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0 | Pattern of oral-maxillofacial trauma from violence against women and its associated factors | DoD PRF (Psychosocial RF) | BACKGROUND/AIM: Violence against women is a global public health problem. The aim of this study was to characterize the profile of women victims of violence and identify factors associated with maxillofacial injuries. MATERIAL AND METHODS: A cross-sectional study was performed based on an evaluation of 884 medico-legal... |
1 | MR diagnosis of meniscal tears of the knee: value of axial three-dimensional Fourier transformation GRASS images | AMP (Acute Meniscal Pathology) | Axial MR images of 40 knees in 37 patients with clinically suspected meniscal tears were obtained by using a three-dimensional (3-D) Fourier transform, gradient-refocused acquisition in the steady state (GRASS) pulse sequence. All knees also were examined in both coronal and sagittal planes with a two-dimensional (2-D)... |
0 | Healing of osteochondritis dissecans following congenital dislocation of the hip: report of a case | Diagnosis and Treatment of Osteochondritis Dissecans AUC | An 18-month-old boy treated for congenital dislocation of the hip, developed osteochondritis dissecans of the femoral head. Serial roentgenograms demonstrated that the lesion had healed by the time he was 15 years of age. There have been no previous reports of healing of osteochondritis dissecans complicating congenita... |
0 | Entrapment of the palmar cutaneous branch of the median nerve by a normal palmaris longus tendon | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An anomalous course of the palmar cutaneous branch of the median nerve was noted in a patient with symptoms of compression of the median nerve and its palmar cutaneous branch at the wrist level. The palmar cutaneous branch of the nerve pierced the tendon of a normal palmaris longus muscle near its insertion. Decompress... |
0 | The cost utility of bisphosphonate treatment in established osteoporosis | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture is an important and costly problem. Bisphosphonate therapy prevents hip and other fractures among women with established osteoporosis, but there are few published economic evaluations of this treatment. AIM: To assess the cost-effectiveness of risedronate, a recently launched bisphosphonate for... |
0 | Utility of Retrograde Amnesia Assessment Alone, Compared with Anterograde Amnesia Assessment in Determining Recovery After Traumatic Brain Injury: Prospective Cohort Study | DoD PRF (Psychosocial RF) | BACKGROUND: Posttraumatic amnesia (PTA) after traumatic brain injury (TBI) comprises anterograde amnesia (AA), disorientation, and retrograde amnesia (RA). However, RA is often neither assessed nor emphasized. A recent study demonstrated that although AA and disorientation were both present in non-TBI inpatients unifor... |
0 | Pediatric pelvic ring injuries: How benign are they? | DoD SSI (Surgical Site Infections) | Introduction With an incidence of less than 0.2% of all pediatric fractures, pelvic ring injuries are rare. Historically they were conservatively treated, but because malunion and long-term morbidity are associated with unstable injuries, a trend towards operative treatment can be observed. The purpose was to determine... |
0 | Humeral head arthroplasty and meniscal allograft resurfacing of the glenoid | AMP (Acute Meniscal Pathology) | BACKGROUND: Biological glenoid resurfacing with prosthetic humeral head replacement has been suggested as a means to avoid the potential complications of polyethylene use in younger patients with glenohumeral arthritis. The purposes of this report were (1) to describe a technique that was developed to facilitate biolog... |
0 | Infection post-total knee replacement: current concepts | PJI DX Updated Search | Periprosthetic joint infection is a hot topic for investigation because it represents a challenging clinical problem with considerable burden for patients, institutions, and health systems. Despite our substantial knowledge, many details in prevention, pathophysiology, diagnosis, and treatment of infectious complicatio... |
0 | The Prevention of Infections in Older Adults: Oral Health | Dental Implant Infection | The oral cavity is exposed to the external environment and from a very young age is colonized by infectious agents. Under certain circumstances including poor oral hygiene, dry mouth, trauma, and the use of antibiotics, oral infections can occur. They can result in damage to the oral cavity including teeth and their su... |
0 | Total Hip Arthroplasty for Posttraumatic Arthritis after Acetabular Fracture | PJI DX Updated Search | Total hip arthroplasty (THA) outcomes for posttraumatic arthritis after acetabular fracture have yielded inferior results compared to primary nontraumatic THA. Recently, improved results have been demonstrated using cementless acetabular reconstruction. Thirty-two patients underwent THA for posttraumatic arthritis afte... |
0 | Concomitant ankle instability has a negative impact on the quality of life in patients with osteochondral lesions of the talus: data from the German Cartilage Registry (KnorpelRegister DGOU) | Osteochondritis Dissecans 2020 Review | PURPOSE: The purpose of this study was to compare patients with osteochondral lesions of the talus (OCLT) with and without concomitant chronic ankle instability (CAI). METHODS: Data from the German Cartilage Registry (KnorpelRegister DGOU) for 63 patients with a solitary OCLT were used. All patients received autologous... |
0 | Is there a need for anterior release for 70-90 degrees masculine thoracic curves in adolescent scoliosis? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Large and stiff thoracic scoliotic curves in the adolescent represent a classic indication of anterior release followed by posterior instrumentation. However, third-generation segmental spinal instrumentations have shown increased correction of thoracic curves. Indication for an anterior release may therefore not be re... |
1 | Functions of the subregions of the infraspinatus during lateral rotation | Trial Systematic Review Project | PURPOSE: Although recent morphological studies have revealed that the infraspinatus muscle is subdivided, the functions of the subregions remain unknown. The aim of this study is to investigate the functions of the infraspinatus subregions during lateral rotation using real-time tissue elastography (RTE).
METHODS: Ten ... |
0 | Regeneration of hyaline cartilage promoted by xenogeneic mesenchymal stromal cells embedded within elastin-like recombinamer-based bioactive hydrogels | Osteochondritis Dissecans 2020 Review | Over the last decades, novel therapeutic tools for osteochondral regeneration have arisen from the combination of mesenchymal stromal cells (MSCs) and highly specialized smart biomaterials, such as hydrogel-forming elastin-like recombinamers (ELRs), which could serve as cell-carriers. Herein, we evaluate the delivery o... |
0 | Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group | Management of Hip Fractures in the Elderly | The criteria required for an effective screening strategy for osteoporosis are largely met in Caucasian women. The disease is common and readily diagnosed by the measurement of bone mineral with single- or dual-energy absorptiometry. Such measurements have high specificity but lower sensitivity, so that the value of th... |
0 | Ultrasound changes in the extensor pollicis longus and flexor pollicis longus tendons following open reduction and internal fixation of displaced intra-articular fractures of the distal radius | Distal Radius Fractures | A previous ultrasound study showed inflammation around the extensor pollicis longus tendon and surrounding structures at 6 weeks after manipulation, with or without pin fixation, and immobilization for distal radius fracture. Ultrasound examination after plating of distal radius fracture followed by early active mobili... |
0 | Extension type II pediatric supracondylar humerus fractures: a radiographic outcomes study of closed reduction and cast immobilization | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The treatment of Gartland type II pediatric supracondylar humerus fractures remains controversial. Some argue that closed reduction and cast immobilization is sufficient to treat these fractures, whereas others advocate closed reduction and percutaneous pinning. The purpose of this radiographic outcomes stu... |
0 | Motor unit activity during human single joint movements | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | 1. To explore the neural control of single joint movements in humans, the activity of 47 motor units in triceps brachii muscle was recorded during elbow flexion and extension movements. Movements were performed with different but changing deceleration magnitudes, while the acceleration magnitude was kept constant, to d... |
0 | The societal costs of femoral neck fracture patients treated with internal fixation | Hip Fx in the Elderly 2019 | SUMMARY: The study rationale was to provide a detailed overview of the costs for femoral neck fracture treatment with internal fixation in the Netherlands. Mean total costs per patient at 2-years follow-up were <euro>19,425. Costs were higher for older, less healthy patients. Results are comparable to internationally p... |
1 | A new periareolar mammaplasty: The 'round block' technique | Reduction Mammoplasty for Female Breast Hypertrophy | The 'round block' acts as a keystone supporting the mammary cone. The keystone lies in the dermodermic, glandulo-glandular, and glandulo-musculoperio-steal unions fixed definitively with nonresorbable suture, by a crisscross mastopexy, and by a circular nonresorbable suture of woven nylon included in the periareolar ci... |
0 | A comparison of sensory and motor loss after a femoral nerve block conducted with ultrasound versus ultrasound and nerve stimulation | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Controversy exists regarding the need for nerve stimulation when performing an ultrasound (US)-guided peripheral nerve block. We tested the hypothesis that the quality of a femoral nerve block (FNB) performed with US is equivalent to an FNB performed with US and nerve stimulation.
METHODS: One hundred seven... |
0 | Association of Hip Radiograph Findings With Pain and Function in Patients Presenting With Low Back Pain | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Relationships between low back pain (LBP) and the hip in patient cohorts have been described primarily in patients with moderate to severe hip osteoarthritis (OA). Less is known about the links of LBP with hip radiographic findings of hip deformity and minimal OA. OBJECTIVE: To describe the incidence of rad... |
0 | Swedish research in sports traumatology | AMP (Acute Meniscal Pathology) | With long-established traditions in both sports medicine and trauma in Sweden, investigations are in progress on prevention, diagnosis, treatment, and rehabilitation, with special emphasis on soft-tissue injuries. The following subjects are of current interest: injuries to the ankle ligaments, compartment syndromes, kn... |
0 | A Nomogram for Prediction of Postoperative Pneumonia Risk in Elderly Hip Fracture Patients | Hip Fx in the Elderly 2019 | Purpose: Pneumonia is one of the common complications of hip fracture. This study aimed to evaluate the risk factors and apply a nomogram to predict postoperative pneumonia in elderly hip fracture patients.
Materials and Methods: From August 2014 to October 2019, 1113 hip fracture patients who were older than 65 years ... |
0 | Prosthetic gait of unilateral transfemoral amputees: a kinematic study | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: The prosthetic gait of unilateral transfemoral amputees. DESIGN: Case series. SETTING: Laboratory of Gait Analysis (GIGA-system of K-lab) in the Department of Rehabilitation of a university hospital. PATIENTS: Eleven men with transfemoral amputation (mean age 35.7 years) participated. The amputation was perf... |
0 | Novel biological approaches to the intra-articular treatment of osteoarthritis | AAHKS (4) Acetaminophen | Osteoarthritis is common, incurable and difficult to treat. Because osteoarthritis is symptomatic only in a limited number of weight-bearing joints and lacks obvious extra-articular manifestations, it is well suited to local therapy administered by intra-articular injection. Several biologically based, local therapies ... |
0 | Enzymatic prostatic acid phosphatase in the clinical staging of patients diagnosed with prostate cancer | MSTS 2022 - Metastatic Disease of the Humerus | From October 1999 to July 2002, 821 newly diagnosed untreated prostate cancer patients at Schiffler Cancer Center at Wheeling Hospital in Wheeling, W. Va., who had pretreatment enzymatic prostatic acid phosphatase (PAP) determinations, were evaluated to determine if PAP could refine the subset of those requiring radiog... |
0 | Treatment of distal radius fractures with percutaneous pinning and pin-in-plaster | Distal Radius Fractures | This article describes a modified technique that combines percutaneous pinning and casting. A prospective study was conducted on 54 patients with distal radius fracture who were treated with percutaneous Kirschner wire (K-wire) fixation and pin-in-plaster technique. The surgical indications of this technique included d... |
0 | Peripheral neuropathy in children with HIV infection | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Peripheral neuropathy is infrequently reported in children with HIV infection, but may be underrecognized. To provide a better understanding of the patterns of peripheral neuropathy in these children, we surveyed the charts of 50 children with HIV infection referred to the EMG laboratory at the National Institutes of H... |
0 | Effect of topical antibiotic therapy on recovery after tonsillectomy in adults | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: Systemic antibiotics given during the first week after tonsillectomy appear to be effective in reducing postoperative morbidity. We assessed the effectiveness of perioperative topical antibiotic rinses in reducing posttonsillectomy morbidity. METHODS: A randomized, double-blinded, placebo-controlled pilot st... |
0 | Total ulnar nerve transection during endoscopic carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We report the case of a patient who suffered a complete laceration of the ulnar nerve during an endoscopic carpal tunnel release following Chow's two-portal extrabursal method. The possible mechanism of injury is discussed |
0 | Randomised, placebo-controlled trial to evaluate co-trimoxazole to reduce mortality and morbidity in HIV-infected post-natal women in Zambia (TOPAZ) | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To evaluate the role of prophylactic trimethoprim-sulfamethoxazole (co-trimoxazole) antibacterial prophylaxis in reducing morbidity and mortality in HIV-infected post-natal women in southern Africa. METHODS: Double-blind placebo-controlled trial. HIV-infected women with WHO stage 2 or 3 HIV disease who had r... |
0 | Carpal tunnel syndrome in temporal arteritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An 88 year old man presented with pain in the hands and wrists, associated with electrodiagnostic studies compatible with a carpal tunnel syndrome in the right wrist. Approximately seven months later he developed manifestations of bilateral temporal arteritis resulting in monocular blindness. Electrodiagnostic studies ... |
0 | Posterior lumbar interbody fusion with restoration of lamina and facet fusion | DoD SSI (Surgical Site Infections) | STUDY DESIGN: To report the techniques and surgical results of posterior lumbar interbody fusion with restoration of the lamina and facet fusion.
OBJECTIVES: To present a technique to reconstruct the posterior construct in posterior lumbar interbody fusion.
SUMMARY OF BACKGROUND DATA: Successful arthrodesis in posterio... |
0 | Long term cardiovascular impacts after burn and non-burn trauma: A comparative population-based study | DoD LSA (Limb Salvage vs Amputation) | Objective To compare post-injury cardiovascular disease (CVD) hospital admissions experienced by burn patients with non-burn trauma patients and people with no record of injury, adjusting for socio-demographic, health and injury factors. Methods Linked hospital and death data were analysed for a cohort of burn patients... |
1 | Cost-utility and budget impact analysis of primary prevention with alendronate of osteoporotic hip fractures in Catalonia | HipFx Supplemental Cost Analysis | OBJECTIVES: To determine whether primary drug prevention of osteoporotic hip fracture is a useful measure in Catalonia and what would be their budgetary impact. MATERIAL AND METHODS: We performed a cost-utility social perspective study with a time horizon of 10 to 20 years. Univariate sensitivity analysis was performed... |
0 | Parosteal osteoma: a clinicopathologic approach | MSTS 2018 - Femur Mets and MM | A case of parosteal osteoma of the upper third of the femur in a 10 yr old boy is described. The purpose of this paper is to demonstrate the pathologic and clinical features of this rare tumor that differentiate it from other similar tumorous conditions. The authors propose to include the tumor within the group of soca... |
0 | Removal of restrictions following primary THA with posterolateral approach does not increase the risk of early dislocation | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND AND PURPOSE: Patient education and mobilization restrictions are often used in an attempt to reduce the risk of dislocation following primary THA. To date, there have been no studies investigating the safety of removal of mobilization restrictions following THA performed using a posterolateral approach. In t... |
1 | A randomized trial of isokinetic versus isotonic rehabilitation program after arthroscopic meniscectomy | AMP (Acute Meniscal Pathology) | BACKGROUND: Although both isotonic and isokinetic exercises are commonly used in the rehabilitation of patients after arthroscopic meniscectomy no studies have compared their effect on strength recovery and functional outcomes.
PURPOSE: The purpose of this study was to investigate the effects of two rehabilitation prog... |
0 | Results of rehabilitation after hip fractures in the Netherlands | Management of Hip Fractures in the Elderly | We studied 493 consecutive hip fracture patients, treated in three large hospitals in the city of Utrecht, The Netherlands. The results of rehabilitation were studied at least three years after hip fracture. 225 patients were alive at the time of the study and 166 patients participated in the study. Of the investigated... |
0 | Percutaneous magnetic coil stimulation of human cervical vertebral column: Site of stimulation and clinical application | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In order to understand which neural elements are excited after percutaneous magnetic coil (MC) stimulation over the cervical vertebral column we have performed such study in 8 normal subjects and 4 patients. On moving the coil rostrocaudally up to 3 cm and horizontally up to 2 cm from the midline we found no change in ... |
0 | Recommendations on the management of fragility fracture risk in women younger than 70 years | MSTS 2018 - Femur Mets and MM | The risk for fragility fracture represents a problem of enormous magnitude. It is estimated that only a small fraction of women with this risk take the benefit of preventive measures. The relationship between estrogen and bone mass is well known as they are the other factors related to the risk for fracture. There are ... |
0 | Osteoporosis in older men: discovering when and how to treat it | Management of Hip Fractures in the Elderly | Nearly 1.5 million American men age 65 and older have osteoporosis, and another 3.5 million are at risk. Hip fractures in older men have a higher mortality than in women and represent a growing medical problem. Glucocorticoid treatment, hypogonadism, and excessive alcohol consumption are important secondary etiologies ... |
0 | One-stage cementless revision arthroplasty for infected hip replacements | Dental Implant Infection | We hypothesised that one-stage cementless revision hip arthroplasty may have advantages and a role in the treatment of selected patients with an infected hip replacement. We retrospectively reviewed all patients with an infected hip replacement treated with one-stage revision using cementless implants. Twelve patients ... |
1 | Save the meniscus - Clinical outcomes of meniscectomy versus meniscal repair | AMP (Acute Meniscal Pathology) | PURPOSE: This study was designed to compare the clinical outcomes of meniscectomy versus repair and to study the effects of (1) duration of follow-up and (2) concomitant anterior cruciate ligament (ACL) reconstruction on clinical outcomes.
METHODS: A retrospective study was conducted, involving 112 knees of 106 patient... |
0 | Association of weight gain with incident knee pain, stiffness, and functional difficulties: a longitudinal study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To examine the longitudinal association between significant weight change and change in knee symptoms (pain, stiffness, and function), and to determine whether the effects differ in those who are obese and those with osteoarthritis (OA).
METHODS: Two hundred fifty subjects ranging from normal weight to obese... |
0 | UK temporal trends for time from diagnosis of hip/knee osteoarthritis to joint replacement | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: To produce UK population-based estimates of elapsed time from first diagnosis of hip/knee osteoarthritis (OA) to primary surgery for those undergoing total joint replacement (TJR) of the hip (THR) or knee (TKR). These gender-specific estimates will compare results for hip and knee using annual summary statisti... |
0 | Osteochondral Autologous Transplantation | OAK 3 - Non-arthroplasty tx of OAK | Osteochondral autologous transplantation (OAT) is a treatment strategy for small and medium sized focal articular cartilage defects in the knee. This article reviews the indications, surgical techniques, outcomes, and limitations of OAT for the management of symptomatic chondral and osteochondral lesions in the knee jo... |
0 | Shoulder MRI refinements: differentiation of rotator cuff tear from artifacts and tendonosis, and reassessment of normal findings | Glenohumeral Joint OA | One of the difficulties with rotator cuff imaging lies in the normal variability of the tendon's signal. There may be intermediate signal present within the tendon because of magic-angle phenomenon, muscle and tendon fiber interdigitation, or tendinopathy related to degenerative changes or overuse injury. Partial and c... |
0 | Management of capitellar fractures with open reduction and internal fixation using Herbert screws | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Capitellar fractures are rare elbow injuries and can cause severe limitation of function if not properly managed. Numerous treatments have evolved, from closed reduction and cast immobilization to open reduction and internal fixation (ORIF), so as to achieve a stable joint that allows early mobilization. We... |
1 | Quality of return to work in patients with mild traumatic brain injury: a prospective investigation of associations among post-concussion symptoms, neuropsychological functions, working status and stability | DoD PRF (Psychosocial RF) | Primary objective: Although â??return to workâ?? (RTW) has been always emphasized for patients with mild traumatic brain injury (MTBI), methodological drawbacks weakened its representativeness. This study thus aims to evaluate the â??work qualityâ?? (WQ) which originated from â??working statusâ?? and â??working stabili... |
0 | Knee joint laxity does not moderate the relationship between quadriceps strength and physical function in knee osteoarthritis patients: A cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee osteoarthritis is a common and a disabling musculoskeletal disorder. Patients with knee osteoarthritis have activity limitations which are linked to the strength of the quadriceps muscle. Previous research reported that the relationship between quadriceps muscle strength and physical function is modera... |
0 | Abstracts and Highlight Papers of the 37th Annual European Society of Regional Anesthesia & Pain Therapy (ESRA) Congress 2018 | AAHKS (8) Anesthetic Infiltration | The proceedings contain 530 papers. The topics discussed include: neuraxial ultrasound scanning in obstetrics; a service evaluation project; evaluation of ultrasound guided lumbar erector spinae plane block and quadratus lumborum block in hipand proximal femur surgeries; randomised doubleâ?blind comparison of phenylep... |
0 | Cerebral Blastomycosis: Radiologic-Pathologic Correlation of Solitary CNS Blastomycosis Mass-Like Infection | PJI DX Updated Search | Blastomycosis is a fungal infection rarely seen in clinical practice. Endemic to the Midwestern United States as well as the Canadian provinces of Manitoba and Ontario, Blastomyces dermatitidis characteristically involves the skin and lungs. Central nervous system (CNS) involvement, although a rare complication of this... |
0 | Congenital visceral leishmaniasis in Ukraine: Case report | Patrick’s pharmacoepidemiology project | An 8-month-old boy was diagnosed with visceral leishmaniasis in the Ukraine, a non-endemic area. His mother had been treated for visceral leishmaniasis at 28-32 weeks gestation whilst working in Alicante, Spain and delivered her infant at 38 weeks gestation by elective caesarean section in Ukraine. It is presumed that ... |
0 | Treatment with subantimicrobial dose doxycycline improves the efficacy of scaling and root planing in patients with adult periodontitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: In a previous study, subantimicrobial dose doxycycline (SDD) significantly improved clinical parameters associated with periodontal health in patients with adult periodontitis (AP) when used as an adjunct to a maintenance schedule of supragingival scaling and dental prophylaxis. In this double-blind, placeb... |
1 | The impact of psychological symptoms on return to work in workers after occupational injury | DoD PRF (Psychosocial RF) | Introduction: This study aimed to investigate the impact of psychological symptoms on return to work (RTW) in workers after occupational injuries. Methods: Our study candidates were injured workers who were hospitalized for 3 days or longer and received hospitalization benefits from the Labor Insurance. A self-reported... |
0 | Investigation of the changing etiology and risk factors of prosthetic joint infections : a university hospital surveillance study from 2011-2017 | Hip Fx in the Elderly 2019 | We sought to characterize the causative pathogens of prosthetic joint infections (PJIs), evaluate the trends in microbial etiologies, and identify potential risk factors for PJI. This was a retrospective study analyzing 70 patients with PJI following 3,253 total joint arthroplasties between 2011 and 2017. Staphylococci... |
0 | Hip fractures and fluoridation in Utah's elderly population | Management of Hip Fractures in the Elderly | OBJECTIVE: To test the effect of water fluoridated to 1 ppm on the incidence of hip fractures in the elderly. DESIGN: Ecological cohort. SETTING: The incidence of femoral neck fractures in patients 65 years of age or older was compared in three communities in Utah, one with and two without water fluoridated to 1 ppm. P... |
0 | Antibiotic therapy for diabetic foot infections: comparison of cephalosporines with chinolones | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot complications are the most common cause of non-traumatic lower extremity amputations and uncontrolled infections represent a major risk factor. This open prospective, multicenter trial compared the efficacy of two antibiotic regimens for treatment of foot infections Wagner stage II or III in diabetic adul... |
0 | Modular femoral sleeve and stem implant provides long-term total hip survivorship | PJI DX Updated Search | BACKGROUND: A femoral implant with a modular sleeve and stem has been designed to allow independent and complete metaphyseal-diaphyseal fit and fill as well as independent rotation to accommodate anteversion at the time of THA. QUESTIONS/PURPOSES: In a prospective study we asked whether such a modular femoral sleeve an... |
0 | Doping with growth hormone/IGF-1, anabolic steroids or erythropoietin: is there a cancer risk? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Anabolic steroid and peptide hormones or growth factors are utilized to increase the performance of athletes of professional or amateur sports. Despite their well-documented adverse effects, the use of some of these agents has significantly grown and has been extended also to non-athletes with the aim to improve appear... |
0 | Outside-in Continuous Meniscal Suture Technique of the Knee | AMP (Acute Meniscal Pathology) | The meniscus is largely responsible for the health and longevity of the knee. It has diverse functions, being fundamental in load absorption and distribution and even in joint stability. To preserve meniscal functions and prevent the occurrence of osteoarthritis after meniscectomy, several meniscal repair techniques ha... |
0 | Postoperative 30-day complications after cemented/hybrid versus cementless total hip arthroplasty in osteoarthritis patients > 70 years: A multicenter study from the Lundbeck Foundation Centre for Fast-track Hip and Knee replacement database and the Danish Hip Arthroplasty Register | OAK 3 - Non-arthroplasty tx of OAK | Background and purpose â?? The use of cementless total hip arthroplasty (THA) in elderly patients is debated because of increased risk of early periprosthetic femoral fractures. However, cemented femoral components carry a risk of bone cement implantation syndrome. Hence, we compared in-hospital complications, complica... |
1 | Current data do not support routine use of patient-specific instrumentation in total knee arthroplasty | SR for PM on OA of All Extremities | The purpose of this systematic review and meta-analysis is to compare patient-specific instrumentation (PSI) versus standard instrumentation for total knee arthroplasty (TKA) with regard to coronal and sagittal alignment, operative time, intraoperative blood loss, and cost. A systematic query in search of relevant stud... |
0 | Fixation of Pelvicâ??Acetabular Fractures Using a Midline-Modified Stoppa Approach: Clinical and Operative Outcomes | Hip Fx in the Elderly 2019 | Background/Purpose This served as the first report from our locality to evaluate the modified Stoppa approach, via a low-midline wound, for treating pelvicâ??acetabular fractures. Methods A total of 17 polytrauma patients with pelvic and/or acetabular fractures were consecutively treated using the modified Stoppa appro... |
0 | A randomized, controlled trial of comparison of a continuous femoral nerve block (CFNB) and continuous epidural infusion (CEI) using 0.2% ropivacaine for postoperative analgesia and knee rehabilitation after total knee arthroplasty (TKA) | AAHKS (8) Anesthetic Infiltration | Background and Aims: Postoperative pain relief following total knee arthroplasty (TKA) is a major concern as it will help to achieve an effective functional outcome. The present study was conducted to compare continuous femoral nerve block (CFNB) and continuous epidural infusion (CEI) techniques using ropivacaine. Mate... |
0 | The 'floating elbow' in children. Simultaneous supracondylar fractures of the humerus and of the forearm in the same upper limb | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | During a six-year period we prospectively studied eight children who presented with supracondylar fractures of the humerus and of the forearm on the same side. They were treated by prompt closed reduction, percutaneous fixation with Kirschner wires, and appropriate management of neurovascular and soft-tissue injuries. ... |
0 | Nail patella syndrome: Knee symptoms and surgical outcomes. A questionnaire-based survey | AMP (Acute Meniscal Pathology) | Background: Patellofemoral instability and dysfunction are frequent symptoms in Nail patella syndrome (NPS). In this article, the first large series of NPS patients is presented in which these knee symptoms were assessed using validated outcome scores. Additionally, the need for surgical interventions, percentage of pa... |
0 | Adipose derived mesenchymal stem cell therapy in the treatment of isolated knee chondral lesions: design of a randomised controlled pilot study comparing arthroscopic microfracture versus arthroscopic microfracture combined with postoperative mesenchymal stem cell injections | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: The management of intra-articular chondral defects in the knee remains a challenge. Inadequate healing in areas of weight bearing leads to impairment in load transmission and these defects predispose to later development of osteoarthritis. Surgical management of full thickness chondral defects include art... |
0 | Psychosocial histories, social environment, and HIV risk behaviors of injection and noninjection drug using homeless youths | DoD PRF (Psychosocial RF) | Injection drug use is a common risk behavior for HIV infection among homeless, runaway and street youths. However, the psychosocial histories and current social environment of these youths are not well understood. The authors recruited 186 homeless, runaway and street youths using systematic street-based sampling metho... |
0 | Microbiology and management of deep facial infections and Lemierre syndrome | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This review describes the microbiology, diagnosis and management of deep facial infections and Lemierre syndrome. The origins of most of these infections are odontogenic infections that spread to fascial spaces of the lower head and upper neck. Other sources include pharyngotonsillar, nasal, otologic, salivary gland an... |
0 | The standardized creation of a lumbar spine vertebral compression fracture in a sheep osteoporosis model induced by ovariectomy, corticosteroid therapy and calcium/phosphorus/vitamin D-deficient diet | Distal Radius Fractures | INTRODUCTION: Vertebral compression fractures (VCFs) are one of the most common injuries in the aging population presenting with an annual incidence of 1.4 million new cases in Europe. Current treatment strategies focus on cement-associated solutions (kyphoplasty/vertebroplasty techniques). Specific cement-associated p... |
0 | Allograft versus autograft for reconstruction of anterior cruciate ligament rupture in adults | SR for PM on OA of All Extremities | This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the effects (benefits and harms) of the use of allograft versus autograft for the reconstruction of anterior cruciate ligament rupture in adults |
0 | Quality of life before and after total knee arthroplasty in clinical settings across Lahore, Pakistan | OAK 3 - Non-arthroplasty tx of OAK | Knee osteoarthritis is a common disabling condition that affects a larger number of populations aged above 40 years and this habitually required knee arthroplasty to reinstate leg function, to improve the pain as well as to improve stability. The main objective of this study was to determine the health-related quality ... |
1 | Lower limb trauma: a review of 40 cases treated at the regional burns and plastic surgery unit, Merseyside, England | DoD LSA (Limb Salvage vs Amputation) | This is a review of 40 patients with lower limb trauma that required reconstruction, treated at Mersey Regional Plastic Surgery and Burns Centre during the year 1989. 73% had bone involvement while there was soft tissue injury only, in 27%. Seven patients (18%) had the affected limb amputated. Of the rest, 6 were treat... |
0 | Obesity in adults | SR for PM on OA of All Extremities | INTRODUCTION: About a third of the US population and a quarter of the UK population are obese, with increased risks of hypertension, dyslipidaemia, diabetes, CVD, osteoarthritis, and some cancers. Less than 10% of overweight or obese adults aged 40-49 years revert to a normal body weight after 4 years. Nearly 5 million... |
0 | Cigarette smoking, sex hormones and bone density in women | Management of Hip Fractures in the Elderly | It is known that among women over the age of 65, bone mineral density is lower, and the risk of hip fracture higher, in smokers than non-smokers. We report a study in 1334 health pre- and post-menopausal women aged 35-64 years, to determine whether this effect can be attributed to lower oestrogen levels in smokers. Amo... |
0 | Topical vs. Intravenous administration of tranexamic acid in knee arthroplasty and prevalence of deep venous thrombosis: A randomized clinical trial | OAK 3 - Non-arthroplasty tx of OAK | Background: Tranexamic acid (TXA) is widely used in orthopedic surgery to reduce perioperative bleeding. Since TXA inhibits fibrinolysis, there is concern that it may increase the risk of thromboembolic events. Objectives: To verify the prevalence of deep venous thrombosis (DVT) in patients receiving TXA during total k... |
0 | A question of ethics: Selling autologous stem cell therapies flaunts professional standards | Panniculectomy & Abdominoplasty CPG | The idea that the body's own stem cells could act as a repair kit for many conditions, including cardiac repair, underpins regenerative medicine. While progress is being made, with hundreds of clinical trials underway to evaluate possible autologous cell-based therapies, some patients and physicians are not prepared to... |
0 | Are MR imaging signs of meniscocapsular separation valid? | AMP (Acute Meniscal Pathology) | PURPOSE: To define the positive predictive value (PPV) for the magnetic resonance (MR) imaging diagnosis of meniscocapsular separation in the knee.
MATERIALS AND METHODS: The MR reports of 52 patients aged 16-75 years who had a prospective MR diagnosis of meniscocapsular injury were correlated with arthroscopic results... |
0 | Urinary Tract Stones and Osteoporosis: Findings from the Women's Health Initiative | Hip Fx in the Elderly 2019 | Kidney and bladder stones (urinary tract stones) and osteoporosis are prevalent, serious conditions for postmenopausal women. Men with kidney stones are at increased risk of osteoporosis; however, the relationship of urinary tract stones to osteoporosis in postmenopausal women has not been established. The purpose of t... |
0 | Hip fracture after hemiplegia | Management of Hip Fractures in the Elderly | In a series of 57 hemiplegic patients who subsequently fractured their hips, it was found that hip fracture occurred significantly more often on the hemiplegic side. Hip fracture was equally common in right- and left-sided hemiplegia, and often occurred within one year of the stroke. Two factors seem to be important in... |
0 | Risk factors associated with loss of position after closed reduction of distal radial fractures in children | Distal Radius Fractures | BACKGROUND: Closed reductions of distal radial fractures are among the most common orthopaedic operations but up to 39% of fractures lose position postoperatively. This study was carried out to determine the most significant risk factors for loss of position so that high-risk patients can be identified early and their ... |
0 | Nonunion of a pediatric lateral condyle fracture without ulnar nerve palsy: sixty-year follow-up | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Displaced lateral condyle fractures in the pediatric population are usually treated with open reduction and internal fixation. Significant complications associated with the nonoperative management include nonunion, malunion, deformity, and tardy ulnar nerve palsy. However, few cases of nonunion of the lateral condyle a... |
0 | Delay in diagnosis of invasive surgical site infections following knee arthroplasty versus hip arthroplasty | PJI DX Updated Search | BACKGROUND: The timing of diagnosis of invasive surgical site infection (SSI) following joint replacement surgery is an important criterion used to determine subsequent medical and surgical management. METHODS: We compared time to diagnosis of invasive SSI following hip vs knee arthroplasty. SSIs were included in the a... |
0 | Distal biceps tendon injuries--current treatment options | Distal Radius Fractures | Three percent of all biceps tendon ruptures occur at the distal aspect, where the tendon inserts into the radial tuberosity. Distal bicep tendon ruptures typically occur in middle-aged males after an eccentric extension load is applied to the elbow. Patients usually complain of a sudden, sharp, and painful tearing sens... |
0 | Bone mineral density in patients with stroke: relationship with motor impairment and functional mobility | Management of Hip Fractures in the Elderly | PURPOSE: Patients with stroke have a 2- to 4-fold increased risk of hip fracture compared to the general population, because of decreased bone mineral density (BMD) on the paretic side and the high incidence of accidental falls. However, the relationship between BMD and stroke-related motor impairment and functional mo... |
0 | Complex nonunion of fractures of the femoral shaft treated by wave-plate osteosynthesis | Management of Hip Fractures in the Elderly | We have treated 42 consecutive complex ununited fractures of the femoral shaft by wave-plate osteosynthesis at five different medical centres. There were 13 with previous infection, 12 with segmental cortical defects, and 3 were pathological fractures. In 39 cases there had been previous internal fixation and 21 patien... |
1 | Integrating acupuncture with exercise-based physical therapy for knee osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee osteoarthritis is a chronic disease associated with significant morbidity and economic cost. The efficacy of acupuncture in addition to traditional physical therapy has received little study.
OBJECTIVE: The objective of this study was to compare the efficacy and safety of integrating a standardized tru... |
0 | Percutaneous microwave coagulation therapy for patients with primary and metastatic hepatic tumors during interruption of hepatic blood flow | MSTS 2018 - Femur Mets and MM | BACKGROUND: Although percutaneous microwave coagulation is relatively noninvasive therapy for patients with hepatic tumors, coagulation of tumors is sometimes incomplete and local recurrence occurs. The authors hypothesized that the cause of incomplete coagulation was a cooling effect in surrounding hepatic blood flow.... |
1 | Surgical treatment of chronic exertional compartment syndrome of the leg: failure rates and postoperative disability in an active patient population | DOD - Acute Comp Syndrome CPG | BACKGROUND: Chronic exertional compartment syndrome of the leg is a frequent source of lower-extremity pain in military personnel, competitive athletes, and runners. We are not aware of any previous study in which the authors rigorously evaluated the rates of return to full activity, persistent disability, and surgical... |
0 | Metal-backed versus all-polyethylene tibias in megaprostheses of the distal femur | PJI DX Updated Search | In megaprostheses, the tibial component is rarely a source of failure. The evolution of these implants has followed standard arthroplasty trends moving from majority use of all-polyethylene tibias (APT) to high volume use of metal-backed tibial (MBT) components. We report the results of 72 endoprostheses using either M... |
0 | Clinical Outcomes After Microfracture of the Knee: Midterm Follow-up | OAK 3 - Non-arthroplasty tx of OAK | Background: Microfracture is a single-stage arthroscopic procedure used to treat small- and medium-sized cartilage defects, the clinical results of which have been mixed to date.
Purpose: To retrospectively evaluate prospectively collected patient-reported outcomes (PROs) after microfracture as well as to determine pat... |
0 | Consistent interactions between tumor cell IL-6 and macrophage TNF-alpha enhance the growth of human prostate cancer cells in the bone of nude mouse | MSTS 2018 - Femur Mets and MM | To test the hypothesis that tumor-associated macrophages (TAMs) enhance the growth and metastasis of human prostate cancer in the bone, we evaluated the effects of decreasing interleukin-6 (IL-6) production by tumor cells and TAMs in a mouse model of bone metastasis. Human PC-3MM2 cells that produce IL-6 were transfect... |
0 | Anticoagulation Management in Geriatric Orthopedic Trauma Patients | Hip Fx in the Elderly 2019 | Purpose of Review: This article will review the perioperative management of geriatric patients on anticoagulants who present for non-elective orthopedic surgery. Recent Findings: Our understanding of best practices in perioperative anticoagulation management has advanced significantly over the last 5 years. More patien... |
1 | The erythrocyte sedimentation rate in orthopaedic patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The ESR, a sensitive measure of the inflammatory response, is elevated in 90% of patients who have serious orthopedic infections, e.g., discitis, septic arthritis, and hematogenous osteomyelitis. In most cases, it is sufficient to distinguish these entities from the less serious disease states, i.e., transient synoviti... |
0 | Metabolic stress-induced inflammation plays a major role in the development of osteoarthritis in mice | OAK 3 - Non-arthroplasty tx of OAK | Obesity is associated with systemic inflammation and is a risk factor for osteoarthritis (OA) development. We undertook this study to test the hypothesis that metabolic stress-induced inflammation, and not mechanical overload, is responsible for the development of high-fat diet-induced OA in mice. Human C-reactive prot... |
0 | Topical treatments for chronic plaque psoriasis | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Chronic plaque psoriasis is the most common type of psoriasis and is characterised by redness, thickness and scaling. First line management of chronic plaque psoriasis is with topical treatments, including vitamin D analogues, topical corticosteroids, tar-based preparations, dithranol, salicylic acid and to... |
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