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1 | Extension type II pediatric supracondylar humerus fractures: a radiographic outcomes study of closed reduction and cast immobilization | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: The treatment of Gartland type II pediatric supracondylar humerus fractures remains controversial. Some argue that closed reduction and cast immobilization is sufficient to treat these fractures, whereas others advocate closed reduction and percutaneous pinning. The purpose of this radiographic outcomes stu... |
0 | Nail dynamization for delayed union and nonunion in femur and tibia fractures | Pediatric Diaphyseal Femur Fractures 2020 Review | Femoral and tibial shaft fractures are common injuries in the United States. Since their introduction, reamed intramedullary nails have become the treatment of choice for most of these fractures. However, delayed union and nonunion can complicate treatment in up to 10% of patients. Removal of interlocking screws, or dy... |
0 | Association of delay of urgent or emergency surgery with mortality and use of health care resources: a propensity score-matched observational cohort study | Hip Fx in the Elderly 2019 | BACKGROUND: Delay of surgery for hip fracture is associated with increased risk of morbidity and mortality, but the effects of surgical delays on mortality and resource use in the context of other emergency surgeries is poorly described. Our objective was to measure the independent association between delay of emergenc... |
0 | Impact of body mass index on clinico-pathological parameters and outcome in patients with metastatic prostate cancer | MSTS 2022 - Metastatic Disease of the Humerus | Background: This study evaluates the correlation between body mass index (BMI) and clinicopathological parameters of metastatic prostate cancer (MPC) and its impact on survival. Method: During the study period, 71 MPC patients were eligible. Patients with BMI<25.0kg/m2 were categorized as level I and patients with BMI=... |
0 | Importance of preoperative anaesthetic consultation in perioperative medicine | PJI DX Updated Search | This report describes two patients for whom the preoperative, anaesthetic consultation led to postponing planned surgery because of important, undiagnosed health problems. In one of the two cases, this consultation was even life-saving. However, actual literature cannot prove any advantage on the outcome of the individ... |
0 | Gene expression in histologically normal epithelium from breast cancer patients and from cancer-free prophylactic mastectomy patients shares a similar profile | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: We hypothesised that gene expression in histologically normal (HN) epithelium (NlEpi) would differ between breast cancer patients and usual-risk controls undergoing reduction mammoplasty (RM), and that gene expression in NlEpi from cancer-free prophylactic mastectomy (PM) samples from high-risk women woul... |
0 | Function and quality of life following medial unicompartmental knee arthroplasty in patients 60 years of age or younger | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: UKA is an appropriate bone-sparing solution for focal advanced knee osteoarthritis in young patients. As the expectations of patients younger than 60 years of age are different from those in an older population, we aimed to evaluate quality of life and the quality of sports activity after UKA in this popu... |
0 | Is there a place for external fixation in humeral shaft fractures? | Distal Radius Fractures | There is a good indication for unilateral axial dynamic external fixation in fractures of the humeral shaft when the fracture appears in the distal third or in cases of bilateral fractures. A non-union or a posttraumatic paralysis of the radial nerve may be indications for external fixation as well as fractures associa... |
0 | Anteromedial minimally invasive plate osteosynthesis (MIPO) for distal third humeral shaft fractures â?? Is it possible?: A cadaveric study | Distal Radius Fractures | Introduction: The purpose of this study was to evaluate the feasibility of the anteromedial minimally invasive plate osteosynthesis (MIPO) approach for distal third humeral shaft fractures and identify neurovascular structures at risk with this approach. Methods: Twenty cadaveric arms were fixed with 12-hole precontour... |
0 | Evidence-Based Knee Injections for the Management of Arthritis | AAHKS (2) Corticosteroids | Objective. Arthritis of the knee affects 46 million Americans. We aimed to determine the level of evidence of intraarticular knee injections in the management of arthritic knee pain. Methods. We systematically searched PUBMED/MEDLINE and the Cochrane databases for articles published on knee injections and evaluated the... |
0 | Experiences of adolescents with cystic fibrosis during their transition from paediatric to adult health care: a qualitative study of young Australian adults | DoD PRF (Psychosocial RF) | PURPOSE: Exploring the experiences of Australian adolescents with Cystic Fibrosis (CF) as they made the transition from paediatric to adult care. This often traumatic change of care was examined from the perspective of the two types of care, paediatric and adult, elements of a transition programme if available and psyc... |
0 | Promoting social health in northern Saskatchewan | DoD PRF (Psychosocial RF) | In response to concern about social health problems in Northern Saskatchewan, a Working Group on Social Health was established in 1989 in the Research and Development Committee of Northern Medical Services. The Group formulated a concept of mental health in social terms; found and interpreted indicators of the extent o... |
0 | Brain activity measurement at performing motivative exercise and passive exercise by Functional Near-Infrared Spectroscopy (Out patient of Geriatric Health Services Facility) | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: The Motivative exercise and Passive exercise to legs/leg for 30 seconds respectively. It carried out on March 16â?19, 2010 CONDITION: Cerebrovascular disease, Cerebral infarction, Cerebral contusion, Cerebral hemorrhage, Aftereffect of cerebral hemorrhage, Basilar artery occlusion, Cerebral arteriosclero... |
0 | "Opt Out" and Access to Anesthesia Care for Elective and Urgent Surgeries among U.S. Medicare Beneficiaries | Hip Fx in the Elderly 2019 | BACKGROUND: In 2001, the Centers for Medicare and Medicaid Services issued a rule allowing U.S. states to "opt out" of the regulations requiring physician supervision of nurse anesthetists in an effort to increase access to anesthesia care. Whether "opt out" has successfully achieved this goal remains unknown.
METHODS:... |
0 | Comparison of effects of tamoxifen and toremifene on bone biochemistry and bone mineral density in postmenopausal breast cancer patients | Management of Hip Fractures in the Elderly | Antiestrogens are used in the treatment, and sometimes even in the prophylaxis, of breast cancer. Tamoxifen is the most commonly used antiestrogen, but toremifene is gaining in popularity. We compared here the effects of tamoxifen and toremifene on bone metabolism and density in 30 postmenopausal patients with breast c... |
0 | Non-Oncologic Total Femoral Arthroplasty: Retrospective Review | DoD LSA (Limb Salvage vs Amputation) | Total femoral arthroplasty (TFA) is an option to amputation in the setting of excessive bones loss during revision total hip and knee arthroplasty. Twenty non-oncologic TFAs with a minimum of 2. years follow-up were retrospectively reviewed. The average clinical follow-up was 73. ±. 49. months. The incidence of new in... |
0 | Mid-term results of an uncemented femoral stem with modular neck options | Management of Hip Fractures in the Elderly | We prospectively assessed the results of 239 primary total hip replacements performed using a conical stem combined with modular necks of different lengths and inclinations (Modulus System, Lima Corporate San Daniele Del Friuli, Udine, Italia) in 222 patients (50 men, 172 women), undergoing surgery between October 2001... |
0 | Degenerative tears of the posterior horn of the medial meniscus: correlation between MRI findings and outcome following intra-articular steroid/bupivacaine injection of the knee | AAHKS (8) Anesthetic Infiltration | AIM: To evaluate the response of symptomatic degenerative tears of the posterior horn of the medial meniscus to guided intra-articular knee steroid/bupivacaine injection and to correlate clinical outcomes with preprocedural findings at magnetic resonance imaging (MRI). MATERIALS AND METHODS: Sixty patients who had clin... |
0 | The care of elderly patients with hip fracture. Changes since implementation of the prospective payment system | Management of Hip Fractures in the Elderly | We hypothesized that the care provided to elderly patients with hip fracture in community hospitals has changed since the implementation of prospective payment systems (PPS) in 1983. We reviewed records of elderly patients admitted with hip fracture to a large community hospital from 1981 to 1986. During that period, t... |
0 | The dental effects of meningococcal septicaemia: A case series | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The topic of meningitis has received considerable media interest. Despite great strides in medical development, meningitis remains one of the leading causes of death by infection in children. Dental abnormalities secondary to meningococcal septicaemia have been described but information is scarce. This report aims to a... |
1 | Prevention of bacterial endocarditis: recommendations by the American Heart Association | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To update recommendations issued by the American Heart Association last published in 1990 for the prevention of bacterial endocarditis in individuals at risk for this disease. PARTICIPANTS: An ad hoc writing group appointed by the American Heart Association for their expertise in endocarditis and treatment w... |
0 | More re-operations after uncemented than cemented hemiarthroplasty used in the treatment of displaced fractures of the femoral neck: an observational study of 11,116 hemiarthroplasties from a national register | Management of Hip Fractures in the Elderly | Using data from the Norwegian Hip Fracture Register, 8639 cemented and 2477 uncemented primary hemiarthroplasties for displaced fractures of the femoral neck in patients aged > 70 years were included in a prospective observational study. A total of 218 re-operations were performed after cemented and 128 after uncemente... |
0 | Avascular necrosis after fracture-separation of the distal end of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Fracture-separation of the distal end of the humerus in children has been reported infrequently, and may be misdiagnosed as a fracture of the condyle or a traumatic dislocation of the elbow. We discuss eight cases of a seldom reported complication following fracture-separation of the distal end of the humerus. This com... |
0 | Failure of polyethylene acetabular cups. Two case reports | Management of Hip Fractures in the Elderly | Fatigue fracture involving the metallic femoral stem is well recognized after total hip arthroplasty. Two cases of Charnley-Mueller polyethylene acetabular cup failure, in a 54-year-old-woman and a 77-year-old woman with abnormal wear patterns, were diagnosed prior to operation. The fracture of the acetabular cup was r... |
0 | Sciatic nerve release following fracture or reconstructive surgery of the acetabulum | Management of Hip Fractures in the Elderly | BACKGROUND: Sciatic neuropathy associated with acetabular fractures can result in disabling long-term symptoms. The purpose of this retrospective study was to evaluate the effect of sciatic nerve release on sciatic neuropathy associated with acetabular fractures and reconstructive acetabular surgery. METHODS: Between 2... |
1 | Robot-assisted Percutaneous Cannulated Screw Fixation of Femoral Neck Fractures: Preliminary Clinical Results | Hip Fx in the Elderly 2019 | OBJECTIVE: To assess the clinical efficacy of TiRobot-assisted percutaneous cannulated screw fixation in the treatment of femoral neck fractures.
METHODS: From September 2015 to July 2017, 26 patients with unilateral femoral neck fractures were treated with TiRobot-assisted percutaneous cannulated screw fixation. The f... |
0 | Bone marrow biopsy and bone scan to detect skeletal metastases | MSTS 2018 - Femur Mets and MM | This study correlates the findings of bone marrow biopsy with those of bone scan in patients with common cancers and highlights the comparable sensitivities of the two methods at the authors' institution. The results show that bone scintigraphy may be slightly more sensitive than bone marrow examination for the detecti... |
0 | Effectiveness of Intraoperative Exparel for Postoperative Pain Control in Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | The investigators use a double blind, controlled, randomized study to examine the effectiveness of periarticular Exparel in total knee arthroplasty postoperative pain control as well as effect on early mobilization and length of hospital stay when compared to another local analgesic (Ropivacaine) when both are used as ... |
1 | Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients | Hip Fx in the Elderly 2019 | Hip resurfacing has been considered a good treatment option for younger, active osteoarthritis patients. However, there are several identified issues concerning risk for neck fractures and issues related to current metal-on-metal implant designs. Neck-preserving short-stem implants have been discussed as a potential al... |
0 | Minimising the risk of infection: a peri-operative checklist | PJI DX Updated Search | The purpose of this article is to provide the reader with a seven-step checklist that could help in minimising the risk of PJI. The check list includes strategies that can be implemented pre-operatively such as medical optimisation, and reduction of the bioburden by effective skin preparation or actions taking during s... |
0 | Psychiatric illness and length of stay in elderly patients with hip fracture | Management of Hip Fractures in the Elderly | The prevalence of psychiatric illness in 50 consecutive elderly patients admitted with hip fracture was determined using the Geriatric Mental State in its community version, supplemented by the Standardised Mini Mental State Examination. Organic impairment was found in 52%, depression in 16% and obsessional neurosis in... |
0 | Hip fractures - Treatment and functional outcome. The development over 25 years | Hip Fx in the Elderly 2019 | BACKGROUND: Nearly 18,000 individuals suffer from hip fracture in Sweden each year. The choice in operation method for femoral neck fractures has changed over the years as well as the overall management. Functional outcome after hip fracture is affected by several factors and the overall functional level for old people... |
0 | Effect of computer keyboard slope on wrist position and forearm electromyography of typists without musculoskeletal disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND AND PURPOSE: Positioning a computer keyboard with a downward slope reduces wrist extension needed to use the keyboard and has been shown to decrease pressure in the carpal tunnel. However, whether a downward slope of the keyboard reduces electromyographic (EMG) activity of the forearm muscles, in particular ... |
0 | Variations of cross-sectional meniscal morphology between similar-sized menisci: implications on donor selection for meniscal allograft transplantation | AMP (Acute Meniscal Pathology) | PURPOSE: This study aimed to investigate the morphological variations in the cross-sectional anatomy of the meniscus between similar-sized matched menisci.
MATERIALS AND METHODS: Knee MRI of 329 patients with intact menisci were retrospectively reviewed, and the meniscal length (ML), meniscal width (MW), and cross-sect... |
1 | â??Hiddenâ?쳌 Preoperative Blood Loss With Extracapsular Versus Intracapsular Hip Fractures: What Is the Difference? | Hip Fx in the Elderly 2019 | Purpose: Excessive blood loss with hip fracture management has been shown to result in increased rates of complications. Our goal is to compare blood loss and transfusion rates between patients with intracapsular and extracapsular (both intertrochanteric (IT) and subtrochanteric (ST)) hip fractures. Methods: 472 patien... |
1 | Double-blind, randomised, multi-centre clinical study evaluating the efficacy and tolerability of nimesulide in comparison with etodalac in patients suffering from osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | In a double-blind study, the efficacy and tolerability of nimesulide 200mg/day, administered orally, was compared with etodolac 600mg/day in the treatment, for 3 months, of 200 patients suffering from osteoarthritis of the knee. Although spontaneous pain showed a significant improvement during the course of the study, ... |
0 | Posteromedial compartment cement extrusion after unicompartmental knee arthroplasty treated by arthroscopy: A case report | Surgical Management of Osteoarthritis of the Knee CPG | Unicompartmental knee arthroplasty (UKA) with extrusion of cement into the posterior compartment of the knee is uncommon. Various problems after a UKA procedure, such as aseptic loosening, polyethylene wear and progressive arthritis have been reported. This study will report on a patient with extrusion of cement fragme... |
0 | Bone morphogenetic protein levels in osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: The modern treatment approach for osteoarthritis aims at suppressing the inflammation by antagonizing such proinflammatory cytokines. More complicated approaches are expected to come to the forefront in the future that focus on such signals as bone morphogenetic proteins (BMPs) of the transforming growth fac... |
1 | Arthroscopic treatment of early glenohumeral arthritis | Glenohumeral Joint OA | BACKGROUND: The articular cartilage of the shoulder is not endowed with intrinsic repair abilities, so the detection of chondral lesions during arthroscopy may indicate that additional articular procedures are needed. The aim of the current study was to evaluate the benefits of arthroscopy in patients with early should... |
0 | A multicenter experience with infected abdominal aortic endograft explantation | PJI DX Updated Search | OBJECTIVE: Endovascular aneurysm repair (EVAR) is widely used with excellent results, but its infectious complications can be devastating. In this paper, we report a multicenter experience with infected EVAR, symptoms, and options for explantation and their outcome. METHODS: We have reviewed all consecutive endograft e... |
0 | The safety of flavocoxid, a medical food, in the dietary management of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | This study was designed to determine the safety of a medical food, flavocoxid, a proprietary blend of freeâ?B ring flavonoids and flavans from the root of Scutellaria baicalensis (Chinese skullcap) and the bark of Acacia catechu in the dietary management of knee osteoarthritis. The 12â?week, randomized, doubleâ?blin... |
0 | Breast cancer cells express cathepsins B and L but not cathepsins K or H | MSTS 2018 - Femur Mets and MM | Lysosomal cysteine proteinases (cathepsins) are considered to play a role in bone degradation mediated by metastatic breast cancers. To evaluate which cathepsin contributes to the osteolysis, we quantitatively determined the expression levels of four cathepsins in two breast cancer cell lines, MCF-7 and MDA-MB-231, by ... |
0 | Markers of failure to thrive among older hip fracture patients | Management of Hip Fractures in the Elderly | OBJECTIVES: To determine whether there is a group of recent hip fracture patients who exhibit the signs of failure to thrive and to identify potential precursors to their decline in physical functioning. DESIGN: Prospective (nonintervention) study of hip fracture recovery; patients were assessed in the hospital and at ... |
0 | Immune Contributions to Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE OF THE REVIEW: Mounting evidence supports a role of low-grade inflammation in the pathophysiology of osteoarthritis (OA). We review and discuss the role of synovitis, complement activation, cytokines, and immune cell population in OA.
RECENT FINDINGS: Using newer imaging modalities, synovitis is found in the ma... |
1 | Usefulness of the fast spin-echo three-point Dixon (mDixon) image of the knee joint on 3.0-T MRI: comparison with conventional fast spin-echo T2 weighted image | AMP (Acute Meniscal Pathology) | OBJECTIVE: To compare the quality of two different imaging methods, three-point Dixon (mDixon) and fast spin-echo (FSE) T2 weighted image (T2WI) [and fat suppression (FS) T2WI], and to assess the utility of mDixon for the imaging of knee joint pathology.
METHODS: This retrospective study included 66 patients who underw... |
0 | Surgical Release for Posttraumatic Loss of Elbow Flexion | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: We describe a surgical release for patients who have a lack of elbow flexion limiting the ability to perform activities of daily living after trauma. STEP 1 MOBILIZE THE ULNAR NERVE: Mobilize the ulnar nerve through the cubital tunnel with the accompanying superior ulnar collateral vessels. STEP 2 DISSECT... |
1 | Prediction of outcome of decompression for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | 45 patients (55 hands) with carpal tunnel syndrome treated surgically have been studied. Painful nocturnal paraesthesiae occurred in patients with short histories and was a good prognostic feature. Electromyography proved of value in assessing motor lesions and the degree of the process. The first sign of muscle involv... |
0 | Higher risk of reoperation for bipolar and uncemented hemiarthroplasty | PJI DX Updated Search | BACKGROUND AND PURPOSE: Hemiarthroplasty as treatment for femoral neck fractures has increased markedly in Sweden during the last decade. In this prospective observational study, we wanted to identify risk factors for reoperation in modular hemiarthroplasties and to evaluate mortality in this patient group. PATIENTS AN... |
0 | Combination of TMS and fMRI reveals a specific pattern of reorganization in M1 in patients after complete spinal cord injury | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Purpose: After a spinal cord injury (SCI), which was complete, deafferentation of the body representation caudal to the lesion height results in drastic changes in the cortical representation. The underlaying processes are poorly understood. Methods: We investigated cortical representation sites of upper limb muscles u... |
1 | Chondroitin sulfate in osteoarthritis of the knee: a prospective, double blind, placebo controlled multicenter clinical study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the efficacy and safety of chondroitin sulfate (CS) 1 g/day per os compared to placebo, in a double blind, randomized, parallel group study, with 3 months treatment followed by a 3 month posttreatment period, in patients with femorotibial osteoarthritis (OA). METHODS: The main criterion was the fun... |
1 | Hospital surge capacity in a tertiary emergency referral centre during the COVID-19 outbreak in Italy | Coronavirus Disease 2019 (COVID-19) | The first person-to-person transmission of the 2019-novel coronavirus in Italy on 21 February 2020 led to an infection chain that represents one of the largest known COVID-19 outbreaks outside Asia. In Northern Italy in particular, we rapidly experienced a critical care crisis due to a shortage of intensive care beds, ... |
1 | Femoral head replacement with the christiansen endoprosthesis. A follow-up study, and a report on 175 arthroplasties with the present model of the prosthesis with acrylic cement fixation | Management of Hip Fractures in the Elderly | A review of the experience gained after 300 consecutive femoral head replacements using the Christiansen Endoprosthesis is given. The arthroplasties were performed mainly for fresh, displaced femoral neck fractures in elderly patients and for complications of these fractures, such as pseudarthrosis and aseptic necrosis... |
0 | Are external knee load and EMG measures accurate indicators of internal knee contact forces during gait? | OAK 3 - Non-arthroplasty tx of OAK | Mechanical loading is believed to be a critical factor in the development and treatment of knee osteoarthritis. However, the contact forces to which the knee articular surfaces are subjected during daily activities cannot be measured clinically. Thus, the ability to predict internal knee contact forces accurately using... |
1 | Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction | Anterior Cruciate Ligament Injuries CPG | OBJECTIVE: To identify preoperative predictive factors for knee function two years after reconstructive surgery of the anterior cruciate ligament (ACL). The main hypothesis was that preoperative quadriceps strength would be the most significant predictor for knee function two years after reconstructive surgery. DESIGN:... |
1 | Management of the floating elbow injury in children. Simultaneous ipsilateral fractures of the elbow and forearm | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Simultaneous ipsilateral fracture of the elbow and forearm--floating elbow--is an uncommon injury. During a 7-year period we prospectively followed 12 children who presented with completely displaced supracondylar fractures of the humerus associated with a forearm fracture of the same limb. All patients underwent emerg... |
0 | Femoral Neck Fracture After Birmingham Hip Resurfacing Arthroplasty: Prevalence, Time to Fracture, and Outcome After Revision | Management of Hip Fractures in the Elderly | A consecutive cohort of 3076 Birmingham Hip Resurfacings from a single institution was analyzed. The prevalence of femoral neck fracture, the time to fracture, and the outcome after revision were investigated. Fractures occurred in 34 hips (prevalence, 1.1%). Median time to fracture was 0.27 year (range, 0.014-11.2 yea... |
0 | Results of arthroscopic repair of partial- or full-thickness longitudinal medial meniscal tears by single or double vertical sutures using the inside-out technique | AMP (Acute Meniscal Pathology) | BACKGROUND: Although numerous studies have assessed arthroscopic repair of meniscal tears, no study has described the repair of partial- or full-thickness longitudinal medial meniscal tears using single or double vertical sutures.
PURPOSE: To present the intermediate-term results of medial meniscal tears repaired with ... |
0 | Oral infection as a reason for febrile episodes in lymphoma patients receiving cytostatic drugs | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | 56 patients receiving chemotherapy for non-Hodgkin lymphoma or Hodgkin's disease with curative intent were monitored for up to one year after initiation of treatment. During chemotherapy (mean duration 5.2 months), 26 of the patients (46%) suffered from 38 febrile episodes. In only 16 instances was an extraoral cause f... |
0 | Geriatric assistive devices | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Disability and mobility problems increase with age. Assistive devices such as canes, crutches, and walkers can be used to increase a patient's base of support, improve balance, and increase activity and independence, but they are not without significant musculoskeletal and metabolic demands. Most patients with assistiv... |
1 | Cemented total knee arthroplasty for gonarthrosis in patients 55 years old or younger | Surgical Management of Osteoarthritis of the Knee CPG | The results of 68 cemented total knee arthroplasties (TKAs) in 50 patients with gonarthrosis who were 55 years old or younger at the time of surgery were reviewed. These patients were operated on between 1979 and 1987 and were followed for an average of 6.2 years. The average age of the patients was 50 years. Patients ... |
0 | Stress-relaxation and fatigue behaviour of synthetic brow-suspension materials | Upper Eyelid and Brow Surgery | Ptosis describes a low position of the upper eyelid. When this condition is due to poor function of the levator palpebrae superioris muscle, responsible for raising the lid, "brow-suspension" ptosis correction is usually performed, which involves internally attaching the malpositioned eyelid to the forehead musculature... |
0 | Forearm fractures as predictors of subsequent osteoporotic fractures | Management of Hip Fractures in the Elderly | To assess the ability of distal forearm fractures to predict future fractures, we conducted a population-based retrospective cohort study among the 1288 residents (243 men, 1045 women) of Rochester, Minnesota age 35 years or older who experienced their first distal forearm fracture in 1975-94. During 9664 person-years ... |
1 | Extra-mammary Paget's disease of the perianal region: A review of the literature emphasizing the operative management technique | Reconstruction After Skin Cancer | The perianal skin is a common area for extra-mammary Paget's disease development. The unique clinical, histopathological, and immunohistochemical features which this medical phenomenon demonstrates, along with its rarity and frequent association with synchronous or metachronous carcinomas, present us with a treatment c... |
0 | Exercises in the treatment of elderly patients with knee osteoarthritis: Factors affecting the efficiency of patient education | OAK 3 - Non-arthroplasty tx of OAK | Introduction: The aim of this study was to investigate the significance of patient education, factors affecting the education, compliance of patients to exercises and the reasons of nonconformity among elderly patients with knee osteoarthritis. Materials and Method: During the initial assessments of 482 patients with k... |
0 | Extremity replantation | DoD LSA (Limb Salvage vs Amputation) | Although the success of replantation and revascularization is in part related to the length of the ischemic interval, it is important to bear in mind that microsurgical intervention must be given appropriate priority relative to the patient's other injuries. Very few patients die as a result of upper extremity trauma. ... |
0 | Femoral neck fracture following avascular necrosis of the femoral head | Management of Hip Fractures in the Elderly | Four cases of femoral neck fracture following avascular necrosis of the femoral head were studied histologically. All four patients were women who had received steroid therapy, three of them for systemic lupus erythematosus and the other for idiopathic thrombocytopenic purpura. Two types of fracture were found accordin... |
1 | Use of acellular cadaveric dermis and tissue expansion in postmastectomy breast reconstruction | Acellular Dermal Matrix | Tissue expander or permanent implant coverage in postmastectomy breast reconstruction is often challenging. Multiple authors have demonstrated the use of acellular cadaveric dermis (ACD) in nonexpansive, single-stage breast reconstruction. The literature also suggests that tissue expansion may be accomplished with ACD ... |
0 | Older adults living with osteoarthritis: examining the relationship of age and gender to medicine use | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) in older adults is a prevalent chronic condition associated with substantial pain and disability. Oral analgesic use is a central component of symptom management. Medication use in this population, however, is complex and must balance the need for symptom control with drug safety concerns. Our study... |
0 | The change over time in the postoperative bowel function in male anorectal malformation patients who underwent sacroperineal anorectoplasty and sacroabdominoperineal anorectoplasty | Panniculectomy & Abdominoplasty CPG | PURPOSE: Many kinds of operative procedures have been proposed for anorectal malformation (ARM) patients. At our institution, sacroperineal or sacroabdominoperineal anorectoplasty (SP-SAP) have been performed from 1984 to 2007. The aim of this study is clarify the change over the time in the postoperative bowel functio... |
0 | Body dysmorphic disorder and substance-related disorder among indoor tanners | Panniculectomy & Abdominoplasty CPG | Body dysmorphic disorder was identified in 16.4% of anonymous indoor tanners surveyed via the internet, and 57.2% of these respondents were also found to exhibit features of substance-related disorder to ultraviolet radiation. Subjects meeting substance-related disorder criteria were 7.7 times more likely to visit an i... |
0 | HIV-associated cervicodorsal lipodystrophy: etiology and management | Panniculectomy & Abdominoplasty CPG | OBJECTIVES: To familiarize the otolaryngologist with the evaluation and management of cervicodorsal manifestations of lipodystrophy in patients who have been treated with HIV protease inhibitor medications. In addition, to share the benefits obtainable with ultrasonic tumescent liposuction treatment. STUDY DESIGN: Retr... |
1 | The outcome at ten years of lateral closing-wedge high tibial osteotomy: determinants of survival and functional outcome | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to examine the functional outcome at ten years following lateral closing wedge high tibial osteotomy for medial compartment osteoarthritis of the knee and to define pre-operative predictors of survival and determinants of functional outcome. 164 consecutive patients underwent high tibial osteo... |
0 | Comminution of the dorsal metaphysis and its effects on the radiographic outcomes of distal radius fractures | Distal Radius Fractures | Comminution of the dorsal metaphysis is a relatively common feature of distal radius fractures. However, its effects on the radiographic outcomes of these fractures are not entirely understood. One hundred and twenty-four conservatively managed distal radius fractures were analysed retrospectively to assess the effect ... |
1 | Combined Treatment With Chondroitin Sulfate and Glucosamine Sulfate Shows No Superiority Over Placebo for Reduction of Joint Pain and Functional Impairment in Patients With Knee Osteoarthritis: A Six-Month Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the efficacy and safety of combination therapy with chondroitin sulfate (CS) and glucosamine sulfate (GS) compared to placebo in patients with symptomatic knee osteoarthritis (OA).
METHODS: A multicenter, randomized, double-blind, placebo-controlled study was performed in 164 patients with Kellgren... |
0 | "Aggressive" nontreatment of lateral meniscal tears seen during anterior cruciate ligament reconstruction | AMP (Acute Meniscal Pathology) | Based on our experience, we hypothesized that certain lateral meniscal tears identified at the time of anterior cruciate ligament reconstruction can be left without removal or repair and that they will remain asymptomatic. We looked at 189 lateral meniscal tears that were left in situ at the time of anterior cruciate l... |
1 | Efficacy of Tailored Exercise Therapy on Physical Functioning in Patients With Knee Osteoarthritis and Comorbidity: A Randomized Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the efficacy on physical functioning and safety of tailored exercise therapy in patients with knee osteoarthritis (OA) and comorbidities.
METHODS: In a randomized controlled trial, 126 participants were included with a clinical diagnosis of knee OA and at least 1 of the following target comorbidi... |
0 | Education of parents in Pavlik harness application for developmental dysplasia of the hip using a validated simulated learning module | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The Pavlik harness is the most common initial treatment for developmental dysplasia of the hip worldwide. During treatment, parents are required to re-apply the harness at home. Teaching parents how to apply the harness is therefore paramount to success. While simulated learning for medical training is comm... |
0 | Understanding Fatal Fat Embolism in Gluteal Lipoinjection: A Review of the Medical Records and Autopsy Reports of 16 Patients | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Deaths secondary to gluteal lipoinjection are relatively recent events of major importance. However, little is known in relation to their behavior and clinical evolution. Therefore, an analysis was performed of case records from clinical cases that encountered this problem, correlating the results with the ... |
0 | Electromyographic diagnosis of carpal tunnel syndrome during chronic beta-blocker therapy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This study describes the occurrence of carpal tunnel syndrome in three patients (two men and one woman) chronically treated (for more than three years) with beta-blocker agents (propranolol in two patients, 120 mg/day and 160 mg/day; pindolol in the other, 15 mg/day). All secondary causes of carpal tunnel syndrome were... |
0 | Hip structural analysis: a comparison of DXA with CT in postmenopausal Japanese women | Hip Fx in the Elderly 2019 | Geometry of the proximal femur is one determinant of fracture risk, and can be analyzed by a simple method using dual-energy X-ray absorptiometry (DXA). The aim of the present study was to investigate the accuracy of hip structural analysis (HSA) using clinical data in postmenopausal Japanese women. A total of 184 post... |
0 | Alloplasty of the humeral joint | Glenohumeral Joint OA | Background. Since 1980's, shoulder arthroplasty has become more oftenly performed procedure, and for severe comminuted fractures of proximal humerus (fou r- fragmented fractures, according to Neer's classification) has become first - line therapeutic option. At the beginnig of 90's, contemporary prinicples of shoulder ... |
0 | Immediate reconstruction of the lower extremity - An update | DoD SSI (Surgical Site Infections) | The objective of emergency free-tissue transfer of complex lower extremity injuries is to provide primary coverage of the wound at the time of the first surgical procedure during the first 24 hours after the accident. This is achieved by meticulous debridement of soft tissues and bone in the zone of injury, by fracture... |
1 | Single- and Double-Bundle Anterior Cruciate Ligament Reconstruction in Patients Aged Over 50 Years | Anterior Cruciate Ligament Injuries CPG | PURPOSE: The purpose of our study was to retrospectively evaluate the outcomes after anterior cruciate ligament (ACL) reconstruction with hamstring in patients aged 50 years or older. In addition, we present, for the first time, the outcomes of a subgroup of middle-aged patients treated with double-bundle (DB) reconstr... |
1 | Intra-articular treatment of osteoarthritis of the knee: an arthroscopic and clinical comparison between sodium hyaluronate (500â??730 kDa) and methylprednisolone acetate | OAK 3 - Non-arthroplasty tx of OAK | Corticosteroids have long represented the drugs of choice for intra-articular treatment of osteoarthritis (OA), but their use has drawbacks, indicating the need for alternatives devoid of these effects. This comparative study examined the clinical efficacy and the structural effects of intra-articular injections of sod... |
0 | Twelve years follow-up of fractures of the distal radius treated with the AO external fixator | Distal Radius Fractures | From 1977 to 1982 a total of 55 patients suffering comminuted fracture of the distal radius were treated with the external fixator. Fifty of these were followed up in 1983/85 and 32 of them were available for assessment in this study (1992). The follow-up period was 11.6 years on average. All patients had suffered an i... |
0 | Free tissue transfer with the free rectus abdominis flap in high-risk patients above 65 years: A retrospective cohort study | DoD SSI (Surgical Site Infections) | BACKGROUND: Though technically feasible, free tissue transfer carries the risk of perioperative morbidity and mortality in elderly patients. To minimize the operative treatment time and complication rates, we choose the rectus abdominis muscle (RAM) flap.
METHODS: Between 2012 and 2017, 34 patients (mean age: 74+/-7 ye... |
0 | Penetrating trauma; experience from Southwest Finland between 1997 and 2011, a retrospective descriptive study | DoD PRF (Psychosocial RF) | BACKGROUND: (1) There is lack of epidemiological data on penetrating trauma in European countries. (2) In Finland most acts of violence are performed under the influence of alcohol. The aim of this study was to determine the incidence and types of injury, treatment and survival of patients with penetrating injuries to ... |
0 | The role of platelet-rich plasma injections vis-a-vis steroids in lateral epicondylitis - results from a randomized trial | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | INTRODUCTION: Evidence on the ideal injections for lateral epicondylitis (LE) is sparse. While corticosteroid (CS) injections have prevailed as being most popular, their questionable efficacy and prominent side effects have necessitated the conception of alternative therapies like platelet-rich plasma (PRP) injections ... |
0 | The Tinel sign: A historical perspective | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Tinel sign is one of the most well-known and widely used clinical diagnostic tools in medicine. Aside from Jules Tinel, after whom the sign is named, several authors have described the famous "tingling" sign seen in regenerating injured nerves. In fact, Tinel was not the first to present the sign to the scientific ... |
1 | Congenital dislocation of the hip: an evaluation of closed reduction | Developmental Dysplasia of the Hip CPG | A retrospective study of 59 congenitally dislocated hips was undertaken to assess the relationship between the quality of a closed reduction and the eventual outcome. Good closed reductions were associated with rapid improvement of the acetabular angle and the center edge (CE) angle and a low incidence of avascular nec... |
0 | Altered osteocyte function in osteoarthritis: A possible pathological role in subchondral bone sclerosis | Surgical Management of Osteoarthritis of the Knee CPG | Background and Aim: Subchondral bone sclerosis is a recognised manifestation of osteoarthritis (OA) joint. The osteocyte cell network is now considered to be central to the regulation of bone homeostasis but it is still unknown whether the integrity of the osteocyte cell network is altered in OA patients. Method: The p... |
0 | Are there clinical or serological differences between male and female patients with primary Sjogren's syndrome? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Sjogren's syndrome (SS) is a chronic inflammatory autoimmune disease. It can be primary (pSS) or secondary (sSS) and is observed 90% more in women than in men, mainly in the fourth and fifth decades of life. We investigated the prevalence of serological and clinical manifestations in male and female patients... |
0 | Efficacy and safety evaluation of glucosamine hydrochloride in the treatment of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the efficacy and safety of glucosamine hydrochloride for the treatment of osteoarthritis. METHODS: A multiâ?central, randomized, controlled clinical trial of glucosamine hydrochloride comparing glucosamine sulfate for the treatment of osteoarthritis was performed. One hundred and fortyâ?three p... |
0 | Alveolar bone upper growth in furcation area using a combined orthodontic-regenerative therapy: A case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: This case report demonstrates orthodontic and regenerative combined therapy in a 49-year-old male whose right maxillary premolar furcation had a bony defect with poor biologic width resulting from extensive subgingival caries. In these advanced interdisciplinary cases, crown lengthening with periodontal sur... |
0 | Classification and research progress of implant surface antimicrobial techniques | Dental Implant Infection | Due to the good biocompatibility and ideal mechanical property, titanium implants have been widely used in dental clinic and orthopedic surgery. However, bacteria induced infection can cause per-implant inflammation and decrease the success rate of implant surgery. Therefore, developing antimicrobial techniques is esse... |
0 | The management of abdominal contour defects following TRAM flap breast reconstruction | Acellular Dermal Matrix | BACKGROUND: Incisional hernia can develop following breast reconstruction with abdominal tissue regardless of technique, and the management is often challenging. OBJECTIVES: The authors characterize hernias following transverse rectus abdominis musculocutaneous (TRAM) flap procedures and evaluate outcomes of different ... |
1 | Meniscal allograft transplantation: undersizing grafts can lead to increased rates of clinical and mechanical failure | AMP (Acute Meniscal Pathology) | PURPOSE: To assess mid-term survivorship of meniscal allograft transplantation (MAT) and determine the effect that pre-operative meniscal sizing has upon functional outcome and mechanical survivorship.
METHODS: A prospectively collected database of patients receiving MAT from 2001 to 2017 was analysed. Data include dem... |
0 | What's new in pediatric orthopaedics | Developmental Dysplasia of the Hip 2020 Review | This past year has seen an increase in the quality of studies in pediatric orthopaedics, and the completion of BrAIST demonstrated that high-level studies of important questions can be addressed in pediatric orthopaedics. The current commitment of improving quality of care for children promises a healthy future for ped... |
0 | Deep skin slough following skin traction for hip fractures | DoD SSI (Surgical Site Infections) | INTRODUCTION: Elderly patients who fracture their hips are susceptible to complications associated with bed rest before surgery. In some institutions a skin traction device is used in order to relieve pain before surgery. The authors followed ten patients who developed severe (deep) skin slough and evaluated the relati... |
0 | An infective endocarditis audit illustrates why dental guidelines in general need to be kept clear, simple and unambiguous | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To test the effect complex, multiple dental guidelines have on establishing compliance with ideal clinical practice. DESIGN: A questionnaire was used to determine the level of knowledge of the British Cardiac Society and Royal College of Physicians 2004 infective endocarditis prophylaxis guidelines which wer... |
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