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1 | Management of Osteochondritis Dissecans of the Femoral Condyle | Osteochondritis Dissecans 2020 Review | The American Academy of Orthopaedic Surgeons has developed the Appropriate Use Criteria (AUC) document Management of Osteochondritis Dissecans of the Femoral Condyle. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain... |
0 | Pain management protocols, peri-operative pain and patient satisfaction after total knee replacement: A multicentre study | AAHKS (9/10) Regional Nerve Blocks | In a prospective multicentre study we investigated variations in pain management used by knee arthroplasty surgeons in order to compare the differences in pain levels among patients undergoing total knee replacements (TKR), and to compare the effectiveness of pain management protocols. The protocols, peri-operative lev... |
0 | Percutaneous fixation of comminuted fractures of the proximal humerus | DoD SSI (Surgical Site Infections) | The authors present 35 cases of comminuted fractures of the proximal humerus, treated with K-wire fixation, following reduction of the fragments. There were 18 patients with two- fragments fractures, five - with three-fragments and twelve - with four-fragments. The follow-up period was 12 months. All patients were immo... |
0 | Perioperative considerations of bilateral total knee replacement: A review | AAHKS (5) Gabapentinoids | Bilateral total knee replacement is becoming one of the more commonly performed orthopedic procedures for patients with advanced arthritis of both knees. The surgeon may decide to operate on both knees simultaneously, sequentially, or in a staged manner. The safety of this procedure is still debated due to wide variati... |
0 | An alternative method to create extramedullary references in total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Historically, extramedullary techniques have focused on finding the femoral head center and referred mainly to the anterosuperior iliac spine (the FHC method) in total knee arthroplasty (TKA). The purpose of this study was to evaluate a new extramedullary alignment system that uses neutral overall limb mechani... |
0 | Femoroacetabular impingement: a review of diagnosis and management | Osteochondritis Dissecans 2020 Review | Hip pain in adults has traditionally been associated with osteoarthritis in the joint. However, many young patients with hip pain do get referred to orthopaedic surgeons without arthritis. Subtle bony and soft tissues abnormalities can present with hip pain in the active young adult. These abnormalities can lead to pre... |
0 | Surgical management of HIV-associated lipodystrophy: role of ultrasonic-assisted liposuction and suction-assisted lipectomy in the treatment of lipohypertrophy | Panniculectomy & Abdominoplasty CPG | PURPOSE: HIV-associated lipodystrophy is a frequent consequence of highly active antiretroviral therapy and has been associated with several metabolic disorders (increased triglycerides, hypercholesterolemia, insulin resistance) as well as altered fat distribution, including lipohypertrophy (neck, trunk, breasts) and l... |
0 | Clinics in Diagnostic Imaging (94) | Management of Hip Fractures in the Elderly | An 84-year-old woman, who sustained a fall in the nursing home, complained of right hip pain and inability to bear weight. Radiographs showed no fracture or cortical break. MR imaging showed an undisplaced subcapital fracture of the right femoral neck for which a hemiarthroplasty was performed. The patient was then dis... |
0 | Current practice patterns of drain usage amongst UK and Irish surgeons performing bilateral breast reductions: Evidence down the drain | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: Bilateral breast reduction (BBR) is one of the most frequently performed female breast operations. Despite no evidence supporting efficacy of drain usage in BBRs, postoperative insertion is common. Recent high quality evidence demonstrating potential harm from drain use has subsequently challenged this tr... |
0 | Imaging appearances of the sternum and sternoclavicular joints | Glenohumeral Joint OA | The sternum and sternoclavicular joints--critical structures of the anterior chest wall--may be affected by various anatomic anomalies and pathologic processes, some of which require treatment. Pectus excavatum and pectus carinatum are common congenital anomalies that are usually benign but may warrant surgical treatme... |
0 | Pelvic trauma: What are the predictors of mortality and cardiac, venous thrombo-embolic and infectious complications following injury? | Hip Fx in the Elderly 2019 | Introduction This study sought to determine risk factors that influence mortality, cardiac events, venous thrombo-embolic disease (VTED), and infection following fractures of the pelvis and/or acetabulum. Methods The 2008 National Sample Program (NSP) of the National Trauma Databank was queried to identify all patients... |
0 | Comparing the effectiveness of modified forearm and conventional minidose intravenous regional anesthesia for reduction of distal forearm fractures in children | Distal Radius Fractures | BACKGROUND: Minidose intravenous regional anesthesia (IVRA) and modified forearm IVRA have been used for closed reduction of forearm fractures and for hand surgery in children. METHODS: Children (5â?17 years old) with forearm fractures presenting to a pediatric emergency department were enrolled in a randomized contro... |
0 | Abdominal compartment syndrome in the severely burned patient | DOD - Acute Comp Syndrome CPG | Scant data exist regarding patient outcome after treatment of abdominal compartment syndrome (ACS) with decompressive laparotomy. This work reviews the outcome of 25 burn patients at a single institution who underwent decompressive laparotomy for treatment of ACS in the periresuscitation period. A computerized burn reg... |
0 | Hand Osteoarthritis Severity is Associated with Total Knee Joint Replacements Independently of BMI. The Ages-Reykjavik Study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To identify factors associated with having total knee replacement due to osteoarthritis in the AGES-Reykjavik Study, a large population based study of elderly Icelanders. METHODS: Information about total knee and hip joint replacements (TKR,THR) and hand OA (HOA) severity was available in 2195 males and 2975... |
1 | The value of intraoperative Gram stain in revision total knee arthroplasty | PJI DX Updated Search | BACKGROUND: The accurate preoperative diagnosis of infection is an essential component of decision-making prior to revision total knee arthroplasty. When preoperative modalities used to detect infection reveal equivocal findings, the surgeon may rely on intraoperative testing. While intraoperative Gram stains are routi... |
0 | Cathepsin-D expression in breast lesion: an immunohistochemical study | MSTS 2018 - Femur Mets and MM | Cathepsin-D (CathD) is an aspartyl lysosomal protease expressed in all tissues that might play a role in antigen processing, cell proliferation and tissue renewal, and activation of different pro hormones. The aim of our study was to compare the expression of CathD in most common breast tumors and tumor-like breast les... |
0 | Muromonab-CD3 and antithymocyte globulin in renal transplantation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To review the recently published medical literature for the practical and efficient use of muromonab-CD3 (OKT-3) and antithymocyte globulin (ATG) in renal transplantation. DATA SOURCES: MEDLINE and EMBASE were searched (1985-February 1996). Key words used were antithymocyte globulin (ATG, Atgam), muromonab-C... |
0 | A retrospective study: Does cigarette smoking induce cervical disc degeneration? | Glenohumeral Joint OA | OBJECTIVE: To investigate cigarette smoking's relevance with cervical disc degeneration.
METHODS: We randomly selected 320 patients who came to our spine disease department outpatient clinic with chief complaint of neck-shoulder pain during June 2014-June 2016. According to the detailed smoking history, these patients ... |
0 | Treatment of full-thickness femoral cartilage lesions using condyle resurfacing prosthesis | PJI DX Updated Search | PURPOSE: The HemiCAP(R) implant for femoral resurfacing treatment of cartilage lesions was introduced in 2003. We present outcome from a prospective cohort study of 61 patients with both trochleal and condylar lesions treated with the HemiCAP(R) implant. METHODS: From 2007 to 2012, 61 patients were treated with femoral... |
0 | The pattern of cartilage damage in antero-medial osteoarthritis of the knee and its relationship to the anterior cruciate ligament | Surgical Management of Osteoarthritis of the Knee CPG | Within antero-medial gonarthrosis (AMG) of the knee, there is a spectrum of damage seen in the functionally intact anterior cruciate ligament (ACL). Our aim was to correlate the degree of ACL damage to the geographical extent and degree of cartilage loss on the tibial plateau. Ninety tibial plateaus resected during uni... |
0 | The distal radius fracture: concomitant fractures and their relevancy | Distal Radius Fractures | BACKGROUND: The distal radius keeps heading the list of commonly fractured bones. Although little is known about the frequency and localization of accompanying fractures as well as their influence on the total course of in-patient treatment.
OBJECTIVE: This study is supposed to show the influence of concomitant fractur... |
0 | Treatment of sleep disturbances in trauma-affected refugees: Study protocol for a randomised controlled trial | DoD PRF (Psychosocial RF) | BACKGROUND: Sleep disturbances are often referred to as a hallmark and as core symptoms of post-traumatic stress disorder (PTSD). Untreated sleep disturbances can contribute to the maintenance and exacerbation of PTSD symptoms, which may diminish treatment response and constitute a risk factor for poor treatment outcom... |
0 | Disease Progression After Lateral and Medial Unicondylar Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: Medial unicompartmental knee arthroplasty (UKA) has been a successful option for treatment of arthritis in patients with a healthy lateral compartment. However, lateral UKA is less common and results are less consistent. The purpose of this study is to compare progression of radiographically evident osteoar... |
0 | Profix cemented total knee replacement: a 5-year outcome review from Lagos, Nigeria | DoD SSI (Surgical Site Infections) | BACKGROUND: Total knee replacement is a standard treatment for severe osteoarthritis of the knees. It is however, still a novel procedure in Nigeria. Literature on the procedure and outcome of management are sparse in Nigeria.
OBJECTIVE: This study aimed at describing Total Knee prosthetic Replacement as it is practice... |
0 | Somatostatin receptor imaging in persistent medullary thyroid carcinoma | MSTS 2018 - Femur Mets and MM | OBJECTIVE: Somatostatin is secreted from thyroid C-cells and seems to play an important part in the regulation of calcitonin secretion. We therefore evaluated the usefulness of somatostatin receptor scintigraphy in the localization of tumour tissue in patients with persistent medullary thyroid carcinoma.
DESIGN: A pros... |
0 | Bisphosphonate-associated osteonecrosis: a long-term complication of bisphosphonate treatment | MSTS 2018 - Femur Mets and MM | We present current knowledge of bisphosphonate-associated osteonecrosis, a new oral complication in oncology. It was first described in 2003, and hundreds of cases have been reported worldwide. The disorder affects patients with cancer on bisphosphonate treatment for multiple myeloma or bone metastasis from breast, pro... |
0 | Poor utility of serum interleukin-6 levels to predict indolent periprosthetic shoulder infections | PJI DX Updated Search | BACKGROUND: Infection after shoulder arthroplasty can present a diagnostic challenge. The purpose of this study was to evaluate the utility of serum interleukin-6 (IL-6) levels in diagnosis of periprosthetic infection in patients undergoing revision shoulder arthroplasty. METHODS: We prospectively enrolled 69 patients ... |
0 | TLR4 signalling in osteoarthritis-finding targets for candidate DMOADs | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA), the most common rheumatic disease, is characterized by joint-space narrowing due to progressive cartilage degradation and alterations in subchondral bone and the synovial membrane. These articular disturbances can have severe consequences, including pain, disability and loss of joint architectural ... |
0 | Joint arthroplasty, dental treatment, and antibiotics: a review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Many patients with artificial joints seek guidance from their dental and orthopaedic surgeons on whether they should take prophylactic antibiotics for routine dental treatment. Advice on this has been conflicting in the past, and other than a joint statement from the American Academy of Orthopaedic Surgeons and the Ame... |
0 | Significance of a "hot patella" in total knee replacement without primary patellar resurfacing | PJI DX Updated Search | A "hot patella" is a bone scan finding of increased tracer uptake in the patella, greater than the ipsilateral distal femur or the proximal tibia. Increased patellar uptake on the bone scans is a relatively frequent finding; this is often not commented upon. The aim of our study was to define the incidence of a "hot pa... |
0 | Evaluation of tongue squamous cell carcinoma resection margins using ex-vivo MR | Reconstruction After Skin Cancer | Purpose: Purpose of this feasibility study was (1) to evaluate whether application of ex-vivo 7T MR of the resected tongue specimen containing squamous cell carcinoma may provide information on the resection margin status and (2) to evaluate the research and developmental issues that have to be solved for this techniqu... |
0 | Composite tissue allotransplantation - A new era in plastic surgery? | Reconstruction After Skin Cancer | Composite tissue allotransplantation (CTA) holds great potential for reconstructive surgery. The recent hand transplants have made this a clinical reality. However, concerns about CTA have divided the medical community. The current transplants require life-long immunosuppression, which could place the recipients at ris... |
0 | Sécurité et efficacité de différents modes d'anesthésie pour des parturientes infectées par la COVID-19 accouchant par césarienne : une série de 17 cas | Coronavirus Disease 2019 (COVID-19) | PURPOSE: To assess the management and safety of epidural or general anesthesia for Cesarean delivery in parturients with coronavirus disease (COVID-19) and their newborns, and to evaluate the standardized procedures for protecting medical staff. METHODS: We retrospectively reviewed the cases of parturients diagnosed wi... |
0 | Bone graft substitutes and bone morphogenetic proteins for osteoporotic fractures: What is the evidence? | Distal Radius Fractures | Despite improvements in implants and surgical techniques, osteoporotic fractures remain challenging to treat. Among other major risk factors, decreased expression of morphogenetic proteins has been identified for impaired fracture healing in osteoporosis. Bone grafts or bone graft substitutes are often used for stabili... |
0 | Periprosthetic joint infection--effect on quality of life | PJI DX Updated Search | PURPOSE: Relatively little is known about the extent to which periprosthetic joint infections (PJI) affect the patient's long-term quality of life (QoL). Our study aim was to assess the effect of a periprosthetic infection on our patients' QoL. METHODS: We collected data retrospectively of patients who had undergone su... |
0 | Erratum: Correction to: The Amsterdam Wrist Rules to reduce the need for radiography after a suspected distal radius fracture: an implementation study (European journal of trauma and emergency surgery : official publication of the European Trauma Society (2019)) | Distal Radius Fractures | The original version of this article unfortunately contained a mistake. The spelling of the J. Carel Goslings' name was incorrect. The correct information is given above. |
0 | Pilot study of the effects of a heat-retaining knee sleeve on joint pain, stiffness, and function in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To identify changes in joint pain, stiffness, and functional ability in patients with knee osteoarthritis (OA) after use of a knee sleeve that prevents loss of body heat by the joint. METHODS: Subjects with symptomatic knee OA (n = 52) were randomized to 2 treatment groups: verum sleeve (specially fabricated... |
0 | Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese population-based cohorts: the ROAD study | OAK 3 - Non-arthroplasty tx of OAK | AIM: To examine the incidence of certified need of care in the national long-term care insurance (LTCI) system, and to determine its risk factors in the elderly of Japanese population-based cohorts of the Research on Osteoarthritis/Osteoporosis Against Disability (ROAD) study.
METHODS: Of the 3040 participants in the b... |
1 | Sonography in pediatric hip disorders | Developmental Dysplasia of the Hip CPG | Real-time ultrasonography of the infant hip has proven to be a reliable and safe method of evaluating the joint for dislocation or instability. A number of techniques for diagnosing and quantifying these disorders have been developed. Several other applications of ultrasound in pediatric hip disorders have also been de... |
0 | Optical Coherence Tomographic Analysis of Retina in Retinitis Pigmentosa Patients | Upper Eyelid and Brow Surgery | Retinitis pigmentosa (RP) is a progressive inherited retinal disease characterized by nyctalopia, visual field constriction, and reduced full-field electroretinograms. The progressive loss of photoreceptors leads to vision loss at the end stage of RP. The prevalence of RP is approximately 1/4,000. Since it is one of th... |
0 | Kinesiophobia affects early stage functional levels after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background Though total knee arthroplasty (TKA) is a successful procedure for the late stage of knee osteoarthritis, high pain levels and functional impairment are considerable. In addition, TKA patients suffer from psychological symptoms such as kinesiophobia and fear of motion. Objectives The purpose of this study wa... |
0 | Antibacterial effect of two toothpastes following a single brushing | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: The aim of this double-blind, randomised cross-over study was to compare the antibacterial effect and the substantivity of two toothpaste formulations containing amine fluoride (AmF) or zinc chloride (ZnCl2). MATERIALS AND METHODS: After a professional tooth cleaning, 20 volunteers refrained from all oral mech... |
0 | The relationship between bone density, mineral content, and mechanical strength in the femoral neck | Management of Hip Fractures in the Elderly | The bone density, mineral content and average shear stress in bending at failure were measured in vitro in 33 femoral necks of women and men of different ages. The correlations between these three parameters as well as their correlation with the Singh index were carefully analyzed and found to show that the Singh index... |
0 | Association between extending carefirst's medical home program to medicare patients and quality of care, utilization, and spending | Hip Fx in the Elderly 2019 | IMPORTANCE CareFirst, the largest commercial insurer in the mid-Atlantic Region of the United States, runs a medical home program focusing on financial incentives for primary care practices and care coordination for high-risk patients. From 2013 to 2015, CareFirst extended the program to Medicare fee-for-service (FFS) ... |
0 | Comparison of the effect of continuous femoral nerve block and adductor canal block after primary total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: This study aimed to compare the effects of femoral nerve block and adductor canal block on postoperative pain, quadriceps strength, and walking ability after primary total knee arthroplasty. Methods: Between November 2014 and February 2015, 60 patients underwent primary total knee arthroplasty. Thirty patie... |
0 | Physical activity and exercise for chronic pain in adults: an overview of Cochrane reviews | SR for PM on OA of All Extremities | This is the protocol for a review and there is no abstract. The objectives are as follows:To provide an overview of Cochrane systematic reviews in adults with chronic pain conditions to determine: the effectiveness of different physical activity and exercise interventions in the management of chronic pain in adults in ... |
1 | Comparison of percutaneous long bone cementoplasty with or without embedding a cement-filled catheter for painful long bone metastases with impending fracture | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVE: To compare the efficacy of percutaneous long bone cementoplasty (PLBC) with and without embedding a cement-filled catheter in the medullary canal (ECFC) for painful long bone metastases with impending fracture.
METHODS: A retrospective study was conducted in 36 consecutive patients undergoing PLBC and ECFC c... |
0 | Is patient self-assessment of flexion after TKR able to identify risk of manipulation under anaesthesia? | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Patient self-assessment of postoperative knee flexion following knee replacement was introduced at our institution. This protocol had a dual objective: improve follow-up and act as an early indicator to identify patients at risk of requiring a manipulation under anaesthesia. The aim of our study was to audi... |
0 | Interpretation of movement during stair ascent for predicting severity and prognosis of knee osteoarthritis in elderly women using support vector machine | Surgical Management of Osteoarthritis of the Knee CPG | Several studies have demonstrated that pathologic movement changes in knee osteoarthritis (OA) may contribute to disease progression. The aim of this study was to investigate the association between movement changes during stair ascent and pain, radiographic severity, and prognosis of knee OA in the elderly women using... |
0 | External fixator or bone pin osteosyntheses in unstable distal intra-articular radius fractures in elderly patients | Distal Radius Fractures | Hyperdistraction with external fixation in the treatment of distal intraarticular fractures (Frykman types VII/VIII) in elderly patients results in a higher risk of secondary shortening and loss of the radius length with functional impairment. Using the modified Kâ?wire technique of Kapandjii, a more sufficient restor... |
0 | Tumescent liposuction report performance measurement initiative: national survey results | Panniculectomy & Abdominoplasty CPG | BACKGROUND: This study was created by the Accreditation Association for Ambulatory Health Care Institute for Quality Improvement to measure clinical performance and improvement opportunities for physicians and ambulatory health-care organizations. Data were collected prospectively between February 2001 and August 2002.... |
0 | Screening programmes for developmental dysplasia of the hip in newborn infants | SR for PM on OA of All Extremities | BACKGROUND: Uncorrected developmental dysplasia of the hip (DDH) is associated with long term morbidity such as gait abnormalities, chronic pain and degenerative arthritis. OBJECTIVE: To determine the effect of different screening programmes for DDH on the incidence of late presentation of congenital hip dislocation. M... |
0 | Long-term functional results in patients with anterolateral rotatory instability treated by iliotibial band transfer | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this paper is to define the use of the extraarticular, lateral reconstruction in the spectrum of patients with cruciate deficiency. A review was conducted of 112 consecutive patients with a MacIntosh-type iliotibial band transfer done between 1972 and 1986. Fifty-six of the patients had a partial or comp... |
0 | Effect of chlorhexidine-thymol varnish on root caries in a geriatric population: a randomized double-blind clinical trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: Little is known about the effect of Cervitec, a chlorhexidine-thymol varnish, on root caries. Our objective was to determine whether a 3-monthly application of Cervitec over 1 year would limit the progress of existing root caries lesions and reduce the incidence of dental root caries in a group of dentate i... |
0 | CXCR4 and CXCR7 transduce through mTOR in human renal cancer cells | MSTS 2018 - Femur Mets and MM | Treatment of metastatic renal cell carcinoma (mRCC) has improved significantly with the advent of agents targeting the mTOR pathway, such as temsirolimus and everolimus. However, their efficacy is thought to be limited by feedback loops and crosstalk with other pathways leading to the development of drug resistance. As... |
0 | Scientific evidence of the therapeutic effects of dead sea treatments: a systematic review | SR for PM on OA of All Extremities | OBJECTIVES: The Dead Sea, the deepest and most saline lake on earth, has been known from biblical times for its healing properties. The aim of this systematic review was to present critically the level of evidence for the claims of therapeutic effects of Dead Sea treatments in several rheumatologic diseases and psorias... |
0 | What's new in the diagnosis and treatment of peripheral nerve entrapment neuropathies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Entrapment neuropathies can be common conditions with the potential to cause significant disability. Correct diagnosis is essential for proper management. This article is a review of recent developments related to diagnosis and treatment of various common and uncommon nerve entrapment disorders. When combined with clas... |
1 | Screening for hip abnormality in the neonate | Developmental Dysplasia of the Hip CPG | Clinical screening policies for the detection of hip instability or dysplasia of the hip vary internationally. There is general agreement in the Western world that at birth all hip joints should be clinically assessed by the Ortolani and Barlow tests. Currently, there is no consistency regarding who should undertake th... |
0 | Adductor canal block versus femoral nerve block for total knee arthroplasty: a prospective, randomized, controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: This prospective double-blinded, randomized controlled trial compared adductor canal block (ACB) with femoral nerve block (FNB) in patients undergoing total knee arthroplasty. The authors hypothesized that ACB, compared with FNB, would exhibit less quadriceps weakness and demonstrate noninferior pain score ... |
0 | Vascularised fibula or induced membrane to treat congenital pseudarthrosis of the Tibia: A multicentre study of 18 patients with a mean 9.5-year follow-up | DoD SSI (Surgical Site Infections) | BACKGROUND: The objective of this study was to compare outcomes of two surgical techniques used to treat congenital pseudarthrosis of the tibia (CPT), the induced membrane technique (IM) and the transfer of the contralateral vascularised fibula (VF).
HYPOTHESIS: The IM technique produces similar outcomes to those of VF... |
0 | Large scale meta-analysis of urinary C-terminal telopeptide, serum cartilage oligomeric protein and matrix metalloprotease degraded type II collagen and their role in prevalence, incidence and progression of osteoarthritis | SR for PM on OA of All Extremities | Objective: To evaluate the role of three cartilage-derived biomarkers on osteoarthritis (OA): urinary C-terminal telopeptide (uCTX-II), serum cartilage oligomeric protein (sCOMP), and serum MMP degraded type II collagen (sC2M). Subjects and methods: Samples from 3582 individuals from the Rotterdam Study, the Genetics o... |
1 | Functionality and health-status benefits associated with reduction of osteoarthritis pain | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | OBJECTIVE: To evaluate the association between pain intensity improvement and improvements in functionality and health status in patients with chronic osteoarthritis pain of the hip or knee. METHODS: Data were obtained from a 12-week, randomized, double-blind, placebo-controlled study of tramadol ER 100 mg, 200 mg, 300... |
0 | Salvage of a recurrently dislocating total hip prosthesis with use of a constrained acetabular component: A concise follow-up of a previous report | Management of Hip Fractures in the Elderly | We previously reported the results at a mean of five years following the use of a tripolar constrained acetabular component to treat recurrently dislocating total hip prostheses. In this study, we report the results after longer follow-up, with emphasis on the prevalence of implant loosening, osteolysis, and later recu... |
0 | Injury Pattern on Magnetic Resonance Imaging of First-time Patellar Dislocations in Children and Adolescents | Osteochondritis Dissecans 2020 Review | Objective To characterize medial patellofemoral ligament (MPFL) lesions and osteochondral lesions after a first episode of lateral patellar dislocation (LPD) in young patients. Methods We evaluated 91 magnetic resonance imaging scans from patients under 18 years of age (average age: 14.5 years), with a first episode of... |
1 | The waist and abdominoplasty | Panniculectomy & Abdominoplasty CPG | Basing our work on ideal aesthetic features of the feminine figure and focusing our attention on the waist, we add several points to the abdominoplasty classification. We have carried out 150 abdomino plasties in the last 5 years: 60% of the patients presented with musculoponeurosis alterations, for whom plicature of t... |
0 | Triathlon total knee arthroplasty: 4-year outcomes with a high-performance implant | Surgical Management of Osteoarthritis of the Knee CPG | The 4-year outcomes of a prospective study of patients undergoing Triathlon total knee arthroplasty (TKA) are presented. There were 2035 consecutive cemented TKAs performed on 1688 patients. Mean follow-up was 21 months, including 713 knees with a follow-up of > or =2 years. In a subgroup of 239 patients, the coverage ... |
0 | Tka rehab: Does negative work work? | Surgical Management of Osteoarthritis of the Knee CPG | Background: Total knee arthroplasty (TKA) is a common procedure used to relieve pain associated with knee osteoarthritis, but strength loss, particularly of the quadriceps muscles, is ubiquitous. Our study explores the effect of resistance exercise via negative, eccentrically- induced, work (RENEW) therapy, which is ef... |
1 | Rivaroxaban for thromboprophylaxis after nonelective orthopedic trauma surgery in Switzerland | Hip Fx in the Elderly 2019 | This study investigated the effectiveness and the outcomes of rivaroxaban vs the standard of care for venous thromboembolic prophylaxis in patients undergoing fracture-related surgery. A total of 413 patients undergoing fracture-related surgery from 9 Swiss orthopedic and trauma centers were enrolled. The authors selec... |
0 | Strategy to control methicillin-resistant Staphylococcus aureus post-operative infection in orthopaedic surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In the year 2000 the rate of infection after arthroplasty in our hospital was 9.75% and methicillin-resistant Staphylococcus aureus (MRSA) was the organism in 33% of the infected joints. In an attempt to overcome this unacceptable situation, we changed our prophylaxis regime over a period of 6 months. This involved mod... |
0 | Pitfalls in the treatment of fractures of the ankle and talus | DoD LSA (Limb Salvage vs Amputation) | Displaced fractures of the ankle are a common component of current orthopaedic practice, whereas displaced fractures of the talus are unusual. Ankle fractures generally are produced by indirectly applied, relatively low energy forces, whereas talus fractures are created by higher energy axial loading. Despite these inh... |
0 | High rate of infection after aseptic revision of failed metal-on-metal total hip arthroplasty | Hip Fx Time to Surgery | BACKGROUND: Evidence suggests some metal-on-metal (MOM) THAs have higher rates of failure and subsequent revision than other bearing surfaces. However, there are few studies demonstrating how these patients fare after revision. QUESTIONS/PURPOSES: We asked: (1) What is the short-term survivorship of revision THA in pat... |
0 | Antibiotic-Loaded Spacer for Two-Stage Revision of Infected Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Infection of total knee arthroplasty (TKA) is a challenge in orthopedic surgery. In literature TKA infection is classified according to the time after surgery: acute postoperative; late chronic; acute hematogenous; positive intraoperative microbiological growth. The purpose of this study is to present the results of th... |
0 | The use of trochanteric slide osteotomy in the treatment of displaced acetabular fractures | Hip Fx Time to Surgery | From January 2003 and February 2006, 31 displaced acetabular fractures were treated by open reduction and internal fixation. The fractures were managed using a single approach, involving a straight lateral incision centered over the greater trochanter, trochanteric osteotomy and dislocation of the femoral head. The mea... |
1 | Investigating Veterans' Pre-, Peri-, and Post-Deployment Experiences as Potential Risk Factors for Problem Gambling | DoD PRF (Psychosocial RF) | Background and aims Gambling disorder and its comorbid diagnoses are observed at higher rates in military veterans than in the general population. A significant research gap exists regarding the relationships of veterans' life and service experiences to problematic gambling. The present study explored pre-, peri-, and ... |
0 | Developments in surgical treatment of distal radius fractures using volar plates and screws: Our 7-year experience | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction The management of distal radius fractures is changed significantly in recent years: the conservative treatment, frequently used in the past, has shown poor results in a considerable number of patients. Therefore, especially in young patients the surgical approach has become more frequent. Furthermore, the ... |
0 | Hospitalization of the elderly patient for acute illness | Management of Hip Fractures in the Elderly | There is a paucity of studies on the characteristics of elderly patients who are admitted for treatment of acute disorders, even though their utilization of hospitals is high. This study involved 828 older persons admitted to a general hospital during a period of six months, for the treatment of acute illness. The typi... |
1 | Management of high-risk popliteal vascular blunt trauma: clinical experience with 62 cases | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: The purpose of this study is to report the clinical and functional outcomes of patients, treated between 2004 and 2009, with high-risk popliteal vascular injuries due to compound fractures about the knee. PATIENTS AND METHODS: A retrospective analysis was conducted of prospectively collected data from Tabriz M... |
0 | Effect of external hip protectors on hip fractures | Management of Hip Fractures in the Elderly | Most hip fractures seem to be related to trauma near the hip, so a controlled trial was conducted to investigate the effect of external hip protectors on the prevention of such fractures in residents of a nursing home. 10 of the 28 wards in the nursing home were randomised to receive external hip protectors; thus 167 w... |
0 | Unstable trochanteric fractures: the role of lateral wall reconstruction | Management of Hip Fractures in the Elderly | The sliding compression device, a widely used implant in unstable proximal femoral fractures, suffers from two major limitations: excessive collapse and screw cut-out. Commonly attributed reasons for these are lateral wall comminution and single-point fixation, respectively. We report our experience of stabilising 74 u... |
0 | Femoral artery occlusion following pelvic cancer surgery | DoD LSA (Limb Salvage vs Amputation) | Acute arterial occlusion in the lower extremities of patients with gynecologic cancers may not be immediately recognized in the postoperative period, despite the known risk of hypercoagulability associated with malignancy. Such delays in recognition and treatment can result in irreversible but potentially preventable t... |
0 | Risk of breast cancer among reduction mammaplasty patients and the strategies used by plastic surgeons to detect such cancer | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Estimates of the occurrence of breast cancer among reduction mammaplasty patients vary from 0.05 to 1.66 percent, and the chance of finding such cancers is affected by the thoroughness of preoperative and postoperative examinations. The authors' aims were to make a more exact and age-specific estimation of ... |
0 | [Moldable titanium mesh for chest wall reconstruction, an elegant solution about a case report] | Acellular Dermal Matrix | INTRODUCTION: Several surgical techniques are available for full thickness chest wall reconstruction. The choice has to be adapted to the size of the loss of tissue, its location, and must finally be accepted by the patient's. We propose a new and unpublished solution. CASE REPORT: We have in our care a 54 years-old pa... |
0 | Perimenopausal wrist fracture - An opportunity for prevention and management of osteoporosis | HipFx Supplemental Cost Analysis | Objective. Review of Medscheme's administrative databases to study the relationship between hip fracture and previous wrist fracture in peri- and postmenopausal women. Design. Retrospective analysis of 1995-1998 data for women aged 50 and above hospitalised for management of wrist fracture. Those identified were subjec... |
0 | Mortality and cause of death in mucopolysaccharidosis type II - A historical review based on data from the Hunter Outcome Survey (HOS) | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Mucopolysaccharidosis type II (MPS II or Hunter syndrome) is a progressive, multisystemic disease caused by a deficiency of iduronate-2-sulfatase. Patients with the severe form of the disease have cognitive impairment and typically die in the second decade of life. Patients with the less severe form do not experience s... |
0 | Functional study of hands among patients dialysed for more than 10 years | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Sixty-six haemodialysed (HD) in centre patients (24 h/m2/week, acetate bath, cuprophane membrane), with a mean age of 59.2 years, treated for 16.7 +/- 4.5 years, underwent clinical examination of their hands to determine anatomical and functional alterations. For each hand a functional score was calculated from a medic... |
0 | Mechanical failure after locking plate fixation of unstable intertrochanteric femur fractures | Management of Hip Fractures in the Elderly | Objectives: The aim of this study was analyze modes of mechanical failure in a consecutive cohort of Patients and establish possible risk factors. Design: This was a retrospective cohort study. Setting: The study was conducted at an academic level-1 trauma center. Patients: Twenty-nine patients (mean age 56 years, rang... |
0 | Pseudogout | AMP (Acute Meniscal Pathology) | Clinical and radiologic features are discussed and the etiologic possibilities are reviewed. Illustration of X rays, crystals, and excised menisci are presented and treatment is indicated. |
0 | Association of serotonin-1A and 2A receptor promoter polymorphisms with depressive symptoms and functional recovery in elderly persons after hip fracture | DoD PRF (Psychosocial RF) | BACKGROUND: Depression is common after hip fracture and is associated with poorer functional recovery. Polymorphisms of the serotonin 1a (5HTR1A) and 2a receptors (5HTR2A) are associated with depression; therefore, we examined their association with depressive symptoms and functional recovery after hip fracture.
METHOD... |
0 | Estrogen signaling is active in cartilaginous tumors: implications for antiestrogen therapy as treatment option of metastasized or irresectable chondrosarcoma | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: Chondrosarcoma is a malignant cartilaginous matrix-producing tumor that can be lethal in 10% to 50% of the patients. Surgery is the only effective treatment known as these tumors are notorious refractory to all types of conventional chemotherapy or radiotherapy. To identify a target for therapy, we want to det... |
0 | Knee kinematics in functional activities seven years after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Detailed knowledge of knee kinematics during functional activities is lacking in current studies on the long-term outcome of total knee replacement surgery. The aim of this study was to assess functional knee kinematics using flexible electrogoniometry in patients seven years after unilateral primary total ... |
0 | Antibiotics for meconium-stained amniotic fluid in labour for preventing maternal and neonatal infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Chorioamnionitis is more likely to occur when meconium-stained amniotic fluid (MSAF) is present. Meconium may enhance the growth of bacteria in amniotic fluid by serving as a growth factor, inhibiting bacteriostatic properties of amniotic fluid. Many adverse neonatal outcomes related to MSAF result from Mec... |
0 | Intracarpal soft-tissue lesions associated with an intra-articular fracture of the distal end of the radius | Distal Radius Fractures | Sixty patients who had a displaced intra-articular fracture of the distal end of the radius were managed with manipulative reduction and internal fixation performed under both fluoroscopic and arthroscopic guidance. According to the AO/ASIF classification system, seven fractures were type B1, two were type B2, three we... |
0 | The impact of non-injury-related factors on disability secondary to whiplash associated disorder type II: a retrospective file review | DoD PRF (Psychosocial RF) | BACKGROUND: There is evidence to suggest that Whiplash Associated Disorders (WADs) are influenced by physical trauma and psychosocial factors, as well as by medicolegal and compensation systems.
OBJECTIVE: To investigate the impact of noninjury related variables on self-reported disability at initial assessment among p... |
1 | Complex Meniscus Tears Treated with Collagen Matrix Wrapping and Bone Marrow Blood Injection: Clinical Effectiveness and Survivorship after a Minimum of 5 Years' Follow-Up | AMP (Acute Meniscal Pathology) | Purpose. To determine the 5-year success rate of the "all-inside" technique of arthroscopic meniscus suture and collagen membrane wrapping along with bone marrow blood injection, to evaluate the progression of degenerative changes and the impact of simultaneous anteriro cruciate ligament (ACL) reconstruction. Methods. ... |
0 | Long-term tanezumab treatment for osteoarthritis: Efficacy and safety results | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Nerve growth factor (NGF) levels are associated with increased pain perception and are elevated in joints of arthritis patients. Tanezumab, a humanized monoclonal antibody, inhibits NGF with high specificity and affinity. A non-controlled, randomized, dose-blinded extension study (NCT00809783) follo... |
0 | Laminar airflow ceiling size: no impact on infection rates following hip and knee prosthesis | DoD SSI (Surgical Site Infections) | OBJECTIVE: Laminar airflow (LAF) systems are widely used, at least in orthopedic surgery. However, there is still controversial discussion about the influence of LAF on surgical site infection (SSI) rates. The size of the LAF ceiling is also often a question of debate. Our objective is to determine the effect of this t... |
0 | Bone material strength index as measured by impact microindentation is altered in patients with acromegaly | Hip Fx in the Elderly 2019 | Objective: Acromegaly is a rare disease caused by excess growth hormone (GH) production by the pituitary adenoma. The skeletal complications of GH and IGF-1 excess include increased bone turnover, increased cortical bone mass and deteriorated microarchitecture of trabecular bone, associated with a high risk of vertebra... |
1 | Conservative treatment of displaced supracondylar humerus fractures of the extension type in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Numerous methods for the treatment of displaced supracondylar humerus fractures of the extension type are described in the literature. From 1974 until 1988, we treated conservatively 33 children with such fractures with Dunlop traction. Twenty-nine patients (88%) were re-examined. Four patients (12%) were interviewed b... |
0 | Variability in Recommendations for Total Knee Arthroplasty Among Rheumatologists and Orthopedic Surgeons | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The most rapidly growing population of patients undergoing total knee arthroplasty (TKA) is under the age of 65. The objective of our study was to gain insight into the factors influencing physicians' recommendations for persons in this age group with moderate osteoarthritis (OA). METHODS: Rheumatologists an... |
0 | A comparison of effectiveness of fascial relaxation and classic model of patients rehabilitation after hip joint endoprosthetics | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Degenerative joint disease usually leads to functional failure and pain in the affected parts of the musculoskeletal system. The aim of this study was to evaluate the effectiveness of fascial relaxation for tense muscles in the affected hip joint by comparing this method and classic physiotherapeutic rehabi... |
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