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0 | Effect of speed on the energy cost of walking in unilateral traumatic lower limb amputees | DoD LSA (Limb Salvage vs Amputation) | In this work, the effect of walking speed on the energy expenditure in traumatic lower-limb amputees was studied. The oxygen consumption was measured in 10 transfemoral amputees, 9 transtibial amputees and 13 control subjects, while they stood and walked at different speeds from 0.3 m s(-1) to near their maximum sustai... |
0 | How to treat multiple myeloma - A representative multicentre treatment survey | MSTS 2018 - Femur Mets and MM | Background: The present survey was undertaken to gain insights in the changes of disease management of multiple myeloma (MM) over time and the implementation of new guidelines into daily practice. Patients and Methods: Diagnosis and treatment of MM were evaluated based on a 3-month representative multicentre survey inc... |
0 | Mortality within 1 year after hip fracture surgical repair in the elderly according to postoperative period: a probabilistic record linkage study in Brazil | Management of Hip Fractures in the Elderly | OBJECTIVE: The purpose of this study was to assess, by applying probabilistic record linkage (PRL) methodology, the excess mortality and underlying causes of death in a cohort of elderly patients who underwent hip fracture surgical repair during 1995 in Rio de Janeiro, Brazil. DISCUSSION: We searched the Brazilian Hosp... |
0 | Invasive fungal infection in immunocompetent trauma patients - A case series | DoD LSA (Limb Salvage vs Amputation) | Zygomycosis is the third leading cause of invasive fungal infection after candidiasis and aspergillosis. Although zygomycosis mostly affects immunocompromised individuals trauma may potentiate infection in immunocompetent individuals. The mortality rate of Zygomycosis is around 50% due to angioinvasion. Here we report ... |
0 | Fibrodysplasia ossificans progressiva in Spain: epidemiological, clinical, and genetic aspects | Diagnosis and Treatment of Osteochondritis Dissecans AUC | We aimed to investigate the epidemiological determinants, clinical features, and genetic pattern of FOP in our country by evaluating the entire population of patients identified according to a combination of methods. To achieve this, 24 individuals were confirmed as FOP cases, 17 of whom were alive at the end of 2011 (... |
0 | Relevance of MRI for management of non-displaced lateral humeral condyle fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: The treatment for non-displaced (<2Â mm displacement) fractures of the lateral humeral condyle in children is controversial. Most studies recommend non-surgical treatment. However, plain radiographs are not sufficient to evaluate extension of the fracture line through the articular cartilage. This explain... |
1 | Post-Bariatric Abdominoplasty: Analysis of 406 Cases With Focus on Risk Factors and Complications | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Post-bariatric patients present a surgical challenge within abdominoplasty because of residual obesity and major comorbidities. In this study, we analyzed complications following abdominoplasty in post-bariatric patients and evaluated potential risk factors associated with these complications. OBJECTIVES: T... |
0 | Postoperative efficacy of morphine in knee arthroscopy via different routes | Surgical Management of Osteoarthritis of the Knee CPG | We have evaluated the postoperative analgesic efficacy of application of morphine via different routes after knee arthroscopy. With the approval of the local ethical committee and informed consent of the patients; fourty ASA I-II patients going under knee arthroscopy electively randomized into four equal groups. Group ... |
0 | Partial patellectomy for fibrous non-union of patella during primary knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | We present a case report of a 69-year-old lady who underwent primary knee replacement for osteoarthritis. She had a non-union of patella which was not diagnosed preoperatively due to lack of signs and symptoms. Partial patellectomy and reshaping the patella yielded a good result with functional range of movement and no... |
0 | Compartment syndrome: a review of the literature | DoD - ACS - Interrater Reliability | Compartment syndrome is a rare but severe complication of lower extremity trauma. This article provides an extensive review of the literature, including incidence, physical examination findings, pathophysiology, compartment pressure evaluation, and surgical decompression techniques. Most of the recent compartment syndr... |
0 | Review of renal carcinoma with t(6;11)(p21;q12) with focus on clinical and pathobiological aspects | MSTS 2018 - Femur Mets and MM | Recently, a new category of MiTF/TFE family translocation carcinomas of the kidney has been proposed. This category includes Xp11.2 renal cell carcinoma (RCC) and the t(6;11) RCC. These tumors share clinical, morphological, immunohistochemical and molecular genetic features. In this article, we review t(6;11) RCC. This... |
0 | Supracondylar Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Supracondylar humerus fractures are common elbow injuries in children that occur in a vulnerable anatomical location with risk for sequelae ranging from neurovascular compromise to residual deformity. While nondisplaced fractures can be managed nonoperatively, both closed and open surgical reduction techniques are indi... |
0 | Risk factors for infection after knee arthroplasty. A register-based analysis of 43,149 cases | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Clinical studies have revealed a number of important risk factors for postoperative infection following total knee arthroplasty. Because of the small numbers of cases in those studies, there is a risk of obtaining false-negative results in statistical analyses. The purpose of the present study was to determ... |
0 | Primary fibrosarcoma of bone. Outcome after primary surgical treatment | MSTS 2022 - Metastatic Disease of the Humerus | To investigate outcome and evaluate prognostic factors in primary fibrosarcoma of bone, all patients at the authors' institution who had surgical treatment for primary fibrosarcoma of bone from 1910 to 1995 were studied. Medical records, surgical reports, radiographs, and histologic slides of 92 patients (51 males, 41 ... |
0 | Chondrolysis after partial lateral meniscectomy in athletes | AMP (Acute Meniscal Pathology) | Rapid chondrolysis after partial arthroscopic lateral meniscectomy has been seldom reported in literature. Considering the relatively high number of partial lateral meniscectomy performed, we cannot understand why this complication is so rare. The purpose of this paper is to report a series of athletes developing a cho... |
0 | Diagnosis and management of osteoporosis in the older senior | Management of Hip Fractures in the Elderly | The older senior is at high risk for osteoporosis. It is important for healthcare providers to be fully aware of the potential risks and benefits of diagnosing and treating osteoporosis in the older senior population. Data indicate that bone mineral density testing is under-utilized and drug therapy is often not initia... |
0 | The Radiated Deep-frozen Xenogenic Meniscal Tissue Regenerated the Total Meniscus with Chondroprotection | AMP (Acute Meniscal Pathology) | Meniscal allograft transplantation yields good and excellent results but is limited by donor availability. The purpose of the study was to evaluate the effectiveness of radiated deep-frozen xenogenic meniscal tissue (RDF-X) as an alternative graft choice in meniscal transplantation. The xenogenic meniscal tissues were ... |
0 | Gait asymmetry of transfemoral amputees using mechanical and microprocessor-controlled prosthetic knees | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Amputees walk with an asymmetrical gait, which may lead to future musculoskeletal degenerative changes. The purpose of this study was to compare the gait asymmetry of active transfemoral amputees while using a passive mechanical knee joint or a microprocessor-controlled knee joint.
METHODS: Objective 3D gai... |
0 | Volumetric Evaluation of the Mammary Gland and Pectoralis Major Muscle following Subglandular and Submuscular Breast Augmentation.[Erratum appears in Plast Reconstr Surg. 2016 Apr;137(4):1357] | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Besides being a procedure with high level of patient satisfaction, one of the main causes for reoperation after breast augmentation is related to contour deformities and changes in breast volume. Few objective data are available on postoperative volumetric analysis following breast augmentation. The aim of ... |
0 | Sepsis and the scalpel: anatomic compartments and the diabetic foot | DOD - Acute Comp Syndrome CPG | The foot comprises 3 compartments bounded by bone and fascia, each compartment containing muscle and vascular and nervous structures. Infection leading to an increase in pressures in the compartments results in rapid necrosis, a pathologic process characteristic of diabetic feet. Treatment involves fasciotomy and compl... |
0 | Acute compartment syndrome in orthopedics: causes, diagnosis, and management | DOD - Acute Comp Syndrome CPG | Almost all orthopaedic surgeons come across acute compartment syndrome (ACS) in their clinical practice. Diagnosis of ACS mostly relies on clinical findings. If the diagnosis is missed and left untreated, it can lead to serious consequences which can endanger limb and life of the patient and also risk the clinician to ... |
0 | Hip painful prosthesis: surgical view | PJI DX Updated Search | Painful hip prosthesis is the most feared immediate and remote complication of a primary implant and usually represents the failure of one or more therapeutic moments. In cases of aseptic implant failure, the causes invoked may be represented by an incorrect indication, the quality of materials, local and general condi... |
0 | Alterations in walking knee joint stiffness in individuals with knee osteoarthritis and self-reported knee instability | OAK 3 - Non-arthroplasty tx of OAK | Increased walking knee joint stiffness has been reported in patients with knee osteoarthritis (OA) as a compensatory strategy to improve knee joint stability. However, presence of episodic self-reported knee instability in a large subgroup of patients with knee OA may be a sign of inadequate walking knee joint stiffnes... |
0 | The effect of intramedullary bone plug on femoral stem migration of hydroxyapatite coated hip arthroplasty | Management of Hip Fractures in the Elderly | This study investigated the effect of intramedullary cortico-cancellous bone plug on the fixation and stability of hydroxyapatite-coated femoral stems in total hip arthroplasty (THA). Intramedullary corticocancellous bone plug was used in 30 patients with hydroxyapatite-coated femoral stems (group A) and a consecutive ... |
0 | Downregulating PI3K/Akt/NF-kappaB signaling with allicin for ameliorating the progression of osteoarthritis: in vitro and vivo studies | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is characterized by the degeneration and destruction of articular cartilage. Allicin, a dietary garlic active constituent, exerts anti-inflammatory effects on several diseases. However, its effects on OA have not been clearly elucidated. In this study, we explored the effects of allicin on OA in bot... |
0 | The Analgesic Effect of Intraarticular Bupivacaine and Morphine after Arthroscopic Knee Surgery | AMP (Acute Meniscal Pathology) | Many authors have studies to relieve the pain after arthniscopic knee surgery. We undertook a randomized, double-blind trial to compare the efficacy of intraarticular morphme and bupivacaine between arthroscopic meniscus surgery group and cruciate ligament reconstruction group. As an results, intraarticular injection o... |
0 | Do larger femoral heads improve the functional outcome in total hip arthroplasty? | PJI DX Updated Search | Use of larger diameter femoral heads has been popularised in total hip arthroplasty (THA). Recent studies have implicated larger femoral heads in early failure. We evaluated what effect the size of the femoral head had on the early functional outcome in order to determine the optimal head size for the maximal functiona... |
0 | Clinicopathological significance of cathepsin D expression in gastric adenocarcinoma | MSTS 2018 - Femur Mets and MM | OBJECTIVE: An estrogen-regulated lysosomal protease, cathepsin D, has been detected in a variety of tissues. This proteinase has been described as closely associated with tumor progression and metastasis in malignant tumors. The purpose of this study was to determine the clinicopathological and prognostic significance ... |
0 | Ultrasonographic evaluation of the ankle after unilateral traumatic lower limb amputations | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Unilateral lower limb amputation can alter the tissue morphology leading to increase future risk of degenerative secondary disorders. METHODS: Thirty-four consecutive male patients with unilateral lower limb amputations of different levels and 34 well matched male controls were included. To explore whether ... |
0 | EGR1 promotes the cartilage degeneration and hypertrophy by activating the Kruppel-like factor 5 and beta-catenin signaling | AMP (Acute Meniscal Pathology) | Osteoarthritis is one of the most common orthopedic diseases in elderly people who have lost their mobility. In this study,we observed abnormally high EGR1 expression in the articular cartilage of patients with osteoarthritis. We also found significantly high EGR1 expression in the articular cartilage of mice with dest... |
0 | Uncorrected or untreated vision problems and occupational injuries among the adolescent and adult population in Australia | DoD PRF (Psychosocial RF) | Objective: To investigate the relationship between uncorrected or untreated vision problems and occupational injuries in the adolescent and adult population in Australia. Design: National Health Survey conducted via personal interviews with a stratified random sample. Setting: Population-based. Subjects: Individuals se... |
0 | Effect of reduction mammoplasty on acute radiation side effects and use of lumpectomy cavity boosts | Reduction Mammoplasty for Female Breast Hypertrophy | PURPOSE: Reduction mammoplasty (RM) during breast-conserving surgery is popular among women with large-volume breasts because it reduces redundant breast folds and may decrease skin-related morbidity from radiation therapy. However, RM may obscure the lumpectomy cavity (LC) and pose challenges to administering an LC bo... |
0 | Radiographic assessment in bilateral primary total knee arthroplasty: computer-assisted surgery vs. conventional surgery | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The purpose of this retrospective study is to compare the efficiency of computer-assisted surgery (CAS) and conventional method (CONV) in TKA using mechanical axis (MA) and component alignment measured on the post-operative radiograph in the same patient by different technique for TKA on both sides of the kn... |
1 | Additional femoral nerve block analgesia does not reduce the chronic pain after total knee arthroplasty: A retrospective study in patients with knee osteoarthritis | AAHKS (9/10) Regional Nerve Blocks | Femoral nerve block analgesia was deemed to the gold standard for acute pain management after total knee arthroplasty (TKA). But effect on chronic pain management is not investigated fully. We conducted a retrospective study to explore the effect of single-injection femoral nerve block on postsurgical chronic pain.All ... |
0 | Constrained cups appear incapable of meeting the demands of revision THA | PJI DX Updated Search | BACKGROUND: Failure rates of constrained cups for treating recurrent dislocation in revision THA range from 40% to 100%. Although constrained liners are intended to stabilize the hip by mechanically preventing dislocation, the resulting loss of range of motion may lead to impingement and, ultimately, implant failure. Q... |
0 | Repeat emergency room visits for hand and wrist injuries | Distal Radius Fractures | PURPOSE: To characterize patients with hand or wrist injuries presenting to our university-based emergency department (ED) after a previous evaluation by an outside ED. We hypothesized that a majority of these patients did not require emergent care, most arrived during working hours, and a disproportionate number were ... |
0 | Atypical lipomatous tumors/well-differentiated liposarcomas: clinical outcome of 67 patients | MSTS AUC - Based on ACR Lit Review | Atypical lipomatous tumors/well-differentiated liposarcomas are low-grade malignant mesenchymal neoplasms with high propensity to local recurrence and potential to dedifferentiate to higher grades over time. However, the published risks of local recurrence and dedifferentiation vary, and no unified treatment and follow... |
0 | Predicting Family Functioning After TBI: Impact of Neurobehavioral Factors | DoD PRF (Psychosocial RF) | Objective: To identify risk factors for poor family functioning and neurobehavioral problems after traumatic brain injury (TBI) or orthopedic injuries (OI). Design: Longitudinal analyses of data from an inception cohort. Participants: Seventy-five patients with moderate/severe TBI, 47 patients with mild TBI, and 44 pat... |
0 | Radiological Stability after Revision of Infected Total Knee Arthroplasty Using Modular Metal Augments | PJI DX Updated Search | PURPOSE: To evaluate the radiological stability according to the number of modular augments after revision of infected total knee arthroplasty (TKA). MATERIALS AND METHODS: Between February 2006 and September 2013, 37 patients (39 knees) followed >/=2 years after revision of infected TKA using modular metal augments fo... |
0 | Increased bone mineral density in postmenopausal women with type 2 diabetes mellitus | Management of Hip Fractures in the Elderly | BACKGROUND AND OBJECTIVES: Studies of bone mineral density (BMD) in women with type 2 diabetes mellitus have shown conflicting results. We conducted this study to determine whether postmenopausal women with diabetes have higher BMD than non-diabetic women of similar age, and to investigate the relationship between BMD ... |
0 | Proximal fibula osteotomy as an alternative to TKA and HTO in late-stage varus type of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background: Knee osteoarthritis has a high prevalence in Indonesia. Aim of this research is knowing the outcome of knee osteoarthritis patient after PFO procedure.
Methods: Data collected and analyzed in hospitals in Surabaya from July to December 2017. This study compares preoperative and postoperative outcome on radi... |
0 | Alcohol-impaired motor vehicle crash risk and the location of alcohol purchase | DoD PRF (Psychosocial RF) | Motor vehicle crashes involving alcohol impairment are among the leading causes of mortality and morbidity in the U.S. In this study, we examine how the probability of driving after a binge-drinking episode varies with the location of consumption and type of alcohol consumed. We also investigate the relationship betwee... |
1 | Taylor spatial frame in the treatment of neglected fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: The Taylor spatial frame (TSF, Smith and Nephew, Memphis, TN, USA) is a modern multiplanar external fixator that combines ease of application and computer accuracy. Many patients in our geographic area seek treatment for their fractures by traditional bonesetters and present in the middle of treatment with ... |
0 | An interdisciplinary consensus on the management of bone metastases from renal cell carcinoma | MSTS 2018 - Femur Mets and MM | Bone is a major site of haematogenous tumour cell spread in renal cell carcinoma (RCC), and most patients with RCC will develop painful and functionally disabling bone metastases at advanced disease stages. The prognosis of these patients is generally poor and the treatment is, therefore, aimed at palliation. However, ... |
0 | Major histocompatibility complex class II polymorphisms are associated with the development of anti-resorptive agent-induced osteonecrosis of the jaw | MSTS 2018 - Femur Mets and MM | The aetiology of anti-resorptive agent-induced osteonecrosis of the jaw (ARONJ) is still under debate. Clinical and genetic risk factors are currently being investigated to help understand its pathogenesis. This case-control study analysed a large number of cancer patients (n = 230) under therapy with intravenous bisph... |
0 | Management of painful bone metastases | MSTS 2018 - Femur Mets and MM | PURPOSE OF REVIEW: This review examines recent data on the pathophysiology and mechanisms of bone pain; it highlights the use of multiple and interdisciplinary treatments rather than sole use of traditional analgesics. RECENT FINDINGS: Bone pain has been shown to have a unique pathophysiology. Recent experimental (anim... |
0 | Discharge on the day of surgery following unicompartmental knee arthroplasty within the United Kingdom NHS | AAHKS (4) Acetaminophen | Aims Unicompartmental knee arthroplasty (UKA) has been successfully performed in the United States healthcare system on outpatients. Despite differences in healthcare structure and financial environment, we hypothesised that it would be feasible to replicate this success and perform UKA with safe day of surgery dischar... |
0 | Endometrial carcinoma expresses an increased cathepsin B/D ratio | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Cathepsins B and D belong to a family of proteases involved in tumor invasion and metastasis. As such they may function as biomarkers for the aggressiveness of a given tumor. We examined the enzymatic activity of these proteins as well as the cellular and extracellular distribution of cathepsins B and D.
ME... |
0 | The Analgesic Efficacy of Local Anaesthetic Wound Infiltration Versus Intrathecal Morphine for Total Knee Replacement | AAHKS (8) Anesthetic Infiltration | Total knee replacement (TKR) is associated postoperatively with considerable pain and analgesic requirement. Total knee replacement is routinely performed under spinal anaesthesia with intrathecal bupivacaine plus preservative free morphine. We hypothesize that infiltration of the surgical site with periâ? and intraar... |
0 | CXCR4 chemokine receptor engagement modifies integrin dependent adhesion of renal carcinoma cells | MSTS 2018 - Femur Mets and MM | The mechanisms leading to renal cell carcinoma (RCC) metastasis are incompletely understood. Although evidence shows that the chemokine receptor CXCR4 and its ligand CXCL12 may regulate tumor dissemination, their role in RCC is not clearly defined. We examined CXCR4 expression and functionality on RCC cell lines, and e... |
0 | Increased Posterior Tibial Slope After Medial Open-Wedge High Tibial Osteotomy May Result in Degenerative Changes in Anterior Cruciate Ligament | OAK 3 - Non-arthroplasty tx of OAK | Background: This study aimed at evaluating changes in posterior tibial slope angle (PTSA) and the anterior cruciate ligament (ACL) before and after medial open-wedge high tibial osteotomy (MOWHTO) through 2-staged arthroscopic findings and verified whether the ACLs would be affected by the changed PTSA. We also evaluat... |
1 | Surgical treatment of carpal tunnel syndrome in patients with peripheral neuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Outcome after carpal tunnel surgery was studied retrospectively in 32 patients with peripheral neuropathy and carpal tunnel syndrome. Nocturnal paresthesias were almost universally relieved, followed in order of responsiveness by pain, numbness, and weakness. Twenty-five of 28 patients said they would have the surgery ... |
0 | Do public media campaigns designed to increase skin cancer awareness result in increased skin excision rates? | Reconstruction After Skin Cancer | We report on an observational study of one city in Queensland over a 30-month period to evaluate the effects of two public skin cancer campaigns on the excision rates of melanocytic skin lesions. The numbers of melanomas, the numbers of potentially malignant melanocytic lesions (Hutchinson's melanotic freckles and dysp... |
0 | Secondary prevention of osteoporosis following fragility fractures of the distal radius in a large health maintenance organization | Distal Radius Fractures | UNLABELLED: A retrospective study evaluated a large health maintenance organization for secondary prevention of osteoporosis following fragility fractures of the distal radius. Our population remained undiagnosed and untreated despite the ability of the system to provide adequate care. These patients specifically shoul... |
0 | Muenke syndrome associated with multiple osteochondromas | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Muenke syndrome caused by the FGFR3 Pro250Arg mutation is associated with craniosynostosis, hearing loss, and various bony anomalies. Although this mutation is involved in bone growth and development, bony tumors are rare in this condition. We describe a patient with a molecular diagnosis of Muenke syndrome who also pr... |
0 | COVID-19 and ENT Surgery | Coronavirus Disease 2019 (COVID-19) | In Otorhinolaryngology - Head and Neck Surgery, clinical examination and invasive procedures on the respiratory tract and on airway-connected cavities, such as paranasal sinuses and the middle ear, expose people to direct transmission of SARS-CoV-2 by inhalation or ocular projection of contaminated droplets, and to ind... |
0 | Osteoarthritis pain: Nociceptive or neuropathic? | AAHKS (5) Gabapentinoids | In this article, we present the case for the existence of a subgroup of patients with osteoarthritis (OA) who experience pain with neuropathic features. Recognizing these patients as a distinct subgroup will allow clinicians to improve the management of their symptoms. We discuss the diagnostic criteria for pain to be ... |
0 | Interaction of Energetic Points, Tendinomuscular Meridian, and Five Elements in the Treatment of Osteoarthritis of the Knee in Patients Aged Above 45 Years: A Randomized Controlled Trial | AAHKS (2) Corticosteroids | Introduction: Acupuncture had different approaches since its beginnings. Using traditional energetic points with an interaction of five elements and meridian theories with manual diagnosis of tender points has been proposed. This procedure can be an effective treatment for musculoskeletal disease, but its development i... |
0 | How Much Will My Child's Operation Cost? Availability of Consumer Prices from US Hospitals for a Common Pediatric Orthopaedic Surgical Procedure | Distal Radius Fractures | Background: Price transparency allows patients to make value-based health care decisions and is particularly important for individuals who are uninsured or enrolled in high-deductible health care plans. The availability of consumer prices for children undergoing orthopaedic surgery has not been previously investigated.... |
0 | The Impact of Intraoperative Hypothermia on Blood Loss and Allogenic Blood Transfusion in Total Knee and Hip Arthroplasty: A Retrospective Study | Hip Fx in the Elderly 2019 | Background. Total joint arthroplasty (TJA) usually leads to substantial blood loss, which may cause allogenic blood transfusion. Hypothermia occurring during operation has been reported to increase blood loss and transfusion rates in nonorthopedic cohorts. However, the relationship between intraoperative hypothermia an... |
1 | Is Adductor Canal Block Better Than Femoral Nerve Block in Primary Total Knee Arthroplasty? A GRADE Analysis of the Evidence Through a Systematic Review and Meta-Analysis | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Total knee arthroplasty (TKA) is associated with intense postoperative pain with a need for early ambulation to gain function and prevent postoperative complications. Compared with femoral nerve block (FNB), adductor canal block (ACB) can relieve postoperative pain and preserve quadriceps muscle strength. T... |
0 | Limb salvage with microvascular free fibula following primary bone sarcoma resection | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Extremity sarcomas are challenging to manage. Total eradication of tumour has to be balanced with restoration of limb function to prevent mortality and morbidity. Disease-free survival with maximum limb function is the ultimate goal in these patients.
MATERIALS AND METHODS: We present a series of ten cases ... |
0 | Rapidly expanding venous intracerebral haemorrhage with spot sign | Upper Eyelid and Brow Surgery | A 79-year-old woman was brought to the hospital with an acute-onset left haemiparesis. On initial examination, she had a pure sensorimotor syndrome with left-sided weakness and sensory disturbance. Her mental status was normal. She had normal visual fields to confrontation and no neglect. Her initial CT and CT angiogra... |
1 | Bisphosphonate therapy for osteogenesis imperfecta | Developmental Dysplasia of the Hip CPG | BACKGROUND: In osteogenesis imperfecta (OI) a genetic defect in type I collagen results in multiple fractures with little or no trauma. Bisphosphonates are used to attempt to reduce these fractures. OBJECTIVES: To assess the effectiveness and safety of bisphosphonates in increasing bone mineral density (BMD), reducing ... |
0 | Prospective Evaluation of Intra-Articular Sodium Hyaluronate Injection in the Ankle | OAK 3 - Non-arthroplasty tx of OAK | Viscosupplementation by injection of hyaluronic acid into the ankle can be used to provide pain relief and to delay the need for surgery in patients with osteoarthritis of the ankle. In the present investigation, we prospectively evaluated 50 consecutive patients (25 males and 25 females) undergoing a 3-injection proto... |
0 | Infection after total joint arthroplasty from distal extremity sepsis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | At the UCLA Medical Center in 3 patients treated for hematogenous infection after total joint arthroplasty, the source was apparently an infection in the extremities at a site distal to the joint arthroplasty. In a 72-year-old woman with rheumatoid arthritis infection developed in the right hip after total hip arthropl... |
1 | Platelet-rich plasma versus Tenex in the treatment of medial and lateral epicondylitis | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | BACKGROUND: Medial epicondylitis and lateral epicondylitis are among the most common elbow pathologies affecting people aged between 40 and 50 years. Although epicondylitis is often a self-limiting condition that improves with conservative treatment, the condition can be difficult to eradicate. The purpose of this stud... |
1 | TRIGEN INTERTAN intramedullary nail versus sliding hip screw: a prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of follow-up | Hip Fx in the Elderly 2019 | BACKGROUND: Both intramedullary nails and sliding hip screws are used with good results in the treatment of intertrochanteric and subtrochanteric fractures. The aim of our study was to assess whether use of the TRIGEN INTERTAN nail, as compared with a sliding hip screw, resulted in less postoperative pain, improved fun... |
0 | In vivo luminescence imaging of nf-kb activity and serum cytokine levels predict pain sensitivities in a rodent model of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: To investigate the relationship between NF-kB activity, cytokine levels, and pain sensitivities in a rodent model of osteoarthritis (OA). Methods: OA was induced in transgenic NF-kB- luciferase reporter mice via intraarticular injection of monosodium iodoacetate (MIA). Using luminescence imaging we evaluated... |
0 | Treatment of posttraumatic cubitus varus with corrective supracondylar humeral osteotomies using the methyl methacrylate external fixator | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: In upper and lower extremity fractures and osteotomy fixation, the use of methyl methacrylate (MM) as an external fixator presents an alternative method. The primary aim of this retrospective study was to evaluate the midterm outcome of pediatric patients who underwent corrective humeral supracondylar later... |
1 | Does the use of compression garments increase venous stasis in the common femoral vein? | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Abdominoplasty is one of the most frequently performed procedures in plastic surgery. The impact of deep venous thrombosis and pulmonary embolism after this operation is well described and is a feared complication. Most plastic surgeons recommend the use of compression garment after this procedure. The purp... |
1 | Meniscal tears: comparison of the conventional spin-echo and fast spin-echo techniques through image processing | AMP (Acute Meniscal Pathology) | BACKGROUND: Conventional spin-echo (PD-CSE) and fast spin-echo (PD-FSE) techniques are frequently used to detect meniscal tears. However, the time delay for imaging with PD-CSE has resulted in its replacement with faster techniques, such as proton density fast spin-echo (PD-FSE), which has become a frequent tool at mos... |
0 | Results of arthroscopic excision of the fragment in the treatment of osteochondritis dissecans of the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | PURPOSE: To evaluate clinical and radiological results of arthroscopic excision of the fragment and debridement of the crater in the treatment of osteochondritis dissecans of the knee (OCD). Type of Study: Case series. METHODS: We investigated 20 patients with partial or complete detachment of the OCD fragment. The ave... |
0 | Rheumatic diseases. 2. Therapeutic considerations | AAHKS (2) Corticosteroids | In the management of rheumatic diseases, the use of corticosteroids should be reserved for active arthritis. Phenylbutazone (Butazolidin) is probably the drug of choice for acute gout and is also effective in ankylosing spondylitis, Reiter's syndrome, and psoriatic arthritis. Indomethacin (Indocin) also is useful in th... |
0 | A retrospective analysis of risk factors for meniscal co-morbidities in anterior cruciate ligament injuries | AMP (Acute Meniscal Pathology) | BACKGROUND: The association of meniscal cartilage injury with anterior cruciate ligament (ACL) injury is well documented in literature. The aim of this study was to examine the relative risk factors for meniscal pathology at the time of arthroscopic ACL reconstruction.
MATERIALS AND METHODS: A review of the case record... |
1 | Hip fracture in the elderly: the effect of anesthetic technique | Hip Fx in the Elderly 2019 | Seven hundred forty-nine community-dwelling, previously ambulatory, elderly patients who sustained a femoral neck or intertrochanteric fracture underwent prospective follow-up to determine whether anesthetic technique (spinal or general) had an effect on inpatient morbidity and mortality, or 1-year mortality. One hundr... |
0 | Limited educational attainment and radiographic and symptomatic knee osteoarthritis: a cross-sectional analysis using data from the Johnston County (North Carolina) Osteoarthritis Project | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: Applying a cross-sectional analysis to a sample of 2,627 African-American and Caucasian adults aged > or = 45 years from the Johnston County Osteoarthritis Project, we studied the association between educational attainment and prevalence of radiographic knee osteoarthritis and symptomatic knee osteoarthri... |
0 | Unilateral spinal anesthesia with hyperbaric bupivacaine in knee arthroscopy: 5 mg vs 4 mg. [Turkish] | Surgical Management of Osteoarthritis of the Knee CPG | Objective: The purpose of this study was to compare the anesthetic efficacy, durations of motor and sensorial blocks and of unilateral spinal anesthesia with 5 and 4 mg hyperbaric bupivacaine in patients undergoing arthroscopic knee surgery (AKS) and find out if there is a reduction in discharge times. Method: After ob... |
0 | Results of operative treatment of hip fractures in patients over 90 | Management of Hip Fractures in the Elderly | Background. The number of people living more than 90 years is increasing. This population is at high risk of osteoporotic hip fracture and the rates of a good outcome after surgical treatment are lower than in younger patients. The aim of this study was to evaluate psychophysical status and survival time following hip ... |
0 | Spinal anesthesia: exploring some common surgical myths | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To evaluate and compare whether a difference exists between measurable factors such as heart rate, blood pressure, pulse, and anesthesia induction time in patients undergoing spinal versus general anesthesia. METHODS: A retrospective study of eighteen surgical cases on the leg from the knee and distally unde... |
0 | Treatment of periprosthetic hip infection caused by resistant microorganisms using 2-stage reimplantation protocol | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | To determine the effectiveness of staged reimplantation for the treatment of periprosthetic hip infection caused by resistant microorganisms, we performed a retrospective case-control study on 37 consecutive patients who had a culture-proven periprosthetic hip infection treated using a 2-stage reimplantation protocol. ... |
0 | Infections and biological therapy in rheumatoid arthritis | SR for PM on OA of All Extremities | Infections are common in patients with rheumatic disorders. Reasons for such vulnerability include alterations of immunoregulation, disease severity, debility, co-morbid illnesses and the use of immunosuppressive medications. The advent of new biological agents has precipitated a further examination of the links betwee... |
0 | Novel Approach to Reduce Transmission of COVID-19 During Tracheostomy | Coronavirus Disease 2019 (COVID-19) | Severe infection involving the novel coronavirus 2019 (COVID-19) has been associated with acute respiratory distress syndrome that subsequently requires patients to be intubated and dependent on mechanical ventilation. In the setting of the recent pandemic, there is a greater need to perform tracheostomy for these pati... |
0 | Efficacy and safety of risedronate 150 mg once a month in the treatment of postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | INTRODUCTION: Risedronate has been shown to be effective in the treatment of postmenopausal osteoporosis when given orally in daily or weekly doses or on 2 consecutive days per month. This randomized, double-blind, multi-center study was designed to assess the efficacy and safety of a single 150 mg risedronate once-a-m... |
0 | Increased pain sensitivity but normal function of exercise induced analgesia in hip and knee osteoarthritis - treatment effects of neuromuscular exercise and total joint replacement | Glenohumeral Joint OA | Objective: To assess exercise induced analgesia (EIA) and pain sensitivity in hip and knee osteoarthritis (OA) and to study the effects of neuromuscular exercise and surgery on these parameters. Design: The dataset consisted of knee (n=66) and hip (n=47) OA patients assigned for total joint replacement at Lund Universi... |
0 | Diagnosis and treatment of bone disease in multiple myeloma: spotlight on spinal involvement | MSTS 2018 - Femur Mets and MM | Bone disease is observed in almost 80% of newly diagnosed symptomatic multiple myeloma patients, and spine is the bone site that is more frequently affected by myeloma-induced osteoporosis, osteolyses, or compression fractures. In almost 20% of the cases, spinal cord compression may occur; diagnosis and treatment must ... |
0 | Hip stability in primary total hip arthroplasty using an anatomically sized femoral head | Management of Hip Fractures in the Elderly | Dislocation after total hip arthroplasty (THA) remains a problem despite many advances in technique and prosthetic design over the 5 decades since the introduction of total joint replacement. This article reports the short-term results (1 year of follow-up) of THA in 235 patients who received a large, anatomically size... |
0 | Significance of arthroscopy in children with knee joint injuries | AMP (Acute Meniscal Pathology) | Clinical and arthroscopic findings after knee joint injury were evaluated in 35 children aged 4-15 years. Arthroscopy revealed a rupture of the anterior cruciate ligament in 9 patients; two lesions were only partial. Eight children suffered from patellar dislocation. Eleven patients showed minimal synovial and cartilag... |
0 | Total knee arthroplasty in a patient with Hardcastle syndrome | Surgical Management of Osteoarthritis of the Knee CPG | Diaphyseal medullary stenosis is a rare skeletal dysplasia of unknown etiology with potential autosomal dominant genetic inheritance. A variant of diaphyseal medullary stenosis has been associated with a high risk of malignant transformation, specifically in the form of malignant fibrous histiocytoma. This potential co... |
0 | Intra-articular rifamycin in haemophilic arthropathy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Synoviorthesis is the intra-articular injection of chemical or radioactive substances able to produce fibrosis of hypertrophied synovium, which has proved effective in the treatment of chronic haemophilic synovitis. Between September 1999 and October 2001 we treated 28 outpatients (25 with haemophilia A, three with hae... |
0 | Interventional MSK procedures: The hip | MSTS 2018 - Femur Mets and MM | Percutaneous musculoskeletal procedures are widely accepted as low invasive, highly effective, efficient and safe methods in a vast amount of hip pathologies either in diagnostic or in therapeutic management. Hip intra-articular injections are used for the symptomatic treatment of osteoarthritis. Peritendinous or intra... |
0 | Using same-hospital readmission rates to estimate all-hospital readmission rates | HipFx Supplemental Cost Analysis | Study: Design We evaluated 3,940 hospitals treating 741,656 Medicare fee-for-service beneficiaries undergoing CABG, hip fracture repair, or colectomy between 2006 and 2008. We used hierarchical logistic regression to calculate risk- and reliability-adjusted rates of 30-day readmission to the same hospital and to any ho... |
1 | Open reduction and internal fixation for distal radius fractures | Distal Radius Fractures | From a series of 650 dorsally angulated fractures of the distal radius, 32 intra-articular fractures were treated by open reduction and internal fixation. The 32 fractures were classified according to the Frykman criteria as type VII (5) or type VIII (27). On the basis of the location of intra-articular involvement, th... |
0 | A new method of treatment for periprosthetic supracondylar fractures of the femur for prostheses with a stemmed femoral component | Surgical Management of Osteoarthritis of the Knee CPG | Knee arthroplasty periprosthetic supracondylar fracture of the femur is a well-recognized problem that is likely to be seen more frequently with the increasing number of knee arthroplasties being performed. Treatment of this fracture is difficult. A new method of internal fixation for supracondylar fractures around a s... |
0 | Increased risk of knee osteoarthritis in patients using oral N-acetylcysteine: A nationwide cohort study | AMP (Acute Meniscal Pathology) | Background: Knee osteoarthritis (OA) is known to be a progressive degenerative disorder; however, recent evidence suggests that inflammatory mediators contribute to cartilage degradation. Studies have reported that N-acetylcysteine (NAC) had a promising effect on the reduction of the synthesis of proinflammatory and st... |
0 | Cathepsin-D, urokinase plasminogen activator and type-1 plasminogen activator inhibitor in early breast cancer: an immunohistochemical study of prognostic value and relations to tenascin-C and other factors | MSTS 2018 - Femur Mets and MM | Cytosolic determinations of cathepsin-D (cath-D), urokinase plasminogen activator (uPA) and its specific inhibitor PAI-1 have shown an association with adverse prognosis in breast cancer. Our aim was to study the distribution of these markers in small axillary node-negative breast carcinomas using immunohistochemistry ... |
0 | Occupational (and non-occupational) risk factors for musculoskeletal disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Musculoskeletal disorders are an important cause of disability and absence from work in industrialized countries. A number of studies reported the importance of occupational, personal and psycho-social factors in the aetiology of these work-related disorders. OBJECTIVES AND METHODS: To stress the complex re... |
0 | Intra-articular hyaluronic acid for the treatment of osteoarthritis of the knee: systematic review and meta-analysis | SR for PM on OA of All Extremities | BACKGROUND: Osteoarthritis of the knee affects up to 10% of the elderly population. The condition is frequently treated by intra-articular injection of hyaluronic acid. We performed a systematic review and meta-analysis of randomized controlled trials to assess the effectiveness of this treatment. METHODS: We searched ... |
0 | When is the ideal time to operate on a patient with a fracture of the hip? : a review of the available literature | Hip Fx in the Elderly 2019 | Fractures of the hip are common, often occurring in frail elderly patients, but also in younger fit healthy patients following trauma. They have a significant associated mortality and major social and financial implications to patients and health care providers. Many guidelines are available for the management of these... |
0 | Interleukin-6 is elevated in synovial fluid of patients with focal cartilage defects and stimulates cartilage matrix production in an in vitro regeneration model | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: This study aimed to determine whether, as in osteoarthritis, increased levels of interleukin-6 (IL-6) are present in the synovial fluid of patients with symptomatic cartilage defects and whether this IL-6 affects cartilage regeneration as well as the cartilage in the degenerated knee.
METHODS: IL-6 concen... |
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