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0 | Positive leukocyte and negative bone scintigraphy in extensive arthroplasty infection | Management of Hip Fractures in the Elderly | An 85-year-old male resident of a nursing home presented after a fall with a painful left hip, confusion, and fever. He had multiple medical problems including severe vascular disease and poor vision as a result of macular degeneration. An Austin Moore left hip prosthesis had been inserted for a fractured femoral neck ... |
0 | Comparative double-blind study of two dosage regimens of low-molecular weight heparin in elderly patients with a fracture of the neck of the femur | Management of Hip Fractures in the Elderly | A randomized double-blind study comparing the efficacy and safety of two different dosage regimens of a low-MW heparin, Enoxaparin (Lovenox) 20 mg twice (group A) or 40 mg once (group B), was carried out in 103 elderly patients with a fracture of the neck of the femur. Distal and proximal thrombosis occurred in 18.3% o... |
0 | Surgical management of pelvic bone sarcoma with internal hemipelvectomy: Oncologic and Functional outcomes | MSTS 2018 - Femur Mets and MM | Introduction The management of pelvic sarcoma is challenging and goals of surgery are adequate oncologic local control, maintenance of optimum function with good quality of life. Methods We have evaluated the results of internal hemipelvecotmy including age, type of resection, reconstruction, radiotherapy or chemothera... |
0 | Differences in levels of inflammatory mediators in meniscal and synovial tissue of patients with meniscal lesions | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Meniscal injuries are a risk factor for osteoarthritis (OA). While a mechanical pathway between meniscal injury and OA has been described, the biological effects of inflammation on this pathway have yet to be clarified. The aim of our study was to compare levels of specific inflammatory mediators, tumor nec... |
0 | Reverse shoulder arthroplasty for malunions of the proximal part of the humerus (type-4 fracture sequelae) | DoD SSI (Surgical Site Infections) | Background: The treatment of fracture sequelae of the proximal part of the humerus in combination with posttraumatic arthritis is challenging. The reported results of treatment with anatomic shoulder arthroplasty are disappointing. The aim of this multicenter study was to analyze the clinical and radiographic results o... |
0 | Immunomodulation: TIVA versus VIMA | AMP (Acute Meniscal Pathology) | Background: Different anesthetic techniques may have different effects on the immune response of patients undergoing the same type of surgery. The aim of the work is to evaluate the effects of two anesthetic techniques: total intravenous anesthesia (TIVA) with propofol versus volatile induction and maintenance anesthes... |
0 | Immediate total elbow arthroplasty for distal humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Total elbow arthroplasty is an option for a select group of elderly patients with acute distal humerus fractures. The following conditions should be considered when deciding whether to perform open reduction and internal fixation versus a total elbow arthroplasty: patient age and activity level, underlying rheumatoid a... |
0 | Oesophagogastrectomy for iatrogenic perforation of oesophageal and cardia carcinoma | Reconstruction After Skin Cancer | A casenote review identified 18 patients with carcinoma of the oesophagus and gastric cardia who underwent transthoracic oesophagectomy after instrumental perforation. Oesophagectomy was performed within 48 h in ten patients (early surgery group) and after a median delay of 22 (range 5-48) days in eight patients (delay... |
0 | Arthroscopic Anterior Talofibular Ligament Repair with Use of a 2-Portal Technique | Pediatric Supracondylar Humerus Fracture 2020 Review | Ankle sprains are common musculoskeletal injuries, with approximately 27,000 occurring every day in the U.S. alone. The anterior talofibular ligament (ATFL) is the most commonly injured ligament. Although most acute lateral ankle sprains can be treated conservatively, up to 20% of these injuries result in chronic later... |
0 | Long-term mortality following fractures at different skeletal sites: A population-based cohort study | Pediatric Supracondylar Humerus Fracture 2020 Review | Adjusting for age, sex, and precipitating cause, the relative risk of death was increased following fractures at most skeletal sites. Introduction: This study aims to determine long-term survival following fractures due to any cause at each skeletal site. Methods: In a historical cohort study, 2,901 Olmsted County, MN,... |
0 | Decrease in seroma rate after adopting progressive tension sutures without drains: A single surgery center experience of 451 abdominoplasties over 7 years | Panniculectomy & Abdominoplasty CPG | Background: Abdominoplasty is a common aesthetic procedure in the United States. Pollock and Pollock described their progressive tension technique in 2000 and published a series of 597 patients in 2012 of their experience. The reported seroma rate in the literature ranges from 2% to 26% with drains and 0.1% to 4% with ... |
0 | Early Tumor Shrinkage Under Treatment with First-line Tyrosine Kinase Inhibitors as a Predictor of Overall Survival in Patients with Metastatic Renal Cell Carcinoma: a Retrospective Multi-Institutional Study in Japan | MSTS 2022 - Metastatic Disease of the Humerus | Background: Prognostic significance of early tumor shrinkage following treatment with tyrosine kinase inhibitors (TKIs) in patients with metastatic renal cell carcinoma (mRCC) has not been fully elucidated. Objective: The aim of this study was to assess the impact of early tumor shrinkage induced by first-line TKIs on ... |
0 | Optimizing perioperative management of total joint arthroplasty | AAHKS (9/10) Regional Nerve Blocks | Clinical pathways for total joint arthroplasty have been shown to reduce costs and significantly impact perioperative outcomes mainly through reducing provider variability. Effective clinical pathways link evidence to individual practice and balance costs with local experience, outcomes, and access to resources for res... |
0 | Effects of air tourniquet on the antibiotics concentration, in bone marrow, injected just before the start of operation | Surgical Management of Osteoarthritis of the Knee CPG | Infection is one of the most serious complications after artificial arthroplasty. In order to establish the effective prevention for after operative infection, we measured the serum and bone marrow blood cefmetazole (CMZ) concentration time dependently (1 g CMZ, one shot). Furthermore, we studied the effect of air tour... |
0 | Infective endocarditis. Current recommendations for prophylaxis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Antibiotic prophylaxis is indicated for any patient with a predisposing cardiac lesion who undergoes a procedure likely to produce bacteraemia with an organism having the propensity to cause bacterial endocarditis. Cardiac abnormalities have been ranked according to their approximate risk and it is known that the organ... |
0 | Does Postoperative Erythropoietin Reduce Transfusions and Hemodynamic Instability Following Liposuction, Either Alone or Associated with Abdominoplasty or Mammaplasty? A Comparative, Prospective Study of 50 Consecutive Patients | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Erythropoietin (EPO) is a hematopoietic growth factor and an alternative to avoid blood transfusion in high-blood-loss surgeries. We evaluate EPO efficacy to reduce clinically relevant anemia and dehydration in patients undergoing liposuction. METHODS: We prospectively evaluated 50 consecutive patients su... |
0 | Prevalence rates and an evaluation of reported risk factors for osteonecrosis (avascular necrosis) in Crohn's disease | MSTS 2018 - Femur Mets and MM | Avascular necrosis (osteonecrosis) occurs in Crohn's disease, but the rate of this particular complication is not known. Over 20 years, 877 patients with Crohn's disease, 492 women (56.1%) and 385 men (43.9%), were evaluated with patient follow-up data available for a mean of 7.8 years. In this group, four men were see... |
0 | Non-traumatic lesser trochanter avulsion: a report of three cases | Management of Hip Fractures in the Elderly | Avulsion fractures of the lesser trochanter in adults are almost always due to metastatic bone disease. Familiarity with this characteristic association can lead to early diagnosis and assist the orthopaedist in implementing effective management. We report three patients with avulsion of the lesser trochanter due to ne... |
0 | Anti-arthrosis treatments: efficacy and tolerance of chondroitin sulfates (CS 4&6) | OAK 3 - Non-arthroplasty tx of OAK | CHONDROPROTECTIVE DRUGS: Longâ?acting chondroprotective drugs have a symptomatic effect. They are only effective in subjects with osteoarthritis and have no pure pain relieving effect. They act within several weeks, improve functional manifestations and have a remnant effect. CHONDROITIN SULFATES 4&6: CS 4&6 are glyco... |
0 | Adherence with hip protectors: a proposal for standardised definitions | Management of Hip Fractures in the Elderly | Definitions of adherence, also termed compliance, with use of hip protectors have varied in published studies, making interpretation of results difficult. This paper proposes standard definitions of adherence with the use of hip protectors. Adherence is the wearing of hip protectors in accordance with the recommendatio... |
0 | A case of a sural neuroma as a cause of lateral ankle pain | Surgical Management of Osteoarthritis of the Knee CPG | This article reviews the diagnosis, pathology, and treatment of a lateral ankle (sural) neuroma. Though there have been vague references to neuroma of the sural nerve, no specific case report has been presented. It is felt that mechanical and biomechanical factors may contribute to the formation of this type of painful... |
0 | Dislocation of an S-ROM Total Hip Arthroplasty Secondary to Traumatic Femoral Stem Dissociation from the Metaphyseal Sleeve | Management of Hip Fractures in the Elderly | Modular total hip arthroplasty component dissociation has been reported. We describe a case of recurrent instability secondary to femoral stem dissociation from the proximal metaphyseal sleeve and resultant traumatic retroversion of the neck. Femoral stem revision was necessary for treatment of this rare complication. ... |
0 | Replacement of the Meniscus with a Collagen Implant (CMI) | AMP (Acute Meniscal Pathology) | OBJECTIVE: Replacement of an almost completely absent medial meniscus with a collagen implant (CMI), reconstruction of form and function of the medial meniscus, delay of the development of arthrosis deformans.
INDICATIONS: Subtotal degenerative or traumatic loss of the medial meniscus, stable meniscal periphery, stable... |
0 | Effectiveness of modified constraint-induced movement therapy on upper limb function in stroke subjects | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND AND PURPOSE: Of all stroke survivors, more than 50% are left with motor disabilities. Impairment of upper limb movement is a common motor disability. Constraint-Induced Movement Therapy (CIMT) is an intervention which has been used for the treatment of upper extremity motor disabilities in stroke patients. A... |
0 | A Phase 2 Randomized Study Investigating the Efficacy and Safety of Myostatin Antibody LY2495655 versus Placebo in Patients Undergoing Elective Total Hip Arthroplasty | PJI DX Updated Search | BACKGROUND: Total hip arthroplasty relieves joint pain in patients with end stage osteoarthritis. However, postoperative muscle atrophy often results in suboptimal lower limb function. There is a need to improve functional recovery after total hip arthroplasty. OBJECTIVES: To assess safety and efficacy of LY2495655, a ... |
1 | MRI changes after platelet rich plasma injection in knee osteoarthritis (Randomized clinical trial) | PRP (Platelet-Rich Plasma) | Purpose: Few papers have studied the objective effects of PRP on cartilage. In this study, we investigated the effect of PRP on cartilage characteristics by special MRI sequencing in knee osteoarthritis (IRCT registration number: 2014020413442N6). Patients and methods: In this double blind randomized clinical trial, pa... |
0 | Ability of electrical stimulation therapy to improve the effectiveness of robotic training for paretic upper limbs in patients with stroke | Pediatric Supracondylar Humerus Fracture 2020 Review | We investigated whether untriggered neuromuscular electrical stimulation (NMES) can increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Thirty subacute stroke patients were randomly equally allocated to robot only (RO) and robot and electrical stimulation (RE) groups. During ... |
0 | Genetic risk of knee osteoarthritis: a sibling study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: To determine whether there is a genetic contribution to knee osteoarthritis (OA) as defined by structural change on plain radiographs. DESIGN: Sibling study. Comparison of knee OA prevalence in the community with knee OA prevalence among siblings of index cases with knee OA. SUBJECTS: 490 knee OA index case... |
0 | A randomized controlled trial to evaluate the slow-acting symptom-modifying effects of colchicine in osteoarthritis of the knee: a preliminary report | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine if colchicine added to nimesulide may have a beneficial effect on osteoarthritis (OA) of the knee. METHODS: Colchicine 0.5 mg twice daily or placebo was added to nimesulide (a nonsteroidal antiinflammatory drug) in 36 patients with OA of the knee in a randomized, doubleâ?blind, placeboâ?contro... |
0 | Transverse subtrochanteric shortening osteotomy in total hip arthroplasty for severe hip developmental dysplasia | Management of Hip Fractures in the Elderly | Thirty-five total hip arthroplasties (33 patients) were performed in cases of Crowe grade III or IV hip dysplasia using subtrochanteric shortening osteotomy with two kinds of femoral stem: monoblock and modular type. All acetabular components were used with a cementless cup. The average patient age was 47.8 years, and ... |
0 | Medical treatment predicts mortality after hip fracture | Management of Hip Fractures in the Elderly | BACKGROUND: The mortality after hip fracture has remained high and stable the past 50 years despite improved surgical treatment. The aim of this study was to identify medications and medical factors associated with mortality after hip fracture. METHODS: This is a prospective observational study with median observation ... |
0 | Medium to long term follow up of a consecutive series of 604 Exeter Trauma Stem Hemiarthroplasties (ETS) for the treatment of displaced intracapsular femoral neck fractures | Developmental Dysplasia of the Hip 2020 Review | The aim of this study was to evaluate the medium to long term follow up results for the Exeter Trauma Stem (ETS) in the treatment of displaced femoral neck fractures. We retrospectively evaluated 604 consecutive cemented ETS hemiarthroplasties performed at our institution between 2007 and 2012. The range of follow up w... |
0 | Imaging and Clinical Features of an Unusual Unilateral Breast Enlargement Diagnosed as Fibrocystic Change: A Case Report | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND Breasts are assumed to be symmetrical bilaterally, and abnormal findings on breast imaging are largely based on such an assumption. Clinically noticeable breast asymmetry beyond that of normal range is rarely encountered. CASE REPORT A 38-year-old female presented with unilateral enlargement of her left brea... |
0 | Fractured neck of femur--internal fixation versus arthroplasty | Management of Hip Fractures in the Elderly | BACKGROUND: Surgery is the treatment of choice for fractured neck of femur. For middle-aged patients (aged ca. 40 to 65), there is considerable debate over the indications for arthroplasty or internal fixation. The choice of surgical technique varies widely from one region to another. In this article, we discuss the ma... |
1 | Immediate versus delayed surgery for hip fractures in the elderly patients: a protocol for a systematic review and meta-analysis | Hip Fx Time to Surgery | BACKGROUND: Hip fractures are a major public health problem in elderly populations and are accompanied by high-mortality rates. Whether timing of surgery has an impact on morbidity and mortality has been discussed controversially, numerous studies suggest that the delay of surgery can significantly increase the risk of... |
0 | MRI surveillance following treatment of extremity soft tissue sarcoma | MSTS AUC - Based on ACR Lit Review | BACKGROUND AND OBJECTIVES: Local recurrence (LR) following limb-sparing surgery and radiation therapy (RT) for extremity soft tissue sarcoma (STS) is rare. The current study investigates the utility of surveillance nuclear magnetic resonance imaging (MRI) for detection of asymptomatic LRs. METHODS: The study cohort con... |
0 | Worldwide incidence of hip fracture in elderly women: relation to consumption of animal and vegetable foods | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture, a major health problem in elderly persons, varies in incidence among the populations of different countries and is directly related to animal protein intake, a finding that suggests that bone integrity is compromised by endogenous acid production consequent to the metabolism of animal proteins... |
0 | Predicting acute anxiety and depression following hip fracture | Management of Hip Fractures in the Elderly | : The role of injury-related beliefs and hopelessness on depression and anxiety in the acute phase following hip fracture was investigated in 103 hip fracture patients. Participants were assessed at two time points: as inpatients within one week of their surgery, and then 3-weeks later as outpatients. Abramson et al.'s... |
0 | Assessment of lower limb length and alignment by biplanar linear radiography: comparison with supine CT and upright full-length radiography | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The purpose of this article is to compare lower limb length and alignment measurements on supine CT, upright full-length radiography, and 3D models based on upright biplanar linear radiography. SUBJECTS AND METHODS: This study involved 51 consecutive patients (22 men and 29 women; mean age, 68.8 years; range... |
0 | Medical Complications Predict Cognitive Decline in Nondemented Hip Fracture Patients-Results of a Prospective Observational Study | Hip Fx in the Elderly 2019 | OBJECTIVE: The aim of this study was to identify factors that are associated with cognitive decline in the long-term follow-up after hip fractures in previously nondemented patients.
METHODS: A consecutive series of 402 patients with hip fractures admitted to our university hospital were analyzed. After exclusion of al... |
0 | Clinical Correlation Between Tumor Maximal Standardized Uptake Value in Metabolic Imaging and Metastatic Tumor Characteristics in Advanced Non-small Cell Lung Cancer | MSTS 2022 - Metastatic Disease of the Humerus | This study aimed to elucidate whether the maximal standardized uptake value (SUVmax) of primary tumors in metabolic imaging correlated with pathological or metastatic characteristics and whether it was prognostic in stage IV nonsmall cell lung cancer (NSCLC). We retrospectively reviewed the medical records of 412 eligi... |
1 | External fixation of plaster cast for severely displaced Colles' fractures? Prospective 1-year study of 46 patients | Distal Radius Fractures | In a prospective randomized study of 47 severely displaced Colles' fractures, 23 had external fixation and 24 had a dorsal plaster cast. Five fractures in the plaster-cast group redislocated and were externally fixed at rereduction after the 11 -day follow-up. Three patients in the external-fixation group had a noncomp... |
0 | Bone mineral density of the proximal femur after hip resurfacing arthroplasty: 1-year follow-up study | PJI DX Updated Search | Background: Hip resurfacing arthroplasty (HRA) is considered a bone-preserving procedure and may eliminate proximal femoral stress shielding and osteolysis. However, in addition to implant-related stress-shielding factors, various patient-related factors may also have an effect on bone mineral density (BMD) of the prox... |
0 | Intraoperative fracture of the femur in revision total hip arthroplasty with a diaphyseal fitting stem | Management of Hip Fractures in the Elderly | BACKGROUND: In revision total hip arthroplasty, intraoperative split fractures and cortical perforation fractures are becoming a more common concern with the increasing use of diaphyseal fitting cementless stems. The purpose of this study was to evaluate the risk factors and frequency of intraoperative fractures with t... |
0 | The future of osteoarthritis therapeutics: emerging biological therapy | OAK 3 - Non-arthroplasty tx of OAK | Biological therapy is a thriving area of research and development, and is well established for chronic forms of rheumatoid arthritis (RA) and ankylosing spondylitis (AS). However, there is no clinically validated biological therapy for osteoarthritis (OA). Chronic forms of OA are increasingly viewed as an inflammatory ... |
0 | Preliminary report on the S-ROM(TM) constraining acetabular insert: A retrospective clinical experience | Management of Hip Fractures in the Elderly | The incidence of dislocation after total hip arthroplasty is significantly higher after revision and in patients with neuromuscular or other complications. To prevent dislocation, 55 patients with multiply revised total hip arthroplasties, unstable hips, and neuromuscular and/or neurologic conditions associated with to... |
0 | Ultra HD Liposuction: Enhancing Abdominal Etching Using Ultrasound-Guided Rectus Abdominis Fat Transfer (UGRAFT) | Panniculectomy & Abdominoplasty CPG | High-definition (HD) liposuction has allowed surgeons to sculpt the abdomen, enhancing abdominal etching. To create a more athletic abdomen, fat grafting has been used subcutaneously, and rectus abdominis fat grafting has been performed in patients undergoing lipoabdominoplasty. With the objective of increasing muscle ... |
1 | Displaced intra-articular fractures involving the volar rim of the distal radius | Distal Radius Fractures | PURPOSE: To describe the features of displaced intra-articular fractures confined to the volar rim of the distal radius and compare outcomes after their operative fixation to complete intra-articular and extra-articular fractures treated with operative fixation.
METHODS: A total of 627 distal radius fractures were trea... |
0 | Individual differences in executive functioning: Implications for stress regulation | DoD PRF (Psychosocial RF) | Background: Executive functioning (EF) refers to the set of neurocognitive processes that facilitate novel problem solving, modification of behavior in response to environmental changes, planning and generating strategies for complex actions, and ability to override pre-potent behavioral and emotional responses to enga... |
1 | Toothbrushing and transient bacteremia in patients undergoing orthodontic treatment | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This study was made to determine whether and to what extent bacteremia occurred after toothbrushing in patients undergoing orthodontic treatment with fixed appliances. Twenty patients were selected, all with negative history of heart or hematologic disorders. These patients had not taken antibiotics or had a history of... |
0 | Cortisol response to an experimental stress paradigm prospectively predicts long-term distress and resilience trajectories in response to active police service | DoD PRF (Psychosocial RF) | Heterogeneity in glucocorticoid response to experimental stress conditions has shown to differentiate individuals with healthy from maladaptive real-life stress responses in a number of distinct domains. However, it is not known if this heterogeneity influences the risk for developing stress related disorders or if it ... |
0 | Effect of pre-emptive analgesia by continuous femoral nerve block on early postoperative cognitive function following total knee arthroplasty in elderly patients | AAHKS (8) Anesthetic Infiltration | To the best of our knowledge, the effect of pre-emptively blocking pain transmission on acute postoperative cognitive dysfunction (POCD) has not yet been assessed. Therefore, the present study aimed to investigate the effect of pre-emptive analgesia via a continuous femoral nerve block (CFNB) on postoperative pain and ... |
0 | Low in vitro third-body wear on total hip prostheses induced by calcium sulphate used for local antibiotic therapy | PJI DX Updated Search | In case of implant associated infection, implant preservation is associated with high failure rates. Therefore, a removal or exchange of the implant is most often mandatory for treatment success. Alternatively, under certain conditions, local antibiotic delivery can be applied - preserving the implant, using for exampl... |
0 | Endothelial differentiation of diabetic adipose-derived stem cells | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Diabetic (DM) patients frequently lack autologous vascular tissue required for revascularization procedures and dialysis access creation. We have developed a tissue-engineered graft that uses adipose-derived stem cells (ASC) as endothelial cell substitutes. Here, we compare DM versus nondiabetic (NDM) ASC i... |
0 | Asymmetry of the leg alignment affects trunk bending in the coronal plane after unilateral total knee arthroplasty | Glenohumeral Joint OA | Unilateral total knee arthroplasty (TKA) would produce asymmetric changes of lower extremity in patients with bilateral varus deformity. Our purpose was to investigate whether asymmetry of the leg alignment would affect trunk bending in the coronal plane after unilateral TKA. Twenty patients (mean 76 years old) with bi... |
0 | How Should the Treatment Costs of Distal Radius Fractures Be Measured? | Distal Radius Fractures | Distal radius fractures (DRFs) are common, but the best way to measure the total cost of treating these injuries is not known. We conducted a study to measure the total treatment cost of DRFs to identify which items should be measured, and for how long, to capture all major cost-drivers. Eighty-two patients with DRFs w... |
0 | Antibiotics vs an antimicrobial dressing for pin-track infection | Distal Radius Fractures | Background: Pin-site infection is a common complication in the treatment of fragility fractures of the distal radius in the older population. There is a need for evidence-based practice guidelines for pin-site care as few studies have compared the associated infection rates of different treatment methods. Objectives: A... |
1 | Anterior horn tears of the lateral meniscus in soccer players | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this retrospective study was to define the clinical and arthroscopic characteristics of anterior horn tears of the lateral meniscus.
TYPE OF STUDY: Case series.
METHODS: Fourteen patients with mean age of 20.2 years were enrolled in this institutional review board-approved study. All patients we... |
0 | Multi-state models and arthroplasty histories after unilateral total hip arthroplasties: introducing the Summary Notation for Arthroplasty Histories | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND PURPOSE: An increasing number of patients have several joint replacement procedures during their lifetime. We investigated the use and suitability of multi-state model techniques in providing a more comprehensive analysis and description of complex arthroplasty histories held in arthroplasty registries t... |
0 | Prevalence of vertebral fractures among elderly asian indians presenting with fragility hip fractures | Management of Hip Fractures in the Elderly | Objective: To assess vertebral fractures in elderly Asian Indians (aged (greater-than or equal to)60 years) presenting with fragility hip fractures. Materials & Methods: The study population comprised of 100 consecutive subjects (two subjects excluded) admitted with fragility hip fractures. Of 98 subjects, 64 underwent... |
1 | Prognosticating factors in acetabular development following reduction of developmental dysplasia of the hip | Developmental Dysplasia of the Hip CPG | A number of predictors that may influence acetabular development after reduction were studied in 75 hips with developmental dysplasia of the hip (DDH). Seventy-nine percent of the hips had satisfactory results of Severin group I or II, and 21% had unsatisfactory results. The best predictor of success in a unilateral ca... |
0 | Complication Avoidance in Surgical Management of Vertebral Column Tumors | MSTS 2022 - Metastatic Disease of the Humerus | The surgical management of spinal tumors has grown increasingly complex as treatment algorithms for both primary bone tumors of the spine and metastatic spinal disease have evolved in response to novel surgical techniques, rising complication rates, and additional data concerning adjunct therapies. In this review, we d... |
0 | Levels of chemerin and interleukin 8 in the synovial fluid of patients with inflammatory arthritides and osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Chemerin and interleukin (IL)-8 are pro-inflammatory mediators whose role in joint inflammation and cartilage degradation has been demonstrated in in-vitro findings. Studies on their presence in synovial fluid (SF) samples may offer further information on their pathogenic role. The aim of this study was to ... |
0 | Comparative effectiveness of NiCl2, Ni- and NiO-NPs in controlling oral bacterial growth and biofilm formation on oral surfaces | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: Oral ailments are often treated with antibiotics, which are rendered ineffective as bacteria continue to develop resistance against them. It has been suggested that the nanoparticles (NPs) approach may provide a safer and viable alternative to traditional antibacterial agents. Therefore, nickel (Ni)- and nic... |
0 | Geometry, time-dependent and failure properties of human meniscal attachments | AMP (Acute Meniscal Pathology) | Meniscectomies have been shown to lead to osteoarthritis and the success of meniscal replacements remains questionable. It has been suggested that the success of a meniscal replacement is dependent on several factors, one of which is the secure fixation and firm attachment of the replacement to the tibial plateau at th... |
0 | Hip arthroscopy following slipped capital femoral epiphysis fixation: chondral damage and labral tears findings | Osteochondritis Dissecans 2020 Review | PURPOSE: This study investigated the association between chondrolabral damage and time to arthroscopic surgery for slipped capital femoral epiphysis (SCFE). METHODS: This was a descriptive retrospective study that enrolled patients with SCFE who underwent hip arthroscopy for femoral osteochondroplasty after SCFE fixati... |
0 | The bikini area and bikini line as a location for anterior subcutaneous pelvic fixation: an anatomic and clinical investigation | PJI DX Updated Search | Anterior external fixation for pelvic fractures has been the standard for acute stabilization but definitive treatment often leads to pin tract infection, is uncomfortable, and limits patient mobility. We recently developed a subcutaneous anterior pelvic fixator which addresses these issues (INFIX). The objective of th... |
0 | Quantitative MRI analysis of menisci using biexponential T2 fitting with a variable echo time sequence | AMP (Acute Meniscal Pathology) | PURPOSE: The goal of this study was to differentiate between normal, degenerative meniscus, and meniscal tears using monoexponentially and biexponentially calculated T2*. Meniscal disease, characterized by an altered collagen fiber matrix, might be detectable in vivo using quantitative T2* mapping.
METHODS: A 3D Cartes... |
0 | Biological strategies for improved osseointegration and osteoinduction of porous metal orthopedic implants | PJI DX Updated Search | The biological interface between an orthopedic implant and the surrounding host tissue may have a dramatic effect upon clinical outcome. Desired effects include bony ingrowth (osseointegration), stimulation of osteogenesis (osteoinduction), increased vascularization, and improved mechanical stability. Implant loosening... |
0 | Search for clastogenic factors in the plasma of locally irradiated individuals | OAK 3 - Non-arthroplasty tx of OAK | In studies reported in the 1960s and in several investigations since, plasma from irradiated individuals was shown to induce chromosomal aberrations when transferred into normal blood cultures. In the present study, the aim was to investigate the occurrence of these clastogenic factors (CF) using markers representing D... |
0 | Cooling modifies mixed median and ulnar palmar studies in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Temperature is an important and common variable that modifies nerve conduction study parameters in practice. Here we compare the effect of cooling on the mixed palmar median to ulnar negative peak-latency difference (PMU) in electrodiagnosis of carpal tunnel syndrome (CTS). Controls were 22 subjects (19 women, mean age... |
1 | Effect of ONO-5334 on bone mineral density and biochemical markers of bone turnover in postmenopausal osteoporosis: 2-year results from the OCEAN study | Hip Fx in the Elderly 2019 | Cathepsin K inhibitors, such as ONO-5334, are being developed for the treatment of postmenopausal osteoporosis. However, their relative effects on bone resorption and formation, and how quickly the effects resolve after treatment cessation, are uncertain. The aim of this study was to examine the efficacy and safety of ... |
1 | Posterior Meniscal Root Repair With Transtibial Double Tunnel Pullout Technique and Anchor Fixation | AMP (Acute Meniscal Pathology) | Meniscus root tears are tears that occur within 1 cm of the meniscus root attachment to the tibia. If not repaired, root tears will lead to altered knee biomechanics and accelerated degenerative changes in the knee. In this surgical technique, we demonstrate repair of a meniscus root tear with an all-inside suture repa... |
1 | Epidural analgesia for pain relief following hip or knee replacement | Management of Hip Fractures in the Elderly | BACKGROUND: Hip and knee replacement are common operative procedures to improve mobility and quality of life. Adequate pain relief is essential in the postoperative period to enable ambulation and initiation of physiotherapy. Lumbar epidural analgesia is a common modality for pain relief following these procedures. As ... |
1 | Isolation and classification of anaerobic bacteria from pulp cavities of nonvital teeth in man | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The anaerobic microflora of infected pulp cavities and chronic periapical abscesses was studied. A total of 19 infected nonvital teeth were subjected to this study. The coronal surface was swabbed with 70% ethanol to remove debris and to disinfect. Material in root canal chamber was obtained by sterilized paper points ... |
0 | The microfracture technique for the treatment of articular cartilage lesions in the knee. A prospective cohort study | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Microfracture is a frequently used technique for the repair of articular cartilage lesions of the knee. Despite the popularity of the technique, prospective information about the clinical results after microfracture is still limited. The purpose of our study was to identify the factors that affect the clini... |
0 | Reference values for gait temporal and loading symmetry of lower-limb amputees can help in refocusing rehabilitation targets | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The literature suggests that optimal levels of gait symmetry might exist for lower-limb amputees. Not only these optimal values are unknown, but we also don't know typical symmetry ratios or which measures of symmetry are essential. Focusing on the symmetries of stance, step, first peak and impulse of the g... |
0 | Knee joint loading in forward versus backward pedaling: implications for rehabilitation strategies | AMP (Acute Meniscal Pathology) | OBJECTIVE: To use forward dynamic simulations of forward and backward pedaling in order to determine whether backward pedaling offers theoretical advantages over forward pedaling to rehabilitate common knee disorders. DESIGN. A comparison of knee joint loads was performed during forward and backward pedaling.BACKGROUND... |
0 | Embelin Inhibits Invasion and Migration of MDA-MB-231 Breast Cancer Cells by Suppression of CXC Chemokine Receptor 4, Matrix Metalloproteinases-9/2, and Epithelial-Mesenchymal Transition | MSTS 2018 - Femur Mets and MM | Embelin (EB) is a benzoquinone derivative isolated from Embelia ribes Burm plant. Recent scientific evidence shows that EB induces apoptosis and inhibits migration and invasion in highly metastatic human breast cancer cells. However, the exact mechanisms of EB in tumor metastasis and invasion have not been fully elucid... |
0 | Ultrasound-Assisted Liposuction Does Not Compromise the Regenerative Potential of Adipose-Derived Stem Cells | Panniculectomy & Abdominoplasty CPG | Human mesenchymal stem cells (MSCs) have recently become a focus of regenerative medicine, both for their multilineage differentiation capacity and their excretion of proregenerative cytokines. Adipose-derived mesenchymal stem cells (ASCs) are of particular interest because of their abundance in fat tissue and the ease... |
0 | Carpal tunnel syndrome as a herald of autoimmune rheumatic disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In six patients aged 59-71 years carpal tunnel syndrome, seemingly idiopathic, was followed by connective tissue disorders, in most cases autoimmune in nature. Patients with idiopathic carpal tunnel syndrome may therefore require long-term follow-up, if inflammatory rheumatic conditions are not to be missed |
1 | A national survey of screening for congenital dislocation of the hip | Developmental Dysplasia of the Hip CPG | OBJECTIVE: To identify current screening and management practices for congenital dislocation of the hip (CDH), and determine the extent to which ultrasound imaging of the hips is practised throughout the United Kingdom and the Irish Republic. METHODS: Postal questionnaire to paediatricians responsible for the routine n... |
0 | Persistance and Compliance with Osteroporosis Therapies Among Women in a Commercially Insured Population in the United States | Hip Fx in the Elderly 2019 | BACKGROUND: Prior research has shown that rates of persistence and compliance with osteoporosis therapies are associated with significantly fewer vertebral, nonvertebral, and hip fractures. A number of studies have examined medication-taking behavior with oral bisphosphonates and teriparatide, and these 1-year persiste... |
0 | Severe degenerative joint disease. Mild and moderately severe hemophilia A | Surgical Management of Osteoarthritis of the Knee CPG | Severe degenerative joint disease developed in three adults with mild to moderately severe hemophilia A, as judged by the clinical course and by levels of factor VIII coagulant. Bilateral total hip arthroplasty was required in one patient, unilateral hip arthroplasty in the second, and a recommendation for bilateral kn... |
0 | A review of the literature on multiple factors involved in postoperative pain course and duration | AAHKS (4) Acetaminophen | Objective: To review the literature on the progression from acute to chronic postoperative pain, to evaluate the evidence for the risk of progressing to persistent postoperative and chronic pain, and to identify characteristics of pharmacologic treatments to best tailor therapy to an individual patientâ??s pain profile... |
0 | The effect of smoking on ligament and cartilage surgery in the knee: a systematic review | AMP (Acute Meniscal Pathology) | BACKGROUND: The adverse effects of smoking on various health conditions such as cancer, diabetes, and cardiovascular disease have been well documented. Many orthopaedic conditions, such as fracture healing, wound repair, and bone mineral density, have been reported to be adversely affected by smoking. However, no known... |
1 | Bone Marrow Aspirate Concentrate Does Not Improve Osseous Integration of Osteochondral Allografts for the Treatment of Chondral Defects in the Knee at 6 and 12 Months: A Comparative Magnetic Resonance Imaging Analysis | Osteochondritis Dissecans 2020 Review | BACKGROUND: Poor osseous integration after fresh osteochondral allograft transplantation (OCA) may be associated with graft subsidence and subchondral bone collapse after implantation. The augmentation of OCA with bone marrow aspirate concentrate (BMAC) has been hypothesized to improve osseous incorporation of the impl... |
1 | A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 5 - surgical and injection-based interventions for chronic WAD | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Whiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific support regarding their effectiveness is often lacking. A systematic revi... |
0 | Recent Advances in Multimodal Analgesia | AAHKS (4) Acetaminophen | Greater understanding of the pathophysiology and mechanism of acute pain has led to advances in pharmacologic therapy. Understanding the principles of multimodal therapy along with surgical-specific protocols leads to improved outcome in patients. However, further large-scale randomized trials need to be performed to f... |
0 | The Effect of Osteoporosis on the Outcomes After Volar Locking Plate Fixation in Female Patients Older than 50 Years With Unstable Distal Radius Fractures | Distal Radius Fractures | PURPOSE: The aim of this study was to investigate the effect of osteoporosis on radiological and clinical outcomes after volar locking plate (VLP) fixation in women older than 50 years with unstable distal radius fractures (DRFs).
METHODS: We retrospectively reviewed data of 79 women older than 50 years with DRFs treat... |
0 | The MPS I registry: design, methodology, and early findings of a global disease registry for monitoring patients with Mucopolysaccharidosis Type I | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A global, observational disease registry has been established to characterize the course of disease and track clinical outcomes in patients with Mucopolysaccharidosis Type I (MPS I), a rare and treatable lysosomal storage disorder. This report outlines procedures for data collection and presents the recommended minimum... |
0 | Toe-to-thumb transplantation | DoD LSA (Limb Salvage vs Amputation) | Microsurgical techniques have become useful in reconstructive surgery of the hand. Toe-to-thumb transplantation currently is the procedure of choice for thumb loss reconstruction. For a successful outcome, meticulous planning is imperative and presumes a thorough knowledge of the pertinent anatomy and surgical techniqu... |
0 | Seven to 10 years followup of an anatomic hip prosthesis: An international study | Management of Hip Fractures in the Elderly | Hypothetically, hydroxyapatite-coated anatomic-shaped femoral stems and hemispheric acetabular cups should improve biologic fixation of the implant and strength transmission to the bone, improving unsatisfactory results of the first cementless hip prosthesis focused on the stress-shielding phenomenon at the femur and f... |
0 | The use of external fixators in the definitive stabilisation of the pelvis in polytrauma patients: Safety, efficacy and clinical outcomes | DoD SSI (Surgical Site Infections) | OBJECTIVES: To analyse the complications and outcomes (functional/radiographic) of Pelvic External Fixators applied as part of the definitive fixation in polytrauma patients.
DESIGN: A single center retrospective chart review.
SETTING: A level-1 trauma center.
PATIENTS AND METHODS: We reviewed all the polytrauma patien... |
0 | Doctor, What Happens after My Meniscectomy? | OAK 3 - Non-arthroplasty tx of OAK | It is imperative that surgeons educate their patients on what to expect following a meniscectomy.A high preinjury activity level, younger age, medial meniscectomy, and smaller meniscal resection play a role in reducing the time until patients are able to return to sport.Improved clinical outcomes can be expected for ma... |
0 | Symptomatic Posterior Cruciate Ganglion Cyst Causing Impingement between Posterior Root of the Medial Meniscus and Anterior to the Posterior Cruciate Ligament | AMP (Acute Meniscal Pathology) | There are several reports of symptomatic ganglion cysts near the posterior cruciate ligament (PCL), but no reports of a symptomatic ganglion originating from the anterior aspect of the PCL in the deep recess between the posterior root of the medial meniscus and the PCL, bulging into the posteromedial joint space. In th... |
0 | A comparison of collared and collarless femoral components in primary cemented total hip arthroplasty: a randomized clinical trial | Dental Implant Infection | Between July 1986 and November 1989, 437 consecutive primary cemented total hip arthroplasties were performed using a straight-stemmed titanium alloy femoral component. Collared and collarless versions of this identical stem were randomly chosen by computer allowing a comparison between 213 collared stems (198 patients... |
1 | Bioengineered Breast: Concept, Technique, and Preliminary Results | Acellular Dermal Matrix | Breasts reconstructed with implants, following mastectomy, lack the soft-tissue envelope of natural breasts. Further implant-related complications such as implant visibility, rippling/wrinkling, and/or hollowing/depression of the skin that often appear in the vicinity of the upper pole may be attributed to soft-tissue ... |
1 | Positioning the infant for a pelvic radiograph | Developmental Dysplasia of the Hip CPG | It can be difficult to take reproducible radiographs of infants' hips. We have compared antero-posterior pelvic radiographs when the infant's hips are held in flexion or extension. One hundred and fifty radiographs of infants aged 3 to 12 months have been analysed. Radiographic indicators for the diagnosis of developme... |
0 | The ectopic secretion of calcitonin by lung and breast carcinomas | MSTS 2018 - Femur Mets and MM | Many patients with advanced non-thyroid malignancies have elevated plasma immunoreactive calcitonin concentrations. Breast and bronchial carcinomas contain immunoreactive calcitonin and an epidermoid bronchial carcinoma has been shown to produce immunoreactive calcitonin in vitro. We have established monolayer cultures... |
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