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0 | Inferior visual field reductions are associated with poorer functional status among older adults with glaucoma | Upper Eyelid and Brow Surgery | PURPOSE: To examine the relationship between visual impairment and functional status in a community-dwelling sample of older adults with glaucoma. METHODS: This study included 74 community-dwelling older adults with open-angle glaucoma (aged 74 +/- 6 years). Assessment of central vision included high-contrast visual ac... |
1 | Prevention of injuries among male soccer players: a prospective, randomized intervention study targeting players with previous injuries or reduced function | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: This study was conducted to investigate whether the most common injuries in soccer could be prevented, and to determine if a simple questionnaire could identify players at increased risk. HYPOTHESIS: Introduction of targeted exercise programs to male soccer players with a history of previous injury or reduc... |
0 | Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017 | AAHKS (2) Corticosteroids | IMPORTANCE The human and financial costs of treating surgical site infections (SSIs) are increasing. The number of surgical procedures performed in the United States continues to rise, and surgical patients are initially seen with increasingly complex comorbidities. It is estimated that approximately half of SSIs are d... |
0 | Patients with severe radiographic osteoarthritis have a better prognosis in physical functioning after hip and knee replacement: a cohort-study | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: Although Total Hip and Knee Replacements (THR/TKR) improve Health-Related Quality of Life (HRQoL) at the group level, up to 30% of patients are dissatisfied after surgery due to unfulfilled expectations. We aimed to assess whether the pre-operative radiographic severity of osteoarthritis (OA) is related t... |
0 | Design, Manufacturing, and In Vitro Testing of a Patient-Specific Shape-Memory Expander for Nose Reconstruction With Forehead Flap Technique | Acellular Dermal Matrix | Forehead skin is widely acknowledged as a good donor site for total nasal reconstruction, thanks to its matching color, texture, and abundant vascularity. The forehead flap technique uses an axial pattern flap forehead skin to replace missing nasal tissue. To increase the amount of available tissue and reduce the size ... |
1 | Annual Incidence of Knee Symptoms and Four Knee Osteoarthritis Outcomes in the Johnston County Osteoarthritis Project | DoD PRF (Psychosocial RF) | Objective To estimate annual incidence rates (IRs) of knee symptoms and 4 knee osteoarthritis (OA) outcomes (radiographic, symptomatic, severe radiographic, and severe symptomatic), overall and stratified by sociodemographic characteristics and knee OA risk factors. Methods We analyzed baseline (1991-1997) and first fo... |
0 | Intramedullary nailing in fracture treatment: History, science and Küntscher's revolutionary influence in Vienna, Austria | Pediatric Supracondylar Humerus Fracture 2020 Review | Although the first intermedullary fixation technique was already reported in 1886, successfully inter-medullary nailing did not start until November 1939 when Küntscher's revolutionary technique was applied for the first time. Whereas Küntscher initially stated that his "marrow nail" was suitable for almost every fra... |
1 | Common Shoulder Injuries in American Football Athletes | Glenohumeral Joint OA | American football is a collision sport played by athletes at high speeds. Despite the padding and conditioning in these athletes, the shoulder is a vulnerable joint, and injuries to the shoulder girdle are common at all levels of competitive football. Some of the most common injuries in these athletes include anterior ... |
0 | Mini-Subvastus approach for total knee replacement. [German] | Surgical Management of Osteoarthritis of the Knee CPG | Objective: Total knee replacement in minimally invasive technique without any trauma to the extensor apparatus and with soft-tissue-referenced bone resections. Only the subvastus approach preserves the integrity of the extensor apparatus and has therefore been modified to become a minimally invasive technique with a sh... |
0 | Is walking aid height critical? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A study is reported in which 20 healthy subjects performed a non weight-bearing aided gait with elbow crutches. The crutches were adjusted to conventional height and also to heights 2cm and 4cm above and below this setting. Temporospatial and kinetic data were acquired and the results indicated that no significant diff... |
0 | Major complication following minor outpatient procedure: osteonecrosis of the knee after intraarticular injection of cortisone for treatment of knee arthritis | Surgical Management of Osteoarthritis of the Knee CPG | This report describes an 80-year-old woman who underwent intraarticular steroid treatment for her arthritic knee and ended up with avascular necrosis of her medial femoral condyle. This rare complication should alert all clinicians that even minor procedures such as arthrocentesis may result in complications |
0 | A systematic review of randomized controlled trials of pharmacological therapy in osteoarthritis of the knee, with an emphasis on trial methodology | SR for PM on OA of All Extremities | We systematically reviewed randomized controlled trials (RCTs) of pharmacological therapy in knee osteoarthritis (OA), published between 1966 and August 1994. RCTs were identified by MEDLINE, supplemented by a manual search of reference lists. Qualitative assessment of RCTs was performed using Gotzsche's method; design... |
0 | No recurrences in selected patients after curettage with cryotherapy for grade i chondrosarcomas | MSTS 2018 - Femur Mets and MM | Background The low aggressiveness of Grade I chondrosarcomas is compatible with conservative surgical treatment. Questions/purpose We asked whether combined curet- tage and cryotherapy would yield low rates of recurrence and whether supplemental internal fixation would retain function with low rates of complications in... |
0 | Osteosynthesis for old, established non-union of the lateral condyle of the humerus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | In thirty elbows that had an established non-union of a fracture of the lateral humeral condyle that had occurred more than five years before, treatment consisted of one of three operations: anterior transposition of the ulnar nerve (nine patients), corrective osteotomy of the humerus and anterior transposition of the ... |
0 | Malignant tumors occurring after treatment of aplastic anemia. European Bone Marrow Transplantation-Severe Aplastic Anaemia Working Party | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND AND METHODS: Recent studies have shown that long-term survivors of acquired aplastic anemia may be at high risk for malignant diseases. We assessed the risk of cancer after aplastic anemia was treated with immunosuppression or bone marrow transplantation and sought to identify risk factors according to treat... |
0 | PIK3CA and AKT gene polymorphisms in susceptibility to osteosarcoma in a Chinese population | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: To explore the association between PIK3CA and AKT single nucleotide polymorphisms(SNP) and osteosarcoma susceptibility.
METHODS: TaqMan polymerase chain reaction(PCR) was used to detect the genotypes of SNPs (rs7646409, rs6973569 and rs9866361) in peripheral blood samples from 59 patients with osteosarcoma and... |
0 | Laser deepithelialization: an adjunct to reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | A new use is described for the CO2 laser--that of deepithelialization. Deepithelialization is a technique used in a myriad of plastic surgical procedures. This paper introduces the use of the laser for deepithelialization and illustrates its advantages in 44 consecutive patients undergoing reduction mammaplasty. Advant... |
0 | Impact of vitamin D deficiency on the clinical presentation and prognosis of patients with newly diagnosed multiple myeloma | MSTS 2018 - Femur Mets and MM | Vitamin D is a fundamental mediator of skeletal metabolism. It also has important nonskeletal actions. We hypothesized that vitamin D deficiency may play an important role in skeletal morbidity and clinical outcomes in MM. We studied 148 newly diagnosed MM patients from January 1, 2004 through December 31, 2008 who had... |
0 | Efficacy of a natural mineral complex in North American adults with osteoarthritis of the knee: a randomized double-blind placebo-controlled study | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: This study evaluated the efficacy of a hydrothermal mineral complex (HMC) supplement in participants with knee osteoarthritis.
PATIENTS AND METHODS: This was a double-blind, placebo-controlled, 12-week crossover study with 150 participants receiving either placebo or HMC for 4 weeks, with a 4-week washout peri... |
0 | Considerations in the Treatment of Osteoporotic Distal Radius Fractures in Elderly Patients | Distal Radius Fractures | PURPOSE OF REVIEW: With the incidence of distal radius fractures increasing in the elderly population, we sought to summarize the current orthopedic and medical management of these fractures in the elderly osteoporotic population.
RECENT FINDINGS: The number of osteoporotic patients undergoing surgical fixation for dis... |
0 | Multimodal treatment strategy for locally advanced breast cancer | MSTS 2018 - Femur Mets and MM | Between 1990 and 1995, 87 patients with locally advanced breast cancer were treated with initial chemotherapy consisting of 3-4 cycles of epirubicin and then with surgery, radiotherapy and chemotherapy. All patients with positive or unknown estrogen receptor status were administered tamoxifen. A complete response was o... |
0 | The need for caution in the selection and interpretation of measures of function for patients with severe hip and knee problems | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Joint replacement is a common operation, predominantly provided to older adults with osteoarthritis. Reduced function is one of the main indications for joint replacement, and recovery of function one of its main objectives. Adequate assessment of function is critical to help both health care professionals and... |
0 | Urate nephropathy associated with impaired kinetic properties of hypoxanthine phosphoribosyl transferase in a 45-day-old infant | Patrick’s pharmacoepidemiology project | We report a 45-day-old male infant who presented with anuric renal failure and fluid overload due to urate nephropathy consequent upon hyperuricemia with hyperuricosuria. His maternal uncle had undergone renal transplantation for chronic renal failure secondary to uric acid nephrolithiasis. The levels of hypoxanthine p... |
0 | Fibrosarcoma of bone and soft tissues of the trunk and extremities | MSTS 2018 - Femur Mets and MM | Fibrosarcoma of the soft tissues may occur in patients of any age. 60% of all patients are between the ages of 40 and 70 yr. The symptoms are not specific. Most patients complain of a lump, which is usually noted to be enlarging. In the X-ray diagnosis, computerized tomography shows the extent of the lesion accurately.... |
0 | Prediction of hip fracture in elderly women: a prospective study | Management of Hip Fractures in the Elderly | OBJECTIVE: To assess the relative importance of osteoporosis of the os calcis, cognisance, and mobility in the risk of subsequent fracture of the hip in elderly women. DESIGN: Prospective study of elderly women in residential care over two years. SETTING: 21 Private or 38 local authority residential homes for the elder... |
0 | Insufficiency fracture of the proximal fibula and then tibia: a case report | Surgical Management of Osteoarthritis of the Knee CPG | Elderly people with osteoarthritis of the knee and postpartum women are at risk of insufficiency fractures of the proximal fibular or tibia. We report on an 82-year-old woman with valgus osteoarthritis of the knee who developed insufficiency fractures of the right proximal fibula and then the right proximal tibia. She ... |
1 | Poor predictive value of broad-range PCR for the detection of arthroplasty infection in 92 cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: The diagnosis of prosthetic infection remains a challenge, as no test is 100% sensitive and 100% specific. Recent advances in molecular biology have enabled the detection of infection in culture negative cases. PATIENTS AND METHODS: We evaluated the effectiveness of polymerase chain reaction (PCR) in detect... |
0 | Pelvic ring disruption secondary to psoas abscess formation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This report describes pelvic ring disruption in a 34-year-old female, following bilateral psoas abscess formation secondary to multifocal pneumococcal septicaemia of unknown origin. This previously unreported complication of psoas abscess formation was associated with pubic symphysis disruption, sacroiliac joint infect... |
1 | Fasciotomy for Deep Posterior Compartment Syndrome in the Lower Leg: A Prospective Study | DOD - Acute Comp Syndrome CPG | BACKGROUND: Patients with exercise-induced lower leg pain may suffer from deep posterior chronic exertional compartment syndrome (dp-CECS). Current evidence for the efficacy of surgery is based on retrospective studies. Effects of fasciotomy on symptoms associated with dp-CECS have not been systematically studied, and ... |
1 | Comparison of posterior and lateral surgical approach in management of type III supracondylar fractures of the humerus among the children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | OBJECTIVE: To compare the results between posterior and lateral approaches in surgical treatment of the type III supracondylar humeral fractures in children. STUDY DESIGN: Retrospective analytical study. MATERIAL AND METHOD: Two groups of patients who needed surgical treatment of type III supracondylar humeral fracture... |
0 | Cell surface characteristics of microbiological isolates from human percutaneous titanium implants in the head and neck | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Percutaneous implants are commonly associated with several problems, and different failure modes have been described. Infections constitute one serious complication which may lead to the removal of the implant. In contrast to infections around polymer implants, infections around skin-penetrating titanium implants ancho... |
1 | Effectiveness of platelet rich plasma in pain management of osteoarthritis knee: double blind, randomized comparative study | PRP (Platelet-Rich Plasma) | Background: Intra-articular injections of platelet-rich plasma to treat symptoms of knee osteoarthritis have been successfully used in young patients. However in most of these studies the control and test knees were present in different patients thus incorporating a large amount of bias in the results. Therefore, the p... |
0 | New perspective in osteoarthritis: The OPG and RANKL system as a potential therapeutic target? | AAHKS (2) Corticosteroids | Bone remodelling is tightly regulated by a molecular triad composed of OPG/RANK/RANKL. The receptor activator of NF-κB ligand (RANKL) (localized on osteoblasts) enhances osteoclastogenesis via interaction with its receptor RANK (localized on osteoclasts), whereas osteoprotegerin (OPG) (produced by osteoblasts) inhibit... |
1 | Conservative management of displaced paediatric supracondylar fractures: a systematic review | Pediatric Supracondylar Humerus Fracture 2020 Review | In low-income countries, where surgical expertise and resources are limited, displaced supracondylar fractures of the distal humerus are routinely managed with traction or closed reduction and casting. This is in contrast to high-income nations, where percutaneous K-wire fixation forms the mainstay of treatment. The ai... |
1 | Is routine antibiotic prophylaxis cost effective for total joint replacement patients? | Dental Implant Infection | The routine use of amoxicillin antibiotic prophylaxis prior to dental procedures for patients with total joint prostheses in place remains controversial. This analysis shows that the practice may not be cost-effective for patients in whom the risk of infection with dental work is low. However, specific data quantifying... |
0 | Major neurovascular complications of endoscopic carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Endoscopic carpal tunnel release is becoming an increasingly popular method of surgically correcting median nerve compression. Several complications have been suggested as possibilities following the technique; however, to date, there have been only isolated reports of iatrogenic injury to major neurovascular structure... |
0 | Clinical response of hard tissue replacement (HTR) polymer as an implant material in oral surgery patients | Dental Implant Infection | This study evaluated the performance of a synthetic implant material, Hard Tissue Replacement Polymer, for: (1) ease of handling, (2) compatibility with bone and soft tissue, (3) stability of augmentation over time, and (4) development of untoward effects. HTR (a registered trademark of HTR Sciences, a division of Unit... |
0 | Arthroscopic debridement of knee joint arthritis: effect of advancing articular degeneration | AMP (Acute Meniscal Pathology) | To determine the relationship between intraoperative findings and outcome of arthroscopic debridement for degenerative joint disease of the knee, data from 56 arthroscopies were analyzed. At an average follow-up of 49 months (range, 24 months to 63 months), results were good in 38 (68%) and poor in 18 (32%). No statist... |
0 | Study to Determine the Safety and the Efficacy of Fasinumab Compared to Placebo and Nonsteroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Adults With Pain From Osteoarthritis of the Knee or Hip | OAK 3 - Non-arthroplasty tx of OAK | The primary objective of the study is to evaluate the efficacy of fasinumab compared to placebo, when administered for up to 24 weeks in patients with osteoarthritis (OA) of the knee or hip. The secondary objectives of the study are: to evaluate the efficacy of fasinumab compared to nonâ?steroidal antiâ?inflammatory ... |
0 | Comparison of retrograde nailing and minimally invasive plating for treatment of periprosthetic supracondylar femur fractures (OTA 33-A) above total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Retrograde intramedullary (IM) nailing and minimally invasive plate osteosynthesis (MIPO) using locking plate are typically considered the gold standards of treatment for periprosthetic supracondylar femoral fractures above total knee arthroplasty (TKA). Methods: Forty-one consecutive patients treated wit... |
1 | Arthroscopic repair of meniscal tears extending into the avascular zone in patients younger than twenty years of age | AMP (Acute Meniscal Pathology) | BACKGROUND: Limited data are available regarding repair results of meniscal tears extending into the central avascular region.
HYPOTHESIS: Meniscal tears extending into the avascular region can be successfully repaired in patients less than 20 years old.
STUDY DESIGN: Prospective cohort study.
METHODS: We examined the ... |
1 | Tolerability of topical diclofenac sodium 1% gel for osteoarthritis in seniors and patients with comorbidities | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with a dose-related risk of cardiovascular, renal, and gastrointestinal adverse events (AEs). Topical NSAIDs produce lower systemic NSAID exposure compared with oral NSAIDs, offering potential benefits.
OBJECTIVE: To evaluate the safety of topical... |
0 | Roxithromycin as a possible agent for prophylaxis of endocarditis: a study in normal volunteers | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A single dose of roxithromycin, 300 mg, was taken by six healthy male volunteers on three occasions at consecutive weekly intervals. It was well tolerated. On the first two occasions, roxithromycin was assayed in serum samples taken at intervals up to 8 h after the administration. The mean peak concentration at 1 h was... |
1 | Forearm compartment syndrome in the newborn: report of 24 cases | DOD - Acute Comp Syndrome CPG | PURPOSE: Isolated cases of ischemia, compartment syndrome, or Volkmann's ischemic contracture in the forearm of the newborn infant have been reported in the past. The purpose of this study is to review a large series of patients with neonatal forearm compartment syndrome and to report the important clinical features.
M... |
0 | Predictors of mortality following primary hip and knee replacement in the aged | Surgical Management of Osteoarthritis of the Knee CPG | Background and purpose High age is associated with increased postoperative mortality, but the factors that predict mortality in older hip and knee replacement recipients are not known. Methods Preoperative clinical and operative data on 1,998 primary total hip and knee replacements performed for osteoarthritis in patie... |
0 | Locoregional therapies of liver metastases in a rat CC531 coloncarcinoma model results in increased resistance to tumour rechallenge | MSTS 2018 - Femur Mets and MM | Background: Locoregional treatments like photodynamic therapy (PDT), radiofrequency ablation (RFA) or hepatic artery infusion (HAI) of chemotherapeutics may be applied for unresectable colorectal liver metastases. We evaluated the effect of these treatments on the immune response in a rat colon tumour liver metastases ... |
1 | Severity of Carpal tunnel syndrome assessed with high frequency ultrasonography | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although nerve conduction study (NCS) is the method most frequently used in daily clinical practice to confirm clinical diagnosis of Carpal tunnel syndrome (CTS), ultrasonographic (US) measurement of the median nerve cross-sectional area is both sensitive and specific for the diagnosis of CTS. Moreover, an algorithm ev... |
0 | Posterolateral Corner Knee Injuries: Review of Anatomy and Clinical Evaluation | AMP (Acute Meniscal Pathology) | The structures in the posterolateral corner of the knee, which stabilize the joint, are often involved in injuries to the posterior cruciate ligament. Familiar structures include the anterior cruciate ligament, posterior cruciate ligament, tibial collateral ligament, and menisci. Less familiar are the structures of the... |
0 | Comparison of survival and cost-effectiveness between unicondylar arthroplasty and total knee arthroplasty in patients with primary osteoarthritis: a follow-up study of 50,493 knee replacements from the Finnish Arthroplasty Register | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND PURPOSE: Both unicondylar arthroplasty (UKA) and total knee arthroplasty (TKA) are commonly used for the treatment of unicompartmental osteoarthritis (OA) of the knee. The long-term survivorship and cost-effectiveness of these two treatments have seldom been compared on a nationwide level, however. We th... |
0 | The Influence of Medical Insurance on Patient Access to Orthopaedic Surgery Sports Medicine Appointments Under the Affordable Care Act | AMP (Acute Meniscal Pathology) | BACKGROUND: The goal of the Patient Protection and Affordable Care Act (PPACA) was to expand patient access to health care. Since the rollout of the PPACA, Medicaid patients have demonstrated difficulty obtaining appointments in some specialty care settings.
PURPOSE: To assess the effect of insurance type (Medicaid and... |
0 | Patella resurfacing in total knee replacement: functional evaluation and complications | Surgical Management of Osteoarthritis of the Knee CPG | Three different knee replacements, with three trochlear designs, were prospectively evaluated clinically and radiographically for patellar function and presence of patellar complications. They included the Insall-Burstein (IB) I and the IB-II (posterior cruciate ligament substituting) and the Meniscal Bearing Knee (MBK... |
0 | Combined Sections Meeting of the American Physical Therapy Association 2014 | Distal Radius Fractures | The proceedings contain 6 papers. The topics discussed include: the influence of age and gender on normative range of motion values of the carpometacarpal joint of the thumb; can baseline pain predict the risk of chronic pain in patients with distal radius fracture?; scapular muscle performance in patients with lateral... |
1 | Sliding hip screw versus intramedullary nail for trochanteric hip fractures; a randomised trial of 1000 patients with presentation of results related to fracture stability | Hip Fx in the Elderly 2019 | AIMS: To determine the optimum choice of implant for a patient with a the different types of trochanteric hip fracture.
PATIENTS AND METHODS: 1000 patients with a trochanteric hip fracture were randomised to internal fixation of the fracture with either a Sliding Hip Screw or an intramedullary nail. Fractures were subd... |
0 | Upper gastrointestinal bleeding after hip and knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The use of nonsteroidal anti-inflammatory drugs (NSAIDs) and anticoagulants increases the risk of upper gastrointestinal bleeding. This article assesses its incidence in patients undergoing hip and knee arthroplasty. A single-center, retrospective study was conducted on 100 consecutive hip and 100 consecutive knee arth... |
0 | Ventilator associated pneumonia and infection control | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Ventilator associated pneumonia (VAP) is the leading cause of morbidity and mortality in intensive care units. The incidence of VAP varies from 7% to 70% in different studies and the mortality rates are 20-75% according to the study population. Aspiration of colonized pathogenic microorganisms on the oropharynx and gas... |
0 | Conical, radiographic, and patient-reported results of surface replacing proximal interphalangeal joint arthroplasty of the hand | Glenohumeral Joint OA | The purpose of this study was to evaluate the one-year clinical, radiologic and patient-reported results of surface-replacing proximal interphalangeal joint arthroplasty (SR-PIP) of the hand. Fifteen patients with 18 joints underwent the procedure, and nine patients with 11 joints had follow-up of at least one year's d... |
0 | Sinus graft with safescraper: 5-year results | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Purpose In the procedure of sinus floor elevation, autogenous bone, allogenic grafts, and several other bone substitutes are used. However, autogenous bone is still considered the gold standard. Donor sites for autogenous bone are generally the iliac crest, oral cavity, calvarium bone, and tibia. In this work the exper... |
0 | The injured runner | DOD - Acute Comp Syndrome CPG | Running is often recommended by physicians to maintain a healthy lifestyle. As more individuals participate in running-related activities, clinicians must be increasingly aware of common injuries. Training errors leading to overuse are the most common underlying factors in most running-related injuries. Clinicians need... |
0 | Lyme borreliosis in Portugal caused by Borrelia lusitaniae? Clinical report on the first patient with a positive skin isolate | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Borrelia lusitaniae was isolated from an Ixodes ricinus tick in Portugal in 1993 for the first time. Further, this borrelia genospecies has been found in ixodid ticks collected around the coasts of southern Portugal and North Africa. Its reservoir has not been defined yet. B. lusitaniae was isolated once un... |
0 | Leukocyte-poor PRP application for the treatment of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: the aim of this study was to describe the clinical results obtained after intra-articular injection of a leukocyte-poor platelet-rich plasma (PRP) preparation for the treatment of knee osteoarthritis (OA).
METHODS: forty-five patients (mean age: 59 years, mean BMI: 27) were included and treated with a cycle of... |
0 | Perioperative considerations of bilateral total knee replacement: a review | Surgical Management of Osteoarthritis of the Knee CPG | Bilateral total knee replacement is becoming one of the more commonly performed orthopedic procedures for patients with advanced arthritis of both knees. The surgeon may decide to operate on both knees simultaneously, sequentially, or in a staged manner. The safety of this procedure is still debated due to wide variati... |
0 | Ultrastructure of normal and torn menisci of the human knee joint | AMP (Acute Meniscal Pathology) | Normal human menisci obtained at autopsy (seven cases) and the injured and uninjured portions of torn menisci obtained at surgery (nine cases) were studied with the electron microscope. The surface of menisci is composed of collagen fibrils surmounted by an electron-dense surface coat. Most of the cells in menisci are ... |
0 | Fractures of the medial column of the distal humerus in adults | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | PURPOSE: Medial column fractures of the distal humerus are uncommon in adults. Among 26 patients identified in the English language literature, only 2 had articular fragmentation. We reviewed the experience of 2 trauma centers with isolated medial column fractures to evaluate our impression that these fractures often i... |
0 | Serum matrix metalloproteinase-3 in hemodialysis patients with dialysis-related amyloidosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Matrix metalloproteinase-3 (MMP-3) has been linked to osteoarticular destruction in rheumatic arthritis. To investigate the role of MMP-3 in dialysis-related amyloidosis (DRA), we determined serum MMP-3 in long-term hemodialysis (HD) patients with and without clinical manifestations of DRA. Methods: Thirty-... |
0 | Clinical Outcomes After Revision Meniscus Repair | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To (1) report outcomes for patients who underwent revision meniscal repair and (2) define both clinical and surgical risk factors for recurrent failure.
METHODS: The records of all patients who underwent revision meniscal repair between 1997 and 2012 were retrospectively reviewed. Surgical technique of primary... |
0 | Clinical and Radiographic Outcomes After Fixation of Chondral Fragments of the Knee in 6 Adolescents Using Autologous Bone Pegs | Osteochondritis Dissecans 2020 Review | BACKGROUND: Little is known regarding the optimal treatment for displaced, purely chondral fragments in the knee. PURPOSE: To report the clinical and radiographic outcomes of chondral fragment fixation in adolescents through use of autologous bone pegs. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This ret... |
1 | Preventing future fractures: effectiveness of an orthogeriatric fracture liaison service compared to an outpatient fracture liaison service and the standard management in patients with hip fracture | Hip Fx in the Elderly 2019 | An observational study was carried out in two hospitals in patients > 65 years admitted for hip fracture. At 6 months, 15% of patients in the hospital with orthogeriatric standard care and 75% in the hospital with fracture liaison service were receiving bisphosphonates.
PURPOSE: Many patients with fractures are dischar... |
0 | Above-versus Below-elbow Casting for Conservative Treatment of Distal Radius Fractures | Distal Radius Fractures | To determine the best method of immobilization ( below elbow versus above elbow splint) in patients with distal radius fractures at the end of 6 months of followâ?up: â? Type of study: Prospective, randomized and controlled trial. â? Patient recruitment: Adults attended in emergency room with closed acute displaced ... |
1 | Chronic wrist pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Chronic wrist pain is among the most difficult diagnostic and therapeutic challenges faced by hand surgeons. The causes are often elusive, of long duration, and not uncovered easily by routine diagnostic methods. This article outlines a systematic evaluation of the patient with chronic wrist pain to determine which of ... |
1 | Combined single-stage osseous and soft tissue reconstruction of the tibia with the Ilizarov method and tissue transfer | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To determine the outcome of single-stage soft tissue and osseous reconstruction using the Ilizarov method and soft-tissue transfer. DESIGN: A retrospective review. SETTING: : A university-affiliated, tertiary-care center. PATIENTS/INTERVENTION: We identified 11 patients from a retrospective review from Janua... |
0 | Failure of a properly positioned tantalum rod for treatment of early femoral head necrosis and conversion to total hip arthroplasty | PJI DX Updated Search | Background: Conventional core decompression (CD) is a well-known procedure for treatment of avascular necrosis of the femoral head. Weight bearing is usually restricted in the early postoperative weeks to avoid the risk of fracture. Theoretically, a properly positioned implantation of the new tantalum rod after reaming... |
0 | Medial Meniscus Posterior Root Tear: How Far Have We Come and What Remains? | AMP (Acute Meniscal Pathology) | Medial meniscus posterior root tears (MMRTs), defined as tears or avulsions that occur within 1 cm of the tibial attachment of the medial meniscus posterior root, lead to biomechanically detrimental knee conditions by creating a functionally meniscal-deficient status. Given their biomechanical significance, MMRTs have ... |
1 | Evaluation of the scratch collapse test for the diagnosis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This prospective study measured and compared the diagnostic performance characteristics of various clinical signs and physical examination manoeuvres for carpal tunnel syndrome (CTS), including the scratch collapse test. Eighty-eight adult patients that were prescribed electrophysiological testing to diagnose CTS were ... |
0 | Total knee arthroplasty using a pie-crusting technique for valgus deformity | Surgical Management of Osteoarthritis of the Knee CPG | Valgus deformity correction with total knee arthroplasty is challenging. We hypothesized selective release of the tight lateral structures (pie-crusting technique), and of the lateral retinaculum in case of patellar maltracking, would obtain and maintain correction of the frontal plane deformity, restore patellar track... |
1 | How to Choose Platelet-Rich Plasma or Hyaluronic Acid for the Treatment of Knee Osteoarthritis in Overweight or Obese Patients: A Meta-Analysis | OAK 3 - Non-arthroplasty tx of OAK | Objective. The purpose of this meta-analysis was to determine whether platelet-rich plasma (PRP) was better than hyaluronic acid (HA) for the treatment of knee osteoarthritis (OA) in overweight or obese patients. Design. Two reviewers independently used the keywords combined with free words to search English-based elec... |
0 | Innovative therapy of cutaneous T-Cell lymphoma: Beyond psoralen and ultraviolet light and nitrogen mustard | Reconstruction After Skin Cancer | Cutaneous T-cell lymphoma is a malignancy of skin-homing T cells. This unique population of lymphocytes requires alternative therapies to those used in nodal lymphomas. Although phototherapy and nitrogen mustard have been standard treatments for decades, newer therapies have been arriving with increased frequency. More... |
1 | Critical path analysis for the management of fractured neck of femur | DoD SSI (Surgical Site Infections) | The aim of this study was to determine the effect of a critical path analysis, used as a management tool, on the efficiency of clinical service delivery for patients with a fractured neck of femur. It is a before-and-after study of the medical records of all patients admitted between October 1992 and October 1993 with ... |
1 | Long-term outcome of arthroscopic massive rotator cuff repair: The importance of double-row fixation | Optimizing the Management of Full-Thickness Rotator Cuff Tears | Purpose: The purpose of this study was to (1) evaluate the long-term functional outcome of arthroscopic rotator cuff repair of massive rotator cuff tears (RCTs) and (2) compare double-row (DR) and single-row (SR) repairs. Methods: This was a retrospective review of massive RCTs treated with an arthroscopic rotator cuff... |
0 | Clinical significance of meniscal damage on knee MRI | AMP (Acute Meniscal Pathology) | In AFP Journal Club, three presenters review an interesting journal article in a conversational manner. These articles involve "hot topics" that affect family physicians or "bust" commonly held medical myths. The presenters give their opinions about the clinical value of the individual study discussed. The opinions ref... |
0 | Long Term Results of Epiphyseal Transplant in Distal Radius Reconstruction in Children | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Replacement of osseous defect, restoration of joint function, and restoration of longitudinal growth are the 3 main reconstructive issues that need to be addressed when the physis and epiphysis are damaged in a skeletally immature individual. Failure in achieving these objectives leads to severe deformity a... |
0 | Reconstruction of knee extensor with patellar tendon autograft following intraoperative radiotherapy | Pediatric Diaphyseal Femur Fractures 2020 Review | Background: Patellar tendon autograft after intraoperative extracorporeal radiotherapy has been used for reconstruction of the extensor mechanism following limb-sparing wide tumor resection around the knee. The purpose of this study was to determine the clinical outcome of this reconstruction technique. Methods: We ret... |
0 | Increased fatalities and cost of traumatic injuries in elderly pedestrians in Hawaii: A challenge for prevention and outreach | DoD PRF (Psychosocial RF) | This study was carried out to evaluate and quantify risk factors, mechanisms, and cost of traumatic injuries in Hawaiiâ??s elderly and to identify potential preventive strategies. A retrospective review of a prospective database of patients admitted to the only Trauma Center in the Pacific Basin, between January 2000 a... |
0 | Mobility after proximal femoral fracture: the relevance of leg extensor power, postural sway and other factors | Management of Hip Fractures in the Elderly | We studied 40 previously healthy women (median age 83 years 90% central range 77-90) 1 week after surgical fixation of their proximal femoral fracture to establish the significance of leg extensor power, postural sway, age, pre-injury mobility and fracture type in recovery of walking and stair-climbing ability. Subject... |
0 | Autologous chondrocyte implantation for osteochondral lesions in the knee using a bilayer collagen membrane and bone graft: a two- to eight-year follow-up study | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Matrix-induced autologous chondrocyte implantation (MACI) is an established technique used to treat osteochondral lesions in the knee. For larger osteochondral lesions (> 5 cm(2)) deeper than approximately 8 mm we have combined the use of two MACI membranes with impaction grafting of the subchondral bone. We report our... |
1 | Routine use of locking shaft screws is not necessary in volar plate fixation of distal radius fractures | Distal Radius Fractures | HYPOTHESIS: Volar locking plate fixation is a common treatment method for distal radius fractures. Recently, implants have been designed with an option to use locking screws in the shaft portion of the plate. While there is a high incidence of low bone mineral density in patients who sustain fragility fractures of the ... |
0 | Early ankle movement versus immobilization in the postoperative management of ankle fracture in adults: a systematic review and meta-analysis | DoD SSI (Surgical Site Infections) | STUDY DESIGN: Systematic review and meta-analysis.
OBJECTIVES: To compare early ankle movement versus ankle immobilization after surgery for ankle fracture on clinical and patient-reported outcomes.
BACKGROUND: A significant proportion of patients undergoing surgery for ankle fracture experience postoperative complicat... |
0 | Bone Tissue Engineering in a Perfusion Bioreactor Using Dexamethasone-Loaded Peptide Hydrogel | AAHKS (2) Corticosteroids | The main goal of this study was the formation of bone tissue using dexamethasone (DEX)-loaded [COCH3]-RADARADARADARADA-[CONH2] (RADA 16-I) scaffold that has the ability to release optimal DEX concentration under perfusion force. Bone-marrow samples were collected from three patients during a hip arthroplasty. Human mes... |
0 | Bone mineral density predicts osteoporotic fractures in elderly men: The | Management of Hip Fractures in the Elderly | Osteoporosis in men is becoming a public health problem in developed countries. Fracture incidence increases with age, and the number of fractures increases because of the ageing of the population. We assessed the predictive value of bone mineral density (BMD) for osteoporotic fractures evaluated prospectively in a lar... |
0 | Traditional abdominoplasty | Panniculectomy & Abdominoplasty CPG | The introduction of liposuction in the 1980s permanently altered the landscape of body contour surgery. The abdomen became a 'group' of contour procedures that were referred to as the abdominolipoplasty system of classification and treatment (Types I-IV). This article describes a full (Type IV) abdominoplasty with or w... |
0 | Should we use ceramic-on-ceramic coupling with large head in total hip arthroplasty done for displaced femoral neck fracture? | Hip Fx in the Elderly 2019 | Intracapsular femoral neck fractures are very common orthopedic injuries; total hip arthroplasty has been demonstrated to be an optimal option, but one of the major concerns remains the fact that it may dislocate. The aim of this study is to retrospectively review patients with a displaced intracapsular femoral neck fr... |
0 | The anterior cruciate ligament in knee arthroplasty. A risk-factor with unconstrained meniscal prostheses | AMP (Acute Meniscal Pathology) | Three hundred one unconstrained meniscal arthroplasties were observed for as long as nine years, during which time 25 (8.3%) failed. Risk factors were sought by comparing the distributions of several preoperative variables in the group that failed with the group that was successful. Age, weight, the magnitude or direct... |
0 | Anomalies of the adolescent breast | Reduction Mammoplasty for Female Breast Hypertrophy | Abstract: The purpose of this review is to familiarize physicians who provide medical care to the young with knowledge about breast anomalies that present during childhood and adolescence. The scope includes congenital and developmental abnormalities, including breast masses. Both diagnosis and management are addressed... |
0 | The determinants of mortality and morbidity during the year following fracture of the hip: a prospective study | Hip Fx in the Elderly 2019 | Several studies have reported the rate of post-operative mortality after the surgical treatment of a fracture of the hip, but few data are available regarding the delayed morbidity. In this prospective study, we identified 568 patients who underwent surgery for a fracture of the hip and who were followed for one year. ... |
0 | Potential clinical implication of (18) F-FDG PET/CT in diagnosis of periprosthetic infection and its comparison with (18) F-Fluoride PET/CT | PJI DX Updated Search | INTRODUCTION: The differentiation between septic and aseptic loosening of prosthetic hip joint is a major challenge for the clinician. This study assessed and compared the diagnostic accuracy of (18) F- flouro-deoxyglucose positron emission tomography/computed tomography ((18) F-FDG PET/CT) with (18) F-fluoride PET/CT ... |
1 | Risk factors for progressive cartilage loss in the knee: a longitudinal magnetic resonance imaging study in forty-three patients | AMP (Acute Meniscal Pathology) | OBJECTIVE: To evaluate the rate of progression of cartilage loss in the knee joint using magnetic resonance imaging (MRI) and to evaluate potential risk factors for more rapid cartilage loss.
METHODS: We evaluated baseline and followup MRIs of the knees in 43 patients (minimum time interval of 1 year, mean 1.8 years, r... |
0 | Updated strategies to treat acute arterial complications associated with total knee and hip arthroplasty | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Traditional treatment of acute arterial complications associated with total knee arthroplasty (TKA) and total hip arthroplasty (THA) has generally included arteriography followed by open surgery. The purpose of this study was to describe our evolution from open surgery to preferential endovascular treatment ... |
0 | The INDUS knee prosthesis - Prospective multicentric trial of a posteriorly stabilized high-flex design: 2 years follow-up | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The anatomical and morphological differences and high-flexion daily activities in the Asian population have since ever prompted for development of customized knee replacement systems. INDUS knee system has advantages both of high-flex designs and is developed by keeping the anatomical variations of the nati... |
0 | Review of insomnia pharmacotherapy options for the elderly: Implications for managed care | Management of Hip Fractures in the Elderly | The prevalence of insomnia in the elderly is significant. If left untreated or inappropriately treated, insomnia may contribute to increased health care resource use. Therefore, better identification and management of insomnia is required for this patient population. The etiology and magnitude of insomnia due to change... |
0 | What are the risks of prophylactic pinning to prevent contralateral slipped capital femoral epiphysis? | PJI DX Updated Search | BACKGROUND: Two decision analyses on managing the contralateral, unaffected hip after unilateral slipped capital femoral epiphysis (SCFE) have failed to yield consistent recommendations. Missing from both, however, are sufficient data on the risks associated with prophylactic pinning using modern surgical techniques. Q... |
0 | Polymorphisms in the estrogen receptor genes are associated with hip fractures in Chinese | Management of Hip Fractures in the Elderly | INTRODUCTION: Hip fractures (HF) are a major cause of public health burden with strong genetic determination. However, the true causal genes remain largely unknown. MATERIALS AND METHODS: Based on the important biological role of estrogens in bone homeostasis, this study aimed to investigate whether the estrogen recept... |
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