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0 | Back to the future â?? Feasibility of recruitment and retention to patient education and telephone follow-up after hip fracture: A pilot randomized controlled trial | DoD PRF (Psychosocial RF) | Objectives: Our primary aim of this pilot study was to test feasibility of the planned design, the interventions (education plus telephone coaching), and the outcome measures, and to facilitate a power calculation for a future randomized controlled trial to improve adherence to recovery goals following hip fracture. De... |
1 | Identifying and treating preclinical and early osteoarthritis | AMP (Acute Meniscal Pathology) | Studies suggest that many persons with painful osteoarthritis already have extensive structural disease including malalignment, which may preclude successful stabilization or reversal of disease; this provides a strong rationale for developing strategies to prevent disease or to identify and treat it early. This articl... |
0 | Length of disability and cost of work-related musculoskeletal disorders of the upper extremity | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | There is little information on the length of disability (LOD) reported for work-related musculoskeletal disorders of the upper extremity (WMSDUE). For this study, LOD, cost, and the relationship between LOD and cost were derived from a large workers' compensation company's claims data for 1994 |
0 | Endoscopic release for carpal tunnel syndrome accompanied by thenar muscle atrophy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: The objective of this study was to ascertain whether endoscopic carpal tunnel release (ECTR) is indicated for treatment of carpal tunnel syndrome accompanied by thenar muscle atrophy. TYPE OF STUDY: Prospective cohort study. METHODS: Two-portal ECTR was performed on 67 hands in 52 patients with carpal tunnel s... |
0 | A convenient way to do valgus osteotomy for neglected fracture neck of femur | Hip Fx in the Elderly 2019 | BACKGROUND: Neglected fracture of neck of femur in young adults is a major problem in developing countries. Existing treatment options varies from osteotomy to various graft techniques (muscle pedicle, vascularized and nonvascularized fibula etc.). There is paucity of literature regarding the use of double angle barrel... |
0 | Tibial component fixation in porous- and hydroxyapatite-coated total knee arthroplasty: a radiostereo metric evaluation of migration and inducible displacement after 5 years | Surgical Management of Osteoarthritis of the Knee CPG | A total of 51 knees (45 patients) with osteoarthrosis were stratified in a randomized study to receive a hydroxyapatite-coated Freeman-Samuelson (FS HA) or a porous-coated Miller-Galante II (MG II) uncemented total knee arthroplasty. Repeated clinical, radiographic, and radiostereometric analysis (RSA) evaluations of t... |
0 | Knee arthrography. Evolution and current status | AMP (Acute Meniscal Pathology) | This article explores arthrography of the knee beginning with a brief historical perspective of conventional knee arthrography and culminating in direct and indirect MR arthrography of the knee. This article discusses the advantages of MR arthrography in the radiologic assessment of the postoperative meniscus, abnormal... |
0 | Functional medical ligament balancing in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Function of the anterior and posterior oblique portions of the medial collateral ligament and the posterior capsule in flexion and extension was evaluated in eight knee specimens after posterior cruciate retaining total knee arthroplasty. The posterior oblique portion of the medial collateral ligament was released subp... |
0 | The relationship between MSI status and vessel density in colorectal carcinoma | Upper Eyelid and Brow Surgery | The development of new blood vessels is a prerequisite for progression of malignant neoplasms. Factors that induce neoangiogenesis include VEGF, VEGF-C, VEGF-D, PD-ECG, ANG-2, TSP-1, HIF-1 and HIF-2. From the etiopathogenetic viewpoint, colorectal carcinoma is heterogenic. It may develop via a sequence of mutations lea... |
1 | Covariation of physical and mental symptoms across illnesses: results of a factor analytic study | DoD PRF (Psychosocial RF) | OBJECTIVE: Chronic illnesses are associated with reports of symptoms, problems, and dysfunction along multiple dimensions. To determine if the dimensionality is disease-specific and whether physical and emotional symptoms are concomitant and inseparable aspects of the illness experience, we present a factor analysis of... |
0 | Clinical outcomes following injections of leukocyte-rich platelet-rich plasma in osteoarthritis patients | BMAC (Bone Marrow Aspirate Concentrate) | Background: Scientists are trying to discover how to repair cartilage defects in knee osteoarthritis (KOA). In our previous study, we found a fibrocartilage-rich cover over the defective portions of cartilage after administering leukocyte-rich platelet-rich plasma (LR-PRP). This study aimed to investigate the efficacy ... |
0 | Homonymous hemianopia: challenges and solutions | Upper Eyelid and Brow Surgery | Stroke is the most common cause of homonymous hemianopia (HH) in adults, followed by trauma and tumors. Associated signs and symptoms, as well as visual field characteristics such as location and congruity, can help determine the location of the causative brain lesion. HH can have a significant effect on quality of lif... |
0 | Vertebral fracture prevalence among women screened for the fracture intervention trial and simple clinical tool to screen for undiagnosed vertebral fractures | Management of Hip Fractures in the Elderly | Objective: To evaluate the ability of self-reported risk factors to identify postmenopausal women likely to have extant vertebral fractures because approximately two thirds of women with radiographic evidence of vertebral fracture are unaware of the fracture. Patients and Methods: Questionnaire and spinal radiographic ... |
0 | Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study | AAHKS (4) Acetaminophen | BACKGROUND AND AIMS: Several methods for pain management following total hip arthroplasty (THA) have been described but the best postoperative pain management technique remains uncertain. We compared surgeon applied local infiltration analgesia (LIA) with anaesthesiologist performed femoral nerve block (FNB) using ultr... |
0 | Imageless navigation of hip resurfacing arthroplasty increases the implant accuracy | Management of Hip Fractures in the Elderly | Surface arthroplasty of the hip is increasingly popular. Optimising the position of the femoral component is essential to avoid early implant failures such as femoral neck fractures. Sixty hip surface replacements were retrospectively analysed. In 30 patients imageless navigation was used, and 30 patients were operated... |
1 | The effects of a small-dose ketamine-propofol combination on tourniquet-induced ischemia-reperfusion injury during arthroscopic knee surgery | AMP (Acute Meniscal Pathology) | STUDY OBJECTIVE: To determine the effects of a small-dose ketamine-propofol combination used for sedation during spinal anesthesia on tourniquet-induced ischemia-reperfusion injury.
STUDY DESIGN: Prospective randomized study.
SETTING: Training and research hospital.
PATIENTS: 60 adult, ASA physical status 1 and 2 patie... |
1 | The treatment of intra-articular calcaneus fractures with severe soft tissue damage with a hinged external fixator or internal stabilization: long-term results | DOD - Acute Comp Syndrome CPG | We developed a hinged external fixator for the treatment of dislocated intra-articular calcaneus fractures with severe soft tissue damage. The external fixation was performed with a known external fixator system. The screw insertion points were biomechanically tested by defining a virtual rotation axis through the cent... |
1 | Tibial fixation in anterior cruciate ligament reconstruction with bone-patellar tendon-bone and semitendinosus-gracilis autografts: a comparison between bioabsorbable screws and bioabsorbable cross-pin fixation | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Knee instability after anterior cruciate ligament reconstruction rarely manifests with activities of daily living, but it may occur in high-level sports performance, resulting in secondary injuries. Faced with these circumstances, sports orthopaedists have continued to improve on the results obtained with s... |
0 | Restoration of the volar cortex: predicting instability after manipulation of distal radial fractures | Distal Radius Fractures | INTRODUCTION: Distal radial fractures are one of the most common fractures that are presented to the emergency department (ed). The management of non-emergent cases often involves closed reduction and immobilisation before referral to orthopaedic services. Surgical intervention is offered based on the criteria for inst... |
0 | Total hip arthroplasty, combined with a reinforcement ring and posterior column plating for acetabular fractures in elderly patients: good outcome in 34 patients | Hip Fx in the Elderly 2019 | Background and purpose - Low-energy acetabulum fractures are uncommon, and mostly occur in elderly patients. Determining the optimal operative treatment for such fractures is challenging. Here we investigated whether acutely performed total hip arthroplasty plus posterior column plating (THA) reduced complications and ... |
0 | Three-part head-splitting proximal humerus fracture through a unicameral bone cyst | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Unicameral bone cysts are rare in adults and are most often found incidentally on radiographs. However, they can persist from the adolescent period and may be present in locations that predispose to or exacerbate fractures.This article describes a case of a healthy 40-year-old woman who sustained a proximal humerus tra... |
1 | Long-term Safety and Efficacy of Tapentadol Extended Release Following up to 2 Years of Treatment in Patients With Moderate to Severe, Chronic Pain: Results of an Open-label Extension Trial | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Tapentadol extended release (ER) has demonstrated efficacy and safety for the management of moderate to severe, chronic pain in adults. This study evaluated the long-term safety and tolerability of tapentadol ER in patients with chronic osteoarthritis or low back pain.
METHODS: Patients were enrolled in this 1... |
0 | Mouse model of chronic post-arthroplasty infection: noninvasive in vivo bioluminescence imaging to monitor bacterial burden for long-term study | PJI DX Updated Search | Post-arthroplasty infections are a devastating problem in orthopaedic surgery. While acute infections can be treated with a single stage washout and liner exchange, chronic infections lead to multiple reoperations, prolonged antibiotic courses, extended disability, and worse clinical outcomes. Unlike previous mouse mod... |
0 | Arthroscopic characteristics of meniscal injuries in osteoarthritic knees | AMP (Acute Meniscal Pathology) | OBJECTIVE: The aim of this study was to investigate the arthroscopic characteristics of meniscal injuries in osteoarthritic knees and explore their significance in the selection of surgical approach.
METHODS: Four original types of meniscal injuries were defined. The study included 87 cases; 12 Type 1, 26 Type 2, 35 Ty... |
0 | The economic impact of medical complications in geriatric patients with hip fracture | Management of Hip Fractures in the Elderly | The records of 510 elderly patients with hip fractures admitted to our institution between January 1995 and December 2000 were retrospectively reviewed to determine the incidence and type of developed medical complications and their economic implications. Of those 510 patients, 217 (43%) developed at least 1 medical co... |
1 | Microbial colonization of the peri-implant environment and its relevance to long-term success of osseointegrated implants | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: This article provides a critical examination of the literature on the colonization of the peri-implant environment and its impact on clinically significant infection, in the context of a comparison with the microbial etiology of periodontitis. MATERIALS AND METHODS: Previous journal article bibliographies and ... |
0 | Early prosthetic joint infections treated with debridement and implant retention: 38 primary hip arthroplasties prospectively recorded and followed for median 4 years | PJI DX Updated Search | BACKGROUND AND PURPOSE: Debridement and retention of the prosthesis is often attempted to treat early prosthetic joint infection (PJI). However, previous studies have found inconsistent results, with success rates ranging from 21% to 100%, and little has been written in the literature about hip function. We have theref... |
1 | Comparing the Effectiveness of Electroacupuncture with Different Grades of Knee Osteoarthritis: A Prospective Study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The electroacupuncture (EA) with different number of points significantly affected its efficacy on knee osteoarthritis (KOA), and the severity of KOA also influenced its response to treatments. Hence, we prospectively compared the clinical efficacy of EA on KOA with different severities.
METHODS: A total of... |
1 | Prescribing functional braces for knee instability | Anterior Cruciate Ligament Injuries CPG | Functional knee braces (FKBs) have become a popular adjunct to managing ACL injuries (1). Since their introduction, functional braces have gained wide acceptance for use on ACL-deficient knees and for graft protection during rehabilitation after ACL reconstruction (2) |
0 | Prevention of knee injury â?? is there evidence? | OAK 3 - Non-arthroplasty tx of OAK | A severe knee injury can be a life-changing event for all sportsmen and sportswomen regardless of the level of competition. With modern surgical techniques, the ACl and other damaged tissue can be restored; but in the long term microinstability and loss of meniscus tissue can lead to osteoarthrosis in the knee joint. V... |
0 | Outcome of percutaneous screw fixation of scaphoid fractures | Distal Radius Fractures | The optimal treatment of minimally displaced or nondisplaced fractures of the scaphoid is unclear. Traditionally, management of these fractures has been unpredictable with a significant risk of nonunion when treated conservatively. This study examined the results from 32 patients who underwent percutaneous screw fixati... |
0 | Abdominoplasty repair for abdominal wall hernias | Panniculectomy & Abdominoplasty CPG | The objectives of abdominal hernial repair are to reconstruct the structural integrity of the abdominal wall while minimizing morbidity. Current techniques include primary closure, staged repair, and the use of prosthetic materials. Techniques for abdominoplasty include the use of the transverse lower abdominal incisio... |
0 | Increasing risk of revision due to deep infection after hip arthroplasty | PJI DX Updated Search | BACKGROUND AND PURPOSE: Over the decades, improvements in surgery and perioperative routines have reduced the incidence of deep infections after total hip arthroplasty (THA). There is, however, some evidence to suggest that the incidence of infection is increasing again. We assessed the risk of revision due to deep inf... |
0 | Radiographic, histologic, and arthroscopic findings in amorphous calcifications of the hip labrum | PJI DX Updated Search | Purpose The purpose of this study was to evaluate the clinical, radiographic, histologic, and intraoperative findings of an amorphous calcification involving the acetabular labrum. Methods From October 2008 to April 2013, all patients who underwent arthroscopic hip surgery for symptomatic intra-articular hip disorders ... |
0 | Psychological consequences of medical accidents in personal litigants | DoD PRF (Psychosocial RF) | Long-term distress was assessed in 29 patients (aged 21â??72 yrs) who had suffered an injury during surgery, a failure of diagnosis or other incorrect treatment, and who had taken legal action as a result. A semi-structured interview was used to gather information on demographic characteristics, psychological distress,... |
0 | Anterior Approach Total Hip Arthroplasty: The Heuter Interval | AAHKS (4) Acetaminophen | The authors report on outcomes from a consecutive series of 450 total hip arthroplasty patients who underwent surgery with a single-incision anterior approach to the hip joint. This approach is relevant to minimally invasive two-incision total hip arthroplasty, since the anterior portion of the two-incision technique i... |
0 | Preliminary results of a bone marrow magnetic resonance imaging protocol for patients with high-risk prostate cancer | MSTS 2018 - Femur Mets and MM | Objectives. To compare the accuracy of a bone marrow magnetic resonance imaging (MRI) protocol in patients at high risk of metastatic disease with radioisotopic bone scans, the standard method for detection of bony metastases in patients with prostate cancer. Methods. The study group consisted of 19 men with prostate c... |
0 | Trauma across generations and paths to adaptation and resilience | DoD PRF (Psychosocial RF) | OBJECTIVE: There is a growing literature on the intergenerational transmission of trauma, representing approaches across psychodynamic, family systems, epidemiological, sociological, and biological levels of analysis. Embitterment has been proposed as a response to severe, but normative, stressful events, different fro... |
0 | Autotransplants for histologically transformed follicular non-Hodgkin's lymphoma | MSTS 2022 - Metastatic Disease of the Humerus | Histological transformation from a follicular non-Hodgkin's lymphoma (NHL) to a higher grade lymphoma carries a poor prognosis despite treatment with aggressive anthracycline-based chemotherapy. We retrospectively analysed 35 patients with histologically transformed NHL who underwent high-dose therapy and autotransplan... |
0 | Unicompartmental Knee Arthroplasty Provides Significantly Greater Improvement in Function than Total Knee Arthroplasty Despite Equivalent Satisfaction for Isolated Medial Compartment Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background: While some advocate for unicompartmental knee arthroplasty (UKA) for isolated medial compartment osteoarthritis (OA), others favor total knee arthroplasty (TKA). The purpose of this study was to compare the functional outcomes of UKA and TKA performed for patients with unicompartmental arthritis (OA). Metho... |
0 | Safety and efficacy of bi-annual intra-articular LBSA0103 injections in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The objective of this study is to assess the safety and efficacy of repeated intra-articular injection of high molecular weight hyaluronic acid (LBSA0103) at a 26-week interval, in patients with osteoarthritis of the knee. The study was an open-label, single arm, multicentre prospective trial conducted in patients with... |
0 | Treatment strategies for multiple myeloma in the age of novel therapies | MSTS 2018 - Femur Mets and MM | Melphalan in combination with glucocorticoid steroids has been an important first-line treatment option for multiple myeloma (MM) for over 40 years, but response rates have been only 50-60%, with less than 5% complete remissions (CRs). More intensive combinations of chemotherapy such as vincristine, Adriamycin and Dexa... |
1 | The safety of peri-articular local anaesthetic injection for patients undergoing total knee replacement with autologous blood transfusion: A randomised trial | AAHKS (8) Anesthetic Infiltration | Intra-operative, peri-articular injection of local anaesthesia is an increasingly popular way of controlling pain following total knee replacement. At the same time, the problems associated with allogenic blood transfusion have led to interest in alternative methods for managing blood loss after total knee replacement,... |
0 | Varus Thrust and Incident and Progressive Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: To determine if varus thrust, a bowing out of the knee during gait (i.e., the first appearance or worsening of varus alignment during stance), is associated with incident and progressive knee osteoarthritis (OA), we undertook an Osteoarthritis Initiative ancillary study. We further considered hypothesized as... |
0 | Walking in PACU after unilateral spinal anesthesia a criteria for hospital discharge: a 100 outpatient survey | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: This study measured time and ability to walk in PACU after unilateral spinal anaesthesia. METHODS: Orthopaedic adult patients ASA 1-2, in the lateral decubitus position and placed on the operative side, received via a 25-gauge Whitacre needle 5 mg of 0.5% bupivacaine plus 2.5 microg of sufentanil. Lateral decu... |
0 | Predictors of distal radioulnar joint instability in distal radius fractures | Distal Radius Fractures | PURPOSE: A tear of the triangular fibrocartilage complex (TFCC) is the most frequent soft tissue injury associated with fractures of the distal radius, and repair of the deep ligamentous portion of the TFCC is considered when the tear contributes to instability of the distal radioulnar joint (DRUJ). The purpose of this... |
0 | Improving Technical Outcome in Osteochondral Allograft Transplantation of the Femoral Trochlea: The Role of Contoured Guides, Experience Level, Graft Size, and Graft Position | Osteochondritis Dissecans 2020 Review | BACKGROUND: The use of coring instrumentation for osteochondral allograft (OCA) transplantation of the femoral trochlea is challenging due to the complex topography of this anatomical area. PURPOSE: We sought to determine the effect of flat guides versus guides contoured to the surface of the trochlea on graft step-off... |
0 | Initial cell plating density affects properties of human primary synovial mesenchymal stem cells | AMP (Acute Meniscal Pathology) | Synovial mesenchymal stem cells (MSCs) appear to be an attractive cell source in cartilage and meniscus regeneration because of their high proliferative and chondrogenic potentials. Two methods are used to culture synovial nucleated cells in the preparation of primary synovial MSCs. In one method, the cells are plated ... |
0 | Rupture of the flexor tendons of the little finger in fractures of the hook of the hamate bone. Report of two cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Two cases of rupture of the flexor tendons of the little finger associated with a fracture of the hook of the hamate bone are presented. The preoperative diagnosis had not been made. Excision of the fractured hook and repair of the tendons by a short graft from the palmaris longus in one case and by the transfer of the... |
1 | Psychological resources in spinal cord injury: a systematic literature review | DoD PRF (Psychosocial RF) | STUDY DESIGN: Systematic literature review.
OBJECTIVES: The purpose of this study was to gain a systematic overview of the role of psychological resources in the adjustment to spinal cord injury (SCI).
METHODS: A systematic literature review was performed. The literature search was conducted in the databases Pubmed, Ps... |
0 | Aesthetic breast surgery: emerging trends and technologies | Reduction Mammoplasty for Female Breast Hypertrophy | The principle subdivisions of aesthetic breast surgery are: breast augmentation, mastopexy (breast lift), and reduction mammoplasty (breast reduction). In each of these subdivisions, emerging new technologies and trends have potential to change the management of specific aesthetic problems of the breast. Given the cont... |
1 | MRI evaluation of a collagen meniscus implant: a systematic review | AMP (Acute Meniscal Pathology) | PURPOSE: Good clinical results have been demonstrated in numerous clinical studies using the collagen meniscus implant (CMI); however, the MRI behaviour of the scaffold, evaluated with Genovese score, is limited to a few cases series. The purpose was to evaluate, using the Genovese score, the MRI behaviour of the CMI a... |
0 | Clinical impact of United versus nonunited fractures of the proximal half of the ulnar styloid following volar plate fixation of the distal radius | Distal Radius Fractures | PURPOSE: Distal radius fractures are often associated with a fracture of the ulnar styloid at its base. This study tested the null hypothesis that there is no difference in outcome between patients with union and nonunion of a fracture of the proximal half of the ulnar styloid 6 months after volar plate fixation of a f... |
0 | Autologous fat grafting for enhancement of breast reconstruction with a transverse myocutaneous gracilis flap: A cohort study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The transverse myocutaneous gracilis (TMG) flap is a viable option for the reconstruction of small- to moderate-sized breasts. The purpose of this series was to examine the outcomes of fat grafting to breast and donor site secondary to breast reconstruction with a TMG flap. METHODS: A cohort study was condu... |
0 | Periareolar reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | This paper examines the technique of periareolar reduction mammaplasty. Periareolar reduction mammaplasty is a less aggressive procedure than traditional techniques. It preserves a greater number of central glandular lobules, as well as the papillary artery and nerve. It can be performed under local anesthesia, and the... |
0 | Complications of pedicle screw fixation in scoliosis surgery: A systematic review | DoD SSI (Surgical Site Infections) | STUDY DESIGN.: Systematic review. OBJECTIVE.: To review the published literature on the use of pedicle screws in pediatric spinal deformity to quantify the risks and complications associated with pedicle screw instrumentation, particularly in the thoracic spine. SUMMARY OF BACKGROUND DATA.: The use of pedicle screws in... |
0 | Accuracy of Closed Reduction of Pediatric Supracondylar Humerus Fractures Is Training in Pediatric Orthopedic Surgery Necessary? | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Supracondylar humerus fractures account for two thirds of all hospitalizations for elbow injuries in children. A prevailing assumption exists regarding whether treatment quality varies by surgeon training background. This study compares radiographic outcomes of pediatric supracondylar humerus fractures trea... |
0 | Conservative or surgical management of distal femoral fractures. A retrospective study with a minimum five year follow-up | Management of Hip Fractures in the Elderly | We report the outcome of conservative and surgical management in 50 skeletally mature patients (average age 64.6 years, 36 females patients) with 51 supracondylar femoral fractures treated in our unit between June 1991 and December 1993. Thirty-six fractures were caused by low-energy trauma, and 15 were due to high-ene... |
0 | Failures in bipolar fresh osteochondral allograft for the treatment of end-stage knee osteoarthritis | PJI DX Updated Search | PURPOSE: Bipolar fresh osteochondral allografts (BFOA) recently became a fascinating option for articular cartilage replacement, in particular in those young patients non-suitable for traditional replacement because of age. While the use of osteochondral allografts for the treatment of focal osteochondral lesions in th... |
0 | Increased long-term mortality in patient less than 55 years old who have undergone knee replacement for osteoarthritis. Results from the Swedish knee arthroplasty register | Surgical Management of Osteoarthritis of the Knee CPG | Patients with osteoarthritis undergoing knee replacement have been reported to have an overall reduced mortality compared with that of the general population. This has been attributed to the selection of healthier patients for surgery. However, previous studies have had a maximum follow-up time of ten years. We have us... |
1 | Pathological fractures of the proximal femur treated with the Variwall reconstruction nail | MSTS 2018 - Femur Mets and MM | Ten patients with pathological proximal femoral fractures were treated with the Variwall reconstruction nail. There were five intertrochanteric, one combined shaft and neck, and Four subtrochanteric fractures fixed by this method. The mean age was 71 (54-90). The purpose of this study was to assess the use of a reconst... |
1 | Results of a Phase II Study to Determine the Efficacy and Safety of Genetically Engineered Allogeneic Human Chondrocytes Expressing TGF- β 1 | OAK 3 - Non-arthroplasty tx of OAK | Genetically engineered chondrocytes virally transduced with a transforming growth factor (TGF)- β 1 (TG-C [TissueGene-C]) expression vector have been shown to have potential benefits in the nonoperative management of knee osteoarthritis. Previous literature has reported on safe dosages of TG-C. Therefore, the purpose ... |
1 | Numerical Correlation of Levator Advancement in Preoperative Planning | Upper Eyelid and Brow Surgery | BACKGROUND: Several procedures have been proposed for the treatment of eyelid ptosis, and both levator advancement and levator plication are widely used to shorten the levator palpebrae superioris. The purpose of this study was to quantify perioperative lid measurements in patients undergoing bilateral levator aponeuro... |
0 | Radial head fractures with acute distal radioulnar dislocation. Essex-Lopresti revisited | Distal Radius Fractures | Seven adults with displaced radial head fractures had concurrent dislocation of the distal radioulnar joint. Because support of the radius was lost at both the elbow and wrist, proximal migration of the radius from 5 to 10 mm occurred. Different types of fractures were classified to designate the best method of restori... |
0 | The influence of bony morphology on the magnitude of the pivot shift | AMP (Acute Meniscal Pathology) | The purpose of this study was to correlate clinical pivot shift grading with femoral condyle size as measured on pre-operative magnet resonance imaging (MRI) of patients with anterior cruciate ligament (ACL) injury. Forty-nine consecutive patients for anterior cruciate ligament (ACL) surgery were examined under anesthe... |
0 | Patterns of power mower injuries in children compared with adults and the elderly | DoD LSA (Limb Salvage vs Amputation) | Power mower trauma remains an alarmingly frequent cause of serious injury in young children. The patterns of mower-related injuries in children <15 years old (n = 13) were compared with those of adults aged 15-64 (n = 16) and elderly victims â?¥65 years old (n = 6), who were similarly injured over the past 5 years. Chi... |
0 | Autologous Fat Grafting: The Science Behind the Surgery | Panniculectomy & Abdominoplasty CPG | An invaluable part of the plastic surgeon's technical arsenal for soft tissue contouring, fat grafting continues to be plagued by unpredictable outcomes, resulting in either reoperation and/or patient dissatisfaction. Thus, extensive research has been conducted into the effects of adipose tissue procurement, processing... |
0 | Modified step-cut osteotomy of the humerus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Corrective osteotomy of the distal humerus for a posttraumatic cubitus varus was performed in 31 patients using a modified step-cut osteotomy. The average patient age was 14.3 years. Complete bony union was obtained between the 8th and 16th weeks. Twenty-one patients achieved excellent results, 7 achieved good results,... |
0 | Perioperative anesthetic management of a patient with heterozygous sickle cell disease and aortic stenosis undergoing major orthopedic surgery | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: We present the anaesthetic management of a patient with heterozygous sickle cell disease and aortic stenosis, for total knee arthroplasty (TKA). Although general anaesthesia is preferable for such patients, we decided to take advantage of our centre's experience in regional anaesthesia, and use a c... |
0 | Factors affecting the use of single-fraction radiotherapy for the palliation of bone metastases in Australia | MSTS 2022 - Metastatic Disease of the Humerus | AIMS: Palliative radiotherapy for bone metastases remains an important treatment in patients with metastatic malignancy. Previous studies have indicated a reluctance to adopt single-fraction treatment despite considerable evidence. This study aims to describe the factors determining the use of palliative radiotherapy i... |
0 | Oncological outcome of docetaxel-based chemotherapy for Japanese men with metastatic castration-resistant prostate cancer | MSTS 2022 - Metastatic Disease of the Humerus | Objectives: To retrospectively review the oncologic outcomes of docetaxel-based chemotherapy in Japanese men with metastatic castration-resistant prostate cancer (mCRPC).Materials and methods: This study included 257 consecutive Japanese patients with mCRPC who were treated with docetaxel-based chemotherapy between Apr... |
0 | Continuous femoral nerve blockade and single-shot sciatic nerve block promotes better analgesia and lower bleeding for total knee arthroplasty compared to intrathecal morphine: a randomized trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Knee arthroplasty leads to postoperative pain. This study compares analgesia and postoperative bleeding achieved by intrathecal morphine with a continuous femoral plus single-shot sciatic nerve block.
METHODS: A randomized non-blinded clinical trial enrolled patients aged over 18 years old, ASA I to III who... |
0 | Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to determine, in a randomized clinical trial of 439 individuals with knee osteoarthritis, the incremental costâ?effectiveness of aerobic versus weight resistance training, compared with an education control intervention. METHODS: Cost estimates of the intervention were based upon... |
0 | The effect of hyperbaric oxygen in crush injuries and skeletal muscle-compartment syndromes | DOD - Acute Comp Syndrome CPG | Crush injuries represent a spectrum of injury to body parts as result of trauma. Presentations vary from minor contusions to limb-threatening damage. Typically, the injury involves multiple tissues, from skin and subcutaneous, to muscle and tendons, to bone and joints. In their most severe presentations, predictable co... |
0 | Factors leading to falls in elderly patients with hip fractures | HipFx Supplemental Cost Analysis | One-third of individuals older than 65 years fall each year, with a small proportion of those sustaining a hip fracture. As the population continues to age, the absolute number of elderly persons sustaining a hip fracture is likely to increase, resulting in this injury to become a prominent health care concern. Hip fra... |
0 | Operative treatment of tibial shaft fractures: a comparison of different methods of primary stabilisation | DoD SSI (Surgical Site Infections) | INTRODUCTION: Segmental fractures of the tibial shaft (AO type 42-C2) often occur after a high energy direct trauma with consecutive severe soft tissue injury and a high rate of open fractures. The blood supply of the intermediate bone fragment can be severely disturbed and therefore operative treatment is demanding. I... |
0 | Fractures of the femoral neck in the 'young' elderly | Management of Hip Fractures in the Elderly | Eighty-six patients, aged under 60 years, who had sustained fractures of the femoral neck, were studied, as well as the circumstances of injury and the long term medication they may have had. They were divided into two groups: 'injured' (38), with an average age of 41 years, and the 'uninjured' (48), with an average ag... |
0 | Geriatric rehabilitation as an integral part of geriatric medicine in the Nordic countries | Management of Hip Fractures in the Elderly | OBJECTIVES: First, to outline the theoretical and practical framework for geriatric rehabilitation in the Nordic countries and second, to survey the scientific medical publications for evidence-based geriatric rehabilitation. METHODS: Brainstorming on geriatric rehabilitation in a working group of Nordic teachers in ge... |
0 | Body mass and fracture risk. A study of 330 patients | Management of Hip Fractures in the Elderly | Low body mass is a major risk factor for low energy hip fractures among women. The purpose of this study was to ascertain whether normal body mass also protects against low energy wrist fractures. A retrospective analysis of body mass indices of 330 women who sustained hip or wrist fractures from falls was performed. D... |
0 | Steep posterior slope and shallow concave shape of the medial tibial plateau are risk factors for medial meniscus posterior root tears | AMP (Acute Meniscal Pathology) | PURPOSE: Bone morphological factors are important for menisci. Their association with medial meniscus posterior root tears, however, has not yet been studied. This study aimed to compare sagittal medial tibial slope and medial tibial plateau depth between knees with and without medial meniscus posterior root tears.
MET... |
1 | Ambulatory continuous posterior lumbar plexus nerve blocks after hip arthroplasty: A dual-center, randomized, triple-masked, placebo-controlled trial | AAHKS (9/10) Regional Nerve Blocks | Background: The authors tested the hypotheses that after hip arthroplasty, ambulation distance is increased and the time required to reach three specific readiness-for-discharge criteria is shorter with a 4-day ambulatory continuous lumbar plexus block (cLPB) than with an overnight cLPB. Methods: A cLPB consisting of 0... |
0 | Functional outcomes after open reduction and internal fixation for treatment of displaced distal radius fractures in patients over 60 years of age | Distal Radius Fractures | OBJECTIVE: To evaluate the clinical, radiographic, and functional outcomes of patients aged 60 and older treated with open reduction and internal fixation using plates and screws for displaced and comminuted fractures of the distal radius.
DESIGN: Retrospective, clinical research.
SETTING: Tertiary care center (Level 1... |
0 | Prevention of acetabular erosion after hemiarthroplasty for fractured neck of femur | Management of Hip Fractures in the Elderly | The best treatment for a fractured neck of femur in an old person is considered by many to be replacement hemiarthroplasty which allows the patient to walk immediately on a stable, painless hip. The late results can be marred by acetabular erosion in which the metal head of the prosthesis erodes upwards into the acetab... |
0 | Surgical management of U-shaped sacral fractures: A systematic review of current treatment strategies | DoD SSI (Surgical Site Infections) | Purpose U-shaped sacral fractures usually result from axial loading of the spine with simultaneous sacral pivoting due to a horizontal fracture which leads to a highly unstable spino-pelvic dissociation. Due to the rarity of these fractures, there is lack of an agreed treatment strategy. Methods A thorough literature s... |
1 | Patella and patellofemoral resurfacing (37 cases report) | Surgical Management of Osteoarthritis of the Knee CPG | Chondromalacia and patellofemoral osteoarthritis are common diseases that cause pain and disablement of the knee. Conservative therapy is not always effective. Since 1983 we have used isolated polyethylene patellar prosthesis for patella resurfacing of 19 patients with patellofemoral osteoarthritis. After an average of... |
0 | Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy | AMP (Acute Meniscal Pathology) | BACKGROUND: Knee arthroscopy (KA) is a routine orthopedic procedure recommended to repair cruciate ligaments and meniscus injuries and in eligible patients, to assist the diagnosis of persistent knee pain. KA is associated with a small risk of thromboembolic events. This systematic review aims to assess if pharmacologi... |
0 | Utility of heel dual-energy X-ray absorptiometry in diagnosing osteoporosis | Hip Fx in the Elderly 2019 | Although peripheral dual-energy X-ray absorptiometry measurements have been found to predict fractures in population studies of white subjects, little is known about their utility in other races and in patients with greater risk of fracture. In a cross-sectional study of 874 women referred for bone mineral density (BMD... |
1 | Proximal slowing of nerve conduction velocity in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Slowing of median nerve conduction velocity (NCV) over the forearm segment is often seen in patients with carpal tunnel syndrome (CTS). In order to evaluate the extent and significance of this retrograde slowing of NCV, we examined 132 CTS hands from 84 patients diagnosed by both clinical and electrophysiological findi... |
0 | Acute single-stage reconstruction of multiligament knee injuries using the ligament advanced reinforcement system | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The purpose of the study was to report our early outcome in the management of multiligament knee injuries with the ligament advanced reinforcement system (LARS).
SUBJECTS AND METHODS: Between 2007 and 2010, 9 of 11 patients operated on for multiligament knee injuries were included in this study; 2 patients w... |
0 | Advances in Surgical Management of Intra-articular Calcaneus Fractures | DoD SSI (Surgical Site Infections) | Intra-articular calcaneus fractures are commonly sustained after high-energy trauma, and a variety of techniques exists for anatomic reduction and surgical fixation. Traditional approaches using an extended L-shaped lateral incision with lateral plating for open reduction and internal fixation have relatively high comp... |
1 | Patients with suspected meniscal tears: prevalence of abnormalities seen on MRI of 100 symptomatic and 100 contralateral asymptomatic knees | AMP (Acute Meniscal Pathology) | OBJECTIVE: The purpose of this study was to evaluate the prevalence of MR abnormalities of the knee on the symptomatic and contralateral asymptomatic sides in patients with suspected meniscal tears. SUBJECTS AND METHODS. One hundred patients (mean age, 42.7 years; range, 18-73 years) referred for suspected meniscal tea... |
0 | Simultaneous versus staged bilateral unicompartmental knee replacement | OAK 3 - Non-arthroplasty tx of OAK | We prospectively followed 171 patients who underwent bilateral unicompartmental knee replacement (UKR) over a period of two years. Of these, 124 (72.5%) underwent a simultaneous bilateral procedure and 47 (27.5%) underwent a staged procedure. The mean cumulative operating time and length of hospital stay were both shor... |
0 | Intercessory prayer for the alleviation of ill health | SR for PM on OA of All Extremities | Background: Prayer is amongst the oldest and most widespread interventions used with the intention of alleviating illness and promoting good health. Given the significance of this response to illness for a large proportion of the world's population, there has been considerable interest in recent years in measuring the ... |
0 | Variants of local injury of median nerve in carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The identification of the exact entrapment point of the median nerve injury in the carpal tunnel is an important consideration for further treatment. Our study was designed to determine the frequency of occurrence of median nerve injury in the carpal tunnel and detect its clinical value. One hundred and twenty (120) pa... |
0 | An unusual presentation of catastrophic failure of hip arthroplasty with a thigh mass | PJI DX Updated Search | In the advent of increasing demand for total hip arthroplasty, surveillance of these patients is imperative to identify potential complications requiring revision surgery. This is especially important in the young population, as revision is usually necessary during their lifetime. We present a case of a young female pa... |
0 | Management of secondary hemorrhage from early graft failure in military extremity wounds | DoD SSI (Surgical Site Infections) | BACKGROUND: Secondary hemorrhage after a dehisced vascular reconstruction is a dreaded complication, yet few reports describe the initial management and outcome of casualties with ruptured grafts from military wounds. We aimed to report a single-center experience of graft ruptures after evacuation of casualties to a te... |
0 | Distraction plating for the treatment of highly comminuted distal radius fractures in elderly patients | Distal Radius Fractures | PURPOSE: To evaluate internal distraction plating for the management of comminuted, intra-articular distal radius fractures in patients greater than 60 years of age at two level 1 trauma centers. We specifically desired to determine whether patients would have acceptable results from the clinical standpoint of range of... |
0 | Osteochondritis dissecans of the knee in children | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondritis dissecans is a term used to describe the separation of an articular cartilage subchondral bone segment from the remaining articular surface. Juvenile osteochondritis dissecans describes an osteochondritis dissecans lesion found in skeletally immature children with a maximum incidence occurring between t... |
0 | Osteochondritis dissecans of the knee: A historical review of etiology and treatment | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondritis dissecans (OCD) is a common entity in both the juvenile and adult populations, with an incidence of 3 to 6/10,000 in adults. Much of the early literature grouped juvenile and adult osteochondritis dissecans, osteochondral fracture, and accessory ossification into the same category. Conclusions were then... |
0 | Acute visual loss in a patient with optic disc drusen | Upper Eyelid and Brow Surgery | Here we report a case of sudden, unilateral, painless visual loss in a middle-aged patient. A 45-year-old gentleman with no known past medical history presented with acute painless left visual impairment. Clinically, he was found to have a left optic neuropathy associated with a swollen and hyperemic left optic disc. T... |
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