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0 | Does infrapatellar fat pad resection in total knee arthroplasty impair clinical outcome? A systematic review | Panniculectomy & Abdominoplasty CPG | Introduction: The infrapatellar fat pad (IPFP) is often removed during total knee arthroplasty (TKA). No evidence based guidelines on changes in clinical outcome have yet been described. The aim of this review is to investigate whether regular removal of the IPFP during TKA should be performed. Material and methods: Se... |
1 | Functional results after treatment of hip fracture: a multicentre, prospective study in 215 patients | Management of Hip Fractures in the Elderly | OBJECTIVE: To find out which factors influence outcome after a fractured hip, so that the optimum treatment may be chosen for each patient. DESIGN: Prospective cohort study. SETTING: 3 teaching and 2 rural hospitals, The Netherlands. SUBJECTS: 215 patients aged 55-102 years (median 82) who presented with a fractured hi... |
0 | Nursing activities and acute confusional states in elderly hip-fractured patients | Management of Hip Fractures in the Elderly | Confusion in 91 hospitalized patients over 60 years of age who had sustained hip fracture and undergone subsequent surgical repair was examined in seven hospitals in five states. The relationship of nursing activities, patient, surgical, and environmental variables to the extent of confusion apparent in the sample was ... |
0 | Gritti-stokes amputations in the trauma patient: clinical comparisons and subjective outcomes | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The Gritti-Stokes amputation procedure is a modification of the traditional transfemoral amputation, with resection of the bone at a supracondylar femoral level and fixation of the patella to the distal part of the femur as an end-cap. Although well-established in patients with vascular compromise, no evide... |
0 | Child Abuse and Neglect and Subclinical Cardiovascular Disease Among Midlife Women | DoD PRF (Psychosocial RF) | OBJECTIVE: A childhood history of abuse or neglect may be associated with elevated adult cardiovascular disease (CVD) risk. No studies have examined associations between child abuse/neglect and subclinical CVD using a validated measure of abuse and neglect. We hypothesized that midlife women with a history of childhood... |
0 | Saphenous nerve anaesthesia--a nerve stimulator technique | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: This two part study was undertaken to assess both the feasibility of identifying the saphenous nerve with a nerve stimulator and to assess the efficacy of saphenous nerve anaesthesia with electrical isolation of the nerve. METHODS: (Part I): In Part I we studied 25 volunteers. Each had saphenous nerve blocks p... |
1 | Carpal tunnel syndrome. Decompression using the Paine retinaculotome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The presenting symptomatology and clinical findings of 464 patients with the carpal tunnel syndrome are reviewed. The results of decompression by section of the transverse carpal ligament are presented, with particular reference to the use of the Paine retinaculotome. Approximately 90% of patients achieved very satisfa... |
0 | Transfusion of packed red blood cells stored >14 days was associated with a higher risk of infection after hip revision arthroplasty | PJI DX Updated Search | PURPOSE: Transfusion of packed red blood cells (RBCs) stored for >14 days has been associated with a higher risk of infection but there is no data about the impact in revision hip arthroplasty. METHODS: We retrospectively reviewed 280 patients who underwent revision hip arthroplasty from January 2002 to May 2012. Re... |
0 | A prospective plan to minimise median nerve related complications associated with operatively treated distal radius fractures | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Loss of median nerve function or a neuropathic pain syndrome may occur in around 20% of distal radius fractures if post-traumatic oedema in the carpal canal generates excessive pressure on the median nerve. No method currently exists to reliably distinguish which patients may benefit from a concomitant carpal tunnel re... |
0 | Neuromuscular and psychological characteristics in subjects with work-related forearm pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | There are scant data available on the neuromuscular and psychological characteristics of patients with cumulative trauma disorders. We compared 16 subjects with work-related forearm and hand pain in the dominant upper limb with 9 age-matched control subjects. Pain subjects were divided into two groups based on nerve co... |
0 | Functional outcome of arthroscopic repair of full-thickness degenerative rotator cuff tears | Glenohumeral Joint OA | Background In the past decade, in spite of the advancement in the clinical knowledge, imaging modalities for precise diagnosis and minimally invasive surgeries, the ideal management for degenerative rotator cuff tears is still a matter of debate. Methods This prospective study was conducted from January 2013 to August ... |
1 | Effects of fucoidan from Fucus vesiculosus in reducing symptoms of osteoarthritis: A randomized placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Purpose: Preliminary investigation of a fucoidan with demonstrated reduction in the symptoms of osteoarthritis (OA) of the hip and knee. Patients and methods: A double-blind randomized controlled trial was carried out to determine the safety and efficacy of a 300 mg dose of a Fucus vesiculosus extract (85% fucoidan) ov... |
0 | Orbital decompression as an alternative management strategy for patients with benign tumors located at the orbital apex | Upper Eyelid and Brow Surgery | PURPOSE: Tumors located in the intraconal portion of the orbital apex, especially those inferior to the optic nerve, can be difficult to access surgically, carrying a significant risk of ocular morbidity. The purpose of this study was to investigate outcomes in 5 patients with benign-appearing but symptomatic tumors lo... |
1 | Systematic Review of Silk Scaffolds in Musculoskeletal Tissue Engineering Applications in the Recent Decade | AMP (Acute Meniscal Pathology) | During the past decade, various novel tissue engineering (TE) strategies have been developed to maintain, repair, and restore the biomechanical functions of the musculoskeletal system. Silk fibroins are natural polymers with numerous advantageous properties such as good biocompatibility, high mechanical strength, and l... |
0 | Is Early Appropriate Care of axial and femoral fractures appropriate in multiply-injured elderly trauma patients? | DoD SSI (Surgical Site Infections) | BACKGROUND: Previous work established resuscitation parameters that minimize complications with early fracture management. This Early Appropriate Care (EAC) protocol was applied to patients with advanced age to determine if they require unique parameters to mitigate complications.
METHODS: Between October 2010 and Marc... |
0 | Factors influencing bone fractures in severely disabled persons | DoD PRF (Psychosocial RF) | Objectives: Factors affecting bone fracture in severely disabled persons were evaluated. Design: Bone mineral density was measured, and the ratio against the average values in healthy subjects was calculated. Seventy-three subjects were selected from among 113 inpatients with severe mental and physical handicaps. The s... |
0 | Total knee replacement for patients with patellofemoral arthritis | Surgical Management of Osteoarthritis of the Knee CPG | Fifty-three patients with incapacitating patellofemoral arthritis and minimal tibiofemoral changes underwent a total knee replacement. Their results were compared with the results of a concomitant series of patients with tricompartmental osteoarthritis. Preoperatively group of patients with patellofemoral arthritis had... |
0 | Radiological features of osteoarthritis of the acromiclavicular joint and its association with clinical symptoms | Glenohumeral Joint OA | PURPOSE: To determine whether increasing age is associated with increased radiological features of osteoarthritis of the acromioclavicular joint (ACJ) in a general population, and whether clinical symptoms correlate with radiological features.
METHODS: Anteroposterior and axillary shoulder radiographs of 240 patients a... |
1 | Evaluation of the second-generation meniscus arrow in the fixation of bucket-handle tears in the vascular area of the meniscus. A prospective study of 20 patients with a mean follow-up of 26 months | AMP (Acute Meniscal Pathology) | The purpose of this prospective study was to evaluate whether the shorter degradation time of the second-generation Meniscus Arrow would be adequate to allow meniscal healing and whether equally good results could be achieved compared to the first generation implant. We also wanted to assess whether some of the implant... |
0 | Physiological patellofemoral crepitus in knee joint disorders | Surgical Management of Osteoarthritis of the Knee CPG | Vibration waves produced by the knee joint during extension-flexion may be recorded by vibration arthrometry. When the speed of this motion is less than 5 degrees per second, the vibration produced by the patella is referred to as physiological patellofemoral crepitus (PPC), which reflects the integrity of articular ca... |
0 | MicroRNA-135a-3p is downregulated and serves as a tumour suppressor in ovarian cancer by targeting CCR2 | MSTS 2018 - Femur Mets and MM | MicroRNAs have been demonstrated to play a crucial role in the development of ovarian cancer. Many studies prove that forms of miR-135a, including miR-135a-5p and miR-135a-3p, serve as tumour suppressors in multiple cancers. Nevertheless, the precise function of miR-135a-3p and the molecular mechanisms underlying the i... |
1 | Compartment syndrome in Schatzker type VI plateau fractures and medial condylar fracture-dislocations treated with temporary external fixation | DOD - Acute Comp Syndrome CPG | OBJECTIVE: Bicondylar tibial plateau fracture with metaphyseal-diaphyseal dissociation. Schatzker VI and medial plateau fracture-dislocations are commonly treated with initial external fixation until the soft tissues allow for more definitive internal fixation. The purpose of this study was to review the incidence of c... |
0 | Cement augmentation of the acetabulum for revision total hip arthroplasty for infection | PJI DX Updated Search | Antibiotic-loaded cement spacers in first-stage revision hip arthroplasty for infection are associated with a high dislocation and fracture rate. This technical note describes a novel surgical technique, utilizing screws and cement, improving acetabular coverage and reducing the risk of mechanical failure. Fifteen infe... |
0 | Reduction in surgical site infections in the southern cross hospitals network, 2004â??2015: Successful outcome of a long-term surveillance and quality improvement project | Panniculectomy & Abdominoplasty CPG | AIM: To report on the reduction in the surgical site infection (SSI) rate in the Southern Cross Hospitals network over a 12-year period, 2004â??2015, following active surveillance and quality improvement actions. METHODS: Ten hospitals in the network performed prospective SSI surveillance using standard definitions acr... |
0 | A new concept: The polycompartment syndrome - Part 1 | DOD - Acute Comp Syndrome CPG | First suggested in 2007, the polycompartment syndrome is a constellation of the physiological sequelae of increased compartment pressures, whether intracranial pressure (ICP), intra-thoracic pressure (ITP) or intra-abdominal pressure (IAP). Recent observations suggest that an increasing frequency of this complication i... |
0 | Advanced Interventional Pain Management Approach to Neoplastic Disease Outside the Spine | MSTS 2022 - Metastatic Disease of the Humerus | Neoplastic disease of the musculoskeletal system may result in serious morbidity and mortality secondary to cancer related bone pain, pathologic fracture, altered structural mechanics, and involvement of adjacent structures.<sup>1</sup> Recent advances in cancer detection and treatment have allowed more patients to liv... |
0 | Biofabrication of human articular cartilage: a path towards the development of a clinical treatment | OAK 3 - Non-arthroplasty tx of OAK | Cartilage injuries cause pain and loss of function, and if severe may result in osteoarthritis (OA). 3D bioprinting is now a tangible option for the delivery of bioscaffolds capable of regenerating the deficient cartilage tissue. Our team has developed a handheld device, the Biopen, to allow in situ additive manufactur... |
0 | Comparing efficacy and safety of 2 methods of tranexamic acid administration in reducing blood loss following total knee arthroplasty: A meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | Background: The purpose of this systematic review and meta-analysis of randomized controlled trials (RCTs) were to gather data to evaluate the efficacy and safety of topical tranexamic acid (TXA) versus intravenous (IV) TXA for blood loss after a total knee arthroplasty (TKA). Methods: Electronic databases: Pubmed, Web... |
0 | Current Controversies in Management of Calcaneus Fractures | DoD SSI (Surgical Site Infections) | Displaced intraarticular fractures of the calcaneus represent a technically challenging injury. Although there is conflicting evidence regarding advantages and disadvantages of operative versus nonoperative treatment, a growing body of literature suggests operative management with near-anatomic reduction of the posteri... |
0 | Gait patterns after total hip arthroplasty and surface replacement arthroplasty | Management of Hip Fractures in the Elderly | OBJECTIVE: To compare gait patterns in patients with total hip arthroplasty (THA) and surface hip arthroplasty.DESIGN: Observational study.SETTING: Outpatient biomechanical laboratory.PARTICIPANTS: Two groups of 10 surface hip arthroplasty and THA patients and 10 control subjects participated in the study (N=30). The p... |
1 | A new technique for creating a neo-umbilicus in abdominoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The umbilicus is an essential feature of the abdomen. In this article, we describe a new technique for creating a neo-umbilicus in abdominoplasty. METHODS: Thirty consecutive women underwent abdominoplasty with our new technique for recreating the navel. The new navel is created at the midpoint between the ... |
0 | Severity of heterotopic ossification in patients following surgery for hip fracture: a retrospective observational study | Hip Fx in the Elderly 2019 | BACKGROUND: Heterotopic ossification (HO) is a relatively common complication following hip surgery treated with open reduction and internal fixation, total arthroplasty or hemiarthroplasty. Development of HO after hip surgery is an important clinical issue as it can affect functional status. We aimed to determine whet... |
1 | Cancer following breast reduction surgery in Denmark | Reduction Mammoplasty for Female Breast Hypertrophy | Intuitively, breast tissue mass should be directly related to a woman's risk of breast cancer, simply because having more cells at risk would seem to increase the potential for malignant transformation. However, studies attempting to link breast size with breast cancer risk have been inconsistent. Limitations include c... |
1 | Functional outcome and health-related quality of life after surgical repair of full-thickness rotator cuff tear using a mini-open technique | Optimizing the Management of Full-Thickness Rotator Cuff Tears | BACKGROUND: Rotator cuff tear, a common shoulder injury, can lead to shoulder pain and functional loss. HYPOTHESIS: Surgical repair of full-thickness rotator cuff tears using the mini-open surgical technique will improve shoulder function and health-related quality of life. STUDY DESIGN: Cohort study. Level of evidence... |
0 | The value of pre-operative screening for MRSA in the reduction of sepsis in total hip replacement associated with MRSA. A prospective audit | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This audit was set up at Frimley Park Hospital in 1996 to assess how screening patients for methicillin-resistant Staphylococcus aureus (MRSA) before total hip replacement would affect the post-operative rate of wound infection with this multi-resistant organism. Over 12 months, 123 patients were screened for MRSA duri... |
0 | Component impingement in total hip arthroplasty: frequency and risk factors. A continuous retrieval analysis series of 416 cup | PJI DX Updated Search | INTRODUCTION: Impingement is a factor of failure in total hip replacement (THR), causing instability and early wear. Its true frequency is not known; cup-retrieval series reported rates varying from 27 to 84%. HYPOTHESIS: The hypothesis was that a large continuous series of THR cup removals would help determine the fre... |
0 | Abdominoplasty Panniculus as a Source for Human Acellular Dermis: A Preliminary Report | Panniculectomy & Abdominoplasty CPG | BACKGROUND: In extensive deep dermal burn injuries, split-thickness skin graft (STSG) has been the most preferred treatment option for resurfacing burn wounds. A thick split-thickness skin graft is ideal for preventing graft contracture but is associated with delayed donor healing and the lack of adequate donor skin. W... |
0 | Arthroplasty Registries, Patient Safety and Outlier Surgeons: the case for change | PJI DX Updated Search | Joint registries were created to follow-up on the failure rate of different types of joint replacements. Since the only end-point is revision to another implant the registries are missing out today on essential data informing us about patients' outcome. Ideally, a modern and complete registry should capture 3 strata of... |
0 | Enhanced recovery: Effect of age, gender and ASA grade | Surgical Management of Osteoarthritis of the Knee CPG | Purpose/Objective: Evidence based enhanced recovery programs have been implemented to improve patient outcomes, speed up recovery and reduce length of hospital stay. Our study looked at the effects of age, gender and ASA on the length of hospital stay after total knee replacement in patients receiving enhanced recovery... |
0 | Brain metastases in patients with ovarian carcinoma: Prognostic factors and outcome | MSTS 2022 - Metastatic Disease of the Humerus | Between January 1975 and April 2001, 8,225 patients with ovarian cancer were seen at The University of Texas M. D. Anderson Cancer Center. Brain metastases developed in 72 of these patients (0.9%). The medical records of these patients were reviewed to assess the incidence of these metastases and their correlates of su... |
0 | Total knee arthroplasty with rotating-hinge Endo-Model prosthesis: clinical results in complex primary and revision surgery | PJI DX Updated Search | INTRODUCTION: Rotating-hinge knee implants are highly constrained devices able to provide the stability needed for arthroplasty in case of severe bone loss and complex instability. Notable doubts still exist in using rotating-hinge devices, mainly due to risk of mechanical failure and risk of infection. MATERIALS AND M... |
1 | Comparing the mortality and morbidity of cemented and uncemented hemiarthroplasties | Hip Fx in the Elderly 2019 | A series of 207 consecutive patients admitted to Aberdeen Royal Infirmary over a 1-year period with a diagnosis of displaced subcapital fracture of the neck of the femur were treated by hemiarthroplasty with either a cemented Hasting or an uncemented Monk bipolar prosthesis. Patients were reviewed at an average of 19 m... |
1 | Total shoulder arthroplasty in patients with a B2 glenoid addressed with corrective reaming | Glenohumeral Joint OA | BACKGROUND: This study describes the short-term functional and radiographic outcomes after total shoulder arthroplasty (TSA) in shoulders with a B2 glenoid deformity addressed with corrective reaming.
METHODS: We conducted a retrospective series of consecutive patients who underwent TSA with a Walch B2 glenoid quantifi... |
0 | Effects of calcitonin on osteoarthritis in postmenopausal osteoporotic women | Surgical Management of Osteoarthritis of the Knee CPG | Objective: The prevalance of osteoarthritis (OA) appears to increase significantly in women after menopause and there are data which suggest that women who undergo hormone replacement therapy have some protection against the development of knee OA. Calcitonin has been commonly used in the treatment of postmenopausal os... |
0 | Mid-term outcomes of cementless total hip arthroplasty in adult patients with childhood hip infection | DoD SSI (Surgical Site Infections) | Background: Patients with hip joint infections in childhood often have many aftereffects of different degrees, regardless of the kind of treatment or natural course. Total hip arthroplasty is currently the most effective treatment for sequelae of childhood hip septic or tuberculous infection. This is a mid-term follow-... |
1 | Osteochondritis Dissecans Lesion Location Is Highly Concordant With Mechanical Axis Deviation | Osteochondritis Dissecans 2020 Review | BACKGROUND: The cause of osteochondritis dissecans (OCD) is unknown. PURPOSE: To determine if mechanical axis deviation correlates with OCD lesion location in the knee, if degree of mechanical axis deviation correlates with size of OCD lesion, and if the deformity was primarily in the distal femur or proximal tibia. ST... |
0 | Fractures in children | Distal Radius Fractures | BACKGROUND: The burden of diseases in children in our environment is dominated by infections and malnutrition; paediatric trauma has low advocacy and as such is given scant attention. The aim of this study is to review and describe the pattern of paediatric fractures in our local setting. METHOD: A retrospective review... |
0 | Are ceramic-on-ceramic bearings in total hip arthroplasty associated with reduced revision risk for late dislocation? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Dislocation is a major complication after primary total hip arthroplasty (THA), but little is known about the potential relationships between bearing materials and risk of dislocation. Dislocation within the first year after surgery is typically related to either surgical error or patient inattention to pre... |
0 | Effect of clodronate in patients with multiple myeloma. Evaluation of specific markers of bone resorption | MSTS 2018 - Femur Mets and MM | METHODS AND RESULTS: We investigated in an open clinical trial 22 patients with multiple myeloma with bone changes confirmed on XÎ?Ã?Ã?ray who had a normal calcium and creatinine serum concentration: the control group (A) comprised 13 patients (mean age 59 years, range 38Î?Ã?Ã?74 years), the experimental group (B) 9 pa... |
1 | Management of renal dysfunction in multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma is frequently associated with renal dysfunction. In addition, it has been shown that the presence of renal failure indicates a higher tumor burden and consequently more aggressive disease. Patients who are diagnosed with renal insufficiency should be aggressively treated because reversal of renal insuf... |
1 | Distal radius fractures: what's in and what's out | Distal Radius Fractures | Sound peer-reviewed data on the surgical treatment of distal radius fractures, in terms of patients' functional outcome, ability to return to work, complications, and radiographic results, are few. At present, treatment of distal radius fractures is focused on the restoration of articular alignment, radial length, and ... |
0 | A new hip epiphyseal prosthesis: design revision driven by a validated numerical procedure | Management of Hip Fractures in the Elderly | An innovative epiphyseal device has been recently proposed claiming an effective bone-prosthesis load transfer and a nearly physiological bone stresses distribution. However preliminary experimental tests showed a 23% weakening of the femoral neck after implantation. Aim of this study was to revise the prosthesis geome... |
1 | Prospective observational study of treatment pattern, effectiveness and safety of zoledronic acid therapy beyond 24 months in patients with multiple myeloma or bone metastases from solid tumors | MSTS 2018 - Femur Mets and MM | PURPOSE: To study the treatment patterns, effectiveness and safety of zoledronic acid (ZOL) beyond 2 years of therapy, given the paucity of data on long-term treatment in daily clinical practice.
METHODS: Patients with multiple myeloma (MM) or solid tumor bone metastases (STM) and at least 24 months of regular q3-4w ZO... |
0 | Spousal caregivers' activity restriction and depression: a model for changes over time | Management of Hip Fractures in the Elderly | In this paper we examine the effects of increasing as well as decreasing caregiving demands on depressive symptomatology. In addition, we focus on spousal caregivers' activity restriction as an explanatory mechanism for changes in depressive symptomatology in the caregiving context. Two databases are used to answer our... |
0 | Ultrasonographic findings of Achilles tendon and plantar fascia in patients with calcium pyrophosphate deposition disease | OAK 3 - Non-arthroplasty tx of OAK | The aims of the study were to detect the frequency of involvement of the Achilles tendon and plantar fascia in patients with calcium pyrophosphate deposition disease (CPPD) by high-frequency gray-scale ultrasonography (US) and power Doppler sonography (PDS) and to correlate these findings with demographic and clinical ... |
0 | The effect of sodium monofluorophosphate plus calcium on vertebral fracture rate in postmenopausal women with moderate osteoporosis. A randomized, controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND: Fluoride is effective in increasing trabecular bone mineral density (BMD) in the spine, but its efficacy in reducing vertebral fracture rates and its effect on BMD at cortical sites are controversial.OBJECTIVE: To study the effect of low-dose fluoride (sodium monofluorophosphate [MFP]) plus a calcium supple... |
0 | Endothelin-1 inhibits size dependent lymphatic clearance of PEG-based conjugates after intra-articular injection into the rat knee | OAK 3 - Non-arthroplasty tx of OAK | Clearance of particles from the knee is an essential mechanism to maintain healthy joint homeostasis and critical to the delivery of drugs and therapeutics. One of the limitations in developing disease modifying drugs for joint diseases, such as osteoarthritis (OA), has been poor local retention of the drugs. Enhancing... |
0 | Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study | Management of Hip Fractures in the Elderly | BACKGROUND: Injuries to the hand and wrist account for approximately 20% of patient visits to emergency departments and may impose a large economic burden. The purpose of this study was to estimate the total health-care costs and productivity costs of injuries to the hand and wrist and to compare them with other import... |
0 | Has mortality after a hip fracture increased? | AAHKS (2) Corticosteroids | OBJECTIVES: To study changes in mortality and causes of death in patients suffering a hip fracture between 1981 and 2001. DESIGN: Historic, register-based cohort study. SETTING: Nationwide cohort study in Denmark. PARTICIPANTS: All 163,313 patients suffering a hip fracture between 1981 and 2001 in Denmark and 505,960 a... |
0 | Ambulatory unicompartmental knee arthroplasty: Short outcome of 50 first cases | OAK 3 - Non-arthroplasty tx of OAK | Introduction: The reduction in length of stay (LOS) in orthopedic surgery has been steady for several years. For the past 3 or 4 years in France, the trend toward outpatient surgery has been growing upwards, as it is a goal for hospital administration. Materials and methods: This is a prospective, continuous, mono-cent... |
0 | Knee extensor torque of men with early degrees of osteoarthritis is associated with pain, stiffness and function | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis (OA) is a chronic-degenerative disease. The knee is the most commonly affected joint and the symptoms are generally attributed to quadriceps muscle weakness. However, few studies have evaluated this relationship in a population with early stages of knee OA.
OBJECTIVE: To investigate whether a... |
1 | Open-wedge osteotomy using an internal plate fixator in patients with medial-compartment gonarthritis and varus malalignment: 3-year results with regard to preoperative arthroscopic and radiographic findings | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Our purpose was to evaluate the 3-year clinical results of patients with medial-compartment osteoarthritis of the knee and varus malalignment who underwent open-wedge high tibial osteotomy (HTO) with an internal plate fixator (TomoFix; Synthes, Solothurn, Switzerland). Clinical results are correlated with arth... |
0 | Solitary osteochondroma of the foot: an in-depth study with case reports | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondroma represents the most common benign bone tumor and occurs most frequently in the proximal humerus, tibia, and distal femur. The bones of the foot, by comparison, are less commonly involved. The tumor appears to be a developmental defect of bone preformed in cartilage rather than a true neoplasm. However, o... |
0 | "How Dark a World It Is ... Where Mental Health Is Poorly Treated": Mental Illness Frames in Sermons Given After the Sandy Hook Shootings | DoD PRF (Psychosocial RF) | In the aftermath of the Newtown, CT, massacre, the United States is engaging in public deliberations that will reshape future mental healthcare policies, practices, and systems. We know little about the clergy's contributions to these deliberations. Clergy, as with psychiatrists and mental health specialists, are membe... |
0 | Comparison of laser-assisted liposuction and traditional liposuction combined with endoscopic surgical excision of grade II gynecomastia | Panniculectomy & Abdominoplasty CPG | Background: Surgical excision and liposuction of fatty element are the standard in the treatment of grade II gynecomastia. The aim of this study is to evaluate the combined use of laser-assisted liposuction and endoscopic surgical excision. Methods: Thirty male patients with grades IIa and IIb were included. Fifteen pa... |
0 | Three-dimensional gait analysis in women with a total hip arthroplasty | Management of Hip Fractures in the Elderly | OBJECTIVES: The purposes of this study were: (1) to identify the primary (hip) and secondary (neighboring joints) impairments during gait in subjects with a total hip arthroplasty total hip arthroplasty, (2) to determine which impairments persist when controlling for gait speed and (3) to study the relationships betwee... |
0 | The effectiveness of an exercise programme on knee loading, muscle co-contraction, and pain in patients with medial knee osteoarthritis: A pilot study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis (OA), which increases knee loading, muscle co-contraction, and pain, is a mechanical disease that requires biomechanical exploration to reduce pain in the knee. Therefore, this article aims to investigate the effectiveness of an exercise programme on the aforementioned outcomes in people with... |
0 | Ilizarov tibial lengthening in the skeletally immature patient | DoD SSI (Surgical Site Infections) | Aims: We wished to examine the effectiveness of tibial lengthening using a two ring Ilizarov frame in skeletally immature patients. This is a potentially biomechanically unstable construct which risks the loss of axial control. Patients and Methods: We retrospectively reviewed a consecutive series of 24 boys and 26 gir... |
0 | Running with Femoral Acetabular Impingement: Operative Vs Nonoperative Treatment | Osteochondritis Dissecans 2020 Review | A 31-year-old female lawyer presents with right hip pain starting approximately 3?years ago and worsening over the past 2 to 3?months. She is an avid runner, running 20 to 30?miles weekly, and noticed that her pain started after a running program training for the marathon. Her pain is primarily over the lateral aspect ... |
0 | Perspectives from Employers, Insurers, Lawyers and Healthcare Providers on Factors that Influence Workers' Return-to-Work Following Surgery for Non-Traumatic Upper Extremity Conditions | DoD PRF (Psychosocial RF) | PURPOSE: Return-to-work (RTW) stakeholders have varied roles and may therefore hold their own perspectives regarding factors that may influence outcomes. This study aimed to determine stakeholders' perspectives on factors influencing RTW following surgery for non-traumatic upper extremity conditions.
METHODS: A questio... |
0 | Instability following total hip arthroplasty: Etiology and treatment options | PJI DX Updated Search | Dislocation is a common complication following total hip arthroplasty. Risk factors can be classified as patient, surgery or implant related. Treatment of choice for first-time dislocations is closed reduction followed by immobilization. In case of recurrent dislocation, surgical intervention should be carried out acco... |
0 | Changes in the oral microflora during cytotoxic chemotherapy in children being treated for acute leukemia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Thirty-four children with diagnosed cases of acute leukemias and being treated with cytotoxic chemotherapy at St James' Hospital, Leeds, were followed for between 6 months and 1 year to determine the changes in their oral microflora. They were examined before treatment commenced and then at monthly intervals. Swabs wer... |
1 | Primary cementless hip arthroplasty as a potential risk factor for non-union after long-stem revision arthroplasty in periprosthetic femoral fractures | Hip Fx in the Elderly 2019 | PURPOSE: In case of stem loosening in periprosthetic femoral fractures (PPFF), revision arthroplasty should be performed. The first hypothesis of this study was that advanced patient age and female gender shows higher non-union rates. The second hypothesis was that primary cementless arthroplasty is associated with a h... |
1 | Partial arthroscopic meniscectomy versus total open meniscectomy | AMP (Acute Meniscal Pathology) | One hundred sixteen patients who had undergone partial arthroscopic meniscectomy were reviewed in a short-term follow-up study (mean follow-up: 16 months). Their results were compared with those of a group of 402 patients who had been treated previously by conventional open meniscectomy in the same hospital. Average ag... |
0 | Serum lidocaine levels during arthroscopy using continuous irrigation with lidocaine | Surgical Management of Osteoarthritis of the Knee CPG | Forty patients with symptoms of internal derangement of the knee were examined arthroscopically under local anesthesia using a continuous irrigation solution of 0.2% lidocaine. Serum levels were measured during and following the procedure to determine peak levels obtained and to assure that toxic levels were not exceed... |
0 | Late Mycobacterium bovis spondylitis after intravesical BCG therapy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A 72-year-old man presented with a 6-month history of low back and leg pain. Past medical history revealed transurethral resection of bladder cancer followed by multiple intravesical BCG instillation 12 years ago. Imaging studies of the thoracolumbar spine showed osteolysis of the L3 and L4 vertebrae and the associated... |
0 | Acute median nerve compression produced by reversed palmaris longus muscle | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A case of acute median nerve compression with progressive sensory symptoms is reported. Early exploration revealed a hypertrophic reversed palmaris longus muscle as the compressing structure on the flexor aspect of the wrist. The symptoms of compression were relieved immediately after resection of the muscle |
0 | Rehabilitation Variability After Elbow Ulnar Collateral Ligament Reconstruction | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Investigations specifically delineating the safest and most efficacious components of physical therapy after ulnar collateral ligament (UCL) reconstruction of the elbow are lacking. As such, while a number of recommendations regarding postoperative therapy have been published, no validated rehabilitation gu... |
0 | Five- to 12-year follow-up of a hydroxyapatite-coated, cementless total knee replacement in young, active patients | Surgical Management of Osteoarthritis of the Knee CPG | We carried out a prospective study of 118 hydroxyapatite-coated, cementless total knee replacements in patients who were </= 55 years of age and who had primary (92; 78%) or post-traumatic (26; 22%) osteoarthritis. The mean period of follow-up was 7.9 years (5 to 12.5). The Knee Society clinical scores improved from a ... |
0 | Arthroscopic validation of radiographic minimum joint space width associated with the subchondral bone exposure in symptomatic hip dysplasia | Developmental Dysplasia of the Hip 2020 Review | OBJECTIVE: The purpose of this study was to clarify the minimum joint space width (MJSW) that leads to subchondral bone exposure (SBE) in patients with hip dysplasia. METHODS: We included 82 subjects (86 hips) who had hip dysplasia with center-edge angle less than 20° and who underwent periacetabular osteotomy combine... |
1 | Venous thromboembolism clinically detected after hip fracture surgery with prophylaxis in a clinical practice setting | Management of Hip Fractures in the Elderly | Clinical trials have shown differences in efficacy among anticoagulants used for venous thromboembolism (VTE) prophylaxis after hip fracture surgery, but the applicability of their results is limited by constraints of the clinical trial setting. We conducted this retrospective cohort study to assess VTE after hip fract... |
0 | Optimizing muscle biopsy for the diagnosis of mitochondrial myopathy | Upper Eyelid and Brow Surgery | PURPOSE: To establish a reliable technique for harvesting the orbicularis oculi muscle to facilitate diagnosis of chronic progressive external ophthalmoplegia, a mitochondrial myopathy. METHODS: In this retrospective observational case series, 10 patients clinically suspected to have chronic progressive external ophtha... |
0 | Effects of pre- and postmenopausal use of exogenous hormones on receptor content in normal human breast tissue: A randomized study | Reduction Mammoplasty for Female Breast Hypertrophy | Objective. To examine the effects of exposure to endogenous and exogenous hormones on estrogen receptor-α (ERα) and progesterone receptor (PR) levels in normal human breast tissue. Methods. In a randomized study of women scheduled for mammary reduction plasty (n = 81), ERα and PR content in breast parenchyma was ana... |
0 | Microcirculation of the distal humeral epiphyseal cartilage: implications for post-traumatic growth deformities | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The purpose of this study was to determine if there is an anatomic basis for development of the avascular necrosis infrequently seen after elbow trauma. The microcirculation to the distal humeral epiphyseal cartilage was studied in 38 elbow joints from 19 skeletally immature individuals. The findings of this study were... |
1 | The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis | Glenohumeral Joint OA | BACKGROUND: The current study evaluated the outcomes of biologic resurfacing of the glenoid using a lateral meniscus allograft or human acellular dermal tissue matrix at intermediate-term follow-up.
METHODS: Forty-five patients (mean age, 42.2 years) underwent biologic resurfacing of the glenoid, and 41 were available ... |
0 | Deep brain stimulation of the basolateral amygdala for treatment-refractory combat post-traumatic stress disorder (PTSD): study protocol for a pilot randomized controlled trial with blinded, staggered onset of stimulation | DoD PRF (Psychosocial RF) | Background: Combat postâ?traumatic stress disorder (PTSD) involves significant suffering, impairments in social and occupational functioning, substance use and medical comorbidity, and increased mortality from suicide and other causes. Many veterans continue to suffer despite current treatments. Deep brain stimulation... |
0 | In vivo contact stresses during activities of daily living after knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We implanted an electronic knee prosthesis to measure tibial forces in vivo during activities of daily living after total knee arthroplasty. We used tibial forces and knee kinematic data collected in vivo to calculate contact stresses using finite element analysis. The polyethylene insert was modeled as an elastoplasti... |
0 | Erratum: Test-retest reliability and correlates of 6-minute walk test in patients with primary osteoarthritis of knees (Indian Journal of Rheumatology (2016) 11 (192-6)) | OAK 3 - Non-arthroplasty tx of OAK | In the article titled, "Test-retest reliability and correlates of 6-minute walk test in patients with primary osteoarthritis of knees" published in pages 192-196, issue 4, vol. 11 of Indian Journal of Rheumatology[1], the affiliation of the third author "Shaziya Tahseen" was given incorrectly as "Department of Physioth... |
0 | Role of viscosupplementation in osteo-arthritis of knee joint | OAK 3 - Non-arthroplasty tx of OAK | Osteo-arthritis is the chronic degenerative disease associated with joint pain and loss of joint function. It is caused by 'wear and tear' on a joint. Knee is the most commonly Involved joint. Disease is so crippling that patient is unable to walk independently from bed to bathroom. The major causes of osteo-arthritis ... |
1 | A prospective evaluation of a test for lateral meniscus tears | AMP (Acute Meniscal Pathology) | A test for diagnosing lesions to the lateral meniscus is described. Due to our inability to find its description in the literature we called it 'dynamic test'. The accuracy of this test was assessed in 421 knees. The test was compared against arthroscopic findings in all cases. Inter-rater reliability was also estimate... |
0 | Combining muX-ray fluorescence, muXANES and muXRD to shed light on Zn2+ cations in cartilage and meniscus calcifications | Surgical Management of Osteoarthritis of the Knee CPG | We aimed to examine the presence of Zn, a trace element, in osteoarthritis (OA) cartilage and meniscus from patients undergoing total knee joint replacement for primary OA. We mapped Ca(2+) and Zn(2+) at the mesoscopic scale by X-ray fluorescence microanalysis (muX-ray) to determine the spatial distribution of the 2 el... |
0 | Evaluation of facial fat distribution using magnetic resonance imaging | Panniculectomy & Abdominoplasty CPG | Magnetic resonance imaging (MRI) provides noninvasive images of facial and neck fat for a variety of conditions. It accurately maps the soft tissues pre- and postoperatively, enabling surgeons to precisely and objectively assess results of soft tissue facial contouring and fat transplantation. The risks of MRI are few.... |
0 | Medullary thyroid carcinoma experienced at Kanazawa University Hospital | MSTS 2018 - Femur Mets and MM | Eleven cases of medullary thyroid carcinoma (MTC), which were experienced at Kanazawa University Hospital between 1975 and 1993, were examined to correlate the clinical, histologic, and immunohistochemical findings. Seven patients were women and four men, and the mean age was 46.6 years. The mean follow-up was 88.3 mon... |
0 | Flaps for closure of soft tissue defects in infected revision knee arthroplasty | PJI DX Updated Search | PURPOSE: Total knee arthroplasty revision has wound healing deficits of up to 20 %. Defects in the knee region of multimorbid patients are hard to treat as complete explantation and revision arthroplasty is often too burdensome for them. In this study, we present our results with flaps for the treatment of defects afte... |
0 | Bilateral Anterior Innominate Osteotomy for Bladder Exstrophy | DoD SSI (Surgical Site Infections) | Background:Bladder exstrophy is a congenital condition that affects the genitourinary and musculoskeletal systems, and less commonly affects the intestinal system, with cloacal exstrophy. This condition results from abnormal migration of the mesenchyme, between the endoderm and ectoderm, leading to anterior rupture of ... |
0 | Arthroscopic one-step matrix-assisted bone marrow stimulation for the treatment of osteochondral defects of the talus | Osteochondritis Dissecans 2020 Review | OBJECTIVE: All arthroscopic one-step treatment of osteochondral defects of the talus with matrix-assisted bone marrow stimulation with a cell-free hyaluronic acid 3D matrix. INDICATIONS: Symptomatic osteochondral defects of the talus (1-2?cm(2), ICRS III-IV). CONTRAINDICATIONS: Large non-shouldered osteochondral defect... |
0 | Total knee arthroplasty after tibial intramedullary nailing: Use of a pegged, porous tantalum tibial baseplate | Surgical Management of Osteoarthritis of the Knee CPG | Posttraumatic arthritis may present challenges during total knee arthroplasty (TKA). A retained intramedullary nail may preclude the use of traditional keeled TKA tibial tray implants. We present a technique for the use of a porous tantalum, pegged tibial baseplate in TKA status post intramedullary nailing. Contraindic... |
0 | Clinical randomized controlled trial on splint external fixation combined with Chinese herbs in treating distal radius fractures of elderly patients | Distal Radius Fractures | OBJECTIVE: To explore the effects of Yishen Zhuanggu decoction ([Chinese characters: see text], YSZGD) on the fracture healing and function of wrist joint in osteoporotic distal radius fractures (ODRF) of elderly patients. METHODS: Ninety patients of ODRF were treated with splint external fixation and YSZGD, including ... |
1 | Subcutaneous Tissue Expander Placement with Synthetic Titanium-Coated Mesh in Breast Reconstruction: Long-term Results | Acellular Dermal Matrix | A subcutaneous, prepectoral, muscle-sparing approach has been recently described for implant-based breast reconstruction. This is a preliminary series of 2-stage breast reconstructions by means of tissue expander placed subcutaneously with the support of a titanium-coated polypropylene mesh. A pilot series of cases was... |
0 | First clinical experience with a new injectable recombinant human collagen scaffold combined with autologous platelet-rich plasma for the treatment of lateral epicondylar tendinopathy (tennis elbow) | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | BACKGROUND: Lateral epicondylitis is a tendinopathy of the common extensor origin at the elbow. When traditional conservative treatment fails, more effective therapies are needed. Vergenix Soft Tissue Repair (STR) Matrix (CollPlant Ltd., Ness-Ziona, Israel) is an injectable gel composed of cross-linked bioengineered re... |
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