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0 | Efficacy and safety of ultrasound-guided fascia iliaca compartment block using dexmedetomidine combined with ropivacaine in aged patients undergoing hip replacement | AAHKS (8) Anesthetic Infiltration | Objective: To evaluate the efficacy and safety of ultrasound-guided fascia iliaca compartment block (FICB) using dexmedetomidine combined with ropivacaine in aged patients undergoing hip replacement. Methods: Ninety aged patients scheduled for hip replacement surgery with general anesthesia were included in our trail. ... |
0 | Relationship Between Self-Reported Restless Sleep and Objectively Measured Physical Activity in Adults With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: Despite the numerous health benefits of physical activity, inactivity is endemic among adults with knee osteoarthritis (OA). Because sleep quality may be a target in order to improve physical activity behavior, we investigated the cross-sectional relationship between restless sleep and physical activity in p... |
0 | Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: Need for a concerted public health strategy | Management of Hip Fractures in the Elderly | Objective: To determine the incidence of hip fractures (at the proximal end of the femur) in Belgium from 1984 to 1996. Methods: Use was made of information from the national database on hospital bills, which fully covers the annual hospital stays in the whole of the country. Findings: The mean annual incidence of hip ... |
0 | Factors influencing radiation exposure during internal fixation of hip fractures | Hip Fx in the Elderly 2019 | The use of fluoroscopy is of great importance for operative fixation of fractures. Previous studies have shown an increased fluoroscopy time for intramedullary nails and with junior surgeons in comparison with more experienced surgeons. We examined the impact of operation length on fluoroscopy dose, cumulative fluorosc... |
1 | Clinical and economic characteristics of total hip replacement patients with high health care costs and high health care use | HipFx Supplemental Cost Analysis | OBJECTIVE: The aims of this study were to confirm whether total hip arthroplasty (THA) patients with muscle atrophy/weakness (MAW) have high health care costs and resource use and to identify the characteristics that contribute to these high costs and use. DESIGN: This study analyzed claims from United States patients ... |
1 | The Use of Poly-4-Hydroxybutyrate (P4HB) Scaffold in the Ptotic Breast: A Multicenter Clinical Study | Acellular Dermal Matrix | BACKGROUND: Mastopexy and reduction mammaplasty are often limited by the patient's poor native soft tissue quality, resulting in ptosis recurrence and loss of rejuvenated surgical results. Surgical scaffolds and acellular dermal matrices are used in these procedures to provide physical and mechanical stabilization of w... |
1 | Efficacy of periarticular injection of bupivacaine, fentanyl, and methylprednisolone in total knee arthroplasty:a prospective, randomized trial | AAHKS (2) Corticosteroids | We evaluated the efficacy of periarticular infiltration of corticosteroid, opioid, and a local anesthetic by comparing pain scores, knee flexion, and quadriceps function on the day of surgery, first postoperative day, day of discharge, and 2 and 4 weeks after surgery between the infiltrated and the noninfiltrated knee ... |
0 | Risk factors for osteoporotic fractures in elderly men | Management of Hip Fractures in the Elderly | Osteoporosis is recognized as an important cause of morbidity and mortality in aging women, but there have been few epidemiologic studies in men. Potential risk factors for osteoporotic fractures were assessed in 820 elderly men aged 60 years or above in the city of Dubbo (Australia). During the follow-up period of 198... |
0 | Staged treatment of pilon fractures | DoD SSI (Surgical Site Infections) | Aim: To evaluate outcomes following staged anterolateral plating of pilon fractures. Methods: Over a 5 year period, patients with pilon fractures received four treatment regimens (staged anterolateral plating, staged medial plating, definitive external fixation, early total care). We defined five outcomes (reduction, s... |
0 | Psychological and counselling interventions for female genital mutilation | DoD PRF (Psychosocial RF) | Women and girls living with female genital mutilation (FGM) are more likely to experience psychological problems than women without FGM. As well as psychological support, this population may need additional care when seeking surgical interventions to correct complications of FGM. Recent WHO guidelines recommend cogniti... |
0 | Closed-loop control of anesthesia using Bispectral index: performance assessment in patients undergoing major orthopedic surgery under combined general and regional anesthesia | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The Bispectral Index (BIS) is an electroencephalogram-derived measure of anesthetic depth. A closed-loop anesthesia system was built using BIS as the control variable, a proportional-integral-differential control algorithm, and a propofol target-controlled infusion system as the control actuator. Closed-loo... |
0 | Causes and patterns of aborting a robot-assisted arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | For a successful robot-assisted arthroplasty, every step should be executed harmoniously. However, when we encounter serious obstacles during surgery, it is sometimes better to abort the procedure in a timely manner. This study investigated the possible causes and patterns of aborted robot-assisted arthroplasties. Of 1... |
0 | Trends in Complication Rates Following Ankle Arthrodesis and Total Ankle Replacement | PJI DX Updated Search | BACKGROUND: This study provides an updated comparison of the reoperation rates following primary ankle arthrodesis and total ankle replacement on the basis of observational, population-based data from California. We previously reported data from 1995 to 2004, and our current study includes new data from 2005 to 2010. O... |
0 | Metastatic muscle abscesses complicating infected total hip arthroplasty | PJI DX Updated Search | A 73-year-old woman with rheumatoid arthritis presented to our institution with infection of her right total hip arthroplasty. On admission, a draining sinus tract over the hip and a palpable mass in the left lower posterior region of the neck were detected. The contrast CT scan showed a large abscess in the trapezius ... |
0 | Non-Hodgkin's lymphoma of the synovium discovered in total knee arthroplasty: a case report | Surgical Management of Osteoarthritis of the Knee CPG | Musculoskeletal involvement occurs in 25% of patients with non-Hodgkin's lymphoma (NHL). Primary lymphoma in the joint is rare. It can present as a bone lesion or as atypical soft tissue proliferation. NHL has an increased incidence in patients with autoimmune rheumatic diseases. We present a case in which non-Hodgkin'... |
0 | Peri-prosthetic hip infections: in favour of one-stage | Dental Implant Infection | Although it does offer certain obvious advantages, the one-staged revision approach in infected THA remains rare in the field of orthopaedics. Besides the reduced number of surgical interventions for patients, it is associated with a decreased inpatient hospital stay and quicker mobilisation. Furthermore, it might be t... |
0 | Are undesirable contact kinematics minimized after kinematically aligned total knee arthroplasty? An intersurgeon analysis of consecutive patients | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Tibiofemoral contact kinematics or knee implant motions have a direct influence on patient function and implant longevity and should be evaluated for any new alignment technique such as kinematically aligned total knee arthroplasty (TKA). Edge loading of the tibial liner and external rotation (reverse of norma... |
0 | Outpatient Total Knee Arthroplasty: Are We There Yet? (Part 2) | AAHKS (4) Acetaminophen | The method by which surgeons conduct outpatient total knee procedures has yet to be fully elucidated. Literature demonstrates different experiences from various care protocols in place across the nation. This article reviews current recommendations for implementing successful total knee arthroplasty (TKA) and unicompar... |
1 | Comparison of Continuous Femoral Nerve Block versus Local Infiltration Analgesia as a Postoperative Analgesia in Unilateral Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | INTRODUCTION: Local infiltration of knee joint in arthroplasty, provide postoperative analgesia and preserves motor power of quadriceps, which helps in early mobilisation, as compared to femoral nerve block which paralyses vastus medialis.
AIM: To compare the quality of postoperative analgesia provided by femoral nerve... |
0 | Posterior tibial perforator-based flaps for leg and foot defects: Indications, limitations, and technical considerations | DoD SSI (Surgical Site Infections) | BACKGROUND: Covering defects at the lower leg and foot is a common challenge in reconstructive surgery. A flap is often required, and free flaps are widely used. The posterior tibial perforator-based flap constitutes a valuable option in this situation. The objectives of this study were to evaluate the reliability of t... |
0 | Geriatric syndromes and functional status in NSHAP: rationale, measurement, and preliminary findings | Hip Fx in the Elderly 2019 | INTRODUCTION: The geriatric functional measures and syndromes collected 5 years apart in Waves 1 and 2 of the National Social Life, Health, and Aging Project (NSHAP) data set included: difficulty with activities of daily living and instrumental activities of daily living, the timed up and go, a 3-m timed walk, repeated... |
1 | Patient Factors, Donor Age, and Graft Storage Duration Affect Osteochondral Allograft Outcomes in Knees with or without Comorbidities | Osteochondritis Dissecans 2020 Review | Limited data exists defining preoperative variables that affect outcomes after osteochondral allograft transplantation (OAT) in the knee. In this retrospective study, we examined 75 patients who underwent OAT for large (â?¥2 cm(2)) grade IV cartilage defects in the femoral condyle. Patient variables evaluated included ... |
0 | What is new about crystals other than monosodium urate? | Glenohumeral Joint OA | Recently, attention has focused on the effects of weather conditions and seasonal changes on the incidence of acute microcrystalline events. Acute gout attacks are more frequent during the spring, but seasonal variations in the incidence of acute pseudogout attacks are less clearly defined. Genetic analysis of two unre... |
0 | Group psychotherapy for female adult survivors of interpersonal psychological trauma: a preliminary study in Scotland | DoD PRF (Psychosocial RF) | BACKGROUND: There is limited evidence on manualised group interventions that facilitate the development of trauma recovery skills, affect regulation and meaning making for survivors of interpersonal trauma.
AIM: The study aimed to provide preliminary evidence on the effectiveness of group psychotherapy (based on Trauma... |
0 | Enhanced muscle pump during mild dynamic leg exercise inhibits sympathetic vasomotor outflow | Pediatric Supracondylar Humerus Fracture 2020 Review | Muscle sympathetic nerve activity (MSNA) is not increased during leg cycling at light and mild intensities, despite activation of central command and the exercise pressor reflex. We determined whether increasing central blood volume and loading the cardiopulmonary baroreceptors modulate sympathetic vasomotor outflow du... |
0 | Serum adipokines in end-stage osteoarthritis; comparison with healthy controls and relations with intra-articular joint characteristics | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Obesity is an important risk factor for osteoarthritis (OA). Body mass index (BMI) is strongly associated with the prevalence and incidence of knee OA. It is established that metabolic factors exert an extra systemic effect on top of the mechanical effect of overweight in OA. Adipose tissue is consi... |
0 | Exercise and knee osteoarthritis: benefit or hazard? | SR for PM on OA of All Extremities | OBJECTIVE: To determine whether physical exercise constitutes a benefit or a risk in the development and progression of knee osteoarthritis. QUALITY OF EVIDENCE: MEDLINE, EMBASE, DARE, ACP Journal Club, and Cochrane databases were searched from registry inception to January 2009 using MeSH headings or text words, inclu... |
1 | Total shoulder arthroplasty with a metal-backed, bone-ingrowth glenoid component. Medium to long-term results | Glenohumeral Joint OA | BACKGROUND: Loosening of a cemented glenoid component is an important cause of failure in shoulder arthroplasty. This study was developed to examine the outcome of patients managed with a metal-backed, bone-ingrowth glenoid component as an alternative to a cemented component.
METHODS: The study group included eighty-th... |
0 | Contributions of myofascial pain in diagnosis and treatment of shoulder pain. A randomized control trial | Glenohumeral Joint OA | BACKGROUND: Rotator cuff tendinopathy and subacromial impingement syndrome present complex patomechanical situations, frequent difficulties in clinical diagnosis and lack of effectiveness in treatment. Based on clinical experience, we have therefore considered the existence of another pathological entity as the possibl... |
0 | Biomechanical analysis of a novel wedge locking plate in a porcine tibial model | OAK 3 - Non-arthroplasty tx of OAK | Background: The purpose of this study was to analyze biomechanical properties of a novel wedge locking plate in medial open wedge high tibial osteotomy (OWHTO) in a porcine tibial model. Methods: A uniform 8-mm OWHTO was performed in 12 porcine tibiae. Six of them were subsequently fixed with the plate without a wedge,... |
0 | Type I osteogenesis imperfecta and multiple osteochondromas in the same child | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A male infant showed a humeral diaphysis fracture at 5 months of age and a distal tibial physis fracture at 2 years of age. A specialized consultant ruled out child abuse. This child had the characteristic features of type I osteogenesis imperfecta: blue sclerae, osseous fragility, and presumably autosomal dominant inh... |
1 | Partial Resurfacing of the Knee with the BioPoly Implant: Interim Report at 2 Years | Osteochondritis Dissecans 2020 Review | BACKGROUND: Current treatments for focal chondral and osteochondral lesions of the femoral condyle have been associated with variable outcomes. We conducted a clinical trial of the BioPoly RS Partial Resurfacing Knee Implant to address this unmet need. METHODS: We performed a single-arm, prospective study in which 33 p... |
1 | Closed Posterior Levator Advancement in Severe Ptosis | Upper Eyelid and Brow Surgery | Background: Repair of blepharoptosis from the posterior eyelid approach has usually been done utilizing a Muller's muscle-conjuctival resection (MMCR) or an "open sky" technique. We present a new technique to advance the levator muscle from the posterior-approach in a closed fashion that can be used in patients with se... |
0 | Association of baseline meniscal symptoms on outcomes of operative and non-operative treatment of meniscal tear in patients with osteoarthritis | AMP (Acute Meniscal Pathology) | Purpose: Arthroscopic partial meniscectomy (APM) is performed frequently for the treatment of meniscal tear in patients with knee osteoarthritis (OA). While trials have shown that APM and physical therapy (PT) have similar outcomes in this population, many clinicians are taught that in the setting of 'meniscal symptoms... |
0 | Soft-Tissue Complications Associated With Distal Radius Fractures | DOD - Acute Comp Syndrome CPG | Soft-tissue complications associated with distal radius fractures are common. Nerve injury and carpal tunnel syndrome, tendonitis and tendon rupture, intercarpal ligament injuries, compartment syndrome, infection, and complex regional pain syndrome have all been reported. These can occur because of factors intrinsic to... |
0 | Risk factors for proximal humerus, forearm, and wrist fractures in elderly men and women: the Dubbo Osteoporosis Epidemiology Study | Management of Hip Fractures in the Elderly | Fractures of the proximal humerus, forearm, and wrist account for approximately one third of total osteoporotic fractures in the elderly. Several risk factors for these fractures were evaluated in this prospective study of 739 men and 1,105 women aged > or =60 years in Dubbo, Australia. During follow-up (1989-1996), th... |
0 | Treatment of intertrochanteric fractures by external fixation | Hip Fx in the Elderly 2019 | This study evaluates the results of intertrochanteric fractures of the femur treated by external fixation. One hundred and four intertrochanteric fractures of the femur were stabilized by external fixation over an 8 year period. Complete fracture healing was detected in all patients within 11.2 weeks. Varus malunions a... |
0 | The cumulative long-term risk of dislocation after primary Charnley total hip arthroplasty | Management of Hip Fractures in the Elderly | BACKGROUND: A widely variable prevalence of dislocation after total hip arthroplasty has been reported, partly because of varying durations of follow-up for this specific end-point. The effect of demographic factors on the long-term risk of dislocation as a function of time after total hip arthroplasty is not well unde... |
0 | Early results of revision hip arthroplasty using a ceramic revision ball head | PJI DX Updated Search | In the case of a ceramic fracture or cup revision with exchange of the ceramic ball head on a used stem, there is always the danger of another ceramic fracture when using a standard ceramic ball head owing to a possibly damaged stem taper. The purpose of this study was to analyze the results of revision hip arthroplast... |
1 | Effects of arthroscopic partial meniscectomy on quadriceps strength: a systematic review | AMP (Acute Meniscal Pathology) | CONTEXT: Arthroscopic partial meniscectomy (APM) after meniscal tear has been widely accepted and associated with quick return to activity. Unfortunately, meniscectomy is associated with risk for knee osteoarthritis, which may be attributed to postsurgical quadriceps weakness. This has important implications, as the qu... |
0 | Lack of correlation between histologic findings and response to chemotherapy in metastatic breast cancer | MSTS 2018 - Femur Mets and MM | A retrospective analysis was undertaken to assess the prognostic role of histologic findings in response to chemotherapy and survival in patients with metastatic breast cancer. Histologic material was available for 395 of 1587 patients treated for metastatic breast cancer at the M.D. Anderson Cancer Center between 1973... |
0 | Special Considerations for Mohs Micrographic Surgery on the Eyelids, Lips, Genitalia, and Nail Unit | Reconstruction After Skin Cancer | Although skin cancers on the eyelids, lips, genitalia, and the nail unit are infrequent, some skin cancers can have higher recurrence rates in these anatomic locations. Intrinsic to Mohs micrographic surgery (MMS) is maximal tissue preservation and high cure rates, making it a worthwhile procedure for these sensitive a... |
0 | Occult cancer in specimens of reduction mammaplasty aimed at symmetrization. A multicentric study of 2718 patients | Reduction Mammoplasty for Female Breast Hypertrophy | Women who have undergone surgical treatment for breast cancer often benefit from a contralateral reduction mammaplasty (CRM) aimed at symmetrization of the contralateral breast unaffected by the initial cancer. In our 7-year multicentric study (12 centers) of 2718 patients, incidence of CRM cancers (CRMc) was 1.47% (n ... |
0 | Radius/ulna fracture repair | Distal Radius Fractures | Fractures of the radius and ulna are commonly encountered in the small animal population. Diaphyseal fractures are the most common location and are often repaired with the use of external fixators or a bone plate. Select patients, such as young large breed dogs, may be managed with external coaptation. Extremely proxim... |
0 | Efficacy and safety of tanezumab monotherapy or combined with non-steroidal anti-inflammatory drugs in the treatment of knee or hip osteoarthritis pain | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To evaluate whether subjects with knee or hip osteoarthritis (OA) pain on non-steroidal anti-inflammatory drugs (NSAIDs) received greater benefit when tanezumab monotherapy replaced or was coadministered with NSAIDs. METHODS: Subjects (N=2700) received intravenous tanezumab (5 or 10 mg) or placebo every 8 we... |
0 | Menstrual and reproductive factors and fracture risk: the Leisure World Cohort Study | Management of Hip Fractures in the Elderly | BACKGROUND: Because menopausal estrogen is related to the development of osteoporosis, we investigated the potential associations of the estrogen-related events of menarche, pregnancy, and menopause with fracture risk in a population-based, prospective study of older women. METHODS: The Leisure World Cohort was establi... |
0 | Predictors of a change and correlation in activities of daily living after hip fracture in elderly patients in a community hospital in Poland: A sixâ?쳌month prospective cohort study | Hip Fx in the Elderly 2019 | Objectives: The consequences of hip fractures (HFs) in elderly persons include a deterioration in functional capacity to perform activities that enable independent living. Since prior research into this issue in Central Europe is rather scant, this study sought to assess the change in activities and instrumental activi... |
0 | Mixed Reality in Visceral Surgery: Development of a Suitable Workflow and Evaluation of Intraoperative Use-cases | Upper Eyelid and Brow Surgery | OBJECTIVE: The paper evaluates the application of a mixed reality (MR) headmounted display (HMD) for the visualization of anatomical structures in complex visceral-surgical interventions. A workflow was developed and technical feasibility was evaluated. SUMMARY OF BACKGROUND DATA: Medical images are still not seamlessl... |
0 | Bone mineral density of the proximal femur and lumbar spine in glucocorticoid-treated asthmatic patients | Management of Hip Fractures in the Elderly | The importance of the proximal femur as a site of osteoporotic fractures, the development of techniques for bone mineral density (BMD) measurement at this site and the apparent selectivity of the osteopenic effects of glucocorticoids have focused attention on the assessment of proximal femoral BMD in steroid-treated su... |
0 | Total hip arthroplasty with an HPF stem: The radiological findings around the cementless anatomical-shape stem for developmental dysplasia of the hip | PJI DX Updated Search | Background: We developed the HPF stem to suit the Japanese femoral bone marrow canal in developmental dysplasia of the hip. This anatomical-shape cementless stem improves canal occupation by the lateral and anterior flares. We report the clinical performance of the stem and details of the change in the X-rays, especial... |
0 | Treatment of transverse patellar fractures: A comparison between metallic and non-metallic implants | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Several methods of transverse patellar fixation have been described. This study compares the clinical outcome and the occurrence of complications of various fixation methods. Sources of data: The databases PubMed,Web of Science, Science Direct, Google Scholar and Google were searched. Areas of agreement: ... |
1 | Congenital musculoskeletal malformation in South African Blacks: a study of incidence | Developmental Dysplasia of the Hip CPG | Ten thousand South African Black neonates were examined on the day after delivery for assessment of the frequency of congenital malformation of the musculoskeletal system. In 15 neonates it was found that the hip joints could be dislocated by the Ortolani or Barlow techniques. This instability persisted to 1 week of ag... |
0 | Five-Minute Five-Sequence Knee MRI Using Combined Simultaneous Multislice and Parallel Imaging Acceleration: Comparison with 10-Minute Parallel Imaging Knee MRI | AMP (Acute Meniscal Pathology) | Background Rapid knee MRI using combined simultaneous multislice (SMS) technique and parallel imaging (PI) acceleration can add value through reduced acquisition time but requires validation of clinical efficacy. Purpose To evaluate the performance of clinical fourfold SMS-PI-accelerated, 5-minute, five-sequence, multi... |
0 | An inflammation based score can optimize the selection of patients with advanced cancer considered for early phase clinical trials | MSTS 2022 - Metastatic Disease of the Humerus | Background: Adequate organ function and good performance status (PS) are common eligibility criteria for phase I trials. As inflammation is pathogenic and prognostic in cancer we investigated the prognostic performance of inflammation-based indices including the neutrophil (NLR) and platelet to lymphocyte ratio (PLR). ... |
0 | An evaluation of the potential cost reductions resulting from the use of clodronate in the treatment of metastatic carcinoma of the breast to bone | MSTS 2018 - Femur Mets and MM | The reported studies of clodronate in the management of osteolytic bone metastases suggest a significant palliative role for this drug. In this paper we report on analysis of the hospital costs associated with the management of osteolytic metastatic disease, and an estimate of the potential cost/benefit impact of clodr... |
0 | Centers for Disease Control and Prevention 2017 Guidelines for Prevention of Surgical Site Infections: Review and Relevant Recommendations | AAHKS (2) Corticosteroids | PURPOSE OF REVIEW: The associated patient morbidity and resource-intensive nature of managing surgical site infections (SSI) has focused attention toward not only improving treatment protocols but also enhancing preventative measures. The purpose of this review was to summarize the relevant updated CDC guidelines for t... |
0 | Control of arthritis pain with anti-nerve-growth factor: risk and benefit | OAK 3 - Non-arthroplasty tx of OAK | Arthritis is characterized by pain and inflammation. Recently, attention has been focused on nerve-growth factor (NGF), a neurotrophin that is a key regulator of peripheral nociception because it mediates overexpression of proinflammatory neuron-derived molecules such as substance P, serotonin, and calcitonin gene-rela... |
0 | Oral strategies to supplement older adults' dietary intakes: Comparing the evidence | HipFx Supplemental Cost Analysis | Despite the current global obesity crisis, undernutrition remains prevalent among older adultsworldwide. This review compares the efficacy of the main oral strategies used to increase older adults' energy and nutrient intakes, i.e., meal enhancement, multivitamin/multimineral supplementation and oral liquid nutrition s... |
0 | Comparative value of bone scintigraphy and radiography in monitoring tumor response in systemically treated prostatic carcinoma | MSTS 2018 - Femur Mets and MM | Radionuclide bone scans and skeletal radiographs were obtained before and during combination chemotherapy or initial hormonal treatment in 46 patients with disseminated adenocarcinoma of the prostate. The purpose of the study was to determine the usefulness of these two modalities in evaluating tumor response to therap... |
0 | Geriatric vision loss due to cataracts, macular degeneration, and glaucoma | Management of Hip Fractures in the Elderly | The major causes of impaired vision in the elderly population of the United States are cataracts, macular degeneration, and open-angle glaucoma. Cataracts and macular degeneration usually reduce central vision, especially reading and near activities, whereas chronic glaucoma characteristically attacks peripheral vision... |
0 | Three-dimensional reconstructed MRI of an acrylic meniscal cartilage phantom: The effect of acquisition slice thickness upon accuracy of volume measurement | AMP (Acute Meniscal Pathology) | The aim of this study was to determine the influence of slice thickness upon the accuracy of volume measurement taken from three-dimensional reconstructed magnetic resonance (MR) images. A pair of scaled meniscal cartilage phantoms (medial and lateral) were created from a low viscosity acrylic casting resin. The two ph... |
0 | Comparison between stem cells harvested from wet and dry lipoaspirates | Panniculectomy & Abdominoplasty CPG | Adipose-derived stem cells (ASC) are usually isolated from lipoaspirates, but it is not known if the anesthetic solution injected into adipose tissue affects cell yield and functions. Two different samples were drawn from the abdominal region of female subjects. In the first, a physiological solution containing lidocai... |
0 | Body contouring following massive weight loss resulting from bariatric surgery | Panniculectomy & Abdominoplasty CPG | A sharp increase in bariatric surgery has resulted in spike in the population of patients seeking body-contouring procedures. Skin and soft tissue redundancy of the trunk, buttocks, breasts, upper arms, and thighs following massive weight loss is unsightly and results in medical problems such as musculoskeletal strain ... |
0 | Walking on a compliant surface does not enhance kinematic gait asymmetries after unilateral total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To investigate gait asymmetries and the effect of walking on compliant surfaces in individuals with unilateral total knee arthroplasty (TKA), hypothesizing that asymmetries would increase as an effect of the compliant surface. METHODS: Individuals with unilateral TKA ~19 months post-operative (n = 23, medi... |
0 | A Novel Arthroscopic Classification of Degenerative Medial Meniscus Posterior Root Tears Based on the Tear Gap | OAK 3 - Non-arthroplasty tx of OAK | Background: Degenerative medial meniscus posterior root tears (MMPRTs) are reportedly associated with medial compartment osteoarthritis and meniscal extrusion with a displaced gap from the root insertion. However, degenerative MMPRTs have not yet been clearly classified according to arthroscopic findings. Purpose: To c... |
0 | Double venous system drainage in deep inferior epigastric perforator flap breast reconstruction: a single-surgeon experience | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Breast reconstruction with the deep inferior epigastric perforator (DIEP) flap has many advantages. The main drawback is the technical difficulty and risk of failure. Many flap failures are the result of venous insufficiency. The author explored the routine use of double venous system anastomosis in DIEP fl... |
1 | Does body mass index affect the outcome of unicompartmental knee replacement? | Surgical Management of Osteoarthritis of the Knee CPG | Background: Obesity is considered to be a contraindication for unicompartmental knee replacement (UKR). The aim was to study the impact of BMI on failure rate and clinical outcome of the Oxford mobile bearing UKR. Method: Two thousand four hundred and thirty-eight medial Oxford UKRs were studied prospectively and divid... |
0 | Physiotherapists' experiences with a blended osteoarthritis intervention: a mixed methods study | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: E-Exercise is an effective 12-week blended intervention consisting of around five face-to-face physiotherapy sessions and a web-based application for patients with hip/knee osteoarthritis. In order to facilitate effective implementation of e-Exercise, this study aims to identify physiotherapists' experien... |
0 | The Impact of Music and Noise-Cancellation on Sedation Requirements During Total Knee Replacement: A Randomized Controlled Trial | AAHKS (8) Anesthetic Infiltration | Background: Music has emerged as a well-received medical intervention. Patients may be uncomfortable during total joint replacement, which can result in high sedation requirements. These requirements place elderly patients at risk for delirium. This study compares the effect of noise-cancellation versus music medicine ... |
1 | Combined femoral and sciatic nerve block vs combined femoral and periarticular infiltration in total knee arthroplasty: a randomized controlled trial | AAHKS (9/10) Regional Nerve Blocks | This study tests the null hypothesis that there is no difference between sciatic nerve block (SNB) and periarticular anesthetic infiltration (PI) as adjuncts to femoral nerve blockade (FNB) in total knee arthroplasty in terms of postoperative opioid requirements. Fifty-two patients undergoing total knee arthroplasty we... |
0 | Salvage of contaminated fractures of the distal humerus with thin wire external fixation | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Fractures and osteotomies of the distal humerus that are contaminated or infected represent a difficult management problem. Stable anatomic fixation with plates and screws, the acknowledged key to a good result in the treatment of bicondylar fractures, may be unwise. A thin wire circular (Ilizarov) external fixator was... |
1 | Methods to increase response to postal and electronic questionnaires | SR for PM on OA of All Extremities | Background: Postal and electronic questionnaires are widely used for data collection in epidemiological studies but non-response reduces the effective sample size and can introduce bias. Finding ways to increase response to postal and electronic questionnaires would improve the quality of health research.Objectives: To... |
0 | Surgical difficulties encountered with use of modular endoprosthesis for limb preserving salvage of failed allograft reconstruction after malignant tumor resection | DoD LSA (Limb Salvage vs Amputation) | We reviewed outcomes and discussed surgical difficulties encountered in 10 patients who had modular endoprosthesis for limb preserving salvage of failed allograft reconstruction after malignant tumor resection. Mean allograft survival time before failure was 127.4 months (range, 14-264 months). Mean length of follow-up... |
0 | Trajectory of cartilage thickness change during the years prior to knee replacement: Data from the osteoarthritis initiative | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Knee replacement (KR) represents a clinically important and cost-effective endpoint of knee osteoarthritis (OA). We have shown previously that, in a year prior to KR, medial cartilage loss (measured quantitatively with MRI) was greater in knees with KR than in controls, who displayed the same (basel... |
0 | Carcinoma of Unknown Primary Mimicking Multiple Myeloma | MSTS 2018 - Femur Mets and MM | INTRODUCTION: Pathological fractures due to secondaries in the bone are common with carcinoma of lung, breast, prostate, and in multiple myeloma. Multiple pathological fractures after a trivial fall, indicating metastases warrants detailed investigations for the search of primary. Skeletal secondaries should be strongl... |
0 | Epidemiology of restricting back pain in community-living older persons | Management of Hip Fractures in the Elderly | OBJECTIVES: To estimate the incidence of back pain leading to restricted activity (restricting back pain) in community-living older persons and to characterize its descriptive epidemiology. DESIGN: Prospective cohort study. SETTING: Greater New Haven, Connecticut. PARTICIPANTS: Five hundred fifty nondisabled, community... |
0 | Physical activity and bone: May the force be with you | Hip Fx in the Elderly 2019 | Physical activity (PA) is thought to play an important role in preventing bone loss and osteoporosis in older people. However, the type of activity that is most effective in this regard remains unclear. Objectively measured PA using accelerometers is an accurate method for studying relationships between PA and bone and... |
0 | Comparing the effects of manual therapy versus electrophysical agents in the management of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | To evaluate the effectiveness of Manual Therapy in comparison to Electrophysical agents in Knee Osteoarthritis. Total 50 patients with knee osteoarthritis were recruited from OPD of orthopedics civil hospital and Institute Of Physical Medicine & Rehabilitation, Dow University of Health Sciences Karachi. All those patie... |
0 | Safety and efficacy of silicone rod frontalis suspension surgery for childhood ptosis repair | Upper Eyelid and Brow Surgery | Purpose: To evaluate the safety and efficacy of silicone rod frontalis suspension surgery for childhood ptosis. Methods: The authors retrospectively studied 89 consecutive children (110 eyelids) who had silicone rod frontalis suspension surgery for ptosis at Duke University Eye Center from 1983 to 2004. Marginal reflex... |
0 | Plasma bone-specific alkaline phosphatase as an indicator of osteoblastic activity | MSTS 2022 - Metastatic Disease of the Humerus | The total plasma alkaline phosphatase level has long been recognised as an indicator of osteoblastic activity, but lack of specificity makes it an insensitive index of the progress of disease and the response to treatment. Selective precipitation by wheatgerm lectin allows measurement of the plasma bone-specific alkali... |
0 | Safety and effectiveness of Kirschner wire and plate fixation for treating distal radial fracture in the elderly: A meta-analysis | Distal Radius Fractures | BACKGROUND: There are many ways for surgical treatment of distal radius fractures. Both volar locking plates and Kirschner wires are common methods. Doctors have considerable flexibility in the choice of the ways of fixation, but both at home and abroad there is no comparison between the effects of the two operations f... |
1 | Patients with prosthetic joints: are they at risk when receiving invasive dental procedures? | Dental Implant Infection | Most prosthetic joint infections (PJI) are due to wound contamination at the time of surgery. Some infections occur due to the hematogenous spread of bacteria from distant sites of infection. A review of the literature falls to associate PJI with transient bacteremias from invasive dental procedures. Several authors ha... |
0 | American Society of Hypertension, Inc. Twenty-Fifth Annual Scientific Meeting and Exposition | SR for PM on OA of All Extremities | The proceedings contain 354 papers. The topics discussed include: the cyclooxygenase inhibiting nitric oxide donator (CINOD) naproxcinod induces less increases in the 24-hour systolic blood pressure than naproxen and ibuprofen in patients with osteoarthritis and hypertension; administration-time-dependent effects of ra... |
0 | Transosseous suture fixation of proximal humeral fractures | Glenohumeral Joint OA | BACKGROUND: The optimal treatment of displaced fractures of the proximal part of the humerus remains controversial. We evaluated the long-term functional and radiographic results of transosseous suture fixation in a series of selected displaced fractures of the proximal part of the humerus.
METHODS: Over an eleven-year... |
0 | Analysis on hidden blood loss of total knee arthroplasty in treating knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total knee arthroplasty (TKA) is an important therapy for the treatment of various late-stage knee diseases. However, it has been observed that patients have lower hemoglobin (HB) counts postoperatively, which are significantly inconsistent with the measured blood loss. Although the concept of hidden blood ... |
0 | Adding pregabalin to a multimodal analgesic regimen does not reduce pain scores following cosmetic surgery: a randomized trial | Panniculectomy & Abdominoplasty CPG | PURPOSE: Multimodal analgesia increases the chance of successful discharge and pain control after surgery, and pregabalin is being promoted as an effective analgesic, based on placebo-controlled studies. We investigated whether adding pregabalin improved pain control and reduced opioid requests when it was added to a m... |
1 | The relationship between body mass index and the diagnosis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Increased weight and, more recently, body mass index (BMI), have been suggested as risk factors for carpal tunnel syndrome (CTS). In an effort to determine the relative risk (RR) of obesity in the development of CTS, 949 patients who had an evaluation of the right upper extremity that included motor and sensory conduct... |
0 | A 2-week, multicenter, randomized, double-blind, double-dummy, add-on study of the effects of titration on tolerability of tramadol/acetaminophen combination tablet in Korean adults with knee osteoarthritis pain | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Combined tramadol/acetaminophen is used to treat pain related to osteoarthritis. However, adverse events (AEs) leading to discontinuation can occur. Dose titration may decrease the risk for AEs. OBJECTIVE: The aim of this study was to assess the effect of tramadol/acetaminophen titration on the development ... |
0 | Intra-osseous pseudoaneurysm following curettage of an aneurysmal bone cyst | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Pseudoaneurysms secondary to bone tumours are rare and most of the reported cases are related to osteochondromas, either due to direct pressure or following surgery. Aneurysmal bone cysts are relatively common bony lesions usually treated by curettage. DISCUSSION: We describe an unusual case of pseudoaneury... |
0 | In Asian women undergoing total knee arthroplasty, lower leg morphology in those with rheumatoid arthritis differed from those with osteoarthritis | AMP (Acute Meniscal Pathology) | Objectives: This retrospective, single-center study aimed to compare leg morphology between patients with rheumatoid arthritis (RA) and those with osteoarthritis (OA) undergoing total knee arthroplasty (TKA). Methods: We enrolled 70 RA and 327 OA female patients undergoing TKA. Hip-knee-ankle angle (HKA), femorotibial ... |
0 | Evaluating quality of life outcomes following joint replacement: psychometric evaluation of a short form of the WHOQOL-Bref | OAK 3 - Non-arthroplasty tx of OAK | Purpose: Reducing participant burden is important in health research and clinical assessment. We examined the psychometric properties of the EUROHIS-QOL 8-item index, a short version of the 26-item World Health Organisation Quality of Life questionnaire (WHOQOL-Bref), in a sample of people receiving joint replacement s... |
0 | Survey of inappropriate use of magnetic resonance imaging | AMP (Acute Meniscal Pathology) | OBJECTIVE: There are concerns that not all costly advanced imaging is appropriate. However, studies about the appropriateness of magnetic resonance imaging (MRI) are sparse. The aim of this study was to review various MRI examinations done at a university hospital to determine whether there is inappropriate use.
METHOD... |
0 | Antimicrobial agents in the treatment of periodontal diseases: Special aspects on tetracycline and doxycyline | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Increasing evidence for the involvement of specific microorganisms in the etiology of human periodontal diseases has appeared during the last few years. The microorganisms most likely to cause periodontal disease are Actinobacillus actinomycetemcomitans, Bacteroides gingivalis, Bacteroides intermedius and Capnocytophag... |
0 | Reperfusion and compartment syndromes: strategies for prevention and treatment | DoD - ACS - Interrater Reliability | Reperfusion syndrome refers to the damage done by restoration of blood flow to ischemic tissues and is distinct from the original ischemic insult itself, whereas compartment syndrome refers to the damage resulting from increased pressure within an enclosed fascial compartment that occurs after blood flow has been resto... |
0 | Analgesic efficacy and safety of the combination of paracetamol and non-steroidal antiinflammatory drugs after elevtive hip surgery | AAHKS (4) Acetaminophen | INTERVENTION: Trade Name: Pinex Pharmaceutical Form: Capsule INN or Proposed INN: Paracetamol Other descriptive name: PARACETAMOL Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 500â? Pharmaceutical form of the placebo: Capsule Route of administration of the placebo: Oral use Trade ... |
1 | Entrapment neuropathies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Entrapment neuropathies are common but require precise electrodiagnostic evaluation for accurate diagnosis that excludes the possibilities of other disorders. Electrodiagnostic testing in carpal tunnel syndrome, ulnar neuropathy at the elbow, and thoracic outlet syndrome is reviewed. The potential for uncommon lesions ... |
0 | Association of the serotonin transporter gene-linked polymorphic region (5-HTTLPR) genotype with depression in elderly persons after hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVE: The authors examined the serotonin transporter gene-linked polymorphic region (5-HTTLPR) as a predictor of major depressive disorder and depressive symptoms after hip fracture, a common stressful medical event. METHODS: This was a prospective, observational study of 23 elderly rehabilitation-hospital patient... |
0 | Association of a Policy Mandating Physician-Patient Communication With Racial/Ethnic Disparities in Postmastectomy Breast Reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | Importance: With the stabilization of breast cancer incidence and substantial improvement in survival, more attention has focused on postmastectomy breast reconstruction (PBR). Despite its demonstrated benefits, wide disparities in the use of PBR remain. Physician-patient communication has an important role in disparit... |
0 | Immediate radial nerve palsy complicating fracture of the shaft of the humerus: when is early exploration justified? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A series of 59 patients with immediate complete radial nerve palsy complicating a fracture of the shaft of the humerus was analysed. In 27 patients the radial nerve was explored and the fracture was fixed within 3 weeks of the accident. In 12 other patients exploration was performed after an average of 17 weeks. The re... |
0 | Regional characteristics of cortical bone quality in the proximal humerus of postmenopausal women: a preliminary study | Distal Radius Fractures | BACKGROUND: Proximal humeral fractures represent the third most common fragility fracture treated in osteoporotic populations, after hip and distal radial fractures. The purpose of this study was to characterize the spatial variability in cortical geometry in the proximal humerus in postmenopausal women.
METHODS: The p... |
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