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0 | Attempted unreamed nailing in tibial fractures: a prospective consecutive series of 55 patients | DOD - Acute Comp Syndrome CPG | We evaluated the possibility of unreamed insertion of an intramedullary nail (IMN) in a consecutive series of 55 tibial shaft fractures in 55 patients (30 men). 43 fractures were closed and 12 fractures were open. All surgeons involved were instructed to try unreamed insertion primarily. Selection of nail diameter was ... |
0 | Multimodal Nonopioid Pain Protocol Provides Equivalent Pain Versus Opioid Control Following Meniscus Surgery: A Prospective Randomized Controlled Trial | AMP (Acute Meniscal Pathology) | PURPOSE: To assess the effectiveness of a nonopioid pain regimen in controlling postoperative pain as compared with a traditional opioid pain control following primary meniscectomy or meniscal repair.
METHODS: Ninety-nine patients undergoing primary meniscectomy or meniscal repair were assessed for participation. A pro... |
0 | Expert physician recommendations and current practice patterns for evaluating and treating men with osteoporotic hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVES: To develop recommendations for the evaluation and the treatment of men with osteoporotic hip fracture from expert publications in the field of male osteoporosis, and to define the current practice patterns in a tertiary care VA Medical Center in Durham, North Carolina. DESIGN: Survey research; a retrospecti... |
1 | Bifid median nerve in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The aim of this study was to investigate the frequency of the anatomic variation of a bifid median nerve in patients with carpal tunnel syndrome (CTS) and to determine the size criteria for sonography. METHODS: On axial sonograms of 320 hands of 170 patients with CTS and 240 hands of 120 unaffected individua... |
0 | Axial movement and tibial fractures. A controlled randomised trial of treatment | DoD SSI (Surgical Site Infections) | Diaphyseal fractures of the tibia in 80 patients were treated by external skeletal fixation using a unilateral frame, either in a fixed mode or in a mode which allowed the application of a small amount of predominantly axial micromovement. Patients were allocated to each regime by random selection. Fracture healing was... |
0 | Standardised multidisciplinary protocol for haemodynamically unstable pelvic fractures | Hip Fx in the Elderly 2019 | PURPOSE: To review treatment results of 29 patients with haemodynamically unstable pelvic fractures after implementation of a standardised multidisciplinary protocol. METHODS: Records of 14 men and 15 women aged 14 to 84 (mean, 46) years who were treated for haemodynamically unstable closed (n=27) or open (n=2) pelvic ... |
0 | Painful Complications After Cosmetic Surgery: Management of Peripheral Nerve Injury | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Aesthetic procedures are among the most common surgeries performed by plastic surgeons. The prevalence of persistent pain remains unknown and underappreciated in the plastic surgery literature. Objectives: The purpose of this article was to increase awareness of this problem while describing the diagnostic ... |
0 | Infection following hip replacement: Solution options | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The key to the optimal management of an acutely infected arthroplasty is an expeditious diagnosis with careful assessment of the mode of presentation and treatment variables to determine the appropriate management strategy. At our institution acute infection is managed early and aggressively with debridement and exchan... |
0 | Distal radioulnar joint instability | Distal Radius Fractures | The distal radioulnar joint is inherently unstable. Pathologic instability can be acute or chronic; it can be dorsal, palmar, or multidirectional; and it can result primarily from soft-tissue injury or osseous malunion. Recognition of the type and cause of instability is fundamental to provide effective treatment. [Ref... |
0 | Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening | OAK 3 - Non-arthroplasty tx of OAK | Introduction: A patient with medial ankle osteoarthritis and a widened ankle mortise can be treated successfully with an oblique distal tibial osteotomy, without fibular osteotomy, to narrow the mortise and shift the weight-bearing axis to a more normal position.
Step 1 Patient Positioning and Preoperative Assessment: ... |
0 | Simultaneous vs staged bilateral total knee arthroplasty among Medicare beneficiaries, 2000-2009 | PJI DX Updated Search | Simultaneous bilateral total knee arthroplasty (TKA) reportedly has higher postoperative complication rates than staged procedures, but little is known about recent trends and outcomes among Medicare patients. In a 5% national sample of Medicare beneficiaries older than 65 years, we identified 83,441 patients who under... |
0 | Reconstruction of the mandible using preshaped 2.3-mm titanium plates, autogenous cortical bone plates, particulate cancellous bone, and platelet-rich plasma: a retrospective analysis of 20 patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: The purpose of this retrospective study was to evaluate a group of 20 patients who underwent a reconstruction of the mandible by use of free bone grafts and platelet-rich plasma (PRP). MATERIALS AND METHODS: In a period of 8 years, 20 patients underwent a reconstruction of the mandible, by use of preshaped 2.3... |
0 | Open carpal tunnel release, retrospective analysis from 101 patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: The purpose of this study was to evaluate the long term functional and symptomatic outcome following open carpal tunnel release from 101 patients. Methods: One hundred and one consecutive patients underwent open procedure between 2000 and 2010, female 93, male 8, ages average 48.3 y.o., min 24 max 76. Ran... |
0 | External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage control orthopedics | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The advantages of early fracture fixation in patients with multiple injuries have been challenged recently, particularly in patients with head injury. External fixation (EF) has been used to stabilize pelvic fractures after multiple injury. It potentially offers similar benefits to intramedullary nail (IMN)... |
0 | A comparison of two formulations of indomethacin ('Flexin Continus' tablets and 'Indocid' capsules) in the treatment of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The efficacy and sideâ?effect profiles of two formulations of indomethacin were compared in a multiâ?centre, doubleâ?blind, crossover study in 77 patients with osteoarthritis. Patients were allocated at random to receive 75 mg indomethacin per day either as 1 controlledâ?release tablet at night or as 1 immediateâ?... |
0 | Adverse reactions of antidepressants in elderly patients | Management of Hip Fractures in the Elderly | As patients age, adverse drug reactions increase dramatically in frequency and severity. Although the population of elderly patients in controlled studies of antidepressants is small, key factors have been identified that may influence proper dosing, including the different pharmacokinetic properties of antidepressants... |
0 | Periodontal infections and pre-term birth: early findings from a cohort of young minority women in New York | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of this report is to provide early data from an ongoing study examining (i) the relationship between periodontal infections and pre-term low birth weight (PLBW) in a cohort of young, minority, pregnant and post-partum women; and (ii) the effect of periodontal interventions on pregnancy outcome. During the first... |
0 | Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee | OAK 3 - Non-arthroplasty tx of OAK | AIM: This paper reports a study of the effects of aquatic exercise on physical fitness (flexibility, strength and aerobic fitness), selfâ?reported physical functioning and pain in adults with osteoarthritis of the hip or knee. BACKGROUND: Osteoarthritis is a common cause of disability and a primary reason for hip and ... |
1 | Twelve-month outcomes of serious orthopaedic sport and active recreation- related injuries admitted to Level 1 trauma centers in Melbourne, Australia | DoD PRF (Psychosocial RF) | OBJECTIVE: To describe and identify predictors of 12-month outcomes of serious orthopaedic injuries due to sport and active recreation. DESIGN: Prospective cohort study with 12-month follow-up. SETTING: Two Level 1 adult trauma centers in Victoria, Australia. PARTICIPANTS: A total of 366 adults admitted to two Level 1 ... |
0 | Neurovascular assessment in the critically ill patient | DOD - Acute Comp Syndrome CPG | AIM: To outline the pathophysiological processes involved in neurovascular impairment and compartment syndrome and examine common contributory factors within the development and clinical presentation of neurovascular impairment in critical care patients with musculoskeletal trauma.
BACKGROUND: Thorough and systematic a... |
0 | The role of thoracic outlet syndrome in the double crush syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The association between thoracic outlet syndrome (TOS) and carpal tunnel syndrome (CTS) (40 cases), ulnar neuropathy (UN) (19 cases) and radial tunnel syndrome (29 cases) is investigated. The possibility of a double crush syndrome is considered with reference to the difficulties in diagnosis. It is demonstrated that in... |
0 | Posterior quadratus lumborum block for primary total hip arthroplasty analgesia: a comparative study | AAHKS (8) Anesthetic Infiltration | OBJECTIVE: To compare analgesia and opioid consumption for patients undergoing primary total hip arthroplasty with preoperative posterior quadratus lumborum block with patients who did not receive quadratus lumborum block.
METHODS: The medical records of patients undergoing unilateral total hip arthroplasty between Jan... |
1 | Efficacy of volar and dorsal plate fixation for unstable dorsal distal radius fractures | Distal Radius Fractures | OBJECTIVE: To compare the efficacy of volar and dorsal plate fixation for unstable dorsal distal radius fractures.
METHODS: Forty-seven cases were selected from patients undergoing surgical reduction and internal fixation treatment in our hospital from August 2006 to October 2010, with 21 males and 26 females, aged 39-... |
0 | Volumetric Evaluation of the Mammary Gland and Pectoralis Major Muscle following Subglandular and Submuscular Breast Augmentation | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Besides being a procedure with high level of patient satisfaction, one of the main causes for reoperation after breast augmentation is related to contour deformities and changes in breast volume. Few objective data are available on postoperative volumetric analysis following breast augmentation. The aim of ... |
0 | Development and Validation of a Nomogram for Predicting Prognosis to Immune Checkpoint Inhibitors Plus Chemotherapy in Patients With Non-Small Cell Lung Cancer | MSTS 2022 - Metastatic Disease of the Humerus | Background: Immune checkpoint inhibitors (ICIs) plus chemotherapy improved the prognosis of patients with non-small cell lung cancer (NSCLC); however, reliable prognostic biomarkers are lacking. We explored factors associated with prognosis and developed a predictive model. Methods: We retrospectively analyzed 130 cons... |
0 | Coding practices affect the cost of distal radius fracture care | Distal Radius Fractures | The purpose of this study was to determine the impact of an Emergency Medicine Department's billing practices on the total cost of care for distal radius fractures. This study identified patients by International Classification of Diseases, Ninth Revision (ICD-9) billing codes treated by the Department of Orthopaedic S... |
1 | Comparative Efficacy of Root Repair versus Partial Meniscectomy and Observation for Patients with Meniscus Root Tears | AMP (Acute Meniscal Pathology) | The purpose of this study was to (1) compare the efficacy of root repair versus partial meniscectomy and observation for patients with meniscus root tears; (2) compare osteoarthritis (OA) progression and functional outcomes in patients with isolated repair and with adjuvant surgery; and (3) evaluate OA progression and ... |
0 | Hemodialysis-related lesions of the hand | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Chronic hemodialysis patients often have lesions of the hands characterized by distinctive etiopathogenic mechanisms and functional consequences. We conducted a prospective cross-sectional study in 116 patients with a mean age of 55.9 years and a mean hemodialysis duration of 8.17 years. Carpal tunnel syndrome was pres... |
0 | The safety and efficacy of extensive abdominal panniculectomy at the time of pelvic surgery | Panniculectomy & Abdominoplasty CPG | Nine massively obese patients underwent excision of a large abdominal panniculus in conjunction with pelvic surgery. The most frequent indication for surgery was endometrial cancer. The charts of the patients were reviewed with careful attention to the outcome of the operation and the postoperative course. Comparison w... |
0 | Clinical, functional, and radiographic outcomes following total knee arthroplasty with patient-specific instrumentation, computer-assisted surgery, and manual instrumentation: a short-term follow-up study | PJI DX Updated Search | PURPOSE: The purpose of this study was to evaluate clinical, functional, and radiographic outcomes following total knee arthroplasty (TKA) performed with patient-specific instrumentation (PSI), computer-assisted surgery (CAS), and manual instruments at short-term follow-up. METHODS: 122 TKAs were performed by a single ... |
1 | Exploring the personal burden of shoulder pain among younger people in Australia: protocol for a multicentre cohort study | Glenohumeral Joint OA | INTRODUCTION: Persistent musculoskeletal conditions can impact profoundly on younger people's quality of life, psychological distress and capacity to work, as shown by previous research involving younger people with osteoarthritis. The personal impacts, in particular, work and parenting impacts, of other musculoskeleta... |
1 | Intra-articular ozone therapy efficiently attenuates pain in knee osteoarthritic subjects: A systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | Objectives: Ozone (O3) gas is being used for chronic pain relief in knee osteoarthritis (KOA). However, there are controversies whether this gas can be medically useful in KOA pain treatments. The aim of this study was to evaluate the effectiveness of intra-articular ozone therapy for pain relief in KOA subjects using ... |
0 | A comparison of patient-controlled analgesia administered by the intravenous or intranasal route during the early postoperative period | Management of Hip Fractures in the Elderly | Intranasal administration of lipophilic opioids has been shown to be an effective method of administration which is devoid of major side-effects. Whether it is as effective as intravenous administration for patient-controlled analgesia (PCA) has been investigated for fentanyl and pethidine, but not for diamorphine. Thi... |
0 | Prospective study of long-term patient perceptions of their skin cancer surgery | Reconstruction After Skin Cancer | Background: We identified factors that influence patient perceptions of their skin cancer surgery through a prospective study of patients referred to a single surgeon during 18 months. Method: Patients having surgery resulting in a wound sutured and dressed were surveyed 6 to 9 months later. Monitoring for complaints c... |
0 | Mobile application for quantification of the pivot shift examination: Intraoperative usability and utility during real-world deployment | AMP (Acute Meniscal Pathology) | Objective The objective of the current study was to evaluate the utility and ease of use of a novel non-invasive tablet-based application for quantification of the pivot shift (QPS) in a multicentre setting. Methods Nine senior orthopaedic surgeons were recruited from academic medical centres and enrolled a total of 90... |
0 | Platelet-Rich Plasma Attenuates 30-kDa Fibronectin Fragment-Induced Chemokine and Matrix Metalloproteinase Expression by Meniscocytes and Articular Chondrocytes | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Proteolytic fragments of fibronectin have catabolic effects on cartilage and menisci. Platelet-rich plasma (PRP) is increasingly being used to treat a range of joint conditions, but it is unknown whether PRP influences fibronectin fragment (FN-f) procatabolic activity.
HYPOTHESES: The procatabolic activity ... |
0 | All-polyethylene tibial components are not inferior to metal-backed tibial components in long-term follow-up of knee arthroplasties | PJI DX Updated Search | BACKGROUND: All-polyethylene tibias (APT) are under-utilized in most of the Western countries, due to a shift from the original all-polyethylene design to metal-backed tibia (MBT) components. Only few total knee prostheses allow direct comparison between APT and MBT components, due to different geometric designs in man... |
1 | Outcomes of intercalary prosthetic reconstruction for pathological diaphyseal femoral fractures secondary to metastatic tumors | MSTS 2018 - Femur Mets and MM | Objective: To evaluate the clinical outcomes and complications of segmental prosthetic reconstruction for pathological diaphyseal femoral fractures secondary to metastatic tumors. Methods: Between 2011 and 2015, we retrospectively evaluated 16 patients (6 men and 10 women; 64.5 ± 11.4 years old at diagnosis) who under... |
0 | A mini volume loading test (mVLT) using 2.5-mLkg<sup>-1</sup> boluses of crystalloid for indication of perioperative changes in hydration status | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVE: A mini volume loading test (mVLT) evaluating hemodilution during step-wise crystalloid infusion has established that the arterio-capillary plasma dilution difference is inversely correlated to the body hydration level of subjects. This observational study aimed to test whether this can be repl... |
0 | Effect of intraoperative soft tissue balance on postoperative recovery of ambulatory and balancing function in posterior-stabilized total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: The effectiveness of total knee arthroplasty (TKA) on ambulatory and balancing function recovery should be quantitatively investigated. The present study aimed to evaluate ambulatory function using 3m-timed up and go (TUG) test and balancing function using one-leg standing time (ST) from before and after TK... |
0 | Bilateral plate fixation for type C distal humerus fractures: Experience at a single institution | Pediatric Supracondylar Humerus Fracture 2020 Review | Type C fractures of the distal humerus are difficult to treat and typically require open anatomical reduction and internal fixation. Here we describe our experience treating patients with type C distal humerus fractures using a transolecranon approach with bilateral plate fixation. Fifty-six patients (30 males, 26 fema... |
0 | Association of a common allelic polymorphism (C677T) in the methylene tetrahydrofolate reductase gene with a reduced risk of osteoporotic fractures. A case control study in Danish postmenopausal women | Management of Hip Fractures in the Elderly | Twin studies indicate a substantial genetic component in the development of osteoporosis. One of the latest studied candidate genes is the one coding for methylene tetrahydrofolate reductase (MTHFR) (C677T) in which a point mutation gives rise to a thermolabile variant of MTHFR. The aim of this study was to investigate... |
0 | Musculoskeletal imaging using fluoride PET | PJI DX Updated Search | The convenience of (18)F-fluoride imaging is undeniable both because of its favorable tracer and because of its technical characteristics, including high image quality and short examination times leading to increased patient comfort. Depending on the activity administered, the radiation dose to patients is about compar... |
0 | Randomized, single center, observer-blind, parallelgroup trial to evaluate the safety and effectiveness of HYADD(registered trademark) 4-G a viscoelastic hydrogel, for the treatment of meniscus tear | OAK Recommendation 9 Articles | Purpose: Injury to the meniscus may play a key role in the development of knee osteoarthritis (OA) and prior studies demonstrated that tear of the meniscus are more common in patients with knee OA. Tears present as severe pain, swelling and possible catching, difficulty on deep knee bending and locking of the knee in p... |
0 | Elevated Bone Turnover Markers Are Associated With Distal Radius Fractures in Premenopausal Women | Distal Radius Fractures | PURPOSE: To examine whether premenopausal women with distal radius fractures (DRF) have lower levels of 25-hydroxyvitamin D (25[OH]D) and increased levels of serum bone turnover markers (BTM) compared with control subjects without fracture.
METHODS: Premenopausal women with DRF (n = 20) were prospectively enrolled and ... |
0 | The effect of stuffing the patellofemoral compartment on the outcome of total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The effect of so-called stuffing of the patellofemoral compartment at the time of total knee arthroplasty (that is, increasing the anterior patellar displacement, the anteroposterior femoral size, or the combined anteroposterior patellofemoral size) has not been well studied. The purpose of the present stud... |
0 | Clinical and radiographic outcomes in patients operated for complex open tibial pilon fractures | Hip Fx in the Elderly 2019 | Aim: To report clinical and radiographic results of treatment of patients with complex open tibial pilon fractures. Methods: A retrospective analysis in 14 patients with complex open pilon fractures treated between 2010 and 2015 was conducted. The injuries were graded according to AO Classification and the Gustillo-And... |
0 | Efficacy and cost-effectiveness of nutritional intervention in elderly after hip fracture: design of a randomized controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture patients often have an impaired nutritional status at the time of fracture, which can result in a higher complication rate, prolonged rehabilitation time and increased mortality. A study was designed to evaluate the effect of nutritional intervention on nutritional status, functional status, to... |
1 | Shear Wave Elastography Can Predict Passive Stiffness of Supraspinatus Musculotendinous Unit During Arthroscopic Rotator Cuff Repair for Presurgical Planning | Trial Systematic Review Project | Purpose: To determine the feasibility of shear wave elastography (SWE) with B-mode ultrasound in predicting the stiffness of the rotator cuff muscle before arthroscopic rotator cuff repair to evaluate the difficulty of the surgical procedure, as well as to compare SWE with the Goutallier stage on magnetic resonance ima... |
0 | Comparison of single shot versus continuous femoral local anesthetic nerve block in patients undergoing knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Femoral nerve blockade has become commonplace for the management of post-operative pain after knee arthroplasty.(1) Despite the widespread use of the technique, there is relatively little literature to suggest that continuous infusion is superior to a single shot technique combined with systemic analgesic... |
0 | Primary excision of the ulnar head for fractures of the distal ulna associated with fractures of the distal radius in severe osteoporotic patients | Distal Radius Fractures | We performed primary excision of the ulnar head on 23 patients over 70 years of age with severe comminuted fractures of both the distal radius and ulna. The distal radius fracture was fixed rigidly with a volar locking plate, and the ulnar head was resected at the fracture site. All the distal radial fractures united w... |
0 | Diagnosis and management of common compression and entrapment neuropathies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The most common focal neuropathies are carpal tunnel syndrome, ulnar neuropathy at the elbow, and peroneal neuropathy at the fibular head, but many other focal neuropathies, due to external compression or entrapment, may occur. Rational management depends on accurate localization; a thorough understanding of the basic ... |
0 | Ultrasound imaging facilitates spinal anesthesia in adults with difficult surface anatomic landmarks | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Poor surface anatomic landmarks are highly predictive of technical difficulty in neuraxial blockade. The authors examined the use of ultrasound imaging to reduce this difficulty. METHODS: The authors recruited 120 orthopedic patients with one of the following: body mass index more than 35 kg/m(2) and poorly... |
0 | Discourses of loss and bereavement in Tigray, Ethiopia | DoD PRF (Psychosocial RF) | Western trauma frameworks, such as PTSD-focused inventories and interventions, are embedded in a psychosocial discourse saying that highly distressing experiences must be expressed and confronted. This study, which is based on six months of focused ethnographic research in postwar Tigray, Ethiopia, reveals authoritativ... |
0 | Reduced hospital stay, morphine consumption, and pain intensity with local infiltration analgesia after unicompartmental knee arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND PURPOSE: The degree of postoperative pain is usually moderate to severe following knee arthroplasty. We investigated the efficacy of local administration of analgesics into the operating area, both intraoperatively and postoperatively.
METHODS: 40 patients undergoing unicompartmental knee arthroplasty (U... |
1 | Results of nonoperative management of full-thickness tears of the rotator cuff | Optimizing the Management of Full-Thickness Rotator Cuff Tears | The results of nonoperative management of 53 patients with full-thickness tears of the rotator cuff proven by arthroscopic examination was as follows. Patients were treated with nonsteroidal antiinflammatory medication, stretching, strengthening, and occasional steroid injections. Average age at presentation was 62.2 y... |
0 | Meniscal tears associated with anterior cruciate ligament injury | AMP (Acute Meniscal Pathology) | PURPOSE: To investigate the frequency of meniscal tear and the location of tear associated with anterior cruciate ligament (ACL) injury.
SUBJECTS AND METHODS: We studied 549 patients (552 knees) who were diagnosed with ACL injury by arthroscopy at our center between January 2006 and March 2014 (8 years and 3 months). T... |
0 | Mechanistic Studies on Video-guided Acupuncture Imagery Treatment of Knee Pain | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study is to investigate brain response and connectivity changes evoked by videoâ?guided acupuncture imagery treatment (VGAIT) and verum and sham acupuncture in knee osteoarthritis patients to elucidate the underlying brain mechanisms of mindâ?body interaction, imagery, and acupuncture. |
0 | Profunda femoris artery aneurysms: association with aneurysmal disease and limb ischemia | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVES: Because there is a paucity of data about management and outcome of true profunda femoris artery aneurysms (PFAAs), we reviewed our 21-year experience with surgical repair of PFAAs. METHODS: Clinical data from the 15 patients who underwent repair between 1985 and 2006 were retrospectively reviewed. RESULTS: ... |
0 | The outcome of paediatric LCP hip plate use in children with and without neuromuscular disease | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: The relatively new paediatric LCP hip plate (Synthes GmBH Eimattstrasse 3 CH-4436 Oberdorff) is used in children, both with and without neuromuscular disease, for fixation of proximal femoral osteotomy for a variety of indications. MATERIALS AND METHODS: We retrospectively reviewed the notes and radiographs... |
1 | Prevalence and predictors of post-traumatic stress disorder (PTSD) in physically injured victims of non-domestic violence. A longitudinal study | DoD PRF (Psychosocial RF) | BACKGROUND: Victims of violent assault experience diverse post-event emotional problems such as post-traumatic stress disorder (PTSD), and they may have multiple emotional problems. The aim of the present study was to evaluate the prevalence and predictors of PTSD in a longitudinal design.
METHODS: The levels of physic... |
1 | Time to debridement in open high-grade lower limb fractures and its effect on union and infections: A prospective study in a tropical setting | DoD SSI (Surgical Site Infections) | PURPOSE: To prospectively evaluate whether time to debridement has any correlation with union, infection, and quality of life in high-grade lower limb fractures in a tropical setting. METHODS: A prospective cohort study was conducted at a tertiary care center in South India. Two hundred fifty-four adult skeletally matu... |
0 | Contrast-enhanced CT imaging as a non-destructive tool for ex vivo examination of the biochemical content and structure of the human meniscus | AMP (Acute Meniscal Pathology) | The biochemical and histopathological techniques used to investigate meniscal content and structure are destructive and time-consuming. Therefore, this study evaluated whether contrast-enhanced computed tomography (CECT) attenuation and contrast agent flux using the iodinated contrast agents CA4+ and ioxaglate correlat... |
0 | Familial osteochondritis dissecans and carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A short-statured family -- mother, son and daughter -- each with osteochondritis dissecans (O. D.) of the elbow and two with O.D. of the knee is described. The mother and her siblings had, in addition, carpal tunnel syndrome |
0 | Knowledge, attitudes and status of oral health in children at risk for infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | AIM: The purpose of this study was to assess the oral health status of 104 children (2-17 years of age) at risk for infective endocarditis attending the Paediatric Cardiology Service of the Martagao Gesteira Institute of Child Care and Paediatrics, Rio de Janeiro, Brazil, and their guardians' attitudes towards and know... |
0 | Femoral insufficiency fractures with bisphosphonate therapy. Cases study | Management of Hip Fractures in the Elderly | The aim of this paper is to analyze on clinical cases specific features of femoral insufficiency fractures during bisphosphonates therapy. We are presenting two insufficiency femoral fractures (2 patients) in patients receiving bisphosphonate therapy. These two cases represent new type of femoral fractures. These are l... |
0 | Risk factors for foot ulceration and lower extremity amputation in adults with end-stage renal disease on dialysis: a systematic review and meta-analysis | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Adults with end-stage renal disease are at increased risk of foot ulceration and lower extremity amputation. However, the central determinants of lower limb injury and loss are incompletely understood. METHODS: We conducted a systematic review of non-randomized studies that quantified the major risk factors... |
0 | Morbidity and mortality following fractures of the femoral neck and trochanteric region: analysis of risk factors | Management of Hip Fractures in the Elderly | A retrospective review of casenotes with patient review at 3 years was carried out of 405 patients who had surgery for fracture of the femoral neck (including the trochanteric region). The operative management consisted of either internal fixation (61%), hemiarthroplasty (38%), or total arthroplasty (1%). Medical compl... |
0 | The combined effects of celecoxib and minocycline hydrochloride on inhibiting the osseous metastasis of breast cancer in nude mice | MSTS 2018 - Femur Mets and MM | Breast carcinomas show a trend toward bone metastasis that is prevalent worldwide. Celecoxib (CX) and minocycline hydrochloride (MH) have both been widely used in treating breast cancer; however, their combined effects on the osseous metastasis of breast cancer have not yet been studied. In the present study, breast ca... |
0 | Does Care at a Trauma Center Affect Geriatric Hip Fracture Patients? | Hip Fx in the Elderly 2019 | Introduction: With respect to care setting, there are mixed results in the literature with respect to the role of trauma centers in management of isolated geriatric hip fractures. During a transition from a Level 3 to a Level 1 trauma center, significant protocol changes were implemented that sought to standardize and ... |
1 | Psychosocial factors at work and their association with professional ballet dancers' musculoskeletal disorders | DoD PRF (Psychosocial RF) | Seventy-six dancers at the Royal Ballet in Sweden were asked to fill out a questionnaire concerning musculoskeletal pain, work satisfaction, use of capacity, influences at work, social support, and muscular tension. The effects of various factors on the prevalence of pain among the 64 dancers who completed the form wer... |
1 | Supracondylar fractures; comparison of medial and lateral approach for fixation of humerus in children | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective:â? To determine the surgical approach most suited in our setup and evaluate the results based on the functional and cosmetic outcome especially in the range of motion, the subsequent deformity, if any, and the carrying angle. Setting Orthopaedic surgery, Nishtar Hospital, Multan. Duration Two years. Study de... |
0 | Sports-related osteochondral injuries: Clinical presentation, diagnosis, and treatment | Diagnosis and Treatment of Osteochondritis Dissecans AUC | These lesions present with a variety of symptoms and historical findings. A careful joint-specific examination and appropriate imaging studies can help direct the physician in the treatment of the patient who has a chondral, osteochondral, or osteochondritis dissecans lesion. Categorizing the patient based on the size ... |
0 | Post-operative pulmonary complications in the us | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Post-operative pulmonary complications (PPCs) are known to be associated with adverse outcomes and added resource use. While this has been examined in a number of small single center studies and administrative databases using International Classification of Diseases codes (ICD-9-CM), there is no current n... |
0 | Megaprosthesis versus Allograft Prosthesis Composite for massive skeletal defects | Hip Fx in the Elderly 2019 | Massive skeletal defects are encountered in the setting of tumors necessitating excision, failed total hip arthroplasty with periprosthetic bone loss, periprosthetic fracture, complex trauma, multiple failed osteosynthesis and infection. Reconstruction of the segmental defects poses a tremendous challenge to the orthop... |
0 | Injectable long acting chitosan/tripolyphosphate microspheres for the intra-articular delivery of lornoxicam: Optimization and in vivo evaluation | OAK 3 - Non-arthroplasty tx of OAK | Chitosan microspheres were formulated for the intra-articular delivery of lornoxicam in knee osteoarthritis, to minimize associated side-effects after prolonged oral administration. Ionotropic-gelation technique was employed using tripolyphosphate as anionic cross-linker. Full-factorial design experiment was conducted ... |
1 | Three-Dimensional Isotropic Fat-Suppressed Proton Density-Weighted MRI at 3 Tesla Using a T/R-Coil Can Replace Multiple Plane Two-Dimensional Sequences in Knee Imaging | AMP (Acute Meniscal Pathology) | PURPOSE: To evaluate whether a 3 D proton density-weighted fat-suppressed sequence (PDwFS) of the knee is able to replace multiplanar 2D-PDwFS.
MATERIALS AND METHODS: 52 patients (26 men, mean age: 41.9 +/- 14.5years) underwent magnetic resonance imaging (MRI) of the knee at 3.0 Tesla using a T/R-coil. The imaging prot... |
0 | Predictors of Bath Grab-Bar Use among Community-Living Older Adults | DoD PRF (Psychosocial RF) | Bathrooms are a common location for falls among older adults. Bath grab bars can assist in promoting safe bath transfers. The aim of this study was to identify predictors of bathroom safety-device use among community-living seniors. A two-stage sampling strategy was used to select, first, a random sample of non-univers... |
0 | Feasibility and Efficacy of Function-Focused Care for Orthopedic Trauma Patients | DoD PRF (Psychosocial RF) | To overcome challenges associated with optimizing function and physical activity among hospitalized older adults, we developed function-focused care for acute care (FFC-AC). The purpose of this study was to test the feasibility and preliminary effectiveness of this intervention. We hypothesized that hospitalized trauma... |
0 | Natural History of Structural Hip Abnormalities and the Potential for Hip Preservation | Developmental Dysplasia of the Hip 2020 Review | Hip osteoarthritis (OA) exerts a significant burden on society, affecting 3% of Americans aged >30 years. Recent advances in the understanding of the pathoanatomy and pathomechanics of the hip have led to treatment options for young adults with hip pain. Femoroacetabular impingement, specifically cam-type femoroacetabu... |
0 | Total hip replacement using MINIMA<sup> R</sup> short stem: A short-term follow-up study | Hip Fx in the Elderly 2019 | BACKGROUND: Total hip replacement has become one of the most successful orthopaedic procedures. The length of the femoral stem constitutes one of the most important geometrical and mechanical features of the prosthesis. Several different implants are currently available but data are limited concerning the clinical resu... |
0 | An evaluation of emergency guidelines issued by the World Health Organization in response to four infectious disease outbreaks | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: The production of high-quality guidelines in response to public health emergencies poses challenges for the World Health Organization (WHO). The urgent need for guidance and the paucity of structured scientific data on emerging diseases hinder the formulation of evidence-informed recommendations using stand... |
1 | Internal Fixation Versus Arthroplasty for the Treatment of Nondisplaced Femoral Neck Fractures in the Elderly: A Systematic Review and Meta-Analysis | Hip Fx in the Elderly 2019 | OBJECTIVE: To compare the outcomes of elderly patients with nondisplaced and minimally displaced femoral neck fractures treated with internal fixation versus arthroplasty.
DATA SOURCES: A comprehensive search of the MEDLINE, Embase, and central databases was conducted through June 25, 2019.
STUDY SELECTION: Studies wer... |
0 | Oral nutrition or water loading before hip replacement surgery; a randomized clinical trial | AAHKS (2) Corticosteroids | BACKGROUND: Surgery induces insulin resistance that might be alleviated by a nutritional drink given preoperatively. The authors hypothesized that some of the beneficial effects of the drink could be attributed to the volume component (approximately 1 L) rather than to the nutrients.
METHODS: Sixty patients scheduled f... |
0 | Protein-spatiotemporal partition releasing gradient porous scaffolds and anti-inflammatory and antioxidant regulation remodel tissue engineered anisotropic meniscus | AMP (Acute Meniscal Pathology) | Meniscus is a wedge-shaped fibrocartilaginous tissue, playing important roles in maintaining joint stability and function. Meniscus injuries are difficult to heal and frequently progress into structural breakdown, which then leads to osteoarthritis. Regeneration of heterogeneous tissue engineering meniscus (TEM) contin... |
0 | Reliability and validity of the Swedish version of the Self-Efficacy for Rehabilitation outcome scale in persons with knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Objective: To examine reliability and validity of the Swedish version of the Self-Efficacy for Rehabilitation (SER) outcome scale. Methods: One-hundred and ninety-eight inpatients (mean age 69 years) who underwent a primary total knee arthroplasty (TKA) due to knee osteoarthritis participated. They responded pre- and p... |
0 | Current methods of preventing aseptic loosening and improving osseointegration of titanium implants in cementless total hip arthroplasty: a review | AAHKS (4) Acetaminophen | Hip osteoarthritis is the most common joint disorder, and is represented by a degenerative process, resulting in pain and functional impairment. If conservative treatment for hip osteoarthritis fails, the only remaining option is hip arthroplasty. Despite good survival of implants, loosening of components is the most c... |
0 | Can ultrasound replace nerve conduction studies for the detection of carpal tunnel syndrome? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Carpal tunnel syndrome (CTS) is the commonest entrapment neuropathy and is responsible for significant morbidity and occupational absence [1]. Ultrasound is emerging as a useful diagnostic tool in CTS where it can assess the anatomy of the median nerve and monitor the response following treatment. Aims/ba... |
0 | Sigmoid and transverse sinus thrombosis caused by mastoid implant -- case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | INTRODUCTION: Extraoral craniofacial implants are often used for retention of auricular prostheses. In this case report, the rare complication of sigmoid and transverse sinus thrombosis after implant placement in the mastoid is described. CASE REPORT: A 36-year-old man with congenital hypoplasia of the right ear was tr... |
0 | Clues to epidermal cancer proneness revealed by reconstruction of DNA repair-deficient xeroderma pigmentosum skin in vitro | Reconstruction After Skin Cancer | Sun exposure has been clearly implicated in premature skin aging and neoplastic development. These features are exacerbated in patients with xeroderma pigmentosum (XP), a hereditary disease, the biochemical hallmark of which is a severe deficiency in the nucleotide excision repair of UV-induced DNA lesions. To develop ... |
0 | MR imaging of exercise-induced lower leg pain | DoD - ACS - Interrater Reliability | MR imaging of the lower leg is frequently performed to evaluate the active patient who presents with an exercise-induced injury. This article discusses both common and obscure osseous and soft tissue conditions that are seen in the athletic population with leg pain. [References: 67] |
1 | The Effect of Type-II Collagen on Y-Balance Performance in Men with Meniscus | AMP (Acute Meniscal Pathology) | In the present study, the effect of hydrolyzed type-II collagen supplementation on Y balance performance was examined within the individuals that have second-degree meniscus damage. 10 experiments with an average age of 46.9 ± 3.61 and 10 control groups with an average age of 47.4 ± 2.12 took part in this study, includ... |
0 | Soft-tissue expansion before total knee arthroplasty in arthrodesed joints. A report of two cases | Surgical Management of Osteoarthritis of the Knee CPG | We report two cases in which arthrodesed knees were revised to total arthroplasties after the use of soft-tissue expanders. Case 1 had had multiple operations on her knee and had been arthrodesed for septic arthritis two years earlier. Case 2 had had knee arthrodesis for severe osteoarthritis 18 years before revision. ... |
0 | Revision and primary hip and knee arthroplasty: A cost analysis | Surgical Management of Osteoarthritis of the Knee CPG | The cost of health care in the United States has been rising steadily during the past 10 years. Total joint arthroplasty, a commonly performed orthopaedic procedure, accounts for approximately $10 billion dollars per year. The objective of this study was to perform a clinician-oriented cost analysis of primary and revi... |
1 | The relationship between symptoms and electrophysiological detected compression of the median nerve at the wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The aim of this study was to evaluate the relationship between carpal tunnel syndrome symptoms and compression of the median nerve at the wrist in symptomatic patients. METHODS: A total of 250 patients were selected among those referred for electrodiagnostic evaluation with complaints involving hand or wrist... |
0 | Endoscopy for regional lipectomy | Panniculectomy & Abdominoplasty CPG | With the advances in endoscopic surgery, reconstructive surgeons search for applications in the field of soft tissue contouring. The improvements in endoscopic surgery in other fields are based on surgery within well-contained spaces that allow insufflation. However, minimally invasive surgery in the soft tissue planes... |
1 | MR imaging-based diagnosis and classification of meniscal tears | AMP (Acute Meniscal Pathology) | Magnetic resonance (MR) imaging is currently the modality of choice for detecting meniscal injuries and planning subsequent treatment. A thorough understanding of the imaging protocols, normal meniscal anatomy, surrounding anatomic structures, and anatomic variants and pitfalls is critical to ensure diagnostic accuracy... |
0 | Role of magnetic resonance imaging in the diagnosis of the painful unicompartmental knee arthroplasty | PJI DX Updated Search | BACKGROUND: Unicompartmental knee arthroplasty (UKA) is a well established method for the treatment of single compartment arthritis; however, a subset of patients still present with continued pain after their procedure in the setting of a normal radiographic examination. This study investigates the effectiveness of mag... |
0 | The effects of arthroscopic joint debridement in knee osteoarthritis patients over the age of sixty | AMP (Acute Meniscal Pathology) | Objective: The effects of arthroscopic joint debridement (AJD) on patients aged sixty or above who had symptoms of osteoarthritis according to functional status, pain levels and patient satisfaction were evaluated in the short- and mid-term. Materials and Methods: Between 2006 and 2011, 80 patients aged 60 or above who... |
0 | Femoral neck bone mineral density and 10-year absolute fracture risk in a national representative sample of Bulgarian women aged 50 years and older | Management of Hip Fractures in the Elderly | Summary This study explored the epidemiology of osteoporosis in Bulgarian women (>50 years). Of the women included in the study, 16.8% had osteoporosis and 46.5% had osteopenia at the femoral neck. The mean 10-year absolute fracture risk was 13.4(plus or minus)9.2% (major fractures) and 2.8(plus or minus)5.2% (hip frac... |
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