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0 | A comparison of home-based exercise programs with and without self-manual therapy in individuals with knee osteoarthritis in community | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The present study aimed to compare the effectiveness of the treatment programs of home-based exercise with and without self-manual therapy in individuals with knee osteoarthritis (knee OA) in community.
MATERIAL AND METHOD: Forty-three participants with knee OA were randomly assigned in groups. All participa... |
1 | A pilot study to compare two different hyaluronic acid compounds for treatment of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis is characterized by progressive articular cartilage degeneration, changes in subchondral bone and synovial inflammation, leading to pain and disability. Viscosupplementation with hyaluronic acid has been widely investigated due to the viscoelastic properties of this compound to manage pain improving the ... |
0 | Takotsubo Syndrome: Is this a Common Occurrence in Elderly Females after Hip Fracture? | Hip Fx in the Elderly 2019 | Background: The prevalence of Takotsubo syndrome in hip fracture is not known.
Methods: Hip fracture patients were evaluated in a multidisciplinary unit. Patients with ECG abnormalities and increased troponin I values at the time of hospital admission were included in the study Follow-up was clinical at 30 days and by ... |
0 | Hematogenous infection of a total knee arthroplasty with Klebsiella pneumoniae in association with occult adenocarcinoma of the cecum | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Acute hematogenous septic arthritis caused by the genus Klebsiella is extremely rare. This case report describes a prosthetic joint infected with Klebsiella pneumoniae via acute hematogenous spread. This is the first reported case of K pneumoniae pyogenic arthritis with a coexisting occult colonic adenocarcinoma. The p... |
0 | Differences in knee joint kinematics and forces after posterior cruciate retaining and stabilized total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Posterior cruciate ligament (PCL) retaining (CR) and -sacrificing (PS) total knee arthroplasties (TKA) are widely-used to treat osteoarthritis of the knee joint. The PS design substitutes the function of the PCL with a cam-spine mechanism which may produce adverse changes to joint kinematics and kinetics. M... |
0 | Age-dependent Characteristics in Women with Breast Cancer: Mastectomy and Reconstructive Trends at an Urban Academic Institution | Reduction Mammoplasty for Female Breast Hypertrophy | Breast reconstruction is an important aspect of treatment after breast cancer. Postmastectomy reconstruction bears a significant impact on a woman's postsurgical confidence, sexuality, and overall well-being. Previous studies have inferred that women under age 40 years have unique characteristics that distinguish them ... |
0 | Restoration of long bone defects treated with the induced membrane technique: protocol and outcomes | DOD - Acute Comp Syndrome CPG | This prospective study was undertaken at a regional tertiary referral centre to evaluate the results of treatment of bone defects managed with the induced membrane (IM) technique. Inclusion criteria were patients with bone defects secondary to septic non-union, chronic osteomyelitis and acute fracture with bone loss. P... |
1 | Phase II multicenter randomized controlled clinical trial on the efficacy of intra-articular injection of autologous bone marrow mesenchymal stem cells with platelet rich plasma for the treatment of knee osteoarthritis | PRP (Platelet-Rich Plasma) | BACKGROUND: Mesenchymal stromal cells are a safe and promising option to treat knee osteoarthritis as previously demonstrated in different clinical trials. However, their efficacy, optimal dose and addition of adjuvants must be determined. Here, we evaluated the clinical effects of a dose of 100 x 10<sup>6</sup> bone m... |
0 | Association between tears of the posterior root of the medial meniscus and far posterior femoral condyle osteoarthritis | AMP (Acute Meniscal Pathology) | PURPOSE: We aimed to evaluate whether tears of the posterior horn of the medial meniscus root ligament (PHMM RL) are associated with osteoarthritis of the far posterior femoral condyles (FPFC).
METHODS: Retrospective review of 1158 patients who underwent arthroscopy identified 49 patients with confirmed tears of the me... |
0 | Costs of hip fracture. Rehabilitation of 180 patients in primary health care | Management of Hip Fractures in the Elderly | Costs related to functional status were calculated for 180 consecutive hip fracture patients (mean age 78 years) who were admitted from their own home and rehabilitated in primary health care. Within 4 months after the fracture, 75 percent of the patients had been discharged to their own home, 9 percent were dead, and ... |
0 | Correction of facial paralysis in the frontoorbital region | Upper Eyelid and Brow Surgery | The fronto-orbital region of patients with facial paralysis can be treated well with relatively simple methods. First choice of corrections is: static suspension of the ptotic eyebrow, gold implant of specific form, size and weight in the upper eyelid, and modified Kuhnt-Szymanovski wedge excision of the lower eyelid, ... |
0 | Use of an Accessory Anteromedial Portal to Facilitate Repair of Mid-Body Radial Tears of the Lateral Meniscus in Children and Adolescents | AMP (Acute Meniscal Pathology) | Meniscal tears in adolescent patients are commonly treated with repair to preserve meniscal tissue and prevent future degenerative changes. Historically, meniscal tears best suited for repair are acute vertical tears in patients aged <40 years with a normal mechanical axis, >1 cm and <4 cm in size, within the red-red z... |
0 | Internal Fixation of Femoral Neck Fractures with Computer Assisted Surgery: A Report on First Cases | Management of Hip Fractures in the Elderly | Background: In standard practice, osteosynthesis of femoral fractures is guided interactively by 2-D fluoroscopy providing anteroposterior or axial projections. This approach leads to repetitive position changes of the C-arm with concomitant radiation exposure and may result in suboptimal positioning of implants. Fluor... |
1 | Feasibility study of zoledronic acid plus cisplatin-docetaxel as first-line treatment for advanced non-small cell lung cancer with bone metastases | MSTS 2018 - Femur Mets and MM | Background: This study evaluated the safety and efficacy of combined zoledronic acid, cisplatin and docetaxel in patients with non-small cell lung cancer (NSCLC) with bone metastases. Patients and Methods: Cisplatin 80 mg/m2 and docetaxel 60 mg/m2 with zoledronic acid 4 mg were given intravenously on day 1 every 3-4 we... |
0 | An assessment of wrist splint and glove use on wheeling kinematics | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective. The purpose of this investigation was to assess whether glove and/or splint use could effectively reduce hyperextension at the wrist during wheelchair propulsion, thus potentially reducing the conditions predisposing to median nerve dysfunction, and to evaluate the overall effects of these interventions on w... |
0 | Proximal femoral locking compression plate for proximal femoral fractures | Hip Fx in the Elderly 2019 | PURPOSE: To review short-term outcomes of proximal femoral locking compression plate (PF-LCP) fixation for proximal femoral fractures in terms of postoperative complications and failure rates.
METHODS: Medical records of 21 men and 5 women aged 22 to 85 (mean, 49.7) years who underwent internal fixation with the PF-LCP... |
0 | Fibromyxoid pseudotumor of the ligamentum teres treated with fresh osteochondral allograft | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Intra-articular tumors and tumor-like conditions of the hip are rare. When they occur, they can interrupt normal articular congruency, leading to pain and joint dysfunction. If these conditions result in large osteochondral defects, they pose challenging reconstructive problems in young patients. We describe a case of ... |
1 | Depression after traumatic brain injury: A National Institute on Disability and Rehabilitation Research Model Systems multicenter investigation | DoD PRF (Psychosocial RF) | Objective: To identify the frequency and manifestations of depression after traumatic brain injury (TBI) and the factors that contribute to developing this mood disorder. Design: A prospective, nationwide, multicenter study; 17 centers supplied data from medical records and patient responses on a standardized criterion... |
0 | European ST80 community-associated methicillin-resistant Staphylococcus aureus orbital cellulitis in a neonate | Patrick’s pharmacoepidemiology project | BACKGROUND: Methicillin-resistant Staphylococcus aureus is a serious cause of morbidity and mortality in hospital environment, but also, lately, in the community. This case report is, to our knowledge, the first detailed description of a community-associated methicillin-resistant S. aureus ST80 orbital cellulitis in a ... |
1 | Prepectoral Versus Subpectoral Tissue Expander Placement: A Clinical and Quality of Life Outcomes Study | Acellular Dermal Matrix | BACKGROUND: Traditionally, tissue expanders (TEs) for breast reconstruction have been placed beneath the pectoralis major muscle with or without acellular dermal matrix. More recently, full acellular dermal matrix coverage has been described for prepectoral TE placement. Our study aims to explore differences in clinica... |
1 | Effect of lateral femoral cutaneous nerveblock on pain after total hip arthroplasty: A randomised, blinded, placebo-controlled trial | AAHKS (9/10) Regional Nerve Blocks | Background: Total hip arthroplasty (THA) is a common procedure associated with moderate postoperative pain. No nerve block without loss of motor function has been documented for THA. We hypothesised that an ultrasoundguided lateral femoral cutaneous nerve (LFCN) block added to a multimodal postoperative pain regimen wo... |
0 | Biomechanical comparison of fixed- and mobile-bearing for unicomparmental knee arthroplasty using finite element analysis | Surgical Management of Osteoarthritis of the Knee CPG | Unicomparmental knee arthroplasty (UKA) is a popular alternative to total knee arthroplasty (TKA) and high tibial osteotomy for unicompartmental knee conditions, especially in young patients. However, failure of UKA occurs due to either progressive osteoarthritis (OA) in the other compartment or wear on the polyethylen... |
0 | Post-operative aspergillosis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | While invasive aspergillosis occurs typically in severely immunocompromised patients, cases of surgical site infection have been reported in immunocompetent individuals. The Medline, LILACS and EMBASE databases were searched for descriptions of cases of post-operative aspergillosis, and references from relevant article... |
0 | Favourable interactions of cytostatic and steroid drugs in treatment of systematic lupus erythematosus | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Systemic lupus erythematosus (referred to below as SLE) is a disorder associated with formation of immune complexes in the circulatory system and their deposition in the internal organs, as well as in the skin. The disease can appear at any age, but the vast majority of cases are women between 15 and 40 years of age. T... |
0 | Isolation and characterization of Streptococcus mutans in heart valve and dental plaque specimens from a patient with infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Streptococcus mutans, known to be an aetiologic agent of dental caries, also causes infective endocarditis (IE), although a comparison of isolates from the oral cavity and infected heart valve of the same patient has not been reported. In the present study, infected heart valve and dental plaque samples from a patient ... |
0 | Efficacy of the fascia iliaca compartment block vs continuous epidural infusion for analgesia following total knee replacement surgery | AAHKS (8) Anesthetic Infiltration | PATIENTS AND METHODS: Clinical trial enrolling patients in American Society of Anesthesiologists (ASA) classes 1 to 3 randomized to 2 groups. One group received spinal anesthesia plus a fascia iliaca compartment block with 0.1% bupivacaine at a rate of 10 mL/h. The second group received combined spinalâ?epidural anest... |
1 | Ropivacaine plasma levels following high-dose local infiltration analgesia for total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | We measured total and free plasma concentrations of ropivacaine following high-volume, high-dose local infiltration analgesia in 28 patients aged 65 years or over undergoing unilateral total knee arthroplasty. Patients received infiltration of ropivacaine 400 mg followed by infusion at 20 mg.h(-1) through an intra-arti... |
0 | Relationship of serum IL-6, C-reactive protein, erythrocyte sedimentation rate, and knee skin temperature after total knee arthroplasty: a prospective study | Surgical Management of Osteoarthritis of the Knee CPG | Knee osteoarthritis is a common cause of severe pain and functional limitation. Total knee arthroplasty is an effective procedure to relieve pain, restore knee function, and improve quality of life for patients with end stage knee arthritis. The aim of this study was to investigate the inflammatory process in patients ... |
0 | Virtual Interviews in the Era of COVID-19: A Primer for Applicants | Coronavirus Disease 2019 (COVID-19) | <AbstractText Label="PROBLEM" NlmCategory="OBJECTIVE">The COVID-19 pandemic is an evolving crisis with widespread impact upon our medical system, including senior trainee travel for fellowship interviews. Numerous institutions have conscientiously deferred in-person interviews or virtual formats. Given the competitive ... |
0 | Should we operate on nonagenarians with hip fractures? | Management of Hip Fractures in the Elderly | Studies on fractured necks of femurs usually have a cut off point at the age of 85. However, in view of an ageing populace it seems reasonable to look at the nature of hip fractures in the nonagenarians. In previous studies mortality and morbidity of 90-year-olds has been high. It has also been suggested that operating... |
0 | Central sensitization in carpal tunnel syndrome with extraterritorial spread of sensory symptoms | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Extraterritorial spread of sensory symptoms is frequent in carpal tunnel syndrome (CTS). Animal models suggest that this phenomenon may depend on central sensitization. We sought to obtain psychophysical evidence of sensitization in CTS with extraterritorial symptoms spread. We recruited 100 unilateral CTS patients. Af... |
0 | Management and outcomes in 353 surgically treated sciatic nerve lesions | Management of Hip Fractures in the Elderly | OBJECT: This is a retrospective analysis of 353 surgically treated sciatic nerve lesions in which injury mechanisms, location, time to surgical repair, surgical techniques, and functional outcomes are reported. Results are presented to provide guidelines for management of these injuries. METHODS: One hundred seventy-fi... |
1 | Displaced supracondylar fracture of humerus in children treated with crossed pin versus lateral pin: A hospital based study from Western Nepal | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Background: The supracondylar fracture of the humerus is the second most common fracture in children and the most frequent one in the first decade of life. Close reduction with percutaneous pin fixation has become the treatment of choice. The success of the treatment depends on the strength of the fixation and the avoi... |
0 | Restoring control: Empowering older patients and their families during health crisis | Management of Hip Fractures in the Elderly | Acute health crises and the care provided within the health care system often reduce control for older patients and their families. Drawing on the authors' research with hip fracture patients and work with home health teams, the discussion focuses specifically on older patients who require home health care following a ... |
1 | Extending the role of liposuction in body contouring with ultrasound-assisted liposuction | Panniculectomy & Abdominoplasty CPG | The initial experience with ultrasound-assisted liposuction in treating difficult fibrous areas, such as gynecomastia, hitherto not uniformly responsive to traditional suction-assisted lipoplasty, has led to the evolution and improvement of ultrasound-assisted liposuction techniques. This prospective study examined 114... |
0 | Management of bone loss in revision TKA: it's a changing world | PJI DX Updated Search | Bone deficiency represents a common theme in revision total knee arthroplasty (TKA). The etiology of bone deficiency may be aseptic loosening resulting in direct mechanical bone loss, osteolysis, stress shielding, septic loosening, or iatrogenic resulting from implant removal. Not all revisions are created equal. The s... |
0 | Computertomography/robot-assisted retrograde drilling of osteochondral lesions of the ankle joint | Osteochondritis Dissecans 2020 Review | The aim of this article is to describe a novel computertomography-guided robot-assisted surgery technique for retrograde drilling of osteochondral lesions of the talus and distal tibia. Copyright © 2011 by Lippincott Williams & Wilkins. |
0 | Management of cubitus varus and valgus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Many types of osteotomy have been proposed for the treatment of cubitus varus and valgus, but they have limitations, such as poor internal fixation, residual protrusion of the lateral or medial condyle, technical difficulty, the need for long-term immobilization, a risk of neurovascular injury, and patient ... |
0 | Circular frames in the management of infected tibial non-union: A modification of the Papineau technique | DoD SSI (Surgical Site Infections) | We have treated five patients with an infected non-union of the tibia by a modification of the Papineau technique, consisting of a wound microenvironment chamber and bone stabilization with a circular frame. In all cases bone union and elimination of infection was achieved. |
0 | Chronic exertional compartment syndrome | DoD - ACS - Interrater Reliability | Chronic exertional compartment syndrome is an overuse condition affecting primarily active, athletic people. Its etiology is unclear, but several theories have been proposed. The syndrome is characterized by recurrent, often severe muscle compartment pain that occurs with vigorous exercise and subsides with rest. Physi... |
0 | Management of large volume CT contrast medium extravasation injury: technical refinement and literature review | Panniculectomy & Abdominoplasty CPG | The incidence of radiographic contrast medium extravasation is on the rise due to the rapid increase in availability of contrast enhanced imaging. There is no consensus, however, regarding its management. There is a wide spectrum of clinical presentations, ranging from localised erythema and oedema to skin necrosis, wh... |
0 | The effects of specific medical conditions on the functional limitations of elders in the Framingham Study | Management of Hip Fractures in the Elderly | OBJECTIVES: The purpose of this study was to identify associations between specific medical conditions in the elderly and limitations in functional tasks; to compare risks of disability across medical conditions, controlling for age, sex, and comorbidity; and to determine the proportion of disability attributable to ea... |
1 | Correlation of the vision-related functional impairment associated with blepharoptosis and the impact of blepharoptosis surgery | Upper Eyelid and Brow Surgery | OBJECTIVE: To assess the effect of blepharoptosis on patients' visual function and health-related quality of life and to determine what measures are associated with postsurgical change in functional status. DESIGN: Prospective, observational case series. PARTICIPANTS: One hundred patients with unilateral or bilateral b... |
0 | Calcaneous quantitative ultrasound measurements predicts vertebral fractures in idiopathic male osteoporosis | Management of Hip Fractures in the Elderly | OBJECTIVES: The aim of this study was to identify the differences in ultrasound bone variables (QUS) and to test the ability to discriminate male patients with and without vertebral fractures.METHODS: We therefore measured broadband ultrasound attenuation (BUA) and speed of sound (SOS) matched for bone mineral density ... |
0 | Manual physical therapy combined with high-intensity functional rehabilitation for severe lower extremity musculoskeletal injuries: a case series | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVES: Severe lower extremity trauma accounts for large healthcare costs and often results in elective amputation and poor long-term outcomes. The purpose of this case series is to describe an orthopedic manual physical therapy (OMPT) approach combined with a return to run (RTR) clinical pathway consisting of high... |
0 | Pelvic compartment syndrome: a systematic review | DOD - Acute Comp Syndrome CPG | Bilateral ureteral obstruction due to traumatic pelvic haematoma and increased pressure in the retroperitoneal space constitute an acute pelvic compartment syndrome. We systematically reviewed the available evidence concerning pelvic compartment syndrome using an online search of the MEDLINE databases OVID and PubMed. ... |
0 | Highly-porous metal option for primary cementless acetabular fixation. What is the evidence? | Hip Fx in the Elderly 2019 | The purported improvement in the initial stability and enhanced osseointegration has stimulated a recent increase in the use of highly-porous interfaces for acetabular fixation in cementless hip arthroplasty. The aim of this study was to comprehensively review the literature and report the clinical outcomes of highly-p... |
0 | Patterns of pediatric supracondylar humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | PURPOSE: The Wilkins-modified Gartland classification of pediatric supracondylar humerus fractures does not consider coronal or sagittal obliquity. The purposes of our study were (1) to identify and describe fracture characteristics with unique properties and (2) to propose a fracture classification system that can be ... |
0 | Driving evaluation methods for able-bodied persons and individuals with lower extremity disabilities: a review of assessment modalities | DoD LSA (Limb Salvage vs Amputation) | Assessing the driving abilities of individuals with disabilities is often a very challenging task because each medical condition is accompanied by physical impairments and because relative individual functional performance may vary depending on personal characteristics.We identified existing driving evaluation modaliti... |
0 | Knee-to-Ankle Mosaicplasty for the Treatment of Osteochondral Lesions of the Ankle Joint | Osteochondritis Dissecans 2020 Review | BACKGROUND: Osteochondral lesions are frequently seen in athletes after ankle injuries. At this time, osteochondral autologous transplantation (OATS, mosaicplasty) is the only surgical treatment that replaces the entire osteochondral unit in symptomatic lesions. PURPOSE: To evaluate the clinical and radiological midter... |
0 | Rotationally stable fixation for intertrochanteric hip fractures: The intertan experience, surgical technique, and outcomes | Hip Fx in the Elderly 2019 | PURPOSE:: The surgical stabilization of intertrochanteric fractures remains a persistent challenge. The purpose of this paper was to describe the surgical technique and analyze the outcomes of these fractures treated with a novel intramedullary (IM) device that provides rotational stability, in addition to prompting co... |
0 | Recovery from acute paraplegia due to spontaneous spinal, epidural hematoma under minimal-dose acetyl-salicylic acid | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Spontaneous spinal epidural hematoma (SEH) has not been reported under anti-thrombotic therapy with acetyl-salicylic acid (ASA) in a dosage of 50 mg/d. METHODS: Spinal MRI, emergency laminectomy. RESULTS: A 77-yo, HIV-negative female under longterm treatment over three years with ASA 50 mg/d for varicositas,... |
0 | Pulsed Ho:YAG laser meniscectomy: effect of pulsewidth on tissue penetration rate and lateral thermal damage | AMP (Acute Meniscal Pathology) | BACKGROUND AND OBJECTIVE: Studies need to define the optimal parameters under which the holmium laser should operate for arthroscopic meniscectomy. This study was designed to analyze the effect of various Holmium wavelength pulsewidths on human meniscal tissue penetration rates and lateral thermal injury.
STUDY DESIGN/... |
0 | Anterior sciatic nerve block - New landmarks and clinical experience | AAHKS (8) Anesthetic Infiltration | Background: Anterior sciatic nerve blocks can be complicated by several problems. Pain can be caused by bony contacts and, in obese patients, identification of the landmarks is frequently difficult. Methods: In a first step, 100 normal anterior-posterior pelvic X-rays were analyzed. The landmarks of the classical anter... |
0 | Cigarette smoking: an epidemiological overview | Management of Hip Fractures in the Elderly | The detailed mortality and morbidity statistics on smoking tend to conceal the overall impact of the habit on health. About 3 million people die each year from smoking in economically developed countries, half of them before the age of 70. Cancers of eight sites are recognized as being caused by smoking--lung cancer al... |
0 | Acute compartment syndrome of the thigh in a high school soccer player: indications for expedient action | DOD - Acute Comp Syndrome CPG | Compartment syndrome in the lower leg, most commonly related to exertion, has been well documented in athletes. However, compartment syndrome resulting from trauma is rare in athletes, as in this case of a 17-year-old male goalie who sustained a direct blow to his thigh during a soccer game. He was successfully treated... |
0 | Long-term growth hormone replacement therapy in hypopituitary adults | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Growth hormone deficiency (GHD) in the adult has now been fully recognised as a clinical entity characterised by abnormal body composition, osteopenia, impaired quality of life, cardiac dysfunction and an adverse lipid profile. While short-term studies of GH replacement have demonstrated irrefutably a favourable effect... |
0 | Revision surgery for stiff total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Thirteen stiff total knee arthroplasties were studied in 12 patients who did not have a stiff knee prior to the index arthroplasty. The reasons for replacement were osteoarthritis in seven knees, post-traumatic arthritis in two, and inflammatory collagen disease in four. Four knees were revised for fixed flexion deform... |
0 | Outcome of fragility hip fractures in elderly patients: Does diabetes mellitus and its severity matter? | Hip Fx in the Elderly 2019 | AIMS: Diabetes mellitus (DM) and osteoporosis are both diseases of epidemic proportions with an increasing incidence worldwide. Fragility hip fractures (FHF) are associated with elevated morbidity, mortality, social burden and medical costs. The aim of this study was to determine whether patients with DM have worse med... |
0 | Surgical treatment of Milroy disease | Panniculectomy & Abdominoplasty CPG | BACKGROUND AND OBJECTIVES: Milroy disease is a form of congenital primary lymphedema affecting the lower limbs. When conservative management is ineffective, surgical treatment becomes necessary. The purpose of this study was to investigate the efficacy of vascularized lymph node transfer (VLNT) associated with extensiv... |
0 | Retrieval Analysis of Failed Constrained Acetabular Liners | PJI DX Updated Search | Despite the large loads placed upon constrained acetabular liners, little is known of their mechanical performance. We analyzed retrieved liners to determine wear and other damage modes and assess associations between types and severity of damage and clinical, radiographic, and implant variables. Outer rim impingement ... |
0 | Relationship of Relapsing Hip Prosthesis Infection by Staphylococcus aureus with Gamma Interferon Deficiency | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infections complicate 0.5 to 1% of surgeries for total hip prostheses. Staphylococcus species are the most common etiological agents. The role of host factors in the persistence of such infections despite appropriate therapy has yet to be determined. We report the defective immune response characterized by oversecretio... |
0 | Chondroma and chondrosarcoma of the larynx | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE OF REVIEW: The purpose of this review is to give a detailed description of chondroma and chondrosarcoma of the larynx and to put into perspective new findings from recent literature.
RECENT FINDINGS: Recent findings indicate that chondroma and chondrosarcoma of the larynx are closely related, either synchronous... |
0 | Clinical experience with two-point mDixon turbo spin echo as an alternative to conventional turbo spin echo for magnetic resonance imaging of the pediatric knee | Osteochondritis Dissecans 2020 Review | BACKGROUND: Two-point modified Dixon (mDixon) turbo spin-echo (TSE) sequence provides an efficient, robust method of fat suppression. In one mDixon acquisition, four image types can be generated: water-only, fat-only, in-phase and opposed-phase images. OBJECTIVE: To determine whether PD mDixon TSE water-only and, by pr... |
0 | Anatomic variations of the hook of hamate and the relationship to carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To determine the incidence of anatomic variations of the hook of hamate and to evaluate its association with the development of carpal tunnel syndrome (CTS). METHODS: Radiographs of 3,218 hands (2,070 patients) were evaluated. This group included 2,866 hands diagnosed with CTS and 352 hands without the diagnos... |
0 | Somatosensory evoked potentials and action myoclonusPOTENTIELS EVOQUES SOMESTHETIQUES ET MYOCLONUS D'ACTION | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The authors studied the somatosensory evoked potentials (SEPs) in 16 cases of myoclonic encephalopathies: 8 cases of dyssynergia cerebellaris myoclonica (DCM); 2 cases of dyssynergia cerebellaris progressiva (DCP); 2 cases of Lafora's disease; 1 case of ceroid lipofuscinosis; 3 unclassifiable myoclonic syndromes. The m... |
0 | Boron | SR for PM on OA of All Extremities | OBJECTIVE: To evaluate the scientific evidence on boron including expert opinion, folkloric precedent, history, pharmacology, kinetics/dynamics, interactions, adverse effects, toxicology, and dosing. This review serves as a clinical support tool. METHODS: Electronic searches were conducted in nine databases, 20 additio... |
0 | The effect of a single fraction compared to multiple fractions on painful bone metastases: a global analysis of the Dutch Bone Metastasis Study | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: To answer the question whether a single fraction of radiotherapy that is considered more convenient to the patient is as effective as a dose of multiple fractions for palliation of painful bone metastases.
PATIENTS: 1171 patients were randomised to receive either 8 Gy x 1 (n = 585) or 4 Gy x 6 (n = 586). The p... |
0 | Acupuncture in practice: Mapping the providers, the patients and the settings in a national cross-sectional survey | OAK 3 - Non-arthroplasty tx of OAK | Background: There is relatively limited knowledge about the practitioners who provide acupuncture treatment within the UK, what conditions patients consult for and the treatment provided. Objectives: To characterise the conditions treated and by whom, to examine characteristics of the treatment and to explore trends ov... |
0 | Enhanced recovery for fractured neck of femur: a report of 3 cases | AAHKS (8) Anesthetic Infiltration | Enhanced recovery is now a standard model of care in most UK elective surgical units. For hip and knee arthroplasty this approach typically includes opioid-sparing anesthesia (OSA), local infiltration analgesia (LIA), and day of surgery mobilization. There is evidence that these interventions shorten hospital stay and ... |
0 | Rotator Cuff Sparing Total Arthroplasty | Glenohumeral Joint OA | Design: Prospective, randomized clinical trial, of 120 patients requiring a total shoulder replacement (TSR). Purpose: To collect and evaluate longâ?term clinical data on patients whose total shoulder replacement (TSR) is performed using the traditional surgical approach (called the subscapularis release approach) as ... |
0 | Practical Review of Recognition and Management of Obesity and Lipohypertrophy in Human Immunodeficiency Virus Infection | Panniculectomy & Abdominoplasty CPG | Background. Obesity and lipohypertrophy are common in treated human immunodeficiency virus (HIV) infection and contribute to morbidity and mortality among HIV-infected adults on antiretroviral therapy (ART). Methods. We present a consensus opinion on the diagnosis, clinical consequences, and treatment of excess adiposi... |
1 | Comparison of a targeted and general massage protocol on strength, function, and symptoms associated with carpal tunnel syndrome: a randomized pilot study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Carpal tunnel syndrome (CTS) is a major, costly public health issue that could be dramatically affected by the identification of additional conservative care treatment options. Our study aimed to evaluate the effectiveness of two distinct massage therapy protocols on strength, function, and symptoms associat... |
0 | Epidemiology of hip fracture in Chiang Mai | DoD PRF (Psychosocial RF) | The incidence of hip fracture varies worldwide. From 1997 to 1998, the incidence of hip fracture in Chiang Mai was 151.2 and 185.2 per 100,000 from the hospital survey and the community survey respectively. The mortality rate in hospital following hip fracture was 2.1% and the one-year mortality rate rose steadily to 3... |
1 | Breast reduction with ultrasound-assisted lipoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | Ultrasound-assisted lipoplasty for reduction of fatty breasts and fixation has been found to be a safe technique with promising aesthetic results when it is applied in selected patients and performed by a surgeon with expertise with ultrasound-assisted body contouring. From 1995 to 2000, 120 patients were treated with ... |
0 | Survival is not enough: Reflections of a long-term renal patient | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A kidney patient recalls his experience of almost 45 years of renal replacement therapy covering nearly 25 years of dialysis and 20 years with a transplant. At the beginning, patient or graft survival was a major goal and symbol of successful treatment. But for the patient, what really matters is the quality of his lif... |
0 | Evaluation of skills in arthroscopic training based on trajectory and force data | AMP (Acute Meniscal Pathology) | Objective evaluation of surgical skills is essential for an arthroscopic training system. We asked whether a quantitative assessment of arthroscopic skills using scores, time to completion, instrument tip trajectory data, and force data was valid. We presumed more experienced surgeons would perform better on a simulate... |
1 | The Influence of Body Contouring Surgery on Weight Control and Comorbidities in Patients After Bariatric Surgery | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: A considerable number of patients experience some long-term weight regain after bariatric surgery. Body contouring surgery (BCS) is thought to strengthen post-bariatric surgery patients in their weight control and maintenance of achieved improvements in comorbidities. OBJECTIVES: To examine the impact of ... |
0 | Cases of visual impairment caused by cerebral venous sinus occlusion-induced intracranial hypertension in the absence of headache | Upper Eyelid and Brow Surgery | BACKGROUND: Cerebral venous sinus thrombosis or stenosis (here collectively referred to as cerebral venous sinus occlusion, CVSO) can cause chronically-elevated intracranial pressure (ICP). Patients may have no neurological symptoms other than visual impairment, secondary to bilateral papilledema. Correctly recognizing... |
0 | Comparison of results of different types of knee arthroplasties | Surgical Management of Osteoarthritis of the Knee CPG | We summarise our experience gained with knee arthroplasties over 18 years. Between 1976 and 1994 1103 knee arthroplasties (1044 primary cases, 59 revisions) were performed at the Orthopaedic Department of the National Institute of Rheumatology and Physiotherapy in Budapest, Hungary. The diagnoses were osteoarthritis (O... |
0 | The incidence of lower-extremity amputation and bone resection in diabetic foot ulcer patients treated with a human fibroblast-derived dermal substitute | PJI DX Updated Search | OBJECTIVE: Diabetic foot ulcers (DFUs) are frequently recalcitrant and at risk for infection, which may lead to lower-extremity amputation or bone resection. Reporting the incidence of amputations/bone resections may shed light on the relationship of ulcer healing to serious complications. This study aimed to evaluate ... |
1 | A prospective study to analyse the effectiveness of MRI while treating the knee joint injuries | AMP (Acute Meniscal Pathology) | Background: The value of magnetic resonance imaging (MRI) for imaging the knee was apparent almost immediately after the introduction of this modality in the early 1980s. With the introduction of special closely coupled extremity coils, high field systems, open systems, extremity units and other technical advances, the... |
1 | Complications of high-energy bicondylar tibial plateau fractures treated with dual plating through 2 incisions | DoD SSI (Surgical Site Infections) | OBJECTIVES: To characterize the rate of complications after operative fixation of bicondylar (OTA/AO 41-C) tibial plateau fractures and to evaluate the contribution of common risk factors.
DESIGN: Retrospective review.
SETTING: Level 1 regional trauma center.
PATIENTS/PARTICIPANTS: One hundred thirty-eight patients old... |
0 | Addition of buprenorphine to local anesthetic in adductor canal blocks after total knee arthroplasty improves postoperative pain relief: a randomized controlled trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND OBJECTIVES: For the hundreds of thousands of patients who undergo total knee arthroplasty (TKA) in the United States each year, early mobilization has been demonstrated to improve functional outcomes and reduce complications. Management of postoperative pain is a critical factor in achieving early mobili... |
0 | Psychological outcomes and measurement of maternal posttraumatic stress disorder during the perinatal period | DoD PRF (Psychosocial RF) | For many parents, labor, delivery, and/or the perinatal and neonatal periods present significant stressors that result in clinically significant parental feelings of psychological distress or trauma. This review article identifies known preexisting risk, and protective, factors for such distress, focusing on individual... |
0 | Is your prescription of distance running shoes evidence-based? | SR for PM on OA of All Extremities | OBJECTIVES: To determine whether the current practice of prescribing distance running shoes featuring elevated cushioned heels and pronation control systems tailored to the individual's foot type is evidence-based. DATA SOURCES: MEDLINE (1950-May 2007), CINAHL (1982-May 2007), EMBASE (1980-May 2007), PsychInfo (1806-Ma... |
0 | Partial meniscectomy and osteoarthritis. Implications for treatment of athletes | AAHKS (2) Corticosteroids | The biphasic ultrastructure of the meniscus and of articular cartilage provides their function in the complex biomechanics of the knee joint including load distribution, shock absorption, viscoelasticity, a smooth low friction gliding surface and resilience to compression. Meniscectomy may lead to destruction of cartil... |
1 | Posttraumatic stress, depression, stigma, and barriers to care among U.S. Army healthcare providers | DoD PRF (Psychosocial RF) | The U.S. Army Combat Medic faces enormous stress as both soldier and trauma care provider. This study provides an initial assessment of the mental health attitudes and behaviors of these soldiers. To date, there is no known research assessing Combat Medic behavioral health or their help seeking behavior following deplo... |
0 | Hormonal and biochemical parameters and osteoporotic fractures in elderly men | Management of Hip Fractures in the Elderly | Low testosterone has been associated with hip fracture in men in some studies. However, data on other hormonal parameters and fracture outcome in men is minimal. This study examined the association between free testosterone (free T) estradiol (E2), sex hormone-binding globulin (SHBG), 25-hydroxyvitamin D [25(OH)D], par... |
0 | Fast-track care for patients with suspected hip fracture | Management of Hip Fractures in the Elderly | Patients over 65 years of age with suspected hip fracture following low-energy trauma often wait a long time for examinations, X-rays, tests and surgery. There may be a connection between long waiting times and complications, including severe pain, mental confusion, infection, pressure sores, and longer hospital stays.... |
0 | Efficacy of strengthening or aerobic exercise on pain relief in people with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials | SR for PM on OA of All Extremities | OBJECTIVE: We performed a systematic review and meta-analysis of randomized controlled trials to investigate the differences in the efficacies between strengthening and aerobic exercises for pain relief in people with knee osteoarthritis. DATA SOURCES: This search was applied to Medline, Cochrane Central Register of Co... |
0 | Lifestyle and health conditions of adults with spinal cord injury | DoD PRF (Psychosocial RF) | OBJECTIVE: . To describe the lifestyle of adults with spinal cord injury and explore its relation with some health conditions.
METHODOLOGY: Cross sectional study, in which a questionnaire containing sociodemographic, habits and health conditions variables was used. Forty-seven people with spinal cord injury participate... |
0 | Dexamethasone reduces length of hospitalization and improves postoperative pain and nausea after total joint arthroplasty: A prospective, randomized controlled trial | AAHKS (8) Anesthetic Infiltration | Controlling postoperative pain and nausea after total joint arthroplasty remains an important challenge. We conducted a prospective, randomized controlled trial with 120 patients to determine if the addition of perioperative dexamethasone to a multimodal regimen improves antiemetic and analgesic control, enhances mobil... |
0 | Clinical relevance of pathological grades of malignant peripheral nerve sheath tumor: a multi-institution TMTS study of 56 cases in Northern Japan | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Malignant peripheral nerve sheath tumor (MPNST) is a relatively rare soft tissue tumor, and its clinical relevance of pathological grades remains obscure.
METHODS: Fifty-six cases of MPNST identified from the files of seven oncology centers of the Tohoku Musculoskeletal Tumor Society (TMTS) and National Can... |
0 | Effect of autologous adipose-derived mesenchymal stem cell therapy in the treatment of a post-traumatic chondral defect of the knee | PRP (Platelet-Rich Plasma) | Isolated chondral defects have a limited capacity to heal and predispose to the development of osteoarthritis. Current surgical management can be unpredictable in outcome. Improved understanding of the action of mesenchymal stem cells (MSCs) has seen renewed interest in their role in cartilage repair. A 26-year-old ath... |
0 | Closed Reduction and Percutaneous Pinning of Displaced Pediatric Lateral Condyle Fractures of the Humerus: A Cohort Study | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: In treating pediatric lateral condyle fractures (LCFs) of the humerus, closed reduction and percutaneous pinning (CRPP) is an attractive alternative to open reduction and internal fixation (ORIF) because of the potential decrease in tissue injury, shorter surgical times, and faster functional recovery. Howe... |
0 | Arthroplasty of the knee | Surgical Management of Osteoarthritis of the Knee CPG | A stable polycentric knee mechanism which allows axial rotation as well as simulating other knee movements was introduced into clinical use in 1971. The surgical and mechanical problems that presented over the past 7 1/2 years have greatly helped in improving our understanding of knee reconstruction and design. A patie... |
0 | Orbital compartment: effects of emergent canthotomy and cantholysis | DOD - Acute Comp Syndrome CPG | The objective of this study was to determine the effect of orbital decompression procedures on the intraocular pressure (IOP). The orbital compartment syndrome represents an emergency situation. Due to the elevated IOP vision loss may ensue. Several maneuvers including lateral canthotomy are discussed to reduce the IOP... |
0 | Role of interleukin-1 and tumor necrosis factor alpha in matrix degradation of human osteoarthritic cartilage | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To determine whether interleukin-1 (IL-1) or tumor necrosis factor alpha (TNFalpha), or both, plays a role in the excessive degradation that is observed in cultured osteoarthritic (OA) articular cartilage. METHODS: Antagonists of IL-1 and TNFalpha, namely, IL-1 receptor antagonist and the PEGylated soluble T... |
0 | Wound problems in total knee arthroplasty | DoD SSI (Surgical Site Infections) | Wound problems can often be prevented with careful planning. When transverse incisions are used for knee surgery many years prior to any anticipated knee arthroplasty, no major problems are typically encountered with a conventional, anterior longitudinal incision. We recommend lateral incisions (eg, after a previous la... |
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