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Comparative Analysis of Blood Loss in Suction-Assisted Lipoplasty and Third-Generation Internal Ultrasound-Assisted Lipoplasty
Panniculectomy & Abdominoplasty CPG
Background: Lipoplasty remains the most common cosmetic surgical procedure performed in the United States. In spite of its well documented clinical advantages, ultrasound-assisted lipoplasty (UAL) accounts for less than 20% of all lipoplasty procedures currently performed. Objective: The purpose of this study is to det...
0
Percutaneous pinning in undisplaced subcapital femoral neck fractures
HipFx Supplemental Cost Analysis
Three hundred and five undisplaced subcapital femoral neck fractures managed by pinning in situ with Knowles' pins were evaluated to elucidate the role and effect of such treatment. The protocol of management and follow up, and evaluation, both radiographically and functionally, were set up prospectively. The duration ...
0
Major and lethal complications of liposuction: a review of 72 cases in Germany between 1998 and 2002
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Liposuction is the most frequently performed cosmetic operation in Germany, with approximately 200,000 procedures performed in 2003. The public perception of liposuction as minor surgery fails to consider the potential of major complications or a possibly fatal outcome. METHODS: A retrospective analysis of ...
0
Use of double-layer autologous dermal flap in the treatment of recurrent and/or infected incisional hernias: presentation of the surgical technique and the results of 1-year follow-up-a prospective, consecutive cohort study
Panniculectomy & Abdominoplasty CPG
INTRODUCTION: The difficulties of treating recurrent and/or infected incisional hernias are well known in surgical practice. Several surgical techniques and various types of grafts are available for surgeons. This study presents a new surgical technique option together with the results of the 1-year follow-up. PURPOSE:...
0
Piroxicam gel versus diclofenac gel in active gonarthroses
OAK 3 - Non-arthroplasty tx of OAK
In this single�blind comparative study 97 patients suffering from activated gonarthrosis were treated with either 4 x 40 mg of diclofenac gel or 4 x 5 mg piroxicam gel. Owing to protocol violations, 28 patients were not included in the statistical evaluation. During the course of the treatment, a marked decrease in s...
1
Postoperative pain treatment after total knee arthroplasty: A systematic review
AAHKS (2) Corticosteroids
INTRODUCTION: The aim of this systematic review was to document efficacy, safety and quality of evidence of analgesic interventions after total knee arthroplasty (TKA). METHODS: This PRISMA-compliant and PROSPERO-registered review includes all-language randomized controlled trials of medication-based analgesic interven...
1
Oral care and the use of bone-targeted agents in patients with metastatic cancers: A practical guide for dental surgeons and oncologists
MSTS 2018 - Femur Mets and MM
Background: Bone-targeted agents such as bisphosphonates and the RANKL antibody have revolutionised the care of patients with bone metastases. There has, however been increasing concern about the oral health of these patients and in particular osteonecrosis of the jaw (ONJ), especially with the increasing use of these ...
0
Patient Education Program for Osteoarthritis With Exercise Included
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis (OA) is a degenerative disease, considered to be one of the major national diseases that cause suffering for affected patients and costs for society.The predominant symptoms are pain, stiffness and impaired quality of life, often together with psychological distress. Treatment often consists of medicatio...
0
Expression of bone morphogenetic proteins and cartilage-derived morphogenetic proteins during osteophyte formation in humans
Surgical Management of Osteoarthritis of the Knee CPG
Bone- and cartilage-derived morphogenetic proteins (BMPs and CDMPs), which are TGFbeta superfamily members, are growth and differentiation factors that have been recently isolated, cloned and biologically characterized. They are important regulators of key events in the processes of bone formation during embryogenesis,...
0
Burden of illness of hip fractures in elderly Dutch patients
Hip Fx in the Elderly 2019
Patients with hip fractures experience reduced health-related quality of life and have a reduced life expectancy. Patients' utilization of healthcare leads to costs to society. The results of the study can be used in future economic evaluations of treatments for hip fractures. PURPOSE: Hip fractures are associated with...
0
General orthopaedics: a hospitalist rotation
DOD - Acute Comp Syndrome CPG
The general orthopaedic rotation for residents not only covers orthopaedic conditions in geriatrics, such as hip or femoral fractures or infected total joint, but also exposes residents to orthopaedic conditions as infection, compartment syndrome, spinal disorders, foot and ankle fractures, and even elective total join...
0
Total elbow arthroplasty: a prospective clinical outcome study of Discovery Elbow System with a 4-year mean follow-up
Hip Fx in the Elderly 2019
BACKGROUND: Total elbow arthroplasty (TEA) is increasingly used for the treatment of advanced elbow conditions to reduce pain and improve function. However, TEA is still associated with a higher complication rate than total hip and knee arthroplasty despite advances in the design and surgical techniques. This prospecti...
1
Volumetric Mammogram Assessment: A Helpful Tool in the Treatment of Breast Asymmetries
Reduction Mammoplasty for Female Breast Hypertrophy
The surgical approach to breast asymmetry depends on several factors, including the surgeon's experience, the anatomy of the patient, and several methods that may help to choose a technique and define the size of the implant or the amount of breast tissue to be excised. The aim of this study is to assist in evaluation ...
0
Haemophilus influenza infection complicating a total knee arthroplasty
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Haemophilus influenza is rarely a cause of septic arthritis in adults. It has not been reported as a cause of infection in total knee arthroplasties. Haemophilus influenza septic arthritis is a late stage, hematogenous infection. A 43-year-old woman with a history of rheumatoid arthritis was found to have Haemophilus i...
0
Centrifugal regulation of human cortical responses to a task-relevant somatosensory signal triggering voluntary movement
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Many studies have reported a movement-related modulation of response in the primary and secondary somatosensory cortices (SI and SII) to a task-irrelevant stimulation in primates. In the present study, magnetoencephalography (MEG) was used to examine the top-down centrifugal regulation of neural responses in the human ...
0
[Quadsparing approach in total knee arthroplasty]
Surgical Management of Osteoarthritis of the Knee CPG
Objective: Approach to the knee joint for total knee arthroplasty (TKA) with gentle soft-tissue handling. Indications: Primary TKA with range of motion > or =100degrees, leg axis up to >10degrees varus or valgus, body weight > 100 kg. Contraindications: Contracted knees, leg axis <10degrees varus or valgus, obesity, pr...
0
Use of mid-vastus approach in less invasive primary total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Background: Total knee arthroplastes, (TKR) combined with the concept of reduced trauma to tissue has been performed by many doctors. The aim of this study was to retrospectively assess the early results of a group of TKR with a mid-vastus approach, which was characterized as no patellar eversion, no disruption of supr...
0
American college of rheumatology/association of rheumatology health professionals - 2015 annual meeting
OAK 3 - Non-arthroplasty tx of OAK
The 2015 Annual meeting of the American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ACR/ARHP), held in San Francisco, California, brought together players in the field of rheumatic diseases to discuss the latest research innovations in the treatment of the diseases, as well as pr...
0
The Clinical Pathway with Regional Alliance (CPRA) system for proximal femoral fractures in the southern region of Ibaraki prefecture: comparison of the proportion of patients who return to living at home from acute care and rehabilitation (kaihukuki) hospitals
Hip Fx in the Elderly 2019
<b>Objective:</b> We investigated whether elderly patients treated for a proximal femoral fracture would be able to return home. <b>Patients and Methods:</b> The subjects of this study were 834 patients. We defined the acute care hospital group as patients who returned home from the acute care hospital and the kaihukuk...
0
Failure of Wrist Hemiarthroplasty
Glenohumeral Joint OA
BACKGROUND: Wrist hemiarthroplasty has emerged as a motion-sparing option for severe wrist arthritis. It is technically easy with advantages of limited bone resection and no risk of nonunion. Given the relative infancy of the procedure in clinical practice, there are limited data on patient outcomes. METHODS: Eleven pa...
0
Bisphosphonates and osteonecrosis of the jaws: science and rationale
MSTS 2018 - Femur Mets and MM
Bisphosphonates as a group of drugs were introduced for the management of various conditions such as osteoporosis, Paget's disease, multiple myeloma, hypercalcemia of malignancy, breast cancer, prostate cancer, and other tumors. This group of drugs has improved the quality of life in many patients with proven efficacy ...
0
Bony Reconstruction of the Anterior Glenoid Rim
OAK 3 - Non-arthroplasty tx of OAK
Recurrent anterior shoulder instability is associated with glenohumeral bone loss. Glenoid deficiency compromises the concavity-compression mechanism. Medial Hill-Sachs lesions can result in an off-track humeral position. Anterior glenoid reconstruction or augmentation prevents recurrence by addressing the pathomechani...
0
Surgical decompression improves symptoms of late peroneal nerve dysfunction after TKA
Surgical Management of Osteoarthritis of the Knee CPG
Acute peroneal nerve palsy is a well-known complication of total knee arthroplasty (TKA) that causes a neurological deficit typically seen within hours or days postoperatively. Peroneal nerve dysfunction presents more subtlely than peroneal nerve palsy, with decreased knee range of motion, lateral knee pain, or both fo...
0
Smoldering multiple myeloma: To treat or not to treat
MSTS 2018 - Femur Mets and MM
Introduction: Smoldering multiple myeloma (SMM) is an asymptomatic disorder characterized by the presence of â?¥ 30 g/l serum M-protein and/or â?¥ 10% bone marrow plasma cell infiltration. The progression risk to active multiple myeloma (MM) is not uniform, and several prognostic parameters are useful for identifying p...
0
Perioperative morbidity and mortality of 2-team simultaneous bilateral total knee arthroplasty
PJI DX Updated Search
Total knee arthroplasty (TKA) has a well-established track record for relieving pain associated with arthritis of the knee joint. The total rate of bilateral TKA has doubled over the past 2 decades, and the rate in women has tripled over that same time period. In patients with bilateral knee arthritis, a decision must ...
1
Early Surgery Confers 1-Year Mortality Benefit in Hip-Fracture Patients
Hip Fx in the Elderly 2019
BACKGROUND: To evaluate the relationship between surgical timing and 1-year mortality in patients requiring hip fracture repair. METHODS: We analyzed all 720 patients (>65 years) who had hip fracture surgery between March 2005 and February 2015, identifying patients by ICD-9 diagnosis and procedure codes using electron...
1
Evaluating the Psychopathological Profile of Women Undergoing Reduction Mammaplasty With the Symptom Checklist-90-Revised
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Patients who desire reduction mammaplasty (RM) also may seek relief from social and emotional challenges that accompany their physical condition, including low self-confidence and impaired body image. Reduction mammaplasty is known to improve patients' physical and psychological well-being. It may be specul...
0
Tibial Osteotomy as a Mechanical Model of Primary Osteoarthritis in Rats
OAK 3 - Non-arthroplasty tx of OAK
This study has presented the first purely biomechanical surgical model of osteoarthritis (OA) in rats, which could be more representative of the human primary disease than intra-articular techniques published previously. A surgical tibial osteotomy (TO) was used to induce degenerative cartilage changes in the medial kn...
0
Polytetrafluoroethylene as a spacer graft for the correction of lower eyelid retraction
Upper Eyelid and Brow Surgery
PURPOSE: To evaluate the efficacy of porous expanded polytetrafluoroethylene (e-PTFE, Goretex) containing large pores made with a 21-gauge needle as a graft for the correction of lower lid retraction. METHODS: e-PTFE grafts were implanted between the tarsus and lower lid retractor via a transconjunctival approach with/...
0
Lower-limb amputee recovery response to an imposed error in mediolateral foot placement
DoD LSA (Limb Salvage vs Amputation)
Despite walking with a wider step width, amputees remain 20% more likely to fall than non-amputees. Since mediolateral (ML) balance is critical for ambulation and contingent on ML foot placement, we used a ML disturbance to perturb walking balance and explore the influence of prosthetic foot stiffness on balance recove...
0
Genomic Changes in Normal Breast Tissue in Women at Normal Risk or at High Risk for Breast Cancer
Reduction Mammoplasty for Female Breast Hypertrophy
Sporadic breast cancer develops through the accumulation of molecular abnormalities in normal breast tissue, resulting from exposure to estrogens and other carcinogens beginning at adolescence and continuing throughout life. These molecular changes may take a variety of forms, including numerical and structural chromos...
0
Mortality after fracture of the hip in patients who have end-stage renal disease
Management of Hip Fractures in the Elderly
Thirteen fractures of the hip in twelve patients who had end-stage renal disease were treated over a ten-year period; these injuries included one intertrochanteric fracture, seven non-displaced fractures of the femoral neck, and five displaced fractures of the femoral neck. Twelve of the thirteen fractures were treated...
1
Salter-Harris type II proximal humerus injuries: state-of-the-art treatment
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Proximal epiphyseal injuries of the humerus represent a very low percentage of traumatic growth pathologies, 5 % of all fractures during childhood. In the literature, there have been only a limited number of clinical studies investigating these injuries, basically from an epidemiological point of view, focusing on the ...
0
Management of paediatric tibial fractures using two types of circular external fixator: Taylor spatial frame and Ilizarov circular fixator
DoD SSI (Surgical Site Infections)
BACKGROUND: The use of circular fixators for the treatment of tibial fractures is well established in the literature. The aim of this study was to compare the Ilizarov circular fixator (ICF) with the Taylor spatial frame (TSF) in terms of treatment results in consecutive patients with tibial fractures that required ope...
0
Effects of combined topical metronidazole and mechanical treatment on the subgingival flora in deep periodontal pockets in cuspids and bicuspids
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The Effect on the subgingival microflora of a single topical administration of a 95% collagen and 5% metronidazole device in combination with debridement was investigated in 30 adult periodontitis patients in comparison with mechanical treatment alone. For each patient, plaque samples from test and control sites in cus...
0
Postoperative radiographs after pinning of supracondylar humerus fractures: are they necessary?
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: The purpose of this study was to evaluate the necessity of early postoperative radiographs after pinning of supracondylar humerus fractures by determining both the percentage of patients who displayed change in fracture fixation and whether these changes affected their outcome. METHODS: A series of 643 cons...
0
Preventive effect of risedronate on bone loss in men receiving androgen-deprivation therapy for prostate cancer
Management of Hip Fractures in the Elderly
AIM: Androgen-deprivation therapy for prostate cancer decreases bone mineral density and increases the risk of fracture. The effect of risedronate, a potent third-generation oral bisphosphonate, on bone loss during androgen deprivation therapy was investigated. METHODS: Sixty-one prostate cancer patients with a mean ag...
0
An allogenic site-specific rat model of bone metastases for nuclear medicine and experimental oncology
MSTS 2018 - Femur Mets and MM
Bone metastases are a major problem in several tumor entities affecting the therapeutic decision and the patient's prognosis. Single photon emission computed tomography (SPECT) and positron emission tomography (PET) are promising techniques for identifying bone tumors using gamma- or positron-emitting labeled radiotrac...
0
Early results of isoelastic hemiarthroplasty in chronic shoulder arthritis
Glenohumeral Joint OA
Fourteen isoelastic shoulder hemiarthroplasties were studied in patients with shoulder pain due to chronic rheumatoid arthritis and osteoarthritis unresponsive to conservative means. The average follow-up was 27 months (range: 12-46 months) and the average patient age was 66.4 years (range: 54-79 years). A Constant sho...
0
Synthetic meniscus replacement: a review
AMP (Acute Meniscal Pathology)
The number of meniscus-related operations continues to rise due to the ageing and more active population. Irreparable meniscal lesions generally require (partial) meniscectomy. Although a majority of the patients benefit from pain relief and functional improvement post-meniscectomy, some remain symptomatic. As an alter...
1
Factors affecting the results of the clock drawing test in elderly patients hospitalized for physical rehabilitation
DoD PRF (Psychosocial RF)
The Clock Drawing Test (CDT) is a recognized and accepted instrument for the early diagnosis of dementia in the elderly. In a prospective study we evaluated the association between the results of this test and a broad range of clinical, functional and sociodemographic variables. The study was conducted on elderly patie...
0
Update on the management of patellar instability
OAK 3 - Non-arthroplasty tx of OAK
Patellar instability is a complex topic that must be treated at the individual level. The majority of first-time patellar dislocations occur in sport, and there is a high rate of recurrence and ongoing symptoms. Physical examination and imaging studies can aid in treatment decisions. Patient symptoms, degree of trauma,...
0
Changes in axial alignment of the ipsilateral hip and knee after total hip arthroplasty
Hip Fx in the Elderly 2019
Aims: We investigated changes in the axial alignment of the ipsilateral hip and knee after total hip arthroplasty (THA). Patients and Methods: We reviewed 152 patients undergoing primary THA (163 hips; 22 hips in men, 141 hips in women) without a pre-operative flexion contracture. The mean age was 64 years (30 to 88). ...
1
Literature-based evaluation of the potential risks associated with impregnation of medical devices and implants with triclosan
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: This report is a review of the published literature for studies of triclosan that address mechanism of action, efficacy on skin and in the oral cavity, and the potential for development of resistance. METHODS: Triclosan citations from the past three decades were searched using Medline and other search engin...
0
Scleromyxoedema associated with synovitis and myopathy
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Scleromyxoedema is a rare skin disease characterized by the deposition of hyaluronic acid in the papillary dermis and often associated with the presence of a monoclonal para protein. Patients with this disorder may also have systemic manifestations. A case of a patient with biopsy proven scleromyxoedema who, in additio...
0
Online Patient Resources for Liposuction: A Comparative Analysis of Readability
Panniculectomy & Abdominoplasty CPG
BACKGROUND: As patients strive to become informed about health care, inadequate functional health literacy is a significant barrier. Nearly half of American adults have poor or marginal health literacy skills and the National Institutes of Health and American Medical Association have recommended that patient informatio...
0
Perceived health in hip-fracture patients: a prospective follow-up of 100 patients
Management of Hip Fractures in the Elderly
We report the impact of the treatment and rehabilitation in hip-fracture patients by using self-assessment instruments of perceived health and relate them to objective outcome assessments, such as ADL (personal hygiene/dressing), walking ability and technical complications. Subjective and objective status for 100 hip-f...
0
Meniscal substitutes--human experience
Surgical Management of Osteoarthritis of the Knee CPG
A number of clinical series have described the effect of meniscus allograft replacement in humans. The general indication has been disabling pain following loss of a meniscus in a skeletally mature individual. Overall, healing of the graft to the capsule occurs in up to 80% of all transplants. Revascularization and cel...
1
Abdominoplasty with Scarpa fascia preservation - comparative study in a bariatric population
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Abdominoplasty techniques using a more superficial plane of dissection with Scarpa fascia preservation have been shown to improve recovery and reduce complications in nonbariatric patients. Patients who have experienced massive weight loss frequently need body contour procedures and represent a high-risk gr...
0
Biodegradable meniscus screw fixation of thin flap lesion of osteochondritis dissecans
AMP (Acute Meniscal Pathology)
Authors reported a young adult with Guhl's arthroscopic stage III unstable thin bony backing flap lesion (Aichroth's extended classical type) of osteochondritis dissecans in the right knee which was successfully treated with fixation of the unstable OCD fragment utilizing the biodegradable meniscus screws, and simultan...
0
General principles and use of electrodiagnostic studies in carpal and cubital tunnel syndromes. With special, attention to pitfalls and interpretation
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Electrodiagnostic studies can help confirm the clinical impression of CTS and cubital tunnel syndrome with a high degree of sensitivity and specificity. These tests can provide valuable information regarding the exact point of nerve compression as well as the severity of damage. Differentiating these nerve entrapment s...
0
Treatment of Osteoarthritis With Autologous, Microfragmented Adipose Tissue
OAK 3 - Non-arthroplasty tx of OAK
2 Study Objective To investigate if intra�articular injection with autologous, microfragmented adipose tissue prepared using the Lipogems system affects the patient reported outcome in patients with osteoarthritis of the knee. Hypothesis Treatment with autologous, microfragmented adipose tissue has the potential to r...
0
Gender differences among patients with proximal femur fractures during rehabilitation
Management of Hip Fractures in the Elderly
BACKGROUND: Proximal femoral fractures (PFFs) frequently occur in the elderly population and increase with age. Previous studies reported gender differences in previous functional level and co-morbidity among PFF patients. However, data relating to the relationship between gender differences of PFF patients and their r...
0
Influence of oral and craniofacial dimensions on mandibular advancement splint treatment outcome in patients with obstructive sleep apnea
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Background: Mandibular advancement splints (MASs) can effectively treat obstructive sleep apnea (OSA); however, no validated and reliable prediction method for treatment outcome currently exists. The efficacy of MAS may relate to anatomic factors, including craniofacial size and upperairway soft-tissue volume and anato...
0
Location of the tibial tunnel aperture affects extrusion of the lateral meniscus following reconstruction of the anterior cruciate ligament
AMP (Acute Meniscal Pathology)
The anterior root of the lateral meniscus provides functional stability to the meniscus. In this study, we evaluated the relationship between the position of the tibial tunnel and extrusion of the lateral meniscus after anterior cruciate ligament reconstruction, where extrusion provides a proxy measure of injury to the...
0
Racial Disparities are Present in the Timing of Radiographic Assessment and Surgical Treatment of Hip Fractures
Hip Fx in the Elderly 2019
BACKGROUND: Hip fractures are associated with 1-year mortality rates as high as 19% to 33%. Nonwhite patients have higher mortality and lower mobility rates at 6 months postoperatively than white patients. Studies have extensively documented racial disparities in hip fracture outcomes, but few have directly assessed ra...
0
Improvement in cartilage following intra-articular injection of TG-C, a cell mediated gene therapy for osteoarthritis
OAK Recommendation 9 Articles
Purpose: A randomized single-blind phase IIa trial was conducted in 28 patients with knee OA to determine both safety and efficacy of TG-C. TG-C is a cell mediated gene therapy that contains non-transduced (hChonJ) and transduced (hChonJb#7) human allogeneic chondrocytes. hChonJb#7 cells were transduced with TGF-(beta)...
0
The morphology of an infarct in nonarteritic anterior ischemic optic neuropathy
DOD - Acute Comp Syndrome CPG
OBJECTIVE: The mechanism by which nonarteritic anterior ischemic optic neuropathy (NAION) causes an infarct in the optic nerve is controversial. We studied the three-dimensional anatomic configuration of a NAION infarct to better elucidate its pathophysiology. DESIGN: Case report with clinicopathologic correlation. MET...
0
Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 2017
AMP (Acute Meniscal Pathology)
OBJECTIVES: We investigated the temporal trend and the geographical variation in the rate of an anterior cruciate ligament (ACL) reconstruction and meniscal repair (MR) performed in England during a 20-year window. METHODS: All hospital episodes for patients undergoing ACL reconstruction or MR between 1 April 1997 and ...
0
Are the current little league pitching guidelines adequate?: A single-season prospective MRI study
Pediatric Supracondylar Humerus Fracture 2020 Review
Background: Little League throwing guidelines have recently been implemented in an attempt to lessen the growing number of elbow injuries occurring in youth baseball players. Hypothesis/Purpose: The purpose of this study was to examine pre- and postseason changes seen on magnetic resonance imaging (MRI) in youth baseba...
0
Current status of hyperthermic limb perfusion for in-transit melanoma
DOD - Acute Comp Syndrome CPG
In-transit disease is a unique form of regional lymphatic spread of melanoma that is considered an infrequent event although certain high-risk subgroups have been identified with higher incidence rates. Although this disease entity is associated with a high risk for distant relapse, regionally focused treatment of dise...
1
Arthroscopic debridement does not enhance surgical treatment of intra- articular distal radius fractures: a randomized controlled trial
Distal Radius Fractures
The aim of this study was to determine the difference in functional outcomes after open reduction and internal fixation (ORIF) with and without arthroscopic debridement in adults with displaced intra-articular distal radius fractures. In this multicentre trial, 50 patients were randomized between ORIF with or without a...
0
Familial amyloid polyneuropathy associated with the novel transthyretin variant Arg34Gly
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We report a 57-year-old man with pathognomonic bilateral vitreo-lenticular amyloid opacities (pseudopodia lentis) in whom a novel transthyretin (TTR) mutation was identified. The patient presented due to bilateral floaters. The vitreous cavities of both eyes showed course, fibrilar opacities attached to the posterior l...
1
Higher preoperative sensitivity to pain and pain at rest are associated with worse functional outcome after stemless total shoulder arthroplasty
Glenohumeral Joint OA
Aims: The aims of this study were to investigate any possible relationship between a preoperative sensitivity to pain and the degree of pain at rest and on exertion with postoperative function in patients who underwent stemless total shoulder arthroplasty (TSA). Patients and Methods: In this prospective study, we inclu...
1
Occult hip fractures in the elderly: A protocol for management
Management of Hip Fractures in the Elderly
Delayed diagnosis of hip fractures has an incidence of 2-9% in the literature. The morbidity of occult hip fractures can be enormous if the condition is not diagnosed. There are both clinical and radiological methods of enhancing the chances of diagnosis of this condition. Pain on flexion, abduction and external rotati...
0
Vitamin D supplementation for prevention of cancer in adults
Surgical Management of Osteoarthritis of the Knee CPG
Background: The evidence on whether vitamin D supplementation is effective in decreasing cancers is contradictory.Objectives: To assess the beneficial and harmful effects of vitamin D supplementation for prevention of cancer in adults.Search methods: We searched the Cochrane Central Register of Controlled Trials (CENTR...
0
Inside-out meniscus repair
AMP (Acute Meniscal Pathology)
The long-term adverse effects of meniscectomy reported by many investigators has led to a treatment philosophy of meniscal repair and preservation whenever possible. Meniscal repair should allow a successful return by most patients to an active lifestyle with a decreased risk of developing osteoarthritis. Many differen...
0
Psychological factors associated with response to maxillofacial injury and its treatment
DoD PRF (Psychosocial RF)
PURPOSE: This study evaluated symptoms of acute stress disorder (ASD), satisfaction with appearance postsurgery, and satisfaction with care in patients with maxillofacial injury at their first postsurgical physician visit. To determine the best predictors of patients' ASD symptoms and satisfaction, data also were obtai...
0
Lipofibroma of the median nerve in the palm and digits of the hand
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Lipofibroma of the median nerve or its cutaneous branches is a rare benign tumor. The diagnosis is usually made at surgical exploration of a mass in the distal part of the forearm, the wrist, the palm, or the digits of the hand, which may be asymptomatic or associated with symptoms of carpal-tunnel syndrome. The diagno...
0
Serious bacterial infections after endoscopic procedures
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Transient bacteremia during and after endoscopic procedures is a well- documented phenomenon, but complicated bacteremia such as endocarditis in patients at risk is considered to be extremely rare. The recommendations for prophylaxis before endoscopy in patients with valvular heart disease were recently released. We di...
0
Orthopedics tool measurement apparatus based on three-dimensional space measurement
Management of Hip Fractures in the Elderly
Background: Cybex NORM[trademark] isokinetic dynamometer exhibits precise measurement, but the operation is too complex and the cost is too high to apply on routine examination. Objective: To compare orthopedics tool measurement apparatus (OTMA) and Cybex NORM[trademark] dynamometer in evaluating the range of motion af...
0
In vitro models of biological responses to implant microbiological models
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
To study the etiology and explore possibilities for the therapy of implant-associated infections, investigators have developed and utilized various in vitro models. Major contributions have come from the non-oral medical field, where device-related infections can create life-threatening situations. Microbiological mode...
0
Chronic shin splints: A review of the deep posterior compartment
DOD - Acute Comp Syndrome CPG
Chronic shin splints is a clinical presentation which is frequently encountered in a variety of practice settings. Although the term is a common one, it is often used non-specifically, indicating a generic clinical scenario as opposed to a definitive diagnosis. The intent of this paper is to present a review of the spe...
0
Change in patient-reported outcomes in patients with and without mechanical symptoms undergoing arthroscopic meniscal surgery: A prospective cohort study
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Patients with degenerative or traumatic meniscal tears are at high risk of developing knee osteoarthritis. We investigated if younger (<=40 years) and older (>40 years) patients with preoperative mechanical symptoms (MS) improved more in patient-reported outcomes after meniscal surgery than those without MS....
0
Epidural analgesia for pain relief following hip or knee replacement
SR for PM on OA of All Extremities
Background: Hip and knee replacement are common operative procedures to improve mobility and quality of life. Adequate pain relief is essential in the postoperative period to enable ambulation and initiation of physiotherapy. Lumbar epidural analgesia is a common modality for pain relief following these procedures. As ...
0
Distal Anterior Interosseous Nerve in the Recurrent Motor Branch Graft for Reconstruction of a Median Nerve Neuroma-in-Continuity
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Median nerves with neuromas-in-continuity are preferably managed by the identification and preservation of the functioning motor fascicles proximal and distal to the neuroma. The non-functioning, painful sensory fibers are divided proximally and distally and are reconstructed with nerve grafts. In cases where the proxi...
0
Fusobacterium nucleatum induces premature and term stillbirths in pregnant mice: implication of oral bacteria in preterm birth
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Fusobacterium nucleatum is a gram-negative anaerobe ubiquitous to the oral cavity. It is associated with periodontal disease. It is also associated with preterm birth and has been isolated from the amniotic fluid, placenta, and chorioamnionic membranes of women delivering prematurely. Periodontal disease is a newly rec...
0
Factors influencing outcomes of endoprosthetic reconstruction of the distal end of the humerus
Pediatric Supracondylar Humerus Fracture 2020 Review
Background: Reconstruction of the distal humerus with modular endoprostheses is an uncommon procedure. We report the outcomes from a single institution of distal humeral reconstructions with a modular endoprosthesis. Methods: A retrospective chart review of our database from 1/1/2001-12/31/2016 identified 20 patients w...
0
Exploring pain management in older people with hip fracture
HipFx Supplemental Cost Analysis
Pain following a fractured neck of femur can be severe; in addition patients often have underlying medical problems. This article examines the problems associated with good pain control for older patients following fractured neck of femur. It introduces a Changing Practice article, due to be published in next week's is...
0
Prevalence of Depressive Symptoms in Patients Requesting Cosmetic Breast Surgery in Midwestern Brazil
Reduction Mammoplasty for Female Breast Hypertrophy
Background: The prevalence of depressive symptoms (DS) before cosmetic breast surgery was analyzed in the public (PbI) and private (PrI) institutions, comparing types of surgery and patients' sociodemographic characteristics. Methods: A cross-sectional, observational, analytical study to evaluate the prevalence of DS i...
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Fractures of the Talus: State of the Art
DoD SSI (Surgical Site Infections)
UNLABELLED: Talus fractures occur rarely but are often associated with complications and functional limitations. Urgent reduction of associated dislocations is recommended with open reduction and internal fixation of displaced fractures when adjacent soft tissue injury permits. Delayed definitive fixation may reduce th...
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Effects of a hospitalist model on elderly patients with hip fracture
Management of Hip Fractures in the Elderly
BACKGROUND: Hospitalists' increased role in perioperative medicine allows for examination of their effects on surgical patients. This study examined the effects of a hospitalist service created to medically manage elderly patients with hip fracture. METHODS: During a 2-year historical cohort study of 466 patients 65 ye...
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Musculoskeletal fitness: the keystone in overall well-being and injury prevention
Glenohumeral Joint OA
Musculoskeletal fitness is an important and inadequately appreciated component of overall health and well-being. Wellness as it applies to strength and conditioning has numerous benefits. It allows maintenance of functional independence for longer periods in older adults. It impacts the metabolic capabilities of childr...
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Lifetime risk of symptomatic carpal tunnel syndrome in Type 1 diabetes
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
AIMS: To determine the lifetime risk of developing symptomatic carpal tunnel syndrome (CTS) in subjects with Type 1 diabetes and to investigate the effect of glycaemic control, body mass index (BMI), gender and age of onset of diabetes. METHODS: One hundred and twenty-two consecutive subjects with Type 1 diabetes seen ...
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Long-term results of radial shortening for Kienbock's disease
Distal Radius Fractures
The long-term evaluation (mean 4.5 years) of radial shortening in 17 patients with Kienbock's disease demonstrated an improvement in pain, but no patients are painfree, and mobility and force are restricted respectively to 69.5% and 72% of the contralateral side. Radiographically, further evolution of the lunatomalacia...
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Tibial osteotomy for osteoarthritis of the knee. A five to ten-year follow-up study
Surgical Management of Osteoarthritis of the Knee CPG
Of the 141 osteoarthritic knees treated by tibial osteotomy at the Kotka Central Hospital from 1969 to 1974, 103 (ninety-two with a varus deformity and eleven with normal alignment) were followed for at least five years, the average follow-up being 6.9 years. In eighty-six knees (83.5 per cent) the result was good or f...
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Does vitamin D deficiency influence the incidence and progression of knee osteoarthritis? â?? A literature review
OAK 3 - Non-arthroplasty tx of OAK
Objectives: Vitamin D has been believed to have a bearing in the pathogenesis of knee osteoarthritis (OA). This study was done to search the literature and review the correlation between vitamin D levels in knee OA in the adult population and the outcome of vitamin D supplementation in knee OA. Methods: An exhaustive s...
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Distal radius correction osteotomy with tricortical bone graft is a successful method in heavy smokers
Hip Fx in the Elderly 2019
Background: Corrective osteotomy is a technically challenging surgical option to improve wrist function in tilted distal radius malunions. However fracture healing in smokers is adversely affected. The aim of this study was to evaluate the clinical and radiological effect of cigarettes on bone union in heavy-smokers wh...
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Short-term results of the M2a-taper metal-on-metal articulation
Management of Hip Fractures in the Elderly
A polyethylene-free, metal-on-metal acetabular system (M2a-taper [Biomet, Inc., Warsaw, IN]) was designed in an effort to improve total hip arthroplasty (THA) longevity. Minimum 2-year follow-up results involving 72 polyethylene liner THAs and 78 metal liner THAs from a multicenter, randomized, controlled, investigatio...
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Varus stress MRI in diagnosis of medial meniscal posterior root tear
AMP (Acute Meniscal Pathology)
Background: Early and accurate diagnosis of medial meniscal posterior root tear (MMPRT) via magnetic resonance imaging (MRI) is crucial to prevent the development of medial meniscus extrusion (MME) and subsequent osteoarthritic changes. The study aims to assess the role of MRI in diagnosing the medial meniscal posterio...
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Identification of men with reduced bone density at the lumbar spine and femoral neck using BMD of the os calcis
Management of Hip Fractures in the Elderly
We assessed the utility of os calcis (OC) bone mineral density (BMD) measurements to identify men with low BMD at the lumbar spine (LS) and femoral neck (FN). BMD was measured by dual X-ray absorptiometry (DXA). Receiver operator characteristics (ROC) analysis was applied to determine the risk of osteoporosis at the lu...
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Effect of Biomagnetic Therapy on Gonarthrosis
OAK 3 - Non-arthroplasty tx of OAK
In order to assess the effectiveness of biomagnetic therapy (PST) in the treatment of gonarthrosis, we conducted a randomized, double blind controlled clinical trial comparing one group of patients treated with PST and a second group of patients treated with conventional physical therapy.
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Essential role of Notch4/STAT3 signaling in epithelial-mesenchymal transition of tamoxifen-resistant human breast cancer
MSTS 2018 - Femur Mets and MM
We previously demonstrated that tamoxifen (TAM)-resistant human breast cancer (TAMR-MCF-7) cells showed increased expression of mesenchymal marker proteins compared to the parent MCF-7 cells. Notch is functionally important in the promotion of epithelial-mesenchymal transition (EMT) during both development and tumor pr...
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Osteoporosis prevalence and fracture characteristics in elderly female patients with fractures
Management of Hip Fractures in the Elderly
Purpose: The aim of this study was to characterize the features of fractures that occur in female patients with osteoporosis in the setting of a typical trauma hospital. Methods: Observational study was conducted on 233 women aged 50 years and above reporting to a trauma center with a fracture. Fracture location, fract...
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Corrigendum to: Predictors of In-Hospital Ambulatory Status Following Low-Energy Hip Fracture Surgery (Geriatric Orthopaedic Surgery & Rehabilitation, (2019), 10, 10.1177/2151459318814825)
Hip Fx in the Elderly 2019
in the above article, one of the authorâ??s name is spelled incorrectly as â??jelle van der listâ?. the correct name of the author is â??jelle p. van der listâ?, this has been corrected in the article and it should be referenced as above.
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Radial osteotomy and Sauve-Kapandji procedure for deformities of the distal radius
Distal Radius Fractures
We treated 12 patients with a posttraumatic or congenital deformity of the distal radius. A radial osteotomy and a Sauve-Kapandji procedure were carried out. In 9 patients the deformity was caused by a malunited fracture; the other 3 patients were referred to us with a Madelung deformity. We performed 6 open wedge oste...
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Ultrasound-guided genicular nerve block for pain control after total knee replacement: Preliminary case series and technical note
AAHKS (9/10) Regional Nerve Blocks
INTRODUCTION: Total knee arthroplasty (TKA) is an operation with moderate to severe postoperative pain. The Fast-Track models employ local infiltration techniques with anaesthetics at high volumes (100-150ml). We proposed a genicular nerve block with low volume of local anaesthetic. The aim of our study is to evaluate ...
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Aredia: the once-monthly infusion for the treatment of bone metastases
MSTS 2018 - Femur Mets and MM
Cancer cells produce a variety of cytokines that stimulate osteoclasts to resorb bone, leading to cancer-mediated destruction of the skeleton. Bisphosphonates, which are deposited on the surface of bone as a response to increased resorption, are potent inhibitors of this osleoclastic resorption. Several studies have su...
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Erratum: Correction to: Intra-articular injections of platelet-rich plasma in symptomatic knee osteoarthritis: a consensus statement from French-speaking experts (Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA (2020))
PRP (Platelet-Rich Plasma)
The article Intra-articular injections of platelet-rich plasma in symptomatic knee osteoarthritis: a consensus statement from French-speaking experts, written by Florent Eymard, Paul Ornetti, Jérémy Maillet, Éric Noel, Philippe Adam, Virginie Legre-Boyer, Thierry Boyer, Fadoua Allali, Vincent Gremeaux, Jean-Francois Ka...
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Treatment of capitellar and trochlear fractures with posterior comminution: minimum 2-year follow-up
Pediatric Supracondylar Humerus Fracture 2020 Review
Hypothesis: This study aimed to evaluate the safety and efficacy of the fixation of Dubberley type B capitellar and trochlear fractures using dorsolateral anatomic plates with support of the distal humerus (DAPSDHs). Methods: Fifteen patients with Dubberley type B capitellar and trochlear fractures (two type 1B, five t...