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Adamantinoma
MSTS 2022 - Metastatic Disease of the Humerus
Adamantinoma is one of the rarest low-grade malignant bone tumours, representing less than 1% of them. Fisher in 1913 named this tumour adamantinoma because of its similarity to ameloblastoma of the jaw. It usually arises in the center of long bones, and 97% of all reported cases were in long tubular bones and mainly i...
0
The relationship between HIF-2α and VEGF with radiographic severity in the primary osteoarthritic knee
OAK 3 - Non-arthroplasty tx of OAK
Purpose: The aim of this study was to determine the relationship of hypoxia-inducible factor-2 (HIF-2α) and vascular endothelial growth factor (VEGF) with radiographic severity in primary osteoarthritis (OA) of the knee. Expression of these two factors in cartilage samples from OA knee joints was examined at mRNA and ...
1
Vascular injuries in the state of Pará, Brazil, 2011-2013 and their relation with demographic and clinical variables
DoD LSA (Limb Salvage vs Amputation)
Background: Vascular traumas are associated with high morbidity rates. Objective: To report the characteristics of vascular traumas in the Brazilian state of Pará, in trauma victims treated at the Hospital Metropolitano de Urgência e Emergência (HMUE), from 2011 to 2013. Method: This was a descriptive, cross-section...
0
Infrapatellar fat pad from late osteoarthritis patients has an anabolic phenotype
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Onset and progression of osteoarthritis (OA) are associated with obesity. Since not only knee OA but also hand OA is associated with obesity, systemic metabolic factors next to mechanical factors might influence this process. Recent studies showed that adipose tissue is not only able to secrete adipokines...
0
A Systematic Summary of Systematic Reviews on the Topic of Hip Arthroscopic Surgery
Developmental Dysplasia of the Hip 2020 Review
Background: There is a rapidly growing body of literature on the topic of hip arthroscopic surgery. Purpose: To provide an overall summary of systematic reviews published on the indications, complications, techniques, outcomes, and information related to hip arthroscopic surgery. Study Design: Systematic review; Level ...
0
Periodontal disease and systemic health--diabetes
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This article discusses the biologic basis of periodontal disease and diabetes mellitus. Following is a consideration of the possibility of a link between diabetes and periodontal disease. Mounting evidence suggests that there is, indeed, a connection between periodontal disease and diabetes
0
Comparison of the analgesic efficacy of preemptive and preventive intraarticular pethidine injection after arthroscopic knee surgrery
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Postoperative pain relief is an important goal in surgical procedures of the lower extremity (1). Arthroscopic knee surgery (AKS) is one the most common ambulatory surgeries. Several previous studies had been evaluated the efficacy of intra-articular (IA) pethidine as a compound which has anesthetic and o...
0
The effect of capitellar impaction fractures on radiocapitellar stability
Distal Radius Fractures
Purpose To determine the effect of capitellar impaction fractures on radiocapitellar stability in a model that simulated a terrible triad injury. Methods Six cadaveric elbows were dissected free of skin and muscles. Tendons were preserved. The lateral collateral ligament was released and repaired (surgical control). Tw...
0
What is a food and what is a medicinal product in the European Union? Use of the benchmark dose (BMD) methodology to define a threshold for " pharmacological action"
OAK 3 - Non-arthroplasty tx of OAK
The decision criterion for the demarcation between foods and medicinal products in the EU is the significant " pharmacological action" Based on six examples of substances with ambivalent status, the benchmark dose (BMD) method is evaluated to provide a threshold for pharmacological action. Using significant dose-respon...
0
A multiplanar external fixator assembly for complex proximal humeral fractures: A novel management modality
Hip Fx in the Elderly 2019
High-velocity trauma is increasing the frequency of proximal humeral fractures in the younger population. Proximal humeral fractures are the second most common upper-extremity fracture and the third most common fracture after hip fractures and distal radial fractures, in patients who are older than 65 years of age. Ove...
0
Revision total hip arthroplasty using an interlocking stem with an allograft-prosthesis composite
PJI DX Updated Search
We report the clinical and radiographic outcomes and complications of revision surgery using a cementless interlocking stem with an allograft-prosthesis composite (APC). This study included 11 patients with an average follow-up of 73 years. Of the 11 revisions, 1 was aseptic, 7 were septic, and 3 were periprosthetic fe...
0
Diagnosis and treatment of erosive rheumatoid arthritis and other forms of joint destruction
Surgical Management of Osteoarthritis of the Knee CPG
Single or multiple destruction of joints arises from many causes, ranging from the acute destructive process (usually monarticular) in septic joint disease, to the chronic, slowly evolving destruction of cartilage and adjacent bone that occurs in osteoarthrosis. Medical treatment of a few of these conditions (including...
0
Fractures of the hip: does the type of fall really affect the site of fracture?
Management of Hip Fractures in the Elderly
The purpose of this study was to test accepted theories relating the characteristics of a fall to the anatomical site of hip fracture in the elderly. Twisting injuries are said to result in intracapsular fractures and falls directly onto the side are said to result in extracapsular fractures. 618 consecutive patients w...
1
Early wound complications of operative treatment of calcaneus fractures: analysis of 190 fractures
DoD SSI (Surgical Site Infections)
OBJECTIVES: The purpose of the present study was to discover any associations between preoperative variables and the occurrence of wound complications in the surgical treatment of calcaneus fractures. DESIGN: Retrospective review. SETTING: A Level 1 trauma center. PATIENTS: One hundred seventy-nine patients, with 190 f...
0
Normal pressure hydrocephalus found after anesthesia - A case report
Surgical Management of Osteoarthritis of the Knee CPG
Normal pressure hydrocephalus (NPH) is characterized by insidious onset and gradual development of the triad of gait disturbance, dementia, and urinary incontinence. Nausea, vomiting, and signs of increased intracranial pressure do not occur. A 71-year-old male patient was scheduled for total knee replacement due to os...
0
Early results with a patient specific interpositional knee device
OAK 3 - Non-arthroplasty tx of OAK
The iForma ConforMIS Interpositional knee device is a recently developed patient specific implant used for the treatment of mild to moderate uni-compartmental osteoarthritis. The benefits over traditional methods of surgical management are: it is less invasive, can be performed as a day procedure and does not limit fut...
0
Fixed versus mobile bearing unicompartmental knee replacement: a meta-analysis
Surgical Management of Osteoarthritis of the Knee CPG
This systematic review compares the clinical, radiological and kinematic outcomes of fixed compared to mobile bearing unicompartmental knee replacements (UKRs). A meta-analysis of pooled mean difference and relative risk data was undertaken following a review of electronic databases. Five studies were identified. Analy...
0
Seat belt injury to the female breast: review and discussion of its surgical management
Reduction Mammoplasty for Female Breast Hypertrophy
With the use of the three-point lap-diagonal seat belt restraint, there has been a reduction in the number of deaths caused by automobile trauma. However, a new pattern of injury has emerged, the 'seat-belt syndrome', which comprises a constellation of injuries including soft tissue injury to the breast. Given that sea...
0
Optimal strategies for the prevention of heterotopic ossification after total hip arthroplasty: A network meta-analysis
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Nonselective nonsteroidal anti-inflammatory drugs (NSAIDs), selective NSAIDs, and radiation are widely used for the prevention of heterotopic ossification (HO) after total hip arthroplasty (THA). Previous studies have suggested that nonselective NSAIDs, selective NSAIDs and radiation can prevent HO after TH...
0
Prevalence of Staphylococcus aureus colonization in orthopaedic surgeons and their patients: a prospective cohort controlled study
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Methicillin-resistant Staphylococcus aureus and methicillin-sensitive Staphylococcus aureus surgical site infections are an increasing health problem in the United States. To date, no study, as far as we know, has evaluated the prevalence of Staphylococcus aureus colonization in orthopaedic surgeons. The pu...
0
Intramuscular pressures with limb compression. Clarification of the pathogenesis of the drug-induced muscle-compartment syndrome
DOD - Acute Comp Syndrome CPG
To study muscle necrosis due to prolonged limb compression, we measured intramuscular pressure by inserting wick catheters into 10 volar forearms and 10 anterior tibial compartments of adult volunteers. We then placed the subjects in positions in which victims of drug overdose are commonly found. Intramuscular pressure...
0
Rates of change and sensitivity to change in cartilage morphology in healthy knees and in knees with mild, moderate, and end-stage radiographic osteoarthritis: Results from 831 participants from the osteoarthritis initiative
AMP (Acute Meniscal Pathology)
Objective. To study the longitudinal rate of (and sensitivity to) change of knee cartilage thickness across defined stages of radiographic osteoarthritis (OA), specifically healthy knees and knees with end-stage radiographic OA. Methods. One knee of 831 Osteoarthritis Initiative participants was examined: 112 healthy k...
0
Septic diseases associated with the hoof complex: abscesses, punctures wounds, and infection of the lateral cartilage
DoD SSI (Surgical Site Infections)
Hoof abscesses are probably the most common cause of acute severe lameness in horses encountered by veterinarians and farriers. Most affected horses show sudden, severe (acute) lameness; the degree of lameness varies from being subtle in the early stages to non-weight bearing. There is still debate between the veterina...
0
Effect of medial soft-tissue releases during posterior-stabilised total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: To assess the effect of each step of medial soft-tissue releases on the joint gap angle during posterior-stabilised total knee arthroplasty (TKA). METHODS: 82 women and 9 men (mean age, 72 years) with medial osteoarthritic knees underwent 100 posterior-stabilised TKAs, in which release of superficial fibres of...
0
Autogenous aortoiliac/femoral reconstruction from superficial femoral- popliteal veins: Feasibility and durability
DOD - Acute Comp Syndrome CPG
Purpose: Autogenous aortoiliac/femoral reconstruction with superficial femoral-popliteal veins (SFPVs) has been successfully used to treat prosthetic infection and failure, but outcome data are scant. In this prospective, observational study, we hypothesized that (1) replacement of the aortoiliac/femoral system with SF...
0
Developing a strategy for the prevention of hip fractures in the elderly due to osteoporosis: the application of economics to the findings from a clinical trial
HipFx Supplemental Cost Analysis
The occurrence of a fracture is the most obvious manifestation of osteoporosis. Preventive measures can reduce the risk of such events. The cost of preventing fractures depends on the cost and effectiveness of the intervention and the cost associated with treating the fractures. This paper aims to develop a framework f...
0
The effect of Alendronate on symptoms of knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
INTERVENTION: Alendronate tablet 70mg orally single dose/week (Alnate product of Dr. Abidi Company) for 24 weeks. Intervention 1: Alendronate tablet 70mg orally single dose/week (Alnate product of Dr. Abidi Company) for 24 weeks. Intervention 2: Placebo, one tablet orally per week for 24 weeks. Placebo Placebo, one tab...
0
Agreement study of radiographic classification of rotator cuff tear arthropathy
Glenohumeral Joint OA
HYPOTHESIS: This study evaluated the intra-rater and inter-rater correlation of 3 commonly used x-ray image classifications and defined the clinical factors most correlated with a surgical recommendation for a hemiarthroplasty or a reverse total shoulder arthroplasty (RSA) for treatment of rotator cuff tear arthropathy...
0
Optimal utilization of MSK imaging during COVID-19 pandemic
Coronavirus Disease 2019 (COVID-19)
The COVID-19 pandemic has caused multi-dimensional global crisis in the recent times. There is an increasing necessity of understanding and developing a strategy for optimal utilization of healthcare resources in this time of crisis. Radiology department remains the backbone for diagnosis and for appropriate management...
0
Increased skeletal:renal uptake ratio: etiology and characteristics
MSTS 2018 - Femur Mets and MM
Twenty-four patients with increased skeletal:renal uptake ratios of 99mTc-methylene diphosphonate were studied. Increased uptake was central in metastatic prostate carcinoma, peripheral in hematologic disorders, and heterogeneous in Paget disease and fibrous dysplasia. There was no discernible redistribution of skeleta...
0
Coronal Malalignment in the Adult Knee
OAK 3 - Non-arthroplasty tx of OAK
Coronal plane deformity in the adult patient is a complex clinical problem. Once the hip, knee, and ankle joint centers lose collinerarity, the knee is exposed to abnormal loads across its tibiofemoral compartments, leading to early degenerative changes. Malalignment can coexist with arthrosis and ligamentous instabili...
0
Alendronate produces greater effects than raloxifene on bone density and bone turnover in postmenopausal women with low bone density: Results of
Management of Hip Fractures in the Elderly
Objectives. Alendronate and raloxifene are antiresorptive agents with different mechanisms of action, each used to treat osteoporosis in postmenopausal women. This study was undertaken to compare the efficacy and tolerability of alendronate to raloxifene in postmenopausal women with low-bone density. Design. Randomized...
0
Imaging of elbow replacement arthroplasty
PJI DX Updated Search
Elbow replacement arthroplasty has become a standard surgical treatment for a variety of diseases of the elbow. First popularized for the treatment of late-stage rheumatoid arthritis and other debilitating forms of joint disease, the current indications have expanded to include primary treatment of elbow trauma. The mo...
0
Predictors of survival in patients with bone metastasis of lung cancer
MSTS 2022 - Metastatic Disease of the Humerus
The prognosis of patients with bone metastasis from lung cancer has not been well documented. We assessed the survival rates after bone metastasis and prognostic factors in 118 patients with bone metastases from lung cancer. The cumulative survival rates after bone metastasis from lung cancer were 59.9% at 6 months, 31...
0
New operative strategy in the treatment of metastasizing medullary carcinoma of the thyroid
MSTS 2018 - Femur Mets and MM
Medullary carcinoma of the thyroid (MTC) is exceptional in that the hormone calcitonin produced by the tumor cells represents a specific and sensitive tumor marker. Careful screening by serial calcitonin determinations following pentagastrin stimulation allows for the early detection of metastatic disease. We have adop...
0
Effect of preoperative deformity on postoperative leg axis in total knee arthroplasty: a prospective randomized study
Surgical Management of Osteoarthritis of the Knee CPG
Computer-assisted surgery-total knee arthroplasty (CAS-TKA) has been suggested to afford greater precision than conventional TKA; however, it is unclear whether this is influenced by preoperative angular deformity. This prospective study was conducted to determine the effect of preoperative angular deformity on the pos...
0
Differences in Health Care Resource Utilization After Surgery for Metastatic Spinal Column Tumors in Patients with a Concurrent Affective Disorder in the United States
MSTS 2022 - Metastatic Disease of the Humerus
Background: Affective disorders, such as depression and anxiety, are exceedingly common among patients with metastatic cancer. The aim of this study was to investigate the relationship between affective disorders and health care resource utilization in patients undergoing surgery for a spinal column metastasis. Methods...
0
Surgical treatment for posterior dislocation of hip combined with acetabular fractures using preoperative virtual simulation and three-dimensional printing model-assisted precontoured plate fixation techniques
DoD SSI (Surgical Site Infections)
Background and Purpose. Hip dislocation combined with acetabular fracture remains a challenging condition for orthopedic surgeons. In this study, we utilized a computer-assisted simulation and three-dimensional (3D) printing technology to treat patients with hip dislocation combined with acetabular fracture. We hypothe...
0
Mortality after distal radial fractures in the Medicare population
Hip Fx in the Elderly 2019
The occurrence of a low energy fracture of the distal radius increases the risk for another, more serious fracture, such as a proximal femoral fracture. Early mortality after a proximal femoral fracture has been widely studied, but the association between a distal radial fracture and mortality is unknown. The date of d...
0
Activity and tissue localization of cathepsin D in non small cell lung cancer
MSTS 2018 - Femur Mets and MM
Activity and tissue localization of cathepsin D were examined in tumors deriving from 80 patients with non small cell lung cancer. Activity of the enzyme was higher in sediments and supernatants of tumors than in non invaded lung parenchyma. In all histological types of tumors cathepsin D activity in sediments was thre...
0
A comprehensive meta-analysis of association between genetic variants of GDF5 and osteoarthritis of the knee, hip and hand
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: A number of studies have reported an association of GDF5 with osteoarthritis (OA) but have produced some divergent findings and their interpretation may not be straightforward. METHODS: We investigated the association between GDF5 and OA using meta-analytic techniques, combining all published data up to Nov ...
0
Review of current understanding of post-traumatic osteoarthritis resulting from sports injuries
Glenohumeral Joint OA
Certain types of joint injuries, common in athletes, are known to have a high association with the development of osteoarthritis (OA). Post-traumatic osteoarthritis (PTOA) is especially debilitating due to its earlier onset than traditional OA, and its predisposition to affect a younger and more active population. Five...
0
Impact of high-volume disease in Asian population with newly diagnosed metastatic prostate cancer
MSTS 2022 - Metastatic Disease of the Humerus
Purpose: The purpose of this study is to investigate the clinical oncological outcomes and prognostic factors of high-volume disease (HVD) in the Asian population with metastatic hormone-sensitive prostate cancer. Methods: We retrospectively analyzed 503 patients with newly diagnosed metastatic prostate cancer. Patient...
1
Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures (Cochrane review) [with consumer summary]
Management of Hip Fractures in the Elderly
BACKGROUND: Hip fracture patients have a high risk of thrombo-embolic complications following surgical management. OBJECTIVES: To examine the effects of heparin (unfractionated (U), and low molecular weigh t (LMW) heparins), and physical methods (compression stockings, calf or foot pumps) for prevention of deep venous ...
1
Use of screening nerve conduction studies for predicting future carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: To determine if an abnormal sensory nerve conduction study consistent with median mononeuropathy in asymptomatic workers was predictive of future complaints of the hand or finger suggestive of carpal tunnel syndrome. Methods: This was a case-control study of over 700 active workers at five different work sit...
1
Displaced supracondylar fractures of the humerus in children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
In a 3-year period, 101 children were admitted to hospital with supracondylar fractures of the humerus. Eight-six were examined an average of 3.7 years after the injury. Forty-seven cases were treated with closed reduction and plaster bandage. After an unsuccessful attempt at closed reduction, 39 cases were treated wit...
0
Legal disputes over informed consent for cosmetic procedures: a descriptive study of negligence claims and complaints in Australia
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Plastic surgeons and other doctors who perform cosmetic procedures face relatively high risks of malpractice claims and complaints. In particular, alleged problems with the consent process abound in this area, but little is known about the clinical circumstances of these cases. METHOD: We reviewed 481 malpr...
0
Relative risk factors for osteoporotic fracture: a pilot study of the MEDOS questionnaire
Management of Hip Fractures in the Elderly
This study tested selected elements of a questionnaire devised to detect risk factors for osteoporosis in a large case-control study of hip fracture. The questions were applied to two separate studies. The first utilised a hospital sample of postmenopausal women with established vertebral osteoporosis, and responses we...
0
Cemented and uncemented total hip arthroplasty using the same femoral component
PJI DX Updated Search
Purpose: The purpose of this study was to evaluate the same femoral component after cemented and uncemented total hip arthroplasty. The results were compared in terms of hip scores, subsidence, and survivorship. Methods: Between 1986 and 1996, 1017 primary THAs were implanted in 882 patients using the same porouscoated...
0
Effects of the inhibition of RANKL in pre-menopausal early breast cancer patients
MSTS 2018 - Femur Mets and MM
INTERVENTION: Trade Name: XGEVA Pharmaceutical Form: Solution for injection INN or Proposed INN: DENOSUMAB CAS Number: 615258�40�7 Other descriptive name: XGEVA Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 120� CONDITION: Therapeutic area: Diseases [C] � Cancer [C04] We ha...
1
Intermediate follow-up of high tibial osteotomy: a comparison of two techniques
Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC
All high tibial osteotomies (HTOs) performed in the Royal Bournemouth Hospital from June 1987 to February 1995 were retrospectively analyzed looking at the preoperative and postoperative radiographs, preoperative and postoperative range of motion (ROM), alignment, and knee scores. Patient perception was also recorded. ...
0
Smoking, antioxidant vitamins, and the risk of hip fracture
Management of Hip Fractures in the Elderly
Smoking increases the concentrations of free radicals, which have been suggested to be involved in bone resorption. We examined whether the dietary intake of antioxidant vitamins may modify the increased hip fracture risk associated with smoking. We prospectively studied 66,651 women who were 40-76 years of age. Forty-...
0
Distal Femoral Osteotomy: Lateral Opening Wedge Technique
OAK 3 - Non-arthroplasty tx of OAK
Coronal limb malalignment is a significant contributor to asymmetric joint wear, gait abnormalities, and the development and progression of degenerative joint disease. Osteotomies about the knee were developed to realign the mechanical axis of the limb to unload the affected compartment. Valgus malalignment is less com...
0
Prevalence and clinical outcomes of hip fractures and subchondral insufficiency fractures of the femoral head in patients with tumour-induced osteomalacia
Hip Fx in the Elderly 2019
PURPOSE: Tumour-induced osteomalacia (TIO) is a rare paraneoplastic syndrome usually caused by phosphaturic mesenchymal tumours, leading to great distress due to bone pain and affecting quality of life (QoL). This study aimed to investigate the prevalence and clinical outcomes of hip fractures and subchondral insuffici...
0
Analgesia after total knee arthroplasty: is continuous sciatic blockade needed in addition to continuous femoral blockade?
AAHKS (8) Anesthetic Infiltration
Continuous femoral "3-in-1" nerve blocks are commonly used for analgesia after total knee arthroplasty (TKA). There are conflicting data as to whether additional sciatic blockade is needed. Our routine use of both continuous femoral (CFI) and sciatic (CSI) peripheral nerve blocks was changed because of concerns that sc...
0
Breast and Body Contouring for Transgender and Gender Nonconforming Individuals
Panniculectomy & Abdominoplasty CPG
Even after long-term hormone therapy, many transwomen still have challenges in the size and shape of their breasts and also of the contour of their trunk areas. Though distinct anthropomorphic differences in skeletal structure exist and pose limitations to an ideal result, considerable improvements can be obtained thro...
1
Bone-targeted therapy use in patients with bone metastases from lung cancer: A systematic review of randomized controlled trials
MSTS 2018 - Femur Mets and MM
Background Patients with advanced lung cancer commonly have bone metastases. Compared with other malignancies, the use of bone-targeted agents (e.g. bisphosphonates and denosumab) is less common in lung cancer patients. This may be due to the perception that bone-targeted agents are less effective in this population. O...
0
Medial opening-wedge high tibial osteotomy fixation with short plate without any graft, synthetic material or spacer
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: Medial opening-wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure for patients who have medial compartmental osteoarthritis of the knee with varus deformity of the limb. The abnormal load on the medial compartment of the knee is directed to the lateral compartment with this procedure. A ga...
0
Reduction mammaplasty: a comparison between the Robbins and Pontes techniques
Reduction Mammoplasty for Female Breast Hypertrophy
The purpose of this paper is to propose a practical classification of mammary hypertrophy and compare perioperative factors in two types of reduction mammaplasty: the Pontes and Robbins techniques. In a series of 51 patients, the advantages and disadvantages of each method are compared and discussed. The Pontes method ...
0
Contemporary demographics and complications of patients treated for open ankle fractures
DOD - Acute Comp Syndrome CPG
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
Temporal in vivo assessment of fresh osteochondral allograft transplants to the distal aspect of the femur by dGEMRIC (delayed gadolinium-enhanced MRI of cartilage) and zonal T2 mapping MRI
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Zonal T2 mapping and dGEMRIC (delayed gadolinium-enhanced magnetic resonance imaging of cartilage) are diagnostic quantitative techniques to evaluate the biochemical health of articular cartilage. We adapted these techniques to investigate the results of osteochondral allograft transplantation and correlate...
0
Efficacy of 10% Povidone Iodine in children affected with early childhood caries: an in vivo study
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
For prevention of dental caries, S. mutans numbers must be reduced and prevented from returning to the original level. An antibacterial agent that is effective and also acceptable to young children can help to establish a favorable oral environment and halt the caries process. PURPOSE: This study was conducted to evalu...
0
Dehydration, Hypernatremia, and Hyponatremia
Hip Fx in the Elderly 2019
Disturbances of serum sodium are one of the most common findings in older persons. They are also a major cause of hospital admissions and delirium and are associated with frailty, falls, and hip fractures. Both hypernatremia and hyponatremia are potentially preventable. Treatment involves treating the underlying cause ...
0
Use of Vascularized Fibular Free Flap in the Reconstruction of the Femur in Pediatric and Adolescent Bone Sarcomas: Complications and Functional Outcome
Pediatric Diaphyseal Femur Fractures 2020 Review
BACKGROUND: â??Most reports on skeletal reconstruction using vascularized fibular free flap include patients with varying age groups and anatomic locations. This study has limited the inclusion criteria to pediatric and adolescent patients diagnosed with bone sarcoma of the femoral shaft. METHODS: â??Forty-one patients...
1
Avascular necrosis after surgical treatment for development dysplasia of the hip
Developmental Dysplasia of the Hip CPG
We reviewed the medical records of 101 patients with developmental dysplasia of the hip who were treated with Dega's (102 hips), or Salter's (42 hips)osteotomy preceded by open reduction and femoral intertrochanteric osteotomy. The minimal follow-up was 17 years. At the last follow-up, there were proximal fem-oral grow...
0
An integer programming model for distal humerus fracture fixation planning
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
OBJECTIVE: To demonstrate the feasibility of an integer programming model to assist in pre-operative planning for open reduction and internal fixation of a distal humerus fracture. MATERIALS AND METHODS: We describe an integer programming model based on the objective of maximizing the reward for screws placed while sat...
0
Determinants of incidence of osteoporotic fractures in the female Spanish population older than 50
Distal Radius Fractures
It is well known that the adoption of preventive measures for osteoporosis may contribute to minimizing its impact as a result of bone fractures. However, there are well-recognized risk factors involved in the onset of osteoporosis that are not possible to modify. Better knowledge of these non-modifiable factors could ...
0
Osteoporosis, falls, and age in fracture of the proximal femur
Management of Hip Fractures in the Elderly
The relative importance of osteoporosis and risk of falling in causing hip fracture is not known. Femoral neck bone mass was measured in 708 elderly people, all of whom had fallen and injured a hip. Below 75 years of age there was a steep increase in relative risk of fracture with reduced bone mass, measured by Singh g...
0
Molecular alterations of bone quality in sequesters of bisphosphonates-related osteonecrosis of the jaws
MSTS 2018 - Femur Mets and MM
UNLABELLED: Compared to healthy bone, the intrinsic bone materials properties in the pre-existing lamellar bone are altered in jaw bone sequesters of bisphosphonates (BP)-related osteonecrosis. INTRODUCTION: The aim of this study was to evaluate the human jaw bone quality, especially intrinsic bone material properties ...
0
Analysis of complications after a floating elbow injury
Distal Radius Fractures
BACKGROUND: The aim of the present study is to analyse complications after a floating elbow injury, attempting to establish which of them act as a poor prognosis factor regarding clinical and functional results. MATERIALS AND METHODS: Twenty-three patients who suffered a floating elbow injury, treated at our institutio...
0
Reproducibility and sensitivity to change of various methods to measure joint space width in osteoarthritis of the hip: a double reading of three different radiographic views taken with a three-year interval
Management of Hip Fractures in the Elderly
Joint space width (JSW) and narrowing (JSN) measurements on radiographs are currently the best way to assess disease severity or progression in hip osteoarthritis, yet we lack data regarding the most accurate and sensitive measurement technique. This study was conducted to determine the optimal radiograph and number of...
0
Fragility Fracture Risk in Elderly Patients With Cervical Myelopathy
Distal Radius Fractures
STUDY DESIGN: Retrospective review. OBJECTIVE: To identify and compare the incidences of fragility fractures amongst three elderly populations: the general population, patients with surgically treated cervical spondylotic myelopathy (CSM), and patients with CSM not surgically treated. SUMMARY OF BACKGROUND DATA: CSM is...
0
Depression and post-traumatic stress disorder in individuals with hereditary hemorrhagic telangiectasia: A cross-sectional survey
DoD PRF (Psychosocial RF)
INTRODUCTION: Hereditary hemorrhagic telangiectasia (HHT) is characterized by frequent severe bleeding, particularly epistaxis, and life-threatening complications including stroke, brain abscess and heart failure. The psychological impact of HHT is not known. We conducted this cross sectional study to determine the pre...
0
Skin retraction after liposuction in patients over the age of 40
Panniculectomy & Abdominoplasty CPG
BACKGROUND: A commonly held misperception regarding liposuction in patients over 40 years of age is that the skin will not retract and redrape following removal of the fat. OBJECTIVE: In order to evaluate tissue retraction in the abdomen, neck, and arms in patients undergoing liposuction after 40 years of age, the foll...
1
A computed tomography analysis of three-dimensional glenoid orientation modified by glenoid torsion
Glenohumeral Joint OA
Background: The longitudinal axis of the glenoid is not always parallel to the scapular body, and glenoid torsion could affect the values of glenoid orientation. The purpose of this study was to evaluate 3-dimensional glenoid version and inclination modified by glenoid torsion and to clarify the differences between the...
0
Essential elements of the preoperative breast reconstruction evaluation
Reduction Mammoplasty for Female Breast Hypertrophy
A plethora of options exist for breast reconstruction and preoperative evaluation must be thorough to lead to a successful outcome. We review multiple components of the preoperative assessment including the patient's history, goals, imaging, and key elements of the physical exam. Consideration for tumor biology, stagin...
0
Invasive infections of Aggregatibacter (Actinobacillus) actinomycetemcomitans
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND/PURPOSE: Aggregatibacter (Actinobacillus) actinomycetemcomitans, part of the normal flora of the mouth, is frequently found in human periodontal cultures and is an important pathogen causing various invasive infections, particularly infective endocarditis. In this study, we describe the clinical course and o...
1
The risk for a cruciate ligament injury of the knee in adolescents and young adults: a population-based cohort study of 46 500 people with a 9 year follow-up
Anterior Cruciate Ligament Injuries CPG
OBJECTIVES: The knee joint is the most common site for injury among younger people, the injury often resulting in expensive (surgical) treatment, long-term rehabilitation and permanent functional impairment and disability. METHODS: We investigated the incidence and risk factors for a major knee-ligament injury in an ad...
0
Minimally Invasive Plate Osteosynthesis in Open Pediatric Tibial Fractures
PJI DX Updated Search
OBJECTIVES: The aim of this study is to investigate the effectiveness and reliability of limited-contact locking plates in minimally invasive percutaneous osteosynthesis (MIPO) of the lateral tibia. DESIGN: A retrospective study. PATIENTS AND METHODS: The retrospective study included 14 patients who were operatively tr...
0
Physical activity and quality of life of amputees in southern Brazil
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Physical activity is a positive component of human health. Its effects are associated with improvement in physical, psychological and social aspects of quality of life. Physical activity is therefore an important factor in the rehabilitation of amputees. OBJECTIVE: To analyse the relationship between physic...
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The local infiltration of analgesia following total knee replacement: A review of current literature
AAHKS (8) Anesthetic Infiltration
Controversy remains regarding the optimal post-operative analgesic regimen following total knee replacement. A delicate balance is required between the provision of adequate pain relief and early mobilisation. By reviewing 29 randomised trials we sought to establish whether local infiltration of analgesia directly into...
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Update on MRI Pulse Sequences for the Knee: Imaging of Cartilage, Meniscus, Tendon, and Hardware
AMP (Acute Meniscal Pathology)
Magnetic resonance imaging (MRI) is widely used in the clinical setting as well as for research applications. Since its inception, technical development has broadly progressed as a response to challenges in both the clinical and research settings. Higher magnetic field strength and advances in hardware and software hav...
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Biomechanical comparison of fixed- and mobile-bearing for unicomparmental knee arthroplasty using finite element analysis
OAK 3 - Non-arthroplasty tx of OAK
Unicomparmental knee arthroplasty (UKA) is a popular alternative to total knee arthroplasty (TKA) and high tibial osteotomy for unicompartmental knee conditions, especially in young patients. However, failure of UKA occurs due to either progressive osteoarthritis (OA) in the other compartment or wear on the polyethylen...
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Factors impacting 1-year mortality after hip fractures in elderly patients: A retrospective clinical study
Hip Fx in the Elderly 2019
Background: This study aimed to evaluate risk factors that impact 1-year mortality in elderly patients with hip fractures after treatment with primary arthroplasty and proximal femoral nail. Patients and Methods: Overall, 109 patients aged >=65 years with nonpathological hip fractures, treated between 2015 and 2016, we...
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Screening for osteopenia and osteoporosis: do the accepted normal ranges lead to overdiagnosis?
Management of Hip Fractures in the Elderly
Osteoporosis is a common disease which causes significant morbidity and mortality and in many cases may be preventable. In the absence of fragility fractures the accepted method of identifying those at high risk is based upon bone mineral density (BMD) measurements with defined cut-off points. To correctly delineate no...
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Antibiotic prophylaxis in oral and maxillofacial surgery: a systematic review
Dental Implant Infection
Surgical site infections are a complication of oral and maxillofacial procedures, with the potential for significant morbidity and mortality. Use of preoperative, perioperative, and postoperative antibiotic prophylaxis to reduce the incidence of surgical site infections must be balanced with considerations of a patient...
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Cementless total hip arthroplasty in patients with ankylosing spondylitis: A retrospective observational study
Hip Fx in the Elderly 2019
Controversies on the surgical protocols and efficacies of total hip arthroplasty (THA) in ankylosing spondylitis (AS) still exist. The aim of this study was to retrospectively analyze the perioperative managements and their outcomes related to performing THA on patients with AS.Data of 54 AS patients who underwent 81 T...
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Mechanisms of lytic and blastic metastatic disease of bone
MSTS 2018 - Femur Mets and MM
In the majority of skeletal metastases, new bone develops simultaneously with bone destruction. The roentgenogram indicates the net effect of these two processes. Where the bone formation predominates, the lesion appears sclerotic. Where bone destruction predominates, it appears lytic. Mixed lesions may also occur. The...
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Countrywise results of total hip replacement. An analysis of 438,733 hips based on the Nordic Arthroplasty Register Association database
Hip Fx in the Elderly 2019
BACKGROUND AND PURPOSE: An earlier Nordic Arthroplasty Register Association (NARA) report on 280,201 total hip replacements (THRs) based on data from 1995-2006, from Sweden, Norway, and Denmark, was published in 2009. The present study assessed THR survival according to country, based on the NARA database with the Finn...
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Diffuse idiopathic skeletal hyperostosis (DISH) and the association with high serum cholesterol and triglycerides
Surgical Management of Osteoarthritis of the Knee CPG
Objective(s): The aim of the study is to assess the association between diffuse idiopathic skeletal hyperostosis (DISH), serum cholesterol and triglycerides. Material & Methods: DISH were studied in 204 patients with back pain, knee or hip joint replacement due to DISH or osteoarthritis in Clinic of Rheumatology, UMHAT...
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Nutrition and Inflammation Influence 1-Year Mortality of Surgically Treated Elderly Intertrochanteric Fractures: A Prospective International Multicenter Case Series
DoD SSI (Surgical Site Infections)
Introduction: Hip fracture is a common and devastating event in older adults causing increased dependence, comorbidity, and mortality. Since new surgical techniques have not significantly improved the mortality rate, a better understanding of patient risk factors could improve the treatment algorithm and outcomes. This...
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Mid-term Results of Oxford Phase 3 Unicompartmental Knee Arthroplasties at a Small-Volume Center
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND AND AIMS: Unicompartmental knee arthroplasty is considered as an alternative to total knee arthroplasty for patients who have osteoarthritis limited to the medial compartment of the knee. The aim of this retrospective study was to find out clinical and radiological outcomes and related complications using th...
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Patellofemoral arthroplasty with a customized trochlear prosthesis
Surgical Management of Osteoarthritis of the Knee CPG
Successful patellofemoral arthroplasty depends on appropriate patient selection, proper prosthesis design, and correct surgical technique. Clinical results using off-the-shelf patellofemoral prostheses have reported mixed results primarily because of an inability to address these important characteristics adequately. T...
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In vivo somatostatin receptor imaging in medullary thyroid carcinoma
MSTS 2018 - Femur Mets and MM
Using in vivo scintigraphy with the 111In-labeled somatostatin analog octreotide, tumor localizations were demonstrated in 11 of 17 patients (65%) with medullary thyroid carcinoma (MTC). Tumor localizations in the liver in 7 patients, and in the thyroid in 1 patient were not detected on octreotide scintigraphy, most pr...
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Bone Metastases Pattern in Newly Diagnosed Metastatic Bladder Cancer: A Population-Based Study
MSTS 2022 - Metastatic Disease of the Humerus
<b>Purpose:</b> Based on a large-population analysis, we aimed to estimate the incidence and survival of bone metastases (BM) in initial bladder cancer (BC) patients and to identify the risk and prognostic factors of BC patients with BM. <b>Patients and methods:</b> Using the National Cancer Institute's Surveillance, E...
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Severe paroxysmal hypertension. An automatic syndrome and its relationship to repressed emotions
DoD PRF (Psychosocial RF)
In most patients with severe and symptomatic paroxysmal hypertension, a pheochromocytoma or other medical cause is rarely identified. This article presents the psychosocial assessment of 10 such patients, in whom the absence of any emotional distress preceding paroxysms had discouraged consideration of any psychologica...
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Does Diastasis Width Influence the Variation of the Intra-Abdominal Pressure After Correction of Rectus Diastasis?
Panniculectomy & Abdominoplasty CPG
BACKGROUND: It has been demonstrated that there is an increase of intra-abdominal pressure (IAP) after correction of rectus diastasis. OBJECTIVE: To evaluate the correlation between the diastasis width and IAP variation after the plication of the anterior rectus sheath. METHODS: Seventeen patients met the inclusion cri...
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Perspectives in the elderly patient: Benefits and limits of bisphosphonates and denosumab
MSTS 2018 - Femur Mets and MM
Skeletal metastases affect a large percentage of the cancer population and contribute to a marked decrease in their quality of life and survival, in particular in elderly population. A future end-point of bone-protecting therapy is the demonstration of its ability to prevent or improve results in the treatment of metas...
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Vitamin D deficiency is associated with greater tumor size and poorer outcome in Merkel cell carcinoma patients
MSTS 2018 - Femur Mets and MM
BACKGROUND: Merkel cell polyomavirus has been recognized to be associated with Merkel cell carcinoma (MCC), but the evolution of this cancer probably depends on various factors. Vitamin D deficiency, defined by serum 25-hydroxyvitamin D levels <50 nmol/L, seems to influence cancer behavior and progression, but has neve...
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Mecobalamin
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: Mecobalamin, one of the coenzyme forms of vitamin B(12), acts as an important cofactor in the activities of B(12)-dependent methyltransferases. Since the discovery of mecobalamin, it has been applied mainly in the treatment of hyperhomocysteinaemia and peripheral neuropathy. However, there is still lack of ...