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A comparison of three methods of wound closure following arthroplasty: a prospective, randomised, controlled trial
Management of Hip Fractures in the Elderly
We carried out a blinded prospective randomised controlled trial comparing 2-octylcyanoacrylate (OCA), subcuticular suture (monocryl) and skin staples for skin closure following total hip and total knee arthroplasty. We included 102 hip replacements and 85 of the knee.OCA was associated with less wound discharge in the...
0
The translated Danish version of the Western Ontario Meniscal Evaluation Tool (WOMET) is reliable and responsive
AMP (Acute Meniscal Pathology)
PURPOSE: The purpose of this study was to translate and cross-culturally adapt the Western Ontario Meniscal Evaluation Tool (WOMET) for use in Denmark and evaluate its test-retest reliability and comparative responsiveness. METHODS: Sixty patients (mean age 50 years (range 19-71 years), females 57%) with meniscal injur...
0
Using Cumulative Load to Explain How Body Mass Index and Daily Walking Relate to Worsening Knee Cartilage Damage Over Two Years: The MOST Study
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Knee cartilage damage is often linked to mechanical overloading. However, cartilage requires mechanical load to remain healthy, suggesting that underloading may be detrimental. We examined knee overloading and underloading by defining cumulative load as the joint effects of body mass index (BMI) and daily wa...
0
Fixation of distal radial epiphyseal fracture: Comparison of K-wire and prebent intramedullary nail
Distal Radius Fractures
Objective: To compare the use of crossed K-wire and prebent intramedullary nail techniques for the fixation of distal radius metaphyseal fracture in children. Methods: Intraoperative and follow-up data for children with distal radius metaphyseal fracture, treated using crossed K-wire or prebent intramedullary nail fixa...
1
Median nerve stiffness measurement by shear wave elastography: a potential sonographic method in the diagnosis of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVES: To measure the median nerve (MN) stiffness by quantitative shear wave elastography (SWE) at the carpal tunnel inlet and to determine whether SWE can be used in the diagnosis of carpal tunnel syndrome (CTS). METHODS: The study included 37 consecutive patients (60 wrists) with a definitive diagnosis of CTS an...
0
Relationship between cup position and obturator externus muscle in total hip arthroplasty
PJI DX Updated Search
BACKGROUND: It is often challenging to find the causes for postoperative pain syndromes after total hip replacement, since they can be very allotropic. One possible cause is the muscular impingement syndrome. The most commonly known impingement syndrome is the psoas impingement. Another recently described impingement s...
0
Meniscal allograft transplantation. Part 2: systematic review of transplant timing, outcomes, return to competition, associated procedures, and prevention of osteoarthritis
SR for PM on OA of All Extremities
PURPOSE: To provide a systematic review of the literature regarding five topics in meniscal allograft transplantation (MAT): optimal timing for transplantation, outcomes, return to competition, associated procedures, and prevention of osteoarthritis. METHODS: A systematic literature search was conducted using the PubMe...
0
Characterization of Meniscal Pathology Using Molecular and Proteomic Analyses
Surgical Management of Osteoarthritis of the Knee CPG
The meniscus is a complex tissue and is integral to knee joint health and function. Although the meniscus has been studied for years, a relatively large amount of basic science data on meniscal health and disease are unavailable. Genomic and proteomic analyses of meniscal pathology could greatly improve our understandi...
0
A High Amount of Local Adipose Tissue Is Associated with High Cortical Porosity and Low Bone Material Strength in Older Women
Pediatric Supracondylar Humerus Fracture 2020 Review
Obesity is associated with increased risk of fractures, especially at skeletal sites with a large proportion of cortical bone, such as the humerus and ankle. Obesity increases fracture risk independently of BMD, indicating that increased adipose tissue could have negative effects on bone quality. Microindentation asses...
0
Updates and Advances in the Management of Lateral Meniscal Radial Tears: A Critical Analysis Review
AMP (Acute Meniscal Pathology)
Because of their increased mobility, lack of resistance to hoop stresses, and decreased blood supply, radial tears of the lateral meniscus are more troublesome to heal than vertical longitudinal tears. Given the success of meniscal root repairs, radial tears of the lateral meniscal body should be given strong considera...
0
Total knee replacement. Postacute phase in rehabilitation: Objectives and strategies in postacute treatment
Surgical Management of Osteoarthritis of the Knee CPG
Identification of a population with homogeneous characteristics is the fundamental introduction to elaborate a rehabilitation plan after operation of total knee arthroplasty (TKA). The main objectives of our rehabilitative protocol are: improvement of the preoperative clinical state, prevention and management of the co...
0
Residential status and risk of hip fracture
Management of Hip Fractures in the Elderly
OBJECTIVE: to examine the association between residential status and risk of hip fracture in older people. DESIGN: population-based case-control study. SETTING: Auckland, New Zealand. SUBJECTS: a random sample of all individuals > or = 60 years, hospitalized with a fracture of the proximal femur between July 1991 and F...
0
Posterior interosseous nerve syndrome from thermal injury
Distal Radius Fractures
Background. Due to anatomical proximity to bone, the radial nerve is the most frequently injured major nerve of the upper extremity, frequently secondary to fractures (Li et al. (2013)). We describe an incidence when a branch of the radial nerve is injured as a result of a thermal injury. Observation. Radial nerve inju...
0
Gait during hydrokinesitherapy following total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Purpose. To obtain gait parameters during hydrotherapy (HT) in patients who were referred for rehabilitation after primary total knee arthroplasty (TKA). Method. The study had a cohort prospective design. Patients who had undergone TKA followed a HT rehabilitation programme. Twenty-two consecutive patients were enrolle...
0
Regulation of gbpC expression in Streptococcus mutans
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Streptococcus mutans, the principal causative agent of dental caries, produces four glucan-binding proteins (Gbp) that play major roles in bacterial adherence and pathogenesis. One of these proteins, GbpC, is an important cell surface protein involved in biofilm formation. GbpC is also important for cariogenesis, bacte...
0
Large fresh osteochondral allografts for the hip: growing the evidence
Osteochondritis Dissecans 2020 Review
INTRODUCTION: Articular cartilage lesions of the hip are difficult to effectively treat. Osteochondral allograft (OCA) transplantation in the knee has been associated with long-term success, but OCA for the hip has not been extensively studied. Here, we present the clinical and radiological outcomes from a cohort of 10...
1
Minimally Invasive Versus Open Distal Fibular Plating for AO/OTA 44-B Ankle Fractures
DoD SSI (Surgical Site Infections)
BACKGROUND: Open reduction and internal fixation (ORIF), the standard treatment for unstable ankle fractures, has well-known wound complications. Minimally invasive surgery (MIS) has been proposed to decrease these complications. The objectives of this study were to describe an algorithm of MIS for fibular plating and ...
0
Assessment of clinical and MRI outcomes after mesenchymal stem cell implantation in patients with knee osteoarthritis: a prospective study
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Cartilage regenerative procedures using the cell-based tissue engineering approach involving mesenchymal stem cells (MSCs) have been receiving increased interest because of their potential for altering the progression of osteoarthritis (OA) by repairing cartilage lesions. The aim of this study was to investi...
0
Quantitative analysis of the difference between an intact complete discoid lateral meniscus and a torn complete discoid meniscus on MR imaging: a feasibility study for a new classification
AMP (Acute Meniscal Pathology)
OBJECTIVE: To determine the quantitative difference between an intact complete discoid lateral meniscus (CDLM) and a torn CDLM on MR imaging. MATERIALS AND METHODS: Between May 2005 to November 2009, 137 patients with a CDLM (107 intact CDLM and 30 torn CDLM) and 92 patients with a normal meniscus were included in this...
0
Percutaneous brachial artery access for coronary artery procedures: Feasible and safe in the current era
DOD - Acute Comp Syndrome CPG
Background: Percutaneous vascular access for coronary intervention is currently achieved predominately via the radial route, the femoral route acting as a backup. Percutaneous trans-brachial access is no longer commonly used due to concerns about vascular complications. This study aimed to investigate the safety and fe...
0
Antimicrobial activity of calcium hydroxide liners on Streptococcus sanguis and S. mutans
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The antimicrobial activity of 10 calcium hydroxide liners on Streptococcus sanguis and S. mutans was studied. One hundred plates of tryticose soy agar-sheep red blood cells (10%), each with four distinct 3 mm diameter wells, were divided into two groups of 50. One group was inoculated with S. sanguis and the second gro...
0
Capsular closure to prevent posterior dislocation after primary total hip arthroplasty through the posterior approach
Management of Hip Fractures in the Elderly
Posterior dislocation remains the most frequent early complication after Total Hip Arthroplasty (THA) carried out through a posterior approach. In our experience, the preservation of the capsule and its closure after insertion of the prosthetic components significantly reduced our rate of posterior dislocation. We comp...
0
Vascularized os pisiform for reinforcement of the lunate in Kienböck's disease: An average of 12 years of follow-up study
Glenohumeral Joint OA
Purpose: Little is known about the long-term results of vascularized bone transplantation for Kienböck's disease. This retrospective study investigated the long-term results of vascularized pisiform transfer. Methods: We reviewed 23 patients to analyze results after vascularized pisiform transposition to a cored-out l...
0
Association of plasma n-6 and n-3 polyunsaturated fatty acids with synovitis in the knee: The MOST study
OAK 3 - Non-arthroplasty tx of OAK
In osteoarthritis (OA) the synovium is often inflamed and inflammatory cytokines contribute to cartilage damage. Omega-3 polyunsaturated fatty acids (n-3 PUFAs) have anti-inflammatory effects whereas omega-6 polyunsaturated fatty acids (n-6 PUFAs) have, on balance, proinflammatory effects. The goal of our study was to ...
0
Fluoroscopy-guided reduction and fibular nail fixation to manage unstable ankle fractures in patients with diabetes: A retrospective cohort study
OAK 3 - Non-arthroplasty tx of OAK
Aims: Patients with diabetes are at increased risk of wound complications after open reduction and internal fixation of unstable ankle fractures. A fibular nail avoids large surgical incisions and allows anatomical reduction of the mortise. Patients and Methods: We retrospectively reviewed the results of fluoroscopy-gu...
1
Applications of Bayesian statistical methodology to clinical trial design: A case study of a phase 2 trial with an interim futility assessment in patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Development of new pharmacological treatments for osteoarthritis that address unmet medical needs in a competitive market place is challenging. Bayesian approaches to trial design offer advantages in defining treatment benefits by addressing clinically relevant magnitude of effects relative to comparators and in optimi...
0
Modified classification and single-stage microsurgical repair of posttraumatic infected massive bone defects in lower extremities
DoD LSA (Limb Salvage vs Amputation)
Posttraumatic infected massive bone defects in lower extremities are difficult to repair because they frequently exhibit massive bone and/or soft tissue defects, serious bone infection, and excessive scar proliferation. This study aimed to determine whether these defects could be classified and repaired at a single sta...
0
Association of knee injuries with accelerated knee osteoarthritis progression: data from the Osteoarthritis Initiative
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: We aimed to evaluate whether a recent knee injury was associated with accelerated knee osteoarthritis (OA) progression. METHODS: In the Osteoarthritis Initiative, we studied participants free of knee OA on their baseline radiographs (Kellgren/Lawrence [K/L] <2). We compared 3 groups as follows: 1) individual...
0
Body mass index and recovery of activities of daily living in older patients with femoral fracture: An analysis of a national inpatient database in Japan
Hip Fx in the Elderly 2019
Objective: To evaluate the effects of body mass index (BMI) on recovery of activities of daily living (ADL) in older Asian patients with femoral fracture registered in a nationwide inpatient database in Japan. Methods: We retrospectively analyzed data of patients aged â?¥65 years with acute femoral fracture between Apr...
0
Brown Syndrome Following Upper Eyelid Ptosis Repair
Upper Eyelid and Brow Surgery
Brown syndrome is characterised by impaired supraduction worse in adduction due to a restricted superior oblique tendon passing through the trochlea. A few reports have previously described Brown syndrome after upper eyelid surgery, including blepharoplasty and ptosis repair. The authors describe two additional cases o...
0
Preclinical identification of TTR-related amyloidosis (hereditary and wild type) with 99mTc-DPD scintigraphy: A cohort study of 12.400 subjects
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Purpose: We have previously shown that 99mTc-3,3-diphosphono-1,2- propanodicarboxylic acid (99mTc-DPD) scintigraphy has a high affinity for TTRinfiltrated myocardium, allowing an accurate diagnosis of both mutant and wildtype cardiac amyloidosis. The potential role of this method as preclinical screening tool has not y...
0
Effect of a continuous peripheral nerve block on the inflammatory response in knee arthroplasty
AAHKS (2) Corticosteroids
BACKGROUND AND OBJECTIVES: Experimental nerve block in animals inhibits the inflammatory response. The purpose of this study was to determine to what extent a 48-hour local anesthetic block of all afferent and efferent nerve fibers of the knee area has an impact on postoperative inflammatory response. METHODS: Twelve p...
1
Heroin-related compartment syndrome: An increasing problem for acute care surgeons
DOD - Acute Comp Syndrome CPG
Heroin use has been increasing in the United States with the rate of heroin overdose nearly quadrupling in the last 10 years. Heroin overdose can occasionally lead to compartment syndrome (CS) because of extended periods of immobility and pressure tissue injury. Heroin-related compartment syndrome (HRCS) has previously...
0
Survivorship of the native hip joint after percutaneous repair of acetabular fractures in the elderly
Management of Hip Fractures in the Elderly
Our purpose was to examine survivorship of the native hip joint in patients ages 60 and over who underwent percutaneous reduction and fixation of acetabular fractures. A retrospective review at a University Level I Trauma Center was performed. Our institutional trauma database was reviewed. Patients aged 60 or older tr...
0
Patella Dislocation
Osteochondritis Dissecans 2020 Review
In brief Whenever a patient has a patella dislocation, osteochondral fractures should be considered. A case study involving a 17-year-old swimmer whose knee was injured playing baseball details a patella dislocation that was accompanied by a defect of the medial patellar facet and a lateral impaction lesion of the late...
0
B-vitamin mixture improves the analgesic effect of diclofenac in patients with osteoarthritis: a double blind study
Surgical Management of Osteoarthritis of the Knee CPG
According to the high consumption of the mixture of B vitamins and diclofenac in several countries, this combination has constituted a frequently used option in pain therapy from inflammatory origin. Although the evidence obtained from inflammatory pain animal models has shown the existence of analgesic synergy between...
0
Prophylactic antibiotic therapy for chronic bronchitis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: The use of prophylactic antibiotics to reduce the frequency and severity of acute exacerbations of chronic bronchitis is controversial. OBJECTIVES: To determine if prophylactic antibiotics reduce the frequency of exacerbations and/or days of disability in subjects with chronic bronchitis. SEARCH STRATEGY: W...
0
Relationship between change in femoral neck bone mineral density and hip fracture incidence during treatment with strontium ranelate
Management of Hip Fractures in the Elderly
OBJECTIVE: Strontium ranelate (SR) increases bone mineral density (BMD) in postmenopausal osteoporotic women and reduces vertebral and non-vertebral fracture incidence. Hip fracture reduction has also been observed during 3-year treatment with SR in osteoporotic women at high risk of hip fracture. The objective of this...
0
Surgical site infections in patients of orthopedic - trauma unit in district hospital in 2008-2012
Hip Fx in the Elderly 2019
THE PURPOSE OF THE STUDY: The purpose of this study was to evaluate the prevalence and structure of surgical site infections in the Department of Orthopaedis - Trauma Unit in Regional Hospital. St. Luke in Tarnow in 2008-2012. MATERIALS AND METHODS: Data analysis included 7189 patients operated in 2008-2012. The data c...
0
Peripheral motor axons of SOD1(G127X) mutant mice are susceptible to activity-dependent degeneration
OAK 3 - Non-arthroplasty tx of OAK
Motor neuron disorders may be associated with mitochondrial dysfunction, and repetitive electrical impulse conduction during energy restriction has been found to cause neuronal degeneration. The aim of this study was to investigate the vulnerability of motor axons of a presymptomatic late-onset, fast-progression SOD1(G...
0
More Than Epiphyseal Osteochondromas: Updated Understanding of Imaging Findings in Dysplasia Epiphysealis Hemimelica (Trevor Disease)
Osteochondritis Dissecans 2020 Review
OBJECTIVE: The purpose of this article is to discuss approaches to imaging dysplasia epiphysealis hemimelica in the context of recent advances in the understanding of the underlying pathophysiologic profile of this entity, which may result in pain, growth disturbance, and early development of osteoarthritis. CONCLUSION...
0
Pharmacological agents and bone healing
AAHKS (2) Corticosteroids
Osteoporosis is the most common alteration of bone metabolism. It derives from an increase in bone resorption with respect to bone formation and is characterized by microarchitectural alterations, decreased bone mass and increased risk of fracture. The coupling between bone formation and resorption is a fundamental con...
1
Human genetics in Burma
Developmental Dysplasia of the Hip CPG
Contrary to earlier reports from Asia, trisomy 21 is common in Burma and other chromosome abnormalities are found. A variety of dominant, recessive and X-linked genetic disorders occur. Twins are found in 1% of births and MZ and DZ twins are equally common. Thalassaemia and meningomyelocele are relatively common while ...
0
Reconstruction of the segmental mandibular defect: Current state of the art
MSTS 2018 - Femur Mets and MM
PURPOSE OF REVIEW: This article reviews literature pertaining to advances in the reconstruction of segmental mandibular defects in the context of an established standard of care, microvascular transfer of free osteocutaneous flaps. RECENT FINDINGS: Most literature reiterates established reconstructive techniques. Excep...
0
The Effect of Vitamin C on Wound Healing In Mandibular Fracture Patients
Distal Radius Fractures
In a prospective, randomized clinical trial of de novo mandibular fracture patients requiring intraoral surgical repair with plating, the investigators will: 1. Compare the effects of supplemental vitamin C to placebo on soft tissue wound healing, measured by a) biomarkers of soft tissue repair (Procollagen I and III, ...
0
Neuromuscular electrical stimulation in the treatment of knee osteoarthritis: a systematic review and meta-analysis
SR for PM on OA of All Extremities
OBJECTIVE: To assess the effectiveness of surface neuromuscular electrical stimulation in the treatment of knee osteoarthritis. DESIGN: Systematic review and meta-analysis of randomized controlled and controlled clinical trials METHODS: Studies were identified from databases (MEDLINE, EMBASE, CINAHL, Sports Discus, PED...
0
Effect of a chemotherapeutic agent delivered by an oral irrigation device on plaque, gingivitis, and subgingival microflora
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Sixty-six adults were examined in a double-bind study which examined the effect of an antimicrobial agent delivered by an oral irrigating device. Each subject received a randomized half mouth dental prophylaxis. The Gingival Index, gingival crevicular fluid volume, Plaque Index, Modified Papillary Bleeding Index, probi...
0
Clinical features and treatment response of light chain (AL) amyloidosis diagnosed in patients with previous diagnosis of multiple myeloma (MM)
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Introduction: Both multiple myeloma (MM) and (AL) amyloidosis are clonal plasma cell proliferative disorders. While AL rarely nullprogressesnull to MM, probably due to the shorter survival of AL patients, patients with MM have been reported to develop overt AL at a higher frequency. We conducted this study to identify ...
0
Serum metal ion levels after rotating-hinge knee arthroplasty: Comparison between a standard device and a megaprosthesis
PJI DX Updated Search
Purpose: The effects of systemic metal ion exposure in patients with implants made of common prosthetic alloys continue to be a matter of concern. The aim of the study was to determine the measurement values of cobalt (Co), chromium (Cr) and molybdenum (Mo) in serum following rotating-hinge knee arthroplasty. Methods: ...
0
Clinical Study of Non-inferiority With Participants Diagnosed With Primary Knee OA (GLACIAL)
OAK 3 - Non-arthroplasty tx of OAK
This phase III clinical study will be conducted in Brazilian research sites. It will be included in the study 314 participants diagnosed with primary knee OA according to the classification criteria of the ACR. After a washout period, the participants will be randomized to receive the combination of glucosamine sulfate...
0
[Effect of perioperative use of selective cyclooxygenase-2 inhibitor on postoperative pain, bleeding volume and functional recovery of the knee joints after joint replacement of both knees]
Surgical Management of Osteoarthritis of the Knee CPG
Aim: To evaluate the effect of preoperative and postoperative use of a kind of selective cyclooxygenase-2 (COX-2) inhibitor, Rofecoxib, on postoperative pain, bleeding volume and functional recovery of the knee joints after joint replacement of both knees, and observe its safety and effectiveness in decreasing the post...
1
Intramedullary versus extramedullary fixation for subtrochanteric femur fractures
DoD SSI (Surgical Site Infections)
OBJECTIVES: Both intramedullary and extramedullary internal fixation has been advocated for the treatment of subtrochanteric femur fractures. Is there clinical evidence to recommend one method of internal fixation over the other? DATA SOURCES: A search of MEDLINE (1950 to June 2007), CINAHL (1982 to June 2007), and EMB...
0
ISHKS joint registry: A preliminary report
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are the most widely practiced surgical options for arthritis all over the world and its application is rising in India. Indian Society of Hip and Knee Surgeons (ISHKS) has established a joints registry and has been collecting data for last 6 yea...
0
Impact of slow recovery and poor functional outcomes on direct and indirect costs after total knee replacement in osteoarthritis patients
Surgical Management of Osteoarthritis of the Knee CPG
Background/Purpose: About 15-30% of patients with osteoarthritis (OA) who undergo total knee replacement (TKR) have little or no improvement after the surgery. The aim of our study is to determine the impact of slow recovery and poor functional outcomes on TKR-related costs. Methods: PEAKS (Patient Expectations About K...
1
Introduction of an MR-based semi-quantitative score for assessing partial meniscectomy and relation to knee joint degenerative disease: data from the Osteoarthritis Initiative
AMP (Acute Meniscal Pathology)
OBJECTIVES: To develop an MR-based semi-quantitative meniscus scoring technique for postoperative assessment of the degree of meniscal resection, to test its reproducibility, and to study the relationship between the amount of resection and degenerative disease burden. METHODS: We studied the right knee of 135 particip...
1
Methodological Quality of Economic Evaluations Alongside Trials of Knee Physiotherapy
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: The methodological quality of an economic evaluation performed alongside a clinical trial can be underestimated if the paper does not report key methodological features. This study discusses methodological assessment issues on the example of a systematic review on cost-effectiveness of physiotherapy for kne...
1
Rehabilitation parameters in total knee replacement patients undergoing epidural vs. conventional analgesia
Surgical Management of Osteoarthritis of the Knee CPG
Epidural analgesia for total knee replacement (TKR) surgery has been proposed as a means of enhancing patient comfort, thereby expediting rehabilitation and reducing hospital stay. This study was done to determine differences in rehabilitation parameters of range of motion and mobility in patients receiving epidural vs...
0
Culture change in pain management after hip and knee replacement in north estonia medical centre
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Quality markers of postoperative care are- pain control, early mobilization and minimal side effects. Methods: We audited 50 consecutive hip and knee replacement patients in terms of pain scores, mobility and side effects. Initially epidural (EPI) group and after implementing nullEnhanced Recovery Program...
0
Correction to: The role of intra-articular administration of Fetuin-A in post-traumatic knee osteoarthritis: an experimental study in a rat model (Journal of Experimental Orthopaedics, (2019), 6, 1, (25), 10.1186/s40634-019-0194-4)
OAK 3 - Non-arthroplasty tx of OAK
Following publication of the original article (Pappa et al. 2019), the authors opted to correct the middle initial of co-author Despina N. Perrea from S to N. The original article has been corrected.
1
Ultrasound-guided shoulder joint injections
Glenohumeral Joint OA
Subacromial bursa (SAB) and glenohumeral joint (GHJ) injections are commonly performed for shoulder pain and dysfunction. For patients with rotator cuff or impingement syndromes, the SAB injection may provide temporary relief of pain and increase shoulder mobility, as well as help confirm the diagnosis. Likewise, for p...
0
Comprehensive surgical management of arthritic knee
Surgical Management of Osteoarthritis of the Knee CPG
Total knee arthroplasty is not the only available surgical option for arthritic knees. It varies according to patient's age and severity of the disease. 105 arthritic knees were surgically treated at the Joint Replacement Centre of Army Hospital (R&R) in last 4 years. 77 knees were osteoarthritic and 28 were rheumatoid...
0
A case of carpal tunnel syndrome caused by accessory palmaris longus muscle
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A rare case of carpal tunnel syndrome caused by bilateral accessory palmaris longus muscles in a 48-year-old female is reported. The median nerves of this patient were compressed by the abnormal muscles, which originated from the medial side of the normal palmaris longus tendon and inserted in the hypothenar region. Cl...
0
Lower limb nerve blocks
Surgical Management of Osteoarthritis of the Knee CPG
Peripheral nerve blocks are increasingly used for a wide range of surgical procedures involving the lower limb. A number of techniques can be used to provide anaesthesia and highly effective postoperative analgesia - in particular following lower limb arthroplasty - that may result in improved functional recovery and s...
0
Determinants of bone mineral density in older men
AAHKS (2) Corticosteroids
Osteoporosis is a significant health problem and contributor to disability and premature mortality among older men. Incidence rates for hip fracture have stabilized in women, but continue to increase in men. A major risk factor for hip fracture is bone mineral density level. The determinants of bone mineral density (BM...
0
Time-dependent improvement in functional outcome following LCS rotating platform knee replacement
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND AND PURPOSE: Long-term follow-up studies after total knee replacement (TKR) using an LCS rotating platform have shown survival rates of up to 97%. Few studies have evaluated short-term functional outcome and its improvement over time. We determined the time course of functional outcome as evaluated by the kn...
0
Soft tissue balance changes depending on joint distraction force in total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
The influence of joint distraction force on intraoperative soft tissue balance was evaluated using Offset Repo-Tensor for 78 knees that underwent primary posterior-stabilized total knee arthroplasty. The joint center gap and varus ligament balance were measured between osteotomized surfaces using 20, 40 and 60 lbs of j...
0
Evaluation of bone mineral density and fat-lean distribution in patients with multiple myeloma in sustained remission
MSTS 2018 - Femur Mets and MM
To study the usefulness of bone mineral density (BMD) in the follow-up of myeloma (MM) patients, BMD was evaluated in 44 MM patients in sustained remission for at least 2 years (35.4 +/- 10.5 months) after high-dose or conventional chemotherapy in a retrospective study. Patients never received bisphosphonates before or...
0
Frontalis Muscle Contraction and the Role of Visual Deprivation and Eyelid Proprioception
Upper Eyelid and Brow Surgery
PURPOSE: To determine if frontalis muscle contraction can be induced by manipulating visual and eyelid proprioceptive inputs through simulating visual deprivation and ptosis. METHODS: Volunteers without prior eyelid or forehead pathologic study were recruited for this nonrandomized, prospective study. Baseline and stud...
0
Madelung's Disease: Revision of 59 Surgical Cases
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Madelung's disease (MD) is a rare disease, more common in Mediterranean countries and associated with alcohol abuse. However, MD etiology remains not completely understood. OBJECTIVE: The aim of this study was to investigate clinical features, treatment options and outcomes in patients with MD treated in ou...
0
Lifestyle and osteoporosis in middle-aged and elderly women: Chiba bone survey
HipFx Supplemental Cost Analysis
Osteoporosis causes an enormous health and economic impact in Japan. We investigated the relation between lifestyle and bone fracture in middle-aged and elderly women. This was a population-based, multicenter, cross-sectional survey for postmenopausal osteoporosis in Chiba City, Japan (Chiba bone survey). This survey i...
0
Ipsilateral supracondylar fracture of humerus and forearm bones in children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
A total of 34 children with ipsilateral supracondylar fractures of the humerus and forearm were studied over an 8-year period. Of these, 19 patients had fractures of the distal quarter of the forearm bones while eight patients had a distal radial epiphyseal injury. Five of the patients had undisplaced supracondylar fra...
1
MRI findings in simultaneous bilateral meniscal lesions
AMP (Acute Meniscal Pathology)
This study investigates concurrent lesions of the knee that may be associated with bilateral simultaneous meniscal lesions. The MRI images of the knees of 22 patients with this condition were examined in detail. The results suggest a degenerative cause.
0
Plasma B vitamins, homocysteine, and their relation with bone loss and hip fracture in elderly men and women
Management of Hip Fractures in the Elderly
CONTEXT: Elevated homocysteine is a strong risk factor for osteoporotic fractures among elders, yet it may be a marker for low B-vitamin status. OBJECTIVE: Our objective was to examine the associations of plasma concentrations of folate, vitamin B12, vitamin B6, and homocysteine with bone loss and hip fracture risk in ...
0
Increased hip internal abduction moment and reduced speed are the gait strategies used by women with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
The purpose of this study was to identify the gait strategies in women with mild and moderate knee osteoarthritis (OA). Forty women diagnosed with OA of the knee and 40 healthy women participated in the study. Toe-out progression angle, trunk lateral lean, hip internal abduction moment and gait speed were measured usin...
0
Impairments of Gestalt perception in the intact hemifield of hemianopic patients are reflected in gamma-band EEG activity
Upper Eyelid and Brow Surgery
Gamma-band responses (GBRs) are associated with Gestalt perception processes. In the present EEG study, we investigated the effects of perceptual grouping on the visual GBR in the perimetrically intact visual field of patients with homonymous hemianopia and compared them to healthy participants. All observers were pres...
0
Combined femoral and sciatic nerve block vs combined femoral and periarticular infiltration in total knee arthroplasty: a randomized controlled trial
AAHKS (8) Anesthetic Infiltration
This study tests the null hypothesis that there is no difference between sciatic nerve block (SNB) and periarticular anesthetic infiltration (PI) as adjuncts to femoral nerve blockade (FNB) in total knee arthroplasty in terms of postoperative opioid requirements. Fifty-two patients undergoing total knee arthroplasty we...
0
Unilateral permanent loss of vision after nefopam administration
Surgical Management of Osteoarthritis of the Knee CPG
Acute glaucoma angle closure is a rare complication of anaesthesia and multimodal analgesia. However it is a medical emergency, hence any delay in its treatment may have catastrophic consequences. We present a case of postoperative glaucoma, which had evolved to permanent blindness. We also reviewed the French pharmaco...
0
Ethnic differences in preoperative function of patients undergoing total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
The prevalence of osteoarthritis is high in all ethnic and demographic groups. The timing of surgery is important because poor preoperative functional status is related to poor postoperative function. The aim of our study was to compare the preoperative knee function in patients of Asian origin with that of Caucasians ...
0
Role of mtDNA haplogroups in the prevalence of osteoarthritis in different geographic populations: A meta-analysis
SR for PM on OA of All Extremities
Methods: Published English or Chinese literature from PubMed, Web of Science, SDOS, and CNKI was retrieved up until April 15, 2014. Case-control or cohort studies that detected the frequency of mtDNA haplogroups in OA patients and controls were included. The quality of the included studies was evaluated by the Newcastl...
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Short-term outcomes of one-stage bilateral total hip arthroplasty in young patients (< 30 years old)
DoD SSI (Surgical Site Infections)
Total hip arthroplasty is one of the best treatments for restoring function and activity in young patients with advanced joint diseases. One-Stage Bilateral Total Hip Arthroplasty (BTHA) offers many advantages, which are important to younger patients and diminished costs and time in comparison with sequential THA. Ther...
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Prolonged survival after complete resection of disseminated melanoma and active immunotherapy with a therapeutic cancer vaccine
Reconstruction After Skin Cancer
PURPOSE: The curative effect of surgery in certain patients with metastatic melanoma suggests the presence of endogenous antitumor responses. Because melanoma is immunogenic, we investigated whether a therapeutic cancer vaccine called Canvaxin (CancerVax Corporation, Carlsbad, CA) could enhance antitumor immune respons...
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Intraoperative electroneurodiagnostics to detect a second granuloma in the cubital area of median nerves affected by leprosy: A new approach to prevent incomplete surgery
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A recent work reports on the necessity to localize the most proximal site of leprous ulnar neuritis with intraoperative electroneurodiagnostics. In the present study we wanted to verify the applicability of this method on leprous median nerves. In six patients, seven median nerves were exposed at the wrist, all showing...
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Weight-bearing-line analysis in supramalleolar osteotomy for varus-type osteoarthritis of the ankle
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: We determined the preoperative and postoperative passing points of the mechanical axis of the lower limb at the level of the tibial plafond using a new method involving a full-length standing posteroanterior radiograph that includes the calcaneus (a hip-to-calcaneus radiograph) and correlated them to the cl...
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Long-Term Outcomes After Distal Scaphoid Fractures: A 10-Year Follow-Up
Distal Radius Fractures
PURPOSE: The aim of this study was to evaluate the functional, clinical, and radiological outcome 10 years after distal scaphoid fractures. METHODS: From a prospective epidemiological study on posttraumatic radial-sided wrist pain, we evaluated 41 cases of distal scaphoid fractures. All cases had been treated nonsurgic...
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Biochemical stress evaluation after medial parapatellar and subvastus approach in total knee replacement
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: Even if different surgical approaches for total knee arthroplasty are well known since decades, the standard medial parapatellar incision remains the most common one; general agreement about significant advantages with minimally invasive techniques is lacking. Furthermore, the surgical stress effect on th...
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Favorable coagulation profile with fondaparinux after hip surgery in elderly patients
Management of Hip Fractures in the Elderly
Twenty-three patients with fondaparinux prophylaxis over 75 years of age who underwent hip fracture surgery were enrolled in the study. Fondaparinux sodium (2.5 mg) was administered subcutaneously 6 h postoperatively and then every 24 h for 28 days. Coagulation and inflammatory parameters were measured preoperatively, ...
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Cell-sheet technology combined with a thienoindazole derivative small compound TD-198946 for cartilage regeneration
BMAC (Bone Marrow Aspirate Concentrate)
Articular cartilage is a permanent tissue, with poor self-regenerative capacity. Consequently, a tissue engineering approach to cartilage regenerative therapy could greatly advance the current treatment options for patients with cartilage degeneration and/or defects. A successful tissue engineering approach would requi...
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Muscle relaxants for pain management in rheumatoid arthritis
SR for PM on OA of All Extremities
Background: Pain management is a high priority for patients with rheumatoid arthritis (RA). Muscle relaxants include drugs that reduce muscle spasm (for example benzodiazepines such as diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan) and non-benzodiazepines such as metaxalone (Skelaxin) or a combination of par...
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Ultrasonography for meniscal injuries in knee joint: a systematic review and meta-analysis
AMP (Acute Meniscal Pathology)
INTRODUCTION: The aim of the paper is to systematically review the diagnostic accuracy of ultrasonography for meniscal injuries in knee joint. EVIDENCE ACQUISITION: A search of PubMed and Web of Science was performed up to January 2015. Only studies for diagnosis meniscal injuries by ultrasonography were included. The ...
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A left knee wound complication by non-Hodgkins lymphoma in bilateral total knee arthroplasties
Surgical Management of Osteoarthritis of the Knee CPG
A 70-year-old woman with a history of bilateral primary knee osteoarthritis presented with a left knee wound complication, a non-Hodgkins lymphoma, after bilateral total knee arthroplasties. After exploring several etiologies, the evidence in this unusual case suggests a coincidental preexisting lymphoma
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Median nerve compression in Weill-Marchesani syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Weill-Marchesani syndrome is a rare, generalized disorder of connective tissue manifested by short stature, brachymorphia, and spherophakia. Inheritance is autosomal recessive. In the less than 50 reported cases, joint stiffness in the hands and thenar atrophy have been noted in adults. A kindred is reported here in wh...
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Knee salvage in revision arthroplasty after massive bone loss of the femur condyles (>/=Engh III) with a single-modular-hinged knee revision implant
PJI DX Updated Search
PURPOSE: Massive bone loss of the femur condyles in revision arthroplasty often requires modular-hinged revision implants to restore a stable joint situation. In the present series, the outcome after knee revision surgery using a single modular-hinged revision implant in patients with severe bone defects (>Engh III) is...
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Therapeutic effects of short-term monochromatic infrared energy therapy on patients with knee osteoarthritis: A double-blind, randomized, placebo-controlled study
OAK 3 - Non-arthroplasty tx of OAK
STUDY DESIGN: Randomized, double-blind, placebo-controlled study. OBJECTIVES: To examine the short-term therapeutic effects of monochromatic infrared energy (MIRE) on participants with knee osteoarthritis (OA). Patients were assessed according to the International Classification of Functioning, Disability and Health. B...
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Distribution of clinical symptoms in carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: To determine the distribution of clinical symptoms based on the gender and age of patients with Carpel Tunnel Syndrome (CTS). STUDY DESIGN: A cross-sectional observational study. PLACE AND DURATION OF STUDY: Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia, from April...
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Return to Sport After Tibial Shaft Fractures: A Systematic Review
DoD SSI (Surgical Site Infections)
CONTEXT: Acute tibial shaft fractures represent one of the most severe injuries in sports. Return rates and return-to-sport times after these injuries are limited, particularly with regard to the outcomes of different treatment methods. OBJECTIVE: To determine the current evidence for the treatment of and return to spo...
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Tailor therapy according to patient needs and anatomical site when treating primary hyperhidrosis
Panniculectomy & Abdominoplasty CPG
Hyperhidrosis is a disorder of excessive sweating, with most cases involving the axillae, palms and soles. The choice of nonsurgical or surgical treatment should be tailored to the individual needs of the patient and anatomical site affected. © 2012 Springer International Publishing AG. All rights reserved.
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Cytochrome p450 and glutathione transferase expression in human breast cancer
Reduction Mammoplasty for Female Breast Hypertrophy
PURPOSE: The cytochrome P-450 (CYP) and glutathione S-transferase (GST) enzyme systems may influence the biological effects of carcinogens, including estrogens. As such, these enzymes may predict the developmental risk of breast cancer, as well as be potential targets for chemoprevention. The purpose of this study was ...
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Resilience in family caregivers of persons with acquired brain injury
DoD PRF (Psychosocial RF)
Purpose/Objective: The authors' purpose was to develop the Questionnaire of Resilience in Caregivers of Acquired Brain Injury (QRC-ABI) and explore its psychometric properties The QRC-ABI was developed to measure the process of resilience, including resilient factors that, according to the literature, are the most rele...
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Lack of metabolic bone disease in patients with fracture of the femoral neck
MSTS 2018 - Femur Mets and MM
To examine the widely held belief that osteoporosis and osteomalacia are pathogenetic factors in femoral neck fracture, we compared such patients with vertebral fracture patients and controls. Cortical bone was measured in hand X-rays and cancellous bone in iliac crest biopsies, which were also used to assess osteoid, ...
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Cost analysis of intra-articular sodium hyaluronate treatment in knee osteoarthritis patients who failed conservative treatment
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Failed conservative treatments of knee osteoarthritis (OA) in the elderly have traditionally been treated with TKA (Total Knee Arthroplasty). Although TKA is a gold standard and cost-effective treatment in elderly patients, it should be considered as the last resource for patients with pain that cannot be c...