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Skeletal complications in congenital insensitivity to pain with anhidrosis: a case series of 14 patients and review of articles published in Japanese
Developmental Dysplasia of the Hip 2020 Review
Background: Congenital insensitivity to pain with anhidrosis (CIPA) is a rare disorder with various skeletal complications; thus, a compilation of data on affected patients could provide a valuable resource for the management of this disease. The aim of this study was to ascertain and report the frequency, location, ag...
0
Reconstruction with biological methods following intercalary excision of femoral diaphyseal tumors
MSTS 2018 - Femur Mets and MM
Aim: The aim of this study was to assess outcomes of biological (nonvascularized fibula grafts and extracorporeal irradiated autologous bone grafts) methods used for reconstruction of intercalary defects after resection of femoral diaphyseal tumors. Materials and Methods: This study included 28 patients who had undergo...
0
Pointing in visual periphery: is DF's dorsal stream intact?
Upper Eyelid and Brow Surgery
Observations of the visual form agnosic patient DF have been highly influential in establishing the hypothesis that separate processing streams deal with vision for perception (ventral stream) and vision for action (dorsal stream). In this context, DF's preserved ability to perform visually-guided actions has been cont...
0
Effectiveness and safety of cemented versus cementless hip arthroplasty for senile unstable intertrochanteric fractures: study protocol for a prospective, nonrandomized, controlled clinical trial
Hip Fx in the Elderly 2019
BACKGROUND: For elderly patients with unstable intertrochanteric fractures, hip arthroplasty is mainly applied due to the degenerative body function and difficulty in reduction. OBJECTIVE: To investigate the effectiveness and safety of cemented versus cementless hip arthroplasty for senile unstable intertrochanteric fr...
0
Current operative management and therapeutic algorithm of lymphedema in the lower extremities
Panniculectomy & Abdominoplasty CPG
Lymphedema is defined as the abnormal accumulation of interstitial fluid in subcutaneous tissues resulting from cancer, cancer treatment (surgery and/or radiotherapy), infection, inflammatory disorders, obesity, and hereditary syndromes. Surgical management of lymphedema can be broadly classified into two categories, r...
1
Is cosmetic surgery an effective psychotherapeutic intervention? A systematic review of the evidence
Reduction Mammoplasty for Female Breast Hypertrophy
PURPOSE: Elective cosmetic surgery (ECS) in the absence of physical indications is often performed to improve psychosocial function. Third-party funders need evidence of its effectiveness if they are to respond in an evidence-based way to increasing demand in the context of constrained resources. Our first aim was to r...
0
A systematic review and meta-analysis of adverse outcomes following non-buried versus buried Kirschner wires for paediatric lateral condyle elbow fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
PURPOSE: Fractures of the lateral condyle of the humerus in children are a common injury. If displaced or unstable they may require surgical reduction and fixation with Kirschner wires (K-wires). K-wires are placed using either an open or closed technique. The decision to bury or leave the ends extending through the sk...
0
Sonography of the elbow in infants and children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
High-resolution real-time sonography of the musculoskeletal system of infants and young children is being used with increasing frequency, in part because of the inability of plain film radiography to visualize unossified cartilage. Real-time sonography now plays an important role in the evaluation of infantile hip dysp...
0
Visual information-processing impairments in deficit and nondeficit schizophrenia
Upper Eyelid and Brow Surgery
OBJECTIVE: Previous studies of covert visuospatial attention in schizophrenia suggest a subtle form of right hemispatial neglect in acutely ill patients but not in chronic, stable patients. Because of previous work documenting various visual information-processing abnormalities in deficit schizophrenia, the authors inv...
1
Effect of clodronate treatment on risk of fracture: a systematic review and meta-analysis
MSTS 2018 - Femur Mets and MM
A systematic review and a meta-analysis of data of literature were performed to evaluate the efficacy of clodronate in the reduction of risk of fractures in patients with osteoporosis or tumour diseases. A systematic review was conducted to identify original articles, reviews, and any other literature report suitable f...
0
Factorial structure of complicated grief: associations with loss-related traumatic events and psychosocial impacts of mass conflict amongst West Papuan refugees
DoD PRF (Psychosocial RF)
INTRODUCTION: Definitions of complicated grief vary across diagnostic systems, being represented as persistent complex bereavement (PCB) in DSM-5 and prolonged grief disorder (PGD) in the proposed revision of the ICD system. A past study in a high-income country has identified a six-factor structure for complicated gri...
0
Disease associations with monoclonal gammopathy of undetermined significance: a population-based study of 17,398 patients
Management of Hip Fractures in the Elderly
OBJECTIVE: To systematically study the association of monoclonal gammopathy of undetermined significance (MGUS) with all diseases in a population-based cohort of 17,398 patients, all of whom were uniformly tested for the presence or absence of MGUS. PATIENTS AND METHODS: Serum samples were obtained from 77% (21,463) of...
0
Repair and tissue engineering techniques for articular cartilage
Osteochondritis Dissecans 2020 Review
Chondral and osteochondral lesions due to injury or other pathology commonly result in the development of osteoarthritis, eventually leading to progressive total joint destruction. Although current progress suggests that biologic agents can delay the advancement of deterioration, such drugs are incapable of promoting t...
0
Characteristic features of hereditary neuropathy with liability to pressure palsy (HNPP) presenting with brachial plexopathy in soldiers
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A brachial plexus lesion is not common in hereditary neuropathy with liability to pressure palsy (HNPP). We report the clinical and electrodiagnostic features of young soldiers with HNPP presenting with brachial plexopathy. By reviewing 2 year medical records from Korean military hospitals, we identified soldiers with ...
0
Weber osteotomy for large Hill-Sachs Defects: clinical and CT assessments
Glenohumeral Joint OA
BACKGROUND: The Weber derotation osteotomy is an uncommon procedure that typically is reserved for patients with engaging Hill-Sachs defects who have had other surgical treatments for shoulder instability fail. It is unknown whether the desired humeral derotation actually is achieved with the Weber osteotomy. QUESTIONS...
1
The posterior medial complex disruption
AMP (Acute Meniscal Pathology)
Seventy-five patients with 86 complex tears of the medial meniscus posterior horn (posterior medial complex disruptions) treated by arthroscopic partial meniscectomy were contacted for evaluation of their functional results. Forty-five patients returned for physical and radiographic examination 1 to 6 years after surge...
1
Infection after intramedullary nailing of severe open tibial fractures initially treated with external fixation
DoD SSI (Surgical Site Infections)
Twenty-four patients had a severe open fracture of the tibia that was initially treated by external fixation and subsequently by reamed intramedullary nailing. The external fixation had been maintained for an average of fifty-two days (range, seven to 230 days). The mean interval between removal of the external fixator...
0
Predictive factors for thirty day mortality in geriatric patients with hip fractures: a prospective study
Hip Fx in the Elderly 2019
PURPOSE: The study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors. METHODS: A prospective multicentric study was performed. All patients aged >= 65 years, with fragility hip fractures, consecutively admitted in two Italian hospita...
0
Initial CT-guided needle biopsy of extremity skeletal lesions: diagnostic performance and experience of a tertiary musculoskeletal center
MSTS 2022 - Metastatic Disease of the Humerus
INTRODUCTION: Appendicular long bones are the target for a wide spectrum of bony lesions with variable clinical presentations. Biopsy procedures are needed for subsequent proper patient's management. Most of the available literature globally assessed musculoskeletal biopsies with inclusion of repeat biopsy results. We ...
0
Damage control in the abdomen and beyond
DOD - Acute Comp Syndrome CPG
Background: Damage control is not a modern concept, but the application of this approach represents a new paradigm in surgery, borne out of a need to care for patients sustaining multiple high-energy injuries. Methods: A Medline search was performed to locate English language articles relating to damage control procedu...
1
Efficacy of multimodal perioperative analgesia protocol with periarticular medication injection in total knee arthroplasty: A randomized, double-blinded study
Surgical Management of Osteoarthritis of the Knee CPG
Pain control is necessary for successful rehabilitation and outcome after total knee arthroplasty. Our goal was to compare the clinical efficacy of periarticular injections consisting of a long-acting local anesthetic (ropivacaine) and epinephrine with and without combinations of an (alpha)2-adrenergic agonist (clonidi...
0
Limb arterial injuries associated with limb fractures: clinical presentation, assessment and management
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVES: Review of limb arterial injuries associated with limb fractures. DESIGN: Retrospective study. SETTING: University Hospital. MATERIALS AND METHODS: The clinical presentation, assessment and management of 25 patients with upper (seven) and lower (18) limb arterial injuries associated with limb bone fractures ...
0
Pasteurella multocida Bacteremia With Associated Knee Arthroplasty Infection in an 80-Year-Old Caucasian Man
PJI DX Updated Search
OBJECTIVES: To identify the gram-negative rods grown from blood cultures and a right-knee fluid aspirate from an 80-year-old caucasian man who had undergone a total right knee arthroplastic procedure 6 years ago, and to assess the genetic similarity between the 2 isolates. METHODS: We used 3 different approaches: bioch...
0
Finding meaning after the fall: injury narratives from elderly hip fracture patients
Management of Hip Fractures in the Elderly
Hip fractures occur frequently among the elderly, often with severe medical, psychological and social repercussions. This research takes a new look at hip fracture rehabilitation, focusing on meanings and post-fracture prognostic indicators. An innovative methodological approach to narrative analysis is employed which ...
0
Rising from the ashes: stories of recovery, adaptation and resiliency in burn survivors
DoD PRF (Psychosocial RF)
Burn-injured people are confronted with enormous challenges in their recovery process on a physical, emotional, and spiritual level. Despite the magnitude of trauma, there has been a dearth of research exploring adult burn survivors' perception of their experiences. In this qualitative study, eight burn survivors were ...
0
Psychosocial assessment after traumatic brain injury
DoD PRF (Psychosocial RF)
Psychosocial outcome has been difficult to define, but nevertheless widely reported. More recent studies have demonstrated not only that the long term emotional costs of head injury are enormous for survivor and family members, but the functional consequences in terms of changes in family life, recreational and vocatio...
0
Psychological distress among Bam earthquake survivors in Iran: a population-based study
DoD PRF (Psychosocial RF)
BACKGROUND: An earthquake measuring 6.3 on the Richter scale struck the city of Bam in Iran on the 26th of December 2003 at 5.26 A.M. It was devastating, and left over 40,000 dead and around 30,000 injured. The profound tragedy of thousands killed has caused emotional and psychological trauma for tens of thousands of p...
0
Psoas Sciatic Blockade for Knee Arthroplasty
AAHKS (8) Anesthetic Infiltration
After approval of the ethics committee, department of anaesthesia, Menoufia university and written informed consent, 80 patients undergoing unilateral total knee arthroplasty were randomly allocated into two groups. The first group (40 patients) received continuous psoas compartment block combined with continuous sciat...
0
Low back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the osteoarthritis initiative
Glenohumeral Joint OA
OBJECTIVE: To examine the association of concurrent low back pain (LBP), and other musculoskeletal pain comorbidity, with knee pain severity in symptomatic knee osteoarthritis (OA). METHODS: Individuals from the Progression Cohort of the Osteoarthritis Initiative (n=1,389, ages 45-79 years) with symptomatic tibiofemora...
0
A Study to Assess BHQ880 in Combination With Zoledronic Acid in Relapsed or Refractory Myeloma Patients
MSTS 2018 - Femur Mets and MM
This study has two portions, a phase I portion and a phase II portion. The purpose of the phase I portion is to assess the maximumÎ?Ã?Ã?tolerated dose (MTD) and to characterize dose limiting toxicity (DLT) of escalating doses of BHQ880 (up to a maximum dose of 20 mg/kg) in combination with standard chemotherapy and zol...
1
Clinical stability and outcome of supplementing tibial fixation with a staple for ACL reconstruction using hamstring tendons
Anterior Cruciate Ligament Injuries CPG
Background: We set out to determine if the clinical outcome of tibial fixation with an interference screw supplemented with a staple would result in greater stability of hamstring-tendon anterior cruciate ligament (ACL) grafts compared with an interference screw alone. Methods: Thirty-one male patients who had arthrosc...
0
Partial radiocarpal arthrodesis
Distal Radius Fractures
Eight patients underwent partial radiocarpal arthrodesis for various wrist disorders. There were 5 men and 3 women, whose age at operation ranged from 33 to 59 years with an average of 44 years. The indications for operation included post-traumatic changes secondary to distal radius fracture in 5 cases, Kienbock's dise...
0
Myxoid liposarcoma with negative features on bone scan and [18F]-2-fluoro-2-deoxy-D-glucose-positron emission tomography
MSTS AUC - Based on ACR Lit Review
BACKGROUND: Myxoid liposarcoma occurs in middle age, and is characterized by extrapulmonary metastasis, including bone metastasis. Bone scans and [18F]-2-fluoro-2-deoxy-D-glucose-positron emission tomography (FDG-PET) are widely used for assessment of tumor extension, including vertebral metastasis. However, both metho...
0
"Top-Out" Removal of Well-Fixed Dual-Taper Femoral Stems: Surgical Technique and Radiographic Risk Factors
Hip Fx in the Elderly 2019
BACKGROUND: Contemporary "dual-taper" modular femoral neck-stem designs have been associated with taper corrosion-related adverse local tissue reaction (ALTR) requiring revision surgery and stem removal. Extended trochanteric osteotomy is recognized as the workhorse procedure for revision hip surgery. The aim of our st...
0
The role of vascular CXCR4 expression in colorectal carcinoma
MSTS 2018 - Femur Mets and MM
AIMS: The chemokine receptor CXCR4 plays a prominent role in the biology of many different tumours, promoting angiogenesis and metastasis. The impact of CXCR4 expression on tumour biology has been described in various gastrointestinal malignancies, but data on its in situ expression and clinicopathological correlations...
0
Simultaneous Bilateral Anterior Approach Total Hip Arthroplasty
DoD SSI (Surgical Site Infections)
Simultaneous bilateral total hip arthroplasty (THA) has been performed successfully, with good outcomes and low complication rates reported. Most published studies on the topic used anterolateral or posterior surgical approaches. The anterior approach is performed under live fluoroscopy with the patient supine, obviati...
0
Women's health: Osteoporosis. Osteoporosis: Radiologic procedures and nuclear medicine procedures
Distal Radius Fractures
A number of radiographic and nuclear medicine techniques are available for the assessment of patients suspected of having osteoporosis or at risk for the development of osteoporosis. Spinal radiographs are insensitive indicators of osteoporosis. They can document the presence of metastatic tumors or other lesions that ...
0
Submental liposuction versus formal cervicoplasty: which one to choose?
Panniculectomy & Abdominoplasty CPG
PURPOSE: Esthetic rejuvenation of the submental area is a fairly common concern of patients seeking cosmetic surgery. There are several techniques used to obtain esthetic results. A common dilemma is the proper determination as to which procedure, liposuction versus formal cervicoplasty, is more appropriate. This manus...
0
A comparison of the accuracy of two sets of diagnostic criteria in the early detection of complex regional pain syndrome following surgical treatment of distal radial fractures
Distal Radius Fractures
A total of 120 patients were examined for the presence of symptoms of complex regional pain syndrome after surgical treatment of a distal radial fracture. The patients were assessed at six weeks and 71 of them were also assessed at 12 weeks. The International Association for the Study of Pain criteria and the complex r...
0
A comparative, retrospective study of peri-articular and intra-articular injection of tranexamic acid for the management of postoperative blood loss after total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Intra-articular injection of tranexamic acid (TXA) is known to be effective in controlling blood loss after total knee arthroplasty (TKA). However, this method has some disadvantages, such as TXA leakage due to soft tissue release. Peri-articular injection provides an alternative to intra-articular administ...
0
Impact of Self-Care and Mobility on One or More Post-Acute Care Transitions
Hip Fx in the Elderly 2019
<b>Objective:</b> To investigate the association between functional status and post-acute care (PAC) transition(s). <b>Methods:</b> Secondary analysis of 2013-2014 Medicare data for individuals aged >=66 years with stroke, lower extremity joint replacements, and hip/femur fracture discharged to one of three PAC setting...
1
Calcaneal fracture fixation using a new interlocking nail reduces complications compared to standard locking plates – Preliminary results after 1.6 years
DoD SSI (Surgical Site Infections)
Introduction: Surgical treatment of displaced intra-articular calcaneal fractures using a standard extended lateral approach for plate fixation is frequently associated with substantial wound healing complications and infections. This matched pairs analysis compares the new minimally-invasive calcaneal interlocking nai...
1
Subcutaneous expanders and synthetic mesh for breast reconstruction: Long-term and patient-reported BREAST-Q outcomes of a single-center prospective study
Acellular Dermal Matrix
Recently, prepectoral breast reconstruction is experiencing a revival. Despite the growing body of early reports about subcutaneous breast reconstruction, literature lacks in long-term results and studies focusing on patient-reported outcomes and health-related quality of life. Between January 2012 and December 2016, p...
0
Animal models of peripheral nerve injury
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Nerve injury, repair, and regeneration are difficult areas to study in the human clinical situation, because of the inability to sample tissues to elucidate the injury, inflammation, and repair events without causing significant damage to the peripheral nerve. This inability to obtain tissue also precludes the ability ...
0
Geriatric Patients with Hip Fracture: Frailty and Other Risk Factors Affecting the Outcome
Hip Fx in the Elderly 2019
Background: Hip fracture is a devastating health-care problem in a geriatric patient, leading to high mortality and morbidity. Preoperative risk assessment in the geriatric patient is often inexact because of the difficulty in measuring their poor physiologic reserves. Aims: The primary objective was to find the associ...
0
Lower periprosthetic bone loss and good fixation of an ultra-short stem compared to a conventional stem in uncemented total hip arthroplasty
PJI DX Updated Search
Background and purpose - We hypothesized that an ultra-short stem would load the proximal femur in a more physiological way and could therefore reduce the adaptive periprosthetic bone loss known as stress shielding.Patients and methods - 51 patients with primary hip osteoarthritis were randomized to total hip arthropla...
0
Shoulder disorders and occupation
DoD PRF (Psychosocial RF)
Shoulder pain is very common, and it causes substantial morbidity. Standardised classification systems based upon presumed patho-anatomical origins have proved poorly reproducible and hampered epidemiological research. Despite this, there is evidence that exposure to combinations of physical workplace strains such as o...
1
A locked hip screw-intramedullary nail (cephalomedullary nail) for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft
MSTS 2018 - Femur Mets and MM
Twenty-seven patients with complex femoral fractures (combined shaft and proximal femoral fractures) were treated with a modified Grosse-Kempf slotted locking nail (cephalomedullary nail), wherein two screws were inserted in the hip. Four types of complex, multifocal femoral fractures were represented in the series. El...
0
A genome-wide association study of copy-number variation identifies putative loci associated with osteoarthritis in Koreans
TO: WNT2 Pathway Modulator
BACKGROUND: OA is a complex disease caused by environmental and genetic risk factors. The purpose of this study is to identify candidate copy number variations (CNVs) associated with OA. METHODS: We performed a genome-wide association study of CNV to identify potential loci that confer susceptibility to or protection f...
0
Comparison of Ibandronate - Zoledronate Regarding Nephrotoxicity in Multiple Myeloma
MSTS 2018 - Femur Mets and MM
This multicenter, openÎ?Ã?Ã?label trial will randomize participants with multiple myeloma to a regimen of ibandronate or zoledronate in order to compare the incidence of nephrotoxicity, measured as creatinine clearance (CrCl) reduction greater than (>) 30 percent (%) or an absolute value of 30 milliliters per minute (m...
0
Erratum: Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: Randomised controlled trial with two year follow-up (BMJ (2016) 354 (i3740) DOI: 10.1136/bmj.i3740)
AMP (Acute Meniscal Pathology)
Some errors have been found in the descriptive statistics of this paper (BMJ 2016;354:i3740, doi:10.1136/bmj.i3740, 20 July 2016) by Kise and colleagues. The errors are insignificant and do not influence the results or interpretation of the study (see below and table in supplementary file). The study and subscale speci...
0
The clinical effectiveness of Ginger (Zingiber officinale) in adults with osteoarthritis
SR for PM on OA of All Extremities
Background Osteoarthritis (OA) is a degenerative joint disease, which is associated with increased pain and disability, and a simultaneous decline in the quality of life of sufferers. While there is no cure for OA, there are numerous treatments that aim to reduce sufferers' symptoms and disability, and improve their qu...
0
Partial-limb salvage after persistent infection in the distal femoral prosthesis: Straight-plasty - a Novel Technique
PJI DX Updated Search
A 35 years old female had giant cell tumour (GCT) of the distal femur for which wide resection and distal femoral endoprosthetic replacement was performed. Massive infection of prosthesis required removal and replacement of the prosthesis with nail antibiotic cement spacer, which also proved to be futile. Ultimately th...
0
Bone cement implantation syndrome in cemented hemiarthroplasty for femoral neck fracture: Incidence, risk factors, and effect on outcome
Surgical Management of Osteoarthritis of the Knee CPG
Background Bone cement implantation syndrome (BCIS) is characterized by hypoxia, hypotension, and loss of consciousness occurring around the time of bone cementation. Using a recently proposed severity classification of
0
Apoptosis in displaced temporomandibular joint disc with and without reduction: an immunohistochemical study
Glenohumeral Joint OA
Internal derangement (ID) of the temporomandibular joint (TMJ) is due to an abnormal relationship of the articular disc to the mandibular condyle, glenoid fossa and articular eminence. The two most common types of internal derangement are anterior disc displacement with (ADDwR) and without reduction (ADDwoR). Disc disp...
1
Juxta-articular bone marrow signal changes on magnetic resonance imaging following arthroscopic meniscectomy
AMP (Acute Meniscal Pathology)
PURPOSE: Postmeniscectomy osteonecrosis of the knee has been reported in the past decade but the etiology remains unclear. Some investigators have indicated that bone marrow signal changes evident on magnetic resonance imaging (MRI) could be early warning signs of osteonecrosis. The purpose of this study was to determi...
0
Magnetic resonance imaging of human knee joint functionality under variable compressive in-situ loading and axis alignment
AMP (Acute Meniscal Pathology)
Magnetic resonance imaging (MRI) under mechanical loading, commonly referred to as stress MRI, allows the evaluation of functional properties of intra- and periarticular tissues non-invasively beyond static assessment. Quantitative MRI can identify physiological and pathological responses to loading as indication of, p...
1
Prospective study on the efficacies of fondaparinux and enoxaparin in preventing venous thromboembolism after hip fracture surgery
Hip Fx in the Elderly 2019
BACKGROUND: Venous thromboembolism (VTE) is a common complication in hip fracture surgery (HFS). Fondaparinux (FPX) and enoxaparin (ENO) have been reported to decrease the incidence of VTE after HFS. The purpose of this study was to determine the efficacies of FPX and ENO and the superior agent for preventing VTE after...
0
The periodontal infection-systemic disease link: a review of the truth or myth
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Observational studies indicate periodontal infections as a risk factor for systemic conditions like cardiovascular disease and preterm low birth weight. This paper reviews and argues the biological plausibility for a periodontal infection-systemic disease link and reviews the available experimental data from animal mod...
0
Postoperative continuous adductor canal block for total knee arthroplasty improves pain and functional recovery: A randomized controlled clinical trial
AAHKS (8) Anesthetic Infiltration
STUDY OBJECTIVE: Investigate the use of a postoperative continuous adductor canal block (cACB) after epidural analgesia to decreases opioid consumption and improve visual analog scale (VAS) scores compared to a sham catheter. DESIGN: Double-blinded randomized placebo-controlled trial. SETTING: Inpatient setting in tert...
0
Periodontal pathogens on polytetrafluoroethylene membrane for guided tissue regeneration inhibit healing
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This study determined the microbial composition of the apical parts of the expanded polytetrafluoroethylene membrane surfaces facing the gingiva and the tooth in guided tissue regeneration. Microbial and clinical features of 2-to-3 wall periodontal bony defects treated with membranes with and without concomitant use of...
1
Use of Porcine Xenografts in Dermatology Surgery: The Mayo Clinic Experience
Reconstruction After Skin Cancer
BACKGROUND: Knowledge regarding the use of xenografts in cutaneous surgery is limited. OBJECTIVE: We sought to better understand the utility, outcomes, and complications of porcine xenograft applications in cutaneous surgery. METHODS AND MATERIALS: A single center, retrospective study of patients with porcine xenograft...
1
Liposomal extended-release bupivacaine for postsurgical analgesia
AAHKS (8) Anesthetic Infiltration
When physicians consider which analgesia to use postsurgery, the primary goal is to relieve pain with minimal adverse side effects. Bupivacaine, a commonly used analgesic, has been formulated into an aqueous suspension of multivesicular liposomes that provide long-lasting analgesia for up to 72 hours, while avoiding th...
1
Do patient-reported outcome measures used in assessing outcomes in rehabilitation after hip and knee arthroplasty capture issues relevant to patients? Results of a systematic review and ICF linking process
SR for PM on OA of All Extremities
OBJECTIVE: To compare the contents of patient-reported instruments used in hip and knee arthroplasty rehabilitation with the International Classification of Functioning, Disability and Health (ICF). METHODS: A search of PubMed, CINAHL, Cochrane Central Registry, SCOPUS and PEDro identified patient-reported outcome inst...
0
Neighborhood effects on posthospitalization mortality: a population-based cohort study of the elderly in Chicago
Management of Hip Fractures in the Elderly
CONTEXT: Place of residence is associated with health outcomes. OBJECTIVE: To examine neighborhood effects on mortality after the onset of serious disease and to assess whether these effects vary for different sociodemographic or diagnostic subgroups. DESIGN, SETTING, PATIENTS: Our sample consists of a complete cohort ...
0
Surgical versus conservative interventions for treating ankle fractures in adults
SR for PM on OA of All Extremities
Background: The annual incidence of ankle fractures is 122 per 100,000 people. They usually affect young men and older women. The question of whether surgery or conservative treatment should be used for ankle fractures remains controversial.Objectives: To assess the effects of surgical versus conservative interventions...
0
Radiographic joint destruction in postmenopausal rheumatoid arthritis is strongly associated with generalised osteoporosis
AAHKS (2) Corticosteroids
OBJECTIVES: To investigate determinants of joint destruction and reduced bone mineral density (BMD) in postmenopausal women with active rheumatoid arthritis (RA) not treated with bisphosphonates or hormone replacement therapy and to evaluate if there are common markers of erosive disease and bone loss. METHODS: BMD was...
0
Prior fractures are common in patients with subsequent hip fractures
Management of Hip Fractures in the Elderly
Treating osteoporosis in patients with prior fractures potentially results in a 50% reduction of risk of future fractures. We retrospectively reviewed 632 patients with incident hip fractures to evaluate (1) the prevalence of prior fractures in incident hip fractures, (2) whether prior fractures led to an increase in t...
0
Inhibition of osteolytic bone lesions by (3-amino-1-hydroxypropylidene)-1, 1-bisphosphonate (A.P.D.)
MSTS 2018 - Femur Mets and MM
14 patients with osteolytic bone disease due to breast cancer or myeloma, 7 of whom had hypercalcaemia, received oral treatment with (3-amino-1-hydroxypropylidene)-1, 1-bisphosphonate (A.P.D.). Serum-calcium dropped to low normal values in all 14 patients, accompanied by a decrease in urine calcium and hydroxyproline e...
0
Combination of Filtered Bone Marrow Aspirate and Biomimetic Scaffold for the Treatment of Knee Osteochondral Lesions: Cellular and Early Clinical Results of a Single Centre Case Series
BMAC (Bone Marrow Aspirate Concentrate)
BACKGROUND: Osteochondral injury is a very common orthopaedic pathology, mainly affecting young, active population, with limited current treatment options. Herein we are presenting cellular and early clinical data of a patient series treated for chronic osteochondral lesions in the knee with a filter-based intra-operat...
1
Ultrasonography and radiography of the hip in infants
Developmental Dysplasia of the Hip CPG
Both hip joints in 156 children, aged 2 months to 2 years, were examined by ultrasonography (ultrasound) and radiography. Pathologic findings were based on an increased acetabular index, bony defects of the lateral acetabular rim, and lateral and/or proximal displacement of the proximal femur. Each hip was classified a...
1
Determinants of patient satisfaction with outcome after shoulder arthroplasty
Glenohumeral Joint OA
The purpose of this investigation was to identify the determinants of patient satisfaction with outcome after hemiarthroplasty and total shoulder arthroplasty. Seventy patients who underwent shoulder arthroplasty were studied to determine predictors of patient satisfaction. Patient satisfaction was graded on an ordinal...
0
Evaluation of Articular Cartilage Injury Using Computed Tomography With Axial Traction in the Ankle Joint
Osteochondritis Dissecans 2020 Review
BACKGROUND: Although chondral or osteochondral injuries are usually assessed by magnetic resonance imaging, its accuracy can be low, presumably related to the relatively thin cartilage layer and the close apposition of the cartilage of the talus and tibial plafond. We hypothesized that axial traction could provide a co...
0
Intraoperative fractures during uncemented Furlong bipolar hemiarthroplasty
Management of Hip Fractures in the Elderly
Uncemented bipolar hemi-arthroplasty is one of the methods used to treat elderly patients with displaced intracapsular fractures of the femoral neck. In an effort to achieve a tight fit during uncemented hip hemiarthroplasty there are instances where intraoperative fractures have occurred. We retrospectively reviewed 1...
0
Sport injuries in the immature athlete
DOD - Acute Comp Syndrome CPG
Sports can serve as a tremendous mode of preparation for the challenging world our young people face today. Team work, physical and mental preparedness, and leadership can be nurtured and fortified if athletic endeavors are kept mentally sound and physically safe.
0
Efficiency of application of autoplasms in the complex treatment of patients with dysfunction of the temboroxiabular joint
AMP (Acute Meniscal Pathology)
The aim was to study the effect of autoplasma enriched with platelets in the treatment of patients with dysfunction of the temporomandibular joint. Patients with signs of TMJ dysfunction were subjected to a comprehensive examination, including a clinical analysis of TMJ and TMJ magnetic resonance imaging. Patients were...
0
Dynamic compression plate and cancellous bone graft for aseptic nonunion after intramedullary nailing of femoral fracture
Management of Hip Fractures in the Elderly
We evaluated the effect of revision with dynamic compression plate and cancellous bone graft for aseptic nonunion after intramedullary nailing of femoral shaft fracture. Fifty patients with aseptic nonunion of femoral shaft fracture after intramedullary nailing were reviewed and analyzed retrospectively between 1996 an...
0
'Here, I'm not at ease': anthropological perspectives on community resilience
DoD PRF (Psychosocial RF)
A number of recent studies on disaster reconstruction have focused on the concept of community resilience and its importance in the recovery of communities from collective trauma. This article reviews the contributions the anthropological literature and the ethnographic case studies of two post-Hurricane Mitch housing ...
0
The role of the fibula head flap for joint reconstruction after osteoarticular resections
DoD SSI (Surgical Site Infections)
Introduction and aim Endoprosthetic reconstruction is considered the mainstay of limb salvage in periarticular bone tumours. However, this procedure has limited durability especially when performed in young patients. The free fibula head flap including the proximal articular surface represents one option for hemiarthro...
0
Development and Persistence of Suspected Neuropathic Pain After Total Knee Arthroplasty in Individuals With Osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Background: Despite the effectiveness of total knee arthroplasty (TKA) for osteoarthritis (OA), up to 20% will report knee pain 1 year after surgery. One possible reason is the development of neuropathic pain before or after TKA. Objective: To longitudinally describe suspected neuropathic pain in patients pre- and post...
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Health-related quality of life of adolescents and young adults 10 years after serious traumatic brain injury
DoD PRF (Psychosocial RF)
The aim of this study was to investigate health-related quality of life (HRQoL) in a population-based group of young adults with serious traumatic brain injury (TBI) acquired 10 years earlier. In the time period 1987--1991, all 165 residents (<18 years of age) in the south-western health care region of Sweden who had s...
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Depletion of tumor-associated macrophages enhances the effect of sorafenib in metastatic liver cancer models by antimetastatic and antiangiogenic effects
MSTS 2018 - Femur Mets and MM
PURPOSE: To investigate the role of macrophages in tumor progression under sorafenib treatment and to explore whether combination of drugs that deplete macrophages improved the antitumor effect of sorafenib. EXPERIMENTAL DESIGN: Tumor growth, lung metastasis, and tumor angiogenesis were observed in HCCLM3-R and SMMC772...
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Entrapment neuropathy caused by tophaceous gout
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Entrapment neuropathy associated with gout is a rare occurrence. We report two cases of entrapment neuropathy of ulnar tunnel syndrome and carpal tunnel syndrome caused by gouty tophi. Problems related to its mechanism and treatment are discussed
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MRI accuracy for tears of the posterior horn of the lateral meniscus in patients with acute anterior cruciate ligament injury and the clinical relevance of missed tears
AMP (Acute Meniscal Pathology)
OBJECTIVE: The sensitivity of MRI for the detection of tears of the posterior horn of the lateral meniscus (PHLM) is lowest compared with that for tears at other meniscal locations, and the presence of simultaneous acute anterior cruciate ligament (ACL) injury decreases overall MRI sensitivity for meniscal tears. We re...
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Bone marrow immunoscintigraphy versus conventional bone scintigraphy in the diagnosis of skeletal metastases in urogenital malignancies
MSTS 2018 - Femur Mets and MM
Bone marrow immunoscintigraphy using a 99mTc-labelled anti-NCA-95 monoclonal antibody and conventional bone scintigraphy with 99mTc-methylene-diphosphonate were compared in the diagnosis of skeletal metastases in 58 patients with urogenital tumours. In 13 patients with metastatic disease, bone marrow immunoscintigraphy...
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Treatment of nonunion in neglected long bone shaft fractures by osteoperiosteal decortication
Pediatric Diaphyseal Femur Fractures 2020 Review
In emerging countries, nonunion in the shaft of fractured long bones is common. PATIENTS AND METHODS: In a 3-year long prospective study, 50 patients (38 men, 12 women) with an average age of 40.9 years (range 17-60) were treated for neglected diaphyseal nonunion an average of 11 months (range 6-48) after the fracture ...
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The clinical diagnosis of Achilles Tendinopathy: A scoping review
PRPs for Lateral Epicondylitis/Elbow Tendinopathies
Background: Achilles tendinopathy describes the clinical presentation of pain localised to the Achilles tendon and associated loss of function with tendon loading activities. However, clinicians display differing approaches to the diagnosis of Achilles tendinopathy due to inconsistency in the clinical terminology, an e...
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Influence of abdominal pressure on respiratory and abdominal organ function
DOD - Acute Comp Syndrome CPG
PURPOSE OF REVIEW: Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been realized as severe complications in the intensive care patient. Laparoscopic surgery in older and more obese patients increases the risk of IAH and ACS. RECENT FINDINGS: The incidence of IAH may be larger than thoug...
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Pain and motor function in carpal tunnel syndrome: a clinical, neurophysiological and psychophysical study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: Patients with carpal tunnel syndrome (CTS) complain of motor symptoms. The study is aimed to understand which features are associated with the presence of motor symptoms in CTS. METHODS: We recruited 282 consecutive CTS patients. After selection, 129 patients (203 hands) were included. Patients were asked ab...
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Late treatment of displaced supracondylar fractures of the humerus using early wedge osteotomy
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Malalignment of supracondylar fracture after inappropriate treatment with partial healing is sometimes difficult to manage. This usually occurs in patients who received initial treatment by a traditional bone setter or inadequately treated by an inexperienced orthopaedist. Open reduction in such circumstances may not b...
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Reprint of: Outcomes of Arthroscopic All-Inside Repair Are Improved Compared to Transtibial Pull-Out Repair of Medial Meniscus Posterior Root Tears
AMP (Acute Meniscal Pathology)
PURPOSE: The purpose of the present study was to compare the clinical outcomes of patients who underwent an all-inside repair (with a bony trough) versus transtibial pull-out repair in medial meniscus posterior root tears (MMPRTs). METHODS: We retrospectively investigated consecutive patients who underwent MMPRT repair...
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Harnessing biomechanics to develop cartilage regeneration strategies
AMP (Acute Meniscal Pathology)
As this review was prepared specifically for the American Society of Mechanical Engineers H.R. Lissner Medal, it primarily discusses work toward cartilage regeneration performed in Dr. Kyriacos A. Athanasiou's laboratory over the past 25 years. The prevalence and severity of degeneration of articular cartilage, a tissu...
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Paediatric femoral fractures: Factors influencing length of stay and readmission rate
DoD SSI (Surgical Site Infections)
Aim: This report describes factors influencing length of stay and unplanned readmissions within 30 days of discharge for children presenting with femoral fractures to Starship Hospital. Methods: The charts and radiographs of all children admitted with femoral shaft fractures between January 1998 and December 2002 were ...
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Total Knee Arthroplasty Without the Use of a Tourniquet
AAHKS (9/10) Regional Nerve Blocks
The major benefit of TKA with tourniquet is operating in a bloodless field. A possible secondary benefit is a better cement bone interface for fixation. The disadvantages of tourniquet use for TKA include multiple risk factors both local and systemic including: nerve damage, altered hemodynamics with limb exsanguinatio...
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Predictors of outcome of an Internet-based cognitive-behavioural therapy for post-traumatic stress disorder in older adults
DoD PRF (Psychosocial RF)
OBJECTIVES: The aim of this study was to evaluate the role of resource-oriented variables such as self-efficacy, locus of control (LOC) and post-traumatic growth (PTG) in predicting treatment response in older adults with post-traumatic stress. METHODS: Fifty-eight older adults with subsyndromal or greater severity of ...
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In vivo induction of lymphokine-activated killer cells by interleukin-2 splenic artery perfusion in advanced malignancy
MSTS 2018 - Femur Mets and MM
In an effort to stimulate in vivo LAK cell activity at relatively nontoxic doses, 20 patients with advanced metastatic malignancy (13 renal cell carcinoma, 6 melanoma, 1 lymphoma) were treated with recombinant human interleukin-2 (IL-2) by continuous 5-day splenic artery perfusion using the femoral approach. Two treatm...
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Can a high-flexion total knee arthroplasty relieve pain and restore function without premature failure?
PJI DX Updated Search
Background High-flexion TKA prostheses are designed to improve flexion and clinical outcomes. Increased knee flexion can increase implant loads and fixation stresses, creating concerns of premature failure. Whether these goals can be achieved without premature failures is unclear. Questions/purposes We assessed pain re...
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Regional anesthesia techniques for the lower extremity
Surgical Management of Osteoarthritis of the Knee CPG
This article focuses on regional anesthesia for orthopedic procedures of the lower extremity
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Total Versus Hemiarthroplasty for Glenohumeral Arthritis According to Preoperative Glenoid Erosion
Glenohumeral Joint OA
Clinical studies on primary osteoarthritis have shown better results of total shoulder arthroplasty (TSA) compared to hemiarthroplasty (HA) regarding the function, revision rate and postoperative pain relief. However, a clear recommendation for implantation of TSA or HA, depending on the glenoid type of erosion, does n...
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Breast reconstruction with SGAP and IGAP flaps
Acellular Dermal Matrix
BACKGROUND: Perforator flaps represent the latest in the evolution of soft-tissue flaps. They allow the transfer of the patient's own skin and fat in a reliable manner with minimal donor-site morbidity. The powerful perforator flap concept allows transfer of tissue from numerous, well-described donor sites to almost an...