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0 | [Effects of lower extremity joints' disease on lumbar surgical outcomes] | Management of Hip Fractures in the Elderly | OBJECTIVE: To study the effects of lumber operation on patients with pathologic changes of the lumbar vertebrae combined with degenerative diseases of lower extremity joints.METHODS: 237 patients with pathologic changes of the lumbar vertebrae combined with pain and/or limited activity of hip or knee joint, 153 (64.56%... |
1 | Clinical and radiological outcome of percutaneous plating in extra-articular proximal tibia fractures: A prospective study | DoD SSI (Surgical Site Infections) | Background: Despite various techniques of fixation, proximal tibia fractures are associated with poor outcome and increased rates of complications. Minimal access and rigid fixation are the keys for optimal outcome in such fractures. Therefore, this study was designed to look for the clinical and radiological outcomes ... |
0 | Does socioeconomic status influence the epidemiology and outcome of distal radial fractures in adults? | Distal Radius Fractures | PURPOSE: The aim of this study in adult patients with a distal radial fracture was to determine whether socioeconomic status influenced the epidemiology, mechanism of injury, fracture severity, or the outcome according to function, radiographic assessment, and rate of associated complications.
METHODS: We identified 39... |
0 | Single dose oral lumiracoxib for postoperative pain in adults | Management of Hip Fractures in the Elderly | BACKGROUND: Lumiracoxib is a selective cyclooxygenase-2 (COX-2) inhibitor. COX-2 inhibitors were developed to avoid COX-1-related gastrointestinal (GI) problems while maintaining the analgesic and anti-inflammatory activity of traditional non-steriodal anti-inflammatory drugs (NSAIDs). OBJECTIVES: To review the analges... |
1 | Osteonecrosis of the jaw onset times are based on the route of bisphosphonate therapy | MSTS 2018 - Femur Mets and MM | Purpose: Osteonecrosis of the jaw (ONJ) has been reported to be associated with patients receiving bisphosphonate (BP) therapy. There are many reports that suggest that the time of exposure to BPs is a significant risk factor for ONJ and that the greatest risk occurs after dentoalveolar surgery. The aim of this study w... |
0 | Detection of degenerative cartilage disease: comparison of high-resolution morphological MR and quantitative T2 mapping at 3.0 Tesla | AMP (Acute Meniscal Pathology) | OBJECTIVE: The aim of the study was to investigate the association of T2 relaxation times of the knee with early degenerative cartilage changes. Furthermore the impact of unloading the knee on T2 values was evaluated.
METHODS: Forty-three patients with knee pain and an ICRS (International Cartilage Repair Society) cart... |
1 | Systematic effects of surgical treatment of hip fractures: gliding screw-plating vs intramedullary nailing | Management of Hip Fractures in the Elderly | AIM: Numerous studies have been published regarding the comparison between intramedullary nail and the dynamic hip screw and plate for the fixation of intertrochanteric fractures in elderly patients. In this paper we present a comparative study of these two methods regarding their systemic effects on this group of pati... |
0 | Preoperative hand-grip strength can be a predictor of stair ascent and descent ability after total knee arthroplasty in female patients | OAK 3 - Non-arthroplasty tx of OAK | Background: Hand-grip strength was reported to be important predictor of functional limitation and disability related to low muscle strength in old people. The purpose of this study was to determine whether preoperative hand-grip strength predicts stair ascent and descent ability after total knee arthroplasty (TKA). Me... |
0 | Activation of peripheral group III metabotropic glutamate receptors inhibits pain transmission by decreasing neuronal excitability in the CFA-inflamed knee joint | OAK 3 - Non-arthroplasty tx of OAK | Peripheral group III metabotropic glutamate receptors (mGluRs) function to modulate pain signaling in inflammatory states. Here, we established in vivo experimental settings, including dynamic weight bearing test and in vivo single nerve recording, to elucidate how the group III mGluRs contribute to inhibiting pain tra... |
0 | Dual mini TightRope suspensionplasty for thumb basilar joint arthritis: a case series | Glenohumeral Joint OA | PURPOSE: To evaluate the efficacy of the technique of dual Mini TightRope suspensionplasty for treatment of trapeziometacarpal joint arthritis.
METHODS: We conducted a retrospective study investigating the use of a dual Mini TightRope suspensionplasty technique from 2010 to 2013 at a single institution. We identified 1... |
0 | Denosumab: In cancer treatment-induced bone loss | DoD SSI (Surgical Site Infections) | Denosumab is a fully human monoclonal IgG2 antibody that binds to receptor activator of nuclear factor-?B ligand (RANKL) and inhibits bone resorption due to RANKL-mediated osteoclastogenesis. In Europe, subcutaneous denosumab is indicated for cancer treatment-induced bone loss in men with prostate cancer and in postmen... |
0 | Quality of life in postoperative Japanese hip fracture patients: A hospital-based prospective study | Management of Hip Fractures in the Elderly | Summary: This study aimed to study quality of life (QOL) in postoperative Japanese hip fracture patients. Although QOL in Japanese patients recovered to pre-fracture levels 1 year following hospitalization, the recovery varied and was associated with physical factors and living arrangements. Introduction: The aim of th... |
0 | Non-anatomic repair of medial meniscus posterior root tears to the posterior capsule provided favourable outcomes in middle-aged and older patients | AMP (Acute Meniscal Pathology) | PURPOSE: To describe a non-anatomic arthroscopic all-inside repair technique for middle-aged and older patients with medial meniscus posterior root tears (MMPRTs) and to evaluate the short- to mid-term clinical and radiologic results. The hypothesis was that this procedure would yield good clinical outcome results and ... |
1 | Fixation of displaced femoral neck fractures with a sliding screw plate and a cancellous screw or two Olmed screws. A prospective, randomized study of 225 elderly patients with a 3-year follow-up | Management of Hip Fractures in the Elderly | BACKGROUND AND AIMS: To analyse the importance of fixation method in displaced femoral neck fractures and to identify factors predictive of failure of the fixation. MATERIAL AND METHODS: Two hundred and twenty-five patients were included in a prospective, randomised study and operated on for a displaced, subcapital fra... |
0 | Cost-benefit evaluation of liposomal bupivacaine in the management of patients undergoing total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | PURPOSE: Results of a cost-benefit analysis of intraoperative use of liposomal bupivacaine for postsurgical pain management in patients undergoing total knee arthroplasty (TKA) are presented.
METHODS: In a retrospective single-site study, clinical and cost outcomes were compared in a group of 134 consecutive patients w... |
0 | Analysis of the Factors Contributing to Vertebral Compression Fractures After Spine Stereotactic Radiosurgery | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: To determine our institutional vertebral compression fracture (VCF) rate after spine stereotactic radiosurgery (SRS) and determine contributory factors.
METHODS AND MATERIALS: Retrospective analysis from 2001 to 2013 at a single institution was performed. With institutional review board approval, electronic me... |
0 | Treatment satisfaction after switching to another therapy in Spanish orthopaedic clinic outpatients with knee or hip osteoarthritis previously refractory to paracetamol | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND OBJECTIVE: Hip and knee osteoarthritis is highly prevalent in the elderly, and the incidence is estimated to increase in the coming decades. Prior to surgery, symptomatic treatment, starting with non-pharmacological therapies, should be prescribed. Paracetamol (acetaminophen) is the recommended first pha... |
0 | Hospitalisation cost analysis on hip fracture in China: a multicentre study among 73 tertiary hospitals | Hip Fx in the Elderly 2019 | OBJECTIVE: To describe and analyse the hospitalisation cost of patients with hip fracture under the influence of various factors and to provide references for Chinese national medical insurance policy.
MATERIALS AND METHODS: All data were collected from the Chinese National Medical Data Centre database, which contained... |
0 | Myeloma bone disease: pathogenesis, current treatments and future targets | MSTS 2018 - Femur Mets and MM | INTRODUCTION: Patients with myeloma develop localized and generalized bone loss leading to hypercalcaemia, accelerated osteoporosis, vertebral wedge fractures, other pathological fractures, spinal cord compression and bone pain. Bone loss is mediated by a variety of biological modifiers including osteoclast-activating ... |
1 | Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees | AMP (Acute Meniscal Pathology) | BACKGROUND: Despite emphasis on classifying meniscal tears based on healing potential of the tear, research has concentrated on unstable knees, and few reports have provided information regarding associated clinical variables in stable knees.
PURPOSE: To report on a large series of meniscal tears in stable knees that h... |
0 | Behavioral cues to expand a pain model of the cognitively impaired elderly in long-term care | Management of Hip Fractures in the Elderly | Background: The purpose of this study was to determine the relationship between hypothesized pain behaviors in the elderly and a measurement model of pain derived from the Minimum Data Set-Resident Assessment Instrument (MDS-RAI) 2.0 items. Methods: This work included a longitudinal cohort recruited from Medicare-certi... |
0 | Intra-articular fractures of the distal end of the radius in young adults | Distal Radius Fractures | Intra-articular fractures of the distal part of the radius in young adults comprise a distinct subgroup of fractures that are difficult to manage and are associated with a high frequency of post-traumatic arthritis. The effect of residual radiocarpal incongruity after this fracture has not been investigated previously.... |
0 | Outcomes of simultaneous high tibial osteotomy and anterior cruciate ligament reconstruction in anterior cruciate ligament deficient knee with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: We aimed to evaluate clinical and radiological results after simultaneous open-wedge high tibial osteotomy (HTO) and anterior cruciate ligament (ACL) reconstruction in patients with ACL deficiency combined with medial uni-compartmental osteoarthritis (OA) and varus deformity.
METHODS: This retrospective stu... |
0 | Peripheral nerve involvement in primary systemic AL amyloidosis: a clinical and electrophysiological study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Involvement of visceral organs usually dominates the clinical picture of primary systemic AL amyloidosis, but some patients suffer from serious peripheral neuropathy. The aim of this study is to clinically and electrophysiologically investigate peripheral nerve involvement in AL amyloidosis patients. PATIEN... |
0 | Muscle power and function two years after unicompartmental knee replacement | OAK 3 - Non-arthroplasty tx of OAK | Unicompartmental knee replacement (UKR) is a commonly performed procedure, suitable for one in four patients requiring knee replacement for end-stage osteoarthritis. Recovery and return of function is quicker than with total knee replacement (TKR), but little information is known about the recovery of muscle power. We ... |
0 | Homocysteine as a predictive factor for hip fracture in older persons | Management of Hip Fractures in the Elderly | BACKGROUND: The increased prevalence of osteoporosis among people with homocystinuria suggests that a high serum homocysteine concentration may weaken bone by interfering with collagen cross-linking, thereby increasing the risk of osteoporotic fracture. We examined the association between the total homocysteine concent... |
1 | Femoral nerve block. Single injection versus continuous infusion for total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: This study was conducted to ascertain whether there is any advantage to the continuous-infusion femoral 3-in-1 nerve block over the single-injection femoral nerve block for postoperative analgesia after total knee arthroplasty.
METHODS: A double-blind, randomized, controlled study was made of... |
0 | Periprosthetic femoral fractures treated by locked plating: feasibility assessment of the mini-invasive surgical option. A prospective series of 36 fractures | Hip Fx in the Elderly 2019 | INTRODUCTION: The treatment of periprosthetic femoral fractures by conventional plating is associated with problems related to fracture union and eventual refracture. Additionally, locking nailing cannot be used in all cases because of the risk of malunion. To resolve these issues, locking plates have been proposed to ... |
0 | Vascularised iliac bone grafting in the treatment of femoral neck nonunion in young adults: A retrospective study | Pediatric Diaphyseal Femur Fractures 2020 Review | Introduction: Revision internal fixation for femoral neck nonunion in young patients can pose a surgical challenge. Hip salvage protocols include osteotomy and osteosynthesis using various implants and grafting techniques (muscle pedicle, vascularised or nonvascularised fibular graft). The purpose of this study was to ... |
0 | Living conditions and health of a population aged 85 years or over: A five-year follow-up study | Management of Hip Fractures in the Elderly | The population aged 85 years or over (n = 674) living in Tampere, Finland was surveyed in 1977-78. Altogether 561 persons (83%), 99 men and 462 women, were examined. A re-examination of 170 persons, 23 men and 147 women, was carried out in 1982 by the same procedure as in 1977-78. The results were compared with those o... |
0 | Palliative care in malignant haematology: An overview | MSTS 2018 - Femur Mets and MM | The majority of patients with haematologic neoplasias may experience troublesome symptoms and complicating clinical syndromes throughout all phases of disease. In this view, the patient's management should incorporate causal treatments and symptomatic measures. Therefore, among the current concepts concerning the compr... |
0 | Intraoperative Psoas Compartment Block vs Preoperative Fascia Iliaca Block for Pain Control After Direct Anterior Total Hip Arthroplasty: A Randomized Controlled Trial | AAHKS (4) Acetaminophen | Background: Modern joint arthroplasty protocols place an emphasis on minimizing patient-reported postoperative pain while minimizing opioid consumption. The use of multimodal pain management protocols has been reported to improve patient outcomes and satisfaction after total hip arthroplasty. Methods: In a prospective,... |
0 | Impact of Distal Median Neuropathy on Handwriting Performance for Patients with Carpal Tunnel Syndrome in Office and Administrative Support Occupations | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose This study investigates the handwriting performance of patients with carpal tunnel syndrome (CTS) and healthy controls in office and administrative support occupations, adopting both biomechanical and functional perspectives. This work also explores how surgical intervention altered the performance of the CTS p... |
0 | A five-year clinical and radiographic follow-up of bipolar hip arthroplasty with insertion of a porous-coated anatomic femoral component without cement | Management of Hip Fractures in the Elderly | To evaluate the clinical and radiographic outcomes of bipolar hip arthroplasty with a cementless porous-coated anatomic femoral component. Fifty-nine patients (86 hips) with a minimum 3.5-year follow-up were followed up for a mean of 5.2 years (from January 2005 to January 2007). Standard clinical evaluation utilizing ... |
0 | Glenoid corticocancellous bone grafting after glenoid component removal in the treatment of glenoid loosening | Glenohumeral Joint OA | Nine patients underwent removal of a loose glenoid component and corticocancellous iliac crest autografting of the bony defect. No revision glenoid components were inserted. Eight bony defects were large, central, and cavitary, and one had an additional peripheral component. Patients were evaluated with a subjective as... |
0 | Gross polyethylene failure in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | A total of 12 total knee replacements in nine patients with evidence of gross polyethylene failure at the time of revision surgery were identified. There were nine tibial and three patellar component failures. The average time from index to revision arthroplasty was 6 years (range: 0.75 to 9.63). A retrospective cohort... |
0 | Magnetic Resonance Imaging of Asymptomatic Knees in Collegiate Basketball Players: The Effect of One Season of Play | AMP (Acute Meniscal Pathology) | OBJECTIVE: To determine the prevalence of abnormal structural findings using 3.0-T magnetic resonance imaging (MRI) in the asymptomatic knees of male and female collegiate basketball players before and after a season of high-intensity basketball.
DESIGN: Institutional review board-approved prospective case series.
PART... |
0 | Short-term changes in tear volume after blepharoptosis repair | Upper Eyelid and Brow Surgery | PURPOSE: The aim was to evaluate tear volume change by using videomeniscometry before and after blepharoptosis surgery. METHODS: Fifty-nine eyes of 36 patients with blepharoptosis without lacrimal duct obstruction or other eyelid diseases were examined. All the patients underwent levator advancement, and the tear volum... |
1 | Intraoperative biomechanical evaluation of anatomic anterior cruciate ligament reconstruction using a navigation system: comparison of hamstring tendon and bone-patellar tendon-bone graft | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Recently, more anatomic anterior cruciate ligament reconstructions have been developed to improve knee laxity. PURPOSE: The objective of this study is to assess knee kinematics after double-bundle reconstruction with hamstring tendon and after anatomically oriented reconstruction with a patellar tendon usin... |
0 | Operating room traffic is a major concern during total joint arthroplasty | PJI DX Updated Search | BACKGROUND: Periprosthetic joint infection (PJI) is a challenging complication associated with total joint arthroplasty(TJA). Traffic in the operating room (OR) increases bacterial counts in the OR, andmay lead to increased rates of infection. QUESTION/PURPOSES: Our purposes were to (1) define the incidence of door ope... |
0 | Efficacy of low frequency pulsed subsensory threshold electrical stimulation vs placebo on pain and physical function in people with knee osteoarthritis: systematic review with meta-analysis | SR for PM on OA of All Extremities | OBJECTIVE: To determine if low frequency (</=100 Hz) pulsed subsensory threshold electrical stimulation produced either through pulsed electromagnetic field (PEMF) or pulsed electrical stimulation (PES) vs sham PEMF/PES intervention is effective in improving pain and physical function at treatment completion in adults ... |
0 | Complications after hip fracture surgery: are they preventable? | Hip Fx in the Elderly 2019 | PURPOSE: Surgery for hip fractures is frequently followed by complications that hinder the rehabilitation of patients. The aim of this study was to describe the incidence rate and type of complications, including mortality, after hip fracture surgery, and to identify the risk factors of these complications that may be ... |
0 | Mechanical hyperalgesia and reduced quality of life occur in people with mild knee osteoarthritis pain | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: This study determined whether individuals with mild knee pain due to osteoarthritis (OA) experience hyperalgesia and central sensitivity by comparing them with age-matched and sex-matched control participants and determined whether these levels are associated with pain intensity. This study also determined ... |
0 | Physeal injuries in children | Distal Radius Fractures | Fractures involving the physis account for up to one-third of paediatric fractures. It is also the structure which needs to be preserved to ensure normal growth. The relative strength of the physis changes with age and it becomes weaker as the child grows older, making physeal injuries more common in adolescence. It is... |
0 | The effect of epsilon aminocaproic acid on blood loss in patients who undergo primary total hip replacement: a pilot study | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine if the use of an antifibrinolytic agent (epsilon aminocaproic acid [EACA]) decreased perioperative and postoperative blood loss in patients who underwent total hip arthroplasty (THA).DESIGN: A prospective, double-blind, randomized, controlled clinical trial.SETTING: A university-affiliated terti... |
0 | Median nerve compression by volarly displaced fragments of the distal radius | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Median nerve compression may occur acutely, subacutely, or late following fractures of the distal radius. Hematoma and swelling at the mouth of the carpal tunnel are the likely cause in acute cases. A contributing factor generally not recognized initially is a volarly displaced fragment of distal radius compressing the... |
0 | Shorter time to first injury in first year professional football players: A cross-club comparison in the Australian Football League | DoD PRF (Psychosocial RF) | Objectives: Australian Football League (AFL) players have a high risk of injury. Anecdotally, this injury risk is greater in emerging players (i.e. those in their first year), compared with established players (with 3+ years of experience). This study aimed to conduct the first comparison of injury risk and playing exp... |
0 | Use of surveillance data to identify target populations for Staphylococcus aureus vaccines and prevent surgical site infections: a pilot study | PJI DX Updated Search | The development of anti-staphylococcal vaccines is nowadays a priority to prevent surgical site infections (SSI). The objective of the present study was to identify a potential target population by assessing surveillance data on surgery patients for possible anti-staphylococcal vaccine administration. Individuals at hi... |
0 | Sports injuries among professional male athletes in kuwait: Prevalence and associated factors | DoD PRF (Psychosocial RF) | To assess a 12-month period and the lifetime prevalence of sports injuries among male athletes according to type of sport, type of injury and its seriousness, and to examine the association of injuries with sociodemographic, lifestyle and preventive factors. Subjects and Methods: In this cross-sectional study, we appro... |
0 | Clinical applications of dynamic functional musculoskeletal ultrasound | AMP (Acute Meniscal Pathology) | There is an increasing trend in medicine to utilize ultrasound for diagnosis of musculoskeletal pathology. Although magnetic resonance imaging provides excellent spatial resolution of musculoskeletal structures in multiple imaging planes and is generally the cross-sectional modality of choice, it does not provide dynam... |
0 | The fate of proximal femoral fractures in the 10th decade of life: an analysis of 117 consecutive patients | DoD SSI (Surgical Site Infections) | INTRODUCTION: To date, there is a lack of valid data with larger populations of patients in their 10th decade of life in the analyses of proximal femoral fractures.
MATERIAL AND METHODS: The inclusion criteria focused on all proximal femoral fractures in patients 90-99 years of age who underwent surgical treatment betw... |
0 | Quantifying technical skills during open operations using video-based motion analysis | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: Objective quantification of technical operative skills in surgery remains poorly defined, although the delivery of and training in these skills is essential to the profession of surgery. Attempts to measure hand kinematics to quantify operative performance primarily have relied on electromagnetic sensors ... |
0 | Current preferences for breast reduction techniques: a survey of board-certified plastic surgeons 2002 | Panniculectomy & Abdominoplasty CPG | The purpose of this survey was to assess the current trends in breast reduction techniques and to compare satisfaction rates and complications associated with traditional incision and limited incision techniques. In September of 2002, a breast reduction survey was sent to 1500 members of the American Society for Aesthe... |
0 | Sanmiao formula inhibits chondrocyte apoptosis and cartilage matrix degradation in a rat model of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Sanmiao formula (SM) is a basic prescription for the treatment of gouty and rheumatoid arthritis that has been used in China over a long period of history. However, there is no evidence associating SM with the treatment of osteoarthritis (OA). In this study, a characterization of the anti-OA effect of SM was conducted ... |
0 | Osteoporosis and Osteoporotic Fracture Fact Sheet in Korea | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The socioeconomic burdens of osteoporosis and related fractures have increased in parallel with population aging. The Korea Society of Bone and Mineral Research published fact sheets on these topics in 2017, 2018, and 2019. This study provides complied epidemiological data based on these fact sheets for und... |
0 | Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty: A randomised controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Objective To investigate the postoperative efficacy of a supervised programme of neuromuscular exercise prior to hip or knee arthroplasty. Methods: In this assessor-blinded randomised controlled trial, we included 165 patients scheduled for hip or knee arthroplasty due to severe osteoarthritis (OA). An 8-week preoperat... |
0 | Validated prediction of imminent risk of fracture for older adults | Hip Fx in the Elderly 2019 | Objectives: To develop and validate predictive models for imminent fracture risk in a Medicare population. Study Design: This retrospective administrative claims (Humana Research Database) study assessed imminent risk in Humana's Medicare Advantage and Prescription Drug plan members. Methods: Individuals (aged 67-87 ye... |
0 | Functional outcome of primary hamstring anterior cruciate ligament reconstruction in patients with different body mass index classes | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: We compared functional outcomes after primary hamstring-graft anterior cruciate ligament (ACL) reconstruction in patients with different body mass index (BMI) classes.
METHODS: Functional outcomes after ACL reconstruction were measured using the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Lysho... |
1 | Acute compartment syndromes: diagnosis and treatment with the aid of the wick catheter | DOD - Acute Comp Syndrome CPG | Intracompartmental pressures were measured by the wick catheter technique in sixty-five compartments of twenty-seven patients who were clinically suspected of having acute compartment syndromes. A pressure of thirty millimeters of mercury or more was used as an indication for decompressive fasciotomy. The range of norm... |
0 | Antibiotic Management and Operative Debridement in Open Fractures of the Hand and Upper Extremity: A Systematic Review | Distal Radius Fractures | Open fractures of the hand are thought to be less susceptible to infection than other open fractures because of the increased blood supply to the area. Current evidence for all open fractures shows that antibiotic use and the extent of contamination are predictive of infection risk, but time to debridement is not. We r... |
0 | Upper extremity difficulties in the dedicated amateur instrumentalist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | There are more than 62 million amateur instrumental musicians in the United States, many of whom can be described as active, dedicated amateurs. This report details a 15-year experience with 258 such patients with upper extremity problems from the author's hand surgical practice, and compares some epidemiological and e... |
0 | "Fat Grafting in the Hollow Upper Eyelids and Volumetric Upper Blepharoplasty" | Upper Eyelid and Brow Surgery | BACKGROUND: Periorbital volume loss creates a shadow frame, where traditional excisional blepharoplasties may aggravate the situation. Divergence in filling treatments establishes a demand for simple and reproducible techniques to achieve consistent results. Here, the author's hollow upper eyelid evaluation and treatme... |
0 | What are the lessons we can glean from a review of recent closed malpractice cases involving oral and maxillofacial infections? | DOD - Acute Comp Syndrome CPG | OMS National Insurance Company insures over 4700 oral and maxillofacial surgeons, 83% of the fellows and members of the American Association of Oral and Maxillofacial Surgeons. The company has over 10,000 closed malpractice claims involving oral and maxillofacial surgeons. Data and trends involving infections that deve... |
1 | Pulseless Supracondylar Humerus Fracture With Anterior Interosseous Nerve or Median Nerve Injury-An Absolute Indication for Open Reduction? | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Optimal management for a pulseless supracondylar humerus fracture associated with anterior interosseous nerve (AIN) or median nerve injury is unclear. The purpose of this study was to determine the incidence of pulseless supracondylar humerus fractures associated with AIN or median nerve injury, to assess o... |
0 | Plate fixation of ununited humeral shaft fractures: effect of type of bone graft on healing | DoD SSI (Surgical Site Infections) | BACKGROUND: Delayed union or nonunion of a fracture of the humerus is an infrequent but debilitating complication. Open reduction and internal fixation combined with autologous bone-grafting can result in reliable healing of the fracture; however, there is morbidity associated with the bone-graft donor site. This study... |
0 | Prevalence of osteoporotic bone mineral density at the hip in Britain differs substantially from the US over 50 years of age: implications for clinical densitometry | Management of Hip Fractures in the Elderly | The purpose of this study was to compare hip bone mineral density (BMD) recorded in seven population based cohorts in Britain with the third National Health and Nutrition Examination Survey (NHANES III) US population-based reference data, in order to assess geographic variation in the prevalence of osteoporosis. Men an... |
0 | Randomized Controlled Trial of Micronized Dehydrated Human Amnion/Chorion Membrane (dHACM) Injection Compared to Placebo for the Treatment of Plantar Fasciitis | AMP (Acute Meniscal Pathology) | Background: Failure of conservative management to reduce/eliminate symptoms of plantar fasciitis (PF) may indicate need for advanced treatments. This study reports Level 1 evidence supporting 3-month safety and efficacy of micronized dehydrated human amnion/chorion membrane (dHACM) injection as a treatment for PF. Meth... |
0 | Vitamin D: more than just affecting calcium and bone | Management of Hip Fractures in the Elderly | Vitamin D is a fat-soluble steroid that is essential for maintaining normal calcium metabolism. In vitamin D deficiency, calcium absorption is insufficient and cannot satisfy the body's needs. Consequently, parathyroid hormone production increases and calcium is mobilized from bones and reabsorbed in the kidneys to mai... |
1 | Platelet-rich plasma: why intra-articular? A systematic review of preclinical studies and clinical evidence on PRP for joint degeneration | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The aim of this review was to analyze the available evidence on the clinical application of this biological approach for the injective treatment of cartilage lesions and joint degeneration, together with preclinical studies to support the rationale for the use of platelet concentrates, to shed some light and g... |
0 | Cutaneous effects on presynaptic inhibition of flexor Ia afferents in the human forearm | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In six subjects, H reflexes obtained in the flexor muscles in the forarm were inhibited by single motor threshold shocks to the radial nerve in the spiral groove. The first two phases of the inhibitory time course were studied: with intervals between the radial and median nerve shocks of -1 to +1 ms, and +5 to +30 ms. ... |
0 | PET imaging of osteosarcoma | MSTS AUC - Based on ACR Lit Review | During the past decade the clinical value of PET imaging has been investigated for many different tumors. As knowledge of the advantages and limitations of this modality increased, PET has gained acceptance in tumor imaging. (18)F-FDG PET is now successfully used and approved for procedure reimbursement in many types o... |
0 | Effects of Treadmill Exercise on Advanced Osteoarthritis Pain in Rats | OAK 3 - Non-arthroplasty tx of OAK | Objective: Exercise is commonly recommended for patients with osteoarthritis (OA) pain. However, whether exercise is beneficial in ameliorating ongoing pain that is persistent, resistant to nonsteroidal antiinflammatory drugs (NSAIDs), and associated with advanced OA is unknown. Methods: Rats treated with intraarticula... |
0 | Evaluation of the effectiveness of platelet rich plasma in treatment of chronic pes anserinus pain syndrome | PRP (Platelet-Rich Plasma) | BACKGROUND: Enthesopathy-associated pain does not only occur in athletes but also in persons of average daily activity levels. Repetitive microtrauma within the pes anserinus may lead to chronic inflammation and later result in development of degenerative changes in this region. It is commonly believed that this condit... |
0 | Case report: Alagille syndrome | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The clinical case of a boy aged 6 years suffering from Alagille syndrome is described. This is a rare genetic disease characterised, from the hepatic point of view, by anomalies of the intrahepatic biliary ducts (in terms of number, histology and immunohistochemistry) with cholestasis; from the systemic point of view i... |
0 | Somatosensory conduction delay in central and peripheral nervous system of diabetic patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Fifty-four diabetic patients with or without clinical evidence of neuropathy and with no clinical evidence of CNS dysfunction were studied by somatosensory-evoked potentials after electrical stimulation of the median nerve at the wrist and recorded from the scalp electrode against a noncephalic reference. Peripheral co... |
0 | Improving Outcomes of Posterior Approach Levatorpexy for Congenital Ptosis With Reduced Levator Function | Upper Eyelid and Brow Surgery | PURPOSE: The authors present a new series of our experience using posterior approach levatorpexy for congenital ptosis with poorer levator function (LF) in comparison with our first published report. This technique avoids a skin incision or any resection in addition to no excision of tissue. METHODS: A consecutive seri... |
1 | Carpal tunnel syndrome. Testing the sensitivity and validity of four "localized discomfort" instruments | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A convenience sample of 52 participants was used to examine the construct validity and sensitivity of four "localized discomfort" instruments and the severity of clients with carpal tunnel syndrome, using the "known group" method. Three groups known to have severe, mild, or no carpal tunnel syndrome based on either ner... |
0 | Pre-fracture quality of life predicts 1-year survival in elderly patients with hip fractureâ??development of a new scoring system | DoD PRF (Psychosocial RF) | Summary: Hip fractures are common in elderly people. Despite great progress in surgical care, the outcome of patients with hip fracture remains disappointing. This study determined four prognostic factors (lower ASA score, higher pre-fracture EQ-5D index, higher MMSE score, and female gender) to predict 1-year survival... |
0 | A three-group study, internet-based, face-to-face based and standard- management after acute whiplash associated disorders (WAD) - Choosing the most efficient and cost-effective treatment: Study protocol of a randomized controlled trial | DoD PRF (Psychosocial RF) | Background. The management of Whiplash Associated Disorders is one of the most complicated challenges with high expenses for the health care system and society. There are still no general guidelines or scientific documentation to unequivocally support any single treatment for acute care following whiplash injury. The m... |
1 | VITAL-Bone Health: rationale and design of two ancillary studies evaluating the effects of vitamin D and/or omega-3 fatty acid supplements on incident fractures and bone health outcomes in the VITamin D and OmegA-3 TriaL (VITAL) | Hip Fx in the Elderly 2019 | RATIONALE: Although vitamin D is widely used to promote skeletal health, definitive data on benefits and risks of supplemental vitamin D alone on bone are lacking. Results from large, randomized controlled trials in the general population are sparse. Data on the effects of supplemental omega-3 fatty acids (FAs) on bone... |
0 | Pulmonary embolism following total knee arthroplasty in Taiwanese patients | OAK 3 - Non-arthroplasty tx of OAK | Background: Pulmonary embolism is a relatively uncommon, but serious, postoperative complication of hip and knee arthroplasty however, little information is available about the prevalence of pulmonary embolism in Taiwan. Methods: We report here a series of five patients who sustained a symptomatic pulmonary embolism af... |
0 | Effectiveness of pharmacist-led medication review in chronic pain management: Systematic review and meta-analysis | SR for PM on OA of All Extremities | OBJECTIVE: To evaluate the effectiveness of pharmacist-led medication review in chronic pain management. METHODS: Six electronic databases (Medline, Embase, PsycInfo, CINHAL, CENTRAL, International Pharmaceutical Abstracts) reference lists of retrieved articles and relevant websites were searched for randomised control... |
0 | Effects of up to 5 years of denosumab treatment on bone histology and histomorphometry: the FREEDOM study extension | Hip Fx in the Elderly 2019 | Denosumab reduced bone resorption, increased bone mineral density (BMD), and decreased new vertebral, hip, and nonvertebral fracture risk in postmenopausal women with osteoporosis in the FREEDOM trial. Consistent with its mechanism of action, transiliac crest bone biopsies from subjects treated with denosumab for 1 to ... |
0 | Kinesiologic measurements of functional performance before and after double compartment Marmor knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Kinesiologic measurements were made in 21 patients with 25 Marmor knee prostheses to evaluate the nature, rate, and extent of change in functional ability after surgery. The measurements made before the operation and six, 12, and 24 months afterward in patients with degenerative joint disease (DJD) and rheumatoid arthr... |
0 | Effect of general anesthesia on the abnormal immune response in patients with rheumatoid arthritis | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To evaluate the influence of mental stress on the neuroendocrine-immune system in patients with rheumatoid arthritis (RA). METHODS: Twenty-four patients with RA and 10 patients with osteoarthritis (OA) who underwent total knee or hip arthroplasty under general anesthesia were enrolled in this study. The bloo... |
0 | Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomised controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To test the hypotheses that therapeutic taping of the knee improves pain and disability in patients with osteoarthritis of the knee and that benefits remain after stopping treatment. DESIGN: Randomised single blind controlled trial with three intervention arms (therapeutic tape, control tape, and no tape) o... |
0 | Pharmacokinetics of high dose ropivacaine with and without epinephrine for combined sciatic/femoral nerve block | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: Currently there are no pharmacokinetic data on doses of ropivacaine larger than 300 mg for peripheral nerve block in man. The purpose of the present study was to obtain the pharmacokinetic profile in serum of 450 mg ropivacaine with and without epinephrine in patients undergoing anterior cruciate l... |
0 | Use of medical comorbidities to predict complications after hip fracture surgery in the elderly | Management of Hip Fractures in the Elderly | BACKGROUND: Comorbidities before and complications following hip fracture surgery can impact the return of function. We hypothesized that the American Society of Anesthesiologists (ASA) classification of medical comorbidities is a useful surrogate variable for the patient's general medical condition and would be a stro... |
0 | Psychological Symptoms Among Obstetric Fistula Patients Compared to Gynecology Outpatients in Tanzania | DoD PRF (Psychosocial RF) | BACKGROUND: Obstetric fistula is a childbirth injury prevalent in sub-Saharan Africa that causes uncontrollable leaking of urine and/or feces. Research has documented the social and psychological sequelae of obstetric fistula, including mental health dysfunction and social isolation.
PURPOSE: This cross-sectional study... |
0 | Resilience in the initial year of caregiving for a family member with a traumatic spinal cord injury | DoD PRF (Psychosocial RF) | OBJECTIVE: Individuals who assume caregiving duties for a family member disabled in a traumatic injury often exhibit considerable distress, yet few studies have examined characteristics of those who may be resilient in the initial year of caregiving. Reasoning from the influential Pearlin model of caregiving (Pearlin &... |
0 | Short- to Medium-term Outcomes of Radial Head Replacement Arthroplasty in Posttraumatic Unstable Elbows: 20 to 70 Months Follow-up | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: The radial head is considered the main stabilizer of the elbow when the medial collateral ligament and lateral ulnar collateral ligament have been compromised. Radial head replacement (RHR) is indicated for patients with irreparable or non-united radial head fractures associated with elbow stiffness or inst... |
0 | Fatigue fracture of the pelvis after total knee replacements: report of a case | Surgical Management of Osteoarthritis of the Knee CPG | Fatigue fracture of the pelvis in a 66-year-old woman with rheumatoid arthritis was recognized after bilateral total knee replacements. The fatigue fractures occurred sequentially and bilaterally in the superior and inferior pubic rami. Satisfactory recovery occurred in response to conservative treatment. The fracture ... |
0 | Instability in the older adult | Management of Hip Fractures in the Elderly | Instability and falling are common concerns for older adults and their clinical providers as well as contributors to the epidemic consequences of hip fracture and other traumatic injuries from falls. Thoughtful attention to the historic description of the symptoms, consideration of the underlying medical conditions, an... |
0 | MRI assessment of knee osteoarthritis: Knee Osteoarthritis Scoring System (KOSS)--inter-observer and intra-observer reproducibility of a compartment-based scoring system | DOD - Acute Comp Syndrome CPG | OBJECTIVE: To develop a scoring system for quantifying osteoarthritic changes of the knee as identified by magnetic resonance (MR) imaging, and to determine its inter- and intra-observer reproducibility, in order to monitor medical therapy in research studies.
DESIGN AND PATIENTS: Two independent observers evaluated 25... |
0 | Fractures of the hip | AAHKS (2) Corticosteroids | This contribution discusses the basic features of hip fractures and their management. © 2007 Elsevier Ltd. All rights reserved. |
0 | Tidal Lavage in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | This study was a randomized, doubleâ?blind, sham procedureâ?controlled evaluation of tidal lavage as a treatment for knee osteoarthritis. We achieved blinding by raising a drape during the study procedure and mimicking the sensory aspects of tidal lavage, but not flushing the knee, in the sham lavage group. We gave a... |
0 | Utility and short-term outcomes of hand-assisted laparoscopic colorectal surgery: A single-institution experience in 1103 patients | DOD - Acute Comp Syndrome CPG | BACKGROUND: Despite its introduction in 1991, laparoscopic colectomy is performed in < 10% of United States patients requiring colectomy. Laparoscopic colectomy is avoided principally because of its technical difficulty, steep learning curve, and increased operative times. Hand-assisted laparoscopic colectomy is an alt... |
1 | Soft-tissue coverage and outcome of gustilo grade IIIB midshaft tibia fractures: a 15-year experience | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The authors describe a 15-year experience with Gustilo grade IIIB fractures of the midtibia based on the type and timing of soft-tissue coverage. METHODS: A retrospective chart review was performed and patient demographics, risk factors, choice and timing of coverage, fracture outcome, and limb survival dat... |
0 | Increased severity of type III supracondylar humerus fractures in the preteen population | DoD SSI (Surgical Site Infections) | BACKGROUND: Supracondylar humerus fractures are the most common operative fractures in children; however, no studies describe the older child with this injury. The purpose of this study was to compare Gartland type III supracondylar humerus fractures in children older than 8 years of age with those in younger children ... |
0 | Adductor Canal Block (ACB) Before and After Primary Total Knee Arthroplasty (TKA) | AAHKS (9/10) Regional Nerve Blocks | D. Research Design and Methods Inclusion Criteria: The study is a prospective, randomized controlled clinical trial comparing two methods of regional analgesia for primary TKA. All adult primary TKA patients are eligible for inclusion in the study. Exclusion criteria: â? Allergy to local anesthetics or to systemic opi... |
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