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Update on Selective Regional Analgesia for Hip Surgery Patients
AAHKS (8) Anesthetic Infiltration
In hip surgery, regional anesthesia offers benefits in pain management and recovery. There are a wide range of regional analgesic options; none have shown to be superior. Lumbar plexus block, femoral nerve block, and fascia iliaca block are the most supported by published literature. Other techniques, such as selective...
0
How myeloma cells escape bisphosphonate-mediated killing: development of specific resistance with preserved sensitivity to conventional chemotherapeutics
MSTS 2018 - Femur Mets and MM
Although amino-bisphosphonates (N-BPs) induce apoptosis of myeloma cells in vitro, most in-vivo studies fail to demonstrate a corresponding antitumour effect. This discrepancy might reflect the development of resistance to the antitumour effects of N-BP in myeloma cells when they are exposed to N-BP for a prolonged tim...
0
Treatment of fractures of the femur with the Grosse-Kempf rod
DoD SSI (Surgical Site Infections)
Intramedullary rod placement provides excellent fixation for many fractures of the femur. It also carries a high union rate, a low infection rate, and a shortened hospital stay for the patient. Certain fractures of the femur are not suitable for fixation with a standard intramedullary and alone. Use of the Grosse-Kempf...
0
Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions
Osteochondritis Dissecans 2020 Review
Osteochondral lesions of the talus, large or small, present a challenge to the treating orthopaedic surgeon. These cartilage and bony defects can cause substantial pain and functional disability. Surgical treatment of small lesions of the talus has been thoroughly explored and includes retrograde drilling, arthroscopic...
1
Arthroscopic Repair of Isolated Partial- and Full-Thickness Upper Third Subscapularis Tendon Tears: Minimum 2-Year Outcomes After Single-Anchor Repair and Biceps Tenodesis
Trial Systematic Review Project
PURPOSE: To investigate outcomes of arthroscopic single-anchor repair and biceps tenodesis of partial- and full-thickness tears of the upper third subscapularis (SSC). METHODS: Thirty-three patients with arthroscopically confirmed isolated SSC tears, Lafosse type I (>50% of the tendon thickness involved), or type II we...
0
Revisional Charcot foot and ankle surgery
DoD LSA (Limb Salvage vs Amputation)
Charcot neuroarthropathy is often a devastating diabetic foot complication that poses a great risk for limb loss and can have a significant impact on a patient's quality of life in the presence of multiple existing comorbidities. It is a progressive and debilitating condition characterized by joint dislocation, patholo...
0
Scaphoid fracture epidemiology
Management of Hip Fractures in the Elderly
BACKGROUND: The current available literature related to scaphoid fracture epidemiology is inconsistent. The aim of this study was to describe the epidemiology of true scaphoid fractures in a defined adult population. METHODS: Using a prospective database, we identified all patients who sustained a radiographically conf...
0
Reduced penetrance in hereditary motor neuropathy caused by TRPV4 Arg269Cys mutation
Management of Hip Fractures in the Elderly
Incomplete penetrance has rarely been reported in Charcot-Marie-Tooth disease. Our aim is to describe reduced penetrance in a hereditary motor neuropathy pedigree due to mutation in the transient receptor potential vallinoid 4 (TRPV4) gene. The pedigree comprised two affected members, the proband aged 44 years and her ...
0
Bleeding complications from femoral and sciatic nerve catheters in patients receiving low molecular weight heparin
Surgical Management of Osteoarthritis of the Knee CPG
After knee replacement surgery, the use of continuous local anesthetic infusions in femoral and sciatic peripheral nerve catheters is an effective analgesic option. Limited data are available concerning the safety of peripheral nerve infusions in patients receiving low molecular weight heparin thromboprophylaxis. We re...
0
The incidence of proximal femoral fractures in an English county
Management of Hip Fractures in the Elderly
We have studied the incidence of fractures of the proximal femur in one English county from 1968 to 1991. Numbers have increased steadily, but the age-specific incidence has remained relatively unchanged since 1981. The increase is due to the rise in the population most at risk; this is likely to continue causing a 20%...
0
Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
OBJECTIVE: This study aimed to assess the outcomes of patients with humeral head fractures treated by reduction and osteosynthesis. METHOD: A total of 53 shoulders (52 patients) with humeral head fractures were operated between October 1996 and December 2009. Patients previously treated with primary arthroplasty and/or...
0
Effacement of the fat in the proximal carpal tunnel on MR imaging: A useful indirect indicator of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: The objective of this study is to determine the diagnostic usefulness of the effacement of fat in the proximal carpal tunnel in patients with and without carpal tunnel syndrome (CTS). The current literature evaluates several MRI features of CTS that are based on median nerve signal and morphology characteris...
1
Natural history and treatment outcomes of childhood hip disorders
Developmental Dysplasia of the Hip CPG
Normal hip joint growth and development occur as a result of a genetically determined balance of growth of the acetabular and triradiate cartilages and the presence of a well located centered spheric femoral head. The majority of acetabular development is determined by age 8 years. This is a watershed age for prognosis...
0
Relationship between femoral component rotation and total knee flexion gap balance on modified axial radiographs
Surgical Management of Osteoarthritis of the Knee CPG
Using modified axial radiographs, we investigated the relationship between femoral component rotation and flexion gap balance in 70 consecutive knees with varus osteoarthritis 1 year after they underwent cruciate-ligament-retaining total knee arthroplasty with the measured resection technique. We measured (1) the condy...
0
False primary osteoarthritis
Glenohumeral Joint OA
In most cases, osteoarthritis is â??primitiveâ? favored by several risk factors (age, sex, obesity, trauma). However, unusual localization of osteoarthritis (ankle, wrist, shoulderâ?¦), atypical patient characteristic (young subject in particular) or the severity of osteoarthritis can lead us to continue the investiga...
0
Surgical management of gynecomastia - A 10-year analysis
Reduction Mammoplasty for Female Breast Hypertrophy
Background: Gynecomastia is defined as the benign enlargement of the male breast. Most studies on surgical treatment of gynecomastia show only small series and lack histopathology results. The aim of this study was to analyze the surgical approach in the treatment of gynecomastia and the related outcome over a 10-year ...
0
Full-mouth therapy versus individual quadrant root planning: a critical commentary
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: This commentary compares the abilities of full-mouth disinfection (FDIS), full-mouth root planing (FRP), and partial-mouth disinfection (PDIS) to improve periodontal health. FDIS consists of 4 quadrants of root planing completed within 24 hours with adjunctive chlorhexidine therapies (e.g., rinsing, subging...
1
A prospective study of factors affecting recovery from musculoskeletal injuries
DoD PRF (Psychosocial RF)
PURPOSE: Research suggests the importance of psychosocial factors in recovery from musculoskeletal injuries. The objective of this study was to identify predictors of recovery among U.S. Marines who had musculoskeletal injuries of the back, knee, or shoulder. METHODS: A sample of 134 participants was assessed at baseli...
1
Cervical hip fractures do not occur in arthrotic joints: A clinicoradiographic study of 256 patients
Hip Fx in the Elderly 2019
We studied endogenic factors for the occurrence of cervical hip fractures in 256 patients. 230 underwent hemiarthroplasty, and 26 were treated with internal fixation or without surgery. The condition of the fractured hip and of the ipsilateral knee, as well as the mobility of the patient before the fracture, were studi...
0
Altered cortical microarchitecture in patients with monoclonal gammopathy of undetermined significance
Distal Radius Fractures
Patients with monoclonal gammopathy of undetermined significance (MGUS) are at increased fracture risk, and we have previously shown that MGUS patients have altered trabecular bone microarchitecture compared with controls. However, there are no data on whether the porosity of cortical bone, which may play a greater rol...
0
The prognostic analysis of different metastatic patterns in extensive-stage small-cell lung cancer patients: A large population-based study
MSTS 2022 - Metastatic Disease of the Humerus
Aim: To analyze the metastasis patterns and prognosis differences for extensive-stage small-cell lung cancer patients. Methods: Log-rank tests were used to calculate and compare survival estimates. Cox regression analyses were used to evaluate the prognosis factors. Results: The liver was the most common metastatic sit...
0
Factors associated with stair climbing ability in patients with knee osteoarthritis and knee arthroplasty: a systematic review
Surgical Management of Osteoarthritis of the Knee CPG
Abstract Purpose: People with knee osteoarthritis (OA) report ongoing limitations in climbing stairs, even after total knee arthroplasty (TKA). The aim of this systematic review was to synthesise the available evidence of factors affecting stair climbing ability in patients with knee OA before and after TKA. Method: A ...
0
Predictors of long-term survival after hip fractures?-5-year results of a prospective study in Germany
Hip Fx in the Elderly 2019
The incidence of hip fractures is increasing due to demographic transition. Data on long-term survival and influencing factors are sparse. Our prospective observational study with 395 patients shows a survival of 38% after 5 years. Significant risk factors were male gender, higher age, lower Barthel Index, lower Charls...
1
Psychometric assessment of patients with chronic upper extremity pain attributed to workplace exposure
DoD PRF (Psychosocial RF)
Upper extremity pain attributed to workplace exposure is a growing concern in medicine today. This study was undertaken to investigate the psychological findings in patients with chronic upper extremity pain attributed to workplace exposure. Sixty-three consecutive patients were evaluated. All patients underwent a hist...
0
Comparative efficacy of conservative medical and chiropractic treatments for carpal tunnel syndrome: A randomized clinical trail
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: To compare the efficacy of conservative medical care with chiropractic care in the treatment of carpal tunnel syndrome. Design: Two- group, randomized, single-blind trial with 9 wk of treatment and a 1-month follow-up interview. Setting: Wolfe-Harris Center for Clinical Studies at Northwestern College of Chi...
0
Outcomes of Joint Preservation Procedures for Cartilage Injuries in the Hip: A Systematic Review and Meta-analysis
Osteochondritis Dissecans 2020 Review
BACKGROUND: The detection and management of chondral injuries of the hip, especially in a younger patient population, may preempt joint degeneration. Although the outcomes of preservation techniques have been well described for other weightbearing joints, such as the knee, evidence for hip joint preservation after proc...
0
Ultrasound evaluation of carpal tunnel syndrom in primary hypothyroidism
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background A bilateral carpal tunnel syndrome (CTS) is relatively commonly connected to hypothyroidism and presents in 5 to 10% of hypothyroid patients. Ultrasound imaging is a method of choice in early recognition of dynamic changes of median nerve in subclinical stages of CTS. Objectives Monitoring of ultrasound dete...
1
Distal radius malunion increases risk of persistent disability 2 years after fracture: a prospective cohort study
Distal Radius Fractures
BACKGROUND: Studies concerning the relationship between distal radius fracture malunion and a persistent arm-related disability have produced conflicting results. QUESTIONS/PURPOSES: We investigated (1) how arm-related disability changes during the first 2 years after a fracture and (2) whether fracture malunion causes...
0
Elbow fracture in children at saiful anwar general hospital, nine years experiences
Pediatric Supracondylar Humerus Fracture 2020 Review
AIM: The frequency, incidence, and types of fracture of the elbow are different between children and adult. The epidemiology of elbow fracture in children has been the subject of a limited number of studies. This study aims to observe the pattern of elbow fractures in children 18 years of age and younger, during a nine...
0
Carpal tunnel pressure alters median nerve function in a dose-dependent manner: A rabbit model for carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: An in vivo animal model for carpal tunnel syndrome (CTS) is presented which allows for graded application of pressure to the median nerve within the carpal canal. We hypothesized that such pressure would cause electrophysiologic changes in the median nerve in a dose-related manner, with NCS/EMG changes cons...
0
Drawing on Israel's Experience Organizing Volunteers to Operationalize Drive-Through Coronavirus Testing Centers
Coronavirus Disease 2019 (COVID-19)
To increase the country's capacity to test and track suspected coronavirus disease 2019 (COVID-19) cases, Israel launched drive-through testing centers in key cities, including Tel Aviv, Jerusalem, Be'er Sheva, and Haifa. This article examines the challenges that the national emergency medical services and vo...
0
Risk factors for cervical and trochanteric hip fractures in elderly women: A population-based 10-year follow-up study
DoD PRF (Psychosocial RF)
We evaluated the contribution of lifestyle-related factors, calcaneal ultrasound, and radial bone mineral density (BMD) to cervical and trochanteric hip fractures in elderly women in a 10-year population-based cohort study. The study population consisted of 1,681 women (age range 70-73 years). Seventy-two percent (n = ...
0
Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVES: Our aim was to clarify the distribution of hip pain in patients with osteoarthritis of the hip secondary to developmental dysplasia of the hip (DDH). METHODS: We retrospectively studied 443 hips in 369 patients with osteoarthritis secondary to DDH; mean age was 61 years, and follow-up rate was 84 %. Hip pai...
0
High rate of infection control with one-stage revision of septic knee prostheses excluding MRSA and MRSE
PJI DX Updated Search
BACKGROUND: The rate of infection control for one-stage revision of infected knee arthroplasties is unclear as are the factors influencing infection control. Such factors include duration of infection and the type of infected prosthesis. QUESTIONS/PURPOSES: We therefore determined: (1) the rate of infection control wit...
1
Medial femoral condyle width and osteochondritis dissecans: cause or effect and the implications for osteochondral allograft transplantation
Osteochondritis Dissecans 2020 Review
Introduction: Anecdotally, patients with osteochondritis dissecans (OCD) have larger medial femoral condyles widths (MFCW), making it difficult finding size-matched orthotopic condyles for osteochondral allograft transplantation. Objectives: (1) measure MFCW and tibial plateaus width (TPW) using magnetic resonance imag...
0
Predicting knee cartilage loss using adaptive partitioning of cartilage thickness maps
OAK 3 - Non-arthroplasty tx of OAK
This study investigates whether measures of knee cartilage thickness can predict future loss of knee cartilage. A slow and a rapid progressor group was determined using longitudinal data, and anatomically aligned cartilage thickness maps were extracted from MRI at baseline. A novel machine learning framework was then t...
0
Antibiotic-loaded cement articulating spacer for 2-stage reimplantation in infected total knee arthroplasty: a simple and economic method
Surgical Management of Osteoarthritis of the Knee CPG
We presented a simple and economic method of preparing articulating antibiotic-loaded cement spacers for treatment of infection after total knee arthroplasty. From 1996 to 2004, 28 infected total knee arthroplasties were treated with 2-stage reimplantation. Static spacers were used in 7 knees, and articulating spacers ...
1
General versus spinal anaesthesia in proximal femoral fracture surgery - treatment outcomes
Hip Fx in the Elderly 2019
BACKGROUND: Proximal femoral fractures are a major public health problem because of the increasing proportion of elderly individuals in the general population. The mode of choice for anaesthesia in surgical treatment of these fractures is still debated in terms of better postoperative outcome. The aim of our study was ...
1
A progressive exercise and structured advice program does not improve activity more than structured advice alone following a distal radial fracture: a multi-centre, randomised trial
Distal Radius Fractures
QUESTION: Does a program of exercise and structured advice implemented during the rehabilitation phase following a distal radial fracture achieve better recovery of upper limb activity than structured advice alone? DESIGN: A phase I/II, multi-centre, randomised, controlled trial with concealed allocation, assessor blin...
0
Computer-aided Design of Distal Femoral Osteotomy for the Valgus Knee and Effect of Correction Angle on Joint Loading by Finite Element Analysis
AMP (Acute Meniscal Pathology)
OBJECTIVE: Lateral open-wedge distal femoral osteotomy (DFO) has been used to treat valgus deformity of the knee, with good clinical outcomes. However, there is a lack of biomechanical studies regarding the angle of correction. The objective of this study was to apply computer-aided design (CAD) for osteotomy planning ...
0
Stories That Heal: Understanding the Effects of Creating Digital Stories With Pediatric and Adolescent/Young Adult Oncology Patients
DoD PRF (Psychosocial RF)
The purpose of this philosophical hermeneutic study was to determine if, and understand how, digital stories might be effective therapeutic tools to use with children and adolescents/young adults (AYA) with cancer, thus helping mitigate suffering. Sixteen participants made digital stories with the help of a research as...
1
Topical NSAIDs for chronic musculoskeletal pain in adults
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Use of topical nonsteroidal anti-inflammatory drugs (NSAIDs) to treat chronic musculoskeletal conditions has become widely accepted because they can provide pain relief without associated systemic adverse events. This review is an update of 'Topical NSAIDs for chronic musculoskeletal pain in adults', origin...
0
Postoperative pain control by intra-articular local anesthesia versus femoral nerve block following total knee arthroplasty: impact on discharge
AAHKS (8) Anesthetic Infiltration
INTRODUCTION: The goal of this retrospective study was to compare pain control following total knee arthroplasty (TKA) on a perioperative protocol of local anesthesia (LA) versus the more classical femoral nerve block (FNB) technique. HYPOTHESIS: Fitness for discharge would be achieved earlier using the LA protocol. MA...
0
The exstrophy-epispadias complex: is aesthetic appearance important?
Panniculectomy & Abdominoplasty CPG
OBJECTIVE: To show the relevance of cosmetic appearance in the adequate treatment of patients with exstrophy-epispadias complex (EEC), and to indicate that surgery by experienced teams can improve the long-term treatment forecast and the patient's body image. PATIENTS AND METHODS: From 1978 to 2002, 71 patients diagnos...
0
Evaluation of patient-specific acetabular jig for cup placement in total hip arthroplasty
Developmental Dysplasia of the Hip 2020 Review
Introduction: Acetabular cup placement holds a significant importance in longevity of the total hip prosthesis and hence is an important modifiable factor determining complication rates. Aseptic loosening and hip dislocation are two most important complication related to faulty cup placement, which by standard method i...
0
Sexual Functioning, Desire, and Satisfaction in Women with TBI and Healthy Controls
DoD PRF (Psychosocial RF)
Traumatic brain injury (TBI) can substantially alter many areas of a person's life and there has been little research published regarding sexual functioning in women with TBI. Methods. A total of 58 women (29 with TBI and 29 healthy controls) from Neiva, Colombia, participated. There were no statistically significant d...
0
Home-going: prognostic factors concerning the major goal in treatment of elderly hip fracture-patients
Management of Hip Fractures in the Elderly
Two hundred and forty-one hip fracture patients over 70 years of age still living at home at the moment of the accident were followed prospectively until three months postoperatively. The patients were admitted to the department over a five year period (1978-1983). One hundred and forty-four patients returned home. In ...
1
Treatment of Die-Punch Fractures with 3D Printing Technology
Distal Radius Fractures
Purpose: We evaluated the feasibility, accuracy and effectiveness of applying three-dimensional (3D) printing technology for preoperative planning for die-punch fractures. Methods: A total of 107 patients who underwent die-punch fracture surgery were enrolled in the study. They were randomly divided into two groups: 52...
0
An uncommon cause of cemented unicompartmental knee arthroplasty failure: Fracture of metallic components
OAK 3 - Non-arthroplasty tx of OAK
Purpose: Despite good overall clinical results, unicompartmental knee replacements (UKR) are not without their problems and failures have been reported. The most common causes of UKR failure are component loosening, poor patient selection, poor surgical technique, polyethylene wear and progression of arthritis in other...
0
Age of first exposure to tackle football and chronic traumatic encephalopathy
DoD PRF (Psychosocial RF)
Objective: To examine the effect of age of first exposure to tackle football on chronic traumatic encephalopathy (CTE) pathological severity and age of neurobehavioral symptom onset in tackle football players with neuropathologically confirmed CTE. Methods: The sample included 246 tackle football players who donated th...
0
Graft choice in the management of unstable scaphoid nonunion: A systematic review
SR for PM on OA of All Extremities
Purpose To systematically compare outcomes between corticocancellous (CC) and cancellous-only (C-only) bone grafts for unstable scaphoid nonunions. Methods The English-language literature was searched using PubMed, the Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Library with the following...
0
Tibial tubercle fractures in adolescents: A review of the literature
DOD - Acute Comp Syndrome CPG
Treatment of tibial tubercle fractures in adolescents produce good clinical and radiographic results, regardless of the type of fracture. There is a tendency of fractures with intraarticular involvement or a posterior metaphyseal component to have high complication rates and associated injuries, which may warrant advan...
1
Efficacy of steroid addition to multimodal cocktail periarticular injection in total knee arthroplasty: a meta-analysis
AAHKS (2) Corticosteroids
BACKGROUND: Total knee arthroplasty (TKA) has been reported to be the most successful treatment for patients with advanced osteoarthritis, however, early postoperative pain has become an unresolved issue. The aim of this Meta-analysis is to evaluate the efficacy and safety of steroid addition to multimodal cocktail per...
0
Sexually dimorphic tibia shape is linked to natural osteoarthritis in STR/Ort mice
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: Human osteoarthritis (OA) is detected only at late stages. Male STR/Ort mice develop knee OA spontaneously with known longitudinal trajectory, offering scope to identify OA predisposing factors. We exploit the lack of overt OA in female STR/Ort and in both sexes of parental, control CBA mice to explore whet...
0
Two-stage reimplantation in infected total knee arthroplasty
DoD SSI (Surgical Site Infections)
Twenty-one infected total knee arthroplasties (TKA) in 21 patients were treated from September 1980 through October 1987. Of these, 15 were followed for more than one year. Treatment of these patients consisted of thorough debridement of all infected tissue and components; a cement spacer was used in ten patients. The ...
1
Characteristics and psychosocial needs of victims of violent crime identified at a public-sector hospital: data from a large clinical trial
DoD PRF (Psychosocial RF)
OBJECTIVE: This study explores the feasibility of recruiting acutely injured public-sector crime victims into a research protocol and identifies baseline characteristics associated with posttraumatic distress in the enrolled sample (N=541). METHOD: Assertive research tracking methods were used to enroll participants, w...
0
Carpal tunnel syndrome in renal dialysis patientsCARPALTUNNELSYNDROM BEI DIALYSEPATIENTEN
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Report on the carpal tunnel syndrome in chronically dialysed patients with terminal renal insufficiency. The frequency among the surgical patients (9 patients out of 191 from January 1981 until October 1983), the operation method and the postoperative results are presented. The origin of nerve compression is discussed ...
0
Study of Intra-articular DLX105 Applied to Patients With Severely Painful Osteoarthritis of the Knee
OAK 3 - Non-arthroplasty tx of OAK
Treatment options for patients suffering from osteoarthritis remain limited. TNF�alpha has been identified as a major pro�inflammatory component inducing and perpetuating peripheral hyperalgesia and cartilage degeneration in various preclinical studies. DLX105 is an antibody fragment of comparably low molecular wei...
0
Non-HACEK gram-negative bacillus endocarditis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Infective endocarditis caused by non-HACEK (species other than Haemophilus species, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, or Kingella species) gram-negative bacilli is rare, is poorly characterized, and is commonly considered to be primarily a disease of injecti...
0
Anterior Cruciate Ligament Reconstruction and Lateral Plasty in High-Risk Young Adolescents: Revisions, Subjective Evaluation, and the Role of Surgical Timing on Meniscal Preservation
AMP (Acute Meniscal Pathology)
BACKGROUND: In adolescents, the rate of meniscal injury at the time of anterior cruciate ligament (ACL) reconstruction, the rate of ACL graft revision, and clinical outcomes has not yet been investigated. HYPOTHESIS: In patients younger than 16 years, the rate of meniscal injuries at the time of ACL reconstruction incr...
0
Does ramosetron reduce postoperative emesis and pain after TKA?
AAHKS (4) Acetaminophen
Background Current pain management protocols involving many anesthetic and analgesic drugs reportedly provide adequate analgesia after TKA. However, control of emetic events associated with the drugs used in current multimodal pain management remains challenging. Questions/purposes We determined (1) whether ramosetron ...
0
Erratum: Survivorship Analysis and Clinical Outcomes of Transtibial Pullout Repair for Medial Meniscus Posterior Root Tears: A 5- to 10-Year Follow-up Study (Arthroscopy: The Journal of Arthroscopic and Related Surgery (2018) 34(2) (530–535), (S0749806317310939) (10.1016/j.arthro.2017.08.266))
AMP (Acute Meniscal Pathology)
In the article “Survivorship Analysis and Clinical Outcomes of Transtibial Pullout Repair for Medial Meniscus Posterior Root Tears: A 5- to 10-Year Follow-up Study,” published in the February 2018 issue (Arthroscopy 2018;34:530-535), one of the study characteristics was reported incorrectly in Table 1. The table incorr...
0
Secondary surgery following brachial plexus injuries
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The favourable treatment of post-traumatic brachial plexus lesions based on our experience of 362 cases over a 12 year period is reported. Twenty- five percent of the patients needed secondary operations. The spectrum of the latter consisted of arthrodesis, tenodesis, and musculotendinous transfer, including free neuro...
0
Proximal Tibiofibular Joint: An overview
OAK 3 - Non-arthroplasty tx of OAK
Proximal tibiofibular joint is a frequently neglected joint which can be a source of lateral knee pain. Open surgery is the current mainstay of surgical management of proximal tibiofibular joint disorders. The proximal tibiofibular arthroscopy allows access to the joint and adjacent important ligamentous structures. Th...
0
Prognostic factors for refractory pheochromocytoma and paraganglioma after <sup>131</sup>I-metaiodobenzylguanidine therapy
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVE: Given the rarity of refractory pheochromocytoma and paraganglioma (PPGL), outcomes and prognostic factors after <sup>131</sup>I-metaiodobenzylguanidine (<sup>131</sup>I-mIBG) treatment still remain unclear. Therefore, this study evaluated whether baseline characteristics at initial <sup>131</sup>I-mIBG thera...
0
MR Imaging in Postreduction Assessment of Developmental Dysplasia of the Hip: Goals and Obstacles
Developmental Dysplasia of the Hip 2020 Review
Developmental dysplasia of the hip is a spectrum disorder of hip development that ranges in severity from abnormal acetabular morphology to complete hip dislocation. While treatment with a Pavlik harness is highly effective in infants younger than 6 months, older infants and children and those with orthotic failure oft...
0
The use of an electronic health record system reduces errors in the National Hip Fracture Database
Hip Fx in the Elderly 2019
Aim to compare the validity of data submitted from a UK level 1 trauma centre to the National Hip Fracture Database (NHFD) before and after the introduction of an electronic health record system (EHRS). Patients and methods a total of 3224 records were reviewed from July 2009 to July 2017. 2,133 were submitted between ...
0
Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: a retrospective multicenter study
Hip Fx in the Elderly 2019
BACKGROUND: Geriatric hip fracture is a common type of osteoporotic fracture with high mortality and disability; surgical site infection (SSI) can be a devastating complication of this injury. By far, only a few studies identified easily remediable factors to reduce infection rates following hip fracture and less resea...
0
Liposuction - A surgical procedure in dermatology
Panniculectomy & Abdominoplasty CPG
Liposuction is an integral part of the wide range of surgical procedures in dermatology. Dermatologists established tumescent local anesthesia in combination with the use of micro-cannulas; especially dermatologists from Germany and Austria actively designed and developed these new techniques. In this position paper, w...
0
Trauma Simulation Training Increases Confidence Levels in Prehospital Personnel Performing Life-Saving Interventions in Trauma Patients
DoD LSA (Limb Salvage vs Amputation)
Introduction. Limited evidence is available on simulation training of prehospital care providers, specifically the use of tourniquets and needle decompression. This study focused on whether the confidence level of prehospital personnel performing these skills improved through simulation training. Methods. Prehospital p...
0
Three-dimensional MRI shows cartilage defect extension with no separation from the meniscus in women in their 70 s with knee osteoarthritis
AMP (Acute Meniscal Pathology)
The positional relationship between cartilage defects and the meniscus is poorly understood for osteoarthritis of the knee. Our purpose was to clarify how cartilage defects extend and their association with the meniscus location during osteoarthritis progression. The subjects were women in their 70 s who were registere...
0
CD34 and SMA expression of superficial zone cells in the normal and pathological human meniscus
AMP (Acute Meniscal Pathology)
The aim of this study was to evaluate histological changes in torn (0.5-27 weeks after injury) and osteoarthritic (OA) knee menisci versus normal menisci after PAS-AB, SAF-O-FG, and immunostaining for CD34, CD31, and smooth muscle actin (SMA). Cell layers in the superficial zone and the cell density in the deep zone of...
0
Incidence of and risk factors for femoral fractures in the gap between hip and knee implants
Hip Fx in the Elderly 2019
PURPOSE: The purpose of this study was to analyse the incidence of interprosthetic femoral fractures and describe risk factors for them. METHODS: Between 2009 and 2015, we selected patients who were carrying two implants (hip and knee) in the same femur. We collected demographic and clinical data and performed a radiol...
1
Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a sixteen-year followup of meniscectomy with matched controls
AMP (Acute Meniscal Pathology)
OBJECTIVE: To investigate long-term radiographic and patient-relevant outcome of isolated limited meniscectomy with regard to type of meniscal tear and extent of surgical resection. METHODS: We studied 155 patients with intact cruciate ligaments (mean +/- SD age 54 +/- 12 years) who had undergone meniscectomy an averag...
0
Variation of cell and matrix morphologies in articular cartilage among locations in the adult human knee
Diagnosis and Treatment of Osteochondritis Dissecans AUC
OBJECTIVE: Understanding of articular cartilage physiology, remodelling mechanisms, and evaluation of tissue engineering repair methods requires reference information regarding normal structural organization. Our goals were to examine the variation of cartilage cell and matrix morphology in different topographical area...
1
Outcome of patients with anterior cruciate ligament injuries selected for conservative treatment
Anterior Cruciate Ligament Injuries CPG
In this retrospective study, 24 patients with acute isolated complete anterior cruciate ligament (ACL) ruptures selected for conservative treatment were re-examined a median of 45 months after injury. Selection for conservative treatment was made after careful patient information, taking into consideration desire for p...
0
Altered Sensorimotor Integration With Cervical Spine Manipulation
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: This study investigates changes in the intrinsic inhibitory and facilitatory interactions within the sensorimotor cortex subsequent to a single session of cervical spine manipulation using single- and paired-pulse transcranial magnetic stimulation protocols. Method: Twelve subjects with a history of reoccurr...
0
Preoperative 99mTc-MDP scintimetry of femoral neck fractures
Management of Hip Fractures in the Elderly
Preoperative 99mTc-MDP-scintimetry was performed in 117 patients with femoral neck fractures. Scintimetry was shown to be superior to visual evaluation. The ratio was calculated of the uptake in the femoral head of the fractured side over that in the unfractured side, with compensation for the increased trochanteric fe...
0
How well do radiographic absorptiometry and quantitative ultrasound predict osteoporosis at spine or hip? A cost-effectiveness analysis
Management of Hip Fractures in the Elderly
Dual energy X-ray absorptiometry (DXA) is widely accepted as the reference method for diagnosis and monitoring of osteoporosis and for assessment of fracture risk, especially at hip. However, axial-DXA is not suitable for mass screening, because it is usually confined to specialized centers. We propose a two-step diagn...
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Strong association of MRI meniscal derangement and bone marrow lesions in knee osteoarthritis: data from the osteoarthritis initiative
AMP (Acute Meniscal Pathology)
INTRODUCTION: Meniscal damage is common in knee Osteoarthritis (OA) and predictive of structural progression, suggesting that their disruption plays a role in the development of OA. The bone marrow lesion (BML) is associated with pain and is a strong risk factor for structural progression. These lesions are associated ...
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Does overweight and obesity influence the clinical outcome and the quality of life at five years following primary total knee replacement?
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: The purpose of this study was to investigate whether there is an association between the preoperative body mass index in total knee replacement patients and the effect three to five years postoperative. Methods: 197 patients who had undergone primary total knee replacement in the period 1.1.2005-31.12.2006 par...
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Secular trends in hospital emergency department visits for dental care in Kansas City, Missouri, 2001-2006
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Objectives. We determined the trends, risk factors, and costs of emergency department (ED) visits for dental complaints during a six-year period in Kansas City, Missouri (KCMO). Methods. We used de-identified hospital discharge data from all facilities serving KCMO during 2001-2006. Using the International Classificati...
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Deltoid detachment consequent to open surgical repair of massive rotator cuff tears
Optimizing the Management of Full-Thickness Rotator Cuff Tears
Deltoid detachment is one of the complications in open rotator cuff repair. Although it is often described, the actual prevalence, time at which it occurs and the predisposing causes are still unknown. We prospectively studied 112 patients with massive rotator cuff tears with a mean age of 67. The surgical approach was...
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Clinical results after treatment for bidirectional patellar subluxation: Minimum 2-years follow-up
DoD SSI (Surgical Site Infections)
BACKGROUND: We describe the preliminary clinical results of a patellar stabilization technique to treat bidirectional patellar subluxation (BPS). METHODS: Patients: six patients (one male, five females; mean age 30.2years) underwent this procedure with a minimum of 24months follow-up. Patients were assessed for clinica...
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Application of the Goes double-skin peri-areolar mastopexy with and without implants: A 14-year experience
Reduction Mammoplasty for Female Breast Hypertrophy
Peri-areolar mastopexy is commonly used for mild ptosis requiring no more than 3cm of nipple elevation. The nature of areolar scar and gland remodelling inherent to a circular skin reduction prompts circumspection when correcting more moderate-to-severe cases. The purpose herein is to convey the reproducibility and app...
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Skeletal related events in patients with bone metastasis arising from non-small cell lung cancer
DoD PRF (Psychosocial RF)
Purpose: The skeleton is one of the most common sites of metastasis in patients with non-small cell lung cancer (NSCLC). Metastasis increases the risk of skeletal-related events (SREs). The purpose of this study is to evaluate the incidence of SREs and the factors associated with the development of SREs in patients wit...
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Fracture incidence rates in Norwegian children, The Tromsø Study, Fit Futures
Pediatric Supracondylar Humerus Fracture 2020 Review
Summary: This study describes childhood fracture rates in Norway, a country known for high fracture rates in the adult population. Fracture rates correspond with other reports from Scandinavia, although with a slightly higher proportion in girls. Indications of increased vulnerability during stages of puberty require f...
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Patient- and hospital-related determinants on subjective evaluation of medical treatment outcome of severely injured patients
DoD PRF (Psychosocial RF)
Aim: The importance of subjective evaluation of medical treatment has been neglected so far. Therefore, the objective of this study is to identify determinants of subjective evaluation of medical treatment outcome in terms of severely injured patients. Subjects and methods: A written questionnaire was sent to 121 serio...
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Four-octyl itaconate improves osteoarthritis by enhancing autophagy in chondrocytes via PI3K/AKT/mTOR signalling pathway inhibition
AMP (Acute Meniscal Pathology)
Osteoarthritis (OA) is a highly prevalent and chronic disorder that is associated with a substantial social and economic burden. Itaconate, as an important regulator of cellular inflammation, is a metabolite synthesised by an enzyme encoded by immune-responsive gene 1. However, there are few studys regarding the effect...
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Results of total hip replacement in renal transplant recipients
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A vascular necrosis of the femoral head associated with steroid immunosuppression is a cause of significant morbidity in renal transplant recipients. We review the results of 30 total hip replacements in 20 renal transplant recipients with a mean follow-up of 6.3 years. The mean age at the time of surgery was 35 years....
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Upper body lift
Panniculectomy & Abdominoplasty CPG
An upper body lift is needed whenever a massive weight loss patient presents with a "dropped out" lateral inframammary crease. It is a combination of a brachioplasty, upper-back resection, and breast reconstruction. The operation is designed to reverse the particular deformity a patient presents with. This article desc...
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Sex differences in pain and psychological functioning in persons with limb loss
DoD PRF (Psychosocial RF)
UNLABELLED: Sex differences in pain are frequently reported in the literature. However, less is known about possible sex differences in the experience of pain secondary to a disability. The current study explored these issues in persons with limb loss (n = 335, 72% men) who were recruited as part of a postal survey. Pa...
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Trabecular bone density of the proximal tibia as it relates to failure of a total knee replacement
Surgical Management of Osteoarthritis of the Knee CPG
The relationship between post-operative bone density and subsequent failure of total knee replacement (TKR) is not known. This retrospective study aimed to determine the relationship between bone density and failure, both overall and according to failure mechanism. All 54 aseptic failures occurring in 50 patients from ...
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e-Knee: the electronic knee prosthesis
Surgical Management of Osteoarthritis of the Knee CPG
Tibiofemoral forces determine polyethylene wear and affect the longevity of total knee prostheses. Previously, investigators relied on theoretic data from mathematical models to predict mechanical forces in the knee. Predictions of tibiofemoral forces are highly variable because of the complex interplay of the muscles ...
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Two Techniques for Retrograde Flexible Intramedullary Fixation of Pediatric Femur Fractures: All-Lateral Entry Versus Medial and Lateral Entry Point
Pediatric Diaphyseal Femur Fractures 2020 Review
BACKGROUND: Multiple techniques for flexible intramedullary nailing (FIMN) of pediatric femur fractures have been described. To our knowledge, no study has compared combined medial-lateral (ML) entry versus all-lateral (AL) entry retrograde nailing. This study compares surgical outcomes, radiographic outcomes, and comp...
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Pain after use of the central third of the patellar tendon for cruciate ligament reconstruction. 33 patients followed 2-3 years
Anterior Cruciate Ligament Injuries CPG
We performed reconstruction of the anterior cruciate ligament in 33 patients using the central third of the patellar tendon. In 20 patients we did an arthroscopically-assisted procedure, while 13 patients had an additional mini-arthrotomy through the gap in the patellar tendon. After 2-3 years the subjective knee funct...
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Functional results following vascularized versus nonvascularized bone grafts for wrist arthrodesis following excision of giant cell tumors
DoD SSI (Surgical Site Infections)
Purpose: Wrist arthrodesis after resection of a giant cell tumor of the distal radius can be performed using a vascularized free fibular transfer (VFFT) or a nonvascularized structural iliac crest transfer (NICT). The purpose of this study was to compare the union times, functional outcomes, and complications after the...
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Warm-needling plus Tuina relaxing for the treatment of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: To probe into quick and effective therapies for carpal tunnel syndrome. METHODS: Totally 98 cases of carpal tunnel syndrome were randomly divided into a treatment group and a control group. The treatment group received warm-needling plus Tuina relaxing, while the control group was treated by hormone block th...
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Bone regeneration 6 years after impaction bone grafting: A PET analysis
Management of Hip Fractures in the Elderly
Background: Impacted morselized bone allograft in revision total hip arthroplasty for prosthetic loosening has gained widespread clinical use during the last decades. The clinical results are good but little is known about the bone regeneration in the graft. Patients and methods: 5 patients were revised with impaction ...
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Ultrashort echo time Cones double echo steady state (UTE-Cones-DESS) for rapid morphological imaging of short T2 tissues
AMP (Acute Meniscal Pathology)
Purpose: In this study, we aimed to develop a new technique, ultrashort echo time Cones double echo steady state (UTE-Cones-DESS), for highly efficient morphological imaging of musculoskeletal tissues with short T2s. We also proposed a novel, single-point Dixon (spDixon)-based approach for fat suppression. Methods: The...