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0 | Persistent ankle pain following a sprain: a review of imaging | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The initial diagnosis of an "ankle sprain" is not always correct. Prolonged pain, swelling and disability sufficient to limit the activity and refractory to treatment following an ankle injury are not typical of an ankle sprain and should alert the clinician of the possibility of an alternative or an associated diagnos... |
1 | Contemporary demographics and complications of patients treated for open ankle fractures | DoD SSI (Surgical Site Infections) | Open ankle fractures are rare injuries with a high likelihood of wound complications and subsequent infections. There is limited information about the complications and outcomes of these injuries in different age groups. The aim of this study was to assess the contemporary demographics and complications related to this... |
0 | Cancer diagnostic rates during the 2020 'lockdown', due to COVID-19 pandemic, compared with the 2018-2019: an audit study from cellular pathology | Coronavirus Disease 2019 (COVID-19) | AIMS: We performed an audit to evaluate the impact of the COVID-19 pandemic-related delay in the diagnosis of major cancers at a Pathology Unit of a Secondary Care Hospital Network in Italy. METHODS: A comparison was made among the number of first cellular pathological diagnoses of malignancy made from the 11th to the ... |
1 | Geometrical analysis results of 42 resurfacing shoulder prostheses: A CT scan study | Glenohumeral Joint OA | BACKGROUND: Shoulder resurfacing arthroplasty was introduced in Scandinavia in the early 1980s then developed by SA Copeland.
HYPOTHESIS: Resurfacing prostheses restore the normal anatomy of the proximal humerus. Here, our objective was to evaluate humeral resurfacing prosthesis position on radiographs and computed tom... |
1 | Hip spica versus Rush pins for management of femoral diaphyseal fractures in children | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: Femoral fractures are common in children between 2 and 12 years of age and 75% of the lesions affect the femoral shaft. Traction followed by a plaster cast is universally accepted as conservative treatment. We compared primary hip spica with closed reduction and fixation with retrogradely passed crossed Rus... |
0 | Risk analysis for a radio-carpal joint replacement | Distal Radius Fractures | Risk analysis is required by the medical device directives to provide evidence that manufacturers have eliminated or reduced risks as far as possible so that a medical device does not compromise the safety of patients or health workers. This paper presents a risk analysis for the Swanson wrist implant, which is made fr... |
0 | Ultrasound guided supra-inguinal Fascia Iliaca Compartment Blocks in hip fracture patients: An alternative technique | Hip Fx in the Elderly 2019 | INTRODUCTION: In the Emergency Department, regional anesthesia is increasingly used in elderly patients with hip fractures. An example is a Fascia Iliaca Compartment Block (FICB). Traditionally, this block is administered below the inguinal ligament. There is no Emergency Department data regarding effectivity of an alt... |
0 | Quality of life among adults following body contouring surgery after bariatric surgery: A systematic review protocol | Panniculectomy & Abdominoplasty CPG | Review question/objective: How does body contouring surgery following bariatric surgery influence quality of life among adults? |
0 | Bone Mineral Density in Patients with Addison Disease on Replacement Therapy with Prednisolone | AAHKS (2) Corticosteroids | OBJECTIVE: In primary adrenal insufficiency (PAI), replacement with prednisolone may result in lower bone mineral density (BMD) compared with hydrocortisone therapy. However, the number of patients studied on prednisolone is small and the results are conflicting. We conducted a cross-sectional study to determine BMD an... |
0 | "It's there and I'm stuck with it": patients' experiences of chronic pain following total knee replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To gain insight into patients' experiences of adjustment to chronic pain following recovery from total knee replacement (TKR) surgery. METHODS: Participants were purposively sampled and comprised 28 individuals, 18 women and 10 men, ages 57-87 years, who had undergone a TKR between 2 and 5 years previously. ... |
0 | Non-neurological surgery results in a neurochemical stress response | AAHKS (8) Anesthetic Infiltration | There is a paucity of studies assessing changes in measures of human neurotransmission during stressful events, such as surgery. Thirty-five patients without any neurological disorders undergoing knee replacements with spinal bupivacaine anaesthesia and propofol sedation had cerebrospinal fluid (CSF) drawn from a spina... |
0 | Axillary Artery Dissection and Thrombosis after Closed Proximal Humerus Fracture - a Rare Interdisciplinary Challenge | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Proximal humerus fractures account for 4â??-â??6% of all fractures and are a common result of low-energy trauma in the elderly. Concomitant neurovascular injury of the neighboring axillary artery and brachial plexus is a rarity, but has enormous impact on therapy, rehabilitation and prognosis. Diagnosis of ... |
1 | Comparison between two methods of drain clamping after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: To study the clinical outcome of two methods of drain clamping after total knee arthroplasty and to determine the effect on blood loss and blood transfusion. Patients and methods: A prospective study involving 73 patients, randomized into two groups. Group 1 included patients in whom the drain was clamped... |
0 | Cementless total hip arthroplasty using the spongiosa-I fully coated cancellous metal surface: A minimum twenty-year follow-up | PJI DX Updated Search | Background: We present the results of cementless total hip arthroplasty performed with use of an anatomically adapted femoral stem and hemispherical cup with a fully coated Spongiosa-I metal surface, which was designed to achieve a surface similar to human cancellous bone. The purpose of the present retrospective case ... |
0 | Outpatient minimally invasive total hip arthroplasty via a modified Watson-Jones approach: technique and results | PJI DX Updated Search | A variety of minimally invasive approaches to hip surgery in combination with multimodal anesthesia techniques and rapid rehabilitation can facilitate early discharge after total hip arthroplasty (THA). Hip replacement can be performed as outpatient surgery using the surgical technique of THA through a modified abducto... |
1 | Loss and psychosocial factors as determinants of quality of life in a cohort of earthquake survivors | DoD PRF (Psychosocial RF) | BACKGROUND: Despite the existing evidence of a long lasting effect of disaster related experiences on physical and psychological health, few studies have evaluated long-term quality of life (QOL) outcomes of disaster survivors and the factors associated with such outcomes.
METHODS: 23 years after the 1988 Spitak earthq... |
0 | Age influences recovery after carpal tunnel syndrome surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Question: To determine if parameters of conductive studies are significantly affected by age. Methods: This retrospective study included 258 hands of patients with idiopathic carpal tunnel syndrome subjected to surgical treatment according to the open carpal tunnel release method. We compared differences in distal moto... |
0 | Modified anteromedial and anterolateral elbow arthroscopy portals show superiority to standard portals in guiding arthroscopic radial head screw fixation | Distal Radius Fractures | PURPOSE: Arthroscopic fixation of radial head radial head fractures is an appealing alternative to open reduction and internal fixation, which presents the advantage of minimal surgical trauma. The aim of this study was to evaluate if modifications to the standard anteromedial (AM) and anterolateral (AL) portals could ... |
0 | Cartilage Regeneration in Full-Thickness Patellar Chondral Defects Treated with Particulated Juvenile Articular Allograft Cartilage: An MRI Analysis | Osteochondritis Dissecans 2020 Review | Background Full-thickness cartilage lesions of the patella represent a common source of pain and dysfunction. Previously reported surgical treatment options include marrow stimulation, cell-based treatments, and osteochondral transfer. Minced juvenile allograft cartilage is a novel treatment option that allows for a si... |
0 | Interleukin-7 levels in synovial fluid increase with age and MMP-1 levels decrease with progression of osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Background and purpose Little is known about biochemical mediators that correlate with the initiation and progression of knee osteoarthritis (OA). We therefore valuated the roles of cytokines and metalloenzymes in knee OA in relation to OA grading, age, and BMI. Patients and methods A multiplex |
0 | MR Imaging of Acute Knee Injuries: Systematic Evaluation and Reporting | Osteochondritis Dissecans 2020 Review | Acute knee injury ranges among the most common joint injuries in professional and recreational athletes. Radiographs can detect joint effusion, fractures, deformities, and malalignment; however, MR imaging is most accurate for radiographically occult fractures, chondral injury, and soft tissue injuries. Using a structu... |
0 | Distal radius fractures: therapy practice patterns | Distal Radius Fractures | Identifying practice patterns for therapy interventions following distal radius fractures (DRFs) is necessary to define the most frequently used examination and intervention techniques. The purpose of this study was to identify preferred practice patterns and physical and functional outcome measures used during DRF man... |
0 | Origin and distribution of thalamic somatosensory evoked potentials in humans | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The distribution and generator sources of somatosensory evoked potentials (SEPs) in the thalamus and subthalamic area were studied, using a 'semi-microelectrode' during stereotaxic surgery on 34 patients with involuntary movements or intractable pain. Electrical stimulation was given to the median nerve at the wrist. T... |
0 | Can single-stop carpal tunnel syndrome assessment clinics reduce waiting time to surgery? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | At the one-stop carpal tunnel syndrome clinic, patients undergo neurophysiological studies followed by clinical assessment by the orthopaedic consultant on the same day. Patients with paraesthesia or numbness in the median nerve distribution for greater than three months duration without a history of a previous soft ti... |
0 | Single-incision laparo-thoracoscopic minimally invasive oesophagectomy to treat oesophageal cancerdagger | Reconstruction After Skin Cancer | OBJECTIVES: Single-incision thoracoscopic and laparoscopic procedures have been applied in treating various diseases. However, it is unknown whether such procedures are feasible in treating oesophageal cancer. METHODS: Minimally invasive oesophagectomy (MIO) with a single-incision approach in the thoracoscopic and lapa... |
0 | Cause of infection in proximal tibial endoprosthetic reconstructions | PJI DX Updated Search | INTRODUCTION: The underlying cause of proximal tibial prosthetic failure by infection is unclear. We asked: (1) Is resection amount related to prosthetic infection? (2) What other risk factors are related with infection? (3) What are the survivorship and functional outcomes of proximal tibial endoprosthetic reconstruct... |
0 | Orthobiologic Interventions Using Ultrasound Guidance | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | The application of regenerative therapies for the treatment of musculoskeletal conditions has emerged over the last decade with recent acceleration. These include prolotherapy, platelet-rich plasma, and mesenchymal stem cell therapy. These strategies augment the body's innate physiology to heal pathologic processes. Th... |
0 | Inappropriate prescribing as a predictor for long-term mortality after hip fracture | Hip Fx in the Elderly 2019 | Background: Hip fracture patients are at a higher risk for death compared to age-matched controls. While the reasons for this increased mortality risk are incompletely understood, medical comorbidities and associated medication prescribing likely play an important role in patient outcomes. Altered drug metabolism, poly... |
1 | Acute traumatic compartment syndrome: A systematic review of results of fasciotomy | DoD LSA (Limb Salvage vs Amputation) | Issues around diagnosis and treatment of acute compartment syndrome were investigated through a systematic review that examined results of 55 reports of fasciotomy published over four decades and reporting on 1920 fasciotomies. Most were reported since 2000. Injuries below the elbow and knee accounted for at least 75% ... |
0 | Increased prevalence of lower extremity soft tissue injuries and surgeries in patients with anorexia nervosa and bulimia nervosa | AMP (Acute Meniscal Pathology) | PURPOSE: An abundance of literature exists linking eating disorders and fracture risk. However, no studies, to our knowledge, have investigated the impact of eating disorders on lower extremity soft tissue injury or surgery risk. The purpose of this study was to determine if anorexia nervosa and bulimia nervosa are ass... |
0 | Arthroscopic treatment and mid-term results of suprapatellar plica syndrome: a single-center experience of 14 cases | AMP (Acute Meniscal Pathology) | Objectives: Synovial plicae syndrome (SPS) are encountered as a mesenchymal tissue remnant during the process of embryological development, and divide the knee joint into three separate compartments. Of these, the suprapatellar plica may be affected by a syndrome that manifests with anterior knee pain, a clicking sound... |
0 | The occurrence of early impaired self-awareness after traumatic brain injury and its relationship with emotional distress and psychosocial functioning | DoD PRF (Psychosocial RF) | OBJECTIVE: To describe the occurrence of impaired self-awareness (ISA) after traumatic brain injury (TBI) and its association with emotional distress and psychosocial functioning following discharge.
DESIGN: Prospective cohort design with data collection at discharge and 1-, 3- and 6-month follow-up.
PARTICIPANTS: 81 a... |
0 | Sensitivity of the Nipple-Areola Complex and Sexual Function Following Reduction Mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The sensitivity of the nipple-areola complex (NAC) is very relevant to female sexuality. OBJECTIVE: To evaluate NAC sensitivity and sexual function after breast reduction, and to assess whether altered NAC sensitivity is related to sexual dysfunction. METHODS: The study included 80 patients, who were alloca... |
0 | A clinical trial of glycosaminoglycan-peptide complex ('Rumalon') in patients with osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | A clinical trial was undertaken in 50 patients with osteoarthritis of the knee to assess the therapeutic value of glycosaminoglycanâ?peptide complex in treatment. The first year consisted of a randomized, doubleâ?blind, placeboâ?controlled, parallelâ?group trial (25 patients in each group), after which all patients... |
0 | CT Arthrography | AMP (Acute Meniscal Pathology) | Although MR arthrography is considered to be the gold standard in joint imaging, CTA performed on modern multidetector CT scanners can be a very useful clinical tool. When the joint surfaces and intra-articular structures are in question, CTA is indicated for patients who have MR-incompatible implants or metal in or ne... |
0 | Carpal tunnel syndrome and hyperthyroidism. A prospective study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We carried out a prospective study to determine the frequency and evolution of carpal tunnel syndrome (CTS) in patients with hyperthyroidism. An initial survey revealed CTS in 5% of these patients when hyperthyroidism was diagnosed. During the clinical and neurophysiologic follow-up for a two-year period, four more pat... |
0 | Poor prosthesis survival and function after component exchange of total ankle prostheses | OAK 3 - Non-arthroplasty tx of OAK | Background and purpose-In failed total ankle replacements (TARs), fusion is often the procedure of preference; the outcome after exchanging prosthetic components is debated. We analyzed prosthetic survival, self-reported function, and patient satisfaction after component exchange.Patients and methods-We identified pati... |
0 | Liposculpture and lipofilling of the gluteal-trochanteric region: Anatomical analysis and technique | Panniculectomy & Abdominoplasty CPG | The harmony of the lower limbs basically depends on the gluteal-trochanteric region. The authors intend to analyze the space geometry of the gluteal-trochanteric region, and describe the technique of liposculpture and lipofilling of this area. 4917 patients were treated since 1983. 3416 patients performed only liposcul... |
0 | Intense Focused Ultrasound Stimulation of the Rotator Cuff: Evaluation of the Source of Pain in Rotator Cuff Tears and Tendinopathy | Glenohumeral Joint OA | The objective of this preliminary study was to evaluate the ability of individual 0.1-s long pulses of intense focused ultrasound (iFU) emitted with a carrier frequency of 2 MHz to evoke diagnostic sensations when applied to patients whose shoulders have rotator cuff tears or tendinopathy. Patients were adults with pai... |
0 | Clopidogrel has no effect on mortality from hip fracture | DoD SSI (Surgical Site Infections) | Over 76,000 patients in the UK sustain a proximal femoral fracture. Clopidogrel is currently the world's second best selling drug. There has been much recent controversy surrounding the optimal time for surgical intervention in this medically challenging group of patients. This consecutive series of 1225 patients from ... |
0 | Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis: Short-term Effect | Glenohumeral Joint OA | BACKGROUND: Conservative treatment for carpometacarpal (CMC) joint osteoarthritis (OA) may include orthotic fabrication to decrease pain. Different types of orthoses have been used as conservative interventions to improve symptoms, but there are no guidelines specifying if inclusion of the thumb metacarpophalangeal (MC... |
0 | Oncologists' communication about end of life: the relationship among secondary traumatic stress, compassion satisfaction, and approach and avoidance communication | DoD PRF (Psychosocial RF) | BACKGROUND: Oncologists must communicate effectively with patients and their families about end of life (EOL). Despite the importance of communicating on this topic, many oncologists avoid these conversations. The objective of this study was to examine the associations between secondary traumatic stress and compassion ... |
0 | Functional outcome following excision of a tumour and reconstruction of the distal radius | Distal Radius Fractures | We retrospectively studied the functional and oncological results of 15 patients after reconstruction of the distal radius with osteoarticular allograft or non-vascularised fibular graft following wide excision of an aggressive benign or malignant tumour. Eight patients underwent osteoarticular allograft and seven pati... |
0 | (iii) Patient selection and consent | AAHKS (4) Acetaminophen | Appropriate patient selection and consent for a total hip replacement or hip resurfacing is a serious undertaking and one that should not be taken lightly. From the patients' first presentation, we cover the common pitfalls that can be encountered in the patients' history and examination as well as specific indications... |
0 | Measurement of soft tissue imbalance in total knee arthroplasty using electronic instrumentation | Surgical Management of Osteoarthritis of the Knee CPG | The existence of soft tissue contractures in arthritis and the presence of soft tissue imbalance at the time of a total knee arthroplasty causing deformity in the coronal plane has been debated extensively. This discussion was based on the use of instrumentation which tensed the medial and lateral soft tissues in an un... |
0 | Liposuction for chronic lymphoedema of the upper limb: 5 years of experience | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Lymphoedema of the upper limb is a well-recognised complication of axillary surgery for breast cancer. Effective long-term treatment of lymphoedema by liposuction has previously been demonstrated. In this study we present our first five years of experience using this technique in treatment of upper limb lym... |
0 | Acute Vascular Injury Associated with Fracture of the Distal Radius: A Report of 6 Cases | Distal Radius Fractures | Objectives: To highlight the potential for vascular injury with fracture of the distal radius. Design: Retrospective case series. Setting: The practices of several orthopaedic hand surgeons. Patients/Participants: Six patients with arterial injury as a consequence of fracture of the distal radius: 2 partial lacerations... |
1 | Incidental atypical proliferative lesions in reduction mammoplasty specimens: analysis of 2498 cases from 2 tertiary women's health centers | Reduction Mammoplasty for Female Breast Hypertrophy | Atypical proliferative lesions (APLs) are occasionally found in breast reduction specimens. The aim of the study was to investigate the prevalence of APL in reduction mammoplasty specimens from patients who were treated mainly for macromastia. A retrospective medical record review of pathology records on patients who u... |
1 | Methods for evaluating effects of unloader knee braces on joint health: a review | OAK 3 - Non-arthroplasty tx of OAK | The paper aims to provide a state-of-the-art review of methods for evaluating the effectiveness and effect of unloader knee braces on the knee joint and discuss their limitations and future directions. Unloader braces are prescribed as a non-pharmacological conservative treatment option for patients with medial knee os... |
0 | Using Path Analysis to Evaluate the Healthcare Empowerment Model Among Persons Living with HIV for Antiretroviral Therapy Adherence | DoD PRF (Psychosocial RF) | Healthcare empowerment (HCE) is patient controlled and includes the process and state of being engaged, informed, collaborative, committed, and tolerant of uncertainty. Understanding psychosocial factors that impact HCE for persons living with HIV is critical for their treatment and care. A sample of 1494 male and fema... |
0 | The FOCUS Family Resilience Program: An Innovative Family Intervention for Trauma and Loss | DoD PRF (Psychosocial RF) | This article describes the core principles and components of the FOCUS Program, a brief intervention for families contending with single or multiple trauma or loss events. It has been administered nationally to thousands of military family members since 2008 and has been implemented in a wide range of civilian communit... |
0 | The effect of long-term, non-suppressive levothyroxine treatment on quantitative ultrasonometry of bone in women | Management of Hip Fractures in the Elderly | Objective: To evaluate the impact of long-term, non- suppressive levothyroxine (L-T(4)) treatment on quantitative ultrasonometry in women. Design: This was a case-control study. Subjects and methods: Altogether 667 women (mean age (plus or minus) S.D., 49.5 (plus or minus) 13.1 years) were studied. Of these, 156 (23%) ... |
1 | Bone turnover markers as predictors of skeketal complications in prostate cancer, lung cancer, and other solid tumors | MSTS 2018 - Femur Mets and MM | Background: Whether bone markers have prognostic value in patients with bone metastases is unknown. We investigated this question in patients with bone metastases; secondary to prostate cancer and to non-small-cell lung cancer (NSCLC) and other solid tumors assigned to the placebo arms of two phase III trials of zoledr... |
0 | Predicting in-hospital mortality after hip fracture in elderly patients | Management of Hip Fractures in the Elderly | Ninety-seven patients aged 88 +/- 4 years (range, 80-97 years) (study group), and 74 aged 75 +/- 3 years (range, 70-79 years) (control group), were prospectively studied to investigate whether basic medical variables can predict in-hospital mortality in very old patients undergoing hip surgery because of femoral fractu... |
1 | Functional outcome of femoral versus obturator nerve block after total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | UNLABELLED: Patients undergoing total knee arthroplasty often experience substantial postoperative pain, which may delay functional recovery and hospital discharge. We recently reported the short-term analgesic efficacy of a single-injection femoral nerve block after spinal anesthesia in total knee arthroplasty. We hav... |
0 | Regulation of TNFalpha and IL1beta in rheumatoid arthritis synovial fibroblasts by leukotriene B4 | Surgical Management of Osteoarthritis of the Knee CPG | Arachidonic acid metabolites, such as leukotriene B4 (LTB4), are known to play an important role in pathogenesis of rheumatoid arthritis (RA). Apart from leukocytes, RA synovial fibroblasts (RASF) produce a broad array of inflammatory mediators to recruit, retain and activate immune cells and resident mesenchymal cells... |
1 | Comparison of minimally invasive percutaneous plate osteosynthesis with open reduction and internal fixation for treatment of extra-articular distal tibia fractures | DoD SSI (Surgical Site Infections) | Introduction: Minimally invasive percutaneous plate osteosynthesis (MIPPO) has become a widely accepted technique to treat distal tibia fractures. However, it remains unclear whether this strategy of biological osteosynthesis with a bridge plate is superior to that of absolute stability with traditional open reduction ... |
1 | Meniscus Allograft Transplantation Augmented With Autologous Bone Marrow Aspirate Concentrate | AMP (Acute Meniscal Pathology) | Meniscus allograft transplantation (MAT) has been shown to be a feasible surgical option for younger patients, below 50 years of age who have meniscal insufficiency and have failed conservative treatment measures. In this technical note, we describe a procedure of harvesting and injecting bone marrow aspirate concentra... |
1 | Effects of Bariatric Surgery on Depression: Role of Body Image | Panniculectomy & Abdominoplasty CPG | BACKGROUND: It has been suggested that psychosocial functioning improves after bariatric surgery, but the mechanism of this effect remains unclear. We propose that body image mediates the association between %EWL and improvement in depressive symptoms. MATERIALS AND METHODS: To investigate this hypothesis, we conducted... |
0 | Characterization of clinical course and usual care patterns in female metastatic breast cancer patients treated with zoledronic acid | MSTS 2018 - Femur Mets and MM | PURPOSE: To describe usual care received by women with bony metastatic breast cancer (ICD-9: 174.xx and 198.5) treated in a United States specialty cancer hospital, an Electronic Medical Record (EMR)-based retrospective review identified 111 deceased female breast cancer patients >=18 years of age treated with zoledron... |
0 | A multidisciplinary protocol for planned skin-preserving delayed breast reconstruction for patients with locally advanced breast cancer requiring postmastectomy radiation therapy: 3-year follow-up | Reconstruction After Skin Cancer | The authors examined the safety of a protocol for planned skin-preserving delayed breast reconstruction after postmastectomy radiotherapy with placement of a tissue expander for patients with locally advanced breast cancer (stages IIB and III). The authors compared 47 patients treated according to the protocol between ... |
0 | The Effect of Increased Neutrophil Lymphocyte Ratio on Mortality in Patients Operated on Due to Hip Fracture | Hip Fx in the Elderly 2019 | Introduction In this study, we aimed to examine the effect of neutrophil-lymphocyte ratio (NLR) on mortality and morbidity in elderly patients over the age of 65 who presented to our clinic and were operated on due to hip fracture. Methods The study included patients over the age of 65 who were operated on in our hospi... |
1 | Wrist and palm indexes in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | According to median sensory latency >/= 3.7 ms (wrist-index finger [WIF], 14 cm), median/ulnar sensory latency difference to ring finger >/= 0.5 ms (14 cm) or median midpalm (8 cm) latency >/= 2.3 ms (all peak-measured), 141 Brazilian symptomatic patients (238 hands) have CTS confirmation. Wrist ratio (depth divided by... |
0 | Ten years of renal transplantation in a Moroccan hospital: Results and constraints | Reconstruction After Skin Cancer | Introduction: Renal transplantation (RT) offers several advantages to end-stage renal disease (ESRD) patients, such as a better quality of life and economic benefits. This study sought to report a 10-year experience of RT in a developing country as well as the barriers to its improvement. Patients and Methods: The retr... |
1 | A populationâ?쳌based, incidence cohort study of midâ?쳌back pain after traffic collisions: Factors associated with global recovery | DoD PRF (Psychosocial RF) | Background: Traffic collisions often result in a wide range of symptoms included in the umbrella term whiplashâ?associated disorders. Midâ?back pain (MBP) is one of these symptoms. The incidence and prognosis of different traffic injuries and their related conditions (e.g. neck pain, low back pain, depression or othe... |
0 | Vitamin D, calcium & bone-what's the latest? | Management of Hip Fractures in the Elderly | It is important to determine the optimal intake of calcium and vitamin D to minimize risk of falls and fractures. These events in the elderly lead to loss of independence, nursing home admissions, increased mortality, and they have growing influence on health care costs. In older men and women, higher 25-hydroxyvitamin... |
0 | Liberal or restrictive transfusion in high-risk patients after hip surgery | DoD SSI (Surgical Site Infections) | BACKGROUND: The hemoglobin threshold at which postoperative red-cell transfusion is warranted is controversial. We conducted a randomized trial to determine whether a higher threshold for blood transfusion would improve recovery in patients who had undergone surgery for hip fracture.
METHODS: We enrolled 2016 patients ... |
1 | Evaluation of results from reduction mammaplasty: relief of symptoms and patient satisfaction | Reduction Mammoplasty for Female Breast Hypertrophy | Reduction mammoplasty is one of the most common operations performed in plastic surgery clinics. Although patients present with functional symptoms, the aim of treatment usually is obtaining aesthetic satisfaction. This retrospective study evaluated charts and operation notes of patients and a self-assessment questionn... |
0 | Strategy of radiation therapy for bone metastases and MSCC in breast cancer patients | MSTS 2022 - Metastatic Disease of the Humerus | Bone metastasis is a common event in advanced cancers such as prostate, breast, lung, and renal cancers. Radiation therapy has been widely used for bone metastasis. However, it remains a challenging therapy because no radiation therapeutic guidelines, including radiation dose, radiation field, and fractionation, for pa... |
0 | Fast track care for pertrochanteric hip fractures: How does it impact length of stay and complications? | Hip Fx in the Elderly 2019 | Introduction: The medical and economic impact of treating pertrochanteric hip fractures is growing. We hypothesized that fast track surgery of pertrochanteric fractures would reduce the length of stay (LOS) without compromising the quality of care. Materials and methods: This was a prospective, observational, single-ce... |
1 | Safe and tolerable one-hour pamidronate infusion for multiple myeloma patients | MSTS 2018 - Femur Mets and MM | BACKGROUND: Once a month, patients with multiple myeloma received an infusion of bisphosphonates, principally to reduce osteoclastic bone resorption. Recommended infusion time for pamidronate is 2 hours in the US and 4 hours in Europe because of its potential nephrotoxicity. From 2003, a 90 mg infusion of pamidronate w... |
0 | Neuromuscular rehabilitation and electrodiagnosis. 1. Mononeuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This self-directed learning module highlights mononeuropathies. It is part of the chapter on neuromuscular rehabilitation and electrodiagnosis in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on diagnostic criteri... |
0 | Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully in cancer patients who suffer from post-treatment limb lymphedema. The purpose of our study was to review the outcomes of head and... |
1 | Opioid use for noncancer pain and risk of fracture in adults: a nested case-control study using the general practice research database | Hip Fx in the Elderly 2019 | Opioid use has been reported to be associated with increased fracture risks. In a nested case-control study using the United Kingdom-based General Practice Research Database, we tested the hypotheses that fracture risk was associated with 1) an elevated risk of falls caused by the acute central nervous system effects o... |
0 | Liver metastasis of cancer facilitated by chemokine receptor CCR6 | MSTS 2018 - Femur Mets and MM | When injected subcutaneously, mouse plasmacytoma (MOPC315) grew rapidly in situ, and metastatic cells became detectable first in the lymph nodes (LNs) and bone marrow, and later in the liver and lungs. We studied MOPC315 cell migration by tracking metastatic cells labelled with green fluorescent protein (GFP). We measu... |
0 | Natural history of malignant bone disease in hepatocellular carcinoma: Final results of a multicenter bone metastasis survey | MSTS 2018 - Femur Mets and MM | Background: Bone is an uncommon site of metastasis in patients with advanced hepatocellular carcinoma (HCC). Therefore, there are few studies concerning the natural history of bone metastasis in patients with HCC. Patients and Methods: Data on clinicopathology, survival, skeletal-related events (SREs), and bone-directe... |
0 | Extension gap needs more than 1-mm laxity after implantation to avoid post-operative flexion contracture in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: In total knee arthroplasty (TKA), a high soft-tissue tension in extension at the time of operation would cause a post-operative flexion contracture. However, how tight the extension gap should be during surgery to avoid a post-operative flexion contracture remains unclear. The hypothesis is that some laxity in... |
0 | Differences in outcome between Maori and Caucasian patients undergoing total joint arthroplasty for osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To compare differences in outcome between Maori and Caucasian patients undergoing total joint arthroplasty for osteoarthritis. METHODS: 45 men and 45 women aged 43 to 87 years who underwent total hip (n=54) or total knee (n=36) arthroplasties by a single surgeon and were followed up for at least one year were ... |
0 | Double-blind, randomized and parallel comparison between droxicam and diclofenac sodium in patients with coxarthrosis and gonarthrosis | Management of Hip Fractures in the Elderly | This double-blind clinical trial compares droxicam, a new non-steroidal anti-inflammatory agent and the reference compound diclofenac sodium. After a 7 day placebo run-in period, 80 patients with gonarthrosis and coxarthrosis were randomized to receive 20mg/day of droxicam and 150mg/day of diclofenac for 6 weeks. Evalu... |
1 | Antibiotic prophylaxis for orthopedic prostheses and GI procedures: report of a survey | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To determine the practice recommendations of Program Directors of infectious disease training programs with regard to infection prophylaxis for patients with prosthetic orthopedic devices who undergo gastrointestinal procedures. METHODS: We surveyed Program Directors of infectious disease training programs t... |
1 | A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Endoscopic carpal tunnel release with a single portal technique has been shown to reduce sick leave compared to open carpal tunnel release, claiming to be a less invasive procedure and reducing scar tenderness leading to a more rapid return to work, and the purpose of this study was to identify prognostic f... |
1 | The clinical outcome of revision knee replacement after unicompartmental knee arthroplasty versus primary total knee arthroplasty: 8-17 years follow-up study of 49 patients | Surgical Management of Osteoarthritis of the Knee CPG | When unicompartmental knee arthroplasty (UKA) failure occurs, a revision procedure to total knee arthroplasty (TKA) is often necessary. We compared the long-term results of this procedure to primary TKA and evaluated whether they are clinically comparable. Twenty-one patients underwent UKA conversion to TKA between 199... |
0 | Early deflections of cerebral magnetic responses to median nerve stimulation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We have recorded early components of somatosensory evoked magnetic fields with a sensitive 7-channel first-order gradiometer using a wide recording passband (0.05-2000 Hz) and high sampling frequency (8000 Hz). The left median nerve was stimulated at the wrist and responses were recorded over the right hemisphere. The ... |
0 | The outcome of Austin-Moore hemiarthroplasty for fracture of the femoral neck | Management of Hip Fractures in the Elderly | One hundred and fifty-four consecutive patients who sustained a fracture of the femoral neck and were treated with an Austin-Moore hemiarthroplasty were followed up longitudinally for 10 years, or until revision of the prosthesis, or death of the patient. Clinical assessments were performed at 1, 3, 5, and 10 years aft... |
0 | Distal radius fracturesâ??Design of locking mechanism in plate system and recent surgical procedures | Distal Radius Fractures | Recently, many studies have emphasized the importance of the comprehension of detailed functional anatomy of the distal forearm and wrist joint, and their biomechanics. A significant contribution which yields good functional outcomes of surgical treatment was the development of the locking plate technology; this techno... |
0 | Impact of postdischarge surveillance on the rate of surgical site infection after orthopedic surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE. To evaluate the impact of postdischarge surveillance on surgical site infection (SSI) rates after orthopedic surgery. SETTING. Nine hospitals participating in the Finnish Hospital Infection Program |
0 | Failure of internal fixation of displaced femoral neck fractures in rheumatoid patients | Management of Hip Fractures in the Elderly | We reviewed the records and radiographs from 10 hospitals to identify 50 patients with rheumatoid arthritis (RA) who had sustained 52 femoral neck fractures. Most patients were female (88%), elderly (mean age 66 years) and had had severe polyarticular disease for a mean duration of 16 years. Over half had taken systemi... |
0 | Fast-track hip and knee arthroplasty: clinical and organizational aspects | AAHKS (8) Anesthetic Infiltration | Fast-track hip and knee arthroplasty aims at giving the patients the best available treatment at all times, being a dynamic entity. Fast-track combines evidence-based, clinical features with organizational optimization including a revision of traditions resulting in a streamlined pathway from admission till discharge -... |
0 | Infectious risks for oral implants: a review of the literature | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The use of oral implants in the rehabilitation of partially and fully edentulous patients is widely accepted even though failures do occur. The chance for implants to integrate can for example be jeopardised by the intra-oral presence of bacteria and concomitant inflammatory reactions. The longevity of osseointegrated ... |
0 | Central corneal thickness in primary angle closure and open angle glaucoma | Upper Eyelid and Brow Surgery | PURPOSE: To quantitatively analyze central corneal thickness (CCT) in patients with primary angle closure glaucoma (PACG) and primary open-angle glaucoma (POAG), and to evaluate its correlation with severity of glaucoma. METHODS: In this retrospective study, records of patients with previously diagnosed POAG or PACG at... |
0 | Musculo-skeletal loading conditions at the hip during walking and stair climbing | Management of Hip Fractures in the Elderly | Musculo-skeletal loading plays an important role in the primary stability of joint replacements and in the biological processes involved in fracture healing. However, current knowledge of musculo-skeletal loading is still limited. In the past, a number of musculo-skeletal models have been developed to estimate loading ... |
1 | Tests, surgical masks, hospital beds, and ventilators: add big data to the list of tools to fight the coronavirus that are in short supply | Coronavirus Disease 2019 (COVID-19) | Big data could help identify potential clues about the immediate (and future) impact of coronavirus disease 2019, but it is in short supply. |
0 | Comparison of porous-coated titanium femoral stems with and without hydroxyapatite coating | Management of Hip Fractures in the Elderly | BACKGROUND: The purpose of this prospective, randomized study was to evaluate the clinical and radiographic results associated with proximally porous-coated titanium stems that were identical in geometry but differed with regard to proximal surface treatment (with or without hydroxyapatite coating).METHODS: A prospecti... |
0 | Outcome of unicompartmental knee arthroplasty in octogenarians with tricompartmental osteoarthritis: A longer followup of previously published report | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Unicompartmental knee arthroplasty (UKA) has specific indications, producing excellent results. It, however, has a limited lifespan and needs eventual conversion to total knee arthroplasty (TKA). It is, therefore, a temporizing procedure in select active young patients with advanced unicompartmental osteoar... |
0 | Oxford medial unicompartmental arthroplasty for focal spontaneous osteonecrosis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Spontaneous osteonecrosis of the knee (SONK) is a distinct clinical condition occurring in patients without any associated risk factors. There is controversy as to the best method of treatment, and the available literature would suggest that patients with SONK have a worse outcome than those with primary os... |
0 | The value and limitation of gadopentetate-enhanced magnetic resonance imaging in detecting the condition of anterior cruciate ligament in rheumatoid knee: comparative study with histology | Surgical Management of Osteoarthritis of the Knee CPG | The aim of this study was to elucidate the utility and limitation of gadopentetate (Gd)-enhanced MRI as a method for evaluating the anterior cruciate ligament (ACL) in the rheumatoid arthritis (RA) knee, using both surgical macro findings and histological findings to ascertain the pathological condition of the affected... |
0 | Safety of tirofiban for patients with acute ischemic stroke in routine clinical practice | DOD - Acute Comp Syndrome CPG | Aim. This work aims to study the safety of tirofiban alone and in combination with various treatments in acute ischemic stroke (AIS). Material and methods.120 AIS patients were included in this study. There were 3 groups as below: Group A (tirofiban alone, n=68), Group B (tirofiban plus thrombolytic therapy, n=26), and... |
0 | Abdominal contour procedures: evaluating the options | Panniculectomy & Abdominoplasty CPG | Surgical science continues to increase the options available to an individual seeking an improved abdominal contour. Appropriately applied, abdominal-contouring procedures offer significant aesthetic improvements and result in a high level of patient satisfaction. Liposuction is one procedure in a continuum of techniqu... |
1 | Effectiveness of prolonged use of continuous passive motion (CPM) as an adjunct to physiotherapy following total knee arthroplasty: design of a randomised controlled trial [ISRCTN85759656] | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Adequate and intensive rehabilitation is an important requirement for successful Total Knee Arthroplasty. The primary focus of early rehabilitation is ambulation of patients and regaining range of motion in the knee. Although research suggests that Continuous Passive Motion should be implemented in the firs... |
1 | Trends in the Surgical Treatment of Articular Cartilage Lesions in the United States from 2007 to 2016 | Osteochondritis Dissecans 2020 Review | Management of cartilage lesions of the knee can be complex, time consuming, and controversial, especially without a widely agreed upon "gold-standard" management. The PearlDiver database (www.pearldiverinc.com, Fort Wayne, IN) was queried for surgical management of cartilage lesions specified by Current Procedure Termi... |
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