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1 | Femoral Nerve Block Versus Long-Acting Wound Infiltration in Total Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | Multimodal wound infiltration analgesic techniques have attracted growing interest for applications in total knee arthroplasty (TKA). A benefit of using wound infiltration instead of femoral nerve block (FNB) in a multimodal pain control regimen is the limitation of muscle strength impairment to the surgical area, whic... |
0 | Inflammatory myofibroblastic tumor of bone: two cases occurring in long bone | MSTS 2022 - Metastatic Disease of the Humerus | Inflammatory myofibroblastic tumor (IMT) is an unusual tumor composed of differentiated myofibroblastic spindle cells usually accompanied by numerous plasma cells and lymphocytes. IMT was originally described in the lung; occurrence in a long bone is rare. We present two examples of IMT arising in a long bone: one in t... |
0 | Results of a cemented straight titanium alloy femoral stem after mean follow-up of 13 years | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The first consecutive series of 250 implantations of a cemented femoral shaft prosthesis made of titanium alloy (Bicontact(registered trademark), Aesculap, Tuttlingen, Germany) in 239 patients are included in this prospective follow-up study. Average time of follow-up evaluation was 12.6 years (range 11.8-13.8 years). ... |
0 | Gait alterations in the UAE population with and without diabetic complications using both traditional and entropy measures | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot, one of the most common and debilitating manifestations of type 2 diabetes mellitus (T2DM), is the leading cause of worldwide non-traumatic lower extremity amputations. Diabetics who are at risk of ulceration are currently mainly identified by a thorough clinical examination of the feet, which typically d... |
1 | 'Straight to bed' for hip-fracture patients: a prospective observational cohort study of two fast-track systems in 415 hips | Hip Fx Time to Surgery | Delayed time to surgery is associated with an increase in medical complications and delayed rehabilitation for hip-fracture patients. The aim of this study was to evaluate whether an improved fast-tracking system for hip-fracture patients can reduce waiting time to surgery. We included a consecutive series of 415 hip-f... |
0 | Randomized Trial of Casting Techniques for Displaced Forearm Fractures | Distal Radius Fractures | It is recognized that fractures of the distal radius and forearm occur in approximately one in 100 children and adolescents every year. Though closed manipulation and cast immobilization of displaced injuries is the mainstay of treatment in the majority of cases, the optimal type of cast remains debatable. Though wellâ... |
0 | Association of Knee Effusion Detected by Physical Examination With Bone Marrow Lesions: Cross-Sectional and Longitudinal Analyses of a Population-Based Cohort | OAK 3 - Non-arthroplasty tx of OAK | Objective: To determine the association of effusion detected by physical examination with the prevalence of bone marrow lesions (BMLs) on magnetic resonance imaging (MRI), and the incidence/progression of BMLs over 3 years in subjects with knee osteoarthritis. Methods: A population-based cohort with knee pain (n = 255)... |
0 | Unicompartmental knee arthroplasty in middle-aged patients: a 2- to 6-year follow-up evaluation | Surgical Management of Osteoarthritis of the Knee CPG | Twenty-eight unicompartmental knee arthroplasties performed as an alternative to high tibial osteotomy or tricompartmental knee arthroplasty in patients under 60 years of age were reviewed after 2 to 6 years of follow-up. The patient's age at the time of operation averaged 52 years. Using the Knee Society Score, 90% we... |
0 | Prognostic indicators in tibial shaft fractures: serum creatinine kinase activity | Management of Hip Fractures in the Elderly | Serum creatinine phosphokinase (CPK) levels were measured serially in 50 adults with closed tibial shaft fractures. CPK activity increased significantly after fracture (p less than 0.001). High energy and slowly healing fractures had significantly higher levels than low energy and normally healing fractures, respective... |
1 | Comparison of fracture healing and long-term patient-reported functional outcome between dorsal and volar plating for AO C3-type distal radius fractures | Distal Radius Fractures | PURPOSE: This study aimed to evaluate the differences in long-term functional outcome and radiographic fracture healing between volar and dorsally approached comminuted intra-articular distal radius fractures (DRF) (AO C3-type).
METHODS: A retrospective, age-matched, case-control study with a 1:2 allocation ratio was c... |
1 | Outcomes of Talus Fractures Associated With High-Energy Combat Trauma | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Talus fractures are infrequent injuries that are often associated with poor clinical outcomes. Literature reviewing talus fractures is limited to a civilian population, with few studies characterizing these injuries sustained in active duty personnel. The aim of this study was to characterize talus fracture... |
0 | Liposuction surgery for the treatment of large hematomas on the leg | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Post-traumatic hematomas overlying the muscular fascia on the lateral aspect of the leg are common in elderly patients, particularly those receiving oral anticoagulant therapy. When large collections of blood accumulate within this region, the pressure within the hematomas may exceed the blood pressure in t... |
0 | Rotational alignment in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty is a successful procedure for end-stage knee osteoarthritis, demonstrating a 10-year survival rate of 92-98%. Rotational alignment of components affects the kinematics of the tibiofemoral and patellofemoral joints and the longevity of the implant. Reliable references for rotation for the femoral... |
0 | Impaired bone formation and osteoporosis in postmenopausal elderly onset rheumatoid arthritis patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Bone metabolism may be uncoupled in postmenopausal rheumatoid arthritis (RA). Osteoporotic fracture in RA is highest for the hip especially in elderly women. Aim of the work: To detect the bone mineral density (BMD) and markers of bone turnover in postmenopausal RA patients and study the influence of age ... |
0 | Local Community View of Aesthetic Surgery: Results of a Cross-Sectional Survey | Panniculectomy & Abdominoplasty CPG | Background Aesthetic surgery has increased in popularity, reflecting the increased consumer demand. However, the variation in patients' ethnic and cultural beliefs has led to many challenges. Therefore, those who manage aesthetics should always listen and recognize the variability of cultural identities, desires, attit... |
0 | Structural predictors of response to intra-articular steroid injection in symptomatic knee osteoarthritis | AMP (Acute Meniscal Pathology) | BACKGROUND: The aim was to examine if structural factors could affect response to intra-articular steroid injections (IASI) in knee osteoarthritis (OA).
METHOD: Persons with painful knee OA participated in an open-label trial of IASI where radiographic joint space narrowing (JSN) and Kellgren-Lawrence (KL) grade, whole... |
1 | A systematic review of infection rates and associated antibiotic duration in acellular dermal matrix breast reconstruction | Acellular Dermal Matrix | INTRODUCTION: Reported infection rates in breast reconstruction with acellular dermal matrix (ADM) can exceed 31%. Prophylactic antibiotics remain controversial due to the absence of evidence-based literature. The purpose of this study was to examine published antibiotic regimens and their associated infection rates in... |
0 | Caffeine, Is it effective for prevention of postdural puncture headache in young adult patients? | Surgical Management of Osteoarthritis of the Knee CPG | Background and objectives Postdural puncture headache is a relatively common complication in spinal anesthesia, so several kinds of regimens have been suggested for treatment of this problem. The aim of this study was to evaluate the efficacy and safety of prophylactic administration of intravenous caffeine sodium benz... |
0 | Systematic review of non-surgical therapies for osteoarthritis of the hand: an update | SR for PM on OA of All Extremities | OBJECTIVE: To update our earlier systematic review which evaluated all published randomized controlled trials (RCTs) evaluating pharmacological and non-pharmacological therapies in patients with hand osteoarthritis (OA). Surgical therapies were not evaluated. METHOD: RCTs published between August 2004 and February 2008... |
0 | Does platelet-rich plasma deserve a role in the treatment of tendinopathy? | Glenohumeral Joint OA | Although tendinopathies constitute a heterogeneous group of conditions, they are often treated by similar combinations of local and systemic symptomatic interventions. The vast number of causes, pathophysiological mechanisms, and histological changes that characterizes tendinopathies may explain that the standard treat... |
1 | Total knee replacement in patients with end-stage haemophilic arthropathy: 25-year results | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Haemophilia is an x-linked inherited bleeding disorder which can cause severe arthropathy. We have reviewed the results of 70 primary total knee replacements (TKR) performed in 57 haemophilic patients between 1983 and 2007. The functional results were assessed using the Hospital for Special Surgery (HSS) knee scoring s... |
0 | Carpal tunnel volume determination by magnetic resonance imaging three-dimensional reconstruction | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Three-dimensional computer reconstruction of magnetic resonance images (MRI) of ten cadaveric specimens was used to determine carpal tunnel volume and carpal arch width. Magnetic resonance images-acquired data were compared with direct measurement of cadaveric carpal canal volume by means of a silicone-injection techni... |
0 | The effect of anterior cruciate ligament reconstruction and RAMP lesion repair on psychological status | AMP (Acute Meniscal Pathology) | Background: There are few studies examining anterior cruciate ligament reconstruction (ACLR) and RAMP lesion repair. However, no studies have investigated the level of functional performance and psychological state after ACLR and all-inside RAMP lesion repair. Hypothesis/Purpose: The aim of this study is to determine t... |
0 | Use of a custom alignment guide to improve glenoid component position in total shoulder arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Total and reverse total shoulder arthroplasty (TSA) are used to treat patients with glenohumeral joint osteoarthritis. The revision rate remains high compared with hip and knee arthroplasty. Glenoid component loosening is an important complication and may be caused by poor positioning of the component. We aime... |
0 | Scaphoid shift in the uninjured wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | To determine the prevalence of a positive scaphoid shift in an uninjured population, 100 patients presenting with symptoms unrelated to trauma or wrist instability underwent physical and radiographic evaluation. On physical examination, the scaphoid shift maneuver was performed bilaterally, and generalized ligamentous ... |
0 | Surgical Decompression of Exertional Compartment Syndrome of the Forearm in Professional Motorcycling Racers: Comparative Long-term Results of Wide-Open Versus Mini-Open Fasciotomy | DOD - Acute Comp Syndrome CPG | OBJECTIVE: To compare the long-term results of 2 surgical techniques for forearm chronic exertional compartment syndrome (CECS) in professional motorcycling racers and to study a new diagnostic variable for CECS, TRest.
DESIGN: Retrospective case series.
Level of evidence: 4.
SETTING: University Hospital.
PARTICIPANTS:... |
0 | The influence of incline walking on joint mechanics | OAK 3 - Non-arthroplasty tx of OAK | Walking is a popular form of exercise and is associated with many health benefits; however, frontal-plane knee joint loading brought about by a large internal knee-abduction moment and cyclic loading could lead to cartilage degeneration over time. Therefore, knee joint mechanics during an alternative walking exercise n... |
0 | Penetration of a Metallic Femoral Head Through the Acetabular Shell | PJI DX Updated Search | Extensive wear of a metal-on-polyethylene total hip arthroplasty may rarely result in erosion of the metal-backed acetabular shell and penetration of the femoral head. We report on the case of an 85-year-old man who presented to the emergency department with an apparent dislocated total hip. He subsequently was discove... |
1 | Functional panniculectomy vs cosmetic abdominoplasty: Multicenter analysis of risk factors and complications | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Amidst the rising trend of bariatric surgical procedures being performed across the country and around the world, patients seeking functional panniculectomy after massive weight loss represent a different population than those seeking cosmetic abdominoplasty. The purpose of this study was to determine wheth... |
0 | Remitting seronegative symmetrical synovitis with pitting oedema associated with rifampicin | PJI DX Updated Search | Background: Remitting seronegative symmetrical synovitis with pitting oedema (RS3PE syndrome) is a very rare condition incorporating a tenosynovitis of the hands and wrists, as well as the feet, ankles and shoulders. The aetiology of RS3PE syndrome is unknown, although it has been linked with infectious agents (includi... |
0 | Aortic stenosis in elderly hip fractured patients | Management of Hip Fractures in the Elderly | Aortic stenosis (AS) and hip fractures are unrarely seen in elderly patients. The decision whether to operate these patients or not remains difficult. The present study examined the characteristics of such patients and the possible interrelations with management and outcome. This retrospective chart review study was co... |
1 | Is antibiotic prophylaxis necessary for preventing prosthetic device infection? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Preventing bacteremia in patients with implanted prostheses is a logical concern, but whether the danger of infection is real, and whether people actually benefit from antibiotic prophylaxis for dental procedures is not clear. This article examines and discusses currently available data concerning the use of antibiotic... |
1 | Risk factors for restricted motion after anterior cruciate reconstruction | Anterior Cruciate Ligament Injuries CPG | A retrospective review of 373 patients who had undergone anterior cruciate ligament (ACL) reconstruction utilizing the central third of the patellar tendon was undertaken to identify those factors that placed a patient at risk for restricted postoperative motion (flexion < or = 125 degrees or flexion contracture > or =... |
0 | Acute pain after total hip arthroplasty does not predict the development of chronic postsurgical pain 6 months later | AAHKS (2) Corticosteroids | PURPOSE: Much remains unknown about the relationship between acute postoperative pain and the development of pathologic chronic postsurgical pain (CPSP). The purpose of this project was to identify the extent to which maximum pain scores on movement over the first two days after total hip arthroplasty predicted the pre... |
0 | Mortality and mobility after hip fracture in Japan: a ten-year follow-up | Management of Hip Fractures in the Elderly | We studied prospectively the change over ten years in mortality, walking ability and place of residence after a hip fracture in 753 patients in Japan. We compared the deaths observed in these patients with those expected in the general population, matched for age, gender and calender year at the time of fracture. The s... |
0 | Syncope and its consequences in patients with dementia receiving cholinesterase inhibitors: a population-based cohort study | Management of Hip Fractures in the Elderly | BACKGROUND: Cholinesterase inhibitors are commonly prescribed to treat dementia, but their adverse effect profile has received little attention. These drugs can provoke symptomatic bradycardia and syncope, which may lead to permanent pacemaker insertion. Drug-induced syncope may also precipitate fall-related injuries, ... |
0 | Literature review of outcome parameters used in studies of Geriatric Fracture Centers | Hip Fx in the Elderly 2019 | INTRODUCTION: A variety of multidisciplinary treatment models have been described to improve outcome after osteoporotic hip fractures. There is a tendency toward better outcomes after implementation of the most sophisticated model with a shared leadership for orthopedic surgeons and geriatricians; the Geriatric Fractur... |
0 | Pain improvements following total joint replacement: What you measure matters | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The Intermittent and Constant Osteoarthritis Pain (ICOAP) measure, a new measure, was developed under an OARSI/OMERACT initiative as one element for determining outcome in DMOAD trials for osteoarthritis (OA) of the hip or knee. It was developed from interviews with people with OA of the hip and knee. It inclu... |
1 | The prevalence and risk factors of falling and fear of falling among lower extremity amputees | DoD PRF (Psychosocial RF) | OBJECTIVE: To estimate the falling experience and fear of falling status and to describe characteristics associated with falling and fear of falling. DESIGN: Population-based consecutive sample survey and chart review. SETTING: Two Canadian, regional, university-affiliated outpatient amputee clinics. PARTICIPANTS: The ... |
0 | Emerging therapies for cartilage regeneration in currently excluded 'red knee' populations | AMP (Acute Meniscal Pathology) | The field of articular cartilage repair has made significant advances in recent decades; yet current therapies are generally not evaluated or tested, at the time of pivotal trial, in patients with a variety of common comorbidities. To that end, we systematically reviewed cartilage repair clinical trials to identify com... |
0 | Pathogenesis and medical management of diabetic Charcot neuroarthropathy | MSTS 2018 - Femur Mets and MM | The Charcot foot is an acute clinical emergency that warrants immediate management in order to prevent irreversible joint destruction. Offloading remains the mainstay of treatment of Charcot foot; however, adjunctive therapy with antiresorptive agents may facilitate retardation and early recovery from the inflammatory ... |
0 | Treatment of osteochondritis dissecans of the femoral condyle with autologous bone grafts and matrix-supported autologous chondrocytes | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The objective of this study was to determine the clinical outcome of combined bone grafting and matrix-supported autologous chondrocyte transplantation in patients with osteochondritis dissecans of the knee. Between January 2003 and March 2005, 21 patients (mean age 29.33 years) with symptomatic osteochondritis disseca... |
0 | Influence of age on the outcome of 500 autologous bone marrow transplant procedures for hematologic malignancies | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: To determine the effect of age on the outcome of autologous bone marrow transplantation (ABMT) and/or peripheral-blood progenitor-cell (PBPC) transplantation.
PATIENTS AND METHODS: A retrospective analysis was performed on 500 consecutive patients who ranged in age from 1 to 65 years (median, 40) with non-Hodg... |
0 | MR diagnosis of bone contusions of the knee: comparison of coronal T2-weighted fast spin-echo with fat saturation and fast spin-echo STIR images with conventional STIR images | AMP (Acute Meniscal Pathology) | OBJECTIVES: Bone contusions consist of posttraumatic marrow change resulting from a combination of hemorrhage, edema, and microtrabecular injury and are depicted on MR images as geographic, nonlinear areas of abnormally increased T2 marrow signal intensity. Detection of bone contusions is important, not only in that th... |
1 | Seasonal Impact on Surgical-Site Infections in Body Contouring Surgery: A Retrospective Cohort Study of 602 Patients over a Period of 6 Years | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Postoperative surgical-site infections are severe complications following body contouring surgery. Here, the authors evaluate whether surgical-site infection rates are influenced by higher temperatures during the summer season. METHODS: We enrolled 602 patients who underwent body contouring surgery between ... |
0 | Osteotomy for treating knee osteoarthritis | OAK Recommendation 9 Articles | Background: Patients with unicompartmental osteoarthritis of the knee can be treated with an osteotomy. The goal of an osteotomy is to unload the diseased compartment of the knee. This is the second update of the original review published in The Cochrane Library, Issue 1, 2005.Objectives: To assess the benefits and har... |
0 | The Mennen femoral plate for fixation of periprosthetic femoral fractures following hip arthroplasty | Management of Hip Fractures in the Elderly | Periprosthetic fractures can be treated by various methods. The Mennen femoral plate used to be a common implant in our region to stabilise periprosthetic femoral fractures following hip arthroplasty.This device has been used in 16 patients in our region from three different centres. The periprosthetic femoral fracture... |
0 | Effects of tibial torsion on distal alignment of extramedullary instrumentation in total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background and purpose Whether tibial torsion affects the positioning of extramedullary instrumentation and is a possible factor in malalignment of the tibial component in total knee arthroplasty (TKA) is unknown. We assessed the influence of tibial torsion on distal alignment of extramedullary systems for TKA, using t... |
0 | Does speed matter? Revision rates and functional outcomes in TKA in relation to duration of surgery | OAK 3 - Non-arthroplasty tx of OAK | Longer operative times may be required in complex total knee arthroplasty (TKA), however little is known about outcomes in procedures performed rapidly. We analysed 58,009 primary TKAs from the New Zealand National Joint Registry. The mean surgical duration was 89. minutes, and 50% of procedures lasted between 60 and 8... |
0 | Disabilities and activities of daily living among veterans with old hip disarticulation and transpelvic amputation | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The Iran-Iraq imposed war lasted eight years and was one of the longest wars of the last century. Twenty-three years have passed since the war ended, but little has been discussed about the long-term results of war amputations in the literature. OBJECTIVES: In this long-term study, we have evaluated the act... |
0 | Use of Lumbar Perforator Recipient Vessels for Salvage Chest Wall Reconstruction: A Case Report | Reduction Mammoplasty for Female Breast Hypertrophy | Abdominal-based free flaps are commonly used for breast reconstruction, and the internal mammary or thoracodorsal vessels are typically used as recipient sites. Conversely, free tissue transfer is less commonly used for chest wall reconstruction in the setting of chest wall recurrence, in part, because of a paucity of ... |
0 | Intercalary prosthetic reconstruction for pathologic diaphyseal humeral fractures due to metastatic tumors: outcomes and improvements | MSTS 2018 - Femur Mets and MM | Background: There is a high aseptic loosening rate for intercalary prosthetic reconstruction for malignant tumors. We evaluated outcomes and complications of intercalary prosthetic reconstruction for pathologic diaphyseal humeral fractures and report the application of an extracortical plate that can prevent early loos... |
0 | Does Integrated Fixation Provide Benefit in the Reconstruction of Posttraumatic Tibial Bone Defects? | OAK 3 - Non-arthroplasty tx of OAK | Background: Limb salvage in the presence of posttraumatic tibial bone loss can be accomplished using the traditional Ilizarov method of distraction osteogenesis with circular external fixation. Internal fixation placed at the beginning of the consolidation phase, so-called integrated fixation, may allow for earlier rem... |
0 | Carpal tunnel syndrome: ultrasonographic imaging and pathologic mechanisms of median nerve compression | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Median nerve compression is a well-known cause of carpal tunnel syndrome (CTS). Yet, reasons why the most common idiopathic form of CTS develops in certain individuals are not well understood. To further understand the compressive mechanisms at work in CTS development, the authors used ultrasonographic imaging of the m... |
0 | The control of fracture healing and its therapeutic targeting: Improving upon nature | Distal Radius Fractures | Fracture repair is a complex process involving timed cellular recruitment, gene expression, and synthesis of compounds that regenerate native tissue to restore the mechanical integrity, and thus function of injured bone. While the majority of fractures heal without complication, this takes time and a subset of patients... |
0 | Replacement therapy | Dental Implant Infection | HTR Synthetic Bone's user friendly properties include: Hydrophilicity: holds clot and prevents its breakdown. Negative electric charge: adheres to bone and implant. Doesn't seem to get infected: less than one percent. Can graft to its surface: antibiotics or bone growth proteins for a slow timely release into adjacent ... |
0 | A modified NHL-BFM-95 regimen produces better outcome than HyperCVAD in adult patients with T-lymphoblastic lymphoma, a two-institution experience | MSTS 2022 - Metastatic Disease of the Humerus | Purpose Lymphoblastic lymphoma (LBL) is an invasive neoplasm of precursor T-cell or B-cell lineage. A broadly accepted standard treatment for adult LBL has not yet been defined. Materials and Methods To address this issue, we compared two chemotherapy regimens: a modified non-Hodgkin lymphoma Berlin-Frankfurt-Münster-9... |
0 | Bupivacaine Liposomal Injection (Exparel) for Postsurgical Analgesia in Patients Undergoing Laparoscopic Gastric Bypass | AAHKS (8) Anesthetic Infiltration | Introduction Despite the increasing use of patientâ?controlled anesthesia (PCA) for postoperative pain management, efforts are continuing to find effective methods to relieve pain after abdominal surgery. Some studies have already suggested that infusion with local anesthetics at the wound site can decrease postoperat... |
0 | A Case Series of Successful Repair of Articular Cartilage Fragments in the Knee | Osteochondritis Dissecans 2020 Review | BACKGROUND: It is unclear whether chondral fragments without bone have the potential to heal after fixation. Controversy exists and opinions differ regarding the optimal treatment of chondral defects after pure chondral fracture. PURPOSE: To determine clinical and radiographic outcomes after internal fixation of trauma... |
1 | Local infiltration analgesia: A technique for the control of acute postoperative pain following knee and hip surgery - A case study of 325 patients | AAHKS (8) Anesthetic Infiltration | Background: We have developed a multimodal technique for the control of pain following knee and hip surgery, called "local infiltration analgesia" (LIA). It is based on systematic infiltration of a mixture of ropiva-caine, ketorolac, and adrenaline into the tissues around the surgical field to achieve satisfactory pain... |
0 | DEGRO guidelines for the radiotherapy of non-malignant disorders. Part II: Painful degenerative skeletal disorders | Glenohumeral Joint OA | BACKGROUND AND PURPOSE: The purpose of this article is to summarize the updated DEGRO consensus S2e guideline recommendations for the treatment of benign painful degenerative skeletal disorders with low-dose radiotherapy.
MATERIALS AND METHODS: This overview reports on the role of low-dose radiotherapy in the treatment... |
0 | The care and management of bisphosphonate--associated osteonecrosis of the jaw in the patient with multiple myeloma: a case study | MSTS 2018 - Femur Mets and MM | PURPOSE: This is a case study of a patient with multiple myeloma presenting with bisphosphonate-associated osteonecrosis of the jaw after an extraction of tooth #18 while receiving intravenous bisphosphonates. The class of drugs known as bisphosphonates is discussed. The patient's presenting signs and symptoms are revi... |
0 | The association between body mass index, weight loss and physical function in the year following a hip fracture | Management of Hip Fractures in the Elderly | Objectives: To determine whether body mass index (BMI) at the time of hospitalization or weight change in the period immediately following hospitalization predict physical function in the year after hip fracture. Design: Prospective observational study. Setting: Two hospitals in Baltimore, Maryland. Participants: Femal... |
0 | Distant metastasis in p16-positive oropharyngeal squamous cell carcinoma: A critical analysis of patterns and outcomes | MSTS 2022 - Metastatic Disease of the Humerus | Objective With good loco-regional control, disease failure in p16-positive oropharyngeal squamous cell carcinoma (OPSCC) mainly results from distant metastasis (DM). Our objective was to characterize the patterns and clinical outcomes of DM in p16-positive OPSCC and compare these to patients with p16-negative disease. ... |
0 | Range of motion in total knee arthroplasty: a prospective comparison of high-flexion and standard cruciate-retaining designs | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Range of motion after a total knee arthroplasty is an important indicator of clinical outcome. Recently, a high-flexion posterior cruciate ligament-retaining knee prosthesis was designed to allow greater flexion after total knee arthroplasty. The purpose of this study was to compare range of motion and func... |
0 | Association of interleukin-6 gene polymorphism (rs1800796) with severity and functional status of osteoarthritis in elderly individuals | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is the most prevalent disease of the musculoskeletal system and it has an important genetic component. Despite several reports have shown the involvement of pro-inflammatory cytokine such as interleukin-1beta and TNF-alpha, the role of interleukin-6 (IL-6) in osteoarthritis is still unclear. Thus, t... |
1 | Prediction of survival after surgical management of femoral metastatic bone disease â?? A comparison of prognostic models | MSTS 2018 - Femur Mets and MM | Background: Operative fixation for femoral metastatic bone disease is based on the principles of reducing pain and restoring function. Recent literature has proposed a number of prognostic models for appendicular metastatic bone disease. The aim of this study was to compare the accuracy of proposed soring systems in th... |
0 | Fracture-associated hospitalizations in patients with inflammatory bowel disease | HipFx Supplemental Cost Analysis | BACKGROUND: Maintenance of bone health is an important concern in patients with inflammatory bowel disease (IBD). They may frequently have impaired bone density resulting in greater incidence of fractures. AIMS: To examine fracture-associated hospitalization costs in IBD patients from a nationwide representative sample... |
0 | Prevention of Postischemic Tissue Injury by Controlled Reperfusion: A Preliminary Study | DoD LSA (Limb Salvage vs Amputation) | Restoration of arterial blood flow to severely and acutely ischemic extremities results in tissue necrosis and systemic-metabolic complications associated with multiorgan failure and death. Surgical revascularization alone (SRA) was compared with revascularization and controlled reperfusion using standard cardiopulmona... |
0 | A longitudinal study of the quantitative evaluation of patella cartilage after total knee replacement by delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) and T2 mapping at 3.0 T: preliminary results | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To characterize the quantitative changes of patella cartilage over time after total knee arthroplasty (TKA) by delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) and T2 mapping at 3.0 T. METHOD: Twenty-six knees of 26 patients (23 women and three men, mean age, 75 years) with prima... |
0 | The early management of gunshot wounds Part II: The abdomen, extremities and special situations | DoD SSI (Surgical Site Infections) | The management of gunshot wounds of the abdomen and extremities is evolving with centres who treat large volumes of such injuries tending to the application of a policy of selective non-operative management. This article discusses the management of gunshot wounds to the abdomen and extremities and reviews the evidence ... |
0 | Synergistic enhancement of aggregated IgG-induced tumor necrosis factor (alpha) in human synovial mast cells by interleukin 33 | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Recent studies suggest that human synovial mast cells (MCs) are involved in the pathogenesis of rheumatoid arthritis (RA). Circulating IgG isotype autoantibodies and synovial immune complexes are detected in RA patients. Therefore a plausible pathway for the activation of synovial MCs is through IgG... |
0 | Predictors of Success With Chronic Antibiotic Suppression for Prosthetic Joint Infections | Dental Implant Infection | Background: Management of recurrent prosthetic joint infection (PJI) after attempted surgical eradication remains a challenge. Chronic antibiotic suppression (CAS) is regarded as a reasonable treatment option for select patients with persistent infection or multiple comorbidities. The study seeks to compare cohorts who... |
0 | [Use of procholinergics in the prevention of postoperative delirium in hip fracture surgery in the elderly. A randomized controlled trial] | Management of Hip Fractures in the Elderly | INTRODUCTION: 40 to 50% of elderly with hip fracture present delirium. The morbimortality increase in patients whose presented delirium.OBJECTIVE: To study the use of citicoline (CDP choline) in the prevention of delirium in elderly under hip fracture surgery.PATIENTS AND METHODS: A randomized control trial. The patien... |
0 | Timing issue in open fractures debridement: a review article | DoD SSI (Surgical Site Infections) | Open fractures constitute a major trauma mostly sustained by young adults during high-energy injuries. Management of long bone open fractures is a very complex issue and is often complicated by nonunion and deep infection being among the most devastating and difficult to cure. It is generally recommended that wound deb... |
0 | Influence of suction-assisted lipectomy on coagulation | Panniculectomy & Abdominoplasty CPG | Suction-assisted lipectomy is the most commonly performed surgical aesthetic procedure in North America today. The procedure is not without significant morbidity, as death as well as serious nonfatal complications have been reported. Thromboembolic disease as a complicating factor of various types of surgical procedure... |
0 | Oral bisphosphonate use and age-related macular degeneration: retrospective cohort and nested caseâ??control study | Hip Fx in the Elderly 2019 | Our objective here was to determine whether oral bisphosphonate (BP) use is associated with the incidence of age-related macular degeneration (AMD). We performed a population-based study using electronic health records from UK primary care (Clinical Practice Research Datalink). A cohort of 13,974 hip fracture patients ... |
0 | Changes to management of a non-pandemic illness during the COVID-19 pandemic: case study of invasive management of acute coronary syndrome | Coronavirus Disease 2019 (COVID-19) | The coronavirus 2019 (COVID-19) pandemic requires significant changes to standard operating procedures for non-COVID-19 related illnesses. Balancing the benefit from standard evidence-based treatments with the risks posed by COVID-19 to patients, healthcare workers and to the population at large is difficult due to inc... |
1 | Multifield Modeling and Simulation of Nutrient Transport in Mechanically Stressed Meniscus Tissue | AMP (Acute Meniscal Pathology) | Insights into the transport mechanisms of nutrients are essential for understanding the pathophysiology of menisci. In the present work, we focus on the modeling and numerical simulation of the transport of glucose molecules in mechanically stressed meniscus tissue. Therefore, a multifield model based on the theory of ... |
0 | Evaluation of therapeutic mammoplasty techniques in the surgical management of female patients with idiopathic granulomatous mastitis with mild to moderate inflammatory symptoms in terms of recurrence and patients' satisfaction | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Although idiopathic granulomatous mastitis (IGM) affects young females, its surgical management usually leads to disfigurement of the breasts.
OBJECTIVES: To assess the use of therapeutic mammoplasty techniques for management of IGM in terms of recurrence and postoperative patients' satisfaction.
METHODS: T... |
0 | Ultrashort time to echo magnetic resonance techniques for the musculoskeletal system | AMP (Acute Meniscal Pathology) | Magnetic resonance (MR) imaging has been widely implemented as a non-invasive modality to investigate musculoskeletal (MSK) tissue disease, injury, and pathology. Advancements in MR sequences provide not only enhanced morphologic contrast for soft tissues, but also quantitative biochemical evaluation. Ultrashort time t... |
0 | Integrating event- and trend-based analyses to improve detection of glaucomatous visual field progression | Upper Eyelid and Brow Surgery | PURPOSE: To present and evaluate a new method of integrating event- and trend-based analyses of visual field progression in glaucoma. DESIGN: Observational cohort study. PARTICIPANTS: The study included 711 eyes of 357 glaucoma patients or suspects followed up for an average of 5.0 +/- 2.0 years with an average of 7.7 ... |
1 | Psychometric Validation of the BODY-Q in Danish Patients Undergoing Weight Loss and Body Contouring Surgery | Panniculectomy & Abdominoplasty CPG | Background: A well-developed patient-reported outcome instrument is needed for use in Danish bariatric and body contouring patients. The BODY-Q is designed to measure changes in important patient outcomes over the entire patient journey, from obesity to post-body contouring surgery. The current study aims to psychometr... |
0 | Spiral-medial butterfly fractures (AO-12-B1) in distal diaphysis of humerus with rotational forces: Preliminary results of open reduction and plate-screw fixation | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: Humerus shaft fractures are frequent injuries in orthopedic practice and generally occurs with direct and indirect traumas. While the most of these fractures can be managed with conservative methods, in some situations surgery is needed. The aim of this study is to define a different mechanism and treatment ... |
0 | Predictive factors for knee stiffness after periarticular fracture: a case-control study | DoD SSI (Surgical Site Infections) | BACKGROUND: Knee stiffness is an important complication after periarticular fracture, but a systematic evaluation of risk factors for this complication and outcomes of treatment has not been undertaken, to our knowledge. The aims of this study were to evaluate risk factors for knee stiffness requiring manipulation afte... |
1 | Periprosthetic joint infections: clinical and bench research | PJI DX Updated Search | Prosthetic joint infection is a devastating complication with high morbidity and substantial cost. The incidence is low but probably underestimated. Despite a significant basic and clinical research in this field, many questions concerning the definition of prosthetic infection as well the diagnosis and the management ... |
1 | Therapeutic arthroscopy of the knee | AMP (Acute Meniscal Pathology) | This paper describes transcutaneous therapeutic procedures performed during arthroscopy. Sixty-six patients were treated. Small loose bodies were flushed out through the arthroscope in 7 cases. In 19 of 24 knees a loose body 0.5-2 cm in size was extracted either with a Dormia stone-dislodger or a pituitary rongeur. In ... |
0 | More re-operations after uncemented than cemented hemiarthroplasty used in the treatment of displaced fractures of the femoral neck: an observational study of 11,116 hemiarthroplasties from a national register | Dental Implant Infection | Using data from the Norwegian Hip Fracture Register, 8639 cemented and 2477 uncemented primary hemiarthroplasties for displaced fractures of the femoral neck in patients aged > 70 years were included in a prospective observational study. A total of 218 re-operations were performed after cemented and 128 after uncemente... |
0 | Differences in stem and progenitor cell yield in different subcutaneous adipose tissue depots | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Human adipose tissue has been shown to contain multipotent cells with properties similar to mesenchymal stromal cells. While there have been many studies of the biology of these cells, no study has yet evaluated issues associated with tissue harvest. METHODS: Adipose tissue was obtained from the subcutaneou... |
0 | Isolated limb reperfusion with tumor necrosis factor and melphalan in patients with extremity melanoma after failure of isolated limb perfusion with chemotherapeutics | DOD - Acute Comp Syndrome CPG | BACKGROUND. This retrospective study evaluated the benefit of using tumor necrosis factor (TNF) and melphalan administered via an isolated limb perfusion (ILP) in a series of patients with metastatic melanoma who failed initial ILP with chemotherapeutics. METHODS. Seventeen patients with extremity melanoma who underwen... |
0 | CT of the wrist for the evaluation of traumatic injuries | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Computed tomography (CT) of the wrist can help evaluate many types of posttraumatic injuries, particularly bony trauma. Most wrist fractures can be diagnosed with routine radiography, but problematic cases and complicated healing fractures can be difficult to evaluate with conventional radiography. CT provides improved... |
1 | Number of excisions required to obtain clear surgical margins and prognostic value of AJCC T category for patients with eyelid melanoma | Reconstruction After Skin Cancer | AIMS: To determine the number of excisions needed to achieve clear margins and the prognostic value of the 7th edition of American Joint Committee on Cancer (AJCC) classification for eyelid melanoma. METHODS: Retrospective chart review of consecutive patients treated for eyelid melanoma from January 2006 through May 20... |
0 | Comparison of Cable Method and Miniaci Method Using Picture Archiving and Communication System in Preoperative Planning for Open Wedge High Tibial Osteotomy | OAK 3 - Non-arthroplasty tx of OAK | Purpose: The purpose was to compare the accuracy of Miniaci method using picture archiving and communication system (PACS) with a cable method in high tibial osteotomy (HTO).
Materials and Methods: This study analyzed 47 patients (52 knees) with varus deformity and medial osteoarthritis. From 2007 to 2013, patients und... |
0 | Treatment of femoral fractures associated with stem loosening following total hip arthroplasty | Hip Fx in the Elderly 2019 | We report the results of Kent hip revision arthroplasties performed in 5 patients with fractures of the femur associated with femoral loosening following total hip arthroplasty. The fractures occurred at an average of 40.4 months following the primary hip arthroplasty. The system of Merle D'Aubigne and Postel, as modif... |
0 | Pathophysiology of osteoporosis | Management of Hip Fractures in the Elderly | As with many chronic diseases that express themselves late in life, osteoporosis is distinctly multifactorial both in etiology and in pathophysiology. Osteoporotic fractures occur because of a combination of injury and intrinsic bony fragility. The injury comes most often from a combination of falls, poor postural refl... |
0 | Corrigendum to "In Vivo Quantitative Ultrasound Image Analysis of Femoral Subchondral Bone in Knee Osteoarthritis" | OAK 3 - Non-arthroplasty tx of OAK | [This corrects the article DOI: 10.1155/2013/182562.]. |
1 | The natural history of abnormal ultrasound findings in hips of infants under six months of age | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: To collect and describe data on the natural history of abnormal ultrasound (US) findings in hips of infants under six months of age to serve as a reference to the design of screening programmes and treatment algorithms in the care for children with hip dysplasia. METHODS: A search in PubMed of the terms "DDH" ... |
0 | Socioeconomic status and hospitalization in the very old: a retrospective study | Management of Hip Fractures in the Elderly | BACKGROUND: Socioeconomic status could affect the demand for hospital care. The aim of the present study was to assess the role of age, socioeconomic status and comorbidity on acute hospital admissions among elderly. METHODS: We retrospectively examined the discharge abstracts data of acute care hospital admissions of ... |
0 | Is total-body MRI useful as a screening tool to rule out malignant progression in patients with multiple osteochondromas? Results in a single-center cohort of 319 adult patients | Osteochondritis Dissecans 2020 Review | PURPOSE: To evaluate the results of total-body (TB) MRI used as a screening tool for assessment or exclusion of malignant transformation in patients with hereditary multiple osteochondromas (HMO). PATIENTS AND METHODS: In a single-institute cohort of MO patients, 366 TB-MRI examinations, including T1-weighted and STIR ... |
0 | Immunolocalization of collagen types in the subsynovial connective tissue within the carpal tunnel in humans | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The tenosynovium within the carpal tunnel consists of a single layer of synovial cells, which lines the bursae within the carpal tunnel, and the subsynovial connective tissue (SSCT), which contains the tendon vasculature and other structural elements. In this study, we used immunogold labeling to localize collagen type... |
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