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0 | PCORI-1306-02918 Evaluation of Parent-based Programs to Support Children After Traumatic Injury | DoD PRF (Psychosocial RF) | Qualitative Phase I. Aim 1: Assess the feasibility of Link for Injured Kids through qualitative research with parents of previous injured children and social workers and pediatric trauma providers from the the children's hospitals. For phase 1 at UIHC, the investigators will hold focus groups with parents and pediatric... |
0 | Serial nerve conduction studies in a single subject following clinically-successful carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: The course of electrodiagnostic (EDX) recovery of distal median neuropathy following carpal tunnel release (CTR) is uncertain. The authors report serial EDX studies in a 54-year-old female following CTR. Objectives: To perform serial nerve conduction studies (NCSs) in a patient with clinically-successful ... |
0 | The Rotaglide mobile bearing knee arthroplasty A 10- to 13-year review from an independent centre | AMP (Acute Meniscal Pathology) | The Rotaglide knee arthroplasty has a highly congruent mobile meniscal bearing allowing both rotation and antero-posterior translation. We reviewed 137 consecutive primary arthroplasties in 120 patients at mean 11.1 years (10-12.9) following surgery. No cases were lost to follow-up. Hospital for Special Surgery (HSS) a... |
0 | Improving management of musculoskeletal disorders in primary care: the Joint Adventures Program | Glenohumeral Joint OA | Musculoskeletal disorders represent a large and growing clinical challenge to primary care clinicians. Unfortunately, there appears to be a gap in current training and continuing education to meet this challenge. We used script concordance within a continuing medical education program entitled "Joint Adventures" to ass... |
0 | Anterior knee pain: Symptom or syndrome? | Diagnosis and Treatment of Osteochondritis Dissecans AUC | A chief complaint for many patients is anterior knee pain. This is more common in females; the incidence is two to three times than that in males. The challenge for the physician is to determine the etiology, the diagnosis, and the best treatment. The goal of this article is to provide key elements of the history, phys... |
0 | Comparison of 3 real-time, quantitative murine models of staphylococcal biofilm infection by using in vivo bioluminescent imaging | PJI DX Updated Search | Biofilm formation represents a unique mechanism by which Staphylococcus aureus and other microorganisms avoid antimicrobial clearance and establish chronic infections. Treatment of these infections can be challenging, because the bacteria in the biofilm state are often resistant to therapies that are effective against ... |
0 | Criteria for bone debridement in massive lower limb trauma | DoD SSI (Surgical Site Infections) | Adequate debridement remains the most important factor in prevention of chronic sepsis in cases of massive lower limb trauma. Despite treatment with chronic antibiotics, muscle flaps, hyperbaric oxygen, and/or free-tissue transfer, failures are common due to inadequate bone debridement. All bony fragments with marginal... |
0 | Factors associated with acute and chronic pain following traumatic spinal cord injuries | DoD PRF (Psychosocial RF) | Previous studies have estimated that between 25% and 45% of people with spinal cord injury report severe levels of chronic pain. Few studies have examined this longitudinally. This study examines the primary pain sites, intensity and variability of perceived pain in 76 patients, 6 weeks post injury and 45 patients from... |
0 | Insights into osteoarthritis from MRI | AMP (Acute Meniscal Pathology) | Magnetic resonance imaging (MRI) has added a new dimension to the study of osteoarthritis, a long-known degenerative joint disease with limited therapeutic options. It has advanced our understanding of joint pathophysiology and identifying that osteoarthritis as a simple 'wear and tear' process of the articular cartila... |
0 | Multimodal Drug Infiltration in Total Knee Arthroplasty: is Posterior Capsular Infiltration Worth the Risk? | OAK 3 - Non-arthroplasty tx of OAK | Analgesic agents were bupivacaine, morphine, ketorolac and epinephrine. All patients received spinal anesthesia and patient controlled analgesia (PCA) for 24 hours post surgery. The surgical technique and postoperative medication protocols were identical in both groups. The visual analogue scale (VAS) for pain during a... |
0 | Scaffolds for partial meniscal replacement: An updated systematic review | PJI DX Updated Search | Introduction: Meniscectomy, a most common orthopaedic procedure, results in increased contact area of the articular surfaces of tibia and femur leading to early osteoarthritis. We systematically review the literature on clinical outcomes following partial meniscal replacement using different scaffolds. Sources of data:... |
0 | Hypopituitarism in the elderly: multifaceted clinical and biochemical presentation | Upper Eyelid and Brow Surgery | UNLABELLED: Hypopituitarism (HYPO) is a rare and under-investigated pathology in the elderly. AIM: to review our case records of patients > or =65 yrs with first diagnosis of anterior global hypopituitarism, in order to evaluate presentation symptoms, etiology, biochemical and hormonal pictures, pituitary morphology, a... |
0 | A novel mechanism for induction of increased cortical porosity in cases of intracapsular hip fracture | Management of Hip Fractures in the Elderly | It has been suggested that, in hip fracture, the cortex on the inferoanterior (IA) to superoposterior (SP) axis is thinned and shows increased porosity. This is dependent on the presence of giant canals (i.e., diameter >385 microm), which are related to clusters of remodeling osteons. To investigate further the relatio... |
0 | Low skeletal muscle mass is associated with increased hospital expenditure in patients undergoing cancer surgery of the alimentary tract | MSTS 2022 - Metastatic Disease of the Humerus | Background: Low skeletal muscle mass is associated with poor postoperative outcomes in cancer patients. Furthermore, it is associated with increased healthcare costs in the United States. We investigated its effect on hospital expenditure in a Western-European healthcare system, with universal access. Methods: Skeletal... |
0 | The Association Between Hospital Length of Stay and 90-Day Readmission Risk for Femoral Neck Fracture Patients: Within a Total Joint Arthroplasty Bundled Payment Initiative | Hip Fx in the Elderly 2019 | BACKGROUND: Hip arthroplasty is increasingly performed as a treatment for femoral neck fractures (FNFs). However, these cases have higher complication rates than elective total hip arthroplasties (THAs). The Center for Medicare and Medicaid Services has created the Comprehensive Care for Joint Replacement model to incr... |
0 | Risk factors for anterior cruciate ligament injury: a review of the literature - part 1: neuromuscular and anatomic risk | SR for PM on OA of All Extremities | CONTEXT: Injuries to the anterior cruciate ligament (ACL) of the knee are immediately debilitating and can cause long-term consequences, including the early onset of osteoarthritis. It is important to have a comprehensive understanding of all possible risk factors for ACL injury to identify individuals who are at risk ... |
1 | The economic cost of hip fractures among elderly women. A one-year, prospective, observational cohort study with matched-pair analysis. Belgian Hip Fracture Study Group | HipFx Supplemental Cost Analysis | BACKGROUND: We conducted a prospective study to assess the costs of initial hospitalization for a first hip fracture and to evaluate the excess costs attributable to the hip fracture during the one-year period following hospital discharge. METHODS: This investigation was designed as a one-year prospective cohort study ... |
0 | A novel injectable hydrogel in combination with a surgical sealant in a rat knee osteochondral defect model | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondral defects are frequent, painful, debilitating and expensive to treat, often resulting in poor results. The goal of the present study was to synthesize and characterize a novel biocompatible and biodegradable hydrogel comprised of poly(ethylene glycol), gelatin, and genipin, and examine the hydrogel as an in... |
0 | Liposuction in arm lymphedema treatment | Panniculectomy & Abdominoplasty CPG | Breast cancer is the most common disease in women, and up to 38% develop lymphedema of the arm following mastectomy, standard axillary node dissection and postoperative irradiation. Limb reductions have been reported utilizing various conservative therapies such as manual lymph and pressure therapy. Some patients with ... |
0 | Tolerability and Efficacy of 3 Approaches to Intra-articular Corticosteroid Injections of the Knee for Osteoarthritis: A Randomized Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Several studies have been performed suggesting that a superolateral approach to cortisone injections for symptomatic osteoarthritis of the knee is more accurate than anteromedial or anterolateral approaches, but there are little data to correlate clinical outcomes with these results. Additionally, there are... |
0 | Traumatic instability of the elbow - Anatomy, pathomechanisms and presentation on imaging | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Traumatic instability of the elbow is a common problem among patients presenting to emergency departments. As recurrent instability is more common than previously thought and the knowledge of the most frequent underlying causes increases, treatment of elbow instability is becoming increasingly sophisticated. Therefore,... |
0 | Yoga training application in overweight control of seniors with arthritis/osteoarthritis | SR for PM on OA of All Extremities | The subject of the paper is oriented on problems of senior revitalization and joints healing. The study reports the application and evaluation of an interventional yoga program for seniors with overweight in arthritis or osteoarthritis combination. The aim of the study is to accomplish significant changes in overweight... |
0 | Money or mental health: the cost of alleviating psychological distress with monetary compensation versus psychological therapy | DoD PRF (Psychosocial RF) | AbstractMoney is the default way in which intangible losses, such as pain and suffering, are currently valued and compensated in law courts. Economists have suggested that subjective well-being regressions can be used to guide compensation payouts for psychological distress following traumatic life events. We bring tog... |
0 | Mental health of displaced and refugee children resettled in high-income countries: Risk and protective factors | DoD PRF (Psychosocial RF) | We undertook a systematic search and review of individual, family, community, and societal risk and protective factors for mental health in children and adolescents who are forcibly displaced to high-income countries. Exposure to violence has been shown to be a key risk factor, whereas stable settlement and social supp... |
1 | Isobaric ropivacaine with or without dexmedetomidine for surgery of neck femur fracture under subarachnoid block | Hip Fx in the Elderly 2019 | Background and Aims: Dexmedetomidine has a promising role as an intrathecal adjuvant. However it's role as an adjuvant to ropivacaine has not been evaluated extensively. This study is designed to find out the effect of addition of dexmedetomidine 5 mug to isobaric ropivacaine 18.75 mg on block characteristics and hemod... |
0 | Evaluation of lower limb axial alignment using digital radiography stitched films in pre-operative planning for total knee replacement | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: For patients with knee osteoarthritis, even slight anatomical variations in the femur or the tibia could affect total limb alignment during total knee replacement (TKR). Our hypothesis implies that the femoral valgus correction angle (VCA) in patients indicated for TKR, is variable and higher than the repor... |
0 | Protocol for the process and feasibility evaluations of a new model of primary care service delivery for managing pain and function in patients with knee osteoarthritis (PARTNER) using a mixed methods approach | OAK 3 - Non-arthroplasty tx of OAK | Introduction This protocol outlines the rationale, design and methods for the process and feasibility evaluations of the primary care management on knee pain and function in patients with knee osteoarthritis (PARTNER) study. PARTNER is a randomised controlled trial to evaluate a new model of service delivery (the PARTN... |
0 | Homeopathic arnica in bone marrow donation - 5 case reports | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Arnica montana is widely used as homeopathic dilution for treating wounds on account of its supposed abilities to control bruising, reduce swelling, and promote recovery. It is one of the widely used homeopathic preparations and is popular with patients undergoing surgery. For example, Arnica was shown to... |
0 | Treatment of upper limb lymphedema with combination of liposuction, myocutaneous flap transfer, and lymph-fascia grafting: A preliminary study | Panniculectomy & Abdominoplasty CPG | Treatment of obstructive extremity lymphedema remains a challenge in reconstructive surgery, since none of the varieties of procedures have been demonstrated a reliable resolution for the lymphedema. In this report, we present the preliminary results of treatment of severe upper extremity lymphedema with combined lipos... |
0 | Self reported non-vertebral fractures in rheumatoid arthritis and population based controls: incidence and relationship with bone mineral density and clinical variables | Management of Hip Fractures in the Elderly | OBJECTIVE: To compare the incidence of self reported non-vertebral fractures after RA diagnosis between female patients with RA and control subjects, and to explore possible associations between non-vertebral fractures and bone mineral density (BMD), disease, and demographic factors. METHODS: 249 women (mean age 63.0 y... |
0 | Minimal trauma fractures: lifting the specter of misconduct by identifying risk factors and planning for prevention | Management of Hip Fractures in the Elderly | Minimal trauma fractures are an unfortunate, yet not uncommon, event for frail elderly individuals in long term care facilities. These fractures result in significant morbidity including pain and loss of function along with significantly increased mortality. Further concern exists for the medico-legal issues raised aft... |
0 | Posterior acetabular column and quadrilateral plate fractures: Fixation with tension band principles | DoD SSI (Surgical Site Infections) | Acetabular fractures can be classified into 5 simple and 5 associated fracture patterns. A significant amount of variation and complexity exists in these fractures patterns. Fractures of the posterior wall are the most common acetabular fractures. Comminution of the quadrilateral plate adds to fracture instability, and... |
0 | Timing of Hip-fracture Surgery in Elderly Patients: Literature Review and Recommendations | Hip Fx in the Elderly 2019 | The incidence of hip fractures is rapidly increasing with an aging population and is now one of the most important health concerns worldwide due to a high mortality rate. The effect of delayed surgery on postoperative outcomes has been widely discussed. Although various treatment guidelines for hip fractures in the eld... |
1 | Securing Transplanted Meniscal Allografts Using Bone Plugs Results in Lower Risks of Graft Failure and Reoperations: A Meta-analysis | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal allograft transplant (MAT) is an important treatment option for young patients with deficient menisci; however, there is a lack of consensus on the optimal method of allograft fixation.
HYPOTHESIS: The various methods of MAT fixation have measurable and significant differences in outcomes.
STUDY DE... |
0 | Surgical treatment of multiple symmetric lipomatosis with ultrasound-assisted liposuction | Panniculectomy & Abdominoplasty CPG | Multiple symmetric lipomatosis (MSL) is a rare disease of unknown etiology, characterized by the presence of multiple, symmetrical, noncapsulated lipomas, mostly in the neck and upper trunk. To date, there is no effective medical treatment of MSL. Surgical treatment is based on 2 options, namely, lipectomy and/or lipos... |
0 | Erratum: Correction: Haemophilus Parainfluenzae Septic Arthritis Following Primary All-Inside Meniscus Repair: A Case Report and Review of the Literature (The Iowa orthopaedic journal (2020) 40 1 (111-114)) | AMP (Acute Meniscal Pathology) | [This corrects the article on p. 111 in vol. 40, PMID: 32742217.]. |
0 | Management of Morel-Lavallee Lesion Associated with Pelvic and/or Acetabular Fractures | DoD SSI (Surgical Site Infections) | OBJECTIVE: Management of Morel-Lavallee soft tissue lesion (MLL) in patients with associated pelvic and/or acetabular fractures is still under discussion. Especially, the sequence of treatment of MLL soft tissue management and osteosynthesis of pelvic and acetabular injury remains controversial.
METHODS: We report all ... |
0 | High-Flexion Mobile-Bearing Knees: Impact on Patellofemoral Outcomes in 159 Patients | Surgical Management of Osteoarthritis of the Knee CPG | Ethnic cultural demands of the patient have encouraged surgeons to use high-flexion designs. It has been speculated that these high-flexion designs may produce higher incidence of patellofemoral complications over conventional designs. We wish to report 5- to 7-year follow-up of this design with special emphasis on pat... |
0 | The ankle brachial index in chronic spinal cord injury: a pilot study | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Recent case reports implicate peripheral vascular disease (PVD) as an etiology for pressure ulcers (PU), failed myocutaneous flap surgeries, and amputation in spinal cord injury (SCI). Early detection of PVD is complicated by motor and sensory deficits in this population. The ankle-brachial index (ABI) is u... |
1 | Ultrastructural findings after the use of a CO2 laser in carpal tunnel surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The laser beam enables tissue cutting and care of the cut edges, which prevents an increased scar tissue formation. For this reason we have used the laser beam in carpal tunnel surgery for transection or sealing of the transverse carpal ligament since 1981 because scar tissue formation is for the most part the cause of... |
0 | Adductor canal block can result in motor block of the quadriceps muscle | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The block of nerves in the adductor canal is considered to cause a sensory block without a motor component. In this report, we describe a case of significant quadriceps muscle weakness after an adductor canal block (ACB). CASE REPORT: A 65-year-old female patient for ambulatory knee surgery was given an ACB ... |
0 | Incisionless Partial Medial Meniscectomy | AMP (Acute Meniscal Pathology) | Knee arthroscopy has evolved greatly from its inception in the twentieth century. Of the many arthroscopic knee surgeries, meniscectomy is the most commonly performed. Arthroscopic meniscectomy is the most common orthopaedic surgical procedure performed in the United States. We continue to develop more minimally invasi... |
0 | Double fixation of displaced patella fractures using bioabsorbable cannulated lag screws and braided polyester suture tension bands | PJI DX Updated Search | PURPOSE: To evaluate the effectiveness and safety of a new double fixation technique for displaced patellar fractures using bioabsorbable cannulated lag screws and braided polyester suture tension bands. METHODS: Fifteen patients (mean age of 46.2 years) with displaced transverse or comminuted patella fractures were en... |
1 | Total knee replacement and patellofemoral pain | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The decision to resurface the patella or not during total knee replacement (TKR) is a controversial issue. During primary TKR some surgeons routinely resurface the patella, others operate a selective policy and a third group never resurfaces the patella. AIM: This study attempts to investigate the relations... |
0 | Visual function of drivers and its relationship to road traffic accidents in Urban Africa | Upper Eyelid and Brow Surgery | AIM/BACKGROUND: Nigeria has one of the highest mortality rates from Road traffic accidents (RTAs). Prevention is a global priority. This study is aimed at acquiring information for effective policy formulation to improve safety on Nigerian roads. This is a cross sectional descriptive study in which consenting commercia... |
0 | Does Timing of Previous Intra-Articular Steroid Injection Affect the Post-Operative Rate of Infection in Total Knee Arthroplasty? | OAK 3 - Non-arthroplasty tx of OAK | Intra-articular steroid injections are widely used for symptomatic relief of knee osteoarthritis. This study used a national database to determine if there is an association between preoperative intra-articular knee injection at various time intervals prior to ipsilateral TKA and infection. The incidence of infection w... |
0 | Randomized clinical trials of constitutional acupuncture: a systematic review | SR for PM on OA of All Extremities | The aim of this systematic review is to compile and critically evaluate the evidence from randomized clinical trials (RCTs) for the effectiveness of acupuncture using constitutional medicine compared to standard acupuncture. Ten databases were searched through to December 2008 without language restrictions. We also han... |
1 | Humeral fixation by press-fitting of a tapered metaphyseal stem: a prospective radiographic study | Glenohumeral Joint OA | BACKGROUND: The technique of shoulder arthroplasty requires a method for securely and durably fixing the humeral component in the medullary canal of the proximal part of the humerus. As an alternative to fixation by cementing or tissue ingrowth, we explored the effectiveness of using a prosthesis with a metaphyseal tap... |
0 | Outcomes and quality of life issues in the pharmacological management of benign prostatic hyperplasia (BPH) | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Benign prostatic hyperplasia (BPH) is a common disease of the aging male population. BPH treatment includes a variety of pharmacological and surgical interventions. The goal of this paper is to review the natural history of BPH, outcomes of pharmacological management, effects on quality of life (QoL), futur... |
0 | Subsartorial adductor canal vs femoral nerve block for analgesia after total knee replacement | AAHKS (8) Anesthetic Infiltration | Purpose: Providing effective analgesia for total knee arthroplasty (TKA) patients remains challenging. Femoral nerve block (FNB) offers targeted pain control; however, its effect on motor function, related fall risk and impact on rehabilitation has been the source of controversy. Adductor canal block (ACB) potentially ... |
0 | Advanced renal cell carcinoma: Pathology and systemic therapy with a new role of zoledronic acid in management of skeletal metastases | MSTS 2018 - Femur Mets and MM | Renal race carcinoma (RCC) continues to represent a major therapeutic challenge. There is still observed the increased rate of incidence of RCC at the level of 2% per annum. Unfortunately, approximately 30% of patients develop distant metastases at first presentation. Progression of RCC accounts for additional 20% of c... |
0 | Treatment options for the symptomatic post-meniscectomy knee | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To provide a current review on the evidence for management of the symptomatic meniscus-deficient knee. METHODS: A literature review was performed detailing the natural history and origin of symptoms in a meniscus-deficient knee, in addition to strategies for non-surgical management, meniscus scaffolds, meniscu... |
0 | Tai Chi is effective in treating knee osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the effectiveness of Tai Chi in the treatment of knee osteoarthritis (OA) symptoms. METHODS: We conducted a prospective, singleâ?blind, randomized controlled trial of 40 individuals with symptomatic tibiofemoral OA. Patients were randomly assigned to 60 minutes of Tai Chi (10 modified forms from... |
0 | Total hip arthroplasty with porous metal cups following acetabular fracture | Hip Fx in the Elderly 2019 | Total hip arthroplasty (THA) after acetabular fracture presents unique challenges, including acetabular fixation. Twelve patients with a history of acetabular fracture underwent THA with porous metal cups. The average age was 57 years (range 24-88). THA was performed at an average 20 months from initial fracture. Avera... |
0 | Time-dependent Functional Results Following HTO. Closing Wedge vs Opening Wedge Technique | OAK 3 - Non-arthroplasty tx of OAK | Determination of the time course of patientâ?relevant functional outcome and the time course of Range of Motion (ROM) following HTO. Comparison of the Opening wedge and Closing wedge methods. Timeâ?dependent improvement in functional outcome following High tibial Osteotomy. Medial opening wedge vs Lateral closing wed... |
1 | A meta-analysis of outcomes of external fixation versus plate osteosynthesis for unstable distal radius fractures | Distal Radius Fractures | PURPOSE: External fixation and open reduction and internal fixation have been the traditional techniques for surgical fixation of unstable distal radius fractures. The existing literature has not identified which is superior, primarily because of the lack of comparative trials. We performed a comprehensive systematic r... |
0 | Functional Outcome and Analgesia in TKA: radiofrequency vs Continuous Adductor Canal Block | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study is to compare the efficacy of two analgesia techniques in patients undergoing Total Knee Arthroplasty (TKA) on the functional recovery and pain control: Pulsed and Continuous Radiofrequency (PRF and TRF) applied respectively to the saphenous nerve and to the genicular nerves of the knee (femoral a... |
0 | Carpal tunnel syndrome due to an atypical deep soft tissue leiomyoma: The risk of misdiagnosis and mismanagement | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Leiomyomas of the deep soft tissue are quite uncommon and occur even more rarely in upper extremity. CASE PRESENTATION: A 32-year old manual laborer man presented with a two-year history of numbness, tingling and burning pain in the palmar surface of the left hand and fingers. His medical history was unrema... |
0 | Fracture Patterns Differ Between Osteogenesis Imperfecta and Routine Pediatric Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: It is important to estimate the likelihood that a pediatric fracture is caused by osteogenesis imperfecta (OI), especially the least severe type of OI (type 1). METHODS: We reviewed records of 29,101 pediatric patients with fractures from 2003 through 2015. We included patients with closed fractures not res... |
1 | Prehospital fast track care for patients with hip fracture: Impact on time to surgery, hospital stay, post-operative complications and mortality a randomised, controlled trial | Hip Fx in the Elderly 2019 | INTRODUCTION: Ambulance organisations in Sweden have introduced prehospital fast track care (PFTC) for patients with suspected hip fracture. This means that the ambulance nurse starts the pre-operative procedure otherwise implemented at the accident & emergency ward (A&E) and transports the patient directly to the radi... |
0 | Changes in the bone mineral density in the acetabulum and proximal femur after cementless total hip replacement: alumina-on-alumina versus alumina-on-polyethylene articulation | Management of Hip Fractures in the Elderly | Our aim in this prospective study was to compare the bone mineral density (BMD) around cementless acetabular and femoral components which were identical in geometry and had the same alumina modular femoral head, but differed in regard to the material of the acetabular liners (alumina ceramic or polyethylene) in 50 pati... |
1 | A multicenter randomized controlled trial comparing single-row with double-row fixation in arthroscopic rotator cuff repair | Optimizing the Management of Full-Thickness Rotator Cuff Tears | Background: Controversy exists regarding the optimal technique for arthroscopic rotator cuff repair. The purpose of this multicenter, randomized, double-blind controlled study was to compare the functional outcomes and healing rates after use of single-row and double-row suture techniques for repair of the rotator cuff... |
0 | Three-dimensional joint kinematics of ACL-deficient and ACL-reconstructed knees during stair ascent and descent | Surgical Management of Osteoarthritis of the Knee CPG | Mechanical environmental changes in the knee are induced by altered joint kinematics under cyclic loading during activities of daily living after anterior cruciate ligament (ACL) injury. This is considered a risk factor in progressive cartilage degeneration and the early onset of osteoarthritis following ACL injury and... |
0 | Long-term outcome following total parathyroidectomy in patients with end-stage renal disease | MSTS 2018 - Femur Mets and MM | Long-term follow up (mean 3.8 years), following elective total parathyroidectomy in thirteen patients with end-stage renal disease is described. Nine patients are alive and all except two have measurable levels of intact parathyroid hormone (PTH). One patient is mildly hyperparathyroid with PTH levels of 143 pg/ml (nor... |
0 | Sonographic representation of bifid median nerve and persistent median artery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Bifid median nerve and persistent median arteries are natural anatomic variants that exist in a small percentage of the population. This case describes a young woman who was referred for electrodiagnostic (EDX) testing of her right upper extremity because of a one-year history of numbness, tingling, and discomfort in h... |
0 | Osteoarthritis: Pathophysiology, Prevalence, Risk Factors, and Exercise for Reducing Pain and Disability | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is a disorder involving deterioration of articular cartilage and underlying bone and is associated with symptoms of pain and disability. The incidence of OA in the military increased over the period 2000 to 2012 and was the first or second leading cause of medical separations in this period. Risk fa... |
0 | Osteonecrosis of the Jaws (ONJ) after Bisphosphonate Treatment in Patients with Multiple Myeloma: Decreasing ONJ Incidence after Adoption of Preventive Measures | MSTS 2018 - Femur Mets and MM | Bisphosphonates (BPs) are administered to Multiple Myeloma (MM) patients with bone lytic lesion. Osteonecrosis of the Jaw (ONJ) is a complication reported since 2003 in patients treated with intravenous (IV) BPs such as zoledronic acid and pamidronate, with 6%-26.3% frequency in early literature series, before some pre... |
0 | Osteochondral scaffold reconstruction for complex knee lesions: a comparative evaluation | AMP (Acute Meniscal Pathology) | BACKGROUND: The primary aim of the present study is to evaluate the results obtained in challenging knee lesions with the implant of an osteochondral scaffold and concomitant treatment of all comorbidities. The secondary aim is to compare the results obtained with those found when a chondral scaffold was applied.
MATER... |
0 | 20-year results of McKee-Farrar versus Charnley prosthesis | Management of Hip Fractures in the Elderly | The results of 107 consecutive McKee-Farrar and 70 Charnley total hip arthroplasties performed in 169 patients between 1975 and 1976 are reviewed. At an average followup of 20 years (range, 19-21 years), 29 patients with 20 McKee-Farrar and II Charnley prostheses were available for clinical and radiologic evaluation; 1... |
0 | Evaluation of intra-operative abdominal wall perfusion in post-bariatric abdominal dermolipectomy | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: Abdominal dermolipectomy after massive weight loss has become a standard procedure. However the complication rates such as wound necrosis or secondary healing complications are still high. In this context ischaemia or inadequate micro-perfusion are known as triggers of wound healing complications. Little is ... |
0 | Increased cartilage volume after injection of hyaluronic acid in osteoarthritis knee patients who underwent high tibial osteotomy | OAK Recommendation 9 Articles | Purpose: High tibial osteotomy (HTO) is a surgical procedure used to correct abnormal mechanical loading of the knee joint; additionally, intra-articular hyaluronic acid injections have been shown to restore the viscoelastic properties of synovial fluid and balance abnormal biochemical processes. It was hypothesized th... |
0 | Acupuncture for (sub)acute non-specific low-back pain | SR for PM on OA of All Extremities | This is the protocol for a review and there is no abstract. The objectives are as follows:The objectives of this systematic review are to determine the effects of acupuncture for (sub)acute non-specific low-back pain compared to no treatment, placebo/sham acupuncture or other sham procedures, other therapies, the addit... |
0 | Recent Approaches to the Manufacturing of Biomimetic Multi-Phasic Scaffolds for Osteochondral Regeneration | Osteochondritis Dissecans 2020 Review | Cartilage lesions of the knee are common disorders affecting people of all ages; as the lesion progresses, it extends to the underlying subchondral bone and an osteochondral defect appears. Osteochondral (OC) tissue compromises soft cartilage over hard subchondral bone with a calcified cartilage interface between these... |
0 | Validity and Responsiveness of the Knee Injury and Osteoarthritis Outcome Score: A Comparative Study Among Total Knee Replacement Patients | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate validity and responsiveness of the Knee Injury and Osteoarthritis Outcome Score (KOOS) in relation to other patient-reported outcome measures before and after total knee replacement (TKR).
METHODS: Pre-TKR and 6-month post-TKR data from 1,143 patients in a US joint replacement cohort were used to... |
0 | Injectable bone cement augmentation for the treatment of distal radius fractures: a review | Distal Radius Fractures | Fractures of the distal radius often occur as a result of low-energy trauma and are frequently seen in osteoporotic patients. Many biomechanical studies and clinical case series have been carried out to investigate the effects on the fractured bones of different fixation methods such as cast immobilization, percutaneou... |
1 | Platelet-rich plasma versus hyaluronic acid in the treatment of knee osteoarthritis: A meta-analysis | PRP (Platelet-Rich Plasma) | BACKGROUND: This meta-analysis focuses on the controversial efficacy and safety of platelet-rich plasma (PRP) as compared with hyaluronic acid (HA) in the clinical treatment of knee osteoarthritis. We have attempted to provide an evidence-based medicine protocol for the conservative treatment of knee osteoarthritis. In... |
0 | Osteochondritis dissecans of the lateral femoral condyle following total resection of the discoid lateral meniscus | Diagnosis and Treatment of Osteochondritis Dissecans AUC | PURPOSE: The purpose of this study was to describe the clinical presentation of 6 athletically active children with symptomatic osteochondritis dissecans (OCD) of the lateral femoral condyle following total resection for a torn discoid lateral meniscus and to discuss its cause. TYPE OF STUDY: Case series. METHODS: Six ... |
0 | All-cause in-hospital complications and urinary tract infections increased in obese patients undergoing total knee arthroplasty | PJI DX Updated Search | The aims of this study were to determine the rates of in-hospital complications, discharge disposition, and length of stay for patients with varying degrees of obesity. We identified 4718 patients who underwent TKA between 2007 and 2010. After adjusting for age, sex, race, education, Deyo-Charlson comorbidity index, in... |
0 | A Tumor Suppressor Gene Product, Platelet-Derived Growth Factor Receptor-Like Protein Controls Chondrocyte Proliferation and Differentiation | Reduction Mammoplasty for Female Breast Hypertrophy | The platelet-derived growth factor receptor-like (PDGFRL) gene is regarded as a tumor suppressor gene. However, nothing is known about the molecular function of PDGFRL. In this study, we initially clarified its function in chondrocytes. Among all cell lines examined, the PDGFRL mRNA level was the highest in chondrocyti... |
0 | Early experiences with robot-assisted total knee arthroplasty using the digiMatch� ROBODOC® surgical system | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION The use of robotics in total knee arthroplasty (TKA) has been shown to minimise human error, as well as improve the accuracy and precision of component implantation and mechanical axis alignment. The present study aimed to demonstrate that robot-assisted TKA using ROBODOC® is safe and capable of producing... |
0 | Persistency with zoledronic acid is associated with clinical benefit in patients with multiple myeloma | MSTS 2018 - Femur Mets and MM | Zoledronic acid (ZOL), an intravenous bisphosphonate, has been shown to reduce and delay the incidence of skeletal-related events (SREs) in multiple myeloma (MM) patients with bone disease. A retrospective claims-based analysis was conducted that used two distinct US managed care databases to examine the relationship b... |
1 | Knee dislocations with vascular injuries | DoD LSA (Limb Salvage vs Amputation) | Any knee that is dislocated or that has both anterior and posterior cruciates and one collateral ligament torn should be carefully evaluated for neurologic and vascular injury. Reduction and immobilization should be performed. If the pulses are anything but normal, arrangements should be made to proceed to the operatin... |
1 | Microsurgical Advances in Extremity Salvage | DoD LSA (Limb Salvage vs Amputation) | The main goal of reconstructive microsurgery must be an optimal functional and esthetic reconstruction meeting the individual trauma site requirements with minimal donor site morbidity. The authors discuss new microsurgical options for extremity salvage: indications for reconstruction versus amputation, timing of free ... |
0 | Internal derangement of the temporomandibular joint: radiologic staging with clinical, surgical, and pathologic correlation | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The radiologic findings from 60 patients with 86 internally deranged temporomandibular joints (TMJ) upon whom sequential imaging procedures had been performed over a period of two months to ten years were analyzed and correlated with clinical, surgical (72 joints), and pathological observations. Internal derangement of... |
0 | Tesamorelin: A novel therapeutic option for HIV/HAART-associated increased visceral adipose tissue | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Metabolic complications are common in treated HIV patients. Their etiology is multifactorial and the development of increased abdominal fat contributes to cardiovascular risk and impaired quality of life. Treated patients with fat mass distribution changes have relative growth hormone deficiency. Both pharmacologic and... |
0 | Nipple-sparing mastectomy with implant reconstruction: the Westmead experience | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Nipple-sparing mastectomy (NSM) involves the removal of all breast tissue with preservation of the breast skin envelope and nipple-areola complex (NAC). The objective of this study was to report the outcomes from our initial experience with NSM. METHODS: We retrospectively analysed 87 women who underwent 11... |
0 | Short-term Follow-up of Antibiotic-loaded Articulating Cement Spacers in Two-stage Revision of Infected Total Knee Arthroplasty: A Case Series | OAK 3 - Non-arthroplasty tx of OAK | Objective: Infection of total knee arthroplasty (TKA) is a rare but devastating complication. Two-stage revision is an effective treatment for late infected TKA. This study aimed to assess the short-term results of two-stage revision using articulating antibiotic-loaded spacers. Methods: Twenty-five patients (10 men an... |
1 | 'Straight lateral traction' in selected supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A method of treating completely displaced supracondylar fractures of the humerus in children by 'straight lateral traction', as originally used by John Dunlop, is recommended. The results in 26 children, selected because manipulation had failed to achieve reduction, is examined, and indicates that this treatment is sat... |
0 | What is the Quality of Online Resources About Pain Control After Total Knee Arthroplasty? | AAHKS (4) Acetaminophen | BACKGROUND: With the growing opioid crisis in the United States, there has been a push to reduce the utilization of opioids in favor of multimodal analgesia options. The purpose of this study was to evaluate the quality of online resources that patients may use to learn about pain control after total knee arthroplasty ... |
0 | Age differences of visual field impairment and mutation spectrum in Danish choroideremia patients | Upper Eyelid and Brow Surgery | Visual prognosis is a crucial theme in the counselling of individuals affected by a progressive retinal dystrophy. Unfortunately prognostic predictions are hampered by large interindividual differences in disease courses even within well defined nosological entities. Ten patients from 8 families affected by choroiderem... |
0 | Same-day X-ray reporting is not needed in well-supervised emergency departments | Distal Radius Fractures | OBJECTIVE: To evaluate the efficacy of a missed radiological abnormality follow-up system in a teaching hospital emergency department.
METHODS: Prospective audit of all reported radiological abnormalities missed by Fremantle Hospital Emergency Department medical staff from 1 January 1997 to 31 December 1998.
RESULTS: O... |
0 | Hypercalcemia of malignancy: pathophysiology and implications for treatment | MSTS 2018 - Femur Mets and MM | As the most common metabolic consequence of cancer, hypercalcemia of malignancy is often encountered in patients with solid tumors, most often lung, head and neck, and breast carcinomas. Since the clinical consequences of hypercalcemia of malignancy may be fatal, an understanding of its pathogenesis and skeletal-relate... |
0 | Anatomy and biomechanics of the lateral side of the knee | AMP (Acute Meniscal Pathology) | The posterolateral corner (PLC) of the knee is a critical element for a functional lower extremity. It consists of an array of complex ligamentous and musculotendinous structures. The primary function of the PLC is to resist varus and external rotation and posterior translation of the tibia. Injuries to these structure... |
0 | Diseases of the human breast: selective isolation and exposure of epithelia and their correlative surface features and histopathology | Reduction Mammoplasty for Female Breast Hypertrophy | Tissues from seventy-one patients were obtained within one-half hour of biopsy, mastectomy, or reduction mammoplasty and processed for scanning electron microscopy (SEM). Epithelial structures were detected by supravital staining with methylene blue and isolated by microdissection. Mammary lobules and ductules required... |
0 | Sliding screw implants for extracapsular hip fractures | HipFx Supplemental Cost Analysis | Hip fractures are associated with significant mortality and morbidity for the patients, more dependent residual status, and increased socio-economic cost. Many hip-fracture patients experience severe functional impairment, and most never recover their pre-fracture level of function. Current research has sought to ident... |
0 | Treatment of periprosthetic supracondylar femoral fractures using the Ilizarov method (report of two cases) | Surgical Management of Osteoarthritis of the Knee CPG | Periprosthetic fractures are technically challenging problems for orthopaedic surgery, as they require the skills of reconstruction surgery as well as those of revision arthroplasty. Periprosthetic fractures in patients with total hip arthroplasty (THA) were reported to occur at a rate of 0.1%. The same ratio for patie... |
0 | Risk-benefit profile for raloxifene: 4-year data From the Multiple Outcomes of Raloxifene Evaluation (MORE) randomized trial | Management of Hip Fractures in the Elderly | Posthoc analysis of the MORE osteoporosis treatment trial assessed risk-benefit profile of raloxifene in 7705 postmenopausal women. A major disease outcomes global index resulted in annual rates of 1.39% and 1.83% in the raloxifene and placebo groups, respectively (HR, 0.75; 95% CI, 0.62-0.92), compatible with a favora... |
0 | Inferior fixation with a new pin design for external fixation: a randomized study in 50 patients operated on by the hemicallotasis technique | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND PURPOSE: Tibial osteotomy by the hemicallotasis technique (HCO) requires strong pin fixation. We compared pin fixation in HCO using a new selfâ?drilling XCaliber pin (Orthofix) with optimized thread and tip design, with the commonly used standard pin (Orthofix). PATIENTS AND METHODS: 50 patients, mean a... |
1 | Sensitivities of sensory nerve conduction study parameters in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | It is generally accepted that median sensory nerve conduction studies are more sensitive than motor nerve conduction studies in the electrodiagnostic evidence of carpal tunnel syndrome (CTS). This study was conducted to compare the sensitivities of various parameters of sensory nerve conduction studies in the diagnosis... |
0 | Evidence-based treatment of peripheral nerve compression | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Decision making in peripheral nerve surgery schould be related to evidence that the diagnostic testing and operative procedures are valid, reloaded, and effective. This article reviews the available evidence related to peripheral nerve compression in the upper and lower interesting |
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