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1 | Cold intolerance after brachial plexus nerve injury | DoD PRF (Psychosocial RF) | BACKGROUND: The purpose of this study was to evaluate cold intolerance symptoms in patients with brachial plexus nerve injury. We hypothesized that higher levels of cold intolerance would be associated with more pain, greater disability, and unemployment. METHODS: Following research ethics board approval and patient co... |
0 | Failure of the uncoated titanium ProxiLock femoral hip prosthesis | Management of Hip Fractures in the Elderly | New prostheses should be evaluated for stability and clinical performance. In a prospective randomized clinical trial, we implanted 22 titanium (Ti) and 20 hydroxyapatite-coated (HA) ProxiLock femoral hip prostheses during total hip arthroplasty in 42 patients. The patients were followed for 24 months with clinical, ra... |
0 | The diagnostic value of somatosensory evoked potentials in the diseases of peripheral nervous system | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The mean latency value of somatosensory evoked potentials (SEP) recorded at the Erb's point, spinal and cortical level, was assessed in 20 normal subjects by percutaneous stimulation of the peripheral nerves (median, ulnar, superficial radial, tibial and peroneal). At the Erb's point and spinal cervical level, we disti... |
0 | Effects of TGF-β Overexpression via rAAV Gene Transfer on the Early Repair Processes in an Osteochondral Defect Model in Minipigs | Osteochondritis Dissecans 2020 Review | BACKGROUND: Application of the chondrogenic transforming growth factor beta (TGF-β) is an attractive approach to enhance the intrinsic biological activities in damaged articular cartilage, especially when using direct gene transfer strategies based on the clinically relevant recombinant adeno-associated viral (rAAV) v... |
0 | OARSI recommendations for the management of hip and knee osteoarthritis: Which treatments are being used? Audit of patients coming to arthroplasty in Scotland | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The Osteoarthritis Research Society International (OARSI) has recently published 25 recommendations for the treatment of OA of the hip and knee following a critical appraisal of existing guidelines, identification of a core set of recommendations, and a systematic review of the evidence for relevant therapies.... |
0 | Management of the Bariatric Patient. What Are the Implications of Obesity and Total Joint Arthroplasty: The Orthopedic Surgeon's Perspective? | OAK 3 - Non-arthroplasty tx of OAK | Background: Obesity in the United States has reached epidemic proportions. It is associated with multiple higher rates of osteoarthritis of the hip and knee and thus an increasing need for total hip and knee arthroplasty. The demand for total joint arthroplasty among obese patients has increased and outpaces that of a ... |
1 | Open reduction and bioabsorbable pin fixation for late presenting irreducible supracondylar humeral fracture in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The objective was to evaluate the availability and efficacy of internal fixation with absorbable poly-D: ,L: -lactic acid (PDLLA) pins for the treatment of late presenting irreducible Gartland type III supracondylar fracture of the humerus in children. Fifty-six cases of late presenting irreducible Gartland type III su... |
0 | Striking a balance between bleeding and thrombotic tendencies for surgery | Surgical Management of Osteoarthritis of the Knee CPG | Case: A 69-year-old Caucasian lady with osteoarthritis presented prior to knee arthroplasty with prolonged prothrombin time (PT) of 26 s (INR 2.4) and activated partial thromboplastin time (aPTT) of 92.1 s. History revealed easy bruising and menorrhagia since menarche requiring transfusion. She had two pregnancies deli... |
0 | Occupational repetitive strain injury | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Repetitive strain injuries include a group of disorders that most commonly develop in workers using excessive and repetitious motions of the neck and upper extremity. A careful occupational history, physical examination and specific diagnostic maneuvers can help distinguish these musculoskeletal injuries from rheumatol... |
0 | Neurophysiologic intraoperative monitoring of somatosensory evoked potentials to detect neurologic injuries due to patient positioning | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION AND OBJECTIVES: To determine if intraoperative somatosensory evoked potential (SSEP) monitoring may detect and prevent upper and lower extremity peripheral positioning related neuropathies in high risk urologic patients. METHODS: 64 patients underwent urethral reconstruction and intraoperative neuromonitor... |
0 | Urinary calculi in hypercalcemic states | MSTS 2018 - Femur Mets and MM | In this brief review of various hypercalcemic disorders and the likelihood of renal calculus formation, it is clearly evident that renal calculi occur much more often in hyperparathyroidism than in the other hypercalcemic states. Dystrophic calcification and nephrocalcinosis are common to all of the hypercalcemic disor... |
0 | Expression and significance of MMP3 in synovium of knee joint at different stage in osteoarthritis patients | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate the expression and significance of MMP-3 in synovium of knee joint at different stage in osteoarthritis (OA) patients.
METHODS: Knee synovial tissue were collected in 90 OA patients (the OA group). Patients in the OA group was divided into 3 subgroups: grade I subgroup (n=30), grade II subgrou... |
1 | Experience with cortical tunnel fixation in endoscopic brow lift: The "bevel and slide" modification | Upper Eyelid and Brow Surgery | Background: Endoscopic brow lift has become a popular method for rejuvenation of the upper third of the face and in the treatment of functional brow ptosis. Controversy, however, remains over the optimum technique for the fixation of the forehead and brow. This paper presents a single surgeon's experience with a techni... |
0 | An electron microscope study of chronic median nerve compression in the guinea pig | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In guinea pigs with chronic median nerve compression at the wrist the electron microscopic changes at the level of the lesion and both proximal and distal to it were studied. At the level of the lesion in animals with prolonged motor latency there was a loss of large myelinated fibers. Remaining large fibers had dispro... |
0 | Effect of head diameter on passive and active dynamic hip dislocation | Developmental Dysplasia of the Hip 2020 Review | Hip dislocation is a major short-term complication after total hip arthroplasty (THA). One factor thought to reduce the risk for dislocation is head size. We constructed subject-specific computer models to study the effect of head size on risk for postoperative dislocation. Femoral and acetabular geometry was construct... |
0 | Evaluation of maslinic acid with whole-body vibration training in elderly women with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Maslinic acid (MA) is a component derived from a natural olive-based extract known to have pharmacological functions that include suppressing inflammation. This study examined how MA, in conjunction with whole-body vibration training (WBVT), can improve knee and muscle function in elderly women with knee osteo... |
0 | Precise proximal femur fracture classification for interactive training and surgical planning | Hip Fx in the Elderly 2019 | Purpose: Demonstrate the feasibility of a fully automatic computer-aided diagnosis (CAD) tool, based on deep learning, that localizes and classifies proximal femur fractures on X-ray images according to the AO classification. The proposed framework aims to improve patient treatment planning and provide support for the ... |
0 | Obstetric Brachial Plexus Injuries | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Obstetric brachial plexus lesions (OBPLs) are typically caused by traction to the brachial plexus during labor. The incidence of OBPL is about 2 per 1000 births. Most commonly, the C5 and C6 spinal nerves are affected. The prognosis is generally considered to be good, but the percentage of children who have residual de... |
0 | Interpretation of lumbar spine densitometry in women with fractures | Management of Hip Fractures in the Elderly | Identification of postmenopausal women at risk of developing osteoporotic fractures is a major clinical problem. In this study the use of projected planar lumbar bone density values for individual fracture risk assessment was questioned. Osteodensitometry (DXA) results from 415 normal women, 62 women with previous vert... |
0 | Obesity is no longer a risk factor for dislocation after total hip arthroplasty with a double-mobility cup | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: Dislocation is one of the most feared complications after total hip arthroplasty (THA). This risk is greater in obese patients compared with the general population. METHODS: We performed a retrospective cohort study in which the main objective was to compare the dislocation rate between obese patients (BMIâ??>... |
0 | A qualitative study on overuse injuries: The beliefs of athletes and coaches | DoD PRF (Psychosocial RF) | Objectives: Preventive approaches for overuse injuries in sports will be more successful when synchronised with athletesâ?? and coachesâ?? beliefs. We interviewed athletes and coaches in order to better characterize their beliefs about the definition of an overuse injury, as well as the intrinsic and extrinsic risk fac... |
0 | Quality of life and cost-effectiveness of acupuncture treatment in patients with osteoarthritis pain | OAK 3 - Non-arthroplasty tx of OAK | To assess quality of life (QoL), costs, and costâ?effectiveness of acupuncture treatment plus routine care versus routine care alone in osteoarthritis patients, a randomised, controlled trial was conducted in 255 general practices in Germany. Four hundred and eightyâ?nine patients with chronic pain due to osteoarthri... |
0 | Changes in oxygen saturation in the 72 hours after hip surgery: the effect of oxygen therapy | Hip Fx Time to Surgery | The aim of this study was to investigate changes in oxygen saturation (SpO2) occurring during the three days following hip surgery in patients in this hospital and to determine to what extent SpO2 might be improved by oxygen therapy for 24 or 72 hours. Eighty-three patients (aged 43-96 years) scheduled for elective tot... |
0 | Patient preferences before and after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Patients before total joint arthroplasty vary in the spectrum and importance of their concerns. The objectives of this study were to evaluate the psychometric properties of the Knee Patient-Specific Index (KPSI) and to determine the type and importance of patients' concerns before and after knee arthroplasty... |
0 | Development and clinical application of meniscal unicompartmental arthroplasty | AMP (Acute Meniscal Pathology) | About one-third of osteoarthritic patients requiring knee replacement have focal lesions limited mainly to the medial compartment and can achieve excellent postoperative function after medial unicompartmental replacement. However, late failures of many unicompartmental prostheses require revision at a rate about twice ... |
0 | Severity of vertebral fracture and risk of hip fracture: A nested case-control study | Management of Hip Fractures in the Elderly | Summary: Severe vertebral fractures strongly predicted subsequent hip fracture in this population-based study. Such high-risk patients should be provided with clinical evaluation and care for osteoporosis. Introduction: Vertebral fractures are commonly osteoporotic and known to predict hip fracture. The aim of this stu... |
0 | Femoral metastases from carcinoma of the breast. Pathological and clinical aspects | MSTS 2018 - Femur Mets and MM | In long bone metastases from breast carcinoma, the femur is the bone most frequently involved. Osteolysis is brought about by the osteoclasts, by the neoplastic cells themselves, and to some extent by autolysis of the osseous tissue adjacent to the metastasis. When the metastases are asymptomatic, radiotherapy and anti... |
0 | Are clinical outcomes affected by type of plate used for management of mid-shaft clavicle fractures? | DoD SSI (Surgical Site Infections) | BACKGROUND: Open reduction and internal fixation (ORIF) using plate osteosynthesis for midshaft clavicle fractures is often complicated by the prominence of the implant due to the subcutaneous position of the clavicle. Reoperation rates for symptomatic clavicle plate removal have been reported to be as high as 53%. We ... |
0 | The painful prostheses in the treatment of hallux rigidus | Surgical Management of Osteoarthritis of the Knee CPG | Introduction The degenerative joint disease of the hallux rigidus in the advanced stage has always been a challenge in surgical treatment. Over the years there have been several proposals of joint replacement surgical techniques with the aim of relieving pain, correcting deformity and maintaining a degree of motion. We... |
1 | Circulating levels of adiponectin, resistin, and visfatin after mud-bath therapy in patients with bilateral knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Adipocytokines, including adiponectin, resistin, and visfatin may play an important role in the pathophysiology of osteoarthritis (OA). Spa therapy is one of the most commonly used non-pharmacological approaches for OA, but its mechanisms of action are not completely known. The aim of the present study was to assess wh... |
0 | Dorsally displaced extra-articular distal radius fractures fixation: Dorsal IM nailing versus volar plating. A randomized controlled trial | Management of Hip Fractures in the Elderly | INTRODUCTION: Fractures of the distal radius are very common and mainly occur in the elderly. There has been an increasing use of locked volar plate fixations which report satisfactory results. However, some authors advocate the use of nail fixation. HYPOTHESIS: The aim of this study is to compare dorsal nail plate ver... |
0 | The pathophysiology of skeletal muscle ischemia and the reperfusion syndrome: a review | DOD - Acute Comp Syndrome CPG | There are two components to the reperfusion syndrome, which follows extremity ischemia. The local response, which follows reperfusion, consists of limb swelling with its potential for aggravating tissue injury and the systemic response, which results in multiple organ failure and death. It is apparent that skeletal mus... |
0 | Relationship between the area of isopters and Vigabatrin dosage during two years of observation | Upper Eyelid and Brow Surgery | BACKGROUND: The aim of the study was to evaluate the relationship between the area of isopters obtained using semi-automated kinetic perimetry (SKP) and Vigabatrin dosage in epilepsy patients with pretreatment baseline examination during 2-years of the follow-up. METHODS: 29 epilepsy patients were included into the stu... |
0 | Local Hematoma Block as Postoperative Analgesia in Pediatric Supracondylar Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Purpose: Supracondylar humerus fracture (SHF) is the most common type of fracture in children. The aim of this study was to evaluate the efficacy of local hematoma block with 0.25% bupivacaine as postoperative pain control in patients with pediatric SHF who underwent closed reduction pin fixation. Methods: We performed... |
0 | Variation in orthopedic surgeons' perceptions of the indications for and outcomes of knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To determine the agreement among orthopedic surgeons' indications for knee replacement, their perceptions of the usefulness of various treatments for osteoarthritis of the knee and their expected outcomes of knee replacement, and to determine the relation between these opinions and the number of knee replace... |
0 | External fixation of the distal radius. A biomechanical study | Distal Radius Fractures | External fixation is a useful method of treating unstable fractures of the distal radius. There is a lack of information regarding the behaviour of mini-fixation systems, particularly under cyclical loading, which would be expected to occur at the wrist. This laboratory study was designed to investigate the mechanical ... |
0 | Apoptosis and mitochondrial dysfunction in human chondrocytes following exposure to lidocaine, bupivacaine, and ropivacaine | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Several mechanisms have been proposed to explain toxicity of local anesthetics to chondrocytes, including the blockade of potassium channels and mitochondrial injury. The purposes of this investigation were to study the effects of lidocaine, bupivacaine, and ropivacaine on human chondrocyte viability and mi... |
1 | Bibliometric and visualization analysis of stem cell therapy for meniscal regeneration from 2012 to 2022 | AMP (Acute Meniscal Pathology) | <b>Background:</b> Meniscus injuries, a common joint disease caused by long-term wear, trauma and inflammation, usually cause chronic dysfunction and pain in the joint. Current clinical surgeries mainly aim to remove the diseased tissue to alleviate patient suffering instead of helping with meniscus regeneration. As an... |
0 | Limb salvage surgery | DoD LSA (Limb Salvage vs Amputation) | The threat of lower limb loss is seen commonly in severe crush injury, cancer ablation, diabetes, peripheral vascular disease and neuropathy. The primary goal of limb salvage is to restore and maintain stability and ambulation. Reconstructive strategies differ in each condition such as: Meticulous debridement and early... |
0 | Patellar clunk syndrome in patellofemoral arthroplasty - A case report | Surgical Management of Osteoarthritis of the Knee CPG | Patellar clunk syndrome is characterised by the formation of a fibrous nodule at the articular side of junction of superior pole of patella and the quadriceps tendon. Until now, it is only described in posterior cruciate substituting total knee replacements. We report the patellar clunk syndrome in a lady with patellof... |
0 | Surgical treatment of hepatic oligometastatic pancreatic ductal adenocarcinoma: An analysis of the National Cancer Database | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Patients with liver-only metastatic pancreatic adenocarcinoma have traditionally been offered palliative chemotherapy alone. Recent studies have explored the role of surgical resection among patients with limited metastatic disease. National practice patterns and the impact of surgery among these patients r... |
0 | "A novel in vivo model for the study of human breast cancer metastasis using primary breast tumor-initiating cells from patient biopsies" | MSTS 2018 - Femur Mets and MM | BACKGROUND: The study of breast cancer metastasis depends on the use of established breast cancer cell lines that do not accurately represent the heterogeneity and complexity of human breast tumors. A tumor model was developed using primary breast tumor-initiating cells isolated from patient core biopsies that would mo... |
0 | Current concepts review - fractures of the shaft of the humerus | MSTS 2022 - Metastatic Disease of the Humerus | Fractures of the shaft of the humerus are common injuries. Historically, the treatment of choice has been functional bracing. Recent technical advances such as angular stable plate and nail constructs lead to a shift in the treatment algorithm for this type of fracture. Surgical treatment is recommended in high grade o... |
0 | Surgical margins in cutaneous melanoma (2 cm versus 5 cm for lesions measuring less than 2.1-mm thick): long-term results of a large European multicentric phase III study | Reconstruction After Skin Cancer | BACKGROUND. This study addressed the question of whether limited surgery for primary malignant melanoma with a 2-cm margin is as good as a 5-cm margin. An update of a 16-year follow-up is provided. METHODS. Nine European Centers, over a period of 5 years, prospectively randomized 337 patients with melanoma measuring le... |
0 | The effect of rotational fixation error of the tibial cutting guide and the distance between the guide and the bone on the tibial osteotomy in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Computed tomography based computer simulation studies were made on fifty consecutive patients with osteoarthritis scheduled for TKA. Proximal tibial cutting was simulated with the cutting guide placed at different rotational errors (-10 degrees , 0 degrees , 10 degrees and 20 degrees of internal rotation) and different... |
0 | The effect of centrifugal forces on viability of adipocytes in centrifuged lipoaspirates | Panniculectomy & Abdominoplasty CPG | Standard protocols for autologous fat transfer involve centrifugation of the lipoaspirate for better separation. The effect of the centrifugal forces on cell viability and possible induction of apoptosis is discussed controversially in current literature. We have examined the vitality of adipocytes in lipoaspirates aft... |
0 | Quality of care for individuals with osteoarthritis: a longitudinal study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: The objectives of this paper were to investigate quality of care for individuals with osteoarthritis (OA) and to determine if those most in need had the outcome of a total joint replacement (TJR). Key quality indicators were involvement in treatment decisions, appropriate information provision and outcomes ... |
0 | Efficacy of buprenorphine added to 2% lignocaine plus adrenaline 1: 80,000 in providing postoperative analgesia after lower third molar surgery | Dental Implant Infection | A number of trials have examined the peripheral analgesic effect of opioids, known to have an anti-nociceptive effect at the central and/or spinal cord level. This study aimed to evaluate the efficacy of buprenorphine added to 2% lignocaine with adrenaline 1:80,000 in providing postoperative analgesia after lower third... |
1 | Screw elastic intramedullary nail for the management of adult forearm fractures | Distal Radius Fractures | BACKGROUND: The failure of the conventional nailing of both forearm bones or isolated fractures of radius and ulna pose a potential problem of nail migration and rotational instability, despite the best reduction. The purpose of this paper is to evaluate the results of screw elastic intramedullary nail for the treatmen... |
0 | Common athletic injuries in adolescent girls | DOD - Acute Comp Syndrome CPG | Teenaged girls constitute the fastest growing segment of children and adolescents participating in organized athletics. Adolescent girls appear to have similar injury rates as boys in comparable activities but different injury patterns. To properly diagnose and manage athletic injuries in adolescent girls, pediatric he... |
0 | Coexistence of dissimilar metals after conversion of intertrochanteric osteotomy to total hip arthroplasty. 18 patients followed for 5-20 years after conversion | Management of Hip Fractures in the Elderly | Extraction of an internal fixation device during the conversion of a failed intertrochanteric osteotomy to a total arthroplasty (THR) may lead to excessive trauma of the femoral shaft. In an attempt to bypass this risk, we performed THR leaving the old osteosynthetic material (straight plates and screws) in 10 of 48 pa... |
0 | The Birmingham Hip Resurfacing: 5-year clinical and radiographic results from a District General Hospital | Management of Hip Fractures in the Elderly | We prospectively examined the functional and radiographic outcomes of a serial cohort of 104 Birmingham Hip Resurfacings in an independent centre. Final follow-up was to a mean of 61 months, and six cases were lost to follow-up. Excellent results were obtained in 91%, but obese patients had significantly (p < 0.03) poo... |
0 | Lower limb fractures in the chronic spinal cord injured patient | Management of Hip Fractures in the Elderly | Experience in managing 33 lower limb fractures in 25 chronic spinal injured patients is described. An increased awareness among patients and medical staff is required to avoid misdiagnosis. Effort should be made to ensure bone union in satisfactory position, recognising the different requirements of ambulant and non-am... |
0 | CT manifestations of coronavirus disease-2019: A retrospective analysis of 73 cases by disease severity | Coronavirus Disease 2019 (COVID-19) | PURPOSE: To report CT features of coronavirus disease-2019 (COVID-19) in patients with various disease severity. METHODS: The CT manifestations and clinical data of 73 patients with COVID-19 were retrospectively collected in 6 hospitals from Jan 21 to Feb 3, 2020. We analyzed the initial and follow-up CT features of pa... |
0 | Weight-training injuries in children and adolescents | AMP (Acute Meniscal Pathology) | Thousands of children and adolescents participate in weight lifting for recreation or as a means of training for sports. Weight lifting can cause serious musculoskeletal injuries, such as ruptured intervertebral discs, spondylolysis and spondylolisthesis, fractures and meniscal injuries of the knee. Deaths related to w... |
1 | Patellofemoral osteoarthritis 15 years after anterior cruciate ligament injury--a prospective cohort study | Anterior Cruciate Ligament Injuries CPG | OBJECTIVE: Prevalence and clinical relevance of patellofemoral (PF) osteoarthritis (OA) after anterior cruciate ligament (ACL) injury. METHOD: Prospectively we studied 94 out of 100 consecutive patients 15 years after acute ACL injury. ACL reconstructions were only performed late if recurrent "give way" persisted or a ... |
0 | Fat transposition with a single subdermal stitch for the treatment of deep tear trough | Upper Eyelid and Brow Surgery | GOAL: To describe a fixation technique of the medial and central fat pads in the subperiosteal pocket for transconjunctival fat transposition, using a single subdermal, non-removable, non-absorbable stitch. MATERIALS AND METHODS: Retrospective study of 19 patients with bilateral deep tear through treated by means of tr... |
0 | Adipofascial turn-over flap based on perforators of the dorsalis pedis for resurfacing forefoot defects: an anatomic and clinical approach | DoD LSA (Limb Salvage vs Amputation) | The aim of this study is to stress the possibility of harvesting a more sizable adipofascial turn-over flap based on the perforators of the dorsalis pedis artery than previously described. This flap can resurface the most distal dorsal defects of the forefoot, and the posttraumatic distal amputation of the forefoot, as... |
0 | Autologous osteochondral transplantation for treatment of cartilage defects in osteoarthritic knee: Preliminary results | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Osteoarthritis is a contributing factor for pain and loss of function of the knee. Osteoarthritis results in many damages to the knee; one of the most common damages that is difficult to recover is cartilage injury. This study aims to apply autologous osteochondral transplantation (OAT) under knee arthros... |
0 | The value of manipulation of displaced distal radius fractures in the emergency department | Distal Radius Fractures | The aim of this study was to report the success of maintaining reduced distal radius fractures with cast immobilisation and analyse risk factors for redisplacement. A retrospective analysis of distal radius fracture manipulated between April 2011 and 2013 was conducted. Age, gender, fracture classification, ulna fractu... |
0 | Impact of mandibular two-implant retained overdentures on life quality in a group of elderly Turkish edentulous patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of the study was to examine the influence of mandibular two-implant retained overdentures on life quality of elderly Turkish patients. The study population comprised 78 edentulous complete denture wearers (aged 65-82) seeking implant-retained mandibular overdentures at Istanbul University, Turkey. Every patient... |
0 | Neurologist care in Parkinson disease: A utilization, outcomes, and survival study | HipFx Supplemental Cost Analysis | Objective: To investigate the utilization of neurologist providers in the treatment of patients with Parkinson disease (PD) in the United States and determine whether neurologist treatment is associated with improved clinical outcomes. Methods: This was a retrospective observational cohort study of Medicare beneficiari... |
0 | Could Music be an Alternative to Sedation in Patients Treated Total Knee Arthroplasty With Regional Anesthesia? | AAHKS (4) Acetaminophen | 1. Introduction Patients generally experience high levels of anxiety when are hospitalized to undergo surgery and other invasive procedures. Anxiety is an emotional state or condition characterized by stress and unpleasant feelings. Awake patients in the operating theatre are afraid of they will feel pain during the su... |
0 | A retrospective review of high-energy femoral neck-shaft fractures | DOD - Acute Comp Syndrome CPG | OBJECTIVES: To determine the incidence of femoral neck fractures with high-energy shaft fractures and to determine whether there was a correlation of neck fractures with antegrade or retrograde intramedullary nailing. We also evaluated the timing of diagnosis and the treatment options and outcomes. DESIGN AND SETTING: ... |
0 | Surgical treatment of proximal ulna nonunion | DoD SSI (Surgical Site Infections) | We reviewed our experience in the surgical treatment of 12 cases of proximal ulna nonunion. The primary injuries were 2 fracture-dislocations of the olecranon, 6 Monteggia lesions and 3 isolated fractures of the proximal ulna. According to the type of primary injury and its anatomical site, the nonunions were classifie... |
1 | Surgical Site Infection In Orthopaedic Surgery: Correlation Between Age, Diabetes, Smoke And Surgical Risk | DoD SSI (Surgical Site Infections) | INTRODUCTION: Surgical site infection is a common complication after orthopaedic surgery. It can be associated with increased morbidity rate and social cost. The accurate identification of risk factors is essential so that strategies to prevent these potentially devastating infections can be developed. We have conducte... |
0 | Playing-related Injury in Guitarists Playing Popular Music | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Playing a musical instrument involves the repetitive use of muscles, often at their extreme range of motion. Consequently, musicians in general are at an increased risk for the development of pain syndromes related to nerve or musculoskeletal damage. Acoustic and electric guitars are among the most popular instruments ... |
0 | Fractures attributable to osteoporosis: Report from the national osteoporosis foundation | HipFx Supplemental Cost Analysis | To assess the cost-effectiveness of interventions to prevent osteoporosis, it is necessary to estimate total health care expenditures for the treatment of osteoporotic fractures. Resources utilized for the treatment of many diseases can be estimated from secondary databases using relevant diagnosis codes, but such code... |
0 | Perioperative solutions for rapid recovery joint arthroplasty: get ahead and stay ahead | AAHKS (2) Corticosteroids | Rapid recovery after total joint arthroplasty requires patients to get ahead and stay ahead or the four impediments to early rehabilitation and discharge: volume depletion, blood loss, pain, and nausea. Adequate volume resuscitation starts before entering the operating room and focuses on intravenous fluids rather than... |
0 | Spacer-Based Gap Balancing in Total Knee Arthroplasty: Clinical Success with a Reproducible Technique | OAK 3 - Non-arthroplasty tx of OAK | Proper coronal and transverse ligament balancing is an important aspect of total knee arthroplasty (TKA) and has an impact on postoperative outcome. Many variations of the gap balancing technique were described to address this challenge, most of them using various tensioning devices, but none for which the use is wides... |
0 | Tumescent Anesthesia: Evolution and Current Uses | Panniculectomy & Abdominoplasty CPG | The tumescent technique of local anesthesia is one of the great techniques developed in the last 20 years. It has dramatically changed the way clinicians perform many cutaneous surgical procedures. Those that use the technique are forever grateful for the insight that Dr. Jeffrey Klein used to push the envelope and dis... |
0 | Nitroglycerin Ointment for Reducing the Rate of Mastectomy Flap Necrosis in Immediate Implant-Based Breast Reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Mastectomy flap necrosis remains a challenging complication in immediate tissue expander breast reconstruction. Nitroglycerin ointment has been shown to reduce the incidence of mastectomy flap necrosis in a randomized controlled study, using 45 g per breast and treating one side only in bilateral cases. Thi... |
0 | Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature | Distal Radius Fractures | Few studies on the anatomy of the radial epiphysis have been published in the past 10 years. However, with the availability of new intra- and extra-medullary implants and the recent rash of avoidable iatrogenic injuries, now is the time for a more detailed description of the metaphyseal-epiphyseal regions in the distal... |
0 | Hope and psychological health and well-being following spinal cord injury | DoD PRF (Psychosocial RF) | OBJECTIVE: Several studies of people with spinal cord injury (SCI) have indicated that high levels of hope are linked with better adjustment, but none has assessed the extent to which hope predicts change in adjustment over time. This study examines the effect of hope assessed within the first months post-SCI onset on ... |
1 | Hip Muscle Strengthening for Knee Osteoarthritis: A Systematic Review of Literature | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND PURPOSE: Osteoarthritis (OA) of the knee joint results in chronic pain and functional decline among older adults. Hip muscle weakness has been observed in persons with knee OA and is claimed to increase the medial compartment loading on the knee joint. Although individual studies are available, no review... |
0 | Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures | Distal Radius Fractures | The aim of the study was to investigate the effects of early manual therapy on function, pain, range of motion (ROM), hand and pinch grip strength and disability level in patients underwent volar plating after distal radius fracture (DRF). Patients were randomly divided into two groups: Routin Physiotherapy (RP) or Ear... |
0 | When should we do knee replacements? | Surgical Management of Osteoarthritis of the Knee CPG | It is not known whether it is better to perform total knee replacements early or late in the course of arthritis. To examine the determinants of patient-related outcomes after knee replacement, we examined 812 patients in the Avon knee registry, in whom pre-operative and 5-year post-operative American Knee Society Scor... |
1 | Outcomes of carpal tunnel release in diabetic and non-diabetic patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To investigate the postoperative prognosis of carpal tunnel syndrome (CTS) in diabetic patients compared with non-diabetic patients. MATERIAL AND METHODS: The outcomes of 22 diabetic patients were compared with those of 25 non-diabetic patients undergoing surgery by the open release method for CTS. Analysis ... |
0 | Management of open tibial fractures | DoD SSI (Surgical Site Infections) | A prospective study was undertaken to accurately classify open tibial fractures and to evaluate the benefit of muscle flaps in the management of these injuries. From 191 open tibial fractures, 59 type III and 14 type IV open fractures were identified and managed prospectively. Fractures managed with open-wound techniqu... |
0 | Biological Effects of Anti-Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) Antibody Formation in Patients Treated with GM-CSF (Sargramostim) as Adjuvant Therapy of Melanoma | Reconstruction After Skin Cancer | Objectives: We investigated the development of binding and neutralizing antibodies to granulocyte-macrophage colony-stimulating factor (GM-CSF) in patients receiving prolonged therapy with GM-CSF as adjuvant therapy of melanoma and the impact of these antibodies on biological effects. Methods: Fifty-three patients with... |
1 | Arthroscopic meniscectomy for degenerative meniscal tears reduces knee pain but is not cost-effective in a routine health care setting: a multi-center longitudinal observational study using data from the osteoarthritis initiative | AMP (Acute Meniscal Pathology) | OBJECTIVES: It is disputed whether arthroscopic meniscectomy is an (cost-) effective treatment for degenerative meniscus tears in day-to-day clinical practice. The objective of this study was to assess the cost-effectiveness of arthroscopic meniscectomy in subjects with knee osteoarthritis, in routine clinical practice... |
1 | Prolonged operative time increases infection rate in tibial plateau fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: Fractures of the tibial plateau present a treatment challenge and are susceptible to both prolonged operative times and high postoperative infection rates. For those fractures treated with open plating, we sought to identify the relationship between surgical site infection and prolonged operative time as we... |
0 | Basic science and surgical treatment options for articular cartilage injuries of the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The complex structure of articular cartilage allows for diverse knee function throughout range of motion and weight bearing. However, disruption to the structural integrity of the articular surface can cause significant morbidity. Due to an inherently poor regenerative capacity, articular cartilage defects present a tr... |
0 | Identification of serological biomarker profiles associated with total joint replacement in osteoarthritis patients | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Establish a biomarker panel associated with all-cause total joint replacement (TJR) through identification of patients with osteoarthritis (OA) who do or do not progress to TJR and investigate effects of nonsteroidal anti-inflammatory drugs (NSAIDs).
DESIGN: Serum samples from patients enrolled in phase III ... |
0 | A microneurovascular TRAM flap does not compromise abdominal sensibility more than a conventional one | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Classic abdominoplasty for a transverse rectus abdominis musculocutaneous (TRAM) flap breast reconstruction impairs abdominal somatosensory function at the donor site. The aim of this study was to investigate whether the type of surgical procedure has an effect on somatosensory alterations of abdominal skin... |
0 | Anterior inferior plating versus superior plating for clavicle fracture: a meta-analysis | DoD SSI (Surgical Site Infections) | BACKGROUND: The position of plate fixation for clavicle fracture remains controversial. Our objective was to perform a comprehensive review of the literature and quantify the surgical parameters and clinical indexes between the anterior inferior plating and superior plating for clavicle fracture.
METHODS: PubMed, EMBAS... |
0 | Laser lipolysis: Flaccidity under control | Panniculectomy & Abdominoplasty CPG | An innovative liposuction technique using a laser device is presented. It is a precise method, less traumatic than the conventional one. The interaction between the laser and the adipocyte causes lipolysis with reduced bleeding and its effect on collagen tone promotes collagen retraction and skin shrinkage. The results... |
0 | An epidural steroid injection in the 6 months preceding a lumbar decompression without fusion predisposes patients to post-operative infections | AAHKS (2) Corticosteroids | Background: To determine if the timing of a lumbar epidural steroid injection (LESI) effects rates of post-operative infection in patients receiving a non-fusion lumbar decompression (LDC) due to degenerative disc disease (DDD). Lumbar pain due to DDD can frequently be temporized or definitively treated with epidural i... |
0 | Single dose oral diflunisal for acute postoperative pain in adults | SR for PM on OA of All Extremities | Background: Diflunisal is a long-acting non-steroidal anti-inflammatory drug (NSAID) most commonly used to treat acute postoperative pain or chronic joint pain from osteoarthritis and rheumatoid arthritis. This review analyses the effectiveness and harm of different doses of diflunisal in the context of moderate to sev... |
0 | Regional variation in the incidence of hip fracture in New Zealand | Management of Hip Fractures in the Elderly | AIM: To determine the regional incidence of hip fracture among individuals aged 60 years or older in New Zealand. METHODS: New Zealand Health Information Service inpatient morbidity data for the years 1988-92 were examined by area health board region to identify all hip fractures (ICD N820) among individuals aged 60 ye... |
0 | Intra-articular injections for osteoarthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | If usual medical measures fail to control the pain of knee osteoarthritis and allow the patient to cope with its symptoms, intra-articular injections of a corticosteroid, a hyaluronan, or both can be tried |
0 | Does cryotherapy affect intraarticular temperature after knee arthroscopy? | AMP (Acute Meniscal Pathology) | Cryotherapy is a common modality used after arthroscopic procedures. The current authors investigated whether regions deeper than the lateral gutter experience similar temperature reductions with cryotherapy, supporting a more global temperature effect on the synovium. Thermocouple probes were arthroscopically placed i... |
0 | The Value of Phenotypes in Knee Osteoarthritis Research | AMP (Acute Meniscal Pathology) | BACKGROUND: Over the past decade, phenotypes have been used to help categorize knee osteoarthritis patients relative to being subject to disease, disease progression, and treatment response. A review of potential phenotype selection is now appropriate. The appeal of using phenotypes is that they most rely on simple phy... |
1 | Psychological distress among black and white Americans: differential effects of social support, negative interaction and personal control | DoD PRF (Psychosocial RF) | This study examines the relationships among social support, negative interaction, financial strain, traumatic events, personal control, personality, and psychological distress among African American and white adults. These analyses: (1) test the overall adequacy of various models (i.e., main, mediator, and artifactual ... |
0 | Contralateral total knee arthroplasty after unilateral surgery in bilateral varus gonathrosis | Surgical Management of Osteoarthritis of the Knee CPG | The authors retrospectively evaluated the rate of contralateral total knee arthroplasty (TKA) in 93 patients who had bilateral varus gonarthrosis and underwent unilateral TKA. Patients were divided into 3 groups according to degree of anatomical varus of the contralateral knee and/or contralateral knee pain at the time... |
0 | Walking Ground Reaction Force Post-ACL Reconstruction: Analysis of Time and Symptoms | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The association between lower-extremity loading and clinically relevant knee symptoms at different time points after anterior cruciate ligament reconstruction (ACLR) is unclear. Vertical ground reaction force (vGRF) from walking was compared between individuals with and without clinically relevant knee symptom... |
0 | Open Reduction and Internal Fixation Plus Total Hip Arthroplasty for the Acute Treatment of Older Patients with Acetabular Fracture: Surgical Techniques | Hip Fx in the Elderly 2019 | Open reduction and internal fixation of displaced acetabular fractures has been the gold standard for treatment of these complex injuries. The subset of older patients with dome impaction, femoral head impaction, or a posterior wall component are considered for treatment with concomitant open reduction and internal fix... |
0 | Phase Ib study of PEGylated recombinant human hyaluronidase and gemcitabine in patients with advanced pancreatic cancer | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: This phase Ib study evaluated the safety and tolerability of PEGylated human recombinant hyaluronidase (PEGPH20) in combination with gemcitabine (Gem), and established a phase II dose for patients with untreated stage IV metastatic pancreatic ductal adenocarcinoma (PDA). Objective response rate and treatment e... |
0 | A preliminary study of the clinical application of optic pathway diffusion tensor tractography in suprasellar tumor surgery: preoperative, intraoperative, and postoperative assessment | Upper Eyelid and Brow Surgery | OBJECT Visual impairments are the most common objective manifestations of suprasellar lesions. Diffusion tensor imaging (DTI) is a noninvasive MRI modality that depicts the subcortical white matter tracts in vivo. In this study the authors tested the value of visual pathway tractography in comparison with visual field ... |
1 | Implant Failure Rates and Cost Analysis of Contoured Locking Versus Conventional Plate Fixation of Distal Fibula Fractures | DoD SSI (Surgical Site Infections) | The authors analyzed 330 consecutive Weber B distal fibula fractures that occurred during a 3-year period and were treated with either a contoured locking plate or a conventional one-third tubular plate to compare the cost and failure rates of the 2 constructs. The primary outcomes were failure of the distal fibular im... |
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