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0 | Fungal peri-prosthetic joint infection after primary total knee replacement | PJI DX Updated Search | We retrospectively reviewed 30 two-stage revision procedures in 28 patients performed for fungal peri-prosthetic joint infection (PJI) after a primary total knee replacement. Patients were followed for at least two years or until the infection recurred. The mean follow-up for patients who remained free of infection was... |
0 | Monoclonal gammopathy of undetermined significance: why identification of these patients and assessment of their skeletons is important | MSTS 2018 - Femur Mets and MM | Monoclonal gammopathy of undetermined significance (MGUS) is a plasma cell disorder characterized by the presence of a serum monoclonal immunoglobulin (M-protein) at <or= 3 g/dL. It is an asymptomatic premalignant disorder that can progress to multiple myeloma and related B-cell disorders. Recent studies have suggested... |
0 | Novel role of CCN3 that maintains the differentiated phenotype of articular cartilage | OAK 3 - Non-arthroplasty tx of OAK | Knowledge of the microenvironment of articular cartilage in health and disease is the key to accomplishing fundamental disease-modifying treatments for osteoarthritis. The proteins comprising the CCN Family are matricellular proteins with a remarkable relevance within the context of cartilage metabolism. CCN2 displays ... |
1 | Treating Unstable Distal Radius Fractures With a Nonspanning External Fixation Device: Comparison With Volar Locking Plates in Historical Control Group | Distal Radius Fractures | We conducted a study to compare functional and radiographic outcomes of unstable comminuted intra-articular distal radius fractures (DRFs) treated with a nonspanning external fixation device and outcomes achieved with volar locking plates in a historical control group. Clinical and radiographic data from 25 patients wi... |
0 | Evaluation of tissue-engineered skin (human skin substitute) and secondary intention healing in the treatment of full thickness wounds after Mohs micrographic or excisional surgery | Reconstruction After Skin Cancer | BACKGROUND: Human Skin Substitute (Apligraf, Organogenesis, Inc., Canton, MA) is a bi-layered tissue-engineered living biological dressing developed from neonatal foreskin. It consists of a bovine collagen matrix containing human fibroblasts with an overlying sheet of stratified human epithelium containing living human... |
0 | Acute injuries of the distal radioulnar joint and triangular fibrocartilage complex | Distal Radius Fractures | Distal radioulnar joint disorders have become increasingly recognized. Over the past decade, advances in functional anatomy, kinematics, advanced imaging, and arthroscopy have improved understanding of distal radioulnar joint disorders and their management. In the past, injuries to the triangular fibrocartilage complex... |
0 | MiRNA-548c: a specific signature in circulating PBMCs from dilated cardiomyopathy patients | Reduction Mammoplasty for Female Breast Hypertrophy | High fidelity genome-wide expression analysis has strengthened the idea that microRNA (miRNA) signatures in peripheral blood mononuclear cells (PBMCs) can be potentially used to predict the pathology when anatomical samples are inaccessible like the heart. PBMCs from 48 non-failing controls and 44 patients with relativ... |
0 | Emission tomography in femoral neck fracture for evaluation of avascular necrosis | Management of Hip Fractures in the Elderly | Two cases of operated femoral neck fractures are presented, in whom an intact femoral head isotope uptake was found with conventional Tc-MDP scintimetry. In both patients, emission tomography using the rotating slant-hole technique was diagnostic |
1 | Influence of treatment factors on the outcome after hip fractures | Management of Hip Fractures in the Elderly | To investigate the influence of different treatment factors in the outcome and rehabilitation after hip fractures, a series of 282 consecutive patients with femoral neck or trochanteric fractures were followed up prospectively for two years postoperatively. The long-term results were analysed by a review of the patient... |
0 | Femoral revision with impaction bone grafting and a cemented polished tapered stem | PJI DX Updated Search | OBJECTIVE: Biological repair of femoral bone loss using bone impaction grafting. Reconstruction of the centre of rotation of the hip using a cemented stem, the size and offset of which are at the discretion of the surgeon. INDICATIONS: Femoral implant loosening with bone loss. CONTRAINDICATIONS: Infection, neurological... |
0 | Clinical platform for understanding the relationship between joint contact mechanics and articular cartilage changes after meniscal surgery | AMP (Acute Meniscal Pathology) | Injury to the meniscus of the knee has been implicated as a significant risk factor for the subsequent development of osteoarthritis, but the mechanisms of joint degeneration are unclear. Our objective was to develop a clinically applicable methodology to evaluate the relationship of joint contact mechanics at the time... |
0 | Unraveling the complexity of amyotrophic lateral sclerosis survival prediction | Glenohumeral Joint OA | Objective: The heterogeneity of amyotrophic lateral sclerosis (ALS) survival duration, which varies from <1 year to >10 years, challenges clinical decisions and trials. Utilizing data from 801 deceased ALS patients, we: (1) assess the underlying complex relationships among common clinical ALS metrics; (2) identify whic... |
0 | Digital photography as a novel technique of measuring ocular surface dimensions | Upper Eyelid and Brow Surgery | Purpose: To introduce a novel technique for measuring ocular surface dimensions using digital photography and computerized image analysis in the context of ptosis repair surgery. Methods: Digital photographs and patient questionnaires on dry eye symptoms were obtained from 31 patients before and after ptosis repair. Pa... |
0 | A prospective multicenter clinical trial to evaluate the safety and effectiveness of the implantable miniature telescope | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the safety and preliminary efficacy of a novel visual prosthetic device, the Implantable Miniature Telescope, IMT (by Dr Isaac Lipshitz) (IMT), in a phase I trial in patients with significant bilateral central vision impairment from late-stage age-related macular degeneration (AMD). The IMT is desi... |
0 | Small volume fat transfer | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The use of autologous fat has been advocated for tissue augmentation for over a century. However, this technique remains controversial and many investigators have made suggestions to increase its potential. OBJECTIVES: To develop a less traumatic method to collect, purify, and reinject fat to obtain more dr... |
0 | Reduction expression of thrombomodulin and endothelial cell nitric oxide synthase in dermatomyositis | Glenohumeral Joint OA | Dermatomyositis (DM) is a systemic microvasculitis predominantly involving the capillaries. We investigated the expression of thrombomodulin (TM) and endothelial cell nitric oxide synthase (eNOS) in microvessels of DM patients. Twelve patients with acute or subacute onset of proximal muscle weakness and erythematous ra... |
0 | Estrogen receptor alpha knockout mice display osteoarthritis-like phenotype | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis is age-related joint disorder characterized by progressive degeneration of articular cartilage accompanied by symptoms such as pain, disability, and impaired life quality. In an epidemiological study, women with lower serum estrogen concentration were more likely to develop knee osteoarthritis. Relations... |
0 | Does advanced cryotherapy reduce pain and narcotic consumption after knee arthroplasty? | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Cryotherapy has been used to enhance recovery after orthopaedic surgery. Several cooling devices are available but few can guarantee a fixed temperature during a prolonged time and therefore have been criticized. The arrival of new advanced cryotherapy devices made it possible to test the effect of prolonge... |
0 | Magnetic Resonance Imaging Assessment of Subchondral Bone and Soft Tissues in Knee Osteoarthritis | AMP (Acute Meniscal Pathology) | Knee osteoarthritis (OA) has to be considered a whole joint disease. Magnetic resonance imaging (MRI) allows superior assessment of all joint tissues that may be involved in OA, such as the subchondral bone, synovium, ligaments, and periarticular soft tissues. Reliable MRI-based scoring systems are available to assess ... |
0 | Intra-articular morphine and/or bupivacaine after total knee replacement | Management of Hip Fractures in the Elderly | The postoperative analgesic effects of intra-articular injections of bupivacaine and/or morphine were examined prospectively in 437 patients who had total knee replacement for osteoarthritis. They were divided randomly into four groups. Group I received 10 mg of morphine (1 ml) and 9 ml of saline, group II received 10 ... |
1 | Extended-release epidural morphine vs continuous peripheral nerve block for management of postoperative pain after orthopedic knee surgery: a retrospective study | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this study was to compare the efficacy and safety of extended-release epidural morphine (EREM) and perineural infusion (PNI) to control pain after total knee arthroplasty. A convenience sample of 200 patients was obtained using a retrospective chart review of patients who underwent a total knee arthropla... |
0 | Influence of femoral bowing on range of motion after total hip arthroplasty | Hip Fx in the Elderly 2019 | Purpose: The influence of physiologic femoral bowing on range of motion (ROM) after total hip arthroplasty (THA) remains unknown. The purpose of this study was to investigate the morphology of the femur in patients who underwent THA, and to analyze the influence of femoral bowing on ROM due to implant impingement after... |
0 | Suppressor of cytokine signaling 3 negatively modulates leptin-mediated catabolic and proinflammatory effects in cartilage-new potential mechanism to target obesity-induced osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Adipocytokine leptin has been suggested to link obesity and osteoarthritis (OA). Initially leptin was found to regulate energy metabolism through central nervous system. More recent studies have shown that leptin is also a proinflammatory factor in arthritis and has detrimental effects on cartilage ... |
1 | Physical disability after severe lower-extremity injury | DoD PRF (Psychosocial RF) | OBJECTIVE: To investigate the use of a combined measure of decreased walking speed and gait deviation to identify high physical disability in patients with lower-limb salvage. DESIGN: Longitudinal study of patients with severe lower-extremity trauma. SETTING: Eight level I trauma centers. PARTICIPANTS: Patients (N=276)... |
1 | Longterm Effectiveness of Intraarticular Injections on Patient-reported Symptoms in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: We examined the longterm effectiveness of corticosteroid or hyaluronic acid injections in relieving symptoms among persons with knee osteoarthritis (OA).
METHODS: Using Osteoarthritis Initiative data, a new-user design was applied to identify participants initiating corticosteroid or hyaluronic acid injectio... |
0 | Transcutaneous dysport injection for treatment of upper eyelid retraction associated with thyroid eye disease | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the safety and efficacy of transcutaneous injections of botulinum toxin type A (Dysport) in the treatment of upper lid retraction associated with thyroid eye disease (TED). METHODS: A total of 25 eyes of 16 patients including 11 female and 5 male subjects with stable TED condition were enrolled int... |
0 | Management of bone loss in revision total hip arthroplasty using custom cementless femoral components | Dental Implant Infection | Forty-seven consecutive revision total hip arthroplasties were performed using porous ingrowth custom-made prostheses designed from plain radiographs and computed tomography scans. At an average follow-up period of 30 months (range, 2-4 years), one revision has been required for loosening. The average Harris pain score... |
0 | Assessing thigh muscle balance of male athletes with special emphasis on eccentric hamstring strength | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Hamstring strength is important to prevent thigh muscle and knee injuries. Different antagonist-agonist relationships of thigh muscle strength are applied to estimate the injury risk e.g. the intersection point of eccentric hamstring (Hecc) and concentric quadriceps (Qcon) moment-knee flexion angle curves (... |
0 | Adult outcome of children reared for long-term periods in foster families | DoD PRF (Psychosocial RF) | OBJECTIVE: To study the long term impact of adverse childhood experiences resulting from family breakdowns combined with a stable care environment. Another aim was to determine predictive factors for maladjusted psycho-social integration in adulthood.
METHOD: Sixty-three children from severely psychosocially dysfunctio... |
1 | Experience with 115 civilian venous injuries | DOD - Acute Comp Syndrome CPG | Retrospective analysis of 115 patients with venous injuries managed at Lincoln Hospital in a 7-year period disclosed a total mortality of 15%. Retrohepatic caval injury was uniformly fatal; infrarenal caval injury was not. Fifty-six per cent of victims of truncal venoarterial injuries died. Isolated venous injury of th... |
1 | A comparison of the results of carpal tunnel release in patients in different age groups | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND AND PURPOSE: The age of the patient at the onset of the disease may influence its course and outcome of the treatment. The objective of this study was to compare outcomes of carpal tunnel release in patients in different age ranges. MATERIAL AND METHODS: The records from the register of patients with carpal ... |
0 | Single-center experience with transradial coronary intervention | DOD - Acute Comp Syndrome CPG | Purpose: The purpose of this study was to evaluate the short-term clinical outcome, success rate, complication rate and hospital costs of percutaneous transluminal coronary angioplasty (PTCA) and coronary artery stent placement via the radial artery approach. The indications for PTCA and stent placement were non-total ... |
0 | Interventions for improving older patients' involvement in primary care episodes | SR for PM on OA of All Extremities | Background: There is a growing expectation among patients that they should be involved in the delivery of medical care. Accumulating evidence from empirical studies shows that patients of average age who are encouraged to participate more actively in treatment decisions have more favourable health outcomes, in terms of... |
1 | Single-dose versus multiple-dose antibiotic prophylaxis for the surgical treatment of closed fractures | DoD SSI (Surgical Site Infections) | BACKGROUND AND PURPOSE: Recent meta-analyses have suggested similar wound infection rates when using single- or multiple-dose antibiotic prophylaxis in the operative management of closed long bone fractures. In order to assist clinicians in choosing the optimal prophylaxis strategy, we performed a cost-effectiveness an... |
1 | Limb loss following lower extremity arterial trauma: what can be done proactively? | DOD - Acute Comp Syndrome CPG | We performed a retrospective review of patients admitted to two Level I trauma centres over a 15-year period with arterial injuries (excluding primary amputations). Preoperative factors analysed included mechanism of injury, site and type of arterial and venous injury and repair, time to operating room, initial blood p... |
0 | Brake response time is significantly impaired after total knee arthroplasty: investigation of performing an emergency stop while driving a car | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The objective of this study was to investigate whether total knee arthroplasty (TKA) impairs the ability to perform an emergency stop. DESIGN: An automatic transmission brake simulator was developed to evaluate total brake response time. A prospective repeated-measures design was used. Forty patients (20 lef... |
1 | Arthroscopic debridement for osteoarthritis of the knee | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | BACKGROUND: The role of arthroscopic debridement in the treatment of osteoarthritis of the knee remains to be defined, and few clinical and radiographic characteristics have been quantitatively associated with the outcome. The hypothesis of this study was that the outcome of arthroscopic debridement for osteoarthritis ... |
1 | Blast-mediated traumatic amputation: evidence for a revised, multiple injury mechanism theory | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: The accepted mechanism of blast-mediated traumatic amputation (TA) is blast wave induced fracture followed by limb avulsion from the blast wind, generating a transosseous amputation. Blast-mediated through-joint TAs were considered extremely rare with published prevalence <2%. Previous studies have also s... |
0 | Primary lymphoma of bone: outcome and role of surgery | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: Primary bone lymphoma is a rare disease. Little is reported about surgical procedures in these patients. We evaluated a single-centre consecutive series of 21 patients for results, prognostic factors and surgical treatment.
METHODS: Patient ages ranged from 19 to 82 years. The most frequently affected site was... |
0 | Closed pelvic fractures: Characteristics and outcomes in older patients admitted to medical and geriatric wards | Hip Fx in the Elderly 2019 | Objective - To investigate the characteristics and outcomes of older patients with pelvic fracture admitted to medical and geriatric wards. Methods - All patients admitted to medical and geriatric wards with a pelvic fracture over a four year period were identified using the hospital clinical coding database. Data were... |
0 | Long-term clinical results of the Metasul metal-on-metal total hip arthroplasty: 12.6 years follow-up of 128 primary total hip replacements | Hip Fx in the Elderly 2019 | INTRODUCTION: The purpose of the present study is to report the long-term clinical results of an uncemented total hip arthroplasty (THA) using a Metasul metal-on-metal (MoM) 28-mm bearing and to evaluate the long-term serum cobalt levels.
METHODS: At an average of 12.6 years following primary THA, we retrospectively re... |
0 | Management of complications in multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) is characterized by the presence of osteolytic bone disease, renal impairment, anemia, and immune dysfunction. Adequate supportive care is considered an essential part of anti-myeloma therapy. The administration of bisphosphonates has been shown to reduce skeletal related events and hypercalcemia.... |
0 | Missed diagnosis of vitamin B(12) deficiency presenting with paraesthetic symptoms | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Paraesthesia is a common presenting complaint in vitamin B(12) deficiency. Since this condition is partially reversible with repletion, this is a diagnosis not to be missed. Two cases in which the diagnosis was initially overlooked are presented, emphasising that the paraesthesia associated with vitamin B(12) deficienc... |
0 | Age-related trends in hip geometry in Sri Lankan women: a cross-sectional study | Management of Hip Fractures in the Elderly | Indices of hip geometry are known to be predictive of hip fractures while sex and ethnic differences in hip geometry have been previously demonstrated. Age-related trends in hip geometry among Asians, however, have not been studied sufficiently. A total of 280 healthy, perimenopausal women, aged between 32 and 97 years... |
0 | Avascular necrosis of the femoral head--an unusual complication of an intertrochanteric fracture | Management of Hip Fractures in the Elderly | Avascular necrosis of the femoral head is an uncommon complication after intertrochanteric fracture. We report six patients with this unusual complication 1-5 years after intertrochanteric fracture. The possible etiologies of this complication include a more proximal intertrochanteric fracture, a high-energy injury wit... |
0 | Open pelvic fractures | DoD SSI (Surgical Site Infections) | We reviewed 32 patients with open pelvic fractures treated over a 5-year period. Eleven patients had isolated fractures of the ilium and in 21 patients pelvic ring disruption was associated with a perineal laceration. Three patients died from massive haemorrhage soon after admission and one patient from severe sepsis. ... |
0 | Congenital carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A case of congenital carpal tunnel syndrome associated with melorheostosis is described. The symptoms were lack of use of the hand since birth, hypotrophy of the fingers innervated by the median nerve, and severe atrophy of the thenar muscles. The total degeneration of the nerve in the carpal tunnel was successfully tr... |
0 | Intramedullary nailing versus percutaneous locked plating of distal extra-articular tibial fractures: a retrospective study | PJI DX Updated Search | The aim of this study is to compare distal tibial fractures (4-10 cm proximal to the plafond) treated by intramedullary nailing with those treated by percutaneous locked plating and to assess the clinical and radiographic results, complication rates, and the need for secondary procedures. Thirty-six patients received p... |
0 | Own observations and experiences on usage of artificial prosthesis--Dallon H in vascular operations | DOD - Acute Comp Syndrome CPG | Author on the ground 124 of artificial grafts Dallon H grafted in years 2000--June 2002 in Department of Vascular, General and Transplantation Surgery in Wroclaw with protracted ischaemia of lower limbs, represents own experiences for observations of useful features this artificial graft. The hydrophility of these graf... |
0 | Neuromuscular ultrasound | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Neuromuscular ultrasound refers to the study of primary disorders of nerve and muscle with ultrasound imaging. The technology is portable and well-suited to demonstration. Casual use of the instrument provides a look at the normal anatomy of the carpal tunnel and common variants, the cubital tunnel and its contents, th... |
0 | A cost-effectiveness study of a patient-centred integrated care pathway | HipFx Supplemental Cost Analysis | AIM: The aim of the study was to compare costs and consequences for an integrated care pathway intervention group with those of a usual care group for patients admitted with hip fracture. BACKGROUND: Rehabilitation for patients with hip fracture consists of training in hospital and/or in a rehabilitation unit, and on t... |
1 | Closure of Melanoma Defects on the Sole of the Foot Using Glaborous Skin: The End of the Flap? | Reconstruction After Skin Cancer | INTRODUCTION: Plantar melanomas are a challenge to reconstruct after wide excision. Non-glaborous skin grafts have resulted in tissue loss, hyperkeratosis, marginal scarring, and poor functional outcomes, leading many to utilize various flaps for reconstruction that are technically demanding and associated with increas... |
0 | Monkey median nerve repaired by nerve graft or collagen nerve guide tube | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Nerve regeneration was followed in 15 median and 1 ulnar nerve of eight Macaca fascicularis monkeys by serial electrophysiological assessments over a period of three and a half years. Nerve gaps of 5 mm at the wrist were bridged by collagen-based nerve guides, nerve autografts, or direct suture repairs. Thenar muscle r... |
0 | Rotational limb alignment changes following total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The aim of the present study was to assess the changes in rotational alignment introduced by total knee arthroplasty (TKA) and the reproducibility of pre- and postoperative CT measurements of rotational limb alignment. Methods: For this purpose we analyzed data from 196 consecutive cruciate-retaining, fixed be... |
0 | Septic sacroiliitis with hematogenous spread to a total knee arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Septic sacroiliitis is an uncommon infection that comprises <2% of all nontuberculous septic arthritis and osteomyelitis. This case report describes a patient with rheumatoid arthritis who developed septic sacroiliitis that metastasized to her total knee arthroplasty |
0 | Management of massive acetabular bone defects in revision arthroplasty of the hip using a reconstruction cage and porous metal augment | Hip Fx in the Elderly 2019 | AIMS: It may not be possible to undertake revision total hip arthroplasty (THA) in the presence of massive loss of acetabular bone stock using standard cementless hemispherical acetabular components and metal augments, as satisfactory stability cannot always be achieved. We aimed to study the outcome using a reconstruc... |
0 | Challenges of Systematic Reviewing Integrative Health Care | OAK 3 - Non-arthroplasty tx of OAK | This article is based on an extensive review of integrative medicine (IM) and integrative health care (IHC). Since there is no general agreement of what constitutes IM/IHC, several major problems were identified that make the review of work in this field problematic.In applying the systematic review methodology, we fou... |
0 | Galeazzi lesions in children and adolescents: Treatment and outcome | Distal Radius Fractures | A Galeazzi fracture is defined as a fracture of the radius associated with dislocation of the distal radioulnar joint. Treatment in children and adolescents is usually possible with closed reduction and casting. The objective of this retrospectively designed study was to describe all Galeazzi lesions treated at our dep... |
0 | Occult Infection in Aseptic Joint Loosening and the Diagnostic Role of Implant Sonication | PJI DX Updated Search | Our aim was to determine the incidence of occult infection and to examine the role of ultrasound sonication of the implants in cases of presumed aseptic loosening in a prospective trial. Joint swabs, aspirates, and deep tissue samples were obtained from around the prosthesis for routine microbiology. Each prosthesis wa... |
1 | Influence of functional bracing on the kinetics of anterior cruciate ligament-injured knees during level walking | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Use of functional knee braces has been suggested to provide protection and to improve kinetic performance of the knee in anterior cruciate ligament-injured patients. However, the efficacy of knee bracing in achieving these goals is still controversial. The purpose of this study was to examine the immediate ... |
0 | Synergistic effect of using a transcutaneous electrical joint stimulator and an unloading brace in treating osteoarthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | Medical treatments and less invasive surgical approaches for knee osteoarthritis are variably effective, and total knee arthroplasty (TKA) is generally reserved for the most severe cases. The care gap between more conservative treatments and TKA leaves many patients with unresolved pain and loss of function for long pe... |
1 | Bone tunnel widening after anterior cruciate ligament reconstruction using EndoButton or EndoButton continuous loop | Anterior Cruciate Ligament Injuries CPG | PURPOSE: This study investigated the effect of the EndoButton CL (Smith & Nephew, Andover, MA) used for femoral graft fixation during anterior cruciate ligament reconstruction compared with an EndoButton with knot-fixed polyester tape on femoral and tibial bone tunnel widening and clinical outcome. METHODS: A retrospec... |
0 | Fracture of an Oxford femoral component: A case report | PJI DX Updated Search | Component fracture is a rare complication after knee replacement, especially in contemporary designs. We report the first case of a fractured femoral component in a cemented Oxford unicondylar knee prosthesis, 9. years after its implantation. Factors leading to this rare kind of component failure are discussed. Revisio... |
0 | The vitamin D analog, MART-10, represses metastasis potential via downregulation of epithelial-mesenchymal transition in pancreatic cancer cells | MSTS 2018 - Femur Mets and MM | Pancreatic cancer (PDA) is a devastating disease and there is no effective treatment available at present. To develop new regiments against PDA is urgently needed. Previously we have shown that vitamin D analog, MART-10 (19-nor-2alpha-(3-hydroxypropyl)-1alpha,25(OH)2D3), exerted potent antiproliferative effect on PDA i... |
0 | Locked intramedullary nailing for the treatment of femoral shaft fractures: experience and result in 19 cases | Management of Hip Fractures in the Elderly | BACKGROUND: Fractures in the proximal or distal third of the femoral shaft or those with severe comminution are known to be less suitable for intramedullary nailing with Kuntscher nail. With the introduction of interlocking intramedullary nailing the problems of rotational malalignment and shortening that accompany suc... |
0 | Prognostic impact of proximal versus distal localization in extremity long bone osteosarcomas | MSTS 2018 - Femur Mets and MM | Background/Aim: This study aimed to identify the prognostic factors and outcomes of osteosarcoma (OS) located in proximal versus distal extremity long bones. Patients and Methods: A nationwide cohort comprising all Norwegian high-grade OSs in extremity long bones between 1982 and 2009 was investigated. Results: The uni... |
0 | Interventions for treating fractures of the patella in adults | PJI DX Updated Search | BACKGROUND: Fractures of the patella (kneecap) account for around 1% of all human fractures. The treatment of these fractures can be surgical or conservative (such as immobilisation with a cast or brace). There are many different surgical and conservative interventions for treating fractures of the patella in adults. O... |
0 | Individualized approach to the surgical management of fibrous dysplasia of the proximal femur | Hip Fx in the Elderly 2019 | Background: Fibrous dysplasia of the proximal femur presents with heterogeneous clinical manifestations dictating different surgical approaches. However, to date there are no clear recommendations to guide the choice of surgical approach and no general guidelines for the optimal orthopedic management of these lesions. ... |
0 | Long-term marrow reconstitutive ability of autologous grafts in lymphoma patients using peripheral blood mobilized with granulocyte colony-stimulating factor or granulocyte-macrophage colony-stimulating factor compared to bone marrow | MSTS 2022 - Metastatic Disease of the Humerus | Objective. The aim of this study was designed to compare the in vivo long-term hematopoietic potential of bone marrow and peripheral blood grafts. Materials and Methods. Marrow progenitor cell recovery was assessed for up to 4 years in 227 patients. One hundred patients were treated for malignant lymphomas by autologou... |
0 | Effect of platelet-rich plasma scaffolding combined with osteochondral autograft transfer for full-thickness articular cartilage defects of the femoral condyle | Osteochondritis Dissecans 2020 Review | We aimed to investigate the local application methods of platelet-rich plasma (PRP) and the effect and safety of PRP scaffolding combined with osteochondral autograft transfer (OAT) in the treatment of full-thickness articular cartilage defects of the femoral condyle. Patients with cartilage defects of the femoral cond... |
0 | Bilateral developmental dysplasia of the hip treated with open reduction and Salter osteotomy: analysis on the radiographic results | Developmental Dysplasia of the Hip 2020 Review | OBJECTIVES: to evaluate the radiographic results from patients with bilateral developmental dysplasia of the hip (DDH) who underwent surgical treatment by means of open reduction and Salter osteotomy, with or without associated femoral shortening as described by Ombrédanne. METHODS: this was a retrospective descriptiv... |
0 | Hospitalization with vertebral fracture among the aged: a national population-based study, 1986-1989 | Management of Hip Fractures in the Elderly | Whereas fractures related to osteoporosis have become a pressing public health concern, relatively few epidemiologic studies have focused on vertebral fractures. To shed further light on the occurrence of this injury, we collected data from the Health Care Financing Administration on 151,986 discharges listing a diagno... |
0 | The rise and fall of epidemic Neisseria meningitidis from a tertiary care hospital in Delhi, January 2005-June 2007 | Patrick’s pharmacoepidemiology project | Meningococcal meningitis is endemic in India. There has been a sudden surge of cases of meningococcal meningitis in 2005 in Delhi. Present study was undertaken to find out changing trends in incidence of this disease from a tertiary care hospital in New Delhi over a period of two and half years. All samples from suspec... |
0 | Posttraumatic Stress Disorder in First-Episode Psychosis: Prevalence and Related Factors | DoD PRF (Psychosocial RF) | INTRODUCTION: The experience of psychosis or related treatment can be conceptualized as a traumatic event, which might lead to posttraumatic stress disorder (PTSD) or PTSD syndrome (which is defined as the presence of PTSD symptoms irrespective of the DSM-IV criterion A definition of a traumatic event as an actual or t... |
0 | The Effects of Pulse Configuration on Magnetic Stimulation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A study is presented in which the authors have examined the effects of pulse configuration, stimulation intensity, and coil current direction during magnetic stimulation. Using figure-8 and circular coils, the median nerve was stimulated at the cubital fossa and at the wrist of 10 healthy volunteers, and the response a... |
0 | Updates of operative techniques for upper airway stimulation | Pediatric Supracondylar Humerus Fracture 2020 Review | Selective upper airway stimulation has been established as an additional treatment for obstructive sleep apnea (OSA). Essential for the treatment is the precise placement of the cuff electrode for select branches of the hypoglossal nerve, which innervate the protrusors and stiffeners of the tongue. A direct approach to... |
1 | Missile injuries of the knee joint | DoD LSA (Limb Salvage vs Amputation) | The results of the treatment of missile injuries of 170 knees in 162 patients are analyzed. The injuries were caused by infantry weapon missiles in 52(32.1%) and by fragments of mine or explosive devices in 110(67.9%) patients. The most frequent were penetrating injuries of the joint with multifragment fractures which ... |
0 | Long-term results of the cementless porous-coated anatomic total hip prosthesis | Management of Hip Fractures in the Elderly | Between January 1984 and January 1986, 131 porous-coated anatomic total hip replacements were performed in 119 consecutive patients. Of these, 100 patients (110 hips) who were alive at a minimum of 18 years after replacement were included in the study. The mean age of the patients at surgery was 48.4 years and that of ... |
0 | Anterior cruciate ligament injury after more than 20 years. II. Concentric and eccentric knee muscle strength | OAK 3 - Non-arthroplasty tx of OAK | The long-term consequences on knee muscle strength some decades after rupture of the anterior cruciate ligament (ACL) are not established. The aims of our study were to examine peak torque more than 20 years after ACL injury and to compare their knee muscle strength to that of healthy controls. We tested 70 individuals... |
0 | Participation in sports after total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Return to regular sports activity was evaluated in a retrospective review of 160 patients who had undergone total knee replacement surgery by a single surgeon (208 knee replacements). Mean age of the patients was 68 years (range, 27 to 87) at surgery and 73 years (range, 33 to 91) at review at a mean follow-up of 5 yea... |
0 | Elevated temperature trends after total knee arthroplasty | PJI DX Updated Search | Fever after total knee arthroplasty (TKA) is a common phenomenon. However, the pattern of temperature change and its correlation with perioperative factors remain unclear. The purpose of this study was to define the trend of postoperative body temperature in patients undergoing TKA. This study also sought any factors i... |
0 | New findings about the intrascaphoid arterial system | Distal Radius Fractures | We investigated the intraosseous arteries of six normal cadaveric scaphoids using red lead injection and three-dimensional reconstruction with micro-computed tomography. The arterial entrances were generally located around the dorsal ridge, the insertion of the scaphocapitate ligament and the radial part of the radiosc... |
0 | Outcome Comparison of Allograft and Synthetic Bone Substitute in High Tibial Osteotomy | OAK 3 - Non-arthroplasty tx of OAK | High tibial osteotomy is a wellâ?established treatment option for the young patients (aged 40~55years) with knee osteoarthritis which is confined in medial compartment of the knee. Classical technique was lateral closing wedge osteotomy, but recently medial open wedge osteotomy has gained popularity with the advent of... |
0 | Safety and efficacy of abiraterone acetate in chemotherapy-naive patients with metastatic castration-resistant prostate cancer: An Italian multicenter real life study | MSTS 2022 - Metastatic Disease of the Humerus | Background: To evaluate the safety and efficacy of abiraterone acetate (AA) in the real life clinical practice for men with chemotherapy-naïve metastatic castration-resistant prostate. Methods: A consecutive series of patients with mCRPC in 9 Italian tertiary centres treated with AA was collected. Demographics, clinica... |
0 | Which is the better method of wound closure in patients undergoing hip or knee replacement surgery: sutures or skin clips? | PJI DX Updated Search | Surgical wound closure plays an important part in any procedure and there are a considerable number of closure techniques in use today. This literature review will discuss the use of skin clips (staples) and sutures as used in an orthopaedic setting, specifically among patients having hip or knee replacement surgery. T... |
0 | Association between early postoperative nutritional supplement utilisation and length of stay in malnourished hip fracture patients | Hip Fx in the Elderly 2019 | BACKGROUND: Malnutrition in older hip fracture patients is associated with increased complication rates and mortality. As postoperative nutrition delivery is essential to surgical recovery, postoperative nutritional supplements including oral nutritional supplements or tube feeding formulas can improve postoperative ou... |
0 | Complications related to modularity of total hip components | Management of Hip Fractures in the Elderly | We report complications from the use of modular components in 20 hip replacements in 18 patients. Fifteen complications (in 13 patients) were related to failure of a modular interface after operation. Femoral head detachment from its trunnion was seen in 6 hips from trauma (3), reduction of a dislocation (2), and norma... |
0 | Classification and surgical approaches to hip fractures for nonsurgeons | Hip Fx in the Elderly 2019 | The location and type of hip fracture, and the patient's activity level, help to determine the method of surgical repair. Nondisplaced femoral neck fractures are treated with screw fixation. Displaced fractures are treated with arthroplasty. If the patient is very active, the treatment of choice should be total hip rep... |
1 | Odontogenic infections in the etiology of infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Revised guidelines for the prevention of infective endocarditis published by the American Heart Association in 2007 do not support the indiscriminate use of antibiotic prophylaxis for dental procedures. However, they still recommend the use of prophylaxis for high-risk patients before dental treatments likely to cause ... |
1 | The Prevalence of Tibiofemoral Knee Osteoarthritis Following Arthroscopic Partial Meniscectomy Is Variably Reported in General, and Over Time: A Systematic Review With a Minimum of 5-Year Follow-Up | AMP (Acute Meniscal Pathology) | Purpose: To assess the prevalence of tibiofemoral (TF) osteoarthritis (OA) following arthroscopic partial meniscectomy (APM) with a minimum follow-up of 5 years, to explore the prevalence of symptomatic TF OA, and to identify potential risk factors for the development of TF OA following APM.
Methods: An electronic sear... |
0 | Epineurotomy of the median nerve in carpal tunnel release: A systematic review and an attempt of metanalysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The role of epineurolysis in carpal tunnel release is not clear, and its inclusion or not in the standard practice is a subjective choice of the hand surgeon based on their training and experience rather than being based on evidence. A systematic review with metanalysis of randomized controlled trials comparing median ... |
0 | Multivariate analysis of risk factors for re-dislocation after revision for dislocation after total hip arthroplasty | Hip Fx in the Elderly 2019 | Background: The treatment for recurrent dislocation of a total hip arthroplasty is surgical using varied techniques and technologies to reduce the chances of re-dislocation and re-revision. The goal of this study is to compare operative techniques to reduce re-dislocation and re-revision in revision hip arthroplasty du... |
0 | Lengthening With External Fixation Is Effective in Congenital Femoral Deficiency | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Treatment of congenital femoral deficiency is a complex, multistage protocol and a variety of strategies have been devised to address joint instability, limb length inequality, and deformities. Despite being an important part of the algorithmic approach to the overall treatment of patients with congenital f... |
0 | Platelet Rich Plasma as a Treatment Method for Rotator Cuff Tears | PRP (Platelet-Rich Plasma) | The prevalence of the rotator cuff (RC) tears is ~ 21% in the general population, with higher incidences in individuals over 50. Irrespective of surgical repair techniques employed, re-tear rates are alarmingly high, indicating the need for improvement to the current treatment methods. A method that has recently increa... |
0 | Sliding characteristics of compression hip screws in the intertrochanteric fracture: a clinical study | Management of Hip Fractures in the Elderly | Sliding of compression hip screws (CHS) is advantageous when it allows for controlled collapse of a hip fracture and progressive stabilization. A retrospective review was performed on 47 intertrochanteric (IT) fractures treated with a Zimmer CHS. Previous studies had identified certain parameters as being important to ... |
1 | Primary anterior cruciate ligament reconstruction using fresh-frozen, nonirradiated patellar tendon allograft: minimum 2-year follow-up | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: There are conflicting reports of allograft performance, immune response, tissue incorporation, and rerupture rates when used for anterior cruciate ligament reconstruction. PURPOSE: To evaluate the clinical outcome of a fresh-frozen, nonirradiated, patellar tendon allograft for primary anterior cruciate liga... |
0 | Kinematics properties and energy cost of below-knee amputees | DoD LSA (Limb Salvage vs Amputation) | This study scientifically measures the dynamic gait characteristics and energy cost of six male below-knee amputees, three vascular and three traumatic, while wearing SACH, single axis and multiple axis prosthetic feet via six-camera motion analysis, metabolic measurement cart and heavy-duty treadmill. Subjective resul... |
1 | Ultrasound-guided adductor canal block for arthroscopic medial meniscectomy: a randomized, double-blind trial | AMP (Acute Meniscal Pathology) | PURPOSE: The saphenous nerve block using a landmark-based approach has shown promise in reducing postoperative pain in patients undergoing arthroscopic medial meniscectomy. We hypothesized that performing an ultrasound-guided adductor canal saphenous block as part of a multimodal analgesic regimen would result in impro... |
0 | Spinal subdural haematoma following failed neuraxial anaesthesia | Surgical Management of Osteoarthritis of the Knee CPG | Spinal haematoma of the subdural space is extremely rare and only very few cases have been reported in the literature. Usually these cases have clear predisposing factors such as anticoagulant therapy, bleeding diathesis, vascular malformations and trauma. Patients often present with knife-like pain at the site of the ... |
0 | Prognostic Role of Serum Albumin, Total Lymphocyte Count, and Mini Nutritional Assessment on Outcomes After Geriatric Hip Fracture Surgery: A Meta-Analysis and Systematic Review | Hip Fx in the Elderly 2019 | BACKGROUND: Hip fracture is a significant health risk for older adults and malnutrition indicates hip fracture risk.
METHODS: We evaluated whether nutrition status could predict clinical outcomes and mortality after hip fracture surgery in older adults. MEDLINE, Cochrane, EMBASE, and Google Scholar databases were searc... |
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