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0 | Acute primary total knee arthroplasty for peri-articular knee fractures in patients over 65 years of age | Surgical Management of Osteoarthritis of the Knee CPG | Peri-articular knee fractures in osteoporotic or osteoarthritic bone present a challenge to fixation, mobilisation or non-operative management. We present a series of 15 proximal tibial and 11 distal femoral fractures treated with total knee arthroplasty at over mean follow-up period of 38.8 months. The mean age of the... |
1 | Improved Outcome With Knee Arthroscopy Relative to Physiotherapy for Symptomatic Unstable Meniscal Tears: 2-Year Prospective Cohort Study | AMP (Acute Meniscal Pathology) | BACKGROUND: Although preservation of meniscal tissue is paramount, there are occasions when repair of a torn meniscus is not possible. The surgical option may be a partial meniscectomy, the objective being to alleviate the patient's symptoms with resection of only that portion of the meniscus that is no longer function... |
0 | Aesthetic and functional management of eyelid and orbital reconstruction | Upper Eyelid and Brow Surgery | Major head and neck resections may result in ocular defects that are functionally and/or aesthetically incapacitating. Restoration of the eyelid and orbit must address lateral canthal laxity, midface ptosis, eyelid retraction and ptosis, globe malposition, and dysfunctional lacrimal drainage. Here we discuss lateral ca... |
0 | Determinants of incidence of osteoporotic fractures in the female Spanish population older than 50 | Management of Hip Fractures in the Elderly | It is well known that the adoption of preventive measures for osteoporosis may contribute to minimizing its impact as a result of bone fractures. However, there are well-recognized risk factors involved in the onset of osteoporosis that are not possible to modify. Better knowledge of these non-modifiable factors could ... |
0 | Should the patella be replaced in total knee replacement? | Surgical Management of Osteoarthritis of the Knee CPG | In 170 total knee arthroplasties for osteoarthritis 71 did not receive a patellar replacement (group A), while 99 knees had a cemented polyethylene patella (group B). The mean follow-up time was 36 months (30-50 months). In group A 10 patients underwent second-stage patellar resurfacing and in group B 2 knees underwent... |
0 | The failed subacromial decompression: Further evaluation and treatment | Glenohumeral Joint OA | Subacromial decompression is one of the most successful and common orthopedic procedures performed today. If there is continued pain and dysfunction after this procedure, the diagnostic work-up becomes challenging. Multiple sources of persistent pain exist including disorders both intrinsic and extrinsic to the shoulde... |
0 | Cerebral collaterals and collateral therapeutics for acute ischemic stroke | Pediatric Supracondylar Humerus Fracture 2020 Review | Cerebral collaterals are vascular redundancies in the cerebral circulation that can partially maintain blood flow to ischemic tissue when primary conduits are blocked. After occlusion of a cerebral artery, anastomoses connecting the distal segments of the MCA with distal branches of the ACA and PCA (known as leptomenin... |
0 | The use of lipofilling to treat congenital hypoplastic breast anomalies: preliminary experiences | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Treatment options for congenital hypoplastic breast anomalies are often open, including radial scoring, parenchymal flaps, and insertion of expanders and implants. Drawbacks of open techniques involve scarring, the use of drains, and inpatient stays. The use of lipofilling to treat breast deformities is inc... |
0 | Three-dimensional kinematic and kinetic gait deviations in individuals with chronic anterior cruciate ligament deficient knee: A systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Altered joint motion that occurs in people with an anterior cruciate ligament deficient knee is proposed to play a role in the initiation of knee osteoarthritis, however, the exact mechanism is poorly understood. Although several studies have investigated gait deviations in individuals with chronic anterior... |
0 | The anticatabolic effect of neuraxial blockade after hip surgery | Management of Hip Fractures in the Elderly | Although the protein-sparing effect of neuraxial blockade after abdominal surgery is well established, its metabolic effect after operations on the lower extremities remains unclear. In this study, we tested the hypothesis that combined spinal and epidural blockade (CSE) inhibits amino acid oxidation after hip surgery.... |
0 | Systemic toxicity with ropivacaine: In reference to a clinical case | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Signs and symptoms of local anesthetic (LA) systemic toxicity are exhibited at the level of central nervous system and cardiovascular system, being the first the target of the most frequent toxic replies. Early neurological symptoms such as gustative and/or visual symptoms, changes in the state of conscio... |
0 | Physical rehabilitation approaches for the recovery of function and mobility following stroke | SR for PM on OA of All Extremities | Background: Various approaches to physical rehabilitation may be used after stroke, and considerable controversy and debate surround the effectiveness of relative approaches. Some physiotherapists base their treatments on a single approach; others use a mixture of components from several different approaches.Objectives... |
0 | Qualitative and quantitative differences of adipose-derived stromal cells from superficial and deep subcutaneous lipoaspirates: a matter of fat | Panniculectomy & Abdominoplasty CPG | BACKGROUND AIMS: Subcutaneous fat represents a valuable reservoir of adipose-derived stem cells (ASCs) in the stromal vascular fraction (SVF), widely exploited in regenerative medicine applications, being easily harvested through lipoaspiration. The lack of standardized procedures for autologous fat grafting guided res... |
0 | Decreasing incidence of femoral neck fractures in the medicare population | HipFx Supplemental Cost Analysis | This study was designed to evaluate trends in incidence and treatment patterns for intracapsular hip fractures and to evaluate risk factors for complications and mortality. Patients with an intracapsular hip fracture who underwent internal fixation, hemiarthroplasty, or total hip arthroplasty (THA) were identified from... |
1 | Hospital-based versus home-based proprioceptive and strengthening exercise programs in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: This study aimed to establish the effects of hospital- and home-based proprioceptive and strengthening exercise programs on proprioception, pain, and functional status in patients with knee osteoarthritis (OA). METHODS: Sixty patients with bilateral knee OA were randomly allocated into either a home-based o... |
0 | Dialysis-related amyloidosis during peritoneal dialysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Patients treated with long-term hemodialysis may develop carpal tunnel syndrome, cystic bone lesions, and/or an arthropathy. This syndrome has been called hemodialysis-related amyloidosis (HRA) and appears to be the result of the accumulation of polymerized Beta-2 microglobulin (B2M). The risk to patients treated with ... |
0 | Differences of hemiarthroplasty and total hip replacement in orthogeriatric treated elderly patients: a retrospective analysis of the Registry for Geriatric Trauma DGU<sup> R</sup> | Hip Fx in the Elderly 2019 | PURPOSE: Medial femoral neck fractures are typically managed with hemiarthroplasty (HA) or total hip arthroplasty (THA) in elderly patients. There is a debate as to which treatment predominates. The literatures have reported better outcomes for those patients with proximal femur fracture who were treated in an orthoger... |
0 | Synovial fluid chondroitin sulphate epitopes 3B3 and 7D4, and glycosaminoglycan in human knee osteoarthritis after exercise | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Walking exercise alleviates some symptoms, such as pain, in patients with mild to moderate knee osteoarthritis (OA). However, a major concern is that weightbearing exercise on osteoarthritic joints may exacerbate articular cartilage degradation. Loading of proteoglycan depleted articular cartilage in vitro i... |
0 | An effective bloodless surgery protocol | PJI DX Updated Search | Modern techniques have been successful over the past several years in reducing the amount of transfusions that occur after total joint arthroplasty. Although improvements have been made, transfusion rates after unilateral replacements still range from 4% to 46% and 31% to 72% in bilateral cases. Owing to the high incid... |
0 | Breast reduction for asymmetrical hypertrophy | Reduction Mammoplasty for Female Breast Hypertrophy | Design details of reduction of asymmetrical hypertrophy of the breasts are discussed. The concepts apply to nearly any breast reduction technique, although here they are presented in the context of the inferior segment method, which we favor. Although most of these points may seem self-evident to the experienced plasti... |
0 | Complications of Distal Radius Fractures | Distal Radius Fractures | Fractures occur at the distal end of the radius more frequently than at any other location. The reported complication rates of distal radius fractures in the literature vary from 6% to 80%. Complications may occur from the fracture or its treatment. This article reviews complications caused by distal radius fractures a... |
0 | Development and clinical translation of approved gene therapy products for genetic disorders | OAK 3 - Non-arthroplasty tx of OAK | The field of gene therapy is striving more than ever to define a path to the clinic and the market. Twenty gene therapy products have already been approved and over two thousand human gene therapy clinical trials have been reported worldwide. These advances raise great hope to treat devastating rare and inherited disea... |
0 | Muscle dysfunction in elderly individuals with hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVE: To investigate muscle metabolism in elderly people with hip fracture. METHODS: Free carnitine, carnitine esters, and respiratory chain enzyme activity were measured in muscle tissue from 54 patients over 65 years who underwent surgery for hip fracture, and from 40 healthy controls. RESULTS: Eighty-five perce... |
0 | Signal intensity alteration in the infrapatellar fat pad at baseline for the prediction of knee symptoms and structure in older adults: A cohort study | OAK 3 - Non-arthroplasty tx of OAK | Objective To describe the associations between infrapatellar fat pad (IPFP) signal intensity alteration at baseline and knee symptoms and structural changes in older adults. Methods A total of 874 subjects (mean 62.1 years, 50.1% female) selected randomly from local community were studied at baseline and 770 were follo... |
1 | The effects of acellular dermal matrix in expander-implant breast reconstruction after total skin-sparing mastectomy: results of a prospective practice improvement study | Acellular Dermal Matrix | BACKGROUND: Neither outcome after total skin-sparing mastectomy and expander-implant reconstruction using acellular dermal matrix nor a strategy for optimal acellular dermal matrix selection criteria has been well described. METHODS: Prospective review of three patient cohorts undergoing total skin-sparing mastectomy w... |
0 | A deficiency of vitamin B6 is a plausible molecular basis of the retinopathy of patients with diabetes mellitus | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Eighteen patients with diabetes mellitus, some of whom had variously retinopathy, pregnancy, and the carpal tunnel syndrome, and were variously treated with steroids and vitamin B6, have been overviewed for periods of 8 months to 28 years. We have established an association of a deficiency of vitamin B6 with diabetes b... |
0 | Stimulating versus non-stimulating catheter for lumbar plexus continuous infusion after total hip replacement | AAHKS (8) Anesthetic Infiltration | BACKGROUND: This study was aimed to investigate whether stimulating catheters for continuous lumbar plexus block reduce local anesthetic consumption after hip arthroplasty if compared with traditional non-stimulating catheters.
METHODS: Seventy-two ASA I-III, 18-82 year-old, undergoing primary hip replacement (THA) for... |
0 | Surgery for anterior cruciate ligament deficiency: A historical perspective | OAK 3 - Non-arthroplasty tx of OAK | The anterior cruciate ligament (ACL) has entertained scientific minds since the Weber brothers provided biomechanical insight into the importance of the ACL in maintaining normal knee kinematics. Robert Adams described the first clinical case of ACL rupture in 1837 some 175 years to date, followed by Mayo-Robson of Lee... |
0 | Subtalar fusion in cerebral palsy patients: Results of a new technique using corticocancellous allograft | DoD SSI (Surgical Site Infections) | Background: Valgus deformity of the hindfoot in cerebral palsy (CP) patients is common and causes functional deterioration and shoe fitting problems together with skin ulcerations. Our aims in this study are, to present an intra-articular technique of subtalar fusion using allograft and internal fixation to achieve sta... |
0 | Analysis of Nonsurgical Treatment Options for Metastatic Rectal Cancer | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: Using a large national registry, we investigated patterns of care and overall survival (OS) for metastatic rectal cancer patients treated with chemotherapy or radiotherapy (RT), or with a multimodal approach. Patients and Methods: Adult patients with metastatic rectal cancer who did not undergo resection ... |
0 | Cutaneous leishmaniasis predisposing to human skin cancer: forty years local and regional studies | MSTS 2022 - Metastatic Disease of the Humerus | Different types of association between leishmaniasis and cancer were established: leishmaniasis mimicking a malignant disorder, such as lymphoma; leishmaniasis arising as a difficult to diagnose and treat infection among patients receiving chemotherapy for various malignant disorders; simultaneous diagnosis of leishman... |
0 | Functional characterisation of the osteoarthritis susceptibility locus at chromosome 6q14.1 marked by the polymorphism rs9350591 | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The arcOGEN genome-wide association study reported the rs9350591 C/T single nucleotide polymorphism (SNP) as marking a region on chromosome 6q14.1 that is associated with hip osteoarthritis (OA) in Europeans, with an odds ratio (OR) of 1.18 and a p-value of 2.42 x 10(-9). rs9350591 is an intergenic SNP surr... |
0 | Combined radiotherapy and medical immunosuppression in the management of thyroid disease | Upper Eyelid and Brow Surgery | Although systemic steroids or orbital radiotherapy are effective in limiting the inflammatory response in thyroid eye disease (TED), there are reports of over 70% of treated patients requiring subsequent rehabilitative surgery: either orbital decompression or strabismus correction. This study investigated whether combi... |
0 | Characteristic arthroscopic signs of cartilage injuries indicating concomitant occult medial meniscal peripheral tears of posterior horn | AMP (Acute Meniscal Pathology) | BACKGROUND: Medial posterior horn meniscal tear is difficult to visualise during arthroscopy and is occasionally undetected by preoperative magnetic resonance imaging (MRI). Consequently, attention should be paid to performing a thorough examination and to some characteristic signs that indicate occult meniscal tear. T... |
0 | Early complications after minimally invasive mobile-bearing medial unicompartmental knee arthroplasty | AMP (Acute Meniscal Pathology) | The purpose of this article is to review the early complications of minimally invasive mobile-bearing unicompartmental knee arthroplasty by analyzing the first 100 consecutive cases. All cases were medial unicompartmental arthroplasties with a follow-up of at least 24 months (range, 24-51 months). Seven revision proced... |
0 | Traumatic stress and psychological adjustment in treatment-seeking women sexually abused in childhood: a follow-up | DoD PRF (Psychosocial RF) | The objective of this study was to assess post-traumatic stress disorder (PTSD), psychological distress, and risk factors among women sexually abused in childhood (CSA) after six months in therapy. Thirty in-treatment CSA survivors reported their abuse history and filled out several questionnaires. Comparisons were mad... |
1 | Deposition of nonamyloid material in connective tissue in uraemia | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome was recently described as a late complication in patients on long-term regular dialysis treatment (RDT). Perineural tissue excized from carpal tunnel stained Congo-red-positive, indicating that it might be amyloid. The aim of this study was to further characterize the deposited material and to in... |
0 | Ankylosing neurogenic myositis ossificans of the hip | Hip Fx Time to Surgery | Neurogenic myositis ossificans is a disabling condition affecting the large joints of patients with severe post-traumatic impairment of the central nervous system. It can result in ankylosis of the joint and vascular or neural compression. Surgery may be hazardous with potential haemorrhage, neurovascular injury, iatro... |
0 | Two-stage arthroplasty for the treatment of chronic osteomyelitis after routine arthroscopic knee surgery | PJI DX Updated Search | Corynebacterium pseudodiphtheriticum is a normal inhabitant of the upper respiratory tract and is rarely thought of as a true pathogen. Although this microorganism has been associated with respiratory complications, a few case reports have demonstrated its ability to cause orthopedic infections. A recent review of the ... |
0 | Epidemiological and Clinical Features of Primary Giant Cell Tumors of the Distal Radium: A Multicenter Retrospective Study in China | Distal Radius Fractures | Giant cell tumors of the distal radius are challenging for surgeons because they are associated with high recurrence rates and poor functional outcomes. Between June 2005 and October 2015, patients with primary giant cell tumors of the distal radius were recruited from seven orthopedic centers in China. The patients' c... |
0 | Prospective evaluation of pronator quadratus repair following volar plate fixation of distal radius fractures | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose: To evaluate the efficacy of pronator quadratus (PQ) repair after volar plating of distal radius fractures. Methods: All consecutive distal radius fractures treated operatively with a volar plate during a 1-year period were assigned to receive a repair of the PQ versus no repair. Surgical exposure, reduction, a... |
0 | The position of the joint line in relation to the trans-epicondylar axis of the knee: complementary radiologic and computer-based studies | Surgical Management of Osteoarthritis of the Knee CPG | Two complementary studies that seek to establish the relationship between the length and position of the trans-epicondylar axis (TEAL) of the distal femur and the position of the knee joint line were presented. A radiologic study of 50 patients having computerized axial tomography of the knee showed that there is a goo... |
0 | Comparison of procalcitonin and C-reactive protein for the diagnosis of periprosthetic joint infection before revision total hip arthroplasty | PJI DX Updated Search | OBJECTIVE: To compare the clinical informative value of procalcitonin (PCT) and C-reactive protein (CRP) serum concentrations in the diagnosis of periprosthetic joint infection (PJI) before revision total hip arthroplasty (THA). DESIGN AND METHODS: We conducted a prospective observational study of 71 consecutive patien... |
0 | Multi-joint postural behavior in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Previous studies have demonstrated balance impairment in patients with knee osteoarthritis (OA). Although it is currently accepted that postural control depends on multi-joint coordination, no study has previously considered this postural strategy in patients suffering from knee OA. The objectives of this s... |
0 | Cerebrospinal fluid neurotransmitter changes during the perioperative period in patients undergoing total knee replacement: a randomized trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Total knee replacement (TKR) is of enormous benefit to patients with osteoarthritis of the knee; however, the acute postoperative pain can be severe and difficult to manage. The role of major spinal cord neurotransmitters in this acute postoperative period is not clear, although there are a few studies in h... |
0 | The position of the tourniquet on the upper limb | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Our aim was to determine if a tourniquet placed on the forearm has any advantage in clinical practice over the usual position on the upper arm. We randomised 50 patients who were undergoing an open operation for carpal tunnel syndrome under local anaesthesia into two groups. One had a tourniquet on the upper arm and th... |
0 | Femoral neck fracture in an arthrodesed hip treated by a supracondylar intramedullary locked nail | Management of Hip Fractures in the Elderly | We describe a case of a femoral neck fracture occurring 51 years after a hip arthrodesis. This rare lesion in an obese woman was treated with a straight supracondylar nail with proximal and distal locking inserted retrograde from the subtrochanteric area into the ileum. Full weight bearing was achieved within 1 week po... |
0 | Saphenous nerve transfer: A new approach to restore sensation of the sole | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Loss of protective sensation of the sole may lead to repeated trauma, chronic nonhealing ulcers, and even amputation. Saphenous nerve (SN) to posterior tibial nerve (PTN) transfer can restore sensation of the sole. METHOD: This study was conducted in a tertiary referral center in Central India. Twenty-one p... |
0 | Ultrasonic indications to explore the common bile duct | AMP (Acute Meniscal Pathology) | A prospective comparison between operative cholangiography and operative choledochosonography has been made in 100 patients with cholelithiasis and potential choledocholithiasis. Thirty-one common bile ducts were explored, and 25 of them contained stones. Operative cholangiography was attempted in every case, but techn... |
1 | The risk of haematogenous infection in total joint replacements | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | One thousand patients who received 1112 total joint replacements between 1966 and 1980 were followed up prospectively for an average of six years. These patients were not advised to take antibiotics prophylactically to cover subsequent dental or surgical procedures and, so far, only three cases of haematogenous infecti... |
0 | Anterolateral approach for tibial pilon fractures | DoD SSI (Surgical Site Infections) | The anterolateral approach to the tibia has been popularized for management of tibial pilon fractures. This approach offers the benefit of improved soft tissue coverage and the potential for a lower rate of wound-healing complications by avoiding incision placement over the subcutaneous border of the tibia. Although th... |
0 | Cost-effectiveness of nutritional intervention in hip fracture patients: A multi-centre randomised controlled trial (RCT) | Management of Hip Fractures in the Elderly | Rationale: Previous research on the effect of nutritional intervention on clinical outcome in hip fracture patients yielded contradictory results. Cost-effectiveness of nutritional intervention in hip fracture patients remains unknown. Our aim was to evaluate cost-effectiveness of nutritional intervention in elderly su... |
0 | High-risk pediatric orthopedic pitfalls | DoD - ACS - Interrater Reliability | Pediatric patients often present to the emergency department with orthopedic pathology that can challenge the emergency department physician. This article focuses on key diagnoses that are frequently mismanaged. These diagnoses require specific knowledge to execute appropriate treatment. Pediatric fractures, compartmen... |
0 | Castration-induced bone loss triggers growth of disseminated prostate cancer cells in bone | MSTS 2022 - Metastatic Disease of the Humerus | Up to 90% of patients with castrate-resistant prostate cancer develop bone metastases, and the majority of these men have received androgen deprivation therapy known to cause bone loss. Whether this treatment-induced change to the bone microenvironment affects disseminated tumour cells, potentially stimulating developm... |
0 | Triangular fibrocartilage complex repair through bone tunnels (Palmer Type 1D) | AMP (Acute Meniscal Pathology) | The triangular fibrocartilage complex (TFCC) is an important and complex anatomic structure. At the distal radioulnar joint (DRUJ), the TFCC provides mechanical stability and absorbs axial and translational forces. Discrete anatomic structures impart specific functions. By adulthood, the blood supply is limited to the ... |
0 | Using the Risk Assessment and Predictor Tool (RAPT) for patients after total knee replacement surgery | OAK 3 - Non-arthroplasty tx of OAK | Objectives: The aim of this study was to use the Risk Assessment and Predictor Tool (RAPT) to evaluate the risk of complications in patients hospitalized after total knee replacement (TKR) surgery. Method: The medical charts of 272 patients who had TKR surgery for knee osteoarthritis (OA) were included in the study. Th... |
0 | The prevalence and impact of child maltreatment and other types of victimization in the UK: findings from a population survey of caregivers, children and young people and young adults | DoD PRF (Psychosocial RF) | OBJECTIVES: To measure the prevalence of maltreatment and other types of victimization among children, young people, and young adults in the UK; to explore the risks of other types of victimization among maltreated children and young people at different ages; using standardized scores from self-report measures, to asse... |
0 | Failure of a proximally porous-coated femoral prosthesis in revision total hip arthroplasty | Management of Hip Fractures in the Elderly | A retrospective study was done on a consecutive series of patients who had revision of a femoral hip prosthesis using a titanium-alloy implant with proximal fibermesh pads. Of 28 patients who had revision using a Harris- Galante (Zimmer, Warsaw, IN) femoral prosthesis between 1985 and 1989, 25 of them (25 hip arthropla... |
0 | Evaluation and treatment of extremity metastatic disease | MSTS 2022 - Metastatic Disease of the Humerus | Metastases can occur as part of the natural progression of a variety of malignancies and their mode of spread, manner of presentation, and prognosis are as variable as their primary sources. The ultimate goal of musculoskeletal treatment of skeletal metastases is to get the patient in question back to his or her previo... |
1 | Strategies for the prevention of periprosthetic joint infection | PJI DX Updated Search | Periprosthetic joint infection (PJI) is a devastating complication which can follow a total joint arthroplasty (TJA). Although rare, this ongoing threat undermines the success of TJA, a historically reputable procedure. It has haunted the orthopedic community for decades and several ongoing studies have provided insigh... |
0 | Scientific documentation of the relationship of vitamin D deficiency and the development of cancer | MSTS 2018 - Femur Mets and MM | It is well known that vitamin D plays a key role in calcium homeostasis and is important for optimal skeletal growth. The major function of vitamin D is to enhance the efficiency of calcium absorption from the small intestine. Most physicians relate vitamin D deficiency to disorders of skeletal muscle. Vitamin D defici... |
0 | Place of residence and risk of fracture in older people: A population-based study of over 65-year-olds in Cardiff | Management of Hip Fractures in the Elderly | Fracture prevention strategies will be most cost-effective if targeted on groups of frail elderly people who are at particularly high risk of falls and fractures. Elderly people living in care homes are one potential target population, but fracture incidence in this setting remains poorly defined in many countries. We ... |
0 | Should routine pelvic osteotomy be added to the treatment of DDH after 18 months? | Developmental Dysplasia of the Hip 2020 Review | The treatment of developmental dysplasia of the hip (DDH) between ages 1-3 years is controversial. Particularly controversial is the age after which pelvic osteotomy should be added to the treatment. In the present study, the outcomes of DDH patients aged 1-3 years treated with anterior open reduction alone were evalua... |
0 | [Comparative study on early complication after total knee arthroplasty surgery by different incisions] | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To evaluate the usefulness of minimal incision technique in total knee arthroplasty (TKA) by comparing the early complications after minimal incision TKA and those after traditional incision.METHODS: From May 2004 to July 2005, 38 patients (46 knees) underwent TKA using the minimal incision technique (minima... |
1 | Determinants of knee replacement in subjects with a history of arthroscopy: data from the osteoarthritis initiative | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate the risk and determinants of knee replacement (KR) in subjects with or at risk of osteoarthritis (OA) and a history of arthroscopy.
METHODS: Data from the osteoarthritis initiative cohort were analyzed (n = 4796, up to the seventh year of follow-up). Cox proportional hazard analysis was used t... |
0 | The Association Between Protein Intake by Source and Osteoporotic Fracture in Older Men: A Prospective Cohort Study | Hip Fx in the Elderly 2019 | Dietary protein is a potentially modifiable risk factor for fracture. Our objectives were to assess the association of protein intake with incident fracture among older men and whether these associations varied by protein source or by skeletal site. We studied a longitudinal cohort of 5875 men (mean age 73.6 +/- 5.9 ye... |
0 | Short latency potentials recorded from the neck and scalp following median nerve stimulation in man | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Short latency evoked potentials were recorded from sites overlying the cervical and thoracic vertebrae, the clavicles, mastoid processes and cerebral cortex, following percutaneous stimulation of median nerve fibres at the elbow, wrist and fingers in 23 normal subjects. At least four major early components each with si... |
1 | A Prospective Randomized Trial to Assess Oral Versus Intravenous Antibiotics for the Treatment of Postoperative Wound Infection After Extremity Fractures (POvIV Study) | DoD SSI (Surgical Site Infections) | Patients surgically treated for infection after extremity fractures are typically discharged with a 6- to 12-week antibiotic regimen. Intravenous (IV) antibiotics are associated with significant cost and potential complications of deep vein thrombosis, line clotting, and sepsis. Many of the pathogens that cause musculo... |
0 | Comparison of the Rubin dermal suspension sutures and total parenchymal reshaping technique with a traditional inverted T-scar reduction mammaplasty technique using a superior pedicle | Reduction Mammoplasty for Female Breast Hypertrophy | UNLABELLED: Adipose patients, especially after massive weight loss, pose a challenge to the breast surgeon due to the major loss of volume and the inelasticity of the skin. Rubin described a suitable mammaplasty technique for these patients involving dermal suspension sutures and total parenchymal reshaping. With this ... |
0 | Acetabular liner with focal constraint to prevent dislocation after THA | PJI DX Updated Search | Background: Dislocation continues to commonly cause failure after primary and revision total hip arthroplasty (THA). Fully constrained liners intended to prevent dislocation are nonetheless associated with a substantial incidence of failure by redislocation, mechanical failure, aseptic loosening, or a combination. Cons... |
0 | Arthroplasty infection rates in fractured neck of femur: single vs dual antibiotic cement | DoD SSI (Surgical Site Infections) | INTRODUCTION: Mortality rates following hip arthroplasty range between 10% and 40% after 12 months. A higher rate is attributed to postoperative complications, of which surgical site infection is one of the most significant. In an effort to reduce surgical site infection following arthroplasty, antibiotics can be added... |
0 | Revision hip arthroplasty using impacted cancellous bone and cement: a long-term follow-up study | PJI DX Updated Search | Acetabular bone deficiency is one of the many challenging problems encountered in revision hip arthroplasty. A variety of surgical options and techniques are available including impaction bone grafting. We present our long-term experience of 68 consecutive cups in 64 patients, using impacted cancellous bone grafting wi... |
1 | Compartment syndrome performance improvement project is associated with increased combat casualty survival | DOD - Acute Comp Syndrome CPG | BACKGROUND: In 2008, we showed that incomplete or delayed extremity fasciotomies were associated with mortality and muscle necrosis in war casualties with limb injury. Subsequently, we developed an education program focused on surgeon knowledge gaps regarding the diagnosis of compartment syndrome and prophylactic fasci... |
0 | Pattern and epidemiology of pediatric musculoskeletal injuries in Kashmir valley, a retrospective single-center study of 1467 patients | DoD SSI (Surgical Site Infections) | This work aimed to study the pattern and epidemiology of pediatric musculoskeletal trauma and consequent morbidity in Kashmir Valley and compare the results with other studies and to formulate preventive measures and devise management strategies. This was a retrospective study of 1467 pediatric orthopedic trauma patien... |
0 | Specific compartmental analysis of cartilage status in double-bundle ACL reconstruction patients: a comparative study using pre- and postoperative MR images | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate the changes in the site-specific cartilage status after a double-bundle ACL reconstruction using preoperative and follow-up MR images.
METHODS: Thirty-six knees that underwent a double-bundle ACL reconstruction from 2001 to 2009 with the available preoperative and foll... |
0 | Psychedelics and mental health: a population study | DoD PRF (Psychosocial RF) | BACKGROUND: The classical serotonergic psychedelics LSD, psilocybin, mescaline are not known to cause brain damage and are regarded as non-addictive. Clinical studies do not suggest that psychedelics cause long-term mental health problems. Psychedelics have been used in the Americas for thousands of years. Over 30 mill... |
0 | S100P-binding protein, S100PBP, mediates adhesion through regulation of cathepsin Z in pancreatic cancer cells | MSTS 2018 - Femur Mets and MM | Several S100 proteins are up-regulated in pancreatic ductal adenocarcinoma (PDAC), the most significant being S100P. We previously reported on S100PBP, a binding partner of S100P, that shows no homology to any described protein and whose functions are completely unknown. To determine S100PBP expression across human tis... |
0 | Effect of joint line preservation on mobile-type bearing unicompartmental knee arthroplasty: finite element analysis | OAK 3 - Non-arthroplasty tx of OAK | In this study, we performed a virtual mobile-bearing unicompartmental knee arthroplasty (UKA) on the contact pressure in the tibial insert and articular cartilage by using finite element (FE) analysis to understand clinical observations and elaborate on the potential risks associated with a joint line preservation such... |
0 | A functional proteomics screen of proteases in colorectal carcinoma | MSTS 2018 - Femur Mets and MM | BACKGROUND: Proteases facilitate several steps in cancer progression. To identify proteases most suitable for drug targeting, actual enzyme activity and not messenger RNA levels or immunoassay of protein is the ideal assay readout.
MATERIALS AND METHODS: An automated microtiter plate assay format was modified to allow ... |
0 | Multicentre prospective cohort study to assess the quality of life of patients undergoing surgery for subcapital femoral fracture | Hip Fx in the Elderly 2019 | Objective: To describe healthâ?related quality of life (HRQoL) in patients with subcapital femur fracture. Patients and methods: Multicenter cohorts study within a randomized clinical trial, evaluating the efficacy of different hemostatic treatments in patients undergoing surgery for subcapital femur fracture. The pri... |
1 | Magnetic resonance imaging can increase the diagnostic accuracy in symptomatic meniscal repair patients | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate meniscal repair healing in symptomatic patients through combined clinical assessment, magnetic resonance imaging (MRI) and re-arthroscopy. This study investigated the diagnostic accuracy of MRI and clinical assessment in determining failed meniscal repair in symptomati... |
0 | Total hip arthroplasty following failure of dynamic hip screw fixation of fractures of the proximal femur | Management of Hip Fractures in the Elderly | Thirty-two patients (11 male, 21 female) with a mean age of 64 years were prospectively studied after undergoing total hip replacement after failed treatment of intertrochanteric fractures. One patient had bilateral surgery. The mean time from primary surgery to the salvage arthroplasty was 15 months (range, 4 to 32 mo... |
0 | Chronic neuropathic pain in spinal cord injured patients: what is the effectiveness of surgical treatments excluding central neurostimulations? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: Analyzing the literature and elaborating recommendations on the following topics: relevance of dorsal root entry zone (DREZ) lesions, surgical treatment for posttraumatic syringomyelia, other therapeutic approaches (peripheral nerve root pain, nerve trunk pain and Sign Posterior Cord [SCI] pain). MATERIAL A... |
0 | Recent advances in the treatment of multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma represents the second most common hematologic malignancy, with nearly 15,000 new cases each year in the United States. Although further understanding of the pathogenesis of this B-cell malignancy has been made, the disease remains incurable with a median survival of approximately 3 years. The identific... |
0 | Cementless short-stem total hip arthroplasty in the elderly patient - is it a safe option?: a prospective multicentre observational study | Hip Fx in the Elderly 2019 | BACKGROUND: Due to its bone preserving philosophy, short-stem total hip arthroplasty (THA) has primarily been recommended for young and active patients. However, there may be benefits for elderly patients given a less invasive operative technique due to the short curved implant design. The purpose of this study was to ... |
0 | Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: Aquatic physical therapy is frequently used in the management of patients with hip and knee osteoarthritis (OA), yet there is little research establishing its efficacy for this population. The purpose of this study was to evaluate the effects of aquatic physical therapy on hip or knee OA.SUBJECT... |
1 | Randomized comparison of volar locking plates and intramedullary nails for unstable distal radius fractures | Distal Radius Fractures | PURPOSE: To compare minimally invasive intramedullary nails (IMN) and volar locking plates (VLP) for the treatment of unstable distal radius fractures by evaluating postoperative subjective, radiographic, and functional outcomes. The hypothesis was that IMN patients would have less pain and required less pain medicatio... |
0 | Complications following hemiarthroplasty for displaced intracapsular femoral neck fractures in the absence of routine follow-up | Hip Fx in the Elderly 2019 | INTRODUCTION: Hemiarthroplasty is the most commonly performed surgery for displaced intracapsular femoral neck fractures. At present, it is not routine practice to follow up these patients despite the risk of all the complications associated with arthroplasty. This study aimed to determine the prevalence and nature of ... |
1 | Röttinger approach with dual-mobility cup to improve functional recovery in hip osteoarthritis patients: biomechanical and clinical follow-up | Hip Fx in the Elderly 2019 | Purpose: We assumed that the combination of dual-mobility total hip arthroplasty (THA) using the minimally-invasive Röttinger anterolateral approach could guarantee hip stability with faster functional recovery. We objectively analyzed functional improvement after dual-mobility THA by quantitative gait analysis. Metho... |
0 | Microarthroscopic study of the morphologic features of normal and pathological synovial membrane | AMP (Acute Meniscal Pathology) | The complex symptoms occurring in several internal knee diseases are usually related to changes in the synovial membrane, causing diagnostic and therapeutic problems. The conventional arthroscope, useful in establishing the diagnosis of internal derangement, is of questionable value in the differential diagnosis and ev... |
1 | A Prospective Study Assessing Complication Rates and Patient-Reported Outcomes in Breast Reconstructions Using a Novel, Deep Dermal Human Acellular Dermal Matrix | Acellular Dermal Matrix | The value proposition of an acellular dermal matrix (ADM) taken from the deep dermis is that the allograft may be more porous, allowing for enhanced integration and revascularization. In turn, this characteristic may attenuate complications related to foreign body reactions, seromas, and infection. However, this is jux... |
0 | Rapid chondrolysis of the knee after partial lateral meniscectomy in professional athletes | AMP (Acute Meniscal Pathology) | BACKGROUND: Postoperative knee joint chondrolysis is a rare but serious complication. The aim of our study is to report the clinical presentation, the early, mid and long-term outcomes of rapid chondrolysis after a partial lateral meniscectomy in elite athletes.
METHODS: Clinical records of 10 consecutive cases of rapi... |
1 | Does Tranexamic Acid Reduce Knee Swelling and Improve Early Function Following Arthroscopic Meniscectomy? A Double-Blind Randomized Controlled Trial | AMP (Acute Meniscal Pathology) | BACKGROUND: Arthroscopic meniscectomy often results in rapid recovery and return to preinjury activities; however, postoperative hemarthrosis and swelling can lead to pain, decreased range of motion, and delayed return to work and leisure activities. Tranexamic acid (TXA) is a lysine-based inhibitor of plasminogen to p... |
0 | Nonunion of the Femur and Tibia: An Update | DoD SSI (Surgical Site Infections) | Delayed union and nonunion of tibial and femoral shaft fractures are common orthopedic problems. Numerous publications address lower extremity long bone nonunions. This review presents current trends and recent literature on the evaluation and treatment of nonunions of the tibia and femur. New studies focused on tibial... |
0 | Latent subclinical medullary thyroid carcinoma: diagnosis and treatment | MSTS 2018 - Femur Mets and MM | Sporadic medullary thyroid carcinoma (SMTC) is usually diagnosed at a clinical stage often associated with lymph node involvement. Hence surgical treatment does not result in definitive cure in many patients. Studies have demonstrated that routine measurement of serum basal calcitonin (CT) in patients with nodular thyr... |
0 | Therapeutic ultrasound in fracture healing: The mechanism of osteoinduction | Distal Radius Fractures | BACKGROUND: Ultrasound has been used therapeutically for accelerating fracture healing since many years. However, the controversy on the exact mechanism of osteoinduction still continues. In this study, we try to bring out the exact biomolecular mechanism by which ultrasound induces fracture healing.
MATERIALS AND METH... |
0 | The pharmacology and therapeutic use of dabigatran etexilate | PJI DX Updated Search | Dabigatran etexilate is an oral prodrug of dabigatran, a direct thrombin inhibitor, that provides the first available oral anticoagulant alternative to warfarin for reducing the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (AF). Although warfarin is effective, many patients with... |
0 | Reversed distal femoral locking plate for failed proximal femoral nail with non-union of proximal femoral fractures | Hip Fx in the Elderly 2019 | Introduction: Failure of proximal femoral fracture managed by proximal femoral nail (PFN) leads to a very difficult situation to handle with conventional techniques, and reversed distal femoral locking compression plate (DF-LCP) is of great benefit in these selective cases. Methods: Twelve patients with ununited proxim... |
0 | Non-Metastatic Pelvic Ewing's Sarcoma : oncologic outcomes and evaluation of prognostic factors | MSTS 2022 - Metastatic Disease of the Humerus | We are reporting our experience on patients with -pelvic Ewing's Sarcoma treated in our unit. We retrospectively reviewed a series of patients with non-metastatic pelvic Ewing's sarcoma treated between 1977 and 2009. Patients were classified into three groups according to the local treatment received : Group 1. radioth... |
0 | Management of Implant Exposure in One-Stage Breast Reconstruction Using Titanium-Coated Polypropylene Mesh: Sub-Mammary Intercostal Perforator Flap | Acellular Dermal Matrix | INTRODUCTION: One-stage implant-based breast reconstruction using titanium-coated polypropylene mesh is a novel approach widely used in Europe. Complication rates in breast reconstruction with the use of titanium-coated meshes seem to be comparable to those in patients with implant-based breast reconstruction alone. Ho... |
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