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1 | Ultrasonography in carpal tunnel syndrome: comparison with electrophysiological stage and motor unit number estimate | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The purpose of this study was to document the ultrasonographic measurement differences in median nerve size between patients with carpal tunnel syndrome (CTS) and controls, and to correlate these findings with electrophysiological stage and motor unit number estimation (MUNE), thereby allowing us to test the validity o... |
0 | Juvenile osteochondritis dissecans: a 5-year review of the natural history using clinical and MRI evaluation | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Although MRI prognostic features for juvenile osteochondritis dissecans (JOCD) have been determined, the natural history of JOCD on serial MRI has not been fully documented. OBJECTIVES: To document the natural history of JOCD on serial MRI and to correlate this with arthroscopy and clinical outcome over a 5... |
0 | Clostridium septicum growth from a total knee arthroplasty associated with intestinal malignancy: a case report | PJI DX Updated Search | Background: Previous reports of infection with Clostridium septicum have identified an unexpected association with concurrent malignancy. The reported rate of associated malignancy has been found to be as high as 81 percent. The purpose of this case report was to present a case of a total knee arthroplasty infected wit... |
0 | Proximal femoral fracture in Northern Ireland between 1985-1997--trends and future projections | Management of Hip Fractures in the Elderly | The aims of this study were to identify changing trends with time of the incidence of proximal femoral fracture and to enable future number of hip fractures to be projected. Hospital theatre records in Northern Ireland were surveyed in 1985, 1991, 1994 and 1997 to establish the number of surgical procedures for proxima... |
0 | Reversal of age-associated thymic atrophy: Treatments, delivery, and side effects | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Our ability to survive infectious agents depends on making adequate immune responses, but as we get older our thymus atrophies. Production and export of T cells bearing new antigen receptor specificities to the peripheral T cell pool declines and results in shrinkage of the repertoire. Other changes in the peripheral T... |
1 | FDG PET/CT Assesses the Risk of Femoral Pathological Fractures in Patients with Metastatic Breast Cancer | MSTS 2018 - Femur Mets and MM | Purpose Assessment of pathological fracture risk is critical to optimize the use of prophylactic orthopedic fixation to prevent pathological fractures. Better prediction of pathological fracture risk is needed. We evaluated if quantitative measures of FDG avidity can assess femoral pathological fracture risk in patient... |
0 | Laparoscopy in patients following transverse rectus abdominis myocutaneous flap reconstruction | Panniculectomy & Abdominoplasty CPG | Background: We report our technique and experience performing laparoscopic pelvic surgery on four women after transverse abdominus rectus myocutaneous flap (TRAM). Technique: Examination under anesthesia is performed on all patients in the low lithotomy position parallel with the floor. The abdominal aorta is palpated ... |
0 | Prostaglandin E1 infusion therapy in dry age-related macular degeneration | Upper Eyelid and Brow Surgery | OBJECTIVE: The pilot study is intended to show whether prostaglandin E1 (PGE1) infusions are able to stop the gradual vision loss in dry age-related macular degeneration (AMD) and, further, to stabilize or improve visual acuity. METHODS: With PGE1 infusions 11 patients with different forms of dry AMD were treated and c... |
0 | Reduction mammaplasty: central cone technique for maximal preservation of vascular and nerve supply | Reduction Mammoplasty for Female Breast Hypertrophy | Many types of breast reduction procedures have been described and are now being used. Before 1984, we used variations of the Wise technique, with free grafting of the nipple-areola complex; because of problems with inadequate nipple projection, squareness of the breasts, and decreased nipple sensation, however, we have... |
0 | Can topical EMLA cream be used safely in upper blepharoplasty? | Panniculectomy & Abdominoplasty CPG | Background: The application of a topical anesthetic eutectic mixture of lidocaine and prilocaine cream (EMLA) has been demonstrated as a simple method to reduce injection pain. However, the use of EMLA near the eye is not recommended in order to avoid accidental corneal irritation or abrasion. We sought to evaluate its... |
0 | Morbidity associated with ORIF of intra-articular calcaneus fractures using a lateral approach | DoD SSI (Surgical Site Infections) | This is a review of 183 patients with 218 displaced intraarticular fractures of the calcaneus treated by open reduction and internal fixation. One hundred and ninety four (89%) wounds underwent primary uneventful healing. Twenty-four wounds (11%) required local wound care. One deep infection occurred in a neuropathic f... |
0 | Recent trends in hip fracture rates by race/ethnicity among older US adults | Management of Hip Fractures in the Elderly | Hip fracture incidence has declined among whites in the United States since 1995, but data on recent trends in racial and ethnic minorities are limited. The goal of this analysis was to investigate hip fracture incidence trends in racial/ethnic subgroups of older Medicare beneficiaries. We conducted a cohort study to d... |
0 | Merastatic tumours of the hand: Report of six additional cases | MSTS 2022 - Metastatic Disease of the Humerus | Six metastatic tumours of the hand are reported. Five were located in long bones of the hand and one in the soft tissues without bone involvement. The primary tumours arose in the lung, kidney, hard palate, larynx and pharynx. Treatment was palliative and consisted of amputation for distal lesions and local excision an... |
0 | A comparison of the healing potential of fibrillated cartilage versus eburnated bone in osteoarthritic knees after high tibial osteotomy: an arthroscopic study with 1-year follow-up | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To determine the healing potential of fibrillated cartilage in osteoarthritic (OA) knees when the mechanical condition is corrected. TYPE OF STUDY: Prospective study. METHODS: Subjects were patients treated with high tibial osteotomy alone for medialâ?compartment OA knees. They were divided into 2 groups on t... |
0 | Drug Insight: The use of bisphosphonates for the prevention and treatment of osteoporosis in men | MSTS 2018 - Femur Mets and MM | Osteoporosis has long been recognized as a disease affecting postmenopausal women but it has become increasingly clear that men are affected by low bone density and suffer the consequences of osteoporotic fractures. Men attending clinical urological practices might be at raised risk of bone loss due to hypogonadism, ei... |
0 | Metabolic enrichment of omega-3 polyunsaturated fatty acids does not reduce the onset of idiopathic knee osteoarthritis in mice | OAK 3 - Non-arthroplasty tx of OAK | Objective: We evaluated the effect of a reduction in the systemic ratio of n-6:n-3 polyunsaturated fatty acids (PUFAs) on changes in inflammation, glucose metabolism, and the idiopathic development of knee osteoarthritis (OA) in mice. We hypothesized that a lower ratio of n-6:n-3 PUFAs would protect against OA markers ... |
0 | Unusual fracture dislocation of the elbow joint | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A rare case of posterior dislocation of the elbow joint with an avulsion fracture of the medial humeral epicondyle and fracture of the capitulum humeri is presented. Closed reduction was insufficient. Excision of the comminuted segments of the fractured capitulum was imperative to allow an optimal return of elbow funct... |
0 | Result of arthrodesis of the hallux metatarsophalangeal joint using bone graft for restoration of length | DoD SSI (Surgical Site Infections) | We treated 24 patients (18 women, six men; average age, 46.4 years; (range, 28 to 66 years) with fusion of the hallux metatarsophalangeal (MTP) joint using bone graft for the restoration of the length of the first ray. This procedure was performed after bone loss subsequent to previous surgeries for the correction of h... |
1 | FRAX or fiction: determining optimal screening strategies for treatment of osteoporosis in residents in long-term care facilities | Management of Hip Fractures in the Elderly | OBJECTIVES: To examine screening strategies for osteoporosis and fractures for treatment of long-term care residents. DESIGN: Cross-sectional analysis to examine screening strategies for treatment. SETTING: Assisted living and skilled care facilities. PARTICIPANTS: Two hundred two frail women aged 65 and older (mean 85... |
1 | A short term functional outcome study comparing closed reduction percutaneous wire fixation with open reduction internal fixation for fractures of the distal radius: A pilot study | Distal Radius Fractures | Background: The best treatment for dorsally displaced distal radius fracture is still debated. The aim of our study is to use the patient rated wrist evaluation (PRWE) and Euroqol functional outcome scores to look at patients' function for a minimum of 1 year from the fracture. This is our pilot study to inform a multi... |
1 | Effect of high-dose preoperative methylprednisolone on pain and recovery after total knee arthroplasty: a randomized, placebo-controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total knee arthroplasty (TKA) is associated with severe pain and inflammation despite an extensive multimodal analgesic approach, but the effect of high-dose glucocorticoid administration has not been studied. METHODS: Forty-eight patients undergoing unilateral TKA were included in a randomized, double-blin... |
0 | Plasma dyscrasias and inflammatory arthritis: Not so uncommon association | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Plasma dyscrasias can occasionally manifest with joint disease. There are few case reports describing articular manifestations of plasma dyscrasias. In most of these cases plasma dyscrasias were diagnosed prior to the articular symptoms. We report six cases of inflammatory arthritis which presented to us wi... |
0 | Assessment of the efficacy of joint lavage versus joint lavage plus corticoids in patients with osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Joint lavage (JL), involves the passage of cold sterile 0.9% saline through the knee joint in order to have the fluid reach the inside of the joint capsule. This technique was evaluated as a local treatment for osteoarthritis (OA) of the knee alone (JL) and in combination with intraâ?articular infiltration wi... |
0 | A retrospective analysis of bilateral fractures over sixteen years: localisation and variation in treatment of second hip fractures | Management of Hip Fractures in the Elderly | The aim of this study was the evaluation of contralateral hip fractures after a previous hip fracture. For this retrospective analysis patients were selected from the database of the LUMC, a teaching hospital in the south-west of the Netherlands. We analyzed all patients with a second fracture of a hip between 1992 and... |
0 | Acupuncture for the treatment of pain of osteoarthritic knees | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The purpose of this study was to determine whether acupuncture was more effective than sham acupuncture in the reduction of pain in persons with osteoarthritis (OA) of the knee. METHODS: Forty subjects (20 men, 20 women) with radiographic evidence of OA of the knee were stratified by gender and randomly assi... |
1 | Pathologic findings in reduction mammaplasty specimens | Reduction Mammoplasty for Female Breast Hypertrophy | Reduction mammaplasty (RM) is a common surgical procedure that yields a variable amount of tissue for pathologic examination. Occult breast carcinomas are detected rarely in these specimens. We evaluated the pathologic findings in RM specimens performed in our institution during an 11.5-year period (July 1989 to Decemb... |
0 | Overall Safety of Ospemifene in Postmenopausal Women from Placebo-Controlled Phase 2 and 3 Trials | Reduction Mammoplasty for Female Breast Hypertrophy | Objective: To evaluate the safety of daily oral ospemifene 60 mg, estrogen agonist/antagonist, used to treat moderate-to-severe dyspareunia due to postmenopausal vulvovaginal atrophy, which is part of genitourinary syndrome of menopause. Methods: Post hoc analysis of safety data (treatment-emergent adverse events [TEAE... |
0 | Differences in 30-day complications associated with total ankle arthroplasty and ankle arthrodesis: A matched cohort study | DoD SSI (Surgical Site Infections) | Background: The objective of this study was to identify whether total ankle arthroplasty (TAA) was associated with greater risk for 30-day complications and/or greater financial burden in comparison to ankle arthrodesis (AA). Methods: The PearlDiver Patient Records Database was queried to identify all patients who unde... |
0 | Clinical and radiographic outcome of a cementless, titanium, plasma spray-coated total hip arthroplasty femoral component. Justification for continuance of use | Management of Hip Fractures in the Elderly | Between 1984 and 1986, 177 nonconsecutive, primary total hip arthroplasties were performed in 150 patients using the Mallory-Head Porous femoral component (Biomet, Warsaw, IN) inserted without cement. Average time to follow-up evaluation for the entire population (including all early revisions) was 76 months (6.3 years... |
0 | Preoperative pain sensitivity questionnaire helps customize pain management after arthroscopic partial meniscectomy | AMP (Acute Meniscal Pathology) | PURPOSE: To evaluate correlations between preoperative pain sensitivity and postoperative analgesic consumption together with pain perception shortly after arthroscopic partial meniscectomy in non-arthritic knees.
METHODS: Ninety-nine patients who underwent primary arthroscopic meniscectomy were prospectively divided i... |
0 | Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee. American College of Rheumatology | Surgical Management of Osteoarthritis of the Knee CPG | Treatment of patients with OA of the knee should be individualized and tailored to the severity of the symptoms. In individuals with mild symptomatic OA, treatment may be limited to patient education, physical and occupational therapy and other nonpharmacologic modalities, and pharmacologic therapy including non-opioid... |
0 | Unacceptable failure of hemiarthroplasty combined with biological glenoid resurfacing in the treatment of glenohumeral arthritis in the young | AMP (Acute Meniscal Pathology) | BACKGROUND: Treatment of glenohumeral osteoarthritis in young patients is challenging. Total shoulder arthroplasty reliably addresses pain and dysfunction but compromises glenoid bone stock. Various efforts have been made to avoid a prosthetic glenoid component or to prevent glenoid erosion after hemiarthroplasty. Caps... |
0 | Aging changes in osteon mineralization in the human femoral neck | Management of Hip Fractures in the Elderly | Age-related mineral changes are associated with material property changes in cortical bone, which may affect its ability to transmit loads and resist fracture from falling. Aging changes in the mineral content of the femoral neck cortical bone are partly determined by osteonal remodeling events. The objective of this s... |
0 | Adherence to Guidelines for Adult (Non-GIST) Soft Tissue Sarcoma in the Netherlands: A Plea for Dedicated Sarcoma Centers | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: Optimal management of soft tissue sarcoma (STS) remains a challenge. A nationwide survey assessed the quality of STS care in the Netherlands, thereby aiming to identify potentialities for improvement through more centralized disease management. Methods: From the Netherlands Cancer Registry (NCR), data wer... |
0 | Neurologic complications of diabetes | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Neuropathy as a complication of diabetes is common and presents in a wide variety of clinical scenarios. Often the work-up is one of exclusion tempered with monitoring the response of symptoms to treatment options. The collaboration of a neurologist is often crucial to determining the best course of action for the pati... |
0 | Randomized Controlled Trial Comparing the Radiologic Outcomes of Conventional and Minimally Invasive Techniques for Total Knee Arthroplasty | AAHKS (4) Acetaminophen | The objective of this study was to compare the radiologic outcomes of total knee arthroplasty using the conventional technique with those using minimally invasive surgery (MIS) techniques. Ninety patients were randomized to undergo conventional (control), MIS mini-incision mid-vastus (mini), or MIS side-cutting (side c... |
0 | Left Knee Synovial Osteochondromatosis | OAK 3 - Non-arthroplasty tx of OAK | A 28-year-old male military service member reported to a physical therapist with progressively worsening left knee pain during impact activity and with work duties. Following examination, he physical therapist ordered radiographs of the knee, which revealed severe osteochondromatosis and tricompartmental arthritis. J O... |
1 | Treatment of intertrochanteric fractures in elderly highrisk patients: dynamic hip screw vs. external fixation | Hip Fx in the Elderly 2019 | INTRODUCTION: Although the use of a dynamic hip screw (DHS) is considered to be the preferred treatment for intertrochanteric fractures, the external fixation device could produce clinical outcomes comparable to the outcomes obtained with conventional treatment. Furthermore, because external fixation is minimally invas... |
0 | The study of the whole body vibration therapy effects on the patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Intervention 1: The whole body vibration training group will do their intervention on a vibration platform .The WBVT programme will be done on the Fitvibe vertical vibration platform with amplitude of 3 mm and frequency of 30 Hz. The patients will ask to stand barefoot on the platform with a 30 degree kne... |
0 | Association of paraoxonase 1 (PON1) polymorphisms with osteoporotic fracture risk in postmenopausal Korean women | Management of Hip Fractures in the Elderly | There is increasing evidence of a biochemical link between lipid oxidation and bone metabolism. Paraoxonase 1 (PON1) prevents the oxidation of low-density lipoprotein (LDL) and metabolizes biologically active phospholipids in oxidized LDLs. Here, we performed association analyses of genetic variation in PON1 to ascerta... |
0 | Serum and synovial cartilage oligomeric matrix protein levels in early and established rheumatoid arthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: To assess cartilage oligomeric matrix protein (COMP) levels in serum and synovial fluid in patients with early and established rheumatoid arthritis (RA), and to correlate the levels with clinical, laboratory and radiological characteristics. Patients and methods: The study included 24Â female RA patients. Fu... |
0 | There is No Difference in Early Functional Outcomes for Patients Undergoing Tele- Rehabilitation versus Standard in Office Rehab after Arthroscopic Meniscectomy: a Randomized Controlled Trial | AMP (Acute Meniscal Pathology) | Objectives: While a growing body of evidence has demonstrated that tele-rehabilitation is effective, the functional outcomes of patients undergoing tele-rehabilitation as compared to inperson rehabilitation after arthroscopic meniscectomy remains unclear. This is especially salient against the backdrop of COVID-19 and ... |
0 | Role of functional cast bracing in the treatment of Colle's fracture | Distal Radius Fractures | This work presents the results of 100 consecutive cases of Colle's fracture treated by functional cast bracing in supination as advised by Sarmiento and colleagues, using locally made metallic hinge, followed up for 18 weeks. The results have been compared with those obtained by other authors using functional cast brac... |
0 | Quadriceps muscle strength and its relationship to radiographic knee osteoarthritis in Japanese elderly | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee osteoarthritis (OA) is a multifactorial disease and strongly affected by mechanical factors. The aims of the present study were to assess validity and reliability of a new muscle strength measuring device, the Quadriceps Training Machine (QTM) and evaluate the relationship between quadriceps strength m... |
0 | â??Weak Linksâ?쳌 of the Pediatric Skeleton: Common Foci for Disease and Trauma. Part 1: The Link Between Bone and Cartilage | Osteochondritis Dissecans 2020 Review | In this article, we review recent updates in the radiologic imaging of injuries to the pediatric skeleton. In part 1, we focus on the link between cartilage and bone. Part 2 focuses on other areas of the developing skeleton that are susceptible to injury. Over the past 5Â years, new and interesting research has helped ... |
0 | Deep Vein Thrombosis in Patients with Intertrochanteric Fracture: A Retrospective Study | Hip Fx in the Elderly 2019 | Background: This study aimed to investigate the incidences of pre- and post-operative lower extremity deep venous thrombosis (DVT) in hospitalized patients with intertrochanteric fractures and to analyze the relevant risk factors.
Methods: A retrospective study was conducted between July 2014 and October 2016 in 218 in... |
1 | Factors Associated With Wound- and Implant-Related Complications After Surgical Treatment of Ankle Fractures | DoD SSI (Surgical Site Infections) | We have described the epidemiology of complications after surgical treatment of ankle fractures and assessed which factors are associated with the most frequent complications. We conducted a retrospective cohort study at 2 level 2 and 1 level 1 trauma center in a single trauma region in the Netherlands. The study varia... |
0 | Long-term outcomes following lower extremity press-fit bone-anchored prosthesis surgery: a 5-year longitudinal study protocol | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Patients with lower extremity amputation frequently suffer from socket-related problems. This seriously limits prosthesis use, level of activity and health-related quality of life (HRQoL). An additional problem in patients with lower extremity amputation are asymmetries in gait kinematics possibly accountin... |
0 | Use of nondrug, nonoperative interventions by community-dwelling people with hip and knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Guidelines recommend nondrug, nonoperative treatments as the first-line approach for hip and knee osteoarthritis (OA), yet there is limited data regarding use of these treatments in OA. This study describes the use of nondrug, nonoperative interventions in people with hip and knee OA.
METHODS: A convenience ... |
0 | Risk of falls and fractures in older adults using atypical antipsychotic agents: A propensity scoreâ??adjusted, retrospective cohort study | DoD PRF (Psychosocial RF) | Background: Atypical antipsychotic agents are extensively prescribed in the elderly to treat various behavioral and psychiatric disorders. Past literature has documented an increased risk of falls and factures with the use of risperidone and olanzapine compared with nonuse. However, none of the studies assessed the com... |
0 | Percutaneous pinning vs. internal fixation with locking plate: Postoperative results of comminuted fractures of the distal radius metaphysis. A randomised controlled trial | Distal Radius Fractures | Background There is controversy surrounding the treatment of distal metaphyseal fractures of the radius. This has increased even more with the advent of fixation with locking plates and its notable increasing preference by surgeons in recent years, although its benefits have not yet been demonstrated in extra-articular... |
0 | Cooled radiofrequency neurotomy of the articular sensory branches of the obturator and femoral nerves â?? Combined approach using fluoroscopy and ultrasound guidance: technical report, and observational study on safety and efficacy | AAHKS (9/10) Regional Nerve Blocks | Background Chronic hip joint pain is a common condition with an estimated prevalence of 7% in men and 10% in women, in a population sample aged over 45. Conservative treatment can include physical therapy, weight loss, a variety of pharmacologic agents ranging from nonsteroidal antiinflammatory drugs (NSAIDS) to opioid... |
0 | Bone Marrow Lesions on Preoperative Magnetic Resonance Imaging Correlate With Outcomes Following Isolated Osteochondral Allograft Transplantation | Osteochondritis Dissecans 2020 Review | PURPOSE: The purpose of this study was to investigate the role of preoperative bone marrow lesion (BML) size and location on (1) postoperative patient reported outcomes and (2) postoperative failure and time to failure after osteochondral allograft (OCA) transplantation. METHODS: Consecutive patients from 2 senior surg... |
1 | Weight bearing after hip fracture: a prospective series of 596 geriatric hip fracture patients | Management of Hip Fractures in the Elderly | Five hundred ninety-six patients age > or = 65 with femoral neck or intertrochanteric fractures were allowed immediate unrestricted weight bearing after surgery and were prospectively followed. Follow-up data and hospital records were examined to identify those patients who required additional hip surgery owing to fail... |
0 | Complications of open reduction and internal fixation of distal humerus fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Treatment of distal humerus fractures is demanding. Surgery is the optimal treatment and preoperative planning is based on fracture type and degree of comminution.Fixation with two precontoured anatomical locking plates at 90(o):90(o) orthogonal or 180(o) parallel is the optimal treatment.The main goal of surgical trea... |
0 | Trial Evaluating multimOdal toPical Cream In CompArison to pLacebo (TOPICAL) | OAK 3 - Non-arthroplasty tx of OAK | Knee osteoarthritis (OA) is a disease with a high global burden, and multiple conservative treatment options are available. In addition to being a major source of disability osteoarthritis results in a significant economic burden as well. A study published in 2012 showed the 1â?year physician, outpatient procedure, an... |
0 | Somatosensory evoked potentials in workers exposed to toluene and styrene | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Somatosensory evoked potentials (SEPs) were used to evaluate possible subclinical impairment of the nervous system due to occupational exposure to toluene and styrene. A group of 36 rotogravure printers with severe exposure to toluene, 20 workers with severe exposure to styrene in a glass laminate manufacturing plant, ... |
1 | Successful screening for neonatal hip instability in Australia | Developmental Dysplasia of the Hip CPG | OBJECTIVE: Australian screening programmes for congenital dislocation of the hip (CDH) are characterized by lower neonatal hip instability (NHI) detection rates than more successful international programmes. Through creating a quality, accountable clinical screening programme for NHI detection, the present study aimed ... |
0 | Functional treatment of fractures of humeral shaft | DoD SSI (Surgical Site Infections) | Purpose of The Study. The authors present a method of the functional treatment of fractures of the humeral shaft at their department. They document its results on a group of 32 patients. Material. The described method was used between 1992 and 2000 in 36 patients. Evaluation covered 32 patients. The minimal interval be... |
1 | Effect of intra-articular injection of intermediate-weight hyaluronic acid on hip and knee cartilage: in-vivo evaluation using T2 mapping | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: We used T2 mapping to quantify the effect of intra-articular hyaluronic acid administration (IAHAA) on cartilage with correlation to clinical symptoms.
METHODS: One hundred two patients with clinical and MRI diagnosis of hip or knee grade I-III chondropathy were prospectively included. All patients received... |
0 | Risk factors for ulceration and amputation in diabetic foot: study in a cohort of 496 patients | DoD LSA (Limb Salvage vs Amputation) | Treatment strategies for foot at risk and diabetic foot are mainly preventive. Studies describing demographic data, clinical and impacting factors continue to be, however, scarce. Our objective was to determine the epidemiological presentation of diabetic foot and understand whether there were easily assessable variabl... |
1 | Ottawa panel evidence-based clinical practice guidelines for aerobic walking programs in the management of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To update the Evidence-Based Clinical Practice Guidelines (EBCPGs) on aerobic walking programs for the management of osteoarthritis (OA) of the knee.
DATA SOURCES: A literature search was conducted using the electronic databases MEDLINE, PubMed, and the Cochrane Library for all studies related to aerobic wal... |
0 | Recognition of an incidental abscess and a hematoma during ultrasound-guided femoral nerve block | PJI DX Updated Search | Ultrasound guidance for femoral nerve blockade allows visualization of normal and abnormal anatomy. Two cases of femoral nerve blockade under ultrasound guidance are presented where a major perineural pathologic lesion was incidentally revealed. These pathologic lesions, an abscess and a hematoma, resulted in significa... |
0 | Prevalence of post-traumatic stress symptoms and associated factors in tuberculosis (TB), TB retreatment and/or TB-HIV co-infected primary public health-care patients in three districts in South Africa | DoD PRF (Psychosocial RF) | High rates of tuberculosis (TB) and TB/HIV co-infection is often linked with mental health issues such as post-traumatic stress disorder (PTSD) symptoms, which is further associated with poor health outcomes. In a country such as South Africa where rates of these infectious diseases are high, it is concerning that ther... |
0 | Lower limb orthopedic surgery in geriatric patients under paravertebral blocks: A prospective feasibility study | AAHKS (8) Anesthetic Infiltration | Background: Aging causes progressive deterioration of all the organ systems. Physiological changes of aging and co-morbidities make regional anesthesia a preferred technique for this age group. Regional anesthesia with risk of hypotension and its consequences is fraught with dangers. Peripheral nerve blocks (PNBs) are ... |
0 | Epidural anesthesia for the treatment of lower extremity ischemia following aortic endovascular surgery: A case report | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Management of lower limb ischemia in the setting of recent aortic endograft placement is dictated by the inciting factors. We present a case of lower extremity arterial insufficiency following endovascular aortic repair that resolved with the induction of regional anesthesia with epidural local anesthetic... |
0 | The effects of antimicrobial mouthrinses on oral malodor and their status relative to US Food and Drug Administration regulations | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study was undertaken to review the rationale behind the usage of antibacterial mouthrinses to control oral malodor and to evaluate the claims made for antibacterial mouthrinses against the statements of US Food and Drug Administration regulations. The literature from 1960 to August 1997, found in a MEDLINE search ... |
1 | Robert Brigham unicondylar knee surgical technique | Surgical Management of Osteoarthritis of the Knee CPG | Unicompartmental knee replacement can be attractive alternative to osteotomy or tricompartmental replacement in osteoarthritis. Results are highly dependent on patient selection and surgical technique. While osteotomy is favored in the young, heavy, active individual with unicompartmental osteoarthritis, unicompartment... |
1 | Effect of anaesthesia on respiratory function after major lower extremity surgery. A comparison between bupivacaine spinal analgesia with low-dose morphine and general anaesthesia | AAHKS (8) Anesthetic Infiltration | Postoperative pulmonary function was studied in 16 patients undergoing total hip or knee arthroplasty. Their mean age was 65 years. Half of them received spinal analgesia (22.5 mg bupivacaine + 0.3 mg morphine) and the other half underwent general anaesthesia with halothane-nitrous oxide. Four hours postoperatively, th... |
0 | Variability in the characteristics and quality of care for injured youth treated at trauma centers | DoD PRF (Psychosocial RF) | Objective: To survey US level I trauma centers to assess the characteristics of child and adolescent psychosocial service delivery. Study design: Trauma program staff at US level I trauma centers were asked to complete a survey on the characteristics and quality of service delivery for youth. The presence of pediatric ... |
0 | Contrast-enhanced ultrasound in monitoring the efficacy of a bradykinin receptor 2 antagonist in painful knee osteoarthritis compared with MRI | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To evaluate contrastâ?enhanced ultrasound (CEâ?US) as a monitoring tool to assess hypervascularisation of synovial processes in knee osteoarthritis (OA) treated with intraâ?articular injections of the bradykininâ?receptor 2 antagonist icatibant compared to contrastâ?enhanced magnetic resonance imaging ... |
0 | Are changes in radiological leg alignment and femoral parameters after total hip replacement responsible for joint loading during gait? | OAK 3 - Non-arthroplasty tx of OAK | Background: Gait kinematics after total hip replacement only partly explain the differences in the joint moments in the frontal plane between hip osteoarthritis patients after hip replacement and healthy controls. The goal of this study was to determine if total hip replacement surgery affects radiological leg alignmen... |
1 | Association between serum levels of 25-hydroxyvitamin D and osteoarthritis: A systematic review | OAK 3 - Non-arthroplasty tx of OAK | Objective: To systematically review the evidence for association between serum 25-hydroxyvitamin D (25- (OH)D) and OA and the effect of vitamin D therapy on OA. Methods: An English Medline, EMBASE and Cochrane Library search for vitamin D and OA from January 1980 to June 2012 was performed. Randomized controlled trials... |
0 | Interleukin-1alpha induces focal degradation of biglycan and tissue degeneration in an in-vitro ovine meniscal model | OAK 3 - Non-arthroplasty tx of OAK | We have developed an ovine meniscal explant model where the focal degradative events leading to characteristic fragmentation patterns of biglycan in human OA of the knee and hip, and evident in animal models of knee OA and IVD degeneration are reproduced in culture. Lateral and medial menisci were dissected into outer,... |
0 | Determinants of impaired renal function with use of nonsteroidal anti-inflammatory drugs: the importance of half-life and other medications | AAHKS (4) Acetaminophen | PURPOSE: Nonsteroidal anti-inflammatory drugs (NSAIDs) may interfere with renal function, but little is known about the effects of the half-life of these agents, or the use of other medications, on renal function.
SUBJECTS AND METHODS: Medication use was assessed during a standardized interview in a cross-sectional stu... |
0 | Standardized Note Templates Improve Electronic Medical Record Documentation of Neurovascular Examinations for Pediatric Supracondylar Humeral Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Optimization of the electronic medical record (EMR) is essential to support the clinician and to improve the quality and efficiency of patient care. The present report describes the development and implementation of a standardized template that is embedded in the EMR and is focused on a comprehensive physic... |
0 | Growth hormone treatment for two years is safe and effective in adults with Prader-Willi syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: Prader-Willi syndrome (PWS) shares similarities with the growth hormone (GH) deficiency syndrome in regards to reduced lean body mass and increased fat mass and several short-term trials with GH treatment have demonstrated beneficial effects on body composition. The aim of the present study was to evaluate t... |
0 | Spontaneous dog osteoarthritis â?? a One Medicine vision | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is a global disease that, despite extensive research, has limited treatment options. Pet dogs share both an environment and lifestyle attributes with their owners, and a growing awareness is developing in the public and among researchers that One Medicine, the mutual co-study of animals and humans, ... |
1 | Effect of Reduction Mammaplasty on Sexual Activity | Reduction Mammoplasty for Female Breast Hypertrophy | AIM: This study aimed to evaluate the effects of reduction mammaplasty operation on sexual functions of the patients with macromastia and of their partners.
MATERIALS AND METHODS: Thirty-nine patients with macromastia and their partners were assessed for their sexual function before and 6 months after reduction mammapl... |
0 | Immediate Effects of Manual Therapy Versus TENS in Patients With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | This study aims to compare the efficacy of manual therapy and TENS for immediate control of pain in patients with knee osteoarthritis. They will be included 62 patients with clinical and radiological diagnosis of knee osteoarthritis, presenting pain of at least 3 in VAS, which are recruited from rheumatology and geriat... |
0 | Extrusions do not affect degenerative morphologic changes in lateral meniscus allografts during midterm follow-ups | AMP (Acute Meniscal Pathology) | PURPOSE: To investigate degenerative morphological changes in meniscus allograft after lateral meniscus allograft transplantation (MAT) based on extrusions.
METHODS: Ninety-one patients who underwent lateral MAT were divided into extruded and non-extruded groups. Serial magnetic resonance imaging scans obtained 6 weeks... |
0 | Displaced femoral neck fractures in patients 60-69 years old - treatment and patient reported outcomes in a register cohort | Hip Fx in the Elderly 2019 | BACKGROUND: Several randomized studies have compared arthroplasty and internal fixation (IF) and found better patient reported outcome measure (PROM) and fewer reoperations for arthroplasty. But consensus is lacking regarding which method to use in the "young elderly" patients aged 60-69; IF tend to fail in up to 1/3 o... |
0 | Trapezium fracture: a common clinical mimic of scaphoid fracture | Distal Radius Fractures | PURPOSE: Fractures of the trapezium are rarely diagnosed on plain radiographs after acute wrist trauma. High-resolution cross-sectional imaging identifies fractures of the trapezium as the most common radiographically occult carpal bone fracture. We review the fracture frequency, mechanisms and patterns of trapezium fr... |
0 | Ability to return to sports after early lateral ligament repair of the ankle in 147 elite athletes | Osteochondritis Dissecans 2020 Review | PURPOSE: The literature on elite athletes' ability to return to sports (RTS) after early lateral ligament repair of the ankle remains inadequate. The time needed to RTS after modified Broström repair for acute grade III lateral ligament injuries in a large cohort of elite athletes was evaluated while assessing the impa... |
1 | Adverse effects of increased body mass index and weight on survivorship of total knee arthroplasty and subsequent outcomes of revision TKA | Surgical Management of Osteoarthritis of the Knee CPG | To investigate the effects of increased weight and body mass index (BMI) on total knee arthroplasty (TKA) survivorship and on functional outcomes and quality of life following revision TKA, a prospective cohort study of 291 consecutive revision TKA patients was performed. Average patient BMI was 32.3 +/- 7.7, and 57% o... |
0 | Minimizing dynamic knee spacer complications in infected revision arthroplasty | PJI DX Updated Search | BACKGROUND: Deep infections are devastating complications of TKA often treated with component explantation, intravenous antibiotics, and antibiotic-impregnated cement spacers. Historically, the spacers have been static, which may limit patients' ROM and ability to walk. Several recent reports describe dynamic spacers, ... |
0 | In vitro and in vivo potentialities for cartilage repair from human advanced knee osteoarthritis synovial fluid-derived mesenchymal stem cells | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Mesenchymal stem cells (MSCs) are found in synovial fluid (SF) and can easily be harvested during arthrocentesis or arthroscopy. However, SF-MSC characterization and chondrogenicity in collagen sponges have been poorly documented as well as their hypothetical in vivo chondroprotective properties with intra-... |
0 | Total joint replacement surgery in a rural centre | Management of Hip Fractures in the Elderly | Objective: To demonstrate that total joint replacement surgery can be safely and effectively performed in rural hospitals with acceptable outcomes. Design: Case series. Setting: A rural district hospital. Participants: Participants were 64 patients, 30 men and 34 women, who underwent total knee replacements (TKR); and ... |
0 | Baseline serum estradiol and fracture reduction during treatment with hormone therapy: the Women's Health Initiative randomized trial | Management of Hip Fractures in the Elderly | INTRODUCTION: The purpose of the study was to test the hypothesis that the reduction in fractures with hormone therapy (HT) is greater in women with lower estradiol levels. METHODS: We conducted a nested case-control study within the Women's Health Initiative HT Trials. The sample included 231 hip fracture case-control... |
0 | Pain, disability, and health-related quality of life in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: The aim of this study was (1) to compare the health-related quality of life (HRQOL) and disability status between the patients with carpal tunnel syndrome (CTS) and healthy controls, and (2) to explore the determinants of HRQOL. Materials and Methods: The patients with CTS and age- and gender-matched heal... |
0 | Shelf arthroplasties long-term outcome: influence of labral tears. A prospective study at a minimal 16 years' follows up | PJI DX Updated Search | INTRODUCTION: Osteoarthritis lesions extent and dysplasia severity (negative vertical center edge [CE] angle) are recognized as unfavorable criteria for the survival of shelf arthroplasties performed for correcting hip dysplasia. Labral tears have recently been described on dysplastic hips, indicating beginning osteoar... |
0 | Are Younger Patients Undergoing THA Appropriately Characterized as Active? | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Surgeons perform THA to address a variety of conditions in younger patients, including osteoarthritis (OA), osteonecrosis, inflammatory arthritis, and congenital deformities. Younger patients aged 50 years or younger have been characterized as active in the literature, but a direct relationship between age ... |
0 | A Novel Approach for Meniscal Regeneration Using Kartogenin-Treated Autologous Tendon Graft | AMP (Acute Meniscal Pathology) | HYPOTHESIS: Kartogenin (KGN) induces tendon stem cells (TSCs) to differentiate into cartilage cells in vitro and form meniscus-like tissue in vivo. A damaged meniscus can be replaced with a KGN-treated autologous tendon graft. STUDY DESIGN: Controlled laboratory study. METHODS: In the in vitro experiments, TSCs were is... |
0 | Rock climbing injuries and time to return to sport in the recreational climber | Pediatric Supracondylar Humerus Fracture 2020 Review | We investigated the injury pattern in rock climbers and their return to sport for operative and nonoperative management. 432 injuries in 237 climbers recorded: 41.9% hand/elbow, 19.9% foot/ankle, 17.3% shoulder. 66% patients required no treatment, 49 (21%) underwent physical therapy, 27 (11%) underwent surgery with 93%... |
0 | Effect of fascia iliaca compartment block with ropivacaine on early analgesia in children with development dislocation of the hip received salter arthroplasty treatment | AAHKS (8) Anesthetic Infiltration | METHODS: Approved by the hospital ethics committee, a total of 64 DDH children were divided randomly into 2 groups: group F (FICB with ropivacaine 0.2%, 1 ml/kg, max. 30 ml) and group C (FICB with 0.9% normal saline 1 ml/kg, max. 30 ml). The intraâ?operative doses of fentanyl, PACU (postâ?anesthesia care unit), CRIES... |
1 | Pain Management and Accelerated Rehabilitation for Total Hip and Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | Improved pain management techniques and accelerated rehabilitation programs are revolutionizing our patients' postoperative experience after total hip and knee arthroplasty. The process involves regional anesthesia with multimodal pain control using local periarticular injections in combination with enhanced patient ed... |
0 | Influence of the sagittal reference axis on the femoral component size | Surgical Management of Osteoarthritis of the Knee CPG | The sagittal reference axes used for setting of the femoral component vary according to surgical methods. The purpose of the study was to clarify the relation of the sagittal reference axis with the anteroposterior (AP) length of the distal femur at the time of determining the femoral component size. Fifty consecutive ... |
0 | Topical application of tranexamic acid in primary total hip arthroplasty: a systemic review and meta-analysis | PJI DX Updated Search | OBJECTIVE: A systematic review of randomized controlled trials (RCTs) and non-RCTs was performed to evaluate efficacy for the reduction of postoperative blood loss and transfusion requirements of topical use of tranexamic acid in patients undergoing primary total hip arthroplasty. METHOD: Potential articles were identi... |
0 | Osteochondritis dissecans of the lateral femoral condyle of the knee joint | AMP (Acute Meniscal Pathology) | Differences in the features of osteochondritis dissecans (OCD) affecting the lateral and medial femoral condyles were investigated in 13 patients (14 knees) treated from 1991 to 1994. OCD affected the lateral femoral condyle in 6 knees (lateral group) and the medial condyle in 8 knees (medial group). The lateral group ... |
0 | The effects of breast size in unilateral postmastectomy breast reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Postmastectomy breast reconstruction is offered to women with breast cancer regardless of body habitus and breast size. The decision regarding technique for breast reconstruction includes patient preference, risk factors, and physical characteristics. The purpose of this study was to determine whether there... |
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