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0 | The inpatient consultation approach to osteoporosis treatment in patients with a fracture. Is automatic consultation needed? | Management of Hip Fractures in the Elderly | BACKGROUND: Osteoporosis has been described as a "silent epidemic." We describe an osteoporosis consultation program to facilitate the evaluation and treatment of inpatients with fragility fractures. METHODS: The inpatient orthopaedic team voluntarily requested an osteoporosis consultation on all patients with a fragil... |
0 | Decrease of morbidity in road traffic accidents in a high income country - An analysis of 24,405 accidents in a 21 year period | DoD PRF (Psychosocial RF) | Background The WHO initiated the "Decade of Action for Road Safety" because the fatality on road traffic accidents could become the fifth leading cause of death in 2030. On the contrary, fatalities continue to decrease in high income countries. The aim of the study was to find evidence for changes in injury severity of... |
0 | Assessing the efficacy of a viscosupplement combining hyaluronic acid and sorbitol (synolis-va) in patients with high grades knee osteoarthritis for whom corticotherapy is contraindicated | OAK Recommendation 9 Articles | Purpose: Synolis-VA is an innovative viscosupplement (VS) combining a high concentration (20 mg/ml) of a > 2 MDa Sodium Hyaluronate (NaHa) from non animal origin with a high concentration of Sorbitol (40mg/ml), an oxygen free radical (OFR) scavenger. The strong ability of Sorbitol to scavenge and neutralize OFR has alr... |
1 | Relationship between self-efficacy and pain control in Iranian women with advanced knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objectives: This study aimed to determine the relationship between pain of osteoarthritis (OA) and body mass index (BMI), age, pain control strategy, self-efficacy for pain control, exercise, and functional activities in a cohort of Iranian women. Subjects and Methods: In total, 150 women with advanced knee OA, candida... |
0 | SECOT-GEDOS consensus on pre-surgical pain management in knee and hip arthrosis | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To develop recommendations, based on best evidence and experience, on pain management in patients undertaking total knee or hip replacement. METHODS: Nominal group methodology was followed. A group of experts was selected (5 orthopedics, 1 anesthesiologist), who defined the scope, users, topics, preliminary ... |
1 | Treatment of Casualties in a Forward Hospital of Indian Army : Nine year Experience | DoD SSI (Surgical Site Infections) | BACKGROUND: To analyze the outcome of the management of casualties in a level II trauma centre of a forward hospital of Armed Forces over a nine year period. Retrospective analysis of all casualties received in a single forward hospital of Indian Army was carried out.
METHOD: During 9 years (1990-1998), a total of 5737... |
0 | Nightly enteral nutrition support of elderly hip fracture patients: a phase I trial | Management of Hip Fractures in the Elderly | OBJECTIVE: This non-blinded randomized controlled trial was the first phase of a planned series of investigations designed to test the efficacy of aggressive post-operative enteral nutrition support to decrease the rate of post-operative complications or improve long-term outcomes in specifically defined subgroups of e... |
1 | Home or supervised rehabilitation following anterior cruciate ligament reconstruction: a randomized controlled trial | Anterior Cruciate Ligament Injuries CPG | Rehabilitation following anterior cruciate ligament (ACL) reconstruction is varied. Patients are usually prescribed an independent home exercise program, although some patients may attend physical therapy for additional supervised exercise. It is not known whether additional supervised exercise provides any further ben... |
1 | Reporting functional outcome after knee arthroplasty and regional anesthesia: a methodological primer | Surgical Management of Osteoarthritis of the Knee CPG | The introduction of ultrasound guidance for regional anesthesia has resulted in an explosion of interest in its use for postoperative analgesia, particularly for orthopedic surgery. Regional anesthesia demonstrates unequivocal superiority compared with systemic opioids with respect to analgesia, reduced opioid consumpt... |
0 | Infected non-union of tibia treated with ilizarov external fixator: Our experience | DoD SSI (Surgical Site Infections) | Introduction: Tibia is the most common long bone fractured due its vulnerable subcutaneous location and most often associated with acquired complications of delayed union or non-union due to infection. Amongst the various treatment options to treat them, the Ilizarov external fixator application is considered superior ... |
0 | Incidence of soft tissue releases in robotic assisted cementless TKA with mechanical alignment and flexion gap balancing | AMP (Acute Meniscal Pathology) | Background: To ensure the success of total knee arthroplasty (TKA), precise bone cuts and a well-balanced soft tissue envelope are crucial. Soft tissue release may be necessary, subject to various factors. Therefore, documenting the type, frequency, and necessity of soft tissue releases can establish a benchmark for co... |
0 | Dysphagia following strokes: clinical observations of swallowing rehabilitation employing palatal training appliances | Dental Implant Infection | A retrospective study was undertaken to evaluate the progress of a group of dysphagic stroke patients for whom a dental prosthesis the Palatal Training Appliance (PTA), was used in the active rehabilitation of the swallowing mechanism. Patients selected were those who had sustained a stroke uncomplicated by other neuro... |
0 | Nomogram to predict the risk and survival of synchronous bone metastasis in colorectal cancer: a population-based real-world analysis | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: Bone metastasis (BM) can obviously affect the quality of life of patients in colorectal cancer (CRC), and the whole management of patients with BM would be attractive in current clinical practice. Methods: A total of 52,859 patients during 2010–2015 were collected from Surveillance, Epidemiology, and End Resul... |
1 | Congenital hip dysplasia in the light of early and very early diagnosis | Developmental Dysplasia of the Hip CPG | Ortolani summarizes 40 years of experience with about 8,000 children with congenital hip dysplasia, treated from birth or at a very early age. All newborns should be screened and examined for congenital hip dysplasia and this exam should be repeated at one month and again in 3 months. The most reliable sign for the dia... |
1 | A comparative study to evaluate the efficacy of platelet-rich plasma and triamcinolone to treat tennis elbow | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | BACKGROUND: Lateral elbow pain is common with a population prevalence of 1%-3%. The study was a comparative trial to validate the efficacy of single injection of platelet-rich plasma (PRP) for tennis elbow as compared with single injections of triamcinolone and placebo (normal saline) over a short term period.
MATERIAL... |
0 | Pre-operative Intravenous Steroid in Total Knee Replacement for Pain Relief and Recovery | AAHKS (8) Anesthetic Infiltration | Osteoarthritis of the knee is a common and important disease in the population. As a joint replacement centre, around 600 total knee replacements were performed in Queen Elizabeth Hospital and Buddhist Hospital per year. Despite multiple anesthetic methods and analgesics protocols, postâ?operative pain remains a signi... |
0 | Anterolateral Approach for Distal Third Humeral Shaft Fractures: A Surgical Approach Using 3 Soft-tissue Windows | Distal Radius Fractures | An anterolateral approach is described for the treatment of distal third humeral shaft fractures. The approach using 3 soft-tissue windows combines an anterior brachialis muscle splitting approach, a muscle interval exposure of the radial nerve between the brachialis and brachioradialis muscles, and a lateral exposure ... |
0 | Osteoarticular disorders of renal origin: disease-related and iatrogenic | Glenohumeral Joint OA | Osteoarticular disorders significantly limit the quality of long-term survival with chronic renal failure. beta 2M amyloidosis is a complication of chronic renal failure that has been recognized mostly in patients receiving long-term haemodialysis. Patients with beta 2M amyloidosis typically present with the triad of s... |
0 | The ABCs of accessory breast tissue: Basic information every radiologist should know | Panniculectomy & Abdominoplasty CPG | OBJECTIVE. Accessory breast tissue, residual breast tissue persisting from embryologic development, is found in up to 6% of the population, most commonly in the axilla along the "milk line." CONCLUSION. Radiologists should be able to recognize the imaging appearance of this normal variant on multiple modalities, while ... |
1 | Isokinetic muscle strength and knee function associated with double femoral pin fixation and fixation with interference screw in anterior cruciate ligament reconstruction | Anterior Cruciate Ligament Injuries CPG | PURPOSE: Intensive scheduling in sports requires athletes to resume physical activity shortly after injury. The purpose of this study was to investigate early isokinetic muscle strength and knee function on bone-patellar tendon-bone (BPTB) ACL reconstruction with double femoral pin fixation or interference screw techni... |
0 | Cathepsin K in the immunohistochemical diagnosis of melanocytic lesions | MSTS 2018 - Femur Mets and MM | Recent studies have demonstrated that cathepsin K seems to be a powerful marker in identifying the microphthalmia associated transcription factor (MITF) family tumors such as renal perivascular epithelioid cell neoplasms (PEComas), alveolar soft part sarcoma, and translocation-associated renal cell carcinomas. However,... |
0 | Serum adipokines in osteoarthritis; comparison with controls and relationship with local parameters of synovial inflammation and cartilage damage | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Adipose tissue is an endocrine tissue releasing adipokines suggested to be involved in the pathogenesis of osteoarthritis (OA). Nevertheless, their relative contribution and exact mechanisms are still ambiguous. The aim of this study is to compare serum adipokine levels between end-stage knee OA patients and... |
0 | The management of femoral bone stock in THA revision: Indications and techniques | PJI DX Updated Search | Following the increasing number of total hip arthroplasties, the amount of hip revision procedures continue to rise. Careful patient selection and bone loss evaluation is crucial for a correct management of femoral revision procedures. The key point in femoral revision is to obtain a reliable primary stability of the s... |
1 | Expanding roles for reverse shoulder arthroplasty | Glenohumeral Joint OA | Since its introduction in the USA in 2003, reverse total shoulder arthroplasty (RTSA) has been used with increasingly frequency as surgeons have observed the remarkable improvement in pain, range of motion, and function associated with this implant. RTSA was initially used exclusively for elderly, low demand individual... |
0 | Two-Year Experience Using a Limited-Incision Direct Lateral Approach in Total Hip Arthroplasty | Hip Fx in the Elderly 2019 | We evaluated clinical, radiographic, and short-term recovery outcomes in an 18-month 1 surgeon series of 102 unilateral primary total hip arthroplasties performed by direct lateral approach through standard size (15-20 cm) and limited (<10 cm) incisions. Patients were blinded to incision type. Observed measures related... |
0 | Peritoneal dialysis in the nursing home | Management of Hip Fractures in the Elderly | BACKGROUND: During the past few decades, the demographics of end stage renal disease have been changed significantly with the emerging predominance of elderly patients. Elderly dialysis patients are usually more dependent and may need long-term placement in a long-term care facility. Failure to meet the needs of these ... |
0 | Characterization of cellular and matrix alterations in the early pathogenesis of osteochondritis dissecans in pigs using second harmonic generation and two-photon excitation fluorescence microscopy | Osteochondritis Dissecans 2020 Review | Osteochondritis dissecans is a joint disease that is observed in several species. The disease can develop as a cause of ischemic chondronecrosis in the epiphyseal growth cartilage. Some lesions of chondronecrosis undergo spontaneous resolution, but it is not possible to predict whether a lesion will resolve or progress... |
0 | Disease-specific clinical pathways - are they feasible in primary care? A mixed-methods study | Hip Fx in the Elderly 2019 | OBJECTIVE: To explore the feasibility of disease-specific clinical pathways when used in primary care.
DESIGN: A mixed-method sequential exploratory design was used. First, merging and exploring quality interview data across two cases of collaboration between the specialist care and primary care on the introduction of ... |
0 | The Role of Wnt Pathway in the Pathogenesis of OA and Its Potential Therapeutic Implications in the Field of Regenerative Medicine | TO: WNT2 Pathway Modulator | Introduction: Osteoarthritis (OA) is a degenerative joint disease characterized by articular cartilage degradation, subchondral damage, and bone remodelling, affecting most commonly weight-bearing joints, such as the knee and hip. The loss of cartilage leads to joint space narrowing, pain, and loss of function which co... |
1 | Surgery for full-thickness rotator-cuff tears | Optimizing the Management of Full-Thickness Rotator Cuff Tears | We reviewed the cases of 100 patients who were operated on for a tear of the rotator cuff and found significant improvements in pain in all of them and in function in the majority of patients. The size of the cuff tear did not significantly affect the results, although patients with a smaller tear tended to fare slight... |
0 | Principles and evidence: The optimal treatment of pertrochanteric hip fractures | Hip Fx in the Elderly 2019 | In summary, there is some prior evidence to suggest that even in elderly patients loss of femoral offset and length is associated with functional compromise. Treatment of proximal femoral fractures with either an intramedullary or an extramedullary sliding device results in some fracture collapse depending on the quali... |
0 | The treatment of localized metastases in the proximal humerus from renal cell carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | Four cases of a localized metastatic renal cell carcinoma within the proximal humerus are reviewed. In three of these cases radiation therapy resulted in relief of bone pain but did not control progression of the secondary tumor. In one case palliative radiation treatment combined with intramedullary nailing resulted i... |
0 | Is the higher mortality among men with hip fracture explained by sex-related differences in quality of in-hospital care? A population-based cohort study | Hip Fx in the Elderly 2019 | Background: mortality after hip fracture is two-fold higher in men compared with women. It is unknown whether sex-related differences in the quality of in-hospital care contribute to the higher mortality among men.
Objective: to examine sex-related differences in quality of in-hospital care, 30-day mortality, length of... |
1 | The efficacy of the psoas compartment block versus the intrathecal combination of morphine, fentanyl and bupivacaine for postoperative analgesia after primary hip arthroplasty: a randomized single-blinded study | AAHKS (9/10) Regional Nerve Blocks | PURPOSE: Intrathecal morphine and psoas compartment block represent two accepted techniques to provide postoperative analgesia after hip arthroplasty. We designed a prospective, randomized, single-blinded study to compare these two techniques.
METHODS: Forty patients scheduled for primary hip arthroplasty under general... |
0 | Assistive devices for ambulation | OAK 3 - Non-arthroplasty tx of OAK | Interacting with other people and the environment is fundamental to quality of life. Canes, walkers, and crutches increase, maintain, or improve functional capabilities of many individuals with neurologic disorders. Canes offer a choice of handle, shaft, and base. Walkers have various types of base, uprights, handgrips... |
0 | Acupuncture treatment for knee osteoarthritis with sensitive points: protocol for a multicentre randomised controlled trial | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: There is a lack of curative medical treatment for patients with knee osteoarthritis (KOA). Acupuncture represents an important alternative therapy. According to the theory of traditional Chinese medicine and preliminary clinical evidence, the patients' acupoints and tender points may become sensitised whe... |
1 | Ultrasonographic examination of the radial and ulnar nerves after percutaneous cross-wiring of supracondylar humerus fractures in children: a prospective, randomized controlled study | Pediatric Supracondylar Humerus Fracture 2020 Review | In this prospective study, we aimed to find out whether there is a change in the ultrasonographic features of the radial and ulnar nerves as well as clinical outcomes after traditional and lateral percutaneous cross-wiring of the supracondylar humerus fractures in children. Twenty-nine consecutive children with complet... |
0 | What are the risk factors for dislocation in primary total hip arthroplasty? A multicenter case-control study of 128 unstable and 438 stable hips | Developmental Dysplasia of the Hip 2020 Review | INTRODUCTION: Dislocation after total hip arthroplasty (THA) is a leading reason for surgical revision. The risk factors for dislocation are controversial, particularly those related to the patient and to the surgical procedure itself. The differences in opinion on the impact of these factors stem from the fact they ar... |
0 | Improved identification of polymicrobial infection in total knee arthroplasty through sonicate fluid cultures | PJI DX Updated Search | INTRODUCTION: Periprosthetic joint infection (PJI) is the leading cause for early failure of total knee arthroplasty (TKA). An insufficient diagnosis of the involved bacterial species can be a possible cause for this high failure rate. Sonicate fluid cultures (SFC) have been shown to increase the detection rate of PJI ... |
0 | The forearm fracture recovery in children evaluation study | Distal Radius Fractures | INTERVENTION: Each patient will be randomly allocated (1:1) with a randomisation sequence stratified by centre and age group (4â?7 years and =8 years): 1. Soft bandage immobilisation and immediate discharge 2. Rigid splint immobilisation and followâ?up as per the protocol of the treating centre Participants are asked... |
0 | Endoscopic aesthetic facial surgery: technique and results | Panniculectomy & Abdominoplasty CPG | The endoscopic approach to forehead and midface lifting has become popular method of face rejuvenation with minimal incisions. We have performed 67 endoscopic facelift procedures in the last four years. Forehead lifting technique included five small scalp incisions, wide subperiosteal elevation, endoscopic myotomy and ... |
0 | Comparison of hematoma block and wrist block in the treatment of fracture of neck of fifth metacarpus | Distal Radius Fractures | Background: Fracture of neck of fifth metacarpal bone or boxer fracture is one of the most common types of hand fracture. Nowadays, two analgesic methods, hematoma block and wrist block, are used at the emergency unit for relocating the fracture. The aim of this study was to compare the advantages and disadvantages of ... |
0 | Association between altered somatosensation, pain, and knee stability in patients with severe knee osteoarthrosis | OAK 3 - Non-arthroplasty tx of OAK | Objective: To examine the relationship between knee pain, altered somatosensation, and self-reported instability in individuals with knee osteoarthrosis (OA) during a step-up-and-over task. Methods: Quantitative sensory testing, including mechanical detection threshold (MDT), allodynia, vibration perception threshold, ... |
0 | Fluid resuscitation in adults with severe burns at risk of secondary abdominal compartment syndrome--an evidence based systematic review | DOD - Acute Comp Syndrome CPG | BACKGROUND: Secondary abdominal compartment syndrome (sACS) in adults with severe burns is commonly unsuspected, can be rapidly fatal and seriously compromises the reliability of urine output as an indicator of perfusion and resuscitation status. Current literature lacks an exhaustive, evidence-based review critically ... |
1 | The new bisphosphonate, Zometa (zoledronic acid), decreases skeletal complications in both osteolytic and osteoblastic lesions: a comparison to pamidronate | MSTS 2018 - Femur Mets and MM | Bisphosphonates are the treatment of choice for lytic bone lesions associated with breast cancer. In contrast, bone lesions associated with prostate cancer are predominately osteoblastic. Zoledonic acid (Zol) is a new-generation bisphosphonate that is approximately 2-3 orders of magnitude more potent than pamidronate (... |
0 | Ultrasound velocity through the cortex of phalanges, radius, and tibia in normal and osteoporotic postmenopausal women using a new multisite quantitative ultrasound device | Management of Hip Fractures in the Elderly | RATIONALE AND OBJECTIVES: To assess a new multisite quantitative ultrasound (QUS) device (Sunlight Omnisense 7000 S) suitable for the measurement of speed of sound (SOS) in the phalanges, radius, and tibia. METHODS: The study group consisted of 270 healthy Caucasian postmenopausal patients (mean age: 60.0 +/- 7.6 years... |
0 | Effect of rofecoxib therapy on measures of health-related quality of life in patients with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Bodily pain and physical disability can negatively impact healthâ?related quality of life (HRQL) in patients with osteoarthritis (OA). OBJECTIVE: To assess the effects of treatment with a new agent, rofecoxib, on HRQL in patients with OA. STUDY DESIGN: Randomized, doubleâ?blind, 6â?week clinical trial co... |
0 | Osteochemonecrosis of jaws and bisphosphonates | MSTS 2018 - Femur Mets and MM | Osteochemonecrosis of the jaws is a well described side effect of bisphosphonate therapy. Bisphosphonates are non metabolised analogues of pyrophosphate that are capable of localizing to bone, slowing both rate of growth and rate of dissolution therefore reducing the rate of bone turnover. Although the exact mechanism ... |
0 | Preoperative risk factors for postoperative Clostridium difficile infection in colectomy patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Wide variation among hospitals in the rate of Clostridium difficile infection (CDI) after surgery was hypothesized to be related to different prophylactic antibiotic practices. METHODS: Between March 2008 and March 2010, 30-day confirmed postoperative CDI rates were prospectively collected for patients unde... |
0 | Hemiarthroplasty for osteoarthritis in shoulder with dysplastic morphology | Glenohumeral Joint OA | HYPOTHESIS: Hemiarthroplasty for shoulder osteoarthritis with a glenoid dysplasia gives satisfactory results at medium-range follow-up.
MATERIALS AND METHODS: From 1998 to 2006, 9 patients (10 shoulders) with glenoid dysplasia and osteoarthritis were treated with shoulder hemiarthroplasty. The mean age at surgery was 5... |
0 | Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know | DoD SSI (Surgical Site Infections) | Objectives The aim of this study was to review the impact of smoking tobacco on the musculoskeletal system, and on bone fractures in particular. Methods english-language publications of human and animal studies categorizing subjects into smokers and nonsmokers were sourced from MeDLIne, The cochrane Library, and scopUs... |
0 | Clinical prognostic factors and expression of cathepsin D in endometrioid adenocarcinoma | MSTS 2018 - Femur Mets and MM | The aim of our study was to evaluate the association between the expression of cathepsin D and clinical prognostic data in endometrioid adenocarcinoma of different histological grade. We studied 104 postmenopausal women with diagnosis of endometrioid adenocarcinoma. We evaluated the presence of obesity and vaginal blee... |
0 | Severity of cognitive impairment as a prognostic factor for mortality and functional recovery of geriatric patients with hip fracture | Hip Fx in the Elderly 2019 | AIM: To identify how the severity of dementia influences functional recovery and mortality in elderly patients hospitalized for hip fracture.
METHODS: An observational retrospective study of 1258 patients aged older than 69 years and diagnosed with hip fracture who received care within an orthogeriatrics unit from 2004... |
0 | Perioperative regimes for patients undergoing elective hip or knee arthroplasties: Impact of nutrition and anaesthetic technique on recovery | Surgical Management of Osteoarthritis of the Knee CPG | Background: Elective knee and hip arthroplasty are common surgical procedures. Improved anaesthetic and nutritional care has the potential of increasing patient satisfaction and reducing length of hospital stay (LOS). The overall aim of this thesis was to evaluate the effect of perioperative nutrition and different ana... |
1 | Outcomes in nonagenarians after hemiarthroplasty for femoral neck fracture. A prospective matched cohort study | Management of Hip Fractures in the Elderly | A prospective cohort of 33 nonagenarians with hemiartroplasty for femoral neck fracture was matched with 33 patients aged between 70 and 89, using preoperative and postoperative data, and the following were studied; epidemiological data, physical dependence, and SF-12 and WOMAC questionnaires. The mortality rate at one... |
0 | Functionality, comorbidity, complication & surgery of hip fracture in older adults by age distribution | Hip Fx in the Elderly 2019 | BACKGROUND: Hip fractures may be the greatest complication secondary to osteoporotic disorder. The objective of this study was to determine the influence of age distribution in the functionality, comorbidity, complications and surgical features of older adults with hip fractures.
METHODS: A prospective cohort study was... |
0 | Implementation of a quality care management system for patients with arthritis of the hip and knee | OAK 3 - Non-arthroplasty tx of OAK | The Orthopaedic Unit of the Repatriation General Hospital (RGH) in Adelaide, South Australia has implemented a quality care management system for patients with arthritis of the hip and knee. The system not only optimises conservative management but ensures that joint replacement surgery is undertaken in an appropriate ... |
0 | Altered connectivity of the right anterior insula drives the pain connectome changes in chronic knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Resting-state functional connectivity (FC) has proven a powerful approach to understand the neural underpinnings of chronic pain, reporting altered connectivity in 3 main networks: the default mode network (DMN), central executive network, and the salience network (SN). The interrelation and possible mechanisms of thes... |
1 | Imaging in Pre- and Post-operative Assessment in Joint Preserving and Replacing Surgery | Surgical Management of Osteoarthritis of the Knee CPG | Within the recent years, advances in imaging technology have increased its applicability to diagnose musculoskeletal disease. The modification of imaging techniques and improved image quality has led to increased use of computed tomography and magnetic resonance imaging in the assessment of postoperative complications ... |
0 | Vibration sensibility testing in the workplace. Day-to-day reliability | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Loss of vibration sensibility has been suggested as an early indicator of peripheral compression neuropathy, including carpal tunnel syndrome. Although vibration sensibility has been used frequently to evaluate carpal tunnel syndrome, the day-to-day reliability of vibration measurements in an industrial population meas... |
0 | Early blockade of joint inflammation with a fatty acid amide hydrolase inhibitor decreases end-stage osteoarthritis pain and peripheral neuropathy in mice | OAK 3 - Non-arthroplasty tx of OAK | Background: The endocannabinoid system has been shown to reduce inflammatory flares and pain in rodent models of arthritis. A limitation of endocannabinoids is that they are rapidly denatured by hydrolysing enzymes such as fatty acid amide hydrolase (FAAH) which renders them physiologically inert. Osteoarthritis (OA) i... |
0 | Treatment for proximal pole scaphoid nonunion with capsular-based vascularized distal radius graft | Distal Radius Fractures | PURPOSE: We retrospectively reviewed the results of 89 patients with proximal pole scaphoid nonunion, 58 with avascular necrosis, treated with a capsular-based vascularized distal radius graft., METHODS: Seventy-one male and eighteen female patients with symptomatic nonunion at the proximal pole of the scaphoid were in... |
1 | A prospective, multi-center, randomised trial to evaluate the efficacy of a cryopneumatic device on total knee arthroplasty recovery | Surgical Management of Osteoarthritis of the Knee CPG | Pain, swelling and inflammation are expected during the recovery from total knee arthroplasty (TKA) surgery. The severity of these factors and how a patient copes with them may determine the ultimate outcome of a TKA. Cryotherapy and compression are frequently used modalities to mitigate these commonly experienced sequ... |
0 | Impact of the method of exposure in total hip arthroplasty on the variability of gait in the first 6months of the postoperative period | OAK 3 - Non-arthroplasty tx of OAK | Introduction, objective: Gait analysis has provided important information about the variability of gait for patients prior to and after total hip arthroplasty (THA). The objective of this research was to clarify how the method of exposure in total hip arthroplasty affects the variability of gait. Materials and method: ... |
1 | Can the outcome of carpal tunnel release be predicted? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Between 1994 and 1996 we performed a prospective study on the effect of carpal tunnel release on the health status of 96 patients. The Nottingham Health Profile, a validated global scoring system, was used to assess quality of life before, and at 4 months after surgery. Carpal tunnel syndrome had a significant impact o... |
0 | Degree of tendon degeneration and stage of rotator cuff disease | Glenohumeral Joint OA | PURPOSE: While tendon degeneration has been known to be an important cause of rotator cuff disease, few studies have objectively proven the association of tendon degeneration and rotator cuff disease. The purpose of this study was to investigate changes of tendon degeneration with respect to the stage of rotator cuff d... |
0 | Adipose-Based Therapies for Knee Pain-Fat or Fiction | OAK 3 - Non-arthroplasty tx of OAK | Regenerative cell therapies are emerging as promising treatments for numerous musculoskeletal conditions, including knee osteoarthritis (OA). Adipose-derived stem cells and possibly other adipose-based therapies have a greater chondrogenic potential than stem cells derived from bone marrow, and thus a lot of attention ... |
0 | A case of unusual lower limb movement disorder in association with Klippel-Trenaunay syndrome (KTS) | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: KTS is a rare sporadic congenital disease. The diagnostic criteria are: (1) congenital vascular malformation (capillary, venous, arteriovenous and lymphatic) and (2) disturbed hyper- or hypotrophic growth of bone or soft tissue [1]. It is a multi-system disorder [2] with cutaneous, visceral organ and nerv... |
0 | Effects of cold irrigation on early results after total knee arthroplasty a randomized, double-blind, controlled study | OAK 3 - Non-arthroplasty tx of OAK | Several studies have indicated that pain peaks at 24 to 48 hours after total knee arthroplasty (TKA) surgery. TKA has been associated with disruption in normal sleep patterns, swelling knee, and significant blood loss. However, a satisfactory regime to resolve these mentioned problems has yet to be found. In this study... |
0 | Analysis of factors predicting speed of hematologic recovery after transplantation with 4-hydroperoxycyclophosphamide-purged autologous bone marrow grafts | MSTS 2022 - Metastatic Disease of the Humerus | We previously described the predictive value of graft colony-forming units granulocyte macrophage (CFU-GM) content after 4-hydroperoxycyclophosphamide (4-HC) purging for the duration of aplasia after autologous bone marrow transplantation. Despite the uniform 4-HC concentration, we observed heterogeneity in CFU-GM surv... |
0 | Hip fractures and the contribution of cortical versus trabecular bone to femoral neck strength | Management of Hip Fractures in the Elderly | Osteoporotic fractures are caused by both cortical thinning and trabecular bone loss. Both are seen to be important for bone fragility. The relative contributions of cortical versus trabecular bone have not been established. The aim of this study was to test the contribution of cortical versus trabecular bone to femora... |
0 | Fracture, Wrist | Distal Radius Fractures | A distal radius fracture, commonly known as a wrist fracture, is defined by the involvement of the metaphysis of the distal radius. The fracture may or may not involve the radiocarpal joint, distal radioulnar joint, and/or the distal ulna. This injury is commonly associated with high-energy mechanisms in younger patien... |
0 | Increased Incidence of Thrombotic Complications With Non-small Cell Lung Cancer Necessitates Consideration of Prophylactic Anticoagulation in Young Individuals | MSTS 2022 - Metastatic Disease of the Humerus | Venous thromboembolism (VTE) is a common complication in cancer patients and is associated with increased morbidity and mortality. Lung cancer is commonly associated with VTE including pulmonary embolism. We did a retrospective analysis from the 2013 Healthcare Cost and Utilization Project data to determine the role of... |
0 | Influence of the severity of knee osteoarthritis on the association between leg muscle mass and quadriceps strength: the SPSS-OK study | OAK 3 - Non-arthroplasty tx of OAK | Quadriceps strength is important for maintaining functional movement in patients with knee osteoarthritis (OA). We aimed to examine whether knee OA severity weakened the magnitude of the associations between leg muscle mass, quadriceps strength, and functional movement. Screening for People Suffering Sarcopenia in Orth... |
0 | Unusually aggressive osteomyelitis of the jaws. A report of two cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Two cases of unusually aggressive osteomyelitis of the jaws are reported. Both cases manifested severe, rapidly progressive lytic destruction of the maxilla in spite of the fact that patients were young, healthy adults with no local or systemic factors that would predispose them to severe infection in either case. Char... |
0 | Redefining the cast index: The optimum technique to reduce redisplacement in pediatric distal forearm fractures | Distal Radius Fractures | Background: The aim of this study was to identify the optimal cast index (CI) level that reduces the risk of fracture redisplacement. The CI is the ratio of sagittal to coronal width from the inside edges of the cast at the fracture site. Previous studies have used 0.7 as the standard. Methods: Case records and radiogr... |
0 | Arthroscopic pullout suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up | AMP (Acute Meniscal Pathology) | PURPOSE: This study was undertaken to document the short-term clinical efficacy of arthroscopic pullout suture repair in treating posterior root tears of the medial meniscus.
METHODS: From March 2004 to August 2006, 26 patients (27 knees) with posterior root tears of the medial meniscus were treated with arthroscopic p... |
0 | Strength of internal fixation for calcaneal fractures | DoD LSA (Limb Salvage vs Amputation) | Objective. To compare the strength of two types of fixation method for calcaneal fractures. Design. A biomechanical testing examined the stability of 12 fractured calcaneal specimens fixed with two different methods. Background. Though anatomic reduction and internal fixation for the treatment of intraarticular fractur... |
0 | A case of total knee arthroplasty in which Aeromonas hydrophila was isolated in perioperative culture | Surgical Management of Osteoarthritis of the Knee CPG | Aeromonas hydrophila is a bacterium, which is found in ambient water and primarily causes gastroenteritis in humans. In recent years, Aeromonas strains have been reported to cause a variety of extraintesinal infections such as ocular, respiratory, urinary tract infections. The extraintestinal infections are usually rar... |
0 | Meniscus sutures by arthrotomy for a non-transfixing horizontal lesion associated with a cyst | AMP (Acute Meniscal Pathology) | INTRODUCTION: Meniscal cysts are rare in Stoller grade II horizontal lesions. Several techniques are described in the literature for their management, without any real gold standard. The objective of this work was to report a series of meniscal sutures associated with cyst resection by arthrotomy. The hypothesis was th... |
0 | Conservative surgical management of patients with bisphosphonate-related osteonecrosis of the jaws: a series of 120 patients | MSTS 2018 - Femur Mets and MM | We evaluated retrospectively the efficacy of local resection for patients who presented with bisphosphonate-related osteonecrosis of the jaw (BRONJ). We studied 120 subjects with who required local resection of 129 BRONJ lesions that had not responded to medical treatment. The primary outcomes were improvement of the c... |
0 | Elastic nailing of tibia shaft fractures in young children up to 10 years of age | DoD SSI (Surgical Site Infections) | Introduction Although tibia shaft fractures in children usually have satisfactory results after closed reduction and casting, there are several surgical indications, including associated fractures and soft tissue injuries such as open fractures. Titanium elastic nails (TENs) are often used for pediatric tibia fractures... |
0 | Association of radiographic hand osteoarthritis with radiographic knee osteoarthritis after meniscectomy | AMP (Acute Meniscal Pathology) | OBJECTIVE: To evaluate the association between radiographic hand osteoarthritis (OA), a disease with marked heredity, and radiographic knee OA in patients treated with meniscectomy.
METHODS: We retrospectively identified 170 patients (mean age 54 years [range 33-87 years], 23% women) who had undergone isolated meniscec... |
0 | Preventing thromboembolic complications in older orthopaedic surgery patients. Interventions and outcomes | Management of Hip Fractures in the Elderly | The aging of the population in developed countries has been associated with a growing burden of degenerative joint disease and hip fracture, and this has contributed to a progressive increase in the utilisation of major hip and knee arthroplasty. In the absence of effective thromboprophylaxis, patients undergoing major... |
0 | Pearls and tips in coverage of the tibia after a high energy trauma | DoD SSI (Surgical Site Infections) | Coverage of soft-tissue defects in the lower limbs, especially open tibial fractures, is currently a frequently done procedure because of the high incidence of high-energy trauma, which affects this location. The skilled orthopedic surgeon should be able to carry out an integral treatment of these lesions, which includ... |
0 | Randomized trial of 8 Gy in 1 versus 20 Gy in 5 fractions of radiotherapy for neuropathic pain due to bone metastases (Trans-Tasman Radiation Oncology Group, TROG 96.05) | DoD SSI (Surgical Site Infections) | BACKGROUND AND PURPOSE: Despite numerous randomized trials investigating radiotherapy (RT) fractionation schedules for painful bone metastases, there are very few data on RT for bone metastases causing pain with a neuropathic component. The Trans-Tasman Radiation Oncology Group undertook a randomized trial comparing th... |
1 | Bone mineral density evolution and incidence of fractures in a cohort of patients with primary hyperparathyroidism treated with parathyroid surgery vs active surveillance during 6 years of follow-up | Hip Fx in the Elderly 2019 | INTRODUCTION: The need for parathyroidectomy to treat asymptomatic patients with primary hyperparathyroidism is controversial. The aim of this study was to assess the impact of parathyroidectomy vs. surveillance on skeletal outcomes such as bone mineral density (BMD) and incident fractures.
METHODS: This was a retrospe... |
0 | Participation in Regular Physical Activity After Total Knee or Hip Arthroplasty for Osteoarthritis: Prevalence, Associated Factors, and Type | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To describe the rates of participation in regular physical activity presurgery and at 3 years follow-up after knee or hip arthroplasty, and to describe factors associated with participation postsurgery and types of activity undertaken.
METHODS: A previously acquired multicenter, prospective cohort of knee or... |
0 | Trauma history in African-American women living with HIV: effects on psychiatric symptom severity and religious coping | DoD PRF (Psychosocial RF) | Women living with HIV (WLHIV) have rates of post-traumatic stress disorder (PTSD) up to 5 times higher than the general population. Individuals living with HIV and a concurrent diagnosis of PTSD have poorer HIV-related outcomes; however, the prevalence and impact of PTSD on African-American WLHIV seeking mental health ... |
1 | Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial | Hip Fx in the Elderly 2019 | BACKGROUND: Reoperation rates are high after surgery for hip fractures. We investigated the effect of a sliding hip screw versus cancellous screws on the risk of reoperation and other key outcomes.
METHODS: For this international, multicentre, allocation concealed randomised controlled trial, we enrolled patients aged ... |
0 | Cardiac sarcoidosis: an overview of management for the patient requiring oral and maxillofacial surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: The study goal was to present a current definition of sarcoidosis and an overview of cardiac involvement and implications in perioperative management of cardiac sarcoidosis. MATERIALS AND METHODS: Materials included a retrospective review of 4 patients with cardiac sarcoidosis who underwent minor oral surgery.... |
0 | The efficacy of exparel(trademark), A multi-vesicular liposomal extended-release bupivacaine | Surgical Management of Osteoarthritis of the Knee CPG | Introduction : EXPAREL is an investigational long-acting local analgesic. A well-tolerated safety profile has been demonstrated. Efficacy in wound infiltration studies has also been demonstrated for three days in multiple trials which are summarized here. Methods : The EXPAREL wound infiltration program encompassed mul... |
0 | Study of management of subtrochanteric fracture femur by proximalfemoral nailing | OAK 3 - Non-arthroplasty tx of OAK | Upper femoral fractures present a peculiar problem of securing effective neutralization of deforming forces. Various upper femoral devices like dynamic condylar screw, dynamic hip screw with barrel plate, gamma nail, proximal femoral nail etc are being used by various centres and each centre claims reasonably satisfact... |
0 | The use of microdebrider for the treatment of accessory axillary breast | Panniculectomy & Abdominoplasty CPG | Accessory axillary breast tissue can be fairly common occurring in 2-6% of women. Treatment modalities thus far include direct excision as well as liposuction. While direct excision allows for accessible and adequate tissue resection, it results in long unsightly scars and the creation of significant amount of dead spa... |
1 | Surgical site infection and costs in low- And middle-income countries: A systematic review of the economic burden | DoD SSI (Surgical Site Infections) | Background Surgical site infection (SSI) is a worldwide problem which has morbidity, mortality and financial consequences. The incidence rate of SSI is high in Low- and Middle-Income countries (LMICs) compared to high income countries, and the costly surgical complication can raise the potential risk of financial catas... |
0 | Median nerve injuries associated with distal radius fractures | Distal Radius Fractures | Median nerve dysfunction associated with distal radius fractures may present acutely, subacutely, or late, and may also be thought of as being from either primary or secondary causes. Primary nerve injuries are rare and secondary factors are more commonly responsible for median nerve dysfunction following distal radius... |
1 | Local infiltration analgesia versus standard analgesia in total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | PURPOSE: To compare outcome and cost following local infiltration analgesia (LIA) versus standard analgesia in total knee arthroplasty (TKA).
METHODS: 13 men and 33 women (mean age, 67.5 years) underwent TKA by a single surgeon and received LIA (n=24) or standard analgesia (n=22), depending on the availability of the s... |
0 | Long-term results of the surgical treatment of type III acromioclavicular dislocations: an update of a previous report | Glenohumeral Joint OA | The purpose of this study was to review the long-term outcomes of a previously reported prospective series of 46 type III acromioclavicular dislocations. These were treated surgically with temporary fixation of the acromioclavicular joint with wires, repair of the acromioclavicular ligaments, and overlapped suture of t... |
1 | Patient Satisfaction With Nonopioid Pain Management Following Arthroscopic Partial Meniscectomy and/or Chondroplasty | AMP (Acute Meniscal Pathology) | PURPOSE: To evaluate the efficacy of nonopioid pain medication related to patient satisfaction with postoperative pain and identify potential risk factors for decreased patient satisfaction with nonopioid pain medications.
METHODS: This was a prospective study conducted between January 2017 and April 2018 at a single i... |
0 | Femoral footprint of the popliteus tendon may be at the risk of damage during total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The present study focused on the prevalence of incidental excision of the femoral footprint of the popliteus tendon during total knee arthroplasty and its associated risk factors. METHODS: A total of 275 knee arthroplasties were performed for 226 patients with varus knee osteoarthritis. The status of the femor... |
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