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Rupture of flexor tendons as a complication of a distal radius fracture
DoD SSI (Surgical Site Infections)
Two cases are reported of flexor tendon rupture of ulnar side fingers as a complication after distal radius fracture. One was associated with a prominent distal volar lip of fracture site, the other with a relatively volarly displaced ulnar head due to the dorsally tilted distal radius due to malunion. These may be uni...
0
Knee arthrodesis using circular external fixator in the treatment of infected knee prosthesis: Case report
Surgical Management of Osteoarthritis of the Knee CPG
A patient (68 years old and male) underwent total knee replacement because of arthrosis, but he subsequently had infection due to a wound problem. Although he underwent early debridement, antibiotherapy, and soft-tissue operation, treatment failed because of improper soft-tissue coverage and progression of the infectio...
0
Walking for a short distance at a brisk pace reduces intraocular pressure by a clinically significant amount
Upper Eyelid and Brow Surgery
PURPOSE: To determine if walking for a short distance in a natural outdoor setting will have a clinically significant effect on intraocular pressure (IOP). METHODS: Twenty-five healthy participants (25 eyes) aged 20.8+/-1.3 years had their IOP measured using noncontact tonometry at baseline, after completing a 1046 m o...
0
Introduction of a New Treatment Algorithm Reduces the Number of Periprosthetic Femoral Fractures After Primary Total Hip Arthroplasty in Elderly Females
Hip Fx in the Elderly 2019
BACKGROUND: Increasing global usage of cementless prostheses in total hip arthroplasty (THA) presents a challenge, especially for elderly patients. To reduce the risk of early periprosthetic femoral fractures (PFFs), a new treatment algorithm for females older than 60 years undergoing primary THA was introduced. The ai...
1
Hemiarthroplasty compared to internal fixation with percutaneous cannulated screws as treatment of displaced femoral neck fractures in the elderly: cost-utility analysis performed alongside a randomized, controlled trial
Hip Fx in the Elderly 2019
We estimated the cost-effectiveness of hemiarthroplasty compared to internal fixation for elderly patients with displaced femoral neck fractures. Over 2 years, patients treated with hemiarthroplasty gained more quality-adjusted life years than patients treated with internal fixation. In addition, costs for hemiarthropl...
0
Clinical Features and isokinetic Parameters in Assessing Injury Risk in elite Football Players
AMP (Acute Meniscal Pathology)
Football players frequently face the occurrence of non-contact injuries. Although there are likely multiple factors that contribute to increased risk of non-contact injury, it remains a challenge to correlate all these factors. However, it is not clear how much of individual training abilities may interfere in these ev...
0
10 years Analysis of Diabetes-related Major Lower Extremity Amputations in Mexico
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Little is known about diabetes-related major lower extremity amputations (DMLEA) burden in Mexico. AIM OF THE STUDY: To describe DMLEA hospitalization rates, in-hospital survival rates, characteristics associated with all-cause in-hospital mortality and direct costs of hospitalization during the 2005-2015 p...
0
Early dislocation after bipolar hemiarthroplasty of the hip
Management of Hip Fractures in the Elderly
The reported incidence of dislocation of a hip hemiarthroplasty varies from less than 1 to 10%. A suggested advantage of the bipolar design is improved stability of the prosthesis and resistance to dislocation. However, this proposed decreased rate of dislocation has been challenged. The aim of this study was therefore...
1
Factors associated with infection following open distal radius fractures
Distal Radius Fractures
Open fractures are often classified according to a system described by Gustilo and Anderson. However, this system was applied to open long bone fractures, which may not predict the incidence of infection in open metaphyseal fractures of the upper extremity. Other studies have found that wound contamination and systemic...
0
Simulation-Based educational module improves intern and medical student performance of closed reduction and percutaneous pinning of pediatric supracondylar humeral fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
Background: Simulation-based education has been integrated into many orthopaedic residency programs to augment traditional teaching models. Here we describe the development and implementation of a combined didactic and simulation-based course for teaching medical students and interns how to properly perform a closed re...
0
A pilot orthopedic trauma registry in Ugandan district hospitals
Developmental Dysplasia of the Hip 2020 Review
Background Musculoskeletal injuries are a major public health problem in low-income countries like Uganda. Patterns of musculoskeletal injuries presenting to district hospitals are unknown. Our pilot orthopedic trauma registry establishes a framework for broader district hospital injury surveillance. Materials and meth...
0
Treatment of fracture of shaft of humerus by Ender nailing: A report of 43 cases
Distal Radius Fractures
The authors report a retrospective series of 43 consecutive fractures of the humeral shaft treated with closed unreamed medullary Ender nails. 36 fractures were closed and 7 were open. One nail was used in 11 cases, 2 nails in 29 cases, and 3 nails in 3 cases of distal shaft fractures. After surgery a sling and swathe ...
0
Tendon transfer for median nerve palsy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A large number of tendon transfers have been described that restore opposition to the thumb and provide thumb and finger flexion. To provide optimal results following tendon transfers, one needs to follow the principles of tendon transfer: normal tissue equilibrium, movable joints, and a scar-free bed. Once these are p...
0
The effect of long-distance bicycling on ulnar and median nerves: an electrophysiologic evaluation of cyclist palsy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Distal ulnar neuropathies have been identified in cyclists because of prolonged grip pressures on handlebars. The so-called cyclist palsy has been postulated to be an entrapment neuropathy of the ulnar nerve in the Guyon canal of the wrist. Previous studies utilizing nerve conduction studies have typically ...
0
Operative treatment of hip fractures in patients receiving hemodialysis
Hip Fx in the Elderly 2019
Fifteen hips in 13 patients with hip fracture were treated in patients receiving hemodialysis for chronic renal failure. There were four intertrochanteric and 11 femoral neck fractures. 10 of the 11 femoral neck fractures and one of the four intertrochanteric fractures were treated with cemented bipolar hemiarthroplast...
0
Migration of a Broken Trochanteric Wire to the Popliteal Fossa
Management of Hip Fractures in the Elderly
Wires used in fracture fixation or elective procedures can migrate within the body, and some lethal complications have been reported in the literature. We report a case of knee discomfort caused by a broken cerclage wire that has migrated from the hip region to the popliteal fossa after trochanteric osteotomy used in r...
0
Childhood maltreatment and mental and physical health in Haitian adults
DoD PRF (Psychosocial RF)
PURPOSE: To describe the prevalence of childhood maltreatment among Haitian adults and to examine its relationship to depression, general physical health, and quality of life. DESIGN: Descriptive exploratory. Participants were men and women 18 years of age or older who were seated in the waiting area of a hospital-base...
0
Role of thigh muscle cross-sectional area and strength in progression of knee cartilage degeneration over 48 months – data from the Osteoarthritis Initiative
AMP (Acute Meniscal Pathology)
Objective To determine in a 48-month longitudinal study the association of thigh muscle cross-sectional area (CSA) and strength on progression of morphologic knee cartilage degeneration using 3T magnetic resonance imaging (MRI). Design Seventy Osteoarthritis Initiative (OAI) subjects aged 50–60 years, with no radiograp...
0
Modified Extended External Fixator Frame for Leg Elevation in Trauma
DoD SSI (Surgical Site Infections)
Lower extremity trauma is very often managed by applying an external fixator to stabilize the fracture site. These limbs very frequently require multiple surgeries, which predisposes them to problems like heel pressure sore, equinus deformity and limb edema. These complications prolong the healing time and create obsta...
0
The clinical evaluation of the lateral wedged insole fixed elastically on the subtalar joint of patients with osteoarthritis of the knee
OAK 3 - Non-arthroplasty tx of OAK
We assessed the clinical efficacy of a lateral wedged insole with elastic fixation of the subtalar joint for conservative treatment of osteoarthritis of the knee. Novel insoles with elastic subtalar fixation (fixed insole) and a traditional shoe insert wedged insoles (inserted insole) were prepared. Seventy�one new f...
0
The effects of cold application and modified PNF stretching techniques on hip joint flexibility in college males
Management of Hip Fractures in the Elderly
The purpose of the study was to determine the effects of modified Proprioceptive Neuromuscular Facilitation (PNF) flexibility techniques on hip flexion in college males and to determine if local cold application enhances the effectiveness of these techniques. Male subjects (N = 120), with an average age of 21.5 +/- 2.7...
0
Association of low birth weight and preterm birth with the incidence of knee and hip arthroplasty for osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: To examine whether low birth weight and preterm birth were associated with the incidence of knee and hip arthroplasty for osteoarthritis (OA). Methods: 3,604 participants of the Australian Diabetes, Obesity and Lifestyle Study who reported their birth weight and history of preterm birth and were aged more than...
0
Neuralgic amyotrophy as a presenting feature of infective endocarditis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A 35 year old man presented to his general practitioner with severe right shoulder pain and subsequent weakness and wasting of the muscles in the affected shoulder girdle three weeks after a dental filling. His symptoms persisted despite standard treatment. He developed malaise, night sweats, weight loss, a petechial r...
0
Arthroscopic Assisted Resection of Triangular Fibrocartilage Complex Lesions: A 19-Year Follow-up
Glenohumeral Joint OA
BACKGROUND: This study assesses long-term functional and subjective outcomes following arthroscopic assisted resection of lesions of the triangular fibrocartilage complex (TFCC). METHODS: Functional and subjective outcomes were assessed based on review of patient charts for patient demographic characteristics, comprehe...
0
Magnetic Resonance of Normal Variants of the Pediatric Knee
AMP (Acute Meniscal Pathology)
Accurate diagnosis and management of pediatric patients undergoing magnetic resonance (MR) imaging necessitates familiarity with the normal changes of skeletal maturation and the spectrum of normal variation seen in children. This article reviews key patterns of normal bone and cartilage development. The most common an...
0
Posterior cruciate ligament reconstruction: Two functional bundles - One femoral tunnel and one tibial tunnel
DOD - Acute Comp Syndrome CPG
This study aims to present a guidewire system that affords good precision to perform perforation of the tibial tunnel, easy use, greater safety and consequently lower risk of neurovascular lesions, and greater versatility, permitting introduction through the posteromedial portal, indicated mainly in situations where th...
1
Effects of Electroacupuncture for Knee Osteoarthritis: A Systematic Review and Meta-Analysis
OAK 3 - Non-arthroplasty tx of OAK
Purpose. This study aims to verify the effects of electroacupuncture treatment on osteoarthritis of the knee. Methods. MEDLINE/PubMed, EMBASE, CENTRAL, AMED, CNKI, and five Korean databases were searched by predefined search strategies to screen eligible randomized controlled studies meeting established criteria. Any r...
1
Comparison of Early and Delayed Open Reduction and Internal Fixation for Treating Closed Tibial Pilon Fractures
DoD SSI (Surgical Site Infections)
BACKGROUND: The timing of surgery for osteosynthesis of type C pilon (AO/OTA) fractures remains controversial. The aim of this study was to determine the outcome of early and delayed open reduction and internal fixation (ORIF) for treating closed type C pilon fractures. METHODS: Forty-six patients with closed type C pi...
0
Lifetime leisure exercise and osteoporosis. The Rancho Bernardo study
Distal Radius Fractures
Between 1988 and 1991, the relation between leisure time physical activity, bone mineral density (BMD), and osteoporotic fracture was evaluated in a cohort of community-dwelling California adults (1,014 women and 689 men) with a mean age of 73 years. By means of a modified Paffenbarger questionnaire, participants were ...
0
Proximal humeral internal locking plate combined with a custom neutral-position shoulder and elbow sling for proximal humerus fractures: a randomized study
Pediatric Supracondylar Humerus Fracture 2020 Review
OBJECTIVES: The aim of this study was to investigate the effectiveness of the proximal humeral internal locking system (PHILOS) plate combined with a custom neutral�position shoulder and elbow sling for proximal humerus fractures. METHODS: A total of 112 patients with proximal humerus fractures were assigned randomly...
0
Optimizing patient therapy: the role of bone markers?
MSTS 2018 - Femur Mets and MM
Summary: A reduction in bone turnover activity, assayed by bone markers, appears to correlate with improved outcomes. Thus, use of bone markers to measure abnormal bone turnover may help identify patients at increased risk for bone complications or skeletal-related events (SREs). In addition, bone markers may prove use...
0
The effect of continuous passive motion after total knee arthroplasty on joint function
Surgical Management of Osteoarthritis of the Knee CPG
Aim. To evaluate the role of continuous passive motion (CPM) after total knee arthroplasty(TKA) through a comparative clinical study. Methods. 44 patients who accepted a primary TKA in our hospital were randomly assigned to one of the two groups by drawing cuts: 23 cases were treated with CPM and physical therapy among...
1
Clinical and Radiologic Outcomes among Bipolar Hemiarthroplasty, Compression Hip Screw and Proximal Femur Nail Antirotation in Treating Comminuted Intertrochanteric Fractures
Hip Fx in the Elderly 2019
PURPOSE: In comminuted intertrochanteric fractures, various operative options have been introduced. The purpose of this study was to determine whether there were differences in clinical and radiologic outcomes among bipolar hemiarthroplasty (BH), compression hip screw (CHS) and proximal femur nail antirotation (PFNA) i...
0
Prediction of follicular thyroid carcinoma associated with distant metastasis in the preoperative and postoperative model
MSTS 2022 - Metastatic Disease of the Humerus
Background: Only clinicopathological findings are reported for predicting follicular thyroid carcinoma (FTC) associated with distant metastasis, and preoperative ultrasound (US) findings are unknown. Methods: Associations between distant metastases of FTC and predicting factors were evaluated by using logistic regressi...
0
Bone mineral density and fractures in older men with chronic obstructive pulmonary disease or asthma
Management of Hip Fractures in the Elderly
SUMMARY: In 5,541 community dwelling men, chronic obstructive pulmonary disease, or asthma was associated with lower bone mineral density (BMD) at the spine and total hip and an increased risk of vertebral and nonvertebral fractures independent of age, body mass index, and smoking. Men prescribed with corticosteroids h...
0
Complete intra-articular distal radius fractures in young active patients
Distal Radius Fractures
Management of complex intra-articular fractures of the distal radius in young active patients must aim to restore normal anatomy. For optimal planning of the surgical procedure, a thorough analysis of the fracture with appropriate radiological exams and diagnosis of frequently associated lesions are necessary. Surgical...
0
Elevated IL-6 levels in the synovial fluid of osteoarthritis patients stem from plasma cells
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To analyse the levels of interleukin-6 (IL-6) in the synovial fluids and sera of patients with osteoarthritis (OA) and to identify the IL-6-secreting cells. METHODS: Serum, synovial fluid, synovial tissue, and articular cartilage samples were collected from 49 OA patients with end-stage knee or hip OA who un...
0
The risk-adjusted Charlson comorbidity index as a new predictor of one-year mortality rate in elderly Chinese patients who underwent hip fracture surgery
Hip Fx in the Elderly 2019
INTRODUCTION: Recently, many studies used the Charlson comorbidity index (CCI) to predict the postoperative mortality rate of elderly patients with hip fractures. However, as a predictor, CCI did not include other preoperative risk factors, resulting in decreasing its predictive value. Therefore, we performed a study t...
0
Cephalosporins can be given to penicillin-allergic patients who do not exhibit an anaphylactic response
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
STUDY OBJECTIVES: To assess the risk of intraoperative allergic reactions to cephalosporins in patients who claim to be allergic to penicillin.Design: Retrospective chart review. SETTING: University-affiliated hospital. MEASUREMENTS: 2,933 intraoperative anesthesia records of all adult orthopedic patients treated at ou...
0
Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures
DoD SSI (Surgical Site Infections)
OBJECTIVES: To reduce the complication rate associated with open reduction and internal fixation of displaced intraarticular calcaneal fractures through extensile approaches, a locking nail system (C-Nail) was developed for internal fixation. DESIGN: Prospective case-control study. SETTING: Two level I trauma centers (...
0
Effects of diphosphonate and X-rays on bone lesions induced in rats by prostate cancer cells
MSTS 2018 - Femur Mets and MM
Prostate adenocarcinoma-III (PA-III) cells deposited over the scapula of Lobund-Wistar (L-W) rats induced osteolytic and osteoplastic changes in that bone. The osteolytic process was prevented and interrupted by administration of dichloromethylene diphosphonate (Cl2MDP); but the osteoplastic process, once initiated, co...
0
Intra-synovial ropivacaine and morphine for pain relief after total knee arthroplasty: a prospective, randomized, double blind study
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: Several analgesic techniques are available for pain management after a major operation. MATERIALS AND METHODS: From December 2005 to February 2006, a prospective, double-blind study was performed involving 90 patients who had undergone a total knee arthroplasty. Patients were randomly divided into three equal ...
0
Inverse relationship between preoperative radiographic severity and postoperative pain in patients with osteoarthritis who have undergone total joint arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
Objectives: To determine cross-sectionally the influence of risk factors on chronic pain following total joint replacement (TJR) of the knee (TKR) or the hip (THR). Methods: Eight hundred sixty post-TKR and 928 post-THR patients were studied. Western Ontario and McMaster Osteoarthritis Index pain scores taken on averag...
0
Switch from conventional to high-flux membrane reduces the risk of carpal tunnel syndrome and mortality of hemodialysis patients
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The use of a high-flux membrane, which eliminates larger molecular weight solutes with better biocompatibility, has steadily increased since the discovery of beta-2 microglobulin (beta 2m) amyloidosis in 1985. The long-term effects of a dialyzer membrane on morbidity and mortality are not completely understood. To exam...
0
Mortality in osteoarthritis
SR for PM on OA of All Extremities
Mortality has not been a major area of investigation in osteoarthritis. The author conducted a systematic review and identified seven studies that provided data on either mortality or survival in persons with osteoarthritis; an additional two articles with relevant data were identified through review of reference lists...
0
Radiological variables associated with progression of femoroacetabular impingement of the hip: A systematic review
SR for PM on OA of All Extremities
OBJECTIVES: Femoroacetabular impingement is gaining increased recognition as a cause of hip dysfunction. Of great concern is its potential association with labral tears and osteoarthritis. This systematic review examines the evidence regarding radiographic variables associated with the progression of femoroacetabular i...
0
Post-traumatic stress disorder-related symptoms in relatives of patients following intensive care
DoD PRF (Psychosocial RF)
OBJECTIVE: To evaluate the effectiveness of the provision of information in the form of a rehabilitation program following critical illness in reducing psychological distress in the patients' close family. DESIGN: Randomised controlled trial, blind at follow-up with final assessment at 6 months. SETTING: Two district g...
0
Lower sex hormone levels are associated with more chronic musculoskeletal pain in community-dwelling elderly women
OAK 3 - Non-arthroplasty tx of OAK
Chronic pain is more prevalent in women than in men, with increasing differences between sexes in advanced age. This could be caused by differences in sex hormone levels. We therefore studied the relationship between sex hormones and the prevalence and incidence of chronic pain. The association between sex hormone leve...
0
Surgical treatment of de Quervain's disease
DOD - Acute Comp Syndrome CPG
OBJECTIVE: The purpose of this study was to evaluate the clinical outcome of surgical treatment of de Quervain's disease. STUDY DESIGN: Prospective study. PLACE AND DURATION OF STUDY: The study was conducted in District Headquarters Hospital, Battagram from December, 2001 to July 2002. SUBJECTS AND METHODS Patients wit...
0
Cruciate-retaining TKA using a third-generation system with a four-pegged tibial component: a minimum 10-year followup note
PJI DX Updated Search
BACKGROUND: A third-generation TKA system was designed to address problems encountered with earlier designs including a high rate of patellofemoral complications. At a minimum of 5 years, we previously reported survivorship of 98.7% using revision for any reason as the endpoint for a cohort that includes the patients d...
0
Modulation of somatosensory evoked potentials during force generation and relaxation
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
This study investigated the modulation of somatosensory evoked potentials (SEPs) during precisely controlled force generation and force relaxation in a visuomotor tracking task. Subjects were instructed to track a target line with a line that represented their own force generated by grip movement with the right hand as...
0
Operative Versus Nonoperative Treatment of Pediatric and Adolescent Clavicular Fractures: A Systematic Review and Critical Analysis
DoD SSI (Surgical Site Infections)
Background:The optimal treatment of displaced middle-third clavicular fractures in pediatric and adolescent patients remains controversial. Furthermore, risk factors for the failure of nonoperative treatment have not been clearly defined. Therefore, we designed a systematic review and critical analysis to assess approp...
0
Lipoabdominoplasty: the Saldanha technique
Panniculectomy & Abdominoplasty CPG
Traditional abdominal plastic surgery results in a high rate of morbidity because of the necessity for a large undermining of the flap. In 2001, Saldanha, using the term "lipoabdominoplasty" for the first time, standardized a selective undermining, corresponding to 30% of the traditional undermining, between the medial...
0
Barcelona Lymphedema Algorithm for Surgical Treatment in Breast Cancer-Related Lymphedema
Panniculectomy & Abdominoplasty CPG
Background Breast cancer-related lymphedema is a prevalent condition that has a major impact on quality of life. Surgical treatment has become an alternative to help affected patients with good results. However, there is no consensus on surgical procedure and protocol. Methods We analyzed our data in two periods: from ...
0
Surgical correction of gynecomastia with minimal scarring
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Gynecomastia is a benign, excessive development of the male breast that occurs at an overall incidence of 32-36 %. The authors effectively removed peripheral fat tissues with power-assisted liposuction (PAL) and periareolar glandular tissues with a cartilage shaver in a series of patients. The small periare...
0
Carotid sinus hypersensitivity--a modifiable risk factor for fractured neck of femur
Management of Hip Fractures in the Elderly
BACKGROUND: the potential impact on morbidity, mortality and health care economics makes it important to identify patients at risk of fracture, in particular fractured neck of femur (FNOF). Older patients with carotid sinus hypersensitivity (CSH) are more likely to have unexplained falls and to experience fractures, pa...
0
Hyaluronic acid, an efficient biomacromolecule for treatment of inflammatory skin and joint diseases: A review of recent developments and critical appraisal of preclinical and clinical investigations
OAK 3 - Non-arthroplasty tx of OAK
Hyaluronic acid (HA) plays multifaceted role in regulating various biological processes and maintaining homeostasis into the body. Numerous researches evidenced the biomedical implications of HA in skin repairmen, cancer prognosis, wound healing, tissue regeneration, anti-inflammatory, immunomodulation. The present rev...
0
Energy balance in elderly patients after surgery for a femoral neck fracture
Management of Hip Fractures in the Elderly
To study energy and protein balances in elderly patients after surgery, spontaneous energy and protein intake and resting energy expenditure (REE) were measured in 20 elderly female patients with a femoral neck fracture (mean age 81 +/- 4, SD, range 74-87 years; weight 53 +/- 8, range 42-68 kg) during a 5-6 day period ...
0
Family communication and mental health after breast cancer
DoD PRF (Psychosocial RF)
In the context of a traumatic event, such as a breast cancer diagnosis, talking with others about the event can facilitate emotional adjustment and meaning-finding. Among women with a history of breast cancer, open communication is likely to be of particular importance in the family setting, as the family is frequently...
0
Exploratory evaluation of an obese population seeking bariatric surgery in an Italian public service
DoD PRF (Psychosocial RF)
Obesity is a difficult to treat multi-problematic disease. Bariatric surgery (BS) has been regarded as the most effective therapeutic option, however the outcomes strongly depend on baseline conditions and further behavioural modifications. Our aim was to assess the characteristics of severely obese patients seeking BS...
1
The illusion of severe carpal tunnel syndrome (CTS)
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Thenar atrophy occurs in patients with severe carpal tunnel syndrome (CTS) of long-standing duration. In this report we present a young woman with mild bilateral CTS, based on electrophysiological studies, in whom marked thenar atrophy was on a congenital basis related to the VATER association (vertebral anomalies, ana...
0
The movements of the components of the Hastings bipolar prosthesis. A radiographic study in 65 patients
Management of Hip Fractures in the Elderly
We aimed to find out whether the Hastings bipolar prosthesis moved in a bipolar fashion after its use for displaced fractures of the femoral neck. In 65 patients non-weight-bearing movement was assessed radiographically and compared with an earlier study of the Monk prosthesis. In 70% of patients, the only movement was...
0
Pregabalin and pain after total knee arthroplasty: a double-blind, randomized, placebo-controlled, multidose trial
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND: Pregabalin may reduce postoperative pain and opioid use. Higher doses may be more effective, but may cause sedation and confusion. This prospective, randomized, blinded, placebo-controlled study tested the hypothesis that pregabalin reduces pain at 2 weeks after total knee arthroplasty, but increases drowsi...
0
Survivorship of a Porous Tantalum Monoblock Acetabular Component in Primary Hip Arthroplasty With a Mean Follow-Up of 18 Years
Hip Fx in the Elderly 2019
BACKGROUND: The use of porous tantalum for the acetabular component in primary total hip arthroplasty (THA) has demonstrated excellent short-term and midterm results. However, long-term data are scarce. The purpose of this prospective study is to report the long-term clinical and radiologic outcome following use of an ...
0
Vascular lesions associated with bicruciate and knee dislocation ligamentous injury
DoD LSA (Limb Salvage vs Amputation)
INTRODUCTION: The incidence of associated vascular lesions in biligamentous cruciate injuries of the knee ranges from 16 to 64%, with a mean rate of 30%. Treatment of ischemic vascular lesions associated with ligaments injury is well established, comprising emergency arterial vascular repair, most of the times combined...
0
Temporary Prosthesis in Traumatic Below-knee Amputation
DoD LSA (Limb Salvage vs Amputation)
Background: Previous studies document that 75% of traumatic amputees in lowÎ?Ã?Ã?income countries develop incapacitating chronic pain syndromes. With the present level of rehabilitation service, amputees have to wait 4Î?Ã?Ã?6 months for postoperative prosthesis fitting. Hypothesis: Immediate postoperative prosthesis fi...
0
Ultrasound of the Knee: Common Pathology Excluding Extensor Mechanism
AMP (Acute Meniscal Pathology)
Ultrasound can be used to diagnose many types of pathology and guide various diagnostic or therapeutic procedures. The most common applications for musculoskeletal ultrasound of the knee include evaluation of the joint recesses, the extensor mechanism, and bursae including Baker's cyst. However, a role exists for ultra...
0
Continuous femoral versus epidural block for attainment of 120(degrees) knee flexion after total knee arthroplasty: A randomized controlled trial
Surgical Management of Osteoarthritis of the Knee CPG
We conducted the prospective randomized controlled trial to test that continuous femoral nerve block (CFNB) improves attainment of 120(degrees) knee flexion compared to continuous epidural analgesia (CEA). Sixty-six patients scheduled for unilateral total knee arthroplasty were randomized into two groups; infusion of r...
1
Nonmelanoma skin cancer Symptoms, signs and treatment
Reconstruction After Skin Cancer
GPs are at the forefront of the detection and early management of nonmelanoma skin cancers, which are the most common skin cancers encountered in general practice.
0
Pyoderma gangrenosum following an orthopedic surgical procedure
PJI DX Updated Search
Pyoderma gangrenosum is a severe neutrophilic dermatosis that may occur as a complication following any kind of surgery. Although mainly reported secondary to breast surgery, it may also arise in orthopedic surgery. Misdiagnosis risks serious sequelae, due to inappropriate or delayed treatment. Unlike the infections, w...
0
Postnatal post-traumatic stress: An integrative review
DoD PRF (Psychosocial RF)
PROBLEM: Post-traumatic stress disorder and post-traumatic stress symptoms following birth occur amongst a small proportion of women but can lead to poor maternal mental health, impairment in mother-infant bonding and relationship stress. This integrative review aims to examine the associated risk factors and women's o...
1
Outcome comparison in traumatic lower-extremity reconstruction by using various composite vascularized bone transplantation
DoD SSI (Surgical Site Infections)
Lower-extremity injury may present as a composite soft-tissue and bone defect, resulting directly from trauma or subsequent debridements. These composite defects often require vascularized osteocutaneous flaps for an effective, staged reconstruction. Among various donor sites, the vascularized fibular flap is generally...
0
Short-term effects of Theracurmin dose and exercise type on pain, walking ability, and muscle function in patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
The purpose of this study was to investigate the short-term of Theracurmin dose and exercise type on pain, walking ability, and muscle function in patients with knee osteoarthritis. Twenty-five patients with knee osteoarthritis randomly selected to Theracurmin intake (T) group and Theracurmin in combined with exercise ...
0
Profile of hip arthroplasty patients in a teaching hospital
PJI DX Updated Search
OBJECTIVE: to characterize the epidemiological profile of patients undergoing hip replacement, primary or revisional. METHODS: we conducted a retrospective, descriptive study, including hip arthroplasties performed from January 2009 to June 2012 in a Belo Horizonte teaching hospital, Minas Gerais State - MG, Brazil. Da...
0
Surgical complications of posterior lumbar interbody fusion with total facetectomy in 251 patients
DoD SSI (Surgical Site Infections)
Object. Previous studies of surgical complications associated with posterior lumbar interbody fusion (PLIF) are of limited value due to intrastudy variation in instrumentation and fusion techniques. The purpose of the present study was to examine rates of intraoperative and postoperative complications of PLIF using a l...
1
Factors identifying risk for psychological distress in the civilian trauma population
DoD PRF (Psychosocial RF)
OBJECTIVES: The emergency department (ED) is a valuable setting to initiate intervention to prevent future complications following traumatic injury. Posttraumatic stress disorder (PTSD) occurs in 10% to 40% of patients after single-incident civilian trauma. Prior research suggests that young age is associated with incr...
0
The endometrial adenocarcinoma as a model for hormone-dependency and hormone-responsiveness of gynaecological cancers
MSTS 2018 - Femur Mets and MM
The endometrial adenocarcinoma is studied as a model for the hormone-dependency of gynaecological cancers to estrogens and for their hormone-responsiveness to progestogens and anti-estrogens. The evident direct and the possible indirect mechanisms of action of medroxyprogesterone and tamoxifen on the endometrial adenoc...
1
Fixation of pathological humeral fractures by the cemented plate technique
MSTS 2022 - Metastatic Disease of the Humerus
Pathological fractures of the humerus are associated with pain, morbidity, loss of function and a diminished quality of life. We report our experience of stabilising these fractures using polymethylmethacrylate and non-locking plates. We undertook a retrospective review over 20 years of patients treated at a tertiary m...
0
Reach-to-grasp interjoint coordination for moving objects in children with hemiplegia
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Objective: To evaluate interjoint coordination in children with hemiplegia as they reach to grasp objects, in both static and dynamic conditions. An ad hoc robotic device was used to study the dynamic condition. Design: Observational study. Patients: Six children with hemiplegia and 6 young adults. Methods: Kinematics ...
0
Management of diabetic neuropathy
DoD LSA (Limb Salvage vs Amputation)
The only strategy shown to be consistently beneficial in the treatment of diabetic neuropathy is meticulous control of blood glucose. The largest study of the effects of glycemic control on progression of neuropathy was the Diabetes Control and Complications Trial, which enrolled 1,500 patients. Meticulous control of b...
0
Treatment of infected non-unions of the femur and tibia in a French referral center for complex bone and joint infections: Outcomes of 55 patients after 2 to 11 years
DoD LSA (Limb Salvage vs Amputation)
Introduction: An infected non-union is a major complication following bone fracture. While bone union can be obtained in 70% to 100% of cases, treatment of osteomyelitis is less predictable, with reported healing rates ranging from 40% to 100%. The primary aim of this study was to assess the success rate of treating in...
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Insomnia in a chronic musculoskeletal pain with disability population is independent of pain and depression
DoD PRF (Psychosocial RF)
BACKGROUND CONTEXT: Insomnia is frequently experienced by patients suffering from chronic musculoskeletal disorders but is often seen as simply a symptom of pain or depression and not as an independent disorder. Compared with those who experience only chronic pain, patients with both chronic pain and insomnia report hi...
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Current concepts in the rehabilitation following articular cartilage repair procedures in the knee
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Postoperative rehabilitation programs following articular cartilage repair procedures will vary greatly among patients and need to be individualized based on the nature of the lesion, the unique characteristics of the patient, and the type and detail of each surgical procedure. These programs are based on knowledge of ...
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Distal Radius Fractures: External Fixation and Supplemental K-Wires
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The primary treatment goal for fractures of the distal radius is fracture reduction and stabilization to permit restoration of pain-free wrist function. Recognition of fracture instability based on the radiographic evaluation of fragment comminution and displacement is the focus of current classifications. Although clo...
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Long-term risk of dementia among people with traumatic brain injury in Denmark: a population-based observational cohort study
DoD PRF (Psychosocial RF)
Background: Traumatic brain injury (TBI) has been associated with increased risk of dementia; however, large-scale studies with long follow-up have been scarce. We investigated the association between TBI, including severity and number of TBIs, and the subsequent long-term risk of dementia. Methods: We did a nationwide...
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High tibial osteotomy
OAK 3 - Non-arthroplasty tx of OAK
High tibial osteotomy (HTO) is a widely performed procedure to treat medial knee arthrosis. In general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. The ideal candidate for an HTO is a middle aged patient (60 to 65 years of age), with isolated...
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From mild to severe primary hyperparathyroidism: The Brazilian experience
MSTS 2022 - Metastatic Disease of the Humerus
Primary hyperparathyroidism often presents as an asymptomatic disorder. In our institution, routine serum calcium measurements have now been used as part of medical examination for 23 years. Out of 124 patients consecutively seen at our institution, 47% presented with no symptoms related to the disease, while 25% prese...
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Computed tomography (CT) chest imaging in diagnosis and management of patients with COVID-19
Coronavirus Disease 2019 (COVID-19)
Over the last few weeks, there is an increase in the number of cases of Corona VIrus Disease-2019 (COVID-19) reported in India. Every clinician is likely to manage one or other form of presentation of the disease in his or her practice. Therefore, every clinician needs to be aware of the imaging appearances of the COVI...
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Perioperative pregabalin for attenuation of postoperative pain after eyelid surgery
Upper Eyelid and Brow Surgery
PURPOSE: To examine the effect of a 1-time dose of pregabalin (Lyrica) on the perception of pain and analgesic consumption after oculofacial plastic surgery. METHODS: In this prospective, randomized, double-blind, placebo-controlled trial, patients presenting to the oculofacial plastic surgery service at University of ...
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Three in one block for unilateral knee arthrotomy in an old lady
Surgical Management of Osteoarthritis of the Knee CPG
An old lady having septic arthritis of right knee joint underwent arthrotomy under three in one block for femoral, obturator and lateral cutaneous nerve of thigh in inguinal region, with catheter in situ. She was a case of chronic obstructive airway disease with ischaemic heart disease, so operation and postoperative p...
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Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trial
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Postoperative analgesia with the use of parenteral opioids or epidural analgesia can be associated with troublesome side effects. Good perioperative analgesia facilitates rehabilitation, improves patient satisfaction, and may reduce the hospital stay. We investigated the analgesic effect of locally injected...
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Treatment of periprosthetic femoral fractures by effective lengthening of the prosthesis
Management of Hip Fractures in the Elderly
The increasing number of hip and knee arthroplasties implies a greater likelihood of periprosthetic fractures and need for successful treatment options. We asked whether in situ effective lengthening of the indwelling prosthesis by a custom-made slotted hollow intramedullary nail provided a reasonable alternative to th...
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Risk profile of patients developing nonunion of the clavicle and outcome of treatment--analysis of fifty five nonunions in seven hundred and twenty nine consecutive fractures
DoD SSI (Surgical Site Infections)
PURPOSE: The most common complication following treatment of a clavicle fracture is nonunion. Most nonunions are symptomatic and treatment is mostly operative. The aim of this study was to describe risk profiles of patients developing nonunion and what outcome is observed following operative treatment of clavicle nonun...
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A comparative study of the efficacy of NAXOZOL compared to celecoxib in patients with osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Objective Selective cyclooxygenase-2 inhibitors (celecoxib) can minimize the gastrointestinal complications related to non-steroidal anti-inflammatory drug (NSAID) use. NAXOZOL is a new combination formulation designed to provide sequential delivery of a non-enteric-coated, immediate-release esomeprazole strontium tetr...
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Adjuvant therapy of breast cancer - Bisphosphonates
MSTS 2018 - Femur Mets and MM
The skeleton is a first site of recurrence in every third relapse in breast cancer. Approximately 705 (50-80%) of metastatic breast cancer patients have bone metastases [1]. Bisphosphonates have been used successfully in the treatment of malignant hypercalcaemia and skeletal metastases [2]. The use of bisphosphonates i...
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mTORC1 activation downregulates FGFR3 and PTH/PTHrP receptor in articular chondrocytes to initiate osteoarthritis
AMP (Acute Meniscal Pathology)
OBJECTIVE: Articular chondrocyte activation, involving aberrant proliferation and prehypertrophic differentiation, is essential for osteoarthritis (OA) initiation and progression. Disruption of mechanistic target of rapamycin complex 1 (mTORC1) promotes chondrocyte autophagy and survival, and decreases the severity of ...
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Growing applications of FDG PET-CT imaging in non-oncologic conditions
PJI DX Updated Search
As the number of clinical applications of 2-[fluorine 18]fluoro-2-deoxy-D-glucose (FDG) positron emission tomography/computed tomography (PET-CT) grows, familiarity with the conditions that can be diagnosed by this modality and when relevant pieces of additional information can be obtained becomes increasingly importan...
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Geriatric trauma: demographics, injuries, and mortality
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
OBJECTIVES: To identify injuries that elderly sustain during high-energy trauma and determine which are associated with mortality. DESIGN: Retrospective review of prospectively collected database. SETTING: Academic trauma center. PATIENTS: Patients selected from database of all trauma admissions from January 2004 throu...
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Preliminary results of the induced membrane in upper limb. About 6 cases
DoD SSI (Surgical Site Infections)
The aim of this study was to describe the preliminary results after reconstruction of segmental bone defects (SBDs) in the upper limb of six patients. This retrospective study included three men and three women with an average age of 35 years (range 18–62 years), who had four primary and two secondary SBDs. The average...
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Results of "Trochanteric Femoral Nailing (TFN)" in comminuted unstable trochanteric fractures
Hip Fx in the Elderly 2019
Unstable trochanteric fractures and fractures with reverse obliquity pose difficulty in fixation. In recent years, intramedullary nails, for the treatment of comminuted and unstable intertrochanteric hip fractures, are becoming more popular relative to conventional, sliding hip screws. The purpose of our study was to e...