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Early postoperative improvements in the QuickDASH score after distal radius fracture are related to the type of surgical treatment
Distal Radius Fractures
The goal of this prospective study was to evaluate the real-life experience of 52 patients and their recovery kinetics in the first 6 weeks after surgical treatment of distal radius fractures. The fractures were treated with either a fourth-generation volar locking plate (34 patients, mean age 67 years, range 54-82) or...
0
Whole body composition and regional bone mass in women with insulin-dependent diabetes mellitus
Management of Hip Fractures in the Elderly
OBJECTIVE: Reduced bone mass has been reported in adult patients with insulin-dependent diabetes mellitus but there are few data on bone density in the axial skeleton or on whole body composition in this group. The aim of this study was to determine whether whole body and regional bone mass are normal in middle-aged wo...
0
CJ-13610, an orally active inhibitor of 5-lipoxygenase is efficacious in preclinical models of pain
AMP (Acute Meniscal Pathology)
Zileuton, a redox and iron chelator 5-lipoxygenase (5-LOX) inhibitor and, leukotriene receptor antagonists are presently used clinically in the long term treatment of asthma. Recent data implicate 5-LOX pathway in pain signaling. We report 5-LOX expression in the central nervous system (CNS) and analyze the pain effica...
0
Cannulated screw versus Kirschner-wire fixation for Milch II lateral condyle fractures in a paediatric sawbone model: a biomechanical comparison
Pediatric Supracondylar Humerus Fracture 2020 Review
PURPOSE: Lateral condyle fractures of the humerus are common in the paediatric population, accounting for up to 20% of elbow fractures. Traditional management involves internal fixation with Kirschner (K)-wires, however, this has been associated with complications and insufficiently rigid fixation. Recently, cannulated...
0
Living with joint hypermobility syndrome: Patient experiences of diagnosis, referral and self-care
DoD PRF (Psychosocial RF)
Background. Musculoskeletal problems are common reasons for seeking primary health care. It has been suggested that many people with 'everyday' non-inflammatory musculoskeletal problems may have undiagnosed joint hypermobility syndrome (JHS), a complex multi-systemic condition. JHS is characterized by joint laxity, pai...
1
Platelet-rich plasma injection is more effective than hyaluronic acid in the treatment of knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE OF THE STUDY: There is increasing use of platelet-rich plasma (PRP) in orthopaedics as it is a simple, cheap and minimally invasive technique. This study aimed to compare the effects of the use of PRP and hyaluronic acid (HA) injections in the knee of patients diagnosed with and being followed-up for degenerati...
0
Deleterious effects of osteoarthritis on the structure and function of the meniscal enthesis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: The ability of menisci to prevent osteoarthritis (OA) is dependent on the integrity of the complex meniscal entheses, the attachments of the menisci to the underlying subchondral bone (SB). The goal of this study was to determine mechanical and structural changes in meniscal entheses after the onset of OA. D...
0
Inter- and intrarater reliability of two proprioception tests using clinical applicable measurement tools in subjects with and without knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The therapeutic value of proprioceptive-based exercises in knee osteoarthritis (KOA) management warrants investigation of proprioceptive testing methods easily accessible in clinical practice. OBJECTIVE: To estimate inter- and intrarater reliability of the knee joint position sense (KJPS) test and knee forc...
1
Long-term results after Colonna's operation
Developmental Dysplasia of the Hip CPG
A long-term review of 82 patients (117 hips) who had Colonna's operation for congenital dislocation of the hip has been carried out. Although early assessments had shown a high proportion of good results these deteriorated with time. At our latest review of 61 hips, with an average follow-up of 30 years, 34% had modera...
0
Magnetic cell delivery for the regeneration of musculoskeletal and neural tissues
BMAC (Bone Marrow Aspirate Concentrate)
Magnetic targeting is a cell delivery system using the magnetic labeling of cells and the magnetic field; it has been developed for minimally invasive cell transplantation. Cell transplantation with both minimal invasiveness and high efficacy on tissue repair can be achieved by this system. Magnetic targeting has been ...
0
Infections in patients with multiple myeloma in the era of high-dose therapy and novel agents
MSTS 2018 - Femur Mets and MM
The introduction of stem cell transplantation and the novel anti-myeloma agents, bortezomib, thalidomide, and lenalidomide, have improved the outcome of patients with multiple myeloma. These advances have transformed myeloma into a chronic condition, with multiple relapses and salvage therapies, all of which result in ...
0
Reverse hybrid total hip arthroplasty
Hip Fx in the Elderly 2019
Background and purpose - The use of a cemented cup together with an uncemented stem in total hip arthroplasty (THA) has become popular in Norway and Sweden during the last decade. The results of this prosthetic concept, reverse hybrid THA, have been sparsely described. The Nordic Arthroplasty Register Association (NARA...
0
Regional anesthesia for a total knee arthroplasty on an adult patient with spastic diplegia and an intrathecal baclofen pump
AAHKS (9/10) Regional Nerve Blocks
We describe the clinical presentation of a patient with spastic diplegia, and its unique perioperative challenges. Opioids and antispasmodic medications are the primary therapy for managing pain and spasticity in the perioperative setting. However, such combination results in several side-effects and their sedative pro...
0
Epidemiology of osteoporotic fracture in Moldova and development of a country-specific FRAX model
Pediatric Supracondylar Humerus Fracture 2020 Review
Retrospective population-based survey in 2 regions of the Republic of Moldova determined the incidence of fractures at the hip, proximal humerus and distal forearm. The estimated number of such fractures nationwide for 2015 was 11,271 and is predicted to increase to 15,863 in 2050. The hip fracture rates were used to c...
0
Bone strength and muscle properties in postmenopausal women with and without a recent distal radius fracture
Distal Radius Fractures
UNLABELLED: Distal radius (wrist) fracture (DRF) in women over age 50 years is an early sign of bone fragility. Women with a recent DRF compared to women without DRF demonstrated lower bone strength, muscle density, and strength, but no difference in dual-energy x-ray absorptiometry (DXA) measures, suggesting DXA alone...
0
The minimally invasive, orbicularis-sparing, lower eyelid recession for mild to moderate lower eyelid retraction with reduced orbicularis strength
Upper Eyelid and Brow Surgery
IMPORTANCE Identifying a procedure to address lower eyelid retraction (LER) in the presence of an orbicularis deficit is a useful tool for aesthetic and reconstructive eyelid surgery. OBJECTIVE To describe and evaluate a surgical technique consisting of a closed canthal suspension and true lower eyelid retractor recess...
0
Pin Site Complications Associated With Computer-Assisted Navigation in Hip and Knee Arthroplasty
DoD SSI (Surgical Site Infections)
BACKGROUND: There has been a great increase in the use of navigation technology in joint arthroplasty. In most types of navigation-assisted surgery, several temporary navigation pins are placed in the patient. Goals of this study are (1) to identify complications and (2) risk factors associated with placement of these ...
1
Fifteen-year follow-up of arthroscopic partial meniscectomy
AMP (Acute Meniscal Pathology)
From an original pool of 283 patients, 146 patients who had undergone arthroscopic partial meniscectomy an average of 14.7 years before were followed-up. Lysholm score, Tegner activity level, satisfaction index on a scale of 1 to 10, and standing anteroposterior and flexion weight-bearing radiographs of both knees, wer...
0
Knee arthrodesis for failed total knee arthroplasty
PJI DX Updated Search
The irretrievably failed total knee is a difficult problem with few good solutions. Arthrodesis, initially used for native joint pathology, is most commonly performed today for the irretrievably failed total knee. Knee arthrodesis can allow patients to remain independent and ambulatory. Attempting a fusion in a knee wi...
0
Clindamycin-associated pseudomembranous colitis: a potentially fatal adverse drug reaction
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Clinicians should be aware of the possible reactions to the use of clindamycin in treatment of oral and other infections. The clinical symptoms of pseudomembranous colitis, a potentially lethal condition, are described, and the literature is reviewed
1
Lateral meniscal posterior root tears experience acceptable healing status after transtibial repair technique
AMP (Acute Meniscal Pathology)
PURPOSE: To evaluate patient MRI results, demography and clinical outcome following transtibial repair of lateral and medial meniscal posterior root tears. METHODS: Patients treated with transtibial repairs of posterior meniscal root tears from 2015 through 2018 performed pre- and postoperative MRI scans. Outcome measu...
0
The goniometer device: Special equipment designed for symmetric mammoplasty planning and photo-symmetry analysis technique
Reduction Mammoplasty for Female Breast Hypertrophy
Introduction. Preoperative planning is an essential prerequisite for the success of plastic surgery. In procedures such as breast reduction, freehand drawings may be associated with a number of challenges during the determination of axes vertical and parallel to the surgical site. Furthermore, many procedures involve s...
0
Body composition and hip fracture type in elderly women
Management of Hip Fractures in the Elderly
Many observations support the view that there are significant differences between patients sustaining trochanteric fractures and those sustaining cervical fractures of the hip. Our aim was to evaluate the association between soft tissue composition (fat and lean compartments) and the type of hip fracture sustained. Of ...
0
A Web-Based Calculator for Predicting the Occurrence of Wound Complications, Wound Infection, and Unplanned Reoperation for Wound Complications in Patients Undergoing Surgery for Spinal Metastases
MSTS 2022 - Metastatic Disease of the Humerus
Background: In the present study, we identified the risk factors for wound complications, wound infection, and reoperation for wound complications after spine metastasis surgery and deployed the resultant model as a web-based calculator. Methods: Patients treated at a single comprehensive cancer center during a 7-year ...
0
A Galeazzi-variant type fracture-dislocation in adults
Distal Radius Fractures
OBJECTIVE: Fracture of either radius or ulna with a dislocation either at the proximal or distal radioulnar joint (DRUJ) is not a common injury and is inherently unstable. Here we report a case series, with both-bone forearm fractures associated with dislocation of DRUJ, as a Galeazzi-variant type fracture-dislocation,...
0
Total Hip Intraoperative Femur Fracture: Do the Design Enhancements of a Second-Generation Tapered-Wedge Stem Reduce the Incidence?
Hip Fx in the Elderly 2019
BACKGROUND: Intraoperative femur fracture (IFF) is a well-known complication in primary uncemented total hip arthroplasty (THA). Variations in implant instrumentation design and operative technique may influence the risk of IFF. This study investigates IFF between a standard uncemented tapered-wedge femoral stem and it...
0
The effect of monthly ibandronate on bone mineral density and bone turnover markers in patients with haemophilia A and B and increased risk for fracture
Hip Fx in the Elderly 2019
Haemophilia A and B have been associated with increased prevalence of low bone mineral density (BMD). However, no study has so far evaluated the effects of anti-osteoporotic therapy on BMD in haemophilia. The primary endpoint of this prospective study was to estimate the effect of 12-month therapy of oral ibandronate 1...
0
Long PHILOS plate fixation in a series of humeral fractures
Hip Fx in the Elderly 2019
AIM: The purpose of the article is to highlight a specific fracture pattern encountered by us in the osteoporotic upper humerus. We present our results of management of such metadiaphyseal fractures of the upper humerus with less invasive plating. The additional steps taken to improve final outcome and the reasoning be...
0
Osteoarthritis: rational approach to treating the individual
Surgical Management of Osteoarthritis of the Knee CPG
Osteoarthritis (OA) is the most common form of joint disease and the leading cause of pain and physical disability in older people. Risk factors for incidence and progression of osteoarthritis vary considerably according to the type of joint. Disease assessment is difficult and the relationship between the radiographic...
0
Ghost surgery: the ethical and legal implications of who does the operation
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Case 1: A patient who is rehospitalized for complications after shoulder arthroscopy discovers that his surgeon's partner performed the operation. The orthopaedists contend that they practice as a "team," deciding who does the specific case just prior to the operation(1). Case 2: Arthroscopic partial meniscectomy is pe...
0
Functional malcentering of the humeral head and asymmetric long-term stress on the glenoid: potential reasons for glenoid loosening in total shoulder arthroplasty
Glenohumeral Joint OA
We tested the hypothesis that functional malcentering of the humeral head during arm elevation exists in patients with glenohumeral osteoarthritis and influences long-term glenoid loading. Twenty-eight healthy volunteers and 10 patients with primary osteoarthritis, 10 with cuff-arthropathy, and 1 with dysplastic glenoi...
0
Risk factors for readmission within thirty days following revision total hip arthroplasty
AAHKS (2) Corticosteroids
Background: The number of total hip arthroplasties (THA) being performed has been steadily increasing for decades. With increased primary THA surgical volume, revision THA numbers are also increasing at a steady pace. With the aging, increasingly comorbid patient populations and newly imposed financial penalties for ho...
0
What Is the Adverse Event Profile After Prophylactic Treatment of Femoral Shaft or Distal Femur Metastases?
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Prophylactic surgical treatment of the femur is commonly offered to patients with metastatic disease who have a high risk of impending pathologic fracture. Prophylactic fixation is associated with improved functional outcomes in appropriate patients selected based on established criteria, but the perioperat...
1
Comparison of clinical, MRI and arthroscopic assessments of chronic ACL injuries, meniscal tears and cartilage defects
AMP (Acute Meniscal Pathology)
PURPOSE: The aim of this study was to compare the accuracy of clinical examination to that of MRI evaluated by two independent radiologists for the diagnosis of meniscal tears and chronic anterior cruciate ligament injuries and to assess the MRI accuracy in the diagnosis of cartilage defects. METHODS: Seventy-six conse...
0
Combining epidural fentanyl and lidocaine for postoperative pain
AAHKS (8) Anesthetic Infiltration
Fifteen patients undergoing total hip and total knee replacement were studied prospectively to evaluate postoperative pain relief provided by an epidural infusion of fentanyl citrate, with and without lidocaine hydrochloride, and changes in arterial flow to the lower extremities. The patients were randomly placed in th...
0
Prevalence of hip fracture risk factors in women aged 70 years and over
HipFx Supplemental Cost Analysis
We estimated the prevalence of common risk factors for hip fracture and the numbers needed to treat (NNT) to prevent a hip fracture in various high-risk population groups, using a postal risk factor survey of women aged 70 years and above from General Practices in Grampian and Yorkshire. Recorded risk factors included ...
0
High bone turnover is associated with accelerated bone loss but not with increased fracture risk in men aged 50 and over: the prospective MINOS study
Management of Hip Fractures in the Elderly
OBJECTIVES: The association of bone turnover markers (BTM) with bone loss and fracture risk in men is poorly studied. The morphological basis of such a relationship is unknown. The objective of this study was to evaluate the association between baseline BTM levels and subsequent bone loss and fracture risk in men. METH...
0
Intramedullary nail fixation for the treatment of pathologic humeral shaft fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
The goal of this study was to report the clinical outcomes of pathologic humeral shaft fractures treated with reamed or unreamed intramedullary nail fixation in an era of longer patient survival. A retrospective review was conducted of all patients who underwent intramedullary nail fixation performed by a single surgeo...
0
Unexplained proximal tibiofibular joint pain after high tibial osteotomy
OAK 3 - Non-arthroplasty tx of OAK
Problems of the proximal tibiofibular joint (pTFj) after high tibial osteotomy (HTO) are rare. With this case report, we strive to highlight the importance of investigating the pTFj in patients with unexplained knee pain after HTO. A 44 year old male patient presented with diffuse pain on his left knee 3 years after me...
1
Association between the initial anatomical severity and opportunity of return to work in occupational hand injured patients
DoD PRF (Psychosocial RF)
BACKGROUND: The severity of the injury is the most important factor to return to work (RTW) when it comes to hand injuries. The purpose of our study is to examine the relationship between the initial anatomic severity, evaluated by the Hand Injury Severity Scoring (HISS) system, and probability of RTW in occupational h...
0
POCD in patients receiving total knee replacement under deep vs light anesthesia: A randomized controlled trial
AAHKS (9/10) Regional Nerve Blocks
Objectives: Clinical observation, as well as randomized controlled trials, indicated an increasing rate of postoperative cognitive dysfunction (POCD) with increasing depth of general anesthesia. However, the findings are subject to bias due to varying degree of analgesia. In this trial, we compared the rate of POCD bet...
0
Occupational needs and priorities of women experiencing homelessness: Les besoins et priorites occupationnels des femmes en situation d'itinerance
DoD PRF (Psychosocial RF)
BACKGROUND: Women in unstable housing or who are homeless experience disruptions of occupational engagement and performance. Little is known about their perspective on their occupational needs and priorities. PURPOSE: This study aimed to determine how patterns of occupational engagement and performance are facilitated ...
1
Race may not affect [correct] outcomes in operatively treated tibia fractures
DoD SSI (Surgical Site Infections)
BACKGROUND: A recent review of the literature found worse outcomes and longer length of stay for minorities undergoing TKAs and THAs when compared with whites. It is unclear if this association exists for the operative treatment of tibia fractures. QUESTIONS/PURPOSES: The purpose of this study is to determine if there ...
0
Phase III Study of CG100649 in Osteoarthritis Patients
OAK 3 - Non-arthroplasty tx of OAK
1. Number of Subjects: 350 (2:2:1 ratio of experimental vs. active comparator vs. placebo comparator) 2. Adverse Events will be coded to preferred term and body system using the Medical Dictionary for Regulatory Activities (MedDRA)
0
Continuous Adductor Canal Block (CACB) vs. Combined Spinal Epidural (CSE) in Total Knee Arthroplasty
AAHKS (8) Anesthetic Infiltration
Purpose: Compare continuous adductor canal block (CACB) to Combined Spinal Epidural (CSE) for total knee arthroplasty in terms of mobility, post�operative pain, and analgesic use. Hypothesis: CACB will provide better mobility than CSE post operatively. Background/Scientific Review: Total knee arthroplasty (TKA) is as...
1
Racial disparities in clinical presentation, type of intervention, and in-hospital outcomes of patients with metastatic spine disease: An analysis of 145,809 admissions in the United States
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Race is an important determinant of cancer outcome. The purpose of this study was to identify disparities in clinical presentation, treatment use, and in-hospital outcomes of patients with spinal metastases. METHODS: The United States National Inpatient Sample database (2004-2014) was queried to identify pa...
1
Responsiveness of the Korean version of the Michigan Hand Outcomes Questionnaire after carpal tunnel release
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: The Korean version of the Michigan Hand Outcomes Questionnaire (K-MHQ) was recently validated; however, the questionnaire's responsiveness as well as the degree to which the instrument is sensitive to change has not been thoroughly evaluated in a specific condition in Koreans. We evaluated the responsivenes...
0
Usefulness of the bilateral anterior rectus abdominis sheath turnover flap method for early fascial closure in patients requiring open abdominal management
DOD - Acute Comp Syndrome CPG
BACKGROUND: Many patients requiring conventional open abdominal management need a postoperative intermediate period with a large ventral hernia. This situation, in which the granulated abdominal contents are covered only with a skin graft, carry with it a high risk of enterocutaneous fistula, and the patients ultimatel...
1
Treatment and outcome of malignant bone tumors of the proximal humerus: biological versus endoprosthetic reconstruction
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: The purpose of this study was to compare the outcome, complications and survival of the commonly used surgical reconstructions of the proximal humerus after intrarticular tumour resection in our hospital. METHODS: Between 1998 and 2010, 41 consecutive proximal humeral reconstructions using prosthesis (group...
0
Prospective, Randomized, Double-Blind Evaluation of the Efficacy of a Single-Dose Hyaluronic Acid for the Treatment of Patellofemoral Chondromalacia
OAK 3 - Non-arthroplasty tx of OAK
Background: Patellofemoral pain is common in the young and active populations. Nonoperative management is limited and focuses on physical therapy. Hyaluronic acid (HA) is an injectable device that has been used for the treatment of knee osteoarthritis. Hypothesis: A single injection of HA would reduce pain and improve ...
0
Physicians' ability to manually detect isolated elevations in leg intracompartmental pressure
DOD - Acute Comp Syndrome CPG
BACKGROUND: Serial physical examination is recommended for patients for whom there is a high index of suspicion for compartment syndrome. This examination is more difficult when performed on an obtunded patient and relies on the sensitivity of manual palpation to detect compartment firmness-a direct manifestation of in...
0
Direct-to-Implant Extracellular Matrix Hammock-based Breast Reconstruction; Prepectoral or Subpectoral?
Acellular Dermal Matrix
BACKGROUND: Skin-sparing mastectomy followed by immediate implant-based breast reconstruction is a commonly used treatment for breast cancer. However, when placing the implant in a subpectoral pocket, a high incidence of breast animation deformity (BAD) has been reported. Besides the nuisance that BAD can cause, liftin...
1
Efficacy of tranexamic acid on blood loss after primary cementless total hip replacement with rivaroxaban thromboprophylaxis: A case-control study in 70 patients
Hip Fx in the Elderly 2019
Introduction: Perioperative blood loss is a frequent cause of complications in total hip replacement (THR). The present prospective study assessed the efficacy of tranexamic acid (Exacyl®) in reducing blood loss in primary THR associated to rivaroxaban (Xarelto®) thromboprophylaxis. Hypothesis: Tranexamic acid associ...
0
Oxygen and reactive oxygen species in cartilage degradation: friends or foes?
SR for PM on OA of All Extremities
OBJECTIVES: This review is focused on the influence of oxygen and derived reactive species on chondrocytes aging, metabolic function and chondrogenic phenotype. METHODS: A systematic computer-aided search of the Medline database. RESULTS: Articular cartilage is an avascular tissue, and consequently oxygen supply is red...
1
Platelet-rich plasma prevents blood loss and pain and enhances early functional outcome after total knee arthroplasty: a prospective randomised controlled study
PRP (Platelet-Rich Plasma)
PURPOSE: The purpose of this study was to determine whether platelet-rich plasma (PRP) might prevent blood loss and postoperative pain and expedite wound healing following total knee arthroplasty (TKA). METHODS: Forty consecutive patients with knee arthritis who were matched for age, sex and body mass index (BMI) were ...
1
Descending necrotizing anterior mediastinitis: analysis of survival and surgical treatment modalities
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
PURPOSE: Descending necrotizing anterior mediastinitis (DNAM) is a severe infectious disease with a very high mortality rate. The aim of this study was to define the impact of several clinical factors on survival. PATIENTS AND METHODS: Between 1985 and 2002, 27 patients were managed for DNAM, 11 with combined transthor...
0
Nickel contamination from an intravenous catheter used for infusion
Management of Hip Fractures in the Elderly
At the outset of a clinical research project involving metal analyses on patients receiving metal devices in conjunction with hip fractures, unexpected high concentrations of nickel were discovered in serum samples taken before surgery. The median nickel concentration in 30 patients was 4.6 microg/l (highest 19.5 micro...
0
The blind men 'see' the elephant-the many faces of fatty liver disease
Panniculectomy & Abdominoplasty CPG
Nonalcoholic fatty liver disease (NAFLD) is a group of diseases with excess fat in liver in the absence of a poorly defined limit of alcohol consumption. Most common variety, a universal public health problem, is associated with insulin resistance caused by a host of genetic and epigenetic defects modulated by life sty...
1
Triangular mattress suture in abdominal diastasis to prevent epigastric bulging
Panniculectomy & Abdominoplasty CPG
In the classic abdominoplasty, the treatment of large diastasis recti with simple or vertical mattress sutures may result in a nonaesthetic bulge. The surgeon may produce a craniocaudal bulge deformity by treating the flaccidity in the horizontal plane only, although it occurs in all directions. The authors describe th...
0
Evaluation of an ambulatory system for gait analysis in hip osteoarthritis and after total hip replacement
Management of Hip Fractures in the Elderly
Spatial and temporal parameters of gait have clinical relevance in the assessment of motor pathologies, particularly in orthopaedics. A new gait analysis system is proposed which consists of (a) an ambulatory device (Physilog) including a set of miniature gyroscopes and a portable datalogger, and (b) an algorithm for g...
0
Open fracture care during war: Opportunities for research
DOD - Acute Comp Syndrome CPG
Reported infection rates following severe open fractures of the lower extremity sustained in combat have varied widely, from 23% to 85%. The infection rates have been either similar to or higher than those reported in the civilian trauma literature. Deployed surgeons have increased the frequency of fasciotomy procedure...
0
Intraoperative soft tissue balance reflects minimum 5-year midterm outcomes in cruciate-retaining and posterior-stabilized total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
With the use of an offset type tensor for total knee arthroplasties (TKAs), intraoperative soft tissue balance including the joint component gap and ligament balance was measured in 41 varus-type osteoarthritic patients (19 cruciate-retaining [CR] TKAs and 22 posterior-stabilized [PS] TKAs), and the correlations betwee...
1
Does cubitus varus cause morphologic and alignment changes in the elbow joint?
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: In cubitus varus after pediatric supracondylar fracture, late development of trochlear deformity causing additional varus angulation and joint misalignment relating to late complications of the tardy ulnar nerve palsy or posterolateral rotatory instability have been suggested. However, it is unclear whether...
1
Effect of weight maintenance on symptoms of knee osteoarthritis in obese patients: a twelve-month randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To compare results of obese patients with knee osteoarthritis (OA) who, after an intensive weight loss regimen, received 1 year of either dietary support (D), a knee-exercise program (E), or "no attention" (C; control group). METHODS: We conducted a randomized, 2-phase, parallel-group trial. A total of 192 o...
0
Outcome of a pulmonary metastasectomy for an orthopedic malignancy
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVE: The purpose of this study was to examine the pulmonary metastatic results in patients with orthopedic malignancies. METHODS: Forty-three consecutive patients who underwent a resection of a pulmonary metastasis from an orthopedic malignancy in our hospital were retrospectively investigated. The survival follo...
0
The anatomical site of synovial fluid sampling from the osteoarthritic knee: Does it matter?
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: End-stage anteromedial knee OA (AMOA) is associated with limited lateral joint space narrowing osteophytosis or synovitis. Synovial fluid (SF) is a non-Newtonian biological fluid with a complex nonhomogenous matrix. Despite the free flow of SF within the knee, this raises the possibility of compartment-specifi...
0
Deterioration in quality of life following hip fracture: a prospective study
HipFx Supplemental Cost Analysis
To examine longitudinal change in health-related quality of life (HRQoL) following hip fracture in elderly subjects, 32 patients with hip fractures and 29 sex-matched non-fracture control subjects (mean +/- SD age 82 +/- 8 and 86 +/- 6 years respectively) were enrolled in a prospective, case-control study. Fracture sub...
0
Longitudinal joint loading in patients before and up to one year after unilateral total hip arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
Abnormal kinematics and kinetics have been reported in hip osteoarthritis (OA) patients before and after total hip arthroplasty (THA). These changes can affect the loading of the ipsilateral hip, as well as the contralateral hip and knee joint. As it is not clear how hip and knee loading evolves in THA patients during ...
0
Risk factors for hip fracture in skilled nursing facilities: who should be evaluated?
Management of Hip Fractures in the Elderly
This paper aims to identify risk factors for hip fracture in Medicare skilled nursing facility (SNF) residents and to develop a predictive model based on routinely collected administrative data (the Minimum Data Set, MDS) to identify high-risk residents. Prospective cohort study of 28,807 North Carolina Medicare SNF re...
0
Unicompartmental knee replacement after high tibial osteotomy: Invalidating a contraindication
PJI DX Updated Search
The outcome of high tibial osteotomy (HTO) deteriorates with time, and additional procedures may be required. The aim of this study was to compare the clinical and radiological outcomes between unicompartmental knee replacement (UKR) and total knee replacement (TKR) after HTO as well as after primary UKR. A total of 63...
0
The floating hip. Ipsilateral pelvic and femoral fractures
Management of Hip Fractures in the Elderly
A consecutive series is reported of 17 patients who underwent early surgical treatment for acetabular or unstable pelvic fractures associated with ipsilateral fractures of the femur. Treatment included external and internal fixation, and required careful consideration of the surgical approach and the positioning of the...
0
Anti-Tumor Activity and Immunotherapeutic Potential of a Bisphosphonate Prodrug
MSTS 2018 - Femur Mets and MM
Bisphosphonates have benefits in breast cancer and multiple myeloma patients and have been used with adoptive immunotherapy with gammadelta T cells expressing Vgamma2Vdelta2 TCRs. Although treatment with gammadelta T cells is safe, it has shown limited efficacy. Present bisphosphonates stimulate gammadelta T cells but ...
0
Emergency Orthogeriatrics: Concepts and Therapeutic Alternatives
Distal Radius Fractures
Multidisciplinary orthogeriatric care can enhance prompt ED diagnosis, optimal pre- and postoperative care, and functional recovery in older adults with bony injuries. Emergency care providers should be cognizant of prevalent geriatric syndromes including delirium and standing level falls to minimize fracture-related m...
0
Feasibility of pre-operative autologous blood donation in Indian patients with elective orthopaedic surgery
Management of Hip Fractures in the Elderly
Background & objectives: Pre-operative autologous blood donation (PABD) in elective orthopaedic surgeries is a well known procedure in the West. We initiated this programme at a tertiary care hospital in north India to study its feasibility in Indian patients. Methods: In a prospective case-control study, 144 patients ...
0
Anterior knee pain in the athlete
Osteochondritis Dissecans 2020 Review
Given that the patellofemoral joint is one of the most highly loaded in the human body, the high prevalence of anterior knee pain (AKP) in athletes is unsurprising. Athletes with AKP present a significant diagnostic and therapeutic challenge. A clear understanding of the etiology of patellofemoral pain in this populati...
0
Total knee arthroplasty after patellectomy: A meta-analysis of caseâ??control studies
OAK 3 - Non-arthroplasty tx of OAK
Background Post-patellectomy patients represent a specific subset of patients who can develop painful and disabling knee osteoarthritis that requires Total Knee Arthroplasty (TKA). The aim of this study was to conduct a meta-analysis comparing the outcome of TKA in patients with previous patellectomy to those with an i...
0
Treatment of subcapital femoral fractures by primary total hip replacement
Management of Hip Fractures in the Elderly
Primary total hip replacement for displaced subcapital fractures may be performed with an acceptable mortality. The majority of a series of patients who were reviewed after operation experienced few symptoms and 87 per cent were able to walk independently. These results compared favourably with other forms of managemen...
0
Nerve potentials and afferent conduction velocities in the differential diagnosis of amyotrophy of the hand
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Nerve action potentials recorded over the elbow after stimulation of the wrist were studied in patients with hand amyotrophy of different origin. In amyotrophic lateral sclerosis the amplitude of nerve action potentials does not change significantly even with extreme muscle wasting and loss of motor units.Studies of mu...
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Disaster recovery management in Australia and the contribution of social work
DoD PRF (Psychosocial RF)
This article describes Australia's broad disaster recovery planning and management approach, adopting a social and community recovery perspective. The role of social work in Australian disaster recovery management is discussed, and its increasing assertion and maturation of practice. Theoretical underpinnings include t...
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Reversing the polarity of a cochlear implant magnet after magnetic resonance imaging
PJI DX Updated Search
The number of patients with cochlear implant (CI) has been rapidly increasing in recent years, and these patients show a growing need of examination by magnetic resonance imaging (MRI). However, the use of MRI on patients with CI is restricted by the internal magnet of the CI. Many studies have investigated the safety ...
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Falls and hip fracture. A reasonable basis for possibilities for prevention? Some preliminary data from the MEDOS study
Management of Hip Fractures in the Elderly
The Mediterranean Osteoporosis Study (MEDOS), a multicentre study on incidence, risk factors, and means of prevention of hip fracture in the Mediterranean region, started in 1986 and involved 14 centres, in Portugal, Spain, France, Italy, Greece, and Turkey. The design includes a case-control study comparing 8,185 indi...
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Bacteriological profile and antibiotic susceptibility pattern of neonatal sepsis at a teaching hospital in Bayelsa state, Nigeria
Patrick’s pharmacoepidemiology project
Background: Sepsis is one of the most common causes of neonatal hospital admissions and is estimated to cause 26% of all neonatal deaths worldwide. While waiting for results of blood culture, it is necessary to initiate an empirical choice of antibiotics based on the epidemiology of causative agents and antibiotic sens...
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Cross-cultural adaptation and validation of the Romanian International Knee Documentation Committee-subjective knee form
AMP (Acute Meniscal Pathology)
AIM: We aimed to translate and cross-culturally adapt the International Knee Documentation Committee-subjective knee form (IKDC) in Romanian. METHOD: The original (US) IKDC-subjective knee form was translated according to recommended guidelines. Validity was tested using Spearmans's correlation coefficient between scor...
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The influence of patella height on soft tissue balance in cruciate-retaining and posterior-stabilised total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: Although the patella reduced or everted position has recently been recognised as an important factor influencing soft tissue balance during assessment in total knee arthroplasty (TKA), the influence of patella height on soft tissue balance has not been well addressed. Therefore, the relationship between soft t...
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Revascularization Of Late-Presenting Acute Limb Ischaemia And Limb Salvage
DOD - Acute Comp Syndrome CPG
BACKGROUND: Late-presenting acute limb ischaemia represents a challenging vascular emergency. The purpose of this study was to evaluate the outcome in patients following revascularization and management of existing or impending reperfusion injury of ischaemic limbs over a 12-year period (2002-2014). METHODS: Routine pr...
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Prevalence and risk factors for agents causing diarrhea (Coronavirus, Rotavirus, Cryptosporidium spp., Eimeria spp., and nematodes helminthes) according to age in dairy calves from Brazil
Coronavirus Disease 2019 (COVID-19)
The present study attempted to verify the prevalence of and risk factors for diarrhea-causing agents in dairy calves from Brazil. Additionally, ages with a higher risk of occurrence for each agent were verified by means of the receiver operating characteristic (ROC) curve. The collections were performed on 39 farms, be...
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Radiological Assessment of Giant Cell Tumour of Bone in the Sacrum: From Diagnosis to Treatment Response Evaluation
MSTS 2022 - Metastatic Disease of the Humerus
Giant cell tumour of bone (GCTB) typically occurs in young adults from 20-40 years old. Although the majority of lesions are located in the epi-metaphyses of the long bones, approximately one third of tumours are located in the axial skeleton, of which only 4% in the sacrum. Sacral tumours tend to be large at the time ...
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Current concepts of the role of abdominal compartment syndrome in acute pancreatitis - an opportunity or merely an epiphenomenon
DOD - Acute Comp Syndrome CPG
The association of acute pancreatitis (AP) with intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) has only recently been recognized. The detrimental effects of raised intra-abdominal pressure in cardiovascular, pulmonary and renal systems have been well established. Although IAH was associated...
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Total femur replacement: A limb-saving strategy for patients with primary malignant femoral tumors
DoD LSA (Limb Salvage vs Amputation)
Objective: The treatment of primary malignant tumors with skip or extensive bone destruction in the femur is a major challenge. We investigated the clinical effects of total femur replacement (TFR) in patients with primary malignant femoral tumors. Methods: Eleven cases of primary malignant femoral tumors treated with ...
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Complex limb salvage or early amputation for severe lower-limb injury: a meta-analysis of observational studies
DoD LSA (Limb Salvage vs Amputation)
PURPOSE: Leg threatening injuries present patients and clinicians with a difficult decision: whether to pursue primary amputation or limb salvage? The purpose of our study was to review the literature in an effort to inform this management decision. METHODS: We systematically searched and selected observational studies...
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Antimicrobial susceptibilities of enteric bacterial pathogens isolated in Kathmandu, Nepal, during 2002-2004
Patrick’s pharmacoepidemiology project
INTRODUCTION: The prevalence and antimicrobial susceptibility patterns of the bacterial enteropathogens Vibrio cholerae, Salmonella species and Shigella species were investigated. METHODOLOGY: A total of 877 stool samples were received for culture at the National Public Health Laboratory (NPHL), Kathmandu, Nepal, durin...
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Association of medial meniscal extrusion with medial tibial osteophyte distance detected by T2 mapping MRI in patients with early-stage knee osteoarthritis
AMP (Acute Meniscal Pathology)
BACKGROUND: Medial meniscal extrusion (MME) is associated with progression of medial knee osteoarthritis (OA), but no or little information is available for relationships between MME and osteophytes, which are found in cartilage and bone parts. Because of the limitation in detectability of the cartilage part of osteoph...
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Correlation between EMG-based co-activation measures and medial and lateral compartment loads of the knee during gait
AMP (Acute Meniscal Pathology)
Background Inappropriate tibiofemoral joint contact loading during gait is thought to contribute to the development of osteoarthritis. Increased co-activation of agonist/antagonist pair of muscles during gait has commonly been observed in pathological populations and it is thought that this results in increased articul...
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Estramustine, Docetaxel and Zoledronate Treatment in Hormone-Refractory Adenocarcinoma of the Prostate
MSTS 2018 - Femur Mets and MM
Hormone refractory prostate cancer refers to advanced disease in which the patient no longer responds to conventional hormonal treatment. When hormone therapy is no longer successful, chemotherapy is a treatment option. However, current singleÎ?Ã?Ã?agent treatment has shown to have limited benefit. In this clinical tra...
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Sclerostin expression in the subchondral bone of patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
The aim of this study was to assess the expression of beta-catenin, transcription factor-4 (TCF-4) and sclerostin in the subchondral bone of patients with primary knee osteoarthritis (OA). Tibial plateau specimens from patients with OA who underwent total knee arthroplasty were classified into the early stage (n=15), i...
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Meta-analyses of genes modulating intracellular T3 bio-availability reveal a possible role for the DIO3 gene in osteoarthritis susceptibility
SR for PM on OA of All Extremities
OBJECTIVE: To study whether common genetic variants of the genes involved in the complex regulatory mechanism determining the intracellular bio-availability of T3 influence osteoarthritis onset. METHODS: In total 17 genetic variants within the genes encoding WD40-repeat/SOCS-box protein 1, ubiquitin specific protease 3...
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A model to guide the rehabilitation of high-functioning employees after mild brain injury
DoD PRF (Psychosocial RF)
Impairment in executive functioning can occur after mild stroke, mild Traumatic Brain Injury, and neurodegenerative disease, and this can have deleterious effects on employment outcomes, occupational functioning, and general quality of life. What is not as well identified is the symbiotic relationship between executive...
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Carpal tunnel syndrome: assessment by turbo spin echo, spin echo, and magnetization transfer imaging applied in a low-field MR system
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
PURPOSE: The purpose of this work was to evaluate patients with carpal tunnel syndrome (CTS) using a low-field extremity MR system (E-MRI: 0.2 T). METHOD: Twenty-two patients with typical findings of CTS and 30 control persons were imaged on an E-MRI. Axial T2-weighted turbo SE (TSE), T1-weighted SE sequences, and 2D G...
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To evaluate the effectiveness of combined chain exercises on pain in female patients suffering with osteoarthritis of knee
OAK 3 - Non-arthroplasty tx of OAK
Introduction: Osteoarthritis (OA) is a condition marked by two features, the progressive destruction of articular cartilages and formation of bone at the margins of the joint. OA is the most common type of arthritis mainly in older people. At times it is also called as degenerative joint disease. OA occurs in old age, ...
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Associations Between Delirium and Preoperative Cerebrospinal Fluid C-Reactive Protein, Interleukin-6, and Interleukin-6 Receptor in Individuals with Acute Hip Fracture
Hip Fx in the Elderly 2019
OBJECTIVES: To examine whether delirium in individuals with hip fracture is associated with high C-reactive protein (CRP), interleukin-6 (IL-6), and soluble IL-6 receptor (sIL-6R) levels in the cerebrospinal fluid (CSF). DESIGN: Prospective cohort study. SETTING: Two university hospitals in Oslo, Norway, and Edinburgh,...