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0 | Myeloma bone disease: pathophysiology and management | MSTS 2018 - Femur Mets and MM | Bone disease is a major feature of multiple myeloma. Myeloma-induced bone destruction is the result of an increased activity of osteoclasts, which is not accompanied by a comparable increase of osteoblast function. Recent studies have revealed that new molecules such as the receptor activator of nuclear factor-kappa B ... |
0 | Revision of hip resurfacing arthroplasty with a bone-conserving short-stem implant: A case report and review of the literature | PJI DX Updated Search | Introduction: Suitable treatment of early failure of total hip replacement is critical in younger patients, as bone stock is lost and the functional outcome is impaired. Case presentation: We report the case of a 56-year-old Caucasian woman with early failure of hip resurfacing arthroplasty. While revision is usually p... |
0 | Two-stage revision of an infected total hip arthroplasty: a follow-up of 136 patients | PJI DX Updated Search | BACKGROUND AND PURPOSE: Periprosthetic infection of a total hip arthroplasty (THA) is commonly treated with a two-stage revision procedure. After resection of the infected THA and placement of a cement spacer loaded with antibiotics, a THA is inserted at a second procedure to restore hip function and mobility. Revision... |
0 | Whole grain foods for the prevention of type 2 diabetes mellitus | Management of Hip Fractures in the Elderly | BACKGROUND: Diet as one aspect of lifestyle is thought to be one of the modifiable risk factors for the development of type 2 diabetes mellitus (T2DM). Information is needed as to which components of the diet could be protective for this disease. OBJECTIVES: To asses the effects of whole-grain foods for the prevention ... |
0 | Hands and knees posture in late pregnancy or labour for fetal malposition (lateral or posterior) | Surgical Management of Osteoarthritis of the Knee CPG | Background: Lateral and posterior position of the baby's head (the back of the baby's head facing to the mother's side or back) may be associated with more painful, prolonged or obstructed labour and difficult delivery. It is possible that certain positions adopted by the mother may influence the baby's position.Object... |
0 | The long-term outcomes of posteromedial limited surgery for developmental dysplasia of the hip: a mean 17.3-year follow-up | Developmental Dysplasia of the Hip 2020 Review | The objectives of this retrospective study were to evaluate long-term functional and radiological outcomes of 102 dislocated hips of 79 patients treated with the modified medial approach and to compare them with respect to both of our short-term and mid-term outcomes and also with the current literature. The mean age a... |
0 | The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The increase in the number of individuals with an unhealthy high body weight is particularly relevant in the United States. Obesity (body mass index >= 30 kg/m2) is a well-documented risk factor for the development of osteoarthritis. Furthermore, an increased prevalence of total knee arthroplasty in obese i... |
0 | Association between vascular calcification and osteoporosis in men with type 2 diabetes | Management of Hip Fractures in the Elderly | Atherosclerotic vascular disease is common in diabetes, and some data support a link with bone loss. This study evaluates the association between osteoporosis and clinical and metabolic factors and chronic complications of diabetes. We studied 59 diabetic men aged 50-80 yr who were assessed with bone densitometry (dual... |
0 | Mepivacaine Spinal Anesthesia Facilitates Rapid Recovery in Total Knee Arthroplasty Compared to Bupivacaine | AAHKS (5) Gabapentinoids | BACKGROUND: Mepivacaine as a spinal anesthetic for rapid recovery in total knee arthroplasty (TKA) has not been assessed. The purpose of this study is to compare spinal mepivacaine vs bupivacaine for postoperative measures in patients undergoing primary TKA.
METHODS: Retrospective review of a prospectively collected si... |
0 | Post-traumatic stress disorder among patients with chronic pain and chronic fatigue | DoD PRF (Psychosocial RF) | BACKGROUND: Fibromyalgia (FM), a chronic pain condition of unknown aetiology often develops following a traumatic event. FM has been associated with post-traumatic stress disorder (PTSD) and major depression disorder (MDD).
METHOD: Patients seen in a referral clinic (N=571) were evaluated for FM and chronic fatigue syn... |
0 | Results with the M. E. Muller cemented, straight-stem total hip prosthesis: a 10-year historical cohort study in 180 women | Dental Implant Infection | In 1986, 242 M. E. Muller (MEM) cemented, straight-stem total hip arthroplasty prostheses were implanted in 229 patients; 15 hips (13 patients) were lost to follow-up. Of the remaining 227 implants, 180 were placed in women, and 47 were placed in men (each with mean age, 71 +/- 7.7 years). After 10 years, 66 patients h... |
0 | Intra-operative navigation of knee kinematics and the influence of osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Intra-operative assessment of knee kinematics should optimise implantation of total knee arthroplasties. The purpose of this work was to validate the data delivered by an adapted navigation system in 10 healthy cadaver knees and to investigate the kinematics of 10 osteoarthritic (OA) knees in patients undergoing total ... |
0 | Dislocation rate after hip hemiarthroplasty in patients with tumor-related conditions | Management of Hip Fractures in the Elderly | Background: Hemiarthroplasty is frequently used to treat femoral neck insufficiency resulting from neoplastic disease in the proximal part of the femur. The authors of a recent study analyzed the dislocation rates following hemiarthroplasty but excluded patients with tumor involvement of the site of the surgery as they... |
1 | Neonatal screening and staggered early treatment for congenital dislocation or dysplasia of the hip | Developmental Dysplasia of the Hip CPG | In 14 264 consecutive newborn babies the results of screening and early treatment for congenital dislocation and/or dysplasia of the hip (CDH) were evaluated in a prospective follow-up study. Barlow's test was done and the family history was recorded. Babies who were positive (n = 140) were immediately given abduction ... |
0 | A Case of Exertional Rhabdomyolysis: When Exertion Exceeds Capacity | DOD - Acute Comp Syndrome CPG | The purpose of this article is to present a discussion of a young adult patient with exertional rhabdomyolysis. Rhabdomyolysis is the process of muscle tissue destruction and damage to the cell membrane, with subsequent release of the intracellular myocyte contents into the systemic circulation. This leads to the poten... |
1 | Efficacy of Spa Therapy, Mud-Pack Therapy, Balneotherapy, and Mud-Bath Therapy in the Management of Knee Osteoarthritis. A Systematic Review | OAK 3 - Non-arthroplasty tx of OAK | Background: Osteoarthritis (OA) is the most common musculoskeletal disease in the world. OA is the result of an inflammatory and degenerative process affecting the entire joint. Osteoarthritis, especially involving the knee, has a relevant socioeconomic impact in terms of drugs, hospital admissions, work absences, and ... |
0 | Back to basics with ProFlex | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Despite advances in tool and machine design and a growing emphasis on safety, the potential for certain painful and expensive occupational injuries continues in the workplace. Wrist and low-back injuries are a case in point. Low-back pain is clearly the most costly occupational health problem. About half of all back in... |
0 | The fibular reciprocal fracture in tibial shaft fractures caused by indirect violence | Management of Hip Fractures in the Elderly | A series of 200 consecutive junctional middle-distal third tibial shaft fractures caused by indirect violence was analysed with emphasis on the significance of the location of the fibular reciprocal fracture. The fibular fracture was eccentric, i.e. subcapital or malleolar, in 96 patients. This fracture pattern was enc... |
1 | Pain Management with Adductor Canal Blockade or Multimodal Periarticular Analgesia in Elderly Total Knee Arthroplasty Patients | AAHKS (9/10) Regional Nerve Blocks | INTRODUCTION: Post-operative pain management in elderly total knee arthroplasty (TKA) patients has traditionally included opioids, epidurals, and femoral nerve blocks. Although these modalities are effective, they are often associated with adverse side effects, which may have a greater impact on this population. Altern... |
0 | Surgical Approach May Influence Survival of Large-Diameter Head Metal-on-Metal Total Hip Arthroplasty: A 6- to 10-Year Follow-Up Study | Hip Fx in the Elderly 2019 | Large-diameter head (LDH) metal-on-metal (MoM) total hip arthroplasty (THA) has lost popularity because of metal allergy or ALTRs (adverse local tissue reactions) in the past decade. Whether the surgical approach may influence the survival of LDH-MoM-THA has not been reported. From 2006 to 2009, we performed 96 LDH-MoM... |
0 | Liposuction to improve the dorsocervical fat pad in esthetic need: Anatomical study and clinical case series | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Patients are undergoing surgery to relieve the prominent dorsocervical fat pad because of their esthetic needs. OBJECTIVE: To determine their clinical needs, it is necessary to research the clinic, radiography, and anatomy of dorsocervical fat pad. METHODS: The occipital fat thickness, dorsal fat thickness,... |
0 | Antibody-based therapies in multiple myeloma | MSTS 2018 - Femur Mets and MM | The unmet need for improved multiple myeloma (MM) therapy has stimulated clinical development of monoclonal antibodies (mAbs) targeting either MM cells or cells of the bone marrow (BM) microenvironment. In contrast to small-molecule inhibitors, therapeutic mAbs present the potential to specifically target tumor cells a... |
0 | Protective effects of a prophylactic treatment with the bisphosphonate 3-amino-1-hydroxypropane-1,1-bisphosphonic acid on the development of tumor osteopathies in the rat: Experimental studies with the Walker carcinosarcoma 256 | MSTS 2018 - Femur Mets and MM | The present report primarily describes protective effects of a long-term prophylactic treatment with 3-amino-1-hydroxypropane-1,1-bisphosphonic acid (APD) on the development of tumor-induced osteolytic bone destructions. Pretreatment with daily intravenous doses of APD 9.5 mg/kg for 1 week resulted in a significant red... |
0 | Streptococcus mitis. A cause of serious infection in adults | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Twenty strains of Streptococcus mitis were isolated from blood or body fluids at the Cleveland Veterans Administration Medical Center from Jan 1, 1981, to April 30, 1984. Fifteen (75%) isolates were considered contaminants. Five (25%) were clinically important and associated with a serious infection of the oropharynx o... |
1 | Characterization of Growth Factors, Cytokines, and Chemokines in Bone Marrow Concentrate and Platelet-Rich Plasma: A Prospective Analysis | PRP (Platelet-Rich Plasma) | BACKGROUND: Platelet-rich plasma (PRP) and bone marrow concentrate (BMC) are orthobiologic therapies with numerous growth factors and other bioactive molecules. Before the clinical utility of PRP and BMC is optimized as a combined therapy or monotherapy, an improved understanding of the components and respective concen... |
0 | Orbital cysticercosis | Upper Eyelid and Brow Surgery | BACKGROUND: Human cysticercosis is secondary to an infestation by cysticercus cellulosae, the larval form of Taenia solium. Cysticercosis is endemic to regions with poor sanitation. The purpose of this report is to present a large series of patients with orbital cysticercosis and to discuss the current treatment. METHO... |
1 | Predicting posttraumatic distress in hospitalized trauma survivors with acute injuries | DoD PRF (Psychosocial RF) | Interviewed 101 randomly selected survivors (aged 14-65 yrs) of motor vehicle crashes or assaults while hospitalized and 1, 4, and 12 mo after injury. In the surgical ward, inpatients were screened for posttraumatic stress disorder (PTSD), depressive, and dissociative symptoms, for prior trauma, for pre-event functioni... |
0 | Role of arthroscopy in ankle disorder--early experience | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Eighty-four consecutive cases of ankle arthroscopy performed between 1985 and 1990 were reviewed. These patients had all undergone conservative treatment for at least six months for chronic ankle pain. This consisted of non-steroidal anti-inflammatory agents, physiotherapy and/or immobilisation. Arthroscopy was perform... |
0 | Lunate-lunate facet ratio and variance to predict articular gap after distal radius fracture | Distal Radius Fractures | PURPOSE: Intra-articular gap is a well-defined prognosticator of outcome after distal radius fracture. However, it is often difficult to assess on plain radiographs, particularly in the sagittal plane, as visualized on the lateral view. The purposes of this study were to establish normal values for the lunate-lunate fa... |
0 | A study on fracture lines of the quadrilateral plate based on fracture mapping | Hip Fx in the Elderly 2019 | BACKGROUND: Quadrilateral plate fractures are a challenging group of acetabular fractures to manage. However, there is little literature that describes the fracture lines of the quadrilateral plate. The aim of this study was to explore the fracture lines of the quadrilateral plate and relevant clinical significance. ME... |
0 | Medial meniscus posterior root tear causes swelling of the medial meniscus and expansion of the extruded meniscus: a comparative analysis between 2D and 3D MRI | AMP (Acute Meniscal Pathology) | PURPOSE: This study aimed to clarify the advantages of three-dimensional (3D) magnetic resonance imaging (MRI) over two-dimensional (2D) MRI in measuring the size of the medial meniscus (MM) and to analyse the volumes of MM and the extruded meniscus in patients with MM posterior root tear (MMPRT), at 10degree and 90deg... |
1 | Hemiarthroplasty compared with total hip arthroplasty for displaced fractures of femoral neck in the elderly: A systematic review and meta-analysis of fourteen randomized clinical trials | Hip Fx in the Elderly 2019 | The optimal choice for displaced femoral neck fracture (FNF) in the elderly remains controversial, with alternatives including hemiarthroplasty (HA) and total hip arthroplasty (THA). This study was performed to determine the effects of HA compared with THA on rates of mortality, revision, dislocation, infection, operat... |
0 | Intravenous regional analgesia using morphine. The effect on postoperative pain following total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: We hypothesised that any peripheral action of morphine may contribute to improved postoperative analgesia. The aim of this study was to evaluate the analgesic efficacy of morphine administered preoperatively into an exsanguinated limb prior to total knee arthroplasty. METHODS: A randomised, double-blind, co... |
1 | Efficacy and safety of tranexamic acid in elderly patients with intertrochanteric fracture: An updated meta-analysis | Hip Fx in the Elderly 2019 | BACKGROUND: Intertrochanteric fracture (ITF) is a common type of injury, and nearly 30% of ITF patients die in the first 12 mo, especially the elderly with limited activity. Tranexamic acid (TXA) has been widely used in reducing traumatic and surgical bleeding, however, the paucity of studies regarding its use in ortho... |
0 | Collaboration between radiological technologists (radiographers) and junior doctors during image interpretation improves the accuracy of diagnostic decisions | Distal Radius Fractures | Rationale and Objectives: In Emergency Departments (ED) junior doctors regularly make diagnostic decisions based on radiographic images. This study investigates whether collaboration between junior doctors and radiographers impacts on diagnostic accuracy. Materials and Methods: Research was carried out in the ED of a u... |
0 | A Special Tear Pattern of Anterior Horn of the Lateral Meniscus: Macerated Tear | AMP (Acute Meniscal Pathology) | BACKGROUND: We describe a special, interesting phenomenon found in the anterior horn of the lateral meniscus (AHLM): most tear patterns in the AHLM are distinctive, with loose fibers in injured region and circumferential fiber bundles were separated. We name it as macerated tear. The goal of this study was to bring for... |
0 | Viscoelastic modeling and quantitative experimental characterization of normal and osteoarthritic human articular cartilage using indentation | Hip Fx in the Elderly 2019 | The viscoelastic behavior of articular cartilage changes with progression of osteoarthritis. The objective of this study is to quantify this progression and to propose a viscoelastic model of articular cartilage taking into account the degree of osteoarthritis that which be easily used in predictive numerical simulatio... |
0 | Localised mastocytosis at the bone and porous coated interface of a knee prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | A porous coated tibial plateau component, which was not loose, was removed 6 weeks after operation. An absence of bony ingrowth was demonstrated by histological and microradiographic examination. The radiolucent space was filled by young connective tissue and inflammation was indicated by the presence of a few macropha... |
1 | Effectiveness of Novel Adjuncts in Pain Management Following Total Knee Arthroplasty: A Randomized Clinical Trial | AAHKS (4) Acetaminophen | BACKGROUND: Total knee arthroplasty (TKA) can be associated with significant pain which can negatively impact outcomes. Multiple strategies have been employed to reduce pain. The aim of this study is to compare the effectiveness of 3 different pain management modalities after TKA that included (1) our standardized knee... |
0 | Anterior cruciate ligament reconstruction: State of the art | Surgical Management of Osteoarthritis of the Knee CPG | The rupture of the Anterior cruciate ligament (ACL) belongs to the most common ligament injuries of the human knee joint. ACL rupture results in an increased anterior translation and internal rotation of the tibia. Untreated knee instability causes a disintegration of the roll and sliding movement and a high incidence ... |
1 | Negotiating reality after physical loss: hope, depression, and disability | DoD PRF (Psychosocial RF) | The utility of different reality negotiation strategies among 57 persons who had traumatically acquired severe physical disabilities was examined. It was predicted that a sense of goal-directed determination ("agency"; Snyder, 1989) would predict lower depression and psychosocial impairment scores soon after injury. To... |
0 | Patient Safety Checklists: Do They Improve Patient Safety for Supracondylar Humerus Fractures? | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The purpose of the study was to investigate whether a safety checklist could be used consistently in an academic center, and, whether its presence correlates with a decreased rate of complications, and therefore, improved overall patient safety. METHODS: Data from 3 years before and after the implementation... |
1 | Impact of reinfusion drains on hemoglobin level in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We conducted this study to determine the effect of reinfusion drains on the difference in hemoglobin (Hb) levels before and after total knee arthroplasty. Of the 158 patients who underwent total knee arthroplasty on one side, 74 had autologous blood transfusion through reinfusion drains (group 1); the other 84 did not ... |
0 | Limb Salvage Using Liquid Nitrogen-Treated Tumour-Bearing Autograft: A Single Institutional Experience of 10 Patients | DoD SSI (Surgical Site Infections) | Background: Many reconstruction methods have evolved to offer limb salvage surgery (LSS) to patients with musculoskeletal sarcomas. It can be achieved using endoprosthesis or biological reconstruction methods like allograft or autograft or a combination of both. In carefully selected patients, resected bone can be recy... |
0 | Postoperative nutritional support in oral and maxillofacial surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The patient sustaining maxillofacial trauma, disease or deformity presents with unique nutritional problems, especially during the postoperative period. By providing a nutritionally adequate diet in the preoperative and immediate postoperative period and during convalescence, complications can be reduced and healing im... |
0 | Collagen orientation probed by polarized Raman spectra can serve as differential diagnosis indicator between different grades of meniscus degeneration | AMP (Acute Meniscal Pathology) | The purpose of the present study was to analyze normal and degenerated menisci with Raman methodology on thin sections of formalin fixed paraffin embedding tissues and to correlate the Raman findings with the grade of meniscus degeneration. Menisci (n = 27) were removed from human knee joints after total knee replaceme... |
0 | The sternomastoid island myocutaneous flap for oral cancer reconstruction | Reconstruction After Skin Cancer | OBJECTIVE: To evaluate the usefulness of the sternomastoid island myocutaneous flap for reconstruction of defects after excision of oral cancer. PATIENTS: One hundred eleven superiorly based sternomastoid island myocutaneous flaps were used for one-stage primary reconstruction in 110 consecutive patients with oral canc... |
0 | Two-stage reimplantation for periprosthetic knee infection involving resistant organisms | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Two-stage reimplantation is the most accepted mode of treatment for patients with a periprosthetic infection following total knee arthroplasty. Most studies, however, do not stratify their results on the basis of the type of infecting organism. The purpose of this study was to determine the outcomes for pat... |
0 | Comparison of polyethylene wear associated with cobalt-chromium and zirconia heads after total hip replacement. A prospective, randomized study | Management of Hip Fractures in the Elderly | BACKGROUND: A ceramic femoral head is an alternative to a metal femoral head for the bearing surface of total hip arthroplasty. The purpose of this study was to compare polyethylene wear in patients who had undergone bilateral total hip arthroplasty with implants that differed only with regard to the material used for ... |
0 | Total femoral replacement for salvage of periprosthetic fractures | DoD LSA (Limb Salvage vs Amputation) | Patients with complex periprosthetic fracture patterns of the femur may ultimately require amputation. Some authors have described the use of mega-endoprostheses as a salvage procedure. This study reports functional outcome, complications, and implant and patient survival after total femoral replacement (TFR) for salva... |
0 | A study of autonomic cardiovascular reflexes in elderly patients with pneumonia | Management of Hip Fractures in the Elderly | People recovering from pneumonia are often weak for no apparent reason. Clinical features such as postural hypotension, arrhythmia and syndrome of inappropriate ADH have, in other circumstances, been attributed to impaired autonomic function. The aim of this study was to see whether elderly patients with pneumonia had ... |
0 | Perioperative risk factors for surgical site infection in tibial tuberosity advancement: 224 stifles | PJI DX Updated Search | OBJECTIVE: To examine perioperative factors affecting surgical site infection (SSI) rate following tibial tuberosity advancement (TTA). STUDY DESIGN: Retrospective case series. SAMPLE POPULATION: 224 stifles in 186 dogs. METHODS: Medical records of dogs that underwent TTA in a single institution were reviewed. Informat... |
0 | JAK2/STAT3 is a major pathway of leptin-induced interleukin-6 production by rheumatoid synovial fibroblasts | Surgical Management of Osteoarthritis of the Knee CPG | Background Since proinflammatory cytokines, including tumor necrosis factor-(alpha) (TNF-(alpha)), interleukin (IL)-1(beta), and IL-6, play major pathophysiological roles in rheumatoid arthritis (RA), their inhibitors have recently been developed as potent biological anti-rheumatic drugs. However, they are not curative... |
0 | Noninvasive bone mineral measurements | Management of Hip Fractures in the Elderly | Single and dual photon absorptiometry are now available to aid the physician in diagnosis and management of generalized bone diseases. Both methods are reviewed in detail. They allow an accurate and reproducible assessment of bone mineral at predominantly cortical (appendicular skeleton) and trabecular (axial skeleton)... |
0 | Osteoarthritis year in review 2016: mechanics | OAK 3 - Non-arthroplasty tx of OAK | Inappropriate biomechanics, namely wear-and-tear, has been long believed to be a main cause of osteoarthritis (OA). However, this view is now being re-evaluated, especially when examined alongside mechanobiology and new biomechanical studies. These are multiscale experimental and computational studies focussing on cell... |
0 | The head shaft angle is associated with hip displacement in children at GMFCS levels III-V - a population based study | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: An increased Head Shaft Angle (HSA) has been reported as a risk factor for hip displacement in children with cerebral palsy (CP) but opinions differ in the literature. The purpose of this study was to re-evaluate the relationship between HSA and hip displacement in a different population of children with CP... |
0 | The Diagnosis of Periprosthetic Joint Infection | PJI DX Updated Search | Periprosthetic joint infection remains one of the most common failure modes following total hip and total knee arthroplasty. As such, a systematic and cost effective approach to the evaluation and work-up of a patient with a suspected periprosthetic joint infection should be undertaken in every patient with a painful t... |
0 | State of the Art: MR Imaging after Knee Cartilage Repair Surgery | OAK 3 - Non-arthroplasty tx of OAK | Cartilage injuries are common, especially in athletes. Because these injuries frequently affect young patients, and they have the potential to progress to osteoarthritis, treatment to alleviate symptoms and delay joint degeneration is warranted. A number of surgical techniques are available to treat focal chondral defe... |
0 | The tolerability and safety profile of aceclofenac | SR for PM on OA of All Extremities | Aceclofenac is a novel nonsteroidal anti-inflammatory agent which has a relatively favourable tolerability profile when compared with other agents used in the treatment of osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. A detailed picture of the tolerability profile of aceclofenac can be built up by ca... |
0 | Analysis of the thickness and curvature of articular cartilage of the femoral condyle | Diagnosis and Treatment of Osteochondritis Dissecans AUC | PURPOSE: To develop an optimal autologous osteochondral transplantation technique, we analyzed the thickness and curvature of the femoral condyle. TYPE OF STUDY: Basic research for surgical technique, anatomic study. METHODS: Eight cadaveric femoral condyles were sectioned sagittally into 8 slices. Photographs of each ... |
0 | Failure modes for total ankle arthroplasty: a statistical analysis of the Norwegian Arthroplasty Register | PJI DX Updated Search | BACKGROUND: It is imperative to understand the most common failure modes of total ankle arthroplasty (TAA) to appropriately allocate the resources, healthcare costs, enhancing surgical treatment methods, and improve design and longevity of the implant. The objective of this study was to investigate the primary mode or ... |
0 | Incidence and natural history of deep-vein thrombosis after total hip arthroplasty. A prospective and randomised clinical study | Management of Hip Fractures in the Elderly | There are many reports concerning the aetiology and prophylaxis of deep-vein thrombosis (DVT) but little is known about its natural history. The purpose of our study was to identify the incidence and site of DVT, the risk factors for pulmonary embolism and the natural history of DVT after total hip replacement (THR) in... |
0 | Acute Effects of Interferential Current on Edema, Pain and Muscle Strength in Patients With Distal Radius Fracture | Distal Radius Fractures | Interferential current is a form of electrotherapy that is obtained by placing two different plates that produce medium frequency waveform current, resulting in a low frequency interferential waveform in deeper tissues. It was shown interferential current electrotherapy is beneficial for reduction of traumatic edema in... |
0 | Cutout of proximal femoral nail antirotation resulting from blocking of the gliding mechanism during fracture collapse | Management of Hip Fractures in the Elderly | The proximal femoral nail antirotation had been successful in treating unstable trochanteric fractures. Previous studies have shown technical problems such as unsatisfactory fracture reduction, poor insertion technique, and poor blade position leading to complications such as cutout. We present a case of proximal femor... |
0 | Radiographic evaluation of possible etiology of diffuse sclerosing osteomyelitis of the mandible | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | To examine the cause and site of origin of diffuse sclerosing osteomyelitis of the mandible, we compared various radiographic findings for the mandibular lesions in 20 patients with diffuse sclerosing osteomyelitis with those in 48 patients with osteomyelitis caused by bacterial infection. In osteomyelitis of infectiou... |
0 | Periorbital muscle atrophy associated with topical bimatoprost therapy | Upper Eyelid and Brow Surgery | Topical Bimatoprost is a common and popular prostaglandin analog used as an ocular hypotensive agent in the treatment of glaucoma. Side effects include ocular hyperaemia, ocular pruritus, and periocular and iris pigmentary changes. Perioribital lipodystrophy is another well-documented outcome associated with chronic us... |
0 | Reducing costly falls of total knee replacement patients | Surgical Management of Osteoarthritis of the Knee CPG | The objective of this study was to determine whether the use of a knee immobilizer brace reduces patient falls associated with the recent use of femoral nerve blocks for pain control after total knee arthroplasty (TKA). The authors conducted a retrospective study to investigate fall rates before and after the introduct... |
1 | Multiple diagnoses in posttraumatic stress disorder in the victims of a natural disaster | DoD PRF (Psychosocial RF) | A population of the fire fighters who had been exposed to a natural disaster were screened using the General Health Questionnaire 4, 11, and 29 months after a natural disaster. On the basis of these data, a high- risk group of subjects who had scored as cases and probable cases and a symptom-free comparison group were ... |
0 | Clinicopathological profile and surgical results of nonhealing sinuses and fistulous tracts of the head and neck region | Dental Implant Infection | PURPOSE: The sinus and fistulous tracts in the head and neck region often pose a challenge to the surgeon, and are usually misdiagnosed, resulting in treatment failure., MATERIALS AND METHODS: This study included 117 patients who presented to the Department of Dental and Maxillofacial Surgery, Department of General Sur... |
0 | Diacerein as Adjuvant to Diclofenac Sodium in Indian Patients of Osteoarthritis (OA) Knee | OAK 3 - Non-arthroplasty tx of OAK | Currently symptomatic relief is provided by the use of nonsteroidal antiâ?inflammatory drugs (NSAIDs) but they do not reverse the basic pathology of disease, rather may accelerate it, like degeneration of cartilage, inhibition of chondroitin synthesis and suppression of proteoglycans synthesis by the chondrocyte. Rese... |
0 | Learning from the minds of others: A review of social cognition treatments and their relevance to traumatic brain injury | DoD PRF (Psychosocial RF) | Social cognition is widely regarded as an essential skill with which to understand the social world. Despite this, the role that social cognition plays in outcome, and whether deficits are remediable after traumatic brain injury (TBI), are not yet well known. The current review examines the construct of social cognitio... |
1 | Preoperative intravenous glucocorticoids can reduce postoperative acute pain following total knee arthroplasty: A meta-analysis | AAHKS (2) Corticosteroids | BACKGROUND: The ability of preoperative intravenous glucocorticoids to control pain after total knee arthroplasty (TKA) has been examined in many studies, but it remains controversial. Therefore, we undertook a meta-analysis of randomized controlled trials (RCTs) to evaluate the efficacy and safety of preoperative intr... |
0 | COVID-19 and rhinology: A look at the future | Coronavirus Disease 2019 (COVID-19) | The novel Coronavirus (COVID-19) has created a deadly pandemic that is now significantly impacting the United States. Otolaryngologists are considered high risk for contracting disease, as the virus resides in the nasal cavity, nasopharynx, and oropharynx. While valuable work has been publicized regarding several topic... |
0 | Metal-on-metal hip resurfacing in patients aged 65 or older | Management of Hip Fractures in the Elderly | There is little information regarding the clinical performance of hip resurfacing arthroplasty (HRA) in older patients. Eighty-seven patients (99 hips) aged 65 years or older received HRA while a control group of 52 patients (64 hips) received a primary THA. The average age was 69.2 years for the HRA group and 71.9 yea... |
0 | Antiangiogenic agents in the treatment of prostate cancer | MSTS 2022 - Metastatic Disease of the Humerus | Prostate cancer remains the most commonly diagnosed noncutaneous malignancy among men in the United States. Once prostate cancer becomes metastatic, there is no curative therapy. Angiogenesis, the process of new blood vessel formation, plays a central role in prostate cancer growth and metastasis and angiogenic markers... |
1 | Real-World Evidence for Safety and Effectiveness of Repeated Courses of Hyaluronic Acid Injections on the Time to Knee Replacement Surgery | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) of the knee is a top cause of disability among the elderly. Total knee replacement (TKR) has been available as an effective and definite surgical method to treat severe OA of the knee. However, TKR is a significant procedure with potential risk for serious complications and high costs. Alternative l... |
0 | The use of simultaneous biplanar fluoroscopy in all epiphyseal extra-articular drilling of osteochondritis dissecans of the knee | Osteochondritis Dissecans 2020 Review | The majority of stable osteochondritis dissecans lesions of the knee in the pediatric population can be managed conservatively. However, in those children who have failed nonoperative management, extra-articular all epiphysieal drilling has been found to be an effective treatment for these lesions. Determining the 3-di... |
0 | Risk Factors for Hip Displacement in Children With Cerebral Palsy: Systematic Review | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: When hip displacement in children with cerebral palsy (CP) is identified early, treatment is more successful. The standard test is a radiograph of the pelvis measuring the migration index (MI). Our study aims to review published literature of the natural history of hip dislocation among children with CP and... |
0 | Outcome of Dynamic Hip Screw Fixation in Patients with Fractures Related to Intertrochanteric Femur | Dental Implant Infection | Objective: To assess the outcome of dynamic hip screw fixation in intertrochanteric femur fractures. Study Design: Prospective cohort study. Place and Duration of Study: Department of Orthopaedics, Pak Red Crescent Medical & Dental College, Dina Nath from 1st October 2020 to 31st March 2022. Methodology: Fifty Patients... |
0 | A single incision surgical new anterior technique for forequarter amputation | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Conventionally described standard techniques of forequarter amputation may not be suitable for patients presenting with neglected or maltreated very large tumors of the proximal humerus.
PATIENTS AND METHODS: Eleven patients with unsalvageable malignant tumors of proximal humerus, who underwent forequarter ... |
0 | Osteoprogenitor cell adhesiveness to a titanium mesh. A clinically relevant hypothesis for revision surgery in hip replacement | PJI DX Updated Search | Bone defects are a major problem in primary and, even worse, revision surgery of the hip. Impacted allograft contained by a metallic mesh has been used for bone reconstruction. However, since allograft has been claimed to reabsorb, and to provoke immunogenic responses with potential viral infection and loosening becaus... |
0 | Outcomes in silicone rod frontalis suspension surgery for high-risk noncongenital blepharoptosis | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the outcomes of silicone rod frontalis suspension for complicated cases of ptosis with poor levator function. METHODS: A retrospective interventional case series of consecutive patients undergoing silicone rod frontalis suspension by 2 surgeons over 20 years generated records of 51 eyelids (33 pati... |
0 | Serum vitamin E concentrations among highly functioning hip fracture patients are higher than in nonfracture controls | Management of Hip Fractures in the Elderly | Malnutrition after hip fracture is common and associated with poor outcomes and protracted recovery. Low concentrations of vitamin E have been associated with incident decline in physical function among older adults and may, therefore, be particularly important to functionally compromised patients hip fracture patients... |
0 | Incidence of Complications Following Volar Locking Plate Fixation of Distal Radius Fractures: An Analysis of 647 Cases | Distal Radius Fractures | BACKGROUND: To assess the risk and factors of complications after volar locking plate fixation of distal radius fractures (VLPDR)., METHODS: A single institution retrospective review of patients undergoing VLPDR between May 2000-May 2015 was undertaken. Demographic data, major complications, minor complications and rad... |
0 | Down-regulation of Rac GTPase-activating protein OCRL1 causes aberrant activation of Rac1 in osteoarthritis development | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Chondrocyte hypertrophy and mineralization are considered to be important pathologic factors in osteoarthritis (OA). We previously reported that Rac1 was aberrantly activated to promote chondrocyte hypertrophy, mineralization, and expression of matrix metalloproteinase 13 and ADAMTS in OA. However, the under... |
0 | Risk factors for prosthetic hip and knee infections according to arthroplasty site | PJI DX Updated Search | Prosthetic joint infection is a devastating complication of arthroplasty. Previous epidemiological studies have assessed factors associated with arthroplasty infections but have not assessed the impact of comorbidity on infection at different arthroplasty locations. We used a case-control design to investigate risk fac... |
0 | Tibial Plateau Fractures in Elderly Patients | Hip Fx in the Elderly 2019 | Tibial plateau fractures are common in the elderly population following a low-energy mechanism. Initial evaluation includes an assessment of the soft tissues and surrounding ligaments. Most fractures involve articular depression leading to joint incongruity. Treatment of these fractures may be complicated by osteoporos... |
1 | Assessment of a treatment plan for managing acute vascular complications associated with supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Nine children with ischaemia of the forearm, associated with supracondylar fractures of the humerus, which failed to respond promptly to conservative measures, were managed by exploration of the antecubital fossa together with flexor compartment fasciotomies. The anatomic findings are described, operative procedures di... |
0 | Femoral head stress fracture: An unknown complication following Sugioka's transtrochanteric rotational osteotomy | PJI DX Updated Search | Sugioka's transtrochanteric rotational osteotomy, as a treatment of osteonecrosis of the femoral head, has variable success rates. Its known complications include: progressive varus deformity, femoral neck fracture, and femoral head collapse. However, femoral head stress fracture has not been described as a complicatio... |
0 | Bone marrow edema-like lesions (BMELs) are associated with higher T1Ï쳌 and T2 values of cartilage in anterior cruciate ligament (ACL)-reconstructed knees: A longitudinal study | OAK 3 - Non-arthroplasty tx of OAK | Background: To evaluate the longitudinal changes of bone marrow edema-like lesions (BMELs) in patients after anterior cruciate ligament (ACL) reconstruction and to investigate the effect of BMELs on cartilage matrix composition changes measured using MR T1Ï and T2 mapping. Methods: Patients with acute ACL tear were en... |
0 | Pure sensory stroke caused by a pontine infarct: Clinical, radiological, and physiological features in four patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background and Purpose: We conducted this retrospective study to evaluate the clinical, neuroradiological, and neurophysiological findings in patients with pure sensory stroke due to pontine lacuna. Summary of Report Four patients with pontine lacuna, three men and one woman (mean age, 64.5 years; range, 55 to 75 years... |
1 | Intraarticular injection of magnesium sulphate and/or bupivacaine for postoperative analgesia after arthroscopic knee surgery | AMP (Acute Meniscal Pathology) | BACKGROUND: Intraarticular bupivacaine is often used for prevention of pain after arthroscopic knee surgery. Intraarticular magnesium, a N-methyl-D-aspartate receptor blocker, would be of particular interest in either producing postoperative analgesia or enhancing the analgesic effect of intraarticular bupivacaine. We ... |
0 | Muscle activation features of the osteoarthritic knee with patellar lateral subluxation | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The aim of the study was to compare the muscle activation feature of vastus medialis obliquus (VMO) and vastus lateralis (VL) between the osteoarthritic knee patients with patellar lateral subluxation (Group 1B) and without patellar lateral subluxation (Group 1A).
METHODS: Isokinetic muscle strength of the k... |
0 | European project on osteoarthritis: Design of a six-cohort study on the personal and societal burden of osteoarthritis in an older European population | Surgical Management of Osteoarthritis of the Knee CPG | Background: Osteoarthritis (OA), the most common form of arthritis, is a major contributor to functional impairment and loss of independence in older persons. The European Project on OSteoArthritis (EPOSA) is a collaborative study involving six European cohort studies on ageing. This project focuses on the personal and... |
1 | Effect of Soft Braces on Pain and Physical Function in Patients With Knee Osteoarthritis: Systematic Review With Meta-Analyses | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To systematically review and synthesize the effects of soft braces on pain and on self-reported and performance-based physical function in patients with knee osteoarthritis.
DATA SOURCES: The following electronic databases were searched from inception to April 20, 2016: The Cochrane Central Register of Cont... |
1 | Arthroscopic assessment of intra-articular distal radius fractures after open reduction and internal fixation from a volar approach | Distal Radius Fractures | PURPOSE: The volar approach with locked plating is a common treatment for intra-articular distal radius fractures. The purpose of this study was to arthroscopically assess the articular surface after internal fixation through the volar approach as a means to evaluate the ability of an extra-articular reduction to anato... |
0 | Significant cost savings and similar patient outcomes associated with early discharge following total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: A substantial portion of the cost of total knee arthroplasty (TKA) results from the postoperative inpatient length of stay (LOS). Considering the annual increase in TKAs, reducing LOS represents a potential for cost savings. We sought to compare in-hospital costs and patient-reported outcomes for an early d... |
0 | Predictors of conversion from conservative to operative treatment of pediatric forearm fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Forearm fractures occur commonly in children; however, there is still uncertainty on what leads to conversion from conservative to operative management. Patients who initially underwent closed reduction and casting for diaphyseal forearm fractures were evaluated for predictors of conversion to operative management. We ... |
0 | The Transfemoral Approach for Removal of Well-Fixed Femoral Stems in 2-Stage Septic Hip Revision | PJI DX Updated Search | BACKGROUND: The value of a transfemoral approach for removal of well-fixed infected hip arthroplasties in 2-stage revision is unclear, especially whether cerclages for closure of the flap in the first step lead to higher reinfection rates and whether reopening of the flap for reimplantation of a hip arthroplasty leads ... |
1 | Dynamic external fixation of unstable fractures of the distal part of the radius. A prospective, randomized comparison with static external fixation | Distal Radius Fractures | A prospective, randomized study was done to compare the results of dynamic external fixation (the Clyburn device) with those of static external fixation (the AO/ASIF device) in the treatment of fifty unstable fractures of the distal part of the radius. Mobilization of the wrist from neutral to 30 degrees of flexion was... |
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