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1 | Which technique for which breast? A prospective study of different techniques of reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | This study was designed to analyse the outcome of three different techniques of reduction mammaplasty with long-term follow-up. We developed a prospective protocol to record patient satisfaction and complaints as well as to objectively quantify the final result. The techniques used were the B-technique of Regnault, the... |
0 | Bilateral femoral osteolytic lesions in a patient with type 3 Gaucher disease | Pediatric Diaphyseal Femur Fractures 2020 Review | Type 3 Gaucher disease (GD) manifests with hematologic, neurological and skeletal involvement including Erlenmeyer flask bone deformities, osteopenia, painful bone crises and fractures. We describe bilateral symmetric osteolytic lesions in a 23 year old with type 3 GD, chronically treated with enzyme replacement therap... |
0 | A systematic review and economic evaluation of alendronate, etidronate, risedronate, raloxifene and teriparatide for the prevention and treatment of postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | OBJECTIVES: To establish the clinical effectiveness and cost-effectiveness of selective oestrogen receptor modulators, bisphosphonates and parathyroid hormone (subject to licensing) for the prevention and treatment of osteoporosis and the prevention of osteoporotic fractures in postmenopausal women. DATA SOURCES: Elect... |
0 | Distal radius fluoroscopic skyline view: extension-supination versus flexion-supination | Distal Radius Fractures | The aim of our study was to compare the vertical fluoroscopic view of the wrist in extension and supination (ES) to the view in flexion and supination (FS) and determine which of the two views allowed the best visualization of four selected anatomical landmarks SDLR (radial styloid, dorsal radius cortex, Lister's tuber... |
0 | Proton pump inhibitor after endoscopic resection for esophageal squamous cell cancer: multicenter prospective randomized controlled trial | Reconstruction After Skin Cancer | BACKGROUND: Whether proton pump inhibitors (PPIs) relieve heartburn or precordial pain after endoscopic resection (ER) for esophageal squamous cell carcinoma (ESCC) remains unclear. The aim of this study was to investigate the efficacy of PPI therapy for these symptoms after ER for ESCC. METHODS: We conducted a multice... |
0 | Interactive effects of resistance and facilitation patterning upon reaction and response times | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The purpose of this study was to determine the interactive effects of maximum resistance with proprioceptive neuromuscular facilitation patterning upon reaction, movement, and response time. Reaction time, response time-one (flexion at shoulder, extension at elbow), response time-two (flexion, adduction, external rotat... |
0 | Outcomes of surgically treated distal radial fractures with associated triangular fibrocartilage complex injury | Distal Radius Fractures | STUDY DESIGN: Prospective cohort.
INTRODUCTION: Clinical studies that evaluate the correlation between associated lesions of the triangular fibrocartilage complex (TFCC) and outcome of distal radial fractures expressed with the patient-rated disability are missing.
PURPOSE OF THE STUDY: To evaluate the outcomes of dist... |
0 | Dialysis-associated arthropathy: A multicentre survey of 171 patients receiving haemodialysis for over 10 years | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In order to determine the prevalence of dialysis-associated arthropathy (DAA) and what factors favour its development, we conducted a survey in 19 centres in northeastern France, of all patients receiving haemodialysis for over 10 years (171). A diagnosis of DAA was made in 84 patients (49%) by two investigators, using... |
0 | Effect of transdermal teriparatide administration on bone mineral density in postmenopausal women | Management of Hip Fractures in the Elderly | CONTEXT: Treatment of osteoporosis with an anabolic agent, teriparatide [human PTH 1-34 (TPTD)], is effective in reducing incident fractures, but patient resistance to daily sc injections has limited its use. A novel transdermal patch, providing a rapid, pulse delivery of TPTD, may provide a desirable alternative.OBJEC... |
1 | Are piriformis reconstruction implants ideal for prophylactic femoral neck fixation? | Hip Fx in the Elderly 2019 | OBJECTIVES: Prophylactic femoral neck fixation may be performed in the setting of geriatric diaphyseal femur fracture, pathologic or impending atypical femur fractures. Fixation constructs often utilize cephalomedullary implants with one or two proximal interlocking screws into the femoral head/neck. Variations in prox... |
0 | Arthroscopic synovectomy of the knee in rheumatoid arthritis defined by the 2010 ACR/EULAR criteria | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The aims of this study were: (1) to evaluate the mid-term results and survivorship of arthroscopic synovectomy (AS) of the knee in rheumatoid arthritis (RA) defined with the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria; and (2) to identify prognostic factor... |
0 | The short term effects of a single corticosteroid injection on the range of motion of the shoulder in patients with isolated acromioclavicular joint arthropathy | Glenohumeral Joint OA | This study is aimed at evaluating the short-term effects of a single corticosteroid injection of the acromioclavicular joint on the range of motion of the shoulder joint using a three dimensional electromagnetic tracking system (FASTRAK) in patients with isolated unilateral acromioclavicular joint (ACJ) arthropathy. Ei... |
0 | Reflections on lipoplasty: history and personal experience | Panniculectomy & Abdominoplasty CPG | The author presents a brief history of the development of lipoplasty in the United States over more than 30 years. The chronology includes major clinical advances, along with the author's personal experience and the role of organized plastic surgery in defining and promoting safe practices. |
0 | Effect of clinical characteristics on neutropenia-related inpatient costs among newly diagnosed non-Hodgkin's lymphoma cases during first-course chemotherapy | MSTS 2022 - Metastatic Disease of the Humerus | STUDY OBJECTIVE: To estimate the costs of hospitalization for neutropenia among chemotherapy-treated patients with newly diagnosed non-Hodgkin's lymphoma and to assess baseline patient factors associated with these costs.
DESIGN: Retrospective cohort study.
DATA SOURCE: Linked Surveillance, Epidemiology, and End Result... |
0 | Comparison of the Effect of Sensory-Level and Conventional Motor-Level Neuromuscular Electrical Stimulations on Quadriceps Strength After Total Knee Arthroplasty: A Prospective Randomized Single-Blind Trial | OAK 3 - Non-arthroplasty tx of OAK | Objective To compare sensory-level neuromuscular electrical stimulation (NMES) and conventional motor-level NMES in patients after total knee arthroplasty. Design Prospective randomized single-blind trial. Setting Hospital total arthroplasty center: inpatients. Participants Patients with osteoarthritis (N=66; mean age,... |
0 | Fractured hips in rural Melanesians: a nonepidemic | Management of Hip Fractures in the Elderly | Fractured hips are increasingly common in elderly citizens of many developed countries. Such fractures seem to be rare in less affluent people of some developing countries, even amongst the elderly. A four year review was done of all trauma patients admitted to a provincial hospital in hospital in Papua New Guinea whic... |
0 | Sepsis and osteomyelitis about the ankle joint | DoD LSA (Limb Salvage vs Amputation) | Sepsis and osteomyelitis about the ankle joint present a challenging clinical problem. Osteomyelitis usually follows open fracture of the distal tibia, often with a pilon fracture component. This article outlines the prevention of osteomyelitis in these difficult fractures. Treatment of subsequent osteomyelitis and sep... |
0 | Real in vivo kinematic differences between mobile-bearing and fixed-bearing total knee arthroplasties | Surgical Management of Osteoarthritis of the Knee CPG | We did an in vivo fluoroscopic study comparing the sagittal plane kinematics of mobile-bearing and fixed-bearing total knee arthroplasties in a unique group of patients. These patients were part of a larger bilateral randomized controlled outcome trial with each patient having received both types of total knee arthropl... |
0 | Lower limb salvage surgery: modular endoprosthesis in bone tumour treatment | DoD LSA (Limb Salvage vs Amputation) | We retrospectively analysed 90 patients who underwent "en bloc" resection and modular endoprosthesis reconstruction in the lower limbs between 1987-2003. After proximal femur resection, reconstruction was performed with a modular endoprosthesis by Howmedica (KFTR, designed by Kotz) and modular revision endoprosthesis b... |
0 | Clinical application of endoscopic inguinal lymph node resection after lipolysis and liposuction for vulvar cancer | Panniculectomy & Abdominoplasty CPG | AIM: To examine lymph nodes obtained after lipolysis and liposuction of subcutaneous fat of the inguinal region of female vulvar cancer patients to explore the feasibility of clinical application. METHODS: The field of operation was on the basis of the range of the conventional resection of inguinal lymph nodes. We inj... |
0 | Scaphoid Cysts: Literature Review of Etiology, Treatment, and Prognosis | Distal Radius Fractures | BACKGROUND: Cystic lesions of the carpal bones are rare entities that are infrequently reported in the literature. Scaphoid intraosseous cystic lesions represent a rare subset of carpal bone cysts. This review aims to summarize the available evidence on the evaluation and treatment of scaphoid cystic lesions to help gu... |
0 | Open Treatment of Radial Head Fractures | Distal Radius Fractures | Radial head fractures may commonly be treated by (1) open reduction and internal fixation (ORIF), (2) radial head excision, or (3) radial head replacement. If there is no associated elbow instability with lateral ulnar collateral ligament (LUCL) injury, the preferred approach is via a split in the extensor digitorum co... |
0 | Tumor-bone cellular interactions in skeletal metastases | MSTS 2018 - Femur Mets and MM | Human tumor cells inoculated into the arterial circulation of immunocompromised mice can reliably cause bone metastases, reproducing many of the clinical features seen in patients. Animal models permit the identification of tumor-produced factors, which act on bone cells, and of bone-derived factors. Local interactions... |
0 | Infected total knee arthroplasties | Surgical Management of Osteoarthritis of the Knee CPG | Thirty infected total knee arthroplasties were investigated in 29 patients over an average interval of 42 months. Eleven infections began in the immediate perioperative period. Six developed from postoperative wound-healing problems. The remainder were late infections. Staphylococcus was found in 16 infections, gram-ne... |
0 | Correlation between body mass index and cartilage oligomeric matrix protein levels in woman with postmenopausal symptomatic osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background: Measurement of serum cartilage oligomeric matrix protein (sCOMP) concentration is expected to be new approach for osteoarthritis early detection. Osteoarthritis has been linked to obesity as its risk factor. This study aimed to determine relationship between BMI and sCOMP in woman with symptomatic osteoarth... |
1 | An Open Randomized Trial Comparing the Effects of Oral NSAIDs Versus Steroid Intra-Articular Infiltration in Congestive Osteoarthritis of the Knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare the efficacy on pain and joint function of NSAIDs versus steroid intra-articular infiltration in congestive knee osteoarthritis.
PATIENTS AND METHODS: Open randomized study comparing a series of patients treated with NSAIDs for 21 days and another who received steroid intra-articular infiltration ... |
0 | Biochemically assessed pathological activity of oral Candida in denture and non denture wearers | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objective: To assess the candida activity through recording pH changes in candida selective medium inoculated with standardized dilution salivary samples obtained from dentures wearers and non denture wearers. Methodology: A Cross Sectional, Comparative study during March-September 2007 was conducted at Khyber College ... |
1 | Survivorship of cemented total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The survivorship method of analysis was used to compare the failure rate and overall success of 2629 cemented primary total knee arthroplasties during a 22-year period by the senior surgeon. There were 215 Total Condylar prostheses with a polyethylene tibia, 265 of the Posterior Stabilized type with an all polyethylene... |
0 | Calcium hydroxylapatite treatment of human skin: evidence of collagen turnover through picrosirius red staining and circularly polarized microscopy | Panniculectomy & Abdominoplasty CPG | Background: Calcium hydroxylapatite (CaHA, Radiesse((R))) is a biocompatible, injectable filler for facial soft-tissue augmentation that provides volume to tissues, followed by a process of neocollagenesis for improved skin quality. Objective: To examine the effects of CaHA treatment on the molecular organization of co... |
0 | CO(2) laser removal of gingival hyperplasia drug induced post cardiac transplantation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Gingival hyperplasia is a common reactionary phenomenon that is caused by the administration of several types therapeutic agents in post cardiac transplantation, especially by immunosuppressive drugs. Such type of treatment by immunosuppressant drugs are widely used for prevention of transplant rejection as... |
0 | Effect of timing of ACL reconstruction in surgery and development of meniscal and chondral lesions | AMP (Acute Meniscal Pathology) | PURPOSE: To investigate whether a delay in the timing of surgery of > 6 months compared with performing the surgery <= 6 months after the anterior cruciate ligament (ACL) injury leads to an increased risk of injuries or degenerative changes in the ACL-deficient knee.
METHODS: Patients who underwent primary ACL reconstr... |
0 | Association between respiratory tract infections and incidence of falls in nursing home residents | Hip Fx in the Elderly 2019 | INTRODUCTION: Falls are complex incidents caused by a combination of intrinsic impairments and disabilities with or without accompanying environmental hazards.
OBJECTIVES: The aim of the study was to assess the relationship between respiratory tract infections (RTIs) and the incidence of falls, and to further link the ... |
0 | Axonal excitability during ischemia in MELAS | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: In mitochondrial disease, it is likely that energy substrate depletion leads to paralysis of ATPase-dependent pumps, resulting in membrane depolarization. Axonal depolarization has been demonstrated in a crisis, but not in the resting state. We, therefore, stressed axons using ischemia to see if this woul... |
0 | Debridement with prosthesis retention and antibiotherapy vs. two-stage revision for periprosthetic knee infection within 3 months after arthroplasty: a case-control study | PJI DX Updated Search | Sixty-four patients with periprosthetic infection within 3 months of index arthroplasty, of whom 39 underwent debridement with prosthesis retention and antibiotherapy (DPRA), and 25 underwent two-stage revision (2SR), were compared regarding control of infection and functional outcomes by use of Knee Society scores. Fa... |
0 | Outcomes for late presenting lateral condyle fractures of the humerus in children: A case series | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Fractures of lateral condyle of humerus are very common in children. While the management of acute displaced and rotated lateral condyle fracture of humerus with early open reduction and internal fixation yields good results, the results of late treatment are less clear. We conducted this study to analyse t... |
0 | Outcome in patients with an infected nonunion of the long bones treated with a reinforced antibiotic bone cement rod | DoD SSI (Surgical Site Infections) | OBJECTIVES: This study looks at the treatment of 16 cases of infection in long bone fractures that had an adverse effect on healing. The goal was to find a method that may be effective in getting these most difficult injuries to heal. The use of reinforced antibiotic-impregnated bone cement rods was studied to see if t... |
0 | Prevalence and causes of low bone density and fractures in kidney transplant patients | Management of Hip Fractures in the Elderly | Osteoporosis is known to occur in patients with kidney transplants, but limited information is available about the prevalence and causes of this complication. We asked all 330 patients with kidney transplants in our unit to participate in this study of whom 165 (50%) agreed to do so. The characteristics of the particip... |
0 | Patellofemoral full-thickness chondral defects treated with Hyalograft-C: a clinical, arthroscopic, and histologic review | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Tissue engineering has emerged as a potential therapeutic option for cartilage regeneration. HYPOTHESIS: Hyaluronan-based scaffolds seeded with autologous chondrocytes are a viable treatment for damaged articular surface of the patellofemoral joint. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: ... |
0 | Osteosynthetic improvement of osteoporotic bone: prevention surgery | HipFx Supplemental Cost Analysis | A prior osteoporotic femoral neck fracture (FNF) doubles the risk of a second, contralateral hip fracture. Pharmacological prevention of osteoporotic fractures is cost-effective but medication compliance and persistence rates are suboptimal.The aim of our study was to evaluate the safety and effectiveness of a device d... |
0 | Upper and lower limb length equalization: diagnosis, limb lengthening and curtailment, epiphysiodesis | DoD SSI (Surgical Site Infections) | INTRODUCTION: This article contains notions and guidelines derived from the current therapeutic approach used in the Pediatric Orthopedics Clinic of "M.S. Curie" Hospital, Bucharest. The purpose of this work is to illustrate the clinic's experience theoretically and by means of images.
METHODS: This article is based on... |
0 | Osteoplastic reconstruction for post traumatic thumb amputations around metacarpophalangeal joint | DoD LSA (Limb Salvage vs Amputation) | Introduction: Loss of a thumb due to trauma warrants replantation which is the best method of reconstruction. When replantation is not possible, thumb reconstruction is the procedure of choice. The level of thumb amputation guides the type of reconstruction. There are five goals for reconstructing a thumb: restoration ... |
0 | Safety and tolerability of intra-articular hyaluronic acid injection (Sinovial®) in experimental and clinical practice | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) requires long-term treatment, therefore, tolerability is a key factor in treatment choice. Hyaluronic acid (HA), a glycosaminoglycan with viscoelastic properties, a major component of synovial fluid and the extracellular matrix of the joint cartilage, plays key roles in synovial fluid viscosity and ... |
1 | A retrospective review of unintentional opioid overdose risk and mitigating factors among acutely injured trauma patients | DoD PRF (Psychosocial RF) | Background: Opioid medication to treat acutely injured patients is usual care in trauma settings. A higher prevalence of alcohol and other substance misuse in this population compared to the general population increases the vulnerability of such patients to both misuse of their prescribed opioids, and also unintentiona... |
1 | Surgical Treatment of Isolated Meniscal Tears in Competitive Male Wrestlers: Reoperations, Outcomes, and Return to Sport | AMP (Acute Meniscal Pathology) | BACKGROUND: Wrestlers are highly active, young athletes prone to meniscal injuries that often require surgery. However, there is a lack of data evaluating the results of meniscal repair or partial meniscectomy in this cohort.
PURPOSE: To describe the outcomes (subjective function, return to play, complications, reopera... |
0 | Salvage of Infected Prosthetic Breast Reconstructions | PJI DX Updated Search | Periprosthetic infection is a major complication in breast reconstruction, leading to implant loss and delayed and sometimes abandoned reconstruction. Traditional management of persistent infections requires explantation followed by secondary reconstruction after 6 months of delay. Although effective in treating the in... |
0 | Treatment options other than total knee arthroplasty in young patients with knee osteoarthritis: Part II | Osteochondritis Dissecans 2020 Review | Symptomatic articular knee pathology is not isolated to the aged but also affects younger patients. Although total knee arthroplasty (TKA) remains the gold standard treatment, surgery for gonarthrosis is frequently eschewed in younger patients because of concerns over activity limitations and implant longevity. Further... |
0 | No Correlation Between Clinical Outcomes and Changes in the Tibia-Metaphyseal Angle Following Total Knee Arthroplasty: A Retrospective Study | AMP (Acute Meniscal Pathology) | Background: Despite numerous advances in the implant design and surgical technique, improvement in patient satisfaction following total knee arthroplasty (TKA) has plateaued. Various TKA alignment strategies have been introduced that impact the coronal positioning of the tibial component relative to the native joint li... |
0 | Intermediate-term comparison of posterior cruciate-retaining versus posterior-stabilized total knee arthroplasty using the new knee scoring system | OAK 3 - Non-arthroplasty tx of OAK | With the dramatic shift in the proportion of younger and more active patients undergoing total knee arthroplasty (TKA), the difference in patient-reported outcomes between cruciate-retaining and posterior-stabilized prostheses will become very important. The goal of this study was to clarify and compare the intermediat... |
0 | Is knee osteoarthritis a symmetrical disease? Analysis of a 12 year prospective cohort study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The aim of this study was to document the development of bilateral knee osteoarthritis over a 12 year period using a middle-aged population-based cohort with knee pain at inclusion.
METHODS: One hundred and forty three patients aged 35 to 54 were recruited from a population based cohort of 279 subjects who ... |
0 | Bone transport with a unilateral external fixator for femoral infected nonunion after intramedullary nailing fixation: A case control study | DoD SSI (Surgical Site Infections) | This is a therapeutic study to evaluate the results of femoral infected nonunion using bone transport with an external fixator after debridement and irrigation. We retrospectively reviewed 15 patients with femoral infected nonunion after intramedullary nailing fixation of fractures from October 1999 to January 2010 in ... |
0 | Late tamoxifen in patients previously operated for breast cancer without postoperative tamoxifen: 5-year results of a single institution randomised study | MSTS 2018 - Femur Mets and MM | BACKGROUND: A population of breast cancer patients exists who, for various reasons, never received adjuvant post-operative tamoxifen (TAM). This study was aimed to evaluate the role of late TAM in these patients.
METHODS: From 1997 to 2003, patients aged 35 to 75 years, operated more than 2 years previously for monolat... |
0 | Controversies in nerve entrapment syndromes in the forearm and wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The five tunnels of the forearm and wrist, where nerve entrapment most frequently occurs, have been analyzed for diagnosis, treatment, anatomic variations, and prognosis. The value of a positive EMG report is to reinforce a clinical impression. If negative, it does not exclude the entrapment syndrome. When the diagnosi... |
1 | The role of adult attachment, parental bonding, and spiritual love in the adjustment to military trauma | DoD PRF (Psychosocial RF) | In order to prevent the development of posttraumatic stress disorder (PTSD) and to effectively treat it in active-duty and veteran populations, it is important to identify factors that may protect individuals exposed to significant traumas during military service. This pilot investigation conceptualized significant rel... |
0 | Promotion of human mesenchymal stem cell osteogenesis by PI3-kinase/Akt signaling, and the influence of caveolin-1/cholesterol homeostasis | AAHKS (2) Corticosteroids | INTRODUCTION: Stem cells are considered an important resource for tissue repair and regeneration. Their utilization in regenerative medicine will be aided by mechanistic insight into their responsiveness to external stimuli. It is likely that, similar to all other cells, an initial determinant of stem cell responsivene... |
1 | Perioperative pain control after total knee arthroplasty: An evidence based review of the role of peripheral nerve blocks | Surgical Management of Osteoarthritis of the Knee CPG | Over the last decades, the number of total knee arthroplasty procedures performed in the United States has been increasing dramatically. This very successful intervention, however, is associated with significant postoperative pain, and adequate postoperative analgesia is mandatory in order to allow for successful rehab... |
0 | Validity and responsiveness of the Jebsen-Taylor Hand Function Test | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: The aim of this study was to demonstrate the validity and responsiveness of the Jebsen-Taylor Hand Function Test (JTT) in measuring hand function in patients undergoing hand surgery, compared with the Michigan Hand Outcomes Questionnaire (MHQ). METHODS: A prospective cohort of patients with rheumatoid arthriti... |
0 | Assessing the Efficacy of a Psychosocial Intervention Program for Siblings of Children With Cancer | DoD PRF (Psychosocial RF) | Siblings of children with cancer can endure great psychological distress as a result of their brother's or sister's diagnosis and treatment. Understandably, when a child has cancer, their parents' attention is focused mainly on that child and therefore the siblings' needs may not be fully addressed. Thus, siblings ofte... |
0 | Prophylactic antibiotics in aesthetic surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Improvements in infection prevention practices over the past several decades have enhanced outcomes following aesthetic surgery. However, surgical site infections (SSI) continue to result in increased morbidity, mortality, and cost of care. The true incidence rate of SSI in aesthetic surgery is unknown due to the lack ... |
0 | Non-melanoma skin cancer treated with high-dose-rate brachytherapy: a review of literature | Reconstruction After Skin Cancer | Purpose: The incidence of non-melanoma skin cancer (NMSC) has been increasing over the past 30 years. There are different treatment options and surgical excision is the most frequent treatment due to its low rates of recurrence. Radiotherapy is an effective alternative of surgery, and brachytherapy (BT) might be a bett... |
1 | Conservative management of carpal tunnel syndrome: a reexamination of steroid injection and splinting | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The awareness of carpal tunnel syndrome by the lay public has increased dramatically in recent years, with an apparent shift in patient-population presentation. We prospectively studied steroid injection and wrist splinting in 76 hands in 57 patients, presenting without advanced disease or associated medical conditions... |
1 | Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the effect of a home based exercise programme, designed to improve quadriceps strength, on knee pain and disability. METHODS: 191 men and women with knee pain aged 40-80 were recruited from the community and randomised to exercise (n = 113) or no intervention (n = 78). The exercise group performed ... |
1 | Total knee replacement: a comparison of ropivacaine and bupivacaine in combined femoral and sciatic block | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Femoral and sciatic nerve block may improve post-operative analgesia following total knee replacement. OBJECTIVES: To compare the post-operative analgesia following primary total knee replacement provided by spinal anaesthesia alone or in combination with femoral and sciatic nerve block with bupivacaine or ... |
0 | Effect of evidence and changes in reimbursement on the rate of arthroscopy for osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The efficacy of arthroscopic debridement or lavage for knee osteoarthritis (OA) was cast into doubt after publication of several randomized controlled trials beginning in 2002.
PURPOSE: The authors set out to determine whether evidence of ineffectiveness, along with subsequent changes in reimbursement, were... |
0 | Compartment syndromes causing neuropathy | DOD - Acute Comp Syndrome CPG | Compartment syndromes of the lower extremity can cause significant mobidity when appropriate treatment is not rendered. Paramount to the management of a compartment syndrome is a timely diagnosis. The physician must be intimately familiar with the anatomy as well as the signs and symptoms that a compartment syndrome pr... |
0 | Sleep disturbances in women with metastatic breast cancer | MSTS 2022 - Metastatic Disease of the Humerus | We examined sleeping problems in women with metastatic breast cancer in relation to depression, social support, and salivary cortisol. Ninety-seven women with metastatic breast cancer were drawn from a larger study on the effects of group therapy on quality of life and survival. This study is based on the baseline asse... |
0 | Increased susceptibility to gingival colonization by specific HACEK microbes in children with congenital heart disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | It is well established that infective endocarditis (IE) involving the HACEK (Hemophilus, Actinobacillus, Cardiobacter, Eikenella, Kingella) group of microbes occurs in patients with congenital heart defects (CHD) and in those with prosthetic grafts. Dental caries and gingival disease have been presumed to be the focus ... |
0 | Present status and perspectives regarding the therapeutic strategy for acute myeloid leukemia, non-Hodgkin's lymphoma and multiple myeloma in the elderly | MSTS 2018 - Femur Mets and MM | The incidence of cancers increases with advancing age. To improve the quality of life of elderly patients with hematological malignancies, appropriate therapeutic approaches have to be provided under adequate informed consent and with evaluation of the prognostic factors that predict the therapeutic outcome of each dis... |
1 | Intra-articular steroid injection at the time of knee arthroscopy increases risk of post-operative infection | AMP (Acute Meniscal Pathology) | PURPOSE: To evaluate the risk of post-operative infection after intra-articular steroid injection at the time of knee arthroscopy at a single institution high-volume sports medicine practice.
METHODS: The electronic medical record at a single institution was queried for all patients who underwent knee arthroscopy from ... |
0 | Thromboprophylaxis in total hip-replacement surgery in Europe: Acenocoumarol, fondaparinux, dabigatran and rivaroxban | SR for PM on OA of All Extremities | This paper reviews the clinical and pharmacoeconomic studies that have been conducted within Europe for patients undergoing elective hip-replacement surgery. Additionally, we offer a perspective on the possible future clinical use of new agents in orthopedic surgery, such as dabigatran and BAY 59-7939 (rivaroxban). Low... |
1 | Ankle fractures involving the fibula proximal to the distal tibiofibular syndesmosis | DoD SSI (Surgical Site Infections) | Thirty-two cases of ankle fractures associated with fibular fractures above the distal tibiofibular syndesmosis were studied. All were treated with open reduction and internal fixation. The average follow-up was 25 months. The results of the postoperative evaluation were rated, based on subjective clinical criteria, as... |
0 | High tibial osteotomy with an external fixator or unicompartmental knee arthroplasty for varus knee in young patients? | AMP (Acute Meniscal Pathology) | Purpose: This study compares the functional results and survivorship of unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) with an external fixator for medial compartment osteoarthritis (OA) of the knee. Methods: Two cohorts of patients aged less than 60 years who had undergone either a cemented m... |
0 | Meniscal Allograft Transplantation: Does Surgical Technique Influence Clinical Outcomes? | AMP (Acute Meniscal Pathology) | PURPOSE OF REVIEW: Meniscal allograft transplantation is intended to address painful knees with symptoms that can be attributed to meniscal deficiency through injury or meniscectomy. Initially viewed as an experimental procedure, refinements in patient selection and surgical technique have led to improved clinical outc... |
1 | Use of early indicators in rehabilitation process to predict one-year mortality in elderly hip fracture patients | Hip Fx in the Elderly 2019 | Hip fractures remain one of the most devastating injuries in the elderly. Early prediction of outcome following hip fracture potentially results in more efficient health care. The aims of this study were to explore predictors of ambulation status at hospital discharge in patients >=65 years of age operated on for fract... |
1 | Comparative Study of Surgical Management of Fracture Neck of Femur with Cemented Versus Uncemented Bipolar Hemiarthroplasty | Hip Fx in the Elderly 2019 | INTRODUCTION: There is evidence for use of cemented hemiarthroplasty resulting in greater anchoring and lesser peri prosthetic fracture. However, this procedure results in more haemodynamic instability and cardiopulmonary complications termed as 'cement reaction' or bone cement implantation syndrome. There has been a h... |
1 | Hand ischemia associated with elbow trauma in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Objectives: Previous observational studies suggest that children with hand ischemia following elbow trauma can be safely observed if Doppler signals are present in the wrist arteries (pink pulseless hand, PPH). Nonoperative management of PPH is predicated on the assumption that PPH results from local arterial spasm, bu... |
1 | Management of neonatal hip instability and dysplasia | Developmental Dysplasia of the Hip CPG | The diagnosis and treatment of neonatal hip instability and dysplasia is controversial. Different countries have different algorithms and guidelines on which hips should be screened or treated. German speaking countries have introduced universal ultra sound hip screening programmes resulting in relatively high splintag... |
0 | Femoral neck fracture in association with low-energy pelvic ring fractures in an elderly patient | Management of Hip Fractures in the Elderly | Concomitant fractures of the pelvic ring and proximal femur in the setting of low-energy trauma are rare but not mutually exclusive. An 82-year-old woman, without prior hip pain, presented to our institution after a fall from standing height. Ipsilateral pubic rami and sacral ala fractures were diagnosed with plain rad... |
0 | Confirmation of the safety and accuracy of physical examination in the evaluation of knee dislocation for injury of the popliteal artery: a prospective study | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Knee dislocation, which poses a significant risk for injury of the popliteal artery, prompts many surgeons to evaluate these patients with arteriography routinely. Our hypothesis was that physical examination alone (without arteriography) accurately confirms or excludes surgically significant vascular injur... |
0 | Technical aspects of the use of dynamic condylar screw in biological fixation of comminuted subtrochanteric fractures | Management of Hip Fractures in the Elderly | Background: Indirect reduction and biological internal fixation using dynamic condylar screw (DCS) yield acceptable results in comminuted subtrochanteric fractures. An analysis of the technical difficulties of the procedure with the tricks to prevent these is presented. Materials and methods: Forty-eight consecutive pa... |
0 | Total hip arthroplasty in acetabular fractures | Hip Fx in the Elderly 2019 | Total Hip Arthroplasty (THA) is a well-accepted treatment for established hip arthritis following acetabular fractures. If a conservatively managed or operated case progresses to non-union/mal-union failing to restore the joint integrity, it may eventually develop secondary arthritis warranting a total hip arthroplasty... |
0 | Effects of the oral form of ondansetron on cerebellar dysfunction. A multi-center double-blind study | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to assess the efficacy and the safety of ondansetron administered orally in patients with a cerebellar disorder. The study was a randomised, multiâ?center, doubleâ?blind trial. The patients were randomised either to oral ondansetron 8 mg or to placebo twice daily for seven days. Cerebellar d... |
0 | Risk of osteoarthritis secondary to partial or total arthrodesis of the subtalar and midtarsal joints after a minimum follow-up of 10 years | DoD SSI (Surgical Site Infections) | Introduction: The goal of this retrospective, multicentre study was to evaluate the long-term outcomes in patients who have undergone partial or total arthrodesis of the subtalar and midtarsal joints. Hypothesis: Secondary osteoarthritis of the adjacent joints can negatively affect the outcomes more than 10 years after... |
0 | Implant Fracture after Long-Stemmed Cemented Hemiarthroplasty for Oncologic Indications | Hip Fx in the Elderly 2019 | Although a long-stemmed cemented hemiarthroplasty is frequently recommended for oncologic lesions of proximal femur, we have observed an alarming number of spontaneous stem fractures. The purpose of this retrospective study was to identify the associated risk factors for stem fractures in a study cohort of 60 (61 prost... |
0 | Pediatric sports elbow injuries | Pediatric Supracondylar Humerus Fracture 2020 Review | Elbow injuries in the pediatric and adolescent population represent a spectrum of pathology that can be categorized as medial tension injuries, lateral compression injuries, and posterior shear injuries. Early and accurate diagnosis can improve outcomes for both nonoperative and operative treatments. Prevention strateg... |
0 | Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: a randomized, controlled trial | Management of Hip Fractures in the Elderly | OBJECTIVES: To evaluate whether an early multidisciplinary geriatric intervention in elderly patients with hip fracture reduced length of stay, morbidity, and mortality and improved functional evolution.DESIGN: Randomized, controlled intervention trial.SETTING: Orthopedic ward in a university hospital.PARTICIPANTS: Thr... |
0 | Revision Risk for Total Knee Arthroplasty Converted from Medial Unicompartmental Knee Arthroplasty: Comparison with Primary and Revision Arthroplasties, Based on Mid-Term Results from the Danish Knee Arthroplasty Registry | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Medial unicompartmental knee arthroplasties (UKAs) have good clinical outcomes but implant survival is inferior to that of total knee arthroplasties (TKAs). Conversion to a TKA is a reliable option when UKA fails. However, there is controversy regarding these conversions. The aim of this study was to analyz... |
0 | The National Eye Institute Visual Function Questionnaire: experience of the ONTT. Optic Neuritis Treatment Trial | Upper Eyelid and Brow Surgery | PURPOSE: To describe the health-related quality of life, measured with the National Eye Institute Visual Function Questionnaire (NEI-VFQ), of patients several years after the onset of optic neuritis, according to their neurologic and visual status; to assess the relationship between the NEI-VFQ subscales and clinical m... |
1 | Correspondence between perceived disability and objective physical impairment after elbow trauma | DoD PRF (Psychosocial RF) | BACKGROUND: Substantial differences between disability and impairment are commonplace and puzzling. Subjective (psychosocial) factors may be paramount given that pain is a more important determinant of perceived overall arm-specific disability than is objective elbow impairment. To further evaluate the relationship bet... |
0 | Spontaneous Osteonecrosis/Subchondral Insufficiency Fractures of the Knee: High Rates of Conversion to Surgical Treatment and Arthroplasty | AMP (Acute Meniscal Pathology) | BACKGROUND: Spontaneous osteonecrosis of the knee has recently been termed subchondral insufficiency fracture of the knee (SIFK) to appropriately recognize the etiology of mechanical overloading of the subchondral bone. The purpose of this study was to assess clinical outcomes of SIFK based on progression to surgical t... |
0 | Chevrel technique for midline incisional hernia: Still an effective procedure | Panniculectomy & Abdominoplasty CPG | Background: Prosthesis use in the treatment of incisional abdominal hernia is today an accepted concept worldwide. However, there is no agreement as to the most appropriate site of prosthesis insertion. The aim of this report was to analyse the operative steps of the premuscolo-aponeurotic repair and to present the res... |
0 | Barriers to seeking mental health care after treatment for orofacial injury at a large, urban medical center: concordance of patient and provider perspectives | DoD PRF (Psychosocial RF) | BACKGROUND: Patients with orofacial injury face significant mental health issues, yet few obtain mental health services. The goals of this study were twofold: (1) compare the perspectives of providers and patients with documented mental health service needs regarding psychosocial aftercare; and (2) identify factors tha... |
1 | Polyurethane scaffold implants for partial meniscus lesions: delayed intervention leads to an inferior outcome | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to assess the clinical outcomes of the implantation of an aliphatic polyurethane scaffold for the treatment of partial loss of meniscal tissue at a mean follow-up of 36 months.
METHODS: A retrospective review on prospectively collected data was performed on patients who underwent ... |
0 | Minimally Invasive Cellular Therapies for Osteoarthritis Treatment | AMP (Acute Meniscal Pathology) | Abstract: Osteoarthritis (OA) is a chronic degenerative disease characterized by multiple pathological conditions such as synovitis, degeneration of the articular cartilage, subchondral bone remodeling, and osteophyte formation. Local chronic inflammation response induces degradation of cartilage and the poor regenerat... |
0 | Lentigo maligna/lentigo maligna melanoma: current state of diagnosis and treatment | Reconstruction After Skin Cancer | BACKGROUND: Lentigo maligna (LM) is a subtype of melanoma in situ that typically develops on sun-damaged skin. Presentation may be quite subtle and delayed diagnosis is common. Clinical margins are often ill defined. Histologic evaluation can be difficult due to the widespread atypical melanocytes that are present in t... |
0 | A multicenter study on definitive surgery for isolated hip fracture within 24 hours | Hip Fx in the Elderly 2019 | INTRODUCTION: Isolated hip fractures (IHFs) in the elderly are high-frequency, life-altering events. Definitive surgery <=24 hours of admission is associated with improved outcomes. An IHF process management guideline (IHF-PMG) to expedite definitive surgery <=24 hours was developed for a multihospital network. We repo... |
0 | Community based study to estimate prevalence, burden of illness and help seeking behavior in rheumatic diseases in Mexico City. A COPCORD study | Glenohumeral Joint OA | OBJECTIVE: To estimate the prevalence, burden of illness and help seeking behavior of musculoskeletal complaints and provide point prevalence estimates of osteoarthritis, low back pain, fibromyalgia, rheumatoid arthritis and gout among adult population in a suburban community in Mexico city.
METHODS: Home survey of adu... |
0 | Double-Eyelid Operation: Orbicularis Oculi-Levator Aponeurosis Fixation Technique | Upper Eyelid and Brow Surgery | Incision techniques in the past focused on fixing the pretarsal skin to either the tarsal plate or to the levator aponeurosis. High relapse rate remains one of the main concerns in double-eyelid surgery. To address these issues, the author developed a pretarsal orbicularis oculi muscle-levator aponeurosis fixation tech... |
0 | Dermatologic Liposuction: Safety Record and Techniques | Panniculectomy & Abdominoplasty CPG | Liposuction is one of the most popular cosmetic procedures currently performed by dermatologic surgeons and plastic surgeons. Since liposuction was introduced in the United States in 1982, many advances have been made in instrumentation and technique. The introduction of the tumescent anesthesia approach by Jeffrey Kle... |
0 | Hypothyroidism and glaucoma. A study of 100 hypothyroid patients | Upper Eyelid and Brow Surgery | PURPOSE: To determine whether glaucoma is associated with hypothyroidism, as has previously been suggested.METHODS: This is a cross-sectional study and a noncomparative interventional case series. One hundred consecutive patients with newly diagnosed hypothyroidism were referred for complete ophthalmologic examination,... |
0 | Osgood Schlatter lesion: histologic features of slipped anterior tibial tubercle | Osteochondritis Dissecans 2020 Review | No study reports the histological features of the various zone of the anterior tubercle of the tibia in the different stages of the Osgood-Schlatter (O-S) lesion. For this reason we carried on an histological study. Specimens were taken from 13 patients with O-S lesion prior to surgery. In 4 cases in the apophyseal sta... |
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