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Evolution of Body Composition Following Autologous and Allogeneic Hematopoietic Cell Transplantation: Incidence of Sarcopenia and Association with Clinical Outcomes
MSTS 2022 - Metastatic Disease of the Humerus
Sarcopenia, the loss of muscle mass, has been identified as a potential risk factor for adverse outcomes in hematopoietic cell transplantation (HCT) recipients. However, much remains unknown about change in body composition following HCT. We retrospectively evaluated computed tomography (CT) imaging from 315 lymphoma p...
0
Rheumatic manifestations in primary hypothyroidism
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: Primary hypothyroidism is one of the major endocrine diseases involving various organs including the musculoskeletal system leading to increased morbidity. Objective: To observe the different rheumatic manifestations in patients suffering from primary hypothyroidism. Patients and methods: A total of 120 pat...
0
Retroperitoneal dedifferentiated liposarcoma: Analysis of 61 cases from a large institution
MSTS 2022 - Metastatic Disease of the Humerus
Background: To describe the clinical features of retroperitoneal dedifferentiated liposarcoma (RP DDLS) and further evaluate the prognostic factors. Methods: The clinicopathological variables and treatment strategies of 61 RP DDLS patients who underwent surgical resections at a single institution between September 2005...
0
Highly selective electrocoagulation therapy: an innovative treatment for lymphangioma circumscriptum
Reconstruction After Skin Cancer
BACKGROUND: Lymphangioma circumscriptum (LC) is a type of microcystic lymphatic malformation involving the skin and mucosa that presents as translucent vesicles of varying size with a pink, red, or black hue. Lymphangioma circumscriptum causes not only cosmetic problems but also refractory rupture, infection, lymphorrh...
0
Impairment in preattentive processing among patients with hypertension revealed by visual mismatch negativity
Upper Eyelid and Brow Surgery
OBJECTIVE: Patients with hypertension show deficits in cognitive function. However, the neural mechanisms underlying the preattentive information processing in hypertensive patients are poorly understood. We seek to investigate whether hypertensive patients have impairments in preattentive information processing. METHO...
0
Effect of different healing stages on stable isotope ratios in skeletal lesions
DoD SSI (Surgical Site Infections)
INTRODUCTION: Physiological stress is one of the various factors that can have an impact on stable isotope ratios. However, its effect on bone collagen stable isotope ratios is still not fully understood. This study aims to build on previous research on how different disease stages may affect bone collagen stable isoto...
0
Five-year follow-up of cosmetic rhinoplasty
DoD PRF (Psychosocial RF)
The psychological impact of rhinoplasty for aesthetic reasons on psychological well-being is controversial. The aim of the present study is to assess short- and long-term psychological changes in patients who underwent rhinoplasty. Seventy-nine patients, without traumatic lesions, who presented for cosmetic surgery, co...
1
Nylon versus polydioxanone in the correction of rectus diastasis
Panniculectomy & Abdominoplasty CPG
Nylon and polydioxanone are two sutures commonly used to correct rectus diastasis. Polydioxanone, as an absorbable suture, has the advantage of not being palpable in thin patients. Because several forces act against the plication, an absorbable suture would not be efficient in these cases. In this study, two groups of ...
0
Pamidronate increases markers of bone formation in patients with multiple myeloma in plateau phase under interferon-alpha treatment
MSTS 2018 - Femur Mets and MM
Bisphosphonates are potent inhibitors of osteoclastic activity and reduce the disease-related skeletal complications when they are used in combination with chemotherapy in patients with multiple myeloma (MM). Pamidronate also inhibits apoptosis of primary osteoblastic cells and probably induces apoptosis on human MM ce...
0
Steroid-induced osteonecrosis: a review
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Between 1963 and 1980 cortisone-induced osteonecrosis has been seen in 122 patients at the Royal Victoria Hospital, Montreal. Of these, 68 had had renal homotransplants; the others suffered from a variety of conditions. The femoral head was most commonly affected; the humeral head, distal femur, proximal tibia, talus a...
1
Systematic Pan-Cancer Population-Based Analysis Reveals the Incidence and Prognosis of Lung Metastases at Diagnosis
MSTS 2022 - Metastatic Disease of the Humerus
Background: Metastasis is one of the most prevalent causes of death in cancer patients and the lungs are among the organs most commonly affected by metastasis. However, analysis of the incidence and prognosis of lung metastasis (LM) based on primary cancer sites is lacking. Methods: We enrolled cancer patients with LM ...
0
Ultrasound guided continuous lateral sciatic nerve block at the popliteal fossa-look ma, no hands!
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: Performance of ultrasound guided continuous lateral sciatic nerve block at the popliteal fossa can be challenging for a single practitioner. A reusable Clausen head harness used as a transducer-stabilizing device allows the practitioner to perform continuous nerve blocks with minimal assistance. A ...
1
Radiographic and histopathologic analysis of osteolysis after total shoulder arthroplasty
Glenohumeral Joint OA
HYPOTHESIS: This study analyzed clinical, radiographic, and histologic data from failed total shoulder arthroplasties (TSAs) to determine factors associated with osteolysis. MATERIALS AND METHODS: From 1985 to 2005, 52 patients (mean age, 61.6 years) underwent revision TSA at a single institution at a mean of 4.3 years...
0
Adding sodium bicarbonate to lidocaine enhances the depth of epidural blockade
Surgical Management of Osteoarthritis of the Knee CPG
UNLABELLED: It is controversial whether adding CO2 or sodium bicarbonate to local anesthetics enhances the depth of epidural blockade. Repeated electrical stimulation is a reliable test for assessing epidural analgesia and evokes temporal summation. We used this test to investigate the analgesic effect of lidocaine, wi...
0
Proximal Tibiofibular Joint Instability: An Underrecognized Cause of Lateral Knee Pain and Mechanical Symptoms
AMP (Acute Meniscal Pathology)
Instability of the proximal tibiofibular joint is an uncommon and often unrecognized cause of lateral knee pain, mechanical symptoms, and instability. The condition results from one of three etiologies: acute traumatic dislocation, chronic or recurrent dislocations, and atraumatic subluxations. Generalized ligamentous ...
0
Two novel PMP22 point mutations associated with a CMT1 phenotype
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Point mutations in PMP22 gene are frequently associated with DSS but CMT1 phenotypes are also described. Herein, we report clinical, electrophysiological and molecular findings of two families, carrying two novel mutations in the PMP22 gene, with a CMT1 phenotype. The proband of the first family, a 9-year-old boy, show...
0
A cluster of Propionibacterium acnes infection in post neurosurgical patients
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Background: Propionibacterium acnes generally considered a skin commensal has been recognised as a cause of post-operative infection in a number of surgical contexts, and is reported as one of the more common organisms responsible for neurosurgical, and more specifically post-craniotomy infections. We report the invest...
1
Long term results in traumatic dislocation of the hip in children
Developmental Dysplasia of the Hip CPG
The long term results of 14 cases of traumatic dislocation of the hip in children are reviewed. The follow-up period was from 10 to 30 years, which in all but 2 cases involved attaining skeletal maturity. The following observations are recorded. The lesion can be produced by comparatively minor trauma; the prognosis is...
0
A histological analysis of the Müllerectomy: redefining its mechanism in ptosis repair
Upper Eyelid and Brow Surgery
The goals of this study were to determine whether the surgical target amount of Müller's muscle removed is consistent with the histological amount obtained, to assess the clinical outcome of ptosis repair based on these amounts, and to evaluate the role of the levator aponeurosis in the procedure. The Müllerectomy pr...
0
Corpus callosum abnormalities in psychopathic antisocial individuals
Upper Eyelid and Brow Surgery
CONTEXT: Psychopathic antisocial individuals have previously been characterized by abnormal interhemispheric processing and callosal functioning, but there have been no studies on the structural characteristics of the corpus callosum in this group. OBJECTIVES: To assess whether (1) psychopathic individuals with antisoc...
0
Soluble interleukin 2 receptor and tissue polypeptide antigen serum concentrations in end-stage renal failure
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Serum concentrations of soluble interleukin 2 receptor (IL-2R) were measured in 65 hemodialysis patients and compared with serum levels of beta 2-microglobulin and tissue polypeptide antigen (TPA). Elevated IL-2R levels, found in 85% of examined patients, correlated with elevated TPA serum concentrations (p less than 0...
0
Isolated posterior cruciate ligament insufficiency induces morphological changes of anterior cruciate ligament collagen fibrils
DoD LSA (Limb Salvage vs Amputation)
We studied the ultrastructural changes of the human anterior cruciate ligament (ACL) with transmission electron micrograph cross-sections following isolated posterior cruciate ligament (PCL) injury. Biopsy specimens were obtained from the proximal third and anteromedial aspect of the ACL. Fourteen patients with PCL-def...
1
Normalization of bone markers is associated with improved survival in patients with bone metastases from solid tumors and elevated bone resorption receiving zoledronic acid
MSTS 2018 - Femur Mets and MM
BACKGROUND. For patients with bone metastases, high N-telopeptide of type I collagen (NTX) levels correlate with increased risks of skeletal-related events and death. However, the relation between NTX decreases and clinical benefits is unclear. METHODS. Correlations between NTX normalization during treatment and clinic...
1
Risk factors for development of hip disorder among newborn babies in Tesanj region
Developmental Dysplasia of the Hip CPG
INTRODUCTION: Development disorder of the hip is a congenital, dynamic and progressive disease where there is disorder in the development of all elements of hip that is clinically shows as functional disorders. AIM: To determine clinical and statistical arthrosonographic representation of developmental disorders of the...
0
Predictors of psychological distress in survivors of the 1999 earthquakes in Turkey: effects of relocation after the disaster
DoD PRF (Psychosocial RF)
OBJECTIVE: Relocations after disasters are known to cause added distress in survivors. This study examined the effects of migration and other factors on psychological status of survivors 4 years after the two severe earthquakes in Turkey. METHOD: Five hundred and twenty-six adult survivors of the 1999 earthquakes curre...
0
Check the Record: Remote CT Scans for Breast Flap Perforator Mapping
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Perforator mapping with computed tomography angiography (CTA) prior to autologous breast reconstruction reduces donor-site morbidity and operative time, but is costly. The aim of this study was to evaluate whether pre-existing CT scans could be used for dominant perforator identification before autologous r...
1
Biomechanical comparison of component position and hardware failure in the reverse shoulder prosthesis
Glenohumeral Joint OA
There has been renewed interest in reverse shoulder arthroplasty for the treatment of glenohumeral arthritis with concomitant rotator cuff deficiency. Failure of the prosthesis at the glenoid attachment site remains a concern. The purpose of this study was to examine glenoid component stability with regard to the angle...
1
Congenital dislocation of the hip
Developmental Dysplasia of the Hip CPG
Neonatal hip dysplasia remains a difficult condition to diagnose and treat. Early periodic infant hip examination is the primary screening tool, but subtle hip instabilities can go undetected until fixed dislocations are discovered when the child begins to walk. Early nonoperative intervention in the neonatal period is...
1
Sliding hip screw versus IM nail in reverse oblique trochanteric and subtrochanteric fractures. A study of 2716 patients in the Norwegian Hip Fracture Register
Hip Fx in the Elderly 2019
BACKGROUND: Intramedullary nailing is commonly recommended as the treatment of choice for transverse/reverse oblique trochanteric (AO/OTA type A3=intertrochanteric) and subtrochanteric fractures. However, only to a limited extent is this approach supported by superior results in well designed clinical trials, and the s...
0
Compartment Syndrome in Operatively Managed Pediatric Monteggia Fractures and Equivalents
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Acute compartment syndrome (ACS) is not commonly associated with pediatric Monteggia fractures or Monteggia equivalents (MF/ME). The aims of this study were: (1) To document a rate of ACS among children with operatively managed MF/ME, comparing this to the rate of ACS in classically associated Type 3 suprac...
0
Fractures of the distal radius: what are the expectations of therapy? A two-year retrospective study
Distal Radius Fractures
This retrospective study addressed two basic questions important to hand therapists: what are the expectations of therapy vis-a-vis range of motion and strength among patients with distal radius fractures, and do patients treated by different therapists within a center experience substantially similar or dissimilar out...
0
Effect of musculoskeletal disorders on prehension strength
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The purpose of this study was to compare the maximum and job simulated hand grip strength in both healthy workers and those suffering from mild and severe stages of musculoskeletal disorders. Three groups of 10 female industrial workers each were recruited after a detailed screening for musculoskeletal disorders: one g...
1
The primary determinants of radiation use during fixation of proximal femur fractures
Hip Fx in the Elderly 2019
OBJECTIVES: To establish the primary determinants of operative radiation use during fixation of proximal femur fractures. DESIGN: Retrospective cohort study. SETTING: Level I trauma centre. COHORT: 205 patients treated surgically for subtrochanteric and intertrochanteric femoral fractures. MAIN OUTCOME MEASURES: Fluoro...
0
Efficacy and tolerability of tapentadol immediate release and oxycodone HCl immediate release in patients awaiting primary joint replacement surgery for end-stage joint disease: a 10-day, phase III, randomized, double-blind, active- and placebo-controlled study
Management of Hip Fractures in the Elderly
OBJECTIVES: The primary objective of this study was to assess the efficacy and tolerability of tapentadol immediate release (IR) in patients who were candidates for joint replacement surgery due to end-stage joint disease. A secondary objective was to compare tapentadol IR with oxycodone HCl IR with respect to efficacy...
0
Effects of computer mouse design and task on carpal tunnel pressure
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Computer mouse use has become an integral part of office work in the past decade. Intensive mouse use has been associated with increased risk of upper extremity musculoskeletal disorders, including carpal tunnel syndrome. Sustained, elevated fluid pressure in the carpal tunnel may play a role in the pathophysiology of ...
0
Proteases associated with gynecological tumors
MSTS 2018 - Femur Mets and MM
Proteases are involved in the invasion and metastasis of tumours by destruction of the basal membrane and connective tissue. As levels in malignant tissue have both prognostic and therapeutic implications, we examined 318 frozen samples from malignant tumours and comparable non-malignant tissue looking for urokinase pl...
1
A head-to-head comparison of quality of life and aesthetic outcomes following immediate, staged-immediate, and delayed oncoplastic reduction mammaplasty
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Oncoplastic reduction mammaplasty offers patients breast conservation with the added benefit of functional improvement in symptoms related to macromastia. The reduction can be performed in the immediate setting with the lumpectomy, in a staged-immediate fashion after final pathology has been confirmed or in...
0
Management of patellofemoral chondral injuries
PJI DX Updated Search
The approach to treating cartilage defects of the patellofemoral joint hinges on appropriate clinical indications. Multiple surgical treatments can achieve promising clinical results. Factors that affect the outcome of patellofemoral chondral lesions include characteristics specific to the defect as well as general ove...
0
Satisfactory results of Stanmore total hip arthroplasty after failed osteosynthesis of the femoral neck
Management of Hip Fractures in the Elderly
Treatment of fractures of the femoral neck by closed reduction and internal fixation results in a high incidence of complications, and often requires secondary total hip arthroplasty. We retrospectively studied 31 patients who underwent a Stanmore (Howmedica) total hip arthroplasty performed five months (median) after ...
1
Concentric reduction of the dislocated hip. Computed-tomographic evaluation
Developmental Dysplasia of the Hip CPG
Concentric reduction of a dislocated hip can be evaluated by anteroposterior views or linear tomography. Anterior relationships, however, may be difficult to evaluate from a frontal radiograph despite good visibility. Computed tomography (CT), because of its cross-sectional imaging capabilities, is superior in demonstr...
0
Patellofemoral Replacement: The Third Compartment
DoD LSA (Limb Salvage vs Amputation)
Isolated patellofemoral arthritis is not an uncommon problem, with no clear consensus on treatment. Nonoperative and many forms of operative treatment have failed to demonstrate long-term effectiveness in the setting of advanced arthritis. Total knee arthroplasty (TKA) has produced excellent results, but many surgeons ...
0
Changing psychosocial morbidity in people aging with spinal cord injury
DoD PRF (Psychosocial RF)
The article examines how scores on measures of stress, life satisfaction, depression, and psychological well-being relate to perceived quality of life among people with longstanding spinal cord injuries. 189 members of a British population-based study of outcomes after spinal cord injury were evaluated at three-year in...
0
Biofilm in implant infections: its production and regulation
Dental Implant Infection
A significant proportion of medical implants become the focus of a device-related infection, difficult to eradicate because bacteria that cause these infections live in well-developed biofilms. Biofilm is a microbial derived sessile community characterized by cells that are irreversibly attached to a substratum or inte...
0
Minimally invasive technique for reduction and stabilization of radial head and radial neck fractures in children. A description of a modified technique and an overview of the literature
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Integrity of soft tissues plays a major role in the final outcome of fractures of the proximal radius. Numerous minimally invasive operative techniques were developed to avoid additional trauma during surgical procedure. An overview over the literature is given in the present paper. We report a modified technique of Ka...
0
Metal artifact reduction in dental CT images using polar mathematical morphology
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Most dental implant planning systems use a 3D representation of the CT scan of the patient under study as it provides a more intuitive view of the human jaw. The presence of metallic objects in human jaws, such as amalgam or gold fillings, provokes several artifacts like streaking and beam hardening which makes the rec...
0
Very old people can have favorable outcome after hip fracture: 58 patients referred to rehabilitation
Management of Hip Fractures in the Elderly
We examined both impairment and disability of 58 patients who were referred to our rehabilitation center after surgery of hip fracture. The mean age was 86.7 years. The impairment was measured by the Motricity Index (MI) scale and disability by means of the Functional Independence Measure (FIM) scale. At admission, the...
0
Influence of distal radius fractures involving the intermediate column on forearm rotation
Distal Radius Fractures
BACKGROUND: The objective of the study was to compare the radiologic and clinical outcome of patients with distal radius fractures involving the intermediate column and distal radial metaphyseal fractures treated conservatively. METHODS: Two cohorts of 52 matched patients with distal radius fractures treated conservati...
0
Rofecoxib for osteoarthritis
SR for PM on OA of All Extremities
Background: Editor's note: The anti-inflammatory drug rofecoxib (Vioxx) was withdrawn from the market at the end of September 2004 after it was shown that long-term use (greater than 18 months) could increase the risk of heart attack and stroke. Further information is available at www.vioxx.com.Osteoarthritis is a chro...
0
Long-term clinical outcome of open meniscal allograft transplantation
AMP (Acute Meniscal Pathology)
BACKGROUND: Meniscal allograft transplantation is an accepted treatment for the symptomatic postmeniscectomized knee in younger patients; however, long-term data are scarce on clinical outcome. HYPOTHESIS: Cryopreserved meniscal allograft transplantations can, in the long term, be a good alternative for the symptomatic...
0
Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group
HipFx Supplemental Cost Analysis
The criteria required for an effective screening strategy for osteoporosis are largely met in Caucasian women. The disease is common and readily diagnosed by the measurement of bone mineral with single- or dual-energy absorptiometry. Such measurements have high specificity but lower sensitivity, so that the value of th...
0
Medial Discoid Meniscus in Children: A Multicenter Case Series of Clinical Features and Operative Results
AMP (Acute Meniscal Pathology)
BACKGROUND: The discoid medial meniscus is a rare congenital anomaly of the knee. The literature is limited to small case series. PURPOSE/HYPOTHESIS: Our purpose is to report the clinical manifestations and operative treatments of discoid medial menisci in children from multiple centers in North America. We hypothesize...
1
Actinomycotic bacteraemia after dental procedures
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
PURPOSE: To assess role of oral flora in causing bacteraemia following dental manipulations. METHODS: Fifty patients undergoing dental manipulations were assessed to study the incidence and nature of bacteraemia following dental procedures with special emphasis on Actinomyces. RESULTS: Incidence of bacteraemia was seen...
0
Effects of high intensity exhaustive exercise on SOD, MDA, and NO levels in rats with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
The aim of this study was to investigate the impact of high intensity exhaustive exercise on nitric oxide (NO), malondialdehyde (MDA), and superoxide dismutase (SOD) expression in rats with knee osteoarthritis. Sprague Dawley rats were randomly divided into control (N = 5) and model (N = 35) groups; the model group was...
0
Differential diagnosis and pitfalls in electrodiagnostic studies and special tests for diagnosing compressive neuropathies
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The differential diagnosis of compressive neuropathies in the arms includes syndromes involving the nerve roots and brachial plexus, as well as the peripheral nerves. Often these conditions coexist. Nerve conduction velocity studies as well as electromyography have a role along with the clinical evaluation in different...
0
An algorithm for the surgical treatment of periprosthetic fractures of the femur around a well-fixed femoral component
DoD SSI (Surgical Site Infections)
The use of plate-and-cable constructs to treat periprosthetic fractures around a well-fixed femoral component in total hip replacements has been reported to have high rates of failure. Our aim was to evaluate the results of a surgical treatment algorithm to use these lateral constructs reliably in Vancouver type-B1 and...
0
Spondylitis and arthritis in familial mediterranean fever
AAHKS (2) Corticosteroids
Objectives: This study aims to evaluate the clinical features of patients who are diagnosed with familial Mediterranean fever (FMF) and followed due to arthritis/spondylitis findings. Patients and methods: The data of 29 patients (12 males, 17 females; mean age 26.1±11.2 years; range 16 to 51 years) who presented with...
0
Effects of resistance training in older women with knee osteoarthritis and total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: This study sought to analyze the effects of resistance training on functional performance, lower-limb loading distribution and balance in older women with total knee arthroplasty (TKA) and osteoarthritis (OA) in the contralateral knee. In addition, this older knee OA and TKA group (OKG) was compared to olde...
1
Comparison of three techniques for ultrasound-guided femoral nerve catheter insertion: a randomized, blinded trial
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND: Ultrasound guidance for continuous femoral perineural catheters may be supplemented by electrical stimulation through a needle or through a stimulating catheter. The authors tested the primary hypothesis that ultrasound guidance alone is noninferior on both postoperative pain scores and opioid requirement a...
0
The perioperative management of bilateral total knee arthroplasty patients: The results of the consensus conference on bilateral total knee arthroplasty group
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Considerable controversy exists surrounding various aspects of simultaneously performed bilateral total knee arthroplasty (BTKA). Despite the notion that this procedure may be associated with increased risk of complications compared to a unilateral total knee arthroplasty (TKA), no consensus on appropriat...
0
Corneal injuries: Incidence and risk factors in the intensive care unit
DoD PRF (Psychosocial RF)
Patients hospitalized in the Intensive Care Unit (ICU) may present risk for corneal injury due to sedation or coma. This study aimed to estimate the incidence of corneal injuries; to identify the risk factors and to propose a risk prediction model for the development of corneal Injury, in adult patients. In an intensiv...
0
Alcohol-attributable burden of disease and injury in Canada, 2004
DoD PRF (Psychosocial RF)
Objective: This analysis aimed to estimate the burden of disease and injury caused and prevented by alcohol in 2004 for Canadians aged 0â??69 years and compare the effects of different magnitudes of adjustment of survey data on these estimates. Methods: Alcohol indicators were obtained from the Canadian Alcohol and Dru...
0
Correlation between distal radial cortical thickness and bone mineral density
Distal Radius Fractures
PURPOSE: To determine interobserver reliability in measuring the cortical thickness of distal radiuses on posteroanterior radiographs obtained at the time of injury and to determine whether there is a correlation between distal radius cortical thickness and hip and lumbar spine scores on dual-energy x-ray absorptiometr...
0
Mechanical failures after fixation with proximal femoral nail and risk factors
Hip Fx Time to Surgery
Background: This study aims at assessing the clinical results, radiographic findings, and associated complications after osteosynthesis of trochanteric hip fractures with proximal femoral nail (PFN). Methods: A total of 152 patients with hip fractures who underwent osteosynthesis with PFN were included. The hip fractur...
1
Comparison of drain clamp after bilateral total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Suction drains provide an easy and feasible method for controlling hemorrhage after total knee arthroplasty. However, there has been no compromise regarding the optimum clamping time for these drains. We conducted a randomized clinical trial in 50 patients to compare 12-hour drain clamping and continuous drainage after...
0
No effect of creatine monohydrate supplementation on inflammatory and cartilage degradation biomarkers in individuals with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
The study purpose was to evaluate the effectiveness of creatine monohydrate supplementation (20 grams/day for 1 week and then 5 grams/day for 11 weeks) on inflammation (C-reactive protein, interleukin-1beta, interleukin-6, s100 A8/A9, and tumor necrosis factor-alpha) and cartilage degradation (serum cartilage oligomeri...
0
Exploratory mapping of evoked neuromagnetic activity from human peripheral nerve, brachial plexus and spinal cord
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Upon conventional median nerve stimulation at the wrist early magnetic fields were recorded using a SQUID magnetometer. At the upper arm, mono- and biphasic compound nerve action field were detected, depending on the subject's distribution of single fiber conduction velocities. At the upper thorax, brachial plexus fiel...
0
Antifracture drugs consumption in Tuscany Region before the Target Project: a valuable model for the analysis of administrative database
Management of Hip Fractures in the Elderly
OBJECTIVES: As the Target Project of Tuscany Region is aimed to identify significant changes occurring during the time of the project compared to the previous years, we have analyzed antifracture drugs consumption in the years immediately preceding the start-up of the program. METHODS: We have analyzed the regional adm...
0
The patellofemoral pain and osteoarthritis subscale of the KOOS (KOOS-PF): development and validation using the COSMIN checklist
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Patellofemoral pain and osteoarthritis are prevalent and associated with substantial pain and functional impairments. Patient-reported outcome measures (PROMs) are recommended for research and clinical use, but no PROMs are specific for patellofemoral osteoarthritis, and existing PROMs for patellofemoral pa...
0
The relationship between vitamin D and chemotherapy-induced toxicity-a pilot study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: There are anecdotal data that lower levels of vitamin D may be associated with increased levels of toxicity in individuals receiving chemotherapy; we therefore wished to investigate this further. Methods: From a cohort of over 11 000 individuals, we included those who had vitamin D levels (serum 1,25(OH) 2 ...
0
Vascular compression syndromes
DOD - Acute Comp Syndrome CPG
Dealing with vascular compression syndromes is one of the most challenging tasks in Vascular Medicine practice. This heterogeneous group of disorders is characterised by external compression of primarily healthy arteries and/or veins as well as accompanying nerval structures, carrying the risk of subsequent structural ...
0
Triamcinolone hexacetonide in the treatment of therapy-refractory gonitis
OAK 3 - Non-arthroplasty tx of OAK
Thirty�seven patients suffering from sustained gonitis with recurrent hydrops, not satisfactorily controlled by systemic treatment, participated in the study. Twenty�three patients had bilateral and fourteen patients had unilateral gonitis. controls were obtained through the use of the contra�lateral knee joint i...
0
Adherence to American society of health-system pharmacists surgical antibiotic prophylaxis guidelines in a teaching hospital
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECTIVE: Surgical site infections are the second most common type of adverse events occurring in hospitalized patients, whereas an estimated 40-60% of these infections are thought to be preventable. Choice of regimen, administration timing or duration of antibiotic prophylaxis is reported to be inappropriate in appro...
1
5 Points on Meniscal Allograft Transplantation
AMP (Acute Meniscal Pathology)
Meniscus allograft transplantation (MAT) has yielded excellent long-term functional outcomes when performed in properly indicated patients. When evaluating a patient for potential MAT, it is imperative to evaluate past medical history and past surgical procedures. The ideal MAT candidate is a chronologically and physio...
0
Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction
Glenohumeral Joint OA
PURPOSE: The purpose of this study is to report long-term outcomes of the arthroscopic modified Caspari technique compared to an open capsular shift surgery to treat post-traumatic anterior shoulder recurrent instability. The hypothesis was that the open surgery group would show higher degenerative changes than to the ...
0
Administration route-dependent effects of estrogens on IGF-I levels during fixed GH replacement in women with hypopituitarism
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: GH-deficient women using oral estradiol treatment require higher doses of recombinant human GH (rhGH) to achieve similar IGF-I levels when compared with men and women on transdermal estradiol replacement. The aim of this study was to evaluate the effects of oral versus transdermal estrogen administration at ...
0
Ultrasound simulation in the distal radius using clinical high-resolution peripheral-CT images
Distal Radius Fractures
The overall objective of this research is to develop an ultrasonic method for noninvasive assessment of the distal radius. The specific objective of this study was to examine the propagation of ultrasound through the distal radius and determine the relationships between bone mass and architecture and ultrasound paramet...
0
Nanohydroxyapatite promotes the healing process in open-wedge high tibial osteotomy: A CT study
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The aim of this prospective and randomized study was to evaluate the effectiveness of adding nanohydroxyapatite (NHA) to heterologous bone graft in open wedge high tibial osteotomy (OWHTO) by measuring the bone density of the tibial osteotomy gap. METHODS: Twenty-seven patients (26 knees) were operated by O...
0
Comparison of the effects of exercise with chondroitin sulfate on knee osteoarthritis in rabbits
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The aim of the study is to compare the effects of exercise therapy with chondroitin sulfate (CS) therapy in an experimental model of osteoarthritis (OA). METHODS: Twenty-one New Zealand rabbits were randomly divided into four groups: normal group (N group, nâ??=â??3); OA control group (C group, nâ??=â??6); ...
0
Cemented all-polyethylene and metal-backed polyethylene tibial components used for primary total knee arthroplasty: A systematic review of the literature and meta-analysis of randomized controlled trials involving 1798 primary total knee implants
PJI DX Updated Search
Background: The cost of the implant as part of a total knee arthroplasty accounts for a substantial portion of the costs for the overall procedure: all-polyethylene tibial components cost considerably less than cemented metal-backed tibial components. We performed a systematic review of the literature to determine whet...
0
Outcomes of non-tunneled non-cuffed hemodialysis catheters in patients on chronic hemodialysis in a resource limited sub-Saharan Africa setting
PJI DX Updated Search
The aim of the present study was to investigate the adverse outcomes of non-tunneled hemodialysis catheters and determinants in chronic hemodialysis patients receiving care at the Yaounde General Hospital hemodialysis center, Cameroon. This was a prospective study of 11 months duration (February-December 2008) involvin...
0
Dysplasia epiphysealis hemimelica - diagnostics and treatment in pediatric patients
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Dysplasia epiphysealis hemimelica, also known as Trevor-Fairbanks disease, is a rare developmental disorder The objective of this article is to present own observations and experience in treating patients with dysplasia epiphysealis hemimelica. MATERIAL AND METHODS: Six children with dysplasia epiphysealis ...
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The 45 degrees arthroscope: A forgotten scope in knee surgery
AMP (Acute Meniscal Pathology)
The majority of knee arthroscopic procedures are performed with 30degree scope while the 70degree arthroscope is mainly used for surgery of posterior compartments. In the arthroscopic armamentarium, another scope, unknown to many surgeons, is also available: the 45degree arthroscope. His field of view provides a wider ...
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Nerve blocks or no nerve blocks for pain control after elective hip replacement (arthroplasty) surgery in adults
AAHKS (4) Acetaminophen
Background: It is estimated that over 300,000 total hip replacements are performed each year in the USA. For European countries, the number of hip replacement procedures per 100,000 people performed in 2007 varied from less than 50 to over 250. To facilitate postoperative rehabilitation, pain must be adequately treated...
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Preoperative varus alignment and postoperative meniscus extrusion are the main long-term predictive factors of clinical failure of meniscal root repair
AMP (Acute Meniscal Pathology)
PURPOSE: No studies have been conducted to determine long-term predictors of clinical failure after surgical root repair. This study identified long-term prognostic factors of clinical failure after pull-out repair of medial meniscus posterior root tears (MMPRTs) at a minimum of 10 year follow-up. METHODS: A total of 3...
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Experience of excess skin and desire for body contouring surgery in post-bariatric patients
Panniculectomy & Abdominoplasty CPG
BACKGROUND: This study was done to analyze the problems of post-bariatric patients with excess skin and to determine their interest in body contouring surgery. The self-administered Sahlgrenska Excess Skin Questionnaire (SESQ) was used together with a study-specific questionnaire. METHODS: The patients who were operate...
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A Parallel-group Active Comparator, Double-blind, Multicenter, Randomized, Double-blind, Phase III Clinical Study
OAK 3 - Non-arthroplasty tx of OAK
A multicenter, randomized, double�blind, parallel�group, placebo�controlled, and active�drug, 12�week, multicenter clinical study. Participants will be randomized 2: 2: 1 to receive the combination of glucosamine sulfate + meloxicam (experimental group), combination of glucosamine sulfate + chondroitin sulfat...
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The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review
SR for PM on OA of All Extremities
OBJECTIVE: To understand the differences in prevalence and incidence estimates of osteoarthritis (OA), according to case definition, in knee, hip and hand joints. METHOD: A systematic review was carried out in PUBMED and SCOPUS databases comprising the date of publication period from January 1995 to February 2011. We a...
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Antibiotic resistance in neonatal infections
Patrick’s pharmacoepidemiology project
Infections in newborn infants may be devastating, whether they are community acquired or nosocomial. While antibiotic resistance has not substantially increased over the past decade in commonly isolated community-acquired organisms causing early onset sepsis, resistance has become a significant problem in the managemen...
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Intra-articular hyaluronan is without clinical effect in knee osteoarthritis: a multicentre, randomised, placebo-controlled, double-blind study of 337 patients followed for 1 year
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To examine the long�term efficacy and safety of five intra�articular injections with hyaluronan in knee osteoarthritis. METHODS: A multicentre, randomised, placebo�controlled double�blind study of 337 patients fulfilling the American College of Rheumatology (ACR) criteria for knee osteoarthritis (cli...
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Interventional management of abdominal sepsis: when and how
DOD - Acute Comp Syndrome CPG
BACKGROUND: To decide "how and when to treat intra-abdominal infection" is one of the most important challenges for surgeons interested in abdominal sepsis. The minimally invasive approach to intra-abdominal infection, both diagnostic and therapeutic, has gained great popularity in recent years: the cause of infection ...
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Topical diclofenac versus placebo: a double blind, randomized clinical trial in patients with osteoarthritis of the knee
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To assess the efficacy and safety of a topical formulation of 2% diclofenac in lecithin organogel in the treatment of pain associated with mild to moderate osteoarthritis (OA) of the knee. METHODS: Seventy patients completed a double blind, randomized, placebo controlled, parallel group design 2 week clinica...
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Radiographic Predictors of Compartment Syndrome Occurring After Tibial Fracture
DOD - Acute Comp Syndrome CPG
OBJECTIVES: Compartment syndrome (CS) is a potentially devastating injury associated with tibial fractures. Few data exist regarding radiographic indicators of CS. We hypothesized that radiographic signs are associated with development of CS. DESIGN: Retrospective review. SETTING: Level I trauma center. PATIENTS: Conse...
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Percutaneous Ultrasound-Guided Musculoskeletal Applications of Autologous Bone Marrow Aspirate Concentrate: Preliminary Experience from a Single Institution
Hip Fx in the Elderly 2019
Emerging musculoskeletal applications for local administration of autologous bone marrow aspirate concentrate (BMAC) include treatment of fractures, osteonecrosis, osteochondral injuries, osteoarthritis, ligament injury, tendon injury, and tendonopathies. Ultrasound-guided technique for various BMAC injection sites is ...
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Bacterial arthritis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
In this review of the 1990 septic arthritis literature, we revisit synovial fluid leukocytosis, examine the utility of synovial fluid glucose and protein measurements, and look at the levels of two cytokines, tumor necrosis factor and interleukin-1, in infected joint fluids. We see the many faces of gonococcal arthriti...
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Results of treatment of periprosthetic femoral fractures after total hip arthroplasty
Hip Fx in the Elderly 2019
Periprosthetic fractures are the third most common reason for revision total hip arthroplasty. Surgical treatment of periprosthetic fractures belongs to the most difficult procedures due to the extensive surgery, elderly polymorbid patients and the high frequency of other complications. The aim of this study was to eva...
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ISAKOS classification of meniscal tears-illustration on 2D and 3D isotropic spin echo MR imaging
AMP (Acute Meniscal Pathology)
Magnetic Resonance Imaging is modality of choice for the non-invasive evaluation of meniscal tears. Accurate and uniform documentation of meniscal pathology is necessary for optimal multi-disciplinary communication, to guide treatment options and for validation of patient outcomes studies. The increasingly used ISAKOS ...
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Association between hormone therapy and nerve conduction study parameters in postmenopausal women
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective We aimed to analyze the association between hormone therapy (HT) and nerve conduction parameters. Methods This retrospective study consisted of 46 postmenopausal women not receiving HT, and 18 postmenopausal women who received HT. Eligible patients were identified from the hospital's database and the nerve co...
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Uncemented versus cemented total hip arthroplasty for displaced femoral neck fractures in elderly patients with osteoporosis: A retrospective analysis
Hip Fx in the Elderly 2019
OBJECTIVE: This study was performed assess the clinical outcomes of elderly patients with osteoporotic femoral neck fractures (FNFs) (AO/OTA: 31B/C) treated by initial uncemented total hip arthroplasty (UTA) or cemented total hip arthroplasty (CTA). METHODS: This study involved consecutive elderly patients with osteopo...
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The effectiveness of hylan G-F 20 in patients with knee osteoarthritis: an application of two sets of response criteria developed by the OARSI and one set developed by OMERACT-OARSI
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Secondary analyses of a previously conducted 1�year randomized controlled trial were performed to assess the application of responder criteria in patients with knee osteoarthritis (OA) using different sets of responder criteria developed by the Osteoarthritis Research Society International (OARSI) (Proposi...
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Splinting programme for patients with burnt hand
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Splintage is commonly used in conjunction with pressure therapy to tackle the contracted scars, make it supple and thus minimise dysfunction. A static or dynamic splint can provide valuable therapy that goes beyond any treatment session. The patient's active participation in the splint programme can facilitate early re...