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Long-term survival of concurrent meniscus allograft transplantation and repair of the articular cartilage: a prospective two- to 12-year follow-up report
AMP (Acute Meniscal Pathology)
We describe 119 meniscal allograft transplantations performed concurrently with articular cartilage repair in 115 patients with severe articular cartilage damage. In all, 53 (46.1%) of the patients were over the age of 50 at the time of surgery. The mean follow-up was for 5.8 years (2 months to 12.3 years), with 25 pro...
0
Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea
DoD PRF (Psychosocial RF)
Background: Insomnia is a common psychiatric complaint among elderly individuals. This study investigates the prevalence and sociodemographic correlates of insomnia by considering a community sample of elderly individuals in South Korea. Methods: A face-to-face household survey was conducted in five regions of South Ko...
0
Changes in the Welfare of an Injured Working Farm Dog Assessed Using the Five Domains Model
DoD LSA (Limb Salvage vs Amputation)
The present structured, systematic and comprehensive welfare evaluation of an injured working farm dog using the Five Domains Model is of interest in its own right. It is also an example for others wanting to apply the Model to welfare evaluations in different species and contexts. Six stages of a fictitious scenario i...
0
Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7)
DoD LSA (Limb Salvage vs Amputation)
AIMS: To estimate the annual amputation rate in all secondary care treated patients with diabetes in the Netherlands and specifically in patients known with diabetic retinopathy. METHODS: A nationwide population-based retrospective cohort study was performed including the years 2007-2011. Data of patients were retrieve...
0
Using health-related quality of life assessments to evaluate care support within Medicaid
Management of Hip Fractures in the Elderly
CareOregon, an Oregon-based not-for-profit Medicaid health plan, successfully piloted a "CareSupport" model that identifies high-risk members and clinically stratifies them for intervention. Internal analyses indicate that CareSupport lowers utilization and cost; CareOregon, however, has lacked patient-reported outcome...
1
Results of non-operative treatment following hip fracture compared to surgical intervention
Management of Hip Fractures in the Elderly
We followed all consecutive hip fracture patients admitted between 2004 and 2006, identified cases in which the intention was to treat non-operative and compared their functional outcome and mortality with a similar cohort treated surgically over the same period. We recorded length of hospital stay, place of discharge,...
0
Surgery for the arthritic hip and knee
Surgical Management of Osteoarthritis of the Knee CPG
Pain is the principal reason for which patients seek operation on arthritic joints. Currently, surgery for the painful hip is dominated by total hip replacement. Unless unforeseen late complications develop, this situation is likely to continue. For the knee a much greater range of procedures is currently in use. Even ...
0
Primary carcinoma of the Bartholin gland: a report of 14 cases and review of the literature
MSTS 2018 - Femur Mets and MM
Fourteen cases of primary carcinoma of the Bartholin gland were treated between 1955 and 1980. Follow-up information was available on all patients. Ten patients have survived free of disease for 5 or more years. Three patients with positive inguinal lymph nodes have survived 5 years. Histological patterns and lymph nod...
0
Two cases of septic arthritis by Mycoplasma hominis after total knee replacement arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Mycoplasma hominis has been related with pelvic inflammatory illnesses and postpartum and neonatal infections. Extragenital M. hominis infections are rare, but septicemia, septic arthritis, wound infection, meningitis, and other infections in Immunocompromised patients have also been described. Here we report two cases...
0
Total ankle arthroplasty: What are the risks?: A guide to surgical consent and a review of the literature
DoD LSA (Limb Salvage vs Amputation)
Aims Total ankle arthroplasty (TAA) surgery is complex and attracts a wide variety of complications. The literature lacks consistency in reporting adverse events and complications. The aim of this article is to provide a comprehensive analysis of each of these complications from a literature review, and to compare them...
0
Pseudoarthrosis of the ilium after periacetabular osteotomy that was treated by cemented total hip arthroplasty: A case report
PJI DX Updated Search
Background: Preserving the hip joint to delay arthroplasty for patients with acetabular dysplasia-associated early-stage osteoarthritis has become more common, and several surgical procedures have demonstrated pain relief and improved hip joint function. Periacetabular osteotomy, one of the joint-preserving surgical pr...
0
The Danish Registry for Plastic Surgery of the Breast: establishment of a nationwide registry for prospective follow-up, quality assessment, and investigation of breast surgery
Reduction Mammoplasty for Female Breast Hypertrophy
Although numerous epidemiologic studies have examined the long-term safety of silicone breast implants during the past decade, there is a relative lack of surveillance data on short-term health effects and complications following cosmetic surgery of the breast. The Danish Registry for Plastic Surgery of the Breast, est...
0
The role of arthroscopy in trapeziometacarpal arthritis
SR for PM on OA of All Extremities
BACKGROUND: Trapeziometacarpal (TM) arthroscopy should be viewed as a useful minimally invasive adjunctive technique rather than the operation itself since it allows one to visualize the joint surface under high-power magnification with minimal disruption of the important ligamentous complex. Relatively few articles de...
0
Force required for wound closure and scar appearance
Reduction Mammoplasty for Female Breast Hypertrophy
I am reporting the first objective documentation of the correlation between the force required for wound-edge approximation (closure) and eventual scar width. Seven patients undergoing reduction mammaplasty were studied, and 234 measurements of force required for wound-edge approximation were made. At follow-up 1 year ...
0
DNA damage in breast epithelial cells: detection by the single-cell gel (comet) assay and induction by human mammary lipid extracts
Reduction Mammoplasty for Female Breast Hypertrophy
The presence of DNA damage in primary cultures of human mammary epithelial cells (HMECs), and the ability of extracts of human mammary lipid to cause such damage, has been investigated. Lipid extracts, prepared by a solid-phase procedure, and HMECs were obtained from breast tissue removed from healthy women (ages 18-50...
0
Entrapment of the long head of the biceps tendon: the hourglass biceps--a cause of pain and locking of the shoulder
AMP (Acute Meniscal Pathology)
We describe an unrecognized mechanical condition affecting the long head of the biceps (LHB) tendon with entrapment of the tendon within the joint and subsequent pain and locking of the shoulder on elevation of the arm. We identified 21 patients with a hypertrophic intraarticular portion of the LHB tendon during open s...
0
Partial denervation for persistent neuroma pain after total knee arthroplasty
AAHKS (9/10) Regional Nerve Blocks
Despite the high percentage of patients who are satisfied completely with the results of total knee arthroplasty, there is a small group who remain disabled because of persistent neuroma pain. Recently, a better understanding of the innervation of the skin and capsule around the human knee joint has provided a theoreti...
0
Development and prevention of running-related osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Studies investigating the effect of running on risk for developing osteoarthritis at weight-bearing joints have reported with conflicting results. Generally, moderate-level running is not likely detrimental to joint health. However, many factors may be associated with the increased risk of developing osteoarthritis in ...
1
Comparing leukocyte-rich platelet-rich plasma injection with surgical intervention for the management of refractory tennis elbow. A prospective randomised trial
PRPs for Lateral Epicondylitis/Elbow Tendinopathies
Background: Patients with ongoing symptoms after non-operative treatment of lateral epicondylosis are usually treated with surgical release. Platelet-rich plasma injection is an alternative treatment option. This study aims to determine whether there is a difference in outcome from platelet-rich plasma injection or sur...
0
Differences in risk factor patterns between cervical and trochanteric hip fractures
Management of Hip Fractures in the Elderly
The two types of hip fracture - cervical and trochanteric femoral fractures - are generally considered together in etiologic studies. However, women with a trochanteric fracture may be more osteoporotic than those with cervical hip fractures, and have higher post-fracture mortality. To explore differences in risk facto...
0
Psychosocial consequences of road accidents
DoD PRF (Psychosocial RF)
Presents data from a 3-yr retrospective follow-up study concerning psychosocial outcome of 51 children injured in traffic accidents and the implications for 55 relatives of 112 adults who had suffered some consequences from an accident. An analysis was also performed of a subsample of 192 road traffic injured Ss includ...
0
An original application of the Endotine Ribbon device for brow lift
Upper Eyelid and Brow Surgery
BACKGROUND: Correction of brow ptosis and lateral temporal laxity is one of the goals of surgical rejuvenation of the aging face. The Endotine Forehead (Coapt Systems, Inc., Palo Alto, Calif.) device is an effective bioabsorbable fixation tool for forehead and brow-lift procedures. However, the Endotine Forehead device...
0
The association of preoperative delirium with postoperative outcomes following hip surgery in the elderly
Hip Fx in the Elderly 2019
STUDY OBJECTIVE: To determine the association of preoperative delirium with postoperative outcomes following hip surgery in the elderly. DESIGN: Retrospective cohort study. SETTING: Postoperative recovery. PATIENTS: 8466 patients all of whom were 65years of age or older undergoing surgical repair of a femoral fracture....
0
Controversies in clinical endodontics: Part 3. Filling from the open position
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Controversies have been common in the clinical treatment of endodontically involved teeth for many years. This series of articles discusses the advantages and disadvantages of three of the major disagreements in the field at this time. They are: (1) What is the significance of lateral canals and how are they best fille...
0
Three-dimensional MRI of the musculoskeletal system
AMP (Acute Meniscal Pathology)
OBJECTIVE. The purposes of this review are to describe commonly available 3D MRI techniques and to discuss the literature to date regarding the utility of such techniques in the assessment of internal derangement of joints. CONCLUSION. Long acquisition and postprocessing times and limited contrast characteristics have ...
0
(iv) The patella in total knee replacement
OAK 3 - Non-arthroplasty tx of OAK
The role and management of the patella in total knee replacement remains controversial. The patella is an important sesamoid bone, with a rich vascular and neural network surrounding it, and it must be managed appropriately in order to ensure a satisfactory outcome after a total knee replacement. The controversies conc...
1
Preoperative gait patterns and BMI are associated with tibial component migration
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND AND PURPOSE: There is no standard for patient triage in total knee arthroplasty (TKA) based on joint functional characteristics. This is largely due to the lack of objective postoperative measurement of success in TKA in terms of function and longevity, and the lack of knowledge of preoperative metrics that ...
1
Preoperative skin traction for fractures of the proximal femur. A randomised prospective trial
Hip Fx in the Elderly 2019
We report the results of a randomised trial to determine the effects of skin traction on 252 patients awaiting surgery for fractures of the proximal femur. They were allocated randomly to be nursed free in bed or to receive Hamilton-Russell skin traction. No differences were found between the groups in terms of pain su...
0
Static external fixation of the wrist
Distal Radius Fractures
Historical evolution in concepts, indications, application, reduction techniques, and the rehabilitation program and complications of external fixation of the wrist are discussed. Indirect reduction techniques using overdistraction and flexion are recommended. Additional stabilization of the epiphysis allows immediate ...
0
Detecting bacterial colonization of implanted orthopaedic devices by ultrasonication
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Glycocalyx-producing bacteria have been observed on orthopaedic devices that were removed for reasons other than infection. It has been suggested that the bacteria adhere to foreign surfaces within a biofilm and elude standard culture techniques. The authors adapted previously used ultrasonication protocols that disrup...
0
Open fracture of the tibia in children
DoD SSI (Surgical Site Infections)
The records of eighty-three children who had had an open fracture of the tibial metaphysis or diaphysis between January 1983 and July, 1993 were studied retrospectively. The average duration of follow-up was fourteen months (range, two to seventy-five months). There were twenty-four grade-I, forty grade-II, thirteen gr...
0
Hospitalization costs of total knee arthroplasty with a continuous femoral nerve block provided only in the hospital versus on an ambulatory basis: a retrospective, case-control, cost-minimization analysis
AAHKS (4) Acetaminophen
BACKGROUND AND OBJECTIVES: After total knee arthroplasty (TKA), hospitalization may be shortened by allowing patients to return home with a continuous femoral nerve block (CFNB). This study quantified the hospitalization costs for 10 TKA patients receiving ambulatory CFNB versus a matched cohort of 10 patients who rece...
0
Histochemical analyses of tissue-engineered human menisci
AMP (Acute Meniscal Pathology)
The field of tissue engineering remains one of the least explored areas of current meniscal research but holds great promise. In this investigation, meniscal fibrochondrocytes were isolated from fresh human meniscal tissue and seeded onto synthetic polyglycolic acid (PGA) scaffolds. Constructs were implanted into the d...
0
Functional outcome of Schatzker type V and VI tibial plateau fractures treated with dual plates
DoD SSI (Surgical Site Infections)
BACKGROUND: Dual plate fixation in comminuted bicondylar tibial plateau fractures remains controversial. Open reduction and internal fixation, specifically through compromised soft tissues, has historically been associated with major wound complications. Alternate methods of treatment have been described, each with its...
0
Secondary patellar resurfacing in the treatment of patellofemoral pain after total knee arthroplasty
PJI DX Updated Search
PURPOSE: This paper reports a prospective review of patients who, between 2004 and 2007, underwent secondary patellar resurfacing (SPR) due to anterior knee pain after a primary total knee arthroplasty (TKA). The aim was to evaluate the clinical outcomes obtained with the SPR and to compare them with radiological findi...
0
Effect of high impact exercise on femoral neck bone mineral density and T2 relaxation times of articular cartilage in postmenopausal women
AMP (Acute Meniscal Pathology)
Unilateral, high impact exercise has been found to increase femoral neck bone mineral density (BMD) in older men and premenopausal women. Postmenopausal women are at increased risk of osteoporotic fracture and could benefit from an intervention to increase BMD but may be reluctant to participate in high impact exercise...
0
Evidence-based management of the knee in hemophilia
AAHKS (2) Corticosteroids
" Hemophilia is among the commonest bleeding disorders encountered in orthopaedic practice and results from an Xchromosome- linked failure of coagulation factors VIII (hemophilia A) or IX (hemophilia B). " Morbidity in hemophilia is a result of repeated hemarthroses, and the aim of orthopaedic management is to prevent ...
0
Clinical outcome and cost comparison of carpal tunnel wound closure with monocryl and ethilon: a prospective study
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
This prospective non-randomised two-cohort study compares the use of an absorbable suture (Poliglecrapone [Monocryl]: Group A) and a non-absorbable suture (Polyamide [Ethilon]: Group B) in wound closure after elective carpal tunnel decompression. The primary outcome was scar cosmesis as assessed by the Stonybrook Scar ...
0
Physiotherapy alone or in combination with corticosteroid injection for acute lateral epicondylitis in general practice: a protocol for a randomised, placebo-controlled study
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: Lateral epicondylitis is a painful condition responsible for loss of function and sick leave for long periods of time. In many countries, the treatment guidelines recommend a wait-and-see policy, reflecting that no conclusions on the best treatment can be drawn from the available research, published studies...
0
Diagnosis of internal derangement of the Knee: Volume isotropic turbo spin-echo acquisition MRI with fat suppression versus without fat suppression
Osteochondritis Dissecans 2020 Review
OBJECTIVE. The purpose of this study was to compare 3D volume isotropic turbo spinecho acquisition (VISTA) MRI with and without fat suppression for use in evaluating ligaments, menisci, and cartilage. MATERIALS AND METHODS. Two radiologists retrospectively and independently reviewed 71 MRI studies. Each study consisted...
0
Hypertrophic polyosteopathy (Cadiot-Ball syndrome) secondary to a transitional urethral carcinoma metastased to the lung in a 9 years-old Border Collie
MSTS 2018 - Femur Mets and MM
Hypertrophic osteopathy (Cadiot-Ball syndrome) is a rare condition involving a diaphyseal osteoperiosteal reaction of the long bones, most often of paraneoplastic origin, associated with primitive tumors of the lung or with pulmonary metastasis. A female Border Collie dog is referred for consultation for deformation of...
0
Evaluation of clinical outcomes of management of paediatric bone forearm fractures using titanium elastic nailing system: A prospective study of 50 cases
DoD SSI (Surgical Site Infections)
Introduction: Forearm fractures are common injuries in children. In older children, there management is difficult due to increased chances of re-displacement after closed reduction. Aim: The aim of this prospective study was to evaluate the clinical outcome of managing paediatric forearm fractures using Titanium Elasti...
0
Local antibiotics: panacea for long term skeletal traction
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Long periods of skeletal traction are frequently needed in busy tertiary centres due to long waiting lists for surgery. A frequent complication is pin track infection, which leads to revision of pin insertion or switching over to skin traction. A prospective study was conducted on sixty patients with upper tibial pin i...
0
Outcome following a second hip fracture
Management of Hip Fractures in the Elderly
Hip fracture has a significant impact on medical resources and patient morbidity and mortality. Few patients admitted with a hip fracture are considered for prophylactic measures aimed at the reduction of further fracture risk. Currently, 10-13% of patients will later sustain a second hip fracture. In considering the p...
0
Risk Factors for Radiographic Progression of Osteoarthritis After Meniscus Allograft Transplantation
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: To identify risk factors that predict radiographic progression of osteoarthritis after meniscus allograft transplantation (MAT) using multivariate logistic regression. METHODS: Inclusion criteria were consecutive patients who underwent medial or lateral MATs from January 2005 to September 2012 by one surgeon. ...
0
Avascular necrosis after chemotherapy for haematological malignancy in childhood
AAHKS (2) Corticosteroids
Avascular necrosis (AVN) is a serious complication of high-dose chemotherapy for haematological malignancy in childhood. In order to describe its incidence and main risk factors and to evaluate the current treatment options, we reviewed 105 children with a mean age of 8.25 years (1 to 17.8) who had acute lymphoblastic ...
0
Breast conservation surgery
Reduction Mammoplasty for Female Breast Hypertrophy
Breast conservation therapy for early-stage invasive breast cancer provides survival equivalence to mastectomy. Careful patient selection and surgical technique are necessary to minimize local recurrence. Studies over the past fifteen years have identified the risk factors for local recurrence. Patients previously thou...
0
Intraoperative Measurements of Joint Line Changes Using Computer Navigation Do Not Correlate With Postoperative Radiographic Measurements in Total Knee Arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The adverse effects of joint line (JL) changes on kinematics and outcomes of total knee arthroplasty (TKA) have been studied. Some authors have quantified JL changes using intraoperative data from computer navigation, despite no studies validating these measurements to date. We designed a prospective study ...
0
Efficacy and safety of human parathyroid hormone-(1-84) in increasing bone mineral density in postmenopausal osteoporosis
Management of Hip Fractures in the Elderly
Daily sc injections of N-terminal analogs of PTH increase bone mass and decrease fractures in osteoporotic women. We investigated the efficacy and safety of human PTH-(1-84) (full-length PTH) in the treatment of postmenopausal osteoporosis in a double-blind, placebo-controlled study. The women (n = 50-53/group) self-ad...
0
Blood transfusion and drainage catheter clamping are associated with ecchymosis formation at the surgical site after total knee arthroplasty: An analysis of 102 unilateral cases
OAK 3 - Non-arthroplasty tx of OAK
Background: Many previous studies have focused on the postoperative complication of postoperative knee pain, infection, knee prosthesis loosening, periprosthetic fractures, and so on. There have been few studies focused on postoperative ecchymosis formation surrounding the wound of the TKA site. A certain degree of eff...
0
Revision hip arthroplasty in the octogenarian Is it worth it?
Management of Hip Fractures in the Elderly
We retrospectively reviewed the clinical and patient perceived results of 76 revision hip arthroplasties performed in 68 octogenarians since 1990. 60% of patients gained a worthwhile reduction in pain. In contrast to previous studies, however, the functional level of the majority of patients did not improve. 29% of pat...
0
Modulation of the host response in periodontal therapy
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This paper was prepared by the Research, Science, and Therapy Committee of the American Academy of Periodontology to provide the dental profession an overview of current and potential methods to modulate the host response in the treatment of periodontal diseases. Specifically, it discusses components of periodontal dis...
0
Biomechanics in uniaxial compression of three distal radius volar plates
Distal Radius Fractures
Purpose: A new fixed-angle volar plate for a dorsally displaced distal radius fracture was designed with the aim of avoiding soft tissue problems due to dorsal plating. The purpose of this study was to compare the biomechanical properties of this new plate with 2 existing volar plates in a cadaver model. Methods: Three...
0
Three- to six-year follow-up results after high-flexion total knee arthroplasty: can we allow passive deep knee bending?
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: We evaluated 3- to 6-year clinical and radiological follow-up results after NexGen(R) LPS-flex total knee arthroplasty (TKA). METHODS: A retrospective evaluation was undertaken of 218 knees in 166 patients (22 males, 144 females) who were followed up for more than 3 years after TKA. Evaluations included preope...
1
The weight-bearing scanogram technique provides better coronal limb alignment than the navigation technique in open high tibial osteotomy
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Successful outcomes following high tibial osteotomy (HTO) require precise realignment of the mechanical axis of the lower extremity. The present study investigated whether the weight-bearing limb scanogram (WBS) technique provided a more accurate mechanical axis realignment than the navigation technique in ...
0
Patellar dislocation: arthroscopic patellar stabilization with anchor sutures
AMP (Acute Meniscal Pathology)
There are many procedures to treat recurrent patellar subluxations and dislocations. Most of these procedures are open repairs for acute conditions or open reconstructions for chronic conditions, and both surgeries need large skin incisions. Although there are many arthroscopic procedures for meniscal and ligament inju...
0
The reliability and validity of the Tekdyne hand dynamometer: Part II
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The purpose of this study was to evaluate the reliability and validity of the Tekdyne hand dynamometer for measuring grip strength as compared with the Jamar dynamometer. Additionally, it was hypothesized that one to six weeks after carpal tunnel release (CTR) grip strength would appear to be greater when tested on a s...
1
Quantification of wrist motions during scanning
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A laboratory study was performed to help assess the risk of cumulative trauma disorders (CTDs) associated with the use of scanners in the grocery store environment. In this study experienced and inexperienced cashiers scanned a set of 12 standard grocery items using 19 different combinations of scanners, scanner orient...
1
Conservative mastectomies and immediate reconstruction with the use of ADMs
Acellular Dermal Matrix
BACKGROUND: In recent years, a novel approach to immediate breast reconstruction has been introduced with the advent of acellular dermal matrix (ADM). In the setting of conservative mastectomies where the native skin envelope is preserved, placement of ADM at the lower pole in continuity with the pectoralis major muscl...
0
Abdominal compartment syndrome
DoD - ACS - Interrater Reliability
OBJECTIVE: The purpose of this article is to discuss the pathogenesis, clinical features, radiologic findings, and treatment of abdominal compartment syndrome, which is defined as an acute elevation of the intraabdominal pressure with organ dysfunction. CONCLUSION: Abdominal compartment syndrome is not well reported in...
0
Treatment of Paradoxical Adipose Hyperplasia following Cryolipolysis: A Single-Center Experience
Panniculectomy & Abdominoplasty CPG
Paradoxical adipose hyperplasia is a rare adverse event associated with cryolipolysis. No evidence of spontaneous resolution has been described and little has been written about its treatment. The purpose of this report is to share the authors' experience treating patients with paradoxical adipose hyperplasia after cry...
0
Early surgery for patients with a fracture of the hip decreases 30-day mortality
Hip Fx in the Elderly 2019
There has been extensive discussion about the effect of delay to surgery on mortality in patients sustaining a fracture of the hip. Despite the low level of evidence provided by many studies, a consensus has been accepted that delay of > 48 hours is detrimental to survival. The aim of this prospective observational stu...
0
Early protected weightbearing after open reduction internal fixation of ankle fractures
DoD SSI (Surgical Site Infections)
The present retrospective study assessed the complications and loss of reduction in 126 patients aged 16 years or older who bore weight in a short leg cast within 15 days after surgical repair of acute unilateral closed ankle fractures from January 1997 to December 2003. Fracture reduction was assessed on immediate pos...
0
Demographic and socioeconomic factors influencing the incidence of clavicle fractures, a national population-based survey of five hundred and twelve thousand, one hundred and eighty seven individuals
DoD PRF (Psychosocial RF)
Background: This study aims to investigate the population-based incidence of clavicle fracture and the related risk factors in China. Methods: All the data on clavicle fractures were available from the China National Fracture Survey (CNFS) database performed in 2015. In the CNFS, all eligible household members were sam...
0
Articular cartilage sleeve fracture of the lateral humeral condyle capitellum: a previously undescribed entity
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Salter-Harris type IV fractures of the lateral humeral condyle are well-recognized injuries that have been previously described and classified. The case of an 11-year-old boy who sustained an unusual fracture of the distal humerus with the free fragment composed of 75% of the articular cartilage of the capitellum is pr...
0
A histologic and immunohistochemical study of calcium pyrophosphate dihydrate crystal deposition disease
AMP (Acute Meniscal Pathology)
The articular cartilage, synovial membrane, and meniscus from ten patients who had calcium pyrophosphate dihydrate (CPPD) crystal deposition disease showed strong immunoreactivity for dermatan sulfate proteoglycan, Type I collagen, and S-100 protein in hypertrophic chondrocytes around the crystals, their pericellular m...
1
Correlation between nipple elevation and breast resection weight: How to preoperatively plan breast reduction
Reduction Mammoplasty for Female Breast Hypertrophy
Breast hypertrophy is often associated with functional limitations. Beyond the aesthetic concerns, breast reduction can improve symptoms and self-esteem. In different countries, health-care system regulations have fixed the threshold for reimbursement in 500 g of predicted tissue resection for each breast. Different pr...
0
Mechanism of irrigation effects on gingivitis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Although gingivitis is initiated by plaque and plaque removal controls gingivitis, gingival irrigation with water has been shown to reduce gingivitis without reducing plaque. This study attempted to explore possible mechanisms involved in the treatment of gingivitis by water irrigation. Patients (n = 125) with more tha...
0
Clinical observation on effect of xian-zhong injection on treating primary knee OA
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To research and evaluate the clinical efficacy of Xian�zhong injection in treating primary knee OA. METHODS: By using Lequesne instituted ISOA and Kellgren�Lawrance instituted X�ray class standard, 127 non�operation primaary knee OA patients were divided into three grades (Light, Moderate, Severe). T...
0
No-Scar Breast Reduction Utilizing Power-Assisted Liposuction Mammaplasty, Loops, and Lipofilling
Panniculectomy & Abdominoplasty CPG
BACKGROUND: In continued interest to develop and refine minimally invasive procedures, recent publications reported a scarless approach in breast lifting. OBJECTIVES: The authors sought to describe a power-assisted lipomodeling technique combined with surgical loops to achieve breast reduction and reshaping with minima...
0
Competitive bass anglers: a new concern in sports medicine
Pediatric Supracondylar Humerus Fracture 2020 Review
Objective: Competitive bass angling involves sport fishing against other anglers while targeting a species of fish known as the black basses. Due to the rapidly growing popularity of high school competitive bass angling in Alabama and the nature of the casting motion similar to that of overhead athletes, we sought to e...
0
Comparison of the efficacy and safety of dual-opioid treatment with morphine plus oxycodone versus oxycodone/acetaminophen for moderate to severe acute pain after total knee arthroplasty
AAHKS (4) Acetaminophen
BACKGROUND: In acute pain models, coadministration of low doses of morphine and oxycodone markedly enhanced analgesia relative to either opioid given alone. Enhanced analgesia with coadministration of morphine and oxycodone has also been reported in acute and chronic moderate to severe pain conditions during double-bli...
0
Deep inferior epigastric artery perforator flap harvest after full abdominoplasty
Panniculectomy & Abdominoplasty CPG
Abdominal scars are no longer a contra-indication for abdominal perforator flap harvesting. Few research data exists about the regeneration potential of the abdominal wall's perforator system. Therefore, previous abdominoplasty with umbilical transposition is an absolute contra-indication for a DIEaP-flap (deep inferio...
0
A 42-year-old patient presenting with femoral head migration after hemiarthroplasty performed 22 years earlier: a case report
PJI DX Updated Search
INTRODUCTION: Treatment of femoral neck fractures in young adults may require total hip arthroplasty or hip hemiarthroplasty using a bipolar cup. The latter can, however, result in migration of the femoral head and poor long-term results. CASE PRESENTATION: We report a case of femoral head migration after hemiarthropla...
0
Efficacy of rapid recovery protocol for total knee arthroplasty: a retrospective study
PJI DX Updated Search
OBJECTIVE: Our aim was to compare the clinical results and cost-effectiveness of a rapid recovery protocol for total knee arthroplasty (TKA) with a current standard protocol. METHODS: The study included patients undergoing primary elective TKA with at least 6 months of follow-up. The rapid recovery protocol was applied...
0
Blinding in acupuncture research: A systematic review of randomized controlled trials for pain using a sham acupuncture control
SR for PM on OA of All Extremities
Objective: To study the various methods and levels of blinding in acupuncture research. Data sources: Reference lists of the most recent systematic review of acupuncture on pain, systematic search of MEDLINE from 1966 to August 2000, CINAHL from 1982 to August 2000, and HealthSTAR from 1975 to August 2000. Study select...
1
Serotype classification of Streptococcus mutans and its detection outside the oral cavity
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Streptococcus mutans, generally known as a major pathogen of dental caries, is also a possible causative agent of bacteremia and infective endocarditis. S. mutans is classified into serotypes c, e, f and k based on the chemical composition of serotype-specific polysaccharides, with approximately 70-80% of strains found...
0
Are movement disorders and sensorimotor injuries pathologic synergies? When normal multi-joint movement synergies become pathologic
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The intact nervous system has an exquisite ability to modulate the activity of multiple muscles acting at one or more joints to produce an enormous range of actions. Seemingly simple tasks, such as reaching for an object or walking, in fact rely on very complex spatial and temporal patterns of muscle activations. Neuro...
0
Psychosocial themes in durable employment transitions
DoD PRF (Psychosocial RF)
Loss of work capacity through illness or injury may result in loss of employment. The transition to durable employment with those reduced capacities poses many challenges. This paper is based on phenomenological research into the experiences of 13 people (aged 26-54 years) who had a disabling injury or chronic illness....
0
Platelet-rich plasma products in sports medicine
PRPs for Lateral Epicondylitis/Elbow Tendinopathies
Platelet-rich plasma (PRP) therapy is a recently developed technique that uses a concentrated portion of autologous blood to try to improve and accelerate the healing of various tissues. There is considerable interest in using these PRP products for the treatment of musculoskeletal disorders, particularly athletic inju...
0
Evaluation of the esthetic surgery patient
Panniculectomy & Abdominoplasty CPG
A thorough evaluation, proper treatment planning, and honest discussion with esthetic surgery patients produce improved outcomes with greater operator and patient satisfaction. © 2004 Elsevier Inc. All rights reserved.
0
Validation of occupational hand use categories
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
As part of a study of the etiology of carpal tunnel syndrome in industry, we developed a measure of occupational hand use activities, "Occupational Hand Use" (OHU), using 471 workers from four industries. This categorization has five categories based primarily upon observed relative force and secondarily upon observed ...
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The stability of the hip after the use of a proximal femoral endoprosthesis for oncological indications: analysis of variables relating to the patient and the surgical technique
MSTS 2022 - Metastatic Disease of the Humerus
AIMS: Instability of the hip is the most common mode of failure after reconstruction with a proximal femoral arthroplasty (PFA) using an endoprosthesis after excision of a tumour. Small studies report improved stability with capsular repair of the hip and other techniques, but these have not been investigated in a larg...
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Influence of age, sex and calendar year on lifetime accumulated red bone marrow dose from diagnostic radiation exposure
MSTS 2022 - Metastatic Disease of the Humerus
Our aim is to evaluate the relevance of different factors influencing lifetime accumulated red bone marrow dose, such as calendar year, age and sex. The lifetime dose was estimated for controls interviewed in person (N = 2811, 37.5% women) of the population-based representative Northern Germany Leukemia and Lymphoma St...
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New directions in surgical therapy
Panniculectomy & Abdominoplasty CPG
Surgical dermatology continues to evolve rapidly. The field is blessed with a number of bright and enthusiastic young surgeons who are willing to spend to necessary time investigating new techniques. The horizon has changed dramatically over the last 5 years and promises to change even more in the years to come.
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A randomized, double-blind, placebo-controlled 12 week trial of acetaminophen extended release for the treatment of signs and symptoms of osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Determine efficacy and safety of acetaminophen extended release (ER) 1300 mg given three times daily compared to placebo for relieving signs and symptoms of hip or knee osteoarthritis. RESEARCH DESIGN AND METHODS: Sixty investigators at 58 private, ambulatory, primary care sites in the US enrolled 542 outpat...
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Anatomical Prediction for Surgical Positioning of the Umbilicus in a Croatian Population
Panniculectomy & Abdominoplasty CPG
AIM: The umbilicus is an essential esthetic landmark on the abdominal wall in women and men. There are only few models published for predicting exact localization of the umbilicus. The aim of our study was to develop a mathematical model for predicting correct umbilical positioning in a sample of young women and men an...
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Asymptomatic enlargement of the clavicle: A review of underlying aetiologies
Glenohumeral Joint OA
An asymptomatic enlargement of the medial clavicle is a condition that is often both missed and misdiagnosed. We review the most common causes of an isolated and asymptomatic enlargement of the medial clavicle. Underlying aetiologies include osteoarthritis of the sternoclavicular joint, condensing osteitis, spontaneous...
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LeucoPatch in Malleoli Ulcer Study
DoD LSA (Limb Salvage vs Amputation)
Diabetic Foot Ulcers are a common and severe complication, that affects Patients Life Quality. Healing time is often long and the Diabetic foot ulcer is the dominating not traumatic reason for leg amputation. Treatment of a diabetic foot ulcer requires debridement, offloading, regularly foot care, specially tailored sh...
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Chronic upper limb pain syndrome (repetitive strain injury) in the Australian workforce: a systematic cross sectional rheumatological study of 229 patients
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The epidemic of chronic upper limb pain is the most important and controversial issue in industrial rheumatology in Australia today. Two hundred and twenty-nine consecutive patients referred with chronic upper limb pain which had been labelled "repetitive strain injury" or "overuse syndrome" were assessed according to ...
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Correlation between operative outcomes of cervical compression myelopathy and mri of the spinal cord
MSTS 2022 - Metastatic Disease of the Humerus
STUDY DESIGN: Magnetic resonance images of cervical compression myelopathy were retrospectively analyzed in comparison with surgical outcomes. OBJECTIVES: To investigate which magnetic resonance findings in patients with cervical compression myelopathy reflect the clinical symptoms and prognosis, and to determine the r...
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Efficacy of Cooled and Monopolar Radiofrequency Ablation of the Geniculate Nerves for the Treatment of Chronic Osteoarthritic Knee Pain
OAK 3 - Non-arthroplasty tx of OAK
This is a single center randomized controlled trial. Approximately 102 patients will be randomized to one of two treatment groups: cooled radiofrequency or conventional monopolar radiofrequency ablation. Patients with chronic knee pain, with moderate to severe osteoarthritis according to the Kellgren�Lawrence scale f...
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Histological evaluation of the osteoinduction capability of human dentine
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Aim To assess whether human dentine has the potential to promote the development of calcified tissues when implanted in the muscle tissue of mice. Methodology Root canals in extracted human teeth were instrumented to produce dentine fragments. The dentine fragments produced were divided into two. In group 1, fragments ...
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Dorsal approach to scaphoid nonunion
Distal Radius Fractures
The surgical approach for treatment of scaphoid nonunion usually involves various combinations of screws and Kirschner wires, with or without bone grafts. This article reports our results with 36 dorsal-approach bone grafting procedures for treatment of scaphoid nonunion with Kirschner wires. Union was achieved in 89%....
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Meniscal Allograft Transplantation After Anterior Cruciate Ligament Reconstruction Can Improve Knee Stability: A Comparison of Medial and Lateral Procedures
AMP (Acute Meniscal Pathology)
BACKGROUND: The purpose of this study was to evaluate the clinical score and stability after meniscal allograft transplantation (MAT) after a previous anterior cruciate ligament (ACL) reconstruction. HYPOTHESIS: Medial MAT would improve anteroposterior stability, and lateral MAT would improve rotational stability. STUD...
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The 'Gulf War syndrome'. Is there evidence of dysfunction in the nervous system?
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
In a pilot study, 14 Gulf War veterans were randomly selected from a large list of those with unexplained illness, to compare the functional integrity of the peripheral and central nervous system with a group of 13 healthy civilian control subjects using predetermined outcome measures. The controls were matched closely...
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Clinical relevance and ethical aspects of placebos
SR for PM on OA of All Extremities
In recent years, the topic of placebo has gained momentum. Basic scientists started elucidating the neurophysiological and neuropharmacological processes that mediate the placebo response. At the same time, questions arose about the purported power of placebos. In addition, the debate on the ethics of the use of placeb...
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Expression of beta-defensin-4 in "an in vivo and ex vivo model" of human osteoarthritic knee meniscus
AMP (Acute Meniscal Pathology)
PURPOSE: To investigate, for the first time, the expression of beta-defensins-4, by immunohistochemistry and western blotting, in OA meniscus versus control meniscus, thus providing new insights into the physiological processes of meniscus repairing. METHOD: beta-defensins-4 was studied in vivo, in knee osteoarthritic ...
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Quality of life following proximal femoral replacement using a modular system in revision THA
Management of Hip Fractures in the Elderly
BACKGROUND: Proximal femoral replacement using a segmental modular system is one option for revision THA in the presence of severe bone loss or periprosthetic fracture. While many papers report function in these patients, they do not describe the quality of life. QUESTIONS/PURPOSES: We evaluated the quality of life in ...
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Hip fracture treatments--what happens to patients from residential care?
Hip Fx in the Elderly 2019
Hip fractures are a growing problem and new models of care have been called for. However, patients from residential care are rarely considered in these discussions. Hip fracture is a common serious problem for older people in residential care with profound effects on subsequent mobility and quality-of-life. There are n...