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0 | Disparity between sensory nerve activity and psychophysical responses for air-puff stimulation of the index finger and palm in man | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Air-puff stimuli were delivered to five successive sites over the index finger and palm to obtain psychophysical responses and to record sensory nerve action potentials (SNAPs) from the median nerve at the wrist for elucidating psychoneural correlations across different locations of the glabrous hand. Magnitude estimat... |
0 | Chronic intermittent hypoxemia in patients with OSAS leads to the reduction of the number of median nerve fibers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose: Intermittent hypoxemia is one of the burden of obstructive sleep apnoea syndrome (OSAS). Our aim is to investigate electrophysiologically the effect of chronic intermittent hypoxemia on motor unit number of the patients with OSAS. Methods: Sixty-two patients with OSAS and fifty-seven normal controls were inclu... |
0 | Single dose oral lornoxicam for acute postoperative pain in adults | SR for PM on OA of All Extremities | Background: Lornoxicam is one of the oxicam class of non-steroidal anti-inflammatory drugs (NSAIDs), producing analgesic and antipyretic effects in part through the non-selective inhibition of cyclo-oxygenase-1 and -2. It is prescribed for osteoarthritis, rheumatoid arthritis, acute lumbar-sciatica conditions and for p... |
0 | A radiological study of fractures of acrylic cement in relation to the stem of a femoral head prosthesis | Management of Hip Fractures in the Elderly | The incidence and prognostic significance of fractures of acrylic cement related to the stem of a femoral head prosthesis in total hip replacement are examined. These fractures are demonstrated when the cement has been rendered radio-opaque by the addition of barium sulphate. One and a half percent of the radiographs o... |
0 | Once-weekly risedronate in men with osteoporosis: results of a 2-year, placebo-controlled, double-blind, multicenter study | Management of Hip Fractures in the Elderly | Male osteoporosis is increasingly recognized as a major public health issue. This multinational, 2-yr, randomized, double-blind, placebo-controlled study was conducted to determine the efficacy and safety of 35 mg once-a-week risedronate in men with osteoporosis. Patients had to be men >or=30 yr old, with lumbar spine ... |
0 | Effect of hyaluronic acids as chondroprotective in experimental model of osteoarthrosis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: to analyze the effects of hyaluronic acid of different molecular weights in an experimental model of osteoarthritis in rabbits.
METHODS: forty-four male California rabbits were divided randomly into three groups and underwent resection of the anterior cruciate ligament in his right knee. After three weeks of... |
0 | Ambulatory arthroscopic knee surgery results of partial meniscectomy | AMP (Acute Meniscal Pathology) | In an open prospective study the results of arthroscopic partial meniscectomy were reviewed in 188 knees. Group I comprised of 139 (65%) knees with pure meniscus lesions without any ligament laxity, the remaining 49 (35%) knees in group II had anterior cruciate ligament (ACL) deficiency in addition to meniscus lesions.... |
0 | Retrospective assessment of vascular injuries: 23 years of experience | DOD - Acute Comp Syndrome CPG | PURPOSE: To analyze the operation methods, injury etiologies and localizations, post-operative complications and the reasons for mortality in patients who were admitted for peripheral vascular injuries to our clinics.
METHODS: From January 1979 to February 2002, 410 patients were operated for peripheral vascular injuri... |
0 | Nursing home residence and risk of hip fracture | Management of Hip Fractures in the Elderly | This population-based case-control study was performed to determine whether the high incidence of hip fractures in people living in nursing homes is explained by the generally poor physical and mental health status of institutionalized older people. The study, which was conducted between 1990 and 1991, involved 209 hip... |
0 | Combined aesthetic interventions for prevention of facial ageing, and restoration and beautification of face and body | Panniculectomy & Abdominoplasty CPG | The Merz Institute of Advanced Aesthetics Expert Summit was held in Prague, Czech Republic, from 19â??20 November 2016. The meeting had a distinct advisory board character and invited aesthetic practitioners from all over the world to hear an international faculty present a range of keynote lectures and conduct live in... |
1 | Functional recovery of older people with hip fracture: does malnutrition make a difference? | Hip Fx in the Elderly 2019 | AIM: To report a study of the effects of protein-energy malnutrition on the functional recovery of older people with hip fracture who participated in an interdisciplinary intervention.
BACKGROUND: It is not clear whether protein-energy malnutrition is associated with worse functional outcomes or it affects the interdis... |
0 | Biomechanical analysis of lateral humeral condyle fracture pinning | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The purpose of this study was to determine the optimum pin configuration and the number of pins needed to stabilize the Milch type II lateral humeral condyle fractures in a pediatric bone model. METHODS: Forty synthetic pediatric humeri were sectioned through the lateral distal humerus to simulate a Milch t... |
0 | CSF sTREM2 in delirium-relation to Alzheimer's disease CSF biomarkers Abeta42, t-tau and p-tau | Hip Fx in the Elderly 2019 | BACKGROUND: Delirium and dementia share symptoms of cognitive dysfunctions, and mechanisms of neuroinflammation appear involved in both conditions. Triggering receptor expressed on myeloid cells 2 (TREM2) is linked to dementia and neurodegenerative disease. It encodes expression of an innate immune receptor in the brai... |
0 | Panniculectomy adjuvant to obesity surgery | Panniculectomy & Abdominoplasty CPG | Background: Many patients who qualify for obesity surgery have a moderate to large panniculus (grade 1-5). They can benefit from panniculectomy done concurrently with gastric bypass (GBP) or subsequently after significant weight reduction, usually 18 months after the GBP. Method: Over the last 8 years, 2,231 bariatric ... |
0 | Ankle fractures in diabetic neuropathic arthropathy: can tibiotalar arthrodesis salvage the limb? | DoD LSA (Limb Salvage vs Amputation) | Between 2000 and 2006 we performed salvage tibiotalar arthrodesis in 17 diabetic patients (17 ankles) with grossly unstable ankles caused by bimalleolar fractures complicated by Charcot neuro-arthropathy. There were ten women and seven men with a mean age of 61.6 years (57 to 69). A crossed-screw technique was used. Tw... |
1 | Aquatic exercise for the treatment of knee and hip osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis is a chronic disease characterized by joint pain, tenderness, and limitation of movement. At present, no cure is available. Thus only treatment of the person's symptoms and treatment to prevent further development of the disease are possible. Clinical trials indicate that aquatic exercise may... |
0 | Embryonic natural orifi ce transluminal endoscopic surgery in the treatment of severe acute pancreatitis complicated by abdominal compartment syndrome | DOD - Acute Comp Syndrome CPG | BACKGROUND: The study aimed to estimate the value of embryonal natural orifice transluminal endoscopic surgery (ENOTES) in treating severe acute pancreatitis (SAP) complicated with abdominal compartment syndrome (ACS). METHODS: The patients, who were randomized into an ENOTES group and an operative group, underwent ENO... |
0 | Once-weekly teriparatide increases bone mineral density in the distal 1/10 radius, but not in the distal 1/3 radius | Distal Radius Fractures | Teriparatide significantly increases bone mineral density (BMD) of the lumbar vertebrae and femur and has a strong effect in reducing the risk of bone fractures. However, few detailed investigations with dual-energy X-ray absorptiometry (DXA) of the effects of teriparatide on the radius have been reported; specifically... |
1 | Age and dressing type as independent predictors of post-operative infection in patients with acute compartment syndrome of the lower leg | DoD SSI (Surgical Site Infections) | PURPOSE: The purpose of this study was to determine independent factors, including timing of fasciotomy, that confer an increased risk of post-operative surgical site infection (SSI) in patients presenting with acute compartment syndrome (ACS) of the lower extremity.
METHODS: A retrospective analysis was performed on a... |
0 | The effect of unilateral spinal anaesthesia and psoas compartment with sciatic block on the postoperative pain management in total knee artroplastic surgery | AAHKS (8) Anesthetic Infiltration | Purpose. This study was designed to investigate the effects of peripheral nerve block methods, applied through unilateral spinal anaesthesia on elderly patients to undergo total knee arthroplasty, on perioperative hemodynamic parameters and postoperative analgesia period. Materials and Method. 60 patients were randomly... |
0 | Extreme cobalt toxicity: Bearing the brunt of a failed ceramic liner | PJI DX Updated Search | Case: We present a case of systemic cobalt toxicity secondary to third-body wear of a cobalt-chromium (CoCr) femoral head following revision of a fractured ceramic bearing. Removal of the CoCr head was followed by resolution of much of the systemic symptoms. Conclusion: This case supports previous reports of cobalt tox... |
0 | Distal humeral fixation of an intramedullary nail periprosthetic fracture | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disrup... |
0 | Zoledronic acid and mineral metabolism | MSTS 2018 - Femur Mets and MM | Zoledronate is an antiresorptive agent of the group of bisphosphonates. It is indicated in the treatment of postmenopausal osteoporosis, glucocorticoid-induced osteoporosis, Raget's disease of the bone, and metastatic disease, but for the latter indication, the medication has another name and another posology. It i... |
0 | Femoral fractures in adolescents: a comparison of four methods of fixation | PJI DX Updated Search | BACKGROUND: The optimal management of femoral fractures in adolescents is controversial. This study was performed to compare the results and complications of four methods of fixation and to determine the factors related to those complications. METHODS: We conducted a retrospective cohort study of 194 diaphyseal femoral... |
0 | Stability assessment of distal radius fractures | Distal Radius Fractures | A total of 112 consecutive cases of fractures of the distal radius managed conservatively were graded according to radiological criteria using the first radiograph. These criteria, as well as age over 60 years, were considered as gravity factors. A strong correlation was found between these criteria and the risk of sec... |
0 | Effect of exercise therapy compared with arthroscopic surgery on knee muscle strength and functional performance in middle-aged patients with degenerative meniscus tears: a 3-mo follow-up of a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The aim of this study was to compare the effect of a 12-wk exercise therapy program and arthroscopic partial meniscectomy on knee strength and functional performance in middle-aged patients with degenerative meniscus tears.
DESIGN: A total of 82 patients (mean age, 49 yrs; 35% women) with a symptomatic, unil... |
1 | The effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in total hip arthroplasty | AAHKS (9/10) Regional Nerve Blocks | OBJECTIVES: In this study, the effects of lumbar plexus block and epidural block on total blood loss and postoperative analgesia in patients undergoing total hip arthroplasty (THA) under general anesthesia was documented. METHODS: The study included 45 patients undergoing THA under general anesthesia. Group GA (n=15) r... |
0 | Clinical outcomes and patient satisfaction following revision of failed unicompartmental knee arthroplasty to total knee arthroplasty are as good as a primary total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: With unicompartmental knee arthroplasty (UKA) being increasingly performed for medial compartment osteoarthritis (OA) of the knee, revision total knee arthroplasty (TKA) for failed UKA is expected to increase. Our primary aim is to evaluate patients in our tertiary institution who underwent revision of fail... |
0 | Treatment of lateral knee pain using soft tissue mobilization in four female triathletes | OAK 3 - Non-arthroplasty tx of OAK | STUDY DESIGN: Prospective case series.
BACKGROUND: These case reports present results of the treatment of lateral knee pain in four female amateur triathletes. The athletes were referred to the author's clinic with either a diagnosis of iliotibial band friction syndrome or patellofemoral pain syndrome, all four having ... |
0 | Incidence of an Anomalous Course of the Palmar Cutaneous Branch of the Median Nerve During Volar Plate Fixation of Distal Radius Fractures | Distal Radius Fractures | PURPOSE: Volar plating of distal radius fractures using an approach through the flexor carpi radialis (FCR) sheath is commonplace. The palmar cutaneous branch of the median nerve (PCB) is considered to run in a position adjacent to, but outside, the ulnar FCR sheath. Anatomic studies have not identified anatomic abnorm... |
0 | Acute ischemia and pink pulseless hand in 68 of 404 gartland type III supracondylar humeral fractures in children: Urgent management and therapeutic consensus | Pediatric Supracondylar Humerus Fracture 2020 Review | No consensus exists regarding pulseless otherwise well-perfused hand in pediatric Gartland type III fractures. The purpose of this retrospective study was to describe our strategy and to determine the guidelines of therapeutic consensus. PATIENTS AND METHODS: 404 children were treated for a type III supracondylar humer... |
0 | Evidence for synovitis in active polymyalgia rheumatica: sonographic study in a large series of patients | Glenohumeral Joint OA | OBJECTIVE: To determine the frequency and localization of synovitis and enthesitis in patients with active, untreated polymyalgia rheumatica (PMR) by ultrasonography (US).
METHODS: Polyarticular sonographic evaluation was carried out in 50 consecutive patients with PMR at disease onset. Results were compared with 50 co... |
0 | Antibiotic-modified hydrogel coatings on titanium dental implants | Dental Implant Infection | Implant-associated infections represent an occasional but serious problem in dental and/or orthopaedic surgery. A possible solution to prevent the initial bacterial adhesion may be the coating of the implant surface with a thin layer of antibiotic-loaded biocompatible polymer. Hydrogels are one of the promising and ver... |
0 | Effects of Bisphosphonate Therapy on Bone Mineral Density in Boys with Duchenne Muscular Dystrophy | Hip Fx in the Elderly 2019 | The objective of this study was to estimate the comparative effectiveness of bisphosphonate therapy on bone mineral density (BMD) in patients with corticosteroid-treated Duchenne muscular dystrophy (DMD). A retrospective, comparative effectiveness study evaluating changes in BMD and fragility fractures in patients with... |
0 | Estimating probability of non-response to treatment using mixture distributions | Management of Hip Fractures in the Elderly | Repeat measurements of patient characteristics are often used to assess response to treatment. In this paper we discuss a normal mixture model for the observed change in the characteristic of interest in treated patients. The methods described can be used to estimate the overall proportion of non-response to treatment ... |
0 | Anesthesia management for cesarean section during novel coronavirous epidemic | Coronavirus Disease 2019 (COVID-19) | Thirty-six puerperas who underwent emergency cesarean section at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 24, 2020 to February 9, 2020, who all wore medical surgical masks, were retrospectively included in this study. Anesthesia management was performed under t... |
0 | Excess mortality following hip fracture: a systematic epidemiological review | Hip Fx Time to Surgery | This systematic literature review has shown that patients experiencing hip fracture after low-impact trauma are at considerable excess risk for death compared with nonhip fracture/community control populations. The increased mortality risk may persist for several years thereafter, highlighting the need for intervention... |
1 | Patterns and Causes of Amputation in Ayder Referral Hospital, Mekelle, Ethiopia: A Three-Year Experience | DoD LSA (Limb Salvage vs Amputation) | Background: Amputation is a surgical procedure for the removal of a limb which is indicated when limb recovery is impossible. There are different types of amputation, and their causes can vary from one area to the other. Therefor, the aim of this study is to find out the patterns and causes of amputations in patients p... |
0 | Locked volar plating for complex distal radius fractures: Patient reported outcomes and satisfaction | Distal Radius Fractures | BACKGROUND: Distal radius fractures are common. The increasing prevalence of osteoporosis contributes to frequently complex articular injuries sustained even after low energy falls. The best method of treating complex type C distal radius fractures is debated. Locked volar plating and external fixation are both widely ... |
0 | Intramedullary infections treated with antibiotic cement rods: preliminary results in nine cases | DoD SSI (Surgical Site Infections) | The treatment of intramedullary infections after nailing usually includes removal of the rod, debridement of the canal, and, in many cases, insertion of antibiotic-impregnated cement beads. These beads offer no mechanical support and are difficult to remove if left in place for more than 2 weeks. We present an alternat... |
1 | Pelvic reconstruction for severe periacetabular metastatic disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The functional outcome of acetabular reconstruction in 21 patients with severe acetabular deficiency was examined. The surgical indications were pain, immobility, and loss of indepedence. Surgical reconstruction included curettage, placement of an acetabular roof ring with screws crossing the defect, cementation of the... |
1 | Clodronate improves bone mineral density in postmenopausal breast cancer patients treated with adjuvant antioestrogens | MSTS 2018 - Femur Mets and MM | The effect of clodronate on bone mineral density (BMD) was studied in 121 post-menopausal breast cancer women without skeletal metastases. In addition, two antioestrogens, tamoxifen and toremifene, were compared in their action on bone mineral density. Patients were randomized to have an adjuvant antioestrogen treatmen... |
0 | Mild traumatic brain injury and posttraumatic stress disorder: investigation of visual attention in Operation Iraqi Freedom/Operation Enduring Freedom veterans | Upper Eyelid and Brow Surgery | Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) are prevalent dual impairments in veterans returning from the wars in Iraq and Afghanistan. Attention problems are a common self-reported complaint of veterans with mTBI, but relatively few studies have investigated the types and levels of beha... |
0 | Genetic mechanisms of knee osteoarthritis: a population-based longitudinal study | Surgical Management of Osteoarthritis of the Knee CPG | To describe the differences in knee structure and non-knee structural factors between offspring having at least one parent with a total knee replacement for severe primary knee osteoarthritis and age- and sex-matched controls with no family history of knee osteoarthritis, a population-based longitudinal study of 163 ma... |
0 | To what degree is the rise in US total knee replacement rates attributable to aging of the population? | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: In the past decade, total knee replacement (TKR) rates have increased resulting from multiple factors including the aging of the US population, rising prevalence of obesity and increased access to and demand for TKRs. To quantify the degree to which aging accounts for the observed increase in TKRs, ... |
0 | Efficacy and safety of controlled-release oxycodone and standard therapies for postoperative pain after knee or hip replacement | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Standard therapy (ST) for postoperative pain after knee and hip replacement at the Hamilton Health Sciences Henderson Hospital consists of epidural analgesia or patient-controlled analgesia for the first 48 hours, followed by oral or parenteral analgesics, or both, on an as-needed basis. We compared the eff... |
0 | Matching osteochondritis dissecans lesions in identical twin brothers | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondritis dissecans is a disorder of unknown etiology that can result in fragmentation of osteochondral surfaces, most commonly of the knee, shoulder, elbow, and ankle. This may lead to sequelae of pain and an inability to participate in desired activities. Multiple theories exist as to the true cause of the diso... |
1 | Antibodies to Borrelia burgdorferi in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In a study of 94 consecutive patients with neurophysiologically verified carpal tunnel syndrome (CTS) 7/94 had IgG and 0/94 IgM serum titers to Borrelia burgdorferi above the 98th percentile value of age and sex matched controls (n = 127). The difference in prevalence of positive IgG serum titers in patients, compared ... |
0 | Mycetoma in South India: Retrospective analysis of 13 cases and description of two cases caused by unusual pathogens: Neoscytalidium dimidiatum and Aspergillus flavus | DoD LSA (Limb Salvage vs Amputation) | Background Mycetoma is a chronic suppurative and/or granulomatous inflammatory lesion of skin, subcutaneous tissue, fascia, and tendons caused by the traumatic inoculation of either fungal (eumycotic) or bacterial (actinomycotic) organisms present in the soil. The disease is characterized by triad of tumefaction, disch... |
0 | Uncemented total arthroplasty in old quiescent infection of the hip | Management of Hip Fractures in the Elderly | We reviewed the outcomes of 24 cases (24 patients) of uncemented total hip arthroplasty done to treat secondary osteoarthritis due to quiescent previous infection. There were 16 men and eight women aged from 24 to 78 years (mean, 50 yr). Eight patients had proven or probable tuberculous infection and the other 16 patie... |
0 | Comparison of Infection Risk with Corticosteroid or Hyaluronic Acid Injection Prior to Total Knee Arthroplasty | AAHKS (2) Corticosteroids | BACKGROUND: Recent studies have shown that intra-articular injections <=3 months before total knee arthroplasty increase the risk of periprosthetic joint infection. We are aware of no previous study that has differentiated the risk of periprosthetic joint infection on the basis of the type of medication injected. In ad... |
0 | The effect of pre-season dance training on physical indices and back pain in elite cross-country skiers: a prospective controlled intervention study | Management of Hip Fractures in the Elderly | OBJECTIVE: To evaluate the effect of pre-season dance training on back pain, joint mobility, and muscle flexibility, and on speed and agility in elite cross-country skiers.METHODS: 26 skiers participated (mean (SD) age, 19 (3.9) years). An intervention group (n = 16) had 12 weeks of dance training; a control group (n =... |
0 | Custom Acetabular Cages Offer Stable Fixation and Improved Hip Scores for Revision THA With Severe Bone Defects | PJI DX Updated Search | BACKGROUND: Revision THA is particularly challenging in hips with severe acetabular bone loss. When the extent or geometry of the acetabular bone loss precludes more-straightforward techniques such as jumbo hemispheric cementless shells, reconstruction with morselized allograft protected by a custom cage may offer an a... |
0 | Should We Question the External Validity of Database Studies? A Comparative Analysis of Demographics | AMP (Acute Meniscal Pathology) | PURPOSE: To define the external validity of national and institutional databases for common sports medicine procedures.
METHODS: Patient demographic data including age, sex, body mass index (BMI), and 4 racial categories were aggregated between 2007 and 2016 across 2 databases for 4 common sports medicine procedures: a... |
0 | Use of diuretics and risk of implant failure after primary total hip arthroplasty: A nationwide population-based study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Introduction: Thiazid and loop diuretics have been associated with changes in bone mineral density and fracture risk. However, data on survival of prosthesis implants are lacking. We evaluated the association between diuretic use and the risk of revision after primary total hip arthroplasty (THA). Materials and methods... |
1 | Prospective comparative study of anterior cruciate ligament reconstruction using the double-bundle and single-bundle techniques | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: The intent of double-bundle anterior cruciate ligament reconstruction is to reproduce the normal anterior cruciate ligament anatomy and improve knee joint rotational stability. However, no consensus has been reached on the advantages of this technique over the single-bundle technique. HYPOTHESIS: We hypothe... |
0 | Intermittent Internal Fixation with a Locking Plate to Preserve Epiphyseal Growth Function during Limb-Salvage Surgery in a Child with Osteosarcoma of the Distal Femur | Pediatric Diaphyseal Femur Fractures 2020 Review | Limb shortening is a problem associated with surgery for osteosarcoma of the lower extremity in adolescents, as the tumors frequently occur near the epiphysis. Herein we report the use of a less invasive stabilization system (LISS) and an intermittent fixation method to preserve the growth function of epiphysis in an 1... |
0 | The electrodiagnostic findings in peripheral neuropathy associated with monoclonal gammopathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The electrodiagnostic findings in 51 patients with monoclonal serum proteins of different etiologies and peripheral neuropathies are analyzed and the findings in an additional 10 patients with multiple myeloma are discussed. The nine patients with monoclonal gammopathy of undetermined significance had electrodiagnostic... |
1 | Efficacy of preoperative skin traction for hip fractures: a single-institution prospective randomized controlled trial of skin traction versus no traction | Hip Fx in the Elderly 2019 | BACKGROUND: Preoperative traction for hip fractures is of no benefit in semi-urgent surgery. However, its efficacy has not been assessed in cases in which emergency surgery was not possible. We evaluated the efficacy of preoperative skin traction for hip fractures in a level II trauma center in Japan where many patient... |
0 | Predicting Postoperative Mortality After Metastatic Intraspinal Neoplasm Excision: Development of a Machine-Learning Approach | MSTS 2022 - Metastatic Disease of the Humerus | Objective: Mortality following surgical resection of spinal tumors is a devastating outcome. Naïve Bayes machine learning algorithms may be leveraged in surgical planning to predict mortality. In this investigation, we use a Naïve Bayes classification algorithm to predict mortality following spinal tumor excision withi... |
0 | Addition of Clonidine to Ropivacaine in Adductor Canal Block | AAHKS (8) Anesthetic Infiltration | Total knee arthroplasty (knee replacement) is a common orthopedic procedure for osteoarthritis. This procedure is performed either under general anesthesia or spinal anesthesia; after the procedure in the recovery room, these patients undergo adductor canal block, which is a nerve block to provide 8â?14 hours of posto... |
0 | Predictors for perioperative blood transfusion in elderly patients with extra capsular hip fractures treated with cephalo-medullary nailing | Hip Fx Time to Surgery | PURPOSE: The aim of our study was to determine predictive factors and requirement for perioperative blood transfusion in elderly patients with extra capsular hip fractures treated with cephalo-medullary device. METHODS: Seventy-nine patients with extra capsular hip fractures treated with cephalo-medullary nailing were ... |
0 | Type of childhood maltreatment and the risk of criminal recidivism in adult probationers: a cross-sectional study | DoD PRF (Psychosocial RF) | BACKGROUND: Childhood maltreatment is strongly associated with delinquency and the repeated crime. Specific types of childhood maltreatment have been found to have differential effects on recidivism in juvenile offenders, but studies of adult probationers have not been performed. This study investigated the relationshi... |
0 | Effects of Nerve Block on Knee Function After Knee Replacement | AAHKS (9/10) Regional Nerve Blocks | Early physical therapy after knee surgery is very painful on top of pain from surgery. Pain following surgery can limit recovery. One way to treat pain is by giving intravenous (IV) pain medication with morphine. Another method is to use a â??nerve blockâ? which involves placing a thin catheter (tube) into the lower b... |
0 | Scopolamine reduces the P35m and P60m deflections of the human somatosensory evoked magnetic fields | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Acetylcholine (ACh) is a potent neuromodulator in the brain with multiple, complex effects on neuronal function, most of which are mediated by muscarinic receptors. Generally, the most significant effect is excitation of pyramidal neurones and facilitation of responses to afferent stimulation. Much of the information o... |
0 | Nomogram for predicting overall survival in colorectal cancer with distant metastasis | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Colorectal cancer (CRC) is a major cancer burden, and prognosis is determined by many demographic and clinicopathologic factors. The present study aimed to construct a prognostic nomogram for colorectal cancer patients with distant metastasis.
METHODS: Colorectal cancer patients with distant metastasis diag... |
0 | Intravenous Lidocaine in Total Knee Replacement | AAHKS (4) Acetaminophen | OBJECTIVE: The aim of this study is to estimate the effectiveness of a preemptive bolus of intravenous lidocaine on reduction in acute pain, improvement on the range of movement, other rehabilitation parameters and functional scoring in the postâ?operative period after total knee replacement. DESIGN: This is a doubleâ... |
0 | Treatment of chronic nonunions of the humerus with free vascularized fibula transfer: A report of thirteen cases | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Chronic nonunions of the humerus remain a challenging problem. We reviewed 13 cases of chronic nonunion of the humerus resulting from trauma or osteomyelitis treated with vascularized fibula transfer after failure of conventional treatment. Patient averages were 35 years of age, follow-up of 19 months, and 4.2 prior op... |
0 | Imaging of hip arthroplasty | PJI DX Updated Search | Imaging studies are central to the evaluation of persistent or recurrent symptoms after hip arthroplasty. The evaluation starts with radiographs and may be followed by arthrography, aspiration, scintigraphy, sonography, computed tomography, and MR imaging. Common etiologies of a painful or dysfunctional hip arthroplast... |
0 | The burden of health conditions for middle-aged and older adults in the United States: disability-adjusted life years | Hip Fx in the Elderly 2019 | BACKGROUND: Many adults are living longer with health conditions in the United States. Understanding the disability-adjusted life years (DALYs) for such health conditions may help to inform healthcare providers and their patients, guide health interventions, reduce healthcare costs, improve quality of life, and increas... |
0 | Late infection of hand implant after a dental procedure: a case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A 78-year-old woman with a silicone implant in her first carpometacarpal joint had acute inflammation and lymphangitis beginning 24 hours after a dental root canal procedure. The infection resolved after implant removal and debridement of the residual carpometacarpal space. Although this is a rare event, the use of pro... |
0 | Radio-ulnar dissociation. A review of twenty cases | Distal Radius Fractures | The results of treatment were reviewed for twenty patients who had sustained concomitant injuries of the lateral compartment of the radiohumeral joint and the ipsilateral distal radio-ulnar joint. The ages of the patients ranged from eight to seventy-four years (average, thirty-five years) and the duration of follow-up... |
1 | Outcomes of Inside-out Meniscal Repair in the Setting of Multiligament Reconstruction in the Knee | AMP (Acute Meniscal Pathology) | BACKGROUND: Limited evidence exists for meniscal repair outcomes in a multiligament reconstruction setting. Purpose /Hypothesis: The purpose of this study was to assess outcomes and failure rates of meniscal repair in patients who underwent multiligament reconstruction compared with patients who underwent multiligament... |
0 | High tibial osteotomy | Surgical Management of Osteoarthritis of the Knee CPG | High tibial osteotomy (HTO) is a widely accepted and performed procedure to treat medial knee arthrosis. The aim of this review is to evaluate the different surgical options in medial knee arthrosis, focusing on indications, patient's selection, long-term follow-up and survival analysis of HTO. Comparison and pooling o... |
0 | Intra-articular administration of hyaluronic acid increases the volume of the hyaline cartilage regenerated in a large osteochondral defect by implantation of a double-network gel | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Implantation of PAMPS/PDMAAm double-network (DN) gel can induce hyaline cartilage regeneration in the osteochondral defect. However, it is a problem that the volume of the regenerated cartilage tissue is gradually reduced at 12 weeks. This study investigated whether intra-articular administration of hyaluronic acid (HA... |
0 | Effect of bacterial media on the evaluation of the antibacterial activity of a biomaterial containing inorganic antibacterial reagents or antibiotics | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Several studies have been performed to assess the effectivesness of the antibacterial coating of a biomaterial to reduce surgical site infection. However, evaluations of these materials are inconsistent, and therefore it is difficult to compare their antibacterial performance. In this study, we evaluated the influence ... |
0 | Defining hip fracture with claims data: outpatient and provider claims matter | Hip Fx in the Elderly 2019 | Summary: Medicare claims are commonly used to identify hip fractures, but there is no universally accepted definition. We found that a definition using inpatient claims identified fewer fractures than a definition including outpatient and provider claims. Few additional fractures were identified by including inconsiste... |
0 | Cementless coated and noncoated mathys acetabular cups: Radiographic and histologic evaluation | Management of Hip Fractures in the Elderly | This study evaluated 185 cementless Mathys coated and uncoated acetabular cups inserted for total hip replacement since September 1984. All of the cups were high-density polyethylene. Sixty were uncoated (group A), 96 were coated with hydroxyapatite (group B), and 29 were coated with titanium (group C). Cup survival wa... |
0 | Management of arterial injuries produced by percutaneous femoral procedures | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: A significant number of vascular injuries occur with the use of percutaneous diagnostic and therapeutic procedures. This study was done to indicate the types of these injuries and their management. METHODS: Over a 30-month period, 55 patients required operation for vascular complications after percutaneous ... |
0 | Distally-based vastus lateralis muscle flap: A salvage alternative to address complex soft tissue defects around the knee | PJI DX Updated Search | Repeated soft tissue injuries around the knee represent challenging clinical situations where functional prognosis of the joint is often poor, especially in the presence of total knee arthroplasty (TKA). When gastrocnemius muscle flap techniques have already been used and failed, therapeutic solutions become rare. The ... |
1 | Comparison of closed reduction and percutaneous pinning versus open reduction and percutaneous pinning in displaced supracondylar fractures of the humerus in children | Pediatric Supracondylar Humerus Fracture 2020 Review | A retrospective review of 29 children with displaced supracondylar humerus fractures was performed. Fifteen patients treated with closed reduction and percutaneous pinning and 14 patients treated with open reduction and percutaneous pinning were evaluated at a minimum of 18 months (range 18-80 months). Results were gra... |
0 | 18F-FLT PET does not discriminate between reactive and metastatic lymph nodes in primary head and neck cancer patients | Reconstruction After Skin Cancer | METHODSTen patients with newly diagnosed stage II-IV squamous cell carcinoma of the head and neck underwent (18)F-FLT PET before surgical tumor resection with lymph node dissection. Emission (18)F-FLT PET and CT images of the head and neck were recorded and fused, and standardized uptake values (SUVs) were calculated. ... |
0 | Once-weekly oral alendronate 70 mg in patients with glucocorticoid-induced bone loss: a 12-month randomized, placebo-controlled clinical trial | Management of Hip Fractures in the Elderly | OBJECTIVE: Glucocorticoid-induced osteoporosis is the most common iatrogenic form of osteoporosis. We evaluated the efficacy and safety of once-weekly bisphosphonate therapy for prevention and treatment of bone loss in patients on glucocorticoid therapy.METHODS: We conducted a 12-month, multicenter, randomized, double-... |
1 | Long leg splinting for pediatric femur fractures | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: Pediatric femur fractures are frequently encountered injuries frequently treated with spica casting. Spica casting may, however, be expensive and burdensome to patients. A possible alternative is a long leg splint. METHODS: Patients aged 6 months to 5 years old who were treated for a femoral shaft fracture ... |
0 | One hundred percent fascial approximation with sequential abdominal closure of the open abdomen | DOD - Acute Comp Syndrome CPG | BACKGROUND: Damage-control surgery and the recognition of the abdominal compartment syndrome have improved patient outcomes but at the cost of an open abdomen. Multiple techniques have been introduced to obtain fascial closure for the open abdomen to minimize morbidity and cost of care. We performed a modification of t... |
0 | Distal radioulnar joint injuries associated with fractures of the distal radius | Distal Radius Fractures | The most common cause of residual wrist disability after fractures of the distal radius is the distal radioulnar joint. The 3 basic conditions that produce radioulnar pain and limitation of forearm rotation are instability, joint incongruency, and ulnocarpal abutment. The last 2 entities initiate irreversible cartilage... |
0 | Reliability of a brief outpatient functional outcome assessment measure | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The stability of the musculoskeletal form of the Medical Rehabilitation Follow Along (MRFA) instrument was examined in 47 patients receiving outpatient rehabilitation services. The MRFA instrument was designed to provide information on quality of daily living, including physical function, pain, satisfaction, and emotio... |
0 | Intensive physical therapy after hip fracture. A randomised clinical trialHip protectors in aged-care facilities: a randomized trial of use by individual higher-risk residents [with consumer summary] | Management of Hip Fractures in the Elderly | Abstract and full text may be available at: http://www.danmedbul.dk/portal/page/portal/danmedbul.dk/dmb_forside/PAST_ISSUE NOAbstract and full text may be available at: http://ageing.oxfordjournals.org/archive/ NO |
1 | Changing trends in the use of cartilage restoration techniques for the patellofemoral joint: a systematic review | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The patellofemoral (PF) joint contains the thickest articular cartilage in the human body. Chondral lesions to this area are often misdiagnosed and can predispose to secondary osteoarthritis if left untreated. Treatment options range from arthroscopic debridement to cartilage restoration techniques such as mic... |
0 | Kinesthetic, but not visual, motor imagery modulates corticomotor excitability | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The hypothesis that motor imagery and actual movement involve overlapping neural structures in the central nervous system is supported by multiple lines of evidence. The aim of this study was to examine the modulation of corticomotor excitability during two types of strategies for motor imagery: Kinesthetic Motor Image... |
1 | Electrical stimulation for long-bone fracture-healing: A meta-analysis of randomized controlled trials | MSTS 2018 - Femur Mets and MM | Background: Bone stimulation represents a $500 million market in the United States. The use of electromagnetic stimulation in the treatment of fractures is common; however, the efficacy of this modality remains uncertain. We conducted a systematic review and meta-analysis of randomized controlled trials to evaluate the... |
1 | Standard open decompression in carpal tunnel syndrome compared with a modified open technique preserving the superficial skin nerves: a prospective randomized study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: A common surgical treatment for carpal tunnel syndrome is open carpal tunnel decompression. This involves skin incision followed by sharp dissection straight down through fat and palmar fascia to the transverse carpal ligament, which is then divided. The incidence of scar discomfort ranges from 19% to 61%, and... |
1 | Nipple-sparing mastectomy using a hemi-periareolar incision with or without minimal medial-lateral extensions; clinical outcome and patient satisfaction: A single centre prospective observational study | Acellular Dermal Matrix | BACKGROUND: Nipple-sparing mastectomy (NSM) is becoming a viable oncoplastic option. There is debate regarding the best approach that balances oncological safety with aesthetics. In this study, we describe an approach involving a hemi-periareolar incision and evaluate its safety and outcomes. METHODS: Patients treated ... |
0 | ACL reconstruction and the implication of its tibial attachment for stability of the joint: anthropometric and biomechanical study | Surgical Management of Osteoarthritis of the Knee CPG | The planar topography of the anterior cruciate ligament (ACL) insertion was investigated and correlated to the use of the double-bundle/double tibial tunnel ACL reconstruction technique within the ACL tibial insertion area. The anteroposterior and mediolateral length of the tibial ACL attachment and the distances of th... |
0 | Nutritional supplementation for hip fracture aftercare in older people | SR for PM on OA of All Extremities | Background: Older people with hip fractures are often malnourished at the time of fracture, and have poor food intake subsequently.Objectives: To review the effects of nutritional interventions in older people recovering from hip fracture.Search methods: We searched the Cochrane Bone, Joint and Muscle Trauma Group Spec... |
1 | Seroma Rates Are Not Increased When Combining Liposuction With Progressive Tension Suture Abdominoplasty: A Retrospective Cohort Study of 619 Patients | Panniculectomy & Abdominoplasty CPG | Background: Several studies have demonstrated that progressive tension sutures (PTS) reduce seroma. Many fear that adding liposuction to abdominoplasty will increase seroma rates and avoid drainless abdominoplasty when performing concomitant liposuction. Objectives: We sought to identify whether liposuction increases s... |
0 | Bone mineral density in women with systemic lupus erythematosus | Management of Hip Fractures in the Elderly | The aim of this cross-sectional study was to determine the prevalence of reduced bone mineral density (BMD) in a group of female SLE patients and to identify factors predictive of reduced BMD. Femoral neck (FN) and lumbar spine (LS) dual-energy X-ray absorptiometry results were evaluated in 79 pre- and postmenopausal w... |
0 | Efficacy of intraarticular infliximab in patients with chronic or recurrent gonarthritis: a clinical randomized trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the efficacy and safety of intraarticular infliximab compared with intraarticular methylprednisolone in patients with gonarthritis. METHODS: In 23 patients with recurrent gonarthritis despite previous intraarticular corticosteroid therapy, a total of 41 intraarticular injections (20 infliximab an... |
0 | Monoclonal gammopathy of undetermined significance and smoldering multiple myeloma: A review of the current understanding of epidemiology, biology, risk stratification, and management of myeloma precursor disease | MSTS 2018 - Femur Mets and MM | The term monoclonal gammopathy of undetermined significance (MGUS) was coined in 1978. The recent advances in our knowledge about MGUS and smoldering multiple myeloma (SMM) have helped us better understand the pathogenesis of myeloma. It seems that myeloma evolves from a precursor state in almost all cases. We do not c... |
0 | Standardization of BMD T-Scores in the first five years after the menopause: do femoral neck-equivalent and older normative range T-Scores improve diagnostic agreement? | Management of Hip Fractures in the Elderly | Calculating T-scores using an older reference population reduces inconsistency between measurement sites when osteoporosis is diagnosed in the elderly. The present analysis in a younger, early postmenopausal cohort examined 5-yr consistency of normalization by local and femoral neck-equivalent T-scores. NHANES (femur) ... |
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