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0 | Frequency of FRAX risk factors in osteopenic postmenopausal women with and without history of fragility fracture | Management of Hip Fractures in the Elderly | OBJECTIVE: Fractures associated with bone fragility represent a major public health concern. Although the risk of bone fracture is higher among patients with osteoporosis, the number of fractures is usually higher among patients with osteopenia due to its higher prevalence. METHODS: This is an observational case series... |
0 | Orthotic management of fixed flexion deformity of the proximal interphalangeal joint following traumatic injury: A systematic review | Distal Radius Fractures | Background/objective: Fixed flexion deformity of the proximal interphalangeal joint can commonly occur following a traumatic injury impacting on hand function and occupational performance. Numerous interventions have been proposed for fixed flexion deformity resolution. This paper investigates the efficacy of static or... |
0 | Hip fracture risk and proximal femur geometry from DXA scans | Management of Hip Fractures in the Elderly | In this retrospective study of hip fracture risk evaluation from hip dual-energy X-ray absorptiometry (DXA) scans, our objectives were to determine which part of the femoral neck length contributes most to the fracture risk and to define a geometric parameter better than hip axis length (HAL) for discriminating hip fra... |
0 | Medication-related falls in the elderly: causative factors and preventive strategies | Management of Hip Fractures in the Elderly | People are living to older age. Falls constitute a leading cause of injuries, hospitalization and deaths among the elderly. Older people fall more often for a variety of reasons: alterations in physiology and physical functioning, and the use (and misuse) of medications needed to manage their multiple conditions. Pharm... |
0 | Adductor canal blockade for moderate to severe pain after arthroscopic knee surgery: A randomized controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Background: The analgesic effect of the adductor canal block (ACB) after knee surgery has been evaluated in a number of trials. We hypothesized that the ACB would provide substantial pain relief to patients responding with moderate to severe pain after arthroscopic knee surgery. Methods: Fifty subjects with moderate to... |
0 | Chemokine receptor 7 promotes tumor migration and invasiveness via the RhoA/ROCK pathway in metastatic squamous cell carcinoma of the head and neck | MSTS 2018 - Femur Mets and MM | Metastatic squamous cell carcinoma of the head and neck (SCCHN) has been shown to express chemokine receptor 7 (CCR7), which can activate signaling pathways to promote invasion and survival of SCCHN cells. We hypothesized that the RhoA/Rho-associated kinase (ROCK) pathway is involved in the CCR7-induced invasion and mi... |
0 | From "surgical gatekeepers" to "patient navigators": Examining perceptions and practices of hip and knee osteoarthritis management among primary healthcare physicians | OAK 3 - Non-arthroplasty tx of OAK | Background: While total joint replacement (TJR) is reserved for end-stage osteoarthritis (OA), a greater proportion of OA sufferers require nonsurgical treatment. Given the importance of primary healthcare physicians (PHCPs) in managing patients with OA, we surveyed local PHCPs to ascertain their perceptions and practi... |
0 | Multiple Boluses of Intravenous Tranexamic Acid to Reduce Hidden Blood Loss After Primary Total Knee Arthroplasty Without Tourniquet: A Randomized Clinical Trial | OAK 3 - Non-arthroplasty tx of OAK | Background The optimal dosage and timing of tranexamic acid (TXA) in total knee arthroplasty (TKA) are undetermined. The purpose of this study was to explore the effect of multiple boluses of intravenous TXA on hidden blood loss (HBL), inflammatory response, and knee function after primary TKA without tourniquet. Metho... |
0 | Analgesic Effect of Perineural Fentanyl Additive to Local Anesthetics in Femoral Nerve Block | AAHKS (9/10) Regional Nerve Blocks | The purpose of this study is to evaluate the analgesic efficacy of perineural fentanyl combined with local anesthetics in the post operative pain control with continuous femoral nerve block after total knee arthroplasty. |
1 | Unintentional injury, psychological distress and depressive symptoms: is there an association for rural Australians? | DoD PRF (Psychosocial RF) | PURPOSE: To investigate the association between unintentional injury and mental health in Australian rural communities.
METHODS: Using cross-sectional baseline data for a longitudinal study from randomly selected adults in nonmetropolitan Australia, we fitted logistic regression models for the outcomes of domestic or p... |
0 | Spondyloenchondrodysplasia: a rare cause of short stature | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Skeletal dysplasias (osteochondrodysplasias) are a group of diseases that must be included in the differential diagnosis of disproportionate short stature. History, clinical and radiologic findings and consanguinity are important features to be considered when a specific diagnosis is investigated. Spondyloenchondrodysp... |
1 | Higher body mass index is not associated with worse pain outcomes after primary or revision total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We assessed whether higher body mass index (BMI) is associated with higher risk of moderate-severe knee pain 2 and 5 years after primary or revision total knee arthroplasty (TKA).We adjusted for sex, age, comorbidity, operative diagnosis, and implant fixation in multivariable logistic regression. Body mass index (refer... |
1 | Short versus long intramedullary nails for treatment of intertrochanteric femur fractures (OTA 31-A1 and A2) | Hip Fx in the Elderly 2019 | OBJECTIVES: The purpose of this study was to compare blood loss and operative times associated with long versus short intramedullary nails for intertrochanteric fracture fixation and rate of periprosthetic fracture.
DESIGN: A retrospective study.
SETTING: Level 1 trauma center.
PATIENTS: One hundred ninety-four patient... |
0 | Complications of arthroscopic meniscectomy in the older population | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Complications of arthroscopic meniscectomy in the older population have not been established.
PURPOSE: To determine the risk and relative risk of developing pyogenic arthritis (PA), a deep vein thrombosis (DVT), and pulmonary embolism (PE) in an older population of patients who have undergone arthroscopic m... |
0 | A kinematic study of lateral unicompartmental arthroplasty | AMP (Acute Meniscal Pathology) | When the Oxford unicompartmental meniscal bearing arthroplasty (UCA) is used in the lateral compartment 10% of the bearings dislocate. A fluoroscopic study was performed to investigate if abnormal mid-sagittal plane kinematics was related to bearing dislocation. Video fluoroscopy is an accepted means of determining in-... |
0 | Meniscal tear - presentation, diagnosis and management | AMP (Acute Meniscal Pathology) | BACKGROUND: Medial and lateral knee joint menisci serve to transfer load and absorb shock, aid joint stability and provide lubrication. The meniscus is the most commonly injured structure in the knee joint. Imaging techniques such as magnetic resonance imaging may be warranted but are no substitute for thorough clinica... |
0 | Supplemental calcium for the prevention of hip fracture: potential health-economic benefits | Management of Hip Fractures in the Elderly | We assessed the cost-effectiveness of daily calcium supplementation for the prevention of primary osteoporotic hip fractures. The assessment was based on our meta-analysis of the published relative-risk estimates from 3 double-masked, placebo-controlled, clinical trials and our analysis of raw data from the National He... |
1 | Acupuncture for shoulder pain | Glenohumeral Joint OA | BACKGROUND: There are many commonly employed forms of treatment for shoulder disorders. This review of acupuncture is one in a series of reviews of varying interventions for shoulder disorders including adhesive capsulitis (frozen shoulder), rotator cuff disease and osteoarthritis. Acupuncture to treat musculoskeletal ... |
0 | Olecranon physeal nonunion in the adolescent athlete: identification of two patterns | DoD SSI (Surgical Site Infections) | BACKGROUND: This study aimed to present the outcomes of patients undergoing surgical management of persistent, symptomatic olecranon physes.
METHODS: Consecutive patients undergoing surgical management for symptomatic persistent olecranon physeal abnormalities were reviewed. Preoperative data, intraoperative findings, ... |
0 | Meniscal tears left in situ during anatomic single bundle anterior cruciate ligament reconstruction | AMP (Acute Meniscal Pathology) | OBJECTIVES: Anterior cruciate ligament (ACL) injuries are a common finding in sports medicine. Our scope is to investigate whether stable, incomplete medial meniscus tears could be left untreated during single bundle anatomic anterior cruciate ligament reconstruction.
PATIENTS AND METHODS: A prospective observational s... |
1 | Evaluation of a fall-prevention program in older people after femoral neck fracture: a one-year follow-up | Hip Fx in the Elderly 2019 | A randomized, controlled fall-prevention study including 199 patients operated on for femoral neck fracture reduced inpatient falls and injuries. No statistically significant effects of the intervention program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone ... |
1 | A chance to cut is not always a chance to cure- fasciotomy in the treatment of rattlesnake envenomation: A retrospective poison center study | DOD - Acute Comp Syndrome CPG | BACKGROUND: Fasciotomy has been described in the treatment of rattlesnake-envenomation. We sought to compare the characteristics of patients undergoing fasciotomy with those where fasciotomy was discussed but not performed.
METHODS: A retrospective case-series constructed from a single-statewide-poison-system electroni... |
0 | MR imaging of cartilage repair surgery of the knee | OAK 3 - Non-arthroplasty tx of OAK | Articular cartilage is a complex tissue with unique properties that are essential for normal joint function. Many processes can result in cartilage injury, ranging from acute trauma to degenerative processes. Articular cartilage lacks vascularity, and therefore most chondral defects do not heal spontaneously and may re... |
1 | Rotator cuff strength following open subscapularis tendon repair | Optimizing the Management of Full-Thickness Rotator Cuff Tears | The purpose of this study was to evaluate supraspinatus and subscapularis strength following repair of either isolated or anterosuperior subscapularis tears associated with a supraspinatus tear. Open subscapularis repairs were done in 24 patients, 12 isolated and 12 anterosuperior. At an average follow-up of 40 months,... |
0 | Predicting patient dissatisfaction following joint replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The incidence of patient-reported dissatisfaction following total joint arthroplasty can be up to 30%. Our aim was to identify the preoperative patient-level predictors of patient dissatisfaction 1 year after surgery. METHODS: We surveyed 1720 patients undergoing primary hip or knee replacement surgery. Rele... |
0 | Randomized trial comparing the effects of one set vs two sets of resistance exercises for outpatients with chronic low back pain and leg pain | Management of Hip Fractures in the Elderly | AIM: Progressive resistance exercises (PRE) are prescribed to reverse the deconditioning associated with chronic back pain. The spine rehabilitation program has utilized 2 sets of progressive resistance exercises during each session, with increased resistance between sets, and with successive sessions. Exercise literat... |
0 | Gluteal compartment syndrome after total knee arthroplasty with epidural postoperative analgesia | Surgical Management of Osteoarthritis of the Knee CPG | We describe two patients who developed gluteal compartment syndrome after total knee arthroplasty (TKA) carried out under epidural analgesic infusion and light sedation. To our knowledge, this occurrence has not been described previously after TKA |
0 | The ultrastructural characteristics of abnormal collagen fibrils in various organs | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Quite unrelated diseases affecting different organs can lead to the appearance of abnormal collagen fibrils, which may be due to genetic disorders, transformation of mesenchyme cells, increased collagen synthesis or a change in the ground-substance. The simultaneous appearance of abnormal collagen fibrils and matrix ve... |
0 | Isolated patellofemoral arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Patellofemoral arthroplasty has been described as an appropriate treatment for isolated patellofemoral arthritis. With the aging population and the increasing number of total joint arthroplasties, both patients and surgeons are on the lookout for alternatives to total joint arthroplasty. With appropriate patient select... |
0 | Are impairments in visual-spatial attention a critical factor for increased falls risk in seniors? An event-related potential study | Upper Eyelid and Brow Surgery | Falls are experienced annually by approximately one third of community dwellers over the age of 65, and while neuro-cognitive deficits have been shown to increase falls risk, the specific nature of these deficits remain unspecified. Here we examined whether visual-spatial attention may be a core neuro-cognitive system ... |
1 | Treatment with platelet-rich plasma is more effective than placebo for knee osteoarthritis: a prospective, double-blind, randomized trial | PRP (Platelet-Rich Plasma) | BACKGROUND: Specific growth factors have been proposed as therapeutic proteins for cartilage repair.
HYPOTHESIS: Platelet-rich plasma (PRP) provides symptomatic relief in early osteoarthritis (OA) of the knee.
STUDY DESIGN: Randomized controlled trial; Level of evidence, 1.
METHODS: A total of 78 patients (156 knees) w... |
0 | The triceps-splitting approach for repair of distal humeral malunion in children. A report of a technique | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Repair of cubitus varus in a child requires a distal humeral osteotomy. The triceps-splitting surgical approach was used for repair of distal humeral malunion in 10 children. Six patients had repair of cubitus varus, 3 had fixation of a fresh fracture, and 1 had repair of a nonunion. No problems with healing were noted... |
0 | Management of the older patient with multiple myeloma | MSTS 2018 - Femur Mets and MM | More than 50% of patients with multiple myeloma are over the age of 60 years at the time of presentation. The presenting features in the elderly are the same as for younger patients, with bone lesions and pathological fractures, hypercalcaemia, anaemia and renal impairment. Some patients are asymptomatic with a parapro... |
0 | Distraction Osteogenesis for Distal Radius Fractures vs. Volar Plating | Distal Radius Fractures | Distal radius fractures are the most common long bone fractures and the incidence appears to be increasing worldwide. They have been found to account for approximately 17% of all fracture related emergency department visits. These types of injuries have a bimodal age distribution. The first cohort consists of elderly p... |
0 | Socio-medical aspects of hip fracture among elderly population in Belgrade, Serbia | HipFx Supplemental Cost Analysis | Hip fracture has epidemic character in the world, including Serbia, which is significant for its medical and social consequences on the one hand and economic on the other, taking into account the increasing number of elderly in Serbia. Socio-medical aspects of hip or femur fracture were researched on the territory of B... |
0 | Inhibition of the p38-MAPK signaling pathway suppresses the apoptosis and expression of proinflammatory cytokines in human osteoarthritis chondrocytes | DoD LSA (Limb Salvage vs Amputation) | This study aims to investigate the effects of p38-MAPK signaling pathway on the apoptosis and expression of proinflammatory cytokines in human osteoarthritis (OA) chondrocytes. Human articular cartilage specimens were obtained from 57 OA patients and 31 patients with lower extremity traumatic amputations. The expressio... |
0 | Clinical outcomes and mortality after hip fracture: a 2-year follow-up study | Management of Hip Fractures in the Elderly | The aim of this study was to evaluate the burden of hip fractures, which occurred in the French region of Picardie, in 1992, among 1103 women and 356 men, whether the fractures occurred at home or in a community (i.e., patients who depended on a collective service). The data are part of the PICAROS study, which was des... |
0 | Megavolume autologous fat transfer: part II. Practice and techniques | Panniculectomy & Abdominoplasty CPG | The authors describe the techniques that use the principles of fat grafting to allow them to successfully graft megavolumes (250-ml range) of autologous fat into breasts. The Brava external volume expansion device preoperatively increases the volume and vascularity of the recipient site. Low-pressure liposuction and mi... |
0 | HIF2A/NF-(kappa)B signal in chondrocytes controls extensive steps of osteoarthritis development in mice and humans | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Endochondral ossification is a crucial process not only for skeletal growth but also for osteoarthritis (OA) development. This process starts from chondrocyte hypertrophy characterized by type X collagen (COL10A1) expression, which is followed by cartilage degradation, vascularization, and osteogenesis. This s... |
0 | Comparison of Motor Block of 1.0% Ropivacaine and 0.5% Bupivacaine in Epidural Anesthesia for Hip Arthroplasty Surgery | AAHKS (8) Anesthetic Infiltration | BACKGROUND: The purpose of this study was to compare the onset time, degree and duration of motor block, and the satisfaction of surgeons of given single epidural injections of 1.0% ropivacaine and 0.5% bupivacaine in patients undergoing hip arthroplasty surgery. METHODS: In a doubleâ?blind randomized study involving ... |
1 | Autologous Chondrocyte Implantation and Osteochondral Allograft Transplantation Render Comparable Outcomes in the Setting of Failed Marrow Stimulation | Osteochondritis Dissecans 2020 Review | BACKGROUND: Marrow stimulation techniques (MSTs) such as subchondral drilling and microfracture are often chosen as first-line treatment options for symptomatic cartilage defects of the knee. When an MST fails, many cartilage restoration techniques are employed, including autologous chondrocyte implantation (ACI) and o... |
0 | Volkmann's contracture in children: aetiology and prevention | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A review was conducted of the records of fifty-five children who were admitted to the Hospital for Sick Children in Toronto between 1955 and 1975 with a diagnosis of Volkmann's contracture in fifty-eight limbs. Ten patients had been transferred to this hospital with established ischaemia after Bryant's traction for a f... |
0 | Facial rejuvenation with staged injections of cryopreserved fat and tissue cocktail: clinical outcomes in the past 10 years | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Facial rejuvenation by autologous fat transfer is common in aesthetic plastic surgery. The main drawback is progressive resorption, requiring repeated harvesting and microfat grafting. OBJECTIVE: The authors present a method for cryopreservation of excess harvested fat and tissue to enable subsequent use of... |
0 | Systematic review of a marine nutriceutical supplement in clinical trials for arthritis: the effectiveness of the New Zealand green-lipped mussel Perna canaliculus | SR for PM on OA of All Extremities | BACKGROUND: Nutritional supplements, such as Seatone, which contain freeze-dried tissue from the New Zealand green-lipped mussel Perna canaliculus, are sold in many countries to relieve arthritic symptoms and to aid in the regeneration of arthritic and injured joints. METHODS: Searches for all published controlled tria... |
1 | Total hip arthroplasty for displaced fracture of the femoral neck using size 32 mm femoral head and soft tissue repair after a posterior approach | Management of Hip Fractures in the Elderly | The optimal operative treatment of displaced sub capital femoral fractures in the elderly is controversial. Recently, randomised controlled trials have suggested a better outcome with the use of total hip arthroplasty (THA) to treat displaced intra capsular fractures of the femur for elderly patients in good health. Ho... |
0 | Depression in patients of primary knee osteoarthritis: A cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | Aim and Objective: The aim and objective are to find the prevalence of depression and its relationship with functional status in patients with primary knee osteoarthritis (OA). Materials and Methods: The present study included 100 patients (33 males and 67 females) of primary knee OA fulfilling the American College of ... |
0 | Curcumin effects on blood lipid profile in a 6-month human study | Management of Hip Fractures in the Elderly | Studies in animals and a short-term human study have suggested that curcumin, a polyphenolic compound concentrated in the curry spice turmeric, decreases serum cholesterol concentration. However, no controlled human trials have examined the effect of curcumin on cholesterol. This study investigated the effects of consu... |
1 | Non-operative treatment of impacted femoral neck fractures. A prospective study of 170 cases | Management of Hip Fractures in the Elderly | In a prospective study, 170 impacted femoral neck fractures were treated by early mobilisation and weight-bearing. The overall mortality at one year was 16%. In the 167 patients who were followed up until fracture healing or secondary instability, 143 fractures (86%) united. Instability occurred only in patients over 7... |
1 | MR imaging of displaced bucket-handle tear of the medial meniscus | AMP (Acute Meniscal Pathology) | A bucket-handle tear of the meniscus is a vertical or oblique tear with longitudinal extension toward the anterior horn in which the inner fragment is frequently displaced toward the intercondylar notch with resultant mechanical locking of the knee joint. A precise MR diagnosis requires identification of the centrally ... |
0 | Complications of bone tumors after multimodal therapy | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: To define and compare the complications of bone tumors after resection, extracorporeal irradiation and re-implantation, with or without radiotherapy. MATERIALS AND METHODS: Eighty patients (40 males and 40 females, ages 4-77 years) with 61 malignant and 19 benign bone tumors were evaluated for local and distan... |
0 | Biochemical markers to survey bone turnover | MSTS 2018 - Femur Mets and MM | Molecular markers of bone turnover have gained increasing relevance in the evaluation of patients with metabolic bone diseases. Their clinical applications include the assessment of future osteoporotic fracture risk, complementation of bone density measurements, diagnosis of certain metabolic osteopathies, therapeutic ... |
0 | 'Phantom' carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Phantom sensation is ubiquitous among persons who have had amputation; however, if it develops into phantom pain, a thorough clinical investigation must ensue. We illustrate this with the case of a 49-year-old woman, 14 years after traumatic amputation of her left 2nd through 5th fingers, and 10 years after traumatic l... |
0 | Comparison of the prophylactic anti-emetic efficacy of ramosetron and ondansetron in patients at high-risk for postoperative nausea and vomiting after total knee replacement | AAHKS (8) Anesthetic Infiltration | We compared the prophylactic anti-emetic efficacy of ramosetron, a newly developed 5-HT(3) antagonist, and ondansetron in patients at high-risk for postoperative nausea and vomiting after total knee replacement. Eighty-four patients with three risk factors for postoperative nausea and vomiting (female, non-smoking and ... |
0 | Single Local Infiltration Analgesia (LIA) Aids Early Pain Management After Total Knee Replacement (TKR): An Evidence-Based Review and Commentary | AAHKS (8) Anesthetic Infiltration | Background: There is controversy in the literature regarding the role of single local infiltration analgesia (LIA) after total knee replacement (TKR).
Questions/Purposes: Is single LIA really efficient in controlling pain after TKR?
Methods: A Cochrane Library and PubMed (MEDLINE) search related to the justification LI... |
1 | Management of pathologic fractures of the proximal femur: state of the art | MSTS 2018 - Femur Mets and MM | Metastases to bone are the most common cause of a destructive lesion of the skeleton in an adult. The proximal femur is the most commonly affected bone with metastatic disease in the appendicular skeleton. A systematic approach to patient management is critical, so as to avoid complications that will delay systemic the... |
0 | Delivery parameter variations and early clinical outcomes of volumetric modulated arc therapy for 31 prostate cancer patients: An intercomparison of three treatment planning systems | MSTS 2018 - Femur Mets and MM | We created volumetric modulated arc therapy (VMAT) plans for 31 prostate cancer patients using one of three treatment planning systems (TPSs) - ERGO++, Monaco, or Pinnacle - and then treated those patients. A dose of 74 Gy was prescribed to the planning target volume (PTV). The rectum, bladder, and femur were chosen as... |
0 | The relationship between the proximal femur morphometry and bone mineral density in Turkish women | Management of Hip Fractures in the Elderly | AIM: Hip fractures have high morbidity and mortality rate for patients as a complication of osteoporosis and is generally seen in elderly. It is known that the bone mineral density (BMD) and proximal femur morphometry are important determinants of fracture risk. The aim of this study was to investigate the relationship... |
0 | Differences in body composition between female geriatric hip fracture patients and healthy controls: body fat is more important as explanatory factor for the fracture than body weight and lean body mass | Management of Hip Fractures in the Elderly | Body weight and body composition change with advancing age. In elderly women, the loss of body weight is partially due to loss of body fat. We compared the body composition of 71 healthy female hip fracture patients and 51 controls. Body composition was estimated with an electrical impedance technique. The fracture pat... |
0 | Corneal Topographic Changes After Eyelid Ptosis Surgery | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the corneal topography and the topographic changes after ptosis surgery on patients affected by congenital and acquired blepharoptosis. METHODS: Twenty eyes of 17 patients affected by acquired and congenital ptosis underwent surgical correction through anterior levator complex tightening. Computeri... |
0 | Antimicrobial effect of Microdacyn 60, OxOral, and sodium hypochlorite 5.25% in anaerobic bacteria | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Irrigants have traditionally been used in the root canal. Sodium hypochlorite (NaOCl) is the most commonly used solution, because of its advantages; however, it is known to be toxic to periradicular tissues and can cause necrosis of support tissues and edema. The objective of this study is to compare the antimicrobial ... |
1 | Stepped wedge cluster randomised controlled trial to assess the effectiveness of an optimisation strategy for general anaesthesia on postoperative morbidity and mortality in elderly patients (the OPTI-AGED study): A study protocol | Hip Fx in the Elderly 2019 | Introduction Elderly patients constitute an increasingly large proportion of the high-risk surgical group. In adult patients, several specific intraoperative approaches such as cardiac output-guided haemodynamic therapy, depth of anaesthesia monitoring (DAM) or lung-protective ventilation (LPV) are designed to reduce p... |
0 | Multiple myeloma in the very elderly patient: Challenges and solutions | MSTS 2018 - Femur Mets and MM | Diagnosis and management of myeloma in the very elderly patient is challenging. Treatment options have vastly improved for elderly myeloma patients but still require the clinician to personalize therapy. In this paper, we offer evidence-based, pragmatic advice on how to overcome six of the main challenges likely to ari... |
0 | Activation of a distributed somatosensory cortical network in the human brain. A dipole modelling study of magnetic fields evoked by median nerve stimulation. Part I: Location and activation timing of SEF sources | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cortical areas responsive to somatosensory inputs were assessed by recording somatosensory evoked magnetic fields (SEF) to electrical stimulation of the left median nerve at wrist, using a 122-SQUID neuromagnetometer in various conditions of stimulus rate, attentional demand and detection task. Source modelling combine... |
0 | (i) Planning and consent for primary total knee replacement | PJI DX Updated Search | The aim of primary total knee replacement is to decrease pain, restore function and reduce disability. This is achieved by correct patient selection and adequate planning so that the appropriate prosthesis can be implanted in the appropriate manner. The technical goal of total knee arthroplasty is to implant a well-ali... |
0 | A comparison of MR images and histological findings in menisci of persons in middle or advanced age | AMP (Acute Meniscal Pathology) | Background: Signal abnormalities in magnetic resonance (MR) images of the meniscus can result from various factors and may lead to a decrease in the diagnostic accuracy for meniscal tears. In particular, change in intrameniscal signal intensity has been frequently noted in persons in middle or advanced age, and is pres... |
0 | Arthroscopic treatment of acute scapholunate and lunotriquetral ligament injuries | DOD - Acute Comp Syndrome CPG | Acute scapholunate and lunotriquetral interosseous ligament injuries must be stabilized for anatomically correct healing to prevent progressive carpal instability. Shortcomings of reconstruction procedures place a priority on achieving a successful initial repair. The traditional repair strategy involves open reduction... |
0 | D-dimer levels to screen for venous thromboembolism in patients with fractures caused by high-energy injuries | Hip Fx in the Elderly 2019 | BACKGROUND: The clinical relevance of D-dimer levels when screening for venous thromboembolism (VTE) in elderly patients with a hip fracture has been reported but has not been fully investigated in patients with fractures caused by high-energy injuries. The purpose of this study was to evaluate the usefulness and limit... |
0 | Radiographic outcome of children older than twenty-four months with developmental dysplasia of the hip treated by closed reduction and spica cast immobilization in human position: a review of fifty-one hips | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: This study aimed to investigate the radiographic outcomes, rate of redislocation, and avascular necrosis of proximal femoral epiphysis (AVN) in patients aged 24 to 36Â months with developmental dysplasia of the hip (DDH) treated by closed reduction (CR) and spica cast immobilization in human position. MATERIAL... |
0 | Does Patellar Tendon Repair With Gastrocnemius Flap Augmentation Effectively Restore Active Extension After Proximal Tibial Sarcoma Resection? | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: A rotational gastrocnemius flap is often used for soft tissue reconstruction after proximal tibia sarcoma resection. However, little is known about the frequency and severity of complications and the recovery of extensor function after this procedure. QUESTIONS/PURPOSES: After gastrocnemius flap reconstruct... |
0 | What is the long term acid inhibitor treatment in gastroesophageal reflux disease? What are the potential problems related to long term acid inhibitor treatment in gastroesophageal reflux disease? How should these cases be followed? | Hip Fx in the Elderly 2019 | The meta-analyses of observational studies (OBS) showed the risk of any fracture and hip fracture slightly increased with proton pump inhibitor (PPI) treatment depending on the dose and regardless of time. This was not observed with histamine-2 receptor antagonists (H2RA). The risk of bacterial overgrowth and spontaneo... |
0 | Effect of postoperative use of nasal oxygen catheter supplementation in wound healing following total knee arthroplasty | PJI DX Updated Search | OBJECTIVES: Healing is an event that is fundamental to the success of total knee arthroplasty. The aims of the present study were to compare the rates of complications related to wound healing between two groups of volunteers submitted to total knee arthroplasty and to evaluate the effects of postoperative oxygen suppl... |
0 | Management of intercondylar fractures of the humerus using the extensor mechanism-sparing paratricipital posterior approach | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Twenty two patients with intra-articular fractures of the distal humerus were operatively treated using the extensor mechanism-sparing paratricipital approach as described by Schildhauer et al. All fractures were AO type C (six AO type C1, 11 C2 and five C3). There were 16 males and six females with a mean age of 32.5 ... |
0 | Randomised controlled feasibility trial of standard wound management versus negative-pressure wound therapy in the treatment of adult patients having surgical incisions for hip fractures | DoD SSI (Surgical Site Infections) | INTRODUCTION: Deep wound infection is a catastrophic complication after hip fracture surgery. However, current understanding of infection rates in this population is limited. Many technologies such as incisional negative-pressure wound therapy (NPWT) show promise in reducing the rate of infection. This trial is a feasi... |
0 | The long-term outcomes of modified Harrington procedure using antegrade pins for periacetabular metastasis and haematological diseases | DoD SSI (Surgical Site Infections) | Aims The aim of this study was to present the long-term surgical outcomes, complications, implant survival, and causes of implant failure in patients treated with the modified Harrington procedure using antegrade large diameter pins. Patients and Methods A cohort of 50 consecutive patients who underwent the modified Ha... |
1 | The efficacy of intra-articular analgesia after total knee arthroplasty in patients with rheumatoid arthritis and in patients with osteoarthritis | AAHKS (8) Anesthetic Infiltration | The pain relief provided by intra-articular injection of morphine plus bupivacaine after total knee arthroplasty (TKA) plus partial synovectomy in patients with rheumatoid arthritis was compared with pain relief after TKA alone in patients with osteoarthritis. There were lower pain scores, a much smaller requirement fo... |
0 | Polymerizable vancomycin derivatives for bactericidal biomaterial surface modification: structure-function evaluation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Surface modification of implantable biomaterials with biologically active functionalities, including antimicrobials, has wide potential for addressing implant-related design problems. Here, four polymerizable vancomycin derivatives bearing either acrylamide or poly(ethylene glycol) (PEG)-acrylate were synthesized and t... |
0 | Native join Propionibacterium septic arthritis | Glenohumeral Joint OA | Propionibacterium species are associated with normal skin flora and cultures may be dismissed as contaminants. They are increasingly recognized as a cause of septic arthritis following shoulder arthroplasty and arthrotomy. We identified three cases of Propionibacterium septic arthritis in native joints mimicking atypic... |
0 | The effect of heat application on pain, stiffness, physical function and quality of life in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | AIMS AND OBJECTIVES: The aim in this study was to evaluate the effect of local heat application on pain, stiffness, physical function and quality of life in patients with knee osteoarthritis. BACKGROUND: Local heat application is used as a nonâ?pharmacological practice for the treatment of knee osteoarthritis. On the ... |
0 | The physician's role in perioperative management of older patients undergoing surgery | Hip Fx in the Elderly 2019 | Life-sustaining and life-improving surgical interventions are increasingly available to older, frailer patients, many of whom have multimorbidity. Physicians can help support perioperative multidisciplinary teams with assessment and preoperative optimisation of physiological reserve, comorbidities and associated geriat... |
0 | Previously undiagnosed aortic stenosis revealed by auscultation in the hip fracture population--echocardiographic findings, management and outcome | Management of Hip Fractures in the Elderly | The 2001 Report of the National Confidential Enquiry into Perioperative Deaths recommended that an echocardiogram should be performed on patients with aortic stenosis prior to anaesthesia. In this study we present the patient details, management and outcome of the 272 hip fracture patients with a previously undiagnosed... |
0 | Clinical and radiological outcome for Trufit Plug in the treatment of chondral and osteochondral lesions at a minimum of 2 years | Osteochondritis Dissecans 2020 Review | The aim of this study was to evaluate the functional and radiological outcome of TruFit plugs. We retrospectively reviewed 10 patients who underwent treatment for a symptomatic chondral/osteochondral lesion using one or more Trufit Plugs. Full incorporation of the bony portion of the plug occurred in only 3 and partial... |
0 | Total knee arthroplasty in a patient with quadriceps paralysis secondary to poliomyelitis: a case report | Surgical Management of Osteoarthritis of the Knee CPG | Degenerative joint disease is known to occur in patients with a history of polio. However, minimal or absent quadriceps function is generally considered to be a contraindication to total knee arthroplasty. We describe an elderly patient with quadriceps paralysis secondary to poliomyelitis who underwent a successful tot... |
0 | What is the incidence of inadvertent hypothermia in elderly hip fracture patients and is this associated with increased readmissions and mortality? | Hip Fx in the Elderly 2019 | Background: Globally the incidence of fragility hip fractures is rising with increasingly elderly and co-morbid patients. These injuries are associated with a high morbidity and mortality.
Aims: This clinical study's primary outcome is to establish the rate of operative inadvertent hypothermia (<36degreeC) in elderly h... |
0 | Recommended routine vaccinations for older adults | Management of Hip Fractures in the Elderly | A goal of primary prevention is to avoid the development of disease. Immunizations are one of several strategies used by clinicians in primary prevention. Influenza and pneumococcal disease--both preventable--cause significant morbidity and mortality in older adults who have an altered immune system, often have several... |
0 | Limited Panniculectomy for Adult Buried Penis Repair | Panniculectomy & Abdominoplasty CPG | Patients with buried or hidden penis may be unable to carry out normal hygiene, void with a directable urine stream, or be sexually active as a result of the condition. Although these patients are nearly always obese, weight loss often does not reverse the problem, as the mons pannus may remain after weight loss. Furth... |
0 | Low Back Pain as a Risk Factor for Recurrent Falls in People with Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Knee osteoarthritis (OA) has been suggested to increase the risk of falls. Low back pain (LBP) is a potential risk factor for falls in people with knee OA, but this has not been addressed adequately in previous studies. This study aimed to investigate the relationship between LBP and falls in people with kne... |
0 | Chronic infection of unicompartmental knee arthroplasty: One-stage conversion to total knee arthroplasty | PJI DX Updated Search | Background: The main reasons for revision of unicompartmental knee arthroplasty (UKA) are loosening, wear, extension of osteoarthritis to another compartment, and infection. There have been no studies of the management of infected UKA, whose incidence varies from 0.2% to 1%. Our objective was to describe infection-rela... |
0 | Skeletal transfixation in treatment of comminuted fractures of the distal end of the radius in the elderly | Distal Radius Fractures | Ninety-five patients (71 females and 24 males), average age, 69 years (35-92 years), with comminuted distal radial fractures were treated with transfixation wires (Kirschner wires) through the bases of metacarpals II-V and an above-elbow plaster cast. Two cases of early infections and four of Sudeck's dystrophy (4.2%) ... |
0 | Exercise effects on bone mineral density relationships to changes in fitness and fatness | Management of Hip Fractures in the Elderly | BACKGROUND: Weight loss typically reduces bone mineral density (BMD). Exercise may preserve or increase BMD even while reducing fatness. We examined the relationships among exercise-induced changes in fitness and fatness with BMD.DESIGN: Randomized controlled trial conducted between July 1999 and November 2003.PARTICIP... |
0 | Infection complicating cholecystectomy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | It is important to attempt clinical selection of patients who will benefit from antibiotic prophylaxis during biliary tract operations. Of equal importance is exclusion of patients in whom the risk of adverse effects outweigh the potential benefits. Using clinical criteria defined by Chetlin and Elliott, we have tested... |
0 | Charlson comorbidity indices and in-hospital deaths in patients with hip fractures trauma | Hip Fx in the Elderly 2019 | Background: The Charlson Comorbidity Index (CCI) and its modifications are comorbidity-based measures that predict mortality. It was developed for patients without trauma and inconsistently predicted mortality and adverse events in several previous studies of patients with trauma. Purpose: We therefore (1) determined w... |
0 | Open pelvic fracture and fecal diversion | DoD SSI (Surgical Site Infections) | BACKGROUND: Mandatory fecal diversion has been advocated as an appropriate measure to prevent infection in the clinical setting of an open pelvic fracture. However, the efficacy of this practice has not been verified by prospective investigation and has received only inconsistent support from retrospective analyses.
OB... |
0 | MDCT and radiography of wrist fractures: radiographic sensitivity and fracture patterns | Distal Radius Fractures | OBJECTIVE: The purpose of our study was to determine which wrist fractures are not prospectively diagnosed at radiography using CT as a gold standard and to identify specific fracture patterns.
MATERIALS AND METHODS: Through a search of radiology records from January 1 to December 31, 2005, 103 consecutive patients wer... |
0 | Isolated Partial Intra-Articular Volar Ulnar Fractures of the Distal Radius: The Tetrahedron Variant | Distal Radius Fractures | PURPOSE: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.
METHODS: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate... |
0 | Prevention and management of osteonecrosis of the jaw secondary to bone-targeted therapy in patients with kidney cancer | MSTS 2018 - Femur Mets and MM | PURPOSE OF REVIEW: The aim of this revision is prevention and management of osteonecrosis of the jaw (ONJ) secondary to bone-targeted therapy in patients with kidney cancer.
RECENT FINDINGS: Patients with kidney cancer treated with zoledronate suffered from ONJ earlier compared with patients with breast cancer or multi... |
0 | Sternal resection and reconstruction after malignant tumours | Acellular Dermal Matrix | AIM: We present our experience of the resection of sternal tumours (both primary and metastatic), followed by reconstruction of soft-tissue and skeletal defects with a mesh and musculocutaneous flap. METHODS: Eleven patients were included in this study, all of which underwent sternal tumour resection and immediate ches... |
0 | Visual attention in preschool children prenatally exposed to cocaine: implications for behavioral regulation | Upper Eyelid and Brow Surgery | The presence of cocaine during the prenatal period disrupts the development of neural systems involved in mediating visual attention; therefore, it is possible that prenatal cocaine exposure results in impairments in visual attention in early childhood. In the current study we hypothesized that preschool children with ... |
0 | Wnt receptors, bone mass, and fractures: gene-wide association analysis of LRP5 and LRP6 polymorphisms with replication | Management of Hip Fractures in the Elderly | OBJECTIVE: Genes explaining the susceptibility to osteoporosis have not been fully elucidated. Our objective was to explore the association of polymorphisms capturing common variations of the lipoprotein receptor-related protein (LRP) 5 and 6 genes, encoding two Wnt receptors, with femoral neck bone mineral density (BM... |
1 | An automated electrodiagnostic technique for detection of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We designed an automated etectrophysiologic neurodiagnostic device (AEND) yielding a distal motor latency (DML) using automated stimulation and analysis, volume-conducted wave-forms, and physiologic adjustments. AEND screening was studied in 75 symptomatic patients, who also had conventional electrodiagnostic studies, ... |
0 | Bone transport through an induced membrane in the management of tibial bone defects resulting from chronic osteomyelitis | PJI DX Updated Search | Wide resection of infected bone improves the odds of achieving remission of infection in patients with chronic osteomyelitis. Aggressive debridement is followed by the creation of large bone defects. The use of antibiotic-impregnated PMMA spacers, as a customized dead space management tool, has grown in popularity. In ... |
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