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0 | Clinical presentation and manual therapy for upper quadrant musculoskeletal conditions | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In recent years, increased knowledge of the pathogenesis of upper quadrant pain syndromes has translated to better management strategies. Recent studies have demonstrated evidence of peripheral and central sensitization mechanisms in different local pain syndromes of the upper quadrant such as idiopathic neck pain, lat... |
0 | Monkey Bars are for Monkeys: A Study on Playground Equipment Related Extremity Fractures in Singapore | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Studies in Caucasian populations have shown that a significant percentage of childhood extremity fractures occur at the playground. There are no comparable studies in Asian populations. Thus this study sets out to determine the pattern of playground related extremity fractures in Asian populations and to suggest modifi... |
1 | Untreated congenital hip dysplasia in the Navajo | Developmental Dysplasia of the Hip CPG | Congenital hip dysplasia without dislocation was identified in 18 Navajo Indian children. Treatment had been declined and the children presented a unique opportunity to observe the natural course of hip dysplasia. In a follow-up period of three to 19 years (average, 11.2 years), none of the dysplastic hips were observe... |
0 | Cardiopulmonary complications of intramedullary fixation of long bone metastases | MSTS 2022 - Metastatic Disease of the Humerus | Intramedullary fixation of long bone metastases is an effective method of treating or preventing pathologic fractures. An important complication of this technique is the development of pulmonary embolism, which may occur at any number of steps during bone manipulation. Passage of normal marrow contents or tumor into th... |
1 | Trauma and event centrality: Valence and incorporation into identity influence well-being more than exposure | DoD PRF (Psychosocial RF) | Although the association between trauma exposure and posttraumatic stress disorder (PTSD) symptoms is well established, how such trauma is incorporated into identity, or the centrality of the negative event, is also of considerable importance in understanding the development of psychological symptoms. Alternatively, po... |
0 | Trauma, PTSD, and resilience: a review of the literature | DoD PRF (Psychosocial RF) | Based on the available literature, this review article investigates the issue of resilience in relation to trauma and posttraumatic stress disorder. Resilient coping to extreme stress and trauma is a multifaceted phenomena characterized as a complex repertoire of behavioral tendencies. An integrative Person x Situation... |
0 | Nipple areola reconstructing reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The pigment density and texture of breast skin are not uniform. Especially in patients with massive breasts, lower pole skin can be significantly darker and coarser than the upper pole skin. Nipple areola reconstructing (NAR) reduction mammaplasty is a technical modification of the "free nipple" procedure i... |
0 | Unplanned readmissions after primary total knee arthroplasty in Korean patients: Rate, causes, and risk factors | DoD SSI (Surgical Site Infections) | Background Unplanned hospital readmissions are indicators of the quality and performance of a health care system, but data on early readmission after primary total knee arthroplasty (TKA) in the Asian population are limited. The purpose of this study was to determine the causes, risk factors, and rate of unplanned read... |
0 | The Delta III reverse shoulder replacement for cuff tear arthropathy: a single-centre study of 50 consecutive procedures | Glenohumeral Joint OA | The combination of an irreparable tear of the rotator cuff and destructive arthritis of the shoulder joint may cause severe pain, disability and loss of independence in the aged. Standard anatomical shoulder replacements depend on a functioning rotator cuff, and hence may fail in the presence of tears in the cuff. Many... |
0 | Treatment of unicameral bone cysts by subtotal resection without grafts | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Twenty-one patients were treated operatively for unicameral bone cysts by subtotal resection without any form of bone graft, and all but two patients had satisfactory, prompt healing. The rate of recurrence was 9%. Five patients were noted to have humeral shortening prior to any surgery, and in them the changes in the ... |
0 | When is hemiarthroplasty preferable to intramedullary prophylactic fixation of malignant lesions of the proximal femur? | DoD SSI (Surgical Site Infections) | Background: Malignant hip lesions can be managed operatively by intramedullary (IM) nail fixation and hemiarthroplasty. Methods: A retrospective review was performed on 86 patients who underwent hemiarthroplasty (n = 22) or IM nail fixation (n = 64) for prophylactic treatment of impending pathologic fracture due to mal... |
1 | Postoperative analgesia by femoral nerve block with ropivacaine 0.2% after major knee surgery: continuous versus patient-controlled techniques | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVES: This prospective study compared the efficacy and adverse effects after knee surgery of ropivacaine 0.2% administered as patient-controlled femoral analgesia (PCFA), as a continuous femoral infusion (Inf), or as both (PCFA+Inf). METHODS: Before general anesthesia, 140 adults scheduled to under... |
1 | Comparison of peri- and intraarticular analgesia with femoral nerve block after total knee arthroplasty: a randomized clinical trial | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Postoperative pain after total knee arthroplasty (TKA) can be difficult to manage and may delay recovery. Recent studies have suggested that periarticular infiltration with local anesthetics may improve outcome.
METHODS: 80 patients undergoing TKA under spinal anesthesia were randomized to receive continuou... |
0 | Complications after treatment of tibial pilon fractures: prevention and management strategies | DoD SSI (Surgical Site Infections) | Complications after treatment of tibial pilon fractures can occur intraoperatively or in the early or late postoperative period. Perioperative complications include malreduction, inadequate fixation, and intra-articular penetration of hardware, all of which may be minimized by preoperative planning and meticulous opera... |
0 | 'Who', 'when' and 'how' in re-irradiation of recurrent painful bone metastases | MSTS 2018 - Femur Mets and MM | Re-irradiation of painful bony metastases is increasingly performed since patients are receiving better systemic treatments and having longer life expectancy, and may also be due to the increase use of initial single fraction radiotherapy. However, randomized control trial on the efficacy of re-irradiation is lacking. ... |
0 | Knee injuries produced by recreational sports follow a different pattern than casual injuries | AMP (Acute Meniscal Pathology) | Data was collected on 208 Chinese males who underwent knee arthroscopy following trauma in the period from January 1993 through December 1994. For the purpose of comparison and analysis, the patients were classified according to their sporting habits as sedentary patients, recreational athletes, or competitive athletes... |
0 | Morning self-efficacy predicts physical activity throughout the day in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The purpose of this study was to examine the within-day and cross-day prospective effects of knee osteoarthritis (OA) patients' self-efficacy to engage in physical activity despite the pain on their subsequent physical activity assessed objectively in their natural environment.
METHOD: Over 22 days, 135 olde... |
0 | Application of a semi-automatic cartilage segmentation method for biomechanical modeling of the knee joint | AMP (Acute Meniscal Pathology) | Manual segmentation of articular cartilage from knee joint 3D magnetic resonance images (MRI) is a time consuming and laborious task. Thus, automatic methods are needed for faster and reproducible segmentations. In the present study, we developed a semi-automatic segmentation method based on radial intensity profiles t... |
0 | The effect of a fracture protocol on hospital prescriptions after minimal trauma fractured neck of the femur: a retrospective audit | Management of Hip Fractures in the Elderly | Effective therapies for the treatment of osteoporosis and fracture have been available for a number of years. Despite this, there are numerous reports indicating very low uptake rates in those admitted to hospital with fracture. The aim of this retrospective audit was to assess the impact of a fracture protocol on inpa... |
1 | Effect of combined exercise training on bone, body balance, and gait ability: a randomized controlled study in community-dwelling elderly women | Management of Hip Fractures in the Elderly | The purpose of this study was to investigate whether a 48-week multicomponent exercise program could improve the risk factors for fall and hip fracture. Fifty elderly women 65-70 years of age participated. These participants were divided into an exercise group (25 subjects) that attended an exercise program and a contr... |
0 | Diagnosis of deep vein thrombosis in elderly hip-fracture patients by using the duplex scanning technique | Management of Hip Fractures in the Elderly | To detect the incidence of preoperative and postoperative deep vein thrombosis (DVT) in elderly patients with hip fracture, 100 patients aged 65 years and older with either a subcapital or intertrochanteric hip fracture were evaluated by duplex beta-mode ultrasonography. Treatment was based on each scan result: if evid... |
0 | Role of low field MRI in detecting knee lesions | AMP (Acute Meniscal Pathology) | Objective The aim of this work is to evaluate the diagnostic accuracy of 0.3T sectoral MR imaging, compared with arthroscopy, for meniscal, cruciate ligaments and chondral knee lesions. Materials and Methods We conducted a retrospective study analyzing all the consecutive knees subjected to arthroscopy at our instituti... |
0 | Structural Allograft Transplantation for Osteochondral Lesions of the Talus | Osteochondritis Dissecans 2020 Review | INTRODUCTION: We describe the technique for structural allograft transplantation to treat large talar shoulder lesions. STEP 1 PATIENT SELECTION AND EDUCATION: The patient and surgeon must be prepared for a waiting time of unknown length and have a flexible schedule for when the graft is ready for implantation. STEP 2 ... |
0 | Sequential scintigraphy and orthoradiographic measurement of femoral shortening after femoral neck fracture | Management of Hip Fractures in the Elderly | The objective of the study was to assess scintigraphic patterns and femoral shortening after femoral neck fracture in order to select predictive parameters for late complications. Eighty-eight patients with osteosynthesized femoral neck fractures were followed for 2 years with regular scintigraphic evaluations and orth... |
1 | Impact of Intravenous Acetaminophen on Lengths of Stay and Discharge Status after Total Knee Arthroplasty | AAHKS (4) Acetaminophen | Postoperative pain remains difficult to control after total knee arthroplasty (TKA). While various modalities have been used, they have been associated with several side effects. For example, opioids have many side effects including: sedation, dizziness, nausea, vomiting, constipation, respiratory depression, and can l... |
1 | Anterior lamellar recession for management of upper eyelid cicatricial entropion and associated eyelid abnormalities | Upper Eyelid and Brow Surgery | AIM: To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion (UCE) correction using anterior lamellar recession (ALR) with addressing the associated conditions including dermatochalasis, brow ptosis, blepharoptosis, and lid retraction. METHODS: Chart review of patients with upper lid cic... |
0 | The impact of glucocorticoid replacement regimens on metabolic outcome and comorbidity in hypopituitary patients | AAHKS (2) Corticosteroids | BACKGROUND: Hypopituitary patients with untreated GH deficiency and patients on inappropriately high doses of glucocorticoid (GC) share certain clinical features.
OBJECTIVE: The aim of the study was to examine the influence of GC substitution on clinical characteristics in hypopituitary patients before and after GH rep... |
0 | Induction oftolerance INA patientwitha history of exfoliative dermatitis to trimethoprim-sulfamethoxazole | Surgical Management of Osteoarthritis of the Knee CPG | Introduction Drug hypersensitivity with exfoliative dermatitis (ED) is generally considered a contraindication to graded drug challenge or attempted induction of tolerance.We describe successful induction of tolerance in a patient with ED to trimethoprim-sulfamethoxazole (TMP-SMX). Methods A 53 year old woman with a hi... |
0 | Revision total knee arthroplasty with modular components inserted with metaphyseal cement and stems without cement | Surgical Management of Osteoarthritis of the Knee CPG | The clinical and radiographic outcomes of 50 consecutive revision total knee arthroplasties in 47 patients, placed with metaphyseal cemented femoral and tibial components with press-fit cementless stems, were reviewed at 36-month average follow-up. Revision was performed for aseptic loosening (11/50), infection (17/50)... |
1 | A known technique for meniscal repair in common practice | Anterior Cruciate Ligament Injuries CPG | In this retrospective study, we calculated the healing rate of meniscal repairs performed with an outside-in technique. We describe complications encountered and evaluate some known criteria used in the decision to perform a meniscal repair instead of partial meniscectomy. Included is a brief description of the surgica... |
1 | Ibandronate to treat skeletal-related events and bone pain in metastatic bone disease or multiple myeloma: a meta-analysis of randomised clinical trials | MSTS 2018 - Femur Mets and MM | OBJECTIVE: Randomised controlled trials (RCTs) have given contradictory results about the efficacy and safety of ibandronate in treating metastatic bone disease (MBD) or multiple myeloma. This review meta-analysed the literature to gain a more comprehensive picture.
DESIGN: Systematic review and meta-analysis of ibandr... |
0 | Correction: Effect of early surgery vs physical therapy on knee function among patients with nonobstructive meniscal tears: The ESCAPE randomized clinical trial (JAMA - Journal of the American Medical Association (2018) 320:13) (1328-1337) DOI: 10.1001/jama.2018.13308) | AMP (Acute Meniscal Pathology) | Data Errors in Table 3: In the Original Investigation titled "Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears: The ESCAPE Randomized Clinical Trial,"1 published in the October 2, 2018, issue, the upper limits of 95% CIs were incorrectly reported as positive... |
0 | Penile Lengthening, Girth, and Size Preservation at the Time of Penile Prosthesis Insertion | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Penile prosthetic devices are the gold standard treatment of medication-refractory erectile dysfunction. Inflatable penile prosthetic (IPP) devices have been available and used for more than four decades. Oftentimes, medical conditions causing erectile dysfunction also cause penile shortening, causing dec... |
0 | Fracture of the upper end of the ulna associated with dislocation of the head of the radius in children | Distal Radius Fractures | Dislocation of the head of the radius associated with fracture of the upper end of the ulna is a common elbow injury in children. The literature on diagnosis, however, is relatively limited. The injury can be misdiagnosed and consequently mismanaged. In the present series of 46 children, the age range was from 2.5 to 1... |
0 | High prevalence of vitamin D deficiency and reduced bone mass in Parkinson's disease | Management of Hip Fractures in the Elderly | Despite excessive hip fractures in patients with Parkinson's disease (PD), little is known about bone changes in these patients. We measured bone mineral density (BMD; Z scores) in PD patients and analyzed its relation to serum biochemical indices and sunlight exposure. We measured BMD in 71 patients in the second meta... |
0 | Somatosensory cortical plasticity to tactile stimuli and electro-cutaneous stimuli in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is caused by the compression of the median nerve sensorimotor fibers at the wrist, and it is considered as the most frequent type of nerve entrapment. Several studies investigated the changes in somatotopic representation in patients with CTS. This was by comparing the somatosensory cortica... |
0 | Retained versus resected posterior cruciate ligament in mobile-bearing total knee replacement: a retrospective, clinical and functional assessment | PJI DX Updated Search | PURPOSE: Fully conforming, mobile-bearing total knee replacement (TKR) was initially designed using a posterior cruciate-sacrificing (CS) technique. Rotating-platform TKR that could also be performed retaining the posterior cruciate developed afterwards. The purpose of this study was to compare the clinical and functio... |
0 | Percutaneous compression plating for intertrochanteric fractures. Surgical technique, tips for surgery, and results | Hip Fx in the Elderly 2019 | OBJECTIVE: Fixation of intertrochanteric fractures by a minimally invasive technique using the Percutaneous Compression Plate (PCCP) allowing anatomic reduction and immediate postoperative weight bearing.
INDICATIONS: Intertrochanteric fractures.
CONTRAINDICATIONS: Intertrochanteric fractures that cannot be reduced by ... |
0 | Prospective clinical and radiological two-year results after patellofemoral arthroplasty using an implant with an asymmetric trochlea design | OAK 3 - Non-arthroplasty tx of OAK | Purpose: The purpose was to prospectively evaluate the two-year results after implantation of the Journey PFJ® (Smith & Nephew, Andover, MA). The authors hypothesized that patellofemoral arthroplasty would result in improved outcomes after 24 months in patients treated with an isolated procedure as well as in patients... |
0 | Compression plating versus hackethal nailing in closed humeral shaft fractures failing nonoperative reduction | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Prospectively, 40 patients with an average age of 45 (20-65) with closed transverse fractures of the middle one-third of the humerus without associated radial nerve palsy were treated. All had failed nonoperative reduction and were then operated on with either compression plating or intramedullary fixation with Hacketh... |
0 | Assessment of the Efficacy of Cryolipolysis on Saddlebags: A Prospective Study of 53 Patients | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Cryolipolysis is a noninvasive subcutaneous fat removal technique. Its efficacy has been demonstrated on various fatty areas but not yet on saddlebags. The main objective of this study was to demonstrate the efficacy, patient tolerance, and safety of cryolipolysis on the saddlebags. METHODS: This prospectiv... |
0 | Hyaluronan before osteoarthritis: About 339sportsmen | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Physical activities, through traumas and intensity of practice expose the athletes to cartilage pain caused earlier compared to a population of sedentary people. Lesions at the origin of the pain may be traumatic or microtrauma however without meeting the radio-clinical osteoarthritis criteria defined by ... |
0 | Lateral femoral condyle insufficiency fractures: imaging findings, demographics, and analysis of outcomes | AMP (Acute Meniscal Pathology) | OBJECTIVE: To describe imaging characteristics and demographics of lateral femoral condyle insufficiency fractures (LFCIFs) and identify characteristics associated with progression to epiphyseal collapse.
MATERIALS AND METHODS: A retrospective review of 105 consecutive patients with LFCIF was performed (mean age 58.1 y... |
0 | The Epidemiology of Meniscus Injury | AMP (Acute Meniscal Pathology) | Meniscus surgery is one of the most commonly performed orthopedic procedures worldwide. Modifiable risk factors for meniscus injury include body mass index, participation in athletics and occupation. Nonmodifiable risk factors include age, sex, lower extremity alignment, discoid meniscus, ligamentous laxity, and biconc... |
0 | Lack of nephrotoxicity by 6% hydroxyethyl starch 130/0.4 during hip arthroplasty: A randomized controlled trial | AAHKS (2) Corticosteroids | BACKGROUND: Hydroxyethyl starch (HES) is commonly used as plasma expander during surgery but may be nephrotoxic as seen in studies in patients with sepsis. The authors hypothesized that the possible nephrotoxicity of 6% HES 130/0.4 could be revealed by measurements of urinary excretion of neutrophil gelatinase-associat... |
0 | Setting priorities for research: a practical application of 'payback' and expected value of information | Management of Hip Fractures in the Elderly | BACKGROUND: Setting priorities for research using economic in addition to scientific criteria can ensure that resources are spent efficiently and equitably. OBJECTIVE: This study applies two priority setting methods 'payback' and expected value of information (EVI) to two research areas (osteoporosis and pressure ulcer... |
1 | Septum-Inferior-Medial (SIM)-Based Pedicle: A Safe Pedicle with Well-Preserved Nipple Sensation for Reduction in Gigantomastia | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Reduction in breasts with well-preserved nipple sensation and a viable nipple-areola complex (NAC) is one of the basic core concepts of reduction mammoplasty. Many techniques have been described with enthusiasm advocating full achievement of the aforementioned goals. The goal of this study is to introduce a... |
1 | Correlation between magnetic resonance imaging and arthroscopic findings in the knee joint | AMP (Acute Meniscal Pathology) | BACKGROUND: The knee joint is the largest and the most complex joint of the human body. It is not covered by any thick muscular covering anteriorly.
OBJECTIVES: The purpose of this study was to explore the diagnostic capabilities of clinical examination, magnetic resonance imaging (MRI), and arthroscopy in traumatic di... |
0 | Revision surgery for acetabular nonunion: Role and challenges to preservation of hip joint | Hip Fx in the Elderly 2019 | Introduction. The non-union of the acetabulum is a very frequent complication in the Letournel classified associated fractures which involve mainly the posterior column. Both the diagnosis and the treatment are very difficult. In this short work we are presenting the revisitation of our case histories of 21 acetabular ... |
0 | Local Continuous Wound Infusion of Anesthetics in the Management of Post-operative Pain After Total Hip Arthroplasty | AAHKS (8) Anesthetic Infiltration | Wound infiltration with local anesthetics is an analgesic technique that has been adopted for postâ?operative analgesia following a range of surgical orthopaedic procedures. Pain management by infusion of local aesthetic into wounds was found to improve pain, reduced opioid use and side effects, increase patient satis... |
0 | Patellar resurfacing in posterior cruciate ligament retaining total knee arthroplasty (PATRES): design of a randomized controlled clinical trial | PJI DX Updated Search | BACKGROUND: Anterior knee pain may occur after total knee arthroplasty (TKA). Patellar resurfacing, which is considered to lower the incidence of anterior knee pain after TKA, remains controversial. In the present study clinical and radiological outcomes after TKA performed on patients with clinical and radiological si... |
0 | Pre-operative traction for fractures of the proximal femur in adults (Cochrane review) [with consumer summary] | Management of Hip Fractures in the Elderly | BACKGROUND: Following a hip fracture, traction may be applied to the injured limb before surgery. OBJECTIVES: To evaluate the effects of traction applied to the injured limb prior to surgery for a fractured hip. Different methods of applying traction (skin or skeletal) were considered. SEARCH STRATEGY: We searched the ... |
0 | Longitudinal change in patellofemoral cartilage thickness, cartilage T2 relaxation times, and subchondral bone plate area in adolescent vs mature athletes | OAK 3 - Non-arthroplasty tx of OAK | Objective Patellofemoral cartilage changes have been evaluated in knee trauma and osteoarthritis; however, little is known about changes in patellar and trochlear cartilage thickness, T2 relaxation-time and subchondral bone plate area (tAB) during growth. Our prospective study aimed to explore longitudinal change in pa... |
1 | Ultrasound assessment of the efficacy of wound drains | DoD SSI (Surgical Site Infections) | We report the use of ultrasound in the assessment of the efficacy of wound drains in preventing wound haematoma. 171 patients with proximal femoral fractures who underwent AO dynamic hip screw or hemiarthroplasty were randomized as to whether or not they should receive wound drainage. Patients then underwent ultrasound... |
0 | MRI study of the capitate, lunate, and lunate fossa with relevance to proximal row carpectomy | Distal Radius Fractures | PURPOSE: To study the articular morphology (radius of curvature), (diameter, depth, circularity, and percent of circle) of the capitate, proximal lunate, and the lunate fossa of the distal radius using both magnetic resonance imaging (MRI) scans and plain radiographs. The correlation between plain radiographs and MRI s... |
0 | Home rehabilitation after hip fracture a randomized controlled study on balance confidence, physical function and everyday activities [with consumer summary] | Management of Hip Fractures in the Elderly | OBJECTIVE: To investigate whether home rehabilitation can improve balance confidence, physical function and daily activity level compared to conventional care in the early phase after hip fracture. DESIGN: A randomized controlled study. SETTING: Geriatric rehabilitation clinic. SUBJECTS: One hundred and two community-d... |
0 | Poor finger dexterity but not elderly age is associated with increase risk of peritonitis in patients on peritoneal dialysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction and Aims: More and more elderly patients requiring renal replacement therapy and whether they could self perform peritoneal dialysis (PD) exchange is the major concern. It is because PD related peritonitis is still the major cause for technique failure and mortality. Despite different educational programs,... |
0 | Risk stratification for central conventional chondrosarcoma of bone: A novel system predicting risk of metastasis and death in the Cancer Registry of Norway cohort | MSTS 2022 - Metastatic Disease of the Humerus | Background and Objectives: Interobserver variability in histological grading of central conventional chondrosarcoma (CCCS) limits the quality of patient information and research progression. We aim to quantify known and new prognostic variables and propose a risk stratification model. Method: We selected 149 cases from... |
0 | Effects of lateral-offset sole shoes on knee adduction moment in women with medial compartment knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | This study aimed to determine the impact of wearing a lateral-offset sole shoe (LOSS) on knee adduction moment (KAM) in patients with medial knee osteoarthritis (OA). From December 2012 to November 2016, patients with medial knee OA were recruited. Ninety-three knees (50 left, 43 right) of 93 female patients were analy... |
0 | Unstated factors in orthopaedic decision-making: a qualitative study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total joint replacement (TJR) of the hip or knee for osteoarthritis is among the most common elective surgical procedures. There is some inequity in provision of TJR. How decisions are made about who will have surgery may contribute to disparities in provision. The model of shared decision-making between pa... |
0 | Management of patellar clunk under local anesthesia | Surgical Management of Osteoarthritis of the Knee CPG | Open resection through a limited lateral incision for the treatment of patellar clunk syndrome associated with patellar tilt in total knee arthroplasty is described. The procedure is done under local anesthesia. Dynamic flexion and extension of the knee during surgery ensures that correct patellar tracking has been res... |
0 | Blepharoptosis correction: levator aponeurosis-Muller muscle complex advancement with three partial incisions | Upper Eyelid and Brow Surgery | BACKGROUND: Ptosis of the upper eyelid, blepharoptosis, is defined as an abnormally low-positioned upper eyelid margin in the primary gaze, which results in narrowing of the palpebral fissure and opening. Blepharoplasty, including a double-eyelid fold operation, is the most common aesthetic operation in the East Asian ... |
0 | Doxycycline for osteoarthritis of the knee or hip | Management of Hip Fractures in the Elderly | BACKGROUND: Osteoarthritis is a chronic joint disease that involves degeneration of articular cartilage. Pre-clinical data suggest that doxycycline might act as a disease-modifying agent for the treatment of osteoarthritis, with the potential to slow cartilage degeneration. OBJECTIVES: To examine the effects of doxycyc... |
0 | Predictors of aromatase inhibitor discontinuation as a result of treatment-emergent symptoms in early-stage breast cancer | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose: Aromatase inhibitors (AIs) are effective for treatment of hormone receptor-positive breast cancer, but adherence and persistence with therapy are poor. Predictors of treatment discontinuation are not clearly defined. It is unknown whether patients with intolerable toxicity from one AI are able to tolerate anot... |
0 | Metallic Biomaterials: Current Challenges and Opportunities | Dental Implant Infection | Metallic biomaterials are engineered systems designed to provide internal support to biological tissues and they are being used largely in joint replacements, dental implants, orthopaedic fixations and stents. Higher biomaterial usage is associated with an increased incidence of implant-related complications due to poo... |
0 | Characterization of Meniscal Pathology Using Molecular and Proteomic Analyses | AMP (Acute Meniscal Pathology) | The meniscus is a complex tissue and is integral to knee joint health and function. Although the meniscus has been studied for years, a relatively large amount of basic science data on meniscal health and disease are unavailable. Genomic and proteomic analyses of meniscal pathology could greatly improve our understandi... |
0 | Korean type distal radius anatomical volar plate system: a preliminary report | Distal Radius Fractures | BACKGROUND: Distal radius fracture is the most common fracture of the upper extremity, and approximately 60,000 distal radius fractures occur annually in Korea. Internal fixation with an anatomical volar locking plate is widely used in the treatment of unstable distal radius fractures. However, most of the currently us... |
0 | Sugammadex and stress-free extubation in the critically ill patients | Surgical Management of Osteoarthritis of the Knee CPG | Background and Goal of Study: Postoperative respiratory failure is not an uncommon complication after general anaesthesia. This is particularly common in people having high risk, emergency surgeries and in those who tolerate respiratory failure poorly. We present a case series of three patients who had neuromuscular bl... |
0 | Adolescent experience with traumatic injury and orthopaedic external fixation: Forever changed | DoD PRF (Psychosocial RF) | Background: More than 13 million adolescents sustain traumatic injuries yearly, resulting in functional disability, disfigurement, psychosocial problems, and fractures that are increasingly treated with orthopaedic external fixation devices. Little is known about the experiences of injured adolescents. Method: This lon... |
0 | Regional toxicity after isolated limb perfusion with melphalan and tumour necrosis factor- alpha versus toxicity after melphalan alone | DOD - Acute Comp Syndrome CPG | AIMS: To determine whether the addition of high-dose tumour necrosis factor-alpha (TNF alpha) to isolated limb perfusion (ILP) with melphalan increases acute regional tissue toxicity compared to ILP with melphalan alone.
METHODS: A retrospective, multivariate analysis of toxicity after normothermic (37--38 degrees C) a... |
0 | Expression level of beta protein 1 mRNA in Chinese breast cancer patients: a potential molecular marker for poor prognosis | MSTS 2018 - Femur Mets and MM | Recent studies revealed high ectopic beta protein 1 (BP1) expression in breast cancer. Remarkably, up to 100% (18/18) of estrogen receptor (ER)-negative tumors and 89% (25/28) of tumors from African American women were BP1-positive. However, the role of BP1 in breast cancer development and its clinical significance sti... |
0 | Adverse outcomes of osteoporotic fractures in the general population | Management of Hip Fractures in the Elderly | Osteoporotic fractures exact a terrible toll on the population with respect to morbidity and cost, and to a lesser extent mortality, which will increase dramatically with the growing elderly population. Attention has focused on the 12-20% excess deaths after hip fracture, but most are caused by underlying medical condi... |
0 | Extending gerontological research through linking investigators' studies to public-use datasets | Management of Hip Fractures in the Elderly | PURPOSE: Public-use datasets can extend data collected by individual investigators in various ways: making external comparisons, providing additional data on individual respondents, and creating internal comparison groups. The authors describe the advantages and limitations of these methods and practical and conceptual... |
0 | Lenalidomide plus high-dose dexamethasone versus lenalidomide plus low-dose dexamethasone as initial therapy for newly diagnosed multiple myeloma: an open-label randomised controlled trial | MSTS 2018 - Femur Mets and MM | Background: High-dose dexamethasone is a mainstay of therapy for multiple myeloma. We studied whether low-dose dexamethasone in combination with lenalidomide is non-inferior to and has lower toxicity than high-dose dexamethasone plus lenalidomide. Methods: Patients with untreated symptomatic myeloma were randomly assig... |
0 | What Is the Reliability and Accuracy of Intraoperative Fluoroscopy in Evaluating Anterior, Lateral, and Posterior Coverage During Periacetabular Osteotomy? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Periacetabular osteotomy (PAO) is an established treatment for acetabular dysplasia in the skeletally mature individual. Fluoroscopy is used intraoperatively for osteotomy completion and to judge fragment correction. However, a comprehensive study validating fluoroscopy to judge anterior, lateral, and poste... |
1 | Early outcomes of shoulder arthroplasty according to sex | Glenohumeral Joint OA | Hypothesis: Among patients undergoing shoulder arthroplasty (SA), female patients would have worse outcomes than their male counterparts. Methods: A multicenter prospective cohort of 2364 patients (1365 female and 999 male patients) treated with total SA or reverse total SA from 2007 to 2015 was retrospectively analyze... |
0 | Five to eight year results of the Johnson-Elloy (Accord) total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Between February 1982 and December 1985, 133 knees in 107 patients were replaced with a cemented Johnson-Elloy (Accord) total knee arthroplasty. Thirty-five knees were lost during the follow-up period because of death in 29, revision in 3, infection in 1, and refusal of follow-up evaluation in 2. The results of the rem... |
0 | Exercise and weight loss in obese older adults with knee osteoarthritis: a preliminary study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The purposes of this pilot study were to determine if a combined dietary and exercise intervention would result in significant weight loss in older obese adults with knee osteoarthritis, and to compare the effects of exercise plus dietary therapy with exercise alone on gait, strength, knee pain, biomarkers o... |
0 | Does periarticular injection have additional pain relieving effects during contemporary multimodal pain control protocols for TKA?: A randomised, controlled study | AAHKS (2) Corticosteroids | Although the analgesic effects of periarticular multimodal drug injection (PMDI) after TKA have been well documented, there is little information about additional pain relieving effects of PMDI incorporated to contemporary multimodal pain control protocols which have been proved to provide excellent analgesia. We perfo... |
0 | A novel oxido-viscosifying Hyaluronic Acid-antioxidant conjugate for osteoarthritis therapy: biocompatibility assessments | OAK 3 - Non-arthroplasty tx of OAK | To overcome the problem of fast degradation of Hyaluronic Acid (HA) in the treatment of osteoarthritis (OA), HA was protected against the oxidative stress generated by the pathology. Antioxidant conjugated HAs were synthesized and tested in vitro for their resistance in an oxidative environment mimicking OA. HA-4-amino... |
1 | Conservative treatment of staphylococcal prosthetic joint infections in elderly patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: We report the outcome of debridement and prosthesis retention plus long-term levofloxacin/rifampicin treatment of prosthetic joint infections. METHODS: Staphylococcal prosthesis joint infections were defined by positive culture of joint aspirate, intraoperative debridement specimens, or sinus tract discharg... |
1 | Early mortality after hip fracture: is delay before surgery important? | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture is associated with high mortality among the elderly. Most patients require surgery, but the timing of the operation remains controversial. Surgery within twenty-four hours after admission has been recommended, but evidence supporting this approach is lacking. The objective of this study was to ... |
0 | Degenerative meniscus: Pathogenesis, diagnosis, and treatment options | AMP (Acute Meniscal Pathology) | The symptomatic degenerative meniscus continues to be a source of discomfort for a significant number of patients. With vascular penetration of less than one-third of the adult meniscus, healing potential in the setting of chronic degeneration remains low. Continued hoop and shear stresses upon the degenerative meniscu... |
1 | Electrodiagnosis of mild carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Electrophysiologic tests have been reported to detect mild carpal tunnel syndrome (CTS). Such tests include (i) absolute palmar latency of median wrist segment; (ii) comparison of median and radial distal sensory latencies in digit I; (iii) comparison of median and ulnar distal sensory latencies in digit IV; (iv) compa... |
0 | Postmastectomy breast reconstruction with autologous tissue - Free flaps. Part II | Panniculectomy & Abdominoplasty CPG | Breast cancer is the most common tumor occurring in women. Loss of a breast is a profound traumatic experience. Since the breast is a symbol of femininity, beauty, and motherhood, mastectomy can result in serious disorders of psychological and aesthetic character. Advances in microsurgical techniques facilitated the de... |
0 | Clinical experience with thalidomide and lenalidomide in multiple myeloma | MSTS 2018 - Femur Mets and MM | Thal has antiangiogenic and immunomodulatory activity. Clinical research provided clear evidence that Thal belongs to the most active drugs for the treatment of multiple myeloma e.g. leading to decrease of monoclonal protein of at least 50 % in 30 % of patients with relapsed or refractory multiple myeloma. Randomized t... |
0 | Musculoskeletal problems as comorbidities | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Musculoskeletal comorbidities increasingly are prevalent and present specific research challenges and opportunities. Several definitions for musculoskeletal comorbidities exist depending on the patient population and research approach. Population studies document that musculoskeletal problems, defined as arthritis, are... |
0 | Morphologic Characterization of Intraneural Flow Associated With Median Nerve Pathology | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A prospective cohort of 47 symptomatic patients who reported for nerve conduction studies and 44 asymptomatic controls was examined with sonography to evaluate the median nerve. Doppler studies of the median nerve were collected with handheld sonography equipment and a 12-MHz linear broadband transducer. Strict inclusi... |
0 | Palmaris profundus: one name, several subtypes, and a shared potential for nerve compression | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The palmaris profundus is a rare, but known anatomic variation which may lead to compression of the median nerve and/or its branches. Two patients with carpal tunnel syndrome are presented in whom a palmaris profundus was discovered at operation. In these cases, median nerve compression at the wrist was attributed to t... |
0 | Effectiveness of microwave disinfection of complete dentures on the treatment of Candida-related denture stomatitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The effectiveness of microwave disinfection of maxillary complete dentures on the treatment of Candida-related denture stomatitis was evaluated. Patients (n = 60) were randomly assigned to one of four treatment groups of 15 subjects each; Control group: patients performed the routine denture care; Mw group: patients ha... |
0 | Soleal vein dilatation assessed by ultrasonography is an independent predictor for deep vein thrombosis after major orthopedic surgery | OAK 3 - Non-arthroplasty tx of OAK | Background Deep vein thrombosis (DVT) develops after major orthopedic surgery despite the current use of prophylaxis. DVT frequently develops in the soleal vein (SV) and might develop easily at the site of SV dilatation because of blood flow stasis. However, whether preoperative SV dilatation detected by ultrasonograph... |
0 | Prognostic impact of serum calcitonin and carcinoembryonic antigen doubling-times in patients with medullary thyroid carcinoma | MSTS 2018 - Femur Mets and MM | CONTEXT: After unsuccessful surgery, medullary thyroid carcinoma (MTC) may be fatal or remain stable for decades, and precise survival predictors are needed.
OBJECTIVE: This study assesses the prognostic value of calcitonin and carcinoembryonic antigen (CEA) doubling-times (DT).
DESIGN: This is a retrospective study on... |
0 | The fate of intramuscularly injected fat autografts: an experimental study in rabbits | Panniculectomy & Abdominoplasty CPG | An experimental study was designed to assess the viability and revascularization of intramuscularly injected fat autografts. For the study, 18 rabbits were divided into two groups. In the first group, fat was injected intramuscularly (12 rabbits). Autologous fat was obtained from the inguinal area and subsequently inje... |
1 | Vastly undersampled isotropic projection steady-state free precession imaging of the knee: diagnostic performance compared with conventional MR | Anterior Cruciate Ligament Injuries CPG | PURPOSE: To compare a vastly undersampled isotropic projection steady-state free precession (VIPR-SSFP) sequence and routine magnetic resonance (MR) imaging for evaluating the cartilage, ligaments, menisci, and osseous structures of the knee in symptomatic patients. MATERIALS AND METHODS: All subjects signed written in... |
0 | Low rate of infection control in enterococcal periprosthetic joint infections infection | PJI DX Updated Search | Background: Enterococcal periprosthetic joint infections (PJIs) are rare after joint arthroplasty. These cases are usually reported in series of PJIs caused by other pathogens. Because few studies have focused only on enterococcal PJIs, management and control of infection of these cases have not yet been well defined. ... |
0 | Rationale and design of a cohort study on primary ovarian insufficiency in female survivors of Hodgkin's lymphoma: influence on long-term adverse effects (SOPHIA) | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: Hodgkin's lymphoma (HL) has become the prototype of a curable disease. However, many young survivors suffer from late adverse effects of treatment. Both chemotherapy (CT) and radiotherapy (RT) may induce primary ovarian insufficiency (POI), which has been associated with reduced bone mineral density (BMD)... |
0 | Bilateral carpal tunnel syndrome associated to familial Mediterranean fever | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A unique case of bilateral severe carpal tunnel syndrome due to familial Mediterranean fever is reported. The syndrome was diagnosed by clinical examination and electrophysiological studies. Bilateral transverse carpal ligaments were released and the biopsy specimens revealed systemic type A amyloidosis. Up to our know... |
0 | Palliative care in malignant haematology: An overview | MSTS 2018 - Femur Mets and MM | The majority of patients with haematologic neoplasias may experience troublesome symptoms and complicating clinical syndromes throughout all phases of disease. In this view, the patient's management should incorporate causal treatments and symptomatic measures. Therefore, among the current concepts concerning the compr... |
0 | Bisphosphonates for steroid induced osteoporosis | Management of Hip Fractures in the Elderly | BACKGROUND: Corticosteroids are widely used in inflammatory conditions as an immunosuppressive agent. Diseases treated with corticosteroids include connective tissue diseases, asthma, inflammatory bowel disease and organ transplantation. Bone loss is a serious side effect of this therapy. Several studies have examined ... |
0 | Staying Out of Trouble Performing Intramedullary Nailing of Forearm Fractures | DoD - ACS - Interrater Reliability | Pediatric diaphyseal forearm fractures occur commonly and often require reduction with stabilization. Intramedullary flexible nails provide an effective method for stabilizing and maintaining reduction of these fractures. There are a few specific technical pearls that can be implemented to improve efficiency of nail pl... |
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