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0 | Study of malignant fibrous histiocytoma: clinical, statistic and histopatological interrelation | Distal Radius Fractures | INTRODUCTION: Malignant fibrous histiocytoma (MFH) is a malignant tumor of soft parts observed at approximately 70% of cases situated at the level of the outsides.
PATIENTS AND METHODS: Our study is formed of 14 cases of patients in a period of three years (2007-2010), diagnosed anatomo-pathological with malignant fibr... |
0 | Left/right judgment of body parts is selectively impaired in patients with unilateral carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: Impaired left/right judgment of the affected body part is regarded as a disruption of the body's representation in cortical and subcortical somatosensory and motor areas and has previously been demonstrated in patients with severe neuropathic pain states. It remains unknown whether persistent but less sever... |
0 | Relationship between surgical time and postoperative complications in senile patients with hip fractures | Management of Hip Fractures in the Elderly | OBJECTIVE: To elucidate the relationship between surgical time and postoperative complications in senile patients with hip fractures, and try to find out other factors which are related to these complications. METHODS: Sixty-two patients, 28 males aged from 65 to 72 years with a mean age of 76.3 years and 34 females ag... |
0 | Erratum regarding missing declaration of competing interest statements in previously published articles (Journal of Clinical Orthopaedics and Trauma (2020) 11(S2) (S187–S191), (S0976566218301115), (10.1016/j.jcot.2018.10.007)) | PRP (Platelet-Rich Plasma) | Declaration of Competing Interest statements were not included in published version of the articles that appeared in previous volumes of Journal of Clinical Orthopaedics and Trauma. Hence, the authors of the below articles were contacted after publication to request a Declaration of Interest statement: 1. “Improvising ... |
0 | Extradural anaesthesia in patients with previous lumbar spine surgery | AAHKS (8) Anesthetic Infiltration | We studied prospectively 1381 patients undergoing extradural anaesthesia for total hip or total knee replacement, to determine if extradural anaesthesia can be performed reliably in patients who have had previous lumbar spine surgery. Fifty-two of the 57 patients (91.2%) who had undergone lumbar spine surgery received ... |
0 | Thoracic outlet syndrome reconsidered | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | During a four year period, 50 patients were evaluated for possible thoracic outlet syndrome (TOS). These 11 men and 39 women ranged in age from 27 to 60 years, with a mean age of 38.6 years. Their symptoms had been present from 3 months to 10 years (mean = 2.1 years). Twenty-seven had previously undergone 33 operations... |
1 | Congenital dysplasia of the hip: the lax (subluxatable) newborn hip | Developmental Dysplasia of the Hip CPG | During a 4-year period, 15,149 newborns were examined for hip abnormalities. Ninety-two infants (0.61%) were found to have subluxatable (lax, but not dislocatable) hips. The profile of this group was similar to patients with dislocated hips, with an increased frequency of females, breech presentations, left-sided invol... |
0 | Biofilms in periprosthetic orthopedic infections | PJI DX Updated Search | As the number of total joint arthroplasty and internal fixation procedures continues to rise, the threat of infection following surgery has significant clinical implications. These infections may have highly morbid consequences to patients, who often endure additional surgeries and lengthy exposures to systemic antibio... |
1 | Proximal femoral nail antirotation versus Gamma nail in treatment of femoral trochanteric fractures | Management of Hip Fractures in the Elderly | Background: Two osteosynthesis methods, proximal femoral nail antirotation (PFNA) and gamma nail (GN), were used in the management of femoral trochanteric fractures to prevent the complications of long-term confinement to bed for the elderly. This study evaluated the clinical results of PFNA and GN in treatment of femo... |
0 | Comparison of Midterm Outcomes of Minimally Invasive Computer-Assisted vs Minimally Invasive Jig-Based Total Knee Arthroplasty | PJI DX Updated Search | BACKGROUND: Minimally invasive surgery (MIS) has perceived advantages in the early postoperative stage for total knee arthroplasty (TKA). It is not clear whether the improved radiographic alignment achieved by computer-assisted navigation surgery (CAS) improves midterm clinical outcomes. The aim of this study was to co... |
1 | An experience with free scapular flap for reconstruction of lower extremity defects at Aga Khan University Hospital Karachi | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Reconstruction of large composite tissue defects with exposed vital structures and weight bearing surfaces are extremely difficult for reconstructive surgeons. Coverage of such difficult defects can be achieved with free tissue transfer provided microsurgical expertise is available. This study was carried o... |
0 | Knee deformity in rheumatoid arthritis is closely correlated with generalized osteoporosis | Surgical Management of Osteoarthritis of the Knee CPG | To examine the relationship between knee deformity and osteoporosis in women with rheumatoid arthritis (RA), bone mineral density (BMD) in the lumbar spine and distal radius was measured using dual X-ray absorptiometry, and knee deformity (valgus or varus deformity) was measured using plain radiograms in 55 women with ... |
0 | Comparison of opioid requirements and analgesic response in opioid-tolerant versus opioid-naïve patients after total knee arthroplasty | AAHKS (4) Acetaminophen | Study Objectives. To compare opioid requirements in opioid-tolerant and opioid-naïve patients after total knee arthroplasty, and to compare pain scores, sedation scores, and adverse effects between the groups. Design. Prospective, observational study. Setting. Academic medical center. Patients. Twenty-nine patients ag... |
0 | Glycosaminoglycans of the hemodialysis-associated carpal synovial amyloid and of amyloid-rich tissues and fibrils of heart, liver, and spleen | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Significant amounts of glycosaminoglycans (GAGs) were found in amyloid fibril preparations. Using two-dimensional electrophoresis to fractionate GAG mixtures, we quantified and identified for the first time the GAGs of the fibrils from carpal synovium of patients with amyloid associated with chronic hemodialysis. The t... |
0 | Effects of oral nutritional supplements in normally nourished or mildly undernourished geriatric patients after surgery for hip fracture: a randomized clinical trial | Management of Hip Fractures in the Elderly | BACKGROUND: Oral nutritional supplements have been recommended after orthopedic surgery in geriatric patients to reduce postoperative complications. However, tolerability of supplements could be a limitation, and their universal use is not supported by the heterogeneity of previous studies, especially in patients witho... |
0 | The flipped meniscus sign | AMP (Acute Meniscal Pathology) | Meniscal fragments may be difficult to detect on magnetic resonance (MR) imaging and yet are clinically significant. This paper describes and illustrates the MR appearance of an easily overlooked meniscal fragment. Ten knees, each appearing to show an abnormally large anterior meniscal horn (8 mm or more in height) wer... |
0 | Hemiarthroplasty or Total Hip Arthroplasty: Is There a Racial Bias in Treatment Selection for Femoral Neck Fractures? | DoD SSI (Surgical Site Infections) | Introduction: Hip fractures in the elderly individuals are associated with significant morbidity and mortality, and outcomes are directly related to prompt surgical intervention with either total hip arthroplasty (THA) or hemiarthroplasty. Minority hip fracture patients have increased delays to surgical intervention an... |
0 | Early prosthetic hip joint infection treated with debridement, prosthesis retention and biofilm-active antibiotics: functional outcomes, quality of life and complications | PJI DX Updated Search | BACKGROUND: Patients treated for early prosthetic joint infection (PJI) with surgical debridement, prosthesis retention and biofilm-active antibiotics, such as rifampicin or fluoroquinolones have a rate of successful infection eradication that is similar to patients treated with the traditional approach of prosthesis e... |
0 | Gremlin 1, frizzled-related protein, and Dkk-1 are key regulators of human articular cartilage homeostasis | TO: WNT2 Pathway Modulator | OBJECTIVE: The development of osteoarthritis (OA) may be caused by activation of hypertrophic differentiation of articular chondrocytes. Healthy articular cartilage is highly resistant to hypertrophic differentiation, in contrast to other hyaline cartilage subtypes, such as growth plate cartilage. The purpose of this s... |
0 | Opening wedge proximal tibial osteotomy using the plate with wedge | Surgical Management of Osteoarthritis of the Knee CPG | Because of the increased life expectancy and the higher activity levels, corrective osteotomies have become more popular in the elderly population to avoid the total knee arthroplasty or to delay its application age. Proximal tibial osteotomy (PTO) is a widely accepted and an extensively used surgical procedure for the... |
0 | Unicompartmental and total knee arthroplasty in the over 70 population | Surgical Management of Osteoarthritis of the Knee CPG | This retrospective study compares the short-term outcomes of small-incision unicompartmental knee arthroplasty (41 patients) with standard total knee arthroplasty (TKA) (50 patients) in 91 consecutive patients older than 70 years. Knee Society Scores and range of motion (ROM) were assessed preoperatively, at 6 weeks an... |
1 | Treatment Trends, Complications, and Effects of Comorbidities on Distal Radius Fractures | Distal Radius Fractures | BACKGROUND: Distal radius fractures (DRFs) are the most common upper extremity fractures in adults. This study seeks to elucidate the impact age, fracture type, and patient comorbidities have on the current treatment of DRFs and risk of complications. We hypothesized that comorbidities rather than age would relate to t... |
0 | Grip strength after carpal tunnel release: role of the transverse caxpal ligament | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Weakness after carpal tunnel release is common. Potential factors are transverse carpal ligament (TCL) division, incision or pillar pain, swelling, and flexor tenosynovitis. In the study reported here, we examined the effect of TCL division on reactive grip-strength changes. A minimally invasive technique was used with... |
1 | Auxiliary Kirschner wire technique in the closed reduction of children with Gartland Type III Supracondylar humerus fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | This study aimed to investigate the effect of auxiliary Kirschner wire (K-wire) technique in the closed reduction of children with Gartland type III supracondylar humerus fractures by comparing with manual reduction alone.Retrospective analysis was performed on the clinical data of 68 cases of supracondylar humerus fra... |
1 | The single-portal carpal tunnel release technique | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An account is given of the endoscopic technique devised by Menon for section of the transverse carpal ligament by means of the concept carpal tunnel relief kit. This method has been used since 1993 at the University of Genoa's orthopaedic clinic to treat the carpal tunnel syndrome. The technique is based on a single po... |
0 | An audit of implementation of enhanced recovery after surgery (ERAS) in patients undergoing primary arthroplasty at a Scottish hospital | Surgical Management of Osteoarthritis of the Knee CPG | Purpose/Objective: ERAS protocols are being increasingly used in number of hospitals for total hip and knee arthroplasties (THA and TKA). ERAS was adopted by some but not all our surgeons. We aimed to audit the initial implementation process. Materials and Methods: After getting hospital ethics approval, we used an 'an... |
0 | Technology-assisted rehabilitation following total knee or hip replacement for people with osteoarthritis: A systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | Background: To evaluate the effectiveness and safety of technology-assisted rehabilitation following total hip/knee replacement (THR/TKR). Methods: Six electronic databases were searched without language or time restrictions for relevant studies: MEDLINE, EMBASE, Cochrane Library, CINAHL, SPORTDiscus, Physiotherapy Evi... |
0 | Unicompartmental knee arthroplasty, is it superior to high tibial osteotomy in treating unicompartmental osteoarthritis? A meta-analysis and systemic review | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Debate remains whether high tibial osteotomy (HTO) or unicompartmental knee arthroplasty (UKA) is more beneficial for the treatment of unicompartmental knee osteoarthritis. The purpose of this study was to compare the functional results, knee scores, activity levels, and complications between the two proced... |
0 | Tranexamic Acid Safely Reduced Blood Loss in Hemi- and Total Hip Arthroplasty for Acute Femoral Neck Fracture: A Randomized Clinical Trial | DoD SSI (Surgical Site Infections) | OBJECTIVES: We aimed to determine whether (1) tranexamic acid (TXA) reduces the incidence of transfusion (2) TXA reduces the calculated blood loss, and (3) there are any observable differences in 30- and 90-day complications with TXA administration during arthroplasty for femoral neck fracture (FNF).
DESIGN: Prospectiv... |
0 | Which Fixation Device is Preferred for Surgical Treatment of Intertrochanteric Hip Fractures in the United States? A Survey of Orthopaedic Surgeons | Hip Fx in the Elderly 2019 | BACKGROUND: The best treatment for intertrochanteric hip fractures is controversial. The use of cephalomedullary nails has increased, whereas use of sliding hip screws has decreased despite the lack of evidence that cephalomedullary nails are more effective. As current orthopaedic trainees receive less exposure to slid... |
0 | Targeted drug delivery for tumor therapy inside the bone marrow | MSTS 2018 - Femur Mets and MM | Bone marrow is the primary hematopoietic organ, which is involved in multiple malignant diseases including acute and chronic leukemia, multiple myeloma, myelodysplastic syndromes, and bone metastases from solid tumors. These malignancies affect normal homeostasis and reshape the bone marrow microenvironment. There are ... |
0 | The Problem of Pain | DoD PRF (Psychosocial RF) | Pain problems, especially posttraumatic headache, are very common following head trauma. Pain may be the most significant problem, more disabling than any brain or other injuries, and interfering with aspects of cognition or other function. However, posttraumatic headache and most other chronic posttraumatic pain probl... |
0 | Traumatic hemarthrosis in stable knees | AMP (Acute Meniscal Pathology) | A thorough arthroscopic examination was performed in 90 consecutive patients with sprained knee injuries with hemarthrosis, but without signs of instability or fracture. The source of bleeding was found in all but five joints. Thirty-nine injuries were tears of the cruciate ligament, only three of which were complete t... |
0 | Implementing the National Hip Fracture Database: An audit of care | Hip Fx Time to Surgery | BACKGROUND: Hip fractures are common injuries in the elderly, with significant associated morbidity and mortality rates. The National Hip Fracture Database (NHFD) was implemented to audit care according to national standards thus improving its clinical and cost-effectiveness. PATIENTS AND METHODS: We retrospectively ex... |
0 | Pharmacological effects of novel cross-linked hyaluronate, Gel-200, in experimental animal models of osteoarthritis and human cell lines | OAK Recommendation 9 Articles | OBJECTIVE: To study the pharmacological effects of Gel-200, cross-linked hyaluronate. EXPERIMENTAL DESIGN: We examined the chondroprotective, anti-inflammatory and analgesic effects of Gel-200 in experimental animal models for osteoarthritis (OA) and in a human synovial sarcoma cell line and normal human articular chon... |
0 | Comparison of SSI rates in endoarthroplasty of hip and knee in a Cracow patient population and the importance of postdischarge surveillance | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: The aim of the study was to analyse the epidemiological and microbiological analysis of surgical site infections in patients that underwent knee or hip endoarthroplasty procedures. Materials and Methods: The epidemiological and microbiological surveillance was carried out by the local infection control team... |
0 | Comparison between component designs with different femoral head size in metal-on-metal total hip arthroplasty; multicenter randomized prospective study | PJI DX Updated Search | Backgrounds: We prospectively studied 78 prostheses with conventional femoral head and 86 prostheses with large head (Magnum) of metal-on-metal total hip arthroplasty (MoM THA) with two years follow-up. Methods: Clinical outcomes and blood metal ion were evaluated. Results: There were no significant differences of clin... |
0 | Radial shortening for Kienbock's disease | Distal Radius Fractures | The subjective and objective results in seven patients with symptomatic Kienbock's disease treated by radial shortening demonstrate that this procedure is simple and effective in the early stages of the disease, when there is no arthrosis, wrist collapse or translation. By decompressing the shear stress imposed on the ... |
0 | Impact of osteoarthritis on rehabilitation for persons with hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine the impact of osteoarthritis (OA) on length of rehabilitation stay, Functional Independence Measure (FIM Instrument) ratings at discharge and followup, functional gain, and percentage of patients discharged home. METHODS: We conducted a retrospective cohort analysis using a national registry of ... |
1 | Unicompartmental knee arthroplasty: 3- to 10-year results in a community hospital setting | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The results of 40 medial unicompartmental knee arthroplasties, performed by a single surgeon in a community hospital setting, with an average follow-up of 6 years (range, 3-10 years), were analyzed retrospectively. The Knee Society rating system was used, revealing an average score of 80.5 points and 79% good-to-excell... |
0 | Evaluation of wrist and hand handicap and postoperative outcome in rheumatoid arthritis | Distal Radius Fractures | Functional instruments in rheumatology should use standardized procedures and should be quantifiable, valid, reliable, and responsive/sensitive to change [74]. For most assessment tools, these aspects have been considered and tested. One of the most important questions in assessing hand involvement in patients with RA ... |
0 | 99Tcm(V)DMSA scintigraphy in skeletal metastases and superscans arising from various malignancies: Diagnosis, treatment monitoring and therapeutic implications | MSTS 2018 - Femur Mets and MM | Skeletal metastases arising from a wide variety of malignancies including a few cases with superscan appearance were evaluated using 99Tcm MDP bone scanning and 99Tcm(V)DMSA scintigraphy. Whole body planar scans were obtained at 3 h and 24 h after injection of 740 MBq 99Tcm MDP and 5 days later at similar times after i... |
0 | Biomedical applications of bisphosphonates | DoD SSI (Surgical Site Infections) | Since their discovery over 100 years ago, bisphosphonates have been used industrially as corrosion inhibitors and complexing agents. With the discovery of their pharmacological activity in the late 1960s, implicating their high affinity for hydroxyapatite, bisphosphonates have been employed in the treatment of bone dis... |
1 | Efficacy and tolerability of celecoxib and naproxen versus placebo in Hispanic patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Celecoxib is an effective treatment for osteoarthritis (OA). However, information on its efficacy and safety profile in different racial/ethnic groups is limited. Noticeable differences among racial groups are found in other disease states, but a thorough investigation of OA is lacking. The objective of thi... |
0 | "Not always a straight path": patients' perspectives following anterior cruciate ligament rupture and reconstruction | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To explore patients' perspectives following anterior cruciate ligament rupture and subsequent reconstructive surgery. METHODS: A qualitative study design was employed, using validated questionnaires, interviews and general inductive methodology. Semi-structured interviews were conducted with five men and four ... |
1 | Open fractures of the calcaneus: soft-tissue injury determines outcome | DoD SSI (Surgical Site Infections) | BACKGROUND: Studies of open calcaneal fractures have been limited and have not analyzed results according to wound location, severity of soft-tissue disruption, fracture type, or treatment method. In this study, results were evaluated on the basis of the hypothesis that early surgical intervention was indicated.
METHOD... |
0 | Associations between components of the metabolic syndrome versus bone mineral density and vertebral fractures in patients with type 2 diabetes | Management of Hip Fractures in the Elderly | The association of bone with the metabolic syndrome and its features, visceral fat accumulation or insulin resistance, remains unclear. We determined visceral and subcutaneous fat areas (V and S) by computed tomography on 187 men (28-83 years) and 125 postmenopausal women (46-82 years) with type 2 diabetes. Men whose V... |
0 | Assessment of the radii of the medial and lateral femoral condyles in varus and valgus knees with osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Understanding the relationship between the radii of the medial and lateral femoral condyles in varus and valgus knees is important for aligning the femoral component and for restoring kinematics in total knee arthroplasty. The purpose of this study was to test the hypothesis that the asymmetry between the r... |
0 | Prognostic factors for osteosarcoma of the extremity treated with neoadjuvant chemotherapy: 15-year experience in 789 patients treated at a single institution | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The evaluation variables influencing systemic and local recurrence and final outcome are extremely important in defining risk-adapted treatments for patients with nonmetastatic osteosarcoma of the extremity.
METHODS: A homogeneous group of 789 patients treated at a single institution between March 1983 and ... |
1 | Delayed postbacteremic prosthetic joint infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Deep infection of a prosthetic joint is a devastating complication. One proposed mechanism of late prosthetic joint infection involves hematogenous spread from an extraarticular focus of infection. Two cases clearly demonstrate hematogenously acquired prosthetic joint infections, one caused by Clostridium perfringens a... |
0 | Preoperative psychological distress and functional outcome after knee replacement | SR for PM on OA of All Extremities | BACKGROUND: Fifteen to thirty percent of patients report no or little functional improvement 12 months after total knee replacement (TKR). Self-reported psychological distress prior to knee replacement is common and there is some evidence that it may be an important determinant of poor functional outcome in the short t... |
0 | Meniscal Ramp Lesions: Anatomy, Incidence, Diagnosis, and Treatment | AMP (Acute Meniscal Pathology) | Meniscal ramp lesions are more frequently associated with anterior cruciate ligament (ACL) injuries than previously recognized. Some authors suggest that this entity results from disruption of the meniscotibial ligaments of the posterior horn of the medial meniscus, whereas others support the idea that it is created by... |
0 | Hip Asymmetry: Implications in Body Contouring Surgery | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Asymmetry of the hips and its implication in body contouring procedures has not yet been reported. Hip asymmetry is common in the general population and may account for uneven abdominoplasty scar and the apparent discrepancies in volume following liposuction of the hips and flanks. The goal of this study wa... |
0 | A New Infracture Technique for Reduction Malarplasty with an L-Shaped Osteotomy Line | DoD SSI (Surgical Site Infections) | BACKGROUND: Reduction malarplasty is one of the most common surgical procedures performed in the Asian population for aesthetic purposes. Although multiple methods have been developed for reduction malarplasty, including a variety of infracture techniques, most of the current procedures have limitations. In the current... |
1 | Prognostic and risk factors in patients with metastatic bone disease of an upper extremity | MSTS 2022 - Metastatic Disease of the Humerus | Background: The aim of this study was to evaluate survival of metastatic bone disease of an upper extremity, and to identify the prognostic factors that influence survival.
Methods: Patients with metastatic bone disease of an upper extremity between 2008 and 2015 were reviewed from the database of a tertiary university... |
0 | Limb-salvage in reconstruction of recalcitrant pressure sores using the inferiorly based rectus abdominis myocutaneous flap | DoD LSA (Limb Salvage vs Amputation) | Pressure sore closure is frequently a reconstructive challenge. This challenge is particularly evident in cases of multiply recurrent sores. In such settings, there are often opportunities to manage the recurrent wounds either by repeated advancement of previous flaps or by design of alternative ones. However, these in... |
0 | Appropriate Use Criteria for Hyaluronic Acid in the Treatment of Knee Osteoarthritis in the United States | PRP (Platelet-Rich Plasma) | Objective: A workgroup of clinical experts has developed an Appropriate Use Criteria (AUC) for the use of hyaluronic acid (HA) in the treatment of osteoarthritis (OA) of the knee. The increasingly broad and varied use of HA injections, lack of published clinical guidance, and limited coverage for their use has created ... |
0 | Epidural infusions of bupivacaine and fentanyl do not improve rehabilitation following one-stage bilateral total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | Epidural analgesia with local anaesthetic minimizes the catabolic response to surgery. To determine whether this could enhance the rate of recovery following orthopaedic surgery, 51 patients undergoing bilateral one-stage total knee arthroplasty were allocated to receive infusions of either continuous epidural bupivaca... |
0 | Promoting the use of periarticular multimodal drug injection for total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Postoperative pain in total knee arthroplasty is a challenge that affects the facets of an optimal recovery process. Adequate pain management can be achieved with traditional methods, such as parenteral opioids, epidural analgesic, and peripheral nerve blocks, but is often associated with disruptive side effects, mostl... |
0 | Successful treatment of pyogenic granuloma with injection of absolute ethanol | Reconstruction After Skin Cancer | Pyogenic granuloma (PG) is a small, almost always solitary, sessile or pedunculated, raspberry-like vegetation of exuberant granulation tissue. Conservative treatment by techniques such as cryosurgery, laser surgery, and electrodesiccation are usually adequate, whereas excisional treatment can often result in noticeabl... |
0 | Fracture, Galeazzi | Distal Radius Fractures | The forearm is an essential structure in the human body crucial for completing activities of daily living. It is designed to help maximize versatility by allowing pronation and supination of the hand. Forearm fractures can lead to significant short-term and long-term disability, mainly if treated incorrectly. Sir Astle... |
0 | Current and emerging treatment options in the management of relapsed/refractory myeloma | MSTS 2022 - Metastatic Disease of the Humerus | Multiple myeloma (MM) is an incurable plasma cell malignancy, which causes significant morbidity due to organ damage and bone tissue destruction. Many effective treatments are available that prolong survival and improve the quality of life of patients with this disease. Despite the availability of novel therapeutics, M... |
0 | The recurrence of Helicobacter pylori infection: Incidence and variables influencing it. A critical review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The rate of H. pylori recurrence after eradication of the microorganism seems to be relatively low, at least in developed countries, where the mean annual reinfection rate is of approximately 3% per patient-year of follow-up, although the risk of reinfection in some developing regions is considerably higher. Several fi... |
0 | Treatment of impacted greenstick forearm fractures in children using bandage or cast therapy: a prospective randomized trial | Distal Radius Fractures | BACKGROUND: To evaluate the relative risks and advantages of using soft bandage therapy (BT) for impacted greenstick fractures of the distal forearm compared with cast therapy (CT). METHODS: At a single center from September 2005 to October 2006 all patients with an impacted greenstick fracture were randomized to BT or... |
0 | Evaluation of acute traumatic hemarthrosis of the knee joint | AMP (Acute Meniscal Pathology) | Acute hemarthrosis of the knee usually results from a significant injury. Preoperative assessment, examination under anesthesia, and arthroscopic examination were conducted on patients with a total of 132 acutely injured knees associated with hemarthrosis and minimal clinical laxity to determine the presence and extent... |
0 | Successful initial experience with a novel outpatient total hip arthroplasty program in a public health system in Chile | AAHKS (8) Anesthetic Infiltration | Purpose: The aim of the present study was to assess the first experience with outpatient total hip arthroplasty (THA) in a public health environment in Chile. Methods: Prospective series of the first 69 patients/72 hips. Surgery was performed in a public university-affiliated hospital. The patients were 64 (31â??84) y... |
0 | Effective dose of dexmedetomidine as an adjuvant sedative to peripheral nerve blockade in elderly patients | AAHKS (9/10) Regional Nerve Blocks | Background: The median effective dose (ED50) of sedative dexmedetomidine adjuvant to peripheral nerve block (PNB) has not yet been verified in elderly patients. This study assessed the ED50 of intravenous dexmedetomidine for sedation in elderly patients who were undergoing total knee arthroplasty (TKA) with PNB. Method... |
1 | Routine use of adjusted low-dose oral anticoagulants during the first three postoperative months after hip fracture in patients without comorbidity factors | Management of Hip Fractures in the Elderly | OBJECTIVE: This study reports the efficacy of adjusted low-dose oral anticoagulants in the prevention of fatal pulmonary embolism after hip fracture. STUDY DESIGN: Consecutive clinical study. PATIENTS: Five hundred patients with hip fracture received oral anticoagulants as exclusive treatment. These patients were consi... |
0 | Does follow-up duration influence the ultrasound and DXA prediction of hip fracture? The EPIDOS prospective study | Management of Hip Fractures in the Elderly | While the potential of quantitative ultrasound (QUS) in the management of osteoporosis has been accepted, its interaction with follow-up time has never been investigated. The aim of our study is to prospectively evaluate the influence of follow-up time on the prediction of hip fracture by ultrasound parameters in the e... |
0 | Development and clinical validation of an unobtrusive ambulatory knee function monitoring system with inertial 9DoF sensors | Surgical Management of Osteoarthritis of the Knee CPG | Patients suffering from end-stage knee osteoarthritis are often treated with total knee arthroplasty, improving their functional mobility. A number of patients, however, report continued difficulty with stair ascent and descent or sportive activity after surgery and are not completely satisfied with the outcome. State-... |
0 | Similar hyaline-like cartilage repair of osteochondral defects in rabbits using isotropic and anisotropic collagen scaffolds | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Lesions in knee joint articular cartilage (AC) have limited repair capacity. Many clinically available treatments induce a fibrous-like cartilage repair instead of hyaline cartilage. To induce hyaline cartilage repair, we hypothesized that type I collagen scaffolds with fibers aligned perpendicular to the AC surface wo... |
0 | Ceramic femoral components in total knee arthroplasty - two year follow-up results of an international prospective multi-centre study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total knee arthroplasty can be considered as a reliable surgical procedure with a good long-term clinical result. However, implant failure due to particle induced aseptic loosening as well as the aspect of hypersensitivity to metal ions still remains an emerging issue. METHODS: The purpose of this prospecti... |
0 | Validity of the Dutch modified painDETECT questionnaire for patients with hip or knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The modified painDETECT questionnaire (PDQ) is a self-reported questionnaire to discriminate between nociceptive and neuropathic-like pain in patients with knee/hip osteoarthritis (OA). This study aims to assess the structural and construct validity of this questionnaire. METHODS: Confirmatory factor analys... |
0 | Knee Arthrodesis in Persistently Infected Total Knee Arthroplasty | Hip Fx in the Elderly 2019 | The reported incidence of infection in total knee arthroplasty (TKA) varies from 0.5 to 15%. The most common indication for knee arthrodesis is persistent infection after repeated staged knee replacement. The purpose of this study is to investigate the success of fusion with monoplanar fixators and eradication rates of... |
1 | Nutritional status and functional capacity after femoral neck fractures: a prospective randomized one-year follow-up study | Hip Fx in the Elderly 2019 | The primary aim of this study was to evaluate the effect of two different surgical methods on nutritional status and functional capacity during the first postoperative year in patients with displaced femoral neck fractures. A further aim was to evaluate the effect of nutritional support. One hundred patients were rando... |
0 | Reduced dislocation rate after hip arthroplasty for femoral neck fractures when changing from posterolateral to anterolateral approach: A prospective study of 372 hips | PJI DX Updated Search | Background and purpose: Recent studies have shown that compared to the posterolateral approach, the anterolateral approach reduces the risk of dislocation after hip arthroplasty in patients with femoral neck fractures. We have therefore started to use the anterolateral approach on these patients and we now report the c... |
0 | Cementless revision total hip arthroplasty without allograft in severe proximal femoral defects | Management of Hip Fractures in the Elderly | This study evaluates the difficult reconstructive challenge of severe proximal femoral bone loss. We present intermediate-term results of 46 hips with extensive proximal femoral bone loss that underwent revision total hip arthroplasty using cementless distal fixation without supplemental allograft. All were evaluated w... |
1 | Intra-articular Autologous Conditioned Plasma Injections Provide Safe and Efficacious Treatment for Knee Osteoarthritis: An FDA-Sanctioned, Randomized, Double-blind, Placebo-controlled Clinical Trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Platelet-rich plasma (PRP) injections have become an intriguing treatment option for osteoarthritis (OA), particularly OA of the knee. Despite the plethora of PRP-related citations, there is a paucity of high-level evidence that is comparable, cohort specific, dose controlled, injection protocol controlled,... |
0 | Outcome of trauma and orthopaedic surgery at a UK District General Hospital during the Covid-19 pandemic | Hip Fx in the Elderly 2019 | Introduction: There are suggestions that elective surgery performed during the incubation period of COVID-19 infection may cause an immediate impairment of cell-mediated immunity, leading to high morbidity and mortality. However is contrasting data about the associated mortality. Since the outbreak, our unit has mainta... |
0 | Tenosynovitis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Stenosing tenosynovitis of the hand, wrist and forearm are painful conditions. With an understanding of the clinical presentation, physical examination findings, relevant anatomy and pathophysiology, these conditions can be successfully managed with the appropriate application of nonoperative and operative intervention... |
0 | Incident Use of a Potentially Inappropriate Medication and Hip Fracture in Community-Dwelling Older Persons With Alzheimerâ??s Disease | Hip Fx in the Elderly 2019 | Background: Potentially inappropriate medications (PIMs) increase the risk of adverse drug reactions and events and have been associated with greater health care service use, such as an increased risk of hospitalization. Objective: The aim of this study is to evaluate the association between PIM use and hip fractures i... |
0 | Perioperative management of a patient with Automated Implantable Cardioverter Defibrillator (AICD) | Management of Hip Fractures in the Elderly | Perioperative electromagnetic interference and their potential effects on automated implantable cardioverter defibrillator (AICD) pose a considerable challenge to anaesthesiologists. A 73- year-old male weighing 30 kg with fracture neck of femur and with a background history of hypertension, severe left ventricular dys... |
0 | MRI Evaluation of Post Core Decompression Changes in Avascular Necrosis of Hip | PJI DX Updated Search | INTRODUCTION: Avascular necrosis of hip typically presents in young patients. Core decompression in precollapse stage provides pain relief and preservation of femoral head. The results of core decompression vary considerably despite early diagnosis. The role of MRI in monitoring patients post surgically has not been cl... |
0 | A randomized controlled trial comparing oxinium and cobalt-chrome on standard and cross-linked polyethylene | PJI DX Updated Search | The purpose of the investigation was to assess the clinical and radiographic outcomes in four bearing surfaces. Eighty patients (91 hips) undergoing total hip arthroplasty between 2004 and 2007 were randomized to one of four bearing surfaces: (1) cobalt-chrome (CoCr) and ultra-high molecular weight polyethylene (UHMWPE... |
0 | In vivo function of posterior cruciate ligament before and after posterior cruciate ligament-retaining total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The object of this study was to investigate the in vivo function of the posterior cruciate ligament (PCL) in patients before and after a PCL-retaining total knee arthroplasty (TKA). METHODS: Eleven patients with advanced osteoarthritis (OA) of the knee were recruited. Magnetic resonance scans of each OA knee w... |
0 | Delayed or neglected meniscus tear repair and meniscectomy in addition to ACL reconstruction have similar clinical outcome | AMP (Acute Meniscal Pathology) | PURPOSE: To compare the clinical outcomes of meniscus repair and meniscus resection with concurrent anterior cruciate ligament (ACL) reconstruction in patients with ACL rupture and neglected or delayed medial meniscus tears.
METHODS: Thirty patients with ACL ruptures and unstable vertical longitudinal medial meniscus t... |
0 | Basaloid squamous cell carcinoma of the maxillary sinus: Report of two cases in association with cathepsin K expression | MSTS 2018 - Femur Mets and MM | Basaloid squamous cell carcinoma (BSCC) is a rare variant of squamous cell carcinoma. The occurrence of BSCC in the nasal cavity is extremely rare. In the present study, two cases of BSCC occurring in the maxillary sinus are reported and the clinicopathological features and immunohistochemical characteristics of this r... |
0 | Clinical epidemiology of long-bone fractures in patients receiving hemodialysis | DoD SSI (Surgical Site Infections) | Although prevention of metabolic bone disease is a principal component of management of end-stage renal disease, the clinical epidemiology of long-bone fractures is not completely understood. Hospital discharge claims from 1994 through 1999 for 7159 subjects in the Dialysis Morbidity and Mortality Study were used to qu... |
0 | Unintended retention of temporary articulating spacers in the treatment of periprosthetic hip joint infection | DoD SSI (Surgical Site Infections) | A considerable number of patients who underwent a 2-stage exchange protocol for periprosthetic hip joint infection could not complete the second-stage reimplantation. The aim of this study was to evaluate the results of unintended retention of temporary articulating spacers for the treatment of periprosthetic hip joint... |
0 | Glucose and leukocyte esterase levels are possible biomarkers for bacterial septic arthritis | AMP (Acute Meniscal Pathology) | OBJECTIVE: The objective of the study was to determine the added value of synovial fluid (SF) glucose levels and other biochemical parameters as possible biomarkers of bacterial septic arthritis (SA).
MATERIALS AND METHODS: We prospectively examined adult patients with SA. As a control group, adults with uninfected joi... |
0 | Evaluation of lightweight fibreglass heel casts in the management of ulcers of the heel in diabetes: study protocol for a randomised controlled trial | DoD SSI (Surgical Site Infections) | BACKGROUND: Ulcers of the heel in diabetes are the source of considerable suffering and cost. In the absence of specific treatments, it has been suggested that removable, lightweight fibreglass heel casts may both promote healing and reduce discomfort and pain. The aim of the study is to assess the effectiveness and co... |
0 | Complications following dorsal versus volar plate fixation of distal radius fracture: a meta-analysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: A meta-analysis to compare complication rates following volar or dorsal surgical fixation of distal radius fracture. METHODS: A detailed search of PubMed(R)/MEDLINE(R) was undertaken to identify randomized and nonrandomized controlled trials published before 25 August 2012 that compared volar with dorsal fi... |
0 | Cost-effectiveness of extended adjuvant letrozole therapy after 5 years of adjuvant tamoxifen therapy in postmenopausal women with early-stage breast cancer | HipFx Supplemental Cost Analysis | OBJECTIVE: To estimate the cost-effectiveness of extended adjuvant letrozole in postmenopausal women with early breast cancer and estrogen or progesterone receptor-positive tumors who had completed 5 years of adjuvant tamoxifen. STUDY DESIGN: Cost-effectiveness analysis using a Markov model. METHODS: Using a Markov mod... |
0 | A combination of Scutellaria baicalensis and Acacia catechu extracts for short-term symptomatic relief of joint discomfort associated with osteoarthritis of the knee | OAK Recommendation 9 Articles | The extracts of Scutellaria baicalensis and Acacia catechu have been shown in previous studies to alleviate joint discomfort, reduce stiffness, and improve mobility by reducing the production of proinflammatory molecules over long periods of supplementation. The acute effects of intake of these extracts have not yet be... |
0 | Avian keratoacanthoma (dermal squamous cell carcinoma) in broiler chicken carcasses | MSTS 2018 - Femur Mets and MM | Multiple lesions of dermal squamous cell carcinoma are found at a low frequency (0.04%) in the carcasses of young meat-type chickens at slaughter. For this study, affected carcasses (n = 308) were removed from the processing line, and lesions were characterized by size, distribution, and morphology. Carcasses were also... |
0 | Dexmedetomidine Intra Venous Arthroplasty | AAHKS (4) Acetaminophen | This is a prospective, randomized, doubleâ?blind controlled trial with two parallel groups. All patients undergoing total knee arthroplasty under regional anaesthesia and sedation will be screened for inclusion in the protocol. In the preâ?anaesthesia room, after the implementation of classical monitoring with an oxy... |
0 | Transtibial pullout repair of medial meniscus posterior root tears: effects on the meniscus healing score and ICRS grade among patients with mild osteoarthritis of the knee | AMP (Acute Meniscal Pathology) | PURPOSE: To assess the effects of transtibial pullout repair for medial meniscus posterior root tears (MMPRTs) among patients with early osteoarthritis of the knee as measured by the meniscus healing score and to determine whether the meniscus healing score correlates with the International Cartilage Repair Society (IC... |
0 | Triple prophylaxis for the prevention of surgical site infections in total joint arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: Surgical site infection is a devastating complication and the most common mode of failure in total joint arthroplasty (TJA). The purpose of this study was to evaluate a unique triple prophylaxis protocol (preoperative nasal application of mupirocin, preoperative intravenous administration of vancomycin, and... |
0 | Long-Term Survivorship and Clinical Outcomes of Osteochondral Autologous Transplantation for Steroid-Induced Osteonecrosis of the Knee | Osteochondritis Dissecans 2020 Review | OBJECTIVE: Treatments for steroid-induced osteonecrosis of the knee remains challenging, and there has not been sufficient evidence to support joint preservation surgery. This study evaluated long-term outcomes of osteochondral autologous transplantation (OAT) for steroid-induced osteonecrosis of the knee. DESIGN: This... |
0 | The use of tarsus as a free autogenous graft in eyelid surgery | Upper Eyelid and Brow Surgery | This is a report of the use of autogenous tarsus as a free graft in 121 eyelid surgical procedures. Seventy-three operations were for reconstruction of full-thickness defects and 30 were for repair of eyelid retraction. The remainder were for repair of cicatricial entropion, symblepharon, distichiasis, and irregularity... |
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