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1 | Effects of a home-based occupational therapy telerehabilitation via smartphone for outpatients after hip fracture surgery: A feasibility randomised controlled study | Hip Fx in the Elderly 2019 | INTRODUCTION: This study aimed to investigate the effects of a home-based occupational therapy telerehabilitation (TR) via smartphone in enhancing functional and motor performance and fall efficacy for outpatients receiving day hospital rehabilitation after hip fracture surgery in Hong Kong. METHODS: This was a feasibi... |
0 | Therapeutic ultrasound for osteoarthritis of the knee or hip | SR for PM on OA of All Extremities | BACKGROUND: Osteoarthritis is the most common form of joint disease and the leading cause of pain and physical disability in the elderly. Therapeutic ultrasound is one of several physical therapy modalities suggested for the management of pain and loss of function due to osteoarthritis (OA). OBJECTIVES: To compare ther... |
0 | Biochemical and histological evidence that carcinoma of the prostate is associated with increased bone resorption | MSTS 2018 - Femur Mets and MM | We have investigated the hypothesis that carcinoma of the prostate with skeletal metastases is associated with increased bone resorption. In 54 affected patients a close correlation was observed between serum activity of alkaline phosphatase and urinary excretion of hydroxyproline (r = +0.818; P less than 0.001), compa... |
0 | Sauve-Kapandji operation for disorders of the distal radioulnar joint | Distal Radius Fractures | A series of 13 patients is reported in which a Sauve-Kapandji procedure consisting of arthrodesis of the articulation between the radius and ulna combined with resection of the collum ulnae was used to treat posttraumatic caput ulnae syndrome. Among the nine female and four male patients whose median age was 42 years (... |
1 | Uncemented Miller-Galante total knee replacement. The influence of alignment on clinical and radiological outcome in a 5 to 8-year follow-up | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Sixty-one primary uncemented Miller-Galante total knee replacements were implanted in 55 patients between June 1988 and December 1990. The results of routine radiological and clinical follow up carried out at an average of 1.3 years and 6.2 years after operation were used for evaluation. The Knee Society clinical score... |
0 | Cost-effectiveness of a Staphylococcus aureus screening and decolonization program for high-risk orthopedic patients | PJI DX Updated Search | We conducted a Markov decision analysis to assess the cost savings associated with a preoperative Staphylococcus aureus screening and decolonization program on 365 hip and knee arthroplasties and 287 spine fusions. A 2-way sensitivity analysis was also used to calculate the needed reduction in surgical site infections ... |
0 | A randomized trial of three antibiotic regimens for the treatment of pyelonephritis in pregnancy | Patrick’s pharmacoepidemiology project | OBJECTIVE: To compare the effectiveness of three antibiotic regimens for the treatment of acute pyelonephritis in pregnancy. METHODS: One hundred seventy-nine pregnant women earlier than 24 weeks' gestation who had acute pyelonephritis were randomized to 1) intravenous (i.v.) ampicillin and gentamicin, 2) i.v. cefazoli... |
0 | The armamentarium to battle the recalcitrant nasolabial fold | Panniculectomy & Abdominoplasty CPG | The nasolabial fold is the consequence of thinning of the skin, ptosis or deposition of fat laterally, and presence of excess skin. The ideal procedure for combatting this defiant and undesirable aging change would be to eliminate the excess skin, add to the thickness of the skin under the crease, and shield the bands ... |
0 | Circulating acute phase mediators and skeletal muscle performance in hospitalized geriatric patients | Glenohumeral Joint OA | BACKGROUND: There is growing evidence for the significant involvement of inflammatory processes in the development of muscle wasting in old age. Therefore, any disease accompanied by inflammation can be threatening to the muscle function in geriatric patients.
METHODS: Sixty-three hospitalized geriatric patients (42 fe... |
0 | Critical incident identification in common orthopaedic injury | Distal Radius Fractures | OBJECTIVE: To identify the occurrence of any critical incidents in the 50 consecutive patients with common orthopaedic injury (distal radius fractures) treated in a District General Hospital of United Kingdom.
METHODS: All patients admitted with distal radius fracture and subjected to manipulation/closed reduction unde... |
1 | Evaluation of moderate and severe blepharoptosis correction using the interdigitated part of the frontalis muscle and orbicularis oculi muscle suspension technique: A cohort study of 235 cases | Upper Eyelid and Brow Surgery | BACKGROUND: Blepharoptosis is defined as an abnormally low-lying upper eyelid margin in the primary gaze, causing vertical narrowing of the palpebral fissure. It is difficult to achieve consistently satisfactory results in moderate or severe cases despite many surgical methods being available to correct them. METHODS: ... |
0 | Tibial component fixation in total knee arthroplasty: a comparison of pegged and stemmed designs | Surgical Management of Osteoarthritis of the Knee CPG | This study compares midterm radiographic, functional, and quality-of-life outcomes in patients receiving a cemented tibial component that has either a short intramedullary stem or one that has a pegged tibial component. A cohort of 181 patients received 225 NexGen cruciate-retaining implants (84 stemmed, 141 pegged) du... |
0 | Southland Hospital's experience with the Austin Moore hemiarthroplasty | Management of Hip Fractures in the Elderly | AIM: The assessment of hospital performance with reference to patients who receive Austin Moore hemiarthroplasty for neck of femur fractures and the assessment of patients at medium term follow up. METHODS: A retrospective review of 103 Austin Moore hemiarthroplasties in 101 patients. This review spans an 11 year perio... |
0 | Comparing Intra-articular Corticosteroid to Intra-articular Ketorolac Knee Injections | OAK 3 - Non-arthroplasty tx of OAK | This study will compare the efficacy of intraâ?articular betamethasone injection to intraâ?articular ketorolac injection for symptomatic treatment of knee osteoarthritis in an equivalence study using a doubleâ?blinded, randomized, controlled design. Patients will be recruited from orthopaedic clinics at St. Luke's U... |
0 | Pharmacological interventions for the prevention of bleeding in people undergoing definitive fixation of hip, pelvic and long bone fractures: a systematic review and network metaâ?쳌analysis | Pediatric Supracondylar Humerus Fracture 2020 Review | This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To review systematically the optimal administration and relative efficacy of pharmacological interventions for preventing blood loss in definitive surgical fixation of the hip, pelvic and long bones. |
0 | Intravenous paracetamol (acetaminophen) | Dental Implant Infection | Intravenous paracetamol (rINN)/intravenous acetaminophen (USAN) is an analgesic and antipyretic agent, recommended worldwide as a first-line agent for the treatment of pain and fever in adults and children. In double-blind clinical trials, single or multiple doses of intravenous paracetamol 1 g generally provided signi... |
0 | Bone mineral density and urine calcium excretion among subjects with and without nephrolithiasis | Management of Hip Fractures in the Elderly | BACKGROUND: Bone mineral density (BMD) is reduced among patients with idiopathic hypercalciuria (IH) and nephrolithiasis. To disentangle effects of diet, stone formation, and physiology upon BMD, we studied vertebral and femoral neck BMD among relatives of hypercalciuric stone formers, and contrasted those with to thos... |
0 | Evaluation of the risk of systemic fat mobilization and fat embolus following liposuction with dry and tumescent technique: an experimental study on rats | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Clinical studies have revealed that liposuction causes systemic fat mobilization. However, the degree of the risk it causes is not clear. In this study we investigated the risk of systemic fat mobilization and fat embolus in rats following liposuction using dry and tumescent techniques. METHODS: At the end ... |
0 | Renal disease in hematological malignancies | MSTS 2018 - Femur Mets and MM | Hematological malignancies can affect the kidneys in different ways. There may be direct invasion by the tumor cells, or the malignancy may act indirectly via immunologically mediated mechanisms. Primary renal lymphoma (PRL) without evidence of extrarenal spread has also been reported. The existence of this entity, how... |
0 | Prediction of bone strength from cancellous structure of the distal radius: can we improve on DXA? | Distal Radius Fractures | Recent studies show that structural parameters of bone, obtained from computerized image analysis of radiographs, can improve the noninvasive determination of bone strength when used in conjunction with bone density measurements. The present study was designed to assess the ability of image features alone to predict th... |
0 | Clinical features and survival analysis of different subtypes of patients with breast cancer brain metastases | MSTS 2018 - Femur Mets and MM | BACKGROUND AND OBJECTIVE: The brain is one of the most common metastatic sites of breast cancer. Brain metastases develop in 10%-15% of patients with breast cancer and are associated with poor prognosis. The purpose of this retrospective study was to analyze the clinical characteristics and survival of patients with br... |
0 | Nonpharmacological approaches to improve bone health and reduce osteoporosis | Management of Hip Fractures in the Elderly | PURPOSE OF REVIEW: With an aging population, osteoporosis has become a public health concern and an area of increased awareness among both patients and medical practitioners. Timely screening and pharmacologic treatment of low bone mass effectively reduces fracture risk. Nonpharmacologic interventions, however, deserve... |
0 | Pilon fractures: Assessment and treatment | DoD LSA (Limb Salvage vs Amputation) | The treatment of high-energy intra-articular fractures of the tibial plafond involves many potential complications. A protocol, which includes immediate ORIF of the fractured fibula and the application of a spanning external fixator followed by delayed ORIF of the tibia, has been developed. This protocol recognizes the... |
0 | Predictors of Delirium in Octogenarian Patients Hospitalized for a Hip Fracture | Hip Fx in the Elderly 2019 | INTRODUCTION: Since delirium is a major complication that can arise after a patient with a hip fracture has been hospitalized, it is considered to be one of the most common geriatric conditions. Therefore, its prevention and early detection are essential for reducing both the length of the patient's stay in the hospita... |
0 | Single-Injection Adductor Canal Block With Multiple Adjuvants Provides Equivalent Analgesia When Compared With Continuous Adductor Canal Blockade for Primary Total Knee Arthroplasty: A Double-Blinded, Randomized, Controlled, Equivalency Trial | AAHKS (2) Corticosteroids | BACKGROUND: Peripheral nerve blockade is used to provide analgesia for patients undergoing total knee arthroplasty. This study compared a single-injection adductor canal block (SACB) with adjuvants to continuous adductor canal blockade (CACB). The hypothesis was that the 2 groups would have equivalent analgesia at 30 h... |
0 | Laser-assisted arthroscopic ulnar shortening | DOD - Acute Comp Syndrome CPG | The purpose of this study is to evaluate arthroscopic ulnar shortening with the holmium: yttrium-aluminum-garnet (Ho:YAG) laser for the treatment of ulnocarpal abutment syndrome (UAS). This is a retrospective review of the experience of a single surgeon using this technique between 1994 and 2000. Unloading the ulnocarp... |
1 | Ultrasound-guided suprainguinal fascia iliaca compartment block versus periarticular infiltration for pain management after total hip arthroplasty: a randomized controlled trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND OBJECTIVES: Fascia iliaca compartment block (FICB) has been shown to provide excellent pain relief in patients undergoing total hip arthroplasty (THA). However, the analgesic efficacy of FICB, in comparison with periarticular infiltration (PAI) for THA, has not been evaluated. This randomized, controlled... |
1 | Autologous blood use in reduction mammaplasty: is it justified? | Reduction Mammoplasty for Female Breast Hypertrophy | A study was undertaken to evaluate the current use of autologous blood predonation within 3 weeks of reduction mammaplasty in our institution. A retrospective study of 153 consecutive patients undergoing reduction mammaplasty between April of 1987 and October of 1992 was analyzed. Nine patients were excluded because of... |
0 | Staged surgical treatment of extremity lymphedema with dual gastroepiploic vascularized lymph node transfers followed by suction-assisted lipectomy-A prospective study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Both physiologic and excisional procedures have been described for the treatment of lymphedema. However, there exist few reports that combine these procedures. The objective of this study was to evaluate the effectiveness of combining vascularized lymph node transfer (VLNT) with suction-assisted lipectomy (... |
0 | The science of bone cement: A historical review | Surgical Management of Osteoarthritis of the Knee CPG | The use of PMMA bone cement has been a key factor in the advent of joint replacement as a surgical option. Despite revolutionary changes in joint replacement technology for the treatment of hip and knee arthritis, the use of PMMA bone cement in its intraoperative application has not significantly changed since Harris' ... |
0 | Prosthesis survivorship and clinical outcome of the Austin Moore hemiarthroplasty: An 8-year mean follow-up of a consecutive series of 500 patients | Management of Hip Fractures in the Elderly | The results of a consecutive series of 500 patients treated with Austin Moore hemiarthroplasty prosthesis are reported. The range of follow-up was from 5-12 years and the mean was 8 years. Only 10 patients were lost to follow-up and 398 (81%) patients died within the follow-up period. The mean age of the patient popula... |
1 | The health burden of breast hypertrophy | Reduction Mammoplasty for Female Breast Hypertrophy | Women seeking consultation for the surgical relief of symptoms associated with breast hypertrophy have been the focus of many studies. In contrast, little is known about those women with breast hypertrophy who do not seek symptomatic relief. The purpose of this study was to describe the health burden of breast hypertro... |
0 | Zoledronic acid: a review of its use in the management of bone metastases and hypercalcaemia of malignancy | MSTS 2018 - Femur Mets and MM | UNLABELLED: Zoledronic acid (Zometa) is an effective inhibitor of osteoclast-mediated bone resorption. Zoledronic acid demonstrated efficacy in the reduction of skeletalrelated events (SREs) in patients with multiple myeloma or bone metastases secondary to breast cancer, prostate cancer or other solid tumours, or hyper... |
0 | Bone-preserving hip arthroplasties as an alternative to conventional hip replacement for young patients - A review article | Hip Fx: Early-Weight Bearing Search | Hip replacement is one of the most successful orthopedics' procedures in terms of restoring quality of life. In the past, indications for hip replacement were restricted to elderly people, but nowadays advances in bioengineering technology have driven development of hip implants with less wear and loosening and therefo... |
0 | Characterization of diabetic osteoarthritic cartilage and role of high glucose environment on chondrocyte activation: toward pathophysiological delineation of diabetes mellitus-related osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To examine the relationship between osteoarthritis (OA) and type 2 diabetes mellitus (DM).
METHODS: OA cartilage from DM and non-DM patients undergoing knee replacement were stimulated by IL-1beta for 24 h and release of interleukin-6 (IL-6) and prostaglandin E2 (PGE2) was measured. Primary cultured murine c... |
0 | Single-dose cefuroxime with gentamicin reduces Clostridium difficile-associated disease in hip-fracture patients | Management of Hip Fractures in the Elderly | Antibiotic-associated Clostridium difficile diarrhoea may complicate recovery from surgery for proximal femoral fracture. We undertook a four-year case-control study to evaluate a change in antibiotic prophylaxis in our department. During the period January 2003 to January 2005, patients received three doses of prophyl... |
0 | Fractures in patients with osteopetrosis, insights from a single institution | DoD SSI (Surgical Site Infections) | PURPOSE: Osteopetrosis is a hereditary skeletal disorder in which defective osteoclast function leads to abnormally hard and brittle bones. This study aims to describe the pattern of fractures occurring in this group of patients, possible complications, and strategies to avoid them.
METHODS: This is a case series of si... |
0 | Incidence of complex regional pain syndrome type I after fractures of the distal radius | Distal Radius Fractures | Aim of this study was to analyse the incidence CRPS-I after a fracture of the distal radius and to analyse risk factors. Patients who visited the Emergency Unit of the University Hospital, with a fracture of distal radius were asked to participate. As risk factors for CRPS-I, number of repositions (with or without loca... |
1 | Efficacy and safety of intravenous bisphosphonates beyond two years | MSTS 2018 - Femur Mets and MM | Background: Metastatic bone disease, a common complication of malignancy, causes significant morbidity in affected patients. Intravenous bisphosphonates (IBPs) have shown efficacy in preventing skeletal morbidity, however few studies have investigated their efficacy and safety in cancer patients beyond 2 years of use. ... |
0 | How often is functional range of motion obtained by manipulation for stiff total knee arthroplasty? | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: To evaluate how often manipulation under anesthesia (MUA) can achieve functional flexion (greater-than or equal to) 90 degrees and identify predictor for successful outcome of MUA for stiff total knee arthroplasty (TKA). Methods: Demographic data, range of motion, and surgical and anesthetic information of 143... |
0 | Simple in situ decompression for idiopathic cubital tunnel syndrome using minimal skin incision | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cubital tunnel syndrome is one of the most frequently occurring compression neuropathy in the upper limb next to carpal tunnel syndrome. Recent minimal invasive technique has prompted us to gain clinical experience with simple in situ decompression with minimal skin incision for idiopathic cubital tunnel syndrome. Sixt... |
0 | Return to Play in National Football League Players After Operative Jones Fracture Treatment | DoD SSI (Surgical Site Infections) | BACKGROUND: Jones fractures commonly occur in professional athletes and operative treatment remains the standard of care in this patient population. In our clinical experience, an aggressive postoperative rehabilitation protocol for National Football League (NFL) players with an average return to play (RTP) between 8 a... |
0 | High levels of osteoprotegerin and soluble receptor activator of nuclear factor kappa B ligand in serum of rheumatoid arthritis patients and their normalization after anti-tumor necrosis factor alpha treatment | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To test the hypotheses that 1) proinflammatory cytokines affect osteoprotegerin (OPG) and soluble receptor activator of nuclear factor kappa B ligand (sRANKL) production and therefore the OPG and sRANKL levels differ in rheumatoid arthritis (RA) patients in comparison with healthy individuals; and 2) anti-tu... |
0 | Assessing the impact of osteoporosis on the burden of hip fractures | Management of Hip Fractures in the Elderly | The aim of the study was to determine the number of hip fractures within defined countries for 2010 and the proportion attributable to osteoporosis. The number of incident hip fractures in one year in countries for which data were available was calculated from the population demography in 2010 and the age- and sex-spec... |
0 | Subtrochanteric fractures of the femur. Results of treatment with the 95 degrees condylar blade-plate | Management of Hip Fractures in the Elderly | The results were retrospectively analyzed of 47 subtrochanteric fractures of the femur treated with a 95 degrees condylar blade-plate to establish whether two different surgical techniques yielded different results. Before 1981, treatment consisted of extensive visualization of the fracture lines, permitting anatomic r... |
0 | Current perception threshold for assessment of the neurological components of hand-arm vibration syndrome: a review | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Current perception threshold (CPT) has been proposed as a quantitative method for assessment of peripheral sensory nerve function. The aim of this review of selected reports is to provide an overview of CPT measurement for the assessment of the neurological component of hand-arm vibration syndrome (HAVS). The CPT value... |
0 | Augmentation of Achilles tendon repair with extracellular matrix xenograft: a biomechanical analysis | DoD LSA (Limb Salvage vs Amputation) | Achilles tendon rupture is a frequent injury in athletes and the general public. Cases of chronic rupture or poor tendon quality secondary to tendinopathy are challenging to repair primarily. Commercially available extracellular matrix materials have been utilized in recent years to augment tendon repair. Augmentation ... |
1 | Acromion and glenoid shape: Why are they important predictive factors for the future of our shoulders? | Glenohumeral Joint OA | The shape of the acromion differs between patients with degenerative rotator cuff tears and individuals without rotator cuff pathology.It can be assessed in the sagittal plane (acromion type, acromion slope) and in the coronal plane (lateral acromion angle, acromion index, critical shoulder angle).The inter-observer re... |
0 | The risk of injury to neurovascular structures from distal locking screws of the Unreamed Humeral Nail (UHN): A cadaveric study | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | When performing distal interlocking of an intramedullary humeral nail, there is risk of iatrogenic injuring to the neurovascular structures. Our cadaveric study with frozen sections through the distal humerus presents the anatomic relationship of the different neurovascular bundles and the trajectories used for the imp... |
0 | Childhood maltreatment and migraine (part II). Emotional abuse as a risk factor for headache chronification | DoD PRF (Psychosocial RF) | OBJECTIVES: To assess in a headache clinic population the relationship of childhood abuse and neglect with migraine characteristics, including type, frequency, disability, allodynia, and age of migraine onset.
BACKGROUND: Childhood maltreatment is highly prevalent and has been associated with recurrent headache. Maltre... |
1 | Effect of Physical Therapy vs Arthroscopic Partial Meniscectomy in People With Degenerative Meniscal Tears: Five-Year Follow-up of the ESCAPE Randomized Clinical Trial | AMP (Acute Meniscal Pathology) | Importance: There is a paucity of high-quality evidence about the long-term effects (ie, 3-5 years and beyond) of arthroscopic partial meniscectomy vs exercise-based physical therapy for patients with degenerative meniscal tears.
Objectives: To compare the 5-year effectiveness of arthroscopic partial meniscectomy and e... |
0 | Effects of dexamethasone on local infiltration analgesia in total knee arthroplasty: a randomized controlled trial | PJI DX Updated Search | PURPOSE: Intraoperative local infiltration analgesia has gained increasing popularity in joint replacement surgery. Because there is considerable variation among drug combinations, analgesic effects of each drug are not well understood. The purpose of this study was to clarify the efficacy of the addition of steroid to... |
0 | Oral inflammation and bacteremia: implications for chronic and acute systemic diseases involving major organs | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Gingivitis and periodontitis are both highly prevalent gum diseases characterized by an accumulation of a polymicrobial biofilm (dental plaque) around teeth and inflammation in adjacent soft tissues. During dental procedures, even tooth brushing, these bacteria and their components, such as endotoxin, can easily dissem... |
0 | Distal femoral osteotomy for genu valgus correction | Surgical Management of Osteoarthritis of the Knee CPG | Osteotomy is a classic operation for the treatment of unicompartimental osteoarthrosis of the knee. It has often been presented as a possible alternative to prosthetic joint replacement, but the indications depend on the stage and articular diffusion of the degenerative changes, on the associated pathology, and on the ... |
0 | Early results with the Genesis II Posterior Stabilized High Flexion knee prosthesis. A one year follow-up study | Surgical Management of Osteoarthritis of the Knee CPG | The aim of this prospective study was to assess the range of motion (ROM) achieved with the Genesis II Posterior Stabilized High Flexion knee prosthesis. The ROM was compared with that of a historical study group with the standard PS insert and an identical study design. Sixty three patients with primary knee osteoarth... |
0 | Temperature of the human knee - A review | AAHKS (2) Corticosteroids | BACKGROUND: Temperature measurement of the knee joint has a long tradition in medical thermometry. However, neither a standard for recording knee temperature nor agreed values of knees in healthy subjects or in articular disease are available. AIM OF THE STUDY: To compute available data on knee temperature from the lit... |
0 | Altered expression of chondroitin sulfate structure modifying sulfotransferases in the articular cartilage from adult osteoarthritis and Kashin-Beck disease | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate the expression of enzymes involved in chondroitin sulfate (CS) sulfation in the articular cartilage isolated from adult patients with osteoarthritis (OA) and Kashin-Beck disease (KBD), using normal adults as controls.
METHODS: Articular cartilage samples were collected from normal, OA and KBD ... |
1 | Ethnoracial variations in acute PTSD symptoms among hospitalized survivors of traumatic injury | DoD PRF (Psychosocial RF) | Ethnoracial minority status contributes to an increased risk for posttraumatic stress disorder (PTSD) after trauma exposure, beyond other risk factors. A population-based sampling frame was used to examine the associations between ethnoracial groups and early PTSD symptoms while adjusting for relevant clinical and demo... |
0 | Assessment of donor site morbidity for free radial forearm osteocutaneous flaps | DoD SSI (Surgical Site Infections) | PURPOSE: Assessment of donor site morbidity and recipient site complications following free radial forearm osteocutaneous flap (FRFOCF) harvest and evaluation of patient perceived upper limb disability for free radial forearm osteocutaneous versus fasciocutaneous flaps (FRFF).
METHODS: First a case series was undertake... |
1 | A systematic review of conservative treatment of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To assess the effectiveness of conservative therapy in carpal tunnel syndrome. DATA SOURCES: A computer-aided search of MEDLINE and the Cochrane Collaboration was conducted for randomized controlled trials (RCTs) from January 1985 to May 2006. REVIEW METHODS: RCTs were included if: (1) the patients, with cli... |
0 | Breast cancer survivors: psychosocial concerns and quality of life | DoD PRF (Psychosocial RF) | PURPOSE: To describe the psychosocial concerns and quality of life of breast cancer survivors evaluated 2 and 3 years after primary treatment.
METHODS: A sample of 139 breast cancer survivors who had been interviewed during the first year after primary treatment participated in a mailed survey at 2 years (N = 69) and 3... |
0 | Hyaluronidase production in Streptococcus milleri in relation to infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | One hundred and seven (41%) of 262 isolates of Streptococcus milleri, from human sources, produced hyaluronidase. Hyaluronidase production was commoner in beta haemolytic isolates 32 of 39 (82%), many of which were of Lancefield group F. But hyaluronidase was also found in alpha and non-haemolytic isolates, and in grou... |
1 | Which analgesic mixture is appropriate for periarticular injection after total knee arthroplasty? Prospective, randomized, double-blind study | AAHKS (8) Anesthetic Infiltration | PURPOSE: Although the analgesic effect of periarticular injection after total knee arthroplasty (TKA) has been well documented, the gold standard for drug combination has not yet been established. In this study, the analgesic effects of six different drug combinations were compared.
METHODS: A total of 256 patients und... |
0 | The Efficacy of Bisphosphonates in the Prevention of Vertebral, Hip, and Nonvertebral-Nonhip Fractures in Osteoporosis: A Network Meta-Analysis | Management of Hip Fractures in the Elderly | Objective: To evaluate the efficacy of available bisphosphonate therapies regarding the prevention of vertebral, hip, and nonvertebral-nonhip fractures in postmenopausal women with osteoporosis. Methods: Eight randomized placebo controlled trials investigating the effects of zoledronic acid (1 study), alendronate (3), ... |
1 | Is self-reported pain an appropriate outcome measure in ergonomic- epidemiologic studies of work-related musculoskeletal disorders? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Of the various overlapping approaches used to define outcome in ergonomic-epidemiologic studies of work-related musculoskeletal disorders, the most widely used are clinical diagnostic entities, whose criteria derive either from clinical examination (consisting of clinical tests in conjunction with symptoms and clinical... |
0 | Factors influencing patient survival in a group of men with prostate cancer in Yaoundé, Cameroon | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: We evaluated the survival time of patients with stage D cancer of the prostate (CaP) in Yaounde, Cameroon, so as to lay the groundwork for evaluating patient management and outcomes in such communities in sub-Saharan Africa. Patients and Materials: A cohort of 200 patients was recruited at diagnosis and follow... |
0 | Palmar lipomas associated with compression of the median nerve | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The records of five patients who had had a palmar mass associated with altered sensibility in the distribution of the median nerve were reviewed retrospectively. Three-dimensional imaging (computerized tomography or magnetic resonance imaging) proved useful for establishment of the diagnosis of a lipoma and planning of... |
0 | Robot-assisted treatment of unstable pelvic fractures with a percutaneous iliac lumbar double rod fixation combined with a percutaneous pelvic anterior ring INFIX fixation | DoD SSI (Surgical Site Infections) | OBJECTIVE: To investigate the clinical effect of robot-assisted treatment of unstable pelvic fractures through a percutaneous iliac lumbar double rod fixation combined with a percutaneous pelvic anterior ring INFIX (internal fixator) fixation.
METHODS: This was a retrospective analysis of 17 cases of unstable anterior ... |
0 | Immunoparesis in newly diagnosed Multiple Myeloma patients: Effects on overall survival and progression free survival in the Danish population | MSTS 2022 - Metastatic Disease of the Humerus | Immunoparesis (hypogammaglobulinemia) is associated to an unfavorable prognosis in newly diagnosed Multiple myeloma (MM) patients. However, this finding has not been validated in an unselected population-based cohort. We analyzed 2558 newly diagnosed MM patients in the Danish Multiple Myeloma Registry representing the ... |
0 | Effect of hormone replacement therapy on bone mineral density in postmenopausal women with mild primary hyperparathyroidism. A randomized, controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND: Most patients with primary hyperparathyroidism are postmenopausal women. The presence of osteopenia in persons with mild primary hyperparathyroidism is considered an indication for parathyroidectomy. No prospective, controlled trials have assessed medical therapies for osteopenia in primary hyperparathyroid... |
1 | Displaced subcapital fractures of the femur: a prospective randomized comparison of internal fixation, hemiarthroplasty and total hip replacement | Management of Hip Fractures in the Elderly | In a prospective trial of 278 patients aged over 65 years, treatment of displaced subcapital fractures was randomly allocated to closed reduction and internal fixation with a sliding compression screwplate, Moore hemiarthroplasty, or total hip treatment with a Howse semicaptive prosthesis. One year after operation ther... |
0 | Variations of the analgesia nociception index during propofol anesthesia for total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The Analgesia Nociception Index (ANI) monitor (Mdoloris Medical System, Lille, France) measures the relative parasympathetic tone as a surrogate for the anti-nociception/nociception balance during general anesthesia. The aims of this observational study were to test whether ANI could early detect hemodynamic... |
0 | Arthroscopic mosaicplasty: Long-term outcome and joint degeneration progression | Osteochondritis Dissecans 2020 Review | Background: This study aims to document the long-term results in a group of patients treated with arthroscopic mosaicplasty for knee cartilage lesions, both in terms of clinical outcome and joint degeneration progression, evaluated by radiographs. Methods: 26 patients (19 men and 7 women, mean age 29years, mean BMI 23)... |
0 | The Functional Status Index: reliability and validity of a self-report functional disability measure | Management of Hip Fractures in the Elderly | Practical, reliable and valid functional assessment instruments are needed to assist health providers in planning a patient's discharge from hospital and determining the need for rehabilitation or longterm care. In addition, such instruments can be used in clinical and epidemiological research. Several methods of asses... |
0 | Patient-related risk factors for postoperative mortality and periprosthetic joint infection in medicare patients undergoing TKA | PJI DX Updated Search | BACKGROUND: The impact of specific baseline comorbid conditions on the relative risk of postoperative mortality and periprosthetic joint infection (PJI) in elderly patients undergoing TKA has not been well defined. QUESTIONS/PURPOSES: We calculated the relative risk of postoperative mortality and PJI associated with 29... |
1 | Infection after primary anatomic versus primary reverse total shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: Deep periprosthetic infection is a serious complication after total shoulder arthroplasty (TSA) and is associated with suboptimal clinical results. This retrospective study aimed to determine whether a difference in infection rate existed after primary anatomic TSA (aTSA) and primary reverse TSA (rTSA).
MET... |
0 | IARC monographs programme on the evaluation of carcinogenic risks to humans | Surgical Management of Osteoarthritis of the Knee CPG | 6.1 Exposure data: A wide range of metals and their alloys, polymers, ceramics and composites are used in surgically implanted medical devices and prostheses and dental materials. Most implanted devices are constructed of more than one kind of material (implants of complex composition). Since the early 1900s, metal all... |
0 | Minor injury resulting in lower-limb loss in diabetic patients | DoD LSA (Limb Salvage vs Amputation) | Objective: to identify diabetic patients who had undergone recent amputation of the lower limb, and in whom a possibly avoidable minor injury to the foot had caused infection and gangrene necessitating surgical intervention. Design: questionnaires, administered to consecutively admitted recent lower-limb amputees, addr... |
0 | [Implantation of Gamma nail and proximal femoral nail for the treatment of femoral intertrochanteric fractures in the elderly: a randomized follow-up for 131 cases] | Management of Hip Fractures in the Elderly | OBJECTIVE: To compare the clinical effect between Gamma nail and proximal femoral nail (PFN) on the treatment for femoral intertrochanteric fractures in the elderly. METHODS: A total of 131 cases (39 males and 92 females; aged 70-81 years, mean age of 76 years) with femoral intertrochanteric fractures were collected fr... |
0 | The epidemiology of revision anterior cruciate ligament reconstruction in adults from Ontario, Canada | PJI DX Updated Search | Objectives: The morbidity associated with revision anterior cruciate ligament reconstruction (ACLR) is largely unknown. The objective of this study was to determine the rate of and risk factors for re-revision, re-operation, and re-admission following revision ACLR in the general population. Methods: All patients who u... |
0 | Denosumab in men receiving androgen-deprivation therapy for prostate cancer | Distal Radius Fractures | BACKGROUND: Androgenâ?deprivation therapy is wellâ?established for treating prostate cancer but is associated with bone loss and an increased risk of fracture. We investigated the effects of denosumab, a fully human monoclonal antibody against receptor activator of nuclear factorâ?kappaB ligand, on bone mineral dens... |
0 | A retrospective comparative study of bilateral total knee replacement staged at a one-week interval | Surgical Management of Osteoarthritis of the Knee CPG | The clinical results of bilateral total knee replacement staged at a one-week interval during a single hospital admission were compared with bilateral total knee replacements performed under the same anaesthetic and with bilateral total knee replacements performed during two separate admissions. The data were retrospec... |
0 | Interventions for the treatment of decreased bone mineral density associated with HIV infection | Management of Hip Fractures in the Elderly | BACKGROUND: Decreased bone mineral density (BMD) occurs more commonly in patients with HIV than in the general population, making this group more susceptible to fragility fractures. However, bone loss is under-treated in patients with HIV. OBJECTIVES: To assess the effects of interventions aimed at increasing bone mine... |
0 | Clinical features of snake bite in southern Iran | DOD - Acute Comp Syndrome CPG | We attempt to describe the clinical features of venomous snake bites in southern Iran. In this study the complication rate has been markedly reduced compared with other developing countries. The availability of antivenom at primary health-care centres and rapid transportation facilities may change the morbidity associa... |
0 | A comparison of anterior compartment pressures in competitive runners and cyclists | DOD - Acute Comp Syndrome CPG | Anterior compartment pressure was measured in 10 competitive runners and in 10 competitive cyclists who were asymptomatic for compartment syndrome. Pressures were measured at rest, after exercise at 80% VO2max, after maximal exercise, and 15 minutes after both exercise bouts. No difference in compartment pressure was f... |
1 | Interview data versus questionnaire data in the diagnosis of carpal tunnel syndrome in epidemiological studies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | AIMS: In most epidemiological studies on carpal tunnel syndrome (CTS), the case definition is based on questionnaire data with or without neurophysiological testing. The aim of this study was to test if the use of questionnaire data results in misclassification of cases. METHODS: In two studies, involving 940 and 311 p... |
0 | The cost of hospitalizing hip fracture patients has increased despite shorter hospitalization time | HipFx Supplemental Cost Analysis | The cost and time of hospitalization were analysed for 4161 hip fractures in 3898 patients aged 40 years or over treated in a Danish municipality from 1970 to 1985. The mean hospitalization time decreased from 32 to 21 days (P less than 0.0005). This tendency was most pronounced for patients who were treated with osteo... |
0 | Salvage of infected non-union of the tibia with an Ilizarov ring fixator | PJI DX Updated Search | PURPOSE: To review outcomes of 24 patients who underwent Ilizarov ring fixation for infected nonunion of the tibia. METHODS: Medical records of 21 men and 3 women aged 13 to 74 (mean, 38) years who underwent Ilizarov ring fixation for infected non-union of the tibia were reviewed. The mean bone defect was 3.3 (range, 2... |
1 | Concentrated Bone Marrow Aspirate for the Treatment of Chondral Injuries and Osteoarthritis of the Knee: A Systematic Review of Outcomes | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Bone marrow aspirate concentrate (BMAC) has emerged as a novel treatment for pathology of the knee. Despite containing a limited number of stem cells, BMAC serves as a source of growth factors that are thought to play an important role as a result of their anabolic and anti-inflammatory effects. To our know... |
1 | Radiological changes ten years after St. Georg Sled unicompartmental knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Failure of a unicompartmental knee replacement (UKR) may be caused by progressive osteoarthritis of the knee and/or failure of the prosthesis. We have examined the fate of the other compartments of the knee by radiological assessment 10 years after operation. A total of 50 UKRs were performed on 45 carefully selected p... |
0 | The Liverpool Mark II knee prosthesis. A preliminary report | Surgical Management of Osteoarthritis of the Knee CPG | This is a preliminary report of the results of knee joint replacements using the Liverpool Mark II knee joint system which consists of a bicondylar prosthesis and a set of stereotactic instruments. The prosthesis has been developed from Gunston's concept, and the special instruments ensure its accurate insertion throug... |
0 | Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee--the MOVE consensus | SR for PM on OA of All Extremities | OBJECTIVES: Exercise is an effective and commonly prescribed intervention for lower limb osteoarthritis (OA). Many unanswered questions remain, however, concerning the practical delivery of exercise therapy. We have produced evidence-based recommendations to guide health-care practitioners. METHODS: A multidisciplinary... |
0 | A nested case-control analysis of self-reported physical functioning after total knee replacement surgery in the 45 and Up Study Cohort | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: The rate of total knee arthroplasty surgery (TKA) is rising in Australia despite varying impacts of TKA on physical function (PF) in population-based studies. There are potentially modifiable risk factors that could enhance PF after TKA, so we evaluated (1) the levels of PF in persons with TKA and the rest ... |
0 | Lateral release for patellofemoral arthritis | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To determine the outcome of treatment of patients with symptomatic patellofemoral osteoarthritis by closed lateral patellar retinacular release. TYPE OF STUDY: Retrospective study. METHODS: Fifty patients who underwent 53 lateral retinacular release procedures between 1995 and 1999 for the treatment of symptom... |
0 | Serum albumin and fixation failure with cannulated hip screws in undisplaced intracapsular femoral neck fracture | Hip Fx in the Elderly 2019 | Introduction Internal fixation of undisplaced intracapsular femoral neck fractures with cannulated hip screws is a widely accepted surgical technique, despite reported failure rates of 12%-19%. This study determined whether preoperative serum albumin levels are linked to fixation failure. Methods We retrospectively rev... |
0 | Horse-play: survey of accidents with horses | Management of Hip Fractures in the Elderly | Horse-riding is increasing in popularity. During 1971 and 1972 154 patients had horse-related injuries of sufficient severity to warrant admission to the Radcliffe Infirmary. The injuries sustained are more common and more severe than generally appreciated and are comparable to those sustained by motor-cyclists. Superv... |
0 | Focal MIBI uptake is a better indicator of active myeloma than diffuse uptake | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: Technetium-99m 2-methoxyisobutylisonitrile (MIBI) imaging has been proposed as a front-line investigation to detect bone disease both before and after the treatment of myeloma. In this study, we have compared the pattern of MIBI uptake (focal and diffuse) between patients with proven myeloma and a cohort of pa... |
0 | Neurobehavioral disorders | DoD PRF (Psychosocial RF) | Neurobehavioral disorders are composed of a large group of behavioral impairments seen in association with brain disease (e.g., stroke, multiple sclerosis, dementia, and neuro-oncological conditions), transient as well as permanent brain impairments (e.g., metabolic and toxic encephalopathies), and/or injury (e.g., tra... |
1 | Perioperative antibiotics in radical cystectomy with ileal conduit urinary diversion: efficacy and risk of antimicrobial prophylaxis on the operation day alone | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To determine the optimum schedule for perioperative antimicrobial prophylaxis (AMP) for bladder cancer patients submitted to radical cystectomy with ileal conduit urinary diversion. METHODS: We studied 77 consecutive bladder cancer patients who underwent radical cystectomy with ileal conduit. The 1-day group... |
0 | Age- and Sex-Related Changes in Bone Microarchitecture and Estimated Strength: A Three-Year Prospective Study Using HRpQCT | Distal Radius Fractures | Although projections from cross-sectional studies have shown that bone loss leading to osteoporosis begins around menopause in women and later in life in men, this has not been examined longitudinally in population-based studies using high-resolution technology capable of distinguishing cortical (Ct) and trabecular (Tb... |
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