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0 | The unstable knee: wobble and buckle | PJI DX Updated Search | Instability after total knee replacement (TKR) accounts for 10% to 22% of revision procedures. All patients who present for evaluation of instability require a thorough history to be taken and physical examination, as well as appropriate imaging. Deep periprosthetic infection must be ruled out by laboratory testing and... |
0 | Axonal conduction velocity and force of single human motor units | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Tungsten microelectrodes of the type used for microneurography have been used to record motor units selectively from the first dorsal interosseous and abductor pollicis muscles of normal subjects and patients who had had complete sections of the ulnar or median nerve. After determining the recruitment threshold and the... |
0 | Treatment of tendinopathies with platelet-rich plasma | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Pain and dysfunction related to tendinopathy are often refractory to traditional treatments and offer a unique challenge to physicians, because no gold standard treatment exists. Injectable biologics may represent a new modality in conjunction with a multifaceted treatment approach. Platelet-rich plasma (PRP) injection... |
0 | Segmental cement extraction system (SEG-CES) and the Ilizarov method in limb salvage procedure after total knee cemented prosthesis removal in a former osteosarcoma patient | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Survival of osteosarcoma has greatly improved in the past few decades. Knee prosthesis is a well-recognized limb salvage procedure for osteosarcoma of the distal end of the femur. One drawback is that prostheses have a limited life and prosthetic failure with the inherent high rate of reoperations remains a serious lon... |
0 | Fall and fracture prevention in the elderly | Management of Hip Fractures in the Elderly | Prevention of falls in the elderly is a high priority in many countries. Single component and multifaceted interventions have been extensively studied. However, only two interventions have been shown to reduce injuries or fractures. Hip protectors effectively reduce hip fractures. Homebased exercise programs administer... |
1 | Design and implementation of a home-based exercise program post-hip fracture: the Baltimore hip studies experience | Management of Hip Fractures in the Elderly | OBJECTIVE: The objectives are to describe for the first time a home-based exercise intervention for frail elderly hip fracture patients and to describe the feasibility of this exercise program. DESIGN: A home-based exercise program was used in a randomized controlled trial in which the authors investigated exercise int... |
0 | Paediatric lateral humeral condyle fractures: internal oblique radiographs alter the course of conservative treatment | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: At first presentation of paediatric humeral lateral condyle fractures, radiological methods such as computerised tomography, ultrasonography, magnetic resonance imaging, arthrography, and internal oblique radiography are used to determine stability. Very few studies show which radiological method should b... |
0 | Fibroma of tendon sheath | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This report describes a 60-year-old woman with a fibroma of tendon sheath of left hand. Ultrastructural study of the tumor reveals the nature of the tumor cells as fibroblasts, thus distinguishing it from the more common giant cell tumor of tendon sheath believed to be derived from synovial cells |
0 | Hypoesthesia after anterior cruciate ligament reconstruction: The relationship between proprioception and vibration perception deficits in individuals greater than one year post-surgery | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: While surgical reconstruction restores mechanical stability following anterior cruciate ligament (ACL) rupture, many experience early-onset osteoarthritis despite surgery. Neurophysiological changes are hypothesized to contribute to knee osteoarthritis progression. Proprioceptive deficits have been reported... |
1 | The efficacy of continuous versus intermittent celecoxib treatment in osteoarthritis patients aged <60 and â?¥60 years | OAK 3 - Non-arthroplasty tx of OAK | Aim: To characterize the effect of age on the efficacy of continuous versus intermittent celecoxib treatment. Materials & methods: Prespecified exploratory analysis of a double-blind, parallel-group, randomized, multicenter international study. A total of 858 patients with osteoarthritis of the knee or hip were randomi... |
0 | Myeloma bone disease: Recent advances in biology, diagnosis, and treatment | MSTS 2018 - Femur Mets and MM | Bone disease is a hallmark of multiple myeloma (MM). Occurring in the majority of MM patients, it is associated with bone pain, fractures, and hypercalcemia and has major impacts on quality of life. Furthermore, bone resorption activity has been shown to be an independent risk factor for overall survival in patients wi... |
0 | Cost effectiveness and cost utility of risedronate for osteoporosis treatment and fracture prevention in women: a Swiss perspective | HipFx Supplemental Cost Analysis | OBJECTIVES: To assess the incremental cost-effectiveness ratio (ICER) and incremental cost-utility ratio (ICUR) of risedronate compared to no intervention in postmenopausal osteoporotic women in a Swiss perspective. METHODS: A previously validated Markov model was populated with epidemiological and cost data specific t... |
0 | Giant synovial cyst of thigh: a rare entity | OAK 3 - Non-arthroplasty tx of OAK | Synovial cyst occurs secondary to traumatic, degenerative, or inflammatory conditions. Synovial cysts represent abnormal distension of bursae, which communicate with the joint. Giant synovial cysts are typically due to rheumatoid arthritis, other causes being trauma and synovial pseudoarthrosis. A 33-year-old male pres... |
0 | Efficacy, Safety, and Tolerability of ONO-4474, an Orally Available Pan-Tropomyosin Receptor Kinase Inhibitor, in Japanese Patients With Moderate to Severe Osteoarthritis of the Knee: A Randomized, Placebo-Controlled, Double-Blind, Parallel-Group Comparative Study | OAK 3 - Non-arthroplasty tx of OAK | We examined the efficacy, safety, and tolerability of ONO-4474 in Japanese patients with osteoarthritis (OA) of the knee. In this multicenter, placebo-controlled, randomized, double-blind, parallel-group comparative study, patients with moderate to severe OA who were refractory to nonsteroidal anti-inflammatory drugs w... |
0 | A simple test: please draw the incision. It is not as easy as we may think | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: Book knowledge and preparation is important to the education of a surgeon. The ability of a trainee to apply book knowledge to the actual performance of a procedure is perhaps underestimated by experienced surgeons, as is the role of the teacher in the translation of this information in the operating theater. ... |
1 | Misdiagnosis of occult hip fracture is more likely in patients with poor mobility and cognitive impairment | Management of Hip Fractures in the Elderly | The diagnosis of occult hip fracture is frequently missed. We wished to investigate if patients in whom occult hip fracture was initially misdiagnosed had any distinct features, and their outcome. We reviewed 297 patients who presented with hip fractures over a two-year period. There were 24 occult hip fractures, the d... |
0 | On some late effects of bilateral oophorectomy in the age range 15-30 years | Management of Hip Fractures in the Elderly | Between 1910 and 1940, 146 young females, aged 15-30 years, underwent bilateral salpingo-oophorectomy as part of a radical operation for salpingo-oophoritis. These women or their records were reviewed in 1971. 42 women had died in the meantime. More than half (22) of them had died from cardiovascular diseases, 5 from c... |
1 | Accuracy of in-office nerve conduction studies for median neuropathy: a meta-analysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: Carpal tunnel syndrome is the most common focal neuropathy. It is typically diagnosed clinically and confirmed by abnormal median nerve conduction across the wrist (median neuropathy [MN]). In-office nerve conduction testing devices facilitate performance of nerve conduction studies (NCS) and are used by hand ... |
0 | Limited slot femorotomy for removal of proximally coated cementless stems. A 10-year follow-up of an unreported surgical technique | PJI DX Updated Search | We present a technique of single posterior longitudinal slot femorotomy. This technique allows the expansion of the metaphyseal-diaphyseal region of the proximal femur facilitating extraction of proximally coated uncemented femoral components while leaving the metaphysis and diaphysis intact. Since 1996 we have perform... |
0 | Which factors can aid clinicians to identify a risk of pain during the following month in patients with bone metastases? A longitudinal analyses | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: Explore clinical factors associated with higher pain intensity and future pain in patients with bone metastases to identify patients who can benefit from closer follow-up or pain-modifying interventions.
METHODS: This is a secondary analysis of 606 patients with bone metastases included in a multicenter longit... |
0 | RMC total knee replacement. A review of 166 cases | Surgical Management of Osteoarthritis of the Knee CPG | This article describes a retrospective analysis of 166 total knee replacements using Richard's Maximum Contact prosthesis. Implant insertion was facilitated by instrumentation to guide the accuracy of the bony cuts; the bony surfaces were prepared using pulsatile lavage, and cement was inserted in a low viscous state. ... |
0 | Visual risk factors for hip fracture in older people | Upper Eyelid and Brow Surgery | OBJECTIVES: To determine the association between poor vision and risk of hip fracture in the Blue Mountains Eye Study. DESIGN: Prospective population-based cohort study. SETTING: Two post code areas in the Blue Mountains, west of Sydney, Australia. PARTICIPANTS: Three thousand six hundred fifty-four community-dwelling ... |
0 | Corrective dome osteotomy using the paratricipital (triceps-sparing) approach for cubitus varus deformity in children | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Dome osteotomy has been described extensively in literature to correct posttraumatic cubitus varus deformity in children. Most case series on dome osteotomy using the posterior triceps-splitting approach report a decreased postoperative range of motion (ROM). We prospectively analyzed the results of dome os... |
0 | Neural correlates of hyperalgesia in the monosodium iodoacetate model of osteoarthritis pain | OAK 3 - Non-arthroplasty tx of OAK | Background: The mechanisms driving osteoarthritic pain remain poorly understood, but there is increasing evidence for a role of the central nervous system in the chronification of pain. We used functional magnetic resonance imaging to investigate the influence of a model of unilateral knee osteoarthritis on nociceptive... |
0 | Correlation of psychosocial factor with functional outcome: One year after Hip fracture surgery | Hip Fx in the Elderly 2019 | Objective: This study investigated the correlation of 8 domains of psychosocial factors with functional outcome one year after hip fracture surgery. A prospective cohort study of patients who had unilateral hip fracture surgery was included. A total of 89 subjects were interviewed between 3rd to 7th day after the hip s... |
0 | Antimicrobial prophylaxis in noncardiac prosthetic device recipients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Secondary antimicrobial prophylaxis involves the use of >/= 1 antimicrobial agent just prior to the time when a diagnostic/therapeutic procedure, which may induce infection, is to be performed. In the context of this article, antimicrobial agent(s) are administered to patients with >/= 1 implanted prostheti... |
0 | Responsiveness of magnetic resonance imaging-derived measures over 2.7 years | AMP (Acute Meniscal Pathology) | OBJECTIVE: To compare the responsiveness of magnetic resonance imaging (MRI)-derived measures of knee osteoarthritis over 2.7 years.
METHODS: There were 430 community-based participants (mean age 63.0 yrs, range 51-79 yrs; 51% female) measured at baseline and 2.7 years later. MRI of the right knee at both timepoints wa... |
0 | Awareness and use of intertrochanteric osteotomies in current clinical practice. An international survey | Management of Hip Fractures in the Elderly | Current literature shows that intertrochanteric osteotomies can produce excellent results in selected hip disorders in specific groups of patients. However, it appears that this surgical option is considered an historical one that has no role to play in modern practice. In order to examine current awareness of and view... |
0 | Joint lavage for osteoarthritis of the knee | Management of Hip Fractures in the Elderly | BACKGROUND: Osteoarthritis is the most common form of joint disorder and a leading cause of pain and physical disability. Observational studies suggested a benefit for joint lavage, but recent, sham-controlled trials yielded conflicting results, suggesting joint lavage not to be effective. OBJECTIVES: To compare joint ... |
0 | Ultrasound of nerve and muscle | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Over the last two decades, ultrasound has developed into a useful technology for the evaluation of diseases of nerve and muscle. Since it is currently not used at by the majority of clinicians involved in diagnosis or care of patients with neuromuscular disorders, this review briefly describes the technical aspects of ... |
0 | Rehospitalizations, early revisions, infections, and hospital resource use in the first year after hip and knee arthroplasties | PJI DX Updated Search | We examined 3 negative outcomes for 58 351 hip and knee arthroplasty patients: rehospitalization, revision and infection, and their impact on resource use in the year after surgery. In the year before surgery, 12.9% of elective hip and 10.2% of knee patients were hospitalized. In the year after, 14.8% of elective hip a... |
0 | Subcutaneous implant breast reconstruction: Time to reconsider? | Acellular Dermal Matrix | Improvements in breast surgery techniques such as skin and nipple preserving mastectomy and innovative prosthetics (implants, acellular dermal matrices and meshes) is renewing interest in subcutaneous (pre-pectoral) implant reconstruction. The aim of this paper is to review the current literature in an attempt to provi... |
0 | The Top 50 Most Cited Publications in Meniscus Research | AMP (Acute Meniscal Pathology) | Injuries to the menisci of the knee are common in orthopedic sports medicine. Bibliometric studies can identify the core literature on a topic and help further our collective knowledge for both clinical and educational purposes. The purpose of the current study was to (1) identify and describe the 50 most cited article... |
0 | Perinatal factors associated with clinical presentation of osteosarcoma in children and adolescents | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Osteosarcoma typically develops during puberty with tumors arising at sites of rapid bone growth, suggesting a role for growth-regulating pathways in tumor etiology. Birthweight is one measure of perinatal growth that has been investigated as an osteosarcoma risk factor. Whether birthweight affects clinical... |
0 | Curcuminoid treatment for knee osteoarthritis: a randomized double-blind placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Treatment of osteoarthritis (OA) is challenging owing to the inefficacy and long-term adverse events of currently available medications including non-steroidal anti-inflammatory drugs. Curcuminoids are polyphenolic phytochemicals with established anti-inflammatory properties and protective effects on chondrocytes. The ... |
0 | In vivo knee kinematics during stair and deep flexion activities in patients with bicruciate substituting total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Orthopedic surgeons and their patients continue to seek better functional outcomes after total knee arthroplasty. The bicruciate substituting (BCS) total knee arthroplasty design has been introduced to achieve more natural knee mechanics. The purpose of this study was to characterize kinematics in knees with BCS arthro... |
0 | An integrative theoretical framework of acculturation and salutogenesis | DoD PRF (Psychosocial RF) | During the last two decades, the number of international migrants worldwide has constantly risen. In this context, cross-cultural dimensions of psychological disorders receive increased attention, especially depression, anxiety and post-traumatic stress disorders among the migrant population. In this paper we propose a... |
0 | The Current Status of Hematopoietic Cell Transplantation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Hematopoietic cell transplantation is the preferred therapy for a substantial proportion of patients with life-threatening diseases of the lymphohematopoietic system. Recent advances in donor identification, disease eradication, and supportive care measures have broadened the application of transplantation and improved... |
0 | Delineating psychological and biomedical profiles in a heterogeneous fibromyalgia population using cluster analysis | DoD PRF (Psychosocial RF) | The heterogeneity of patients meeting American College of Rheumatology (ACR) criteria for a diagnosis of fibromyalgia (FM) challenges our ability to understand the underlying pathogenesis and to optimize treatment of this enigmatic disorder. Our goal was to discern clinically relevant subgroups across multiple psycholo... |
0 | The popliteus bursa: an indicator of subtle pathology | AMP (Acute Meniscal Pathology) | The abnormal contour of the popliteus bursa, as examined on double-contrast arthrography, is an indicator of numerous disorders of the knee. Narrowing, compression, or complete absence of the popliteus bursa is associated with tears of the lateral menisci and with discoid menisci. Absence of the popliteus bursa can als... |
0 | MR imaging of the postoperative meniscus: repair, resection, and replacement | AMP (Acute Meniscal Pathology) | Meniscal surgery is one of the most common orthopedic procedures performed in clinical practice today. Increasing awareness of the importance of the meniscus in knee function and stability has resulted in abandonment of the once common complete meniscectomy in favor of meniscus-preserving surgeries and, in some circums... |
0 | Indications for and results of arthroscopy in the arthritic knee: a European survey | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The place of arthroscopic treatment in osteoarthritis of the knee has generated much controversy. A survey was initiated to collect the opinion of experienced surgeons.
METHODS: Of the 211 surgeons interviewed, 170 (80.6%) replied to the electronic questionnaire. Respondents had at least ten years of experienc... |
0 | Nutritional supplements and ergogenic aids | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Performance enhancing drugs, ergogenic aids, and supplements come in many forms. The financial, personal, social, and health-related impact of these substances has wide and varied consequences. This article reviews common substances and practices used by athletes. It discusses the history, use, effects, and adverse eff... |
0 | Anatomical distribution and sclerotic activity of bone metastases from thyroid cancer assessed with F-18 sodium fluoride positron emission tomography | MSTS 2022 - Metastatic Disease of the Humerus | Currently, bone scintigraphy (BS) is considered to lack sensitivity in detecting bone metastases (BM) from thyroid cancer. We evaluated the anatomical distribution and metabolic behavior of BM as well as the accuracy of BS with and without combination of whole-body iodine scintigraphy (WBI) in detecting metastatic bone... |
0 | Safety, tolerability and efficacy of intra-articular Progenza in knee osteoarthritis: A randomized double-blind placebo-controlled single ascending dose study | AMP (Acute Meniscal Pathology) | Background: Cell therapies are being investigated as potential disease modifying treatment options for osteoarthritis (OA). Progenza (PRG) comprises in vitro expanded mesenchymal stem cells derived from human donor adipose tissue combined with cell culture supernatant. The primary objective of this first-in-human study... |
1 | Assessing Quality and Safety in Pediatric Supracondylar Humerus Fracture Care | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Recently, there has been an emphasis on improving quality, safety, and value in the delivery of health care in the United States. The American Board of Orthopedic Surgery (ABOS) has developed a performance improvement questionnaire (PIQ) for orthopaedic surgeons managing pediatric supracondylar humerus frac... |
0 | Treatment-seeking college students with disabilities: Presenting concerns, protective factors, and academic distress | DoD PRF (Psychosocial RF) | Students with disabilities are a growing population on college campuses and have unique challenges that put them at risk for early departure, creating complexity in efforts to address their personal and academic needs.
PURPOSE: The purpose was to explore academic and other sources of distress among college students wit... |
0 | Influence of muscle hypertrophy on the moment arm of the triceps brachii muscle | Pediatric Supracondylar Humerus Fracture 2020 Review | Although the moment arm of the triceps brachii muscle has been shown to be associated with the muscle's anatomical cross-sectional area, whether training-induced muscle hypertrophy alters the moment arm of the muscle remains unexplored. Therefore, the current study aimed to examine this. Eleven men underwent a 12-week ... |
1 | Large cartilage lesions of the knee treated with bone marrow concentrate and collagen membrane--results | BMAC (Bone Marrow Aspirate Concentrate) | BACKGROUND: The study presents to assess the clinical results of cartilage lesion treatment with bone marrow concentrate and collagen membrane.
MATERIAL AND METHODS: The study group comprised 54 patients with ICRS grade III or IV lesions. Lesion sizes ranged from 4 to 12 cm(2). The assessment was carried out at one and... |
0 | Role of locking plates in treatment of difficult ununited fractures: a clinical study | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Objective: To present our experience in treatment of difficult ununited long bone fractures with locking plate. Methods: Retrospective evaluation of locking plate fixation in 10 difficult nonunions of long bone fractures was done. Fixation was done with locking plate for femoral shaft fracture (3 patients), supracondyl... |
1 | Joint line tenderness and McMurray tests for the detection of meniscal lesions: what is their real diagnostic value? | AMP (Acute Meniscal Pathology) | OBJECTIVES: To assess the interobserver concordance of the joint line tenderness (JLT) and McMurray tests, and to determine their diagnostic efficiency for the detection of meniscal lesions.
DESIGN: Prospective observational study.
SETTING: Orthopedics outpatient clinic, university hospital.
PARTICIPANTS: Patients (N=6... |
0 | A prospective review of arthroscopic debridement for degenerative joint disease of the knee | AMP (Acute Meniscal Pathology) | A prospective review of 254 patients with moderate or severe knee pain due to degenerative joint disease, treated by arthroscopic debridement of menisci, articular cartilage, osteophytes and loose bodies has been made 24 to 140 months (average of 44 months) after surgery. Patients ranged in age from 28 to 82 years with... |
0 | Reversible nephrotic syndrome in a patient with amyloid A amyloidosis of the kidney following methicillin-resistant Staphylococcus aureus infection | Surgical Management of Osteoarthritis of the Knee CPG | A common form of methicillin-resistant Staphylococcus aureus (MRSA) associated glomerulonephritis is either an endocapillary proliferative glomerulonephritis or a crescentic glomerulonephritis. This report describes the development of reversible nephrotic syndrome following MRSA infection in a patient with amyloid A am... |
1 | A comparison of EMG procedures in the carpal tunnel syndrome with clinical-EMG correlations | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | One hundred and twenty-two patients were selected on the basis of symptoms of finger numbness and tingling thought to suggest carpal tunnel syndrome. The severity of the symptoms was graded and the patients were studied with seven established EMG procedures, motor inching to the abductor pollicis brevis and second lumb... |
1 | Postoperative deep wound infection in instrumented spinal surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study was designed to analyze the frequency, nature and risk factors of postoperative deep wound infection in instrumented spinal surgery. The infection rate of 174 instrumented spinal operations was documented. The patients were investigated in terms of risk factors. Infections occurring after 12 months were cons... |
0 | The impact of obesity on complications of elbow, forearm, and hand surgeries | DoD SSI (Surgical Site Infections) | Purpose To compare the rates of postoperative complications in obese and nonobese patients following elbow, forearm, and hand surgeries. Methods This case-control study examined 436 patients whose body mass index (BMI) was over 35 and who underwent hand, wrist, forearm, or elbow surgery between 2009 and 2013. Controls ... |
0 | Six-year follow-up of a preformed spacer for the management of chronically infected total hip arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Antibiotic-loaded cement spacers are currently used in two-stage revision of septic total hip arthroplasty as temporary devices. Prolonged spacer implantation in infected shoulder has been described occasionally in poor candidates for reconstruction surgery (medically compromised and/or low-physical demand patients, de... |
0 | Reduced bone-mineral content is a risk factor for hip fractures | Management of Hip Fractures in the Elderly | To evaluate skeletal osteopenia as a risk factor for hip fractures, we measured bone-mineral content in 18 postmenopausal women (aged 50 to 85 years) within 5 days of sustaining a nontraumatic hip fracture. We compared these findings to those in 50 women without a hip fracture who were matched for age, postmenopausal y... |
0 | Humeral Supracondylar Fractures in Children: A Novel Technique of Lateral External Fixation and Kirschner Wiring | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction: Supracondylar fracture of the humerus is the most common fracture around the elbow in children. Pinning with Kirschner wires (K-wires) after open or closed reduction is generally accepted as the primary treatment modality. However, it comes with the risk of persistent instability and if the K-wire is not ... |
0 | Removal of GAGs Regulates Mechanical Properties, Collagen Fiber Formation, and Alignment in Tissue Engineered Meniscus | AMP (Acute Meniscal Pathology) | The complex fibrillar architecture of native meniscus is essential for proper function and difficult to recapitulate in vitro. In the native meniscus, proteoglycan content is low during the development of collagen fibers and progressively increases with aging. In vitro, fibrochondrocytes produce glycosaminoglycans (GAG... |
0 | Patellofemoral arthroplasty in the treatment of patellofemoral arthritis: rationale and outcomes in younger patients | Surgical Management of Osteoarthritis of the Knee CPG | Patellofemoral degenerative disease encompasses a spectrum of articular wear from severe chondrosis to advanced arthrosis. The rationale and timing for many operative approaches currently advocated for the relief of symptomatic patellofemoral degeneration can be the subject of intense surgical debate in any one patient... |
0 | Hip sonography: background; technique and common mistakes; results; debate and politics; challenges | Developmental Dysplasia of the Hip 2020 Review | Developmental dysplasia of the hip (DDH) is the commonest 'congenital' disease of the locomotor system throughout the world. According to the World Health Organisation (WHO) Bone & Joint Decade (2000-2010) 10%-15% of patients who are under the age of 50 when they require a hip replacement do so because of infant hip dy... |
1 | Changes in the structural features of osteoarthritis in a year of weight loss | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: In patients undergoing bariatric surgery or medical management for obesity, we assessed whether those experiencing substantial weight loss had changes in innervated knee structures or in cartilage.
METHODS: Severely obese patients (body mass index (BMI) >=35) with knee pain on most days were seen before bari... |
1 | Continuous peripheral nerve blocks: Is local anesthetic dose the only factor, or do concentration and volume influence infusion effects as well? | AAHKS (9/10) Regional Nerve Blocks | Background: The main determinant of continuous peripheral nerve block effects-local anesthetic concentration and volume or simply total drug dose-remains unknown. Methods: We compared two different concentrations and basal rates of ropivacaine-but at equivalent total doses-for continuous posterior lumbar plexus blocks ... |
0 | An exploration of participant experience of a communication training program for people with traumatic brain injury and their communication partners | DoD PRF (Psychosocial RF) | PURPOSE: To investigate the experiences of participants who attended communication training programs for people with traumatic brain injury (TBI) and their everyday communication partners (CP) as part of a non-randomised controlled trial.
METHOD: The participants were people with TBI and their CP, who were family membe... |
1 | The Danish Multidisciplinary Hip Fracture Registry 13-Year Results from a Population-Based Cohort of Hip Fracture Patients | Hip Fx in the Elderly 2019 | Aim of the Registry: The aim of the Danish Multidisciplinary Hip Fracture Registry (DMHFR) is to collect data on processes of treatment, nursing care and rehabilitation as well as outcomes for patients with hip fracture in Denmark, and thereby monitor and improve the quality.
Study Population: Hip fracture patients at ... |
0 | Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures | Hip Fx in the Elderly 2019 | INTRODUCTION: The objective of this study is to report the institutions experiences with standardized 2D computer-navigated percutaneous iliosacral screw placement (CNS), as well as the conventional fluoroscopically assisted screw placement method (CF) over a period of 10 years. PATIENTS AND METHODS: A total of 604 pat... |
0 | Can epidural anesthesia and warfarin be coadministered? | Surgical Management of Osteoarthritis of the Knee CPG | Epidural hypotensive anesthesia can, in addition to imparting numerous intraoperative benefits, provide excellent postoperative pain control for patients having joint arthroplasties. However, because of the risk of epidural hematoma, epidural anesthesia is not coadministered with anticoagulation in some centers. We ret... |
0 | The parasacral sciatic nerve block | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVES: The clinical utility of a new parasacral approach for conduction block of the sciatic nerve was investigated, with critical examination of onset, extent, and success rates when this block was used for surgical procedures below the knee. METHODS: Thirty ASA I-III patients presenting for surger... |
0 | Hip geometry and its role in fracture: what do we know so far? | Management of Hip Fractures in the Elderly | As the number of hip fractures continues to rise, finding better ways to identify people at risk becomes crucial. In the past decade, several measures of hip geometry have been studied as possible risk factors for hip fracture. Among them, hip axis length (HAL) shows the greatest promise for enhancing fracture risk ass... |
0 | Bilateral simultaneous anterior cruciate ligament injury: A case report and national survey of orthopedic surgeon management preference | PJI DX Updated Search | Unilateral anterior cruciate ligament (ACL) tear is a common injury seen by sports medicine orthopedic surgeons. However, a bilateral simultaneous ACL injury is extremely rare and has been reported only three times in the literature. We present a young female skier with simultaneous bilateral ACL tears that were manage... |
0 | Ceramic femoral component fracture in total knee arthroplasty: an analysis using fractography, fourier-transform infrared microscopy, contact radiography and histology | Surgical Management of Osteoarthritis of the Knee CPG | Ceramic components in total knee arthroplasty (TKA) are evolving. We analyze the first case of BIOLOX delta ceramic femoral component fracture. A longitudinal midline fracture in the patellar groove was present, with an intact cement mantle and no bony defects. Fractographic analysis with laser scanning microscopy and ... |
0 | Intravenous bisphosphonate therapy and bisphosphonate-related osteonecrosis of the jaws | MSTS 2018 - Femur Mets and MM | The purposes of this report are to 1) summarize the epidemiologic evidence supporting an association between intravenous bisphosphonate (BP) exposure and BP-related osteonecrosis of the jaws (BRONJ), 2) identify measurable risk factors associated with BRONJ, and 3) assess the risk of BRONJ for patients receiving intrav... |
0 | Comparing the effects of single shot sciatic nerve block versus posterior capsule local anesthetic infiltration on analgesia and functional outcome after total knee arthroplasty: a prospective, randomized, double-blinded, controlled trial | AAHKS (5) Gabapentinoids | Peripheral nerve blocks appear to provide effective analgesia for patients undergoing total knee arthroplasty. Although the literature supports the use of femoral nerve block, addition of sciatic nerve block is controversial. In this study we investigated the value of sciatic nerve block and an alternative technique of... |
0 | Cefuroxime in acute septic arthritis | Surgical Management of Osteoarthritis of the Knee CPG | Cefuroxime was used in 17 patients with clinical, bacteriological and/or laboratory signs of acute septic arthritis in comparison with 10 patients given cloxacillin and ampicillin alone, or in combination. 14 patients in the study group had positive cultures (Staphylococcus aureus, 10, S. epidermidis, 1, Streptococcus ... |
0 | Ilizarov fixator in femoral supracondylar fractures: A case series with 1 - 6 - year follow-up | DoD SSI (Surgical Site Infections) | Background: The current study aimed at determining the clinical effectiveness and safety of Ilizarov external fixation on the treatment of femoral supracondylar fracture. Methods: The current retrospective case series study was conducted on patients with femoral supracondylar fracture. The patients were treated by Iliz... |
0 | A review of penile elongation surgery | Panniculectomy & Abdominoplasty CPG | Penile elongation surgery is less commonly performed in the public sector, but involves a collaborative approach between urology and plastic surgery. Congenital and acquired micropenis are the classic surgical indications for penile elongation surgery. The goal of intervention in these patients is to restore a function... |
1 | Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Capacity to ambulate represents an important milestone in the recovery process after total knee arthroplasty (TKA). The purpose of this study was to determine the analgesic effect of two analgesic techniques and their impact on functional walking capacity as a measure of surgical recovery. METHODS: Forty AS... |
0 | Single cell RNA-seq analysis identifies ferroptotic chondrocyte cluster and reveals TRPV1 as an anti-ferroptotic target in osteoarthritis | AMP (Acute Meniscal Pathology) | BACKGROUND: Osteoarthritis (OA) is the most common degenerative joint disease primarily characterized by cartilage destruction. The aim of this study was to investigate the role, molecular characteristics and potential therapeutic target of chondrocyte ferroptosis in the pathogenesis of OA.
METHODS: The expression of f... |
0 | Comparison of high tibial osteotomy and unicompartmental knee arthroplasty in the treatment of unicompartmental osteoarthritis: a meta-analysis | Surgical Management of Osteoarthritis of the Knee CPG | We conducted a systematic review of comparative clinical trials assessing the results of high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) in patients with strictly unilateral osteoarthritis of the knee. A literature search was conducted through Medline, Embase and Cochrane library. A total of 11... |
0 | Bone and cancer: The osteoncology | MSTS 2018 - Femur Mets and MM | In recent years clinicians have witnessed a radical change in the relationship between bone and cancer, with in particular an increase in bone metastases incidence due to an improvement of patients survival. Bone metastases are responsible for the high morbidity in cancer patients with a strong clinical impact. For all... |
0 | Linear and quasi-linear viscoelastic characterization of ankle ligaments | DoD LSA (Limb Salvage vs Amputation) | The objective of this study was to produce linear and nonlinear viscoelastic models of eight major ligaments in the human ankle/foot complex for use in computer models of the lower extremity. The ligaments included in this study were the anterior talofibular (ATaF), anterior tibiofibular (ATiF), anterior tibiotalar (AT... |
0 | Predictors of mortality after hip fracture: A 10-year prospective study | Hip Fx in the Elderly 2019 | The role of medical, social, and functional covariates on mortality after hip fracture was examined over a 16-year period. A total of 1109 patients with hip fractures were included in a prospective database. The inclusion criteria were patients who were age 65 years or older, ambulatory prior to fracture, cognitively i... |
0 | Initial stability of femoral neck osteosynthesis with absorbable self-reinforced poly-L-lactide (SR-PLLA) and metallic screws: a comparative study on 21 cadavers | Management of Hip Fractures in the Elderly | The initial stability of femoral neck osteosynthesis provided by three self-reinforced poly-L-lactide (SR-PLLA) or three metallic cannulated screws was compared. A standard transverse subcapital osteotomy was created with a hand saw in 19 pairs of human cadaver femora. Two fixation methods were randomly used in each pa... |
0 | Treatment of difficult TRAM flap hernias using intraperitoneal synthetic mesh application | Acellular Dermal Matrix | The authors report the successful repair of large lower abdominal hernia defects after transverse rectus abdominis muscle (TRAM) flap breast reconstruction in 11 patients using a technique of intraperitoneal application of synthetic polypropylene (Prolene) mesh anchored to the peritoneal surface of the abdominal wall t... |
0 | What is the Proportion of Patients With Multiple Hereditary Exostoses Who Undergo Malignant Degeneration? | Glenohumeral Joint OA | Background: Multiple hereditary exostoses is an autosomal-dominant skeletal disorder that has a wide-ranging reported risk of malignant degeneration to chondrosarcoma. Questions/purposes: The aims of our study were to use a large, web-based survey approach to characterize (1) the demographic distribution of patients wi... |
1 | Late diagnosis dislocation of the hip joint in children | Developmental Dysplasia of the Hip CPG | Dating from 1953, the hips of newborn have been examined routinely all over Sweden. In 1963 more than 99 per cent of all newborns (about 110,000) were delivered at maternity departments, where such examination was recommended. 615 cases of preluxation or dislocation were diagnosed, which means a frequency of 5.6 per th... |
0 | Indirect MR arthrography: techniques and applications | AMP (Acute Meniscal Pathology) | Indirect MR arthrography is a simple noninvasive alternative to direct MR arthrography and can potentially alter the diagnostic work-up of several diseases. Based on current knowledge, these diseases include rotator cuff tears. glenoid labrum tears, recurrent tears of the menisci and classification of osteochondritis d... |
0 | Risk factors for posterior lateral meniscus root tears in anterior cruciate ligament injuries | AMP (Acute Meniscal Pathology) | PURPOSE: To identify risk factors for posterior lateral meniscus root tears (PLRT) in patients with a tear of the anterior cruciate ligament (ACL).
METHODS: A database of 268 patients undergoing primary ACL reconstruction between 2011 and 2013 was used to identify all patients with isolated ACL tears and patients with ... |
0 | Randomized, controlled, prospective clinical trial of autologous greater omentum free graft versus autogenous cancellous bone graft in radial and ulnar fractures in miniature breed dogs | Distal Radius Fractures | STUDY DESIGN: Prospective, randomized, controlled clinical trial with owners/radiologists blinded to treatment. OBJECTIVE: To determine the rate of radiographic healing, complications, vascularization, and bone density after repair of radial and ulnar fractures in dogs <6 kg that were treated with an autogenous cancell... |
1 | Surgical delay is a risk factor of delirium in hip fracture patients with mild-moderate cognitive impairment | Hip Fx in the Elderly 2019 | AIM: To investigate the relationship between onset of delirium and time to surgery in hip fracture (HF) patients with a different degree of cognitive impairment.
METHODS: Retrospective analysis of a prospective database of 939 older adults, aged >= 75 years admitted with a fragility HF. Subjects underwent a Comprehensi... |
0 | Predicting patient reported outcome in total knee arthroplasty using body mass index and limb measurements | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Body mass index (BMI) has not been shown to correlate with Patient Reported Outcome Measures (PROMs) following total knee arthroplasty (TKA). We investigated the relationship between weight, BMI, limb morphology, and Oxford Knee Score (OKS). Furthermore, the utility of a novel radiological measurement, the ... |
0 | Patients with hemianopic alexia adopt an inefficient eye movement strategy when reading text | Upper Eyelid and Brow Surgery | Patients with an acquired homonymous hemianopia often adapt over a period of a few months to compensate for some of the impairments caused by their visual field defect. Changes in their eye movement patterns have been demonstrated as performance on visual tasks improves with time; however, these patients often complain... |
0 | High prevalence of pelvic and hip magnetic resonance imaging findings in asymptomatic collegiate and professional hockey players | PJI DX Updated Search | BACKGROUND: Prior retrospective studies have reported magnetic resonance imaging (MRI) findings of common adductor-abdominal rectus enthesopathy and acetabular labral tear in athletes treated for athletic pubalgia and hip pain. The true prevalence of these findings and association with symptoms in this population is un... |
0 | Two-year results from an open-label, multicentre, phase III study evaluating the safety and efficacy of canakinumab in patients with cryopyrin-associated periodic syndrome across different severity phenotypes | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: Longer-term effects of prolonged selective interleukin-1(beta) blockade with canakinumab were evaluated in the largest cohort of cryopyrin-associated periodic syndrome (CAPS) patients studied to date. Methods: Adult and paediatric CAPS patients (n=166, including canakinumab-naive and pretreated patients from... |
0 | Supracondylar fractures of the humerus in children | DOD - Acute Comp Syndrome CPG | Supracondylar fractures of the humerus in children are either flexion or extension in type. Associated nerve or vascular injury is common. Fractures that remain stable after reduction can be treated with elbow flexion. If the fracture is unstable or if circulation is compromised, percutaneous pinning or traction treatm... |
0 | Proximal Tibial Cortex Transverse Distraction Facilitating Healing and Limb Salvage in Severe and Recalcitrant Diabetic Foot Ulcers | DoD SSI (Surgical Site Infections) | BACKGROUND: The management of severe and recalcitrant diabetic foot ulcers is challenging. Distraction osteogenesis is accompanied by vascularization and regeneration of the surrounding tissues. Longitudinal distraction of the proximal tibia stimulates increased and prolonged blood flow to the distal tibia. However, th... |
0 | The genetic contribution to severe post-traumatic osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: to compare the combined role of genetic variants loci associated with risk of knee or hip osteoarthritis (OA) in post-traumatic (PT) and non-traumatic (NT) cases of clinically severe OA leading to total joint replacement.
METHODS: A total of 1590 controls, 2168 total knee replacement (TKR) cases (33.2% PT) a... |
0 | Painful knee prosthesis: surgical approach | PJI DX Updated Search | There are many conditions that may be responsible of a painful knee prosthesis. The possible causes are not always easily diagnosed. Common causes of prosthetic failure, such as aseptic loosening, infection, instability, progressive patellar arthropathy and recurrent synovitis are associated with clearly defined radiog... |
0 | Palmitate has proapoptotic and proinflammatory effects on articular cartilage and synergizes with interleukin-1 | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Obesity is a major risk factor for the development of osteoarthritis (OA) that is associated with a state of low-grade inflammation and increased circulating levels of adipokines and free fatty acids (FFAs). The aim of this study was to analyze the effects of saturated (palmitate) and monounsaturated (oleate... |
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