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0 | Cytokines and C-reactive protein production in hip-fracture-operated elderly patients | Management of Hip Fractures in the Elderly | BACKGROUND: The study aim was to determine the kinetics of serum pro- and anti-inflammatory cytokines and C-reactive protein (CRP) in hip-fracture patients over a month postfracture, and their relationship to postoperative (postop) complications and cognitive level. METHODS: Forty-one elderly hip-fracture patients were... |
0 | Distal radial fractures in the elderly: Operative compared with nonoperative treatment | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: There is much debate regarding the optimal treatment of displaced, unstable distal radial fractures in the elderly. The purpose of this retrospective review was to compare outcomes for elderly patients with a displaced distal radial fracture who were treated with or without surgical intervention. Methods: T... |
1 | Femoral nerve block with selective tibial nerve block provides effective analgesia without foot drop after total knee arthroplasty: a prospective, randomized, observer-blinded study | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Sciatic nerve block when combined with femoral nerve block for total knee arthroplasty may provide superior analgesia but can produce footdrop, which may mask surgically induced peroneal nerve injury. In this prospective, randomized, observer-blinded study, we evaluated whether performing a selective tibial... |
0 | Evoked potentials in a man with a complete large myelinated fibre sensory neuropathy below the neck | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cortical somatosensory evoked potentials (SEPs) were recorded from a man with a severe neuropathy without touch and proprioception below the neck. Peripheral neurophysiological tests showed a complete large myelinated fibre sensory neuropathy. Sensory threshold to electrical stimulation of the median nerve was 15 mA (n... |
1 | Intra-operative and short term outcome of total knee arthroplasty in morbidly obese patients | Surgical Management of Osteoarthritis of the Knee CPG | Background: Longer operation times, poorer patient outcomes and increased early post-operative complications are reasons cited for not undertaking Total Knee Arthroplasty (TKA) on morbidly obese patients. This study tests the hypothesis that there is no difference in intra-operative parameters between morbidly obese an... |
0 | What Factors Predict Conversion to THA After Arthroscopy? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Failure of hip preservation to alleviate symptoms potentially subjects the patient to reoperation or conversion surgery to THA, adding recovery time, risk, and cost. A risk calculator using an algorithm that can predict the likelihood that a patient who undergoes arthroscopic hip surgery will undergo THA wi... |
0 | Wartime Soft Tissue Coverage Techniques for the Deployed Surgeon | DoD SSI (Surgical Site Infections) | BACKGROUND: Since the start of the conflict in the Middle East in 2001, military orthopedic surgeons have faced complex orthopedic injuries including high-energy soft tissue wounds, traumatic amputations, and open fractures. Although orthopedic surgeons are well trained in the management of osseous injuries, the treatm... |
1 | Patients with Type 2 diabetes mellitus have a worse functional outcome post knee arthroplasty: a matched cohort study | Surgical Management of Osteoarthritis of the Knee CPG | Knee arthroplasty provides not only pain relief but also an improvement in function and range of movement. Limited joint mobility is a common complication of diabetes mellitus. We therefore examined functional outcome post total knee arthroplasty in a cohort of subjects with (n=367) and a cohort matched for age, sex, B... |
0 | Evidence of MRSE on a gentamicin and vancomycin impregnated polymethyl-methacrylate (PMMA) bone cement spacer after two-stage exchange arthroplasty due to periprosthetic joint infection of the knee | PJI DX Updated Search | Background: Periprosthetic joint infections (PJI) are often treated by two stage exchange with the use of an antibiotic impregnated spacer. Most of the two-stage exchange algorithms recommend the implantation of an antibiotic-impregnated spacer during the first stage for a period of 2-24 weeks before reimplantation of ... |
0 | Visual outcome after transsphenoidal surgery for pituitary adenomas | Upper Eyelid and Brow Surgery | We have reviewed the records of 53 patients with visual impairment secondary to pituitary macroadenomas and studied the visual outcome after surgery. After transsphenoidal procedures visual field defects improved in 89% of the patients and visual acuity improved in 82%. There were 13 cases of acute symptomatic intratum... |
0 | Associations between work-related factors and specific disorders of the shoulder - A systematic review of the literature | DoD PRF (Psychosocial RF) | Objective: Our aim was to provide a quantitative assessment of the exposure-response relationships between work-related physical and psychosocial factors and the occurrence of specific shoulder disorders in occupational populations. Methods: A systematic review of the literature was conducted on the associations betwee... |
0 | The chromatin modifying enzyme SirT1 represses the arthritis-associated MMP13 expression in human articular chondrocytes | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Osteoarthritis (OA) is a degenerative joint disease of the articular cartilage resulting in the depletion of collagens and proteoglycans due in part to accelerated turnover and inadequate repair. Maintenance of healthy articular cartilage in human adults relies on the optimal expression of a number of unique e... |
0 | Posterior cruciate recession in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Incremental recession of the posterior cruciate ligament (PCL), as a part of ligamentous balancing in total knee arthroplasty, is critical if the PCL is too tight. This study was undertaken to evaluate any possible untoward effects of PCL recession. Twenty-one patients who underwent simultaneous bilateral total knee ar... |
0 | Percutaneous iliosacral screw fixation: early treatment for unstable posterior pelvic ring disruptions | DoD SSI (Surgical Site Infections) | OBJECTIVE: Open reduction and internal fixation of unstable posterior pelvic ring injury provides better bony stability and less long term morbidity than nonoperative treatment. However, open reduction and internal fixation of the posterior pelvis may involve substantial intraoperative blood loss, reported infection ra... |
0 | Ceramic-on-ceramic total hip arthroplasty early dislocation rate | Management of Hip Fractures in the Elderly | Wear debris from metal-on-polyethylene articulation in conventional total hip arthroplasty can limit the implant's longevity. Modern ceramic material with high wear resistance and low fracture risk has the potential to extend the lifetime of total hip arthroplasty, which makes the procedure potentially more suitable fo... |
0 | Femoral nerve block vs fascia iliaca block for total knee arthroplasty postoperative pain control: a prospective, randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Femoral nerve block (FNB) is an accepted mode of analgesia for lower limb procedures but has a documented complication rate. This study compared femoral nerve and fascia iliaca regional anesthesia for total knee arthroplasty (TKA), using fentanyl consumption as the primary outcome measure. Ninetyâ?eight primary unilat... |
1 | ValuedCare program: a population health model for the delivery of evidence-based care across care continuum for hip fracture patients in Eastern Singapore | Hip Fx in the Elderly 2019 | BACKGROUND: To test a population health program which could, through the application of process redesign, implement multiple evidence-based practices across the continuum of care in a functionally integrated health delivery system and deliver highly reliable and consistent evidence-based surgical care for patients with... |
0 | Peripheral defocus does not necessarily affect central refractive development | Upper Eyelid and Brow Surgery | Purpose.: Recent experiments in monkeys suggest that deprivation, imposed only in the periphery of the visual field, can induce foveal myopia. This raises the hypothesis that peripheral refractive errors imposed by the spectacle lens correction could influence foveal refractive development also in humans. We have teste... |
0 | Transfer of the tendon of latissimus dorsi for the treatment of massive tears of the rotator cuff: a new single-incision technique | Glenohumeral Joint OA | We describe 14 patients who underwent transfer of latissimus dorsi using a new technique through a single-incision. Their mean age was 61 years (47 to 76) and the mean follow-up was 32 months (19 to 42). The mean Constant score improved from 46.5 to 74.6 points. The mean active flexion increased from 119 degrees to 170... |
0 | Greater arch injuries | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Dislocations and fracture dislocations of carpal bones are uncommon injuries which invariably poses challenges in the management. Perilunate fracture dislocations are the combination of ligamentous and osseous injury that involve the "greater arc" of the perilunate associated instability. Despite their severity, these ... |
0 | Avascular necrosis of the mandibular condyle-pathogenesis and concepts of management | DOD - Acute Comp Syndrome CPG | A vascular necrosis is a well-recognized pathologic entity in orthopedic surgery which most commonly affects the femoral head. Avascular necrosis of the mandibular condyle has been recognized recently, although controversy exists as to the appropriate methods of diagnosis and treatment. We present a discussion of the p... |
0 | Multiple-object 2-D3-D registration for noninvasive pose identification of fracture fragments | Distal Radius Fractures | This paper presents a multiple-object 2-D3-D registration technique for noninvasively identifying the poses of fracture fragments in the space of a preoperative treatment plan. The plan is made by manipulating and aligning computer models of individual fracture fragments that are segmented from a diagnostic computed to... |
0 | Prevalence and causes of blindness & low vision; before and five years after 'VISION 2020' initiatives in Oman: a review | Upper Eyelid and Brow Surgery | BACKGROUND: A prevalence survey of blindness and low vision was conducted in Oman in 2005. Here, we present the prevalence and determinants of blindness and low vision among the population >or= 40 years of age. The results are then compared with those of the survey in 1997 and the changes following the 'VISION 2020' in... |
0 | Comparison of gait kinetics in total and unicondylar knee replacement surgery | OAK 3 - Non-arthroplasty tx of OAK | Introduction The aim of this study was to compare kinetical data from gait analysis of patients who have undergone total and uni-condylar knee replacement. Materials and methods Thirteen patients with unilateral total knee arthroplasty (TKA) and 13 unicondylar knee arthroplasty (UKA), were included, all performed by th... |
0 | First MTP joint distraction arthrodesis with cancellous autograft and bridge plating: A novel surgical technique to restore maximum length | DoD SSI (Surgical Site Infections) | A novel technique used in a small series of patients is presented that describes a management option for the difficult situation of hallux metatarsophalangeal pathology with associated first-ray shortening and transfer lesions. Distraction arthrodesis was performed using proximal tibial cancellous autograft and locked ... |
0 | Successful outcome with minimally invasive plate osteosynthesis for periprosthetic tibial fracture after total knee arthroplasty | DoD SSI (Surgical Site Infections) | Introduction The incidence of periprosthetic fractures after total knee arthroplasty (TKA) is increasing, and treatment is becoming more necessary. In periprosthetic tibial fractures, the stem of the tibial component largely occupies the medullary canal of the proximal tibia, which limits the selection of implants. The... |
0 | Feasibility of progressive strength training shortly after hip fracture surgery | Hip Fx in the Elderly 2019 | AIM: To investigate the feasibility of a 6-wk progressive strength-training programme commenced shortly after hip fracture surgery in community-dwelling patients.
METHODS: This prospective, single-blinded cohort study evaluated 31 community-dwelling patients from four outpatient geriatric health centres aged 60 years o... |
1 | Integrity and function of the subscapularis after total shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: Reported healing rates of a subscapularis tenotomy have been extremely variable in the literature. The purpose of this study was to document the subscapularis healing rate after subscapularis tenotomy using ultrasound, and to correlate healing with physical examination findings and shoulder internal rotatio... |
1 | Decision Algorithms for the Retreatment with Viscosupplementation in Patients Suffering from Knee Osteoarthritis: Recommendations from the EUROpean VIScosupplementation COnsensus Group (EUROVISCO) | OAK 3 - Non-arthroplasty tx of OAK | Background Viscosupplementation (VS) is a symptomatic treatment of knee osteoarthritis. Although systematic reviews of its repeat use showed favorable benefit/risk ratio, no study has focused on the indication of retreatment. |
0 | Evidence for Altered Canonical Wnt Signaling in the Trabecular Bone of Elderly Postmenopausal Women with Fragility Femoral Fracture | TO: WNT2 Pathway Modulator | Wnt signaling, a major regulator of bone formation and homeostasis, might be involved in the bone loss of osteoporotic patients and the consequent impaired response to fracture. Therefore we analyzed Wnt-related, osteogenic, and adipogenic genes in bone tissue of elderly postmenopausal women undergoing hip replacement ... |
0 | Diaphyseal Femur Fractures in Osteogenesis Imperfecta: Characteristics and Relationship With Bisphosphonate Treatment | Pediatric Diaphyseal Femur Fractures 2020 Review | Several recent case reports have suggested that bisphosphonate treatment in individuals with osteogenesis imperfecta (OI) is causally related to atypical femur fractures. However, it is not known whether atypical femur fractures are actually more frequent in patients who have received bisphosphonates. In the present st... |
0 | MR imaging of posteromedial and posterolateral stabilisers of the knee: anatomic basis and patterns of lesions in knee injuries | AMP (Acute Meniscal Pathology) | The angular points are the ligamentous and tendinous structures that reinforce the posteromedial and posterolateral capsule of the knee and share in fixation of the posterior horns of the menisci. They are often damaged in acute injuries and this is usually associated with ruptures of the cruciate and collateral ligame... |
0 | The non-steroidal antiandrogen, bicalutamide ('Casodex'), may preserve bone mineral density as compared with castration: results of a preliminary study | Management of Hip Fractures in the Elderly | The impact of bicalutamide (Casodex) monotherapy on bone mineral density (BMD) was investigated in patients with locally advanced prostate cancer. BMD was assessed after treatment with bicalutamide 150 mg daily ( n=21) or by medical castration (goserelin acetate 3.6 mg every 28 days) ( n=8) for a median of 287 weeks. I... |
0 | Cost-effectiveness of intensive exercise therapy directly following hospital discharge in patients with arthritis: results of a randomized controlled clinical trial | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To estimate the cost-utility and cost-effectiveness of a 3-week intensive exercise training (IET) program directly following hospital discharge in patients with rheumatic diseases. METHODS: Patients with arthritis who were admitted to the hospital because of a disease activity flare or for elective hip or kn... |
0 | Understanding why people do or do not engage in activities following total joint replacement: A longitudinal qualitative study | PJI DX Updated Search | Objective: Numerous studies report large and significant improvements in basic mobility and activities of daily living following total hip or knee replacement (TJR). Nevertheless, quantitative research has shown minimal increase in participation in activities that benefit overall health. This study explored why people ... |
0 | Long-term survival of a flat-on-flat total condylar knee arthroplasty fixed with a hybrid cementing technique for tibial components | PJI DX Updated Search | PURPOSE: Total knee arthroplasty is one of the most successful procedures of modern orthopedics. Several implants have been proposed over the years with different designs, kinematics, and cementing techniques, with good results. The aim of the study was to assess the clinical and radiographic long-term follow-up of a s... |
0 | Relationship between low range body mass index and total knee replacement, the Singapore Chinese health study | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Data on the association between low body mass index (BMI) ranges and risk of knee OA are sparse. We evaluated the association of BMI and total knee replacement (TKR) due to severe knee OA amongst elderly Chinese in Singapore who had low BMI. Methods: We used data from the Singapore Chinese Health Study, a popu... |
0 | Secular trends in hip fracture incidence and recurrence | Management of Hip Fractures in the Elderly | The decline in hip fracture incidence is now accompanied by a further reduction in the likelihood of a recurrent hip fracture among survivors of the first fracture. INTRODUCTION: Hip fracture incidence is declining in North America, but trends in hip fracture recurrence have not been described. METHODS: All hip fractur... |
0 | Influence of minimally invasive surgery on implant positioning and the functional outcome for medial unicompartmental knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We describe postoperative functional outcome and accuracy of implant position in 38 cases after unicompartmental knee arthroplasty with the Oxford knee prosthesis with a standard open approach compared with 30 cases with a minimally invasive approach. Patients with the minimally invasive approach had significantly bett... |
0 | Perioperative management of an elderly patient of hypertrophic obstructive cardiomyopathy for knee arthroplasty and the role of peripheral nerve blocks | PJI DX Updated Search | This case report exemplifies how the anaesthetic technique of general anesthesia with continuous bilateral femoral nerve block for bilateral knee arthroplasty was well chosen for the management of perioperative complications in an elderly patient with hypertrophic obstructive cardiomyopathy(HOCM). A69-year-old female p... |
0 | Accuracy of valgus osteotomy using dynamic hip screw | Hip Fx in the Elderly 2019 | Background Non-union of neck femur is a common but difficult situation to manage especially in young adults. There are two main options of arthroplasty or osteotomy. The aim of this study was to assess the results of intertrochanteric valgus osteotomy in non-union femoral neck fractures. Patients and Methods We present... |
1 | Technique for combined blepharoplasty and ptosis correction | Upper Eyelid and Brow Surgery | Ptosis is one of the most common involutional changes of the eyelid. It frequently occurs concomitantly with dermatochalasis. The surgeon must be aware of the likelihood of this association when evaluating a patient for blepharoplasty because failure to develop an appropriate surgical plan will lead to an imperfect out... |
0 | Heparin-Induced Thrombocytopenia After Total Knee Arthroplasty, With Subsequent Adrenal Hemorrhage | Surgical Management of Osteoarthritis of the Knee CPG | Heparin-induced thrombocytopenia (HIT) is a life-threatening immune-mediated adverse effect of chemoprophylaxis for venous thromboembolic events. We present the case of a 44-year-old man who developed bilateral adrenal hemorrhage (BAH) as a sequela of HIT after bilateral total knee arthroplasty. In our review of clinic... |
0 | Renuvion/J-Plasma for Subdermal Skin Tightening Facial Contouring and Skin Rejuvenation of the Face and Neck | Panniculectomy & Abdominoplasty CPG | The Renuvion/J-Plasma helium based plasma device from Apyx Medical has technological features that result in a unique and effective method of action for the contraction of subdermal soft tissue. The device achieves soft tissue contraction by instantly heating tissue to temperatures greater than 85°C for between 0.040 ... |
0 | Rheumatology Care Using Telemedicine | OAK 3 - Non-arthroplasty tx of OAK | Introduction:People living in many parts of the world have limited access to diagnostic studies and therapies for rheumatologic, musculoskeletal, and connective tissue diseases. The challenge has been particularly poignant for rural areas of low- and middle-income countries.Objectives:We report on the implementation of... |
0 | Role of inflammation in the pathogenesis of osteoarthritis: Latest findings and interpretations | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) has traditionally been classified as a noninflammatory arthritis; however, the dichotomy between inflammatory and degenerative arthritis is becoming less clear with the recognition of a plethora of ongoing immune processes within the OA joint and synovium. Synovitis is defined as inflammation of the... |
1 | Early detection of developmental dysplasia of hip by ultrasound | Developmental Dysplasia of the Hip 2020 Review | OBJECTIVE: To assess the effectiveness of early universal ultrasound (US) screening of developmental dysplasia of the hip (DDH). STUDY DESIGN: A prospective study of universal hip screening of all mature neonates was conducted from 2012 to 2013, at the Department of Obstetrics and Gynaecology, University of Szeged; 163... |
1 | Assessment of Severe Extremity Wound Bioburden at the Time of Definitive Wound Closure or Coverage: Correlation With Subsequent Postclosure Deep Wound Infection (Bioburden Study) | DoD SSI (Surgical Site Infections) | Infection remains the most common and significant complication after high-energy fractures. The Bioburden Study is a multicenter, prospective, observational cohort study of wound bacterial bioburden and antibiotic care in severe open lower extremity fractures. The aims of this study are to (1) characterize the contempo... |
0 | Patellar Instability and Dislocation: Optimizing Surgical Treatment and How to Avoid Complications | Osteochondritis Dissecans 2020 Review | Patellar instability is a common problem seen by the orthopedic surgeon. Surgery is indicated in recurrent dislocation to improve patellar tracking and ligamentous restraint in order to decrease risk of recurrence, osteochondral injury, and eventual progression to arthritis. Preoperative imaging studies identify anatom... |
1 | Timing for Surgical Stabilization with K-wires after Open Fractures of Proximal and Middle Phalangeal Shaft | DoD SSI (Surgical Site Infections) | The optimal timing for surgical stabilization after open fractures of proximal and middle phalangeal shaft remained unclear. Total 147 patients with single open fracture in proximal or middle phalangeal shaft (arrived within 8 hours) who received K-wire fixation from June 2012 to June 2015 were included for analysis. T... |
0 | Effectiveness of gentamicin-containing collagen sponges for prevention of surgical site infection after hip arthroplasty: a multicenter randomized trial | HipFx Supplemental Cost Analysis | BACKGROUND: Surgical site infection (SSI) is a feared complication in hip arthroplasty, especially following femoral neck fracture in the elderly, associated with substantially increased morbidity, mortality, and costs. Gentamicin-containing collagen sponges are widely used for prevention of SSIs, but their effectivene... |
0 | Optimising fast track care for proximal femoral fracture patients using modified early warning score | Management of Hip Fractures in the Elderly | INTRODUCTION: The care for patients with a proximal femoral fracture has been dramatically overhauled with the introduction of 'fast track' protocols and the British Orthopaedic Association guidance in 2007. Fast track pathways focus on streamlining patient flow through the emergency department where the guidance addre... |
0 | A prospective blinded evaluation of exercise thallium-201 SPET in patients with suspected chronic exertional compartment syndrome of the leg | DOD - Acute Comp Syndrome CPG | This study compared the quantitative and qualitative results of leg thallium-201 single-photon emission tomography (SPET) imaging in patients with and without raised intracompartmental pressure associated with exercise-related leg pain. The purpose of this study was to clarify the aetiology of chronic exertional compar... |
0 | Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures | AMP (Acute Meniscal Pathology) | BACKGROUND: The primary goal of the present study was to investigate injury to the deep medial collateral ligament (MCL), specifically the meniscofemoral ligament (MFL) portion, and its association with medial femoral condyle (MFC) bone marrow edema in acute anterior cruciate ligament (ACL) ruptures. The secondary goal... |
0 | An accessible method for screening aerosol filtration identifies poor-performing commercial masks and respirators | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: The COVID-19 pandemic has presented an acute shortage of regulation-tested masks. Many of the alternatives available to hospitals have not been certified, leaving uncertainty about their ability to properly protect healthcare workers from SARS-CoV-2 transmission. OBJECTIVE: For situations where regulatory m... |
0 | Breast development and disorders in the adolescent female | Reduction Mammoplasty for Female Breast Hypertrophy | Breast development in the female is a process that becomes noticeable during puberty, and defines a girl's transition into adulthood. Various conditions can disrupt or alter the normal development, which may lead to abnormal breast changes and features. Further, the finding of a breast mass in adolescence can be unsett... |
0 | Radiographic study of the proximal femur morphology of elderly patients with femoral neck fractures: is there a difference among ethnic groups? | Hip Fx in the Elderly 2019 | INTRODUCTION: This study aimed to determine ethnic differences in the proximal femur morphology of elderly patients with femoral neck fractures in Singapore.
METHODS: We reviewed the medical records of 101 men and 288 women aged 60-109 (mean 76.4) years who underwent hip hemiarthroplasty for femoral neck fractures betw... |
0 | Radiographic outcomes of single versus dual plate fixation of acute mid-shaft clavicle fractures | DoD SSI (Surgical Site Infections) | INTRODUCTION: The clavicle exhibits considerable movement in three planes making rigid fixation challenging. The addition of a second plate may be considered to improve fixation rigidity, but risks compromising the blood supply to the fracture site. The purpose of this study is to assess if extraperiosteal dual plate f... |
1 | Factors driving change in WOMAC pain score: a post hoc analysis of a phase 2b trial of lorecivivint, a potential disease-modifying intra-articular treatment for knee osteoarthritis | TO: WNT2 Pathway Modulator | Purpose: Knee osteoarthritis (OA) is a disease characterized by pain, loss of function, and structural deformities, leading to a heterogeneous and variable state that may confound subject symptom reporting. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain subscore may address, in part, he... |
0 | Humerus varus: a complication of neonatal, infantile, and childhood injury and infection | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Sixteen cases of humerus varus consequent to proximal humeral fracture and osteomyelitis are described. A similar, but variably severe pattern of progressive deformity occurred in all cases. The medial region of the proximal humeral physis usually either developed slowly or failed to develop, whereas the lateral region... |
0 | SLA-VER: Study protocol description and preliminar results of the first italian RCT on conservative treatment of distal radial fractures | Distal Radius Fractures | Introduction: There is no consensus on which is the best way to maintain initial reduction of a distal radius fractures (DRFs). The aim of this study is to test the hypothesis that below elbow cast (BEC) is equivalent to above elbow cast (AEC) in maintaining initial reduction of DRFs. This paper will report on midterm ... |
0 | Iatrogenic Nerve Palsy Occurs With Anterior and Posterior Approaches for Humeral Shaft Fixation | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: To determine if surgical approach impacts the rate of nerve palsy after plate fixation of humerus shaft fractures and whether or not iatrogenic nerve palsy recovers in similar ways to preoperative palsy. DESIGN: Retrospective. SETTING: Two trauma centers. PATIENTS: Patients 18+ years of age with nonpathologi... |
1 | Comparison of sensory mid-palm studies to other techniques in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This prospective study was done to assess a technique of comparing Median-Ulnar sensory latency differences across the wrist (Sensory Palm [M-U]) to diagnose carpal tunnel syndrome (CTS) and to compare the relative sensitivities of other previously reported techniques: Median-Radial sensory difference (Sensory Thumb [M... |
0 | A protocol for the use of closed reduction in children with developmental dysplasia of the hip incorporating open psoas and adductor releases and a short-leg cast: Mid-term outcomes in 113 hips | Developmental Dysplasia of the Hip 2020 Review | AIMS: Our aim was to assess the effectiveness of a protocol involving a standardised closed reduction for the treatment of children with developmental dysplasia of the hip (DDH) in maintaining reduction and to report the mid-term results. METHODS: A total of 133 hips in 120 children aged less than two years who underwe... |
0 | Nerve guidance with versus without prepuncture ultrasound visualization for psoas compartment block and perineural catheter insertion: A randomized, prospective, blinded study | AAHKS (9/10) Regional Nerve Blocks | Lumbar plexus block may offer significant advantages in terms of postoperative analgesia, patient satisfaction, surgical outcome and patient rehabilitation. Ultrasound guidance has been used to describe psoas compartment block-related anatomy and to estimate transverse process depth before needle insertion and predicti... |
1 | Skin-Reducing Mastectomy with Immediate Prepectoral Reconstruction: Surgical, Aesthetic, and Patient-Reported Outcomes with and without Dermal Matrices | Acellular Dermal Matrix | BACKGROUND: Prepectoral breast reconstruction is being increasingly popularized, largely because of technical advances. Patients with ptotic breasts and active cancer require mastectomies through a mastopexy excision pattern to achieve proper pocket control in a prepectoral single-stage operation. This article presents... |
0 | Organisms isolated from severe odontogenic soft tissue infections: their sensitivities to cefotetan and seven other antibiotics, and implications for therapy and prophylaxis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Cefotetan is a new cephamycin antibiotic characterised by excellent B-lactamase stability and anti-anaerobe activity, coupled with a long half life of 3-4 h which permits twice daily dosage. A clinical trial of cefotetan in the treatment of severe oro-facial infections is presented, together with a detailed analysis of... |
0 | Galeazzi fracture-dislocations | Distal Radius Fractures | Among 125 patients with the Galeazzi-type fracture-dislocation of the forearm, there were fourteen children and eighty-six adults with the classic Galeazzi lesion, and twenty-five patients with a special type -- fracture of both bones and dislocation of the distal radio-ulnar joint. Conservative management was successf... |
1 | Complications of internal fixation of tibial plateau fractures | DoD SSI (Surgical Site Infections) | All cases of displaced tibial plateau fractures treated by open reduction and internal fixation at two university hospitals over a 3-year period were retrospectively reviewed. There were 47 fractures in 45 patients. Rigid fixation to allow early motion was the goal in all cases. There were 3 AO type I (wedge) fractures... |
0 | Renal function and risk of hip and vertebral fractures in older women | Management of Hip Fractures in the Elderly | BACKGROUND: An increased rate of hip fractures has been reported in patients with end-stage renal disease, but the effect of less severe renal dysfunction on fracture risk is uncertain. METHODS: We conducted a case-cohort study within a cohort of 9704 women 65 years or older to compare baseline renal function (estimate... |
1 | Low-conforming all-polyethylene tibial component not inferior to metal-backed component in cemented total knee arthroplasty: Prospective, randomized radiostereometric analysis study of the AGC total knee prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | In a prospective, randomized study of 40 patients, the quality of fixation of cemented metal-backed versus all-polyethylene tibial components of the unconstrained anatomic graduated component total knee arthroplasty design was studied during 2 years using radiostereometric analysis (RSA). The shape, as well as the arti... |
0 | Do the Reasons for Ceramic-on-ceramic Revisions Differ From Other Bearings in Total Hip Arthroplasty? | Hip Fx in the Elderly 2019 | BACKGROUND: Despite widespread use of ceramic-on-ceramic (CoC) in total hip arthroplasty (THA) during the past 10 years, little is known about why revisions are performed in hips with this bearing or the time elapsed before revision.
QUESTIONS/PURPOSES: The purposes of this study were: (1) Do the reasons for first revi... |
1 | Comparison of external fixation vs volar plating for comminuted fracture of the distal end radius | Distal Radius Fractures | Aim: To compare between the open reduction and internal fixation (ORIF) using a volar plate and external fixation with K-wire fixation for the treatment of unstable distal radius fractures. Methods: This prospective study was carried out in the DG Khan for the period from 02.03.2013 to 01.03.2015. A total of 30 cases a... |
0 | Short-term treatment of cocaine and/or methamphetamine abuse with vigabatrin: ocular safety pilot results | Upper Eyelid and Brow Surgery | OBJECTIVE: To evaluate the ocular safety of short-term use of vigabatrin to treat cocaine and/or methamphetamine addiction. METHODS: Individuals who were actively using cocaine and/or methamphetamine were eligible for enrollment. Enrolled subjects were scheduled for comprehensive eye examinations at the beginning and e... |
0 | PTSD and loss: preliminary findings from a territory-wide epidemiology study in Hong Kong | DoD PRF (Psychosocial RF) | BACKGROUND: The study examined the prevalence of trauma and posttraumatic stress disorder (PTSD) symptoms among community dwelling Chinese adults in Hong Kong. The relationship of traumatic life events (including loss) and mental health has been investigated.
METHODS: The sampling of the collaborative study (HKMMS: Hon... |
0 | Early definitive stabilization of unstable pelvis and acetabulum fractures reduces morbidity | Hip Fx Time to Surgery | Background: Although the benefits of acute stabilization of long bone fractures are recognized, the role of early fixation of unstable pelvis and acetabular fractures is not well-defined. The purpose of this study was to review complications and hospital course of patients treated surgically for pelvis and acetabulum f... |
0 | Stability and variability of knee kinematics during gait in knee osteoarthritis before and after replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | Background: Patients with knee osteoarthritis often feel unstable, suffering from buckling (giving way) or even falling. This study aimed at characterising such instability, and following it over time. Methods: We investigated treadmill walking in knee osteoarthritis, focusing on angular velocity of sagittal plane knee... |
1 | Toward a consensus view in the management of acute facial injuries during the Covid-19 pandemic | Coronavirus Disease 2019 (COVID-19) | In these unprecedented times, OMFS surgeons are faced with dilemmas over the priority of treatment, safety of staff, safety of patients and the most appropriate use of available resources. Efforts should be made to provide the best evidence-based care, which will mean revisiting old techniques, and risk stratifying pat... |
0 | Ultrasonographic measurement of humeral torsion | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | This article presents a new method for the measurement of humeral torsion with the use of ultrasonography and discusses clinical applications of the method such as the evaluation of cubitus varus deformity after a supracondylar elbow fracture. Torsion angle increased 14 degrees from the time the patients were newborns ... |
0 | Surface EMG signal alterations in Carpal Tunnel syndrome: a pilot study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal Tunnel syndrome (CTS) is one of the most common compartmental syndromes and nerve conduction studies are widely considered as the standard to diagnose the pathology. The purpose of this pilot study was to investigate whether multichannel surface electromyography can detect muscle alterations in patients diagnose... |
1 | Strength and function before and after anterior cruciate ligament reconstruction | Anterior Cruciate Ligament Injuries CPG | Rehabilitation of patients with anterior cruciate ligament injury is a topic of interest among clinicians. Although numerous studies report the deficits after anterior cruciate ligament reconstruction, there are no data available on the changes in strength and functional performance before and 6 months after reconstruc... |
0 | Tissue Source and Cell Expansion Condition Influence Phenotypic Changes of Adipose-Derived Stem Cells | Panniculectomy & Abdominoplasty CPG | Stem cells derived from the subcutaneous adipose tissue of debrided burned skin represent an appealing source of adipose-derived stem cells (ASCs) for regenerative medicine. Traditional tissue culture uses fetal bovine serum (FBS), which complicates utilization of ASCs in human medicine. Human platelet lysate (hPL) is ... |
0 | Electrodiagnostic approach to the patient with suspected brachial plexopathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Of the four major PNS plexuses, disorders of the brachial plexus are encountered far more frequently than those of the others. The EDX examination is probably the best procedure available by which to evaluate brachial plexus lesions. It provides localizing, pathologic, pathophysiologic, severity, and prognostic informa... |
1 | Prolonged treatment with the Pavlik harness in infants with developmental dysplasia of the hip | Developmental Dysplasia of the Hip CPG | We prospectively studied the benefits and risks of prolonged treatment with the Pavlik harness in infants with idiopathic developmental dysplasia of the hip. Bracing was continued as long as abduction improved. It was started at a mean age of four months (1 to 6.9). Outcome measures were the number of successful reduct... |
0 | Risk factors for mortality in geriatric hip fractures: a compressional study of different surgical procedures in 785 consecutive patients | Hip Fx in the Elderly 2019 | BACKGROUND: Only a little is known about whether type of surgical intervention has an effect on mortality of these patients. Our primary objective was to assess whether different type of surgical procedures has an effect on mortality among elderly patients with hip fracture. A secondary objective was to examine factors... |
0 | Bone morphing system optimizes total knee arthroplasty: Comparison of early curative effects with conventional procedure | Surgical Management of Osteoarthritis of the Knee CPG | Background: The aims of the total knee arthroplasty (TKA) are to restore accurately the position of components in three dimensions and the alignment of lower limb, to maintain the ligament balance of knee and to avoid the femoropatellar complications, to achieve a pain free, stable, good functional and long durable pro... |
0 | Modular femoral stems for revision total hip arthroplasty | PJI DX Updated Search | Background: Modular femoral stems are one option for revision THA surgeons and allow offset restoration, leg length discrepancy correction, and stability independent of distal stem fixation. The complexity of revision THA usually leads surgeons to use multiple revision hip designs to address these issues. Questions/pur... |
0 | Clinico-Radiological Evaluation of Modified Stoppa Approach in Treatment of Acetabulum Fractures | Hip Fx in the Elderly 2019 | Background The aim of our study was to evaluate the efficacy of Modified Stoppa approach for surgical treatment of acetabulum fractures by analyzing clinical and radiological outcomes. Also, we assess intraoperative and postoperative complications of fracture treated by using Modified Stoppa approach. |
0 | An open-label extension study of alendronate treatment in elderly women with osteoporosis | Management of Hip Fractures in the Elderly | We have recently reported the results of a 24-month, double-blind, placebo-controlled study in 359 elderly osteoporotic women who were treated with daily oral alendronate (ALN) 1, 2.5, or 5 mg or placebo (PBO). We report the results of a 12-month, open-label, extension study during which 246 patients from the original ... |
0 | Preventing fractures with hip protectors | Management of Hip Fractures in the Elderly | Hip protectors are an effective strategy for reducing fall-related hip fractures in long-term care settings. The success of a hip protector program is enhanced by educational activities and administrative support, and a nurse champion to assume responsibility for the hip protector program |
0 | Periareolar mammaplasty: Double skin technique | Reduction Mammoplasty for Female Breast Hypertrophy | The author presents cases of 25 patients with one year of follow-up, operated using a personal mammaplasty technique of periareolar approach. The technique is based on the principle that the skin alone does not prevent early ptosis. It proposes the repositioning of all breast conjunctive structures, treating the glandu... |
1 | Functional tests should be accentuated more in the decision for ACL reconstruction | Anterior Cruciate Ligament Injuries CPG | A high pre-injury activity level, the desire of the patient to continue pivoting sports and fear of future give-way episodes are considered the most significant factors affecting the decision to perform anterior cruciate ligament reconstruction. However, since the functional status of the knee at the time of surgery af... |
0 | An investigation of mechanical nociceptive thresholds in dogs with hind limb joint pain compared to healthy control dogs | Glenohumeral Joint OA | This study investigated the effects of osteoarthritis (OA) on somatosensory processing in dogs using mechanical threshold testing. A pressure algometer was used to measure mechanical thresholds in 27 dogs with presumed hind limb osteoarthritis and 28 healthy dogs. Mechanical thresholds were measured at the stifles, rad... |
0 | Complications relating to accuracy of reduction of intertrochanteric fractures treated with a compressive hip screw | Management of Hip Fractures in the Elderly | Intertrochanteric fracture is the most frequent type of fracture in the proximal femur and the compressive hip screw is one of the most popular methods of treatment. The reduction criteria for this type of fracture are ill-defined. The purpose of this study was to validate 3 reduction criteria: displacement, alignment ... |
1 | Medullary lavage reduces embolic phenomena and cardiopulmonary changes during cemented hemiarthroplasty | Management of Hip Fractures in the Elderly | We randomised 24 patients before they had a cemented hemiarthroplasty for hip fracture to receive either thorough or minimal saline lavage of the femoral canal. We then determined the effect in each group on the thromboembolic and cardiopulmonary responses to the pressurised insertion of cement, using transoesophageal ... |
0 | Osteomyelitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Bone and joint infections are painful for patients and frustrating for both them and their doctors. The high success rates of antimicrobial therapy in most infectious diseases have not yet been achieved in bone and joint infections owing to the physiological and anatomical characteristics of bone. The key to successful... |
0 | Augmentation of posterior wall acetabular fracture fixation using calcium-phosphate cement: a biomechanical analysis | Management of Hip Fractures in the Elderly | OBJECTIVE: This study investigates if the use of calcium phosphate cement as an adjunct to internal fixation for posterior wall acetabular fracture will result in acute restoration of joint loading parameters to the intact condition. METHODS: Ten fresh-frozen cadaveric pelves were used for this investigation. Simulated... |
1 | High Failure Rates of Concomitant Periprosthetic Joint Infection and Extensor Mechanism Disruption | DoD LSA (Limb Salvage vs Amputation) | Background: Patients presenting with both chronic periprosthetic joint infection (PJI) and extensor mechanism disruption (EMD) pose a significant challenge. As there is little in the literature regarding outcomes of patients with concomitant PJI and EMD, we performed a multicenter study to evaluate the outcomes. Method... |
0 | Hematogenous osteomyelitis in childhood can relapse many years later into adulthood: A retrospective multicentric cohort study in France | DoD SSI (Surgical Site Infections) | To describe the epidemiological, clinical, laboratory, and radiological features and the management of adult patients who experienced a relapse between 2003 and 2015 of an acute hematogenous osteomyelitis acquired in childhood.A retrospective multicentric cohort study was conducted in 5 centers in France.Thirty-seven p... |
0 | Pain sensitivity in patients with haemophilia following moderate aerobic exercise intervention | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Physical activity is influenced by pain and vice versa. Although studies recommend exercise therapy for patients with haemophilia (PwH), the influence of physical activity on the pain condition in PwH has not been investigated so far. Aim: Aim of this study was to examine the effect of a treadmill intervent... |
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