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0 | Career Outlook and Performance of Professional Athletes After Achilles Tendon Rupture: A Systematic Review | AMP (Acute Meniscal Pathology) | BACKGROUND: The purpose of this systematic review is to examine the literature on Achilles tendon (AT) injuries in professional athletes to determine their rate of return to play (RTP), performance, and career outcome after AT rupture.
METHODS: A literature search of MEDLINE, Google Scholar, CINAHL, and Cochrane Librar... |
0 | Eradication of methicillin resistant Staphylococcus aureus by "ring fencing" of elective orthopaedic beds | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Problem: Deep infection after joint arthroplasty can be catastrophic, leading to further surgery, loss of the prosthesis, disability, and risk of mortality. Twenty nine new cases of methicillin resistant Staphylococcus aureus occurred in the first year after elective orthopaedic surgery was centralised to a district ge... |
0 | Prospective associations of C-reactive protein (CRP) levels and CRP genetic risk scores with risk of total knee and hip replacement for osteoarthritis in a diverse cohort | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To examine associations of high-sensitivity C-reactive protein (CRP) levels and polygenic CRP genetic risk scores (GRS) with risk of end-stage hip or knee osteoarthritis (OA), defined as incident total hip (THR) or knee replacement (TKR) for OA.
DESIGN: This study included a cohort of postmenopausal white, A... |
0 | Surveillance for morbidity and mortality among older adults--United States, 1995-1996 | Management of Hip Fractures in the Elderly | PROBLEM/CONDITION: During the twenty first century, growth in the number of older adults (persons aged > or =65 years) in the United States will produce an unprecedented increase in the number of persons at risk for costly age-associated chronic diseases and other health conditions and injuries. REPORTING PERIOD: 1995-... |
0 | A survey of micro-finite element analysis for clinical assessment of bone strength: the first decade | Distal Radius Fractures | Micro-Finite Element (micro-FE) analysis is now widely used in biomedical research as a tool to derive bone mechanical properties as they relate to its microstructure. With the development of in vivo high-resolution peripheral quantitative CT (HR-pQCT) scanners, it can now be applied to analyze bone in-vivo in the peri... |
1 | The development of a new orthosis (neuro-orthosis) for patients with carpal tunnel syndrome: its effect on the function and strength of the hand | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Static wrist orthoses (SWOs) are used in the treatment of carpal tunnel syndrome (CTS) with some drawbacks. As an alternate approach to SWOs, an active closed-loop wrist control strategy based on the principles of functional electrical stimulation was proposed to limit wrist movements. The purpose of the study was to d... |
0 | Outcome of treatment of osteoarthritis with arthroscopic debridement and autologous conditioned plasma | PRP (Platelet-Rich Plasma) | Introduction: Worldwide estimates are that 9.6% of men and 18.0% of women aged over 60 years have symptomatic osteoarthritis. The current treatment options vary from conservative to joint replacement. Recently, debridement of the joint has become an option for symptomatic relief. We evaluated the outcome of arthroscopi... |
0 | Hoffa's fat pad resection in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The authors have studied the consequences of resection of Hoffa's fat pad during total knee arthroplasty (TKA). Sixty eight patients undergoing primary TKA were randomised to have Hoffa's fat pad either resected or preserved. Biopsy specimens of Hoffa's fat pad were taken for pathological study in all patients. Radiolo... |
0 | Diagnosis and Differential Diagnosis of Fibromyalgia | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Fibromyalgia is a chronic functional illness that presents with widespread musculoskeletal pain as well as a constellation of symptoms including fatigue, cognitive dysfunction, sleep difficulties, stiffness, anxiety, and depressed mood. The diagnosis of fibromyalgia, similar to other functional disorders, requires that... |
0 | Hydroxyapatite does not improve the outcome of a bipolar hemiarthroplasty | Management of Hip Fractures in the Elderly | In a one-surgeon study the clinical and radiographic results of 30 cementless bipolar hip prostheses in 24 patients younger than 55 years were evaluated. Eleven noncoated prostheses (Noncoated Group) and 19 hydroxyapatite-coated prostheses (Hydroxyapatite Group) were compared after a mean followup of 10.4 years. The Ha... |
1 | Functional outcome of open diaphyseal tibial fracture treated by A.O Fixation VS N.A Fixation | DoD SSI (Surgical Site Infections) | Objective: To evaluate the comparative results of open diaphseal tibial fractures treated with A.O fixation and N.A fixation. Study Design: Comparative and experimental study Place and Duration of Study: This study was carried out at Orthopedic Department of Liaquat University Hospital Hyderabad from February 2011 to J... |
0 | Agnostic Pathway/Gene Set Analysis of Genome-Wide Association Data Identifies Associations for Pancreatic Cancer | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Genome-wide association studies (GWAS) identify associations of individual single-nucleotide polymorphisms (SNPs) with cancer risk but usually only explain a fraction of the inherited variability. Pathway analysis of genetic variants is a powerful tool to identify networks of susceptibility genes. Methods: ... |
0 | Biomechanical and cellular segmental characterization of human meniscus: Building the basis for Tissue Engineering therapies | PJI DX Updated Search | Objective: To overcome current limitations of Tissue Engineering (TE) strategies, deeper comprehension on meniscus biology is required. This study aims to combine biomechanical segmental analysis of fresh human meniscus tissues and its correlation with architectural and cellular characterization. Method: Morphologicall... |
0 | Quality of life assessments with SF 36 in different musculoskeletal diseases | Glenohumeral Joint OA | The aim of this study is to evaluate comparatively the life quality of patients with knee osteoarthritis (KO), shoulder impingement syndrome(SIS), fibromialgia(FM), or osteoporosis(OP) using SF 36 and establish the impact of these diseases on quality of life (QoL). A total of 193 patients with one of the above-mentione... |
0 | Admission and treatment at a weekend is not associated with worse outcomes for patients admitted with fractured neck of femur | Hip Fx in the Elderly 2019 | Introduction: The weekend effect is a reported phenomenon whereby patients admitted at a weekend are found to have worse outcomes than those admitted during the week. The causes are not well understood, but may have implications for the planning of medical workforces throughout the developed world. Although the magnitu... |
0 | Management of infected hip arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | 1. Infected hip arthroplasties can be successfully managed with the appropriate surgical treatment and a long-term antimicrobial therapy. 2. The type of surgical treatment must be based on considerations of various prognostic indications such as the infective agent, the duration of the infection, the stability of the i... |
0 | Cosmetic procedures performed in the United States: A 16-Year analysis | Panniculectomy & Abdominoplasty CPG | Background: Cosmetic procedures, particularly those that are minimally invasive, are in demand. The physician specialties performing these procedures are not well-characterized. Objective: To examine changes in the frequency of cosmetic dermatologic procedures performed in the United States from 1995 to 2010 and the ph... |
0 | Therapeutic management of laryngeal cancer. Results of a study of 356 patients from the Cancer Registry of the Somme, France | MSTS 2022 - Metastatic Disease of the Humerus | Conclusions. The global survival rate was low compared to those reported in the literature, in which the analyzed populations were selected according to the tumor stage or treatment. This study should be prolonged and should also involve other cancer registries in France in order to increase the number of patients and ... |
0 | Pituitary adenoma presenting with non-puerperal mastitis during pregnancy | Reduction Mammoplasty for Female Breast Hypertrophy | Gigantomastia is a rare condition of excessive enlargement of the breasts during pregnancy. In most cases, gigantomastia is caused by an excess of circulating hormones or by the hypersensitivity oi mammary tissue to normal hormone stimulation. In this case, we report a nonpuerperal mastitis case complicated with gigant... |
0 | Effect of Combined Use of Naloxone and Tramacet on Postop Analgesia in Elderly Patients Having Joint Replacement Surgery | AAHKS (4) Acetaminophen | Patients over 70 years of age, scheduled for joint replacement surgery will be randomized to tramacet/ naloxone plus morphine PCA or to morphine PCA to assess quality of analgesia in the postoperative period. The primary objective is to determine opioid use during combined use of oral tramacet and naloxone infusion per... |
1 | The role of chair exercises for older adults following hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVES: To examine the influence of regular participation in chair exercises on postoperative deconditioning in respect of selected physiological, psychological and anthropometric variables. DESIGN: Quasi-experimental, non-randomised control group pre-test/post-test design where test group (N = 20) and control grou... |
0 | Tarsal tunnel syndrome in rheumatoid arthritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Recent reports suggest an increased incidence for the general population of tarsal tunnel syndrome (TTS) in rheumatoid arthritis (RA), similar to that previously reported for carpal tunnel syndrome. Proof of this supposition could be important in the diagnosis and management of pain in the feet of patients with RA. Thi... |
0 | Management of neuropathic pain after knee surgery | PJI DX Updated Search | Chronic postsurgical pain (CPSP) affects 10 to 30% of surgical patients overall and 16 to 20% of patients after knee surgery. Patients report persistent pain in the absence of infection, mechanical disorders, or complex regional pain syndrome type I. In many cases, the mechanism is neuropathic pain related to an intrao... |
0 | Fascicular selection for nerve transfers: The role of the nerve stimulator when restoring elbow flexion in brachial plexus injuries | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose Restoration of elbow flexion is an important goal in brachial plexus injuries. Double nerve transfers using fascicles from ulnar and median nerves have consistently produced good results without causing functional compromise to the donor nerve. According to conventional practice, these double nerve transfers ar... |
0 | Predictors of therapeutic success of steroids injection in the carpal tunnel syndrome: A retrospective multivariate analysis of a multicenter cohort | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background Treatment of moderate to severe carpal tunnel syndrome includes the possibility of local steroid injections, however the treatment success rate and its duration are very variable. There is no study designed to predict if a local steroid injection will be success or not. Sometimes local steroids injections de... |
0 | Risk of revision for infection in primary total hip and knee arthroplasty in patients with rheumatoid arthritis compared with osteoarthritis: a prospective, population-based study on 108,786 hip and knee joint arthroplasties from the Norwegian Arthroplasty Register | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To compare differences in the risk of revision for infection and changes in risk over time and in time from primary surgery to revision for infection after total hip replacement (THR) and total knee replacement (TKR) in rheumatoid arthritis (RA) and osteoarthritis (OA) patients. METHODS: In the Norwegian Art... |
0 | A study protocol for tracking quality of life among U.S. service members wounded in Iraq and Afghanistan: the Wounded Warrior Recovery Project | DoD PRF (Psychosocial RF) | There is a need for more work to understand the quality of life (QOL) outcomes of survivors of Operations Enduring Freedom and Iraqi Freedom combat injury to improve care and treatment, and prevent poor physical, psychological, and social outcomes. We describe the study design and methods of the Wounded Warrior Recover... |
0 | Autologous conditioned serum for degenerative diseases and prospects | AMP (Acute Meniscal Pathology) | Autologous conditioned serum (ACS) is a blood-derived product that is prepared by the incubation of whole blood with medical-grade glass beads, resulting in serum enrichment in interleukin-1 receptor antagonist (IL-1Ra), anti-inflammatory cytokines (IL-4, IL-10, and IL-13), and high concentrations of growth factors. AC... |
0 | Tennis elbow: A clinical review article | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Lateral epicondylitis, or tennis elbow is a common condition that presents with pain and tenderness around the common extensor origin of the elbow. Tennis elbow is estimated to affect 1–3% of the adult population each year and is more common in the dominant arm. It is generally regarded as an overuse injury involving r... |
0 | Serum levels of interleukin 6 and stress related substances indicate mental stress condition in patients with rheumatoid arthritis | AAHKS (4) Acetaminophen | OBJECTIVE: To evaluate the influence of mental stress on the neuroendocrine-immune system in patients with rheumatoid arthritis (RA).
METHODS: Twenty-two patients with RA and 8 patients with osteoarthritis (OA) who underwent total knee or hip arthroplasties under general anesthesia were enrolled in the study. The blood... |
0 | Physical activity and experience of total knee replacement in patients one to four years postsurgery in the Dominican Republic: A qualitative study | Surgical Management of Osteoarthritis of the Knee CPG | Objective: Musculoskeletal disorders are the second leading cause of years lived with disability globally. Total knee replacement (TKR) offers patients with advanced arthritis relief from pain and the opportunity to return to physical activity. We investigated the impact of TKR on physical activity for patients in a de... |
0 | An analysis of the risk of hip dislocation with a contemporary total joint registry | Management of Hip Fractures in the Elderly | Dislocation rates after total hip arthroplasty in a community setting have not been well documented. We used a community based joint registry to evaluate hip dislocations that occurred within 1 year after total hip arthroplasty. We evaluated patient, implant, and technical factors associated with dislocation, including... |
1 | The microbiological basis for a revised antibiotic regimen in high-energy tibial fractures: preventing deep infections by nosocomial organisms | DoD SSI (Surgical Site Infections) | BACKGROUND: Deep surgical site infections (SSI's) complicate Gustilo IIIB tibial fractures in 8-13% of cases. Antibiotic prophylaxis typically covers environmental contaminants. However, nosocomial organisms are usually implicated in deep infection. We used the microbiological profile of infected Gustilo IIIB tibial fr... |
0 | Cardiac cobaltism: A rare complication after bilateral metal-on-metal total hip arthroplasty | PJI DX Updated Search | This is one of the first documented cases of metal-on-metal (MoM) total hip arthroplasty cobalt cardiac toxicity that has led to patient death. A 69-year-old female presented to our institution with cardiac failure secondary to cobalt toxicity resulting from bilateral MoM total hip arthroplasty. Her presenting metal io... |
0 | Intraoperative assessment of femoral component rotational alignment in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Poor clinical results following total knee arthroplasty like flexion gap instability or anterior knee pain may be related to femoral component rotational malalignment. The transepicondylar axis has been recommended as a landmark to consistently recreate a balanced flexion gap. However, the reproducibility to identify t... |
0 | Getting fit for hip and knee replacement: a protocol for the Fit-Joints pilot randomized controlled trial of a multi-modal intervention in frail patients with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background: Joint replacement provides significant improvements in pain, physical function, and quality of life in patients with osteoarthritis. With a growing body of evidence indicating that frailty can be treated, it is important to determine whether targeting frailty reduction in hip and knee replacement patients i... |
1 | Long-term effects of home rehabilitation after hip fracture - 1-year follow-up of functioning, balance confidence, and health-related quality of life in elderly people | Hip Fx in the Elderly 2019 | PURPOSE: To investigate the long-term effects of home rehabilitation (HR) after hip fracture in elderly people. METHOD: A randomized, controlled longitudinal study on geriatric hospital-based HR was compared with conventional care (CC) in 102 patients. Independence in activities of daily living (ADL), frequency of acti... |
0 | A focus group study of the impact of trauma exposure in the 9/11 terrorist attacks | DoD PRF (Psychosocial RF) | PURPOSE: Much of the mental health research that has emerged from the September 11 (9/11) attacks has been focused on posttraumatic stress disorder and its symptoms. To better understand the broader experience of individuals following a disaster, focus groups were conducted with individuals from affected companies both... |
0 | Endoprosthetic reconstruction for large extremity soft-tissue sarcoma with juxta-articular bone involvement: Functional and survival outcome | DoD SSI (Surgical Site Infections) | Background Large extracompartmental limb soft-tissue sarcoma with juxta-articular bone involvement poses major challenges in disease management. Radical resection of sarcoma frequently requires concomitant bone resection and reconstruction. We describe the clinical outcomes of endoprosthetic reconstruction and the comp... |
0 | Peripheral nerve complications of medical disease | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Neuropathies are associated with several systemic diseases. This article provides a general overview of the clinical presentation and management of the various neuropathies associated with common medical illnesses. The term "neuropathy" is used relatively broadly to encompass pathology from the level of the cell body t... |
0 | 'The dermal internal brassiere flap,' a new modification of inferior pedicle breast reduction technic | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The inferior pedicle mammaplasty is particularly applied to large breasts with a long sternal notch to nipple distance. The present study reports modifications developed to solve the bottoming-out deformity, the lack of upper pole fullness and the wound healing problems seen at the reverse T-zone, known dis... |
0 | The management of complex acetabular fractures in the elderly with fracture fixation and primary total hip replacement | Hip Fx in the Elderly 2019 | Osteoporosis and associated fragility fractures are an increasing problem across the developed world. The elderly osteoporotic acetabular fracture presents a difficult problem due to high failure rates and poor outcomes. Standard management may or may not include fracture fixation, but generally includes a period of pr... |
0 | Vertical preperiosteal rejuvenation of the frame of the eyelids and midface | Upper Eyelid and Brow Surgery | Aging usually shows first on the eyelids, the periocular frame, and the midface, which is the anterior mobile area of facial expression. The author, therefore, recommends performing a blepharoplasty and rhytidectomy of the upper two-thirds of the face in patients from their mid-30s on. Instead of a subcutaneous approac... |
0 | Percutaneous iliosacral screw fixation in unstable pelvic ring lesions: the interest of O-ARM CT-guided navigation | PJI DX Updated Search | INTRODUCTION: The reference surgical treatment for unstable posterior pelvic fracture is percutaneous iliosacral screw fixation, isolated or in association with other techniques. As there is a risk of passage outside the bone when performing screw fixation under fluoroscopy, new image-guidance techniques have been deve... |
0 | Corrective osteotomy for intra-articular malunion of the distal part of the radius. Surgical technique | Distal Radius Fractures | BACKGROUND: Corrective osteotomy is an appealing treatment for malunited articular fractures of the distal part of the radius since articular incongruity may be the factor most strongly associated with arthrosis and diminished function after such fractures. Enthusiasm for osteotomy has been limited by concerns regardin... |
0 | Staple line leak with peritonitis after laparoscopic sleeve gastrectomy -A solution in one to six steps | Panniculectomy & Abdominoplasty CPG | Introduction: Laparoscopic sleeve gastrectomy (LSG) is one of the most efficient bariatric interventions in morbidly obese patients. The most severe risk of this procedure seems to be the staple line leak, and the management of this complication can be very arduous. Aim: To share our experience in managing the staple l... |
0 | Comorbidities, clinical intercurrences, and factors associated with mortality in elderly patients admitted for a hip fracture | Hip Fx in the Elderly 2019 | Objective: To analyze comorbidities and clinical complications, and to determine the factors associated with mortality rates of elderly patients admitted with a hip fracture in a tertiary public hospital.
Methods: Sixty-seven medical records were reviewed in a retrospective cohort study, including patients equal to or ... |
1 | Internal fixation implants for intracapsular hip fractures in adults | Management of Hip Fractures in the Elderly | BACKGROUND: Numerous different implants with screws, pins and side plates have been used for the internal fixation of intracapsular hip fractures. OBJECTIVES: To determine from randomised trials which implant is superior for the internal fixation of intracapsular proximal femoral fractures. SEARCH STRATEGY: We searched... |
0 | An Innovative Intra-articular Osteotomy in the Treatment of Posterolateral Tibial Plateau Fracture Malunion | DoD SSI (Surgical Site Infections) | Posterolateral tibial plateau fractures are not uncommon and the diagnosis can be easily missed. The treatment is technically demanding, which can easily lead to malunion of the posterolateral tibial plateau fracture. Here, we describe an innovative intra-articular osteotomy for the treatment of posterolateral tibial p... |
1 | Does Abdominoplasty Add Morbidity to Incisional Hernia Repair? A Randomized Controlled Trial | Panniculectomy & Abdominoplasty CPG | Background Abdominoplasty is considered an operation linked to a considerable rate of morbidity. The convenience of simultaneously performing an incisional hernia repair and an abdominoplasty remains controversial. Methods A total of 111 patients were randomized prospectively to compare isolated incisional hernia repai... |
0 | Management of severe pelvic fracture associated with injuries of adjacent viscera | DoD SSI (Surgical Site Infections) | Objective: To investigate the approach of emergency management for severe pelvic fracture associated with injuries of adjacent viscera and evaluate the therapeutic effect. Methods: The data of 79 patients with severe pelvic fracture associated with injuries of adjacent viscera were retrospectively studied, and the stud... |
0 | The Potential Role of Prophylactic/Functional Knee Bracing in Preventing Knee Ligament Injury | Surgical Management of Osteoarthritis of the Knee CPG | It is estimated that knee injuries account for up to 60% of all sport injuries, with the anterior cruciate ligament (ACL) accounting for almost half of these knee injuries. These knee injuries can result in high healthcare costs, as an ACL injury is often associated with surgery, long and costly rehabilitation, differi... |
0 | Internally fixed femoral neck fractures. Early prediction of failure in 203 elderly patients with displaced fractures | Management of Hip Fractures in the Elderly | After internal fixation of a femoral neck fracture, 3 months is the critical time for planning rehabilitation of the patient. Most failures in the elderly occur within this time. In a series of 165 patients, we followed 127 women and 38 men with a median age of 81 (63-97) years from an examination at 3 months to reoper... |
0 | Who are the older Australians referred for a bone density scan? Data from the Barwon region | Hip Fx in the Elderly 2019 | Summary: We investigated the reasons for referral of older Australians aged 70Â years and older to dual energy X-ray absorptiometry (DXA). The most common clinical indication was being aged 70Â years and older, followed by monitoring for fracture or low bone mineral density (BMD). Compared to males, females were twice ... |
0 | The Contribution of Partial Meniscectomy to Preoperative Laxity and Laxity After Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction: In Vivo Kinematics With Navigation | AMP (Acute Meniscal Pathology) | BACKGROUND: Limited in vivo kinematic information exists on the effect of clinical-based partial medial and lateral meniscectomy in the context of anterior cruciate ligament (ACL) reconstruction.
HYPOTHESIS: In patients with ACL deficiency, partial medial meniscus removal increases the anteroposterior (AP) laxity with ... |
0 | Importance of the lateral anatomic tibial slope as a guide to the tibial cut in total knee arthroplasty in Japanese patients | Surgical Management of Osteoarthritis of the Knee CPG | Using three-dimensional computed tomography in 50 osteoarthritic knees, we simulated at various cutting angles the tibial cut for total knee arthroplasty. Cutting angles of 0 degrees, 3 degrees, 5 degrees, 7 degrees, 9 degrees, and 11 degrees were used. We then calculated the anterior and posterior thicknesses, the med... |
0 | The ischemic threshold of the extremity | DoD LSA (Limb Salvage vs Amputation) | Military efforts to limit ischemic time and reperfusion injury are being investigated with a focus on functional limb salvage as opposed to the more historic statistical salvage, since a dysfunctional limb may be a worse outcome than amputation. Translatable animal research, supported by reports from forward deployed s... |
0 | Overview of extremity musculoskeletal neoplasms at the Ahmadu Bello University Teaching Hospital Zaria, Nigeria | Osteochondritis Dissecans 2020 Review | Background: The burden of managing patients with musculoskeletal neoplasms in the West African sub-region is quite significant. This is largely due to late presentation, delay in making diagnosis, and failure of obtaining consent to certain surgical procedures. Improvements in diagnosis and treatment over the years hav... |
0 | Comparison of functional outcomes in patients fixed with dynamic hip screw and proximal femur nail-anti-rotation in a1 and a2 type intertrochanteric femur fractures | Hip Fx in the Elderly 2019 | BACKGROUND: We aimed to compare clinical and functional outcomes between patients treated with Dynamic hip screw (DHS) and Proximal Femoral Nail-Antirotation (PFN-A) implants. METHODS: This study included 122 patients (66 men [54.1%] and 56 women [45.9%]) who underwent surgery with DHS and PFN-A for an intertrochanteri... |
0 | Haemophilic arthropathy of the elbow | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Patients affected by haemophilia commonly have recurrent intra-articular bleeding which leads to progressive destruction and instability of joints. Severe arthropathy of the elbow is complicated by pain, stiffness and loss of function which can be debilitating. Conservative measures such as analgesics, physiotherapy an... |
0 | Clinical and radiological outcome of conservative vs. surgical treatment of atraumatic degenerative rotator cuff rupture: design of a randomized controlled trial | Glenohumeral Joint OA | BACKGROUND: Subacromial impingement syndrome is a frequently observed disorder in orthopedic practice. Lasting symptoms and impairment may occur when a subsequent atraumatic rotator cuff rupture is also present. However, degenerative ruptures of the rotator cuff can also be observed in asymptomatic elderly individuals.... |
1 | Femoral nerve block with selective tibial nerve block provides effective analgesia without foot drop after total knee arthroplasty: a prospective, randomized, observer-blinded study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Sciatic nerve block when combined with femoral nerve block for total knee arthroplasty may provide superior analgesia but can produce footdrop, which may mask surgically induced peroneal nerve injury. In this prospective, randomized, observer-blinded study, we evaluated whether performing a selective tibial... |
0 | Survivorship of uncemented proximally porous-coated femoral components | Management of Hip Fractures in the Elderly | Three hundred seventy-five consecutive total hip arthroplasty revisions done using proximally porous-coated femoral components of 6 designs were reviewed a mean of 4.7 years after surgery. Fifty-nine hips have been rerevised for aseptic femoral loosening, and 4 for osteolysis. Moderate or severe pain was present in 23%... |
0 | Diaphyseal reconstructions | MSTS 2018 - Femur Mets and MM | Many malignant bony lesions are encountered in the diaphyseal segment of long bones. These lesions include Ewing's sarcoma, adamantinoma, chondrosarcoma, and metastatic disease. The histology of the tumor, the size of the tumor, and the stage of the disease determine how the lesion should be treated. Metastatic lesions... |
0 | Involvement of the p38 MAPK-NF-kappaB signal transduction pathway and COX-2 in the pathobiology of meniscus degeneration in humans | AMP (Acute Meniscal Pathology) | Meniscal tears are attributed to either trauma or degeneration processes. Clinical data suggest that meniscal degeneration (MD) is associated with knee osteoarthritis; however, the molecular events underpinning the pathogenesis of MD in humans remain elusive. Here we immunohistochemically examined the expression of p38... |
0 | Tetracycline labeling of the femoral head following acute intracapsular fracture of the femoral neck | Management of Hip Fractures in the Elderly | The purpose of this study was to assess the utility of tetracycline hydrochloride (HCl) labeling of the femoral head following acute intracapsular fracture of the femoral neck to indirectly assess femoral head viability and vascularity. A standard labeling (1.5-3.0 g) and fixative protocol (70% ethanol) was used. The i... |
0 | Primary meningococcal arthritis in a prosthetic knee joint | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Neisseria meningitidis is known to cause a spectrum of diseases, including bacteraemia without sepsis, meningococcaemia without meningitis, meningitis with or without meningococcaemia, and chronic meningococcaemia. Less common manifestations of meningococcal infection include pharyngitis, pneumonia, pericarditis, ureth... |
0 | Association between weight or body mass index and hand osteoarthritis: a systematic review | SR for PM on OA of All Extremities | OBJECTIVE: To investigate the association between weight or body mass index (BMI) and the development of hand osteoarthritis. METHODS: Systematic review of observational studies. Medical databases were searched up to April 2008. Articles that presented data on the association between weight and hand osteoarthritis were... |
0 | The Silicone Ring Tourniquet in Orthopaedic Operations of the Extremities | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Tourniquets provide a bloodless field in limb operations and their introduction in orthopaedic operative technique has been considered as a landmark. A new tourniquet device, a silicone ring tourniquet (SRT) (HemaClear or S-MART, OHK Medical Devices, Haifa, Israel), was introduced into clinical practice a few years ago... |
0 | Sciatic nerve block or not for outpatient total knee arthroplasty? Study protocol for a randomized controlled trial 11 Medical and Health Sciences 1103 Clinical Sciences | AAHKS (8) Anesthetic Infiltration | Background: The number of patients operated on for total knee arthroplasty (TKA) is growing worldwide. Outpatient surgery is defined by a length of stay (LOS) in the hospital of less than 12 h. This can be limited for TKA, with the efficient management of pain and perioperative complications, such as blood loss, affect... |
0 | The coronal hypomochlion: a tipping point of clinical relevance when planning valgus producing high tibial osteotomies | OAK 3 - Non-arthroplasty tx of OAK | AIMS: In patients undergoing medial opening wedge high tibial osteotomy (MOWHTO), soft tissue opening on the medial side of the knee is difficult to predict. When the load bearing axis is corrected beyond a certain point, the knee joint tilts open on the medial side. We therefore hypothesised that there is a tipping po... |
0 | The anterior cruciate ligament in knee arthroplasty. A risk-factor with unconstrained meniscal prostheses | Surgical Management of Osteoarthritis of the Knee CPG | Three hundred one unconstrained meniscal arthroplasties were observed for as long as nine years, during which time 25 (8.3%) failed. Risk factors were sought by comparing the distributions of several preoperative variables in the group that failed with the group that was successful. Age, weight, the magnitude or direct... |
0 | Randomized clinical trial of intermittent pneumatic compression and low molecular weight heparin in trauma | DoD SSI (Surgical Site Infections) | BACKGROUND: After trauma, up to 60 per cent of immobilized patients have been reported to develop a silent deep vein thrombosis (DVT). No large, prospective randomized trials have tested the efficacy of intermittent pneumatic compression (IPC) devices in these patients. METHODS: A prospective randomized trial was perfo... |
0 | The need to protect the thyroid gland during image intensifier use in orthopaedic procedures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The image intensifier has become an essential part of the orthopaedic surgeon's armamentarium. Its increasing use, however, may expose medical staff and theatre personnel to high doses of radiation. The aim of this study was to assess the compliance of surgeons and staff with radiation protection protocols, especially ... |
0 | Biodegradable implants in soft tissue refixation: Experimental evaluation, clinical experience, and future needs | AMP (Acute Meniscal Pathology) | In recent years there has been an increasing use of biodegradable implants in the wide field of operative sports medicine for the reattachment of ligaments, tendons and other structures. A great variety of implants are available as interference screws, staples, sutures, tacks, arrows and suture anchors. The main advant... |
1 | Short-term wound complications after application of flaps for coverage of traumatic soft-tissue defects about the tibia. The Lower Extremity Assessment Project (LEAP) Study Group | DoD SSI (Surgical Site Infections) | BACKGROUND: The purpose of the present study was to compare the rate of short-term wound complications associated with rotational flaps and that associated with free flaps for coverage of traumatic soft-tissue defects about the tibia.
METHODS: Of 601 patients prospectively enrolled in a multicenter study of high-energy... |
0 | The all-ceramic knee endoprosthesis-the gap between expectation and experience with ceramic implants | Surgical Management of Osteoarthritis of the Knee CPG | Total knee replacement (TKR) is a successful procedure in orthopedic surgery. In order to further improve survival rates and obtain optimal clinical outcome with higher range of motion, improvements in fixation and wear couples as well as specific designs have been made. The worldwide circulation of ceramics in total h... |
0 | Risk factors and the clinical and surgical features of fungal prosthetic joint infections: A retrospective analysis of eight cases | PJI DX Updated Search | Fungal prosthetic joint infections (PJI) and reports of their clinical investigation are rare. In addition, there has been little evidence regarding the outcome of the two-stage exchange protocol for the treatment of fungal PJI. In order to investigate the risk factors and clinical, microbiological and pathological fea... |
0 | Yoga for stress reduction and injury prevention at work | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | At work employees face numerous psychological stressors that can undermine their work performance. These stressors, stemming from a variety of possible causes, have enormous health and financial impacts on employees as well as employers. Stress has been shown to be one of the factors leading to musculo-skeletal disorde... |
0 | Complications associated with the periacetabular osteotomy: a prospective multicenter study | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The purpose of this prospective multicenter study was to determine and categorize all complications associated with the periacetabular osteotomy performed by experienced surgeons. METHODS: We prospectively analyzed perioperative complications in 205 consecutive unilateral periacetabular osteotomies performe... |
0 | Conparative study of usefulness LOQOA tape and existing treatment that is combination of a patch and an oral medication of NSAIDs for osteoarhthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: LOQOA tape is put for four weeks. NSAIDs are administered in addition to putting existing poultices for four weeks. CONDITION: osteoarthritis of the knee PRIMARY OUTCOME: The amount of change in Visual Analog Scale (VAS) after 4 weekes treatment SECONDARY OUTCOME: The amount of change in Visual Analog Sca... |
0 | Frequency and predictors of participation restriction following knee replacement: The most study | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: While it is assumed that knee replacement surgery (KR) allows a person to participate more fully in their desired daily activities, little research has explored outcomes of participation in this population. While w20% of adults > 65 years old report restrictions in activities outside the home such as shopping ... |
0 | Prompt analgesic effect of antihistaminic diphenhydramine ointment on bone-joint-muscle pain as assessed by skin impedance | OAK 3 - Non-arthroplasty tx of OAK | Pain is sensed, transmitted, and modified via a variety of mediators and their receptors. Histamine is a well-known mediator of pain. In addition to their antagonistic effects against histamine, classical antihistaminics possess, to various degrees, antimuscarinergic, antiserotonergic, antiadrenergic, local anesthetic,... |
1 | Patient-reported outcome instruments for femoroacetabular impingement and hip labral pathology: a systematic review of the clinimetric evidence | SR for PM on OA of All Extremities | PURPOSE: The purpose of this study is to systematically review the content and clinimetric evidence (rigor of rating scales and indexes for the description of clinical phenomena) of published patient-reported outcome (PRO) instruments used to assess femoroacetabular impingement (FAI) and labral hip pathology. METHODS: ... |
1 | Isolated arthroscopic partial meniscectomy. Functional radiographic evaluation at five years | Anterior Cruciate Ligament Injuries CPG | Fifty patients who underwent isolated arthroscopic partial meniscectomy with a minimum followup of 5 years were analyzed retrospectively. To analyze the factors associated with a satisfactory or an unsatisfactory clinical result, we looked at the patient's age, duration of symptoms, type of meniscal lesion, and articul... |
1 | The trajectory of awareness across the first year after traumatic brain injury: the role of biopsychosocial factors | DoD PRF (Psychosocial RF) | OBJECTIVE: To examine self-awareness over the first year following traumatic brain injury (TBI) and the association of demographic, biological, cognitive, psychological and social-environmental factors with change in awareness.
RESEARCH DESIGN: Using a longitudinal design the progression of awareness and association of... |
0 | Nerve growth factor-mediated regulation of pain signalling and proposed new intervention strategies in clinical pain management | OAK 3 - Non-arthroplasty tx of OAK | Nerve growth factor (NGF) is the founding member of the neurotrophins family of proteins. It was discovered more than half a century ago through its ability to promote sensory and sympathetic neuronal survival and axonal growth during the development of the peripheral nervous system, and is the paradigmatic target-deri... |
0 | A preliminary study on surface bioactivation of polyaryletherketone by UV-grafting with PolyNaSS: influence on osteogenic and antibacterial activities | Dental Implant Infection | Polyaryletherketone (PAEK) has good biocompatibility and mechanical properties and thus may have great potential in the fields of reparative medicine and bone intervention. In this study, the key representative PAEKs, polyetheretherketone (PEEK) and polyetherketoneketone (PEKK), were modified by UV grafting with sodium... |
0 | Does exclusive breastfeeding confer protection against infantile hypertrophic pyloric stenosis? A 30-year experience in Benin City, Nigeria | Reduction Mammoplasty for Female Breast Hypertrophy | The incidence of infantile hypertrophic pyloric stenosis has steadily decreased in developing countries, and this study was designed to confirm this and establish any protection conferred by exclusive breastfeeding. A retrospective study was done between July 1978 and June 2008, at the University of Benin Teaching Hosp... |
0 | Two-year results of open-wedge high tibial osteotomy with fixation by medial plate fixator for medial compartment arthritis with varus malalignment of the knee | DOD - Acute Comp Syndrome CPG | PURPOSE: The purpose of our study was to evaluate the complications, technique-related risks, and the clinical course of patients treated with high tibial osteotomy (HTO) for medial arthritis of the knee with varus malalignment.
METHODS: Forty-three of 46 consecutive patients (follow-up, 93.5%) treated with HTO using t... |
0 | Ankylosing spondylitis | AAHKS (2) Corticosteroids | Ankylosing spondylitis is a chronic progressive arthritis of the spine. It is characterized by ossification of the joints and ligaments of the spine. The incidence is said to be on the increase. Males are affected 8 or 9 times more often than females. It usually starts in the 3rd decade of life. A short review of the e... |
0 | CT guided cryoablation for locally recurrent or metastatic bone and soft tissue tumor: initial experience | MSTS 2018 - Femur Mets and MM | BACKGROUND: Historically, local control of recurrent sarcomas has been limited to radiotherapy when surgical re-resection is not feasible. For metastatic carcinomas to the bone or soft tissue, radiotherapy and some interventional radiology treatment along with other systemic therapies have been widely advocated due to ... |
0 | How do you know when it is torture? | DoD PRF (Psychosocial RF) | The forensic psychiatric expert's assessment of torture survivors who manifest Post Traumatic Stress Disorder and apply for refugee asylum is a paradigmatic example of the interface of psychiatry and the law. While it is necessary to acknowledge the utility of current dominant and well-established protocols, it is also... |
1 | Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis
Case Report: Diagnosis of Novel Coronavirus Disease (COVID-19) versus Tropical Diseases in Pakistan | Coronavirus Disease 2019 (COVID-19) | OBJECTIVE: To examine the psychological effects on clinicians of working to manage novel viral outbreaks, and successful measures to manage stress and psychological distress. DESIGN: Rapid review and meta-analysis. DATA SOURCES: Cochrane Central Register of Controlled Trials, PubMed/Medline, PsycInfo, Scopus, Web of Sc... |
0 | Multi-route applications of tranexamic acid to reduce blood loss after total knee arthroplasty: a randomized controlled trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Perioperative bleeding during total knee arthroplasty (TKA) is an ongoing problem for surgeons. Intravenous or topical application of tranexamic acid (TXA) can effectively stop bleeding, but there is still no uniform standard for the best method of administration and dose.
METHODS: From October 2016 to Sept... |
0 | Can anthropometric, body composition, and bone variables be considered risk factors for musculoskeletal injuries in Brazilian military students? 11 Medical and Health Sciences 1117 Public Health and Health Services | DoD PRF (Psychosocial RF) | Background: Musculoskeletal injuries are the main cause of premature discharge from military service and can sometimes lead to permanent disabilities. Some intrinsic risk factors are well discussed in the literature. However, the relation between body composition variables and the risk for musculoskeletal injury is not... |
0 | Zoledronate, Smoking, and Obesity Are Strong Risk Factors for Osteonecrosis of the Jaw: A Case-Control Study | MSTS 2018 - Femur Mets and MM | Purpose: Bisphosphonates (BPs) effectively treat metastatic bone disease, hypercalcemia, and osteoporosis. BP exposure, however, may be associated with osteonecrosis of the jaw (ONJ). The aim of the present study was to estimate the magnitude of the association between intravenous (IV) BP exposure and ONJ, and to ident... |
0 | Electrophysiological findings of peripheral neuropathy in newly diagnosed type II diabetes mellitus | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This study was aimed at assessing the electrophysiological signs of peripheral neuropathy in diabetes mellitus (DM) type II patients at diagnosis. Nerve conduction studies (NCS) of median, ulnar, peroneal, tibial and sural nerves were performed in 39 newly diagnosed DM subjects and compared to those of 40 healthy contr... |
1 | Surgical treatment of distal radial fractures with a volar locking plate versus conventional percutaneous methods | Distal Radius Fractures | Background: The aim of this study was to compare the outcomes of displaced distal radial fractures treated with a volar locking plate with the results of such fractures treated with a conventional method of closed reduction and percutaneous wire fixation with supplemental bridging external fixation when required. Our a... |
0 | Skeletal structure in postmenopausal women with osteopenia and fractures is characterized by abnormal trabecular plates and cortical thinning | Distal Radius Fractures | The majority of fragility fractures occur in women with osteopenia rather than osteoporosis as determined by dual-energy X-ray absorptiometry (DXA). However, it is difficult to identify which women with osteopenia are at greatest risk. We performed this study to determine whether osteopenic women with and without fract... |
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