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0 | Exploring drug delivery systems for treating osteoporosis | MSTS 2018 - Femur Mets and MM | Introduction: Osteoporosis (OP) is a major disease in elderly people; its complications and prevalence are rapidly increasing worldwide. It is associated with high fragility fracture mainly of hip, wrist and spine. With the rising lifespan worldwide, the number of hip fractures throughout globe will rise from 1.66 mill... |
0 | Complications in the Management of Distal Radius Fractures: How Do We Avoid them? | Distal Radius Fractures | PURPOSE OF THIS REVIEW: Distal radius fractures are one of the most common fractures in the upper extremity. The purpose of this review is to outline common complications that may arise when caring for distal radius fractures and to describe the treatment strategies when faced with such complications.
RECENT FINDINGS: ... |
0 | A patient-specific model of the biomechanics of hip reduction for neonatal Developmental Dysplasia of the Hip: Investigation of strategies for low to severe grades of Developmental Dysplasia of the Hip | Developmental Dysplasia of the Hip 2020 Review | A physics-based computational model of neonatal Developmental Dysplasia of the Hip (DDH) following treatment with the Pavlik Harness (PV) was developed to obtain muscle force contribution in order to elucidate biomechanical factors influencing the reduction of dislocated hips. Clinical observation suggests that reducti... |
0 | Literature-guided recommendations for otolaryngologists during the COVID-19 pandemic: A contemporary review | Coronavirus Disease 2019 (COVID-19) | Objective: The objective of this study was to review the current literature and guidelines on management of the novel coronavirus 2019 (COVID-19 or 2019nCoV) with respect to the field of Otolaryngology. Design: Contemporary literature review. Methods: Systematic literature review of global medical literature databases ... |
0 | Pseudoaneurysm of the distal thigh after manipulation of a total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | The authors describe a unique complication after manipulation of a stiff total knee arthroplasty in a 47-year-old man. Four days after undergoing manipulation under anesthesia (MUA), the patient presented with increasing pain and swelling of the affected knee and decreased hemoglobin/hematocrit. Computed tomographic an... |
0 | Hip fractures: a future epidemic? | Management of Hip Fractures in the Elderly | Recent studies from the United Kingdom and Sweden have demonstrated a dramatic rise in the number of people with hip fractures. It is our hypothesis that New Zealand is experiencing a similar rise in the number of hip fractures. The number of elderly people (over age 65 years) admitted to public hospitals in New Zealan... |
0 | Performance of comorbidity measures for predicting outcomes in population-based osteoporosis cohorts | Management of Hip Fractures in the Elderly | The performance of five comorbidity measures, including the Charlson and Elixhauser indices, was investigated for predicting mortality, hospitalization, and fracture outcomes in two osteoporosis cohorts defined from administrative databases. The optimal comorbidity measure depended on the outcome of interest, although ... |
0 | Quality assurance and adverse event management in regenerative medicine for knee osteoarthritis: Current concepts | PRP (Platelet-Rich Plasma) | The economic and human cost of knee osteoarthritis is forecast to increase. This will impact not only aging individuals, but also the working age members of emerging economies. The current treatment pathways are often costly, time-consuming, and insufficient to manage the degeneration of the knee over the ever-increasi... |
0 | Inner ear and facial nerve complications of acute otitis media, including vertigo | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Acute otitis media is one of the most common diagnoses made in children in the United States. Intracranial and extracranial (intratemporal) complications have greatly decreased in the antibiotic era, but still remain a challenge when they arise. This article addresses two intratemporal complications with significant as... |
0 | Effect of high body mass index on knee muscle strength and function after anterior cruciate ligament reconstruction using hamstring tendon autografts | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Increased body mass index (BMI) has been associated with poorer function in patients who have undergone anterior cruciate ligament (ACL) reconstruction. However, the effect of high BMI on muscle strength in these patients remained unclear. The current study aimed to compare knee muscle strength and Knee inj... |
0 | Biomechanical robustness of a new proximal epiphyseal hip replacement to patient variability and surgical uncertainties: A FE study | Management of Hip Fractures in the Elderly | The biomechanical behaviour of current hip epiphyseal replacements is notably sensitive to the typical variability of conditions following a standard surgery. The aim of the present study was to assess the biomechanical robustness to the variability of post-operative conditions of an innovative proximal epiphyseal repl... |
0 | Influence of refractive correction on peripheral visual field in static perimetry | Upper Eyelid and Brow Surgery | PURPOSE: To determine the influence of refractive errors on peripheral visual field thresholds in automated static perimetry. METHODS: In 47 subjects (age 16-49 years), the difference of perimetric thresholds was tested in the peripheral visual field without and with contact lens correction, using a custom-made program... |
0 | Review of 65 cases of infective endocarditis in Dunedin Public Hospital | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND AND AIM: Infective endocarditis remains a challenging disease to manage. The objective of this study was to evaluate the management of patients diagnosed with infective endocarditis presenting to a regional hospital. METHODS: During the years 1997 to 2002, 65 episodes of bacterial endocarditis in 62 patients... |
0 | Salivary levels of immunoglobulin A in triathletes | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We investigated whether the physical exercise of an olympic distance triathlon affected the salivary IgA excretion of triathletes, as a biomarker for mucosal immune defence. 42 triathletes participated in the study. It was found that the salivary flow rate was decreased significantly after the race, thereby resulting i... |
0 | Developmental origins of osteoporosis: the role of maternal nutrition | Management of Hip Fractures in the Elderly | Osteoporosis is a major cause of morbidity and mortality through its association with age-related fractures. Although most effort in fracture prevention has been directed at retarding the rate of age-related bone loss, and reducing the frequency and severity of trauma among elderly people, evidence is growing that peak... |
0 | Is the physician office of the wild, wild west of health care? | Panniculectomy & Abdominoplasty CPG | Elective, office-based surgery has captured the interest of consumers and, more recently, the attention of state health care regulatory agencies. In most states today, patients can undergo cosmetic surgery, liposuction, endoscopy, colonoscopy, microlaparoscopy, and various other procedures requiring sedation or anesthe... |
0 | Comparison between 1-hour and 24-hour drain clamping using diluted epinephrine solution after total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | A prospective study was conducted to determine the optimal clamping time in the drain-clamping method after total knee arthroplasty. In a randomized trial, 44 primary total knee arthroplasties were studied after the drain-clamping method using diluted epinephrine solution was applied for 1 hour or 24 hours. The mean bl... |
1 | Concomitant factors leading to an atypical osteonecrosis of the jaw in a patient with multiple myeloma | MSTS 2018 - Femur Mets and MM | Osteonecrosis of the jaw (ONJ) is a site specific osseous pathology, characterized by chronic exposed bone in the mouth, which needs to be reinforced periodically within the medical literature. ONJ is a clinical entity with many possible aetiologies and its pathogenesis is not well understood. The risk factors for ONJ ... |
0 | Minimally invasive unicondylar arthroplasty: eight-year follow-up | Surgical Management of Osteoarthritis of the Knee CPG | This retrospective study reports the senior author's (J.A.R.) results with minimally invasive unicondylar knee arthroplasty (UKA). A total of 136 UKAs were performed in 1992 for the treatment of unicondylar osteoarthrosis. The surgical technique involves a limited medial parapatellar incision that reduces perioperative... |
0 | Incidence and risk factors of delirium in the elderly general surgical patient | Hip Fx in the Elderly 2019 | Background This study evaluates the incidence of delirium and risk factors associated with delirium in elderly patients admitted to a general surgical ward. Methods Patients aged over 60 years who were admitted with an acute or elective general surgical diagnosis were eligible for this prospective cohort study. Risk fa... |
0 | Segmental fractures of the tibia treated by circular external fixation | PJI DX Updated Search | We have carried out a retrospective review of 20 patients with segmental fractures of the tibia who had been treated by circular external fixation. We describe the heterogeneity of these fractures, their association with multiple injuries and the need for multilevel stability with the least compromise of the biology of... |
0 | Does ifosfamide therapy improve survival of patients with dedifferentiated chondrosarcoma? | MSTS 2022 - Metastatic Disease of the Humerus | Background: Dedifferentiated chondrosarcoma remains a significant therapeutic challenge. Studies performed to date have not identified efficacious chemotherapy regimens for this disease. Questions/purposes: We sought to (1) evaluate the disease-specific survival at 2 and 5 years of patients with dedifferentiated chondr... |
0 | Anaerobes in the upper respiratory tract in infancy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Development of the indigenous microbiota begins on the surfaces of the human body after birth when infants are exposed to continuous person-to-person and environmental contacts with microbes. Anaerobes constitute a significant part of indigenous bacterial communities at different body sites. Pioneering anaerobic commen... |
0 | Combined Fractures of the Scaphoid and Distal Radius: Evaluation of Early Surgical Fixation (21 Patients with 22 Wrists) | Distal Radius Fractures | <b>Introduction</b> The purpose of this retrospective study, is to evaluate the clinical and functional results of early surgical fixation of the ipsilateral distal radius and scaphoid fractures in 22 of 21 patients. <b>Patients and |
0 | Review of the long-term disability associated with hip fractures | HipFx Supplemental Cost Analysis | OBJECTIVES: To determine the proportion of hip fracture patients who experience long-term disability and to re-estimate the resulting burden of disease associated with hip fractures in Australia in 2003. METHODS: A literature review of the functional outcome following a hip fracture (keywords: morbidity, treatment outc... |
0 | Low rate of Propionibacterium acnes in arthritic shoulders undergoing primary total shoulder replacement surgery using a strict specimen collection technique | Glenohumeral Joint OA | BACKGROUND: Propionibacterium acnes is a recognized pathogen in postoperative shoulder infections. A recent study reported growth of P acnes in 42% of glenohumeral joints in primary shoulder arthroplasty, concluding that P acnes may cause shoulder osteoarthritis. Whether these results reflect true bacterial infection o... |
0 | "Salvage Microbiology": Detection of Bacteria Directly from Clinical Specimens following Initiation of Antimicrobial Treatment | Surgical Management of Osteoarthritis of the Knee CPG | Background:PCR coupled with electrospray ionization mass spectrometry (ESI-MS) is a diagnostic approach that has demonstrated the capacity to detect pathogenic organisms from culture negative clinical samples after antibiotic treatment has been initiated. [1] We describe the application of PCR/ESI-MS for detection of b... |
0 | Clinical outcomes and quality of life after total hip arthroplasty in adult patients with a history of infection of the hip in childhood: a mid-term follow-up study | Hip Fx in the Elderly 2019 | BACKGROUND: Total hip arthroplasty for adult patients with a history of infection of the hip in childhood could be a more technically demanding procedure due to complicated anatomy and the possibility of reinfection. Here, we conducted a mid-term analysis of clinical outcomes in such patients after primary cementless t... |
0 | Effect of Lateral Gutter Osteophyte Resection on Correction of Varus Deformity in Arthroscopic Ankle Arthrodesis | OAK 3 - Non-arthroplasty tx of OAK | Background: Recently, arthroscopic ankle arthrodesis has been performed for moderate-to-severe varus-deformed ankle osteoarthritis. However, the effect of osteophyte resection in the lateral gutter in arthroscopic ankle arthrodesis has not been clarified. We hypothesized that a varus-deviated ankle with lateral gutter ... |
0 | Mortality and rehabilitation following hip fracture. A study of 202 elderly patients | Management of Hip Fractures in the Elderly | We retrospectively analyzed 202 patients admitted between 1990 and 1994 with femoral neck or trochanteric fracture. The age of the patients ranged between 52 and 95 years and all 202 patients were surgically managed, with either screw fixation, screw and plate fixation or hemiarthroplasty, depending upon the fracture t... |
1 | The influence of anesthetic techniques on postoperative cognitive function in elderly patients undergoing hip fracture surgery: General vs spinal anesthesia | Hip Fx in the Elderly 2019 | BACKGROUND: Hip fracture is common and morbid in elderly patients. Postoperative cognitive dysfunction (POCD) is also very common in these subjects undergoing surgery with an incidence which exceeds 40% in some reports. To date, the evidence is ambiguous as to whether anesthetic technique may affect the patients' outco... |
0 | Revision total hip arthroplasty with a modular cementless femoral stem | Hip Fx in the Elderly 2019 | We retrospectively reviewed 123 patients who underwent cementless THA with modular femoral stem designs for revision THA or conversion of failed ORIF and found 75 patients available for analysis. The Harris Hip Score (HHS) improved from 52 +/- 14 to 86 +/- 11 (P < 0.001). The femoral stem was re-revised in eight patien... |
1 | Role of Periarticular Liposomal Bupivacaine Infiltration in Patients Undergoing Total Knee Arthroplastyâ??A Meta-analysis of Comparative Trials | AAHKS (9/10) Regional Nerve Blocks | Background Over last 2 years, many trials have evaluated newly approved liposomal bupivacaine for periarticular infiltration in total knee arthroplasty (TKA) with mixed results. Our meta-analysis attempts to consolidate the results and make evidence-based conclusions. Methods Trails comparing periarticular infiltration... |
1 | Application of damage control orthopedics in 41 patients with severe multiple injuries | DoD SSI (Surgical Site Infections) | OBJECTIVE: To probe the feasibility and efficacy of damage control orthopedics (DCO) in treating severe multiple injuries.
METHODS: A retrospective analysis was made on the clinical data of 41 patients (31 males and 10 females, aged 18-71 years, mean: 36.4) with multiple injuries admitted to our department and treated ... |
0 | Prosthetic joint infection due to Mycobacterium tuberculosis: report of three cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Prosthetic joint infection due to Mycobacterium tuberculosis is uncommon. We describe three patients with delayed tuberculous prosthetic joint infection and review the eight other cases reported in the English-language literature. Infection results from local reactivation, which can occur up to 40 years after the initi... |
0 | N<sup>6</sup> -methyladenosine-modified circRNA RERE modulates osteoarthritis by regulating beta-catenin ubiquitination and degradation | AMP (Acute Meniscal Pathology) | OBJECTIVES: N<sup>6</sup> -methyladenosine (m6A) is one of the most abundant internal RNA modifications. We investigated the role of m6A-modified circRERE in osteoarthritis (OA) and its mechanism.
MATERIALS AND METHODS: CircRERE and IRF2BPL were screened by microarrays. The role of m6A-modification in circRERE was exam... |
0 | Vascular complications in orthopaedic patients treated by orthopaedic microsurgeons | Management of Hip Fractures in the Elderly | Over a 20 year period, five patients experienced serious vascular complications involving major arterial insult during various routine orthopaedic procedures. The nature of the vascular damage necessitated immediate surgical repair which was performed successfully by an orthopaedic microsurgeon who was either a member ... |
0 | A predictable outcome of a preventable disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infective endocarditis is a systemic illness that can present with a variety of non-specific clinical symptoms. Patients with certain underlying heart valve abnormalities are at increased risk for development of infective endocarditis while undergoing minor procedures, particularly those associated with bacteremia by p... |
1 | Simultaneous bilateral total knee arthroplasties: Who decides? | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of the current retrospective review was to compare the results of 1498 patients having 1090 simultaneous bilateral total knee arthroplasties and 958 unilateral total knee arthroplasties in a 3-year period, focusing on perioperative complications, length of hospital stay, and discharge disposition. Gender, a... |
0 | Popliteal Pseudoaneurysm After Total Knee Arthroplasty Secondary to Intraoperative Arterial Injury With a Surgical Pin. Review of the Literature | Surgical Management of Osteoarthritis of the Knee CPG | Pseudoaneurysms of the popliteal artery after total knee arthroplasty are rare. Although many possible explanations are proposed in the literature, no intimate mechanism of injury to the artery is previously described. We report on a case of popliteal pseudoaneurysm after a total knee arthroplasty that presented clinic... |
1 | The influence of three-dimensional computed tomography images of the shoulder in preoperative planning for total shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: Arthritic changes to glenoid morphology can be difficult to fully characterize on both plain radiographs and conventional two-dimensional computer tomography images. We tested the hypothesis that three-dimensional imaging of the shoulder would increase inter-rater agreement for assessing the extent and loca... |
0 | Epidural and intravenous fentanyl infusions are clinically equivalent after knee surgery | Surgical Management of Osteoarthritis of the Knee CPG | The management of postoperative pain with continuous epidural fentanyl infusion was compared with continuous intravenous fentanyl infusion. In a randomized, doubleblind protocol we prospectively studied 20 patients undergoing repair of the anterior cruciate ligament of the knee. The quality of analgesia and the inciden... |
0 | Treating civilian gunshot wounds to the extremities in a level 1 trauma center: our experience and recommendations | DoD SSI (Surgical Site Infections) | BACKGROUND: Gunshot wounds impose a continuous burden on community and hospital resources. Gunshot injuries to the extremities might involve complex soft tissue, bone, vascular, musculotendinous, and nerve injuries. A precise knowledge of anatomy is needed to evaluate and treat those injuries.
OBJECTIVES: To review our... |
0 | Technique and results of external fixation of complex carpal injuries | Distal Radius Fractures | This article reviews the current indications and technique of external fixation of the wrist for complex carpal trauma. The results obtained in 24 consecutive patients with an average follow-up of 2.4 years are also presented. |
1 | Review: minimally invasive versus conventional dynamic hip screw fixation in elderly patients with intertrochanteric fractures: a systematic review and meta-analysis | Management of Hip Fractures in the Elderly | The classic dynamic hip screw fixation of intertrochanteric fractures may be associated with significant blood loss and soft tissue damage, which may worsen existing comorbidities of frail elderly patients. Recently, minimally invasive dynamic hip screw (MIDHS) technique was developed for osteosynthesis of intertrochan... |
0 | The history and evolution of percutaneous pinning of displaced distal radius fractures | Distal Radius Fractures | This article discusses the history and evolution of percutaneous pinning of displaced distal radial articular fractures. Six distinct methods are examined from an historical viewpoint, focusing on problems associated with each technique. The evolution of the Kapandji technique to include arum nuts and the Rayhack techn... |
0 | Management of an epidural abscess after continuous epidural catheter infusion | AMP (Acute Meniscal Pathology) | OBJECTIVE: To increase awareness of the possibility of epidural infection after continuous epidural infusion. Outline the salient diagnostic features of epidural infection. Outline a strategy to manage epidural infection and minimize morbidity.
SETTING: Academic multidisciplinary pain clinic.
PATIENT: A patient with a ... |
0 | Comparison of Two Multimodal Pain Regimens Used for Postoperative Pain Control in Total Joint Arthroplasty Patients | AAHKS (4) Acetaminophen | Postoperative pain control following total joint arthroplasty results in improved patient mobilization, participation in physical therapy, and potentially reduced hospital costs. It was hypothesized that using a multimodal pain protocol focusing on periarticular injections including liposomal bupivacaine would have imp... |
0 | Reconstructive vascular surgery and the extent of tissue damage due to diabetic foot ulcers relates to risk of new ulceration in patients with PAD | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: There is limited information regarding new ulceration following the healing of ischaemic foot ulcers in diabetic patients. Our aim is to study new ulcerations in the same foot as the previous ulcer(s) in patients with diabetes and severe peripheral artery disease (PAD). METHOD: Patients with diabetes and sev... |
0 | Five-year clinical, microbiological, and radiological outcome following treatment of peri-implantitis in man | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: The aim of this study was to evaluate the long-term outcome of a combined surgical and antimicrobial treatment of peri-implantitis lesions in humans. Methods: Nine partially dentate individuals with titanium implants demonstrating a marginal bone loss of (greater-than or equal to) three threads as compared ... |
1 | Tangential views of the articular surface of the distal radius-aid to open reduction and internal fixation of fractures | Distal Radius Fractures | Open reduction and internal fixation of comminuted, displaced intra-articular or potentially unstable fractures of the distal radius with plate and screws has increasingly become a favoured treatment. Intra-operative assessment of fixation with the help of an image intensifier has always been difficult because of the a... |
0 | What's ailing us? Prevalence and type of long-term disabilities among an insured cohort of orthodontists | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Occupational health risks are present in every profession. This article reviews 4 commonly mentioned conditions that might be health risks in orthodontics and dentistry--musculoskeletal problems, carpal tunnel syndrome, dermatoses and allergies, and psychosocial problems--and compares the reported prevalence rates with... |
0 | Preoperative pain, symptoms, and psychological factors related to higher acute pain trajectories during hospitalization for total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Objectives Unrelieved postoperative pain after total knee arthroplasty (TKA) is a significant problem. This longitudinal study investigated how preoperative pain intensity, as well as a comprehensive list of preoperative and perioperative factors, influenced the severity of acute average and worst pain after TKA. Metho... |
0 | The distal radial fracture in elderly women and the bone mineral density of the lumbar spine and hip | Distal Radius Fractures | The incidence of distal radial fractures in elderly women is high and is associated with osteoporosis and hip fracture. Osteoporosis can be detected by measuring the bone mineral density (BMD) of the lumbar spine or hip with dual energy X-ray absorptiometry. Low BMD of the lumbar spine or hip is a strong predictor for ... |
0 | Dermatologic manifestations of Sjogren syndrome | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Sjogren syndrome (SS) is a chronic autoimmune inflammatory disease that involves primarily the exocrine glands, resulting in their functional impairment. SS typically presents as dry eyes (xerophthalmia) and dry mouth (xerostomia). This process can manifest either as the independent phenomenon of primary SS... |
1 | Transient bacteremia induced by toothbrushing a comparison of the Sonicare toothbrush with a conventional toothbrush | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: Several investigations have demonstrated toothbrush-induced bacteremias. Transient bacteremias are well tolerated by healthy individuals but may increase endocarditis risk in patients with cardiac conditions. This study assessed bacteremia levels after brushing with either the Sonicare electric toothbrush or a... |
1 | Antimicrobial peptides and proinflammatory cytokines in periprosthetic joint infection | PJI DX Updated Search | BACKGROUND: Differentiation between septic and aseptic loosening of joint replacements is essential for successful revision surgery, but reliable markers for the diagnosis of low-grade infection are lacking. The present study was performed to assess intra-articular and systemic levels of antimicrobial peptides and proi... |
0 | Caregivers' misperception of the severity of hip fractures | Hip Fx in the Elderly 2019 | Purpose: The aim of our study was to evaluate how the caregiver of a hip fracture patient perceives the patient's health status and autonomy in the period immediately preceding the acute event and whether these judgments are actually in line with the prognosis predicted by the medical team caring for the patient in the... |
0 | Overview of diabetic foot; novel treatments in diabetic foot ulcer | DoD LSA (Limb Salvage vs Amputation) | Foot ulcers are one of the main complications in diabetes mellitus, with a 15% life time risk in all diabetic patients. The problem and features are infection, ulceration, or gangrene. Neuropathy, poor circulation, and susceptibility to infection are the three major contributors to the development of diabetic foot; whi... |
0 | Use of cyclical etidronate and prevention of non-vertebral fractures | Management of Hip Fractures in the Elderly | This study examined the effects of cyclical etidronate, when used in routine clinical practice, on the prevention of fracture. Information was obtained from 550 general practices in the UK that provide their medical records to the General Practice Research Database. A total of 7977 patients taking cyclical etidronate t... |
0 | Application of pedicle flaps for wound coverage of lower leg | DoD LSA (Limb Salvage vs Amputation) | This paper presents 11 clinical cases with soft tissue defect of lower leg and foot. The reconstructive surgery of the wounds involves 14 pedicle flaps: five of which are gastrocnemius; nine are sural flaps. The etiology of the defects is various: 6 of the patients are with deep burns of the lower limbs; 3 with deep fr... |
0 | The ratio of osteocytic incorporation to bone matrix formation in femoral neck cancellous bone: an enhanced osteoblast work rate in the vicinity of hip osteoarthritis | Management of Hip Fractures in the Elderly | Recently it has been shown that an inactivating mutation in the TGFb-SMAD3 signaling pathway, which increases the conversion of osteoblasts to osteocytes, is accompanied by bone loss combined with increased osteocyte density. We hypothesized that increased matrix TGFb, known to occur in osteoarthritis, might cause the ... |
0 | Reconstruction of large infected tibia defects | DoD SSI (Surgical Site Infections) | Twenty-nine patients are reported who underwent free tissue transfer reconstruction of contaminated tibia defects with both soft tissue defects and osteomyelitis. Infection was controlled through the use of a two-stage composite tissue reconstruction. In the first stage, the wounds were closed with the free muscle or s... |
1 | Impact of Shoulder Sonography on Clinical Decision Making | Trial Systematic Review Project | OBJECTIVES: To assess the impact of musculoskeletal shoulder sonography (US) on clinical decision making.
METHODS: This Health Insurance Portability and Accountability Act-compliant retrospective study received Institutional Review Board approval with a waiver of informed consent. Consecutive musculoskeletal shoulder U... |
0 | Endoscopic carpal tunnel release. Chow technique | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The first cases using the set of instruments designed by James C. Y. Chow, MD, of Mount Vernon, Illinois, were performed in September of 1987 by the developer. His was the first written introduction of the technique of endoscopically assisted carpal tunnel release published by a US author. This technique has been pract... |
0 | Comparison of Femoral Nerve Catheter and Adductor Canal Block With Steroid Adjuvant in Total Knee Replacement (TKR) | AAHKS (2) Corticosteroids | A total of 80 patients who will undergo total knee arthroplasty will be randomized into two groups: Treatment groups Treatment details Femoral Group (40 patients) Continuous femoral nerve block (bolus: 0.5% Ropivacaine 10â?15 ml ; infusion of 0.15 % Ropivacaine 4â?6ml/h) Adductor Group (40 patients) Adductor canal bl... |
0 | Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in patients with displaced femoral neck fractures: a four-year follow-up of a randomised controlled trial | PJI DX Updated Search | PURPOSE: The treatment of choice for a displaced femoral neck fracture in the most elderly patients is a cemented hemiarthroplasty (HA). The optimal design, unipolar or bipolar head, remains unclear. The possible advantages of a bipolar HA are a better range of motion and less acetabular wear. The aim of this study was... |
0 | Nutrient patterns and risk of fracture in older subjects: Results from the Three-City Study | Hip Fx in the Elderly 2019 | Summary: We investigated the association between nutrient patterns and risk of fractures in 1,482 older subjects. Patterns associated with higher intakes of Ca, P, vitamin B12, proteins and unsaturated fats, and moderate alcohol intake, provided by diets rich in dairies and charcuteries, were related to a lower risk of... |
0 | Cortical index of the femoral neck | Management of Hip Fractures in the Elderly | The thickness of the medial cortex of the femoral neck does not decrease with age in the same way as other common parameters of bone mass. However, in women with fracture of the upper end of the femur, it is below normal. The variable, expressed as the cortical index of the femoral neck may have some use in predicting ... |
0 | Dermal suspension flaps for McKissock's vertical bipedicle flap vs. classical McKissock's technique: comparison of aesthetic results and patient satisfaction | Reduction Mammoplasty for Female Breast Hypertrophy | McKissock's vertical bipedicle flaps technique is a common technique used in reduction mammaplasty. This technique includes a well-vascularised dermal-parenchymal pedicle for safe nipple-areola transposition, but it has been criticised as resulting in a flat breast with inadequate projection after long-term follow-up. ... |
0 | Differentiating Radiculopathy from Lower Extremity Arthropathy | OAK 3 - Non-arthroplasty tx of OAK | Low back and lower extremity pain are among the most common complaints encountered by physicians. Distinguishing pain due to primary extremity pathology versus lumbar radiculopathy can be challenging. Careful physical examination and appropriate imaging with plain radiographs and advanced studies as needed are importan... |
0 | Histologic evaluation of laser lipolysis comparing continuous wave vs pulsed lasers in an in vivo pig model | Panniculectomy & Abdominoplasty CPG | OBJECTIVES: To evaluate acute and delayed laser effects of subdermal lipolysis and collagen deposition using an in vivo pig model and to compare histologic findings in fatty tissue after continuous wave diode (CW) vs pulsed laser treatment. METHODS: Three CW lasers (980, 1370, and 1470 nm) and 3 pulsed lasers (1064, 13... |
0 | Liposuction anesthesia techniques | Panniculectomy & Abdominoplasty CPG | Liposuction is a common and safe procedure that can be performed under several anesthesia techniques. The preanesthesia evaluation is a security and quality factor for the procedure. The use of new medications contributes to safer anesthesia, improves the satisfaction of the patient, and reduces the discharge time and ... |
0 | Long-term effects of tibial plateau leveling osteotomy and tibial tuberosity advancement on tibial plateau subchondral bone density in dogs | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate long-term loading patterns using subchondral bone density (SBD) distribution of the tibial plateau after tibial plateau leveling osteotomy (TPLO) and tibial tuberosity advancement (TTA). STUDY DESIGN: Cross-sectional study. ANIMALS: Adult (> 2 years), medium to large breed dogs (>20 kg) that had ... |
0 | Swellings of the sternoclavicular joint: review of traumatic and non-traumatic pathologies | Glenohumeral Joint OA | The sternoclavicular joint (SCJ) is an integral part of the shoulder girdle that connects the upper limb to the axial skeleton.Swelling of the SCJ is commonly due to trauma, degeneration, infections and other disease processes that affect synovial joints.This review also focuses on uncommon conditions that could affect... |
0 | Prophylactic antibiotics in hip fractures. A double-blind, prospective study | Management of Hip Fractures in the Elderly | Three hundred and seven patients, each of whom had a fracture of the proximal part of the femur, were studied in a randomized, double-blind fashion to determine whether perioperative administration of cephalothin would prevent postoperative infection. Major postoperative wound infections were significantly reduced in t... |
0 | Perception versus reality: The increasing american habitus and its impact on peri-operative management | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Obesity, defined as a body mass index (BMI) greater than 30 kg /m2, has increased significantly over the past twenty years in the United States 1, 2. As a result the rate of total joint replacements has steadily increased over time 3. For example, total knee arthroplasties (TKAs) are being performed in yo... |
0 | Cold saline lavage for removal of incarcerated porous ingrowth stems | PJI DX Updated Search | A patient with a history of total knee arthroplasty and 5 subsequent revisions presented with pain. His preoperative construct consisted of a revision implant with porous ingrowth stem extensions. He was indicated for revision surgery for a painful implant with progressive arthrofibrosis. The surgery proceeded uneventf... |
0 | Deepening of the superior sulcus after isolated lower transconjunctival blepharoplasty | Panniculectomy & Abdominoplasty CPG | Purpose: To retrospectively determine the incidence of deepening of the superior sulcus after isolated CO2 laser lower transconjunctival blepharoplasty. Methods: Retrospective case review and prospective measurement of the amount of fat resected in isolated laser lower blepharoplasty in 39 patients. Results: Significan... |
0 | Throwing shoulder injury involving the anterior rotator cuff: concealed tears not as uncommon as previously thought | Glenohumeral Joint OA | PURPOSE: In throwing athletes, partial rotator cuff tears are usually located posterior to the site of the common rotator cuff tears seen in the general nonthrowing population. However, they sometimes have tears located around the anterior aspect of the supraspinatus tendon. In this study we investigated the characteri... |
1 | Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures | Management of Hip Fractures in the Elderly | Hemiarthroplasty is the most commonly used treatment for displaced femoral neck fractures in the elderly. There is limited evidence in the literature of improved functional outcome with cemented implants, although serious cement-related complications have been reported. We performed a randomized, controlled trial in pa... |
0 | Intravenous zoledronate for osteoporosis: less might be more | Hip Fx in the Elderly 2019 | Annual administration of 5 mg intravenous zoledronate is moderately effective in reducing fracture risk in older adults, decreasing the relative risk of clinical fracture by 33%. However, almost 10 years after its approval for use in clinical practice there remain very substantial uncertainties about the optimal treatm... |
0 | Arthritis predicting factors in distal intraarticular radius fractures | Distal Radius Fractures | INTRODUCTION: Intra-articular malunion with step off and gap formation is claimed to be crucial for radiocarpal degeneration. In addition to well-defined intraarticular malunion, the shape of the distal radius is important for unaffected wrist function. In typical intra-articular fracture patterns with a dorsoulnar and... |
0 | Unicondylar knee arthroplasty: intramedullary technique | OAK 3 - Non-arthroplasty tx of OAK | Unicondylar knee arthroplasty (UKA) is a challenging surgical procedure for many orthopedic surgeons when compared with total knee arthroplasty (TKA). Given the proven similarities in knee biomechanics between UKA and the native knee and recent evidence showing excellent survivorship and functionality, UKA is an excell... |
0 | Detection of Mild Traumatic Brain Injury by Machine Learning Classification Using Resting State Functional Network Connectivity and Fractional Anisotropy | DoD PRF (Psychosocial RF) | Traumatic brain injury (TBI) may adversely affect a person's thinking, memory, personality, and behavior. While mild TBI (mTBI) diagnosis is challenging, there is a risk for long-term psychiatric, neurologic, and psychosocial problems in some patients that motivates the search for new and better biomarkers. Recently, d... |
0 | Surgical desensitisation of the mechanoreceptors in Muller's muscle relieves chronic tension-type headache caused by tonic reflexive contraction of the occipitofrontalis muscle in patients with aponeurotic blepharoptosis | Upper Eyelid and Brow Surgery | Proprioceptively innervated intramuscular connective tissues in Muller's muscle function as exterior mechanoreceptors to induce reflex contraction of the levator and occipitofrontalis muscles. In aponeurotic blepharoptosis, since the levator aponeurosis is disinserted from the tarsus, stretching of the mechanoreceptors... |
0 | Economic consequences of venous thromboembolism following major orthopedic surgery | HipFx Supplemental Cost Analysis | BACKGROUND: Venous thromboembolism (VTE) is a frequent and potentially costly complication of major orthopedic surgery. OBJECTIVE: To estimate the economic consequences of VTE following major orthopedic surgery. METHODS: Using a large healthcare claims database, we identified all patients who underwent total hip replac... |
0 | Exposure to abuse, neglect, and household dysfunction among adults who witnessed intimate partner violence as children: implications for health and social services | DoD PRF (Psychosocial RF) | Intimate partner violence (IPV) damages a woman's physical and mental well-being, and indicates that her children are likely to experience abuse, neglect and other traumatic experiences. Adult HMO members completed a questionnaire about adverse childhood experiences (ACEs) including childhood abuse, neglect, and househ... |
0 | Molecular analysis of aortic intimal hyperplasia caused by Porphyromonas gingivalis infection in mice with endothelial damage | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND AND OBJECTIVE: Porphyromonas gingivalis infection is thought to be a significant etiological factor in the development of cardiovascular diseases. However, scant definitive evidence has been presented concerning the pathological molecular mechanisms of these disorders. In the present study, we performed a mo... |
0 | Traditions and myths in hip and knee arthroplasty | Dental Implant Infection | BACKGROUND AND PURPOSE: Traditions are passed on from experienced surgeons to younger fellows and become "the right way to do it". Traditions associated with arthroplasty surgery may, however, not be evidence-based and may be potentially deleterious to both patients and society, increasing morbidity and mortality, slow... |
0 | Outcome of childhood leukaemia survivors and necrosis of the femoral head treated with autologous mesenchymal stem cells | AAHKS (2) Corticosteroids | Purpose: Corticoid-induced osteonecrosis (ON) of femoral head can lead to severe hip joint impairment and hip replacement, with negative impact in young survivors of acute lymphoblastic leukaemia (ALL) with long life expectancy. We aim to improve quality of life in these patients with a novel approach. Methods/patients... |
0 | Two-year outcome of early deep MRSA infections after primary total knee arthroplasty: a joint registry review | PJI DX Updated Search | The aim of this study is to determine the success rate in eradication of early methicillin-resistant Staphylococcus aureus (MRSA) prosthetic joint infection. Rate of prosthesis retention and functional outcome between patients with prosthesis retention and prosthesis revision were compared. All patients who underwent p... |
0 | Vitamin D status, trunk muscle strength, body sway, falls, and fractures among 237 postmenopausal women with osteoporosis | Management of Hip Fractures in the Elderly | The aim of this study was to identify factors associated with fractures in patients with postmenopausal osteoporosis. The overall hypothesis was that trunk muscle strength, body sway and hypovitaminosis D would influence daily activities and the likelihood of falls and fractures. - In 237 women (mean age 62.9+/-7.4 yea... |
1 | Predictors of psychological distress following serious injury | DoD PRF (Psychosocial RF) | Posttraumatic psychological distress was assessed in 109 survivors of serious physical injury during acute hospitalization and at 3 months postdischarge. Participants had an average of 4.4 injuries, with a mean injury severity score of 15.5, denoting moderate to severe injuries. Using the Impact of Event Scale (IES), t... |
0 | Cartiform Implantation for focal cartilage defects in the knee: A 2-year clinical and magnetic resonance imaging follow-up study | Osteochondritis Dissecans 2020 Review | The purpose of this study was to evaluate clinical and magnetic resonance imaging (MRI) outcomes in patients who underwent cryopreserved viable osteochondral allograft (CVOCA) implantation for focal cartilage defects in the knee at a minimum of 2-years postoperatively. This is a retrospective follow-up study of twelve ... |
0 | Relationship between severity of knee osteoarthritis and radiography findings of lower limbs: A cross-sectional study from the TOEI survey | OAK 3 - Non-arthroplasty tx of OAK | Objective This study aimed to compare radiographic parameters among radiographic severity of the medial knee osteoarthritis and between men and women in a rural Japanese population. Methods We measure nine radiographic parameters of the whole lower extremity in participants with neutral or varus alignment. Results Age ... |
0 | Patient-Specific Instrument Can Improve Functional and Radiographic Results during Learning Curve for Oxford Unicompartmental Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | The true value of use of patient-specific instrumentation (PSI) systems by inexperienced surgeons during their learning curve to improve the clinical and radiographic outcome of unicompartmental knee arthroplasty (UKA) has not been previously studied. Fifty patients with a mean age of 64.3 years undergoing surgery for ... |
0 | Incidence of knee cartilage surgery in Norway, 2008-2011 | AMP (Acute Meniscal Pathology) | Objective: A systematic and long-term data collection on the treatment of focal cartilage defects (FCDs) of the knee is needed. This can be achieved through the foundation of a National Knee Cartilage Defect Registry. The aim of this study was to establish the nationwide burden of knee cartilage surgery, defined as kne... |
0 | Comparison of two different methods for performing combination analysis of force and posture risk factors in an epidemiological study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: This study aimed to introduce a method of simultaneous combination analysis of multiple exposure parameters for large epidemiological studies of work-related upper-extremity musculoskeletal disorders (MSD) and compare this analysis method with the conventionally used job-level combination analysis method wh... |
0 | SEOM guidelines for the treatment of bone metastases from solid tumours | MSTS 2018 - Femur Mets and MM | Bone metastases are a common and distressing effect of cancer, being a major cause of morbidity in many patients with advanced stage cancer, in particular in breast and prostate cancer. Patients with bone metastases can experience complications known as skeletal-related events (SREs) which may cause significant debilit... |
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