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0 | Left knee prosthesis-related Mycobacterium goodii infection | PJI DX Updated Search | Non-tuberculous mycobacteria are increasingly being recognized as important human pathogens. We present the case of a 44-year-old non-diabetic male who underwent left total knee arthroplasty for degenerative arthritis after trauma. He developed left knee swelling and progressively worsening pain over the next 4 weeks. ... |
0 | Orthopaedic injuries following falls by hospital in-patients | HipFx Supplemental Cost Analysis | BACKGROUND: Falls are one of the most frequent episodes on the hospital wards. OBJECTIVE: To identify orthopaedic injuries sustained by in-patients falling on the hospital wards and to find out what treatment these required along with the additional time and cost that this incurred. METHODS: A retrospective analysis of... |
1 | Early postoperative outcomes associated with the anterolateral thigh flap in Gustilo IIIB fractures of the lower extremity | DoD SSI (Surgical Site Infections) | PURPOSE: A core concept in plastic surgery has been the replacement of "like-with-like" tissue. Applying this concept to the lower extremity, the anterolateral thigh (ALT) perforator flap has become a frequently used free flap for restoration of soft tissue defects involving the distal lower extremity. The objective of... |
1 | Ultrasonography in the diagnosis and management of developmental hip dysplasia (UK Hip Trial): clinical and economic results of a multicentre randomised controlled trial | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Clinical screening aims to identify and treat neonatal hip instability associated with increased risk of hip displacement, but risks failures of diagnosis and treatment (abduction splinting), iatrogenic effects, and costs to parents and health services. Our objectives were to assess clinical effectiveness a... |
0 | Patient factors associated with increased acute care costs of hip fractures: a detailed analysis of 402 patients | Hip Fx in the Elderly 2019 | The aim of the present study was to identify patient factors associated with higher costs in hip fracture patients. The mean costs of a prospectively observed sample of 402 patients were 8853 . The ASA score, Charlson comorbidity index, and fracture location were associated with increased costs.
PURPOSE: Fractures of t... |
0 | Systematic clinical evidence review of NASHA (Durolane hyaluronic acid) for the treatment of knee osteoarthritis | AAHKS (2) Corticosteroids | Background: Pain and limitations in joint mobility associated with knee osteoarthritis (OA) are clinically challenging to manage, and advanced progression of disease can often lead to total knee arthroplasty. Intra-articular injection of hyaluronic acid (HA), also referred to as viscosupplementation, is a non-surgical ... |
0 | Health burden of hip and other fractures in Australia beyond 2000. Projections based on the Geelong Osteoporosis Study | HipFx Supplemental Cost Analysis | OBJECTIVE: To calculate the expected increase in the number of fractures in adults attributable to the predicted increase in the number of elderly Australians. DATA SOURCES: All fractures in adult residents (> or = 35 years) of the Barwon Statistical Division (total population, 218,000) were identified from radiologica... |
0 | Resilience for family carers of advanced cancer patients-how can health care providers contribute? A qualitative interview study with carers | DoD PRF (Psychosocial RF) | BACKGROUND: Caring for advanced cancer patients affects carers' psychological and physical health. Resilience has been defined as "the process of adapting well in the face of adversity, trauma, tragedy, threats or even significant sources of threat."
AIM: The aim of this study was to explore factors promoting carer res... |
1 | Frequency of osteomalacia in elderly patients with hip fractures | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine the frequency of Osteomalacia and biochemical abnormalities in patients with hip fracture who presented at our Institution. METHODS: All patients with operatively treated hip fractures (Aga Khan University Hospital, Karachi from June 1996 to June 2001) were included. The total number of patients... |
0 | Early follow-up after primary total knee and total hip arthroplasty with rapid recoveryâ??: Focus groups | OAK 3 - Non-arthroplasty tx of OAK | Rapid recovery protocols reduce the length of hospital stay after Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA). However, little is known about the early postoperative phase. The purpose of this study was to examine which problems patients encountered during the first six weeks after primary TKA or THA... |
0 | Classification and documentation of children's fractures | Distal Radius Fractures | It is absolutely necessary to classify children's fractures for quality controls and clinical research. It is not possible that a classification of children's fractures will follow hierarchies, such as the prognosis of growth, the kind of treatment, the severity of the lesion, the patient's age, as well as medical expe... |
0 | Why current medical management is failing victims of Hurricane Katrina: a review of past successes and failures in postdisaster psychosocial treatment | DoD PRF (Psychosocial RF) | BACKGROUND: More than one year after Hurricane Katrina, victims exhibit symptoms of a "chronic disease," representing the disruption of psychosocial health. This systematic review assesses the effects of trauma on multiple domains of health following a disaster.
METHOD: Authors searched disaster-related literature from... |
0 | Ten- to 14-year results of a ceramic hip prosthesis | Hip Fx Time to Surgery | One hundred total hip arthroplasties with a cementless aluminum oxide socket and ball with different types of cemented metal femoral stems were performed from 1974 to 1979. All were primary implantations. These cases were recently reviewed in a ten- to 14-year follow-up evaluation. Despite extensive laboratory testing ... |
0 | Body composition and quality of life in adults treated with GH therapy: A systematic review and meta-analysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To summarise the evidence about the efficacy and safety of using GH in adults with GH deficiency focusing on quality of life and body composition. Data sources: We searched MEDLINE, EMBASE, Cochrane CENTRAL, Web of Science and Scopus throughApril 2011.We also reviewed reference lists and contacted experts to... |
0 | Internet searches by the Spanish population for unqualified information on the treatment of osteoarthritis | PRP (Platelet-Rich Plasma) | OBJECTIVE: There is a current trend in the population to search the Internet for unqualified medical information that may affect the recommendations given in specialist consultation. The aim of this study was to analyse the tendency of the Spanish population to search the Internet for unqualified information on current... |
0 | Comparative analysis of magnetic resonance imaging and X-ray examination on knee degenerative osteoarthrosis | AMP (Acute Meniscal Pathology) | Objective: To compare the diagnostic effect of magnetic resonance imaging (MRI) and X-ray in degenerative osteoarthritis of knee joint. Methods: 107 patients with degenerative osteoarthrosis of the knee were selected as study subjects. They were divided into study group (53 cases) and control group (54 cases) according... |
0 | Scaphoid nonunions treated with 2 headless compression screws and bone grafting | Distal Radius Fractures | PURPOSE: To evaluate union and complication rates associated with the use of 2 headless compression screws and bone grafting for the treatment of scaphoid nonunions.
METHODS: A total of 19 patients (18 male and 1 female) at an average age of 21 years were treated with open reduction and internal fixation with 2 cannula... |
0 | "Managing" the Placebo Effect: The Single-Blind Placebo Lead-in Response in Two Pain Models | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: "Placebo effects" in analgesic medication trials for chronic pain are pervasive; however, little is known regarding mechanisms or factors that may influence the presence or magnitude of these effects. Our objective is to consider elements of the placebo response in the context of two pain models using a "sin... |
0 | Orthopedic injuries from the Andover, Kansas, Tornado | DoD SSI (Surgical Site Infections) | Devastating tornados struck the state of Kansas on Friday, April 26, 1991. Twenty lives were lost and many people were injured. Property damage was extensive. Overall, the outcome of those admitted to the various hospitals was good, with few orthopedic-related complications. The low complication rate can be attributed ... |
0 | Development of a Feasible Implementation Fidelity Protocol Within a Complex Physical Therapy-Led Self-Management Intervention | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Implementation fidelity is poorly addressed within physical therapy interventions, which may be due to limited research on how to develop and implement an implementation fidelity protocol.
OBJECTIVE: The purpose of this study was to develop a feasible implementation fidelity protocol within a pilot study of... |
0 | Baicalin Inhibits Inflammatory Responses to Interleukin-1beta Stimulation in Human Chondrocytes | OAK 3 - Non-arthroplasty tx of OAK | A mix of flavonoids comprising baicalin (BA) and catechin showed effective impacts on controlling the progress of knee osteoarthritis (OA). However, little is known about the underlying mechanisms. The influences of BA on the transcriptional levels of a series of proinflammatory genes were measured using real-time reve... |
0 | Antitumour effects of bisphosphonates: first evidence and possible mechanisms | MSTS 2018 - Femur Mets and MM | Bisphosphonates have been used successfully for many years in the treatment of hypercalcaemia and to reduce skeletal complications of metastases. In the first years of bisphosphonate use the efficacy of these substances was thought to lie purely in the inhibition of osteoclasts. However, there is recent evidence to sug... |
0 | Proof of Concept of a Partial Weight-Bearing Supporting Real-Time Feedback System | Hip Fx in the Elderly 2019 | BACKGROUND: Patient compliance with lower limb partial weight bearing (PWB) instructions during post-surgical early mobilization is often low and many are unable to adhere to the prescribed limits without the implementation of concurrent biofeedback.
OBJECTIVES: A real-time feedback system based on eSHOE instrumented i... |
0 | Prevention in dangerous industries: Does safety certification prevent treefaller injuries? | DoD PRF (Psychosocial RF) | Objectives: The aim of this study was to evaluate if safety certification reduces the risk of work injury among experienced manual tree-fallers. Methods: This study used a retrospective cohort study design. Experienced manual tree-fallers employed in the Canadian province of British Columbia (N = 3251) between 2003â??2... |
0 | Repair of the donor areas defects after split-thickness skin grafts utilizing an advanced epithelialization dressing | Reconstruction After Skin Cancer | INTRODUCTION: The management of surgical wounds of the donor areas for split-thickness skin grafts might be difficult in terms of pain, risk of infection, and delayed healing. MATERIALS AND METHODS: In the period from September 2011 to June 2012, 12 patients affected by large ulcerated basal cell carcinoma (BCC) of the... |
0 | The use of controlled reperfusion strategies in cardiac surgery to minimize ischaemia/reperfusion damage | DOD - Acute Comp Syndrome CPG | Ischaemia and reperfusion occur during almost every cardiac operation, and one of the key elements to achieve a successful operation is to counteract the detrimental effects of induced ischaemia and reperfusion during the operation. The cardiac surgeon is in a unique position to protect the heart before ischaemia is in... |
1 | Scratch collapse test for evaluation of carpal and cubital tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: The purpose of this study was to evaluate the clinical usefulness of a new test, the scratch collapse test, for the diagnosis of carpal tunnel syndrome and cubital tunnel syndrome. METHODS: The scratch collapse test was prospectively compared with Tinel's sign and flexion/nerve compression in 169 patients and ... |
0 | Midterm Results of Porous Tantalum Femoral Cones in Revision Total Knee Arthroplasty | PJI DX Updated Search | BACKGROUND: Severe bone loss during a revision total knee arthroplasty (TKA) remains a challenging problem. The purpose of this study was to determine the midterm clinical outcomes, fixation as evaluated radiographically, and survivorship of tantalum femoral cones used during revision TKAs in patients with severe femor... |
1 | Long-term Assessment of Subchondral Bone Changes and Intralesional Bony Overgrowth After Third-Generation Autologous Chondrocyte Implantation: A Retrospective Study | Osteochondritis Dissecans 2020 Review | BACKGROUND: There is an increasing interest in subchondral bone changes and intralesional bony overgrowth (ILBO) after cartilage repair. Their clinical and predictive relevance is unclear and debated. PURPOSE: To evaluate the long-term development of ILBO and bone marrow edema-like signals (BMELSs) after autologous cho... |
0 | Free flap lower extremity reconstruction in the obese population: Does weight matter? | DoD SSI (Surgical Site Infections) | The obesity epidemic continues to grow, and we have observed greater numbers of obese individuals among patients seeking lower extremity reconstruction at our institution. These patients may present a greater reconstructive challenge, thus we sought to identify risk factors and differences in outcomes among patients un... |
0 | Supporting interventions after exposure to torture | DoD PRF (Psychosocial RF) | A wide range of reactions as panic, demoralisation, feelings of being insecure and unsafe, hopelessness and any kind of dysfunction dominate after torture. The range of PTSD and other psychiatric disorders can be explained by variations in severity, frequency and duration of traumatic events. The advanced numbers of re... |
0 | The effects of an epidural infusion of ropivacaine versus saline on sensory block after spinal anesthesia | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND OBJECTIVES: Several investigators have described the effect of bolus injections on sensory block during combined spinal epidural anesthesia. This study investigates the effects of the immediate epidural infusion of 0.2% ropivacaine versus 0.9% saline on spinal anesthesia.
METHODS: Forty-four patients und... |
0 | The use of Ender's pins in extracapsular fractures of the hip | Management of Hip Fractures in the Elderly | In October 1976 a randomized, paired, prospective study comparing the compression sliding hip screw with Ender's pins in the treatment of extracapsular hip fractures was begun on the orthopaedic service at San Francisco General Hospital. The results in 100 patients with a minimum follow-up of six months showed that End... |
1 | Long-term results of carpal tunnel decompression. Assessment of 60 cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The long-term prognosis of 60 patients operated on for carpal tunnel syndrome has been assessed in a prospective study with a median follow-up period of 5.5 years (range 2-11 years). Analysis of motor, sensory, trophic, and electrodiagnostic findings and assessment of pain were performed pre- and post-operatively using... |
0 | Vacuolar Protein Sorting 4B (VPS4B) Regulates Apoptosis of Chondrocytes via p38 Mitogen-Activated Protein Kinases (MAPK) in Osteoarthritis | AMP (Acute Meniscal Pathology) | To aim of this study is to investigate the expression of VPS4B (vacuolar protein sorting 4B) in articular cartilage with osteoarthritis (OA) and to analyze the relationship between VPS4B and chondrocyte apoptosis. We established an OA rat model by the MLI (meniscal/ligamentous injury) modeling method, and we observed t... |
0 | Intercalary bone segment transport in treatment of segmental tibial defects | DoD SSI (Surgical Site Infections) | Objective: To evaluate the results and complications of intercalary bone segment transport in the treatment of segmental tibial defects. Design: This is a retrospective analysis of patients with segmental tibial defects who were treated with intercalary bone segment transport method. Place and Duration of Study: The st... |
0 | Vacuum-assisted closure versus closure without vacuum assistance for preventing surgical site infections and infections of chronic wounds: A meta-analysis of randomized controlled trials | DoD LSA (Limb Salvage vs Amputation) | Objectives: We sought to examine whether vacuum-assisted closure (VAC) is associated with fewer surgical site infections (SSIs) or infections of chronic wounds than other management procedures for surgical wounds. Methods: The PubMed and Scopus databases were searched systematically. Randomized controlled trials (RCTs)... |
0 | Intramedullary fixation of unstable both-bone forearm fractures in children | Distal Radius Fractures | A retrospective study was performed to evaluate the results of intramedullary fixation used in the management of unstable, diaphyseal both- bone forearm fractures in skeletally immature patients. Twenty-five patients with 25 fractures were identified whose fracture management included only intramedullary fixation. Gale... |
0 | Economic consequences of operative delay for hip fractures in a non-profit institution | HipFx Supplemental Cost Analysis | This retrospective study evaluated the economic consequences of delaying hip fracture surgery in 191 elderly patients. Data was collected regarding fracture type, surgery, timing of surgery, background diseases, postoperative hospital stay, and complications. In addition, calculation of the drugs administered to the pa... |
0 | Ultrasonic assisted liposuction | Panniculectomy & Abdominoplasty CPG | Ultrasonic assisted liposuction is a new and highly advanced technology that uses sound waves to emulsify body fat thereby allowing an efficient removal compared with the mechanical disruption of fat used in traditional liposuction. Safe application requires an exceptionally sophisticated plastic surgical, anesthetic, ... |
1 | Significance of the head and neck in late infection in renal transplant recipients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The present study was undertaken to evaluate the overall significance of the mouth and contiguous structures as sites of late opportunistic infection in renal transplant recipients, to define the flora of such infections, and to determine factors that place patients at risk of infection. Of 323 patients who underwent r... |
1 | Bisphosphonates in the prevention of disease recurrence: current results and ongoing trials | MSTS 2018 - Femur Mets and MM | Bisphosphonates are the standard of care for preventing skeletal morbidity and treating hypercalcemia of malignancy in patients with bone metastases. Zoledronic acid (intravenous; 4 mg monthly) is approved to prevent skeletal-related events (SREs) in patients with bone metastases from several tumor types, and can impro... |
1 | Clinical Characteristics of Severe Supracondylar Humerus Fractures in Children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND:: The safety of delayed surgical treatment of severe supracondylar elbow fractures in children remains debated. No large studies have evaluated complications of injury and surgery evaluating only type 3 fractures. Our aim was to review the results of our experience treating children with severe supracondylar... |
0 | Efficacy and safety of intravenous bisphosphonates in patients with bone metastases caused by metastatic breast cancer | MSTS 2018 - Femur Mets and MM | Solid tumors frequently metastasize to bone. This results in debilitating skeletal complications such as intractable bone pain, pathologic fractures, spinal cord compression, and hypercalcemia. Patients frequently require palliative radiation therapy or orthopedic surgery. Bisphosphonates have been shown to delay the i... |
0 | Prosthetics in antiquity-An early medieval wearer of a foot prosthesis (6th century AD) from Hemmaberg/Austria | OAK 3 - Non-arthroplasty tx of OAK | Even though the earliest prosthetic devices date to the Ancient Egyptian Empire and iconographic sources attest their use in the Greco-Roman world, archaeological evidence for this practice prior to 2nd millennium AD is very scant. In 2013, a skeleton dating to the Frankish period (6th century AD) was excavated at the ... |
0 | Reliability of Smartphone-Based Instant Messaging Application for Diagnosis, Classification, and Decision-making in Pediatric Orthopedic Trauma | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective Smartphones have the ability to capture and send images, and their use has become common in the emergency setting for transmitting radiographic images with the intent to consult an off-site specialist. Our objective was to evaluate the reliability of smartphone-based instant messaging applications for the eva... |
0 | Management of Cubitus Varus Deformity in Children by Closed Dome Osteotomy | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: Supracondylar fractures are the most common elbow injuries in skeletally immature children between 5-10 years of age and cubitus varus deformity is the most common late complication. Cubitus varus or bow elbow or gunstock deformity is the result of malunion occurring as a complication of supracondylar fra... |
0 | Treatment strategies for skeletal complications of cancer | MSTS 2018 - Femur Mets and MM | Skeletal complications are a common result of many cancers, particularly of multiple myeloma and bone metastases of solid tumors originating in the breast, prostate or lung. A number of treatment options are available, including radiotherapy, radiopharmaceuticals, surgery and chemotherapy. Recently, bisphosphonates hav... |
0 | Frequency of Bone Health Presentations at National Hand Meetings | Distal Radius Fractures | Purpose: The purpose of this study was to determine the frequency with which osteoporosis topics (screening, medical treatment, and fracture prevention) are presented at national hand surgery meetings. This was compared with the frequency of the same topics presented at the Orthopaedic Trauma Association (OTA) annual m... |
0 | Expression of laminins and their integrin receptors in different conditions of synovial membrane and synovial membrane-like interface tissue | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To demonstrate the expression of laminins (Lns) and their integrin (Int) receptors in different synovial samples and synovial membrane-like interface tissues from well fixed and aseptically loosened total hip replacement (THR), and the potential role of Ln-Int interaction in the production of collagenases an... |
0 | Improving the Female Silhouette and Gluteal Projection: An Anatomy-Based, Safe, and Harmonious Approach Through Liposuction, Suspension Loops, and Moderate Lipofilling | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Liposuction is the main technique to improve body contour, emphasize appealing curves, and highlight one's muscular definition. The number of procedures in which the harvested fat is utilized for gluteal augmentation has greatly increased. OBJECTIVES: The authors aim to demonstrate their technique in order ... |
1 | Ultrasound diagnosis of neonatal congenital dislocation of the hip. A decision analysis assessment | Developmental Dysplasia of the Hip CPG | Routine ultrasound evaluation of neonates and young infants for congenital dislocation of the hip has been recommended. We have used the methods of decision analysis to determine whether every neonate should be examined by ultrasound or just those at increased risk. We have also studied the reliability and accuracy of ... |
0 | Elective spare parts free flap-calcaneal fillet of foot flap | DoD LSA (Limb Salvage vs Amputation) | Severe lower limb trauma with significant soft tissue injury can be managed with reconstruction or, if this is impossible, amputation. If amputation is considered, below-knee amputation preserving limb length is optimal for long-term functional outcome. At times, soft tissue/bony injury can limit the ability to preserv... |
0 | Stiffness after total knee arthroplasty: does component alignment differ in knees requiring manipulation? A retrospective cohort study of 281 patients | Surgical Management of Osteoarthritis of the Knee CPG | This study aims to evaluate component alignment in a large cohort of total knee arthroplasties (TKAs) and ascertain whether alignment in TKAs undergoing postoperative manipulation under anesthetic is significantly different from those achieving good function. A retrospective review of 281 consecutive primary TKAs was p... |
0 | Local infiltration analgesia in hip and knee arthroplasty: an emerging technique | AAHKS (8) Anesthetic Infiltration | The optimal form of post-operative analgesia in hip and knee arthroplasty is still debated. Traditionally, patient-controlled analgesia and epidural anaesthesia were used. Potential side-effects such as nausea, confusion, urinary retention, hypotension and immobility have resulted in the emergence of newer techniques t... |
0 | How to Optimize Prepectoral Breast Reconstruction | Acellular Dermal Matrix | Prepectoral breast reconstruction has become a popular method of postmastectomy breast reconstruction due to its numerous benefits in properly selected patients. Prepectoral reconstruction, as compared with retropectoral position, offers the advantage of leaving the pectoralis muscle undisturbed and in its original ana... |
0 | The fracture and osteoporosis clinic: 1-year results and 3-month compliance | Management of Hip Fractures in the Elderly | INTRODUCTION: A Fracture and Osteoporosis (F&O) clinic started in two major general hospitals in the South of the Netherlands on April 1st 2004. Its objectives were to perform easy and complete assessment of female and male patients aged 50 years and over, initially treated for a low-energy trauma fracture, and to eval... |
1 | COVID-19 symptoms predictive of healthcare workers' SARS-CoV-2 PCR results | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Coronavirus 2019 disease (COVID-19) is caused by the virus SARS-CoV-2, transmissible both person-to-person and from contaminated surfaces. Early COVID-19 detection among healthcare workers (HCWs) is crucial for protecting patients and the healthcare workforce. Because of limited testing capacity, symptom-ba... |
1 | Risk factors for surgical site infection following operative treatment of ankle fractures: A systematic review and meta-analysis | DoD SSI (Surgical Site Infections) | BACKGROUND: This study aims to quantitatively summarize risk factors associated with surgical site infection after open reduction and internal fixation of ankle fractures.
METHODS: Relevant original studies were searched in Medline, Embase, China National Knowledge Infrastructure, Wanfang database and Cochrane central ... |
0 | Changes in total knee arthroplasty design affect in-vivo kinematics in a redesigned total knee system: A fluoroscopy study | OAK 3 - Non-arthroplasty tx of OAK | Background: Journey II Bi-Cruciate-Stabilized knee system was designed to overcome the complications of Journey Bi-Cruciate-Stabilized, including ilio-tibial band inflammation and episodes of dislocation. The purpose of this study was to assess differences in knee kinematics between the first and second-generation desi... |
0 | Comparison of whole body MRI and radioisotope bone scintigram for skeletal metastases detection | MSTS 2018 - Femur Mets and MM | OBJECTIVE: To compare whole body magnetic resonance imaging (MRI) using fast sequences with radioisotope bone scintigraphy (BS) for the detection of metastases in the entire skeleton.
METHODS AND RESULTS: In forty-four patients suffering from carcinoma of lung, breast and prostate whole body MRI could generally be acco... |
0 | Osteoid osteoma: the great mimicker | MSTS 2022 - Metastatic Disease of the Humerus | Osteoid osteoma is a painful, benign and common bone tumor that is prevalent in young adults. The typical clinical presentation consists of pain that becomes worse at night and is relieved by nonsteroidal anti-inflammatory drugs. The most common imaging finding is a lytic lesion, known as a nidus, with variable intrale... |
0 | Clinical considerations for the use of antiresorptive agents in the treatment of metastatic bone disease | MSTS 2018 - Femur Mets and MM | Improved therapies for advanced cancers have prolonged the survival of patients with malignant bone disease (MBD), leading to long-term treatment to prevent skeletal-related events (SREs). Selecting the most suitable antiresorptive agent is influenced by efficacy, practicality of administration, safety, cost, and patie... |
0 | Does the combination of quantitative ultrasound and dual-energy X-ray absorptiometry improve fracture discrimination? | Management of Hip Fractures in the Elderly | The widespread availability of quantitative ultrasound (QUS) and X-ray absorptiometry densitometers raises the question of whether a combination of QUS and bone mineral density (BMD) measurements could provide a clinically useful method of enhancing the prediction of fracture risk. The aim of this study was to examine ... |
0 | The treatment of rheumatoid arthritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The correct diagnosis is an important tool for determining treatment. Problems in the diagnosis are: negative findings on examination, atypical clinical manifestations, negative or misleading X-ray data, negative blood tests, non-specificity of synovianalysis and stereotyped clinical findings (similar clinical picture ... |
0 | International patellofemoral osteoarthritis consortium: Consensus statement on the diagnosis, burden, outcome measures, prognosis, risk factors and treatment | OAK 3 - Non-arthroplasty tx of OAK | Objective: To present the current status of knowledge in the field of patellofemoral (PF) osteoarthritis (OA) and formulate a research agenda in order to guide future research on this topic. Design: A 1-day meeting was organized with the aim to bring together international experts in the field to discuss the current st... |
0 | Differential diagnosis of an unusual shoulder articular lesion in an ancient domestic dog (Canis lupus familiaris L., 1758) | Glenohumeral Joint OA | A proximal humeral articular surface from an ancient domestic dog deliberate burial was examined during survey of small mammal bones from a prehistoric early Late Woodland archeological site. An unusual lesion on the caudolateral articular surface prompted micro-computed tomography to define detailed structure. |
0 | Are there still indications for lumbar neuraxial techniques in orthopaedics? | Surgical Management of Osteoarthritis of the Knee CPG | Sufficient analgesia is very important in the postoperative period after major lower extremity surgery. Epidural analgesia has been widely used, but has many side effects and complications such as nausea-vomiting, pruritus, dizziness, hypotension, urine retention and respiratory depression(1). Advances in surgical appr... |
0 | Medium term results of per-operative knee arthroscopy in confirming suitability for unicompartmental arthroplasty | AMP (Acute Meniscal Pathology) | INTRODUCTION: The status of the lateral compartment of the knee is a determining factor in the long-term outcome of medial unicompartmental arthroplasty (UKA). Various methods of assessing the lateral compartment have been used including stress radiography, radioisotope bone scanning, magnetic resonance imaging and vis... |
0 | Peripheral intra-articular glucocorticoids injections | OAK 3 - Non-arthroplasty tx of OAK | Intra-articular injections of glucocorticoids are often used in the daily practice of rheumatologists. The different corticosteroids will be to use according to their characteristics and type of arthropathy. Contraindications will be strictly respected and their local and systemic adverse effects, although rare, must b... |
0 | Plantar soft tissue loading under the medial metatarsals in the standing diabetic foot | DoD LSA (Limb Salvage vs Amputation) | Diabetes mellitus (type 2) is the most frequent cause of non-traumatic lower-limb amputations. The major cause of impairment to the feet of diabetics is persistent hyperglycemia, potentially leading to peripheral neuropathy as well as to pathological changes in plantar soft tissue, which stiffen its structure and dimin... |
0 | Osteoarthritis development related to cartilage quality-the prognostic value of dGEMRIC after anterior cruciate ligament injury | AMP (Acute Meniscal Pathology) | Objective: Rupture of the anterior cruciate ligament (ACL) increases the risk of developing osteoarthritis (OA). Delayed Gadolinium enhanced magnetic resonance imaging (MRI) of cartilage (dGEMRIC) investigates cartilage integrity through T1-analysis after intravenous contrast injection. A high dGEMRIC index represents ... |
0 | Does propolis help to maintain oral health? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Propolis, known also as bee glue, is a wax-cum-resin substance which is created out of a mix of buds from some trees with the substance secreted from bee's glands. Its diverse chemical content is responsible for its many precious salubrious properties. It was used in medicine already in ancient Egypt. Its multiple appl... |
1 | Correspondence between clinical presentation and electrophysiological testing for potential carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The diagnosis of carpal tunnel syndrome (CTS) is often applied in the absence of objectively verifiable pathophysiology (i.e. electrophysiologically normal carpal tunnel syndrome). The primary purpose of this study was to determine whether depressive symptoms, heightened illness concern, and pain catastrophizing are as... |
0 | Arthroscopic osteochondral grafting in fissuring osteochondritis dissecans of the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | We encountered a rare case of osteochondritis dissecans in a 13-year-old girl, in which magnetic resonance imaging appeared to show migration of the joint cartilage into the bone marrow of the femoral condyle, with fissuring visible on the joint cartilage. Arthroscopy showed fissuring, 5 x 20 mm, in the right lateral f... |
0 | Squamous cell carcinoma of the oral cavity, oropharynx and upper oesophagus | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Carcinomas in the mouth and throat may present as an ulcer, a lump, a red or white patch, difficulty swallowing or unexplained pain. Early detection of small tumours is associated with prolonged survival, but for cases that present late the 5-year survival rate is only 50%. Surgery is often the treatment of choice, wit... |
1 | Battlefield regional anesthesia: Evolution and future concepts | DOD - Acute Comp Syndrome CPG | Owing to advanced protective technologies, many servicemembers are returning home with injuries that proved fatal in previous conflicts. However, such severe injuries provide numerous challenges for acute pain physicians. Advanced regional anesthetic techniques provide an essential multimodal tool that optimizes pain a... |
0 | Variations in the use of perioperative multimodal analgesic therapy | AAHKS (4) Acetaminophen | Background: Practice guidelines for perioperative pain management recommend that multimodal analgesic therapy should be used for all postsurgical patients. However, the proportion of patients who actually receive this evidence-based approach is unknown. The objective of this study was to describe hospital-level pattern... |
0 | SURGICAL TREATMENT FOR INFECTED LONG BONE DEFECTS AFTER LIMB-THREATENING TRAUMA: APPLICATION OF LOCKED PLATE AND AUTOGENOUS CANCELLOUS BONE GRAFT | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Treatment strategies for bone defects include free bone grafting, distraction osteogenesis, and vascularized bone grafting. Because bone defect morphology is often irregular, selecting treatment strategies may be difficult. With the Masquelet technique, a fracture site is bridged and fixed with a locking pl... |
0 | Ten to fifteen-year follow-up after total hip arthroplasty with a tapered cobalt-chromium femoral component (tri-lock) inserted without cement | Management of Hip Fractures in the Elderly | Background: Fixation of the femoral component of a total hip arthroplasty without cement has had variable results. While tapered stems appear to have consistently good results, the duration of follow-up in many series has been relatively short. The purpose of this study was to present a longer-term (ten to fifteen-year... |
0 | Acupuncture for cancer pain in adults | SR for PM on OA of All Extremities | Background: Forty percent of individuals with early or intermediate stage cancer and 90% with advanced cancer have moderate to severe pain and up to 70% of patients with cancer pain do not receive adequate pain relief. It has been claimed that acupuncture has a role in management of cancer pain and guidelines exist for... |
0 | Treatment of displaced flexion-type pediatric supracondylar humeral fractures in the prone position | DOD - Acute Comp Syndrome CPG | Purpose: This study is to report a new method to reduce and fix the displaced flexion-type pediatric supracondylar fracture in the prone position. Methods: Ten children with displaced flexion-type supracondylar humeral fractures treated between 2007 and 2013 were reviewed. There were three girls and seven boys, with a ... |
0 | Clinical Outcome of Arthroscopic Lateral Retinacular Release for Symptomatic Bipartite Patella in Athletes | AMP (Acute Meniscal Pathology) | PURPOSE: To report the results of arthroscopic lateral retinacular release without excision of the accessory fragment for treatment of symptomatic bipartite patella with a minimum 2-year follow-up.
METHODS: We retrospectively reviewed all cases of symptomatic type III bipartite patella confirmed by radiographs, compute... |
0 | Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty | Glenohumeral Joint OA | This clinical study was performed to analyze the midterm results and potential complications of the reverse prosthesis in different diagnosis. Forty-five consecutive patients with Grammont prosthesis were evaluated clinically and radiographically with a mean follow-up of 40 months (range, 24-72 months). The indication ... |
0 | Narrative perspectives in psychosocial intervention following adverse life events | DoD PRF (Psychosocial RF) | Presents 3 case reports (CSRs) that illustrate regressive, stable, and progressive forms of narrative perspectives (NPs) in psychosocial intervention following adverse life events. CSR 1 is about a 34-yr-old male who was diagnosed as having acquired immune deficiency syndrome (AIDS). CSR 2 is about a 51-yr-old female w... |
0 | Circulating levels of vitamin K1, menaquinone-4, and menaquinone-7 in healthy elderly Japanese women and patients with vertebral fractures and patients with hip fractures | Management of Hip Fractures in the Elderly | Recently, vitamin K has become increasingly of interest in the bone metabolism field because of its role as a cofactor in the carboxylation of osteocalcin. Although the role of osteocalcin is not clear, noncarboxylated osteocalcin is one risk factor in hip fractures. It has been reported that the circulating levels of ... |
0 | Bioabsorbable fixation for Mitchell's bunionectomy osteotomy | DoD SSI (Surgical Site Infections) | UNLABELLED: Although bioabsorbable pins have been used to successfully stabilize a wide range of osteotomies, to date there have been not published studies describing the results of their use for fixation of first metatarsal osteotomies in Mitchell's bunionectomy. The purpose of this retrospective investigation of 78 f... |
0 | Preoperative Grades of Osteoarthritis and Meniscus Volume Correlate with Clinical Outcomes of Osteochondral Graft Treatment for Cartilage Defects in the Knee | AMP (Acute Meniscal Pathology) | OBJECTIVE: To identify preoperative imaging-based indicators of knee degeneration that correlate with graft failure risk and postoperative clinical outcome scores after osteochondral graft treatment for chondral defects of the knee.
DESIGN: Prospectively collected data from 113 patients (mean age, 34 years; 65% male) t... |
1 | Posttraumatic growth in Veterans of Operations Enduring Freedom and Iraqi Freedom | DoD PRF (Psychosocial RF) | OBJECTIVE: A growing body of research has examined the prevalence and correlates of psychopathology, mild traumatic brain injury, and related problems in Veterans of Operations Enduring Freedom and Iraqi Freedom (OEF-OIF). While these studies help characterize the deleterious effects of combat, no known study has exami... |
0 | Prevention and treatment of bone fragility in cancer patient | MSTS 2018 - Femur Mets and MM | It is well known that fractures increase the risk of morbidity and mortality. The various mechanisms responsible for bone loss in cancer patients may have a different impact depending on the characteristics of the clinical case and correlates with the therapies used, or caused by the therapies used against cancer. Some... |
0 | Injury complexity factors predict heterotopic ossification restricting motion after elbow trauma | DoD SSI (Surgical Site Infections) | BACKGROUND: Heterotopic ossification (HO) is a common extrinsic cause of elbow stiffness after trauma. However, factors associated with the development of HO are incompletely understood.
QUESTIONS/PURPOSES: We retrospectively identified (1) patient-related demographic factors, (2) injury-related factors, and (3) treatm... |
1 | The effect of intravenous iron on erythropoiesis in older people with hip fracture | Hip Fx in the Elderly 2019 | BACKGROUND: anaemia following hip fracture is common and associated with worse outcomes. Intravenous iron is a potential non-transfusion treatment for this anaemia and has been found to reduce transfusion rates in previous observational studies. There is good evidence for its use in elective surgical populations.
OBJEC... |
0 | Predictors for secondary hip osteoarthritis after acetabular fractures-a pelvic registry study | Hip Fx in the Elderly 2019 | PURPOSE: Secondary hip osteoarthritis after acetabular fractures requiring total arthroplasty (THA) poses a huge burden on the affected patients as well as health systems. The present study aimed to assess risk factors associated with THA after acetabular fractures based on the data from the German Pelvic Trauma Regist... |
1 | Prevention of Seroma Formation Following Abdominoplasty: A Systematic Review and Meta-Analysis | Panniculectomy & Abdominoplasty CPG | Background: With seroma formation being the most common complication of abdominoplasty, multiple surgical strategies have been proposed to lower the seroma rate, yet their effectiveness is unclear. Objectives: The objective of this systematic review and meta-analysis was to comprehensively summarize and quantify the ef... |
0 | Orthopedic considerations in pregnancy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Almost all pregnant women experience musculoskeletal discomfort during pregnancy, with a good portion of them suffering from severe disability. The purpose of this article is to review normal physiologic musculoskeletal changes of pregnancy and distinguish them from pathological conditions. This article also will offer... |
0 | Tartrate-resistant acid phosphatase isoform 5b: a novel serum marker for monitoring bone disease in multiple myeloma | MSTS 2018 - Femur Mets and MM | Tartrate-resistant acid phosphatase isoform-5b (TRACP-5b), a new marker reflecting osteoclast activity, and osteoprotegerin (OPG) were measured in 121 patients with multiple myeloma (MM) at diagnosis, and in 63 of them during pamidronate administration, to define their correlation with the extent of bone disease and di... |
0 | Recurring pain in the pediatric athlete | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Increased interest in youth sports and in physical fitness has led to greater awareness of the pain syndromes that occur in the pediatric athlete. These conditions vary from painful heels in the recreational soccer player to sore knees in the pediatric marathon runner. The natural history of most of these conditions is... |
0 | Clinical and Biological Signature of Osteochondritis Dissecans in a Cross-Sectional Study | Osteochondritis Dissecans 2020 Review | The healing potential of knee osteochondritis dissecans (OCD) focal lesions is not well defined. We performed a cross-sectional study correlating local and systemic biological characteristics with the patients' characteristics. We evaluated both local tissue markers (CD34, CD146, CD166, and tartrate-resistant acid phos... |
0 | Weight bearing or non-weight bearing after surgically fixed ankle fractures, the WOW! Study: study protocol for a randomized controlled trial | DoD SSI (Surgical Site Infections) | The optimal post-operative care regimen after surgically fixed Lauge Hansen supination exorotation injuries remains to be established. This study compares whether unprotected weight bearing as tolerated is superior to protected weight bearing and unprotected non-weight bearing in terms of functional outcome and safety.... |
0 | Topographic distribution of inguinal lymph nodes metastasis: Significance in determination of treatment margin for elective inguinal lymph nodes irradiation of low pelvic tumors | MSTS 2018 - Femur Mets and MM | Purpose: To study the distribution of gross inguinal lymph node metastasis and, in particular, its correlation with major pelvic bony structures on a simulation film. Methods and Materials: Thirty-seven cases of low pelvic tumors having gross inguinal lymph node metastasis that were treated with radiation therapy betwe... |
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