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Chewing fails to induce oral bacteraemia in patients with periodontal disease
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
AIM: To investigate whether chewing in patients with untreated chronic periodontitis or plaque-induced gingivitis causes bacteraemia of oral origin. METHOD: Twenty-one patients with untreated chronic periodontitis (32-75 years old) and 20 with plaque-induced gingivitis (26-54 years old) chewed a standard wax medium for...
0
Chondroblastoma of bone
MSTS 2018 - Femur Mets and MM
Background: Chondroblastoma of bone is a rare lesion, and few large series have been reported. The purpose of this paper is to report fortyseven cases treated by one group of surgeons and to identify factors associated with more aggressive tumor behavior. Methods: Seventythree patients with chondroblastoma of bone were...
0
Psychosocial issues and quality of life of women with post-menopausal osteoporosis
Hip Fx in the Elderly 2019
Objective: To determine the relationship between psychosocial stressors and quality of life in females with post-menopausal osteoporosssis. Methodology: A total of 100 females with age from 50-63 years (Mean 56.13±3.16) were selected from two government hospitals and one private clinic through purposive sampling strat...
0
Risk of post-traumatic stress disorder among Danish junior medical officers deployed to Afghanistan is not increased
DoD PRF (Psychosocial RF)
INTRODUCTION: Since August 2006, the Danish Armed Forces have deployed junior medical officers (JMOs) to the Helmand Province in Afghanistan. Research has shown an increased incidence of post-traumatic stress disorder (PTSD) in deployed military personnel throughout the history of modern warfare. No investigation of th...
0
What is the Likelihood That Tumor Endoprostheses Will Experience a Second Complication After First Revision in Patients With Primary Malignant Bone Tumors And What Are Potential Risk Factors?
DoD SSI (Surgical Site Infections)
BACKGROUND: Endoprosthetic reconstruction of massive bone defects has become the reconstruction method of choice after limb-sparing resection of primary malignant tumors of the long bones. Given the improved survival rates of patients with extremity bone sarcomas, an increasing number of patients survive but have prost...
0
Double crush syndrome due to plating of humeral shaft fracture
Pediatric Supracondylar Humerus Fracture 2020 Review
Median nerve injury is rarely associated with the humeral shaft fracture. A Sixty two year old woman with a displaced humeral shaft fracture, developed a symptomatic carpal tunnel syndrome after plating with a screw protruding medially. 16 months later, the implants were removed and the symptoms gradually improved with...
0
Two-year effects of alendronate on bone mineral density and vertebral fracture in patients receiving glucocorticoids: a randomized, double-blind, placebo-controlled extension trial
Hip Fx Time to Surgery
OBJECTIVE: To evaluate the continued efficacy and safety of alendronate (ALN) for up to 2 years in patients receiving glucocorticoids. METHODS: This is a 12-month extension of a previously completed 1-year trial of daily ALN, performed to evaluate the effects of ALN over a total of 2 years in 66 men and 142 women conti...
0
Anatomy of the posterior interosseous nerve in relation to fixation of the radial head
Distal Radius Fractures
The relationship of the posterior interosseous nerve to the radial neck as it relates to internal fixation of radial head fractures was studied in 50 fresh anatomic specimen arms. After a standard posterolateral approach, blind subperiosteal dissection was performed distally until a 4-cm minifragment plate could be pla...
0
Care of the delirious patient
Management of Hip Fractures in the Elderly
In spite of the fact that delirium is a common and often severe cognitive disturbance in the elderly, quite few intervention studies are performed. Descriptive studies of variable quality are much more common. For example, in hip fracture patients delirium is a common complication and the cause of nursing problems that...
0
The anatomically difficult primary total hip replacement: medium- to long-term results using a cementless odular stem
Management of Hip Fractures in the Elderly
This prospective study presents the ten-year (5 to 16) clinical and radiological results of 55 primary total hip replacements (THR) using a cementless modular femoral component (S-ROM). All patients had a significant anatomical abnormality which rendered the primary THR difficult. The mean Harris hip score was 36 (12 t...
0
Homeochronous usage of structural bone allografts with vascularized fibular autografts for biological repair of massive bone defects in the lower extremities after bone tumor excision
DoD SSI (Surgical Site Infections)
We report the clinical outcomes of homeochronous usage of massive bone allografts with vascularized fibular autografts for the biological repair of lower-extremity bone defects secondary to bone tumor excision. Large bone defects in the lower extremities of 17 patients (10 men and seven women; age range, 6 to 34 years)...
0
Treatment of wounds following breast reduction and mastopexy with subsequent wound dehiscence with charged polystyrene microspheres
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Lower T-junction wound dehiscence following breast reduction surgery or mastopexy constitutes a vexing and grievous complication both to the surgeon and the patient. Treatment modalities that can expedite wound healing and reepithelialization rates are highly craved. The objective of this study was to asses...
0
Prospective study of combined treatment with interferon-alpha and active vitamin D3 for Japanese patients with metastatic renal cell carcinoma
MSTS 2018 - Femur Mets and MM
OBJECTIVES: To assess the safety and efficacy of combined therapy with interferon-alpha (INF-alpha) and active vitamin D(3) for metastatic renal cell carcinoma (RCC). METHODS: Sixteen patients with metastatic RCC were enrolled in this prospective study. All received oral alfacalcidol (1 microg once daily) and INF-alpha...
0
Test-retest reliability and sensitivity of the 20-meter walk test among patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The 20-meter walk test is a physical function measure commonly used in clinical research studies and rehabilitation clinics to measure gait speed and monitor changes in patients' physical function over time. Unfortunately, the reliability and sensitivity of this walk test are not well defined and, therefore...
0
Indirect reduction and hybrid external fixation in management of comminuted tibial plateau fractures
DoD SSI (Surgical Site Infections)
The aim of the present study is to assess the results of indirect reduction and hybrid external fixation in management of comminuted tibial plateau fractures. The study included 28 patients with high-energy tibial plateau fractures (Schatzker type V and VI). The ages ranged from 22 to 58 years with an average of 35 yea...
0
Discoid knee menisci in children
AMP (Acute Meniscal Pathology)
Five children were operated for discoid menisci. One of them had, in addition, an anomalous capsular attachment and an anomalous course of the popliteus tendon. Vascularisation at the free margin was a striking feature in the four discoid menisci of the primitive type. Limited or painful extension was common in these c...
1
Comparative analysis between minimal access versus traditional accesses in carpal tunnel syndrome: A perspective randomised study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
INTRODUCTION: Carpal tunnel decompression with division of the transverse carpal ligament has been a highly successful procedure for the treatment of carpal tunnel syndrome. The standard longitudinal incision technique, with a long curvilinear incision, has been the optimal treatment procedure for surgical decompressio...
0
Mobile- versus fixed-bearing total knee arthroplasty: a prospective randomized controlled trial featuring 6-10-year follow-up
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: The purpose of this study was to compare long-term clinical and radiographic outcomes of mobile- (MB) and fixed-bearing (FB) total knee arthroplasties (TKA). METHODS: A randomized controlled study was conducted to compare the clinical and radiographic outcomes of MB and FB prostheses in 93 consecutive patien...
0
Epidemiology of periprosthetic fracture of the femur in 32 644 primary total hip arthroplasties: a 40-year experience
Hip Fx in the Elderly 2019
AIM AND METHODS: The goals of this study were to define the risk factors, nature, chronology, and treatment strategies adopted for periprosthetic femoral fractures in 32 644 primary total hip arthroplasties (THAs). RESULTS: There were 564 intra-operative fractures (1.7%); 529 during uncemented stem placement (3.0%) and...
1
Long-term results of cemented metal-backed glenoid components for osteoarthritis of the shoulder
Glenohumeral Joint OA
BACKGROUND: There has been recent renewed interest in the use of metal-backed glenoid components in total shoulder arthroplasty. However, little information is available on the long-term results. The purpose of this study was to determine the results, the risk factors for an unsatisfactory outcome, and the failure rate...
0
The effect of pain after total knee arthroplasty on the contralateral, nonreplaced knee
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Osteoarthritis is associated with a strong biomechanical component. Persistent pain in the index knee after total knee arthroplasty could lead to pain in the contralateral knee. The purpose of the present study was to examine whether a change in the natural history of pain in the contralateral knee was rela...
0
Fast-track hip and knee arthroplasty: Current status and future challenges
Surgical Management of Osteoarthritis of the Knee CPG
Fast-track THA and TKA is a dynamic process combining clinical and logistical enhancements to ensure the best outcome for all patients regarding faster early functional recovery and reduced morbidity. Focus is on reducing convalescence by ensuring a smooth pathway with the best available clinical treatment from admissi...
0
Gait analysis and real-visual feedback for gait retraining: towards application in knee osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: Knee osteoarthritis (KOA) has been associated with abnormal loading on the tibio-femoral joint, especially the medial compartment. Gait retraining is a strategy to unload the knee, and thereby aims to decrease the pain and further progression of KOA. Real-time visual feedback on well-chosen gait parameters (ki...
0
Correlation between a bone resorption marker and structural geometry of the proximal femur in osteoporotic women treated with raloxifene
Management of Hip Fractures in the Elderly
To assess correlations between a bone resorption marker and the structural geometry of the proximal femur in raloxifene-treated postmenopausal women with osteoporosis. 45 postmenopausal, osteoporotic women aged 57 to 79 (mean, 67) years underwent raloxifene treatment (60 mg/day) for 12 months. Serum type-I collagen cro...
0
Use of innovative biomimetic scaffold in the treatment for large osteochondral lesions of the knee
Diagnosis and Treatment of Osteochondritis Dissecans AUC
PURPOSE: Large osteochondral defects involve two different tissues characterized by different intrinsic healing capacity. Different techniques have been proposed to treat these lesions with results still under discussion. The aim of the study is to evaluate the clinical outcome of 19 patients treated with a type I coll...
1
High-resolution sonography versus EMG in the diagnosis of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Carpal tunnel syndrome (CTS) is a common entrapment neuropathy. Electrodiagnostic testing (EMG) is used to confirm the diagnosis. It is not known what the diagnostic accuracy of high-resolution sonography is in comparison to EMG. OBJECTIVE: The aim of this study was to compare the diagnostic accuracy of bot...
1
Component alignment in simultaneous bilateral or unilateral total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
A bilateral total knee prosthesis procedure can be performed simultaneously in patients with bilateral gonarthrosis. The purpose of this study was to evaluate the differences in component alignment between the simultaneous bilateral TKA and unilateral TKA. A total of 20 patients out of 40 underwent simultaneous bilater...
0
Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation: a systematic review
Distal Radius Fractures
QUESTION: What is the effect of exercise on increasing participation and activity levels and reducing impairment in the rehabilitation of people with upper limb fractures? DESIGN: Systematic review of controlled trials. PARTICIPANTS: Adults following an upper limb fracture. INTERVENTION: Any exercise therapy program, i...
0
Safety and acceptability of an organic light-emitting diode sleep mask as a potential therapy for retinal disease
Upper Eyelid and Brow Surgery
PurposeThe purpose of the study was to study the effect of an organic light-emitting diode sleep mask on daytime alertness, wellbeing, and retinal structure/function in healthy volunteers and in diabetic macular oedema (DMO).Patients and methodsHealthy volunteers in two groups, 18-30 yrs (A), 50-70 yrs (B) and people w...
0
EMS, Traction Splint
Hip Fx in the Elderly 2019
The femur is the longest and strongest bone of the body, and it carries the principal weight of the entire body. It is the heaviest tubular bone of the body that requires high-energy force to fracture, for example, as from motor vehicle accidents. Fracture of the femur carries high-risk complications like hemorrhage, f...
0
External fixators as an adjunct to wound healing
DoD SSI (Surgical Site Infections)
Complex foot and ankle wounds present multiple challenges for the reconstructive surgeon. Soft tissue deficits must be closed to protect underlying structures from infection and to provide a stable environment for healing. Surgical options commonly used include healing by secondary intention, local flap closure, skin g...
0
Biological factors in the pathogenesis of rotator cuff tears
AMP (Acute Meniscal Pathology)
Rotator cuff tears are common, and lead to shoulder pain and functional impairment. Despite their frequency and related disability, etiology and pathogenesis are still debated. Multiple factors contribute to tears of the rotator cuff. Extrinsic factors are anatomic variables, such as acromial morphologic characteristic...
0
Multiple myeloma
MSTS 2018 - Femur Mets and MM
Multiple myeloma is a clonal plasma cell malignancy that accounts for slightly more than 10% of all hematologic cancers. In this paper, we present a historically focused review of the disease, from the description of the first case in 1844 to the present. The evolution of drug therapy and stem-cell transplantation for ...
0
Large diameter femoral head uncemented total hip replacement to treat fractured neck of femur
Management of Hip Fractures in the Elderly
The aim of this study was to investigate the use of large diameter head THR to treat fractured neck of femur, and to demonstrate if this conferred greater stability. Forty-six independent, mentally alert patients with displaced intracapsular fractures underwent THR. Mean age was 72.1 years. Outcome measures were disloc...
0
Surgical outcome of supracondylar and intercondylar fractures femur in adults treated with dynamic condylar screw
Pediatric Supracondylar Humerus Fracture 2020 Review
Objective: To evaluate the surgical outcome of supracondylar and intercondylar fractures of femur in adults treated with dynamic condylar screw. Methodology: This descriptive study was carried out in department of Orthopedics, Lady Reading Hospital Peshawar from October 2006 to October 2007. Thirty-five consecutive adu...
0
Higher body mass index leads to longer operative time in total knee arthroplasty
PJI DX Updated Search
Obesity has been shown to be a risk factor for degenerative knee arthritis and its incidence is increasing in epidemic proportions. Obesity has also been shown to be a risk factor for surgical complications associated with total knee replacement (TKR) surgery. There have been no prior investigations examining the relat...
0
Imageless computer navigation in total knee arthroplasty
PJI DX Updated Search
OBJECTIVES: To study the difference in clinical and radiological outcomes between imageless computer-navigated and the conventional technique for performing total knee arthroplasty. DESIGN: Prospective case-control study. SETTING: University teaching hospital, Hong Kong. PATIENTS: Forty-seven patients with imageless co...
0
Comorbidity as the dominant predictor of mortality after hip fracture surgeries
Hip Fx in the Elderly 2019
Summary: The aim of this study was to investigate the association of surgical delay and comorbidities with the risk of mortality after hip fracture surgeries. We found that CCI was the dominant factor in predicting both short- and long-term mortality, and its effect is vital in the prognostication of survivorship. Intr...
0
Differences in tibial subchondral bone structure evaluated using plain radiographs between knees with and without cartilage damage or bone marrow lesions - the Oulu Knee Osteoarthritis study
OAK 3 - Non-arthroplasty tx of OAK
Objectives: To investigate whether subchondral bone structure from plain radiographs is different between subjects with and without articular cartilage damage or bone marrow lesions (BMLs). Methods: Radiography-based bone structure was assessed from 80 subjects with different stages of knee osteoarthritis using entropy...
0
Changes in the prevalence of subgingival enteric rods, staphylococci and yeasts after treatment with penicillin and erythromycin
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The changes in the balance of microbial flora in the periodontium after antibiotic treatment were investigated in a blind study. The prevalence of gram-negative enteric rods, staphylococci and yeasts was followed before and during penicillin or erythromycin treatment of 72 periodontitis patients without periodontal cle...
0
Osteoarthritis in Football: With a Special Focus on Knee Joint Degeneration
AMP (Acute Meniscal Pathology)
Football is currently the most popular sporting activity in the world. Multiple reports have shown that a high incidence of osteoarthritis is found in football players. Evidence clearly shows that traumatic injury significantly predisposes players for such pathophysiology. Injuries are frequent in amateur as well as pr...
0
Gastrointestinal complications in the intensive care unit
DoD - ACS - Interrater Reliability
Pathologic conditions affecting the abdomen are a significant cause of morbidity and mortality in the intensive care unit, but their importance is not widely recognized. This article presents several aspects of abdominal pathology that can occur in intensive care unit patients. This pathology may have a considerable im...
0
Shin splints - A review of terminology
DOD - Acute Comp Syndrome CPG
This review is intended to improve the understanding of and rationale for the use of the term shin splints. Currently the term is used widely and variably, with little consensus of definition. Broadly, it denotes the occurrence of exertional lower leg pain; more specifically, it refers to an anatomical site of periosti...
0
Antitumor effect of zoledronic acid in previously untreated patients with multiple myeloma
MSTS 2018 - Femur Mets and MM
Bisphophonates are the treatment of choice to prevent skeletal events in patients with multiple myeloma. Some preclinical studies suggested that bisphophonates can be useful as antitumor drugs in some malignancies. We conducted a controlled clinical trial to assess if zoledronic acid can have this clinical activity. Ni...
0
Effects of D-003 (10 mg/day) on bone mineral density of the lumbar spine and femoral neck in postmenopausal women: A randomized, double-blinded study
Management of Hip Fractures in the Elderly
Background/Aims: Increased osteoclast activity is a pivotal finding in osteoporosis. This increase is mediated via the mevalonate-to-cholesterol pathway, which is involved in producing the intermediates required for osteoclast activity. D-003, a mixture of high molecular weight sugarcane wax acids, has been shown to in...
0
Mobile field hospitals, an effective way of dealing with COVID-19 in China: sharing our experience
Coronavirus Disease 2019 (COVID-19)
During the COVID-19 outbreak, China made great progress in controlling the epidemic, and the number of confirmed and suspected cases continues to decrease thanks to the various efforts employed. Mobile field hospitals have played a huge role in the centralized management of patients and they have effectively reduced tr...
0
Accuracy of the second metatarsal as a landmark for the extramedullary tibial cutting guide in total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: The purpose of this study was to evaluate the accuracy of the second metatarsal (MT2) as a landmark for proximal tibial cutting in total knee arthroplasty (TKA). It was hypothesized that the accuracy of the MT2 is not high, especially in rheumatoid arthritis (RA) patients whose foot joints are apt to be involv...
0
Techniques and outcomes of total upper and lower eyelid reconstruction
Upper Eyelid and Brow Surgery
Objectives: To describe techniques used for reconstruction of the eyelids following total loss of the upper and lower eyelids and to describe visual and functional outcomes. Methods: Multicenter, retrospective, interventional case series of all of the patients requiring unilateral reconstruction of both the upper and l...
0
Prognostic factors in retroperitoneal sarcoma: A multivariate analysis of a series of 165 patients of the French Cancer Center Federation Sarcoma Group
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND. Surgery is the main prognostic factor in retroperitoneal sarcoma. However, despite progress, surgery alone is rarely curative, and analysis of the causes of failures and of other prognostic factors are warranted to ascertain treatment orientations. METHODS. Data of patients treated from 1.80 to 12.94 for pr...
1
Factors related to satisfaction with life in veterans with mild traumatic brain injury
DoD PRF (Psychosocial RF)
PURPOSE/OBJECTIVE: Satisfaction with life (SWL) is an important measure of outcome in rehabilitation. Previous research suggests that those with a history of traumatic brain injury (TBI), even mild TBI, report lower levels of life satisfaction when compared with the noninjured population. Although is it possible that T...
0
The paraplegic hand: Electrodiagnostic studies and clinical findings
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Motor conditions times of median and ulnar nerves at the wrist were determined in 60 paraplegic male patients. In 30 of the patients (50%), 56 of the 240 nerves studied (23%) were abnormal. The incidence of abnormal conduction times was not reliably correlated with either age or duration of paralysis. The fact that pat...
0
Waist circumference and waist-to-hip ratio in carpal tunnel syndrome: A case-control study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: The association between carpal tunnel syndrome (CTS) and high body mass index (BMI) and some hand measures is well known. No study has been specifically focused on waist circumference (WC) and waist-to-hip-ratio (WHR). The aim of this prospective case-control study is to evaluate the association between CTS...
0
Complications following rotating hinge Endo-Modell (Link((registered trademark))) knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Background: Rotating hinge knee prostheses are indicated in revisions especially when major ligament laxity or substantial AP deformities are present. These situations make ligament balancing difficult with less constrained design implants. Despite its use for nearly 50 years, this type of prosthesis continues to have ...
0
Prosthetic problems of transtibial amputee
DoD LSA (Limb Salvage vs Amputation)
Objective: To investigate the challenges faced by Prosthetist in the management of Transtibial amputees. Materials and Methods: This study was conducted at Department of Prosthesis and Orthosis Pakistan Institute of Prosthetic and Orthotic Sciences, Hayatabad, Peshawar, Pakistan in 2008. The data was collected via a su...
0
Treatment of Corticosteroid-Resistant Neurosarcoidosis with a Short-Course Cyclophosphamide Regimen
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background/objectives: Many patients with neurosarcoidosis have disease that is refractory to corticosteroids or they are unable to tolerate high-dose corticosteroids because of detrimental side effects. We examined a short-course, pulse-dose regimen using cyclophosphamide to treat such patients. Methods: We identified...
0
Human T-cell responses to oral streptococci in human PBMC-NOD/SCID mice
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
We investigated cellular and humoral immune responses to oral biofilm bacteria, including Streptococcus mutans, Streptococcus anginosus, Streptococcus sobrinus, and Streptococcus sanguinis, in NOD/SCID mice immunized with human peripheral blood mononuclear cells (hu-PBMC-NOD/SCID mice) to explore the pathogenicity of e...
0
Effects of Multiple Intra-articular Injections of 0.5% Bupivacaine on Normal and Osteoarthritic Joints in Rats
OAK 3 - Non-arthroplasty tx of OAK
Purpose To determine the in vivo effects of multiple local anesthetic injections of 0.5% bupivacaine on normal and osteoarthritic articular cartilage. Methods Rats with normal knee joints received an intra-articular injection of 0.9% saline solution or 0.5% bupivacaine in their right knees joint once a week for 5 cons...
0
Cathepsin K: The association between Cathepsin K expression and sphenoid sinus invasion of pituitary adenomas
MSTS 2018 - Femur Mets and MM
Pituitary adenomas with sphenoid sinus or clivus invasion are not uncommon, but the pathogenesis responsible for this phenomenon remains unclear. Cathepsin K, expressed predominantly in osteoclasts, can degrade type I collagen and plays an essential role in bone resorption. Recent studies reported the expression of Cat...
0
Isolated arthroscopic lateral patella retinaculum release for anterior knee pain – is it worth it?
AMP (Acute Meniscal Pathology)
Introduction: ‘Anterior Knee Pain’ is a common presentation in all age groups and aetiology is not fully understood. Arthroscopic Lateral Patellar Retinaculum Release has been a commonly performed procedure to treat anterior knee pain with variable results. Methods: We performed a retrospective review of all the patien...
1
MR imaging of meniscal contusion in the knee
AMP (Acute Meniscal Pathology)
OBJECTIVE: We describe focal abnormal signal of the meniscus in the knees of six patients who had a history of acute trauma to the knee. This signal abuts the articular surface of the meniscus on MR imaging but does not meet criteria for a meniscal tear or degeneration. CONCLUSION: Acute trauma to the knee may cause an...
1
Abnormal preoperative MRI does not correlate with failure of UKA
Surgical Management of Osteoarthritis of the Knee CPG
Modern indications for medial mobile-bearing unicompartmental knee arthroplasty (UKA) include a normal lateral compartment, minimal patellofemoral disease, and a ligamentously stable knee. Radiographs and intraoperative inspection can determine the appropriateness of UKA. Magnetic resonance imaging (MRI) interpretation...
1
Nonanatomic Horn Position Increases Risk of Early Graft Failures After Lateral Meniscal Allograft Transplantation
AMP (Acute Meniscal Pathology)
BACKGROUND: The cause of early graft failure within 1 year of meniscal allograft transplantation (MAT) remains unclear. The association of early failure with a nonanatomic horn position of the allograft after lateral MAT with the keyhole technique has never been evaluated. HYPOTHESIS: A nonanatomic horn position of an ...
0
Radiographic preoperative templating of extra-offset cemented THA implants: How reliable is it and how does it affect survival?
Management of Hip Fractures in the Elderly
Introduction: Securing femoral offset should in theory improve hip stability and abductor muscles moment arms. As problems arise mainly in case of originally increased offset (>40mm), a range of extra-offset stems is available; the exact impact in terms of fixation, however, is not known. Hypothesis: Extra-offset stems...
1
Comparison between 200 mg QD and 100 mg BID oral celecoxib in the treatment of knee or hip osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
This network meta-analysis aimed to investigate the effectiveness and safety of 100 mg BID and 200 mg QD oral celecoxib in the treatment of OA of the knee or hip. PubMed, Embase and Cochrane Library were searched through from inception to August 2014. Bayesian network meta-analysis was used to combine direct and indire...
0
Comparison of the post-total knee arthroplasty analgesic effect of intraoperative periarticular injection of different analgesics
AAHKS (2) Corticosteroids
Objective: To compare post-TKA (total knee arthroplasty) analgesic effect of periarticular injection of different analgesics during surgery. Study Design: Experimental study. Place and Duration of Study: Tianjin People's Hospital, from December 2016 to July 2018. Methodology: Patients undergoing unilateral TKA were ran...
0
Efficacy of the Flinders chronic condition management program in obese patients with hip or knee osteoarthritis: A study rationale and protocol
OAK 3 - Non-arthroplasty tx of OAK
Background Obesity is a risk factor for osteoarthritis and total hip/knee joint replacement and can also lead to poorer outcomes following surgical interventions. Self-management programs are a recommended approach for addressing clinical features of osteoarthritis and obesity. Aims This study investigates the relative...
0
Zoledronic acid in cancer patients with bone metastases: results of Phase I and II trials
MSTS 2018 - Femur Mets and MM
Zoledronic acid (Zometa, Novartis Pharmaceuticals Corp, East Hanover, NJ) is a new, highly potent bisphosphonate that may provide improved management of skeletal complications in cancer patients with bone metastases. A total of 383 cancer patients with osteolytic bone lesions was evaluated in two phase I studies and on...
0
Developing a sustainable hip service in cambodia
Hip Fx in the Elderly 2019
Objective: Initial report on establishment of a hip service in Phnom Penh, Cambodia at Childrenâ??s Surgical Centre. We describe indications for total hip replacement (THR) and initial results. Methods: A database was established to collect data and track patients for follow up. Initial data collected included; diagnos...
0
Differential effects of estrogen treatment on bone mineral density of the spine, hip, wrist and total body in late postmenopausal women
Management of Hip Fractures in the Elderly
It is commonly believed that estrogen is effective only in preventing menopause-related loss of bone mineral. However, recent studies found significant increases in bone mineral density (BMD) of the spine in response to estrogen, particularly in older women. The degree to which estrogen can restore BMD of the hip is un...
0
Effusions in the knee in elderly patients who were operated on for fracture of the hip
Management of Hip Fractures in the Elderly
The incidence of an effusion in the knee in 155 consecutive elderly patients who had been operated on for a proximal femoral fracture was studied. The preoperative incidence had been 7.7 per cent in the ipsilateral knee and 1.3 per cent in the contralateral knee. Postoperatively, fifty patients (32.3 per cent) had an e...
1
Antimicrobial prophylaxis in dentistry
Dental Implant Infection
Use of antibiotics both in humans and animals runs along with effects that can contribute to the spread of antibiotic resistance. Although several available guidelines for antibiotic treatment have been published to date, clinical practice in dentistry and particularly in oral surgery is not free from controversies reg...
0
Antibiotic cement-coated rods
PJI DX Updated Search
The treatment of infected nonunions is difficult. Antibiotic cement-coated (ACC) rods provide stability as well as delivering antibiotics.We conducted a review of 110 infected nonunions treated with ACC rods. Patients were divided into two groups: group A (67 patients) with an infected arthrodesis, and group B (43 pati...
0
An increase in the risk of excessive femoral anteversion for relatively younger age and types of femoral morphology in total hip arthroplasty with direct anterior approach
Hip Fx in the Elderly 2019
Background: Direct anterior approach (DAA) is known to diminish a dislocation risk and widely used for total hip arthroplasty (THA). On the other hand, anterior dislocation due to increasing stem anteversion and cup anteversion is an important complication. Methods: A retrospective analysis of 140 (male/female: 10/130)...
1
Arthroscopic Matrix-Assisted Autologous Chondrocyte Transplantation Versus Microfracture: A 6-Year Follow-up of a Prospective Randomized Trial
Osteochondritis Dissecans 2020 Review
BACKGROUND: Few randomized controlled trials with a midterm follow-up have compared matrix-assisted autologous chondrocyte transplantation (MACT) with microfracture (MFx) for knee cartilage lesions. PURPOSE: To compare the structural, clinical, and safety outcomes at midterm follow-up of MACT versus MFx for treating sy...
0
Iliopsoas bursa injections can be beneficial for pain after total hip arthroplasty
AAHKS (8) Anesthetic Infiltration
UNLABELLED: Impingement of the iliopsoas tendon is an uncommon cause of groin pain after total hip arthroplasty (THA). We asked whether selective steroid and anesthetic injections for iliopsoas tendonitis after THA would relieve pain and improve function. We retrospectively reviewed 27 patients with presumed iliopsoas ...
0
Technique of olecranon bone grafting for surgical fixation of scaphoid fractures
Distal Radius Fractures
Currently described sources of bone graft, such as iliac crest and distal radius, for supplemental fixation of scaphoid fractures are suboptimal. In our experience, olecranon bone has the advantage of providing a convenient source of corticocancellous block graft that can be harvested within the same sterile operative ...
1
Omitting pre-operative coagulation screening tests in hip fracture patients: stopping the financial cascade?
Hip Fx in the Elderly 2019
BACKGROUND: Coagulation screening continues as a standard of care in many hip fracture pathways despite the 2011 guidelines from the Association of Anaesthetists of Great Britain and Ireland (AAGBI) which recommend that such screening be performed only if clinically indicated. This study aims to evaluate the use of pre...
0
Inequalities in primary care management of knee pain and disability in older adults: an observational cohort study
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVES: To describe primary care management of knee pain, in relation to National Institute for Health and Clinical Excellence (NICE) OA guidelines, and examine variation in management by patient characteristics. METHODS: Subjects were 755 adults aged >/=50 years who responded to baseline and 3-year surveys and had...
0
Current Concepts in the Pathophysiology and Management of Arteriovenous Access-Induced Hand Ischemia
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The manifestations of hand ischemia because of an arteriovenous access can range from hand pain, tissue necrosis, and loss of the entire hand. Recent data have emphasized that multiple mechanisms (arterial steal, ie, retrograde flow, arterial stenosis, and arterial calcification) are responsible for inducing hand ische...
0
Vision-related fitness to drive mobility scooters: A practical driving test
Upper Eyelid and Brow Surgery
OBJECTIVE: To investigate practical fitness to drive mobility scooters, comparing visually impaired participants with healthy controls. DESIGN: Between-subjects design. SUBJECTS: Forty-six visually impaired (13 with very low visual acuity, 10 with low visual acuity, 11 with peripheral field defects, 12 with multiple vi...
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Autologous fat injection into the pectoralis major as an adjunct to surgical correction of gynecomastia
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Correction of gynecomastia in males is a frequently performed aesthetic procedure. Various surgical options involving the removal of excess skin, fat, or glandular tissue have been described. However, poor aesthetic outcomes, including a flat or depressed pectoral area, limit the success of these techniques...
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Bone mass and strength in older men with type 2 diabetes: the Osteoporotic Fractures in Men Study
Distal Radius Fractures
The effects of type 2 diabetes mellitus (T2DM) on bone volumetric density, bone geometry, and estimates of bone strength are not well established. We used peripheral quantitative computed tomography (pQCT) to compare tibial and radial bone volumetric density (vBMD, mg/cm(3)), total (ToA, mm(2)) and cortical (CoA, mm(2)...
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Pulsed low-intensity ultrasound therapy for chronic lateral epicondylitis: a randomized controlled trial
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
OBJECTIVES: Pulsed low-intensity ultrasound therapy (LIUS) has been found to be beneficial in accelerating fracture healing and has produced positive results in animal tendon repair. In the light of this we undertook a randomized, double-blind, placebo controlled trial to assess the effectiveness of LIUS vs placebo the...
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Lessons learnt from COVID 19: An Italian multicentric epidemiological study of orthopaedic and trauma services
Hip Fx in the Elderly 2019
Introduction: The Pandemic caused by the SARS-CoV-2 has put a strain on the most of health systems all over the world. Many hospitals had to re-organize to deal with the emergency, so that the non-core activities have been suspended or cancelled, raising management problems. The aim of this multicentre study is to repo...
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Classification of humeral head pathomorphology in primary osteoarthritis: a radiographic and in vivo photographic analysis
Glenohumeral Joint OA
BACKGROUND: The purpose of this study was to characterize the pathologic changes of the osteoarthritic humeral head. METHODS: The study included 55 patients with primary osteoarthritis who underwent anatomic shoulder arthroplasty. Several radiologic parameters (radiography, magnetic resonance imaging) were assessed. Hu...
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Intraoperative extracorporeal irradiation for limb sparing in 13 dogs
Distal Radius Fractures
OBJECTIVE: To evaluate extracorporeal intraoperative radiation therapy (IORT) as a treatment method for limb and joint sparing in dogs with appendicular sarcomas in sites other than the distal aspect of the radius. STUDY DESIGN: Retrospective study. ANIMALS: Thirteen client-owned dogs. METHODS: The bone tumor database ...
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Diagnostic and prognostic factors, and two nomograms for endometrial cancer patients with bone metastasis: A large cohort retrospective study
MSTS 2022 - Metastatic Disease of the Humerus
ABSTRACT: Patients with endometrial cancer (EC) who develop bone metastasis (BM) always imply a poorer prognosis. However, reliable predictive models associated with BM from EC are currently limited. We retrospectively analyzed data on 54,077 patients diagnosed with primary EC in the Surveillance, Epidemiology, and End...
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Intraoperative somatosensory potential monitoring. A clinical analysis of 127 surgical procedures
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
During 127 operations for the correction of spinal deformities the spinal cord function was controlled by intraoperative monitoring. Cortical somatosensory evoked potentials (CSEP) were obtained by bilateral stimulation of the posterior tibial nerves at the ankle and recorded from electrodes at Fz-Cz. In addition, unil...
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Behavioural interventions for dysmenorrhoea
SR for PM on OA of All Extremities
Background: Dysmenorrhoea refers to the occurrence of painful menstrual cramps of uterine origin and is a common gynaecological condition with considerable morbidity. The behavioural approach assumes that psychological and environmental factors interact with, and influence, physiological processes. Behavioural interven...
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Agreement in Measurement of Optic Cup-to-Disc Ratio with Stereo Biomicroscope Funduscopy and Digital Image Analysis: Results from the Nigeria National Blindness and Visual Impairment Survey
Upper Eyelid and Brow Surgery
PURPOSE: To determine agreement in estimations of vertical cup-to-disc ratio (VCDR) between clinical stereo-biomicroscopic funduscopy and digital fundus image analysis. METHODS: Systematic sampling of 1-in-7 from a sample of 13,591 participants aged >/=40 years gave a subsample who were examined in detail. VCDR was est...
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A retrospective study of incidence of bone metastasis in head and neck cancer
MSTS 2018 - Femur Mets and MM
UNLABELLED: The incidence of bone metastasis in head and neck Squamous cell carcinoma is very uncommon. AIM: This retrospective study was done to identify the frequency, clinical presentation, and the clinical course of the metastatic disease to bone from head and neck primary. MATERIAL AND METHODS: Out of 624 patients...
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The high osteotomy cut of Dega procedure for developmental dysplasia of the hip in children under 6 years of age
Developmental Dysplasia of the Hip 2020 Review
BACKGROUND: Dega osteotomy has gained popularity for the acetabular reconstruction of developmental dysplasia of the hip (DDH). A high-level Dega osteotomy combining the typical Dega procedure with an age limit of under 6 years and the higher pelvic cut height of the Salter osteotomy for walking DDH patients aged 6 ...
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Multimodal analgesia after total knee arthroplasty
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Perioperative pain management is the focus in total knee arthroplasty. Looking for a safe and effective analgesic way has become one of the important tasks of the surgeons. OBJECTIVE: To compare the analgesia and rehabilitation effect of the epidural analgesia and the femoral nerve analgesia after total kne...
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Trabecular mineral contents of lumbar vertebra in patients with osteoporosis
Management of Hip Fractures in the Elderly
The trabecular mineral contents (TMCs) of the third lumbar vertebra in normal subjects and patients with spinal osteoporosis and with femoral neck fracture were measured by quantitative computed tomography (QCT) using a reference phantom. The present paper describes these results. The TMCs in patients with spinal osteo...
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Clinical characteristics and surgical treatment of haemophilic pseudotumor: A retrospective analysis of thirty-four patients
DoD SSI (Surgical Site Infections)
Aims: Haemophilic pseudotumor (HPT) is a rare but challenging complication of haemophilia. This study was intended to provide our experience about clinical characteristics and surgical treatment of HPT. Methods: Clinical medical records were retrieved from the Hemophilia Center, Nanfang Hospital, to identify the patien...
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Complications following volar locking plate fixation for distal radial fractures: a systematic review
Distal Radius Fractures
The purpose of this systematic review is to assess the prevalence of complications following volar locking plate fixation of distal radial fractures. A computer-based search was carried out using EMBASE and PUBMED/MEDLINE. Only prospective comparative and prospective cohort studies that presented data concerning compli...
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Increased risk of osteoporosis following commonly used first-line treatments for lymphoma: a Danish Nationwide Cohort Study
Hip Fx in the Elderly 2019
High-dose prednisolone is used in first-line treatment for lymphoma, but the potential adverse impact on bone health is unclear. Danish patients with diffuse large B-cell lymphoma or follicular lymphoma diagnosed between 2000 and 2012 were matched to the background population. Osteoporotic events (osteoporosis treatmen...
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Comparison of 2 polyethlene inserts for a new cruciate-retaining total knee arthroplasty prosthesis
PJI DX Updated Search
Cruciate-retaining total knee arthroplasty has had high success rates but does not always have optimal functional outcomes. The purpose of this study was to compare 2 polyethylene inserts of varying constraint that were used in a new cruciate-retaining total knee arthroplasty design to determine whether differences wer...
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Correlation of subchondral bone morphometry and oarsi grade in osteoarthritic human knee samples
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: Osteoarthritis (OA) is a disease of a whole joint and there is increasing evidence that the subchondral bone contributes or coincides significantly to the pathogenesis of OA. Yet most of the diagnostic methods are focused mainly on cartilage degeneration and erosion. Consequently, there is a lack of data about...
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Risk factors for cervical and trochanteric hip fractures in elderly women: a population-based 10-year follow-up study
Management of Hip Fractures in the Elderly
We evaluated the contribution of lifestyle-related factors, calcaneal ultrasound, and radial bone mineral density (BMD) to cervical and trochanteric hip fractures in elderly women in a 10-year population-based cohort study. The study population consisted of 1,681 women (age range 70-73 years). Seventy-two percent (n = ...