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0 | Guidance On Minimizing Risk of Drug-Induced Ventricular Arrhythmia During Treatment of COVID-19: A Statement from the Canadian Heart Rhythm Society | Coronavirus Disease 2019 (COVID-19) | The COVID-19 pandemic has led to efforts at rapid investigation and application of drugs which may improve prognosis, but for which safety and efficacy are not yet established. This document attempts to provide reasonable guidance for use of antimicrobials which have uncertain benefit but may increase risk of QT prolon... |
0 | Fractures of the hip in the institutionalized psychotic patient. A mortality and morbidity survey of 106 cases | Management of Hip Fractures in the Elderly | Fractures of the hip and its resultant mortality are a reflection of age more than any other factor. The death and morbidity in this poor risk patient group with multiple medical problems can be significantly lowered by the generalized use of prophylactic antibiotics and thromboembolic protection. Stabilization of inte... |
0 | Mud-bath therapy and oral glucosamine sulfate in patients with knee osteoarthritis: A randomised, controlled, crossover study | OAK 3 - Non-arthroplasty tx of OAK | To evaluate the efficacy and safety of combined treatment of mud-bath therapy and glucosamine crystalline sulfate (GlcN-S) in patients with knee osteoarthritis (OA). Methods This study was a randomised, controlled, crossover investigation. Patients were randomly assigned (1:1) by the investigators to two groups, named ... |
0 | Focal infection: a new perspective on an old theory | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In recent years, the controversial focal infection theory (originally presented in the early 1900s) has received a resurgence of support, as oral infections have been linked to several systemic conditions. This article reviews pertinent literature detailing both the historical basis of the focal infection theory and cu... |
0 | A comparison of coronal plane axial femoral relationships in Asian patients with varus osteoarthritic knees and healthy knees | Surgical Management of Osteoarthritis of the Knee CPG | Standing full-length radiographs were measured to compare coronal femoral axes between 250 limbs in patients with varus osteoarthritis with 50 healthy controls. Mean distal femoral axis-mechanical axis angle was 7.3 degrees +/- 1.6 degrees , and mean femoral bow was 3.6 degrees +/- 2.5 degrees in patients compared to 5... |
0 | Prevalence and patterns of foot injuries following motorcycle trauma | DOD - Acute Comp Syndrome CPG | Objectives: To determine the prevalence and patterns of foot injuries following motorcycle trauma. Design: Prospective. Setting: Yorkshire Region Trauma Units (Level 1 trauma centers with trauma research). Patients: Individuals injured in motorcycle road traffic accidents between January 1993 and December 1999. Outcome... |
0 | Diagnostic value of whole-body low-dose computed tomography (WBLDCT) in bone lesions detection in patients with multiple myeloma (MM) | MSTS 2018 - Femur Mets and MM | PURPOSE: To assess the role of whole-body low-dose computed tomography (WBLDCT) in the diagnosis and staging of patients with suspicion of multiple myeloma (MM).
MATERIALS AND METHODS: A total of 138 patients (76 male and 62 female; mean age 63.5 years, range 50-81 years), with early MM, underwent WBLDCT protocol study... |
0 | Late implant infections caused by Propionibacterium acnes in scoliosis surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | One hundred and one consecutive adolescent scoliosis patients instrumented from the posterior between 1995 and 2002, with a minimum follow-up of 24 months (maximum 106 months), were reviewed for incidence of infection. Stainless steel implants with pedicle screws were used in the thoracic and lumbar spine of all patien... |
1 | Supracondylar fracture of the humerus in children--closed pinning | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The supracondylar fracture of the humerus is one of the most common in children, approximately one hundred per year, in Kuwait. The treatment consists in manipulation and fixation by plaster of Paris in the most stable position, usually maximal possible flexion in the elbow joint. For irreducible or unstable cases a pe... |
0 | Increased synovial tissue NF-kappa B1 expression at sites adjacent to the cartilage-pannus junction in rheumatoid arthritis | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To compare the expression of the Rel/NF-kappa B subunits, NF-kappa B1 (p50) and RelA (p65), in paired synovial tissue samples selected from sites adjacent to and remote from the cartilage-pannus junction (CPJ) in patients with inflammatory arthritis. METHODS: Synovial tissue was selected at arthroscopy from ... |
0 | Acetabuloplasties at Open Reduction Prevent Acetabular Dysplasia in Intentionally Delayed Developmental Dysplasia of the Hip: A Case-control Study | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Avascular necrosis (AVN) and residual acetabular dysplasia are the two main complications of developmental dysplasia of the hip (DDH) treatment. Although early reduction of the hip may decrease the incidence of residual dysplasia, it may increase the incidence of AVN and vice versa. However, we do not know ... |
0 | Clinical Outcomes and Complications after Open Reduction and Internal Fixation Utilizing Conventional Plates in 65 Distal Radial and Ulnar Fractures of Miniature- and Toy-Breed Dogs | Distal Radius Fractures | METHODS: â??Medical records (2001-2010) of miniature- and toy-breed dogs with distal radial and ulnar fractures repaired with open reduction and internal fixation utilizing conventional plates were reviewed. The inclusion criteria were body weight of <7â??kg, fracture located in the distal antebrachium (distal-to-total... |
0 | Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty | DoD SSI (Surgical Site Infections) | Objective: Review of the literature concerning the subject and to compare the results of the technique we have been using with the ones reported on the literature.
Methods: This is a retrospective, cross-sectional and observational study. We evaluated the records of patients treated surgically at the Hospital from Hosp... |
0 | Internet of Medical Things (IoMT) for orthopaedic in COVID-19 pandemic: Roles, challenges, and applications | Coronavirus Disease 2019 (COVID-19) | Internet of Medical Things (IoMT) is an innovative mean of amalgamating medical devices and their applications to connect with the healthcare information technology systems by using networking technologies. We have explored the possibilities of confronting the ongoing COVID-19 pandemic by implementing the IoMT approach... |
0 | Concomitant ceftriaxone and high-concentration intravenous calcium therapy in adult critical care patients: a matched cohort study | Patrick’s pharmacoepidemiology project | BACKGROUND: Based on case reports in infants, the safety of concomitant use of ceftriaxone and intravenous calcium in all ages has recently come under challenge. Systematic population-based data to guide clinicians with respect to this risk are, however, lacking. OBJECTIVE: To determine whether concomitant administrati... |
0 | Pregnancy-associated gigantomastia recurrence and ectopic breast after reduction mammaplasty: A case report | Reduction Mammoplasty for Female Breast Hypertrophy | It has been reported that majority of cases of gigantomastia, also known as breast hypertrophy and macromastia, occur during either pregnancy or puberty. Gigantomastia is a rare disorder that does not have a clear etiology or well-established risk factors. We present a 26-year-old female patient who appeared to have pr... |
0 | Control of paradoxical kinematics in posterior cruciate-retaining total knee arthroplasty by increasing posterior femoral offset | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Balancing the posterior cruciate ligament (PCL) with posterior cruciate-retaining total knee replacement (PCR-TKR) aims to restore femoral rollback. In practice, paradoxical roll forward persists. The purpose of this study is to propose a technique for optimizing PCL tension. Because PCL function starts above ... |
0 | Pressure dynamics of the carpal tunnel and flexor compartment of the forearm | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although carpal tunnel pressures have been observed to increase as a result of repetitive flexion and extension of the wrist, and forearm compartment pressures have been shown to rise during and after muscle activity, the relationship between those two observations has not been studied. The flexor compartments of five ... |
0 | Untreated congenital and posttraumatic high dislocation of the hip treated by replacement in adult age: 22 Hips in 16 patients followed for 1-8 years | Management of Hip Fractures in the Elderly | Between 1993 and 2001, we replaced 22 hips in 16 patients with high dislocation of the hip. All but 1 case was due to congenital dislocation. In all cases the femur was osteotomized below the lesser trochanter and a straight uncemented stem inserted in the medullary canal. The acetabular prostheses were inserted at the... |
0 | Lifestyle factors, medications, and disease influence bone mineral density in older men: findings from the CHAMP study | Management of Hip Fractures in the Elderly | Aging alone is not the only factor accounting for poor bone health in older men. There are modifiable factors and lifestyle choices that may influence bone health and result in higher bone density and lower fracture risk even in very old men. INTRODUCTION: The aim of this cross-sectional analysis was to identify the fa... |
0 | Posterior dislocation after posterior stabilization TKA | Surgical Management of Osteoarthritis of the Knee CPG | Posterior dislocation after primary total knee arthroplasty is a rare but serious complication. The authors described an 85-year-old man receiving bilateral total knee arthroplasty, which achieved good flexion arc immediately. Posterior dislocation occurred on right knee one month after operation, which was treated by ... |
0 | Investigation and management of osteoporosis in aged trauma patients: a treatment algorithm adapted to the German guidelines for osteoporosis | Hip Fx in the Elderly 2019 | BACKGROUND: Osteoporosis-associated fractures are of increasing importance in trauma surgery. Systematic diagnostics and treatment of osteoporosis during a hospital stay, however, remain inadequate. Therefore, a specific algorithm for diagnosing and treating osteoporosis in trauma surgery patients was developed based o... |
1 | The distribution of periodontopathic bacteria among Japanese children and their parents | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE AND BACKGROUND: It is not well known how periodontopathic bacteria colonize in the oral cavity during childhood. The purpose of this study was to investigate the distribution of periodontopathic bacteria in oral cavities of children and their parents and the relationship between the bacterial findings and cli... |
1 | The importance of oral foci of infection in renal transplantation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | During the treatment of patients with renal failure or renal transplants the most important consideration is to eliminate sources of infection before and after the treatment. Acute or chronic oral infections or bacteraemias resulting from dental procedures may cause serious complications in these patients who already h... |
0 | Arthroscopic debridement for the treatment of osteoarthritis of the knee: 2- and 5-year results | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate the effect that arthroscopic debridement in osteoarthritic knees has on patient satisfaction and function.
TYPE OF STUDY: Cohort observational study.
METHODS: Thirty-six patients (mean age, 64.8 years) were available for 2- and 5-year follow-up after undergoing knee ar... |
0 | Effect of syringe-assisted liposuction on activation of cascade systems and circulating cells when using the superwet or tumescent technique | Reduction Mammoplasty for Female Breast Hypertrophy | Although liposuction is considered to be a relatively safe procedure, several deaths and nonfatal serious complications such as sepsis, toxic shock syndrome, thromboembolic disease, fat emboli, and adult respiratory distress syndrome have been reported. In the present study, we have investigated a wide variety of compo... |
0 | Translation and Validation of the Dutch Western Ontario Meniscal Evaluation Tool | AMP (Acute Meniscal Pathology) | The aim of this study was to translate the Western Ontario Meniscal Evaluation Tool (WOMET) into Dutch, to evaluate the content validity, construct validity, reliability, and responsiveness, and to determine the minimal important change (MIC) of the Dutch version. The WOMET was translated into Dutch according to a stan... |
0 | Accelerometer-Based Automated Counting of Ten Exercises without Exercise-Specific Training or Tuning | Pediatric Supracondylar Humerus Fracture 2020 Review | Measuring physical activity using wearable sensors is essential for quantifying adherence to exercise regiments in clinical research and motivating individuals to continue exercising. An important aspect of wearable activity tracking is counting particular movements. One limitation of many previous models is the need t... |
0 | Which factors determine the wear rate of large-diameter metal-on-metal hip replacements? Multivariate analysis of two hundred and seventy-six components | PJI DX Updated Search | Background: Determining the relationship between clinical factors and engineering analysis of retrieved hip implants can help our understanding of the mechanism of device failure. This is particularly important for metal-on-metal hip arthroplasties because the most common cause of failure is unexplained. We sought to u... |
1 | Post-traumatic stress disorder after critical illness requiring general intensive care | DoD PRF (Psychosocial RF) | OBJECTIVE: To determine the incidence and severity of symptoms related to the diagnosis of post-traumatic stress disorder (PTSD) in a cohort of general ICU patients.
DESIGN: A prospective cohort study 3 months after general ICU discharge.
SETTING: A general ICU in a teaching hospital in northern Scotland.
PATIENTS AND ... |
1 | Complications associated with internal fixation of high-energy bicondylar tibial plateau fractures utilizing a two-incision technique | DoD SSI (Surgical Site Infections) | OBJECTIVES: Single incision open reduction and double plate fixation of complex tibial plateau fractures has been associated with high wound complication rates. Minimally invasive methods have been recommended to decrease the wound complication rates as compared with open techniques. Additionally, laterally applied fix... |
0 | Osteoporosis - A review | AAHKS (2) Corticosteroids | Osteoporosis is a major medical problem in older women. Although a variety of factors influence bone formation and resorption, ovarian failure and a reduction in adrenal androgen production are major causes of menopausal osteoporosis. The prevention of trabecular bone loss and vertebral fractures in menopausal patients... |
0 | Intraoperatively administered IV oxycodone provides sufficient postoperative analgesia and few side effects | Surgical Management of Osteoarthritis of the Knee CPG | The aim of this investigation was the evaluation of intravenously administered oxycodone for intraoperative and postoperative analgesia for orthopaedic surgery. Methods: 70 ASA I-III patients undergoing knee surgery were enrolled in a prospective observational study. Demographic, medical data, intraoperative and postop... |
0 | Popliteal lymph node metastasis of tibial osteoblastic osteosarcoma | PJI DX Updated Search | INTRODUCTION: We report a case with lymph node metastasis of osteosarcoma, which is a rare entity in comparison to hematogeneous lung or bone metastasis. PRESENTATION OF CASE: Twenty-seven years old male patient referred to our clinic complaining of ongoing left knee pain and swelling since one month without a history ... |
0 | Is further treatment necessary for patellar crepitus after total knee arthroplasty? | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Patellar crepitus may occur with posterior-stabilized (PS) TKAs. Several studies have suggested numerous etiologies of patellar crepitus after PS-TKA with patellar resurfacing. However, it is unclear whether and to what degree crepitus influences pain and function without or with patellar resurfacing. QUEST... |
0 | Combat related vascular trauma | DoD SSI (Surgical Site Infections) | OBJECTIVE: To determine the frequency and pattern of different types of vascular injuries, their management and surgical complications.
STUDY DESIGN: Case series.
PLACE AND DURATION OF STUDY: Combined Military Hospital, Peshawar, from August 2008 to August 2010.
METHODOLOGY: All patients of vascular injuries were inclu... |
0 | The adductor canal block provides analgesia similar to a femoral nerve block in patients undergoing total knee arthroplasty-a retrospective study | Surgical Management of Osteoarthritis of the Knee CPG | Background: Following total knee arthroplasty (TKA) a femoral nerve block (FNB) is commonly used to provide analgesia (1), but its primary limitation is quadriceps weakness, which can limit physical therapy. An adductor canal block (ACB) has been shown to be effective in providing analgesia following knee surgery (2,3)... |
0 | Meniscus transplantation: indications, techniques, clinical outcomes | AMP (Acute Meniscal Pathology) | Although many meniscus tears can be successfully repaired, not all are salvageable, especially if considerable tissue damage has occurred. Meniscus transplantation has been shown to be an acceptable procedure for younger patients. The primary candidate is a patient younger than age 50 years who has had a total meniscec... |
1 | Suspected carpal tunnel syndrome: Do nerve conduction study results and symptoms match? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To evaluate the diagnostic utility of nerve conduction studies (NCSs) by examining a population with a high pretest probability of carpal tunnel syndrome (CTS), including bilaterally and unilaterally symptomatic patients. DESIGN: Comparison of the results of NCSs with the results of prospective, pre-NCS, sel... |
0 | Amelioration of hemiplegia-associated osteopenia more than 4 years after stroke by 1 alpha-hydroxyvitamin D3 and calcium supplementation | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: It has been demonstrated that bone mass was significantly reduced on the hemiplegic side of stroke patients, which might increase their risk of hip fracture. We evaluated the efficacy of 1 alpha-hydroxyvitamin D3 [1 alpha (OH)D3] and supplemental elemental calcium in maintaining bone mass and de... |
1 | Role of Periarticular Liposomal Bupivacaine Infiltration in Patients Undergoing Total Knee Arthroplasty-A Meta-analysis of Comparative Trials | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Over last 2 years, many trials have evaluated newly approved liposomal bupivacaine for periarticular infiltration in total knee arthroplasty (TKA) with mixed results. Our meta-analysis attempts to consolidate the results and make evidence-based conclusions.
METHODS: Trails comparing periarticular infiltrati... |
1 | The natural history of pain and neuropathic pain after knee replacement: A prospective cohort study of the point prevalence of pain and neuropathic pain to a minimum three-Year follow-up | Surgical Management of Osteoarthritis of the Knee CPG | A small proportion of patients have persistent pain after total knee replacement (TKR). The primary aim of this study was to record the prevalence of pain after TKR at specific intervals post-operatively and to ascertain the impact of neuropathic pain. The secondary aim was to establish any predictive factors that coul... |
0 | Accuracy of acetabular cup placement in navigated THA with modified registration technique in semilateral decubitus position | Hip Fx in the Elderly 2019 | Background: The accuracy of cup placement in navigated total hip arthroplasty (THA) depends on the bony landmark registration intraoperatively. We created a semilateral decubitus position that combined the advantage of supine position for registration and lateral decubitus position for better femoral canal visualizatio... |
0 | Fat grafting of the midface | Panniculectomy & Abdominoplasty CPG | Autogenous fat injection of the midface is a viable and lasting remedy for midface soft tissue loss and has become a mainstay in facial rejuvenation. This serves as either a stand-alone technique or as an adjunct to other restorative lifting and repositioning techniques depending on patient needs. Although the use of f... |
0 | Predictors of a favorable outcome in patients treated by chiropractors for neck pain | DoD PRF (Psychosocial RF) | Study design.: Prospective, multicenter, cohort study. Objective.: To examine which clinical and sociodemographic baseline variables can predict a favorable outcome in subjects with neck pain treated by chiropractors. Summary of background data.: Relatively little is known on predictors of neck pain, particularly for t... |
0 | An allograft composed of cancellous and demineralized bone to manage osteochondral defects | Osteochondritis Dissecans 2020 Review | Purpose: This prospective multi-center study was designed to evaluate the use of a novel scaffold (CR-plug) composed of allograft cancellous bone and demineralized cortical bone for flling osteochondral defects (Fig.1). The implant was designed to a) closely biomechanically match the surrounding tissue, and b) utilize ... |
0 | Redisplacement rates after reduction and cast immobilization of isolated distal radial fractures | Distal Radius Fractures | Background The maintenance of satisfactory alignment in distal radial fractures following closed reduction and casting of the forearm is challenging. Redisplacement rates of between 2 and 91% have been described, mostly for Western populations and for fractures involving both the forearm bones. The local scenario is un... |
0 | The TACK knee prosthesis. Analysis of a uniform case series | Surgical Management of Osteoarthritis of the Knee CPG | We implanted the total arthroplasty knee or TACK prosthesis in 40 patients with degenerative osteoarthritis. We used the same surgical technique in all patients. Full extension and flexion more than 90 degrees were achieved in all 40 knees. All patients obtained a HSS score of more than 88 points. The results confirm t... |
1 | Sporting participation following the operative management of chondral defects of the knee at mid-term follow up: a systematic review and meta-analysis | PRP (Platelet-Rich Plasma) | Purpose: The purpose of this study was to perform a systematic review of the reparticipation in sport at mid-term follow up in athletes who underwent biologic treatment of chondral defects in the knee and compare the rates amongst different biologic procedures. Methods: A search of PubMed/Medline and Embase was perform... |
1 | Treatment of glenohumeral arthritis with a hemiarthroplasty. Surgical technique | Glenohumeral Joint OA | BACKGROUND: Glenohumeral hemiarthroplasty is well established as a method to treat glenohumeral arthritis. This study was designed to report longer-term results and to provide a decision model to assist surgeons in achieving successful outcomes. Our selection strategy for hemiarthroplasty included shoulders with (1) a ... |
0 | Stage IV renal cell carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | Data from 104 patients with stage IV renal cell carcinoma were evaluated to investigate relationships between survival and gender, race, age, tumor size, lung versus bone metastasis, number of metastatic sites and nephrectomy. No statistically significant differences in survival were found between gender or racial grou... |
0 | Neuropsychological progress during 14 years after severe traumatic brain injury in childhood and adolescence | DoD PRF (Psychosocial RF) | OBJECTIVE: To investigate the impact of time since injury on neuropsychological and psychosocial outcome after serious TBI in childhood or adolescence.
METHODS: The subjects were eight patients with serious TBI sustained at a mean age of 14 years who had been assessed neuropsychologically at 1, 7 and 14 years after TBI... |
0 | Tourniquet application during TKA did not affect the accuracy of implant positioning: a randomized clinical trial | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The accuracy of the identification of anatomical landmarks with versus without tourniquet application and its effect on implant positioning remained unknown. Therefore, the hypothesis of the present study was that tourniquet application did not affect the accuracy of the reconstruction of the mechanical leg al... |
0 | Routine screening for psychosocial distress following hematopoietic stem cell transplantation | DoD PRF (Psychosocial RF) | The diagnosis and treatment of cancer is often associated with high levels of psychosocial distress, yet exploration of these issues is rarely included in routine oncologic care. We conducted a pilot study to evaluate the feasibility of screening for psychosocial distress after autologous and allogeneic stem cell trans... |
0 | The East Asian eyelid-open technique | Upper Eyelid and Brow Surgery | Creation of a dynamic levator aponeurosis fold or double eye adds to the beauty of the East Asian. The eyes are larger and less puffy, and the eyelashes appear longer and curve up and out instead of down. The distance from the ciliary border to the eyebrow is decreased and more in proportion. The Mongolian trait is pre... |
1 | Evaluation documentation in cosmetic oculoplastic surgery | Upper Eyelid and Brow Surgery | Cosmetic surgeons frequently spend considerable time dictating and formulating a surgical plan. Unfortunately, time constraints can limit the amount of information transferred to the actual medical record. This can have medical and medicolegal implications. Accurate documentation may also aid in cases of medical insura... |
0 | Use of Leeds-Keio Connective Tissue Prosthesis (L-K CTP) for reconstruction of deficient extensor mechanism with total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | This study was carried out in order to assess the results of reconstruction of a deficient extensor mechanism in the presence of a total knee replacement (TKR) using the Leeds-Keio Connective Tissue Prosthesis (L-K CTP). The L-K CTP is available as flat tapes constructed from polyester in an open weave structure. It wa... |
0 | Vitamin D Status in Children With Forearm Fractures: Incidence and Risk Factors | Hip Fx in the Elderly 2019 | INTRODUCTION: The association between vitamin D status and fracture characteristics in children remains ambiguous. We hypothesized that vitamin D deficient or insufficient children would have an increased risk of forearm fractures severe enough to require surgical management.
METHODS: One hundred children with low-ener... |
0 | PrEvention of post-traumatic contractuRes with Ketotifen 1 (PERK 1): A randomized clinical trial | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: To assess the use of Ketotifen Fumarate (KF) to reduce post-traumatic contractures following elbow fractures and/or dislocations. DESIGN: Randomized clinical trial. SETTING: Three hospitals in Calgary, Canada including one Level 1 trauma center. PARTICIPANTS: Adults (n=151) sustaining operative or non-operat... |
0 | Bone metastases from hepatocellular carcinoma: clinical features and prognostic factors | MSTS 2018 - Femur Mets and MM | Background Bone metastases (BMs) from hepatocellular carcinoma (HCC) is an increasingly common disease in Asia. We assessed the clinical features, prognostic factors, and differences in outcomes related to BMs among patients with different treatments for HCC. Methods Forty-three consecutive patients who were diagnosed ... |
1 | Dislocation of the hip in trisomy 21 | Developmental Dysplasia of the Hip CPG | Almost one child in twenty with trisomy 21 will develop spontaneous dislocation of the hip between learning to walk and the age of 10 years. After the age of two years spontaneous habitual dislocation may occur. If left untreated, acute dislocation, subluxation and fixed dislocation follow in sequence. The natural hist... |
1 | Results of compression-plating of closed Galeazzi fractures | Distal Radius Fractures | Diaphyseal fractures of the distal third of the radius that are associated with disruption of the distal radio-ulnar joint accounted for eighty-four (6.8 per cent) of 1236 fractures in the forearm that were treated during a five-year period at the Los Angeles County-University of Southern California Medical Center. Thi... |
0 | Evidence-Based Medicine: Liposuction | Panniculectomy & Abdominoplasty CPG | LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Review the appropriate indications and techniques for suction-assisted lipectomy body contouring surgery. 2. Accurately calculate the patient limits of lidocaine for safe dosing during the tumescent infiltration phase of liposuction... |
0 | Quality of life after pertrochanteric femoral fractures treated with a gamma nail: A single center study of 62 patients | Management of Hip Fractures in the Elderly | Background: Intramedullary nailing of pertrochanteric femoral fractures has grown in popularity over the past 2 decades likely because this procedure is associated with a low risk for postoperative morbidity and a fast recovery of function. The evaluation of outcomes associated with pertrochanteric nailing has mainly b... |
0 | Effects of low-level laser therapy on cartilage repair in an experimental model of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: The aim of this study was to evaluate the effects of low level laser therapy (LLLT) on the degenerative process in the articular cartilage after an anterior cruciate ligament transection (ACLT) model in rats. Methods: Eighty male rats (Wistar) were divided into four groups: 1.) intact control group (CG), 2.)... |
0 | The comparative effect of acidified sodium chlorite and chlorhexidine mouthrinses on plaque regrowth and salivary bacterial counts | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Acidified sodium chlorite (ASC) is recognised as a highly potent, broad spectrum antimicrobial system that has been successfully developed for uses in veterinary, food processing and medical device fields. The current studies aimed to investigate the persistence of antimicrobial action and plaque inhibitory properties ... |
0 | In vivo measurement of apparent trabecular bone structure of the radius in women with low bone density discriminates patients with recent wrist fracture from those without fracture | Distal Radius Fractures | The purpose of this cross-sectional case-control study was to determine whether indices of bone structure at the 4% site of the radius discriminate women who have sustained a recent low-energy fracture of the contralateral distal radius (n = 21) from women with similar bone density and no history of fracture (n = 21). ... |
1 | Femoral nerve block vs fascia iliaca block for total knee arthroplasty postoperative pain control: a prospective, randomized controlled trial | AAHKS (9/10) Regional Nerve Blocks | Femoral nerve block (FNB) is an accepted mode of analgesia for lower limb procedures but has a documented complication rate. This study compared femoral nerve and fascia iliaca regional anesthesia for total knee arthroplasty (TKA), using fentanyl consumption as the primary outcome measure. Ninety-eight primary unilater... |
0 | An unusual cause of acute chest pain during epidural anesthesia | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVES: Selective sympathetic denervation during epidural anesthesia results in a small, active gut. These changes can also result in selective activity in one segment of the gut that is absent in other segments. CASE REPORT: A 61-year-old male was scheduled for bilateral total knee replacement durin... |
0 | Short-term benefits of the adjunctive use of metronidazole plus amoxicillin in the microbial profile and in the clinical parameters of subjects with generalized aggressive periodontitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | AIM: The aim of this study was to evaluate the clinical and microbiological effects of scaling and root planing (SRP) alone or combined with metronidazole (MTZ) and amoxicillin (AMX) in the treatment of subjects with generalized aggressive periodontitis (GAgP). MATERIALS AND METHODS: A double-blind, placebo-controlled,... |
0 | Management of Distal Ulnar Fracture Combined with Distal Radius Fracture | Distal Radius Fractures | The distal ulna is composed of the ulnar styloid, ulnar head, and distal ulnar metaphyseal area. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly. Consideration of the treatment of distal ulna metaphyseal fracture shoul... |
0 | Severe snakebites in northern KwaZulu-Natal: treatment modalities and outcomes | DOD - Acute Comp Syndrome CPG | OBJECTIVE: We aimed to study the outcomes of severe snakebites in patients admitted to Ngwelezana Hospital in north-eastern KwaZulu-Natal, the seasonal variations, and the effectiveness and complications of antivenom.
DESIGN: A prospective observational outcomes study was conducted over one year (1 June 2007 to 31 May ... |
0 | Impact of insomnia on self-perceived health in the elderly | DoD PRF (Psychosocial RF) | Health self-perception is a strong indicator of the health of a population. Objective: To investigate the association between self-perceived health, and sociodemographic and clinical factors in a sample of elderly outpatients in Rio de Janeiro. Methods: A sample of 345 elderly patients was assessed with an anamnesis, L... |
0 | Fixation of distal radius fractures using a fragment-specific system | Distal Radius Fractures | UNLABELLED: Operative treatment for distal radius fractures continues to evolve, but small-fragment fixation has some advantages compared with previous methods. We assessed two groups of patients. Group 1 was an initial series of patients treated with small-fragment fixation at a large institution in the United States,... |
0 | The clinical significance, natural history and predictors of bone marrow lesion change over eight years | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: There is increasing evidence to suggest that bone marrow lesions (BMLs) play a key role in the pathogenesis of osteoarthritis (OA). However, there is a lack of long term data. The aim of this study was to describe the natural history of knee BMLs, their association with knee pain and examine predictors of... |
0 | Outcomes of Total Hip Arthroplasty for Healed Intertrochanteric Hip Fractures. A Matched Retrospective Cohort Study | Hip Fx in the Elderly 2019 | Background: Many studies have analyzed the outcomes of total hip arthroplasty (THA) after failed intertrochanteric fracture fixation, but not after healed fracture. The objective is to investigate the influence of a prior healed intertrochanteric fracture fixation on the outcomes of a subsequent THA for osteoarthritis.... |
0 | Long-term quality of life evaluation of patients with total arthroplasty | Management of Hip Fractures in the Elderly | The aim of the study was to evaluate the clinical and psychological situation of total hip arthroplasty (THA) patients before and one year and five years after surgery. Data of 101 patients were available for the one-year and of 69 patients for the five-year follow-up. Quality of Life (QoL) data were collected using th... |
0 | Fetal tissue ban blocks study of potential coronavirus therapies | Coronavirus Disease 2019 (COVID-19) | The Trump administrationâ??s 2019 ban on the use of human fetal tissue by scientists at the National Institutes of Health (NIH) is preventing a leading researcher from using special mice to test potential therapies for coronavirus disease 2019 (COVID-19), The Washington Post reports. According to the Post, Kim Hasenkru... |
0 | Active warming systems to maintain perioperative normothermia in hip replacement surgery: a therapeutic aid or a vector of infection? | PJI DX Updated Search | Various reliable body heat-regulating systems have been designed and developed with the aim of maintaining an adequate body temperature in the course of major surgery. This is crucial to avoid the onset of potentially severe complications that are especially serious in elderly and debilitated subjects. Among these syst... |
1 | The risk of haematogenous infection in total joint replacements | Dental Implant Infection | One thousand patients who received 1112 total joint replacements between 1966 and 1980 were followed up prospectively for an average of six years. These patients were not advised to take antibiotics prophylactically to cover subsequent dental or surgical procedures and, so far, only three cases of haematogenous infecti... |
0 | Vascular injuries and amputation following limb fractures | DoD SSI (Surgical Site Infections) | Sixty-seven cases treated for peripheral vascular injuries associated with fractures between the years of 1977 and 1988 in the Department of Thoracic and Cardiovascular Surgery of the Dicle University, Faculty of Medicine, were reviewed retrospectively. The cause of injury was blunt trauma in 37 cases (55%) and penetra... |
0 | Total knee arthroplasty in patients </=50 years old | Surgical Management of Osteoarthritis of the Knee CPG | Thirty patients (30 knees) who underwent total knee arthroplasty at age </=50 were reviewed. These patients were operated on between July 1, 1991, and May 1, 1995, with final follow-up evaluation at a mean of 86 months (range, 60-107 months). At final evaluation, 18 knees (60%) had excellent Knee Society objective scor... |
0 | Muscle Sarcopenia: An Overview | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Sarcopenia is the physiological age related decline in muscle mass and strength. The aetiology is multifactorial involving changes in muscle metabolism, endocrine changes, nutritional factors and mitochondrial & genetic factors. Various treatment modalities have been utilized including hormone replacement therapies but... |
0 | Effect of knee unloading shoes on regional plantar forces in people with symptomatic knee osteoarthritis - an exploratory study | OAK 3 - Non-arthroplasty tx of OAK | Background: Knee 'unloading' footwear can reduce the external knee adduction moment in people with knee osteoarthritis, yet effects of these shoes on regional plantar forces are unknown. We evaluated the effects of unloading shoes on in-shoe regional plantar forces, and whether measures of foot posture and/or mobility ... |
0 | Ultrasonographic evaluation of therapeutic effects of complex decongestive therapy in breast cancer-related lymphedema | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: To evaluate the usefulness of ultrasonography as a follow-up tool for evaluating the effects of complex decongestive physiotherapy (CDPT) in breast cancer-related lymphedema (BCRL). METHODS: Twenty patients with BCRL were enrolled in this study. All patients had undergone therapy in the CDPT program for 2 we... |
1 | Efficacy of a comprehensive rehabilitation programme combined with pharmacological treatment in reducing pain in a group of OA patients on a waiting list for total joint replacement | Surgical Management of Osteoarthritis of the Knee CPG | Objectives: It has been shown that combined rehabilitation and pharmacological treatment reduce pain in subjects with osteoarthritis (OA), although the efficacy of either therapy alone may be limited. We studied the effects of a comprehensive rehabilitation programme alone and together with pharmacological treatment in... |
0 | Cysts of the anterior horn lateral meniscus and the ACL: is there a relationship? | AMP (Acute Meniscal Pathology) | OBJECTIVE: Parameniscal cysts have a very high association with meniscal tears in all locations except the anterior horn lateral meniscus (AHLM). The common insertion of the anterior cruciate ligament (ACL) and the AHLM root may provide a pathway for disease. The purpose of our study was to determine if cysts of the AC... |
0 | Zoledronic acid: An overview of its current and potential benefits in patients with malignancy | MSTS 2018 - Femur Mets and MM | The bisphosphonates, potent inhibitors of bone resorption, have proven especially beneficial in the treatment of hypercalcemia of malignancy. Bisphosphonates have also been shown to reduce the overall skeletal morbidity rate, pathological fractures and the need for palliative or preventive therapy in patients with brea... |
0 | Calcium, vitamin D and cancer | MSTS 2018 - Femur Mets and MM | A low vitamin D status and inadequate calcium intake are important risk factors for various types of cancer. Ecological studies using solar UV-B exposure as an index of vitamin D3 photoproduction in the skin found a highly significant inverse association between UV-B and mortality in fifteen types of cancer. Of these, ... |
1 | COVID-19 on the Chest Radiograph: A Multi-Reader Evaluation of an AI System | Coronavirus Disease 2019 (COVID-19) | Background Chest radiography (CXR) may play an important role in triage for COVID-19, particularly in low-resource settings. Purpose To evaluate the performance of an artificial intelligence (AI) system for detection of COVID-19 pneumonia on chest radiographs. Methods An AI system (CAD4COVID-Xray) was trained on 24,678... |
0 | Functional outcome in giant cell tumor of distal radius treated with excision and fibular arthroplasty: a case series | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: Giant cell tumor (GCT) of bone is a locally aggressive benign neoplasm that is associated with a wide spectrum of biological activity ranging from latent benign to highly recurrent and has occasional metastatic potential. It affects the meta-epiphyseal region of long bones of young adults with most common... |
0 | The effects of footwear on lower extremity joint loading: A literature review | OAK 3 - Non-arthroplasty tx of OAK | Elevated joint loads during walking have been associated with pathophysiol-ogy and symptoms affecting the performance of physical activities. Specifically, the ground reaction forces, center of pressure, and joint kinetics in the lower body directly affect mechanical factors in lower extremity joints. In some situation... |
0 | Effect of displacement of ulna-shaft fractures on forearm rotation: a cadaveric model | Distal Radius Fractures | Nonoperative treatment of ulna-shaft fractures may result in healing with residual displacement. In the study reported here, we used a cadaveric model to try to determine whether displacement significantly reduces forearm supination and pronation. Transverse osteotomies were made one third, one half, and two thirds of ... |
0 | Treatment of pancreatic diseases and prevention of infection during outbreak of 2019 coronavirus disease | Coronavirus Disease 2019 (COVID-19) | Objective: To explorethe proper protective measures for pancreaticdiseases treatment during theoutbreak of 2019 coronavirus disease(COVID-19). Method: Clinical data of four cases of patients that suffered COVID-19from February 2(nd), 2020 to February 9(th), 2020 in pancreatic surgery were reviewed.After the first patie... |
0 | Sagittal Plane Residual Deformity in Pediatric Type II Supracondylar Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: The incidence of residual deformity in the sagittal plane of the humerus (RDSPH) after nonoperative management of type II supracondylar humerus fractures (SCHFs), and the effects of such deformity on the overall arc of motion (AOM) of the elbow, are unknown. Our purpose was to analyze data collected prosp... |
0 | A comparison of the long-term outcome of partial articular (AO Type B) and complete articular (AO Type C) distal radius fractures | Glenohumeral Joint OA | Purpose: A short-term comparison of AO type B (shearing) and type C (compression) articular fractures of the distal radius found no significant differences in functional outcome, but long-term studies would provide important information. We tested the null hypothesis that there is no difference in arm-specific disabili... |
0 | Efficacy of a fluoridated hydrogen peroxide-based mouthrinse for the treatment of gingivitis: A randomized clinical trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: A randomized clinical trial was performed to test the efficacy of a fluoridated hydrogen peroxide-based mouthrinse on gingivitis and tooth whitening in a two-phase study. The first phase (28 days) included the experimental gingivitis phase; the second phase (5 months) was the oral hygiene phase, which inclu... |
0 | Change of impairment, disability and patient satisfaction after total knee arthroplasty in secondary care practice | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: To assess the evolution of impairment and disability after total knee arthroplasty (TKA) for osteoarthritis and to seek an association with patient satisfaction with surgery. METHOD: Consecutives patients (n=45, 18 women) with osteoarthritis undergoing primary TKA in two secondary care inpatient clinics wer... |
0 | Sympathetic skin responses from postauricular region in Meniere's disease | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To investigate the sympathetic nervous system activity in Meniere's disease (MD) by recording sympathetic skin responses (SSRs) from the postauricular region (PA). Methods: Twenty-one patients with definite unilateral MD diagnosis and 12 healthy volunteers were studied by evoking right and left PA-SSRs with ... |
1 | Open versus Endoscopic Carpal Tunnel Release: A Meta-analysis of Randomized Controlled Trials | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Methods: The English-language literature was searched using MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Central Register of Controlled Trials. Randomized controlled trials that compared endoscopic and open carpal tunnel release were included in the meta-analysis. Methodologic... |
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