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0 | Long-term social prognosis after hip fractures | Management of Hip Fractures in the Elderly | A long term follow-up study of 518 patients with hip fractures was undertaken 2.5 years after the operation. The total mortality was 35 per cent (180/518). The risk of social deterioration for patients admitted from home was 47 per cent (132/281). A statistical analysis showed this risk to be determined primarily by th... |
0 | Prosthetic joint-associated infections treated with DAIR (debridement, antibiotics, irrigation, and retention): analysis of risk factors and local antibiotic carriers in 91 patients | PJI DX Updated Search | BACKGROUND AND PURPOSE: For prosthetic joint-associated infection (PJI), a regimen of debridement, antibiotics, irrigation, and retention of the prosthesis (DAIR) is generally accepted for acute infections. Various risk factors associated with treatment success have been described. The use of local antibiotic carriers ... |
0 | An open-label, long-term safety and tolerability trial of diclofenac sodium 1% gel in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the longâ?term safety and tolerability of topical diclofenac sodium 1% gel (DSG) in the treatment of knee osteoarthritis (OA) for up to 12 months. METHODS: This was a multicenter openâ?label, extension of two 3â?month, randomized, doubleâ?blind studies of DSG in patients with knee OA (NCT ID:... |
0 | Satisfactory outcomes following combined unicompartmental knee replacement and anterior cruciate ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: There exist limited options for treatment of patients with combined medial compartment arthritis and anterior cruciate ligament (ACL) deficiency. Ideal treatment is one that offers lasting relief of symptoms not compromising any future surgery. Unicompartmental knee replacement has shown consistently good resu... |
0 | Inhaled and nasal corticosteroid use and the risk of fracture | Management of Hip Fractures in the Elderly | Studies of the risk of fracture associated with inhaled corticosteroids are inconclusive and are limited to short-term effects. We assessed whether long-term use increases this risk. We conducted a case control study nested within a population-based cohort of all Quebec elderly dispensed respiratory medications and fol... |
0 | Atypical diaphyseal femoral fractures-new aspects | MSTS 2018 - Femur Mets and MM | Post menopausal osteoporotic fractures are a major public health concern worldwide with oral bisphosphonates favored for their prevention and treatment. Recent interest has centered on clinically observed, unusually sited femoral diaphyseal fractures, particularly attributed to alendronate. Their imaging presentations ... |
0 | Risk of local recurrence after deltoid-sparing resection for osteosarcoma of the proximal humerus | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The anatomy of the shoulder poses special challenges with regard to limb-sparing surgery. Resection of the deltoid muscle is considered by some surgeons to be necessary to achieve adequate margins for osteosarcoma of the proximal humerus. However, this can compromise the functional results after reconstruct... |
0 | MRI and biomechanics multidimensional data analysis reveals R2-R1? as an early predictor of cartilage lesion progression in knee osteoarthritis | AMP (Acute Meniscal Pathology) | Purpose: To couple quantitative compositional MRI, gait analysis, and machine learning multidimensional data analysis to study osteoarthritis (OA). OA is a multifactorial disorder accompanied by biochemical and morphological changes in the articular cartilage, modulated by skeletal biomechanics and gait. While we can n... |
0 | Mesotherapy and Injection Lipolysis | Panniculectomy & Abdominoplasty CPG | The first part of this article familiarizes the reader with the evolution of mesotherapy, injection lipolysis, and the use of phosphatidylcholine and deoxycholate for subcutaneous fat reduction. There is an emphasis on the underlying basic science of fat metabolism and the biochemistry of phosphatidylcholine, so that p... |
0 | Total ankle joint replacement | Surgical Management of Osteoarthritis of the Knee CPG | The ankle is an inherently stable, kinematically simple joint that bears tremendous compression forces with relative ease because of a large load-bearing surface area. Disabling disease of the ankle is less common than at the hip or knee joints, but is not rare. Ankle arthrodesis seems less than ideal as a technique of... |
0 | Treatment of complications in primary cementless total hip arthroplasty | Management of Hip Fractures in the Elderly | Five hundred eight consecutive cases (481 patients) treated with the extensively porous coated Anatomic Medullary Locking prosthesis were followed for an average of 9 years (range, 5-14 years). Thirty-one (6%) hips were lost to followup and 33 (7%) hips had complications that required revision surgery. The indications ... |
1 | Associations of clinical outcomes and MRI findings in intra-articular administration of autologous adipose-derived stem cells for knee osteoarthritis | BMAC (Bone Marrow Aspirate Concentrate) | Introduction: Clinical studies of intra-articular injection of mesenchymal stem cells for osteoarthritis (OA) indicate its efficacy. Here, we retrospectively investigated the associations of pretherapeutic magnetic resonance imaging (MRI) findings with the clinical outcomes up to 6 months, after intra-articular adminis... |
0 | Glycosaminoglycan Content of the Lateral Compartment Cartilage in Knees Conforming to the Indications for Oxford Medial Unicompartmental Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The quality of the lateral compartment cartilage is important to preoperative evaluation and prognostic prediction of unicompartmental knee arthroplasty (UKA). Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) enables noninvasive assessment of glycosaminoglycan (GAG) content in c... |
0 | Non-operative strategies to manage pain in osteoarthritis during COVID-19 pandemic | PRP (Platelet-Rich Plasma) | Corona Virus Disease (COVID-19) has resulted in restriction of face-to-face consultations and mechanisms to access health care. Oesteoarthritis (OA) is one of the most common forms of musculoskeletal disease encountered and a leading cause of painful disability in adults and elderly. The assessment of the challenges an... |
0 | Meniscal root tears: significance, diagnosis, and treatment | AMP (Acute Meniscal Pathology) | Meniscal root tears, less common than meniscal body tears and frequently unrecognized, are a subset of meniscal injuries that often result in significant knee joint disorders. The meniscus root attachment aids meniscal function by securing the meniscus in place and allowing for optimal shock-absorbing function in the k... |
0 | Prevention of bone loss with risedronate in glucocorticoid-treated rheumatoid arthritis patients | Management of Hip Fractures in the Elderly | The aim of the study was to assess risedronate's effect on bone mineral density in postmenopausal women with rheumatoid arthritis receiving glucocorticoids. We carried out a two center, 2 year, double-masked, placebo-controlled trial with a third year of nontreatment follow-up. We studied 120 women requiring long-term ... |
1 | Early fasciotomy in patients with extremity vascular injury is associated with decreased risk of adverse limb outcomes: a review of the National Trauma Data Bank | DOD - Acute Comp Syndrome CPG | INTRODUCTION AND OBJECTIVES: Lower extremity (LE) arterial trauma and its treatment may lead to extremity compartment syndrome (ECS). In that setting, the decision to perform fasciotomies is multifactoral and is not well delineated. We evaluated the outcomes of patients with surgically treated LE arterial injury who un... |
0 | Osteoporosis: exercise therapy, pre- and postdiagnosis | Distal Radius Fractures | The idiopathic, accelerated phase of bone loss associated with postmenopausal and surgically induced menopausal women is rapidly becoming a large public health problem due to the great expense involved in caring for those with vertebral, hip and distal radial fractures. The method of therapy with the least incidence of... |
0 | Zoledronic acid for prevention and treatment of osteoporosis | HipFx Supplemental Cost Analysis | INTRODUCTION: Osteoporosis (OP) is associated with a high risk of fracture and disability and with substantial medical costs. This paper is a review of the intravenous (i.v.) bisphosphonate zoledronic acid 5 mg (ZOL), used in the treatment and prevention of OP. AREAS COVERED: This is a review of the scientific literatu... |
0 | Management of moderate-to-severe Marcus-Gunn jaw-winking ptosis | Upper Eyelid and Brow Surgery | OBJECTIVE: To report the results of levator excision and frontalis suspension for moderate-to-severe Marcus-Gunn jaw-winking ptosis. DESIGN: A retrospective noncomparative case series. PARTICIPANTS: Twenty-four patients with moderate-to-severe Marcus-Gunn jaw-winking ptosis (21 unilateral and 3 bilateral) were treated ... |
0 | Exemestane as adjuvant treatment of early breast cancer: Intergroup Exemestane Study/Tamoxifen Exemestane Adjuvant Multicenter trials | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This review summarizes the status of 2 major clinical trials involving exemestane, a nonsteroidal inactivator of aromatase. The first trial, Intergroup Exemestane Study (IES), has been previously reported. More than 4700 postmenopausal women were randomized to receive exemestane versus continued tamoxifen at 2-3 years ... |
0 | A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-bilateral total knee arthroplasty | PJI DX Updated Search | BACKGROUND: It is unclear whether simultaneous-bilateral total knee arthroplasty is as safe as staged-bilateral arthroplasty is. We are aware of no randomized trials comparing the safety of these surgical strategies. The purpose of this study was to retrospectively compare these two strategies, with use of an intention... |
0 | Epidemiology of hip replacements in Korea from 2007 to 2011 | Hip Fx in the Elderly 2019 | We analyzed national data collected by the Health Insurance Review and Assessment Service in Korea from 2007 to 2011; 1) to document procedural numbers and procedural rate of bipolar hemiarthroplasty (BH), primary and revision total hip arthroplasties (THAs), 2) to stratify the prevalence of each procedure by age, gend... |
0 | Autologous chondrocyte implantation for treatment of articular cartilage defects in the knee and ankle of football (soccer) players | AMP (Acute Meniscal Pathology) | Background: Autologous chondrocyte implantation (ACI) continues to evolve into one of the most efficient and common techniques for repair of articular cartilage defects. Significant progress has been made within the last decade regarding its application in the context of professional sports, such as football. This arti... |
0 | Effect of ketorolac administered by a continuous femoral infusion with 0.125% bupivacaine after total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Background: The purpose of this study was to determine whether administration of ketorolac as a component of femoral infusion via femoral catheter to patients who have undergone total knee replacement would enhance analgesia, and decrease PCA fentanyl use. Methods: All patients received 0.1 mg intrathecal morphine, an ... |
0 | How Much are Emergency Medicine Specialists' Decisions Reliable in the Diagnosis and Treatment of Pediatric Fractures? | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists' accuracy in the diagnosis and treatment of these patients. METHODS: From 2012 and 2013, children less th... |
0 | Failed cartilage repair for early osteoarthritis defects: a biochemical, histological and immunohistochemical analysis of the repair tissue after treatment with marrow-stimulation techniques | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To examine the entire repair tissue resulting from marrow-stimulation techniques in patients with early osteoarthritis. METHODS: The repair tissue and adjacent articular cartilage after failed marrow-stimulation techniques (microfracture and Pridie drilling) of 5 patients (47-65 years old) with cartilage defec... |
1 | Poor outcomes for osteoporotic patients undergoing conversion total hip arthroplasty following prior failed dynamic hip screw fixation: a nationwide retrospective cohort study | Hip Fx in the Elderly 2019 | OBJECTIVES: This study was performed to compare the long-term clinical and radiological outcomes of conversion total hip arthroplasty (CTHA) following prior failed InterTan nail (IT) fixation or dynamic hip screw (DHS) fixation in Asian patients with osteoporotic intertrochanteric hip fractures (IHFs) and to clarify wh... |
0 | The P.F.C. sigma RP-F TKA designed for improved performance: A matched-pair study | Surgical Management of Osteoarthritis of the Knee CPG | The press fit condylar P.F.C. Sigma RP-F (rotating-platform, high flexion) knee is designed to provide a range of motion (ROM) of 155(degrees) without compromising wear, polyethylene contact stresses, patellofemoral tracking, or stability. The first 50 TKA surgeries using the Sigma RP-F knee performed at the author's i... |
0 | Which parameters affect medium- to long-term results after angular stable plate fixation for proximal humeral fractures? | Glenohumeral Joint OA | Background: Very little information on medium- to long-term results is available for surgically treated proximal humeral fractures. The aim of this prospective treatment study was to present long-term results after angular stable plate fixation of displaced proximal humeral fractures and to detect which specific patien... |
1 | Is it safe to combine abdominoplasty and posterior vaginal repair in one surgical session? | Panniculectomy & Abdominoplasty CPG | UNLABELLED: Many multiparous women complain of protruded and pendulous abdomens and vaginal outlet relaxation which affect their sexual relationships with their male partners. This study included 47 patients who had these complaints. Some of these patients were working outside the homes and all were mothers of 2-5 chil... |
0 | Short-term efficacy of recombinant human GH therapy in cured acromegaly patients with gh deficiency: A single-center experience | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The effectiveness and short-term safety of recombinant human GH (r-hGH) in acromegaly patients with GH deficiency (GHD) after treatment are not well established. The study includes ten subjects with acromegaly who had GHD treated with r-hGH for 6 months. Control groups consisted of ten age-, gender-, and BMI-matched he... |
0 | Knee arthroscopic surgery is beneficial to middle-aged patients with meniscal symptoms: a prospective, randomised, single-blinded study | PJI DX Updated Search | OBJECTIVE: There is no evidence that a knee arthroscopy is more beneficial to middle-aged patients with meniscal symptoms compared to other treatments. This randomised controlled trial aimed to determine whether an arthroscopic intervention combined with a structured exercise programme would provide more benefit than a... |
0 | Radiographic evaluation of hip implants | PJI DX Updated Search | Serial radiographs are the mainstay in the longitudinal assessment of hip implants. The prosthesis, periprosthetic bone, and juxta-articular soft tissues are inspected for fracture, periosteal reaction, stress shielding, calcar resorption, osteolysis, bony remodeling, metallic debris, and heterotopic ossification. Comp... |
0 | Biomechanical models for the pathogenesis of specific distal upper extremity disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Knowledge of the pathogenesis of most disorders that occur in the distal upper extremity is generally lacking. The individual roles of postulated etiologic factors, such as biomechanical or psychosocial exposures, are poorly understood and their potential interactions even less so. This article proposes bio... |
0 | Once Annealed Highly Cross-Linked Polyethylene Exhibits Low Wear at 9 to 15 Years | Hip Fx in the Elderly 2019 | A once annealed highly cross-linked polyethylene (HXLPE) was introduced in 1998. Concerns regarding its long-term performance and oxidative resistance exist because of the presence of retained free radicals. The authors studied 48 patients with 50 hip implants having an average age of 62 years. They were followed for 9... |
1 | Restorative Effect of Vitamin D Deficiency on Knee Pain and Quadriceps Muscle Strength in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Both vitamin D deficiency and quadriceps muscle weakness are associated with knee osteoarthritis (KOA) and pain. The aim of this study was to determine the restorative effect of vitamin D deficiency on pain and quadriceps muscle strength in knee osteoarthritis. Patients with KOA aged >=30 years, the presence of knee pa... |
0 | Inferiorly based parenchymal flap mammaplasty: a safe, reliable, and versatile technique for breast reduction and mastopexy | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Breast reduction and mastopexy are among the most frequent procedures in aesthetic breast surgery. Many approaches have been described, and various types of dermaglandular pedicles for the nipple-areola complex have been used. The authors present a technique suitable for either mastopexy or breast reduction... |
0 | Qigong Therapy for Individuals With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OA is the leading cause of disability in the United States. Standard treatment for OA is drug therapy; however, cost, side effects, and varying levels of effectiveness warrant the need for development of new treatments. Qigong therapy, which involves deep meditation, breathing exercises, and the harnessing of energy, m... |
0 | Low incidence of deep vein thrombosis after total hip replacement: an interim analysis of patients on low molecular weight heparin vs sequential gradient compression prophylaxis | AAHKS (9/10) Regional Nerve Blocks | The relative merits of compression and low molecular weight heparin (LMWH) as prophylaxis against DVT in hip arthroplasty have not been thoroughly investigated. We present an interim analysis of a study which compares the effects of LMWH and sequential gradient intermittent pneumatic compression on the development of D... |
0 | Acupuncture in Distal Radius Fracture Patients | Distal Radius Fractures | Distal radius fractures are very common, ranging between 17 and 20% of all diagnosed fractures, and are the most common fractures treated by orthopedic surgeons in adult patients. It is defined as a fracture of the distal radius, which is less than 2.5 cm from the radiocarpal joint. Usually it is the result of falling ... |
0 | Defining the lymphatic system of the anterior abdominal wall: an anatomical study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Studies describing recent abdominoplasty modifications have reported a decreased incidence of seroma, attributed to preservation of abdominal lymphatics. However, there are limited anatomical data to support this hypothesis. The authors sought to characterize the lymphatic architecture of the abdominal wall... |
0 | Study on acupoint needle-embedding combined with postoperative systematic early mobilization in the prevention of DVT formation following elderly intertrochanteric fracture | Hip Fx in the Elderly 2019 | Objective: To discuss clinical effect o f acupoint needleâ?embedding combined with postoperative systematic early mobilization in the prevention of DVT formation following elderly intertrochanteric fracture. Methods: 100 cases of patients were randomly divided into the experiment group of 51 cases and the control grou... |
0 | Scintigraphic study of the biological fixation of the Christiansen endoprosthesis with madreporic shank | Management of Hip Fractures in the Elderly | Biological fixation of the Christiansen endoprosthesis takes place gradually as a result of osteogenetic activity in the endosteal wall of the femur, which is subjected to mechanical stimulation by the madreporic shank of this prosthesis. The authors were able to monitor this biological process in 9 patients with the a... |
0 | Randomized phase II trial of denosumab in patients with bone metastases from prostate cancer, breast cancer, or other neoplasms after intravenous bisphosphonates | MSTS 2018 - Femur Mets and MM | PURPOSE: Patients with bone metastases and elevated urinary N-telopeptide (uNTx), representing excessive bone resorption, are at increased risk for skeletal-related events (SREs), cancer progression, and death. Osteoclast-mediated bone resorption is regulated by RANKL. We evaluated the effect of denosumab, a fully huma... |
0 | The curative effect of liposuction curettage in the treatment of bromhidrosis: A meta-analysis | Panniculectomy & Abdominoplasty CPG | BACKGROUND: We aimed to understand the curative effect of liposuction curettage (LC) in the treatment of bromhidrosis. METHODS: Relevant studies published before January 2017were searched from the PubMed, Embase, Cochrane Library, Wanfang, VIP, and China National Knowledge Infrastructure databases. Parameters including... |
0 | Intra-synovialvs. Extra-synovial ropivacaine for pain relief after total knee arthroplasty-a prospective, randomized, double blind study | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: Comfort and lack of pain are important for optimal mobilization after knee replacement. In this study we evaluated the effect of intra-articular or extra-articular administration of the local anesthetic as postoperative supplement to high-volume local infiltration analgesia. Methods: Thirty six rhe... |
0 | Safety and efficacy of risedronate in reducing fracture risk in osteoporotic women aged 80 and older: implications for the use of antiresorptive agents in the old and oldest old | Management of Hip Fractures in the Elderly | OBJECTIVES: To determine the efficacy of risedronate in reducing vertebral fracture risk in women aged 80 and older with osteoporosis. DESIGN: Pooled analysis of data from three randomized, double-blind, controlled, 3-year-fracture-endpoint trials conducted from November 1993 to April 1998: Hip Intervention Program (HI... |
0 | Dentists' knowledge and implementation of the 2007 American Heart Association guidelines for prevention of infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: Our aim was to evaluate the knowledge and implementations of the 2007 American Heart Association guidelines for the prevention of infective endocarditis (IE) among practicing Israeli dentists, 12 months after their publication. STUDY DESIGN: A total of 118 dentists completed a questionnaire regarding requir... |
0 | Treatment of adults with growth hormone (GH) deficiency with recombinant human GH | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In a double blind, cross-over placebo-controlled trial, we studied the effects of 26 weeks of replacement therapy with recombinant human GH on body composition, metabolic parameters, and well-being in 10 patients with adult- onset GH deficiency (GHD). All patients received appropriate thyroid, adrenal, and gonadal repl... |
0 | Ten years fracture risk assessment in prevalent patients with kidney transplantation | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Introduction and Aims: Several studies reported osteoporosis in renal transplant patients and in patients with kidney transplantation resulted an higher incidence of fractures than in general population. The aim of this study was the evaluation of bone loss as well of fracture risk in a population of patients with kidn... |
1 | Cartilage change after arthroscopic repair for an isolated meniscal tear | AMP (Acute Meniscal Pathology) | To investigate the direct effect to the cartilage caused by the meniscal repair, we examined patients who underwent an isolated meniscal repair without any other abnormalities by arthroscopic examination. A total of 17 patients were examined by second-look arthroscopy after an average interval of 9 months from the meni... |
1 | What Is the Price and Claimed Efficacy of Platelet-Rich Plasma Injections for the Treatment of Knee Osteoarthritis in the United States? | OAK 3 - Non-arthroplasty tx of OAK | Platelet-rich plasma (PRP) injections are often used for the treatment of knee osteoarthritis (OA), despite clinical value and cost-effectiveness not being definitely established. PRP injections are considered as a potential means of reducing pain and improving function in patients with knee OA, in the hope of delaying... |
0 | Effect of increase in birth weight in a newborn on hip ultrasonography | Developmental Dysplasia of the Hip 2020 Review | Exposure to the pressure experienced by higher birth weight babies during the intrauterine period might cause hip dysplasia. The aim of this study is to determine the effect of birth weight in newborns on hip ultrasonography when the paternal and maternal risk factors are excluded. A total of 701 babies born at 38-42 g... |
0 | Long term results with the interlocking uncemented long stem in revision hip arthroplasty: a mean 15-year follow-up | Hip Fx in the Elderly 2019 | Stem fixation is difficult to achieve in severe proximal bone loss in revision hip surgery. In this study, we sought to present the results of distally-locked stem with screws (HUCKESTEP HIP stem) in 21 revision hips with mean follow-up period of 15 years. The preoperative mean Japanese Orthopaedic Association hip scor... |
1 | Intramedullary nailing for adult open tibial shaft fracture. An 85-case series | DoD SSI (Surgical Site Infections) | INTRODUCTION: Treatment of open tibial shaft fracture is controversial due to the risk of infection. We assessed results in a continuous series of open tibial shaft fractures treated by primary intramedullary nailing.
HYPOTHESIS: Factors can be determined for non-union and onset of infection following primary intramedu... |
0 | Time-lagged relationships between leadership behaviors and psychological distress after a workplace terrorist attack | DoD PRF (Psychosocial RF) | PURPOSE: The impact of leadership practices on employee health may be especially evident after extreme events that have physical, psychological, or material consequences for the members of an organization. In this prospective study, we aimed to examine the association between leadership behavior and psychological distr... |
0 | Unnecessary Pre-Operative Cardiology Evaluation and Transthoracic Echocardiogram Delays Time to Surgery for Geriatric Hip Fractures | Hip Fx in the Elderly 2019 | OBJECTIVE: Delays to surgery for geriatric hip fracture patients are associated with increased morbidity and mortality. The American Heart Association (AHA) and American College of Cardiology (ACC) Clinical practice guidelines (CPG) were created to standardize pre-operative cardiology consultation and transthoracic ech... |
1 | Higher cefazolin concentrations with intraosseous regional prophylaxis in TKA | PJI DX Updated Search | BACKGROUND: Prophylactic antibiotics reduce the risk of deep infection after primary TKA. However, conventional systemic dosing may not provide adequate tissue concentrations against more resistant organisms such as coagulase-negative staphylococci. Regional intravenous administration of antibiotics after tourniquet in... |
0 | HIV/AIDS: occupational risk, attitude and behaviour of surgeons in southeast Nigeria | Dental Implant Infection | Our objective was to evaluate the level of occupational risk, attitude and behaviour of surgeons towards HIV-infected patients. A questionnaire survey of 264 randomly selected surgeons in training or in practice in five different health institutions in southeast Nigeria within a five-month period was carried out. A 94%... |
0 | A pre-operative group rehabilitation programme provided limited benefit for people with severe hip and knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Abstract Purpose: To determine if a pre-operative group rehabilitation programme can improve arthritis self-efficacy for people with severe hip and knee osteoarthritis. Method: Single group, repeated measures design: 4-week baseline phase followed by a 6-week intervention phase of water exercise, and education with sel... |
1 | The contribution of posttraumatic stress symptoms to chronic pain adjustment | DoD PRF (Psychosocial RF) | OBJECTIVES: To examine whether there are differences between non-trauma-exposed, trauma-exposed without posttraumatic stress symptoms (PSS), and trauma-exposed with PSS chronic musculoskeletal pain patients in vulnerability, protective, and pain-adjustment variables; to test the interactive relationship between PSS and... |
0 | Lower fracture risk in older men with higher sclerostin concentration-a prospective analysis from the minos study | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Sclerostin is a glycoprotein synthesized by osteocytes and it inhibits bone formation. Its relationship with fracture in older men has been rarely explored so far. We measured serum concentration of sclerostin (Quidel-TECOmedical,San Diego,CA) in 711 men aged 50 and older. Bone mineral density (BMD) was measured at the... |
0 | Methods in obtaining split-thickness skin grafts from skin reduction surgery specimens | Panniculectomy & Abdominoplasty CPG | BACKGROUND: To devise a method for obtaining bacterial culture-negative split-thickness skin grafts from specimens removed from living donors undergoing skin reduction surgery. METHODS: Specimens were obtained from patients undergoing abdominal skin reduction surgery in inpatient and outpatient surgical settings. Skin ... |
0 | Load distribution in early osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Total knee replacement is an accepted standard of care for the treatment of advanced knee osteoarthritis with good results in the vast majority of older patients. The use in younger and more active populations, however, remains controversial due to concerns over activity restrictions, implant survival, and patient sati... |
0 | Meniscal extrusion in young athletes: associated knee joint abnormalities | AMP (Acute Meniscal Pathology) | OBJECTIVE: The objective of our study was to assess the rate of meniscal extrusion and its connection with common meniscal and joint abnormalities.
MATERIALS AND METHODS: MR signs of meniscal extrusion were evaluated retrospectively in 24 rugby and soccer players (40 knees) who are currently free of pain in the knee, i... |
0 | MR Imaging with Metal-suppression Sequences for Evaluation of Total Joint Arthroplasty | PJI DX Updated Search | Metallic artifact at orthopedic magnetic resonance (MR) imaging continues to be an important problem, particularly in the realm of total joint arthroplasty. Complications often follow total joint arthroplasty and can be expected for a small percentage of all implanted devices. Postoperative complications involve not on... |
0 | Rickets | Reduction Mammoplasty for Female Breast Hypertrophy | Rickets is disorder of a growing child arising from disorders that result in impaired apoptosis of hypertrophic cells and mineralization of the growth plate. Rickets due to nutritional causes remains an important global problem. The factors responsible for resurgence of rickets among dark-skinned infants living in deve... |
0 | Advances in oral anticoagulation treatment: The safety and efficacy of rivaroxaban in the prevention and treatment of thromboembolism | PJI DX Updated Search | Arterial and venous thromboembolic diseases are a clinical and economic burden worldwide. In addition to traditional agents such as vitamin K antagonists and heparins, newer oral agents - such as the factor Xa inhibitors rivaroxaban, apixaban, and edoxaban, and the direct thrombin inhibitor dabigatran - have been shown... |
0 | Risk for family rejection and associated mental health outcomes among conflict-affected adult women living in rural eastern Democratic Republic of the Congo | DoD PRF (Psychosocial RF) | Stigma due to sexual violence includes family rejection, a complex outcome including economic, behavioral, and physical components. We explored the relationship among conflict-related trauma, family rejection, and mental health in adult women living in rural eastern Democratic Republic of the Congo, who participate in ... |
1 | The impact of time to surgery after hip fracture on mortality at 30- and 90-days: Does a single benchmark apply to all? | Hip Fx in the Elderly 2019 | INTRODUCTION: Delays to surgery after hip fracture have been associated with mortality Uncertainty remains as to what timing benchmark should be utilized as a marker of quality of care and how other patient factors might also influence the impact of time to surgery on mortality. The goal of this study was to determine ... |
0 | Growth plate injuries and management | Distal Radius Fractures | The growth plate, or physis, is the name given to the area of cartilaginous tissue found between the epiphysis and metaphysis of skeletally immature bone. The developing growth plate is weaker than surrounding ossified bone and, therefore, at risk of injury before its closure. Previous studies have shown that fractures... |
0 | Alterations in the chondroitin sulfate chain in human osteoarthritic cartilage of the knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine whether the structure of chondroitin sulfate (CS) in cartilage is reflected by the degree of cartilage degeneration in patients with osteoarthritis (OA) of the knee and to determine how CS biosynthesis affects cartilage degeneration.
DESIGN: Two osteoarthritic cartilage samples were obtained fro... |
0 | Management of bisphosphonate-related osteonecrosis of the jaw: a literature review | MSTS 2018 - Femur Mets and MM | Osteonecrosis of the jaw (ONJ) is a serious side effect of bisphosphonate use in patients with osteoporosis, Paget's disease, hypercalcemia of malignancy, metastatic bone disease and multiple myeloma, although recently this complication has also been reported in patients under non-bisphosphonate medication, such as den... |
1 | Is antibiotic prophylaxis necessary in elective soft tissue hand surgery? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Antibiotic prophylaxis for clean soft tissue hand surgery is not yet defined. Current literature focuses on overall orthopedic procedures, traumatic hand surgery, and carpal tunnel release. However, a paucity of data exists regarding the role of antibiotic prophylaxis in a broader variety of soft tissue hand procedures... |
0 | Association between low cortical bone mineral density, soft-tissue calcification, vascular calcification and chondrocalcinosis: a case-control study | AMP (Acute Meniscal Pathology) | OBJECTIVES: To examine the association between bone mineral density (BMD), soft-tissue calcification, vascular calcification and chondrocalcinosis (CC).
METHODS: A case-control study within the Genetics of Osteoarthritis and Lifestyle (GOAL) database (n=3170). All GOAL participants completed a questionnaire self-report... |
0 | Clinical trials of bisphosphonates in multiple myeloma | MSTS 2018 - Femur Mets and MM | More than 80% of patients with multiple myeloma (MM) have osteolytic bone disease, which increases the risk of skeletal-related events (SREs) such as pathologic fracture, spinal cord compression, and the need for radiotherapy or surgery. Bone disease is primarily due to increased osteoclastic activity and impaired oste... |
0 | The Diagnosis of Infection in Metal-on-Metal Hip Arthroplasties | PJI DX Updated Search | BACKGROUND: Distinction of aseptic from septic hip arthroplasty failure can be challenging. Some studies report an increased incidence of septic failure with metal-on-metal (MoM) hip arthroplasties. The Musculoskeletal Infection Society (MSIS) have formulated criteria to facilitate the diagnosis of periprosthetic joint... |
0 | Acetabular reinforcement ring in primary total hip arthroplasty: A minimum 10-year follow-up | Management of Hip Fractures in the Elderly | Introduction: We report the results of a titanium acetabular reinforcement ring with a hook (ARRH) in primary total hip arthroplasty (THA), which was introduced in 1987 and continues to be used routinely in our center. The favorable results of this device in arthroplasty for developmental dysplasia and difficult revisi... |
0 | Alarmins S100A8/S100A9 aggravate osteophyte formation in experimental osteoarthritis and predict osteophyte progression in early human symptomatic osteoarthritis | AMP (Acute Meniscal Pathology) | Objective Alarmins S100A8 and S100A9 are major products of activated macrophages regulating cartilage damage and synovial activation during murine and human osteoarthritis (OA). In the current study, we investigated whether S100A8 and S100A9 are involved in osteophyte formation during experimental OA and whether S100A8... |
0 | Knee arthrodesis for failed total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The use of arthrodesis to salvage failed total knee arthroplasty is reviewed in nine patients. Prosthetic failure was due to infection in six cases, aseptic loosening in two cases, and instability in one case. The techniques of arthrodesis included six Hoffman external fixators, two fluted intramedullary rods (3M-Ortho... |
1 | "Abdominoplasty with "En block" removal of the skin island: a safe and fast approach" | Panniculectomy & Abdominoplasty CPG | The aim of abdominoplasty is to restore a normal abdominal contour, with minimal signs of the surgery. The purpose of this study was to determine the feasibility, safety, and advantages of en block removal of a skin island before upper abdominal dissection during abdominoplasty. Five hundred-forty female patients who u... |
0 | Cost-effectiveness of total knee replacement: A prospective cohort study | OAK 3 - Non-arthroplasty tx of OAK | Objective Total knee replacement (TKR) rates have significantly increased in the past decade. While the procedure itself might be costly, the cost-effectiveness and potential offset costs from patient and societal benefits have not been clearly established. The objective of this study was to perform an economic evaluat... |
0 | Three unusual factors contributing to compressive median neuropathy in the distal forearm in a single patient | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although there are varied aetiological factors responsible for compressive neuropathy of the median nerve in the carpal tunnel syndrome, it is rare to encounter several aetiological factors in a single case. This article reports a case in which three aetiological factors were present |
0 | Top orthopedic sports medicine procedures | AMP (Acute Meniscal Pathology) | Orthopedic sports medicine is a subspecialty of Orthopedics that focuses on managing pathological conditions of the musculoskeletal system arising from sports practice. When dealing with athletes, timing is the most difficult issue to face. Typically, athletes aim to return to play as soon as possible and at the pre-in... |
1 | Prospective Randomized Controlled Trial of Two Different Intramedullary Nails for Pertrochanteric Fractures of the Femur | Hip Fx in the Elderly 2019 | The purpose of this prospective randomized trial was to assess whether an intramedullary nail is superior or not to another one in the treatment of pertrochanteric fractures. Eighty-one patients with a 31-A1 or A2 Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) pertrochanteric fractu... |
0 | The impact of surgical treatment on the self-esteem of patients with breast hypertrophy, hypomastia, or breast asymmetry | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Currently, the concept of health includes not only the absence of disease but also a complete state of physical, psychological, and social well-being with increased emphasis on the importance of self-esteem. This study aimed to evaluate the impact of surgical treatment on the self-esteem of patients with br... |
0 | Traumatic Brain Injury and Receipt of Prescription Opioid Therapy for Chronic Pain in Iraq and Afghanistan Veterans: Do Clinical Practice Guidelines Matter? | DoD PRF (Psychosocial RF) | Clinical practice guidelines admonish against prescribing opioids for individuals with chronic pain and traumatic brain injury (TBI) because of increased risk for adverse outcomes, yet no studies have described opioid prescribing patterns in these higher-risk patients. Between October 2007 and March 2015, 53,124 Iraq a... |
0 | The outcome of primary total hip and knee arthroplasty in patients aged 80 years or more | Surgical Management of Osteoarthritis of the Knee CPG | Primary arthroplasty may be denied to very elderly patients based upon the perceived outcome and risks associated with surgery. This prospective study compared the outcome, complications, and mortality of total hip (TKR) and total knee replacement (TKR) in a prospectively selected group of patients aged >/= 80 years wi... |
0 | The prevalence of growth hormone deficiency in survivors of subarachnoid haemorrhage: results from a large single centre study | AAHKS (2) Corticosteroids | Objective: The variation in reported prevalence of growth hormone deficiency (GHD) post subarachnoid haemorrhage (SAH) is mainly due to methodological heterogeneity. We report on the prevalence of GHD in a large cohort of patients following SAH, when dynamic and confirmatory pituitary hormone testing methods are system... |
0 | Worker Role Interview: Toward validation of a psychosocial work-related measure | DoD PRF (Psychosocial RF) | Three studies were conducted to examine the validity of the Worker Role Interview (WRI), a semi-structured interview and rating scale designed to assess psychosocial capacity for return to work in injured workers. The first Rasch analysis study of 119 work-hardening clients with low back pain showed that scale items wo... |
0 | Hip fracture incidence in Stockholm 1972-1981 | Management of Hip Fractures in the Elderly | We studied the incidence of cervical and trochanteric hip fractures in Stockholm, Sweden from 1972 through 1981. The material, selected from a computerized medical information register, consisted of 11 812 cervical fractures and 8094 trochanteric fractures. The incidence did not change in the age group 50-74 years. In ... |
1 | Prevention of deep vein thrombosis in patients with hip fractures: low molecular weight heparin versus dextran | Management of Hip Fractures in the Elderly | A randomized open trial was undertaken to compare the antithrombotic efficacy of a low molecular weight heparin (LMWH; Sandoparin) with that of dextran 70 in patients undergoing surgery for hip fracture. One hundred thirteen patients received LMWH once daily subcutaneously at a fixed dosage while 103 patients received ... |
0 | Human blood-based anti-inflammatory solution inhibits osteoarthritis progression in a meniscal-tear rat study | OAK 3 - Non-arthroplasty tx of OAK | Current osteoarthritis (OA) research searches for treatments that modify the course of disease progression. Autologous Protein Solution (APS) is derived from whole blood and is a unique autologous therapy that contains high concentrations of white blood cells, platelets, and concentrated plasma, providing cytokines tha... |
0 | Surgical treatment for early osteoarthritis. Part II: allografts and concurrent procedures | SR for PM on OA of All Extremities | Young patients with early osteoarthritis (OA) represent a challenging population due to a combination of high functional demands and limited treatment options. Conservative measures such as injection and physical therapy can provide short-term pain relief but are only palliative in nature. Joint replacement, a successf... |
0 | Avascular necrosis of bone in Hodgkin's disease patients treated with combined modality therapy | AAHKS (2) Corticosteroids | Avascular necrosis of bone developed in eight patients with advanced Hodgkin's disease who had been treated with combined modality therapy and were in complete remission from their disease. A ninth patient not on protocol but treated with the combined modality program also developed avascular necrosis. The cumulative i... |
0 | Spectroscopic limb monitoring in peripheral extracorporeal membrane oxygenation | DOD - Acute Comp Syndrome CPG | Limb-related complications are major contributors to extracorporeal membrane oxygenation-associated complications. Early detection of limb ischemia and or compartment syndrome is paramount to minimizing the adverse effects. With the absence of pulsatile flow, bedside Doppler examination of distal arterial waveforms is ... |
0 | Ligament and tendon injury to the elbow: Clinical, surgical, and imaging features | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Significant advances in the understanding of elbow anatomy, biomechanics, imaging, and surgical technique have been made over the last decade. Tendon injuries are often seen in athletes and physical laborers from repetitive eccentric overload. Ligament injuries are commonly seen in throwing athletes or after elbow disl... |
0 | Curative resection for lung cancer in octogenarians is justified | Reconstruction After Skin Cancer | Background: Due to an increased life expectancy in a healthy aging population and a progressive incidence of lung cancer, curative pulmonary resections can be performed even in octogenarians. The present study aims to investigate whether surgery is justified in patients reaching the age of 80 years and older who underg... |
0 | Antiprolactinemic approach in the treatment of metastatic breast cancer: a phase II study of polyneuroendocrine therapy with LHRH-analogue, tamoxifen and the long-acting antiprolactinemic drug cabergoline | MSTS 2018 - Femur Mets and MM | Despite the well-demonstrated stimulatory role of prolactin (PRL) on breast cancer cell growth and the possible existence of a PRL-dependency in estrogen-independent mammary tumors, the therapeutic role of the antiprolactinemic drugs in the treatment of human breast cancer has still to be investigated and defined. Prev... |
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