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0 | Hypersensitivity to benzoyl peroxide in a cemented total knee arthroplasty: cement allergy | Surgical Management of Osteoarthritis of the Knee CPG | A small but significant proportion of cemented total knee arthroplasties develop aseptic loosening. Polyethylene debris is unlikely to be the cause in the small subgroup that experiences early loosening. Allergy to polymethylmethacrylate bone cement or its constituents has been reported in several different industries ... |
1 | Decreased Graft Thickness Is Associated With Subchondral Cyst Formation After Osteochondral Allograft Transplantation in the Knee | Osteochondritis Dissecans 2020 Review | BACKGROUND: Subchondral changes, specifically cyst formation, are a known finding after osteochondral allograft (OCA) transplantation. PURPOSE/HYPOTHESIS: The purpose was to determine potential predictive associations between preoperative patient characteristics or OCA morphology and postoperative OCA appearance as ass... |
0 | Submuscular bridge plating for complex pediatric femur fractures is reliable | PJI DX Updated Search | BACKGROUND: Complex, high-energy pediatric femur diaphyseal fractures cannot be treated reliably by conventional methods: casting is not suitable for polytrauma and large children, external fixation is associated with a high rate of malalignment and refractures, elastic nails are unsuitable for unstable fractures and m... |
1 | Analysis of Staged Treatment for Gustilo Anderson IIIB/C Open Tibial Fractures | DoD LSA (Limb Salvage vs Amputation) | Background: Gustilo Anderson III B/C open tibial fractures are more difficult to manage than I, II, and III A fractures. These open tibial fractures are often associated with wound infection, soft tissue necrosis, bone nonunion, osteomyelitis or amputation. Staged treatment for this severe trauma is very necessary. Mat... |
0 | Balance confidence and functional balance in relation to falls in older persons with hip fracture history | Management of Hip Fractures in the Elderly | PURPOSE: To investigate whether self-assessed balance confidence and functional balance are associated with falls in older persons with hip fracture history. METHODS: This study is a part of a larger study on functional capacity and exercise rehabilitation in hip fracture patients. Seventy-nine patients, operated at th... |
0 | Patient satisfaction and functional status after aseptic versus septic revision total knee arthroplasty using the PROSTALAC articulating spacer | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study compared the functional results of an articulating antibiotic spacer for 2-stage revision knee arthrolasty for infection, to the functional results of aseptic revision. One hundred twenty-five patients who underwent revision of total knee arthroplasty for infection and aseptic loosening were identified. All ... |
1 | Significantly Lower Wear of Ceramic-on-Ceramic Bearings Than Metal-on-Highly Cross-Linked Polyethylene Bearings: A 10- to 14-Year Follow-Up Study | Hip Fx in the Elderly 2019 | BACKGROUND: This study aimed to retrospectively compare clinical and radiographic results between consecutive total hip arthroplasties (THAs) using ceramic on ceramic (CoC) and metal-on-highly cross-linked polyethylene (MoP), with >10 years of follow-up.
METHODS: Sixty-seven patients (52 women and 15 men) underwent CoC... |
0 | Spinal pseudarthrosis in ankylosing spondylitis | Management of Hip Fractures in the Elderly | Spinal pseudarthrosis is an important mechanical complication in longstanding ankylosing spondylitis. Thirty-five patients with 40 lesions were studied. Three lesions through vertebral bodies resulted from complete fractures. The rest occurred at interspaces, more common at the lower thoracic and upper lumbar segments.... |
0 | Activation of WNT and BMP signaling in adult human articular cartilage following mechanical injury | DoD LSA (Limb Salvage vs Amputation) | Acute full thickness joint surface defects can undergo repair, which involves tissue patterning and endochondral bone formation. Molecular signals regulating this process may contribute to the repair outcome, chronic evolution and, eventually, the onset of osteoarthritis. We tested the hypothesis that mechanical injury... |
0 | Clonotypic myeloma cells able to xenograft myeloma to nonobese diabetic severe combined immunodeficient mice copurify with CD34 (+) hematopoietic progenitors | MSTS 2018 - Femur Mets and MM | The identity of the multiple myeloma (MM) precursor(s) is unknown. Our objective was to determine the myelomagenic capabilities of CD34-enriched autografts. Hematopoietic progenitor fractions from fresh or cryopreserved granulocyte-colony-stimulating factor mobilized blood from myeloma patients were obtained by sorting... |
1 | Small improvements in mechanical axis alignment achieved with MRI versus CT-based patient-specific instruments in TKA: a randomized clinical trial | Surgical Management of Osteoarthritis of the Knee CPG | Patient-specific instrumentation in TKA has the proposed benefits of improving coronal and sagittal alignment and rotation of the components. In contrast, the literature is inconsistent if the use of patient-specific instrumentation improves alignment in comparison to conventional instrumentation. Depending on the manu... |
0 | Cartilage Resurfacing Using Osteochondral Allograft | Osteochondritis Dissecans 2020 Review | Osteochondral allograft (OCA) transplantation is a single-stage technique that transfers viable, mature hyaline cartilage and subchondral bone into size-matched chondral or osteochondral defects. Over the last decade, improvements in allograft storage, harvest, and surgical technique have resulted in encouraging clinic... |
0 | Validation of surgical site infection surveillance in orthopedic procedures | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Valid data are essential for a national surveillance system of nosocomial infections. Methods: In 8 hospitals conducting surgical site infection (SSI) surveillance for orthopedic procedures, a validation team performed a blinded retrospective chart review (10 operations with reported infections, 40 without)... |
0 | Manipulation for stiffness following total knee arthroplasty: when and how often to do it? | Pediatric Supracondylar Humerus Fracture 2020 Review | Stiffness following total knee arthroplasty is a disabling complication. One of the management options of stiffness includes manipulation under anaesthesia, but no real consensus exist on appropriate timing of intervention, and the timing and results of the manipulation under anaesthesia (MUA) are under debate in the l... |
0 | The Richards type II patellofemoral arthroplasty: 26 cases followed for 1-20 years | Surgical Management of Osteoarthritis of the Knee CPG | We followed 26 Richards type II patellofemoral arthroplasties in 24 patients (19 women) for a mean of 11 (1-20) years. Their mean age was 59 (22-90) years. The preoperative diagnoses were primary patellofemoral arthrosis in 17 cases and secondary arthrosis in 9 (8 malalignment, 1 patellar fracture). Patellectomy was la... |
0 | Direct complications of trochanteric osteotomy in open reduction and internal fixation of acetabular fractures | Management of Hip Fractures in the Elderly | Osteotomy of the greater trochanter has been used to enhance exposure, especially the dome, in posterior and lateral exposures of the acetabulum. In 55 patients, osteotomy of the greater trochanter was performed in connection with open reduction and internal fixation of a displaced acetabular fracture. The trochanter w... |
0 | Diagnostic parameters of sonography in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: The cross-sectional area (CSA) of the median nerve in the wrist is mostly used for diagnosing carpal tunnel syndrome (CTS), but the usefulness of other parameters of ultrasonography (US) are not clear yet. The purpose of this study was to evaluate the usefulness of various US parameters. Methods: US was perf... |
1 | Outcomes during and after inpatient rehabilitation: Comparison between adults and older adults | DoD PRF (Psychosocial RF) | Objective: To compare changes on biopsychosocial variables between adults (<65 years) and older adults (â?¥65 years) during and after an inpatient rehabilitation program. Design: Comparative study. Participants: A total of 165 people 18 years and over admitted to an inpatient rehabilitation unit. Methods: The participa... |
0 | Femoral-sciatic nerve blocks for complex outpatient knee surgery are associated with less postoperative pain before same-day discharge: a review of 1,200 consecutive cases from the period 1996-1999 | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Outpatient knee surgery has come to involve increasingly complex procedures. The authors present observational data from a nerve block algorithm designed for the care of outpatients undergoing knee surgery. The aim of this report is to demonstrate differences in pain and unplanned hospital admission associa... |
0 | Limited incision submental lipectomy and platysmaplasty | Panniculectomy & Abdominoplasty CPG | Thirty years ago, submental fat deposition and platysma band formation were inadequately addressed by surgeons attempting facial rejuvenation procedures. Simple skin envelope tightening as practiced commonly at that time resulted in reappearance of submental bands within months, disappointing both patient and surgeon. ... |
1 | DNA adducts in human breast tissue: association with N-acetyltransferase-2 (NAT2) and NAT1 genotypes | Reduction Mammoplasty for Female Breast Hypertrophy | The etiology of human breast cancer is poorly understood, but circumstantial evidence points toward exogenous genotoxins as causative agents; they are believed to exert their carcinogenic action by binding to DNA. Because this binding is often preceded by metabolic activation, it is dependent on the expression and acti... |
1 | Long-term survival of the glenoid components in total shoulder replacement for arthritis | Glenohumeral Joint OA | PURPOSE: Aseptic glenoid component loosening remains a common problem in total shoulder arthroplasty (TSA). This study presents long-term prospective follow-up after implantation of a glenoid component using the "cancellous compaction technique" and its effect on clinical outcome and presence and progression of radiolu... |
0 | Prevalence and patterns of congenital limb defects in the north of Iran (2007-2011) | Developmental Dysplasia of the Hip 2020 Review | Background: Congenital limb defects (CLDs) are the leading cause of disability across the world.CLDsvary depending on the anatomical location, type, and cause of anomaly. The present study aimed to evaluate the prevalence and patterns of CLDs in the North of Iran. Methods: This descriptive-analytical, hospital-based st... |
0 | Efficacy of periarticular multimodal drug injection in total knee arthroplasty for pain management and rehabilitation | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Recently many authors have reported on the benefits of using multimodal drug injections in total knee arthroplasty (TKA) which assist pain relief in the early post-operative stages. This study aims to clarify the effects of periarticular multimodal drug injection on postoperative pain, nausea, rehabilitation, ... |
0 | MRI-arthroscopy correlation of knee anatomy and pathologic findings: A teaching guide | AMP (Acute Meniscal Pathology) | OBJECTIVE. The purpose of this study is to familiarize the radiologist with knee arthroscopy, including the setup, equipment, and standard procedure used. This is followed by a discussion of the strengths and weaknesses of knee MRI and arthroscopy and presentation of images showing normal knee anatomy and pathologic fi... |
0 | Results of open carpal tunnel release: a comprehensive, retrospective study of 188 hands | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Many recent reports of the results of decompression of the median nerve in the carpal tunnel have concentrated on only one aspect of recovery (numbness, grip etc.), and there are no reports of a comprehensive study of outcome. The aim of the present study was to review comprehensively the results of the dir... |
0 | Isolated Arthroscopic Lateral Retinacular Release for Lateral Patellar Compression Syndrome | AMP (Acute Meniscal Pathology) | INTRODUCTION: Evidence concerning the role of isolated lateral retinacular release (LRR) for lateral patellar compression syndrome (LPCS) dates back at least three decades. Appropriate indications, execution and outcomes still remain unclear and controversial. The present investigation analyzed the midterm result of is... |
1 | An exploratory study of response shift in health-related quality of life and utility assessment among patients with osteoarthritis undergoing total knee replacement surgery in a tertiary hospital in Singapore | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To investigate the influence of response shift (RS) on health-related quality of life (HRQOL) and utility assessment among patients undergoing total knee replacement. METHODS: Consenting patients undergoing total knee replacement were interviewed to determine their HRQOL by using the six-dimensional health s... |
1 | Double-blind assessment of the value of magnetic resonance imaging in the diagnosis of anterior cruciate and meniscal lesions | AMP (Acute Meniscal Pathology) | A prospective double-blind study was undertaken to evaluate the usefulness of magnetic resonance imaging in the accurate interpretation of pathological intra-articular changes in the knee. Forty-seven patients who were scheduled to have arthroscopy and three patients who wer to have arthrotomy volunteered for magnetic ... |
0 | Less invasive stabilization system (LISS) in the treatment of distal femoral fractures | DoD SSI (Surgical Site Infections) | The treatment of distal femoral fractures has been associated with a high rate of complications for a long time. Although implants and surgical techniques have improved, plate osteosynthesis and intramedullary nailing have been accompanied by a high occurrence of infection, non-union and malalignment. The treatment of ... |
0 | Changes in Basic Movement Ability and Activities of Daily Living After Hip Fractures: Correlation Between Basic Movement Scale and Motor-Functional Independence Measure Scores | Hip Fx in the Elderly 2019 | OBJECTIVE: The aim of this study was to examine the correlation between basic movement ability and activities of daily living (ADL) in elderly patients after hip fracture surgery and predict ADL outcomes from changes in basic movement ability.
DESIGN: Fifty-four patients receiving rehabilitation after hip fracture surg... |
0 | Correlation between gait analysis and clinical questionnaires in patients with spontaneous osteonecrosis of the knee | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Spontaneous osteonecrosis of the knee is usually verified by magnetic resonance imaging accompanied by clinical questionnaires to assess the level of pain and functional limitation. There is a lack however, in an objective functional test that will reflect the functional severity of spontaneous osteonecrosi... |
0 | Preparation, Procedures and Evaluation of Platelet-Rich Plasma Injection in the Treatment of Knee Osteoarthritis | PRP (Platelet-Rich Plasma) | Knee osteoarthritis (KOA) is one of the most frequently encountered diseases in the orthopedic department. Existing non-surgical treatments have a limited effect on the repair of cartilage and on bone regeneration. Platelet-rich plasma (PRP) is an autologous bioactive substance that can repair cartilage injury and acce... |
0 | Unplanned hospital readmission and its predictors in patients with chronic conditions | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: Unplanned hospital readmission is a devastating experience for patients and is costly for society. This study determined the 60-day unplanned readmission rate and its predicting factors in patients with chronic conditions. METHODS: A total of 334 patients discharged from five hospitals were foll... |
1 | Evaluation of crush syndrome patients with extremity injuries in the 2011 Van Earthquake in Turkey | DoD LSA (Limb Salvage vs Amputation) | AIMS AND OBJECTIVES: To perform a descriptive analysis of crush syndrome patients with extremity injuries, which will be used as a reference for future disasters. BACKGROUND: In disasters like earthquake, cooperation among medical workers is very important for the follow-up and treatment of patients. Knowing the compli... |
0 | Genome-environmental risk assessment of cocaine dependence | DoD PRF (Psychosocial RF) | Cocaine-associated biomedical and psychosocial problems are substantial twenty-first century global burdens of disease. This burden is largely driven by a cocaine dependence process that becomes engaged with increasing occasions of cocaine product use. For this reason, the development of a risk-prediction model for coc... |
0 | Predicting acute recovery of physical function following total knee joint arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | The objective was to explore predictors of physical function during acute in-patient rehabilitation within a few days after TKA. Physical function status of participants (n = 72) three days after total knee arthroplasty (TKA) was measured using the Timed Up and Go Test (TUG) and the function subscale of the Western Ont... |
0 | Runx2, an inducer of osteoblast and chondrocyte differentiation | TO: WNT2 Pathway Modulator | Runx2 is a transcription factor that is essential for osteoblast differentiation and chondrocyte maturation. Ihh, expressed in prehypertrophic and hypertrophic chondrocytes, is required for the specification of Runx2<sup>+</sup> osteoprogenitors in endochondral bone development. Runx2 induces Sp7, an essential transcri... |
0 | Oral clodronate and reduction in loss of bone mineral density in women with operable primary breast cancer | Management of Hip Fractures in the Elderly | BACKGROUND: Women with primary breast cancer who receive systemic therapy may experience ovarian failure or early menopause, leading to a loss of bone mineral density (BMD). Loss of BMD may be reduced by use of bisphosphonates, compounds that inhibit the action of osteoclasts (cells that absorb or remove bone tissue). ... |
1 | Multiple-centre clinical evaluation of an ultrafast single-tube assay for SARS-CoV-2 RNA | Coronavirus Disease 2019 (COVID-19) | Objective: To evaluate the performance of an ultrafast single-tube nucleic acid isothermal amplification detection assay for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA using clinical samples from multiple centres. Methods: A reverse transcription recombinaseâ??aided amplification (RT-RAA) assay fo... |
0 | Significant associated MRI findings in patients with anterior cruciate ligament stump entrapment | AMP (Acute Meniscal Pathology) | OBJECTIVE: Objective of this study was to determine the relationship between development of stump entrapment (SE) lesions and associated injuries in patients with knee extension deficits who underwent anterior cruciate ligament (ACL) reconstruction surgery.
MATERIALS AND METHODS: This retrospective study included 79 pa... |
0 | High-dose idarubicin, cyclophosphamide and melphalan as conditioning for autologous stem cell transplantation increases treatment-related mortality in patients with multiple myeloma: Results of a randomised study | MSTS 2018 - Femur Mets and MM | We conducted a randomised trial comparing an intensified versus a standard conditioning regimen for high-dose chemotherapy followed by autologous stem-cell transplantation in patients with multiple myeloma. In this study, 56 patients were randomly assigned for high-dose therapy with melphalan 200 mg/m2 or with idarubic... |
0 | Distal femoral fractures: The need to review the standard of care | Hip Fx in the Elderly 2019 | BACKGROUND: Hip fracture care has evolved, largely due to standardisation of practice, measurement of outcomes and the introduction of the Best Practice Tariff, leading to the sustained improvements documented by the National Hip Fracture Database (NHFD). The treatment of distal femoral fractures in this population has... |
0 | Osteochondritis dissecans of the humeral capitellum in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We studied 13 cases of osteochondritis dissecans of capitellum humeri in 12 children, 11 boys and 1 girl, aged between 10 and 15 years. We distinguished this affection from Panner's disease which affects young children and resembles Legg-Perthes-Calve disease of the hip. Operative treatment was performed in 7 out of 13... |
0 | Whiplash injury: misconceptions and remedies | DoD PRF (Psychosocial RF) | Misconceptions about whiplash injury and its common course are discussed. Different patient populations appear to suffer to varying degrees and social copying is evident in certain groups--features shared with the Australian 1983 to 1985 'epidemic' of 'repetitive strain syndrome'. Psychosocial factors and overtreatment... |
0 | The use of platelet-rich plasma for percutaneous treatment of tendinopathies | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Platelet-rich plasma (PRP) has increasing popularity in the treatment and management of tendon healing. The release of growth factors from activated platelets is thought to aid in the healing mechanisms post-trauma. There are, however, no standardised methods and application techniques to allow for efficient comparison... |
0 | Bone cysts in mucopolysaccharidosis I S (Scheie syndrome) | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Scheie syndrome (MPS I S, called MPS V, in the original classification) is manifested by stiff joints and corneal clouding and by excessive urinary excretion of dermatan sulfate and heparan sulfate. Although carpal tunnel syndrome and aortic valve disease are usual complications, the patients are of normal intellig... |
0 | Micromechanics of postmortem-retrieved cement-bone interfaces | PJI DX Updated Search | The cement-bone interface plays an important role in load transfer between cemented implant systems and adjacent bone, but little is known about the micromechanical behavior of this interface following in vivo service. Small samples of postmortem-retrieved cement-bone specimens from cemented total hip replacements were... |
0 | Prophylactic radiation therapy for prevention of heterotopic ossification after hip arthroplasty: results in 141 high-risk hips | AAHKS (2) Corticosteroids | In a 4 1/2-year, prospectively randomized study, 137 patients with 141 hips at high risk for heterotopic ossification (HO) received prophylactic radiation therapy (RT). Patients were randomly assigned to a low-dose regimen of five fractions of 2 Gy each (n = 73) or a high-dose regimen of either 10 fractions of 2 Gy eac... |
0 | Platelet-rich plasma promotes wound healing of total hip arthroplasty | Hip Fx in the Elderly 2019 | BACKGROUND: A retrospective comparative study was conducted to evaluate the clinical efficacy of platelet-rich plasma (PRP) application in total hip arthroplasty. METHODS: A total of 50 patients with severe hip injuries who underwent hip replacement surgeries in our hospital from February 2015 to March 2016 were collec... |
1 | Evaluation of abdominal cutaneous sensibility following abdominoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Cutaneous hypesthesia is an undesirable postoperative outcome following abdominoplasty. The purpose of this study was to evaluate postabdominoplasty cutaneous sensibility using clinical, quantitative, and reproducible methods. METHODS: Thirty patients who underwent abdominoplasty were divided into three gro... |
1 | Return to Play After Isolated Meniscal Repairs in Athletes: A Systematic Review | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal tears are a common knee injury. Isolated meniscal tears are less common; however, unaddressed tears can be troublesome, particularly for athletes. There is currently a lack of data in the literature on athletes returning to play after isolated meniscal repair.
PURPOSE: To evaluate the return to pla... |
0 | Posterior neck lift | Panniculectomy & Abdominoplasty CPG | Posterior neck lift, which combines anterior platysmaplasty and anterior and lateral neck lift, is a good alternative to a full or lower face lift for patients with minimal or no jowl sagging. It may be combined with neck lipoplasty, serial platysma notching, expanded polytetrafluoroethylene neck sling, and chemical pe... |
0 | Lipedema: A Call to Action! | Panniculectomy & Abdominoplasty CPG | Lipedema is a chronic progressive disease characterized by abnormal fat distribution resulting in disproportionate, painful limbs. It almost exclusively affects women, leading to considerable disability, daily functioning impairment, and psychosocial distress. Literature shows both scarce and conflicting data regarding... |
1 | Effect of ultraclean air in operating rooms on deep sepsis in the joint after total hip or knee replacement: a randomised study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In a multicentre study of sepsis after total hip or knee replacement the operations performed by each surgeon were allocated at random between control and ultraclean-air operating rooms. Records were obtained from over 8000 such operations. In the patients whose prostheses were inserted in an operating room ventilated ... |
0 | Chronic pain and nonpainful sensations after spinal cord injury: Is there a relation? | DoD PRF (Psychosocial RF) | Established the clinical characteristics of nonpainful sensations (NP) that commonly appear after spinal cord injury (SCI), and compared the clinical characteristics of NP and chronic pain (CP) after SCI in terms of effects on sleep, work and daily activities. Two sets of questions were completed by 197 persons (averag... |
1 | Management of lower extremity arterial trauma | DoD LSA (Limb Salvage vs Amputation) | Extremity vascular trauma is common in most urban trauma centers and controversy remains about the optimal management of arterial injuries. We examined the records of 188 patients who had lower extremity arterial trauma from September 1987 to April 1992 to help clarify these issues. There were 142 (75.5%) gunshot wound... |
0 | Posttraumatic lipomas: Where do they really come from? | Panniculectomy & Abdominoplasty CPG | A series of nine patients is reported in which a subcutaneous lipoma appeared within a few months after a blunt trauma. Computerized tomography and/or nuclear magnetic resonance and/or echography were employed for the diagnosis in addition to physical examination. Surgical removal of the masses was then performed witho... |
0 | Repetitive facilitative exercise under continuous electrical stimulation for severe arm impairment after sub-acute stroke: A randomized controlled pilot study | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective: To investigate the effectiveness of repetitive facilitative exercise (RFE) under surface neuromuscular electrical stimulation (NMES) in patients with post-stroke hemiplegia. Methods: This randomized, controlled, observer-blinded, pilot trial randomized 27 adults with severe arm impairment [Fugl-Meyer Arm sca... |
0 | Bcar1/p130Cas protein and primary breast cancer: prognosis and response to tamoxifen treatment | MSTS 2018 - Femur Mets and MM | BACKGROUND: The product of the Bcar1/p130Cas (breast cancer resistance/p130Crk-associated substrate) gene causes resistance to antiestrogen drugs in human breast cancer cells in vitro. To investigate its role in clinical breast cancer, we determined the levels of Bcar1/p130Cas protein in a large series of primary breas... |
0 | Exercise reduces impairment and improves activity in people after some upper limb fractures: a systematic review | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | QUESTION: What is the effect of exercise on reducing impairment and increasing activity 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, including trials where exe... |
1 | Effects of a preoperative femoral nerve block on pain management and rehabilitation after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The objective of this prospective, randomized, double-blind study was to determine if preoperative administration of a femoral nerve block reduces the amount of morphine needed for postoperative analgesia after total knee arthroplasty (TKA). Forty-two patients undergoing TKA were randomly assigned to receive either a f... |
1 | Comparison of reconstructive techniques following oncologic intraarticular resection of proximal humerus | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: The proximal humerus is a common site of primary and metastatic disease in the upper extremity. Historically, the goal of a hemiarthroplasty reconstruction was to provide a stable platform for hand and elbow function, with limited shoulder function. Techniques utilizing a reverse endoprosthesis (endoprost... |
1 | The pain quality assessment scale: assessment of pain quality in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Neuropathic Pain Scale (NPS) is a valid measure of the pain qualities and perceived depth of neuropathic pain. However, it does not include a number of pain qualities commonly seen in some neuropathic and non-neuropathic pain conditions. To address this limitation, additional items were added to the NPS to create a... |
0 | Optimal management of metastatic bone disease | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Skeletal-related events (SREs) from bone metastases are a major cause of morbidity and significantly decrease patients' quality of life. Strategies for the optimal management of SREs with bisphosphonates are explored.
METHODS: Existing and novel therapies were identified and published guidelines were review... |
0 | Facial augmentation with core fat graft: A preliminary report | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Facial rejuvenation with autologous fat has the advantage of replacing or augmenting tissue with like tissue. The results of injected fat are unpredictable because of cellular trauma and other factors. Excised whole or en bloc fat grafting has been shown experimentally to have a greater percentage of adipoc... |
0 | Pediatric orthopaedic trauma | DoD LSA (Limb Salvage vs Amputation) | Purpose of review: The management of fractures in children and adolescents continues to constitute a significant proportion of the orthopaedic surgeon's practice. The articles in this review were selected from relevant literature published from June 2003 to June 2004 to highlight trends and controversies in the managem... |
0 | The level of FoxO1 and IL-15 in skeletal muscle, serum and synovial fluid in people with knee osteoarthritis: a case control study | OAK 3 - Non-arthroplasty tx of OAK | UNLABELLED: The molecular regulation of muscle function in knee osteoarthritis is unclear. Elevated muscle atrophy regulation marker expression was associated with reduced muscle strength in knee osteoarthritis. The level of protein expression appears to be different between muscle, knee joint and serum, suggesting tha... |
0 | The programme for the evaluation of patient care with acupuncture (PEP-Ac) - A project sponsored by ten German social health insurance funds | SR for PM on OA of All Extremities | Objective: The aim of the Programme for the Evaluation of Patient care with Acupuncture (PEP-Ac) was to investigate the efficacy, effectiveness and safety of acupuncture in patients with the following three indications: chronic headache, chronic low back pain and chronic osteoarthritic pain. This article provides an ov... |
1 | Comminuted Colles' fractures: a prospective trial of management | Distal Radius Fractures | Patients suffering from comminuted fractures of the lower end of the radius were treated by one of two protocols and followed for 6 months. One group was treated by a regime of percutaneous wiring based on the technique described by DePalma. This was compared with the results obtained from the conventional treatment of... |
0 | Rectus abdominis muscle transplant in lower limb salvage: a recent series of 25 patients | DoD LSA (Limb Salvage vs Amputation) | A recent series of 25 patients who underwent reconstruction of Gustilo IIIB lower extremity wounds with rectus abdominis muscle transplants is presented. Complications include one flap loss and one donor site skin incision dehiscence. At follow-up, a majority of patients were ambulatory and a third employed in some fas... |
0 | Postoperative outcome in Chinese patients having primary total knee arthroplasty under general anaesthesia/intravenous patient-controlled analgesia compared to spinal-epidural anaesthesia/analgesia | AAHKS (9/10) Regional Nerve Blocks | OBJECTIVE: To compare postoperative outcomes in patients having primary total knee arthroplasty receiving general or regional anaesthesia.
DESIGN: Randomised prospective study.
SETTING: Regional hospital, Hong Kong.
PATIENTS: Patients having primary total knee replacement were randomised to either general anaesthesia f... |
0 | Articular cartilage echography as a criterion of the evolution of osteoarthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | We propose a modification of the Aisen's technique by which precise reproducible measurements of articular cartilage thickness of the knee is possible. A group of 23 patients with severe osteoarthritis was studied by ultra-sound (US) before knee prosthesis surgery. Evaluation with US was performed by a real-time scanne... |
0 | The use of augmentation techniques in osteoporotic fracture fixation | Distal Radius Fractures | There are an increasing number of fragility fractures, which present a surgical challenge given the reduced bone quality of underlying osteoporosis. Particularly in aged patients, there is a need for early weight bearing and mobilization to avoid further complications such as loss of function or autonomy. As an attempt... |
0 | Comparison of intraarticular bupivacaine with the addition of morphine or fentanyl for analgesia after arthroscopic surgery | AMP (Acute Meniscal Pathology) | A randomized study on 30 patients undergoing knee arthroscopy was performed. Group I (n = 15) received 50 mg of 0.25% bupivacaine and 1 mg of morphine, and group II (n = 15) received 50 mg of 0.25% bupivacaine and 100 µg of fentanyl. The visual analogue scale was recorded at intervals of 1, 2, 3, 4, 6, 12, 24, and 48 h... |
1 | Psychological and physical health effects of sexual assaults and nonsexual traumas among male and female United States Army soldiers | DoD PRF (Psychosocial RF) | Lifetime trauma history was assessed in a health study of active duty United States Army soldiers. Five hundred fifty-five male and 573 female soldiers in the sample were asked whether they had ever experienced 14 different potentially traumatic experiences, including sexual assaults, violent stressors to self, and ter... |
1 | Shoulder arthroplasty in patients 59 years of age and younger | Glenohumeral Joint OA | BACKGROUND: While shoulder arthroplasty is a well established treatment for a variety of conditions about the shoulder, the results of shoulder replacement in younger patients are not as predictable. The purpose of this study is to examine the indications for shoulder arthroplasty in patients 59 years old and younger, ... |
0 | Dynamic hydrostatic pressure enhances differentially the chondrogenesis of meniscal cells from the inner and outer zone | AMP (Acute Meniscal Pathology) | This study analyses the influence of dynamic hydrostatic pressure on chondrogenesis of human meniscus-derived fibrochondrocytes and explores the differences in chondrogenic differentiation under loading conditions between cells derived from the avascular inner zone and vascularized outer region of the meniscus. Aggrega... |
0 | A modular femur-tibia reconstruction system | MSTS 2018 - Femur Mets and MM | A 26 piece modular system for the reconstruction of the bones of the lower extremity from the femoral head to the distal third of the tibia is described. This modular system can be implanted without cement and allows for the intraoperative determination of the amount of resection necessary. The implant material is the ... |
0 | Age-related differences in global-local processing: stability of laterality differences but disproportionate impairment in global processing | Upper Eyelid and Brow Surgery | Visual processing of global and local features differentially engages the right and left hemispheres and requires different allocations of spatial attention. To further understand the decline in visual cognition and visual attention with age, we studied the performance of healthy young subjects and healthy elders on a ... |
0 | Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: The temporomandibular joint is a unique bi-condylar joint involved in mastication and speech. Temporomandibular joint disorders (TMD) have a range of symptoms, including aural symptoms, and are present in approximately 75% of normal populations. The present study examined the relationship between signs and ... |
0 | Delirium motor subtypes in elderly hip fracture patients: risk factors, outcomes and longitudinal stability | Hip Fx in the Elderly 2019 | OBJECTIVE: Delirium is often accompanied by changes in motor activity but the longitudinal expression of these features and etiological and prognostic significance of clinical subtypes defined by motor activity is unclear.
METHODS: This is a prospective cohort study of elderly patients undergoing hip fracture surgery. ... |
0 | A simple tool to identify asian women at increased risk of osteoporosis | Management of Hip Fractures in the Elderly | Patients with low bone mineral density (BMD) have a high risk of future fractures, and should be actively considered for treatment to reduce their risk. However, BMD measurements are not widely available in some communities, because of cost and lack of equipment. Simple questionnaires have been designed to help target ... |
0 | The clinical correlates of articular cartilage defects in symptomatic knee osteoarthritis: a prospective study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: To determine whether articular cartilage defects are associated with cartilage loss and joint replacement in subjects with symptomatic knee osteoarthritis (OA). METHODS: One hundred and seventeen subjects with symptomatic knee OA underwent magnetic resonance imaging of their dominant knee at baseline and 2 ... |
0 | Refractory squamous cell carcinoma of the conjunctiva treated with subconjunctival ranibizumab (lucentis): A two-year study | Reconstruction After Skin Cancer | Purpose: To test the safety, tolerability, and efficacy of subconjunctival ranibizumab (Lucentis [Genentech, Inc.]) for squamous cell carcinoma of the conjunctiva and cornea. Methods: Five patients with recurrent squamous cell carcinoma of the conjunctiva and cornea enrolled in this nonrandomized, single center, phase ... |
0 | Sensorimotor modulation differs with load type during constant finger force or position | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | During submaximal isometric contraction, there are two different load types: production of a constant force against a rigid restraint (force task), and maintenance of position against a constant load (position task). Previous studies reported that the time to task failure during a fatigue task was twice as long in the ... |
0 | A comparison of the direct medical costs for individuals with or without basal or squamous cell skin cancer: A study from Australia | Reconstruction After Skin Cancer | Objectives: The composition of the medical costs incurred by people treated for basal cell and squamous cell carcinomas (hereafter keratinocyte cancers) is not adequately understood. We sought to compare the medical costs of individuals with or without keratinocyte cancers. Methods: We used national health insurance da... |
0 | Current and future burden of incident hip fractures in New South Wales, Australia | HipFx Supplemental Cost Analysis | Population ageing presents significant challenges for many developed nations. Accurately forecasting the likely future burden of age-related medical conditions, such as hip fracture, is critical. In this study, we present estimates of the current and future burden of hip fracture in NSW, Australia, providing crucial in... |
0 | Dual mobility cups in primary total hip arthroplasties: trend over time in use, patient characteristics, and mid-term revision in 3,038 cases in the Dutch Arthroplasty Register (2007-2016) | Hip Fx in the Elderly 2019 | Background and purpose - We noticed an increased use of dual mobility cups (DMC) in primary total hip arthroplasty (THA) despite limited knowledge of implant longevity. Therefore, we determined the trend over time and mid-term cup revision rates of DMC compared with unipolar cups (UC) in primary THA. |
0 | Health Services Utilization After Fractures: Evidence From Medicare | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Osteoporosis-related fractures impose a large and growing societal burden, including adverse health effects and direct medical costs. Postfracture utilization of health care services represents an alternative measure of the resource costs associated with these fractures. METHODS: We use a 5% random sample o... |
0 | Staged distraction osteogenesis followed by arthrodesis using internal fixation as a form of surgical treatment for complex conditions of the ankle | DoD SSI (Surgical Site Infections) | Aims: The aim of this study was to describe the technique of distraction osteogenesis followed by arthrodesis using internal fixation to manage complex conditions of the ankle, and to present the results of this technique.
Patients and Methods: Between 2008 and 2014, distraction osteogenesis followed by arthrodesis usi... |
0 | Clinical and microbiological effects of local chlorhexidine applications | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | AIM: To study the effects of an application of chlorhexidine varnish (40%) on dental plaque. DESIGN: Randomised controlled clinical trial. SUBJECTS: 40 patients (50% females), aged 25-34 years after undergoing any necessary restorative treatment. Exactly one half of these individuals practiced good oral hygiene, the ef... |
1 | Neck of femur fractures in the over 90s: a select group of patients who require prompt surgical intervention for optimal results | Hip Fx Time to Surgery | BACKGROUND: Patients in the extremes of old age with a femoral neck fracture represent a challenging subgroup, and are thought to be associated with poorer outcomes due to increased numbers of comorbidities. Whilst many studies are aimed at determining the optimum time for surgical fixation, there is no agreed consensu... |
0 | Total knee arthroplasty following prior distal femoral fracture | DoD SSI (Surgical Site Infections) | BACKGROUND: Femoral fracture may predispose the knee to the development of post-traumatic arthritis by either a direct intra-articular injury or residual limb malalignment. Malunion, intra-articular osseous defects, limb malalignment, retained internal fixation devices, and compromised surrounding soft tissues may in t... |
1 | Radiographer led supplementary anterior cruciate ligament MRI sequences: Technical report | Anterior Cruciate Ligament Injuries CPG | Aims: To compare different supplementary MRI sequences of the ACL to arthroscopy and determine the diagnostic performance of each sequence. To ascertain whether radiographers could identify patients requiring supplementary MRI sequences of anterior cruciate ligament (ACL) tears, without a supervising radiologist. Metho... |
0 | Minibrachioplasty: minimizing scars while maximizing results | Panniculectomy & Abdominoplasty CPG | The growing popularity of bariatric surgery has increased the number of brachioplasties performed. One of the major drawbacks of brachioplasty is the unsatisfactory appearance of the surgical scar. The author describes a short-scar brachioplasty, or minibrachioplasty, that can achieve much of the improvement of a tradi... |
0 | Breast size and breast cancer risk | Reduction Mammoplasty for Female Breast Hypertrophy | The relationship between brassiere size, as an indicator of breast size, and breast cancer risk was considered in a case-control study conducted between 1991 and 1994 in six Italian centres. Cases were 2,557 women, below age 75, with histologically confirmed breast cancer, and controls were 2,566 women admitted to hosp... |
1 | Cost Determinants in the 90-Day Management of Isolated Ankle Fractures at a Large Urban Academic Hospital | DoD SSI (Surgical Site Infections) | OBJECTIVES: To determine the independent risk factors associated with increasing costs and unplanned hospital readmissions in the 90-day episode of care (EOC) for isolated operative ankle fractures at our institution.
DESIGN: Retrospective cohort study.
SETTING: Level I Trauma Center.
PATIENTS: Two hundred ninety-nine ... |
0 | Limitation of in-situ arthroscopic fixation for stable juvenile osteochondritis dissecans in the knee | AMP (Acute Meniscal Pathology) | Current treatment algorithms for stable juvenile osteochondritis dissecans (JOCD) of the knee have not been established. For arthroscopically stable lesion, in-situ arthroscopic fixation with bioabsorbable pins was introduced as a more desirable approach because of less surgical morbidity and faster recovery. However, ... |
0 | Cut-off values determined for vertebral fracture by peripheral quantitative computed tomography in Japanese women | Management of Hip Fractures in the Elderly | In spite of the benefits of bone mass measurement by dual-energy X-ray absorptiometry (DXA), the use of DXA has limitations. It is unable to assess a true bone density, and cannot discriminate between the trabecular and cortical bone compartments. Ultradistal radius bone density was measured using peripheral quantitati... |
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