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0 | Arthroscopic Saucerization With Inside-Out Repair and Anterocentral Shift of a Discoid Lateral Meniscus With Retention of Adequate Volume of Residual Meniscus | AMP (Acute Meniscal Pathology) | ABSTRACT: Preservation of the meniscus has been shown to influence the progression of osteoarthritic changes in the knee. Discoid lateral meniscus (DLM) is classified on the basis of the presence and location of instability resulting from deficient capsular attachments. Recently, meniscal stabilization after saucerizat... |
0 | Pooled Safety and Tolerability Analysis of Empagliflozin in Patients with Type 2 Diabetes Mellitus | DoD SSI (Surgical Site Infections) | Introduction: The aim of this analysis was to characterize the safety and tolerability of empagliflozin in patients with type 2 diabetes mellitus (T2DM) who were randomized to empagliflozin (10/25 mg) or placebo in clinical trials. Methods: Pooled data from 20 trials were analyzed for patients with T2DM treated with em... |
1 | Limited evidence for adipose-derived stem cell therapy on the treatment of osteoarthritis | PRP (Platelet-Rich Plasma) | PURPOSE: The purpose of this systematic review is to evaluate the effects of adipose derived mesenchymal stem cells (ADSCs) in the treatment of osteoarthritis (OA) in the clinical setting.
METHODS: A literature search was performed in the MEDLINE, EMBASE, and The Cochrane Library Database up to January 2017 for inclusi... |
0 | Expanding Indications for Meniscal Repair | AMP (Acute Meniscal Pathology) | Meniscus surgery has dramatically changed over the last 20 years. This article reviews the advances and current evidence in meniscus repair. |
0 | Use of Chronic Methadone Before Total Knee Arthroplasty | AAHKS (5) Gabapentinoids | BACKGROUND: A subset of patients who undergo total knee arthroplasty (TKA) are on methadone maintenance. They require more and often unpredictable quantities of opioids to function as effective painkillers. This study aims to compare the opioid requirements and the immediate postoperative course for patients on methado... |
0 | Resistance of disposable drapes to bacterial penetration | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: To test the bacterial penetrability of disposable non-woven drapes used specifically for total hip arthroplasty. METHODS: 12 round agar plates were inoculated with 107 colony-forming units/ml of coagulase-negative staphylococci (CNS) and incubated in air at 37 degrees Celsius for 18 hours to obtain a semi-conf... |
0 | Bioelectric effect and bacterial biofilms. A systematic review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Bacteria growing in biofilms cause a wide range of human infections. Biofilm bacteria are resistant to antimicrobics at levels 500 to 5,000 times higher than those needed to kill non-biofilm bacteria. In vitro experiments have shown that electric current can enhance the activity of some antimicrobial agents against cer... |
0 | Chronic Instability and Pain of the Sternoclavicular Joint: Treatment With Semitendinosus Allograft to Restore Joint Stability | Glenohumeral Joint OA | Chronic instability of the sternoclavicular (SC) joint is a challenging clinical problem, particularly in a patient population for which nonoperative forms of treatment prove ineffective. Patients present after experiencing recurrent subluxation events and subsequent pain, which commonly result in increasing functional... |
0 | Predicting Inpatient Status After Total Hip Arthroplasty in Medicare-Aged Patients | MSTS 2022 - Metastatic Disease of the Humerus | Background: The Centers for Medicare and Medicaid Services has solicited comments regarding the removal of total hip arthroplasty (THA) from its inpatient-only list. The goal of this study is to develop and internally validate a risk stratification nomogram to aid in the identification of optimal inpatient candidates i... |
1 | Arthroscopic glenoid resurfacing with meniscal allograft: a minimally invasive alternative for treating glenohumeral arthritis | Glenohumeral Joint OA | The chronically painful arthritic glenohumeral joint recalcitrant to nonsurgical treatment modalities generally has been treated with an open arthroplasty type of procedure. Certain patients may benefit from a less invasive surgical technique in which a meniscal allograft is used to resurface the glenoid, resulting in ... |
0 | Pediatric peripheral neuropathy in proteus syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Proteus syndrome is a rare congenital disorder comprised of subcutaneous and internal hamartomas, pigmented skin nevi, skull exostoses, hemihypertrophy, and macrodactyly of the hands and feet. A 5-year-old girl diagnosed with Proteus syndrome presented with distal median compression neuropathy with the primary complain... |
0 | Post-tumescent liposuction care. Open drainage and bimodal compression | Panniculectomy & Abdominoplasty CPG | The goals of post-liposuction care must be to minimize edema, bruising, and patient discomfort. The postoperative pain and edema resulting from sutured incisions and prolonged post-liposuction compression is an irrational remnant from the days before the tumescent technique. This article discusses various issues involv... |
0 | Directed air flow to reduce airborne particulate and bacterial contamination in the surgical field during total hip arthroplasty | PJI DX Updated Search | This study evaluated the use of a system that delivers a small field of local, directed air from a high-efficiency particulate air (HEPA) filter to reduce airborne particulate and airborne bacteria in the surgical field during total hip arthroplasty. Thirty-six patients were randomized into 3 groups: with directed air ... |
0 | Fractures of distally-fixed femoral stems after revision arthroplasty | Management of Hip Fractures in the Elderly | We identified five (2.3%) fractures of the stem in a series of 219 revision procedures using a cementless, cylindrical, extensively porous-coated, distally-fixed femoral stem. Factors relating to the patients, the implant and the operations were compared with those with intact stems. Finite-element analysis was perform... |
0 | Postoperative complications of anterior cruciate ligament reconstruction after ambulatory surgery | DoD PRF (Psychosocial RF) | OBJECTIVE: To study postoperative complications of arthroscopic anterior cruciate ligament (ACL) reconstruction performed as an outpatient compared with same surgery performed as a regular admission (inpatient). MATERIAL AND METHOD: A study was conducted on a historical cohort of 342 patients (115 outpatients vs 227 in... |
0 | Primary total knee arthroplasty using the Genesis I total knee prosthesis: a 5- to 10-year follow-up study | Surgical Management of Osteoarthritis of the Knee CPG | This study analyzed the data from 82 primary total knee arthroplasties performed in 74 patients using the Genesis Total Knee Arthroplasty System. Ten men and 64 women with a mean age of 78 years were evaluated at a mean follow-up of 7 years. Seventy procedures used cemented femoral and tibial components, and 12 used ce... |
0 | Durom hip resurfacing system: retrospective study of 644 cases with an average follow-up of 34 months | PJI DX Updated Search | INTRODUCTION: The performance of second-generation metal-on-metal bearings has led to the reintroduction of hip resurfacing. The goal of this multicentre study was to evaluate the short-term radiological and clinical outcomes with the Durom hip resurfacing system. HYPOTHESIS: The Durom hip-resurfacing system will have ... |
1 | Surgery for ACL deficiency in patients over 50 | Anterior Cruciate Ligament Injuries CPG | PURPOSE: To compare the outcomes of arthroscopic ACL reconstruction procedure in 20 middle-aged patients (12 men and 8 women) and 20 subjects younger than 30 years (control group) at a minimum post-operative follow-up of 24 months. METHODS: Pre- and post-operative anterior-posterior laxity was assessed by Lachman test,... |
0 | CaÃdas repetidas en el medio residencial. [Recurrent falls in nursing homes.] | DoD PRF (Psychosocial RF) | Objective: to identify the risk factors related to recurrent falls in an elderly population living in a nursing home. Material and method: a prospective cohort study was performed. The variables studied were: anthropometric, clinical, pharmacological, functional and cognitive characteristics of fallers and non-fallers.... |
0 | Sublingual sufentanil tablet system Zalviso for postoperative analgesia after knee replacement in fast track surgery: a pilot observational study | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Currently many TKA protocols rely on multimodal analgesic protocols with patient-controlled analgesia systems that administer opioids through a patient controlled IV infusion pump, in addition to concomitant peripheral nerve blocks and local anesthetics. Although effective, PCA IV opioids do not provide opt... |
0 | A fuzzy linguistic model for the prediction of carpal tunnel syndrome risks in an occupational environment | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This research presents the development and evaluation of a fuzzy linguistic model designated to predict the risk of carpal tunnel syndrome (CTS) in an occupational setting. CTS has become one of the largest problems facing ergonomists and the medical community because it is developing in epidemic proportions within the... |
0 | Translational models for studying meniscal repair and replacement: what they can and cannot tell us | AMP (Acute Meniscal Pathology) | Advances in clinical practice often have their roots in basic science investigations that provide the proof of principle of the treatment concept in question. However, if these concepts are to become reality, they first must be tested in translational animal models to confirm both safety and efficacy. The need to ident... |
0 | Short-term effects of integrated motor imagery practice on muscle activation and force performance | Pediatric Supracondylar Humerus Fracture 2020 Review | The effect of motor imagery (MI) practice on isometric force development is well-documented. However, whether practicing MI during rest periods of physical training improves the forthcoming performance remains unexplored. We involved 18 athletes in a counterbalanced design including three physical training sessions sch... |
0 | Self-perceived distress and self-perceived functional recovery after recent total hip and knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The research was aimed at verifying whether psychological distress and depression are associated to reduced functional improvement following arthroplasty. Thirty-six patients with total knee arthroplasty (TKA) and 36 patients total hip arthroplasty (THA) were enrolled at the beginning of their rehabilitation. The mean ... |
0 | Ultrasound assessment of oxaliplatin-induced neuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Chemotherapy-induced peripheral neuropathy is a major adverse effect of Oxaliplatin (OXL) treatment. Whereas neurophysiologic study are commonly used to assess the occurrence and severity of polyneuropathies, ultrasound (US) analysis of the peripheral nerves, an emerging technique in the study of peripheral... |
0 | Increased Synovial Fluid YKL-40 Levels are Linked with Symptomatic Severity in Knee Osteoarthritis Patients | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Elevated serum and synovial fluid (SF) YKL-40 levels have been detected in knee osteoarthritis (OA) patients. The current study was focused on the correlation between YKL-40 levels in serum or SF and symptomatic severity in patients with knee osteoarthritis.
METHODS: 144 patients with knee OA and 151 health... |
0 | MR assessment of movement and morphologic change in the menisci during knee flexion | AMP (Acute Meniscal Pathology) | PURPOSE: To examine movement and morphologic alteration in the menisci during knee flexion.
MATERIAL AND METHODS: Twenty healthy knees were imaged at 0 degrees, 45 degrees, and 90 degrees of passive non-weight-bearing flexion in the sagittal plane with MR. In each meniscus, posterior movement distance during knee flexi... |
0 | One-stage procedure for total knee arthroplasty in post-traumatic osteoarthritis of the knee with wound defect. Usefulness of navigation and flap surgery | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty in post-traumatic arthritis of the knee joint is a challenging situation. Difficulties are linked to malalignment, joint stiffness, or wound complications. The authors report on a case of post-traumatic intra-articular knee arthritis with tibial malalignment and a skin defect. Using computer-ass... |
0 | Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: a systematic review | SR for PM on OA of All Extremities | INTRODUCTION: osteoarthritis (OA) of knee has been reported as a risk factor for falls and reduced balance in the elderly. This systematic review evaluated the effectiveness of physical therapies in improving balance and reducing falls risk among patients with knee OA. METHODS: a computerised search was performed to id... |
0 | Indications and results of hip resurfacing | Management of Hip Fractures in the Elderly | The best indication for hip resurfacing is a young active patient with severe hip arthritis, good hip morphology and reasonable bone quality. With revision of either component for any reason as the endpoint, there were 68 revisions in our series of 3,095 consecutive BirminghamHip Resurfacings (BHR) (1997-2009), includi... |
0 | Steroid administration after anaesthetic induction with etomidate does not reduce in-hospital mortality or cardiovascular morbidity after non-cardiac surgery | AAHKS (8) Anesthetic Infiltration | Background: We tested the primary hypothesis that corticosteroid administration after etomidate exposure reduces a composite of in-hospital mortality and cardiovascular morbidity after non-cardiac surgery. Methods: We evaluated ASA physical status III and IV patients who had non-cardiac surgery with general anaesthesia... |
1 | The standard Gamma nail or the Medoff sliding plate for unstable trochanteric and subtrochanteric fractures. A randomised, controlled trial | Hip Fx in the Elderly 2019 | We studied 217 patients with an unstable trochanteric or subtrochanteric fracture who had been randomly allocated to treatment by either internal fixation with a standard Gamma nail (SGN) or a Medoff sliding plate (MSP, biaxial dynamisation mode). Their mean age was 84 years (65 to 99) and they were reviewed at four an... |
1 | Depression and associated variables in people over 50 years in Spain | DoD PRF (Psychosocial RF) | Introduction: Depression is a common and disabling psychiatric disorder in adulthood and is associated with higher mortality and functional disability. Objectives: To determine the association between clinical and sociodemographic variables with depression in a sample of people over 50 years old living in Spain, and co... |
0 | Integrating psychosocial programs in multisector responses to international disasters | DoD PRF (Psychosocial RF) | This article describes the role of psychosocial support programs in American Red Cross-sponsored humanitarian assistance efforts in international disasters. The American Red Cross psychosocial support program consists of four specific components: participatory crisis assessment, dealing with survivors' root shock, comm... |
0 | Future applications of deoxycholic acid in body contouring | Panniculectomy & Abdominoplasty CPG | Deoxycholic acid (KybellaTM, Allergan Pharmaceuticals, Irvine, CA) is a novel injectable treatment used for the cosmetic reduction of redundant submental fat. By inducing adipose cell lysis, the soft tissue alteration induces subsequent contour change and sharpening of the cervicomental angle.The safety and efficacy ha... |
0 | The association of distal femur and proximal tibia shape with sex: The Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Objectives Risk of knee osteoarthritis (OA) is much higher in women than in men. Previous studies have shown that bone shape is a risk factor for knee OA. However, few studies have examined whether knee bone shape differs between men and women. The purpose of the present study was to determine whether there are differe... |
1 | Fixed low-dose versus adjusted higher-dose warfarin following orthopedic surgery. A randomized prospective trial | Management of Hip Fractures in the Elderly | Orthopedic patients are at a high risk for developing venous thromboembolism, yet only a fraction of eligible patients receive anticoagulation prophylaxis after hospital discharge. This pilot study compared the efficacy of a fixed 2 mg/d dose of warfarin versus an adjusted higher dose of warfarin for 1 month after disc... |
0 | Weight training-related injuries in the high school athlete | AMP (Acute Meniscal Pathology) | Eighty young athletes with weight training-related injuries were seen from August 1976 to August 1980. In 37 of the 80 athletes, it was difficult to pinpoint the cause of injury since the history revealed, in addition to weight training, either a program of running excessive mileage or participation in repetitive lap r... |
0 | Effectiveness of proprioceptive neuromuscular facilitation patterns in comparison with general physical therapy in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Purpose: knee osteoarthritis (KOA) is a musculoskeletal disorder accompanied by muscle imbalances, balance deficiency and proprioception impairment. The purpose of current study is to evaluate the effectiveness of proprioceptive neuromuscular facilitation (PNF) patterns on KOA patients balance and electromyography (EMG... |
0 | Late fascial closure in lieu of ventral hernia: the next step in open abdomen management | DOD - Acute Comp Syndrome CPG | BACKGROUND: The use of open abdomen techniques in damage control laparotomy and abdominal compartment syndrome has led to development of several methods of temporary abdominal closure. All of these methods require creation of a planned hernia with later reconstruction in patients unable to undergo fascial closure in th... |
0 | Obesity's Influence on Operative Management of Pediatric Supracondylar Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: As childhood obesity remains an ongoing issue for the United States there has been an increasing number of studies detailing its effect on fracture complexity, management, and outcomes. This study utilizes a national database to examine whether obese children with supracondylar humerus fractures are more li... |
0 | Breast reduction: evolution of a technique--a single vertical scar | Reduction Mammoplasty for Female Breast Hypertrophy | In the past 20 years, patients have become more critical about the result of a breast reduction operation. Natural lasting shape and minimal residual scarring are now expected by most of the candidates to that surgery. In 1969 the author described a vertical technique that achieved reduction and good shape but the end ... |
1 | Strategies and considerations in selecting between subpectoral and prepectoral breast reconstruction | Acellular Dermal Matrix | Implant-based breast reconstruction has evolved through advances in mastectomy and reconstruction techniques to offer excellent outcomes with both prepectoral and subpectoral implant placement. Proper patient selection and surgical technique are key for optimizing outcomes and minimizing complications regardless of imp... |
0 | Low Vitamin D Status Does Not Adversely Affect Short-Term Functional Outcome After Total Hip Arthroplasty | AAHKS (4) Acetaminophen | We prospectively measured functional performances (Western Ontario and McMaster Universities Osteoarthritis Index, Short Form-36, 2-minute walk test, and timed get-up-and-go test) of patients who underwent total hip arthroplasty (THA) and had serum vitamin D levels tested during the preoperative evaluation. Of 219 pati... |
0 | Coronal shear fracture of the distal humerus in an 11-year-old patient | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Coronal shear fractures of the distal humerus are uncommon in the pediatric population. We present the case of an 11-year-old girl who sustained a coronal shear fracture of the distal humerus, requiring open reduction and internal fixation with the use of headless screws. At the time of the latest follow-up, she had fu... |
0 | Component separation technique for abdominal wall reconstruction in burn patients with decompressive laparotomies | DOD - Acute Comp Syndrome CPG | BACKGROUND: Component separation technique has been used successfully in ventral hernia repair occurring after damage control surgery. Abdominal compartment syndrome, seen in severely injured burn patients, frequently requires decompressive laparotomy. The patient is at risk during this time not only for burn injury co... |
0 | Critical dimensions of trans-sacral corridors assessed by 3D CT models: Relevance for implant positioning in fractures of the sacrum | Hip Fx in the Elderly 2019 | Trans-sacral implants can be used alternatively to sacro-iliac screws in the treatment of osteoporosis-associated fragility fractures of the pelvis and the sacrum. We investigated trans-sacral corridor dimensions, the number of individuals amenable to trans-sacral fixation, as well as the osseous boundaries and shape o... |
0 | Trends in life expectancy: Did the gap between the healthy and the ill widen or close? | Hip Fx in the Elderly 2019 | Background: During the past decades, life expectancy has continued to increase in most high-income countries. Previous research suggests that improvements in life expectancy have primarily been driven by advances at the upper end of the health distribution, while parts of the population have lagged behind. Using data f... |
0 | Arthroscopy in the treatment of young patients with anterior knee pain | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Arthroscopy plays an important role in diagnosis in the management of anterior knee pain and may be used for treating the underlying pathology |
0 | Orthodontics and infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infective endocarditis associated with orthodontics is a rare occurrence. Unfortunately, many orthodontic practitioners do not treat patients potentially at risk of developing endocarditis due to the lack of practical guidelines and fear of precipitating the infection. Additionally, many patients that undergo orthodont... |
0 | Static progressive stretch to reestablish elbow range of motion | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Static progressive stretch (SPS) is a technique using the biomechanical principle of stress relaxation to restore range of motion (ROM) in joint contractures. Existing techniques such as dynamic splinting and traction rely on a time-dependent material property, creep, which applies a continuous load. Other techniques, ... |
0 | Gene therapy for the treatment of musculoskeletal diseases | AMP (Acute Meniscal Pathology) | Research into the orthopaedic applications of gene therapy has resulted in progress toward managing chronic and acute genetic and nongenetic disorders. Gene therapy for arthritis, the original focus of research, has progressed to the initiation of several phase I clinical trials. Preliminary findings support the applic... |
0 | Differences in hip quantitative computed tomography (QCT) measurements of bone mineral density and bone strength between glucocorticoid-treated and glucocorticoid-naive postmenopausal women | AAHKS (2) Corticosteroids | UNLABELLED: Chronic treatment with glucocorticoids (GCs) leads to significant bone loss and increased risk of fractures. In chronically GC-treated patients, hip fracture risk is nearly 50%. The purpose of this investigation was to determine if there are differences in the quantities of trabecular and cortical bone and ... |
1 | Percutaneous pinning of supracondylar fractures of the humerus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Percutaneous pinning following closed reduction of supracondylar fractures is a preferred technique for management of type III injuries. If there is no pulse, rapid closed reduction with percutaneous fixation should be done. No arteriogram is indicated before treatment. Nerve damage is not a contraindication to this pr... |
1 | Blood loss in computer-assisted mobile bearing total knee arthroplasty. A comparison of computer-assisted surgery with a conventional technique | Surgical Management of Osteoarthritis of the Knee CPG | Computer-assisted surgery (CAS) in total knee arthroplasty (TKA) could be useful in reducing the overall blood loss. A prospective randomised study was performed with two groups of 50 patients each of whom were treated for knee arthritis. Patients of group A were treated by a conventional standard procedure, while for ... |
0 | Trunnion Fracture of the Anatomic Medullary Locking A Plus Femoral Component | PJI DX Updated Search | Fracture of the neck of the femoral component after total hip arthroplasty is an infrequent complication. We present a report of 2 cases of trunnion fractures of fully porous-coated femoral stems (AML A Plus, DePuy International, Leeds, England), which had been implanted for 6 and 7 years after the index procedures. In... |
0 | Continuous postoperative regional analgesia by nerve sheath block for amputation surgery--a pilot study | Surgical Management of Osteoarthritis of the Knee CPG | A pilot study of continuous postoperative regional analgesia by nerve sheath block for lower limb amputation is presented. At the time of exposure of sciatic or posterior tibial nerve trunks during above- or below-knee amputations in 11 patients with ASA physical status III or IV, a catheter was introduced directly int... |
0 | Abdominal compartment syndrome: A review | DOD - Acute Comp Syndrome CPG | OBJECTIVES: The aims of this review were to summarize a) the consensus definitions of normal and pathologic intra-abdominal pressure (IAP); b) the techniques to measure IAP; c) the risk factors for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS); d) the pathophysiology of ACS; and e) the cur... |
0 | Religiosity as a Moderator of Self-Efficacy and Social Support in Predicting Traumatic Stress Among Combat Soldiers | DoD PRF (Psychosocial RF) | Based on a sample of 54 Israeli soldiers (51 % non-religious, 49 % religious) surveyed upon their return from combat, this study investigates the moderating role of religiosity as a factor that may strengthen cognitive processing tied to the belief in oneself to persevere (i.e., self-efficacy) after trauma and/or as a ... |
0 | Affective temperaments are associated with higher hopelessness and perceived disability in patients with open-angle glaucoma | Upper Eyelid and Brow Surgery | AIM: The aims of the study were to study: (i) affective temperaments in open-angle glaucoma (OAG) patients with some degree of functional visual impairment; (ii) psychological well-being and perceived disability, and their associations with affective temperaments; and (iii) associations between visual impairment, affec... |
0 | Genetic association analysis of GDF5 and ADAM12 for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To examine two single-nucleotide polymorphisms (SNPs) for their association with knee osteoarthritis (OA) susceptibility in Korean cohort.
METHODS: Two thousand four hundred and sixty-two subjects aged 50 years and older were assessed for OA at the knee, were genotyped with two SNPs (GDF5; rs143383 and ADAM... |
1 | Subtrochanteric fractures of the femur | Management of Hip Fractures in the Elderly | A consecutive series of 103 patients with a subtrochanteric fracture were prospectively studied. Ten patients were treated non-operatively, whilst the other 93 had operative treatment. The overall fixation failure rate was 12 per cent with a re-operation rate of 6 per cent by 1 year. There were six (8 per cent) failure... |
0 | Long-term follow-up of isolated ACL tears treated without ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The incidence of subsequent meniscal tears and arthritis among patients with isolated ACL tears treated without ligament reconstruction has not been clearly established. The purpose of this study was to (1) compare the risk of subsequent meniscal tears and osteoarthritis (OA) between patients with isolated ACL... |
0 | Infections Associated with Temporary External Fixation | DoD SSI (Surgical Site Infections) | Infections associated with external fixation are thought to be related to the fixator construct, the length of time a fixator is on the limb and the injury severity score (ISS). Patients who had temporary external fixation applied for lower extremity fractures were included. Charts were reviewed for prevalence of infec... |
0 | The Role of Bisphosphonates in the Management of Patients That Have Cancer | MSTS 2018 - Femur Mets and MM | Bisphosphonates are pharmacologic agents widely used in people for managing pathologic bone resorptive conditions. Based on their physicochemical properties, bisphosphonates concentrate within areas of active bone remodeling and induce osteoclast apoptosis. Appropriate use of bisphosphonates for treating companion anim... |
1 | Socio-demographic and Psychological Correlates of Posttraumatic Growth among Korean Americans with a History of Traumatic Life Experiences | DoD PRF (Psychosocial RF) | This study examined socio-demographic and psychological correlates of posttraumatic growth (PTG) among Korean Americans (KAs) with traumatic life experiences. A total of 286 KAs were included. Being a woman or having a lower annual household income had positive associations with PTG, while having no religion had a nega... |
1 | Obesity as a risk factor for slowing of sensory conduction of the median nerve in industry. A cross-sectional and longitudinal study involving 429 workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | As part of a longitudinal study of the etiology of carpal tunnel syndrome in industry, we evaluated weight and body mass index (BMI) as risk factors for slowing of sensory conduction of the median nerve. Using nerve conduction studies, we evaluated 858 hands of 429 industrial workers in 1984 and reevaluated 630 hands o... |
1 | An intervention study exploring the effects of providing older adult hip fracture patients with an information booklet in the early postoperative period | Hip Fx in the Elderly 2019 | AIM: To determine whether the provision of an information booklet on mobilisation improves early mobility postsurgical repair of hip fracture.
BACKGROUND: Hip fracture among older people can have long-lasting consequences with the majority of patients failing to achieve their prefracture functional status. Early postop... |
0 | Osteochondritis dissecans and Osgood Schlatter disease in a family with Stickler syndrome | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Purpose: Stickler syndrome is among the most common autosomal dominant connective tissue disorders but is often unrecognised and therefore not diagnosed by clinicians. Despite much speculation, the cause of osteochondrosis in general and osteochondritis dissecans (OCD) and Osgood Schlatter syndrome (OSS) in particular ... |
0 | Total joint replacement of the hip in children with juvenile chronic arthritis | Surgical Management of Osteoarthritis of the Knee CPG | Adolescent rheumatoid arthritis is more commonly known as juvenile chronic arthritis. It is an uncommon condition affecting about 0,1% of all children up to the end of adolescence. In this disease multiple joint-involvement is common and 40% of cases suffer hip involvement, often bilateral, while damage to the knee is ... |
0 | Success of high tibial osteotomy in the United States military | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Historically, high tibial osteotomy (HTO) has been performed to treat isolated medial gonarthrosis with varus deformity. More recently, HTO has been utilized in conjunction with chondral, ligamentous, and/or meniscal procedures in young active patients with subtle varus malignment. However, occupational o... |
1 | Clinical outcomes are associated with changes in ultrasonographic structural appearance after platelet-rich plasma treatment for knee osteoarthritis | PRP (Platelet-Rich Plasma) | BACKGROUND: Hyaluronic acid (HA) and platelet-rich plasma (PRP) are two treatment options used for knee osteoarthritis (KOA) but studies comparing the efficacy of the two yield conflicting results. In addition, the association of clinical outcomes of PRP intra-articular injections with changes in the ultrasonography st... |
0 | Multicenter, randomized, phase 2 study of zoledronic acid in combination with docetaxel and carboplatin in patients with unresectable stage IIIB or stage IV non-small cell lung cancer | MSTS 2018 - Femur Mets and MM | This study was designed to evaluate the efficacy and safety of combined zoledronic acid and docetaxel/carboplatin in patients with non-small cell lung cancer (NSCLC) as preclinical studies showed synergistic antitumoral activity with bisphosphonates and docetaxel. Patients with inoperable stage IIIB or stage IV NSCLC w... |
0 | Implant selection and cost for total joint arthroplasty: conflict between surgeons and hospitals | Surgical Management of Osteoarthritis of the Knee CPG | Total joint arthroplasty is a successful surgical treatment for painful, arthritic hips and knees. The prevalence of total joint arthroplasty is increasing, and it is consuming an increasing proportion of health care dollars. Payers, especially Centers for Medicare and Medicaid Services, have targeted total joint arthr... |
0 | Surgery for pathological proximal femoral fractures, excluding femoral head and neck fractures: resection vs. stabilisation | Management of Hip Fractures in the Elderly | Pathological femoral head and neck fractures are commonly treated by arthroplasty. Treatment options for the trochanteric region or below are not clearly defined. The purpose of this retrospective, comparative, double-centre study was to analyse survival and influences on outcome according to the surgical technique use... |
0 | History of and state-of-the-art in total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION : Today Total Knee Replace-ment (TKR) can be considered as a successful operation with regard to pain relief and functional improvement for the patient. Total knee prostheses are durable with 10- to 15-year implant survival rates of higher than 90% [1]. Nevertheless, some total knees might fail early after... |
0 | Prospects of remission in medullary thyroid carcinoma according to basal calcitonin level | MSTS 2018 - Femur Mets and MM | Prediction of remission in medullary thyroid carcinoma (MTC) depends on histopathological information often unavailable before surgery. Simply requiring a venous blood sample, preoperative basal calcitonin levels may be a better indicator of remission. In this institutional series of 224 consecutive patients with MTC a... |
0 | Surgical Treatment of Carpal Tunnel Syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In this report, we describe our experience on the treatment of CTS. Patients and Methods: 187 operations were performed in 45 males (56 operations) and 110 females (131 operations) for CTS during the period from January 1995 to December 2001 in our hospital. The results of surgical treatment were retrospectively review... |
0 | Characterization of lymphoid infiltrates in chronic obstructive sialadenitis associated with sialolithiasis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Chronic obstructive sialadenitis is characterized by acinar atrophy, lymphocytic infiltrates and progressive fibrosis. The immunological mechanisms involved in the pathogenesis of this disease are, for the most part, unknown. The aim of the present study was to characterize the lymphocytic infiltrates in ch... |
1 | Prosthesis use in persons with lower- and upper-limb amputation | DoD LSA (Limb Salvage vs Amputation) | This study identified clinical (e.g., etiology) and demographic factors related to prosthesis use in persons with upper- and lower-limb amputation (ULA and LLA, respectively) and the effect of phantom limb pain (PLP) and residual limb pain (RLP) on prosthesis use. A total of 752 respondents with LLA and 107 respondents... |
0 | A retrospective study comparing a single surgeon's experience on manual versus robot-assisted total hip arthroplasty after the learning curve of the latter procedure – A cohort study | Hip Fx in the Elderly 2019 | Background: Robot-assisted total hip arthroplasty (THA) has the potential of improving cup positioning. However, there is an associated learning curve with robot. This study aimed to determine one surgeon's learning curve with robot-assisted THA and whether robot could achieve similar accuracy in cup positioning as man... |
1 | Interventions for improving mobility after hip fracture surgery in adults | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture mainly occurs in older people. Strategies to improve mobility include gait retraining, various forms of exercise and muscle stimulation. OBJECTIVES: To evaluate the effects of different interventions for improving mobility after hip fracture surgery in adults. SEARCH STRATEGY: We searched the C... |
0 | Characteristics and outcome of 16 periprosthetic shoulder joint infections | Glenohumeral Joint OA | PURPOSE: Shoulder arthroplasties are increasingly performed, but data on periprosthetic joint infections (PJI) in this anatomical position are limited. We retrospectively investigated the characteristics and outcome of shoulder PJI after primary arthroplasty from 1998 to 2010 in a single centre.
METHODS: Periprosthetic... |
0 | Consumer Awareness and Comfort with Resident-run Cosmetic Clinics: A Crowdsourcing Study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Resident cosmetic clinics (RCCs) are the training modality of choice among both residents and faculty and are a mainstay at most residency programs.(1-4) Despite this, knowledge of RCCs among plastic surgery consumers remains untested. We hypothesize that the public would be aware of and receptive to RCCs. ... |
0 | Comparative clinical and cost analysis between surgical and non-surgical intervention for knee osteoarthritis | AAHKS (2) Corticosteroids | Objective: To evaluate the management and costs of osteoarthritis of the knee (OAK), a progressive joint disease due to bone and cartilage degeneration, with significant personal and societal impact. Methods: We prospectively analyzed the clinical outcomes and quantifiable cumulative direct costs of patients with OAK r... |
1 | Arthroplasty versus Internal Fixation for Displaced Intracapsular Femoral Neck Fracture in the Elderly: Systematic Review and Meta-analysis of Short- and Long-term Effectiveness | Hip Fx in the Elderly 2019 | BACKGROUND: There is conflicting evidence as to whether the femoral head should be preserved or replaced in elderly patients with displaced intracapsular femoral neck fractures. In this article, we performed a systematic review and meta-analysis to compare the short- and long-term effectiveness of arthroplasty (AR) and... |
0 | A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur | Management of Hip Fractures in the Elderly | It remains a matter of debate whether displaced fractures of the neck of the femur should be treated by internal fixation or arthroplasty. We have compared the two methods with regard to complications, mortality and functional outcome. [[We studied 409 patients, aged 70 years and over, with subcapital fractures graded ... |
0 | Patellofemoral Joint Loads During Running at the Time of Return to Sport in Elite Athletes With ACL Reconstruction | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Patellofemoral joint pain and degeneration are common in patients who undergo anterior cruciate ligament reconstruction (ACLR). The presence of patellofemoral joint pain significantly affects the patient's ability to continue sport participation and may even affect participation in activities of daily livin... |
0 | Vascularized fibula transfer for lower limb reconstruction | DoD SSI (Surgical Site Infections) | Massive bony defects of the lower extremity are usually the result of high-energy trauma, tumor resection, or severe sepsis. Vascularized fibular grafts are useful in the reconstruction of large skeletal defects, especially in cases of scarred and avascular recipient sites, or in patients with combined bone and soft-ti... |
0 | Free vascularised tissue transfer and brachytherapy for soft-tissue sarcomas of the extremities | DoD SSI (Surgical Site Infections) | SUMMARY: We reviewed the medical files of nine patients with localised soft-tissue sarcomas of the extremities treated with surgical resection, free vascularised tissue transfer, and computerised after-loading iridium-192 high dose rate brachytherapy over a period of 8 years. All patients had external beam radiation th... |
0 | Relation between age, femoral neck cortical stability, and hip fracture risk | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture risk rises 100 to 1000-fold over 60 years of ageing. Loss of resistance to bending is not a major feature of normal ageing of the femoral neck. Another cause of fragility is local buckling or elastic instability. Bones adapt to their local experience of mechanical loading. The suggestion that b... |
0 | Comparison of outcomes and costs after hip fracture surgery in three hospitals that have different care systems in Japan | HipFx Supplemental Cost Analysis | Hip fracture is a medical and socioeconomic problem among the 65 years and older population in Japan. Length of hospital stay in Japan is much longer than other developed countries, and the Japanese government has tried to reduce length of stay in order to reduce medical expenditures. The objective of this study was to... |
0 | Knee and Leg Injuries | AMP (Acute Meniscal Pathology) | The knee plays a significant role in ambulation and the activities of daily living. During the course of these activities and its role in weight bearing, the knee is susceptible to a variety of different forces and the emergency physician should be familiar with the diagnosis and treatment of the injuries that result. ... |
1 | Clinical study to establish efficacy and safety of contodol gel as topical pain relieving agent | Glenohumeral Joint OA | This study was planned to evaluate the efficacy and safety of Herbal Gel (Contudol Gel) in the management of pain and inflammation associated with the musculoskeletal inflammatory disorders. Forty five patients of either sex in the age group of 32 to 63 years were enrolled in the study after they fulfilled the inclusio... |
0 | Surgical treatment of acetabular posterior wall fractures | Management of Hip Fractures in the Elderly | This is an analysis of 52 fractures of the posterior wall of the acetabulum treated operatively and reviewed 2-15 years after injury. In 48 cases the fracture was associated with posterior dislocation of the hip, which was treated by closed reduction soon after the injury. In all but two of the cases there was a displa... |
0 | A prognostic model predicting recovery of walking independence of elderly patients after hip-fracture surgery. An experiment in a rehabilitation unit in Northern Italy | Management of Hip Fractures in the Elderly | A score for identifying post-hip-fracture surgery patients at various levels (high, medium, and low) of risk for unsuccessful recovery of pre-fracture walking ability was developed. Three hundred ninety-eight HF patients were enrolled in the study. The score significantly and independently predicted failure to walk ind... |
0 | The European Society of Regional Anaesthesia and Pain Therapy and the American Society of Regional Anesthesia and Pain Medicine Joint Committee Practice Advisory on Controversial Topics in Pediatric Regional Anesthesia | DOD - Acute Comp Syndrome CPG | BACKGROUND AND OBJECTIVES: Some topics in the clinical management of regional anesthesia in children remain controversial. To evaluate and come to a consensus regarding some of these topics, The European Society of Regional Anaesthesia and Pain Therapy (ESRA) and the American Society of Regional Anesthesia and Pain Med... |
0 | The osteoarthritis bone score (OABS): a new histological scoring system for the characterisation of bone marrow lesions in osteoarthritis | Osteochondritis Dissecans 2020 Review | OBJECTIVES: Bone marrow lesions (BMLs) are associated with pain in osteoarthritis (OA), but histological scores for OA focus on cartilage pathology. We developed a new scoring system, the Osteoarthritis Bone Score (OABS), to characterise OA-related BMLs. METHODS: BML/non-BML tissues identified by Magnetic Resonance Ima... |
0 | Adverse effects of analgesics commonly used by older adults with osteoarthritis: Focus on non-opioid and opioid analgesics | DoD PRF (Psychosocial RF) | Background: Osteoarthritis (OA) is the most common cause of disability in older adults, and although analgesic use can be helpful, it can also result in adverse drug events. Objective: To review the recent literature to describe potential adverse drug events associated with analgesics commonly used by older adults with... |
0 | Early outcomes of intra-aortic balloon pump in cardiac surgery | DOD - Acute Comp Syndrome CPG | Aim. As the proportion of high-risk patients for cardiac surgery increases, use of intraaortic balloon pump (IABP) has increased, especially for acute heart failure following cardiac surgery. The aim of this prospective study was to determine risk factors of early mortality and IABP complications in patient who underwe... |
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