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0 | Ketorolac but not morphine exerts inflammatory and metabolic effects in synovial membrane after knee arthroscopy a double-blind randomized prospective study using the microdialysis technique | AMP (Acute Meniscal Pathology) | Objective: Our aim was to study local synovial metabolism, inflammation, and subjective pain scoring after intra-articular injection of morphine, ketorolac, or placebo in knee arthroscopy. Methods: Sixty patients undergoing knee arthroscopy were randomized into 3 groups receiving morphine, ketorolac, or placebo before ... |
0 | Incidence of Carpal Coalition in an Asian Population - Preliminary Findings of a Study on Patients from a Distal Radius Fracture Database | Distal Radius Fractures | BACKGROUND: Congenital carpal coalition is usually seen as an incidental finding. The incidence of carpal coalition has been reported from 0.1 to 9.5 %; highest incidence has been reported in people of African descent. The purpose of our study is to evaluate the incidence and subtypes of carpal coalition in an Asian po... |
0 | Efficacy of a multimodal analgesia protocol in total knee arthroplasty: a randomized, controlled trial | AAHKS (2) Corticosteroids | A total of 100 osteoarthritis patients undergoing unilateral total knee arthroplasty were randomly assigned to receive either a multimodal analgesia protocol, comprising oral celecoxib and tramadol before and after surgery and intra-articular injection of large doses of morphine, ropivacaine, adrenaline and betamethaso... |
0 | Complex pain regional syndrome after distal radius fractures | Distal Radius Fractures | Complex regional pain syndrome (CPRS) greatly affects the outcomes of distal radius fractures in terms of functional recovery, time away from work and patient satisfaction. The diagnosis is sometimes difficult to make in the immediate post-injury period. The disproportionate nature of the pain in the absence of differe... |
0 | Comparison of Two Polypropylene Frontalis Suspension Techniques in 92 Patients With Oculopharyngeal Muscular Dystrophy | Upper Eyelid and Brow Surgery | PURPOSE: To compare the functional outcome of the polypropylene trapezoid frontalis suspension with the polypropylene modified Crawford frontalis suspension in a large cohort of patients with oculopharyngeal muscular dystrophy. METHODS: Retrospective, nonrandomized comparative case series. Patients with oculopharyngeal... |
0 | Knee pain in patients with cancer after chemotherapy, radiotherapy, and bone marrow transplantation | BMAC (Bone Marrow Aspirate Concentrate) | The causes of knee pain in patients with cancer with are different from those without cancer, and the purpose of this study was to evaluate these differences. Thirty-six patients with cancer who had knee pain who had undergone 1 or more modalities of treatment, including chemotherapy, radiotherapy, and bone marrow tran... |
0 | Arthroscopic shoulder synovectomy in patients with rheumatoid arthritis | Glenohumeral Joint OA | Purpose: Currently, there is little information available concerning the results of shoulder synovectomy in patients with rheumatoid arthritis. Furthermore, it remains difficult to assess the success of shoulder synovectomy because of a high association of rotator cuff tears in rheumatoid patients. We hypothesized that... |
1 | Serotype classification of Streptococcus mutans and its detection outside the oral cavity | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Streptococcus mutans, generally known as a major pathogen of dental caries, is also a possible causative agent of bacteremia and infective endocarditis. S. mutans is classified into serotypes c, e, f and k based on the chemical composition of serotype-specific polysaccharides, with approximately 70-80% of strains found... |
0 | Surgical outcome of radial osteotomy for Kienbock's disease-minimum 10 years of follow-up | Distal Radius Fractures | PURPOSE: Long-term results of radial osteotomy for Kienbock's disease seldom are seen in the literature. The purpose of this study was to report the minimum 10-year results and to compare them with the 5-year results to determine whether the favorable intermediate-term results were maintained.
METHODS: Twenty-five pati... |
0 | Arthroscopic repair fo the torn triangular fibrocartilage complex | AMP (Acute Meniscal Pathology) | Triangular fibrocartilage (TFC) tears of the wrist can cause significant pain and functional limitation. Arthroscopic repair of peripheral tears is an appealing option. An inside-out Tuohy needle technique is described for peripheral ulnar-sided TFC tears. A meniscal needle technique is described for radial-sided TFC t... |
0 | Randomised controlled trial of hip protectors for the prevention of second hip fractures [with consumer summary] | Management of Hip Fractures in the Elderly | Abstract and full text may be available at: http://ageing.oxfordjournals.org/archive/ NO |
0 | A study of wrist injuries in children: The incidence of various injuries and of premature closure of the distal radial growth plate | Distal Radius Fractures | There were 362 wrist injuries in 359 patients under 18 years of age who attended the Accident and Emergency Department, St James's University Hospital, Leeds, over a 1-year period. These included soft tissue injuries (53%), epiphyseal injuries (4%) and fractures of the distal forearm or carpus (43%) which were reviewed... |
1 | Bone grafting for glenoid bone deficiencies in shoulder arthritis: a review | Glenohumeral Joint OA | Bone loss in the glenoid in the face of shoulder arthritis can be managed in selected cases with bone grafting. This article reviews the literature and uses this clinical experience to make recommendations for the surgical management of glenoid bone loss in cases of osteopenia, dysplasia, bone loss created by the arthr... |
1 | Cemented, cementless or hybrid fixation options in total knee arthroplasty for osteoarthritis and other non-traumatic diseases | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: It is not clear which fixation of total knee arthroplasty obtains the best clinical, functional and radiographic results in people with osteoarthritis and other non-traumatic diseases, such as rheumatoid arthritis. OBJECTIVES: To assess the benefits and harms of cemented, cementless and hybrid knee prosthes... |
0 | Effect of folate and mecobalamin on hip fractures in patients with stroke: a randomized controlled trial | Management of Hip Fractures in the Elderly | CONTEXT: Stroke increases the risk of subsequent hip fracture by 2 to 4 times. Hyperhomocysteinemia is a risk factor for both ischemic stroke and osteoporotic fractures in elderly men and women. Treatment with folate and mecobalamin (vitamin B12) may improve hyperhomocysteinemia. OBJECTIVE: To investigate whether treat... |
1 | Concentration of metal elements in the blood and urine in the patients with cementless total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Titanium (Ti), cobalt (Co) and chromium (Cr) element concentrations in the whole blood and urine specimen in 40 patients with cementless total knee arthroplasty were determined by the electrothermal atomic absorption spectrophotometry. Their ages ranged from 55 to 78 years (mean, 65 years). Twenty of them had loosening... |
0 | The tumor microenvironment in prostate cancer: Elucidating molecular pathways for therapy development | MSTS 2018 - Femur Mets and MM | Mechanisms leading to the development of virulent prostate cancer are not confined to the cancer epithelial cell, but also involve the tumor microenvironment. Multiple signaling pathways exist between epithelial cells, stromal cells, and the extracellular matrix to support tumor progression from the primary site to reg... |
0 | Increased energy intake in hip fracture patients affects nutritional biochemical markers | PJI DX Updated Search | BACKGROUND AND AIMS: We have previously shown that nutritional guidelines decreased the incidence of pressure ulcers in hip fracture patients. In the present study, we evaluate whether the nutritional biochemical markers S-IGF-1 (Insulin-like Growth Factor 1), S-Transthyretin and S-Albumin are affected by patients' ene... |
0 | Ultrashort versus Conventional Anatomic Cementless Femoral Stems in the Same Patients Younger Than 55 Years | Developmental Dysplasia of the Hip 2020 Review | Background: Because the clinical and radiographic performance of an ultrashort anatomic cementless stem has been investigated in only two randomized controlled studies, wellâ?designed trials should aim for a thorough comparison of the outcomes of ultrashort anatomic cementless and conventional anatomic cementless stem... |
0 | T-condylar fractures of the distal humeral condyles during childhood: an analysis of six cases | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Six cases of T-condylar fractures in children less than or equal to 14 years of age were reviewed. Satisfactory results were achieved in all cases. Those who were approached surgically with a posterior triceps splitting approach seemed to have uniformly good results. However, other factors such as accuracy of reduction... |
0 | Individual differences in post-traumatic stress following post-intimate stalking: stalking severity and psychosocial variables | DoD PRF (Psychosocial RF) | OBJECTIVE: Stalking can have a major psychosocial impact on its victims. Accumulating evidence suggests frequent post-traumatic stress (PTS) reactions. The present study aimed to detail the affective and cognitive responses following post-intimate stalking, and to assess the associations between stalking severity, pers... |
0 | Gender, traumatic events, and mental health disorders in a rural Asian setting | DoD PRF (Psychosocial RF) | Research shows a strong association between traumatic life experience and mental health and important gender differences in that relationship in the western European Diaspora; but much less is known about these relationships in other settings. We investigate these relationships in a poor rural Asian setting that recent... |
0 | Reproducibility of the surveillance effect to decrease nosocomial infection rates | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To investigate whether the reduction effect due to participation in a nosocomial infection surveillance system for laboratory-confirmed central venous catheter (CVC)-associated primary bloodstream infection (BSI), ventilator-associated pneumonia (VAP), and surgical site infection (SSI) is reproducible for di... |
0 | Real-World Comparison of Classes IC and III Antiarrhythmic Drugs as an Initial Rhythm Control Strategy in Newly Diagnosed Atrial Fibrillation: From the TREAT-AF Study | Hip Fx in the Elderly 2019 | OBJECTIVES: In this study the authors investigated effectiveness and safety of an initial treatment strategy with class IC or class III antiarrhythmic drugs (AAD) for newly diagnosed atrial fibrillation (AF) or atrial flutter (AFL).
BACKGROUND: There is limited evidence to guide optimal AAD selection for rhythm control... |
0 | Electromyographic data differentiate patients with the carpal tunnel syndrome when double blindly treated with pyridoxine and placebo | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Six typical patients with the carpal tunnel syndrome in a neurological practice were double blindly treated with pyridoxine and placebo to determine whether electromyographic data alone could identify without mistake those patients receiving pyridoxine or placebo. All six patients had a significant deficiency of vitami... |
0 | Complex regional pain syndrome type i of the knee: A systematic literature review | AAHKS (8) Anesthetic Infiltration | In our Center for Pain Medicine, a group of patients reported to have symptoms possibly attributable to complex regional pain syndrome (CRPS) of only the knee(s). Therefore, this study aimed to investigate whether the literature reports on patients with CRPS type I in the knee(s) alone and, if so, to summarize the repo... |
0 | Multimodal Clinical Pathway With Adductor Canal Block Decreases Hospital Length of Stay, Improves Pain Control, and Reduces Opioid Consumption in Total Knee Arthroplasty Patients: A Retrospective Review | AAHKS (4) Acetaminophen | BACKGROUND: Total knee arthroplasty volume is increasing significantly in the United States. Reducing hospital length of stay may represent the best method for accommodating expanding volume and reducing costs. We hypothesized that tailoring a clinical pathway to facilitate early ambulation would decrease costs and res... |
1 | Dorsal and volar 2.4-mm titanium locking plate fixation for AO type C3 dorsally comminuted distal radius fractures | Distal Radius Fractures | PURPOSE: In this retrospective, nonrandomized, single-surgeon study, we evaluated the clinical outcomes of dorsal and volar locking plate fixation for AO type C3 dorsally comminuted distal radius fractures.
METHODS: We treated 41 consecutive patients who had sustained AO C3 dorsally comminuted fractures of the distal r... |
1 | Objective Effects of Breast Reduction Surgery on Physical Fitness | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Reduction mammaplasty is known for excellent outcomes and patient satisfaction. Although patients report improvements in pain, weight loss, and exercise levels, objective data on physical fitness benefits are limited.
METHODS: Using the Stanford Military Data Repository, we identified 89 US Army active duty... |
0 | Endoscopic full facelift | Panniculectomy & Abdominoplasty CPG | This article demonstrates the efficacy of endoscopic techniques in total facial rejuvenation. The author has introduced the total subperiosteal dissection to the endoscopic forehead lift. This concept has been extended to the rejuvenation of the central and lower third of the face. Patients up to the late 40s can have ... |
0 | Successful treatment of Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ) patients with sitafloxacin: New strategies for the treatment of BRONJ | MSTS 2018 - Femur Mets and MM | BRONJ has become a well-known, occasionally severe side effect of bisphosphonate therapy, as well as a clinical problem. Although treatment recommendations exist, no standard therapy has yet been established for BRONJ. Also, these recommendations identify several limitations that prevent clinicians from confidently dia... |
0 | Radiological evolution of the rheumatoid wrist after radio-lunate arthrodesis | Distal Radius Fractures | Radio-lunate arthrodesis of the rheumatoid wrist is an established technique which has been in use for more than 12 years. The evolution of 26 operated wrists and 20 non-operated wrists has been studied with a mean follow-up of 5 years. The results show that although radio-lunate arthrodesis can prevent dislocation of ... |
0 | Treatment of spinal metastases in renal cell carcinoma: A critical review | MSTS 2018 - Femur Mets and MM | Kidney cancer is the 9th most common cancer in men and the 14th most common in women worldwide. Renal cell carcinoma (RCC) constitutes 90% of all malignancies of the kidney. RCC, is known to be highly vascular and relatively radioresistant. Bone metastases are one of the most common metastatic sites and occur in around... |
1 | Obesity is associated with increased health care charges in patients undergoing outpatient plastic surgery | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Obesity is associated with greater rates of surgical complications. To address these complications after outpatient plastic surgery, obese patients may seek care in the emergency department and potentially require admission to the hospital, which could result in greater health care charges. The purpose of t... |
0 | Use of a bone block graft from the iliac crest with rigid fixation to correct diaphyseal defects of the radius and ulna | DoD SSI (Surgical Site Infections) | We report our experience with the use of a bone block graft from the iliac crest to correct diaphyseal defects of the forearm bones. The technique was used in 12 patients (ten men and two women, average age 29 years) for defects resulting mainly from either closed or compound fractures, which later developed infection ... |
1 | Preoperative Use of Clopidogrel Does Not Affect Outcomes for Femoral Neck Fractures Treated With Hemiarthroplasty | Hip Fx in the Elderly 2019 | BACKGROUND: The antiplatelet effect of clopidogrel on blood loss and perioperative complications after surgical intervention remains ambiguous. The purpose of this study was to determine if patients on clopidogrel before hemiarthroplasty for femoral neck fracture are predisposed to greater surgical bleeding and periope... |
0 | Pre-surgery planning of lower limbs major joints arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee and hip joints endoprosthetics are the main surgical method of arthrosis treatment. The epidemiological incidence rate of the disease is growing steadily every year, affecting younger and younger people. Despite the proven tactics of joint endoprosthetics, an important issue is quality planning of surg... |
0 | Articular cartilage of the knee: Evaluation with fluctuating equilibrium MR imaging - Initial experience in healthy volunteers | AMP (Acute Meniscal Pathology) | Institutional review board approval and informed consent were obtained for this HIPPAA-compliant study, whose purpose was to prospectively compare three magnetic resonance (MR) imaging techniques-fluctuating equilibrium, three-dimensional (3D) spoiled gradient-recalled acquisition in the steady state (SPGR), and two-di... |
0 | The effects of a FRAX revision for the USA | Management of Hip Fractures in the Elderly | A revision (version 3.0) of the fracture risk assessment tool (FRAX) is developed based on an update of epidemiological information for the USA. With the revised tool, there were strong correlations (r > 0.99) between versions 2.0 and 3.0 for FRAX estimates of fracture probability, but the revised models gave lower pro... |
0 | Volkmann's ischaemic contracture of the forearm | DOD - Acute Comp Syndrome CPG | Twenty-three patients with established contractures of the forearm, which were treated by excision of all irreparably damaged muscles, lengthening of the tendons and neurolysis of the median and ulnar nerves, are reported. Fourteen patients were children. Supracondylar fractures of the humerus, all treated by plaster-o... |
0 | Computed Tomographic Angiography-Based Characterization of Source Blood Vessels for Nipple-Areola Complex Perfusion in Hypertrophic Breasts | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Current knowledge about the blood supply of the nipple-areola complex (NAC) has largely been derived from studies on cadavers or persons with breasts of normal size. The aim of this study was to identify and classify the NAC blood supply by computed tomographic angiography (CTA) examination in female volunt... |
0 | Reconstruction after external hemipelvectomy using tibia-hindfoot rotationplasty with calcaneo-sacral fixation | Management of Hip Fractures in the Elderly | Background: External hemipelvectomy is associated with high post operative morbidity and a poor functional outcome. We aim to explore a reconstruction technique to improve function and post operative appearance for patients who undergo external hemipelvectomy. Case presentation: We present a Case where extensive cancer... |
0 | Surgical Strategies in the Treatment of Gynecomastia Grade I-II: The Combination of Liposuction and Subcutaneous Mastectomy Provides Excellent Patient Outcome and Satisfaction | Panniculectomy & Abdominoplasty CPG | Background: Gynecomastia (GM) is a benign condition with glandular tissue enlargement of the male breast. GM is classified into 4 grades of increasing severity. We describe a series of GM grade I-II, diagnosed, treated surgically and analyzed regarding feasibility, complication rate, and satisfaction. Methods: From 200... |
0 | Update on the role of autologous hematopoietic stem cell transplantation in multiple myeloma | MSTS 2018 - Femur Mets and MM | Autologous stem cell transplantation is considered the standard of care for multiple myeloma patients aged < 65 years with no relevant comorbidities. The addition of drugs acting both on bone marrow microenvironment and on neoplastic plasma cells has significantly increased the proportion of patients achieving a comple... |
0 | Visual Acuity, Contrast Sensitivity, and Mortality in Older Women: Study of Osteoporotic Fractures | DoD PRF (Psychosocial RF) | Objectives: To determine whether poorer visual acuity and contrast sensitivity are independent risk factors for all-cause and traumatic mortality in older women. Design: Twelve-year prospective cohort study (1986-2003). Setting: Four U.S. clinical centers. Participants: Nine thousand seven hundred four postmenopausal w... |
0 | The Contribution of Genes to Osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis (OA) is the most prevalent form of arthritis in the elderly. A large body of evidence, including familial aggregation and classic twin studies, indicates that primary OA has a strong hereditary component that is likely polygenic in nature. Furthermore, traits related to OA, such as longitudinal changes i... |
0 | Aluminium in antacids and cooking pots and the risk of hip fractures in elderly people | Management of Hip Fractures in the Elderly | The relationship between hip fractures and aluminium in antacids and cooking pots was examined in an epidemiological study in Sydney, Australia. A population-based case-control study was conducted and 416 men and women aged 65 years and over were recruited (209 cases and 207 controls). There was a significantly (p < 0.... |
1 | Anterior levator resection in congenital genuine blepharoptosis. A follow-up of 55 operated eyelids | Upper Eyelid and Brow Surgery | Fifty-five eyelids operated on for congenital blepharoptosis over a 10-year period were followed up, with a mean observation time of seven years. Ptosis was on the right side in 12 patients, the left side in 20, and bilateral in 12. Ptosis was regarded as being slight in 32 eyelids, moderate in 10 and severe in 14. The... |
1 | PTSD and depression construct: prevalence and predictors of co-occurrence in a South Lebanese civilian sample | DoD PRF (Psychosocial RF) | BACKGROUND: Armed conflict, occupation, and political and economic instability that are particularly experienced by the civilian Lebanese population of South Lebanon would almost inevitably affect these individuals psychologically. Therefore, identifying predictors of co-occurring mental disorders is paramount to sound... |
0 | Age and visual impairment decrease driving performance as measured on a closed-road circuit | Upper Eyelid and Brow Surgery | In this study the effects of visual impairment and age on driving were investigated and related to visual function. Participants were 139 licensed drivers (young, middle-aged, and older participants with normal vision, and older participants with ocular disease). Driving performance was assessed during the daytime on a... |
0 | Role of subcutaneous abdominal fat on cardiac function and proinflammatory cytokines in premenopausal obese women | Panniculectomy & Abdominoplasty CPG | The role of surgically removing subcutaneous fat by abdominoplasty on circulating inflammatory markers and myocardial dysfunction, evaluated by myocardial performance index (MPI), were investigated. Twenty volunteers submitted to the abdominoplasty (abdominoplasty group), and other 28 women treated by hypocaloric diet ... |
0 | Surgical treatment of metastatic long bone disease | MSTS 2018 - Femur Mets and MM | A retrospective study of the results of operative treatment of 60 long bones secondaries in 46 patients was carried out. The mean period of follow-up was 10 months. The most common primary in this study was carcinoma of the breast (28.2%), followed by carcinoma of the lung (21.7%) and unknown primary (10.9%). Three gro... |
0 | Acute carpal tunnel syndrome in a diver: evidence of peripheral nervous system involvement in decompression illness | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Conclusive evidence for involvement of the peripheral nervous system in decompression illness is lacking. We report a case of decompression illness associated with shoulder pain and the clinical features of median nerve injury at the wrist. Initial recompression and hyperbaric oxygen treatment produced prompt relief of... |
0 | Alpine Skiing With total knee ArthroPlasty (ASWAP): impact on molecular and architectural features of musculo-skeletal ageing | OAK 3 - Non-arthroplasty tx of OAK | This study investigated features of skeletal muscle ageing in elderly individuals having previously undergone unilateral total knee arthroplasty (TKA) and whether markers of sarcopenia could be mitigated by a 12-week alpine skiing intervention. Novel biomarkers agrin, indicative of neuromuscular junction (NMJ) degenera... |
0 | Clinical profile of Filipino patients with osteoarthritis seen at two arthritis clinics | OAK 3 - Non-arthroplasty tx of OAK | AIM: To describe a cohort of Filipinos with primary osteoarthritis (OA).
METHOD: Charts with diagnosis of OA from two arthritis clinics (Philippine General Hospital and a private clinic) from January 2008 to May 2011, were reviewed for demographics, clinical presentation, risk factors and management. Descriptive statis... |
0 | Assessment of Bone and Muscle Measurements by Peripheral Quantitative Computed Tomography in Geriatric Patients | Hip Fx in the Elderly 2019 | The loss of bone and muscle mass increases the risk of osteoporotic fractures. Dual energy X-ray absorptiometry (DXA) loses sensitivity in older age. The purpose of this study was to evaluate bone and muscle measurements of peripheral quantitative computed tomography (pQCT) in a geriatric cohort with osteoporosis. Bone... |
1 | The fate of lower extremities with failed free flaps: a single institution's experience over 25 years | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Lower-extremity reconstruction with microvascular free flap coverage is often the only option for limb salvage. Flap failure rates, however, continue to have higher complication rates than those to other anatomic sites; a significant number of flaps that fail result in amputation. This study retrospectively... |
1 | Factors Associated With Early Opioid Prescription Among Workers With Low Back Injuries | DoD PRF (Psychosocial RF) | Prescription of opioids for nonmalignant musculoskeletal pain has increased substantially in recent years, but there is little information on the incidence of, or factors associated with, such prescription for work-related back pain. In a prospective cohort study (N = 1067), we examined associations between worker soci... |
0 | Hemophilic arthropathy | DOD - Acute Comp Syndrome CPG | The musculoskeletal manifestations of hemophilia A and B are some of the most common presenting symptoms and continue to be challenging to practitioners. Hemophilic arthropathy, if not initially adequately treated and managed, may lead to debilitating disease and eventually require the consideration of major surgery, i... |
0 | Observation on the effect of manipulation treatment in children with supracondylar fracture of the humerus | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective: To investigate the clinical effects of manipulation treatment in children with supracondylar fracture of the humerus. Methods: 160 children with supracondylar fracture of humerus were selected from January 2012 to June 2014. They were randomly divided into the observation group and the control group with 80 ... |
0 | Health-related quality of life after total knee or hip replacement for osteoarthritis: a 7-year prospective study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To assess health-related quality of life (HRQOL) in a prospective study with 7 years of follow-up in 49 consecutive patients who underwent a total joint replacement because of osteoarthritis. METHODS: Generic HRQOL was assessed with the short-form 36 (SF-36) and specific HRQOL with the Western Ontario and Mc... |
0 | Attenuation of glucan-binding protein C reduces the cariogenicity of Streptococcus mutans: analysis of strains isolated from human blood | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A blood isolate of Streptococcus mutans strain TW871 shows relatively low homology with MT8148, a reference oral isolate strain, and lacks the serotype-specific polysaccharide antigen, suggesting that other cell-surface structures correlate with cariogenicity. We compared cariogenicity of TW871 with MT8148 (serotype c)... |
0 | Wrist deformities after fracture | Distal Radius Fractures | Wrist deformities can occur after fracture because of malunion of the fracture or injury to the growth plate leading to imbalance of growth. Prevention of malunion is paramount by early recognition with proper reduction and casting or fixation with casting. If a malunion occurs, an osteotomy may be necessary if anticip... |
0 | Endoscope-assisted suction extraction of lipomas | Panniculectomy & Abdominoplasty CPG | The blunt technique of suction-assisted lipectomy partially evolved while proving to be an efficient, albeit blind, method for the removal of lipomas. Larger or poorly encapsulated tumors were acknowledged to be at a greater risk for recurrence probably because of an unrecognized residua. Just as liposuction has enhanc... |
0 | Serum insulin-like growth factor-1 in centenarians: implications of IGF-1 as a rapid turnover protein | Management of Hip Fractures in the Elderly | BACKGROUND: It is well documented that serum insulin-like growth factor 1 (IGF-1) levels as well as growth hormone secretion decline with advancing age. Low levels of IGF-1 are shown to be associated with low activity of growth hormone, low lean mass, and high body fat mass; however, in the elderly, the relationship ha... |
0 | Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. Surgical technique | DoD SSI (Surgical Site Infections) | BACKGROUND: The results of elbow dislocations with associated radial head and coronoid fractures are often poor because of recurrent instability and stiffness from prolonged immobilization. We managed these injuries with a standard surgical protocol, postulating that early intervention, stable fixation, and repair woul... |
0 | Femur shaft fracture at a young age and the risk of subsequent severe injuries during childhood: a cohort study | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: A child who suffers a fracture or a soft-tissue injury at a young age faces an increased risk of subsequent injuries during childhood. This risk could be related to personal and family characteristics or to lower-than-average bone-mineral density. The purpose of this nationwide cohort study was to estimate ... |
0 | Trends in surgical management of femoral neck fractures in the United States | Management of Hip Fractures in the Elderly | We examined trends in utilization of open reduction and internal fixation (ORIF), THA, and hemiarthroplasty (HA) for femoral neck fractures. Closed femoral neck fractures managed with ORIF or hip arthroplasty (n = 162,257) were extracted from 1990 to 2001 Nationwide Inpatient Samples. Trends were examined during three ... |
0 | Ultrasound-aided unilateral epidural block for single lower-extremity pain | Surgical Management of Osteoarthritis of the Knee CPG | We report an ultrasound-aided unilateral epidural block, employed in two patients, to provide better analgesia and motor function for lower-extremity pain. The patient in case 1 was a 72-year-old woman who suffered pain arising from Herpes zoster rash on the left leg (the second lumbar nerve area). A left-dominant cont... |
1 | Retrospective Study Of Internal Derangements Of Knee Joints With MRI | AMP (Acute Meniscal Pathology) | Background: Knee injury is the second most common problem in the musculoskeletal system for which patients consult their general physician or an orthopaedician. Since its introduction to musculoskeletal imaging in the early 1990`s and then onwards, MRI has revolutionized diagnostic imaging of the knee joints. Magnetic ... |
0 | Radiofrequency ablation of genicular nerves prior to total knee replacement has no effect on postoperative pain outcomes: A prospective randomized sham-controlled trial with 6-month follow-up | OAK 3 - Non-arthroplasty tx of OAK | Background and objectives Refractory chronic knee pain from osteoarthritis (OA) is commonly treated with total knee arthroplasty (TKA). TKA can be associated with severe postoperative pain and persistent postsurgical knee pain. Poorly controlled postoperative pain can negatively effect functional outcomes following TKA... |
0 | Osteochondral and Meniscal Allograft Transplantation in the Football (Soccer) Player | Surgical Management of Osteoarthritis of the Knee CPG | Knee injuries are common in football, frequently involving damage to the meniscus and articular cartilage. These injuries can cause significant disability, result in loss of playing time, and predispose players to osteoarthritis. Osteochondral allografting is an increasingly popular treatment option for osteoarticular ... |
1 | Patients with pertrochanteric hip fracture may benefit from preoperative intravenous iron therapy: a pilot study | Management of Hip Fractures in the Elderly | BACKGROUND: Patients undergoing pertrochanteric hip fracture (PHF) repair surgery often receive perioperative allogeneic blood transfusions (ABTs) to avoid the deleterious effects of anemia. Nevertheless, concerns about adverse effects of ABTs have prompted the review of transfusion practice and the search for a safer ... |
0 | Abdominal strength after breast reconstruction using a free abdominal flap | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Today, breast reconstruction with autologous tissue is most commonly done either as a free muscle sparring TRAM flap or as a DIEP flap. Studies of donor site morbidity have shown an advantage in using the DIEP flap. However, this procedure might also be associated with an increased risk of flow related comp... |
0 | Ethical aspects of genetic testing in the workplace | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The European Group on Ethics and New Technologies, which advises the European Commission, has published an opinion paper on ethical aspects of genetic testing in the workplace. The paper goes well beyond the usual ethical issues, presenting a summary of genetic testing in the workplace in the United States and Europe a... |
0 | Matrix-Assisted Autologous Chondrocyte Transplantation in the Knee: A Systematic Review of Mid- to Long-Term Clinical Outcomes | OAK 3 - Non-arthroplasty tx of OAK | Background: Matrix-assisted autologous chondrocyte transplantation (MACT) is a surgical treatment option for articular cartilage lesions of the knee joint. Purpose: To investigate mid- to long-term clinical outcomes of MACT in the patellofemoral (PF) and tibiofemoral (TF) joints. Study Design: Systematic review; Level ... |
0 | Single Shot vs 24hr vs 48hr Continuous Adductor Canal Block After TKA | AAHKS (2) Corticosteroids | If the patient is willing to participate and signs the consent, he/she will be randomized to one of the three treatment groups: 1. Single shot block 2. 24 hour catheter 3. 48 hour catheter The choice of anesthetic technique will be at the discretion of the anesthesiologist. In our institution we usually advocate for sp... |
1 | Decision-making on the use of antimicrobial prophylaxis for dental procedures: a survey of infectious disease consultants and review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | There is debate concerning use of antibiotic prophylaxis before invasive dental procedures for patients at risk of acquiring distant site infection (DSI). We determined the opinions and practices of infectious disease consultants (IDCs) regarding antimicrobial prophylaxis to prevent DSIs that result from invasive denta... |
0 | External Fixation Versus Open Reduction With Locked Volar Plating for Geriatric Distal Radius Fractures | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The optimal management of displaced dorsal radius fractures (DRFs) in older patients remains an issue of debate. Bridging external fixation is a well-accepted treatment modality for severely comminuted DRFs, while open reduction and internal fixation with locked volar plating has emerged as a promising alternative in r... |
0 | Acute exacerbation of carpal tunnel syndrome after radial artery cannulation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Acute carpal tunnel syndrome that follows radial artery cannulation has been described. To determine the incidence and predisposing factors, we prospectively studied 151 patients who had perioperative radial artery cannulation. Postoperatively 9 of the 151 patients had symptoms of carpal tunnel syndrome with positive P... |
0 | Evaluation of physical performance level as a fall risk factor in women with a distal radial fracture | Hip Fx in the Elderly 2019 | Background: Decreased physical performance has been associated with an increased risk of falls and fragility hip fractures. The purpose of our study was to compare physical performance measures and fall risk factors in middle-aged and elderly patients with recent distal radial fractures relative to age-matched control ... |
0 | Evidence-based guidelines for fixing broken hips: An update | DoD SSI (Surgical Site Infections) | Objective: To update evidence-based guidelines for the treatment of proximal femoral fractures published in the Journal in 1999. Data sources: Systematic literature search of MEDLINE, CINAHL and EMBASE from January 1996 to September 2001 and the Cochrane Database of Systematic Reviews (most recent issue searched - Issu... |
0 | Effects of single or combined administration of salmon calcitonin and omega-3 fatty acids vs. diclofenac sodium in sodium monoiodoacetate-induced knee osteoarthritis in male Wistar rats | OAK 3 - Non-arthroplasty tx of OAK | There is a continuous search for a better therapy in osteoarthritis (OA) management. Therefore, this study investigated the effects of salmon calcitonin (Sct) and/or omega-3 fatty acids (N-3) relative to diclofenac sodium (DF) in induced knee osteoarthritic male Wistar rats. The 40 rats that were used in this study wer... |
0 | Economic aspects of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | CTS is very costly to the national genomy. Cost figures vary from different locations around the United States. The average cost per case is about $12,000, but individual cases can cost much more. The most cost- effective measure is prevention |
0 | The efficacy of intravenous tranexamic acid administration at induction in definitive hip fracture surgery: Is there a role? | Hip Fx in the Elderly 2019 | Tranexamic acid (TXA) is a cheap and powerful drug that has several uses in surgery and is well established in elective orthopaedic surgery. At present, limited small studies have looked into its role in the acute hip fracture. Transfusion in the geriatric population presents risks and increased costs to healthcare sys... |
0 | Acid-induced molten globule state of a fully active mutant of human interleukin-6 | MSTS 2018 - Femur Mets and MM | Interleukin-6 (IL-6), a four-helix bundle protein, is a multifunctional cytokine which plays an important role in the regulation of the immune system, hematopoiesis, and inflammatory response, as well as in the pathogenesis of multiple myeloma. We have previously shown that a single-disulfide variant of human IL-6, lac... |
0 | Long-term survival of semi-constrained total knee arthroplasty for revision surgery | PJI DX Updated Search | Semi-constrained implants provide stability in the setting of soft-tissue deficiency in revision total knee arthroplasty (TKA). This study evaluated our institution's long-term survival results with a semi-constrained implant used in the revision TKA setting. 234 semi-constrained revision total knee arthroplasties were... |
0 | Fracture risk in patients treated with loop diuretics | Management of Hip Fractures in the Elderly | BACKGROUND: Loop diuretics (LD) increase renal calcium excretion. Discrepant results on associations between LD and fracture risk have been reported. OBJECTIVE: To assess the fracture risk in users of LD. DESIGN AND SUBJECTS: A population-based pharmaco-epidemiological case-control design with fracture in year 2000 as ... |
1 | Complications of elastic stable intramedullary nailing of femoral shaft fractures in children weighing fifty kilograms (one hundred and ten pounds) and more | Pediatric Diaphyseal Femur Fractures 2020 Review | AIM: The purpose of this study was to assess treatment outcomes in children weighing 50Â kg (110 pounds) or more with displaced femur shaft fractures treated by elastic stable intramedullary nailing (ESIN) and to identify potential correlations between nail size/medullary canal diameter ratio and outcome. METHODS: Twen... |
1 | The accuracy of magnetic resonance imaging scanning and its influence on management decisions in knee surgery | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of our study was to evaluate the impact of preoperative magnetic resonance imaging (MRI) assessment of articular knee pathology on the clinical management of patients presenting with joint line pain.
METHODS: A preliminary study on 100 patients was performed to assess the accuracy of specific MRI s... |
0 | Removal of oral debris and bacteria during supervised tooth brushing | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To investigate foam generation during brushing, and the oral debris and bacteria removal efficacy of an experimental gel-to-foam dentifrice compared to a commercially-available dentifrice after brushing. METHODS: Thirty-four subjects participated in this blinded, crossover study. After a wash-out period prio... |
0 | Intraoperative platelet-rich plasma does not improve outcomes of total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | This randomized controlled study was conducted to assess the effects of platelet-rich plasma (PRP) on outcomes of total knee arthroplasty (TKA). Forty patients who underwent unilateral TKA were evaluated prospectively; 20 received intraoperative PRP and 20 served as control subjects. The results showed no significant d... |
0 | Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis | AMP (Acute Meniscal Pathology) | OBJECTIVE: To identify predictors of poor exercise adherence in patients with osteoarthritis (OA) and meniscal tear.
DESIGN: Secondary analysis of data gathered over the first 12 weeks in the Meniscal Tear in Osteoarthritis Research (MeTeOR) trial, a multicenter, randomized controlled trial.
SETTING: Seven referral cen... |
0 | The pathoanatomy of lateral ligamentous disruption in complex elbow instability | Distal Radius Fractures | We sought to determine the lateral soft-tissue injury pattern in a consecutive series of patients with elbow dislocation (10 cases) or fracture-dislocation (52 cases) that required open operative repair. Patients who were seen more than 3 months after injury or those in whom previous operative intervention had obscured... |
0 | Too much, too little, too late to start again? Assessing the efficacy of bisphosphonates in patients with bone metastases from breast cancer | MSTS 2018 - Femur Mets and MM | The diagnosis of bone metastases can be a devastating occurrence for any woman with breast cancer. In this setting, bone metastases can result in skeletal-related events (SREs) such as pathologic fracture, spinal cord compression, and hypercalcemia. Several trials have confirmed the ability of bisphosphonates to reduce... |
1 | Synovialization on second-look arthroscopy after anterior cruciate ligament reconstruction using Achilles allograft in active young men | Anterior Cruciate Ligament Injuries CPG | PURPOSE: This study is to assess the relationship between clinical outcomes and the extent of synovialization through second-look arthroscopy for anterior cruciate ligament (ACL) reconstruction using Achilles allograft in active young men. METHODS: Ninety-five subjects were diagnosed with ACL rupture and underwent reco... |
0 | Anatomical feature of the blood supply in the repair of the meniscus of knee joint | DoD LSA (Limb Salvage vs Amputation) | Background: The blood supply is essential for the repair of the meniscus after the suture of it in the injured knee joint. According to the condition of blood supply, the meniscus was divided into three zones by Arnoczk in 1982. The absolute vascularization zone, in which the distance to the combination part of meniscu... |
0 | Galeazzi fractures in adults | Distal Radius Fractures | Galeazzi fractures are not uncommon. They frequently result from falls with forced hyperpronation of the forearm. They are potentially unstable because of certain destabilizing factors at the wrist. Early recognition is essential, as is early operative fixation of the radius in adults. This paper reviews the English la... |
0 | Multi-vendor multi-site T1? and T2 quantification of knee cartilage | AMP (Acute Meniscal Pathology) | Objective: To develop 3D T1? and T2 imaging based on the same sequence structure on MR systems from multiple vendors, and to evaluate intra-site repeatability and inter-site inter-vendor reproducibility of T1? and T2 measurements of knee cartilage. Methods: 3D magnetization-prepared angle-modulated partitioned k-space ... |
0 | Teriparatide use during an economic crisis: Baseline data from the Greek cohort of the Extended Forsteo Observational Study (ExFOS) Epidemiology of musculoskeletal disorders | HipFx Supplemental Cost Analysis | Background: The Extended Forsteo Observational Study (ExFOS) is a multinational, non-interventional, prospective, observational study that aims to provide real-life data on patients with osteoporosis treated with teriparatide for up to 24 months. It includes the new indications of osteoporosis in men and glucocorticoid... |
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