recall
int64
0
1
article_title
stringlengths
5
500
topic
stringlengths
21
84
abstract
stringlengths
2
65.8k
0
Spinal motor neuron excitability during the cutaneous silent period
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The physiologic mechanisms generating the cutaneous silent period (CSP) remain uncertain. It is not known whether the CSP occurs because of inexcitability of the spinal motor neuron. We, therefore, assessed excitability of the motor neuron during the CSP using F-wave responses. H- reflexes were also elicited during the...
0
Characterization of an innovative intramedullary nail for diaphyseal fractures of long bones
Distal Radius Fractures
In this paper, an innovative design of nail for fractures occurring on long bones has been investigated. Its functioning is based essentially on sliding of conical surfaces, located in a spindle and in holding pins. Spindle and holding pins are connected together by a sleeve. The sliding transforms the rotational and t...
0
A Non-Enzymatic Method to Obtain a Fat Tissue Derivative Highly Enriched in Adipose Stem Cells (ASCs) from Human Lipoaspirates: Preliminary Results
Panniculectomy & Abdominoplasty CPG
Adipose tissue possesses phenotypic gene expression characteristics that are similar to human mesenchymal stem cells (hMSCs). Nevertheless, the multilineage potential may be inhibited, and cells may not expand adequately to satisfy the requirements of Good Manufacturing Practice (cGMP). An autologous hMSC-enriched fat ...
0
Psychological or physiological: Why are tetraplegic patients content
DoD PRF (Psychosocial RF)
Objective: To assess the effects of spinal cord injury (SCI) on perceived health-related quality of life (QOL). Background: SCI is physically disabling, socially handicapping, and romantically limiting. Nevertheless, little is known about post-SCI neurocognitive and psychosocial life. Better understanding of the cognit...
0
A prospective study evaluating incision placement and wound healing for tibial plafond fractures
DoD SSI (Surgical Site Infections)
OBJECTIVES: To report the soft tissue complications after fixation of tibial plafond fractures to test the validity of the recommendation that a 7-cm skin bridge represents the minimum safe distance between surgical incisions. DESIGN: Prospective observational cohort. SETTING: Level 1 Trauma Center. PATIENTS: A total 4...
0
Determining the incidence of postoperative delirium in elderly patients who undergo orthopaedic surgical interventions in Turkey
Hip Fx in the Elderly 2019
OBJECTIVE: To determine the incidence of postoperative delirium in elderly patients having undergone orthopaedic surgical interventions. METHODS: The cross-sectional study was conducted at the traumatology clinic of GATA Haydarpasa Training and Research Hospital in Istanbul, Turkey, from April 2014 to April 2015 and co...
0
Transcutaneous electrical nerve stimulation (TENS) for phantom pain and stump pain following amputation in adults
SR for PM on OA of All Extremities
Background: Amputee pain may present in a body part that has been amputated (phantom pain) or at the site of amputation (stump pain), or both. Phantom pain and stump pain are complex and multidimensional and the underlying pathophysiology remains unclear. The mainstay treatments for phantom pain and stump pain are pred...
0
Capitellocondylar total elbow arthroplasty
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Sixty-nine non-constrained capitellocondylar metal-to-plastic total elbow-replacement prostheses were implanted in sixty-four patients with rheumatoid arthritis. These patients were followed for an average of 3.5 years. Postoperative flexion and pronation were significantly improved, but no significant increase in post...
0
Periprosthetic infections after shoulder hemiarthroplasty
PJI DX Updated Search
BACKGROUND: To examine the rates and predictors of deep periprosthetic infections after shoulder hemiarthroplasty. METHODS: We used prospectively collected institutional registry data on all primary shoulder hemiarthroplasty patients from 1976-2008. We estimated survival free of deep periprosthetic infections using Kap...
0
Macrodystrophia lipomatosa: Radiographic diagnosis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Macrodystrophia lipomatosa is a rare form of localized gigantism characterized by progressive overgrowth of all the mesenchymal elements with a disproportionate increase in the fibroadipose tissues. This congenital abnormality occurs most frequently in the distribution of the median nerve in the upper extremity and in ...
0
Pachydermodactyly in a young girl: Cutaneous manifestation of a psychiatric disorder?
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Introduction: Pachydermodactyly is a benign painless fibromatosis of unknown origin, typically occurring in otherwise well young men, affecting the skin overlying the radial and lunar aspects of the proximal interphalangeal joints of second to fourth digits of both hands. Case report: A 15-year-old female with a person...
0
Minimally Invasive Closed Reduction and Internal Fixation With Screws for Distal Radius Fracture
Distal Radius Fractures
Distal radius fracture is defined as a fracture within 3 cm of the distal articular surface. When radius fracture and ulnar styloid process fracture occur together, internal fixation is generally not pursued; however, adverse events may occur after reduction with external fixation, including unstable fracture fragments...
0
Involvement of the proximal radial ulnar joint in partial radial head fractures: a novel three-dimensional computed tomography scan evaluation method
Distal Radius Fractures
Background: Partial radial head fractures (PRHF) can involve the proximal radioulnar joint (PRUJ) or be restricted to the 'safe zone' (SZ) during forearm rotation. The objective of the present study was to develop an assessment method for PRUJ involvement in radial head fractures using axial computed tomography (CT) sc...
0
Demonstration of a lumbar hernia on the flow phase of a Tc-99m MDP three-phase bone scan
Management of Hip Fractures in the Elderly
A 95-year-old woman was evaluated for possible hip fracture after she had fallen. The vascular and blood pool images of the three-phase bone scan show activity extending lateral to the abdominal wall after injection with Tc-99m MDP. The four-hour static images are clear in this area. Results of physical examination sho...
1
Patient-Reported Outcomes After Platelet-Rich Plasma, Bone Marrow Aspirate, and Adipose-Derived Mesenchymal Stem Cell Injections for Symptomatic Knee Osteoarthritis
PRP (Platelet-Rich Plasma)
Objective: The objective of this study was to compare platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and adipose-derived mesenchymal stem cell (MSC) injections in the treatment of osteoarthritis (OA) of the knee using functional scores. Methods: A total of 89 patients with painful knee OA were inc...
0
A clinical pathway for hip fractures in the elderly
HipFx Supplemental Cost Analysis
Hip fractures are common injuries in the elderly that can be associated with considerable morbidity and mortality. Although technical advances in the treatment of hip fractures have resulted in improved fracture fixation and surgical outcomes, establishment of a clinical pathway for hip fractures could result in a cost...
0
Proximal femoral allograft: Prognostic indicators
DoD LSA (Limb Salvage vs Amputation)
Between 1972 and 1999, the Orthopedic Oncology Service treated 150 patients with resection and allograft transplantation of the proximal femur. Of the group, 121 patients had malignant tumors of the proximal femur and 29 had benign disorders. Four types of allografts were used: osteoarticular (46 patients), allograft-p...
0
Distal Radius Fractures: Choice of Treatment Procedures
Distal Radius Fractures
Background: Distal radius fractures are no longer injuries typical of elderly patients with osteoporosis. Driving at high speed and high-speed sports activities are responsible for causing such injuries in an increasing number of younger people. Although the kind of fracture suffered, bone density, and personal needs a...
0
Metacarpophalangeal and metatarsophalangeal osteoarthritis in 49 dogs
Glenohumeral Joint OA
Although osteoarthritis (OA) is a common and debilitating condition in the canine patient, few data are available on OA of the metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joints. Review of medical records of 49 dogs with a radiographic diagnosis of MCP or MTP OA presented over a 7-year period demonstrated t...
0
Comparative analysis of intramedullary nail fixation versus casting for treatment of distal radius fractures
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Purpose: Intramedullary fixation is one treatment option for distal radius fractures. Our purpose was to compare the outcomes of intramedullary nailing to those of casting for these injuries. Methods: From 2006 to 2009, we reviewed 63 adult patients with isolated distal radius fractures. Thirty-one patients had surgica...
0
Surgical correction of gynecomastia
Panniculectomy & Abdominoplasty CPG
Gynecomastia, or persistent enlargement of the male breast, is a common occurrence during early sexual development. Typically, two types of tissue can be identified during this period of growth. Initially, a dense fibrous growth of supporting stroma and breast tissue forms directly under the areola, creating a prominen...
0
Identifying a combined biomarker for bisphosphonate-related osteonecrosis of the jaw
MSTS 2018 - Femur Mets and MM
BACKGROUND: For this study, the aim was to identify combined biomarkers associated with bisphosphonate-related osteonecrosis of the jaw (BRONJ). MATERIALS AND METHODS: Microarray data for GSE7116 were downloaded from the Gene Expression Omnibus database, which contains 26 samples, including without ONJ, and 5 healthy v...
0
Range of motion of standard and high-flexion posterior cruciate-retaining total knee prostheses a prospective randomized study
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: The main goals of total knee arthroplasty are pain relief and improvement in function and the range of motion. The purpose of this study was to compare the ranges of motion of the knees of patients treated with a standard posterior cruciate-retaining total knee prosthesis in one knee and a high-flexion post...
0
Total knee arthroplasty in a group of patients less than 45 years of age
Surgical Management of Osteoarthritis of the Knee CPG
The long-term follow-up evaluation of total knee arthroplasty (TKA) in patients under age 45 is reviewed. One hundred three knees in 67 patients who had an average follow-up period of 7.2 years were retrospectively reviewed. Fifty-eight percent of the patients had rheumatoid arthritis, and 29% had juvenile rheumatoid a...
0
BMJ Open Hospital case volume and outcomes for proximal femoral fractures in the USA: An observational study
Hip Fx in the Elderly 2019
Objective: To explore whether older adults with isolated hip fractures benefit from treatment in highvolume hospitals. Design: Population-based observational study. Setting: All acute hospitals in California, USA. Participants: All individuals aged â?¥65 that underwent an operation for an isolated hip fracture in Calif...
0
Microincision aponeurotic ptosis surgery of upper lid
Upper Eyelid and Brow Surgery
The paper is a prospective study of 23 lids of 20 patients with upper lid aponeurotic ptosis operated using microincision technique in period 2005-2008. There were 7 males and 13 females. Age of the patients was 28-83 years (y), average 61 +/- 17 y, for female 63 +/- 13.4 y and for male 61 +/- 19 y. Inclusion criteria ...
0
A new technique for reconstruction of the proximal humerus after three- and four-part fractures
Glenohumeral Joint OA
The results of proximal humeral replacement following trauma are substantially worse than for osteoarthritis or rheumatoid arthritis. The stable reattachment of the lesser and greater tuberosity fragments to the rotator cuff and the restoration of shoulder biomechanics are difficult. In 1992 we developed a prosthesis d...
0
Efficacy of individualized Chinese herbal medication in osteoarthrosis of hip and knee: a double-blind, randomized-controlled clinical study
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: The objective of this study was to determine the efficacy of individually designed herbal formulas according to the rules of Traditional Chinese Medicine (TCM) in patients with osteoarthritis of the hip and knee. DESIGN: This was a randomized, controlled, double�blind study with two parallel groups. SETTI...
0
One-Stage Exchange Arthroplasty for Fistulizing Periprosthetic Joint Infection of the Hip: An Effective Strategy
Hip Fx in the Elderly 2019
<b>Background:</b> Prosthetic hip infection (PHI) is a disastrous scenario after an arthroplasty. International guidelines contraindicate one-stage exchange arthroplasty for fistulizing chronic prosthetic hip infection (FCPHI), nevertheless few surgical teams, mostly from Europe, support one stage procedure for this in...
0
Electrodiagnostic evaluation of the ulnar nerve
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Electrodiagnostic methods and their significance for the diagnosis of a lesion of the ulnar nerve are discussed. For different lesion locations (upper arm, elbow, forearm, wrist, and palm), various electrodiagnostic methods are discussed. An overview of the existing literature is given. The diagnostic importance is rep...
0
Magnetic resonance imaging assessment of gluteal fat grafts
Panniculectomy & Abdominoplasty CPG
Backgrounds: One goal of lipoplasty is to create a round and projected buttock contour. Despite multiple papers evaluating lipoinjection, controversies still remain. Methods: This report describes a series of patients who underwent liposuction, gluteal lipoinjection, and evaluation with magnetic resonance imaging (MRI)...
0
The clinical outcome and activity levels of patients under 55 years treated with distal humeral hemiarthroplasty for distal humeral fractures: minimum 2-year follow-up
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: The aim of the present study was to describe the clinical outcomes and activity levels of young patients after distal humeral hemiarthroplasty (DHH). METHODS: Six patients under 55 years (mean 44 years; range 29 years to 52 years) treated with DHH at a mean postoperative time of 81 months (range 24 months t...
0
Clinical presentation and time-course of postoperative venous thromboembolism: Results from the RIETE Registry
Hip Fx Time to Surgery
There is little literature about the clinical presentation and time-course of postoperative venous thromboembolism (VTE) in different surgical procedures. RIETE is an ongoing, prospective registry of consecutive patients with objectively confirmed, symptomatic acute VTE. In this analysis, we analysed the baseline chara...
0
Randomized controlled clinical trial on the evaluation of bacteriostatic and cariostatic effects of a novel povidone-iodine/fluoride foam in children with high caries risk
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECTIVE: To investigate the bacteriostatic and cariostatic effect of a novel povidone-iodine/fluoride foam in children at high risk for caries. METHOD AND MATERIALS: Sixty-one 6- to 9-year-old children with at least 1 active dental caries lesion were randomly assigned to 2 groups and treated weekly with either povido...
0
Validity of current electrodiagnostic techniques in the diagnosis of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Determining the validity of current median sensory nerve conduction techniques for diagnosis of carpal tunnel syndrome (CTS). METHODS: Eighty five patients with clinical diagnosis of CTS were compared with the same number of healthy people. The validity of electrodiagnostic tests were compared in a case-con...
1
Open reduction and internal fixation compared to closed reduction and external fixation in distal radial fractures: a randomized study of 50 patients
Distal Radius Fractures
BACKGROUND AND PURPOSE: In unstable distal radial fractures that are impossible to reduce or to maintain in reduced position, the treatment of choice is operation. The type of operation and the choice of implant, however, is a matter of discussion. Our aim was to investigate whether open reduction and internal fixation...
0
Acute intestinal distress syndrome: the importance of intra-abdominal pressure
DoD - ACS - Interrater Reliability
This review article will focus primarily on the recent literature on abdominal compartment syndrome (ACS) as well as the definitions and recommendations published by the World Society for the Abdominal Compartment Syndrome (WSACS, www.wsacs.org). The risk factors for intra-abdominal hypertension (IAH) and the definitio...
0
Carpal tunnel syndrome and acromegaly
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
50 patients with acromegaly and carpal tunnel syndrome have been examined electrophysiologically before and after transnasal operation of the pituitary adenoma. 32 of the 50 patients (64%) had symptoms of carpal tunnel syndrome. 13 of them had neurological deficits. 28 of the examined patients had pathological neurogra...
0
Stress radiography for osteoarthritis of the knee: a new technique
Surgical Management of Osteoarthritis of the Knee CPG
Stress radiographs have been used for several years to detect the amount of varus/valgus knee laxity and to evaluate the degree of compartmental involvement in degenerative osteoarthritis. However, the popularity of these radiographic methods has been affected by their technical limits due to the x-ray exposure for the...
0
Update on management of ovarian hyperstimulation syndrome
DoD - ACS - Interrater Reliability
Ovarian hyperstimulation syndrome (OHSS) is a relatively common complication of ovarian stimulation and can be life threatening. The pathophysiology of OHSS is characterized by increased capillary permeability, leading to leakage of fluid from the vascular compartment, with third-space fluid accumulation and intravascu...
0
A simplified technique for polymethyl methacrylate cranioplasty: combined cotton stacking and finger fracture method
DoD SSI (Surgical Site Infections)
PRIMARY OBJECTIVE: Polymethyl methacrylate (PMMA) is one of the most frequently used cranioplasty materials. However, limitations exist with PMMA cranioplasty including longer operative time, greater blood loss and a higher infection rate. To reduce these disadvantages, it is proposed to introduce a new surgical method...
1
Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. Results of a multicenter, prospective, randomized clinical trial
DoD SSI (Surgical Site Infections)
BACKGROUND: Standard open reduction and internal fixation techniques have been successful in restoring osseous alignment for bicondylar tibial plateau fractures; however, surgical morbidity, especially soft-tissue infection and wound necrosis, has been reported frequently. For this reason, several investigators have pr...
0
Surgical procedures in femoral neck fractures in Finland: a nationwide study between 1998 and 2011
Hip Fx in the Elderly 2019
PURPOSE: For femoral neck fractures, recent scientific evidence supports cemented hemiarthroplasty (HA) over uncemented HA and suggests that total hip arthroplasty (THA) should be performed more frequently. We report the current surgical trends in treating femoral neck fractures in Finland. METHODS: The study was condu...
0
Development of a flow cytometric method to determine DNA ploidy of oesophageal cancer cells obtained by forceps biopsy samples during oesophago-gastro-duodenoscopy
Reconstruction After Skin Cancer
METHODSFreshly frozen forceps biopsy samples from 30 patients with oesophageal cancer were disaggregated. DNA was stained with propidium iodide and ploidy was determined by flow cytometry. To enhance sensitivity epithelial cells were simultaneously labelled with anti-cytokeratin antibodies. Results were compared with i...
0
Clinical predictors of prolonged hospitalization in patients with hip fracture
PJI DX Updated Search
⢠Objective: To determine if common clinical variables can predict increased length of stay (LOS) in patients over 50 years of age with fall-related hip fracture. ⢠Methods: We retrospectively analyzed the records of 183 consecutive patients 50 years or older admitted with hip fracture to a 750-bed teaching hospi...
0
The use of isolated patellar prostheses in Sweden 1977-1986
Surgical Management of Osteoarthritis of the Knee CPG
During 1977 to 1986, 106 patients had isolated patellar prostheses, with both patellar and femoral components, inserted in 20 different hospitals in Sweden. At follow up, 7 years (range 3 to 14 years) after operation, 9 patients had died so that 97 patients with operations on 113 knees were included in this study. Thir...
1
A comparison of the use and non-use of closed suction wound drainage in open reduction and internal fixation of femoral shaft fractures
DoD SSI (Surgical Site Infections)
PURPOSE: The aim of this study was to determine if the routine use of closed suction wound drainage is justified following open reduction and internal fixation (ORIF) of femoral shaft fractures. METHOD: This was a prospective comparative study of two study groups: those with post-operative closed suction drainage (WCSD...
0
Can distal radius or vertebra fractures due to low-energy trauma be a harbinger of a hip fracture?
Distal Radius Fractures
OBJECTIVES: This study aims to investigate whether or not low-energy distal radius or vertebra fractures are harbingers of hip fracture. PATIENTS AND METHODS: A total of 142 patients had surgical treatment due to hip fracture in our clinic between February 2013 and January 2017. The patients had low-energy fractures be...
1
The direct anterior approach in hemiarthroplasty for displaced femoral neck fractures
Management of Hip Fractures in the Elderly
PURPOSE: Hip replacement is the most common treatment for displaced femoral neck fractures in the elderly, and minimally invasive surgery is popular in the field of orthopaedic surgery. This study evaluated the outcome of monopolar hemiarthroplasty by the direct anterior approach over a postoperative period up to 2.5 y...
1
Link Between Positive Clinician-Conveyed Expectations of Treatment Effect and Pain Reduction in Knee Osteoarthritis, Mediated by Patient Self-Efficacy
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: A prior knee osteoarthritis (OA) trial found that provider-conveyed expectations for treatment success were associated with pain improvement. We hypothesized this relationship was mediated by patient self-efficacy, since expectations of improvement may enhance one's ability to control health behaviors, and t...
0
Fast 3D Isotropic Proton Density-Weighted Fat-Saturated MRI of the Knee at 1.5 T with Compressed Sensing: Comparison with Conventional Multiplanar 2D Sequences
AMP (Acute Meniscal Pathology)
PURPOSE: Compressed sensing (CS) is a method to accelerate MRI acquisition by acquiring less data through undersampling of k-space. In this prospective study we aimed to evaluate whether a three-dimensional (3D) isotropic proton density-weighted fat saturated sequence (PDwFS) with CS can replace conventional multidirec...
0
Fixation using alternative implants for the treatment of hip fractures (FAITH-2): Design and rationale for a pilot multi-centre 2 × 2 factorial randomized controlled trial in young femoral neck fracture patients
DoD SSI (Surgical Site Infections)
Background: Femoral neck fractures in patients . 60 years of age are often very different injuries compared to low-energy, hip fractures in elderly patients and are difficult to manage because of inherent problems associated with high-energy trauma mechanisms and increased functional demands for recovery. Internal fixa...
0
Changes in femur neck bone density in US adults between 1988-1994 and 2005-2008: demographic patterns and possible determinants
Management of Hip Fractures in the Elderly
SUMMARY: This analysis compares femur neck bone mineral density (FNBMD) and bone determinants in adults between National Health and Nutrition Examination Survey (NHANES) III (1988-1994) and NHANES 2005-2008. FNBMD was higher in NHANES 2005-2008 than in NHANES III, but between-survey differences varied by age, sex, and ...
1
Trajectory of self-reported pain and function and knee extensor muscle strength in young patients undergoing arthroscopic surgery for meniscal tears: A systematic review and meta-analysis
AMP (Acute Meniscal Pathology)
OBJECTIVES: To investigate the trajectory of patient reported pain and function and knee extensor muscle strength over time in young individuals undergoing arthroscopic meniscal surgery. DESIGN: Systematic review and meta-analysis METHODS: Six databases were searched up to October 13th, 2016. PATIENTS AND INTERVENTION:...
0
A comprehensive microbiological evaluation of fifty-four patients undergoing revision surgery due to prosthetic joint loosening
PJI DX Updated Search
The diagnosis of a chronic prosthetic joint infection (PJI) is challenging, and no consensus exists regarding how best to define the criteria required for microbiological identification. A general view is that culture of periprosthetic biopsies suffers from inadequate sensitivity. Recently, molecular analyses have been...
0
Restless Legs Syndrome in a Nigerian Elderly Population
DoD PRF (Psychosocial RF)
STUDY OBJECTIVES: The prevalence of restless legs syndrome (RLS) is highest in the elderly in Caucasian populations; the prevalence of RLS in elderly Africans is not known. This study aimed at determining the frequency and associations of RLS in a Nigerian elderly population. METHODS: The study population comprised of ...
0
High Bilateral Amputations and Dismounted Complex Blast Injury (DCBI)
DoD SSI (Surgical Site Infections)
High, combat-related bilateral lower extremity amputations rarely occur in isolation. Dismounted complex blast injury is a devastating and life-threatening constellation of multisystem injuries most commonly due to dismounted contact with improvised explosive devices. Rapid damage control resuscitation and surgery are ...
0
Surgical techniques to improve cannulation of hemodialysis vascular access
Panniculectomy & Abdominoplasty CPG
OBJECTIVE: Successful access cannulation is of utmost importance for adequate hemodialysis treatment. Upper arm fistulae, obesity and deep or tortuous veins may impair needling and can cause significant complications and inconvenience for the patient. In the ultimate case, cannulation problems lead to temporary central...
0
Human adipose-derived mesenchymal stem cells for osteoarthritis: a pilot study with long-term follow-up and repeated injections
OAK 3 - Non-arthroplasty tx of OAK
AIM: This study aimed to evaluate the safety and therapeutic potential of autologous human adipose-derived mesenchymal stem cells (haMSCs) in patients with osteoarthritis. MATERIALS & METHODS: Safety and efficacy of haMSCs were preclinically assessed in vitro and in BALB/c-nu nude mice. 18 patients were enrolled and di...
0
Intramedullary nailing technique and its effect on union rates of tibial shaft fractures
DOD - Acute Comp Syndrome CPG
Seventy tibial shaft fractures treated by intramedullary nailing using two different techniques were compared. The first group (35 cases) was treated with a Herzog intramedullary nail following hand reaming and minimal traction. The second group (35 cases) had a Grosse and Kempf or AO nail inserted following power ream...
1
Perioperative vitamin D levels correlate with clinical outcomes after ankle fracture fixation
DoD SSI (Surgical Site Infections)
INTRODUCTION: Hypovitaminosis D is common in patients undergoing orthopaedic trauma surgery. While previous studies have shown that vitamin D levels correlate with functional outcome after hip fracture surgery, the significance of vitamin D levels on outcomes after surgery in other orthopaedic trauma patients is unknow...
0
Development of a standardized process improvement protocol to address elevated health care-associated infection rates on an incented quality scorecard
PJI DX Updated Search
This practice forum report details a standardized improvement process that was created both to improve patient outcomes related to various hospital-acquired infections and to address leadership concerns related to incented qua BJC Learning Institutear retrospective review identified common issues to guide future interv...
0
Mineralocorticoid receptor antagonists
Reduction Mammoplasty for Female Breast Hypertrophy
With an increasingly aging population, the need for effective treatment of cardiovascular diseases (eg, heart failure, hypertension, and ischemic heart disease) cannot be overemphasized. The vital importance of mineralocorticoid receptor antagonists for treating cardiovascular conditions has only been appreciated in th...
1
Group B streptococcal prosthetic joint infections: a retrospective study of 30 cases
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
OBJECTIVE: To describe the epidemiological, clinical, and laboratory characteristics of patients with group B streptococcal (GBS) prosthetic joint infections, their diagnoses, treatment, and long-term outcomes. METHODS: We conducted a retrospective cohort study including all patients hospitalized from January 1994 thro...
1
Endocrine-Metabolic Response in Patients Undergoing Multiple Body Contouring Surgeries After Massive Weight Loss
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The endocrine-metabolic response to trauma is directly related to its magnitude, but little is known about the adverse effects of combined surgical procedures on morbidity. OBJECTIVES: The authors sought to evaluate risk factors by measuring the endocrine-metabolic response in patients who underwent multipl...
0
Meniscal pathology and osteoarthritis of the knee
AMP (Acute Meniscal Pathology)
The relationship between meniscal tearing and degenerative joint disease was studied by macroscopic examination of 115 knees at necropsy. The incidence of meniscal pathology was 57 per cent. There was no overall difference in the severity and distribution of tibiofemoral degeneration, whether the meniscus was torn or n...
0
Who is lost to followup?: a study of patients with distal radius fractures
Distal Radius Fractures
Distal radius fractures are the most common upper extremity fracture, representing one-sixth of all fractures treated in emergency departments nationwide. Beyond the initial reduction and immobilization of these fractures, providing proper followup to ensure maintenance of the reduction and identify complications is ne...
0
Arthroscopic management of intra-articular low-velocity gunshot wounds of the knee
DoD SSI (Surgical Site Infections)
This article reports on the arthroscopic management of intra-articular low-velocity gunshot wounds. Thirteen (12 men and 1 woman) patients comprised the study population treated over a 5-year period. All patients underwent arthroscopy within 24 hours of injury. Four patients had additional limited arthrotomies for inte...
1
Rehabilitation protocols in unstable trochanteric fractures treated with cephalomedullary nails in elderly: current practices and outcome
Hip Fx in the Elderly 2019
BACKGROUND: Optimal rehabilitation treatment after surgery for fixation of unstable trochanteric fractures is challenging in elderly patients. PURPOSE: The objective of this study is to analyse the existing literature on available rehabilitation protocols with regards to permitting or restricting early weight bearing f...
0
Retention treatment after periprosthetic total hip arthroplasty infection
PJI DX Updated Search
PURPOSE: The purpose of this study was to compare infection control rates between implant retention and two-stage revision and assess the effectiveness of retention treatment in THA. METHODS: Twenty-eight debridements with implant retention (retention group) and 65 staged revisions (removal group) were retrospectively ...
0
Adamantinoma of long bones: a long-term follow-up study of 11 cases
MSTS 2022 - Metastatic Disease of the Humerus
The aim of this study was to evaluate the clinicopathological features and prognostic significances of 11 histologically proven adamantinoma cases based on an average 12,7 year long follow-up. The male: female ratio was 8:3, aged between 4 and 80 years (mean 29,3 years). The initial diagnosis at referral was other than...
0
Reduction of spasticity in cerebral palsy by anodal transcranial direct current stimulation
Pediatric Supracondylar Humerus Fracture 2020 Review
Objective: To evaluate the anti-spasticity effects of anodal transcranial direct current stimulation (tDCS) in individuals with spastic cerebral palsy (CP). Material and Method: Forty-six children and adolescents with cerebral palsy were randomly assigned to either active (1 mA anodal) or sham (placebo) tDCS over the l...
0
Treatment with Huisheng oral solution inhibits the development of pulmonary thromboembolism and metastasis in mice with Lewis lung carcinoma
MSTS 2018 - Femur Mets and MM
The aim of this study was to investigate whether Huisheng oral solution (HSOS) has an inhibitory effect on the development of pulmonary thrombosis and metastasis in mice with Lewis lung carcinoma (LLC), and to explore the possible mechanisms involved. A mouse model of LLC was developed, and model mice were divided into...
0
The use of clodronate in multiple myeloma
MSTS 2018 - Femur Mets and MM
Bone metastases secondary to myeloma, are characterized by severe bone pain, pathological fractures, hypercalcaemia and hypercalciuria. Histological and biochemical investigations have shown a wide spectrum of abnormalities in bone turnover in patients with multiple myeloma. The increased osteoclast activity caused by ...
0
Denosumab
MSTS 2018 - Femur Mets and MM
Denosumab is an anti-receptor activator of nuclear factor (NF)-kappaB (RANK) ligand human monoclonal antibody studied as a treatment for postmenopausal osteoporosis (PMO) and bone destruction due to rheumatoid arthritis (RA) or metastatic cancers. As of February 2009, the candidate was undergoing US Food and Drug Admin...
1
Internal screw fixation compared with bipolar hemiarthroplasty for treatment of displaced femoral neck fractures in elderly patients
Management of Hip Fractures in the Elderly
BACKGROUND: Internal fixation and arthroplasty are the two main options for the treatment of displaced femoral neck fractures in the elderly. The optimal treatment remains controversial. Using data from the Norwegian Hip Fracture Register, we compared the results of hemiarthroplasty and internal screw fixation in displ...
0
Developing the Thai Siriraj Psoriatic Arthritis Screening Tool and validating the Thai Psoriasis Epidemiology Screening Tool and the Early Arthritis for Psoriatic Patients questionnaire
OAK 3 - Non-arthroplasty tx of OAK
To validate the Thai language version of the Psoriasis Epidemiology Screening Tool (PEST) and the Early Arthritis for Psoriatic Patients Questionnaire (EARP), as well as also to develop a new tool for screening psoriatic arthritis (PsA) among psoriasis (Ps) patients. This was a cross-sectional study. Ps patients visiti...
0
Evaluation of the knee joint morphology associated with a complete discoid lateral meniscus, as a function of skeletal maturity, using magnetic resonance imaging
AMP (Acute Meniscal Pathology)
INTRODUCTION: A discoid lateral meniscus (DLM) is associated with increased risk for meniscal tears and progression of knee joint osteoarthritis. Our aim was to differentiate knee joint morphology between patients with and without a DLM, as a function of skeletal maturity, using magnetic (MR) imaging. MATERIALS AND MET...
0
Improving the outcomes: Developing cancer therapeutics
MSTS 2018 - Femur Mets and MM
Oncology therapeutics are less likely to reach the market than other therapeutics, at a higher cost, and only approximately one in ten cancer drugs in clinical development actually reach the market. To improve, there need to be new approaches to oncology research and development, based on understanding cancer biology a...
0
Associations of varus thrust and alignment with pain in knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To investigate associations of varus thrust and varus static alignment with pain in patients with knee osteoarthritis (OA). METHODS: This was a cross-sectional study of participants from a randomized controlled trial of vitamin D treatment for knee OA. Participants were video recorded while walking and score...
0
Central pedicled breast reduction technique in male patients after massive weight loss
Reduction Mammoplasty for Female Breast Hypertrophy
Male patients after massive weight loss often suffer from redundant skin and soft tissue in the anterior and lateral chest region, causing various deformities of pseudogynecomastia. Techniques with free or pedicled nipple-areola complex (NAC) transposition are widely accepted. The authors present their approach to male...
0
Hip fractures: A review of predictors affecting Functional Independence Measure, ambulation and rehabilitation length of stay during inpatient rehabilitation in Singapore General Hospital
Hip Fx in the Elderly 2019
Osteoporotic hip fractures receiving surgery are common and early rehabilitation is needed in the acute hospital setting. In Singapore, many receive rehabilitation after hip surgery in a tertiary hospital, and various clinical variables may be predictors of functional outcomes. Methods: We retrospectively reviewed 68 p...
0
Fluoroscopic evaluation of contrast distribution within the adductor canal
AAHKS (9/10) Regional Nerve Blocks
Background and Objectives: This case series assesses the in vivo spread of contrast within the adductor canal in subjects who recently underwent a total knee arthroplasty. A previous analysis of profound leg weakness with a continuous adductor canal revealed contrast spread from the adductor canal to the femoral triang...
0
A comparison of hip fracture incidence rates among elderly in Sweden by latitude and sunlight exposure
Hip Fx in the Elderly 2019
BACKGROUND: Research has shown that hip fracture risk increases with latitude; hypothetically due to reduced sunlight exposure and its effect on bone quality. Sweden, with large differences in latitude and UV radiation, is ideal to study in order to analyse the association between latitude and UV radiation on age- and ...
0
Complications of pelvic ring fixation in patients requiring laparotomy
DoD SSI (Surgical Site Infections)
BACKGROUND: Pelvic ring disruptions in blunt trauma are rarely an isolated finding. Many individuals needing operative pelvic fixation also require laparotomy for other injuries. Pelvic fixation can be performed by open reduction and internal fixation (ORIF) or external fixation (Ex-fix). Often when a laparotomy incisi...
0
Parathyroid lipoadenomas: a rare cause of primary hyperparathyroidism
Management of Hip Fractures in the Elderly
OBJECTIVE: To review one institution's experience with parathyroid lipoadenomas and to report the associated clinical characteristics. METHODS: We present a case series of parathyroid lipoadenomas. A parathyroid lipoadenoma was defined as a single adenoma with more than 50% fat on histologic examination in conjunction ...
1
Outcomes of high-grade open calcaneus fractures managed with open reduction via the medial wound and percutaneous screw fixation
DoD SSI (Surgical Site Infections)
OBJECTIVE: To determine the clinical and functional outcomes of high-grade (types II and III) open calcaneus fractures managed with a protocol of modern wound care, open reduction via the medial hindfoot wound, and percutaneous screw fixation. DESIGN: Retrospective clinical series of consecutively treated patients. SET...
0
A new suction cannula
Panniculectomy & Abdominoplasty CPG
A new cannula has been designed that facilitates liposuction procedures by increasing the amount of fat tissue breakdown before aspiration. The cannula allows for greater application and opens up new horizons in aspirative surgery.
0
Participation after Stroke and Traumatic Brain Injury: Results of a Pilot Study in Outpatient Neurorehabilitation in Vorarlberg
DoD PRF (Psychosocial RF)
Objective A multicentric study has reported on the sustained effects of outpatient neurorehabilitation in Germany. Different to Germany, the biopsychosocial model of disability, as described in the International Classification of Functioning, Disability and Health (published by the World Health Organization), is not in...
0
Eighty Percent Survival of Resurfacing Implants in the Knee After 10 Years: A Nationwide Cohort Study on 379 Procedures from the Danish Knee Arthroplasty Registry
AMP (Acute Meniscal Pathology)
Objective: Focal cartilage injuries are debilitating and difficult to treat. Biological cartilage repair procedures are used for patients younger than 40 years, and knee arthroplasties are generally reserved for patients older than 60 years. Resurfacing implants are well suited for patients in this treatment gap. The o...
0
Modern proximally tapered uncemented stems can be safely used in dorr type c femoral bone
PJI DX Updated Search
Cementless femoral fixation has become widely accepted in modern total hip arthroplasty. Treating patients who have a stovepipe-shaped femur (Dorr type C) with cementless implants has traditionally been challenging. We treated 53 consecutive patients (60 hips) who had type C bone with identical tapered, proximally coat...
0
Prognostic factors for surgical outcomes including preoperative total knee replacement and knee osteoarthritis status in female patients with lumbar spinal stenosis
PJI DX Updated Search
Study Design: A retrospective clinical case series. Objective: To investigate knee osteoarthritis (KOA) and total knee replacement (TKR) status as prognostic factors for surgical outcomes in female patients with lumbar spinal stenosis (LSS). Summary of Background Data: There have been many reports on numerous prognosti...
0
Nerve blocks for knee arthroplasty at queen elizabeth hospital (QEH), king's lynn-an audit of current practice
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: Role of femoral nerve block in knee arthroplasty is well established but evidence for sciatic block is weak.1 QEH practices combined femoral and sciatic blocks for knee arthroplasty. This audit aimed to observe the post-operative course of patients, specifically looking at post-op analgesia, patien...
1
Clinical and MRI evaluation of meniscal tears repaired with bioabsorbable arrows
AMP (Acute Meniscal Pathology)
BACKGROUND AND AIMS: Excision of meniscal tissue has been shown to increase the risk of degenerative changes of the knee joint. Whenever possible, meniscus repair has become the procedure of choice for treatment of meniscal tears. MATERIALS AND METHODS: The present retrospective study evaluated the healing results of 7...
0
The clinical impact of preoperative body composition differs between male and female colorectal cancer patients
MSTS 2022 - Metastatic Disease of the Humerus
AIM: Patient body composition is an important indicator of metabolic status and is associated with cancer progression. Because body composition varies between men and women, we aimed to examine the difference in clinical impact of preoperative body composition according to sex. METHOD: We used an integrated dataset of ...
1
Safety and Efficacy of Operative Versus Nonsurgical Management of Distal Radius Fractures in Elderly Patients: A Systematic Review and Meta-analysis
Distal Radius Fractures
PURPOSE: To assess the safety and efficacy of operative versus nonsurgical treatment of distal radius fractures in elderly patients. METHODS: We comprehensively searched the PubMed, Web of Science, and Cochrane Library databases for studies that satisfied predetermined inclusion and exclusion criteria. Outcomes of inte...
1
Bone and muscle mass after femoral neck fracture. A controlled quantitative computed tomography study of osteosynthesis versus primary total hip arthroplasty
Hip Fx in the Elderly 2019
The cortical bone mineral density (BMD), bone volume, bone mass and muscle volume of the thigh, and the BMD of the distal femur and proximal tibia were measured quantified by quantitative computed tomography (QCT) after an operation for a displaced femoral neck fracture. Twenty patients were randomized to osteosynthesi...
1
Opportunities for i.v. to oral switch in the management of infections: the role of quinolones
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Quinolones are an important group of drugs for the oral treatment of severe infections. We have shown that in patients with bacteremia the serum levels of fleroxacin are high enough to treat Gram-negative infections with one single oral dose per day. Thus for severe, quinolone-sensitive infections, such as bacteremic p...
1
Outcomes of levator resection at tertiary eye care center in Iran: a 10-year experience
Upper Eyelid and Brow Surgery
PURPOSE: To assess outcomes of levator resection for the surgical correction of congenital and acquired upper lid ptosis in patients with fair to good levator function and evaluation of the relationship between demographic data and success of this operation. METHODS: In a retrospective study, medical records of patient...
1
Does a delay in transfer to a rehabilitation unit for older people affect outcome after fracture of the proximal femur?
Management of Hip Fractures in the Elderly
AIMS: To detemine the relationship between delay in transfer to rehabilitation wards and outcome for patients aged over 75 years with fracture of the proximal femur. METHODS: An observational study in a district general hospital of all patients admitted to hospital aged over 75 years with fracture of the proximal femur...