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1 | Patient Blood Management Strategies to Avoid Transfusions in Body Contouring Operations: Controlled Clinical Trial | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Anemia is a frequent process of morbidity and mortality in body contouring procedures. In aesthetic surgery, there are no standardized processes to minimize bleeding during surgery. For this reason, a study was designed to implement patient blood management strategies to reduce bleeding and transfusions in ... |
0 | Interventions for treating chronic ankle instability | SR for PM on OA of All Extremities | Background: Chronic lateral ankle instability occurs in 10% to 20% of people after an acute ankle sprain. Initial treatment is conservative but if this fails and ligament laxity is present, surgical intervention is considered.Objectives: To compare different treatments, conservative or surgical, for chronic lateral ank... |
0 | Coagulase-negative staphylococci: pathogens associated with medical progress | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Coagulase-negative staphylococcal bacteremia and infections of prosthetic medical devices have become major clinical problems. Efforts to differentiate contaminating from infecting isolates consume the time of microbiology laboratory personnel; decisions over when and with what to institute therapy for multiresistant i... |
1 | A meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures | Management of Hip Fractures in the Elderly | BACKGROUND: Total hip arthroplasty or hemiarthroplasty are used to treat displaced femoral neck fractures. However, the optimal treatment of these fractures remained controversial. OBJECTIVE: To assess the effects that compare total hip arthroplasty with hemiarthroplasty for the treatment of femoral neck fractures in t... |
1 | Effects of neuromuscular training (NEMEX-TJR) on patient-reported outcomes and physical function in severe primary hip or knee osteoarthritis: a controlled before-and-after study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The benefits of exercise in mild and moderate knee or hip osteoarthritis (OA) are apparent, but the evidence in severe OA is less clear. We recently reported that neuromuscular training was well tolerated and feasible in patients with severe primary hip or knee OA. The aims of this controlled before-and-aft... |
0 | Bone Quality of the Calcaneus 5Years After Total Knee Arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We used non-invasive broadband ultrasound attenuation (BUA) to determine whether the pre-surgical bone quality of the calcaneus was improved 5years postoperatively, and whether the interval between total knee arthroplasty (TKA) surgeries influenced post-surgical calcaneal bone quality. All patients underwent scheduled,... |
0 | IMWG consensus on maintenance therapy in multiple myeloma | MSTS 2018 - Femur Mets and MM | Maintaining results of successful induction therapy is an important goal in multiple myeloma. Here, members of the International Myeloma Working Group review the relevant data. Thalidomide maintenance therapy after autologous stem cell transplantation improved the quality of response and increased progression-free surv... |
0 | Novel use of genicular nerve block as an alternative treatment option in a patient with chronic bilateral knee pain after left total knee arthroplasty. A case report | Surgical Management of Osteoarthritis of the Knee CPG | Case Description: A 55-year-old woman with chronic bilateral knee pain with history of left total knee arthroplasty (TKA). Program Description: Patient complains of right knee pain secondary to osteoarthritis (OA) and residual left knee pain after TKA. Her pain persisted for 7 years after surgery. She failed conservati... |
0 | The effect of ginger oil on pain in patients with knee osteoarthritis | AAHKS (4) Acetaminophen | INTERVENTION: Control groups? the control group with no intervention and treatment is not routinely recommended by doctors receive. McGill pain questionnaire and VAS before and in the second and fourth weeks will be completed by the control group. Intervention 1: Control groups? the control group with no intervention a... |
0 | The optimum follow-up period for assessing mortality outcomes in injured older adults | Management of Hip Fractures in the Elderly | Objectives: To compare mortality rates of hospitalized injured aged 67 and older across commonly used follow-up periods (e.g., in-hospital, 30-day, 1-year) and to determine the postinjury time after which mortality rates stabilize. Design: Retrospective analysis of Medicare claims. Setting: Oregon and Washington Medica... |
0 | Capsular-Enhanced Repair of the Short External Rotators After Total Hip Arthroplasty | Management of Hip Fractures in the Elderly | Higher dislocation rates have been reported with the posterior approach to the hip. Empirical studies suggest that careful repair of the posterior structures significantly reduces this risk. However, studies examining the integrity of repair using plain radiographs and metallic markers have reported high failure rates.... |
1 | A modified fascia iliaca compartment block has significant morphine-sparing effect after total hip arthroplasty | AAHKS (9/10) Regional Nerve Blocks | We assessed whether a modified fascia iliaca compartment block in unilateral total hip arthroplasty provides a morphine-sparing effect in the first 24 hours. This involved a randomised, double blind study of 44 patients. Both groups received a modified fascia iliaca block with the trial group receiving 30 ml 0.5% bupiv... |
0 | Osteoarthritis year 2012 in review: imaging | SR for PM on OA of All Extremities | PURPOSE: This article reviews original publications related to imaging in osteoarthritis (OA) published in English from September 2011 through March 2012. In vitro data and animal studies are not covered. METHODS: To extract relevant studies, an extensive PubMed database search was performed using the query terms "oste... |
0 | Unilateral external fixation for severe pilon fractures | DoD LSA (Limb Salvage vs Amputation) | Twenty-one patients with severe tibial plafond fractures were treated by unilateral large screw external fixation. In 15 patients, this was combined with limited internal fixation. The fractures were classified according to the methods of Ovadia and Beals. There were nine type III, four type IV, and eight type V fractu... |
0 | Fracture of the femur in revision hip arthroplasty with a fully porous-coated component | Hip Fx: Early-Weight Bearing Search | Fifty-four consecutive femoral component revisions with uncemented fully porous-coated stems were retrospectively reviewed for the prevalence of intraoperative fracture. Fracture of the femoral diaphysis occurred during insertion of a curved stem in 8 (15%) hips. One additional distal fracture of the femur occurred dur... |
0 | Postoperative mortality after a hip fracture over a 15-year period in Denmark: a national register study | Hip Fx in the Elderly 2019 | Background and purpose â?? In Denmark, 44 per 10,000 persons over the age of 50 years suffered a hip fracture (HF) in 2011. We characterized the patients and identified risk factors associated with 30-day, 90-day, and 1-year postoperative mortality in Denmark from 2000 to 2014. Patients and methods â?? The study builds... |
0 | Expression of CD 68, CD 45 and human leukocyte antigen-DR in central and peripheral giant cell granuloma, giant cell tumor of long bones, and tuberculous granuloma: An immunohistochemical study | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Multinucleated giant cells (MNCs) form an integral part of numerous bone and soft tissue tumors, tumor-like lesions and are often associated with granulomas of immunological and nonimmunological origin. The presence of various types of giant cells depends on the lesions in which they are present which are d... |
0 | Introduction of intracapsular hip fractures: anatomy and pathologic features | Management of Hip Fractures in the Elderly | The morbidity, mortality, and financial burden related to intracapsular hip fractures in elderly patients in the United States will continue to increase as the population ages. An appreciation of the anatomy and pathologic features of intracapsular hip fractures is necessary for successful treatment |
0 | Renaut bodies contain elastic fiber components | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Renaut bodies (RB) are fusiform endoneurial structures preferentially found at sites of nerve entrapment, often occupying more than 30% of the cross-sectional area of a nerve fascicle. Their composition and significance, however, are still incompletely understood. In this study, further evidence for the link between th... |
0 | The Chitranjan S. Ranawat Award : No Difference in 2-year Functional Outcomes Using Kinematic versus Mechanical Alignment in TKA: A Randomized Controlled Clinical Trial | PJI DX Updated Search | BACKGROUND: Neutral mechanical alignment (MA) in total knee arthroplasty (TKA) aims to position femoral and tibial components perpendicular to the mechanical axis of the limb. In contrast, kinematic alignment (KA) attempts to match implant position to the prearthritic anatomy of the individual patient with the aim of i... |
1 | Musculoskeletal injuries associated with earthquake. A report of injuries of Iran's December 26, 2003 Bam earthquake casualties managed in tertiary referral centers.[Erratum appears in Injury. 2005 Jun;36(6):810 Note: Mohammad Naghi, Tahmasebi [corrected to Tahmasebi, Mohammad Naghi]; Kambiz, Kiani [corrected to Kiani,... | DOD - Acute Comp Syndrome CPG | This is a descriptive analysis, performed on victims of Iran's December 26, 2003 Bam earthquake that were referred to tertiary referral trauma management centre in Tehran. Two hundred and ten patients were included in this study. Associated musculoskeletal injuries and renal function of the patients were recorded. The ... |
1 | Comparison of 2 Analgesia Modalities in Total Knee Replacement Surgery: Is There an Effect on Knee Function Rehabilitation? | AAHKS (8) Anesthetic Infiltration | BACKGROUND We compared the effects of continuous femoral nerve block (CFNB) and continuous intraarticular block (CIAB) on pain, functional recovery and adverse effects after total knee arthroplasty (TKA). MATERIAL AND METHODS We prospectively randomized 54 patients undergoing TKA into 2 groups: CFNB (Group F) and CIAB ... |
1 | Rheumatoid arthritis: a review and suggested dental care considerations | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Rheumatoid arthritis, or RA, is a chronic multisystem disease of presumed autoimmune etiology. It is estimated that arthritis and other rheumatic conditions affect 42.7 million Americans. Medical complications due to RA and its treatment may affect the provision of oral health care. METHODS: The authors und... |
1 | Incidence of bacteremia after chewing, tooth brushing and scaling in individuals with periodontal inflammation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | SCIENTIFIC RATIONALE FOR STUDY: Bacteremia occurs with various frequency after oral procedures. Periodontal disease may affect the incidence, magnitude, duration and bacterial spectrum of bacteremia. PRINCIPLE FINDINGS: The incidence and magnitude of bacteremia after scaling was significantly higher in periodontitis th... |
0 | Tibial cartilage volume change in healthy postmenopausal women: A longitudinal study | Surgical Management of Osteoarthritis of the Knee CPG | Objective: To determine whether the amount of joint cartilage in healthy postmenopausal women is stable or changes over time, and whether oestrogen replacement therapy (ERT) influences this. Design: A cohort study in healthy postmenopausal women without knee pain, initially selected on the basis of having either used E... |
0 | Visual impairment and falls in older adults: the Blue Mountains Eye Study | Upper Eyelid and Brow Surgery | OBJECTIVES: To examine the association between visual impairment and falls in older people. DESIGN: Cross-sectional survey of eye disease with retrospective collection of falls data. SETTING: Two postcode areas in the Blue Mountains west of Sydney, Australia. PARTICIPANTS: All people 49 years of age and older were invi... |
0 | Perioperative risk factors in patients with a femoral neck fracture - Influence of 25-hydroxyvitamin D and C-reactive protein on postoperative medical complications and 1-year mortality Epidemiology of musculoskeletal disorders | Hip Fx in the Elderly 2019 | Background: This study examined the association of 25-hydroxyvitamin D (25(OH)D) and C-reactive protein (CRP) with postoperative medical complications and one year mortality of elderly patients sustaining a low-energy cervical hip fracture scheduled for surgery. We hypothesized that vitamin D deficiency and CRP in thes... |
1 | Reduction mammaplasty: A way helping females with neck, shoulder and back pain symptoms | Reduction Mammoplasty for Female Breast Hypertrophy | This study documents that the excessive weight of the female breast can lead to, or increase, existing pain symptoms of the neck, shoulder and upper trunk. Consequently, a reduction mammaplasty has to be considered as a mainly medical indication in women with permanent musculoskeletal pain symptoms in their medical his... |
0 | Acquired Buried Penis in Adults: A Review of Surgical Management | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Acquired buried penis (ABP) is a urologic condition that has significant morbidity and negative effect on quality of life, including but not limited to sexual function, hygiene, micturition, and self-image. This disease process is characterized by a wide degree of variability and severity that requires a ... |
0 | A relationship between mechanically-induced changes in serum cartilage oligomeric matrix protein (COMP) and changes in cartilage thickness after 5 years | OAK 3 - Non-arthroplasty tx of OAK | Objective: To evaluate the hypothesis that a mechanical stimulus (30-min walk) will produce a change in serum concentrations of cartilage oligomeric matrix protein (COMP) that is associated with cartilage thickness changes on magnetic resonance imaging (MRI). Methods: Serum COMP concentrations were measured by enzyme-l... |
0 | Weight-bearing MRI of the knee: a review of advantages and limits | AMP (Acute Meniscal Pathology) | Standard knee imaging with MRI is usually performed with patient in recumbent position under non-weight-bearing conditions. Recently, magnetic resonance imaging systems to scan the knee joint under weight bearing conditions has been proposed as an approach to improve the clinical utility of musculoskeletal MRI. Imaging... |
0 | Results of 167 consecutive cases of acetabular fractures using the Kocher-Langenbeck approach: a case series | Hip Fx in the Elderly 2019 | BACKGROUND: Acetabular fractures are quite challenging injuries for the orthopedic surgeon because of their low incidence and their deep and complex anatomy. The objective of this study was to evaluate surgeon-independent parameters that might influence radiographic outcome and early complication rates of high-energy a... |
1 | Strengthening the quadriceps femoris muscle versus other knee training programs for the treatment of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | People with knee osteoarthritis have atrophy of the muscles surrounding the knee joint. Therefore, exercise programs primarily have been focused on the strengthening of quadriceps femoris muscle (QFM). Primary aim of this systematic review was to determine which exercise increases strength of the QFM and describe the d... |
0 | Mechanically stimulated biomarkers signal cartilage changes over 5 years consistent with disease progression in medial knee osteoarthritis patients | OAK 3 - Non-arthroplasty tx of OAK | Using serum biomarkers to assess osteoarthritis (OA) disease state and risks of progression remain challenging. This study tested the hypothesis that changes to serum biomarkers in response to a mechanical stimulus in patients with medial knee OA signal cartilage thickness changes 5 years later. Specifically, serum con... |
0 | MRI of Musculotendinous Injuriesâ??Part I: â??Non-strainâ?쳌 Injuries | DOD - Acute Comp Syndrome CPG | Muscle injuries have been consequential since ancient times, but evaluation of such injuries entered a new era with the advent of MRI. The pace of muscle injury research has accelerated in recent years, with new insights on prevention, diagnosis, treatment, and prognosis. This article reviews the current highlights in ... |
0 | ORIF or Arthroplasty for Displaced Femoral Neck Fractures in Patients Younger Than 65 Years Old: An Economic Decision Analysis | Hip Fx in the Elderly 2019 | BACKGROUND: The decision between open reduction and internal fixation (ORIF) and arthroplasty for a displaced femoral neck fracture in a patient <=65 years old can be challenging. Both options have potential drawbacks; if a fracture treated with ORIF fails to heal it may require a revision operation, whereas a relative... |
0 | The use of structural allograft for uncontained defects in revision total knee arthroplasty. A minimum five-year review | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: To our knowledge, the medium to long-term outcome after revision knee arthroplasty with structural allograft augmentation for reconstruction of uncontained defects has not been determined. The purpose of the present study was to assess the outcome for patients managed with such a procedure. METHODS: We pros... |
0 | The impact of pathological fractures on surgery, morbidity, functional and oncological outcomes in patients with primary bone sarcomas | MSTS 2022 - Metastatic Disease of the Humerus | Background Although rare, pathological fractures may occur in primary bone sarcomas. There have been studies reporting that such patients have a poorer prognosis than those without a pathological fracture. This study investigates the impact of pathological fractures on surgery, morbidity, functional and oncological out... |
0 | A new non-incisional correction method for blepharoptosis | Upper Eyelid and Brow Surgery | PURPOSE: The present report introduces our correction method for blepharoptosis, in which major incisions are made on neither the skin nor the conjunctiva of the upper eyelid, and no dissection of the eyelid tissues is required. METHODS: After turning the upper eyelid inside out, threads are introduced into it through ... |
0 | Intra-articular injections of platelet-rich plasma in patients with knee pain of articular cartilage origin (degenerative chondropathy and early OA) | OAK 3 - Non-arthroplasty tx of OAK | Platelet-rich plasma (PRP) has been used as an alternative to non-operative treatments for increasing the rate of cure in bone and soft-tissue regeneration, although there are very few clinical studies regarding the treatment of articular cartilage damage. Therefore, our study proposes non-surgical intervention for pat... |
0 | Predictive factors associated with mortality in Korean elderly patients with hip fractures | Hip Fx in the Elderly 2019 | BACKGROUND: It is important to investigate the level of physical function impairment before fracture to predict mortality after hip fracture. This study aimed to examine the predictive factors associated with mortality depending on prefracture physical function impairment among Korean elderly patients.
METHODS: We incl... |
1 | Efficacy of mesenchymal stem cells injection for the management of knee osteoarthritis: a systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The purpose of this study was to access the efficacy of mesenchymal stem cells (MSCs) injection in the treatment of knee osteoarthritis (OA).
METHODS: Studies were identified from databases (Pubmed, Embase, Cochrane Library, Biosis Previews, ClincalTrials.gov, CBMdisc) searched to December 2014 using a batte... |
1 | Pain in the aftermath of trauma is a risk factor for post-traumatic stress disorder | DoD PRF (Psychosocial RF) | Background: Identifying risk factors for the development of post-traumatic stress disorder (PTSD) is important for understanding and ultimately preventing the disorder. This study assessed pain shortly after traumatic injury (i.e. peritraumatic pain) as a risk factor for PTSD. Method: Participants (n = 115) were patien... |
0 | Factors predicting healing complications in femoral neck fractures. 138 patients followed for 2 years | Management of Hip Fractures in the Elderly | We have previously studied the radiographic outcome of femoral neck fracture osteosynthesis with either two hook-pins or a four-flanged nail performed by a small group of surgeons with special interest in the methods. In 138 femoral neck fractures a backwards stepwise logistic regression analysis was used to study the ... |
0 | An early surgical training module for compartment pressure measurement | DOD - Acute Comp Syndrome CPG | BACKGROUND: We test a novel simulated teaching module's ability to educate junior residents in the assessment of compartment syndrome (CS) and compartment pressure measurement (CPM).
METHODS: Twenty-two postgraduate year 1 and postgraduate year 2 surgical residents received a 2-hour didactic and practical teaching modu... |
0 | Rapidly progressive osteoarthritis: biomechanical considerations | AMP (Acute Meniscal Pathology) | An underlying hypothesis for rapid cartilage loss in patients with osteoarthritis (OA) is that perturbation from normal joint mechanics produces locally high biomechanical strains that exceed the material properties of the tissue, leading to rapid destruction. Several imaging findings are associated with focally high b... |
0 | NK cell immunesenescence is increased by psychological but not physical stress in older adults associated with raised cortisol and reduced perforin expression | Hip Fx in the Elderly 2019 | NK cell cytotoxicity (NKCC) reduces with age and this has been associated previously with increased mortality. The immune response is also modulated by stress, and here, we assessed the effect of the physical stress of hip fracture and the psychological stress of depression on NKCC in an aged immune system. NKCC was as... |
0 | Meniscus Size Differs Between Patient and Donor Populations for Meniscus Allograft Transplantation | AMP (Acute Meniscal Pathology) | Purpose: To determine the extent of variability in meniscus size and anthropometric data between donors (supply) and patients (demand), to evaluate potential factors that may contribute to size discrepancies, and to determine whether the discrepancies lead to longer patient wait times.
Methods: Lateral and medial menis... |
0 | Statins may decrease skeletal-related events in breast cancer patients with bone metastases | MSTS 2018 - Femur Mets and MM | Metastasis to the skeleton frequently occurs in breast carcinoma patients resulting in different skeletal-related events including pain, hypercalcemia, pathological fracture, and spinal cord or nerve root compression. Bisphosphonates are class of agents most frequently used to reduce skeletal-related events in patients... |
0 | Clinical practice and postoperative rehabilitation after knee arthroscopy vary according to surgeons' expertise: a survey among polish arthroscopy society members | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscus repair is a challenging task in knee arthroscopy. Currently, there are a variety of arthroscopic methods available for meniscus repair. The purpose of this study was to determine a consensus in meniscus tear treatment in the environment of Polish orthopaedists.
METHODS: A total of 205 registered or... |
1 | Supracondylar humeral fractures in children: ten years' experience in a teaching hospital | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Although supracondylar fracture is a very common elbow injury in childhood, there is no consensus on the timing of surgery, approach for open reduction and positioning of fixation wires. We report our ten-year experience between 1993 and 2003 in 291 children. Most fractures (285; 98%) were extension injuries, mainly Ga... |
0 | Ankle Arthroscopy With Microfracture for Osteochondral Defects of the Talus | Osteochondritis Dissecans 2020 Review | Therapeutic arthroscopy with microfracture leads to fibrocartilaginous repair and is an effective treatment of osteochondral lesions of the talus. A full diagnostic arthroscopy is performed, and then attention is turned to the osteochondral defect. We describe in detail patient positioning, ankle distraction, portal pl... |
0 | Vitamin D-fortified liquid milk: Benefits for the elderly community- based population | Management of Hip Fractures in the Elderly | To assess the efficacy and acceptability of vitamin D-fortified liquid milk in the management of hypovitaminosis D we carried out a double-blind, randomized, controlled trial on 51 community-based, elderly subjects with serum 25 hydroxyvitamin D (25OHD) levels of less than 12.9 ng/ml (normal range 10-80 ng/ml). Each su... |
0 | [Results of single stage vs. two-stage total knee arthroplasty] | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The total knee arthroplasty (TKA) is a successful procedure. In cases of bilateral knee osteoarthritis, advantages of single stage TKA vs. two-stage TKA as well as the gap between the procedures in case of two-stage TKA are discussed controversially. The aim of the present study is to compare the clinical a... |
0 | US trends in rates of arthroplasty for inflammatory arthritis including rheumatoid arthritis, juvenile idiopathic arthritis, and spondyloarthritis | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Although rates of arthroplasty have increased dramatically, rates among patients with rheumatoid arthritis (RA) are reported to be decreasing. It is not known if this is also the case among patients with other inflammatory arthritides. This study was undertaken to evaluate rates of arthroplasty due to RA, ju... |
0 | Operational safety practices as determinants of machinery-related injury on Saskatchewan farms | DoD PRF (Psychosocial RF) | Agricultural machinery is a major source of injury on farms. The importance of machinery safety practices as potential determinants of injury remains incompletely understood. We examined two such safety practices as risk factors for injury: (1) the presence of safety devices on machinery and (2) low levels of routine m... |
0 | Adjuncts used to enhance the results of guided tissue regeneration | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Guided Tissue Regeneration involves procedures designed to regenerate lost periodontal structures. There are several adjunctive procedures used in conjunction with barrier membranes. This review article discusses the most commonly used adjuncts and the benefits and limitations of each. A brief synopsis of possible futu... |
0 | Cartilage transplantation techniques for talar cartilage lesions | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Talar articular cartilage is known to differ significantly from knee cartilage. Even so, recommendations for the treatment of talar cartilage lesions have been based on strategies for the knee. Arthroscopic management of osteochondral lesions of the talus is well documented. Results have been favorable with reparative ... |
0 | Characteristics of radial tears in the posterior horn of the medial meniscus compared to horizontal tears | AMP (Acute Meniscal Pathology) | BACKGROUND: The clinical and radiologic features of radial tears of the medial meniscus posterior horn were compared with those of horizontal tears.
METHODS: From January 2007 to December 2008, 387 consecutive cases of medial meniscal tears were treated arthroscopically. Among these, 91 were radial tears in the medial ... |
0 | Multiple myeloma in the marrow: Pathogenesis and treatments | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) is a B cell malignancy resulting in osteolytic lesions and fractures. In the disease state, bone healing is limited owing to increased osteoclastic and decreased osteoblastic activity, as well as an MM-induced forward-feedback cyclewhere bone-embedded growth factors further enhance tumor progressi... |
0 | Treatment of knee osteoarthritis | AAHKS (4) Acetaminophen | Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease pain and improve function. Aceta... |
0 | Multiple myeloma: an update | MSTS 2018 - Femur Mets and MM | Multiple myeloma is a rare, largely incurable malignant disease of plasma cells. Patients usually present with hypercalcemia, renal insufficiency, anemia and/or lytic bony lesions along with a monoclonal protein in the serum and/or urine in addition to an increase in the number of clonal plasma cells in the bone marrow... |
1 | Evaluation of the effect of magnesium vs. midazolam as adjunct to epidural bupivacaine in patients undergoing total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Background and objectives: Effective pain management is an important component of intraoperative and postsurgical care; it can prevent pain related clinical complications and improve the patient quality of life. This prospective, randomized, double-blind study was designed to evaluate analgesic efficacy of adding magne... |
0 | Assistive technology for rheumatoid arthritis | SR for PM on OA of All Extremities | Background: Provision of assistive technology is a widely used intervention for people with rheumatoid arthritis. Assistive technology is any item used to increase or maintain functional ability in individuals with disabilities. It includes a wide range of products, from low-technology devices to technologically comple... |
0 | Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis: a matched case-control study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To determine if physical activity was a risk factor for revision arthroplasty after primary total knee arthroplasty (TKA) due to osteoarthritis (OA) within the previous 15 years. METHODS: This was a matched case-control study. The cases had primary TKA followed by revision arthroplasty. Controls had primary ... |
0 | Suction technique to improve cement penetration under the tibial component in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Improving the longevity and reliability of cemented total knee arthroplasty remains an important part of orthopaedic research. This paper examines the recently described method of preparation of the cancellous surface of the tibia using suction cannulae in the proximal tibia and stem recess during pulsatile lavage and ... |
0 | Knee arthrography today | AMP (Acute Meniscal Pathology) | Three recent studies on intraarticular knee structures are considered-one on an advance in conventional knee arthrography and two on use of computed tomography in evaluating knee menisci. A resurgence of knee arthrography is predicted. |
0 | Determinants of incidence of osteoporotic fractures in the female Spanish population older than 50 | DoD PRF (Psychosocial RF) | It is well known that the adoption of preventive measures for osteoporosis may contribute to minimizing its impact as a result of bone fractures. However, there are well-recognized risk factors involved in the onset of osteoporosis that are not possible to modify. Better knowledge of these non-modifiable factors could ... |
0 | Immunohistochemistry of thyroid carcinoma--an experience with thyroglobulin and calcitonin | MSTS 2018 - Femur Mets and MM | A retrospective immunohistochemical study of 33 cases of primary thyroid carcinomas and 5 cases of metastases to thyroid was carried out. The immunostaining for thyroglobulin and calcitonin was done by peroxidase-anti-peroxidase (PAP) technique. The optimum staining results were obtained by proper standardisation of th... |
0 | Primary non-Hodgkin's lymphoma of the bone: treatment and analysis of prognostic factors for Stage I and Stage II | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: Primary non-Hodgkin's lymphomas of the bone (PLB) are very rare diseases accounting for 3%-5% of primary bone tumors. The best treatment for PLB has not been found yet. We report on the experience of the Radiation Oncology Department of Bologna University, Italy, relative to the diagnosis and treatment of this... |
0 | Pathogenic protease expression in murine OA is critically dependent upon mechanical joint loading | Surgical Management of Osteoarthritis of the Knee CPG | Background: Once considered a passive disease of 'wear and tear' of the joint, osteoarthritis (OA) is now known to be driven by the expression and activation of specific proteases that degrade the extracellular matrix of articular cartilage. Such proteases include aggrecanases, principally adistintegrin and metalloprot... |
0 | Current bacterial speciation and antibiotic resistance in deep infections after operative fixation of fractures | Hip Fx in the Elderly 2019 | OBJECTIVES: Infection after fracture fixation is a major source of morbidity. Information regarding bacterial speciation and antibiotic resistance is lacking. We attempted to determine the speciation and drug resistance profiles associated with fracture fixation infections.
DESIGN: Retrospective study.
SETTING: Level I... |
0 | Prevention and management of pressure sores | Management of Hip Fractures in the Elderly | Continuity of care is needed when transferring patients at risk of developing pressure sores. The tools used to assess such patients must be consistent. A turning clock system has been developed for use with the patient |
0 | Comorbid cognitive impairment and depression is a significant predictor of poor outcomes in hip fracture rehabilitation | Management of Hip Fractures in the Elderly | BACKGROUND: The effects of depression and cognitive impairment on hip fracture rehabilitation outcomes are not well established. We aimed to evaluate the associations of depressive symptoms and cognitive impairment (individually and combined) with ambulatory, living activities and quality of life outcomes in hip fractu... |
0 | Postural steadiness during quiet stance does not associate with ability to recover balance in older women | Management of Hip Fractures in the Elderly | Background. Fall risk depends on ability to maintain balance during daily activities, and on ability to recover balance following a perturbation such as a slip or trip. We examined whether similar neuromuscular variables govern these two domains of postural stability. Methods. We conducted experiments with 25 older wom... |
0 | Surgical interventions (microfracture, drilling, mosaicplasty and allograft transplantation) for treating isolated cartilage defects of the knee in adults | SR for PM on OA of All Extremities | This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the relative effects (benefits and harms) of different surgical interventions (microfracture, drilling, mosaicplasty, and allograft transplantation) for treating isolated cartilage defects of the knee |
0 | Randomized Controlled Trial of Etodolac versus Combination of Etodolac and Eperisone in Patients of Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective . To compare the efficacy and tolerability of etodolac versus etodolac in combination with eperisone in patients of Osteoarthritis knee. Patients and |
0 | Complications following management of displaced intra-articular calcaneal fractures: A prospective randomized trial comparing open reduction internal fixation with nonoperative management | DOD - Acute Comp Syndrome CPG | Objective: To report on all complications experienced by patients with displaced intra-articular calcaneal fractures (DIACFs) following nonoperative management or open reduction internal fixation (ORIF). Design: Prospective, randomized, multicenter study. Setting: Four level I trauma centers. Patients: The patient popu... |
0 | Effect of oral alendronate on bone mineral density and the incidence of fractures in postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | Background. Postmenopausal osteoporosis is a serious health problem, and additional treatments are needed. Methods. We studied the effects of oral alendronate, an aminobisphosphonate, on bone mineral density and the incidence of fractures and height loss in 994 women with postmenopausal osteoporosis. The women were tre... |
0 | Prevalence and risk factors associated with decreased bone mineral density in patients with haemophilia | Management of Hip Fractures in the Elderly | Osteoporosis in adult males is an under-recognized problem. Patients with haemophilia have several predisposing factors for developing decreased bone mineral density (BMD) including prolonged periods of immobility, reduced weight bearing and co-morbidities associated with bone loss. To establish prevalence and risk fac... |
0 | Resections and reconstructions for tumors of the distal radius | Distal Radius Fractures | The primary objective in surgical management of the patient with a distal radius tumor is control of the disease. Accurate staging and diagnostic methods applied preoperatively will predict not only the amount of resection necessary to obtain adequate tumor margins, but also the amount of remaining bone and soft tissue... |
0 | Effect of Increasing the Dose and Duration of Sertraline Trial in the Treatment of Depressed Nursing Home Residents | Management of Hip Fractures in the Elderly | There has been limited research into defining what constitutes an adequate first-line antidepressant trial in elderly patients. The authors report the outcome of extended, high-dosage sertraline treatment in a sample of nursing home residents experiencing residual significant depressive symptoms after 10 weeks of treat... |
0 | Orthogeriatric rehabilitation: which patients benefit most? | Management of Hip Fractures in the Elderly | Liaison between orthopaedic surgeons and geriatricians offers significant advantages to the increasing numbers of elderly patients sustaining hip fractures. This article discusses who can benefit most from such orthogeriatric rehabilitation |
0 | Long-term results of arthroscopic reshaping for symptomatic discoid lateral meniscus in children | AMP (Acute Meniscal Pathology) | PURPOSE: To assess the long-term clinical and radiographic results of arthroscopic reshaping with or without peripheral meniscus repair for the treatment of symptomatic discoid lateral meniscus in children.
METHODS: This study included 38 children (48 knees) who underwent arthroscopic surgery for symptomatic discoid la... |
1 | IDSA COVID-19 Antibody Testing Primer | Coronavirus Disease 2019 (COVID-19) | "As serological testing for SARS-CoV-2 advances, there are multiple issues that need to be addressed, from test quality to interpretation. This three-page document outlines the current state of antibody testing for SARS-CoV-2, along with research questions and additional testing and policy considerations." |
1 | Postoperative analgesia by femoral nerve block with ropivacaine 0.2% After major knee surgery: Continuous versus patient-controlled techniques | AAHKS (9/10) Regional Nerve Blocks | Background and Objectives: This prospective study compared the efficacy and adverse effects after knee surgery of ropivacaine 0.2% administered as patient-controlled femoral analgesia (PCFA), as a continuous femoral infusion (Inf), or as both (PCFA+Inf). Methods: Before general anesthesia, 140 adults scheduled to under... |
1 | Cemented versus cementless hemiarthroplasty for femoral neck fractures in the elderly | Hip Fx in the Elderly 2019 | PURPOSE: To compare cemented versus cementless bipolar hemiarthroplasty in terms of operating time, blood loss, pain, functional outcome, morbidity, and mortality.
METHODS: Medical records of 207 patients aged >= 60 years who underwent bipolar hemiarthroplasty for displaced femoral neck fracture using a cemented (n=96)... |
0 | Radiofrequency ablation of lung metastases close to large vessels during vascular occlusion: Preliminary experience | MSTS 2018 - Femur Mets and MM | Purpose: To report an initial prospective evaluation of the technical feasibility, efficacy, and safety of combining percutaneous temporary balloon occlusion (PBO) of a large pulmonary artery adjacent to a metastatic lung tumor treated with percutaneous radiofrequency (RF) ablation. Materials and Methods: In six patien... |
0 | New and experimental approaches to treatment of diabetic foot ulcers: a comprehensive review of emerging treatment strategies | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot ulcers occur in up to 15% of all diabetic patients and are a leading cause of nontraumatic amputation worldwide. Neuropathy, abnormal foot biomechanics, peripheral vascular disease and external trauma are the major contributors to the development of a foot ulcer in the diabetic patient. Therapy today incl... |
0 | Hope, meaning, and growth following the September 11, 2001, terrorist attacks | DoD PRF (Psychosocial RF) | Positive psychologists found the increase of seven character strengths that encompass the so-called theological virtues, including hope and spirituality, in Americans after the September 11, 2001, attacks. Little is known about how they may affect post-September 11, 2001, mental health. Using multivariate analysis, thi... |
1 | Closed vs open reduction in developmental dysplasia of the hip: The short-term effect on acetabular remodeling | Developmental Dysplasia of the Hip 2020 Review | Background: This study aims to assess acetabular remodeling following closed vs, open hip reduction in children younger than 2 years of age. Methods: Records of children with DDH, who underwent closed or open reduction, were reviewed. Acetabular index (AI) was measured on radiographs taken prior to reduction and on out... |
0 | Extracapsular local infiltration analgesia in hip arthroscopy: a retrospective study | AAHKS (8) Anesthetic Infiltration | Many hip arthroscopy patients experience significant pain in the immediate postoperative period. Although peripheral nerve blocks have demonstrated efficacy in alleviating some of this pain, they come with significant costs. Local infiltration analgesia (LIA) may be a significantly cheaper and efficacious treatment mod... |
0 | Neurologist care in Parkinson disease: a utilization, outcomes, and survival study | Management of Hip Fractures in the Elderly | OBJECTIVE: To investigate the utilization of neurologist providers in the treatment of patients with Parkinson disease (PD) in the United States and determine whether neurologist treatment is associated with improved clinical outcomes. METHODS: This was a retrospective observational cohort study of Medicare beneficiari... |
0 | Overall survival in abdominal wall sarcoma treated with curative intent surgery: A retrospective study from two European referral centres | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: Primary abdominal wall sarcomas are rare, heterogeneous tumours. The mainstay of management is surgery, although local recurrences (LR) and distant metastases (DM) are common.
OBJECTIVES: Overall survival (OS) and disease-free survival (DFS) were primary outcomes; factors associated with prognosis seconda... |
0 | Structures of the antigenic O-polysaccharides of lipopolysaccharides produced by Actinobacillus actinomycetemcomitans serotypes a, c, d and e | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Actinobacillus actinomycetemcomitans is a gram-negative capnophilic coccobacillus that has been implicated in the etiology of certain forms of early-onset periodontitis as well as non-oral infections, mostly bacterial endocarditis. Five distinct serotypes of A. actinomycetemcomitans have been described. Although the O-... |
0 | Evaluation of histological and biomechanical properties on engineered meniscus tissues using sonication decellularization | AMP (Acute Meniscal Pathology) | Sonication decellularization treatment requires proper evaluations on its ability to decellularize meniscus tissue efficiently. This study was done to evaluate the histological and biomechanical properties within meniscus scaffolds. Van Gieson staining was done to evaluate the efficiency of cell removal in meniscus tis... |
0 | Role of neuropathy on fracture healing in Charcot neuro-osteoarthropathy | DoD LSA (Limb Salvage vs Amputation) | Charcot neuro-osteoarthropathy (CNO) is a devastating condition affecting most commonly the foot/ankle joint in diabetic patients and may lead to severe deformities and amputation. Peripheral sensory neuropathy seems to be a pre-requisite to the development of CNO. The aim of this review article is to summarise the ske... |
0 | Patient-Reported Activity Level After Total Knee Arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We identified 1630 unrevised patients who underwent primary total knee arthroplasty (TKA) between 1995 and 2000. Patients were surveyed regarding clinical outcome and activity level, and were queried about actual participation in 40 different athletic activities. One thousand two hundred six patients (74%) responded at... |
0 | The use of lumbar X-rays to facilitate neuraxial anaesthesia during knee replacement surgery in patients who have had previous spinal surgery | Surgical Management of Osteoarthritis of the Knee CPG | Background: Knee replacement surgery is an operation that is performed on older patients, with a few exceptions. Many of these patients have co-existing diseases and have had previous surgery, of which lumbar spinal surgery is of particular relevance. Neuraxial anaesthesia is the anaesthetic of choice. Method: This stu... |
0 | A new technique for reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | A new surgical technique for reduction mammaplasty is described. Incisions are chosen according to Strombeck's procedure and deepithelialization of the major part of the skin in the resection area is carried out. The upper part of the breast with the total skin for the planned breast is separated from the lower part wi... |
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