imaging in occult fragility hip fracture management is not well studied. Our study aims to investigate computed tomography (CT) as an alternative to the gold standard magnetic resonance imaging (MRI) in occult hip fracture workup to decrease surgical ... |
0 | Treatment of post-meniscectomy knee symptoms with medial meniscus replacement results in greater pain reduction and functional improvement than non-surgical care | AMP (Acute Meniscal Pathology) | PURPOSE: Partial meniscectomy is a common orthopedic procedure intended to improve knee pain and function in patients with irreparable meniscal tears. However, 6-25% of partial meniscectomy patients experience persistent knee pain after surgery. In this randomized controlled trial (RCT) involving subjects with knee pai... |
1 | Electroacupuncture inhibits chronification of the acute pain of knee osteoarthritis: study protocol for a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Previous studies have shown that electroacupuncture (EA) has a significant effect on acute pain, but it has not solved the clinical problem of the chronification of acute pain. Diffuse noxious inhibitory controls (DNIC) function as a reliable indicator to predict the risk of chronic pain events. DNIC functi... |
0 | Bilateral thenar hammer syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Thenar hammer syndrome is a very rare condition that mimics rheumatic diseases such as carpal syndrome tunnel, Raynaud's phenomenon, and hand synovitis. OBJECTIVE: To describe the sonographic presentation of thenar hammer syndrome in a typical patient. METHODS: Grey-scale sonography and colour Doppler imagi... |
0 | Side effects during continuous epidural infusion of morphine and fentanyl | Management of Hip Fractures in the Elderly | Respiratory effects, nausea, somnolence, and pruritus were compared during a 48-hr period of continuous epidural morphine (n = 34) and fentanyl (n = 32) infusion in 66 patients following elective total replacement of the hip or knee joint. Respiratory effects were assessed by PaCO2. Side effects were assessed by visual... |
1 | Statistical analysis of amputations and trends in Korea | DoD LSA (Limb Salvage vs Amputation) | Epidemiological research on amputees is being continued extensively world wide, but there are different epidemiologic reports from country to country. This study undertakes an epidemiologic report of the medical records of amputees in Korea which has developed very rapidly, when compared with other countries. This stud... |
0 | Immediate mobilization gives good results in boxer's fractures with volar angulation up to 70 degrees: a prospective randomized trial comparing immediate mobilization with cast immobilization | Hip Fx in the Elderly 2019 | BACKGROUND: The management of the subcapital fracture of the fifth metacarpal bone, the boxer's fracture, is still a matter of debate. Besides the question of which rate of angulation is acceptable before a reduction becomes necessary, recommendations for further treatment of this fracture vary as well. Therefore, the ... |
0 | The long-term consequence of strength deficits after menisectomy | AMP (Acute Meniscal Pathology) | This study was undertaken to investigate the long-term effects of a muscular imbalance of the knee extensors of both legs, resulting from a menisectomy and a subsequent training program. Sixteen subjects were tested at the end of an eight-week training program and again 28 months later. At the end of the training progr... |
1 | Outcomes and complications of fractures of distal radius (AO type B and C): volar plating versus nonoperative treatment | Distal Radius Fractures | OBJECTIVES: Management of AO type B and C fractures of the distal radius is controversial. This study compares outcomes and complications of AO type B and C fractures of the distal radius treated with volar locked plating and nonoperative methods.
MATERIALS AND METHODS: Sixty-four patients with fractures of the distal ... |
0 | The relationship of trigger finger and flexor tendon volar migration after carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | It has been suggested that the increased frequency of trigger finger (TF) after carpal tunnel release (CTR) may be caused by the volar migration of the flexor tendons at the wrist altering the tendon biomechanics at the A1 pulley. This hypothesis has not been validated. We performed pre- and post-operative ultrasonogra... |
0 | Cryopreserved arterial allografts used for the treatment of infected vascular grafts | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In this study, 18 patients (17 men and 1 woman; mean age 61 years) with a previously infected vascular graft underwent vascular reconstruction with cryopreserved arterial allografts. Treatment consisted of first total (n = 11) or partial removal (n = 7) of infected prosthetic grafts. Revascularizations were aortoaortic... |
0 | Broadband ultrasound attenuation of the os calcis in female postmenopausal patients with cervical and trochanteric fracture | Management of Hip Fractures in the Elderly | The broadband ultrasound attenuation (BUA) of the right calcaneus was measured in 78 women with hip fracture (45 trochanteric and 33 cervical) and in 85 normal women (mean age 78 years and 63 years, respectively). All cases were postmenopausal and the hip fractures had resulted from a fall from standing position or les... |
1 | Influence of magnetic resonance imaging of the knee on GPs' decisions: A randomised trial | AMP (Acute Meniscal Pathology) | Background: Magnetic resonance imaging (MRI) of the knee for meniscus and ligament injuries is an accurate diagnostic test. Early and accurate diagnosis of patients with knee problems may prevent the onset of chronic problems such as osteoarthritis, a common cause of disability in older people consulting their GP. Aim:... |
1 | Intramedullary nailing of humeral shaft fractures. A retrospective study of 126 cases | MSTS 2022 - Metastatic Disease of the Humerus | Antegrade intramedullary nailing with four different implants was used in 126 humeral shaft fractures. There were 74 acute fractures, 17 pathologic fractures, 16 fractures malaligned in a hanging cast or brace, 15 fractures with delayed union and 4 fractures that were nailed after failed open reduction and internal fix... |
0 | Aerobic and anaerobic arm-cranking power outputs of males with lower limb impairments: relationship with sport participation intensity, age, impairment and functional classification | DoD LSA (Limb Salvage vs Amputation) | Fifty individuals with lower limb impairments including spinal cord injury, polio and amputations underwent aerobic and anaerobic arm-cranking tests in a standardized laboratory setting. Based on linear regression models applied with age as dependent variable aerobic performance variable including HRmax (R = 0.395, P =... |
0 | Transtibial Pullout Repair Reduces Posterior Extrusion of the Medial Meniscus | AMP (Acute Meniscal Pathology) | Medial meniscus posterior root tear causes rapid knee cartilage degradation by inducing posteromedial displacement of the medial meniscus. We evaluated medial meniscus posterior extrusion before and after pullout repair for medial meniscus posterior root tear using magnetic resonance images. Twenty-eight patients with ... |
0 | Effect of myopia on frequency-doubling perimetry | Upper Eyelid and Brow Surgery | PURPOSE: To examine the effect of myopia, occasionally associated with glaucomatous eyes, on the results obtained by frequency-doubling perimetry (FDP). METHODS: Sixty emmetropic or myopic normal volunteers (mean age, 26.2 +/- 0.35 years, mean +/- SEM; range, 19-34) with good visual acuity and without glaucoma were div... |
1 | Influence of a Tourniquet on Opioid Consumption After Local Infiltration Analgesia for Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | Objective: Local infiltration analgesia (LIA) with ropivacaine is increasingly used to provide postoperative analgesia after total knee arthroplasty (TKA). TKA may be performed with or without the use of a tourniquet. The absence of local blood flow when infiltrating local anaesthesia below an inflated tourniquet may a... |
1 | Randomized, double-blind, placebo-controlled glucosamine discontinuation trial in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the efficacy of glucosamine sulfate in knee osteoarthritis (OA). METHODS: A 4-center, 6-month, randomized, double-blind, placebo-controlled glucosamine discontinuation trial was conducted in 137 current users of glucosamine with knee OA who had experienced at least moderate improvement in knee pain... |
0 | Treatment of intractable hip pain after THA and GTB using peripheral nerve field stimulation: a case series | AAHKS (5) Gabapentinoids | OBJECTIVE: It has been estimated that 10%-35% of patients who undergo total hip arthroplasty (THA) have chronic postoperative pain, most often located at the greater trochanter. After greater trochanteric bursectomy (GTB), patients also may continue to experience chronic surgical site pain. Chronic pain has a neuropath... |
0 | Iris pigmentation and extent of disease in patients with neovascular age-related macular degeneration | Upper Eyelid and Brow Surgery | PURPOSE: To determine whether the extent of disease in age-related macular degeneration (AMD) varies with iris pigmentation. METHODS: The authors assessed visual function and macular appearance in the fellow eye or both eyes of 132 white patients with unilateral neovascular AMD. All patients had a visual acuity of 20/6... |
0 | Pain and recovery after total knee arthroplasty: A 12-month follow-up after a prospective randomized study evaluating nefopam and ketamine for early rehabilitation | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES:: Ketamine and nefopam has been documented to decrease pain intensity and improve rehabilitation after total knee arthroplasty (TKA). We conducted a follow-up study of a previously randomized clinical trial to determine the prevalence and risk factors of chronic pain 1 year after TKA and to assess the role o... |
0 | Radiographic predictors of patient satisfaction following primary total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: Predicting satisfaction following total knee arthroplasty (TKA) continues to be a clinical challenge. We sought to quantify radiographic variables associated with clinical improvement and satisfaction following TKA. Methods: We reviewed a consecutive series of primary TKAs performed by a single surgeon with... |
0 | Comparison of outcome between nonoperative and operative treatment of medial epicondyle fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Background and purpose - Controversy exists regarding the optimal treatment for displaced medial epicondyle fractures. We compared the results of nonoperative and operative treatment and calculated the incidence of medial epicondyle fractures in the pediatric census population. Patients and methods - 112 children under... |
1 | The association between body mass index and the outcomes of total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: In the United Kingdom, organizations involved in health-care commissioning have recently introduced legislation limiting access to total knee arthroplasty through the introduction of arbitrary thresholds unsupported by the literature and based on body mass index. This study aimed to establish the relationsh... |
0 | Three-month changes in bone turnover markers and bone mineral density response to raloxifene in Japanese postmenopausal women with osteoporosis | Management of Hip Fractures in the Elderly | It has been well established that raloxifene (RLX) improves bone turnover, increases bone mineral density (BMD), and reduces the risk of fractures. However, it remains obscure how to monitor the therapeutic effects of RLX, while numerous clinical trials for other antiresorptive agents have suggested that greater short-... |
0 | Diabetes: Insulin resistance and derangements in lipid metabolism. Cure through intervention in fat transport and storage | Panniculectomy & Abdominoplasty CPG | We present multiple findings on derangements in lipid metabolism in type 2 diabetes. The increase in the intracellular deposition of triglycerides (TG) in muscles, liver and pancreas in subjects prone to diabetes is well documented and demonstrated to attenuate glucose metabolism by interfering with insulin signaling a... |
1 | Liposomal Bupivacaine Versus Standard Periarticular Injection in Total Knee Arthroplasty With Regional Anesthesia: A Prospective Randomized Controlled Trial | AAHKS (9/10) Regional Nerve Blocks | Background: Liposomal bupivacaine (Exparel) is a long-acting local anesthetic preparation with demonstrated efficacy over placebo in reducing postoperative pain and opioid requirement. Limited comparative efficacy and cost-effectiveness data exist for its use in total knee arthroplasty (TKA) when used in a multimodal, ... |
0 | FIB the fractured femur | Surgical Management of Osteoarthritis of the Knee CPG | Introduction The lumbar plexus block provides excellent analgesia after hip and knee surgery. One approach to the three major nerves (femoral, lateral cutaneous and obturator) of the lubar plexus is the fascia iliaca compartment block, first described by Dalens and colleagues. Using this blind approach, complete nerve ... |
0 | Gender Effect on the Outcome of Partial Medial Meniscectomy | AMP (Acute Meniscal Pathology) | Complex posterior horn tears of the medial meniscus are common. Previous reports performed statistical stratifications to address the influence of gender on outcome following arthroscopic partial medial meniscectomy with variable conclusions. The aim of this study was to compare the clinical results of arthroscopic par... |
0 | No significant effect on bone mineral density by high doses of vitamin D3 given to overweight subjects for one year | Management of Hip Fractures in the Elderly | BACKGROUND: In meta-analyses supplementation with vitamin D appears to reduce incidence of fractures, and in cross-sectional studies there is a positive association between serum 25-hydroxyvitamin D (25(OH)D) levels and bone mineral density (BMD). However, the effect of supplementation with high doses of vitamin D on B... |
0 | The use of desmopressin in the management of nocturnal enuresis in patients with spinal cord injury | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | AIM: The aim of this study is to evaluate the use of desmopressin acetate (DDAVP) in the management of nocturnal enuresis in patients with spinal cord injury (SCI), as well as arginine vasopressin (AVP) daily production, urine output, urine osmolarity and clean intermittent catheterization (CIC) before and after the us... |
0 | Delirium motor subtypes in elderly hip fracture patients: Risk factors, outcomes and longitudinal stability | DoD PRF (Psychosocial RF) | Objective: Delirium is often accompanied by changes in motor activity but the longitudinal expression of these features and etiological and prognostic significance of clinical subtypes defined by motor activity is unclear. Methods: This is a prospective cohort study of elderly patients undergoing hip fracture surgery. ... |
0 | Muscle degeneration in rotator cuff tears | Glenohumeral Joint OA | Rotator cuff tears are among the most common injuries seen by orthopedic surgeons. Although small- and medium-sized tears do well after arthroscopic and open repair, large and massive tears have been shown to develop marked muscle atrophy and fatty infiltration within the rotator cuff muscles. These pathologic changes ... |
0 | Increasing adherence with the use of hip protectors for older people living in the community | Management of Hip Fractures in the Elderly | Summary: For people at high risk of hip fracture living in community settings, providing hip protectors at no cost increased adherence, but the additional effect of an educational programme was limited. Overall, the level of adherence was modest. Introduction: The objective of the study was to increase adherence with h... |
0 | Difference between right and left side in total knee and unicondylar knee replacement: An interesting observation | Surgical Management of Osteoarthritis of the Knee CPG | We report an observation made about the differences between right and left side in case of total knee and unicondylar knee replacement. It was found that unicondylar knee replacement was performed more commonly on the left side (66%), as compared to only 34% on right side, where as total knee replacement was more commo... |
0 | Deformity following distal humeral fracture in childhood | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We are reporting five cases of a seldom-reported complication following fracture of the distal end of the humerus during childhood. The complication consists of dissolution of a variable portion of the trochlea at a variable time after fracture. The fractures ranged from non-displaced to severely displaced supra-condyl... |
0 | Amputations and prosthetics | DoD LSA (Limb Salvage vs Amputation) | The author presents in a condensed way an overview of the principles of limb amputations and further treatment of patients who underwent such a procedure. The metabolic cost of walking, load transfer, and wound healing are reviewed in a concise manner. Particular attention is given to blood supply to the wound and meth... |
1 | Meta-analysis: Effectiveness of Comprehensive Geriatric Care for Elderly Following Hip Fracture Surgery | Hip Fx in the Elderly 2019 | Hip fractures may increase mortality and decrease mobility in elderly patients. Effectiveness of comprehensive geriatric care (CGC) has not been verified. A systematic review and a meta-analysis were conducted by searching full-text databases (1988-2018) of Cochrane Library, Clinical Key, Embase, MEDLINE, CINAHL, and P... |
0 | Genotypic and Phenotypic Characteristics of CRB1-Associated Retinal Dystrophies: A Long-Term Follow-up Study | Upper Eyelid and Brow Surgery | PURPOSE: To describe the phenotype, long-term clinical course, clinical variability, and genotype of patients with CRB1-associated retinal dystrophies. DESIGN: Retrospective cohort study. PARTICIPANTS: Fifty-five patients with CRB1-associated retinal dystrophies from 16 families. METHODS: A medical record review of 55 ... |
0 | Prognostic Impact of Age at the Time of Diagnosis in Korean Patients with Diffuse Large B-cell Lymphoma in the Rituximab Era: A Single Institution Study | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: In contrast to the Western diffuse large B-cell lymphoma (DLBCL), prognostic impact of age in a Korean population with DLBCL has not been fully evaluated.
Materials and Methods: Six hundred and eight DLBCL patients treated with rituximab-containing chemotherapeutic regimens from January 2002 to March 2012 in A... |
0 | (iv) The patella in total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | The role and management of the patella in total knee replacement remains controversial. The patella is an important sesamoid bone, with a rich vascular and neural network surrounding it, and it must be managed appropriately in order to ensure a satisfactory outcome after a total knee replacement. The controversies conc... |
0 | Treatment of medial compartment knee osteoarthritis by arthroscopic 'L' medial release procedure | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To evaluate the clinical outcomes of an arthroscopic 'L' medial release (ALMR) procedure for the treatment of medial compartment knee osteoarthritis (MCKOA).
METHODS: Between January 2012 and December 2013, 372 patients with MCKOA of Kellgren's radiographic grade I-III were diagnosed. Among them, 252 patients ... |
0 | The significance of circulating tumour cells in breast cancer: A review | MSTS 2022 - Metastatic Disease of the Humerus | Haematogenous spread of circulating tumour cells (CTCs) is the principle mechanism for development of metastases. Research into the enumeration and characterisation of CTCs, particularly in the last decade, has allowed the introduction of semi-automated CTC assessment in the clinical setting. In breast cancer, CTC enum... |
1 | The Military Orthopedic Trauma Registry: The potential of a specialty specific process improvement tool | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The Military Orthopaedic Trauma Registry (MOTR) was designed to replicate the Department of Defense Trauma Registry's (DoDTR's) role as pillar for data-driven management of extremity war wounds. The MOTR continuously undergoes quality assurance checks to optimize the registry data for future quality improve... |
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