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Plasma Ropivacaine Concentrations Following Local Infiltration Analgesia in Total Knee Arthroplasty: A Pharmacokinetic Study to Determine Safety Following Fixed-Dose Administration
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND AND OBJECTIVES: The primary aim of this study was to examine the pharmacokinetics of ropivacaine in patients undergoing elective total knee arthroplasty with local infiltration analgesia as the primary analgesic method. We also sought to determine the incidence of biochemical toxicity through measurement of ...
0
Epidemiology of rib fractures in older men: Osteoporotic fractures in men (MrOS) prospective cohort study
Management of Hip Fractures in the Elderly
Objective: To study the causes and consequences of radiologically confirmed rib fractures (seldom considered in the context of osteoporosis) in community dwelling older men. Design: Prospective cohort study (Osteoporotic Fractures in Men (MrOS) Study). Setting and participants: 5995 men aged 65 or over recruited in 200...
0
Adipose-derived stem cells and platelet-rich plasma: The keys to functional periodontal tissue engineering
Panniculectomy & Abdominoplasty CPG
Numerous different types of periodontal tissue regeneration therapies have been developed clinically with variable outcomes and serious limitations. A key goal of periodontal therapy is to regenerate the destroyed periodontal tissues including alveolar bone, cementum and periodontal ligament. The critical factors in at...
0
Economic burden of skeletal-related events in patients with multiple myeloma: analysis of US commercial claims database
MSTS 2018 - Femur Mets and MM
Aims: To estimate incremental healthcare resource utilization (HRU) and costs associated with skeletal-related events (SREs) secondary to multiple myeloma (MM), and HRU and cost differences in patients with one vs multiple SREs. Methods: Adults with MM diagnosis between January 1, 2010â??December 31, 2014, with benefit...
1
The Influence of Physeal Status on Rate of Reoperation After Arthroscopic Screw Fixation for Symptomatic Osteochondritis Dissecans of the Knee
Osteochondritis Dissecans 2020 Review
PURPOSE: To determine if physeal status or other preoperative or intraoperative variables influence the failure rate after arthroscopic reduction and internal fixation of osteochondritis dissecans (OCD) lesions in the knee. METHODS: Consecutive patients undergoing screw fixation of osteochondral fragments from OCD by a...
0
The endocannabinoid system as a potential therapeutic target for pain modulation
OAK 3 - Non-arthroplasty tx of OAK
Although cannabis has been used for pain management for millennia, very few approved cannabinoids are indicated for the treatment of pain and other medical symptoms. Cannabinoid therapy re-gained attention only after the discovery of endocannabinoids and fatty acid amide hydrolase (FAAH) and monoacylglycerol lipase (MA...
0
Psychological resilience and neurocognitive performance in a traumatized community sample
DoD PRF (Psychosocial RF)
BACKGROUND: Whether psychological resilience correlates with neurocognitive performance is largely unknown. Therefore, we assessed association between neurocognitive performance and resilience in individuals with a history of childhood abuse or trauma exposure. METHODS: In this cross-sectional study of 226 highly traum...
0
Complex diagnostics-entrapment neuropathy of the upper limb
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: Entrapment neuropathies of the upper limb are common problems. Despite all the modern diagnostics in rare case it is not possible to identify a clear correlation between clinical data and instrumental studies such as electroneuromyography (EMG), ultrasound (US). Objective: Improving complex diagnostics with...
0
Epidemiology of cervical and trochanteric fractures of the proximal femur in 1996 in Kaohsiung City, Taiwan
Management of Hip Fractures in the Elderly
The goal of this study was to determine the incidence of cervical and trochanteric fractures of the proximal femur in 1996 in Kaohsiung City, Taiwan. Kaohsiung City is the industrial and commercial center of southern Taiwan, with a population of 1,433,621 in 1996. The number of individuals over 65 years of age accounte...
0
The relationship between body composition and bone mineral content: threshold effects in a racially and ethnically diverse group of men
Management of Hip Fractures in the Elderly
We examined BMC and body composition in 1,209 black, Hispanic, and white men. Weight, BMI, waist circumference, and fat mass were associated with BMC only up to certain thresholds, whereas lean mass exhibited more consistent associations. The protective influence of increased weight appears to be driven by lean mass. I...
0
Rigid Intramedullary Nailing of Femoral Shaft Fractures for Patients Age 12 and Younger: Indications and Technique
Pediatric Diaphyseal Femur Fractures 2020 Review
Femoral shaft fractures are common injuries in the pediatric and adolescent age groups. Rigid intramedullary nailing is an excellent treatment option for older children and adolescents, particularly for length-unstable fractures and larger patients (>49 kg). Appropriate indications, contraindications, and preoperative ...
0
High complication rates with pelvic allografts. Experience of 22 sarcoma resections
DoD SSI (Surgical Site Infections)
We performed 22 reconstructions by allografts in patients with pelvic sarcoma: 14 Ewing's sarcomas, 7 chondrosarcomas, and 1 osteosarcoma. All patients with Ewing's sarcoma and osteosarcoma received chemotherapy. No patients with chondrosarcoma had adjuvant treatment. 12 reconstructions were iliosacral arthrodesis afte...
0
Periprosthetic fractures of the femur after total knee arthroplasty
DoD LSA (Limb Salvage vs Amputation)
Periprosthetic fracture following total knee arthroplasty is a potentially serious complication. This injury can involve the distal femur, proximal tibia or the patella. This review article analyzes the prevalence, risk factors, classification and treatment options for periprosthetic fractures of the femur. © 2010 The...
0
Risk factors associated with mortality in veteran population following transtibial or transfemoral amputation
MSTS 2018 - Femur Mets and MM
This study explored medical conditions associated with mortality among veterans following transfemoral amputation, transtibial amputation, or hip disarticulation. We applied logistic regression models to identify clinical factors associated with mortality postoperatively. The participants included patients with lower-l...
0
Supplementation with vitamin D3 and calcium prevents hip fractures in elderly women
Management of Hip Fractures in the Elderly
In a study of very old women (mean age = 84 years), supplementation with 1.2 g of calcium and 800 IU of vitamin D3 daily for 18 months reduced the incidence of nonvertebral fractures by 30% and of hip fractures by 41%. This study demonstrates that calcium and vitamin D3 supplementation of very old women with low calciu...
1
Physiologic reactivity despite emotional resilience several years after direct exposure to terrorism
DoD PRF (Psychosocial RF)
OBJECTIVE: Six and a half to 7 years after the 1995 terrorist bombing in Oklahoma City, the authors assessed autonomic reactivity to trauma reminders and psychiatric symptoms in adults who had some degree of direct exposure to the blast. METHOD: Sixty survivors who were listed in a state health department registry of p...
0
Awareness of complications and maintenance mode of oral piercing in a group of adolescents and young Italian adults with intraoral piercing
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: The aim of the study was to focus the awareness of complications of oral piercing among a group of adolescents and young Italian adults with intraoral piercings. MATERIAL AND METHODS: A total of 225 teenagers were asked to complete a questionnaire on the awareness of complications of oral piercing. An addit...
0
Knee fusion using dual platings with the locking compression plate
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Knee arthrodesis is often used as a salvage procedure for infected, nonreconstructable total knee arthroplasties. We report 3 cases of infected total knee arthroplasties treated with knee fusion using locking compression plates. After at least 2 years of follow-up, these patients have healed with improvement in both sy...
0
Regional anesthesia for trauma outside the operating theatre
DoD SSI (Surgical Site Infections)
PURPOSE OF REVIEW: Pain management in the trauma patient can be challenging, especially outside the operating room setting. Traditional analgesics such as opioids and NSAIDs are also problematic in trauma care. In this review, the use of regional anesthetic techniques outside the operating theatre is discussed. RECENT ...
0
Arterial pulse wave velocity, inflammatory markers, pathological GH and IGF states, cardiovascular and cerebrovascular disease
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Blood pressure (BP) measurements provide information regarding risk factors associated with cardiovascular disease, but only in a specific artery. Arterial stiffness (AS) can be determined by measurement of arterial pulse wave velocity (APWV). Separate from any role as a surrogate marker, AS is an important determinant...
0
Late problems in burns
Reduction Mammoplasty for Female Breast Hypertrophy
In summary, the commonest late physical complications of the burn injury have been reviewed and an approach to their management described. An understanding of the pathophysiology of the conditions is invaluable in planning one's approach to these problems. The techniques to control and correct chronic wound and hypertr...
0
Surgical treatment of gynaecomastia. Five years' experience with liposuction
Panniculectomy & Abdominoplasty CPG
Since liposuction became part of our surgical regimen in 1988, we have operated on 67 patients for gynaecomastia during the five year period 1988-1992. Sixty two of the patients were seen at an extra follow up 4-59 months (means 29 months) postoperatively. Compared to studies that did not include liposuction as part of...
0
Analysis of time hospitalization for treating hip fractures and correlation with the American Society of Anesthesiologists Classification of Medical Comorbidities: Our experience
Management of Hip Fractures in the Elderly
Introduction Fracture of the hip is the second leading cause of hospitalization in the geriatric population and the ward cost contributed 84% of the total hospital expenditure per patient. Some factors, such as preoperative comorbidities and postoperative complications, have a role in time of hospitalization. The Ameri...
0
Fracture of a polyethylene tibial post in a Scorpio posterior-stabilized knee prosthesis
Surgical Management of Osteoarthritis of the Knee CPG
We report the case of a polyethylene tibial post fracture in a 72-year-old woman 14 months after a Scorpio posterior-stabilized (PS) total knee arthroplasty. The polyethylene wear was found around the fracture site of the post, especially over the anterior aspect of the post base. The failure mechanism of the post frac...
0
Use of ivabradine and atorvastatin in emergent orthopedic lower limb surgery and computed tomography coronary plaque imaging and novel biomarkers of cardiovascular stress and lipid metabolism for the study and prevention of perioperative myocardial infarction: Study protocol for a randomized controlled trial
Hip Fx in the Elderly 2019
Background: The incidence of perioperative myocardial infarction (PMI) globally is known to be around 2 to 3% and can prolong hospitalization, increased morbidity and mortality. Little is known about the pathophysiology and risk factors for PMI. We investigate the presence of elevated novel cardiac markers and preopera...
1
Collaborative Multi-Disciplinary Incident Command at Seattle Children's Hospital for Rapid Preparatory Pediatric Surgery Countermeasures to the COVID-19 Pandemic
Coronavirus Disease 2019 (COVID-19)
Washington State was the first U.S. state to have a patient test positive for COVID-19. Prior to this, our children's hospital proactively implemented an incident command structure which allowed for collaborative creation of safety measures, policies and procedures for both patients, families, staff and providers. Alth...
1
Treatment of manifest and impending pathologic fractures of the femoral neck by cemented hemiarthroplasty
MSTS 2018 - Femur Mets and MM
Thirty-four patients with manifest or impending pathologic fractures of the femoral neck were treated between 1971 and 1987. Breast carcinoma was the primary tumor in the majority of patients. All patients were treated with cemented hemiarthroplasty. Twenty-seven patients (79%) could walk at an average of nine days pos...
0
The epidemiology of osteoporosis and fractures in geriatric medicine
HipFx Supplemental Cost Analysis
Several conclusions can be drawn from this article, the most important of which are as follows: 1. Low bone mass is widely prevalent among older men and women and is associated with important fracture consequences. 2. The prevalence of osteoporosis and fracture is projected to increase over the next several decades. 3....
1
The International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine classification of knee meniscus tears: three-dimensional MRI and arthroscopy correlation
AMP (Acute Meniscal Pathology)
OBJECTIVES: To introduce MRI-based International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification system of meniscal tears and correlate it to the surgical findings from arthroscopy. We hypothesized that the ISAKOS classification will provide good inter-modality and inter-rat...
0
The Effects of Body Mass Index on Pain Control With Liposomal Bupivacaine in Hip and Knee Arthroplasty
AAHKS (5) Gabapentinoids
BACKGROUND: There is evidence to suggest that liposomal bupivacaine (LB) is an effective component of a multimodal pain regimen for total joint arthroplasty (TJA). Obesity has been associated with chronic pain following TJA. This study assessed whether early postoperative pain is affected by body mass index (BMI), and ...
0
Thyroid venous catheterization in the early diagnosis of familial medullary thyroid carcinoma
MSTS 2018 - Femur Mets and MM
In kindreds with familial medullary thyroid carcinoma (MTC), individuals are often detected whose peripheral plasma calcitonin (CT) levels are undetectable in the basal state but increase minimally following provocative testing. The proper management of such patients has been uncertain, but most investigators have advo...
0
Degenerative change at the pseudarthrosis after trapeziectomy at 6-year followup
Glenohumeral Joint OA
BACKGROUND: Simple trapeziectomy has a well-documented history of success for the management of osteoarthritis at the trapeziometacarpal joint. There is concern, however, that late-onset failure can occur as a result of the development of degenerative disease at the scaphoid-metacarpal pseudarthrosis. QUESTIONS/PURPOSE...
0
A prospective study of ocular toxicity in patients receiving ethambutol as a part of directly observed treatment strategy therapy
Upper Eyelid and Brow Surgery
BACKGROUND AND OBJECTIVES: India is among the largest countries to implement the revised National Tuberculosis Control Program (RNTCP). This program provides intermittent regimens to the patients, where the doses of isoniazid and ethambutol are more as compared to the daily regimen, which is a cause of concern, particu...
0
Association between rates of binocular visual field loss and vision-related quality of life in patients with glaucoma
Upper Eyelid and Brow Surgery
IMPORTANCE: It is reasonable to hypothesize that for 2 patients with similar degrees of integrated binocular visual field (BVF) loss, the patient with a history of faster disease progression will report worse vision-related quality of life (VRQOL) than the patient with slowly progressing damage. However, to our knowled...
0
Bisphosphonates for cancer treatment: Mechanisms of action and lessons from clinical trials
MSTS 2018 - Femur Mets and MM
A growing body of evidence points toward an important anti-cancer effect of bisphosphonates, a group of inexpensive, safe, potent, and long-term stable pharmacologicals that are widely used as osteoporosis drugs. To date, they are already used in the prevention of complications of bone metastases. Because the bisphosph...
0
Humoral immune deficiency and hemifacial microsomia seen in one family
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
We present a patient with hemifacial microsomia and immune deficiency. The patient is a 5-year-old with grade III microtia and Pruzansky type I right mandibular hypoplasia. She developed 25 pulmonary infections in 3 years, required hospitalization every 6 weeks to receive antibiotics, and experienced recurrent herpes s...
0
Complex proximal humeral fracture fixation with PHILOS plate using minimal invasive percutaneous plate osteosynthesis (MIPPO) technique: A series of 30 patients
DoD SSI (Surgical Site Infections)
Introduction: Proximal humerus fracture fixation using plate osteosynthesis depends on the quality of the bone, design of the fixation devices and intra-operative soft tissue dissection. This study evaluates the functional outcome of minimally invasive percutaneous plate osteosynthesis using locking compression plate i...
0
Prevalence and risk factors for intra-operative periprosthetic fractures in one thousand eight hundred and seventy two patients undergoing total hip arthroplasty: a cross-sectional study
PJI DX Updated Search
PURPOSE: The purpose of this study was to identify the frequency and type of intra-operative periprosthetic fractures and to describe risk factors in a single tertiary, public hospital, so that these events could be prevented, even among less experienced surgeons. METHODS: This is a cross-sectional study, based on medi...
0
Are the current guidelines for surgical delay in hip fractures too rigid? A single center assessment of mortality and economics
Hip Fx in the Elderly 2019
PURPOSE: Controversy remains around acceptable surgical delay of acute hip fractures with current guidelines ranging from 24 to 48h. Increasing healthcare costs force us to consider the economic burden as well. We aimed to evaluate the adjusted effect of surgical delay for hip fracture surgery on early mortality, healt...
0
Temperament and Character Traits of Women Admitted for Breast Reduction and Comparison with Body Perception
Reduction Mammoplasty for Female Breast Hypertrophy
Background: Reduction mammaplasty improves self-esteem and low body perception. Previous reports comprise either retrospective data or sectional analysis in which women were evaluated postoperatively. Furthermore, temperament and character properties of women applying for breast reduction have not been investigated. Th...
0
COVID-19 and gastrointestinal endoscopies: current insights and emergent strategies
Coronavirus Disease 2019 (COVID-19)
A new coronavirus emerged in December 2019 in Wuhan city of China, named as the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), and disease was called as coronavirus disease-2019 (COVID-19). The infection due to this virus spread exponentially throughout China and then spread across >205 nations, includin...
0
New method for fast MR imaging of the knee
AMP (Acute Meniscal Pathology)
Thirty-five patients with suspected internal derangements of the knee were examined with conventional two-dimensional (2D) spin-echo magnetic resonance (MR) imaging techniques and a new rapid three-dimensional (3D) method called 3D FASTER (field echo acquisition with a short repetition time and echo reduction). A 9-min...
0
ICLH knee arthroplasty. A consecutive study of 108 knees with uncemented tibial component fixation
Surgical Management of Osteoarthritis of the Knee CPG
One hundred eight ICLH knee arthroplasties with cementless tibial component fixation were performed from 1978 through 1982 in Gothenburg, Sweden. The patients were followed for 2-8 years (mean, 4 years) with clinical and radiographic examinations at regular intervals, and the data were computer-analyzed. Patellar sublu...
0
High failure rate with the GAP II ring and impacted allograft bone in severe acetabular defects
PJI DX Updated Search
BACKGROUND: Reconstruction rings and bone allografts have been proposed to manage severe acetabular bone loss. However, a high early failure rate of the Graft Augmentation Prosthesis (GAP) II reinforcement ring (Stryker Orthopaedics, Mahwah, NJ, USA) has been reported in one small series. QUESTIONS/PURPOSES: We therefo...
0
Treatment of distal radius fractures
Distal Radius Fractures
The American Academy of Orthopaedic Surgeons has developed Appropriate Use Criteria (AUC) for treating distal radius fractures (DRF). Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering ...
1
Orthobiologics: Current role in Orthopedic Surgery and Traumatology
AMP (Acute Meniscal Pathology)
Orthobiologics are organic and synthetic materials that help in the cure of musculo-skeletal problems and are utilized in Orthopaedic Surgery, both in and out of the surgical theater, to augment the possibilities of curing bone and soft tissue lesions. Taking into account that their effect is frequently multifactorial ...
1
Improving long-term breast shape with the medial pedicle wise pattern breast reduction
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Reduction mammaplasty has both a reconstructive and an aesthetic component. Relief of neck, back, and shoulder pain, as well as psychosocial improvement, is the main indication for intervention. Patient satisfaction is high, with early improvement in most cases. Preoperative planning confirms the anatomical...
0
A Bayesian missing data framework for generalized multiple outcome mixed treatment comparisons
OAK 3 - Non-arthroplasty tx of OAK
Bayesian statistical approaches to mixed treatment comparisons (MTCs) are becoming more popular because of their flexibility and interpretability. Many randomized clinical trials report multiple outcomes with possible inherent correlations. Moreover, MTC data are typically sparse (although richer than standard meta-ana...
0
Osteopetrosis: Current clinical considerations
MSTS 2022 - Metastatic Disease of the Humerus
Osteopetrosis is an inherited skeletal condition characterized by increased bone radiodensity. There are three clinical groups: infantile- malignant autosomal recessive, fatal within the first few years of life (in the absence of effective therapy); intermediate autosomal recessive, appears during the first decade of l...
0
Cartilage Adaptation and Response to Interleukins and Exercise
OAK 3 - Non-arthroplasty tx of OAK
By using stabile isotope labelling, this study will track the formation and destination of newly formed cartilage collagen in adult humans scheduled for knee replacement surgery due to osteoarthritis. The collagen formation as well as the effect on the cytokine content of the synovial fluid will be examined both at res...
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...
1
Workplace belongingness, distress, and resilience in emergency service workers
DoD PRF (Psychosocial RF)
OBJECTIVE: Ambulance personnel provide emergency medical services to the community, often attending to highly challenging and traumatic scenes in complex and chaotic circumstances. Currently, the assessment of predictors of psychological well-being remains limited. The current study investigated whether workplace belon...
0
Health-related quality of life (EQ-5D) before and after orthopedic surgery
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND AND PURPOSE: Population data on mortality and life expectancy are generally available for most countries. However, no longitudinal data based on the health-related quality of life outcome from the EQ-5D instrument have been reported for orthopedic patients. We assessed the effect of orthopedic surgery as mea...
0
TDF and quantitative ultrasound bone quality in African patients on second line ART, ANRS 12169 2LADY sub-study
DoD SSI (Surgical Site Infections)
Background: Bone demineralization, which leads to osteoporosis and increased fracture risk, is a common metabolic disorder in HIV-infected individuals. In this study, we aimed to assess the change in bone quality using quantitative ultrasound (QUS) over 96 weeks of follow-up after initiation of second-line treatment, a...
0
Long term use of thalidomide: safe and effective
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: To assess the efficacy and safety of high dose thalidomide therapy for longer duration of time in relapsed or refractory Multiple Myeloma (MM) patients. MATERIALS AND METHODS: Twelve relapsed/refractory MM patients (7 Males, 5 Females), who received thalidomide for more than 2 years were selected from the Out ...
0
Insufficiency-type stress fractures in rheumatoid arthritis: report of an interesting case and review of the literature
Surgical Management of Osteoarthritis of the Knee CPG
A case of multiple insufficiency-type stress fractures (32 fractures), in the absence of any trauma, in a 51-year-old white woman with rheumatoid arthritis is described. The fractures healed satisfactorily with rest, treatment of osteoporosis, and discontinuation of her steroid therapy, following which a proximal humer...
0
Associations between bone impact microindentation and clinical risk factors for fracture
Hip Fx in the Elderly 2019
Impact microindentation (IMI) measures bone material strength index (BMSi) in vivo. However, clinical risk factors that affect BMSi are largely unknown. This study investigated associations between BMSi and clinical risk factors for fracture in men. BMSi was measured using the OsteoProbe in 357 men (ages 33 to 96 years...
1
Neuromuscular electrical stimulation improves preoperative strength and function in total knee arthroplasty for osteoarthritis [abstract]
Surgical Management of Osteoarthritis of the Knee CPG
Sylvester O'Halloran Surgical Scientific Meeting; 2008 Feb 29 - Mar 1; Limerick, Ireland
0
Dampace: Design of an exoskeleton for force-coordination training in upper-extremity rehabilitation
Pediatric Supracondylar Humerus Fracture 2020 Review
The Dampace exoskeleton combines functional exercises resembling activities of daily living with impairment-targeted force-coordination training. The goal of this paper is to evaluate the performance of the Dampace. In the design, the joint rotations are decoupled from the joint translations; the robot axes align thems...
1
PFNA and DHS for AO/OTA 31-A2 fractures: radiographic measurements, morbidity and mortality
Hip Fx in the Elderly 2019
PURPOSE: For this retrospective cohort study, we assessed pertrochanteric fracture types AO/OTA 31-A2. PFNA and DHS were the devices used. We determined both devices in relation to peri-operative variables, postoperative radiographic measurements, implant-related complications and mortality up to 2 years. The null hypo...
0
Altered growth regulation and loss of response to retinoic acid accompany tumorigenic transformation of prostatic cells
MSTS 2018 - Femur Mets and MM
In vitro models of human prostatic carcinogenesis are increasingly available and include representatives of normal, immortal, tumorigenic and metastatic phenotypes. In this study, growth regulation of immortal, but non-tumorigenic, human papillomavirus-transformed prostatic epithelial cells was compared to that of thei...
0
New Technique for Dorsal Fragment Reduction in Distal Radius Fractures by Using Volar Bone Fenestration
Distal Radius Fractures
INTRODUCTION: For intra-articular distal radius fractures (AO Classification, type B2) with a displaced dorsal fragment, there remains much discussion on the fixation method for the dorsal fragment. To reduce the displaced dorsal fragment, we developed a new technique consisting of fenestration of the volar bone cortex...
0
Total joint arthroplasty in dermatomyositis and polymyositis
Surgical Management of Osteoarthritis of the Knee CPG
Background Little is known about total joint arthroplasty (TJA) in dermatomyositis (DM) and polymyositis (PM), although patients are at risk for osteonecrosis from corticosteroid use. Objectives To describe total knee (TKA) and total hip (THA) arthroplasty in DM/PM. Methods We identified 8 patients with DM/PM enrolled ...
0
Large cell non-Hodgkin lymphoma of childhood: clinical characteristics and outcome
MSTS 2022 - Metastatic Disease of the Humerus
Less is known about the clinical features and treatment outcome in pediatric large cell non-Hodgkin lymphoma (NHL) than the lymphoblastic and small noncleaved cell subtypes of NHL. To characterize presenting features and assess possible risk factors associated with this diagnosis, we analyzed data for 91 patients treat...
0
Why knee replacements fail in 2013: Patient, surgeon, or implant?
Surgical Management of Osteoarthritis of the Knee CPG
Previous studies of failure mechanisms leading to revision total knee replacement (TKR) performed between 1986 and 2000 determined that many failed early, with a disproportionate amount accounted for by infection and implant-associated factors including wear, loosening and instability. Since then, efforts have been mad...
0
Tinel's sign and Phalen's test in carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Tinel's sign and Phalen's test are two provocative tests used in the diagnosis of carpal tunnel syndrome. A review of the literature reveals a wide range of sensitivity for these tests. Analyzing the historical data and comparing these to the Tinel's sign and Phalen's test results of 100 individuals without carpal tunn...
1
The effects of horse-riding simulator exercise on balance in elderly with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
[Purpose] The aim of this study was to examine the effects of horse-riding simulator exercise on balance in elderly with knee osteoarthritis. [Subjects and
0
The effects of diet and life-style on bone mass in women
Management of Hip Fractures in the Elderly
Osteoporosis is characterized by a reduction in bone density. The majority of Caucasian women are at risk for osteoporosis-related fractures, especially in the wrist, spine, and hip. The degree of fracture risk at a specific bone site is best assessed by measuring the density of the bone with single- and dual-photon ab...
1
Rationale for reduced pressure reaming when stabilizing actual or impending pathological femoral fractures: a review of the literature
MSTS 2018 - Femur Mets and MM
Surgical treatment for impending or actual pathologic femoral fractures due to metastatic carcinoma has been shown to improve pain and quality of life. Surgery usually involves manipulation of the intramedullary (IM) portion of the femur to provide adequate stability and to restore function. IM nailing is generally con...
0
International variation in shoulder arthroplasty
Glenohumeral Joint OA
Background and purpose - The number of shoulder registries increases. We assessed international trends in use of shoulder arthroplasty, and described the current state of procedure selection and outcome presentation as documented in national and regional joint registries.
0
Dental treatment and orthopedic implants--a malpractice case
Dental Implant Infection
A patient who required a revision of a six-year-old hip prosthesis five months following root canal therapy and removal of a root tip subsequently sued his dentist for malpractice. The alleged torts were the presence of a positive culture for lactobacillus--presumably an "oral organism" from the infected hip site one w...
0
Monitoring tumor metastases and osteolytic lesions with bioluminescence and micro CT imaging
MSTS 2018 - Femur Mets and MM
Following intracardiac delivery of MDA-MB-231-luc-D3H2LN cells to Nu/Nu mice, systemic metastases developed in the injected animals. Bioluminescence imaging using IVIS Spectrum was employed to monitor the distribution and development of the tumor cells following the delivery procedure including DLIT reconstruction to m...
0
Third-generation alumina-on-alumina total hip arthroplasty: 14 to 16-year follow-up study
Hip Fx in the Elderly 2019
Ceramic-on-ceramic articulation has the lowest wear with little osteolysis. However, the wear and osteolysis in long-term follow-up are not known. Another concern is ceramic fracture, which might occur after repeated stress during a long period. Ninety hips (76 patients with a mean age of 47 years) that underwent cemen...
0
Crural artery traumatic injuries: treatment with embolization
DoD LSA (Limb Salvage vs Amputation)
The purpose of this paper is to report our experience with the endovascular treatment of crural arterial injuries using transcatheter and direct embolization techniques. A total of eight consecutive patients have been treated during a 7-year period. Six males and two females, mean age 32 years (range, 15-56 years), pre...
1
Unloading knee brace is a cost-effective method to bridge and delay surgery in unicompartmental knee arthritis
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Unloading knee braces can provide good short-term pain relief for some patients with unicompartmental osteoarthritis (UOA). Their cost is relatively small compared with surgical interventions. However, no previous studies have reported their use over a duration of 5 years or more. METHODS: Up to 8 years of ...
1
To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip
Developmental Dysplasia of the Hip CPG
BACKGROUND: The United States Preventive Services Task Force recently determined that they could not recommend any screening strategies for developmental dysplasia of the hip. Disparate findings in the literature and treatment-related problems have led to confusion about whether or not to screen for this disorder. The ...
1
11-year results in 2,846 patients of the Peterborough Hip Fracture Project: reduced morbidity, mortality and hospital stay
Management of Hip Fractures in the Elderly
3,025 consecutive patients presenting over an 11-year period with an acute hip fracture were prospectively studied to determine the effectiveness of a designated hip fracture service. After the introduction of the service, the mean length of hospital stay per patient was reduced from 51 days to 21 days. This reduction ...
0
Health and health care utilisation among asylum seekers and refugees in the Netherlands: design of a study
DoD PRF (Psychosocial RF)
BACKGROUND: This article discusses the design of a study on the prevalence of health problems (both physical and mental) and the utilisation of health care services among asylum seekers and refugees in the Netherlands, including factors that may be related to their health and their utilisation of these services. METHOD...
1
Economic Decision Model Suggests Total Shoulder Arthroplasty is Superior to Hemiarthroplasty in Young Patients with End-stage Shoulder Arthritis
Glenohumeral Joint OA
BACKGROUND: Young patients with severe glenohumeral arthritis pose a challenging management problem for shoulder surgeons. Two controversial treatment options are total shoulder arthroplasty (TSA) and hemiarthroplasty. This study aims to characterize costs, as expressed by reimbursements for episodes of acute care, and...
0
Prevention and treatment strategies of Traditional Chinese and Western Medicine for acute abdomen during the outbreak of COVID-19
Coronavirus Disease 2019 (COVID-19)
At present, the prevention and control of the COVID-19 is still severe, its pathogen SARS-CoV-2 is highly infectious and pathogenic, and the population is generally susceptible. In order to deal with the epidemic, selective operation can be postponed, but most of the patients with acute abdominal diseases are commonly ...
0
Palliative care and pain management
Management of Hip Fractures in the Elderly
Palliative care aims to improve quality of life and relieve suffering for patients with advanced illness and those close to them by specifically addressing communication, symptom management, coordination of care, psychosocial and spiritual realms, grief and bereavement support, and legal and ethical concerns. It has an...
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In vitro invasion assays
MSTS 2018 - Femur Mets and MM
Epithelial ovarian cancer cells spread by two major pathways. One is by exfoliation of tumor cells from the ovarian surface, with resulting implants on peritoneal surfaces such as omentum, diaphragm, and bowel serosa. The second pathway of spread of epithelial ovarian cancer is that of invasion into lymphatic channels,...
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Role of psychosocial factors in the etiology of temporomandibular disorders: relevance of a biaxial diagnosis
DoD PRF (Psychosocial RF)
AIM: The prevalence of temporomandibular disorders (TMD) is higher among women than men, indicating a multifactorial role for gender-related differences in the etiology of TMD: physiological hormonal differences, inflammatory response to stress, and sociocultural differences in response to pain. The aim of this study w...
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The use of kinematic and parametric information to highlight lack of movement and compensation in the upper extremities during activities of daily living
Distal Radius Fractures
A problem that is common to the study of upper limb kinematics and gait analysis is the translation of the evidence from kinematic measurements into easily interpretable information on the status of the patient, such as the amount of compensation or lack of motion. In this study parameters that can be helpful in the ra...
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Postoperative analgesia after triple nerve block for fractured neck of femur
Management of Hip Fractures in the Elderly
Fifty patients with fractured neck of femur that required surgical correction with either a compression screw or pin and plate device were randomly allocated to receive one of two anaesthetic techniques, general anaesthesia combined with either opioid supplementation or triple nerve block (three in one block) with subc...
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Clinical and radiological results of the collarless polished tapered stem at 15 years follow-up
PJI DX Updated Search
We prospectively followed 191 consecutive collarless polished tapered (CPT) femoral stems, implanted in 175 patients who had a mean age at operation of 64.5 years (21 to 85). At a mean follow-up of 15.9 years (14 to 17.5), 86 patients (95 hips) were still alive. The fate of all original stems is known. The 16-year surv...
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The treatment of proximal humeral fractures with antegrade locked intramedullary nail
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Introduction This study describes our experience with antegrade short locked intramedullary nail in the treatment of humeral fractures of the surgical neck and in the ones with extension of the line's fracture in the epiphyseal region. The anterograde closed nails are inserted through a small incision with minimal soft...
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Effects of short-term alendronate on bone mineral density in haemodialysis patients
Management of Hip Fractures in the Elderly
BACKGROUND: Low bone mineral density (BMD) is common in dialysis patients. Low BMD predicts the fracture risk in the general population. Bisphosphonate therapy improves BMD and lowers the fracture risk in many populations, but has not been tested in dialysis patients because of concerns about toxicity. In this investig...
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Superior glenoid inclination and rotator cuff tears
Trial Systematic Review Project
Background: The objectives of this study were to determine whether glenoid inclination (1) could be measured accurately on magnetic resonance imaging (MRI) using computed tomography (CT) as a gold standard, (2) could be measured reliably on MRI, and (3) whether it differed between patients with rotator cuff tears and a...
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Association between the severity of symptomatic knee osteoarthritis and cumulative metabolic factors
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The association between cumulative metabolic syndrome (MS) factors and knee osteoarthritis (KOA) has been highlighted over the past two decades. AIMS: To clarify the relationship between cumulative MS factors and symptomatic KOA. METHODS: A cross-sectional survey involving 119 women aged 45-88 years who wer...
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Changes in hip fracture rate before and after total knee replacement due to osteoarthritis: a population-based cohort study
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVES: Patients with knee osteoarthritis have an increase in bone mass but no corresponding decrease in risk of fracture. This study describes the rates of hip fracture in subjects with knee osteoarthritis before and after having a total knee replacement (TKR), compared with matched controls. METHODS: A population...
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Laryngeal presentation of systemic apolipoprotein a-i-derived amyloidosis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: To study the clinical and pathological characteristics of two patients with laryngeal apolipoprotein A-I (apoA-I)-derived (AApoAI) amyloidosis with the apolipoprotein A-I variants Leu174Ser and Leu178Pro, respectively. The latter variant has not been associated with amyloid before. Study Design: Descriptive ...
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The effect of hospital volume on length of stay, re-admissions, and complications of total hip arthroplasty
PJI DX Updated Search
BACKGROUND AND PURPOSE: Hospital volume has been suggested to be one of the best indicators of adverse orthopedic events in patients undergoing THR surgery. We therefore evaluated the effect of hospital volume on the length of stay, re-admissions, and complications of THR at the population level in Finland. METHODS: 30...
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Effect of joint mobilization techniques for primary total knee arthroplasty: Study protocol for a randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
Background: Total knee arthroplasty (TKA) has become the most preferred procedure by patients for the relief of pain caused by knee osteoarthritis. TKA patients aim a speedy recovery after the surgery. Joint mobilization techniques for rehabilitation have been widely used to relieve pain and improve joint mobility. How...
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A study of factors influencing return to work after wrist or ankle fractures
DoD PRF (Psychosocial RF)
BACKGROUND: Factors associated with time to return to work are poorly understood for occupational injuries, other than those to the back. METHODS: Anonymized data on claims for work-related wrist or ankle fracture between 1/1/1998 and 12/31/2002 were identified in administrative data held by the Workers Compensation Bo...
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Transition from nerve blocks to periarticular injections and emerging techniques in total joint arthroplasty
AAHKS (8) Anesthetic Infiltration
The emergence of procedure-specific multimodal pain management regimens that provide effective control of postoperative pain, while markedly reducing the amount of opioid medication required, has been one of the most important advances in hip and knee replacement in recent years. When peripheral nerve blockade first be...
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The Web-Based Osteoarthritis Management Resource My Joint Pain Improves Quality of Care: A Quasi-Experimental Study
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Despite the availability of evidence-based guidelines for conservative treatment of osteoarthritis (OA), management is often confined to the use of analgesics and waiting for eventual total joint replacement. This suggests a gap in knowledge for persons with OA regarding the many different treatments availa...
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The ultrastructure and biochemistry of meniscal cartilage
AMP (Acute Meniscal Pathology)
The meniscus is characterized at the light microscopic and ultrastructural levels by thick collagen fibers that are predominantly circumferential in orientation. The extracellular matrix of the meniscus is composed mainly of collagen, with smaller quantities of proteoglycans, matrix glycoproteins, and elastin. The coll...
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Antibiotic prophylaxis for bacterial endocarditis--a study of knowledge and application of guidelines among dentists and cardiologists
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Antibiotic prophylaxis and infective endocarditis is a controversial topic. The compliance with available guidelines among dentists is poor. The dental health education of patients by their cardiologists is inadequate. OBJECTIVE: The objective of this study was to investigate the knowledge and application of available ...
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Knee Bone and Cartilage Segmentation Based on a 3D Deep Neural Network Using Adversarial Loss for Prior Shape Constraint
AMP (Acute Meniscal Pathology)
Fast and accurate segmentation of knee bone and cartilage on MRI images is becoming increasingly important in the orthopaedic area, as the segmentation is an essential prerequisite step to a patient-specific diagnosis, optimising implant design and preoperative and intraoperative planning. However, manual segmentation ...