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High frequency spinal cord stimulation in complex regional pain syndrome (CRPS) patients-a case series
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Introduction: Conventional Spinal Cord Stimulation (SCS) is an effective therapy for CRPS patients. High Frequency SCS (HF-SCS) at 10000 Hz is a new option for FBSS but there is no reported experience about its feasibility and efficacy in the treatment of CRPS. We assumed that HF-SCS might also be helpful in the treatm...
0
A randomized study of the effect of 5-year and lifetime hip fracture risk information on physician recommendations for management of low bone density
Management of Hip Fractures in the Elderly
Although risk prediction tools providing absolute fracture risk information are currently under development, little is known about US physicians' current thresholds for osteoporosis treatment or the potential effect of fracture risk information on treatment decisions. To investigate this, a random sample of US primary ...
0
Analysis of 13 early failures of the mobile bearing Oxford phase III unicompartmental knee prosthesis
Surgical Management of Osteoarthritis of the Knee CPG
The use of unicompartmental knee arthroplasty appears to be increasing despite a signiWcant number of early revisions. This study looks at a consecutive series of such procedures. We retrospectively reviewed thirteen patients who had a revision of a unicompartmental knee replacement between January 2003 and March 2008 ...
0
Treatment of ischiofemoral impingement: results of diagnostic injections and arthroscopic resection of the lesser trochanter
PJI DX Updated Search
Ischiofemoral impingement (IFI) is an often unrecognized cause of hip pain caused by abnormal contact between the lesser trochanter and the ischium. To date, surgical treatment for those whose pain is not relieved by activity modification and steroid injections has not been defined. This study describes our imaging pro...
0
Surgical correction of coxa vara: Evaluation of neck shaft angle, Hilgenreiner-epiphyseal angle for indication of recurrence
Hip Fx in the Elderly 2019
Background: Coxa vara is a hip deformity in which the femoral neck-shaft angle decreases below its normal value. Standard surgical treatment for this condition is corrective valgus osteotomy. Appropriate correction of the Hilgenreiner-epiphyseal angle is important to prevent recurrence. The purpose of this study is to:...
1
Metabolic syndrome as a risk factor for total hip or knee replacement due to primary osteoarthritis: a prospective cohort study (the HUNT study and the Norwegian Arthroplasty Register)
OAK 3 - Non-arthroplasty tx of OAK
Objective: Biochemical changes associated with obesity may accelerate osteoarthritis beyond the effect of mechanical factors. This study investigated whether metabolic syndrome and its components (visceral obesity, hypertension, dyslipidemia and insulin resistance) were risk factors for subsequent total hip replacement...
0
A randomised trial of hip protector use by frail older women living in their own homes [with consumer summary]
Management of Hip Fractures in the Elderly
OBJECTIVES: To investigate the efficacy and effectiveness of hip protectors in frail community living older women. DESIGN: Randomised controlled trial. SETTING: Aged care health services in New South Wales, Australia. PATIENTS: 600 women 74 years of age or more (mean age 83 years), who had two or more falls or one fall...
0
The Composition of Adipose-Derived Regenerative Cells Isolated from Lipoaspirate Using a Point of Care System Does Not Depend on the Subject's Individual Age, Sex, Body Mass Index and Ethnicity
Panniculectomy & Abdominoplasty CPG
Uncultured, unmodified, autologous, adipose-derived regenerative cells (UA-ADRCs) are a safe and effective treatment option for various musculoskeletal pathologies. However, it is unknown whether the composition of the final cell suspension systematically varies with the subject's individual age, sex, body mass index a...
1
Partial meniscectomy using needle arthroscopy associated with significantly less pain and improved patient reported outcomes at two weeks after surgery: A comparison to standard knee arthroscopy
AMP (Acute Meniscal Pathology)
Purpose: to compare immediate post-operative pain and patient-reported outcomes (PROs) after partial meniscectomy with needle (NA) vs. standard (SA) arthroscopy technique. Methods: A retrospective review of a consecutive series of patients who underwent partial meniscectomy before and after adoption of a needle arthros...
0
An approach to efficacy screening of mouthrinses: studies on a group of French products (II). Inhibition of salivary bacteria and plaque in vivo
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The aim of this study was to determine the value of screening studies to assess the efficacy of antiseptic mouthrinse products relative to proven products. The products tested were 6 antiseptic mouthrinses available in France. 4 contained chlorhexidine (Eludril, Hibident, Parodex and Prexidine) with Hibident considered...
0
Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease
AAHKS (8) Anesthetic Infiltration
Aim To investigate associations between the postoperative immune response and the levels of extracellular circulating DNA (cDNA), C-reactive protein (CRP), neutrophil/ lymphocyte (N/L) ratio, and regulatory T (Treg) cells in the peripheral blood and their role as potential predictors of postoperative septic complicatio...
0
A systematic review of the evidence for single stage and two stage revision of infected knee replacement
PJI DX Updated Search
BACKGROUND: Periprosthetic infection about the knee is a devastating complication that may affect between 1% and 5% of knee replacement. With over 79 000 knee replacements being implanted each year in the UK, periprosthetic infection (PJI) is set to become an important burden of disease and cost to the healthcare econo...
0
Laser phototherapy in the treatment of periodontal disease. A review
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Many studies in the literature address the effect of low-power lasers in the management of pathologies related to periodontal tissues. Due to the lack of standardized information and the absence of a consensus, this review presents the current status of laser phototherapy (LPT) in periodontics and discusses its benefit...
0
Clinical Results and Survivorship of the GENESIS II Total Knee Arthroplasty at a Minimum of 15 Years
OAK 3 - Non-arthroplasty tx of OAK
Background The purpose of this study was to examine the 15-year survivorship and long-term clinical outcomes of the GENESIS II total knee arthroplasty (TKA). Methods Patients who underwent TKA with the GENESIS II system between 1995 and 1999 were retrieved from our institutional database. We report a Kaplan-Meier survi...
0
Injuries in professional male football players in Kosovo: A descriptive epidemiological study
AMP (Acute Meniscal Pathology)
Background: The incidence and severity of football-related injuries has been found to differ strongly between professional leagues from different countries. The aims of this study were to record the incidence, type and severity of injuries in Kosovarian football players and investigate the relationship between injury i...
0
Effect of etidronate disodium on the interactions between malignancy and bone
MSTS 2018 - Femur Mets and MM
This study was designed to assess the capacity of etidronate disodium (etidronate) to affect neoplastic involvement of bone by murine tumors. Using sublines of the Walker 256 carcinoma, differing in the pattern of bone involvement, etidronate was found to inhibit hypercalcemia caused by systemically acting humoral fact...
1
Advances in pain management: Game changers in knee arthroplasty
AAHKS (5) Gabapentinoids
Over the past 30 years there have been many improvements in implant fixation, correction of deformity, improved polyethylene wear, and survival after knee replacement. The work over the last decade has focused on less invasive surgical techniques, multimodal pain management protocols, more rapid functional recovery and...
0
Patient classification systems and hospital costs of care for knee replacement in 10 European countries
Surgical Management of Osteoarthritis of the Knee CPG
Knee replacement is a common surgical procedure performed to relieve pain and disability from degenerative osteoarthritis. This study evaluates the ability of ten European diagnosis-related group (DRG) systems to explain variations in costs or in length of stay for knee replacements. We assessed three different models ...
1
Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To determine if exercise therapy is superior to arthroscopic partial meniscectomy for knee function in middle aged patients with degenerative meniscal tears. DESIGN: Randomised controlled superiority trial. SETTING: Orthopaedic departments at two public hospitals and two physiotherapy clinics in Norway. PART...
0
The effects of iontophoresis in the treatment of musculoskeletal disorders - a systematic review and meta-analysis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
This systematic review and meta-analysis is focusing on the evidences related to iontophoresis used to enhance the topical drug delivery through the skin in the treatment of inflammatory dysfunctions, acute soft tissue injuries and pain. A literature search in the databases, MEDLINE (PubMed), Pedro, and the Cochrane Da...
0
TP53 mutations and outcome in osteosarcoma: a prospective, multicenter study
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: Mutations of the TP53 gene have been associated with resistance to chemotherapy as well as poor prognosis in many different malignancies. This is the first prospective study of the prognostic value of somatic TP53 mutations in patients with newly diagnosed extremity osteosarcoma. PATIENTS AND METHODS: One hund...
0
Out-of-the-box pelvic surgery including iliopsoas resection for recurrent gynecological malignancies: Does that make sense? A single-institution case-series
DOD - Acute Comp Syndrome CPG
OBJECTIVE: To report morbidity and oncological outcomes in a consecutive series of lateral isolated recurrent gynecological cancer involving the pelvic side wall (PSW) including the iliopsoas muscle. MATERIAL AND METHODS: We retrospectively evaluated a consecutive series between 6/2013 and 12/2015 of lateral isolated r...
0
High tibial osteotomy: evolution of research and clinical applications--a Canadian experience
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: This narrative review describes experiences at the Fowler Kennedy Sport Medicine Clinic (FKSMC) with high tibial osteotomy (HTO) for patients with varus gonarthrosis, with particular focus on research published from the unit that has guided practice. METHODS: The goals of surgery are to improve alignment of th...
0
Myth busters: An AOA symposium: AOA critical issues
SR for PM on OA of All Extremities
One of the goals of the annual American Orthopaedic Association (AOA) meeting is to address controversy, both in leadership and clinical practice. A panel of experts in their respective fields presented the background and literature behind three "myths" in orthopaedic management and made conclusions as to their validit...
0
Evaluation of a femoral stem with reduced stiffness. A randomized study with use of radiostereometry and bone densitometry
Management of Hip Fractures in the Elderly
BACKGROUND: Femoral stems with reduced stiffness were introduced in total hip arthroplasty to facilitate proximal load transfer and thereby reduce periprosthetic bone loss. Poor fixation and unacceptably high revision rates turned out to be a major problem with these prostheses. The purpose of the present study was to ...
0
Historical development of alloplastic temporomandibular joint replacement after 1945 and state of the art
Glenohumeral Joint OA
The variety of temporomandibular joint (TMJ) prostheses and condylar reconstruction plates available is in contradiction to their rare application. This emphasizes that alloplastic TMJ reconstruction is still evolving. This article reviews the history of TMJ reconstruction. Medline as well as public and private librari...
1
Understanding risks and complications in the management of ankle fractures
DoD LSA (Limb Salvage vs Amputation)
Ankle fracture (AF) is a common injury with potentially significant morbidity associated with it. The most common age groups affected are young active patients, sustaining high energy trauma and elderly patients with comorbidities. Both these groups pose unique challenges for appropriate management of these injuries. Y...
0
Synovial activation drives efficacy of anti-inflammatory effects of adipose-derived stem cells in experimental oa which is reflected by serum levels of S100a8/A9
OAK Recommendation 9 Articles
Background Synovitis is evident in a substantial subpopulation of patients with early osteoarthritis (OA). Recently we have shown that adipose derived stem cells (ASC) inhibit synovitis and joint destruction after local application to knee joints with experimental OA. Objectives To explore whether the efficacy of the a...
0
A trans-ethnic genome-wide association study identifies gender-specific loci influencing pediatric aBMD and BMC at the distal radius
Distal Radius Fractures
Childhood fractures are common, with the forearm being the most common site. Genome-wide association studies (GWAS) have identified more than 60 loci associated with bone mineral density (BMD) in adults but less is known about genetic influences specific to bone in childhood. To identify novel genetic factors that infl...
1
Amputee Locomotion: Ground Reaction Forces During Submaximal Running With Running-Specific Prostheses
DoD LSA (Limb Salvage vs Amputation)
Individuals with lower extremity amputation must adapt the mechanical interactions between the feet and ground to account for musculoskeletal function loss. However, it is currently unknown how individuals with amputation modulate three-dimensional ground reaction forces (GRFs) when running. This study aimed to underst...
0
Self-management education programmes for rheumatoid arthritis
SR for PM on OA of All Extremities
This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the benefits and harms of self-management education programmes for people with rheumatoid arthritis (RA)
0
Bisphosphonates: Prevention of bone metastases in lung cancer
MSTS 2018 - Femur Mets and MM
In patients with lung cancer, bone is one of the most frequent sites of distant spread, with approximately 30% of patients developing skeletal metastases. About half of these patients will experience a skeletal-related event, the occurrence of which not only affects quality of life, but is also associated with poor pro...
0
Large deformity correction in medial open-wedge high tibial osteotomy may cause degeneration of patellofemoral cartilage: A retrospective study
OAK 3 - Non-arthroplasty tx of OAK
To evaluate retrospectively any association between the degree of deformity correction by medial open-wedge high tibial osteotomy (HTO) and patellofemoral joint degeneration. We hypothesized that development of patellofemoral joint degeneration depended on the degree of intraoperative deformity correction.Fifty-seven p...
0
Burden of disease in adult patients with hypophosphatasia: Results from two patient-reported surveys
Hip Fx in the Elderly 2019
BACKGROUND: Hypophosphatasia (HPP) is a rare metabolic bone disease caused by loss-of-function mutation(s) in the tissue-nonspecific alkaline (TNSALP) phosphatase gene, which manifests as rickets and/or osteomalacia with systemic complications and affects patients of all ages. The burden of disease is poorly characteri...
0
Radiographic predictors of visual outcome in orbital compartment syndrome
DOD - Acute Comp Syndrome CPG
PURPOSE: The goal of this study is to evaluate parameters on orbital CT as predictors of visual outcome in orbital compartment syndrome from retrobulbar hematoma or orbital cellulitis. The study will assess the assertion that certain patients are anatomically predisposed to vision loss in these conditions. METHODS: A r...
0
Successful Treatment of Secondary Aortoenteric Fistula with a Special Graft
PJI DX Updated Search
Aortoenteric fistula is an uncommon but life-threatening cause of gastrointestinal blood loss. We report a case of a 70-year-old man who presented to the emergency department with an episode of melena and infection in the left inguinal region. Diagnosis of secondary aortoenteric fistula was made between the left limb o...
0
Robotically assisted laparoscopic biliopancreatic diversion with duodenal switch. Initial experience of 42 cases
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: Biliopancreatic diversion with duodenal switch (BPD/DS) is considered the most effective surgical option for morbidly obese patients. Numerous techniques have been described - open, laparoscopic, combination of open and laparoscopic, as well as robotically assisted. We describe our early experience of 42 ro...
0
Acetaminophen, like conventional NSAIDs, may reduce synovitis in osteoarthritic knees
AMP (Acute Meniscal Pathology)
OBJECTIVE: To determine the extent to which treatment of patients with symptomatic knee osteoarthritis (OA) with non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen (ACET) reduces total effusion volume and synovial tissue volume, as quantified by magnetic resonance imaging (MRI). METHODS: Sequential pilot ...
0
Limb salvage with isolated perfusion for soft tissue sarcoma: Could less TNF-α be better?
DOD - Acute Comp Syndrome CPG
Background: The optimal dose of TNF-α delivered by isolated limb perfusion (ILP) in patients with locally advanced soft tissue sarcoma is still unknown. Patients and methods: Randomised phase II trial comparing hyperthermic ILP (38-40°) with melphalan and one of the four assigned doses of TNF-α: 0.5 mg, 1 mg, 2 mg, ...
0
Bone Health Optimization in Orthopaedic Surgery
Hip Fx in the Elderly 2019
BACKGROUND: Osteoporosis is associated with adverse orthopaedic surgical outcomes. Bone health optimization is a preoperative intervention intended to reduce the likelihood of postoperative complications. We aimed to characterize a patient cohort referred for bone health optimization to test the hypothesis that poor bo...
0
Denosumab: benefits of RANK ligand inhibition in cancer patients
MSTS 2018 - Femur Mets and MM
PURPOSE OF REVIEW: RANK ligand (RANKL) plays a central role in the cancer-induced bone destruction that results from bone metastasis. The RANKL inhibitor denosumab was recently approved for the prevention of skeletal-related events (SREs) in patients with bone metastases from solid tumors. This review summarizes recent...
0
Minimally invasive endoscopic ulnar nerve assessment and surgery for cubital tunnel syndrome patients - Relation between endoscopic nerve findings and clinical symptoms
OAK 3 - Non-arthroplasty tx of OAK
To minimize damage to healthy tissues, we have been performing endoscopically assisted cubital tunnel syndrome surgery based on endoscopic nerve findings since 1995. This is the first study to focus on endoscopic surgery for cubital tunnel syndrome based on endoscopic ulnar nerve findings and the subsequent postoperati...
0
Relationship between oral condition and risk factors for jaw osteonecrosis in patients with hip fractures
Dental Implant Infection
Purpose : Antiresorptive agents, such as bisphosphonates, are useful for the prevention of the recurrence of hip fractures. However, their administration has a risk of antiresorptive agent-related osteonecrosis of the jaw (ARONJ), and risk factors include poor oral hygiene. It is difficult for an orthopedic surgeon to ...
1
The effectiveness of triamcinolone acetonide vs. procaine hydrochloride injection in the management of carpal tunnel syndrome: a double-blind randomized clinical trial
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: Corticosteroid injection into the carpal tunnel is frequently used for the treatment of carpal tunnel syndrome (CTS). Steroids are usually mixed with local anesthetics, which have positive effects that can aid the treatment of CTS by inhibiting the spontaneous discharge ability of excitable cells. The aim of...
0
The differences of femoral neck geometric parameters: effects of age, gender and race
Management of Hip Fractures in the Elderly
This study aims at investigating the effects of age, sex, and ethnicity on five femoral neck geometric parameters (FNGPs): femoral neck periosteal diameter, cross-sectional area, cortical thickness, sectional modulus, and buckling ratio and found that the three factors would influence the FNGPs. INTRODUCTION: Bone geom...
0
Nutritional assessment of residents in long-term care facilities (LTCFs): recommendations of the task force on nutrition and ageing of the IAGG European region and the IANA
HipFx Supplemental Cost Analysis
Unintentional weight loss and Undernutrition are major problems among older people living in Long-Term Care Facilities (LTCF). Undernutrition manifests in LTCF particularly as weight loss and low Body Mass Index (BMI) and is associated with increased morbidity and mortality as well as with functional decline. There are...
0
Proximal fibular osteotomy as a treatment for degenerative meniscal extrusion
AMP (Acute Meniscal Pathology)
Meniscal extrusion treatment is a key focus area for research and clinical study of degenerative knee pathology. The contact forces between the meniscus and the bones cause external displacements of the meniscus that are resisted by the circumferential fibres. The main risk factors for the excessive deformation of the ...
0
Earplug Umbilicoplasty: A Simple Method to Prevent Umbilical Stenosis in a Tummy Tuck
Panniculectomy & Abdominoplasty CPG
Objective: An aesthetically pleasing umbilicus is a vital component of patient satisfaction following an abdominoplasty. An umbilicus that is moderate to small is desired to achieve the best aesthetic result, but a small umbilicus has potential for stenosis. This article presents a method for umbilical stenting that cr...
0
Hand musculoskeletal disease and thyroid disease: Not only hypothyroidism
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The literature shows that hypothyroidism can induce carpal tunnel disease by edema of peritendinous tissue. Other epidemiological studies confirmed the high incidence of hand musculoskeletal disease among people affected by thyroid disease without identifying a possible pathogenesis of the phenomena. In a previously st...
0
Rehabilitation of reading in older individuals with macular degeneration: a review of effective training programs
Upper Eyelid and Brow Surgery
Macular degeneration (MD) is the most common cause of visual impairment among older adults. It severely affects reading performance. People with MD have to rely on peripheral vision for reading. In this review, we considered several training programs that aim to improve peripheral reading, with a focus on eccentric vie...
0
Current concepts in post-bariatric body contouring
Reduction Mammoplasty for Female Breast Hypertrophy
Background: The advent of bariatric surgery has led to a new subspecialty in plastic surgery for contouring the skin and fat remaining after massive weight loss. This field is increasingly recognized as a vital component to the multi-disciplinary treatment approach to care for the obese patient. The author sought to re...
0
Dermatitis due to orthopaedic implants
AAHKS (2) Corticosteroids
Orthopaedic implant related dermatitis is a rare complication. The present review compiles the analysis of current literature related with pathophysiology, diagnosis and management of orthopaedic implant related dermatitis. Currently there is no any standard for the diagnosis of orthopaedic implant related hypersensiti...
1
One-step surgery with multipotent stem cells for the treatment of large full-thickness chondral defects of the knee
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Chondral lesions in athletically active patients cause considerable morbidity, and treatment with existing cell-based therapies can be challenging. Bone marrow has been shown as a possible source of multipotent stem cells (MSCs) with chondrogenic potential and is easy to harvest during the same surgical pro...
0
Humeral shaft fractures: retrospective results of non-operative and operative treatment of 186 patients
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Humeral shaft fractures account for 1-3% of all fractures and 20% of the fractures involving the humerus. The aim of the current study was to compare the outcome after operative and non-operative treatment of humeral shaft fractures, by comparing the time to radiological union and the rates of delayed union...
0
The correlation between Salter's criteria for avascular necrosis of the femoral head and Kalamchi's prognostic classification following the treatment of developmental dysplasia of the hip
Developmental Dysplasia of the Hip 2020 Review
AIMS: The aim of this study was to evaluate the correlation between Salter's criteria and Kalamchi's classification of avascular necrosis in patients treated for developmental dysphasia of the hip (DDH). PATIENTS AND METHODS: The study involved a retrospective analysis of 123 patients (123 hips) with DDH treated by ope...
0
Does chondrolysis occur after corticosteroid-analgesic injections? An analysis of patients treated for adhesive capsulitis of the shoulder
Glenohumeral Joint OA
BACKGROUND: Clinical studies using continuous infusions of local anesthetics and basic science studies that model injections of local anesthetics have shown chondrotoxicity. However, clinical studies do not exist that have assessed for the risk of chondrolysis in nonarthritic joints exposed to single or intermittent co...
0
The first 6 weeks of recovery after primary total hip arthroplasty with fast track.[Erratum appears in Acta Orthop. 2018 Feb;89(1):140; PMID: 28914103]
AAHKS (4) Acetaminophen
Background and purpose - Fast-track protocols have been introduced worldwide to improve the recovery after total hip arthroplasty (THA). These protocols have reduced the length of hospital stay (LOS), and THA in an outpatient setting is also feasible. However, less is known regarding the first weeks after THA with fast...
0
Artificial intelligence detection of distal radius fractures: a comparison between the convolutional neural network and professional assessments
Distal Radius Fractures
Background and purpose - Artificial intelligence has rapidly become a powerful method in image analysis with the use of convolutional neural networks (CNNs). We assessed the ability of a CNN, with a fast object detection algorithm previously identifying the regions of interest, to detect distal radius fractures (DRFs) ...
1
Reconstruction of the proximal femur with a modular resection prosthesis
MSTS 2018 - Femur Mets and MM
Background: Various megaprostheses are currently available for reconstruction of the proximal femur after tumor resection. This study evaluates the survival and complications of a modular megaprosthesis for reconstruction of the proximal femur. Materials and methods: We studied the medical files of 109 tumor patients (...
0
Patterns of distant organ metastases in esophageal cancer: A population-based study
MSTS 2022 - Metastatic Disease of the Humerus
Background: Esophageal cancer is the eighth most common cancer worldwide. The prognosis of esophageal cancer patients is dismal, especially those with distant organ metastasis. However, there are few studies describing the patterns of distant metastasis in esophageal cancer systematically. Methods: We gathered the data...
1
Vibrotactile sense in patients with different upper limb disorders compared with a control group
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: Upper limb disorders (ULDs) are common, and so are the difficulties with regard to their specific diagnoses. According to diagnostic consensus criteria, specific diagnoses include neuropathy and muscular- and connective-tissue disorders (MCDs). There is a need for valid objective diagnostic tools to reveal ...
0
Male reduction mammoplasty in serious gynecomastias
Panniculectomy & Abdominoplasty CPG
This article is a report on long-term followup of a total of 44 serious gynecomastia cases in the stages I-III (according to Deutinger). The treatment consisted of either a semicircular incision and subcutaneous mastectomy or a superiorly or an inferiorly based nipple transposition while performing male reduction mammo...
0
Isolated pubic ramus fractures are serious adverse events for elderly persons: An observational study on 138 patients with fragility fractures of the pelvis type I (FFP type I)
Hip Fx in the Elderly 2019
Background: Fractures of the pubic ramus without involvement of the posterior pelvic ring represent a minority of fragility fractures of the pelvis (FFP). The natural history of patients suffering this FFP Type I has not been described so far. Material and methods: All patients, who were admitted with isolated pubic ra...
0
Pain management for rheumatoid arthritis and cardiovascular or renal comorbidity
SR for PM on OA of All Extremities
BACKGROUND: Pain in rheumatoid arthritis is common, is often multi-factorial and many different pharmacotherapeutic agents are routinely used for pain management. There are concerns that some of the pain pharmacotherapies currently used may increase the risk of adverse events in people with rheumatoid arthritis and con...
0
Fibrin sealants and platelet preparations in bone and periodontal healing
Dental Implant Infection
Fibrin sealants and platelet concentrates have been used alone or in association with bone substitutes to promote bone healing in orthopedic and oral surgery. Commercial fibrin sealants are homologous plasma-derived products that mimic the last step of a coagulation cascade, leading to a fibrin clot. They are used for ...
0
Thrombolysis for Acute Lower Limb Ischaemia-A Prospective, Randomised, Multicentre Study Comparing Two Strategies
DOD - Acute Comp Syndrome CPG
Objectives: To test if initial high-dose, pulse-spray thrombolysis improves the early and late outcome of lower limb ischaemia as compared with low-dose infusion alone. Design: Prospective randomised multicentre study. Material and methods: Patients with acute and sub-acute (<30 days) lower limb ischaemia were randomis...
0
Increased Long-term measurement variability with scanning laser polarimetry employing enhanced corneal compensation: an early sign of glaucoma progression
Upper Eyelid and Brow Surgery
PURPOSE: To investigate whether the intervisit standard deviation (ISD) of various scanning laser polarimetry parameters is increased, in progressing glaucoma. METHODS: GDx-variable corneal compensation (VCC) and GDx-enhanced corneal compensation (ECC) measurements, and Octopus G2 visual field tests, were performed at ...
0
Evaluation of immediate impact of cane use on energy expenditure during gait in patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: The aim of the present study was to assess the immediate impact of cane use on energy expenditure during gait in patients with knee OA analyzing VO(2). METHODS: An observational, cross-sectional study was carried out on 64 symptomatic patients with a diagnosis of knee OA. The assessment of energy expenditure w...
0
Differences in prescription of narcotic pain medication after operative treatment of hip and ankle fractures in the United States and the Netherlands
Management of Hip Fractures in the Elderly
Background: Interactions between American and Dutch surgeons suggested differences in prescription habits for pain medication after fracture treatment. Methods: The percentages of 190 American [100 after hip open reduction and interal fixation (ORIF) and 90 after ankle ORIF] and 116 Dutch patients (69 after hip ORIF an...
0
Activation of the bile acid receptor GPBAR1 (TGR5) ameliorates interleukin-1beta (IL-1beta)- induced chondrocytes senescence
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis is the most common chronic condition of the joint disease. Chondrocyte is the sole cell type in joint tissues. Senescence of chondrocytes is known to contribute to the causation of osteoarthritis. Local inflammatory cytokines- caused chondrocytes senescence is proposed to be one of the molecular mechanis...
0
Clinical factors related to the efficacy and complications of orthopedic surgery for rheumatoid arthritis with infliximab
DoD SSI (Surgical Site Infections)
AIMS: To determine what clinical factors relating to efficacy besides complications of orthopedic surgery for patients treated with anti-tumor necrosis factor (TNF)-alpha therapy (infliximab), we analyzed the clinical data of 52 cases of orthopedic surgery, such as total hip arthroplasy (THA), total knee arthroplasty (...
0
Stacked Tantalum Cones as a Method for Treating Severe Distal Femoral Bone Deficiency in Total Knee Arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
Severe bone loss in distal femur has traditionally been managed with bulk cementing, bone graft, metal augments, trabecular metal cones, and mega prosthesis. The authors present an alternative method using a stacked configuration of two tantalum cones to manage severe distal femoral bone loss. This study aims to evalua...
1
Decreasing mortality after femoral neck fracture treated with bipolar hemiarthroplasty during the last twenty years
Management of Hip Fractures in the Elderly
PURPOSE: The aim of our study was to investigate trends over time in the mortality of elderly patients after femoral neck fractures treated with bipolar hemiarthroplasty. METHODS: Altogether 487 cases of femoral neck fracture treated with bipolar hemiarthroplasty were observed during a 20-year period. Mortality rates w...
0
MRSA harboring mecA variant gene mecC, France
PJI DX Updated Search
We describe human cases and clustered animal cases of mecA(LGA251)-positive methicillin-resistant Staphylococcus aureus in France. Our report confirms that this new variant has a large distribution in Europe. It may represent a public health threat because phenotypic and genotypic tests seem unable to detect this new r...
0
Breastfeeding pattern in the first month of life in women submitted to breast reduction and augmentation
Reduction Mammoplasty for Female Breast Hypertrophy
Objective: To describe the breastfeeding pattern in the first month of life in women submitted to two types of surgery - breast reduction and augmentation - and to compare it with the pattern exhibited by women who had no surgery. Methods: Controlled prospective cohort with 25 women submitted to reduction surgery, 24 s...
0
Un-united fractures of the distal radius: a report of 12 cases
Distal Radius Fractures
The treatment of 12 distal radius nonunions in 11 patients over a 24-year period is presented. The average age of the patients was 55 years (range, 35-72 years). The comorbid medical conditions in the patients with these fractures included diabetes mellitus, peripheral vascular disease, psychiatric disorders, alcoholis...
0
Singapore Health and Biomedical Congress, SHBC 2013
MSTS 2018 - Femur Mets and MM
The proceedings contain 327 papers. The special focus in this conference is on Health and Biomedicine. The topics include: Reducing the rate of postoperative endophthalmitis over 11 yearsÎ?Ã?Ã?results of a new intervention using intracameral antibiotics; corpus callosum morphology in first episode and chronic schizophr...
0
Reasonable expectations following arthroscopic surgery
Diagnosis and Treatment of Osteochondritis Dissecans AUC
The primary determinant of the ultimate outcome of surgery is the nature of the underlying disease. The current applications of arthroscopic surgery to various disease entities are reviewed and the results that can reasonably be expected with each are summarized. As time goes on, the number of diseases that can be trea...
1
The Relationship Between Body Mass Index and Fatty Infiltration in the Shoulder Musculature
Trial Systematic Review Project
OBJECTIVE: Fatty infiltration in the rotator cuff muscles has been well studied in the setting of rotator cuff tendon tears to help predict outcomes of surgical repair. Fatty infiltration in the rotator cuff has also been independently correlated to the variables of age and sex. The purpose of our study was to determin...
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A healthy outlook
DoD PRF (Psychosocial RF)
The sense of coherence-a healthy outlook-can be thought of as a measure of positive health, that is, a factor promoting resilience which enables an individual to remain healthy. Based on National Population Health Survey (NPHS) data, three health measures were analyzed in relation to sense of coherence. The sense of co...
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The role of a nurse in early trauma management
DoD PRF (Psychosocial RF)
Optimal care of the patient with multiple trauma injuries requires an enormous amount of effort which begins with planning and preparation of system development in which personnel are educated and trained. Guidelines must include all aspects of the patient's care and the team must be drilled well. Protocols for managem...
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Prevention of falls in the elderly
Hip Fx: Early-Weight Bearing Search
The purpose of these symposium presentations was to examine the role of physical activity as a means of preventing hip fractures through the prevention of falls. Risk factor identification is necessary to develop preventive strategies. Risk factors related to physical activity and other risk factors for falls were iden...
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Microsurgical reconstruction for post-traumatic defects of lower leg in the elderly: A comparative study
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Lower leg microsurgical reconstruction in the elderly is challenging, especially for post - traumatic defects. The present study aimed to evaluate the risk factors, management and outcome of free tissue transfer in patients older than 65 years of post-traumatic defects. METHODS: Retrospective chart review w...
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A meta-analysis of European and Asian cohorts reveals a global role of a functional SNP in the 5' UTR of GDF5 with osteoarthritis susceptibility
SR for PM on OA of All Extremities
We have performed a meta-analysis combining data for more than 11,000 individuals. It provides compelling evidence for a positive association between a functional single-nucleotide polymorphism (SNP) in the 5'-UTR of GDF5 (+104T/C; rs143383) and osteoarthritis (OA) in European and Asian populations. This SNP has recent...
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Immediate efficacy of neuromuscular exercise in patients with severe osteoarthritis of the hip or knee: a secondary analysis from a randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Knowledge about the effects of exercise in severe and endstage osteoarthritis (OA) is limited. The aim was to evaluate the efficacy of a neuromuscular exercise program in patients with clinically severe hip or knee OA. METHODS: This was a randomized controlled assessor-blinded trial. Patients received an edu...
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Fascia iliaca block, history, technique, and efficacy in clinical practice
AAHKS (9/10) Regional Nerve Blocks
The facsia iliaca block (FIB) is a relatively new regional technique where local anesthetic is delivered within the fascia iliaca region. Indications for a FIB include surgical anesthesia to the lower extremity after knee, femoral shaft, hip surgery, management of cancer pain or pain secondary to inflammatory condition...
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Nerve blocks (subcostal, lateral cutaneous, femoral, triple, psoas) for hip fractures
HipFx Supplemental Cost Analysis
Background: Various nerve blocks using local anaesthetic agents have been used in order to reduce pain after hip fracture, and subsequent surgery.Objectives: To determine the effects of nerve blocks (inserted either pre-operatively, operatively or post-operatively) that may be used to relieve pain after a hip fracture....
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Cross-sectional and longitudinal study of the impact of posterior meniscus horn lesions on adjacent cartilage composition, patient-reported outcomes and gait biomechanics in subjects without radiographic osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Objective The aim of this study was to assess cross-sectional and longitudinal effects of meniscal lesions on adjacent cartilage T1ρ and T2 relaxation times, patient-reported outcomes and gait biomechanics. Design Thirty patients with no cartilage morphological defects reported by Whole Organ MRI Score (WORMS) magneti...
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Determinants of bone mineral density and risk factors for osteoporosis in healthy elderly women
Distal Radius Fractures
Bone mineral density (BMD) and risk factors for osteoporosis were assessed in 348 apparently healthy women over 70 years of age (mean 82.3 years). BMD was measured at both hips and the dominant distal radius. With stepwise multiple regression the best determinants of BMD, selected from anthropometric measurements, age,...
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Getting Better or Getting Well? The Patient Acceptable Symptom State (PASS) Better Predicts Patient's Satisfaction than the Decrease of Pain, in Knee Osteoarthritis Subjects Treated with Viscosupplementation
OAK 3 - Non-arthroplasty tx of OAK
Background In the management of knee osteoarthritis (OA), patient-reported-outcomes (PROs) are being developed for relevant assessment of pain. The patient acceptable symptom state (PASS) is a relevant cutoff, which allows classifying patients as being in "an acceptable state" or not. Viscosupplementation is a therapeu...
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Anti-infective therapy in orthopaedics
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Successful treatment of musculoskeletal infection can be a challenge. It requires an understanding of clinical microbiology and anti-infective therapy, in addition to debridement and reconstructive surgery. In this article, the authors hope to provide practical guidelines for the prevention and appropriate diagnosis of...
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The use of AlloDerm in postmastectomy alloplastic breast reconstruction: part I. A systematic review
Acellular Dermal Matrix
BACKGROUND: Postmastectomy alloplastic breast reconstruction is a common procedure that continues to evolve. Increasingly, AlloDerm is being used in both direct-to-implant and two-stage breast reconstruction. The objective of this systematic review was to summarize the outcomes from studies describing this use of AlloD...
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New oral anticoagulants after total knee arthroplasty: Clinical considerations for orthopaedic surgeons
Surgical Management of Osteoarthritis of the Knee CPG
Patients who undergo total knee arthroplasty are at risk of developing venous thromboembolism. Thromboprophylaxis is widely accepted as standard of care in patients receiving total knee arthroplasty, but implementation of clinical practice guidelines is hampered by several barriers, including limitations of current age...
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Results of internal fixation of Pauwels type-3 vertical femoral neck fractures
Management of Hip Fractures in the Elderly
BACKGROUND: It has been postulated that femoral neck fractures with a more vertical fracture line (i.e., a high Pauwels angle) may experience more shear forces and therefore may be predisposed to nonunion or loss of fixation. Although there is controversy regarding which fixation method is ideal, we are aware of no lar...
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The Effectiveness of Neuromuscular Electrical Stimulation in Improving Voluntary Activation of the Quadriceps: A Critically Appraised Topic
OAK 3 - Non-arthroplasty tx of OAK
Clinical Scenario: Orthopedic knee conditions are regularly treated in sports-medicine clinics. Rehabilitation protocols for these conditions are often designed to address the associated quadriceps strength deficits. Despite these efforts, patients with orthopedic knee conditions often fail to completely regain their q...
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Sonographically guided percutaneous needle release of the carpal tunnel for treatment of carpal tunnel syndrome: preliminary report
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVES: The purpose of this study was to evaluate the effectiveness of a novel treatment procedure, sonographically guided percutaneous needle release of the carpal tunnel, for individuals with carpal tunnel syndrome. METHODS: Seventeen patients (89% female; mean age, 62 years; SD, 13.6 years) with a clinical diagn...
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Socioeconomic status of patients in a Swedish national self-management program for osteoarthritis compared with the general population - A descriptive observational study
OAK 3 - Non-arthroplasty tx of OAK
Background: First-line treatment for hip and knee osteoarthritis (OA) including education and supervised exercises, delivered as a self-management program, is considered one of the mainstays in OA treatment. However, the socioeconomic profile of the population that utilizes first-line treatment for hip and knee OA is u...
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Spinal cord injury-related pain in rehabilitation: a cross-sectional study of relationships with cognitions, mood and physical function
DoD PRF (Psychosocial RF)
Although psychological aspects of SCI-related pain have been investigated in those with chronic pain, little data is available regarding these factors in those early in the course of the injury. Using a sample admitted for SCI rehabilitation, this paper describes the relationships between usual pain intensity, mood, di...
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Cement penetration with pulsed lavage versus syringe irrigation in total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Twelve total knee arthroplasties were performed on 12 patients who had osteoarthritis. The freshly resected tibial plateaus and femoral condyles were divided in 2, and each half was subjected to different methods of preparation. One half of the specimen was irrigated with saline with a standard bulb syringe, while the ...
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Distal radioulnar joint instability (Galeazzi type injury) after internal fixation in relation to the radius fracture pattern
Distal Radius Fractures
PURPOSE: The purpose of this study was to classify Galeazzi type injuries and determine the association of residual instability after rigid fixation with the fracture pattern of the shaft of the radius, using a system that is based on anatomic landmarks of the radial shaft. METHODS: The clinical records of 95 patients ...