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Camouflaging Cleft Lip Scar Using Follicular Unit Extraction Hair Transplantation Combined with Autologous Fat Grafting
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The scar that occurs after cleft lip surgery poses a serious cosmetic problem. One of the methods used to solve this problem in adult male patients is hair transplantation. However, satisfactory results with this method cannot always be achieved because of possible graft loss. The corrective feature of fat ...
0
Amino acid racemization reveals differential protein turnover in osteoarthritic articular and meniscal cartilages
AMP (Acute Meniscal Pathology)
INTRODUCTION: Certain amino acids within proteins have been reported to change from the L form to the D form over time. This process is known as racemization and is most likely to occur in long-lived low-turnover tissues such as normal cartilage. We hypothesized that diseased tissue, as found in an osteoarthritic (OA) ...
0
Lower Knee Joint Loading by Real-time Biofeedback Stair Walking Rehabilitation for Patients With MCKOA
OAK 3 - Non-arthroplasty tx of OAK
Conventionally, gait retraining is necessarily implemented in a laboratory environment because evaluation of biomechanical markers, such as KAM, requires sophisticated motion capturing system and force plates. With advancement of wearable sensor technology, it is possible to measure gait biomechanics and provide real t...
0
Do pain referral patterns determine patient outcome after total hip arthroplasty?
Surgical Management of Osteoarthritis of the Knee CPG
Quality of life outcome and patient satisfaction after total hip arthroplasty are complex phenomena and many confounding determinants have been identified. Degenerative disease of the hip joint may present with variable patterns of pain referral in the lower limb. However the effect of varied preoperative pain referral...
0
Malondialdehyde on postoperative day 1 predicts postoperative cognitive dysfunction in elderly patients after hip fracture surgery
Hip Fx in the Elderly 2019
<b>Background:</b> Postoperative cognitive dysfunction (POCD) is a great problem for anesthetized subjects and is associated with poor short- and long-term outcomes. We explored promising predictors for POCD in elderly patients after hip fracture surgery.
0
The impact of July hospital admission on outcome after surgery for spinal metastases at academic medical centers in the United States, 2005 to 2008
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Despite widespread belief that patients admitted to teaching hospitals in July-the beginning of the academic year-have inferior outcomes, there has been little evidence to support the existence of the July phenomenon. Moreover, the impact of July admission on the outcomes after surgery for spinal metastases...
0
The effect of physical characteristics on reference nerve sizes at multiple sites/levels of the arm and neck
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: The objective of this study was to identify ultrasonographic reference values of nerve sizes at multiple sites, including entrapment and nonentrapment sites along the median and ulnar nerves and among the cervical nerve roots, for practical use. We found associations between the reference nerve sizes and sev...
1
The role of scapular kinematics in patients with different shoulder musculoskeletal disorders: A systematic review approach
Trial Systematic Review Project
This study aimed to identify the role of the scapula in shoulder musculoskeletal disorders (SMDs) and provided a systematic review of available studies in the field of scapular three-dimensional kinematics. We systematically searched 5 international databases, including Scopus, EMBASE, PubMed, CINAHL, PEDro, and Cochra...
0
Clinical study of emergency treatment and selective closed reduction for the treatment of supracondylar humerus fracture in children
Pediatric Supracondylar Humerus Fracture 2020 Review
Objective To study the effect of emergency treatment, selective closed reduction combined with percutaneous Kirschner wire fixation on the treatment of Gartland type-II and type-III supracondylar humerus fracture. Methods Children who sustained the Gartland type-II and type-III supracondylar fractures of humerus treate...
0
Medical problems in hip fracture patients
Hip Fx in the Elderly 2019
Increasing number of older patients are admitted to hospital with hip fractures. This review evaluates the common medical problems that arise as a consequence of having a hip fracture. Older patients with fractures commonly have co-morbidities that require evaluation prior to and after surgery. Joint acute orthopaedic-...
1
Comparison of knee SPECT and MRI in evaluating meniscus injuries in soldiers
AMP (Acute Meniscal Pathology)
BACKGROUND: Medical evaluation of a suspected meniscus injury begins with a history-taking and physical examination. Suspected meniscus injuries not responding to treatment are usually sent for imaging to confirm the diagnosis before arthroscopy. Tc-MDP bone single photon emission computed tomography (SPECT) scan has b...
0
Hospital admissions in relation to body mass index in UK women: a prospective cohort study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Adiposity is associated with many adverse health outcomes but little direct evidence exists about its impact on the use of health care services. We aim to describe the relationship between body mass index (BMI) and rates of hospital admission in middle-aged UK women. METHODS: Among 1,251,619 Million Women S...
0
Group B streptococcal facet joint arthritis: case report
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
STUDY DESIGN: Case report. OBJECTIVE: To report a previously undescribed complication of group B streptococcal infective endocarditis, which was lumbar facet joint arthritis. SUMMARY OF BACKGROUND DATA: Lumbar facet joint arthritis is a rare clinical condition, and the casual pathogen is generally Staphylococcus aureus...
1
Bacteraemia due to dental flossing
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
AIMS: The aims of this study were to (1) investigate the incidence of bacteraemia following flossing in subjects with chronic periodontitis or periodontal health; (2) identify the micro-organisms in detected bacteraemias; and (3) identify any patient or clinical factors associated with such bacteraemia. MATERIAL AND ME...
0
Effects of dexamethasone in preventing postoperative emetic symptoms after total knee replacement surgery: a prospective, randomized, double-blind, vehicle-controlled trial in adult Japanese patients.[Retraction in Clin Ther. 2018 Apr 30;:; PMID: 29724497]
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Postoperative emetic symptoms (nausea, retching, and vomiting) are common following total joint replacement, with an incidence as high as 83% when no prophylactic antiemetic is provided. However, most antiemetics currently used in Japan, such as antihistamines (eg, hydroxyzine), butyrophenones (eg, droperid...
1
Mortality associated with delay in operation after hip fracture: observational study
Management of Hip Fractures in the Elderly
OBJECTIVE: To estimate the number of deaths and readmissions associated with delay in operation after femoral fracture. DESIGN: Analysis of inpatient hospital episode statistics. SETTING: NHS hospital trusts in England with at least 100 admissions for fractured neck of femur during the study period. Patients People age...
0
Prognostic factors for the outcome of chemotherapy in advanced soft tissue sarcoma: an analysis of 2,185 patients treated with anthracycline-containing first-line regimens--a European Organization for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group Study
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: A total of 2,185 patients with advanced soft tissue sarcomas who had been treated in seven clinical trials investigating the use of doxorubicin- or epirubicin-containing regimens as first-line chemotherapy were studied in this prognostic-factor analysis. PATIENTS AND METHODS: Overall survival time (median, 51 ...
0
Salvage by tattooing of areolar complications following breast reduction
Reduction Mammoplasty for Female Breast Hypertrophy
Even partial areolar loss following breast reduction must be considered an aesthetic disaster for which there are few surgical options for correction. Tattooing, as directly borrowed from postmastectomy techniques for nipple-areola creation, permits reconstitution of a reasonable facsimile of the areola. Discoloration ...
0
CCL3 serves as a potential plasma biomarker in knee degeneration (osteoarthritis)
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To explore the ability of chemokines in plasma to detect the presence of pre-X-rays defined knee degeneration and the extent (burden). METHODS: A total of 181 subjects (75 control subjects, 47 pre-X-KD patients and 50 X-KOA patients) were included and subdivided into three subgroups. Articular cartilage loss...
0
Peripheral nerve conduction in the elderly: Reference data and comparison with patients with carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Our aim was to investigate peripheral nerve function in randomly selected subjects over 65 years, to establish a baseline reference range and provide clinical perspective by comparison with data from elderly patients referred for investigation of carpal tunnel syndrome (CTS). Nerve conduction was assessed on 70 volunte...
0
Burden of non-hip, non-vertebral fractures on quality of life in postmenopausal women: the Global Longitudinal study of Osteoporosis in Women (GLOW)
HipFx Supplemental Cost Analysis
Among 50,461 postmenopausal women, 1,822 fractures occurred (57% minor non-hip, non-vertebral [NHNV], 26% major NHNV, 10% spine, 7% hip) over 1 year. Spine fractures had the greatest detrimental effect on EQ-5D, followed by major NHNV and hip fractures. Decreases in physical function and health status were greatest for...
0
Double-tapered conical taper in primary and revision surgery: rationale and short-term follow-up
MSTS 2022 - Metastatic Disease of the Humerus
Background: The new double-conical tapered stem is a novel cementless modular system, which is indicated for both primary and revision surgeries. It has been designed with different angles at the proximal (5°) and distal sections (1° 36’) in order to obtain optimal fixation by proximal and distal fit and fill of the fe...
0
Residual hip dysplasia at 1 year after treatment for neonatal hip instability is not related to degenerative joint disease in young adulthood: a 21-year follow-up study including dGEMRIC
Developmental Dysplasia of the Hip 2020 Review
OBJECTIVE: Developmental dysplasia of the hip (DDH) is associated with an increased risk of early hip osteoarthritis (OA). We aimed to examine the outcome at the completion of growth in a cohort of children who had residual acetabular dysplasia at age 1 year following early treatment for neonatal instability of the hip...
0
Intertrochanteric fractures of the femur: results of treatment with 95 degrees Condylar Blade Plate
Management of Hip Fractures in the Elderly
The aim of the present study was to analyze patients treated with 95 degrees Condylar Blade Plate and to describe the technique that can prevent complications. 69 patients with closed intertrochanteric femoral fractures were treated by one surgeon using the 95 degrees Condylar Blade Plate, and it was found that 56 of t...
0
Occurrence, risk factors, and outcomes of bone cement implantation syndrome after hemi and total hip arthroplasty in cancer patients
Hip Fx in the Elderly 2019
BACKGROUND AND OBJECTIVES: Patients undergoing cement fixation for hip arthroplasty are at increased risk of developing bone cement implantation syndrome (BCIS). We sought to determine: what is the occurrence of BCIS in patients with cancer after hip arthroplasty? What are the risk factors in patients with cancer for t...
0
Study of Pain Management Techniques Following Anterior Cruciate Ligament Repair Surgery
AAHKS (9/10) Regional Nerve Blocks
Performance of arthroscopic knee repairs on day care basis necessitates adequate post�operative analgesia for successful home discharge since post�operative pain is known to be the commonest cause of unanticipated readmissions of day care patients. Early return to activity is also crucial to ensure adequate surgica...
0
Avascular necrosis of the femoral head following intertrochanteric fracture
Management of Hip Fractures in the Elderly
Two cases are reported of avascular necrosis of the femoral head occurring as a late complication of an intertrochanteric fracture. The cases are presented to emphasize the importance of including this condition in the differential diagnosis of any late clinical deterioration following such an injury
0
Early discharge of hip fracture patients from hospital: transfer of costs from hospital to nursing home
HipFx Supplemental Cost Analysis
Hip fracture patients occupy more and more hospital beds. One of the strategies for coping with this problem is early discharge from the hospital to institutions with rehabilitation facilities. We studied whether early discharge affects outcome and costs. 208 elderly patients with a hip fracture were followed up to 4 m...
0
Ocular pulse amplitude in patients with asymmetric primary open-angle glaucoma
Upper Eyelid and Brow Surgery
AIM: To evaluate ocular pulse amplitude (OPA) using the dynamic contour tonometer (DCT) in patients with asymmetric primary open-angle glaucoma (POAG) and asymmetric intra-ocular pressure (IOP). METHODS: The participants consisted of 48 patients (96 eyes) with asymmetric POAG. Three measurements of IOP and OPA were tak...
0
The SF-36 general health status survey documents the burden of osteoarthritis and the benefits of total joint arthroplasty: but why should we use it?
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVES: To document the disease burden of osteoarthritis and the benefits of total joint replacement by using the Short Form Health Survey (SF-36) general health status survey and evaluate other factors that could affect scores. STUDY DESIGN: Prospective study. PATIENTS AND METHODS: All patients scheduled for prima...
0
Special considerations for the treatment of multiple myeloma according to advanced age, comorbidities, frailty and organ dysfunction
MSTS 2018 - Femur Mets and MM
Multiple Myeloma (MM) is primarily a disease of old age with a median age of sixty-nine years at diagnosis. The development of novel therapies for induction and use of autologous stem cell transplantation has resulted in improved clinical outcomes and better quality of life for MM patients. Elderly patients, comprising...
0
Recurrent Labral Tearing on Magnetic Resonance Imaging Is Not Predictive of Diminished Participation Among National Football League Athletes
Glenohumeral Joint OA
PURPOSE: To investigate the prevalence of shoulder labral repair and utility of magnetic resonance imaging (MRI) in determining the risks of recurrent labral tearing and impact on future participation in the National Football League (NFL). METHODS: Athletes invited to the NFL Combine between 2012 and 2015 were retrospe...
0
Transthyretin-related familial amyloidotic polyneuropathy: description of a cohort of patients with Leu64 mutation and late onset
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Transthyretin-related familial amyloidotic polyneuropathy (TTR-FAP) usually presents itself as a progressive sensorimotor polyneuropathy with severe autonomic dysfunction and cardiomyopathy. Eighteen patients carrying the Leu64 mutation underwent a series of regular follow-ups, including: neurological examination, elec...
1
Decision making in limb salvage: A challenge for the orthoplastic team
DoD LSA (Limb Salvage vs Amputation)
Optimal decision making in reconstruction of soft tissues after massive orthopedic trauma is mission-critical to a favorable outcome. In the broadest definition this reconstruction does not just mean a large soft-tissue placed on the bony injury-but rather that the injured patient regains as full a functional recovery,...
0
Trends in meniscus repair and meniscectomy in the United States, 2005-2011
AMP (Acute Meniscal Pathology)
BACKGROUND: Meniscus deficiency may lead to degenerative arthritis in the knee. There is a significant emphasis on meniscus preservation, particularly in the young patient, to reduce the risk of arthritis. PURPOSE: To report on the incidence of meniscus repair and meniscectomy, with and without concomitant anterior cru...
1
Risk Factors for Complications in Immediate Expander-Implant Breast Reconstruction for Non-obese Patients: Impact of Breast Size on Complications
Acellular Dermal Matrix
BACKGROUND: Although obesity is a well-known risk factor for complications in immediate expander-implant breast reconstruction, no studies have identified risk factors for non-obese patients. The purpose of this study was to identify risk factors for complications in non-obese patients. METHODS: A retrospective analysi...
0
Oncoplastic surgery for Japanese patients with breast cancer of the lower pole
Reduction Mammoplasty for Female Breast Hypertrophy
This report presents the results of oncoplastic surgery in three Japanese patients with breast cancer lesions involving the lower pole of the breast. Their breasts were ptotic, and their lesions were considered to be suitable for breast conservation surgery. There were treated with partial mastectomy resection using ve...
0
Outcome of oligoprogressing metastatic renal cell carcinoma patients treated with locoregional therapy: A multicenter retrospective analysis
MSTS 2022 - Metastatic Disease of the Humerus
Locoregional treatment with radical intent should be considered during therapy with targeted agents in patients with metastatic renal cell carcinoma (mRCC) in order to achieve a complete response, especially in the setting of an oligo-progression in one or more metastatic sites. We retrospectively enrolled 55 patients ...
1
Prognostic factors for functional outcome of total knee replacement: a prospective study
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: The objective was to investigate whether baseline physical functioning, medical, psychosocial, or demographic variables predict functional outcome in patients undergoing total knee replacement. METHODS: A prospective cohort study was performed between December 1991 and August 1993. Consecutive, unilateral t...
0
A mouse model of post-arthroplasty Staphylococcus aureus joint infection to evaluate in vivo the efficacy of antimicrobial implant coatings
PJI DX Updated Search
BACKGROUND: Post-arthroplasty infections represent a devastating complication of total joint replacement surgery, resulting in multiple reoperations, prolonged antibiotic use, extended disability and worse clinical outcomes. As the number of arthroplasties in the U.S. will exceed 3.8 million surgeries per year by 2030,...
1
Isokinetic torque deficit of the knee extensor muscles after arthroscopic partial meniscectomy
AMP (Acute Meniscal Pathology)
Isokinetic torque deficit of the knee extensor muscles in the operated leg was measured in 21 male patients (mean age 26.4 +/- 1.9 years) who had undergone arthroscopic partial medial meniscectomy. The isokinetic torque testing was performed 1, 3, and 6 months postoperatively using the Cybex II dynamometer according to...
0
Determinants of posttraumatic adjustment in adolescents from Sarajevo who experienced war
DoD PRF (Psychosocial RF)
The purpose of this study was to examine risk and protective factors of postwar adjustment among adolescents from Sarajevo who have been exposed to war traumas during the war in Bosnia and Herzegovina. More specifically, we wanted to examine differential linkages between Posttraumatic Stress Disorder (PTSD) symptoms an...
0
Fractures of the lateral humeral condyle in children--an analysis of 39 cases
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Thirty-nine cases of fracture of the lateral humeral condyle in children are reported. The average age of the children was 8 years (range 5-13 years). The patients were classified into three groups according to the type of fracture. Fourteen of the first group were treated without operation while the remaining 25 under...
0
Comparison of health care costs between aseptic and two stage septic hip revision
PJI DX Updated Search
The number of septic and aseptic total hip arthroplasty (THA) revisions will increase, which involves a greater financial burden. We here provide a retrospective consecutive analysis of the major variable direct costs involved in revision THA for aseptic and septic failure. A total of 144 patients (30 septic, 114 asept...
1
Bleeding in primary shoulder arthroplasty
Glenohumeral Joint OA
INTRODUCTION: The aim of this investigation was to analyse "total blood loss" (TBL), "blood transfusion rate" (BT) and the "amount of transfused blood units" (BU) between the different primary shoulder arthroplasty (SA) types: reverse, anatomical and stemless. Only primary SA was included. Further goal was to identify ...
1
Current trends in breast reduction
Reduction Mammoplasty for Female Breast Hypertrophy
Results of our study describe the long term effects of reduction mammaplasty. Many women with excessively small or large breasts have an altered personal self-image and often suffer from low self-esteem and other psychological stresses. This procedure is designed to reduce and reshape large breasts, and since the size,...
0
Glucosamine sulfate reduces prostaglandin E(2) production in osteoarthritic chondrocytes through inhibition of microsomal PGE synthase-1
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Glucosamine sulfate (GS) has been inferred to have a potential antiinflammatory effect on osteoarthritis (OA). We investigated its effect on prostaglandin E(2) (PGE(2)) in human OA chondrocytes, and the level in the PGE(2) pathway at which its effect takes place. METHODS: We investigated the effect of GS tre...
0
Histology of the bone-cement interface in retrieved Oxford unicompartmental knee replacements
PJI DX Updated Search
Introduction: Radiolucent lines (RLL) are commonly seen at the cement-bone interface of knee replacements, yet are poorly understood. Although thin RLL are not associated with implant loosening or poor patient outcome there is still concern that they indicate sub-optimal fixation. The primary study aim is to characteri...
0
Insurance impacts survival for children, adolescents, and young adults with bone and soft tissue sarcomas
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: While racial/ethnic survival disparities have been described in pediatric oncology, the impact of income has not been extensively explored. We analyzed how public insurance influences 5-year overall survival (OS) in young patients with sarcomas. METHODS: The University of California San Francisco Cancer Reg...
1
Boston Carpal Tunnel Questionnaire: the influence of diagnosis on patient-oriented results
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVES: To evaluate the influence of the patient-physician interaction and the instrumental awareness of the assessment of patients' answers to a carpal tunnel syndrome-specific questionnaire. METHODS: We performed a prospective study of the results of a self-administered questionnaire for carpal tunnel syndrome be...
0
Mid-Term Survivorship, Performance, and Predictors of Outcome in Primary Total Hip Arthroplasty With a Porous Tantalum Femoral Prosthesis
Hip Fx in the Elderly 2019
Background: Femoral stem subsidence is a known cause of early implant failure, increasing the risk for aseptic loosening and periprosthetic fracture. Overall survivorship and subsidence in a novel porous tantalum-coated femoral prosthesis have not been well-studied. Methods: Consecutive patients undergoing primary tota...
0
Effects of inhalation anesthesia vs. Total intravenous anesthesia (TIVA) vs. spinal-epidural anesthesia on deep vein thrombosis after total knee arthroplasty
AAHKS (2) Corticosteroids
Background: The objective of the present study was to evaluate the varying efficacy of general anesthesia (GA), combined spinal-epidural anesthesia (CSEA), and total intravenous anesthesia (TIVA) on the occurrence of deep vein thrombosis (DVT) following total knee arthroplasty (TKA). Material/Methods: From July 2013 to...
0
Arthroscopic treatment of pigmented villonodular synovitis of the proximal tibiofibular joint
OAK 3 - Non-arthroplasty tx of OAK
Disorders of the proximal tibiofibular joint should be kept in mind in the evaluation of lateral knee pain. They include osteoarthrosis, rheumatic disease, traumatic subluxation or dislocation, ganglion or synovial cysts, synostosis, synovial chondromatosis, pigmented villonodular synovitis and hypomobility of the join...
0
Can Addition of Doxycycline Perioperatively Reduce Propionibacterium Acnes in Shoulder Arthroplasty?
Glenohumeral Joint OA
Patients undergoing total and reverse shoulder arthroplasty for primary glenohumeral arthritis will be invited to participate in this study if patients meet inclusion and exclusion criteria. Patients will be randomized to receive either standard perioperative antibiotics with cefazolin or to the treatment group to rece...
0
Outcome of periprosthetic distal femoral fractures following knee arthroplasty
PJI DX Updated Search
INTRODUCTION: The majority of periprosthetic fractures around the knee occur at the supracondylar region of the distal femur. Fixation of distal femoral fractures in osteoporotic bone with short segment remains a challenge, especially after total knee arthroplasty (TKA). Internal fixation of these fractures using locki...
0
Electro-oculographic changes after local excision of uveal melanoma
Reconstruction After Skin Cancer
Standard electro-oculography was performed in 10 patients with malignant unilateral uveal melanoma All eyes were treated by means of surgical local excision. After a mean +/- standard deviation follow-up of 10.5 +/- 5.5 months (range, 6 to 20 months) in the five patients with choroidal melanoma, the electro-oculographi...
0
Cost-effectiveness analysis of Coblation versus mechanical shaver debridement in patients following knee chondroplasty
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: To compare costs and outcomes following knee chondroplasty with Coblation versus mechanical shaver debridement (MSD) in patients with grade III articular cartilage lesions of the knee. METHODS: A decision-analytic model was developed to compare costs and outcomes of the two methods from a US payer perspecti...
0
Manipulation with prolonged epidural analgesia for treatment of TKA complicated by arthrofibrosis
Surgical Management of Osteoarthritis of the Knee CPG
Inability to achieve adequate range of motion (ROM) after total knee arthroplasty (TKA) represents a frustrating complication for both patient and surgeon. Manipulation under anesthesia is indicated in TKA having less than 90 degrees ROM after six weeks, with no progression or regression in ROM. A modified technique ha...
1
Accuracy of 3-Tesla magnetic resonance imaging for the diagnosis of intra-articular knee injuries in children and teenagers
AMP (Acute Meniscal Pathology)
BACKGROUND: Magnetic resonance imaging (MRI) is a commonly used tool for the diagnosis of intra-articular knee pathologies. Although many studies have reported the accuracy of MRI in the adult population, fewer studies have investigated these tests in younger patients. Furthermore, these studies have shown a higher var...
0
Compartment syndrome after total knee arthroplasty: regarding a clinical case
DoD LSA (Limb Salvage vs Amputation)
Although compartment syndrome is a rare complication of total knee arthroplasty, it is one of the most devastating complications. It is defined as a situation of increased pressure within a closed osteofascial space that impairs the circulation and the functioning of the tissues inside this space, thereby leading to is...
1
Additional method for diagnosis of carpal tunnel syndrome: value of the second lumbrical-interossei test (2L-INT)
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We examined 57 hands referred with suspected carpal tunnel syndrome (CTS) using the second lumbrical-interossei nerve test (2L-INT) as well as standard test. Sensory nerve conduction velocity (SCV) was detectible in 67% of patients (38/57), the abductor pollicis brevis-compound muscle action potential (APB-CMAP) in 84%...
0
Meniscus-derived matrix bioscaffolds: Effects of concentration and cross-linking on meniscus cellular responses and tissue repair
AMP (Acute Meniscal Pathology)
Meniscal injuries, particularly in the avascular zone, have a low propensity for healing and are associated with the development of osteoarthritis. Current meniscal repair techniques are limited to specific tear types and have significant risk for failure. In previous work, we demonstrated the ability of meniscus-deriv...
1
Traumatic events and mental health in the community: a New Zealand study.[Erratum appears in Int J Soc Psychiatry. 2010 Jan;56(1):104]
DoD PRF (Psychosocial RF)
BACKGROUND: Adverse mental health effects in response to a variety of distressing events in specific populations are well documented. However, comparatively little research has been conducted within large community samples outside North America. AIMS: To assess the prevalence and psychological impact of specific trauma...
0
Native hip dislocation at acetabular fracture predicts poor long-term outcome
Hip Fx in the Elderly 2019
AIM: The aim of this study was to evaluate the long-term clinical outcomes and complications following an acetabular fracture associated with a posterior hip dislocation compared to those without dislocation. PATIENTS & METHODS: A retrospective cohort study of 113 patients (mean age 42 (14-95), 77% male) with acetabula...
0
Critical review on the socio-economic impact of tendinopathy
PJI DX Updated Search
There are currently no studies that determine the total burden that tendinopathy places on patients and society. A systematic search was conducted to understand the impact of tendinopathy. It demonstrated that the current prevalence is underestimated, particularly in active populations, such as athletes and workers. Se...
0
Early postoperative mortality following joint arthroplasty: a systematic review
SR for PM on OA of All Extremities
OBJECTIVE: To perform a systematic review of 30- and 90-day mortality rates in patients undergoing hip or knee arthroplasties. METHODS: Five databases were searched for English-language studies of mortality in hip or knee arthroplasties and the following data were extracted: patient characteristics (age, sex, ethnicity...
0
The accuracy of magnetic resonance imaging diagnosis of non-osseous knee injury at Steve Biko Academic Hospital
AMP (Acute Meniscal Pathology)
BACKGROUND: Preoperative magnetic resonance imaging (MRI) has internationally been proven to reduce unnecessary knee arthroscopies and assist with surgical planning. This has the advantage of avoiding unnecessary surgery and the associated anaesthetic risk, as well as reducing costs. No data were found in the recently ...
0
A potential challenge from clinical evidence: Does MIR-140 only regulate proteoglycan to mediate the pathophysiology of age-related osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Objective(s): To validate the correlation of miR-140 with HDAC7 and Smurf1 in age-related osteoarthritis(OA). Material & Methods: MicroRNAs Bioinformatics online databases (TargetScan 5.2\Microrna.org) were used to predict potential targets of miR-140. HumanOA cartilage specimens of tibial plateaus were obtained from 7...
0
Pediatric epidural analgesia (PEA)
DoD - ACS - Interrater Reliability
The pediatric epidural is an accepted method of advanced analgesia in children. Newer techniques have now superseded pediatric epidural analgesia (PEA), being as effective and safer, especially with the advances in ultrasonography. PEA is, however, still an important technique to master and employ, and it may be that t...
1
Pregnancy and delivery after lower body contouring surgery is safe for the mother and child
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Obesity in fertile age women has increased worldwide leading to increased bariatric procedures. Lower body contouring surgery (LBCS) is one of the most commonly performed esthetic operations, mainly owing to massive weight loss. However, there is a paucity of data regarding pregnancy and delivery after LBCS...
0
Imaging of cosmetic plastic procedures and implants in the body and their potential complications
Panniculectomy & Abdominoplasty CPG
OBJECTIVE: Cosmetic plastic surgery procedures, as well as implants, are increasingly being performed. These implants are often encountered on routine imaging examinations, and radiologists are often asked to evaluate for complications or evidence of failure. Pectoral augmentation, gluteal augmentation, body lift and a...
1
Clinical judgement versus arthrography for diagnosing knee lesions
AMP (Acute Meniscal Pathology)
The authors carried out a retrospective, randomized study of 200 patients with a preoperative diagnosis of meniscal tear of the knee. Of 208 knees operated on, more than one lesion was found in 84 knees (40.4%). Arthrographic diagnosis was incomplete or incorrect in 103 (51.5%) of 200 knees. Chondromalacia of the patel...
0
Screening for breast cancer post reduction mammoplasty
Reduction Mammoplasty for Female Breast Hypertrophy
AIM: To investigate whether remodelling of the breast after breast reduction surgery has an effect on mammographic cancer detection. METHODS AND MATERIALS: For women who attended population-based screening between January 1998 to December 2007, data were extracted on their age, history of previous breast reduction, and...
1
Anterior cruciate ligament reconstruction with multistranded autogenous semitendinosus tendon
Anterior Cruciate Ligament Injuries CPG
We evaluated 41 knees 24 to 48 months after anterior cruciate ligament reconstruction was performed using multiple autogenous semitendinosus tendons. The ipsilateral free semitendinosus tendon was tripled or quadrupled to make a graft 7 to 10 mm in diameter and more than 60 mm long. When the diameter of the graft was l...
0
The relationship between childhood sexual abuse and sexual dysfunction in Jamaican adults
DoD PRF (Psychosocial RF)
This study examined the associations between early traumatic sexualization and later sexual dysfunction in a sample of 100 Jamaican adults while identifying the linkages between age, frequency of abuse, and gender on sexual functioning. Participants were selected via purposive and convenience sampling and divided equal...
0
Incidence and risk factors of knee injuries associated with ipsilateral femoral shaft fractures: A multicentre retrospective analysis of 429 femoral shaft injuries
Hip Fx in the Elderly 2019
A femoral shaft fracture is usually a high-energy injury and, thus, is likely to be accompanied by an injury of adjacent joints such as a knee ligament injury. However, these associated injuries are often neglected because of severe pain and deformity. The purpose of the current study is to evaluate the incidence, type...
0
Navigated and nonnavigated total hip arthroplasty: results of two consecutive series using a cementless straight hip stem
Management of Hip Fractures in the Elderly
The purpose of this study was to compare conventional and navigated technique and a recently developed straight hip stem for uncemented primary total hip arthroplasty. The results of two consecutive implantation series of 42 patients (nonnavigated) and 42 patients (navigated) were analysed for implant positioning and c...
0
Total knee arthroplasty in classic hemophilia
Surgical Management of Osteoarthritis of the Knee CPG
Thirteen semiconstrained total knee arthroplasties (TKA) were performed in nine men with classic hemophilia. The average age at surgery was 38 years, the average Factor VIII administration during hospitalization was 84.222 units, and the average hospitalization time was 33 days. Four patients (44%) died during the obse...
0
Syngeneic, minor mismatched, and major mismatched transplantation of mesenchnmal stem cells derived from synovium in a rat massive meniscal defect model
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: We previously reported that intraarticular injection of mesenchymal stem cells (MSCs) derived from synovium promoted meniscal regeneration in a rat massive meniscal defect model Great number of reports described that bone marrow MSCs had immunoprivileged effects as well as immunosuppressive effects and that al...
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Fractures of the clavicle
Glenohumeral Joint OA
Undisplaced fractures of both the diaphysis and the lateral end of the clavicle have a high rate of union, and the functional outcomes are good after nonoperative treatment. Nonoperative treatment of displaced shaft fractures may be associated with a higher rate of nonunion and functional deficits than previously repor...
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Wrist fractures treated with plaster cast or operation: what leads to the best outcome in patients older than 50 years?
Distal Radius Fractures
INTERVENTION: Open reduction and internal fixation using locking�plate and angular stable screw fixation versus plaster cast immobilization CONDITION: ; Fracture , Distal radius, Plate fixation, Plaster cast immobilization ; ; PRIMARY OUTCOME: Main study parameter/endpoint ; ; Functional outcome parameters: ; ; Disab...
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Precordial skin burns after endoscopic submucosal dissection for gastric tube cancer
Reconstruction After Skin Cancer
BACKGROUND AND AIM: Endoscopic submucosal dissection (ESD) is useful as a minimally invasive treatment option for early gastric cancer. ESD is also used in the management of postoperative remnant gastric cancers in the stomach and gastric tube cancers. Perforation and delayed bleeding have been the main complications o...
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Short time-frame from first to second hip fracture in the Funen County Hip Fracture Study
Management of Hip Fractures in the Elderly
INTRODUCTION: Hip fracture patients represent a frail group of elderly with increased morbidity and mortality. The aim of this study was to evaluate the occurrence and distribution of a second hip fracture in the time interval between the first and the second hip fracture. METHODS: All incident hip fractures in residen...
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Effects of chondroitin sulfate on brain response to painful stimulation in knee osteoarthritis patients. A randomized, double-blind, placebo-controlled functional magnetic resonance imaging study
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: Knee osteoarthritis is causing pain and functional disability. One of the inherent problems with efficacy assessment of pain medication was the lack of objective pain measurements, but functional magnetic resonance imaging (fMRI) has emerged as a useful means to objectify brain response to painful stimula...
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Improvement in aerobic fitness during rehabilitation after hip fracture
Management of Hip Fractures in the Elderly
OBJECTIVE: To evaluate the effect of an upper-body exercise program on cardiorespiratory fitness in older adults with hip fracture during inpatient rehabilitation. DESIGN: Randomized controlled trial using a convenience sample. SETTING: An inpatient rehabilitation unit. PARTICIPANTS: Twenty older patients (age 81.3 +/ ...
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An alternative treatment for osteoporotic Su Type III periprosthetic supracondylar femur fractures: Double locking plate fixation
Hip Fx in the Elderly 2019
INTRODUCTION: Patients with Su Type III fractures based on total knee arthroplasty (TKA) constitute a patient group with problematic treatment and management. Although it has difficulties, open reduction and internal fixation is one of the treatment options. METHOD: A retrospective evaluation was made of 22 patients su...
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Congenital dislocation of the hip: a prospective study comparing ultrasound and clinical examination
Developmental Dysplasia of the Hip CPG
Screening for congenital dislocation of the hip by standard clinical methods and ultrasound was compared prospectively in 1503 newborns (1291 girls and 212 boys). A total of 82.8% of the hips (78.8% of the infants) had well developed acetabulae, 14.5% (17.2% of the infants) were shallow (immature) and 2.7% (4.1% of the...
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Epidural morphine after anterior cruciate ligament repair: a comparison with patient-controlled intravenous morphine
Surgical Management of Osteoarthritis of the Knee CPG
To compare the management of postoperative pain using morphine administered by epidural catheter with intravenous patient-controlled analgesia (PCA), we prospectively studied 47 consecutive cases involving repair of the anterior cruciate ligament of the knee. Both the quality of analgesia and the incidence of side effe...
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Prediction of instability in distal radial fractures
Distal Radius Fractures
BACKGROUND: Effective methods of treating an unstable distal radial fracture are described in the literature, but there is no reliable method of identifying an unstable fracture in time to initiate appropriate treatment. The purposes of this study were to identify the predictors of fracture instability and to construct...
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The EUROP total knee prosthesis: A ten-year follow-up study of a posterior cruciate-retaining design
PJI DX Updated Search
Introduction: The success of total knee arthroplasty is measured by pain relief, functional recovery, and implant survival duration.The aim of the present study was to evaluate the long-term clinical, functional and radiological results of the posterior cruciate ligament (PCL)-retaining fixed bearing EUROP implant. Hyp...
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Diagnostic strategy for elderly patients with isolated greater trochanter fractures on plain radiographs
Hip Fx in the Elderly 2019
BACKGROUND: Isolated greater trochanter (GT) fractures are relatively rare and few studies have assessed the appropriate diagnostic and therapeutic strategies for these fractures. When initial plain radiographs show an isolated GT fracture, underestimation of occult intertrochanteric extension may result in displacemen...
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Ankle fractures in patients with diabetes mellitus
DoD SSI (Surgical Site Infections)
Diabetes mellitus is considered an indicator of poor prognosis for acute ankle fractures, but this risk may be specific to an identifiable subpopulation. We retrospectively reviewed 42 patients with both diabetes mellitus and an acute, closed, rotational ankle fracture. Patients were individually matched to controls by...
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Skin cancer in the elderly
Reconstruction After Skin Cancer
With the significant increase in the average life-span in the industrial world, skin cancer has become a great health concern. There are various epidemiological, biological and molecular data suggesting that skin cancer is predominantly a disease of the elderly, since approximately 53% of skin cancer-related deaths occ...
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A randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients
Management of Hip Fractures in the Elderly
The best treatment for the active and lucid elderly patient with a displaced intracapsular fracture of the femoral neck is still controversial. Randomised controlled trials have shown that a primary total hip replacement is superior to internal fixation as regards the need for secondary surgery, hip function and health...
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Prognostic value of BRAF(V???) mutations in melanoma patients after resection of metastatic lymph nodes
Reconstruction After Skin Cancer
PURPOSE: BRAF (V600) mutations are frequent in melanomas, and BRAF(V600)-targeted therapy have dramatic, but often transitory, efficacy in stage IV patients. Prognosis of patients with American Joint Committee on Cancer (AJCC) stage III melanoma is heterogeneous. We aimed to determine the overall survival (OS) of stage...
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Inferiorly displaced flap tears of the medial meniscus: MR appearance and clinical significance
AMP (Acute Meniscal Pathology)
OBJECTIVE: We describe the MR imaging features of medial meniscus flap tears in which the fragment becomes located inferomedial to the tibial plateau and deep in relation to the medial collateral ligament. CONCLUSION: Inferior flap tears of the medial meniscus can be inconspicuous and overlooked by both radiologists an...
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Reconstruction with modular hemipelvic prosthesis for the resection of solitary periacetabular metastasis
DoD LSA (Limb Salvage vs Amputation)
Background: The outcomes of patients with solitary metastasis around the acetabulum who received en bloc resection and reconstruction are unclear. The purpose is to evaluate the oncologic results, complications, and functional outcomes in these patients. Methods: Fifteen patients who underwent periacetabular resection ...
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Interventions for treating fingertip entrapment injuries in children
DoD SSI (Surgical Site Infections)
BACKGROUND: Fingertip entrapment injuries, which involve lacerations to the pulp and nail and often a fracture of the underlying bone, commonly occur in children, usually as the result of a crushing injury. Treatment is either conservative (wound cleaning and fingertip dressing)or surgical (repair of lacerations, reduc...
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Complications of pediatric supracondylar humeral fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
Supracondylar humeral fractures are common in the pediatric population and can result in complications caused by both the injury itself and surgical or nonsurgical treatment. Neurologic complications are frequent, with the anterior interosseous nerve being the most common nerve affected. Vascular injuries, although les...
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The normal age-corrected and reaction time-corrected isopter derived by semi-automated kinetic perimetry
Upper Eyelid and Brow Surgery
PURPOSE: To determine the increase in isopter extent, resulting from the measurement of, and correction for, individual reaction time (RT; the latency between stimulus presentation and individual patient response), derived under the standardized conditions of semi-automated kinetic perimetry (SKP), and to model the age...