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Assessment of radial and ulnar torsion profiles with cross-sectional magnetic resonance imaging: A study of volunteers
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Background: We determined whether the torsion profiles of the radius and ulna could be reliably assessed with cross-sectional magnetic resonance imaging and whether these torsion profiles were comparable on the two sides of volunteers. Methods: We assessed magnetic resonance imaging cross sections of the left and right...
0
Respirators and surgical facemasks for COVID-19: implications for MRI
Coronavirus Disease 2019 (COVID-19)
â?¢ Respirators used for COVID-19 protection have not been tested for MR safety. â?¢ Three of four respirators tested contained ferromagnetic components. â?¢ These respirators are â??MR unsafeâ??. â?¢ Respirators used for COVID-19 protection should be reviewed locally for MR safety. â?¢ Surgical masks offer a WHO appro...
0
Effect of Cha-em Thai mouthwash on salivary levels of mutans streptococci and total IgA
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The aim of this study was to investigate the effect of Cha-em Thai (Albizia myriophylla) mouthwash on the mutans streptococci (MS) and immunoglobulin A (IgA) level in saliva. Sixty-seven schoolchildren, age 6-12 years, with MS more than 1x10(5) cfu per milliliter of saliva were entered in this study. They were divided ...
1
A single intraarticular platelet-rich plasma improves pain and function for patients with early knee osteoarthritis: Analyses by radiographic severity and age
PRP (Platelet-Rich Plasma)
BACKGROUND: Most studies use platelet-rich plasma (PRP) requiring multiple intraarticular injections for knee osteoarthritis (OA). OBJECTIVE: To investigate the efficacy of a single intraarticular PRP injection for patients with early knee OA and consider subgroup analyses of radiographic severity and age, respectively...
0
Clinical feasibility of a novel biphasic osteochondral composite for matrix-associated autologous chondrocyte implantation
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Matrix-associated autologous chondrocyte implantation has been used to treat cartilage defects. We developed a biphasic cylindrical osteochondral composite construct for such use, and conducted this study to determine its feasibility for treating osteochondral lesions in human knees. METHOD: Ten patients wit...
0
Use of Knotless Suture for Closure of Total Hip and Knee Arthroplasties. A Prospective, Randomized Clinical Trial
OAK 3 - Non-arthroplasty tx of OAK
We performed a prospective, randomized clinical trial to evaluate the efficacy of using a bidirectional barbed suture compared with traditional sutures in the deep closure of primary total hip (25) and knee (35) arthroplasties. Complications, time to closure, and length of surgery were evaluated. Closure was noted to b...
0
Hypoalbuminaemia is an independent predictor of poor outcome in metastatic Ewing's sarcoma family of tumours: a single institutional experience of 150 cases treated with uniform chemotherapy protocol
MSTS 2022 - Metastatic Disease of the Humerus
AIMS: Data on metastatic Ewing's sarcoma family of tumours (ESFT) with uniform chemotherapy protocol are minimal. MATERIALS AND METHODS: This was a single institutional patient review of patients treated between June 2003 and November 2011 and evaluated on an intent-to-treat analysis. All patients received uniform chem...
0
A promising approach for treatment of tumor-induced bone diseases: utilizing bisphosphonate derivatives of nucleoside antimetabolites
MSTS 2018 - Femur Mets and MM
Despite palliative treatments, tumor-induced bone disease (TIBD) remains highly debilitating for many cancer patients and progression typically results in death within two years. Therefore, more effective therapies with enhanced anti-resorptive and cytotoxic characteristics are needed. We developed bisphosphonate-chemo...
0
Extensive demyelinating change in cerebrum after a total knee replacement -A case report-
PJI DX Updated Search
Demyelination is characterized by the loss of myelin with the preservation of axons. Demyelinating diseases can be classified into several categories: demyelination due to inflammation, viral infection, osmotic derangements and hypoxic ischemia. In particular, osmotic myelinolysis is representative, and is associated w...
0
Femoral nerve block with ropivacaine or bupivacaine in day case anterior crucial ligament reconstruction
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND/OBJECTIVE: Our aim was to evaluate analgesia, motor block and pharmacokinetics of ropivacaine 0.2% and 0.75% in a femoral nerve block (FNB) in day case patients for anterior crucial ligament (ACL)-reconstruction compared with bupivacaine 0.25% and placebo. METHODS: Following ethics committee approval and inf...
0
Malignant giant-cell tumor of the distal end of the radius treated by a free vascularized fibular transplant
Distal Radius Fractures
Five patients with a malignant giant-cell tumor involving the distal end of the radius were treated successfully by wide resection and reconstruction of the radius with a vascularized fibular transplant. This technique has the great advantage of early bone union at the host-graft junction and enables the patient to reg...
1
Does cognitive functioning predict chronic pain? Results from a prospective surgical cohort
Surgical Management of Osteoarthritis of the Knee CPG
It is well established that chronic pain impairs cognition, particularly memory, attention and mental flexibility. Overlaps have been found between the brain regions involved in pain modulation and cognition, including in particular the prefrontal cortex and the anterior cingulate cortex, which are involved in executiv...
1
Isokinetic rehabilitation after arthroscopic meniscectomy
AMP (Acute Meniscal Pathology)
The aim of this study was to assess the effects in humans of early (2 weeks) and delayed (6 weeks) isokinetic strength training in the recovery of muscle strength following an arthroscopic partial meniscectomy. The peak torque developed in the quadriceps and hamstrings and the torque developed at a knee angle of 1.05 r...
0
Activity of intraarterial carboplatin as a single agent in the treatment of newly diagnosed extremity osteosarcoma
MSTS 2022 - Metastatic Disease of the Humerus
Background. Chemotherapy has dramatically improved the rates of cure and survival of patients with localized and metastatic osteosarcoma. Nonetheless, the number of chemotherapeutic agents active against osteosarcoma is limited to doxorubicin, cisplatin, high-dose methotrexate, and ifosfamide. Carboplatin, a cisplatin ...
0
Long-term follow-up of a cemented titanium stem
Hip Fx in the Elderly 2019
We present the outcome of 270 cemented titanium alloy femoral stems. These patients were followed up annually both clinically and radiologically, and were included up until their last follow-up. 120 patients completed a 10-year follow-up. The 10-year survival of the Ultima Straight Stem cemented femoral component (defi...
0
Electrophysiological assessment of carpal tunnel syndrome in elderly patients: one-year follow-up study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
PURPOSE: To objectively assess elderly patients with carpal tunnel syndrome to characterize their preoperative severity and prognosis after carpal tunnel release using a electrophysiological severity scale. METHODS: Electrophysiologic assessment was performed preoperatively and 1 year postoperatively following carpal t...
0
The role of debridement: through small portals
AMP (Acute Meniscal Pathology)
Arthroscopic debridement represents one option for treatment of the patient with degenerative arthritis of the knee. Numerous procedures, including joint lavage, removal of loose bodies, partial meniscectomy, and techniques to stimulate cartilage repair may be included under this topic. Understanding surgical indicatio...
0
Scaphoid interfragmentary motions due to simulated transverse fracture and volar wedge osteotomy
Distal Radius Fractures
Background Our goal was to determine 3-dimensional interfragmentary motions due to simulated transverse fracture and volar wedge osteotomy of the scaphoid during physiologic flexion-extension of a cadaveric wrist model. Methods The model consisted of a cadaveric wrist (n = 8) from the metacarpals through the distal rad...
0
Associations between endogenous sex hormones and MRI structural changes in patients with symptomatic knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To investigate the longitudinal association between endogenous sex hormones and knee osteoarthritis (OA) structures and pain. METHOD: We examined 200 participants (mean age 63.0 +/- 7.3 years) from a clinical trial of vitamin D supplement for symptomatic knee OA. Serum levels of estradiol, progesterone, test...
1
Clinical examination of the knee: know your tools for diagnosis of knee injuries
AMP (Acute Meniscal Pathology)
The clinical evaluation of the knee is a fundamental tool to correctly address diagnosis and treatment, and should never be replaced by the findings retrieved by the imaging studies carried on the patient.Every surgeon has his own series of exams with whom he is more confident and on whom he relies on for diagnosis. Us...
0
Prognostic value of cathepsin-D expression in female breast cancer
MSTS 2018 - Femur Mets and MM
Expression of an acidic lysosomal protease, cathepsin-D (CD), was analysed immunohistochemically in a series of 151 breast carcinomas with special reference to its prognostic significance, Strong expression of CD was detected in 22% of cases. This intense expression was significantly associated with a number of establi...
0
Concerns of patients actively contemplating total knee replacement: differences by race and gender
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To examine differences by race/ethnicity and gender in patients' concerns regarding total knee replacement (TKR). METHODS: Focus groups of patients actively considering TKR were conducted. Discussion included patients' questions and concerns regarding TKR. The software ATLAS.ti was used to tabulate themes by...
0
Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension
DOD - Acute Comp Syndrome CPG
OBJECTIVE: To assess the clinical utility of abdominal perfusion pressure (mean arterial pressure minus intra-abdominal pressure) as both a resuscitative endpoint and predictor of survival in patients with intra-abdominal hypertension. METHODS: 144 surgical patients treated for intra-abdominal hypertension between May ...
0
Stabilization of HIF-1alpha alleviates osteoarthritis via enhancing mitophagy
AMP (Acute Meniscal Pathology)
Mitochondrial dysfunction leads to osteoarthritis (OA) and disc degeneration. Hypoxia inducible factor-1alpha (HIF-1alpha) mediated mitophagy has a protective role in several diseases. However, the underlying mechanism of HIF-1alpha mediated mitophagy in OA remains largely unknown. This current study was performed to d...
0
Press-fit hemiarthroplasty for elderly with femoral neck fracture: High complication rates in operations performed by younger surgeons
Management of Hip Fractures in the Elderly
Press-fit un-cemented hemiarthroplasty used in the treatment of elderly osteoporotic patients with femoral neck fracture requires technical skills in order to avoid iatrogenic complications. This study was performed in order to correlate the complication rate and the grade of the operating surgeon (middle-grade residen...
0
Importance of screw position in intertrochanteric femoral fractures treated by dynamic hip screw
Management of Hip Fractures in the Elderly
BACKGROUND: Tip-apex distance greater than 25 mm is accepted as a strong predictor of screw cut-out in patients with intertrochanteric femoral fracture treated by dynamic hip screw. The aim of this retrospective study was to evaluate the position of the screw in the femoral head and its effect on cut-out failure especi...
0
Cardiovascular, rheumatologic, and pharmacologic predictors of stroke in patients with rheumatoid arthritis: a nested, case-control study
AAHKS (2) Corticosteroids
OBJECTIVE: To determine the risk of stroke in patients with rheumatoid arthritis (RA) and risk factors associated with stroke. METHODS: We performed nested case-control analyses within a longitudinal databank, matching up to 20 controls for age, sex, and time of cohort entry to each patient with stroke. Conditional log...
0
Patient-reported outcome measures after surgery for an acetabular fracture
Hip Fx in the Elderly 2019
Aims: The aim of this study was to record the incidence of post-traumatic osteoarthritis (OA), the need for total hip arthroplasty (THA), and patient-reported outcome measures (PROMS) after surgery for a fracture of the acetabulum, in our centre. Patients and Methods: All patients who underwent surgery for an acetabula...
0
Orthopedic nursing based on preoperative diagnosis of infrapatellar plica using medical imaging
OAK 3 - Non-arthroplasty tx of OAK
Purpose: We investigate the diagnostic value and therapeutic effect of arthroscopy on the knee synovial fold syndrome. Methods: Thirty patients (35 knees) who has knee subgingival fold syndrome were treated with knee arthroscopy and medial temporal synovectomy. All these patients in this group were treated with epidura...
0
Assessment of mortality in older trauma patients sustaining injuries from falls or motor vehicle collisions treated in regional level I trauma centers
Management of Hip Fractures in the Elderly
OBJECTIVE: To compare mortality in elderly trauma patients sustaining fall or motor vehicle collision (MVC) related injuries and who are subsequently treated at regional Level I (tertiary) trauma centers. SUMMARY BACKGROUND DATA: An increase in the mean age of the Canadian population is leading to a higher proportion o...
0
Decline in physical function following hip fracture
Management of Hip Fractures in the Elderly
OBJECTIVE: The main objective of the study was to determine the change in physical function following hip fractures in a community-living elderly population. A secondary objective was the determination of baseline factors predictive of altered function following hip fracture. DESIGN: Prospective, cohort study. SETTING:...
0
Unifying the seeds auto-generation (SAGE) with knee cartilage segmentation framework: data from the osteoarthritis initiative
AMP (Acute Meniscal Pathology)
Purpose: Manual segmentation is sensitive to operator bias, while semiautomatic random walks segmentation offers an intuitive approach to understand the user knowledge at the expense of large amount of user input. In this paper, we propose a novel random walks seed auto-generation (SAGE) hybrid model that is robust to ...
0
The tissue effects of ultrasound-assisted lipoplasty
Panniculectomy & Abdominoplasty CPG
The objective of our study was to investigate the effects of ultrasonic energy on tissues, using a porcine model, performed under various instrumental and procedural parameters. Domestic pigs were anesthetized and prepared for surgery. An incision was made on the side of the hip randomly assigned to the right or left s...
0
Reinfusion of unwashed salvaged blood after total knee arthroplasty in patients with rheumatoid arthritis
Surgical Management of Osteoarthritis of the Knee CPG
Autotransfusion with unwashed salvaged blood (USB) is effective for avoiding allogeneic blood transfusion (ABT) in patients undergoing total knee arthroplasty (TKA). We performed a retrospective study to determine the percentage of patients receiving ABT and the volume of postoperative blood drainage after introduction...
0
Continuous epidural analgesia versus combination of single dose sciatic nerve block and continuous femoral analgesia in total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: The effects of adding single dose sciatic nerve block to continuous femoral block was compared with those of continuous epidural analgesia with regard to postoperative analgesia and knee rehabilitation in total knee arthroplasty. Methods: Hundred ASA I-III patients scheduled for unilateral total kn...
0
Arthroscopic Inside-Out Repair of a Meniscus Bucket-Handle Tear Augmented With Bone Marrow Aspirate Concentrate
AMP (Acute Meniscal Pathology)
Bucket-handle tears of the meniscus comprise nearly 10% of all meniscus tears and commonly affect the young male population. Displacement of the free segment can lead to significant pain and disability, necessitating reduction and surgical treatment. General contraindications include malalignment, severe arthritis, sig...
0
Osteoarthritis (OA)-induced pain assessment
OAK Recommendation 9 Articles
Major findings in basic science of pain have failed to bring new drugs into clinical practice, partly due to the fact that the preclinical models used for pain assessments do not adequately represent the clinical condition. A potentially useful approach to evaluate antinociceptives is using animal models with diseases ...
0
Indoprofen in knee joint osteoarthritis: a double-blind, crossover clinical trial
OAK 3 - Non-arthroplasty tx of OAK
A double�blind, crossover clinical trial has been carried out in subjects with knee joint osteoarthritis to assess the activity of two nonsteroidal antiinflammatory drugs. Eighteen outpatients with a severe systemic form were given orally indoprofen (800 mg/day), indomethacin (80 mg/day), and placebo for one week wit...
0
Functional recovery and length of stay after hip fracture in patients with neurologic impairment
Management of Hip Fractures in the Elderly
OBJECTIVE: To evaluate the functional recovery and the length of stay after hip fracture in patients with neurologic impairment. DESIGN: A total of 577 inpatients with hip fracture consecutively admitted to our rehabilitation hospital were included in this retrospective study. A total of 71 of 577 were affected by neur...
0
Allografts in knee surgery
AMP (Acute Meniscal Pathology)
The use of musculoskeletal allograffs in knee surgery is expanding as outcome studies continue to delineate roles for ligament, meniscal, and osteochondral allouraffs. [References: 23]
0
A prospective evaluation of the management and outcome of traumatic posterior dislocation of the hip--a preliminary report
Management of Hip Fractures in the Elderly
INTRODUCTION: Traumatic posterior dislocation of the hip (TPDH) is considered an absolute orthopeadic emergency and the outcome of management and prognosis is time dependent. The optimum time within which reduction should be achieved to yield excellent result has remained an issue of considerable controversy. In this p...
0
The use of modular cementless total hip arthroplasty for the treatment of cut-out complication after intramedullary nailed peritrochanderic fractures is a promising solution
Management of Hip Fractures in the Elderly
Aim: The aim of this study is to present the results of treatment of cut-out complication after intramedullary nailed peritrochanderic fractures with a Modular cementless total hip arthroplasty (UniSyn(trademark) hip system of HAYES medical). Material: 83 patients with peritrochanteric fracture (from Jan. 2007 to April...
1
Economic evaluation of ultrasonography in the diagnosis and management of developmental hip dysplasia in the United Kingdom and Ireland
Developmental Dysplasia of the Hip CPG
BACKGROUND: Clinical neonatal hip screening is performed to identify hip instability and the increased risk of later hip subluxation and dislocation. However, there is minimal information regarding the costs of such screening to parents and health services. The aim of this study was to assess these costs in association...
0
Custom patellofemoral arthroplasty of the knee. Surgical technique
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: The treatment of isolated patellofemoral arthritis is controversial. Several surgical procedures have been used to treat the severely degenerated patellofemoral joint, with varying degrees of success. The purpose of this study was to determine the clinical results of a custom patellofemoral arthroplasty for...
0
Long-term results of patellofemoral arthroplasty. A report of 56 arthroplasties with 17 years of follow-up
Surgical Management of Osteoarthritis of the Knee CPG
We studied retrospectively the outcome of patellofemoral arthroplasty (PFA) using the Richards prosthesis in 51 patients (56 knees). Their mean age was 50 years (30 to 77). In 43 patients (45 knees), the American Knee Society score and the patients' subjective judgement were assessed. Excellent or good results were obt...
0
Multimodal acute pain management
AAHKS (8) Anesthetic Infiltration
Unrelieved postoperative pain following arthroplasty has been shown to delay patients' recovery and discharge from the hospital. Undertreatment of acute pain may also result in greater use of healthcare resources and ultimately lead to poor outcomes. This article reviews a multimodal approach to reduce pain at each ste...
0
Less common upper limb mononeuropathies
Glenohumeral Joint OA
This article will focus on the less commonly injured nerves of the upper extremity. These nerves may be involved when trauma results in fractures, dislocations, or swelling with resultant nerve compression. Tumors and ganglions can also compress nerves, causing pain and, over time, demyelination or axon degeneration wi...
0
Fatal Staphylococcus aureus infective endocarditis: the dental implications
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Infective endocarditis remains an important and life-threatening infection despite improvements in diagnosis and management. There is currently a greater role for nosocomial acquisition of organisms and immunosuppression in the pathogenesis of this disease and emergence of a broader spectrum of infective organisms incl...
0
Postoperative Cryotherapy After Total Knee Arthroplasty. A Prospective Study of 86 Patients
AAHKS (8) Anesthetic Infiltration
A study of 86 patients undergoing total knee arthroplasty (TKA) was performed to evaluate the role of cold compression. The patients were treated with cold compression or epidural analgesia for 3 days after TKA. Pain was measured on a visual analog scale, and total consumption of analgesics was recorded. Range of movem...
0
Local Morphological Response of the Distal Femoral Articular-Epiphyseal Cartilage Complex of Young Foals to Surgical Stab Incision and Potential Relevance to Cartilage Injury and Repair in Children
Osteochondritis Dissecans 2020 Review
OBJECTIVE: Describe the local morphological response of the articular-epiphyseal cartilage complex to surgical stab incision in the distal femur of foals, with emphasis on the relationship between growth cartilage injury, enchondral ossification, and repair. DESIGN: Nine foals were induced into general anesthesia at th...
0
Total knee replacement in painful and deformed knee
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Total Knee Replacement is not an uncommon procedure now days in deformed knee. This study was carried out in Lab aid specialized hospital from January/ 2009 to January/2012 and 60 cases were selected. Among them 20 male and 40 female. All cases were done through anterior midline approach. Result was excel...
0
Dislocation of bipolar hip hemiarthroplasty through a postero-lateral approach for femoral neck fractures: A cohort study
Developmental Dysplasia of the Hip 2020 Review
PURPOSE: To analyze postoperative global femoral offset (FO), leg length discrepancy (LLD) and Wiberg angle as risk factors for prosthetic dislocation after treatment with bipolar hemiarthoplasty (HA) through a postero-lateral approach for femoral neck fracture (FNF). METHODS: Three hundred and seventy three patients t...
0
Are older patients with solitary spinal metastases fit for total en-bloc surgery?
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVE: Due to radical resection, total en-bloc spondylectomy (TES) is associated with significant levels of surgical injury and spinal instability, particularly in elderly patients with solitary spinal metastases (SM), whether the possible benefits outweigh the risk requires intense consideration. Our aim was to co...
0
Peripheral nerve blocks and continuous catheter techniques
AAHKS (9/10) Regional Nerve Blocks
This article reviews the extensive literature base on the use of PNBs for postoperative pain management. The discussion focuses on the advantages of individual blocks used for common surgical procedures. The technical aspects or side effects of each approach are found in standard reference texts. Intense, site-specific...
0
Gastrointestinal tolerability of the selective cyclooxygenase-2 (COX-2) inhibitor rofecoxib compared with nonselective COX-1 and COX-2 inhibitors in osteoarthritis
SR for PM on OA of All Extremities
BACKGROUND: Most nonsteroidal anti-inflammatory drugs (NSAIDs) are nonselective cyclooxygenase (COX-1 and COX-2) inhibitors and are associated with a variety of upper gastrointestinal (GI) tract symptoms. The roles of COX-1 and COX-2 in the pathogenesis of these symptoms are unclear. To test whether COX-2 inhibition wi...
0
Primary unreamed intramedullary nailing for open fractures of the tibia
DoD SSI (Surgical Site Infections)
Forty-six open tibial fractures (42 patients) were treated by primary unreamed intramedullary nailing, with debridement of open wounds and treatment of soft tissue. According to Gustilo-Anderson classification there were 18 grade I cases, 18 grade II cases and 10 grade III cases. The incidence of infection was low with...
0
The Role of Radiographs and Office Visits in the Follow-Up of Healed Intertrochanteric Hip Fractures: An Economic Analysis
Hip Fx in the Elderly 2019
OBJECTIVES: The purpose of this study was to evaluate the role and the necessity of radiographs and office visits obtained during follow-up of intertrochanteric hip injuries. DESIGN: Retrospective study. SETTING: Two level I trauma centers. PATIENTS: Four hundred sixty-five elderly patients who were surgically treated ...
0
Femoral neck fractures in patients on Clopidogrel. The effect of delaying surgery and the introduction of the new SIGN guidelines
Management of Hip Fractures in the Elderly
INTRODUCTION: Femoral neck fractures are an increasingly common injury in the elderly. Frequently these patients present taking Clopidogrel, an irreversible inhibitor of platelet aggregation. Although this is associated with an increased risk of intra-operative bleeding and also an increased risk of spinal haematoma wh...
0
Incidence and risk factors of lower extremity amputations in people with type 2 diabetes in Taiwan, 2001-2001-2010
DoD LSA (Limb Salvage vs Amputation)
Background: Diabetic patients have an increased risk of lower extremity amputations (LEAs). In the present study we analyzed the incidence of LEA in patients with type 2 diabetes mellitus (T2DM) in Taiwan from 2001 to 2010, and determined risk factors for LEA. Methods: Data from the Taiwan National Health Insurance Res...
0
A multi-disciplinary review of the potential association between closed-suction drains and surgical site infection
DoD SSI (Surgical Site Infections)
Background: Despite the putative advantages conferred by closed-suction drains (CSDs), the widespread utilization of post-operative drains has been questioned due to concerns regarding both efficacy and safety, particularly with respect to the risk of surgical site infection (SSI). Although discipline-specific reports ...
0
The knee injury and osteoarthritis outcome score (KOOS): A review of its psychometric properties in people undergoing total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
STUDY DESIGN: Systematic literature review, clinical measurement. OBJECTIVE: To review and summarize the evidence regarding the psychometric properties of the Knee injury and Osteoarthritis Outcome Score (KOOS) in patients undergoing total knee arthroplasty (TKA). METHODS: A comprehensive review of the existing literat...
0
Temporal trends in the use of antithrombotics at admission
Hip Fx in the Elderly 2019
Background and purpose - Currently, no clear evidence exists on the pattern of use of antithrombotics at admission in hip fracture patients and how this has changed over time. We investigated temporal trends in-and factors associated with-the use of antithrombotics in patients admitted with a fractured hip.
0
Distal radius fracture risk reduction with a comprehensive osteoporosis management program
Management of Hip Fractures in the Elderly
Purpose: To study risk factors associated with osteoporotic distal radius fractures and evaluate the effectiveness of the screening and treatment components of a comprehensive osteoporosis program. Methods: We retrospectively identified a cohort of patients aged 60 years or older from a large health maintenance organiz...
1
Effect of platelet-rich plasma on meniscus repair surgery: A meta-analysis of randomized controlled trials
AMP (Acute Meniscal Pathology)
BACKGROUND: Studies have shown that platelet-rich plasma (PRP) can enhance the effect of meniscus repair, but some studies have suggested different views on the role of PRP. Therefore, a meta-analysis was conducted to determine whether PRP can enhance the effect of meniscus repair with respect to pain reduction and imp...
0
Failed Meniscal Repairs After Anterior Cruciate Ligament Reconstruction Increases Risk of Revision Surgery
AMP (Acute Meniscal Pathology)
BACKGROUND: Failed anterior cruciate ligament (ACL) reconstruction (ACLR) can lead to reduced quality of life because of recurrent episodes of instability, restrictions in level of activity, and development of osteoarthritis. A profound knowledge of the causes of a failed surgery can ultimately help improve graft survi...
1
Treatment of the mangled lower extremity after a terrorist blast injury
DoD LSA (Limb Salvage vs Amputation)
Terrorist bombings, with resultant blast injuries, have been increasing in frequency during the past 30 years. Injury to the musculoskeletal system is common in victims who survive such attacks. Substantial injury to the limbs may occur through several different mechanisms, each of which may affect prognosis and alter ...
0
TRAM flap breast reconstruction: tumescent technique reduces blood loss and transfusion requirement
Panniculectomy & Abdominoplasty CPG
The tumescent technique has been shown to be efficacious in reducing both operative and postoperative bleeding without significant deleterious side effects in suction lipectomy. In this study, the effects of the tumescent technique on postoperative complications in transverse rectus abdominis myocutaneous (TRAM) flap b...
0
Effect of autologous adipose-derived mesenchymal stem cell therapy in the treatment of a post-traumatic chondral defect of the knee
OAK 3 - Non-arthroplasty tx of OAK
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
Osteochondral tissue engineering in vivo: a comparative study using layered silk fibroin scaffolds from mulberry and nonmulberry silkworms
Osteochondritis Dissecans 2020 Review
The ability to treat osteochondral defects is a major clinical need. Existing polymer systems cannot address the simultaneous requirements of regenerating bone and cartilage tissues together. The challenge still lies on how to improve the integration of newly formed tissue with the surrounding tissues and the cartilage...
0
Attitudes of people with osteoarthritis towards their conservative management: A systematic review and meta-ethnography
OAK 3 - Non-arthroplasty tx of OAK
This paper determines the perceptions of people diagnosed with osteoarthritis towards their conservative management strategies. A systematic review of the published (AMED, CINAHL, EMBASE, PsychINFO, SportsDisc, MEDLINE, Cochrane Clinical Trials Registry, PubMed) and unpublished/trial registry databases (WHO Internation...
0
Relationship of degenerative changes of the temporomandibular joint (TMJ) with the angle of eminentia
Glenohumeral Joint OA
The purposes of this study were threefold: (i) to assess the degenerative changes of the temporomandibular joint [TMJ (condyles and articular eminence of the glenoid fossa)], (ii) to determine whether the TMJ degeneration levels differ by ethnic group and gender and (iii) to assess the association between the angles of...
0
A Longitudinal Study of Post-Traumatic Growth and Psychological Distress in Colorectal Cancer Survivors
DoD PRF (Psychosocial RF)
The stability of post-traumatic growth over time and the relationship between post-traumatic growth and traditional distress outcomes remains unclear. We tracked post-traumatic growth in a population-based sample of colorectal cancer patients from soon after diagnosis to five years subsequently to assess the heterogene...
0
Diethylstilbestrol and docetaxel: a Phase II study of tubulin active agents in patients with metastatic, androgen-independent prostate cancer
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: The addition of diethylstilbestrol to docetaxel modified tubulin composition and improved the response of prostate cancer to chemotherapy in preclinical models. An attempt was made to recapitulate the observations in a clinical trial. METHODS: Twenty-nine patients with progressive, metastatic, chemotherapy-...
0
Primary cilia elongation in response to interleukin-1 mediates the inflammatory response
TO: WNT2 Pathway Modulator
Primary cilia are singular, cytoskeletal organelles present in the majority of mammalian cell types where they function as coordinating centres for mechanotransduction, Wnt and hedgehog signalling. The length of the primary cilium is proposed to modulate cilia function, governed in part by the activity of intraflagella...
0
Glutathione as a mediator of cartilage oxidative stress resistance and resilience during aging and osteoarthritis
AMP (Acute Meniscal Pathology)
<b>Purpose</b>: An underlying cause of osteoarthritis (OA) is the inability of chondrocytes to maintain homeostasis in response to changing stress conditions. The purpose of this article was to review and experimentally evaluate oxidative stress resistance and resilience concepts in cartilage using glutathione redox ho...
0
Breast conserving treatment for ductal carcinoma in situ in the elderly: can radiation therapy be avoided? Our experience
MSTS 2018 - Femur Mets and MM
INTRODUCTION: Ductal Carcinoma In Situ (DCIS) is a heterogeneous, pre-malignant disease accounting for 15-20% of all new breast cancers. If appropriately managed, DCIS has a small chance of impacting on patient life expectancy. Despite the possibility of a further recurrence or of a development in an invasive form, we ...
0
Bone Strength Estimated by Micro-Finite Element Analysis (µFEA) Is Heritable and Shares Genetic Predisposition With Areal BMD: The Framingham Study
Distal Radius Fractures
Genetic factors contribute to the risk of bone fractures, partly because of effects on bone strength. High-resolution peripheral quantitative computed tomography (HR-pQCT) estimates bone strength using micro-finite element analysis (µFEA). The goal of this study was to investigate if the bone failure load estimated by...
0
A randomized clinical trial of anticaries therapies targeted according to risk assessment (caries management by risk assessment)
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This randomized parallel group clinical trial assessed whether combined antibacterial and fluoride therapy benefits the balance between caries pathological and protective factors. Eligible, enrolled adults (n = 231), with 1-7 baseline cavitated teeth, attending a dental school clinic were randomly assigned to a control...
0
Risk factors for urinary retention after hip or knee replacement
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Hip and knee replacements are two of the most commonly performed surgical procedures in developed countries. The rates of these procedures have increased with the aging of the Canadian population but wait times continue to be long. In 2006, our provincial government initiated a program to reduce wait time...
0
Results after late polymicrobial, gram-negative, and methicillin-resistant infections in knee arthroplasty
PJI DX Updated Search
BACKGROUND: Previous studies of knee arthroplasty infections caused by high-virulence organisms suggest poor outcomes. Polymicrobial and Gram-negative infections are less studied. QUESTIONS/PURPOSES: This study compared the results of treatment of knee arthroplasty infections by single versus polymicrobial isolates, Gr...
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Peritalar dislocation: Three case reports and literature review
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Peritalar dislocation is an uncommon lesion, although its incidence has increased on account of the rise in motor vehicle accidents and improved radiological diagnostic techniques. In our review of the literature, we counted 312 cases described over the past 50 years. Medial dislocation represented the majority of case...
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Arthroscopic Distal Clavicle and Medial Border of Acromion Resection for Symptomatic Acromioclavicular Joint Osteoarthritis
Glenohumeral Joint OA
Acromioclavicular joint osteoarthritis can lead to persistent shoulder pain. Distal clavicle excision is the most common operative procedure in patients with failed, conservative symptomatic acromioclavicular joint osteoarthritis treatment, with some reports of complications. This report describes an alternative proced...
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Intra-abdominal pressure and the morbidly obese patients: the effect of body mass index
DOD - Acute Comp Syndrome CPG
BACKGROUND: Abdominal compartment syndrome and intra-abdominal hypertension cause morbidity and mortality. Body mass index (BMI) may affect intra-abdominal pressure (IAP). Knowledge of the baseline IAP in the obese and the effect of BMI are not clearly defined. METHODS: IAPs were measured in 37 morbidly obese patients ...
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Dental screening of pediatric cardiac surgical patients
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Dental screenings were completed on 209 pediatric patients six months and older that were scheduled for cardiac surgery from two different geographical locations. The screening involved an educational session on bacterial endocarditis and preventive dentistry followed by a dental examination. We found that sixty-two (3...
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Patellofemoral joint degeneration: A review of current management
AMP (Acute Meniscal Pathology)
The patellofemoral component of the knee joint is affected by a wide range of degenerative causes without involving the other parts of the knee. It is often the presenting pathology in early knee osteoarthritis and missed due to a variable presentation. Accurate examination and focused investigation can help with early...
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Comparison of fibrin sealant versus suture for wound closure in Muller muscle-conjunctiva resection ptosis repair
Upper Eyelid and Brow Surgery
PURPOSE: To compare fibrin sealant (Tisseel) versus suture for wound closure in Muller muscle-conjunctiva resection ptosis repair. METHODS: The charts of 114 patients (211 eyelids) who had undergone Muller muscle-conjunctiva resection were retrospectively reviewed. Suture versus Tisseel were used for wound closure. Pre...
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Diagnostic Accuracy of an MRI Protocol of the Knee Accelerated Through Parallel Imaging in Correlation to Arthroscopy
AMP (Acute Meniscal Pathology)
PURPOSE: Parallel imaging allows for a considerable shortening of examination times. Limited data is available about the diagnostic accuracy of an accelerated knee MRI protocol based on parallel imaging evaluating all knee joint compartments in a large patient population compared to arthroscopy. MATERIALS AND METHODS: ...
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Cardiobacterium hominis endocarditis. Four cases with clinical and laboratory observations
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The clinical and microbiologic features of Cardiobacterium hominis endocarditis in four patients seen at the Mayo Clinic from 1971 through 1976 are described. All four were men ranging in age from 39 to 60 years. The precipitating factor in three was a dental procedure, and the illness was a prolonged, chronic one, wit...
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Comparison of new design locked intramedullary nails and plate osteosynthesis in adult isolated diaphyseal radius fractures
Distal Radius Fractures
PURPOSE: In this study, we retrospectively evaluated patients with isolated diaphyseal radius fractures treated with plates or IMNs and compared their radiological and functional results. METHODS: 49 patients who met the criteria were included in the study. Of these, 22 were treated with plate osteosynthesis and 27 wit...
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Age, male sex, higher posterior tibial slope, deep sulcus sign, bone bruises on the lateral femoral condyle, and concomitant medial meniscal tears are risk factors for lateral meniscal posterior root tears: a systematic review and meta-analysis
AMP (Acute Meniscal Pathology)
PURPOSE: Lateral meniscus posterior root tears (LMPRTs) are commonly found in patients with anterior cruciate ligament (ACL) injuries. However, risk factors for LMPRTs are not well known. This study was designed to systematically review the available evidence regarding risk factors associated with LMPRTs. METHODS: The ...
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Imaging features of bilateral breast abnormalities
Reduction Mammoplasty for Female Breast Hypertrophy
There are various-causes, broad-spectrum, heterogeneous groups with various biologic profiles, and imaging features of bilateral breast abnormalities. As imaging modalities continue to be developed, the ability to detect subtle or tiny abnormalities is improved in the contralateral breast of patients already diagnosed ...
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Results of a randomized, placebo-controlled safety and efficacy study of topical diclofenac 3% gel in organ transplant patients with multiple actinic keratoses
Reconstruction After Skin Cancer
Increasing incidence rates of cutaneous malignancies, paralleling rising survival times of grafts and patients in organ transplant recipients, represents an escalating challenge for dermatologists worldwide. Especially, invasive squamous cell carcinomas (SCC) in immuno-compromised patients are characterized by signific...
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Glaucoma of institutionalized geriatric patients
Upper Eyelid and Brow Surgery
362 glaucomatous eyes of 213 institutionalized geriatric patients 66-100 year of age (83.9 +/- 6.9 year) were studied. Of the eyes with open angle glaucoma (77%, 279/362) 51% had capsular glaucoma (CG). Of the secondary glaucomas (9%) half were neovascular glaucomas. The visual acuity (VA) of 13 patients could not be d...
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Compartment pressure monitoring - Current UK orthopaedic practice
DOD - Acute Comp Syndrome CPG
Debate continues over the use of compartment pressure monitoring devices in the diagnosis of compartment syndrome. We present the results of a survey that was designed to explore this issue. The majority of UK trauma and orthopaedic surgeons surveyed advocate making the diagnosis of compartment syndrome by a combinatio...
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Macromastia: how much of it is fat?
Reduction Mammoplasty for Female Breast Hypertrophy
A total of 25 patients who underwent bilateral breast reduction were included in this study. Each patient's age, weight, height, and amount of breast tissue removed from each breast were recorded. The body mass index was calculated for each patient. On the day of the operation, tissue samples (two each) were taken from...
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Use of simple algorithms to predict screw length facilitates navigation-controlled medial opening-wedge osteotomy using the TomoFix HTO system
Surgical Management of Osteoarthritis of the Knee CPG
This study was performed to establish simple algorithms to predict proper screw lengths for the 4 proximal holes of TomoFix plates (Synthes GmbH; Solothurn, Switzerland) based on radiographic mediolateral (ML) and anteroposterior (AP) dimensions of the proximal tibia and to determine how well these algorithms function ...
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The effect of different anaesthetic techniques on the incidence of thrombosis following total hip replacement
AAHKS (9/10) Regional Nerve Blocks
We performed a retrospective analysis on the influence of three types of anaesthesia on the incidence of deep vein thrombosis (DVT) following total hip replacement (THR) in consecutive patients randomized to either the low molecular weight heparinoid Org 10172 (97 patients), or placebo (99 patients). Ninety patients we...
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Spontaneous late dissociation of the tibial insert after high-flex posterior-stabilized Genesis II total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
We report a rare complication of spontaneous late dissociation of the tibial insert 2 years after total knee arthroplasty using a high-flex posterior-stabilized Genesis II prosthesis (Smith & Nephew, Memphis, Tenn). It appears that 2 factors may have contributed to dissociation, namely, incomplete seating of the insert...
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Dual head screw hip nailing for trochanteric fractures
Hip Fx in the Elderly 2019
INTRODUCTION: There are limited information and inconclusive results for dual head screw intramedullary hip nails for trochanteric fractures. Therefore, we performed a prospective study to evaluate the healing of fractures, and survival, function, and complications of patients operated with this implant. METHODS: We pr...
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Cardiovascular disease and its management in children and adults undergoing hematopoietic stem cell transplantation
MSTS 2022 - Metastatic Disease of the Humerus
Hematopoietic stem cell transplantation (HSCT) is a potentially curative treatment for many malignancies, hemoglobinopathies, metabolic diseases, bone marrow failure syndromes, and primary immune deficiencies. Despite the significant improvement in survival afforded by HSCT, the therapy is associated with major short a...