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Meniscal transplantation: still experimental surgery? A review
AMP (Acute Meniscal Pathology)
INTRODUCTION: The objective of this review is to give a state of affairs of meniscal transplantation, with the accent on preservation and surgical techniques. MATERIALS AND METHODS: All articles were selected by performing a search on the literature by using relevant keywords. The most relevant articles were selected w...
0
No Difference in Clinical and Radiologic Outcomes After Total Knee Arthroplasty With a New Ultra-Congruent Mobile Bearing System and Rotating Platform Mobile Bearing Systems After Minimum 5-Year Follow-Up
PJI DX Updated Search
We retrospectively compared the clinical and radiographic results between 76 primary total knee arthroplasties (TKAs) using the e.motion Ultra-Congruent prosthesis and 155 primary TKAs using the Low Contact Stress rotating platform. All patients had a minimum 5-year follow-up. Range of motion, Hospital for Special Surg...
0
Percutaneous embolization of bony pelvic neoplasms with tissue adhesive
MSTS 2018 - Femur Mets and MM
Eight patients with tumors of the bony pelvis underwent embolization with isobutyl-2-cyanoacrylate (IBCA). Five patients had primary bone tumors, of which 2 were malignant and 3 were benign; 3 patients had metastases to the bony pelvis from the thyroid gland, kidney, and femur, respectively. Embolization was performed ...
0
Metastatic ovarian malignant melanoma with no obvious primary
MSTS 2018 - Femur Mets and MM
The differential diagnosis of metastatic ovarian malignant melanoma from primary ovarian tumors is a significant challenge, particularly if there is no obvious primary site. A 39-year-old patient with bilateral ovarian malignant melanoma presented as stage IV primary ovarian tumor, with metastases in the omentum and sp...
0
Imaging of skeletal extremity trauma: A review
Distal Radius Fractures
Successful treatment of trauma to the skeletal system begins with accurate diagnosis, which entails the need for a thorough clinical assessment in addition to a well-performed and correctly interpreted radiographic examination. The physician dealing with skeletal trauma should be aware that certain activities (falls, s...
1
Return to play following surgical treatment of meniscal and chondral injuries to the knee
AMP (Acute Meniscal Pathology)
Much has been written in the sports medicine literature regarding return to competition following anterior cruciate ligament reconstruction; however, little scientific work has been done regarding the return to competition following meniscal surgery or cartilage surgery. This article reviews the basic science of menisc...
0
Pharmacological treatment of osteoporosis for people over 70
HipFx Supplemental Cost Analysis
Osteoporosis has been defined as "a systemic disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with consequent increase in bone fragility and susceptibility to fracture". The impact of osteoporosis is most pronounced in elderly populations who run the greatest risk of fractures...
0
Unilateral external fixator combined with simple internal fixation for severe open tibia-fibular fracture
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVE: To improve the treatment for severe open tibia-fibular fracture. METHODS: From 1994 to 2000, 146 patients with severe open tibia-fibular fracture were treated. According to Gustilo classification, all patients were of type III. Among them, 96 patients belonged to III A, 36 III B, and 18 III C. One hundred an...
0
General practice service use and satisfaction among female survivors of childhood sexual abuse
DoD PRF (Psychosocial RF)
BACKGROUND: Because childhood sexual abuse (CSA) and adult violence are associated with poorer physical and mental health of women, our aim was to investigate the associations between CSA, adult violence experiences and general practice service use and satisfaction in a community sample of Australian women aged 28-33 y...
0
Visual neglect and cognitive impairment in elderly patients late after stroke
Upper Eyelid and Brow Surgery
OBJECTIVES: To investigate the prevalence of visual neglect and its relationship to cognitive impairment and dementia in elderly stroke patients 20 months after stroke. METHODS: Of 243 stroke patients aged 70-91 years, 149 underwent neuropsychiatric testing, 138 with the Star Cancellation Test for visual neglect. RESUL...
1
Meniscal polyurethane scaffold plus cartilage repair in post meniscectomy syndrome patients without malalignment improves clinical outcomes at mid-term follow-up
AMP (Acute Meniscal Pathology)
BACKGROUND: The aim of this study is to report the mid-term follow-up results of a prospective cohort of patients who underwent a polyurethane (PU) meniscal scaffold implantation for post meniscectomy syndrome (PMS), without limb realignment procedures. METHODS: Prospective study in patients with PU meniscal scaffolds ...
1
Effect of Liposomal Bupivacaine on Postoperative Opioid Requirements for Total Hip Arthroplasty, Total Knee Arthroplasty, Laminectomy, Hysterectomy, and Abdominoplasty Procedures
AAHKS (8) Anesthetic Infiltration
Purpose: Opioid use postoperatively has been linked to adverse events and an increase in opioid dependency. This retrospective study evaluated the effect of using liposomal bupivacaine (LB) for postoperative pain control on total opioid consumption, pain control, serious opioid-related adverse events (ORAEs), and hospi...
0
Lumbrical splinting and stretching versus standard treatment on grip, pinch, and dexterity in people with carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background/Purpose: Carpal tunnel syndrome (CTS) is a prevalent peripheral upper extremity neuropathy. Splinting and exercise is often recommended for those with mild to moderate symptoms. Lumbrical muscles of the hand appear to affect carpal tunnel canal pressure and CTS symptoms. We hypothesized that a lumbrical inte...
0
Early results of cementless total hip replacement in rheumatoid arthritis and related conditions
Management of Hip Fractures in the Elderly
Total hip replacement in rheumatoid arthritis (RA) is technically often difficult owing to osteoporosis and protrusion of the acetabulum, which make fixation of the prosthesis difficult. As a result, cement fixation of the prosthesis has generally been the method of choice in patients with RA. There has, however, been ...
0
Arthroscopic Medial Meniscus Posterior Root Reconstruction and Pull-Out Repair Combined Technique for Root Tear of Medial Meniscus
AMP (Acute Meniscal Pathology)
Repair of medial meniscus posterior root tear is important in preventing rapid progression of knee osteoarthritis. There are many repair techniques for medial meniscus posterior root tears, and good clinical results have been reported. Conversely, in terms of improving extrusion and healing meniscal injuries, sufficien...
0
Patellofemoral osteoarthritis is prevalent and associated with worse symptoms and function after hamstring tendon autograft ACL reconstruction
OAK 3 - Non-arthroplasty tx of OAK
To evaluate the compartmental distribution of knee osteoarthritis (OA) after anterior cruciate ligament reconstruction (ACLR), to determine if patellofemoral or tibiofemoral OA is more strongly associated with knee symptoms and function, and to evaluate the contribution of associated injuries and surgical delay to the ...
0
In vivo Graft tension in the anatomic double-bundle ACL reconstruction during active leg raising motion with the knee splinted
Surgical Management of Osteoarthritis of the Knee CPG
Purposes: Active knee exercise is routinely carried out in the rehabilitation phase after ACL reconstruction, while tension to ACL grafts during such motion is unclear. The purpose of this study was to measure the in vivo graft tension in the anatomical two-bundle ACL reconstruction during active leg raising exercise w...
0
The epidemiology of sports-related fractures in adolescents
Distal Radius Fractures
Objective: To examine the epidemiology of sports-related fractures in adolescents aged 10-19 years. Methods: All fractures in adolescents presenting to the Royal Hospital for Sick Children and the Royal Infirmary of Edinburgh in a one-year period were prospectively documented and all sports-related fractures retrospect...
0
Chronic subdural hematoma in the elderly: Not a benign disease. Clinical article
Management of Hip Fractures in the Elderly
Object. Chronic subdural hematoma (CSDH) is perceived to be a "benign," easily treated condition in the elderly, but reported follow-up periods are brief, usually limited to acute hospitalization. Methods. The authors conducted a retrospective review of data obtained in a prospectively identified consecutive series of ...
0
Use of the pitanguy large flap demarcator in thigh dermolipectomy with a medioanterior scar extension
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Thigh dermolipectomy is one the most challenging procedures for the treatment of postobesity deformities. Excessive tissue on the medial portion of the thigh is associated with the poor results of the classic approach. Recently, different techniques have been proposed with the goal of improving the results....
0
Teriparatide in the treatment of severe postmenopausal osteoporosis: A cost-utility analysis
Hip Fx in the Elderly 2019
Teriparatide is a new agent serves as a treatment of choice for severe post-menopausal osteoporotic patients who are at high risk of fracture or have failed or been intolerant of previous osteoporosis therapy. The objective of this study is to estimate the cost-utility of teriparatide compared with no treatment from he...
1
The predictive value of electrodiagnostic studies in carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
In recent years, electrodiagnostic studies have become an expected component in the work up and evaluation of carpal tunnel syndrome. We conducted a retrospective review of 460 carpal tunnel decompressions to determine whether the accuracy of diagnosis and the prediction of therapeutic outcome could be related to the p...
0
Joint lavage for osteoarthritis of the knee
SR for PM on OA of All Extremities
Background: Osteoarthritis is the most common form of joint disorder and a leading cause of pain and physical disability. Observational studies suggested a benefit for joint lavage, but recent, sham-controlled trials yielded conflicting results, suggesting joint lavage not to be effective.Objectives: To compare joint l...
0
Osteoporosis: A neglected but treatable disease
HipFx Supplemental Cost Analysis
Osteoporosis is a disease that is commonly seen in residents of long-term care facilities. The personal and economic consequences associated with osteoporosis are similar to common conditions such as COPD, stroke, or MI, yet osteoporosis awareness in all age groups remains low. Spine and hip fractures are associated wi...
1
Orthoplastic reconstruction of type IIIB open tibial fractures retaining debrided devitalized cortical segments: the Bristol experience 2014 to 2018
DoD SSI (Surgical Site Infections)
AIMS: Type IIIB open tibial fractures are devastating high-energy injuries. At initial debridement, the surgeon will often be faced with large bone fragments with tenuous, if any, soft-tissue attachments. Conventionally these are discarded to avoid infection. We aimed to determine if orthoplastic reconstruction using m...
0
Acute fractures of the tarsal navicular
DOD - Acute Comp Syndrome CPG
The tarsal navicular plays an integral role in hindfoot motion and gait, and is the keystone of the foot's medial longitudinal arch. As such, injuries to the navicular can be devastating. Acute avulsion, tuberosity, and body fractures have been described. Fractures of the body result from high-energy trauma and are oft...
0
Necrotizing fasciitis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Necrotizing fasciitis is a relatively uncommon severe soft tissue infection that is characterized by rapid widespread superficial fascial necrosis with undermining of surrounding soft tissue. Recent advances in anaerobic culture techniques have allowed identification of anaerobic organisms, which are now considered to ...
0
Morbidity and mortality of hospitalized hip fractures in chronic hemodialysis
Hip Fx in the Elderly 2019
Abnormal bone architecture contributes to high incidence of hip fractures in chronichemodialysis (HD) patients. Their clinical epidemiology is incompletely described. We conducted a retrospective cohort study to assess the implications ofhospitalization with hip fracture in HD patients compared to the nonchronic kidney...
1
Can Multimodal Pain Management in TKA Eliminate Patient-controlled Analgesia and Femoral Nerve Blocks?
AAHKS (8) Anesthetic Infiltration
Background: TKA pain management protocols vary widely with no current consensus on a standardized pain management regimen. Multimodal TKA pain management protocols aim to address pain control, facilitate functional recovery, and maintain patient satisfaction. Questions/purposes: (1) Did changes to our pain management p...
0
The role of hyperbaric oxygen therapy in sports medicine
DOD - Acute Comp Syndrome CPG
During the past decade, we have seen a growing number of individuals participating in sport and recreational activities. All indications show an increase in sport participation at every age level. However, the number of sport and recreational injuries as a result of this increase has also risen. Unfortunately, a primar...
0
Fixation of olecranon osteotomy only with 6'5 mm partially trheaded cancellous screw is a safe an effective method used in surgical management of distal humerus fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
PURPOSE: The objective of this study is to demonstrate the safety and efficacy of the osteosynthesis with a 6.5 mm screw and washer of a Chevron shape olecranon osteotomy performed for the surgical approach of supraintercondylar fractures of the distal humerus, achieving union and complication rates better or similar t...
0
Cyclooxygenase-2 inhibitor celecoxib attenuates joint contracture following immobilization in rat knees
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The aim of this study is to clarify the following two points: First, whether a cyclooxygenase-2 mediated pathway is involved in the formation of immobilization-induced joint contracture and, second, the effectiveness of oral administration of non-steroidal anti-inflammatory drug celecoxib (CBX) for the prev...
1
Proximal humerus fractures: Evaluation and management in the elderly patient
Hip Fx in the Elderly 2019
Introduction: Proximal humerus fractures are common in the elderly. The evaluation and management of these injuries is often controversial. The purpose of this study is to review recent evidence and provide updated recommendations for treating proximal humerus fractures in the elderly. Methods: A literature review of p...
1
Comparison of open carpal tunnel release and local steroid treatment outcomes in idiopathic carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
To compare the efficacy of local steroid injection and open carpal tunnel release, a symptom and functional status questionnaire (Boston Questionnaire) and sensory and motor nerve conduction studies were performed in 90 patients with electrophysiologically proven idiopathic carpal tunnel syndrome, of whom 44 were treat...
0
Outcomes of Meniscus Repair in Children and Adolescents
AMP (Acute Meniscal Pathology)
PURPOSE OF REVIEW: The purpose of this study was to review the clinical and functional outcomes of meniscus repair in children and adolescents. RECENT FINDINGS: The sequel of meniscal tears and the outcome of meniscus repair have been well studied in adults. However, these topics have received less attention in the ped...
0
Advanced application of stimuli-responsive drug delivery system for inflammatory arthritis treatment
AMP (Acute Meniscal Pathology)
Inflammatory arthritis is a major cause of disability in the elderly. This condition causes joint pain, loss of function, and deterioration of quality of life, mainly due to osteoarthritis (OA) and rheumatoid arthritis (RA). Currently, available treatment options for inflammatory arthritis include anti-inflammatory med...
0
Accuracy of Needle Placement into the Intra-Articular Space of the Knee in Osteoarthritis Patients for Viscosupplementation
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: Knee osteoarthritis is characterized by inflammation in the intra-articular space or synovial membrane, breakdown of articular cartilage, and sclerosis of the subchondral bone. Intra-articular injections of Sodium hyaluronate which have viscoelastic and protective effect on articular cartilage and restore...
0
Human deciduous mandibular molar incremental enamel development
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Quantitative studies of incremental markings retained within human enamel have reconstructed the duration and rate (crown and cusp formation times, initiation and completion, daily enamel secretion rates) of permanent tooth development. This approach has provided one way of estimating human age-at-death, and facilitate...
0
Expectancy Reduces Symptoms but not Functional Impairment Following Exercise-induced Musculoskeletal Injury
Pediatric Supracondylar Humerus Fracture 2020 Review
OBJECTIVES: To quantify the extent to which the participant-provider interaction influences the response to sham treatment following exercised-induced acute musculoskeletal pain. MATERIALS AND METHODS: In total, 40 participants between the ages of 18 and 35 volunteered for the study. Participants came to the laboratory...
0
The Use of Bronchoscopy during the COVID-19 Pandemic: CHEST/AABIP Guideline and Expert Panel Report
Coronavirus Disease 2019 (COVID-19)
BACKGROUND: The coronavirus disease 2019 (COVID-19) has swept the globe and is causing significant morbidity and mortality. Given that the virus is transmitted via droplets, open airway procedures such as bronchoscopy pose a significant risk to health care workers (HCW). The goal of this guideline was to examine the cu...
0
The combined use of oral and topical tranexamic acid is a safe, efficient and low-cost method in reducing blood loss and transfusion rates in total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
AIMS: The combined (IV (intravenous) + topical) use of tranexamic acid (TXA) has been shown to be a safe method and more effective than single (IV or topical) application. The optimal administration method of TXA is still being investigated and safety, efficiency and cost are the three main crucial parameters in achiev...
0
Complications after operative treatment of femoral shaft fractures in childhood and adolescence
DoD SSI (Surgical Site Infections)
Purpose of the study was to retrospectively analyze the complication rates after operatively treated femoral shaft fractures in childhood and adolescence. Retrospective evaluation of 42 children with operatively treated femoral shaft fractures between 2000 and 2014. Fractures were classified as 27 A type, 12 B type and...
0
A retrospective study comparing patient outcomes of wise pattern-inferior pedicle and vertical pattern-medial pedicle reduction mammoplasty
Reduction Mammoplasty for Female Breast Hypertrophy
This study compared patient outcomes of a single surgeon experience between those with inferior and medial pedicle breast reductions. A cohort of 84 patients was analyzed. In all, 49 inferior pedicle reductions and 35 medial pedicle reductions were performed. The average weight of tissue removed per breast was 639 g wi...
0
The Role of Indocyanine Green Fluorescence Angiography in Complex Abdominal Wall Reconstruction: A Scoping Review of the Literature
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Indocyanine green fluorescence angiography (ICGFA) is a technique for assessing vascularity and perfusion which has multiple proven applications across a variety of surgical procedures. Studies have been performed assessing its potential role in evaluating skin flap viability in complex abdominal wall recon...
0
The impact of orthopaedic injuries sustained at an urban public ice skating rink: is it really free?
Distal Radius Fractures
INTRODUCTION: Previous reports in the literature from Europe and Asia cite an increased burden on the local emergency departments and orthopaedic services during the operational period of the ice skating rinks. This retrospective observational study was undertaken in order to report the incidence, characteristic, and s...
0
Pamidronate and 1,24(S)-dihydroxyvitamin D2 synergistically inhibit the growth of myeloma, breast and prostate cancer cells
MSTS 2018 - Femur Mets and MM
BACKGROUND: Bisphosphonates have proven to be effective in the management of multiple myeloma and bone metastases secondary to breast and prostate carcinoma. Vitamin D compounds are important modulators of cellular proliferation and differentiation. 1,24(S)-dihydroxyvitamin D2 [1,24(OH)2D2] is a naturally occurring act...
0
Inter- and intra-observer agreement of the AO classification for operatively treated distal radius fractures
Distal Radius Fractures
The reproducibility of the AO classification for distal radius fractures remains a topic of debate. Previous studies showed variable reproducibility results. Important treatment decisions depend on correct classification, especially in comminuted, intra-articular fractures. Therefore, reliable reproducibility results n...
0
Medial Meniscus Scaffold Implantation in Combination with Concentrated Bone Marrow Aspirate Injection: Minimum 3-Year Follow-up
BMAC (Bone Marrow Aspirate Concentrate)
The objective of this study is to show the short-term clinical and radiological outcomes of concentrated bone marrow aspirate (CBMA) injection administered in combination with medial meniscus scaffold implantation. Twenty-three patients who received intra-articular CBMA injection in combination with polyurethane-based ...
0
Which osteotomy for a valgus knee?
Surgical Management of Osteoarthritis of the Knee CPG
A valgus knee is a disabling condition that can affect patients of all ages. Antivalgus osteotomy of the knee is the treatment of choice to correct the valgus, to eliminate pain in the young or middle age patient, and to avoid or delay a total knee replacement. A distal femoral lateral opening wedge procedure appears t...
0
Arthroscopic reduction and percutaneous fixation of scaphoid fractures with a novel dorsal technique
Distal Radius Fractures
The series of scaphoid proximal pole and waist fractures presented here was treated by a novel dorsal percutaneous technique with arthroscopic assistance. All fractures healed, with no complications and good final functional results. The dorsal approach allows for the most accurate positioning of a fixation device into...
0
Antibiotic and non-antibiotic tetracycline patents: 2002 - 2007
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Background: Infectious diseases in all populations are increasing in frequency and severity as the problem of antibiotic resistance continues to emerge. As other antibiotics become ineffective, it is up to researchers worldwide to create new and more potent compounds to thwart such diseases. Objective: This review pres...
0
Open fixation of acute anterior glenoid rim fractures with bioresorbable pins: analysis of clinical and radiological outcome
Glenohumeral Joint OA
INTRODUCTION: The purpose of this study was a detailed analysis of clinical and radiological results following open fixation of acute-traumatic, displaced anterior glenoid rim fractures with bioresorbable pins. MATERIALS AND METHODS: This retrospective study included 17 patients with glenoid defect sizes >=20 %, as dir...
0
Percutaneous Treatment of Low Flow Vascular Malformations
DOD - Acute Comp Syndrome CPG
Low flow vascular malformations, especially venous and macrocystic lymphatic malformations, are effectively treated by percutaneous intralesional injection of sclerosant drugs, such as ethanol and detergent sclerosant drugs. Good to excellent results are possible in 75%-90% of patients who undergo serial sclerotherapy....
0
Three-dimensional reconstruction modeling of the spatial displacement, extent and rotational orientation of undisplaced femoral neck fractures
Hip Fx in the Elderly 2019
The purpose of this study was to employ a new threedimensional (3D) reconstruction and modeling method to measure displacement of undisplaced femoral neck fractures (Garden stages I and II). We also aimed to evaluate the effectiveness of the Garden classification for determining the displacement of undisplaced femoral ...
1
Peri-operative and critical care concerns in coronavirus pandemic
Coronavirus Disease 2019 (COVID-19)
World Health Organization (WHO) declared novel coronavirus outbreak a 'pandemic' on March 11th, 2020. India has already reached Stage 2 (local transmission) and the Indian Government, in collaboration with the Indian Council of Medical Research (ICMR), is taking all necessary steps to halt the community transmission(St...
1
Risk of perpetrating intimate partner violence amongst men exposed to torture in conflict-affected Timor-Leste
DoD PRF (Psychosocial RF)
[Correction Notice: An Erratum for this article was reported in Vol 5[e26] of Global Mental Health (see record 2018-38781-001). The references Pease & Flood, 2008 and Vichealth, 2014 were mistakenly added after the following sentence in the Discussion section: At a community-wide level, in the case of torture survivors...
0
Structure-enhanced local phase filtering using L<sub>0</sub> gradient minimization for efficient semiautomated knee magnetic resonance imaging segmentation
OAK 3 - Non-arthroplasty tx of OAK
The segmentation of bone surfaces from magnetic resonance imaging (MRI) data has applications in the quantitative measurement of knee osteoarthritis, surgery planning for patient-specific total knee arthroplasty, and its subsequent fabrication of artificial implants. However, due to the problems associated with MRI ima...
0
Hereditary neuropathy with a tendency to paralysis from compression to debut in the intranatal period
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Considering the rarity of observations of this pathology, we reduce our own surveys. Patient M, 26. Complaints about numbness and weakness in 4-5 fingers. Convulsive seizures by type of -midwife's hands- to 3-4 times a day. Myoclonia in wrists. Difficulties in carrying out small-motor movements. From the anamnesis: the...
1
The incidence and management of secondary abdominoplasty and secondary abdominal contour surgery
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Limited data exist in the literature regarding the general incidence of secondary abdominal contour procedures and secondary abdominoplasty (excluding revisions) or specific recommendations for surgical management of these patients. METHODS: The authors performed a retrospective chart review of 562 patients...
0
Factors affecting rates of infection and nonunion in intramedullary nailing
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
We report a retrospective study over five years to determine the incidence of infection and nonunion after intramedullary nailing in fractures of 214 long bones; 122 femoral, 75 tibial and 17 humeral. The indications for nailing were trauma (n = 161), pathological fracture (n = 30) and nonunion (n = 23). There were 30 ...
0
Fracture blisters
DoD SSI (Surgical Site Infections)
A clinical and histological study was performed on fracture blisters found in association with 13 surgically treated ankle fractures. The timing of surgery was dependent upon soft tissue swelling; the status of the blister did not affect this aspect of the decision making process. The average time from injury to surger...
1
Blunt popliteal artery injury with complete lower limb ischemia: is routine use of temporary intraluminal arterial shunt justified?
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVE: Complete lower limb ischemia as a result of blunt popliteal artery injury is associated with the highest morbidity and amputation rates among all of the peripheral vascular injuries. The purpose of this study was to determine the possible benefits of routine use of a temporary intraluminal arterial shunt in ...
0
Fascial Manipulation Associated With Standard Care Compared to Only Standard Postsurgical Care for Total Hip Arthroplasty: a Randomized Controlled Trial
Developmental Dysplasia of the Hip 2020 Review
Background Postsurgical physiotherapy programs after total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. To increase functional recovery in postsurgical patients, manual therapy can be added to traditional physiotherapy programs. Fascial manipulation (FM) has been de...
0
Denosumab for the prevention of skeletal-related events in patients with bone metastasis from solid tumor
MSTS 2018 - Femur Mets and MM
Most patients with advanced malignancy develop bone metastases during the course of their disease. For the remainder of the patient's life, these bone metastases lead to skeletal-related events such as pathologic fractures and spinal cord compression, as well as bone pain or lesions requiring palliative radiation thera...
0
Effect of alendronate on risk of fracture in women with low bone density but without vertebral fractures: results from the Fracture Intervention Trial
Management of Hip Fractures in the Elderly
CONTEXT: Alendronate sodium reduces fracture risk in postmenopausal women who have vertebral fractures, but its effects on fracture risk have not been studied for women without vertebral fractures. OBJECTIVE: To test the hypothesis that 4 years of alendronate would decrease the risk of clinical and vertebral fractures ...
0
Epidemiology of Isolated Versus Nonisolated Mild Traumatic Brain Injury Treated in Emergency Departments in the United States, 2006-2012: Sociodemographic Characteristics
DoD PRF (Psychosocial RF)
OBJECTIVES: To describe the frequencies and rates of mild traumatic brain injury (mTBI) emergency department (ED) visits, analyze the trend across the years, and compare sociodemographic characteristics of visits by mTBI type (ie, mTBI as the only injury, or present along with other injuries). DESIGN: Population-based ...
0
Systemic therapy for bone metastases
MSTS 2018 - Femur Mets and MM
BACKGROUND: Accelerated bone loss in patients with cancer is a frequent problem that may result from invasion of the cancer to bone, paraneoplastic tumor proteins, and/or hormonal therapies utilized for cancer treatment. Patients with osteolytic bone disease from multiple myeloma and bone metastases from solid tumors m...
0
Bone density changes in Paget's disease 2 years after iv pamidronate: profound, sustained increases in pagetic bone with severity-related loss in forearm nonpagetic cortical bone
Management of Hip Fractures in the Elderly
Bone mineral density (BMD) was measured at three sites (forearm, spine, and hip) using dual X-ray and single-photon absorptiometry in 68 patients with Paget's disease before and after treatment with iv pamidronate. Patients were treated according to the severity of their disease; the mild category (Group I, hydroxyprol...
0
The Past, Present and Future of POP and Physical Therapy
Panniculectomy & Abdominoplasty CPG
Pelvic organ prolapse (POP) is a very common condition of women worldwide. Research is ongoing to determine the "perfect" surgery for anatomical correction of the various support problems within the pelvic floor. In tandem to the surgical research, there are ongoing studies investigating the role of pelvic floor physic...
1
Perioperative stimulation of erythropoiesis with intravenous iron and erythropoietin reduces transfusion requirements in patients with hip fracture. A prospective observational study
Management of Hip Fractures in the Elderly
BACKGROUND AND OBJECTIVES: Patients undergoing surgery for hip fracture (HF) often receive perioperative allogeneic blood transfusions (ABT) to avoid anaemia. However, concerns about the adverse effects of ABT have prompted the review of transfusion practice and the search for a safer treatment of perioperative anaemia...
1
Intravenous administration of vancomycin is ineffective against bacteremia following tooth extraction
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The incidence of transient bacteremia after tooth extraction without antimicrobial prophylaxis has been reported was high as 69.2%; that with intravenous ampicillin as 4.2% (1, 2). Currently, we tested a regime of vancomycin that was recommended by the American Heart Association as prophylaxis for oral surgery patients...
1
NEO6860, modality-selective TRPV1 antagonist: a randomized, controlled, proof-of-concept trial in patients with osteoarthritis knee pain
OAK 3 - Non-arthroplasty tx of OAK
Introduction: NEO6860 is a TRPV1 antagonist when activated by capsaicin but not by heat or pH, developed to relieve pain without the adverse events reported with non-modality-selective TRPV1 antagonists. Objective: The primary Objective of this study was to evaluate the analgesic efficacy and safety of NEO6860 after 1 ...
0
Predictive value of meniscal and chondral injuries in conservatively treated anterior cruciate ligament injuries
AMP (Acute Meniscal Pathology)
Some degree of uncertainty remains in the natural history of anterior cruciate ligament (ACL) tears treated conservatively with a supervised rehabilitation program, counseling, and activity modifications. Symptomatic ACL-deficient individuals usually present for treatment, whereas the asymptomatic may not, thus making ...
1
Risk of transmission via medical employees and importance of routine infection-prevention policy in a nosocomial outbreak of Middle East respiratory syndrome (MERS): a descriptive analysis from a tertiary care hospital in South Korea
Coronavirus Disease 2019 (COVID-19)
BACKGROUND: In 2015, South Korea experienced an outbreak of Middle East respiratory syndrome (MERS), and our hospital experienced a nosocomial MERS infection. We performed a comprehensive analysis to identify the MERS transmission route and the ability of our routine infection-prevention policy to control this outbreak...
0
Exercise therapy on osteoporosis
OAK 3 - Non-arthroplasty tx of OAK
INTERVENTION: Drug therapy, including alendronate, calcium and vitamin D as well as Aerobic exercises including three steps;warm up for 10 minutes,walking on treadmill with 60�80% of maximum heart rate and stationary cycling for 30 minutes and finally cooling down for 5 minutes following by relaxation and stretching ...
0
Effects of bisphosphonates on fracture incidence and bone metabolism in rheumatoid arthritis patients in general practice taking long-term corticosteroid therapy: a retrospective study
Management of Hip Fractures in the Elderly
BACKGROUND AND OBJECTIVE: There is a risk that disturbances of activities of daily living (ADL) due to rheumatoid arthritis (RA) are increased by the occurrence of fractures, including vertebral compression fractures and femoral neck fractures, in RA patients receiving oral corticosteroid therapy. Bisphosphonates are m...
0
Care home versus hospital and own home environments for rehabilitation of older people
Management of Hip Fractures in the Elderly
BACKGROUND: Rehabilitation for older people has acquired an increasingly important profile for both policy-makers and service providers within health and social care agencies. This has generated an increased interest in the use of alternative care environments including care home environments. Yet, there appears to be ...
0
Primary non-metastatic Ewing sarcoma of the jaw in children: Results of surgical resection and primary reconstruction
DOD - Acute Comp Syndrome CPG
Background and Objective: The rarity of Ewing sarcoma (ES) of the jaw coupled with the technical challenge of resection and associated functional and cosmetic impairment has resulted in deficient data on surgical management of these tumors. The purpose of this study is to describe the results of surgical excision and r...
0
Nalbuphine added to intrathecal morphine in total knee arthroplasty; effect on postoperative analgesic requirements and morphine related side effects
AAHKS (8) Anesthetic Infiltration
Introduction: Intrathecal morphine is widely used for postoperative pain control in major orthopaedic surgery. However, its use is associated with frequent side effects. Aim of the work: Aim of the work was to investigate the effects of intrathecal coadministration of nalbuphine with intrathecal morphine on morphine re...
1
Effect of ultrasonic debridement using a chlorhexidine irrigant on circulating levels of lipopolysaccharides and interleukin-6
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
AIM: Transient bacteraemia and endotoxaemia, and elevated levels of systemic cytokines have been reported following subgingival debridement. This study aimed to investigate the effect of chlorhexidine (CHX) solution on circulating levels of lipopolysaccharide (LPS) and interleukin-6 (IL-6) when used as an irrigant duri...
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Hypericum perforatum use during pregnancy and pregnancy outcome
Developmental Dysplasia of the Hip 2020 Review
Hypericum perforatum (HP; also known as St. John's Wort) is one of the most commonly used herbal therapies in the management of depressive illness. The aim of this study was to evaluate the potential side effects of HP during pregnancy on pregnancy outcome. Using data from the Danish National Birth Cohort (DNBC), we in...
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Staphylococcus aureus bacteremia complicating herpes simplex virus type 1 stomatitis: case report and review of the literature
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Gingivostomatitis is a common clinical manifestation of primary herpes simplex virus type 1 (HSV-1) infection in children. The most common complication of herpetic gingivostomatitis is dehydration; rarely, it may be complicated by secondary bacteremia, and Kingella kingae and group A Streptococcus infection...
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Comparison of inpatient and outpatient traction in developmental dislocation of the hip
Developmental Dysplasia of the Hip CPG
We studied 83 hips in 72 children being treated for developmental hip dislocation to assess the influence of home traction upon the incidence and severity of avascular necrosis (AVN). We compared two types of traction prior to closed or open reduction: inpatient Bryant's skin traction (40 hips), and outpatient (home) B...
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Nutritional supplementation for hip fracture aftercare in older people
Management of Hip Fractures in the Elderly
BACKGROUND: Older people with hip fractures are often malnourished at the time of fracture, and have poor food intake subsequently. OBJECTIVES: To review the effects of nutritional interventions in older people recovering from hip fracture. SEARCH STRATEGY: We searched the Cochrane Bone, Joint and Muscle Trauma Group S...
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Venous thromboembolism and mortality after hip fracture surgery: the ESCORTE study
Management of Hip Fractures in the Elderly
BACKGROUND: Recent changes in the management of hip fracture surgery patients may have modified the epidemiology of postoperative complications. OBJECTIVES: We performed an observational study of a cohort of patients undergoing hip fracture surgery to update the epidemiological data on this population. The primary stud...
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The effectiveness of simultaneous oncoplastic breast surgery in patients with locally advanced breast cancer
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Oncological outcomes of the oncoplastic breast surgery in patients with locally advanced breast cancer (LABC) are not well defined. This study examined the effects of oncoplastic techniques for LABC in terms of localized control and survival. We also evaluated the esthetic results of patients who had underg...
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Three years' audit of a bone bank
Surgical Management of Osteoarthritis of the Knee CPG
A three years' practice of a hospital-based non-commercial bone bank is presented. Altogether 121 allografts were collected from primary hip arthroplasties for osteoarthritis. Altogether 41 of the grafts were used in our hospital, 47 grafts were transported to other hospitals at a non-profit basis. The grafts were stor...
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Guideline-discordant use of imaging during work-up of newly diagnosed prostate cancer
MSTS 2022 - Metastatic Disease of the Humerus
Purpose: Overuse of radiographic imaging in patients with prostate cancer (CaP) who are unlikely to have metastatic disease is costly and can lead to patient harm from unnecessary procedures. However, underuse of imaging can lead to undiagnosed metastatic disease, resulting in aggressive treatments in patients with inc...
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The German Berufsgenossenschaften (institutions for statutory accident insurance and prevention): organisation, mandate and activities in the area of mental health
DoD PRF (Psychosocial RF)
The present article first describes the institution of the German Berufsgenossenschaften (BGs, the institutions for statutory accident insurance and prevention) and their mandate. Besides rehabilitation and compensation, these comprise the prevention of occupational accidents and diseases, and work-related hazards. The...
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Management and radiographic outcomes of femoral head fractures
Hip Fx in the Elderly 2019
BACKGROUND: Femoral head fractures are uncommon injuries. Small series constitute the majority of the available literature. Surgical approach and fracture management is variable. The purpose of this study was to evaluate the incidence, method of treatment, and outcomes of consecutive femoral head fractures at a regiona...
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Benzodiazepine and risk of hip fractures in older people: A nested case-control study in Taiwan
HipFx Supplemental Cost Analysis
Objective: To examine the characteristics of benzodiazepines usage and their associations with hip fractures. METHOD:: All subjects were aged 65 and older and enrolled in the National Health Insurance program in Taiwan, 2001g(euro)"2004. Cases (N (less-than or equal to) 217) were elderly patients who were identified wi...
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"Single nucleotide polymorphisms of the OPG/RANKL system genes in primary hyperparathyroidism and their relationship with bone mineral density"
Management of Hip Fractures in the Elderly
BACKGROUND: Primary hyperparathyroidism (PHPT) affects mainly cortical bone. It is thought that parathyroid hormone (PTH) indirectly regulates the activity of osteoclasts by means of the osteoprotegerin/ligand of the receptor activator of nuclear factor-kappabeta (OPG/RANKL) system. Several studies have confirmed that ...
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Robotic arm-assisted versus conventional unicompartmental knee arthroplasty: Exploratory secondary analysis of a randomised controlled trial
OAK 3 - Non-arthroplasty tx of OAK
Objectives: This study reports on a secondary exploratory analysis of the early clinical outcomes of a randomised clinical trial comparing robotic arm-assisted unicompartmental knee arthroplasty (UKA) for medial compartment osteoarthritis of the knee with manual UKA performed using traditional surgical jigs. This follo...
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Case report: Eumycetoma and mycotic arthritis of the knee caused by Arthrographis kalrae
PJI DX Updated Search
A 33-year-old male presents following a penetrating injury to his right knee. Clinically he demonstrated pain, an effusion and fevers. At diagnostic arthroscopy, no microbiological growth was cultured. Delayed growth yielded the fungus Arthrographis kalrae. He was treated with a three-stage total knee arthroplasty. The...
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Magnetic resonance imaging (MRI) of the knee: Identification of difficult-to-diagnose meniscal lesions
AMP (Acute Meniscal Pathology)
This article characterizes common meniscal pathologies, reviews magnetic resonance imaging (MRI) diagnostic criteria for meniscal tears, and identifies difficult-to-detect tears and fragments and the best MRI sequences and practices for recognizing these lesions. These difficult-to-diagnose meniscal lesions that radiol...
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The Effects of Meniscal Geometry on Susceptibility for Meniscal and ACL Injury in Non-Arthritic Knees: A Retrospective Case-Control Study
AMP (Acute Meniscal Pathology)
Prior studies have not found significant differences in meniscal parameters between patients with meniscal and ligamentous injury and those without. The purpose of this study was to determine whether such relationships exist. Clinical records and magnetic resonance images of three subject groups were reviewed. Group 1 ...
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Recommendations for the use of new methods to assess the efficacy of disease-modifying drugs in the treatment of osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Recent innovations in the pharmaceutical drug discovery environment have generated new chemical entities with the potential to become disease modifying drugs for osteoarthritis (DMOAD's). Regulatory agencies acknowledge that such compounds may be granted a DMOAD indication, providing they demonstrate that t...
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Peroneal nerve palsy resulting from fibular head osteochondroma
Diagnosis and Treatment of Osteochondritis Dissecans AUC
This article describes a case of a 11-year-old boy with an osteochondroma of the peroneal head causing peroneal nerve palsy. Physical examination disclosed large exostoses palpated at the right fibular head. Neurological examination revealed paresis of the tibialis anterior, lateral peroneal, and extensor digitorum mus...
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Threshold equivalence between perimeters
Upper Eyelid and Brow Surgery
To determine equivalence between perimeters, 49 eyes of 35 subjects underwent static threshold testing of the central 30 degrees twice on each of three automated perimeters and twice by manual kinetic threshold testing with the Goldmann perimeter. The Octopus-Humphrey difference was 3.3 dB (2.3 dB in the upper two rows...
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Implementing the Surgical Apgar Score in patients with trauma hip fracture
Hip Fx in the Elderly 2019
BACKGROUND: Trauma hip fractures in elderly patients are associated with high postoperative long-term morbidity and mortality and premature death. The high mortality in these patients can be explained by various factors, including the fracture itself; the preoperative poor condition and comorbidities of these patients;...