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Instruments for routine arthroscopic surgery of the knee
AMP (Acute Meniscal Pathology)
The use of operating instruments for routine arthroscopic operations was analysed on 2397 arthroscopies with 986 operations. The biggest group was meniscectomy (n = 358). The most common instrument combination was knife, a straight 4 mm grasper, a 3-4 mm basket forceps and a suction device, which was used in 53% of the...
0
Effect of acute inpatient rehabilitation on outcome after fracture of the femoral neck or intertrochanteric fracture
HipFx Supplemental Cost Analysis
A study was performed to assess the impact of intensive inpatient rehabilitation on the outcome after a fracture of the femoral neck or an intertrochanteric fracture. Before 1990, our hospital did not have an inpatient rehabilitation program. On January 1, 1990, a diagnosis-related-group-exempt (DRG-exempt) acute rehab...
0
Psychological factors affecting the outcome of total hip and knee arthroplasty: A systematic review
Surgical Management of Osteoarthritis of the Knee CPG
Objectives: Recently, numerous studies have reported that psychological factors can influence the outcome of total knee arthroplasty (TKA) and total hip arthroplasty (THA). However, a systematic overview is missing. The objective of this study was to examine which psychological factors influence the outcome of TKA and ...
1
Metastasis size in pathologic femoral fractures
MSTS 2018 - Femur Mets and MM
Radiographic assessment was made of metastases in 69 consecutive patients with pathologic femoral fractures. The following variables were considered: width of metastasis, ratio between width of metastasis and bone, axial length of cortical destruction, and proportion of cortical bone destroyed of the circumference. Dif...
0
Three-dimensional MRI Analysis of Femoral Head Remodeling After Reduction in Patients With Developmental Dysplasia of the Hip
Developmental Dysplasia of the Hip 2020 Review
BACKGROUND: Previous reports on patients with developmental dysplasia of the hip (DDH) showed that the prereduced femoral head was notably smaller and more nonspherical than the intact head, with growth failure observed at the proximal posteromedial area. We evaluated the shape of the femoral head cartilage in patients...
0
Long-term outcome of embolotherapy and surgery for high-flow extremity arteriovenous malformations
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: To assess the long-term efficacy of embolotherapy in combination with surgery for management of symptomatic high-flow arteriovenous malformations (HFAVMs) of the lower and upper extremities. MATERIALS AND METHODS: Twenty consecutive patients with symptomatic high-flow lower extremity AVMs (LE-AVMs; n = 9) and ...
1
Subchondral and intra-articular injections of bone marrow concentrate are a safe and effective treatment for knee osteoarthritis: a prospective, multi-center pilot study
BMAC (Bone Marrow Aspirate Concentrate)
PURPOSE: Subchondral bone is becoming a treatment target for knee OA patients, with promising early findings on the use of bone marrow aspirate concentrate (BMAC). The aim of this prospective, multi-centric pilot study was to evaluate safety as well as clinical and MRI outcomes of a combined approach of intra-articular...
1
Neonatal screening for congenital dislocation of the hip. A prospective 21-year survey
Developmental Dysplasia of the Hip CPG
A prospective neonatal screening programme for congenital dislocation of the hip is reported. This covered over 20,000 live births including all the babies born in one area, with a virtually complete follow-up. All babies were examined within the first seven days of life and all hips which were dislocated or unstable a...
1
Gender difference in carpal tunnel compliance
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The purposes of this study were to investigate the mechanical properties of the carpal tunnel and to examine carpal tunnel compliance as it related to gender difference. Twelve male and twelve female subjects without any neuromusculoskeletal disorders in the upper extremities participated in the study. Indentation test...
1
Locking versus nonlocking palmar plate fixation of distal radius fractures
Distal Radius Fractures
This study compared functional and radiological outcomes after treatment of extension-type distal radius fractures with conventional titanium nonlocking T-plates or titanium 1.5-mm locking plates. A total of 60 patients were included and followed for 4 to 7 years after receiving nonlocking T-plates (group A; n=30) or l...
1
A comparison of epidural analgesia with combined continuous femoral-sciatic nerve blocks after total knee replacement
AAHKS (9/10) Regional Nerve Blocks
Epidural analgesia remains the "gold standard" of pain relief after total knee replacement. However, peripheral nerve block is gaining popularity because the incidence of side effects may be reduced. Our study tests this postulate. Sixty patients were prospectively randomized to receive either epidural infusion or comb...
0
The Role of Highly Selective Implant Retention in the Infected Hip Arthroplasty
PJI DX Updated Search
BACKGROUND: There is debate around how to treat patients with periprosthetic joint infection of the hip. When there is an ingrown component on one side of the arthroplasty and a loose component on the other, treatment is typically revision of the entire construct. There is an argument to retain an ingrown implant in in...
0
Correlation of PROMIS Physical Function Upper Extremity Computer Adaptive Test with American Shoulder and Elbow Surgeons shoulder assessment form and Simple Shoulder Test in patients with shoulder arthritis
Glenohumeral Joint OA
BACKGROUND: The purpose of this study was to evaluate the Patient-Reported Outcomes Measurement Informative System Physical Function Upper Extremity Computer Adaptive Test (PROMIS PFUE CAT) measurement tool against the already validated American Shoulder and Elbow Surgeons (ASES) shoulder assessment form and the Simple...
1
A procedure-specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty
AAHKS (4) Acetaminophen
The PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence-based consensus recommendations for the effective management of postoperative pain are then developed from these...
1
Supplementation with omega-3 fish oil has no effect on bone mineral density in adults with knee osteoarthritis: a 2-year randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
UNLABELLED: This study aimed to determine the effect of fish oil on bone mineral density (BMD). There were no differences in the 2-year BMD measures between high and low dose groups after adjusting for baseline BMD. This randomized controlled trial did not demonstrate any efficacy of omega-3 fatty acids on bone loss in...
1
Grade 3C open femur fractures with vascular repair in adults
DoD LSA (Limb Salvage vs Amputation)
Grade 3C open femur fractures are challenging injuries with higher rates of complications. This is a retrospective review of grade 3C open femur fractures with vascular repair between 2002 and 2012. Outcomes included initial MESS score, additional injuries, duration of operation, complications, secondary operations or ...
0
Modeling risk of gastrointestinal events among Medicaid NSAID users using propensity scores
SR for PM on OA of All Extremities
The purpose of the study is to evaluate the gastrointestinal risk of nonsteroidal anti-inflammatory drugs compared with cyclooxygenase-2 inhibitors in a Medicaid managed care population. Medical and prescription claims were analyzed for all Medicaid-enrollees aged 18 years and older, who received a cyclooxygenase-2 or ...
0
Comparison of programs for determining temporal-spatial gait variables from instrumented walkway data: PKmas versus GAITRite
Hip Fx in the Elderly 2019
BACKGROUND: Measurement of temporal-spatial gait variables is common in aging research with several methods available. This study investigated the differences in temporal-spatial gait outcomes derived from two different programs for processing instrumented walkway data. METHOD: Data were collected with GAITRite R hardw...
0
Correlates of bone mineral density in elderly women living in nursing homes for the disabled in Japan
Management of Hip Fractures in the Elderly
BACKGROUND AND AIMS: Characteristics of bone aging in the institutionalized elderly are not well known. The aim of this study was to determine the factors correlated with the forearm bone mineral density (BMD) in elderly women with disability. METHODS: Of 175 female residents living in nursing homes for the disabled in...
0
An 84-Year-Old Man with Acute Atraumatic Compartment Syndrome of the Upper Extremity Due to Streptococcus pyogenes Cellulitis
DoD SSI (Surgical Site Infections)
BACKGROUND Acute compartment syndrome represents a surgical emergency to restore blood supply by fasciotomy and decompression. Compartment syndrome is most commonly associated with crush-related injuries and fractures; however, other non-traumatic etiologies can occur. This report illustrates a rare case of acute atrau...
0
Improved osteotomy in total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Recently, total knee arthroplasty has been widely applied in clinic, and the replacement techniques and prosthetic design concept have been greatly improved. But osteotomy order has not been reported
0
Elimination of the retorauricular incision in face lifts
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Traditional face lift techniques have several disadvantages, including lengthy operating time, prolonged recovery, and a retroauricular incision that can lead to complications. OBJECTIVE: The author reports on use of the S-lift technique to eliminate the retroauricular incision and produce longlasting, aest...
0
Immunohistochemical evaluation of cathepsin D expression in colorectal cancer
MSTS 2018 - Femur Mets and MM
Determination of cathepsin D has been proven to be prognostically relevant in breast cancer. Cathepsin D, a lysosomal proteinase, is suggested to be causally involved in tumor invasion. In this study we investigated cathepsin D expression immunohistochemically in 106 colorectal adenocarcinomas with the intention to eva...
0
A possible role for saliva as a diagnostic fluid in patients with chronic pain
SR for PM on OA of All Extremities
OBJECTIVES: The focus of this review was on proteins and peptides found in saliva. Of greatest interest were those neuropeptides relevant to nociception and to the pathogenesis of chronic pain syndromes. An additional goal was to develop a standardized protocol to collect saliva for laboratory assessment. METHODS: Data...
0
Total hip arthroplasty in steroid-induced osteonecrosis: early functional and radiological outcomes
AAHKS (2) Corticosteroids
BACKGROUND: The proportion of total hip arhtoplasties (THAs) associated with corticosteroid use is uncertain, and the mechanisms of corticosteroid-induced osteonecrosis remain unknown. We sought to evaluate the clinical and radiographic outcomes, complications and satisfaction with THA among patients with corticosteroi...
0
Extreme Oncoplastic Surgery for Multifocal/Multicentric and Locally Advanced Breast Cancer
Reduction Mammoplasty for Female Breast Hypertrophy
Introduction: Breast conserving surgery (BCS) followed by radiation therapy (RT) has become the preferred alternative to mastectomy for patients with early stage breast cancer (BC). Randomized trials have confirmed equivalent locoregional control and overall survival for BCS and mastectomy. Extreme Oncoplasty (EO) exte...
0
Cystatin-C is an independent prognostic factor for survival in multiple myeloma and is reduced by bortezomib administration
MSTS 2018 - Femur Mets and MM
Background Renal impairment is a common complication of multiple myeloma. Cystatin-C is considered an accurate marker of glomerular filtration rate in several renal disorders. Microarray analysis has revealed that cystatin-C is one of the most highly up-regulated genes in multiple myeloma. The aim of this study was to ...
0
A hexadecylamide - derivative of hyaluronan (HYMOVIS(R)) has superior beneficial effects on human osteoarthritic chondrocytes and synoviocytes than unmodified hyaluronan
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Intra-articular hyaluronan (HA) injection provides symptomatic benefit in the treatment of osteoarthritis (OA). Previously we found superior beneficial effects in a large animal OA model of a hexadecylamide - derivative compared with unmodified HA of the same initial molecular weight. The current study soug...
0
Volar fixed-angle fixation of distal radius fractures: the DVR plate
Distal Radius Fractures
Volar fixed-angle fixation of distal radius fractures is a new method of treatment that provides the benefits of stable internal fixation without incurring the disadvantages of the dorsal approach. The DVR plate is a new fixation implant that was introduced specifically for the purpose of managing both dorsal and volar...
0
Early clinical results of a new conservative hip stem
Hip Fx in the Elderly 2019
Conservative stems conserve a larger amount of bone, and due to their biomechanical effect, they allow higher compression forces on the lateral column of the femur and reduce stress shielding. Since they conserve metaphyseal bone, short stems allow the use of conventional stems when revision surgery becomes necessary. ...
0
Malignancy in chronic burn scar: a 20 year experience in Mosul-Iraq
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Marjolin's ulcer, a term used to describe a malignancy arising in chronic ulcers of the skin, sinuses, scar tissue, and especially burns scars. The majority of burn scar carcinomas are seen after a lag period in burns that were not grafted following injury. OBJECTIVE: To describe the epidemiology and its cl...
0
Regional anesthesia and analgesia: prevention of chronic pain
Surgical Management of Osteoarthritis of the Knee CPG
Chronic pain after surgery is an area that has been neglected. Though limited in clinical trials, there is reasonable evidence that there are specific risk factors for developing chronic pain after surgery. These patients should be identified preoperatively and followed up very closely by the anesthesiologist during th...
0
A prospective study on combined lymphedema surgery: Gastroepiploic vascularized lymph nodes transfer and lymphaticovenous anastomosis followed by suction lipectomy
Panniculectomy & Abdominoplasty CPG
BACKGROUND: There is no consensus on the appropriate treatment of lymphedema. Proposed techniques include lymphaticovenous anastomosis (LVA), vascularized lymph nodes transfer (VLNT), and suction lipectomy (SL). The benefit of combined procedures has also been postulated. In this prospective study, a combined protocol ...
0
Frontalis sling procedure for ocular myasthenia gravis
Upper Eyelid and Brow Surgery
A 39-year-old woman was diagnosed with myasthenia gravis when she was 8 years old. Although many treatments - such as cholinesterase inhibitors and steroids - had been given to the patient, her condition did not improve sufficiently. As she demonstrated bilateral 3 mm levator function without any eye movement disturban...
0
New uses of mammary ultrasonography
Reduction Mammoplasty for Female Breast Hypertrophy
This article reports the experience acquired through the use of ultrasonography applied to the study of the mammary gland affected by augmentation of reduction mammaplasty. Thirty-eight patients who had undergone either augmentation or reduction mammaplasty were submitted to ultrasonographic examination. Such a techniq...
1
Comparison of the incidence and predicted risk of early surgical site infections after breast reduction
Reduction Mammoplasty for Female Breast Hypertrophy
In plastic surgery, clean, elective operations such as breast reductions are anticipated to have low risk factors for infections (1.1-2.1%). To further lower or prevent surgical site infections (SSI), the efficacy of a prophylactic administration of anti-microbacterials remains a current controversial issue in plastic ...
0
Heberden oration 1985. The rheology of joints
Surgical Management of Osteoarthritis of the Knee CPG
The value of rheological studies of joint tissues has been illustrated by studies from our department. These have included studies of the stiffness of joints which suggest that subjective stiffness is more likely to be related to limitation of movement of a joint than to increased physical stiffness (either elastic or ...
1
Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: A subset of patients with total hip arthroplasty (THA) or total knee arthroplasty (TKA) has suboptimal postoperative results in terms of Patient Reported Outcomes (PROs), and psychological factors could contribute to these suboptimal results. OBJECTIVES: To examine the prevalence of anxiety and depressive s...
0
The effect of chlorhexidine and benzydamine mouthwashes on mucositis induced by therapeutic irradiation
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A variety of mouthwashes are frequently used in the management of irradiation-induced mucositis. Benzydamine has recently been introduced for alleviating this condition. Its efficacy as a mouthwash was compared with chlorhexidine in two groups of patients receiving radiotherapy for oral carcinoma. Mucositis and pain we...
1
In vivo hip joint loads during three methods of walking with forearm crutches
Hip Fx in the Elderly 2019
BACKGROUND: Patients with osteoarthritis, joint implants or fractures use crutches in order to reduce lower limb loading. However, insufficient information exists on how much the loading is then in fact reduced. This situation was studied by using seven patients who had instrumented hip implants. METHODS: Part I: To in...
0
Rat models of post-surgical pain
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background and aims: Following surgery, the pain that is experienced need not be limited to the site of incision, but can extend to adjacent structures or even more remote sites. In this study, our aim was to develop a model of post-surgical pain that did not include nerve injury. Methods: All surgery was conducted und...
0
Microfracture for the treatment of cartilage defects in the knee joint – A golden standard?
AMP (Acute Meniscal Pathology)
The evidence for the effectiveness of the microfracture procedure is largely derived from case series and few randomized trials. Clinical outcomes improve with microfracture for the most part, but in some studies these effects are not sustained. The quality of cartilage repair following microfracture is variable and in...
1
Reduction mammaplasty: long-term efficacy, morbidity, and patient satisfaction
Reduction Mammoplasty for Female Breast Hypertrophy
This retrospective study was designed to determine if reduction mammaplasty relieved preoperative symptoms in patients with macromastia. Seven-hundred and eighty women who had reduction mammaplasties between 1981 and 1992 were surveyed. Responses to questions concerning the preoperative and postoperative symptoms, brea...
0
Expression of miR-206 in Human Knee Articular Chondrocytes and Effects of miR-206 on Proliferation and Apoptosis of Articular Chondrocytes
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Increasing evidence has demonstrated that microRNAs regulate the development of cartilage and osteogenesis. Whether miR-206 participates in the development of human articular cartilage remains largely unknown. This study aimed to investigate the role of miR-206 in human chondrocytes. METHODS: Expression of ...
0
Practical application of bedside diagnostics in determining limb viability
DoD LSA (Limb Salvage vs Amputation)
INTRODUCTION: This study aimed to determine the practical application of vascular lab studies in determining limb salvage outcomes in injured patients with concerning clinical examinations. METHODS: A retrospective review of the trauma registry at a level I center was conducted from January 2009 to June 2013. All patie...
0
The impact of proximal femur geometry on fracture type--a comparison between cervical and trochanteric fractures with two parameters
Management of Hip Fractures in the Elderly
INTRODUCTION: Only a few studies have tested the ability of proximal femur geometry parameters to discriminate between cervical hip fractures and those of the trochanter. The main objective of this study was to evaluate the geometrical differences between these two fracture types by measuring the neck shaft angle (NSA)...
0
Current patterns of infective endocarditis in congenital heart disease
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECTIVE: To assess the changing profile of infective endocarditis in patients with congenital heart disease. METHODS: All cases diagnosed from 1966 to 2001 (revised Duke criteria) were retrospectively reviewed and categorised in periods I (< 1990) and II (>or= 1990). RESULTS: 153 episodes occurred, 81 in period I and...
0
A fracture board to facilitate the management of supracondylar humeral fractures in children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
A simple fracture board and its construction is described to facilitate the radiological and nursing management of children with supracondylar fractures of the humerus which are managed with lateral skeletal traction
0
Modified C-7 neurotization in the treatment of brachial plexus avulsion injury: Clinical article
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Object. Contralateral C-7 transfer is often used in patients with brachial plexus avulsion injury. Traditionally, the contralateral C-7 root has only been transferred to a single nerve, such as the median or radial nerve. In this study, the authors aimed to evaluate the efficacy of contralateral C-7 transfer to 2 diffe...
0
Secondary Blepharoplasty: Correction of the High Fold
Upper Eyelid and Brow Surgery
BACKGROUND: Blepharoplasty is a common aesthetic surgery performed worldwide. In Asians, too high eyelid folds after blepharoplasty cause an unsatisfactory aesthetic outcome that is difficult to correct. In this article, the authors propose surgical techniques to correct the high eyelid fold after blepharoplasty. METHO...
0
Changes of knee joint and ankle joint orientations after high tibial osteotomy
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: We sought to determine (1) whether change in the tibial plateau inclination (TPI) after high tibial osteotomy (HTO) is different from change in the knee joint line orientation (KJLO) relative to the ground; (2) whether, in varus knee OA patients before and after HTO, these radiographic measures are different...
0
Variability in anesthetic care for total knee arthroplasty: an analysis from the anesthesia quality institute.[Erratum appears in Am J Med Qual. 2014 May 1;:null; PMID: 24788250]
AAHKS (9/10) Regional Nerve Blocks
Anesthetic practice utilization and related characteristics of total knee arthroplasties (TKAs) are understudied. The research team sought to characterize anesthesia practice patterns by utilizing National Anesthesia Clinical Outcomes Registry data of the Anesthesia Quality Institute. The proportions of primary TKAs pe...
0
Latitude, socioeconomic prosperity, mobile phones and hip fracture risk
Management of Hip Fractures in the Elderly
INTRODUCTION: Epidemiological observations suggest that sunlight exposure is an important determinant of hip fracture risk. The aim of this ecological study was to examine the relationship between latitude and hip fracture probability. METHODS: Hip fracture incidence and mortality were obtained from literature searches...
1
Silicone ring tourniquet versus pneumatic cuff tourniquet in carpal tunnel release: a randomized comparative study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: The aim of the present study was to compare the pain levels resulting from the use of a silicone ring tourniquet (SRT) to those resulting from the use of a classic pneumatic cuff tourniquet (PT) in patients undergoing carpal tunnel release under local anesthesia. MATERIALS AND METHODS: Fifty patients that u...
0
The long-term course of various meniscal treatments in anterior cruciate ligament deficient knees
AMP (Acute Meniscal Pathology)
One hundred thirty-five patients were reviewed six to 16 years after anterior cruciate ligament repair or reconstruction. At follow-up evaluation, 60% of the patients demonstrated significant residual laxity on objective testing. Thirty percent of the patients reduced activity levels because of instability. Degenerativ...
0
Targeting integrin alpha6 stimulates curative-type bone metastasis lesions in a xenograft model
MSTS 2018 - Femur Mets and MM
Laminin-binding integrin receptors are key mediators of epithelial cell migration and tumor metastasis. Recent studies have demonstrated a role for the alpha6 integrin (ITGA6/CD49f) in maintaining stem cell compartments within normal bone marrow and in residency of tumors metastatic to bone. In this study, we tested a ...
0
Midterm Results after Open versus Arthroscopic Transosseous Repair for Foveal Tears of the Triangular Fibrocartilage Complex
Distal Radius Fractures
<b>Purpose</b> Various surgical procedures for foveal tears of the triangular fibrocartilage complex (TFCC) have been reported, and the procedures can be grossly divided into open and arthroscopic repair. The surgical results of both procedures were compared. <b>Materials and
1
Use of free CAD design software for 3D printing individualized face masks based on face scans
Coronavirus Disease 2019 (COVID-19)
AIM: To describe a method of digitally customizing 3D-printed face mask designs using 3D face scans and free software. MATERIALS AND METHODS: The procedure of creating customized face masks initially involved importing and aligning STL files of face scans and mask components in free CAD software. The imported mask desc...
0
Assessment of mandibular function impairment associated with temporomandibular joint osteoarthrosis and internal derangement
DoD PRF (Psychosocial RF)
Clinical assessment of function impairment associated with temporomandibular disorders should not only comprise diagnostic assessment of symptoms and signs but also function impairment assessment in the patient's value system. Regarding clinical assessment methods, the range of opening movement has been demonstrated to...
0
Novel supplier of mesenchymal stem cell: subacromial bursa
Glenohumeral Joint OA
Mesenchymal stem cells (MSCs) are multipotent stromal elements that can differentiate into a variety of cell types. MSCs are good sources of therapeutic cells for degenerative diseases. For these reason, many researchers have focused on searching for other sources of MSCs. To obtain MSCs for clinical use requires surge...
0
Treatment of stable and unstable intertrochanteric fractures with selfdynamisable internal fixator (concept of double dynamisation)
PJI DX Updated Search
BACGROUND/AIM. Intertrochanteric fractures of the femur are the third most common fractures among all bone fractures. Today in everyday orthopedic practice a number of different methods of treatment of trochanteric fractures of the femur are applied. Despite the improvement in the development of new implants, the perce...
0
Cost-equivalence of different osteoporotic fractures
Management of Hip Fractures in the Elderly
METHODS: Among 985 Olmsted County, Minnesota, residents who experienced an osteoporotic fracture (distal forearm, humerus, clavicle/scapula/sternum, ribs, vertebrae, pelvis, hip, other femur or tibia/fibula [the latter in women only]), we estimated the incremental cost of direct medical care in the following year compa...
0
Distal humeral fractures treated with noncustom total elbow replacement. Surgical technique
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: The purpose of this study was to review the cases of patients with a distal humeral fracture that was treated with a noncustom total elbow arthroplasty. We hypothesized that, on the basis of the functional and clinical outcome, total elbow replacement is a reliable option for the treatment of elderly patien...
0
The risk of colles' fracture is associated with the collagen I alpha1 Sp1 polymorphism and ultrasound transmission velocity in the calcaneus only in heavier postmenopausal women
Management of Hip Fractures in the Elderly
To compare the ability of the bone mineral density (BMD) at the distal forearm, collagen I alpha 1 (COLIA1) polymorphism, and ultrasound stiffness to identify individuals with increased risk of wrist fracture, we studied 183 postmenopausal Czech women with a wrist fracture and 178 postmenopausal controls, ages 45-70 ye...
0
Electrophysiological and etiological evaluation of 119 cases of wrist drop: A single center study
Distal Radius Fractures
OBJECTIVE: To explore the pattern of electrodiagnostic findings in cases of wrist drop and compare gender, involved side of the body, and military versus civilian population for the aetiology of wrist drop. METHODS: This cross-sectional study was conducted at Armed Forces Institute of Rehabilitation Medicine Rawalpindi...
0
Expressive writing and wound healing in older adults: A randomized controlled trial
DoD PRF (Psychosocial RF)
Objective: To investigate whether expressive writing could speed wound reepithelialization in healthy, older adults. Methods: In this randomized controlled trial, 49 healthy older adults aged 64 to 97 years were assigned to write for 20 minutes a day either about upsetting life events (Expressive Writing) or about dail...
0
Assessment of skull base involvement in nasopharyngeal carcinoma: comparisons of single-photon emission tomography with planar bone scintigraphy and X-ray computed tomography
MSTS 2018 - Femur Mets and MM
The diagnostic contribution of single-photon emission tomography (SPET) to the detection of bone lesions of the skull base was explored in 200 patients with nasopharyngeal carcinoma (NPC). Comparison of SPET with planar bone scintigraphy showed that SPET improved the contrast and better defined the lesions in 107 out o...
0
Reduction in knee adduction moment via non-invasive biomechanical training: a longitudinal gait analysis study
OAK 3 - Non-arthroplasty tx of OAK
Biomechanical non-invasive interventions have been previously reported to reduce pain and facilitate superior levels of function in patients with medial knee osteoarthritis [OA]. One such treatment is the AposTherapy, a customized program utilizing a foot-worn biomechanical device allowing center of pressure modificati...
0
Population-based prospective study on the incidence of osteoporosis-associated fractures in a German population of 200,413 inhabitants
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: A limited body of data is available with regard to the incidence of osteoporotic fractures in Germany. Most of the data published thus far have been derived from hospital records or health insurance settlements. The aim of the present study was to prospectively register four types of fractures in an urban p...
0
Effect of New York State regulatory action on benzodiazepine prescribing and hip fracture rates
HipFx Supplemental Cost Analysis
Background: Medicare Part D excludes benzodiazepines from coverage, and numerous state government policies limit use of benzodiazepines. No data indicate that such policies have decreased the incidence of hip fracture. Objective: To assess whether a statewide policy that decreased the use of benzodiazepines among elder...
0
Heel blood perfusion responses to pressure loading and unloading in women
DoD LSA (Limb Salvage vs Amputation)
Heel pressure ulcers are significant and costly problems causing suffering and potential limb loss from infection and compromised blood flow. Heel blood perfusion (HBP) deficits accompanying loading likely affect the skin breakdown process, but little is known about the loading and off-loading changes. To clarify this ...
1
Treatment of ptosis by levator resection with adjustable sutures via the anterior approach
Upper Eyelid and Brow Surgery
The authors describe a one-step anterior approach levator resection technique with intraoperative adjustable sutures. Forty-four ptotic eyes were divided into five groups, and the results of this technique were evaluated for each of these five types of ptosis. Our results show that it is not possible to predict the ext...
1
The results of operative treatment of trochanteric fractures of the femur
Management of Hip Fractures in the Elderly
One hundred and seventy trochanteric fractures of the femur treated by operative fixation are reviewed. The results of treatment are disappointing. The complication rate is high. The mortality rate should be assessed at 6 months after the fracture. From these results, it would appear that operative treatment does not o...
0
Does bariatric surgery prior to total hip or knee arthroplasty reduce post-operative complications and improve clinical outcomes for obese patients? Systematic review and meta-analysis
PJI DX Updated Search
AIMS: Our aim was to determine whether, based on the current literature, bariatric surgery prior to total hip (THA) or total knee arthroplasty (TKA) reduces the complication rates and improves the outcome following arthroplasty in obese patients. METHODS: A systematic literature search was undertaken of published and u...
1
Rofecoxib shows consistent efficacy in osteoarthritis clinical trials, regardless of specific patient demographic and disease factors
Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC
OBJECTIVE: To evaluate the efficacy of rofecoxib (Vioxx) in subpopulations of patients with osteoarthritis (OA) identified by demographic or baseline disease characteristics, or varied OA involvement. METHODS: Data were combined from three 6-week double blind trials in patients with OA of the knee or hip. All trials co...
0
A Novel Method for Repeatable Failure Testing of Annulus Fibrosus
AMP (Acute Meniscal Pathology)
Tears in the annulus fibrosus (AF) of the intervertebral disk can result in disk herniation and progressive degeneration. Understanding AF failure mechanics is important as research moves toward developing biological repair strategies for herniated disks. Unfortunately, failure mechanics of fiber-reinforced tissues, pa...
0
Complications of Low-Profile Plate Fixation of Phalanx Fractures
DoD SSI (Surgical Site Infections)
<b>Background:</b> Phalanx fractures are common, and plate fixation can be used to treat difficult fractures. Major complications have been reported in up to 64% of phalanx fractures treated with plate fixation, with stiffness being the most common. Low-profile anatomic plates (LPAP) have been designed to decrease soft...
0
Hip arthroscopy outcomes, complications, and traction safety in patients with prior lower-extremity arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: Given the potential for injury due to joint-distraction techniques during hip arthroscopy, this study investigated the outcomes and safety of traction during hip arthroscopy in a series of patients with a prior lower-extremity arthroplasty. METHODS: Nine patients with a prior hip or knee arthroplasty (Group 1)...
0
A comparative 18F-FDG PET/CT imaging of experimental Staphylococcus aureus osteomyelitis and Staphylococcus epidermidis foreign-body-associated infection in the rabbit tibia
PJI DX Updated Search
BACKGROUND: 18F-FDG-PET imaging has emerged as a promising method in the diagnosis of chronic osteomyelitis commonly due to Staphylococcus aureus. The inaccuracy of 18 F-FDG-PET in the detection of periprosthetic joint infections may be related to the predominance of low-virulent S. epidermidis strains as the causative...
1
A prospective study of short- and long-term cosmetic outcome after reduction mammaplasty from three different perspectives: the patient, a department surgeon, and an independent private practitioner in plastic surgery
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Numerous studies have examined the outcome of reduction mammaplasty. This study evaluates the cosmetic outcome after reduction mammaplasty from the perspective of the patient, a ward surgeon, and a private practitioner in plastic surgery, and analyzes which factors influence it. METHODS: The material stems ...
1
Illness perceptions and outcome in mild head injury: A longitudinal study
DoD PRF (Psychosocial RF)
Background: A range of neuropathological and psychosocial factors have been implicated in the aetiology and maintenance of post-concussional syndrome (PCS), with a growing consensus in the literature that this is a complex, multifactorial condition. The role of patients' perceptions in PCS has not been examined to date...
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Exercises with partial vascular occlusion in patients with knee osteoarthritis: a randomized clinical trial
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: The objective of this study was to evaluate whether women with knee osteoarthritis performing a rehabilitation programme consisting of low-load exercises combined with PVO exhibited the same results in changes in quadriceps strength, pain relief, and functional improvement when compared to women receiving a pr...
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Facilitation of picture-naming in anomic subjects: Sound vs mouth shape
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Background: Phonological cueing is often applied to assist spoken word retrieval in anomia. Phonological cues usually comprise auditory and visual information. Yet while the auditory channel provides full information about a cued phoneme, the mouth shape only contains information about certain features of a segment, e....
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The role of muscle strengthening in exercise therapy for knee osteoarthritis: A systematic review and meta-regression analysis of randomized trials
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: To analyze if exercise interventions for patients with knee osteoarthritis (OA) following the American College of Sports Medicine (ACSM) definition of muscle strength training differs from other types of exercise, and to analyze associations between changes in muscle strength, pain, and disability. METHODS:...
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Revision total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Careful attention to axial alignment, soft tissue balance, and stability will minimize prosthetic failure. In revision arthroplasty a prosthesis designed to replace bone loss with the least constraint possible should be used. In the current series revision of the noninfected failed total knee arthroplasty has provided ...
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Review of phenotypic markers used in flow cytometric analysis of MGUS and MM, and applicability of flow cytometry in other plasma cell disorders
MSTS 2018 - Femur Mets and MM
Flow cytometric immunophenotyping is considered an indispensable tool for the diagnosis, classification and monitoring of disease in monoclonal gammopathies. The clinical sensitivity of flow cytometry is comparable with advanced molecular methods. Clinical application of flow cytometry in monoclonal gammopathies has va...
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Validation of a smart shoe for estimating foot progression angle during walking gait
OAK 3 - Non-arthroplasty tx of OAK
The foot progression angle is an important measurement related to knee loading, pain, and function for individuals with knee osteoarthritis, however current measurement methods require camera-based motion capture or floor-embedded force plates confining foot progression angle assessment to facilities with specialized e...
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The anti-tumour activity of bisphosphonates
MSTS 2018 - Femur Mets and MM
Bisphosphonates are stable analogues of pyrophosphate (PPi), an endogenous regulator of bone mineralisation. A number of placebo-controlled trials have demonstrated their positive impact on skeletal-related events (SRE) that occur as a consequence of metastatic or myelomatous bone disease. Based upon their chemical str...
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20-Year outcome of TFCC repairs
Distal Radius Fractures
The aims of this study were to investigate the functional result and rate of osteoarthritis 15-25 years after a TFCC-repair. Forty-seven patients completed the questionnaire Patient Rated Wrist Evaluation (PRWE), and 43 had new X-rays. Fifty-seven percent had a simultaneous arthroscopy. Sixteen patients had later addit...
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Fractionated gamma knife radiosurgery for benign perioptic tumors: outcomes of 38 patients in a single institute
Upper Eyelid and Brow Surgery
BACKGROUND: This study was performed to evaluate the efficacy and safety of fractionated Gamma Knife radiosurgery (GKRS) for perioptic lesions. METHODS: Thirty-eight patients with perioptic tumors were treated at our institute from May 2004 to December 2008. All patients had a lesion in close contact with the optic app...
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Surgical versus non-surgical interventions for treating humeral shaft fractures in adults
Management of Hip Fractures in the Elderly
This is the protocol for a review and there is no abstract. The objectives are as follows:To assess and compare the effects of surgical versus non-surgical interventions for treating non-pathological fractures of the humeral shaft in adults
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Joint Stiffness Is Heritable and Associated with Fibrotic Conditions and Joint Replacement
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Joint stiffness is a common, debilitating, age-related symptom, which may be seen after total joint replacement (TJR). Stiffness also occurs in fibrotic conditions such as shoulder capsulitis and Dupuytren's contracture. We speculated that the two traits (TJR and fibrotic disease) are linked pathogenically. ...
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Ropivacaine 1 mg x ml(-1) does not decrease the need for epidural fentanyl after hip replacement surgery
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Ropivacaine is a new long-acting local anesthetic. Laboratory trials have demonstrated a synergistic analgesic effect between intrathecal opioids and local anesthetics. We tested the hypothesis that addition of ropivacaine 1 mg x ml(-1) to epidural fentanyl (10 microg x ml(-1)) postoperatively decreases the...
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Sports and Performing Arts Medicine: 1. Upper Extremity Injuries
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Objective: This self-directed learning module highlights upper limb sports and performing arts injuries. It is part of the study guide on sports and performing arts medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Using a case vignette fo...
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99Tc-MDP Treatment for Knee Osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis (OA) of knee is the most common form of arthritis in the world1e, and it has received growing attention in the society because of the increase of old age population, disabled people, and medical expenses from this disease. 99Tc�MDP is effective for rheumatoid arthritis. Therefore, the investigators try...
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Effectiveness of genicular nerve cooled radiofrequency ablation on chronic knee osteoarthritis pain
AAHKS (9/10) Regional Nerve Blocks
Background: Outside of an invasive total knee arthroplasty, the available therapies for the treatment of pain secondary to knee osteoarthritis (OA) provide marginal and short-lived symptomatic relief. Genicular nerve radiofrequency ablation (RFA) serves as an alternative treatment modality for OA-associated knee pain a...
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Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age
Developmental Dysplasia of the Hip 2020 Review
Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Evidence-Based Clinical Practice Guideline is based on a systematic review of the current scientific and clinical research. This guideline has been endorsed by the Society of Diagnostic Medical Sono...
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Surgical treatment of displaced medial clavicle fractures using a small T-shaped plate and tension band sutures
Distal Radius Fractures
The surgical treatment of medial clavicle nonunion is associated with high complication and failure rates, particularly with regard to metal work migration. Therefore, we describe a simple surgical procedure for displaced medial clavicle fractures using a small T-shaped plate and multiple tension band sutures. After st...
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Good clinical and radiographic outcome of cementless metal metaphyseal sleeves in total knee arthroplasty: Retrospective study of 31patients with minimum 5-year follow-up
OAK 3 - Non-arthroplasty tx of OAK
Background and purpose â?? The number of revision total knee arthroplasties (TKA) is continuously increasing, leading to a growing need for reliable management of metaphyseal bone loss. We evaluated patients operated with a TKA using metal metaphyseal sleeves for bone defects with a minimum 5-year follow-up. Patients a...
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Bipolar Hemarthroplasty Using Cementless Conical Stem for Treatment of Dorr Type B and C Femoral Neck Fracture
PJI DX Updated Search
PURPOSE: The current study aims to evaluate the clinical and the radiological outcome of bipolar hemiarthroplasty using cementless cone stem to treat osteoporotic femoral neck fracture and compare the results according to the proximal femur geometry. MATERIALS AND METHODS: Seventy-five hips (75 patients) that underwent...