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1 | Placement of an anatomic tibial tunnel significantly improves the medial meniscus posterior extrusion at 90° of knee flexion following medial meniscus posterior root pullout repair | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate the influence of tibial tunnel position in pullout repair for a medial meniscus (MM) posterior root tear (MMPRT) on postoperative MM extrusion. METHODS: Thirty patients (median age 63 years, range 35-72 years) who underwent transtibial pullout repairs for MMPRTs were i... |
0 | Fifteen-year survival and osteolysis associated with a modular posterior stabilized knee replacement: A concise follow-up of a previous report | PJI DX Updated Search | We report the results of a consecutive series of total knee arthroplasties with use of a modular posterior stabilized prosthesis after a mean follow-up of twelve years (range, ten to eighteen years). In the five years since the original publication of our study, two additional knees were revised; one was revised for as... |
0 | Retrograde femoral nailing: a focus on the knee | DoD SSI (Surgical Site Infections) | A consecutive series of 23 patients with reamed retrograde femoral nails was reviewed. Nails were placed through the intercondylar notch with a minimal incision. Nineteen patients with retrograde femoral nails were available at an average follow-up of 19.3 months. The union rate was 100% with no infections or malunions... |
0 | Treatment of persistent infection after anterior cruciate ligament surgery | Surgical Management of Osteoarthritis of the Knee CPG | Infection after anterior cruciate ligament reconstruction that persists despite debridement is a challenging problem with limited information available in the literature. Our purpose was to determine whether an aggressive protocol would be effective in treating these persistent infections. This is a retrospective revie... |
0 | Tumescent liposuction in Germany: history and new trends and techniques | Panniculectomy & Abdominoplasty CPG | Due to the developments and changes of tumescent solution, infiltration technique, and cannulas, we perform tumescent liposuction today using up to 6-8 l tumescent solution. Total aspirate measures up to 9 l, pure fat aspired up to 5 l. Tumescent liposuction of extended areas can still be done as an outpatient procedur... |
0 | Treatment of osteonecrosis of the hip: comparison of extracorporeal shockwave with shockwave and alendronate | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: Extracorporeal shockwave therapy (ESWT) and alendronate are reported effective in early osteonecrosis of the femoral head (ONFH). We hypothesized that joint effects of ESWT and alendronate may produce superior results. This prospective study compared the results of ESWT and alendronate with that... |
0 | Genetic parameters for bone strength, osteochondrosis and meat percentage in Finnish Landrace and Yorkshire pigs | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondrosis (OC) is a major factor causing joint problems that affect animal welfare and pork production profitability. Strong bones are also important in the slaughtering process, especially as broken bones can lead to rejections of parts of the carcass. In this study, 326 Finnish Yorkshire and 464 Finnish Landrac... |
1 | Rheumatism and the menopause | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Rheumatic problems at or around the menopause include arthralgia and general rheumatic pains, aggravation or first appearance of rheumatoid or osteoarthritis, backache and carpal tunnel syndrome caused by fluid retention. This article looks at such menopausal conditions and describes how to diagnose and manage them |
0 | Complications in the Cosmetic Dermatology Patient: A Review and Our Experience (Part 2) | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Over recent decades, the options available to patients for cosmetic rejuvenation have expanded dramatically. The range of options commonly available to patients now includes neuromodulators, fillers, sclerotherapy, chemical peels, lasers, lights and other energy devices, and liposculpture and continues to g... |
0 | Comparison of knee function in patients with a healed fracture of the femoral shaft fixed with retrograde and antegrade intramedullary nailing | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND. Despite extensive current knowledge about fractures of the femoral shaft, the choice between antegrade and retrograde intramedullary (IM) nailing with respect to the future function of the joint serving to introduce the nail continues to raise controversy. To compare knee function in patients with a healed ... |
0 | Peri-operative pain management: Assuring a happy patient | AAHKS (9/10) Regional Nerve Blocks | Total knee arthroplasty (TKA) is one of the most commonly performed procedures in the United States. Poorly controlled pain and opioid side effects are associated with worse outcomes. As the prescription opioid epidemic progresses, strategies to provide adequate analgesia while minimizing opioid use are rapidly being d... |
1 | Hemiarthroplasty versus internal fixation in super-aged patients with undisplaced femoral neck fractures: a 5-year follow-up of randomized controlled trial | Hip Fx in the Elderly 2019 | INTRODUCTION: There were higher rates of revision, complication, non-union, delayed union, and poorer functional outcomes reported in super-aged patients of undisplaced femoral neck fractures treated with internal fixation. Therefore, we designed this randomized comparative study aiming to compare the effectiveness and... |
1 | Occult fractures of the proximal femur: MR imaging | Management of Hip Fractures in the Elderly | Coronal T1-weighted magnetic resonance (MR) images were obtained on a 1.5-T system in 23 patients in whom there was a high clinical suspicion of hip fracture although initial radiographs were normal. MR imaging correctly demonstrated fracture in nine of nine patients; the precise configuration of the fracture line was ... |
0 | Surgical technique: Unicondylar osteoallograft prosthesis composite in tumor limb salvage surgery | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: After resecting tumors confined to one femoral condyle, a unicondylar osteoarticular allograft can be used for reconstruction without sacrificing the uninvolved condyle. However, unicondylar osteoarticular allografts have been associated with a high rate of joint degeneration. We describe a unicondylar oste... |
1 | The effect of prior stressful experience on coping with war trauma and captivity | DoD PRF (Psychosocial RF) | The study assessed the implications of childhood life events, Holocaust background, combat experiences, war captivity and negative post-captivity life events in the mental status of ex-POWs (164) and comparable controls (184), 18 years after the war. Findings confirm the association between stressful life events in the... |
0 | Medication review with a focus on fracture prophylaxis among patients suffering collum femoris fractures | HipFx Supplemental Cost Analysis | Study objectives: The aim of this study was to investigate the intervention on collum femoris fracture patients by clinical pharmacists at an orthopaedic surgery ward regarding fracture prophylaxis with calcium and vitamin D, and to evaluate medication reviews performed by clinical pharmacists. Methods: Patients > 65 y... |
0 | Increasing incidence of hip fractures in Finland | Management of Hip Fractures in the Elderly | The incidence of hip fracture in Finland was studied for the year 1988. During 1988, 6139 patients were treated for a fresh hip fracture. Three out of four hip fracture patients were women, and the occurrence of cervical fractures was 2.8 times and that of trochanteric fractures 2.5 times more common in women than in m... |
0 | Does the number or quality of pluripotent bone marrow stem cells decrease with age? | Management of Hip Fractures in the Elderly | In the next 25 years, as the 37 million baby boomers age, we can expect a 400% increase in total joint arthroplasties that will challenge surgeons, the healthcare system, and the scientific community. The burden may be eased if we are able to manipulate side population stem cells and enhance peri-prosthetic bone remode... |
0 | Reproducibility of the surveillance effect to decrease nosocomial infection rates | PJI DX Updated Search | 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 | Injury hospitalization as a marker for emergency medical services use in elderly patients | HipFx Supplemental Cost Analysis | BACKGROUND: The elderly utilize emergency medical services (EMS) at a higher rate than younger patients, yet little is known about the influence of injury on subsequent EMS utilization and costs. OBJECTIVE: To assess injury hospitalization as a potential marker for subsequent EMS utilization and costs by Medicare patie... |
0 | The Effect of Total Knee Arthroplasty on Physical Activity and Body Mass Index: An Analysis of the Osteoarthritis Initiative Cohort | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Preliminary analysis of accelerometry measurements has shown physical activity may not increase significantly after total knee arthroplasty (TKA). This study evaluates the effect of TKA on physical activity accelerometry measurements and body mass index (BMI). Methods: Using the multicenter Osteoarthritis... |
0 | Efficacy, Safety, and Pharmacokinetics of Femoral Nerve Block With EXPAREL in Total Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | On Day 0, eligible subjects will be randomized in a 1:1:1 ratio to receive a single dose of either EXPAREL 133 mg in 10 mL expanded in volume with 10 mL of normal saline for a total volume of 20 mL (Group 1); EXPAREL 266 mg in 20 mL (Group 2); or placebo 20 mL (Group 3). Study drug (EXPAREL or placebo) will be administ... |
0 | The thigh's lateral skin (saddle bags): histomorphometric study of interest to liposuction | Panniculectomy & Abdominoplasty CPG | Study of the thigh's lateral skin ("saddle bags") in cadavers made it possible to evaluate its regional characteristics. Sex or race were not reported but the age group most appropriate to liposuction was considered. In this way, authors believed that as per standards established at the time, results as to the skin ret... |
0 | Juvenile idiopathic arthritis: The paediatric perspective | Dental Implant Infection | Paediatric rheumatology is a relatively new specialty that has developed rapidly over the last 30 years. There have been major advances, which have included improvements in the classification and management of juvenile idiopathic arthritis (JIA). The former has led to enhanced international collaboration with disease r... |
0 | The effect of acupressure therapy on pain, stiffness and physical functioning of knees among older adults diagnosed with osteoarthritis: A pilot randomized control trial | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Osteoarthritis (OA) is one of the most common and fast-growing chronic diseases among older adults. The aim of this study was to assess the effect of acupressure therapy on pain, stiffness, and physical functioning of a knee affected by osteoarthritis. Methods: A single-blind pilot randomized control tria... |
0 | Extraperitoneal Bladder Injuries Associated With Pelvic Fracture Requiring Internal Fixation: What Is the Evidence? | DoD SSI (Surgical Site Infections) | Traumatic bladder injuries are commonly associated with pelvic fractures. While the majority of intraperitoneal bladder injuries are surgically repaired, extraperitoneal bladder injuries (EBIs) can be managed nonoperatively in the absence of complex injury patterns such as bladder neck injury or presence of bone spicul... |
0 | Risk factors for Parkinson disease and the path analysis: One-to-one paired design | DoD PRF (Psychosocial RF) | Background: Parkinson disease (PD) results from the reduce of neurotransmitter dopamine that transmits intracellular information in brain caused by some reasons, then leads to the dynamic disequilibrium with another neurotransmitter of acetylcholine which is relatively hyperactive. The main causes for PD are still uncl... |
0 | Fall characterictics, functional mobility and bone mineral density as risk factors of hip fracture in the community-dwelling ambulatory elderly | Hip Fx in the Elderly 2019 | Hip fracture is the most serious consequence of osteoporosis, frequently occurring in the elderly; however, no research has been performed to identify the fall characteristics, functional mobility and bone mineral density (BMD) concurrently as risk factors. We investigated the risk factors of hip fractures using a mult... |
0 | Antibiotic prophylaxis for joint replacement surgery: The current practice in Britain | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Although over a hundred thousand hip and knee joint replacement procedures are now undertaken in Britain every year, deep infection following surgery remains a concern. Measures to minimise this risk of infection include administration of prophylactic antibiotics but unfortunately with the lack of national guidelines, ... |
0 | The treatment of severe postmenopausal osteoporosis : a review of current and emerging therapeutic options | Management of Hip Fractures in the Elderly | Several chemical entities have shown their ability to reduce axial and/or appendicular fractures in patients with osteoporosis. Since patients who have experienced a previous fracture are at high risk for subsequent vertebral or hip fracture, it is of prime importance to treat such patients with medications that have u... |
0 | Closed reduction of colles fractures: comparison of manual manipulation and finger-trap traction: a prospective, randomized study | Distal Radius Fractures | BACKGROUND: An optimal outcome of closed treatment of a Colles fracture may depend on accurate reduction and adequate immobilization. It has been suggested that the use of finger-trap traction results in a better reduction and a lower rate of redisplacement than manual manipulation does, but to our knowledge these conc... |
0 | Effect of sex and age on the ratio of cervical to trochanteric hip fracture. A meta-analysis of 16 reports on 36,451 cases | Management of Hip Fractures in the Elderly | We analyzed 15 published reports and our own data. In women, the ratio of cervical to trochanteric fractures (C/T) evolved in 3 periods. 1) Before the age of 50 years, the annual incidence of cervical fracture is close to that of trochanteric fracture. 2) Between 50 and 60 years, cervical fracture increases markedly, a... |
0 | New anti-resorptives and antibody mediated anti-resorptive therapy | MSTS 2018 - Femur Mets and MM | The ageing population and an increase in both the incidence and prevalence of cancer pose a healthcare challenge, some of which is borne by the orthopaedic community in the form of osteoporotic fractures and metastatic bone disease. In recent years there has been an increasing understanding of the pathways involved in ... |
0 | Regional anesthesia or patient-controlled analgesia and compartment syndrome in orthopedic surgical procedures: A systematic review | AAHKS (8) Anesthetic Infiltration | A systematic review of the literature on the use of regional anesthesia (RA) and patient-controlled analgesia (PCA) was conducted in patients who require orthopedic extremity procedures to determine whether either analgesic technique contributes to a delayed diagnosis of compartment syndrome (CS). A total of 34 relevan... |
0 | The effect of lumbosacral plexus blocks on the early postoperative cognitive functions | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: Postoperative cognitive dysfunction (POCD) is a fairly common situation especially in elderly patients undergoing major surgery.Whether the effects of anesthesia tecniques on the development of |
0 | Amniotic membrane-derived stem cells help repair osteochondral defect in a weight-bearing area in rabbits | Upper Eyelid and Brow Surgery | Our study evaluated the use of amniotic membrane-derived stem cells for repairing osteochondral defects in a weight-bearing area in rabbits. Twenty-four 3-month-old male or female New Zealand white rabbits were selected. The rabbits were randomly divided into 3 groups of eight, according to the treatment received for a... |
0 | The efficacy and safety of pomalidomide in relapsed/refractory multiple myeloma in a â??real-worldâ?쳌 study: Polish Myeloma Group experience | MSTS 2018 - Femur Mets and MM | Background: Patients with relapsed/refractory multiple myeloma (RRMM) have poor prognosis. Pomalidomide is an immunomodulatory compound that has demonstrated activity in MM patients with disease refractory to lenalidomide and bortezomib. Objectives: Participants of clinical trials are highly selected populations; there... |
1 | Time to reconsider post arthroscopic osteonecrosis of the knee: a systematic review | AMP (Acute Meniscal Pathology) | The etiology of post-arthroscopic osteonecrosis of the knee (PAONK) is still unknown. The aims of this systematic review were to analyze the main characteristics of patients who developed osteonecrosis after arthroscopy. We considered for inclusion in the review case reports, case series, retrospective and prospective ... |
0 | Temporary scaphocapitate fixation with or without radial shortening for adolescent Kienbock's disease | Distal Radius Fractures | We performed temporary scaphocapitate joint fixation with or without radial shortening osteotomy, depending on the ulnar variance, in adolescent Kienbock's disease. The aim of the current study was to evaluate the radiological and clinical results and compare our results with those of other previously reported methods.... |
0 | Aspiration pneumonia in elderly patients with hip fractures before and after surgery | Management of Hip Fractures in the Elderly | Purpose: There have been few reports about dysphagia in elderly patients with hip fractures. This study examined the incidence rate and risk factors of aspiration pneumonia before and after hip surgery. Method(s): The medical records of all patients over 65 years old, who were hospitalized for fall-related hip fracture... |
0 | Relations between upper limb soft tissue disorders and repetitive movements at work | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | To make a preliminary assessment of whether upper limb soft tissue disorders might be associated with activities at work, we have conducted a case-control study of subjects attending orthopedic clinics in three cities. All subjects between the ages of 16 and 65 years, in whom defined soft tissue conditions of the upper... |
1 | Carpal and Guyon tunnel syndrome in burns at the wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A series of 22 patients with burns of the upper extremities have been evaluated by clinical and electromyographic (EMG) studies. As suggested by others, a significantly higher incidence of carpal tunnel syndrome and sensory involvement of the ulnar nerve was discovered. Those findings suggest that we pay more attention... |
0 | Long PHILOS plate fixation in a series of humeral fractures | Distal Radius Fractures | AIM: The purpose of the article is to highlight a specific fracture pattern encountered by us in the osteoporotic upper humerus. We present our results of management of such metadiaphyseal fractures of the upper humerus with less invasive plating. The additional steps taken to improve final outcome and the reasoning be... |
0 | Cellular mediators secreted by interfacial membranes obtained at revision total hip arthroplasty | Management of Hip Fractures in the Elderly | The interfacial membrane between implant and host-bone in aseptically loose total hip arthroplasties has a potential role in the etiology of local bone resorption and loosening of the prosthetic component. Inflammatory/potential "bone-resorbing" agents (cytokines/mediators) released by the cells of the interfacial memb... |
0 | Traumatic radial head dislocation in a child with no other associated dislocation/fracture | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We present a case report of a 5-year-old girl who presented with a traumatic isolated anteromedial dislocation of her left radial head, without any associated fractures or dislocations in the ipsilateral limb. This is a rare elbow injury and a condition that is easily missed on initial presentation. (copyright) Springe... |
0 | The usefulness of dual energy X-ray and laser absorptiometry of the calcaneus versus dual energy X-ray absorptiometry of hip and spine in diagnosing manifest osteoporosis | Management of Hip Fractures in the Elderly | INTRODUCTION: Osteoporosis is a major health problem. Dual energy X-ray absorptiometry (DXA) of the hip and spine is the worldwide standard in diagnosing osteoporosis. Measurement of bone mineral density (BMD) with dual energy X-ray and laser absorptiometry of the calcaneus (Calscan) might be a good alternative. Advant... |
0 | Sonography of the rotator cuff of the shoulder | Glenohumeral Joint OA | A standardized program for ultrasound examination of the rotator cuff is described in details, the results are presented and the advantages of the method are pointed out. From 1986 to 1999 in the First Clinic of Orthopedics and Traumatology - Pleven, 476 shoulders with degenerative or posttraumatic injuries of the so-c... |
0 | Trabecular bone microstructure is impaired in the proximal femur of human immunodeficiency virus-infected men with normal bone mineral density | Distal Radius Fractures | Background: There is evidence that human immunodeficiency virus (HIV) infection and antiretroviral therapy (ART) are independent risk factors for osteoporosis and fracture which is not solely explained by changes in bone mineral density. Thus, we hypothesized that the assessment of trabecular microstructure might play ... |
0 | Intramedullary Nailing of Humeral Head and Humeral Shaft Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | There is an increasing interest in intramedullary nailing for humeral fractures. Starting with diaphyseal fractures, now also proximal metaphyseal fractures of the humerus can be nailed with satisfying results. Basic ideas for humeral nailing are less invasive approaches to the humerus, less soft tissue damage, e.g. lo... |
1 | Proprioception after knee arthroplasty. The influence of prosthetic design | Surgical Management of Osteoarthritis of the Knee CPG | It is recognized that awareness of joint position in the knee deteriorates because of aging, anterior cruciate injury, or osteoarthrosis. Proprioception was studied in osteoarthritic and prosthetic knees, including both posterior cruciate ligament (PCL)-retaining and PCL-sacrificing designs. An improvement in proprioce... |
0 | Small-dose intrathecal clonidine and isobaric bupivacaine for orthopedic surgery: a dose-response study | Surgical Management of Osteoarthritis of the Knee CPG | We examined the dose-response relationship of intrathecal clonidine at small doses (<or=150 microg) with respect to prolonging bupivacaine spinal anesthesia. We aimed for establishing doses of intrathecal clonidine that would produce clinically relevant prolongation of spinal anesthesia and pain relief without signific... |
0 | Three trajectories of activity limitations in early symptomatic knee osteoarthritis: a 5-year follow-up study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Knee osteoarthritis (OA) is a leading cause of activity limitations. The knee OA population is likely to consist of subgroups. The aim of the present study was to identify homogeneous subgroups with distinct trajectories of activity limitations in patients with early symptomatic knee OA and to describe char... |
0 | The biology of mesenchymal stem/stromal cells in the treatment of osteoarthritis | AMP (Acute Meniscal Pathology) | Introduction: Osteoarthritis affects the whole joint and is usually treated using pain relief for many years followed by arthroplasty. Mesenchymal stem/stromal cells have the potential to form cartilage and bone and have been investigated for their capacity to repair these tissues, but until recently there has been no ... |
0 | WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to occupational ergonomic risk factors and of the effect of exposure to occupational ergonomic risk factors on osteoarthritis of hip or knee and selected other musculoskeletal diseases | Glenohumeral Joint OA | BACKGROUND: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing a joint methodology for estimating the national and global work-related burden of disease and injury (WHO/ILO joint methodology), with contributions from a large network of experts. In this paper, we present t... |
0 | Past and recent physical activity and risk of hip fracture | Management of Hip Fractures in the Elderly | A population-based case-control study was conducted to examine the effects of past and recent physical activity on the risk of hip fracture in women. Cases included females aged 55-84 years with a first diagnosis of hip fracture in 1989 in metropolitan Toronto, Canada. Controls were a population-based random sample fre... |
0 | The lived experience of working in a mortuary | DoD PRF (Psychosocial RF) | A four year action research study was undertaken in an attempt to foster change in the current management of sudden deaths in the Accident and Emergency Departments in South Africa. During the phase of interviewing bereaved families and health professionals it became apparent that there was a need to involve mortuary s... |
0 | ISBI Practice Guidelines for Burn Care | DOD - Acute Comp Syndrome CPG | >Practice guidelines (PGs) are recommendations for diagnosis and treatment of diseases and injuries, and are designed to define optimal evaluation and management. The first PGs for burn care addressed the issues encountered in developed countries, lacking consideration for circumstances in resource-limited settings (RL... |
0 | The Clinical Value of Diffusion Weighted Magnetic Resonance Imaging in Diabetic Foot Infection | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Osteomyelitis is a common complication in the diabetic foot which can be concluded with amputation. The purpose of this study was to evaluate the role of diffusion-weighted MRI (DWI) in the diagnosis of osteomyelitis in the diabetic foot ulcer (DFU). METHODS: Thirty patients with type 2 diabetes mellitus ha... |
0 | The distribution of occupations in two populations with upper limb pain | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Occupations of two geographically distinct populations of patients with upper limb pain were examined. Relative risks for being in an occupation were calculated for subjects with epicondylitis, carpal tunnel syndrome, and pain syndromes in one population and nonspecific occupational overuse syndrome (OOS) in the other.... |
0 | Hip fracture incidence before and after the fluoridation of the public water supply, Rochester, Minnesota | Management of Hip Fractures in the Elderly | Recent ecological comparison studies have suggested a positive association between fluoridation and hip fracture. Using data from the Rochester Epidemiology Project, we found the incidence of hip fracture for the 10 years before the fluoridation of the Rochester, Minn, public water supply was 484 per 100,000, compared ... |
0 | Fast and easy preoperative estimation of cancellous bone mineral density in patients with proximal femur fractures | Hip Fx in the Elderly 2019 | INTRODUCTION: Postoperative complications after hip fractures in osteoporotic bone such as implant cutout can be reduced by the use of specially designed implants or additional cement augmentation. It is not yet clear at which degree of osteoporosis, patients will profit from implant augmentation or specially designed ... |
0 | Effect of New York State regulatory action on benzodiazepine prescribing and hip fracture rates | Management of Hip Fractures in the Elderly | BACKGROUND: Medicare Part D excludes benzodiazepines from coverage, and numerous state government policies limit use of benzodiazepines. No data indicate that such policies have decreased the incidence of hip fracture. OBJECTIVE: To assess whether a statewide policy that decreased the use of benzodiazepines among elder... |
0 | Prostate cancer | MSTS 2018 - Femur Mets and MM | Prostate cancer is the second commonest cause of death from malignancy amongst men in the Western world. Whilst screening for prostate cancer could reduce this mortality rate, it is controversial as most screen-detected cancers are low risk and many more men require treatment than lives saved. Current evidence suggests... |
0 | The clinical relevance and management of monoclonal gammopathy of undetermined significance and related disorders: Recommendations from the European Myeloma Network | MSTS 2018 - Femur Mets and MM | Monoclonal gammopathy of undetermined significance is one of the most common pre-malignant disorders. IgG and IgA monoclonal gammopathy of undetermined significance are precursor conditions of multiple myeloma; lightchain monoclonal gammopathy of undetermined significance of light-chain multiple myeloma; and IgM monocl... |
0 | No clinically meaningful weight changes in a young cohort following total joint arthroplasty at 3-year follow-up | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Total joint arthroplasty (TJA) is one of the most successful operations. There is little in the literature regarding weight change following TJA, particularly in a young cohort.
METHODS: Retrospective analysis of 181 primary total hip arthroplasty (THA) and 185 primary total knee arthroplasty (TKA) patients... |
0 | Osteonecrosis of the jaws in patients treated with intravenous bisphosphonates (BRONJ): A concise update | MSTS 2018 - Femur Mets and MM | Bisphosphonate-related osteonecrosis of the jaws (BRONJ) is a severe complication seen most frequently in patients on intravenous bisphosphonates treatment for malignant diseases. High potency bisphosphonates are generally implicated and risk factors also include dental extractions. Prevention is of paramount importanc... |
1 | Patient satisfaction with two different methods of umbilicoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Creating a youthful appearing umbilicus as part of an abdominoplasty enhances the overall result. Various different methods have been reported as producing equally good results. METHODS: Twenty-five patients undergoing abdominoplasty were divided into two groups: 12 patients had round umbilicoplasty and 13 ... |
0 | Alignment factors affecting the medial meniscus extrusion increases the risk of osteoarthritis development | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Varus alignment is known as one of the major causes of medial compartment osteoarthritis (OA). Medial meniscus extrusion also plays a critical role in the in the development of OA. However, studies on the exact relationship between alignment parameters and medial meniscus extrusion are limited. Therefore, this... |
0 | Retained posterior horn of the medial meniscus | AMP (Acute Meniscal Pathology) | The incidence of a symptomatic retained posterior fragment of the medial meniscus in 2 different groups of patients with medial meniscectomy is compared. If the original surgery was done through one capsular incision, there was a 9.5% incidence of symptomatic retained posterior fragment as compared to 0.2% incidence if... |
0 | Improvement in joint manifestations in a patient with mucopolysaccharidosis type 1 (MPS I) treated with etanercept | Surgical Management of Osteoarthritis of the Knee CPG | Case Report: The purpose of this abstract is to present a patient recently diagnosed with MPS I who had improvement in her dysostosis multiplex symptoms during treatment with etanercept for a presumed diagnosis of Juvenile Rheumatoid Arthritis (JRA). KG is a 12 year old female who first presented to our genetics clinic... |
0 | A prospective cohort study to predict fall risk in patients with recent hip fracture | Management of Hip Fractures in the Elderly | Background and Purpose: Little is known about the prevalence of falls and the related risk factors in patients who have undergone surgery following a hip fracture. This prospective cohort study aims to assess the relationship between potential risk factors and fall incidence in this patient population. There is an incr... |
0 | Dynamic hip screw and compression plate fixation of ipsilateral femoral neck and shaft fractures | Management of Hip Fractures in the Elderly | PURPOSE: To evaluate surgical outcomes of ipsilateral femoral neck and shaft fractures. METHODS: Between April 1997 and September 2004, 29 men and 8 women (mean age, 37 years) underwent fixation of femoral neck and shaft fractures using a dynamic compression plate plus a dynamic hip screw or screws. There were 30 femor... |
0 | Lateral unicompartmental knee arthroplasty relieves pain and improves function in posttraumatic osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Posttraumatic arthritis secondary to lateral tibial plateau fracture malunion causes pain and limited function for patients. It is sometimes technically challenging to correct malalignment in these patients with advanced arthritis using osteotomies. Lateral unicompartmental knee arthroplasty (UKA) may be an... |
0 | Fracture of the cobalt-chromium modular femoral neck component in total hip arthroplasty | PJI DX Updated Search | Total hip prostheses using cervico-metaphyseal modularity were designed to better replicate the geometry of the native extra-medullary femur. However, they are associated with numerous complications including corrosion, disassembly, pseudotumours and, most notably, fractures of the modular neck. All reported cases of m... |
0 | Short-term postoperative mortality events in patients over 80 years of age with hip fracture: analysis at a single institution with limited medical resources | Management of Hip Fractures in the Elderly | BACKGROUND: Lethal events represent the most important complication in the treatment of hip fracture in elderly patients. Despite the increasing chance for treatment of such conditions, few data regarding risk factors associated with lethal events have been determined for ordinary hospitals with limited medical and hum... |
0 | Dexamethasone and postoperative hyperglycemia in diabetics undergoing elective hip or knee arthroplasty: a case control study in 238 patients | AAHKS (4) Acetaminophen | Background: Dexamethasone has been routinely used in the pre-operative setting to enhance analgesia and decrease the incidence of nausea and vomiting in patients undergoing primary arthroplasty. However, dexamethasone has the potential to increase blood glucose levels postoperatively, which is a known risk factor for c... |
0 | Is the Addition of a Polyol to Hyaluronic Acid a Significant Advance in the Treatment of Osteoarthritis? | OAK 3 - Non-arthroplasty tx of OAK | Viscosupplementation with intra-articular injections of hyaluronic acid is recommended as a second line treatment for knee OA, after failure of non-pharmacological modalities and usual pain killers. Nevertheless there are still controversies regarding clinical relevance of its effects. Research is looking for the best ... |
1 | Randomised controlled trial of local corticosteroid injections for carpal tunnel syndrome in general practice | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Carpal tunnel syndrome is caused by entrapment of the median nerve and results in pain, tingling and numbness in the wrist and hand. It is a common condition in general practice. Effectiveness of treatment by intracarpal corticosteroid injection has never been investigated in general practice. The objective... |
0 | Pilot trial of bone-targeted therapy with zoledronate, thalidomide, and interferon-? for metastatic renal cell carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND. The purpose of the study was to evaluate the efficacy and safety of a bone-targeted regimen consisting of zoledronate, thalidomide, and interferon-? in patients with renal cell carcinoma and bone metastases. METHODS. Eligible patients had radiographic evidence of bone metastasis. Impending pathologic fractu... |
1 | U-shaped association of body mass index in early adulthood with unintentional mortality from injuries: A cohort study of Swedish men with 35 years of follow-up | DoD PRF (Psychosocial RF) | Objectives: To investigate the doseâ??response association between body mass index (BMI) in young adulthood and the risk of mortality caused by unintentional injuries. Methods: We performed a cohort study including 7 43 398 men identified by linkage of the Multigeneration Register and the Military Service Conscription ... |
0 | Extra-thyroid congenital abnormalities associated with thyroid dysgenesis in Turkey | Developmental Dysplasia of the Hip 2020 Review | A higher frequency of extra-thyroidal congenital malformations (ETCM) has been reported in children with congenital hypothyroidism (CH) compared with the general population. The most commonly reported one, congenital cardiac malformation (CCM), is reported to be in the range of 2-29% which is much higher than in normal... |
1 | Experimental comparisons of passive and powered ankle-foot orthoses in individuals with limb reconstruction | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Ankle-foot orthoses (AFO) are commonly prescribed to provide functional assistance for patients with lower limb injuries or weakness. Their passive mechanical elements can provide some energy return to improve walking ability, but cannot restore plantar flexor push-off. Powered AFOs provide an assistive tor... |
0 | Rehabilitation options for patients with an isolated meniscal tear, a narrative review | AMP (Acute Meniscal Pathology) | Meniscal injury is one of the comments injuries around the knee; it can occur in different age groups, but rarely in children. Commonly it is caused by a twisting knee injury, which could be presented later by swelling, pain, and mechanical symptoms. Management options for such injuries usually depend on the patient's ... |
0 | Rotation arc of pedicled anterolateral thigh flap for abdominal wall reconstruction: How far can it reach? | Panniculectomy & Abdominoplasty CPG | PURPOSE: The aim of this study was to elucidate the extent to which pedicled anterolateral thigh (ALT) flaps can reach in reconstruction of abdominal wall defects. METHODS: A total of 60 pedicled ALT flaps were raised from cadavers and were experimentally transferred to the abdominal region. The distance between the um... |
0 | The Analgesic Effect of Obturator Nerve Block Added to a Femoral Triangle Block After Total Knee Arthroplasty: A Randomized Controlled Trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND OBJECTIVES: Total knee arthroplasty (TKA) is associated with severe pain, and effective analgesia is essential for the quality of postoperative care and ambulation. The analgesic effects of adding an obturator nerve block (ONB) to a femoral triangle block (FTB) after TKA have not been tested previously. ... |
0 | Reappraising entrapment neuropathies-Mechanisms, diagnosis and management | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The diagnosis of entrapment neuropathies can be difficult because symptoms and signs often do not follow textbook descriptions and vary significantly between patients with the same diagnosis. Signs and symptoms which spread outside of the innervation territory of the affected nerve or nerve root are common. This Master... |
1 | The impact of response on bone-directed therapy in patients with multiple myeloma | MSTS 2018 - Femur Mets and MM | Significant benefits for zoledronic acid (ZOL) over clodronate acid (CLO) were seen in the Medical Research Council Myeloma IX randomized trial. ZOL significantly reduced skeletal-related events (SREs), and improved progression-free survival and overall survival (OS), making it the bisphosphonate of choice for newly di... |
0 | Fluconazole resistance of Candida krusei | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We present a case of young male treated for a recurrence of Acute Non Lymphoid Leukemia who presented a colonization by C. krusei during prophylaxis with Fluconazole. The fever episode, which he developed while neutropenic, was resolved with the addition of Amphotericin B after the failure of empiric antibiotic therapy... |
0 | Finite element comparison of retrograde intramedullary nailing and locking plate fixation with/without an intramedullary allograft for distal femur fracture following total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Periprosthetic distal femur fracture after total knee arthroplasty due to the stress-shielding phenomenon is a challenging problem. Retrograde intramedullary nail (RIMN) or locking plate (LP) fixation with/without a strut allograft has been clinically used via less invasive stabilization surgery (LISS) for the... |
0 | Flexible intramedullary nailing of subtrochanteric fractures of the femur. A multicenter analysis | Management of Hip Fractures in the Elderly | In a retrospective, multicenter analysis, 79 subtrochanteric fractures of the femur were treated with flexible intramedullary nails. Seventy fractures were traumatic in origin, three were pathologic, and six occurred in spinal cord patients. All of the fractures healed, and there were no fixation failures. Thirteen pat... |
0 | Enhancement of joint fluid with intravenously administered gadopentetate dimeglumine: technique, rationale, and implications | AMP (Acute Meniscal Pathology) | This study reports findings on joint fluid enhancement after intravenous administration of gadopentetate dimeglumine. Ten subjects were studied: two asymptomatic volunteers and eight patients with suspected meniscal tears. The subjects underwent imaging at 1.5 T before, immediately after, and 42-60 minutes after intrav... |
0 | Using TENS for pain control: The state of the evidence | SR for PM on OA of All Extremities | Transcutaneous electrical nerve stimulation (TENS) is a nonpharmacological intervention that activates a complex neuronal network to reduce pain by activating descending inhibitory systems in the central nervous system to reduce hyperalgesia. The evidence for TENS efficacy is conflicting and requires not only descripti... |
0 | Orientin inhibits inflammation in chondrocytes and attenuates osteoarthritis through Nrf2/NF-kappaB and SIRT6/NF-kappaB pathway | AMP (Acute Meniscal Pathology) | BACKGROUND: Osteoarthritis (OA) is the most common form of degenerative joint disease. and chondrocyte inflammation plays an important role in OA development. The natural flavonoid compound Orientin (Orientin) has anti-inflammatory bioactive properties in the treatment of various diseases. Studies have not explored whe... |
0 | New developments in the treatment of osteoarthritis â?? Focus on biologic agents | AAHKS (2) Corticosteroids | Osteoarthritis (OA) is one of the most common diseases around the world. Medical, social, and financial consequences oblige clinicians, surgeons, and researchers to focus on finding the best treatment option, to eradicate and stop this degenerative joint disease, in order to avoid surgical options which in many instanc... |
0 | Childhood trauma and resilience in old age: applying a context model of resilience to a sample of former indentured child laborers | DoD PRF (Psychosocial RF) | OBJECTIVES: Psychological resilience has been rarely investigated in elderly populations. We applied a more comprehensive model of trauma-specific coping and resilience, which included Ungar's context model and included decentral factors of resilience (i.e., environments that provide resources to build resilience).
MET... |
0 | Interventions for preoperative smoking cessation | Management of Hip Fractures in the Elderly | BACKGROUND: Smokers have a substantially increased risk of postoperative complications. Preoperative smoking intervention may be effective in decreasing this incidence, and surgery may constitute a unique opportunity for smoking cessation interventions. OBJECTIVES: The objective of this review was to assess the effect ... |
0 | Osteochondrosis and arthrosis in pigs. VI. Relationship to feed level and calcium, phosphorus and protein levels in the ration | MSTS 2018 - Femur Mets and MM | Eight feeding experiments, each involving 48 boars or gilts, were carried out. Feed level, Ca, P and protein levels were varied within practical physiological limits. The animals were slaughtered at close to 100 kg live weight. Lesions in joints and bones were of a noninfectious, nonrachitic nature and of the osteochon... |
1 | Analysis of effectiveness of therapeutic exercise for knee osteoarthritis and possible factors affecting outcome | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: There are numerous reports and evidences to suggest that exercise therapy is effective for knee osteoarthritis (knee OA). However, there is a lack of sufficient research concerning the factors influencing its application and effectiveness. The purposes of this study were to evaluate effects of the mode of t... |
0 | A measurement system for evaluation of shape changes and proportions after cosmetic breast surgery | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Evaluation of changes in breast shape, particularly "upper pole fullness," "breast projection," and "bottoming out," has been made difficult by the lack of an accepted definition of these entities and no standardized system for measurements and comparison. Three-dimensional imaging is impractical for most s... |
0 | Retroacetabular stress-shielding in THA | Management of Hip Fractures in the Elderly | We conducted a randomized clinical trial to compare periacetabular bone density changes after total hip arthroplasty using press-fit components with soft and hard liner materials. Bone density changes were assessed using quantitative computed tomography-assisted osteodensitometry. Twenty press-fit cups with alumina cer... |
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