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0 | Evaluation of Information Sources in Plastic Surgery Decision-making | Reduction Mammoplasty for Female Breast Hypertrophy | Background Today, patients can access a myriad of information sources regarding plastic surgery procedures prior to meeting with a surgeon. Despite their widespread use, the role of these sources in a patient's decision-making remains undefined. We hypothesized that the physician remains the key information source for ... |
1 | Electrolyte disorders and aging: Risk factors for delirium in patients undergoing orthopedic surgeries | DoD PRF (Psychosocial RF) | Background: At present, the exact mechanism of postoperative delirium has not been elucidated. The purpose of this study was to analyze the incidence of delirium in patients undergoing orthopedic surgeries and to explore possible related factors. Methods: This is a retrospective study. We used 582 patients who had unde... |
0 | Current treatments of isolated articular cartilage lesions of the knee achieve similar outcomes | Osteochondritis Dissecans 2020 Review | BACKGROUND: Many surgical techniques, including microfracture, periosteal and perichondral grafts, chondrocyte transplantation, and osteochondral grafts, have been studied in an attempt to restore damaged articular cartilage. However, there is no consensus regarding the best method to repair isolated articular cartilag... |
0 | Geriatric rehabilitation following fractures in older people: a systematic review | Management of Hip Fractures in the Elderly | Abstract and full text may be available at: http://www.hta.ac.uk/project/htapubs.asp NO |
0 | Cost-effectiveness of diet and exercise interventions to reduce overweight and obesity | SR for PM on OA of All Extremities | OBJECTIVE: To analyze whether two dietary weight loss interventions--the dietary approaches to stop hypertension (DASH) program and a low-fat diet program--would be cost-effective in Australia, and to assess their potential to reduce the disease burden related to excess body weight. DESIGN: We constructed a multi-state... |
1 | Comprehensive Comparison of Liposomal Bupivacaine with Femoral Nerve Block for Pain Control Following Total Knee Arthroplasty: An Updated Systematic Review and Meta-Analysis | AAHKS (9/10) Regional Nerve Blocks | To compare the efficacy of liposomal bupivacaine (LB) and femoral nerve block following total knee arthroplasty, we conducted this systematic review and meta-analysis. 11 trials with 2,908 patients were included in this study. The pooled data demonstrated that total morphine consumption equivalents during the hospital ... |
1 | A Prospective, Matched Comparison of Health-Related Quality of Life in Bariatric Patients following Truncal Body Contouring | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Massive weight loss after bariatric surgery can lead to excess skin associated with functional and aesthetic sequelae. Access to the benefit provided by body contouring procedures may be limited by insurance approval, which does not consider health-related quality of life. The aim of this study was to quant... |
0 | Humeral capitellum fracture combined with humeral lateral column injury: A novel classification system and treatment algorithm | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Shear humeral capitellum fracture (CF) treatment can be complicated by comminution of the distal lateral humeral column (LHC). Although treatment with a 3.5Â mm posterolateral distal humerus plate with support (PDHPWS) has been proposed, its indications have not yet been outlined. The purpose of this study ... |
0 | Restoration of thumb opposition by transposing the flexsor pollicis brevis muscle: Thirteen-year clinical application | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: To repair late median nerve injury, many methods have been used in the past years. The aim of this study was to review a thirteen-year experience in restoration of thumb opposition by transposing flexor pollicis brevis muscle. Methods: From July 1992 to August 2005, 63 patients without thumb opposition beca... |
1 | Effects of lateral wedge insole on static and dynamic balance in patients with moderate medial knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND OBJECTIVE: Knee osteoarthritis (OA) is associated with diminished joint proprioception, balance deficits and increased risk of falls. Patients with medial knee osteoarthritis are at higher risk of balance deficits and falling due to the development of secondary varus deformity. Therefore, it is of great ... |
0 | Thirty-day postoperative complications and mortality following total knee arthroplasty: incidence and risk factors among a national sample of 15,321 patients | PJI DX Updated Search | BACKGROUND: The purpose of this investigation was to determine the incidence rates of, and identify risk factors for, thirty-day postoperative mortality and complications among more than 15,000 patients who underwent a primary unilateral total knee arthroplasty as documented in the American College of Surgeons National... |
0 | The efficacy of adductor canal blockade after minor arthroscopic knee surgery - A randomised controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Background Adductor canal blockade (ACB) has been demonstrated to be effective in the treatment of post-operative pain after major knee surgery. We hypothesised that the ACB would reduce pain and analgesic requirements after minor arthroscopic knee surgery. Methods Seventy-two patients scheduled for minor knee surgery ... |
1 | Efficacy of antibiotic prophylactic regimens for the prevention of bacterial endocarditis of oral origin | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Despite the controversy about the risk of individuals developing bacterial endocarditis of oral origin, numerous Expert Committees in different countries continue to publish prophylactic regimens for the prevention of bacterial endocarditis secondary to dental procedures. In this paper, we analyze the efficacy of antib... |
0 | An updated systematic review of health state utility values for osteoporosis related conditions | Management of Hip Fractures in the Elderly | Introduction: An important component of cost effectiveness models in the field of osteoporosis is the set of Health State Utility Values (HSUVs) used for key fracture outcomes. This paper presents a review of HSUVs for key osteoporotic states (hip, wrist, shoulder, clinical, and morphometric vertebral fractures, establ... |
0 | Osteoarthritis from long-distance running? | OAK 3 - Non-arthroplasty tx of OAK | Long distance running has become a fashionable recreational activity. This study investigated the effects of external impact loading on bone and cartilage introduced by performing a marathon race. Seven beginners were compared to six experienced recreational long distance runners and two professional athletes. All part... |
0 | Distal humerus hemiarthroplasty of the elbow for comminuted distal humeral fractures in the elderly patient | Distal Radius Fractures | BACKGROUND: The purpose of our study was to evaluate the objective and subjective outcomes, as well as the radiographic results after elbow hemiarthroplasty (HA) for comminuted distal humerus fractures in elderly patients.
METHODS: Ten female patients with a mean age of 75.2 years were treated with elbow HA either for ... |
0 | Total knee arthroplasty in a patient with thrombocytopenia-absent radius syndrome | Surgical Management of Osteoarthritis of the Knee CPG | Thrombocytopenia-absent radius (TAR) syndrome is a rare genetic condition with a complex inheritance pattern. This syndrome is classically characterized by hypomegakaryocytic thrombocytopenia as well as bilateral absent radii, shortened ulna, and radially deviated 5-digit hands. During infancy, the predominant manifest... |
0 | Evaluation of arthrography and arthroscopy for lesions of the posteromedial corner of the knee | AMP (Acute Meniscal Pathology) | Injuries of the posteromedial corner of the knee joint were evaluated using the results of clinical, arthrographic, and arthroscopic examinations in 137 surgically treated patients (137 knees) with injuries of the ACL (acute in 61, chronic in 76). The accuracy of each diagnosis was confirmed by determining the site of ... |
0 | Idiopathic Genu Valgum and Its Association With Obesity in Children and Adolescents | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND:: Obesity as a cause of lower extremity deformity in children has been well established. This deformity is most often seen as tibia vara, however, at our institution we have observed more obese children and adolescents over age 7 years with excessive or progressive idiopathic genu valgum. Our hypothesis is t... |
0 | Expression of high molecular weight cysteine proteinase inhibitor in ovarian cancer tissues: regulation of cathepsin B expression by placental CPI | MSTS 2018 - Femur Mets and MM | Mouse polyclonal antibodies against placental cysteine proteinase inhibitor (CPI) react with the placental 67 kDa CPI on Western blots, and CPI present in ovarian cancer homogenate and serum was shown by double immunodiffusion to react with the same antiserum. By immunohistochemical staining, positive expression of hig... |
0 | Are younger patients undergoing TKAs appropriately characterized as active? | OAK 3 - Non-arthroplasty tx of OAK | Background: The use of TKAs in young patients is increasing. Demographic characteristics and activity levels among this patient group may affect implant selection, performance, and survivorship. Patient age (â?¤ 55 years) and preoperative diagnosis have been used to define this patient group, with the presumption that ... |
0 | Radiographs Versus Radiographic Measurements in Distal Radius Fractures | Distal Radius Fractures | Surgeons use radiographic measures of deformity to help make treatment decisions in distal radius fractures. Precise threshold values are sometimes offered as a guide to treatment. The purpose was to evaluate if agreement on treatment recommendations would improve if surgeons were provided with radiographs rather than ... |
0 | Surgical management of primary thumb carpometacarpal osteoarthritis: a systematic review | SR for PM on OA of All Extremities | The aim of this article is to provide an updated systematic review on the 8 most commonly used surgical procedures to treat trapeziometacarpal osteoarthritis. A thorough literature search was performed using predetermined criteria. A total of 35 articles fulfilled the inclusion criteria. Nine of these 35 articles were ... |
0 | Cutaneous findings in chronic lymphocytic leukaemia | Reconstruction After Skin Cancer | Background: Chronic lymphocytic leukaemia (CLL) is a malignancy characterized by clonal expansion of B lymphocytes with distinct morphology and immunophenotype. The dermatological literature relating to CLL is sparse. A global descriptive survey of a large number of CLL patients has not previously been published. Objec... |
0 | Autoantibody specificities of immune complexes sequestered in articular cartilage of patients with rheumatoid arthritis and osteoarthritis | AMP (Acute Meniscal Pathology) | To define autoantibody specificities of immune complexes sequestered in articular cartilage of patients with rheumatoid arthritis and osteoarthritis, extracts were obtained from articular cartilage specimens from 16 patients with rheumatoid arthritis, 11 patients with osteoarthritis, and 6 normal controls. Radioimmunoa... |
0 | Palmaris longus tendon transfer for augmentation of the thenar musculature in low median palsy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The palmaris tendon may be lengthened by a distal strip of palmar fascia and transferred subcutaneously to the tendon of insertion of the abductor pollicis brevis for augmentation of thumbs elevation from the palm. The transfer attempts to duplicate abductor brevis function in the complex act of opposition. The palmari... |
0 | Radiographic manifestations of bone metastases from renal carcinoma | MSTS 2018 - Femur Mets and MM | From 1964 to 1974, 1,668 patients with renal carcinoma were seen at the Mayo Clinic. Bone metastases were present in 167 of these patients (only lung metastatic involvement ranked higher in frequency). More than one-third of the patients with bone metastasis from renal carcinoma had this as a presenting lesion of occul... |
0 | MiR-1275 promotes cell migration, invasion and proliferation in squamous cell carcinoma of head and neck via up-regulating IGF-1R and CCR7 | MSTS 2018 - Femur Mets and MM | PURPOSE: miRNAs can play vital role in migration, invasion and proliferation in Squamous cell carcinoma of head and neck (SCCHN). In our study, we attempted to validate the expression and function of miR-1275 in SCCHN, and we also identified the mechanism by which miR-1275 affects migration, invasion and proliferation ... |
0 | An economic evaluation of bupivacaine plus fentanyl versus ropivacaine alone for patient-controlled epidural analgesia after total-knee replacement procedure: a double-blinded randomized study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVES: Total-knee replacement (TKR) surgery is one of the most painful orthopedic procedures after surgery. Opioid has been commonly combined with a local anesthetic to improve the quality of pain relief, but the treatment has opioid-related side effects. This study compared the cost effectiveness o... |
1 | Minimal clinically important differences of 3 patient-rated outcomes instruments | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose: Patient-rated instruments are increasingly used to measure orthopedic outcomes. However, the clinical relevance of modest score changes on such instruments is often unclear. This study was designed to define the minimal clinically important differences (MCIDs) of the Disabilities of the Arm, Shoulder, and Hand... |
1 | Functional outcome of PFC Sigma fixed and rotating-platform total knee arthroplasty. A prospective randomised controlled trial | PJI DX Updated Search | The aim of this study was to determine whether there is a difference in functional outcome between the PFC Sigma fixed-bearing and rotating-platform total knee replacement systems. One hundred twenty patients were randomised to receive either a fixed-bearing or rotating-platform PFC Sigma total knee replacement. Range ... |
0 | Second intention healing after Mohs micrographic surgery | Reconstruction After Skin Cancer | BACKGROUND: Although second intention healing has been used for many years in Mohs micrographic surgery, it has lost popularity. This is due to the long process and functional alteration of important anatomical units if certain wound healing factors are not carefully taken into consideration. OBJECTIVE: To review indic... |
0 | When data conflict with practice: rethinking the use of prophylactic antibiotics before dental treatment | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Concern is growing about the overuse of antibiotics and the subsequent rise in antibiotic-resistant bacteria. Antibiotics are commonly used to prevent heart valve infections in susceptible patients undergoing dental or other surgical procedures. Although this practice has been standard for nearly 50 years, little evide... |
0 | Multicentric reticulohistiocytosis presenting with papulonodular skin lesions and arthritis mutilans | Surgical Management of Osteoarthritis of the Knee CPG | Multicentric reticulohistiocytosis is a rare multisystem disorder of unknown etiology that is characterized by erosive polyarthritis and papulonodular lesions on the skin, mucous membranes, and internal organs. We report the case of a 54-year-old female who was misdiagnosed as having rheumatoid arthritis and underwent ... |
0 | Emerging role of ultrasound imaging associated to clinical neurophysiology as a supplementary diagnostics technique of peripheral nerves pathologies: A sicilian experience | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE To show the relevance of peripheral nerve ultrasound imaging as a supplementary technique in a clinical neurophysiological evaluation |
0 | Meniscus repair and regeneration: review on current methods and research potential | AMP (Acute Meniscal Pathology) | Meniscus regeneration is an unsolved clinical challenge. Despite the wide acceptance of the degenerative consequences of meniscectomy, no surgical procedure has succeeded to date in regenerating a functional and long-lasting meniscal fibrocartilage. Research proposed a number of experimental approaches encompassing all... |
0 | Total knee arthroplasty after opening- versus closing-wedge high tibial osteotomy. A 135-case series with minimum 5-year follow-up | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: High tibial osteotomy (HTO) is effective in treating isolated medial osteoarthritis of the knee, but subsequent deterioration is inevitable, and total knee arthroplasty (TKA) is then an option. The present study sought to compare TKA following medial opening-wedge HTO (OW-HTO) versus lateral closing-wedge... |
0 | (vi) Focal resurfacing implants in the knee and partial knee replacements | Osteochondritis Dissecans 2020 Review | Treating the chronically painful knee has never been more challenging. We are now faced with a growing population of increasingly demanding patients presenting with knee pathology that is not responding to conservative measures. This has paved the way for revolutionary techniques to treat the knee, with the aim of pres... |
0 | Does alendronate prevent collapse in osteonecrosis of the femoral head? | Management of Hip Fractures in the Elderly | Progression of collapse in osteonecrosis of the femoral head is related to the repair response, especially bone resorption around the necrotic region. A preliminary clinical study was done to determine whether systemic alendronate would prevent collapse and lead to pain relief in patients with osteonecrosis of the femo... |
0 | Lack of agreement between computer navigation and post-operative 2-dimensional computed tomography (CT) measurements for component and limb alignment in total knee arthroplasty (TKA) | OAK 3 - Non-arthroplasty tx of OAK | Background: The purpose of this study was to assess the degree of mismatch between intraoperative navigation data using imageless computer navigation and post-operative CT scan measurements with respect to bone cuts, component and limb alignment during TKA. Methods: Intraoperative navigation data including bone cut ver... |
0 | Linkage analysis of candidate genes as susceptibility loci for osteoarthritis-suggestive linkage of COL9A1 to female hip osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To examine 11 candidate genes as susceptibility loci for osteoarthritis (OA). METHODS: A total of 481 families have been ascertained in which at least two siblings have had joint replacement surgery of the hip, or knee, or hip and knee for idiopathic OA. Each candidate gene was targeted using one or more int... |
1 | Aetiopathogenesis of cuff-tear arthropathy: Could juvenile joint laxity be considered a predisposing factor? | Trial Systematic Review Project | Purpose: Although many hypotheses have been formulated, aetiopathogenesis of cuff-tear arthropathy (CTA) is still motive for discussion. Since prevalence of CTA is notoriously higher in women, as is joint hypermobility, we hypothesised a possible correlation between the two conditions. Methods: One hundred thirty-three... |
0 | The Terry Fox Research Institute Canadian Prostate Cancer Biomarker Network: an analysis of a pan-Canadian multi-center cohort for biomarker validation | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Refinement of parameters defining prostate cancer (PC) prognosis are urgently needed to identify patients with indolent versus aggressive disease. The Canadian Prostate Cancer Biomaker Network (CPCBN) consists of researchers from four Canadian provinces to create a validation cohort to address issues dealin... |
0 | Osteochondral allografts in the treatment of osteonecrosis of the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | In summary, patients with spontaneous osteonecrosis of the knee requiring surgery were elderly and generally had late stage IV disease. They seemed to do better with osteotomy and debridement than with osteochondral allograft replacement because they could not tolerate restricted weight bearing. Patients with steroid-i... |
0 | Anterior knee pain after total knee arthroplasty: a narrative review | Surgical Management of Osteoarthritis of the Knee CPG | Anterior knee pain is one of the most common causes of persistent problems after implantation of a total knee replacement. It can occur in patients with or without patellar resurfacing. As a result of the surgical procedure itself many changes can occur which may affect the delicate interplay of the joint partners in t... |
1 | Synovial fluid biomarkers for periprosthetic infection | PJI DX Updated Search | BACKGROUND: We have previously described a unique gene expression signature exhibited by synovial fluid leukocytes in response to bacterial infection, identifying a number of potential biomarkers for infection. However, the diagnostic performance of these potential biomarkers in an immunoassay format is unknown. QUESTI... |
0 | Hip ultrasonography in clinical practice | Developmental Dysplasia of the Hip 2020 Review | The current practice of hip ultrasonography for developmental dysplasia of the hip (DDH) is based on more than three decades of experience. During this time, professional medical organizations in the United States have addressed both the clinical practice and imaging aspects of early detection of DDH. Current evidence-... |
0 | Zoledronic acid down-regulates adhesion molecules of bone marrow stromal cells in multiple myeloma: a possible mechanism for its antitumor effect | MSTS 2018 - Femur Mets and MM | BACKGROUND: Myeloma plasma cells interact with the bone marrow microenvironment which, in turn, supports their growth and protects them from apoptosis. In vitro studies have demonstrated the antitumor potential of zoledronic acid (ZOL) on myeloma cell lines, but few data are available on its effects on bone marrow stro... |
0 | Infections after high tibial osteotomy | PJI DX Updated Search | PURPOSE: High tibial osteotomy is an established method in the treatment for knee osteoarthritis. Infections are a rare but severe complication that might endanger the clinical, radiological and functional outcome and might require several surgical revisions. METHODS: A systematic literature review was performed throug... |
0 | Simultaneous bilateral breast reconstruction with the transverse rectus abdominus musculocutaneous free flap | Panniculectomy & Abdominoplasty CPG | Objective: The purpose of the study was to assess the results and morbidity associated with simultaneous bilateral TRAM free flap breast reconstruction and describe refinements in its surgical technique. Summary Background Data: Bilateral prophylactic total mastectomies might be an agreeable option for those patients a... |
1 | Isolated traumatic dislocation of the hip. Long-term results in 50 patients | Developmental Dysplasia of the Hip CPG | From 1974 to 1989, we treated 50 patients with a simple dislocation of the hip: 38 were posterior dislocations and 12 were anterior. All dislocations primarily treated at our hospital were reduced by closed methods within three hours (mean 85 minutes (10 to 180)) and 43 were reviewed after an average follow-up of 8 yea... |
1 | Occupational medicine: carpal tunnel syndrome-a cumulative trauma disorder | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Scientific Board of the California Medical Association presents the following inventory of items of progress in occupational medicine. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance.... |
0 | 3-D analysis of breast morphology changes after inverted T-scar and vertical-scar reduction mammaplasty over 12 months | Reduction Mammoplasty for Female Breast Hypertrophy | One major objective of all types of breast reduction procedures is to achieve a long-lasting, stable and aesthetically pleasing three-dimensional (3-D) breast shape, but current surgical outcome evaluation is limited. This study compares the extent of soft-tissue oedema and breast tissue migration related to 3-D breast... |
0 | Proline/arginine-rich end leucine-rich repeat protein converts stem cells to ligament tissue and Zn(II) influences its nuclear expression | OAK 3 - Non-arthroplasty tx of OAK | Our objective was to facilitate ligament tissue reconstruction by characterizing the mechanism of expression of ligament tissue. To accomplish this, we searched for proteins specific to the tissue and introduced them into mesenchymal stem cells. In the two-dimensional phosphorescent gel electrophoresis, the spots in co... |
0 | Central head perforation, or "cut through," caused by the helical blade of the proximal femoral nail antirotation | Management of Hip Fractures in the Elderly | Objective: This study was designed to investigate the specific type and incidence of implant failure in patients with a proximal femur fracture treated with a proximal femoral nail antirotation. This device has a helical-shaped blade as a neck-head holding device, instead of the lag screw used in other intramedullary n... |
1 | Limited value of ultrasound assessment in patients with poor outcome after carpal tunnel release surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To determine the value of ultrasonography in the assessment of patients with idiopathic carpal tunnel syndrome (CTS) and poor outcome after carpal tunnel release. METHODS: A total of 88 consecutive patients with CTS (104 hands) underwent open surgical release of the median nerve. Ultrasound (US) examination ... |
1 | Carpal tunnel syndrome in pregnancy and lactation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A retrospective study of 40 women with carpal tunnel syndrome developing in pregnancy and 18 women with carpal tunnel syndrome in the puerperium was undertaken. All the cases that developed in pregnancy occurred in the third trimester and resolved within two weeks of delivery. Those cases developing in the puerperium a... |
0 | The main autoimmune and nonautoimmune etiologies of endogenous hyperthyroidism do not seem to influence the increased prevalence of morphometric vertebral fractures and osteoporosis in Portuguese men | Distal Radius Fractures | Objectives: The purpose of this study was to evaluate the effects of hyperthyroidism and their etiology on bone mineral density (BMD), on body soft tissue composition, on the prevalence of vertebral fractures detected by vertebral fracture assessment (VFA) and on the trabecular bone score (TBS).
Methods: From an initia... |
0 | Risk factors for implant failure in reverse oblique and transverse intertrochanteric fractures treated with proximal femoral nail antirotation (PFNA) | Hip Fx in the Elderly 2019 | BACKGROUND: The incidence of intertrochanteric hip fracture is expected to increase as the global population ages. It is one of the most important causes of mortality and morbidities in the geriatric population. The incidence of reverse oblique and transverse intertrochanteric (AO/OTA 31-A3) fractures is relatively low... |
1 | Consequences of violence across the lifespan: Mental health and sleep quality in pregnant women | DoD PRF (Psychosocial RF) | OBJECTIVE: Research has demonstrated that exposure to violence and adversity has negative effects on both mental health and biobehavioral outcomes, such as sleep health. Research examining the relationship between past and recent violence exposure and mental health suggests that the effects of childhood adversity are e... |
0 | Pain perception during the rehabilitation phase following traumatic hip fracture in the elderly is an important prognostic factor and treatment tool | Management of Hip Fractures in the Elderly | PURPOSE: To evaluate the role of pain perception on admission to geriatric rehabilitation on the functional recovery after rehabilitation treatment in elderly patients with hip fracture and on the length of stay. METHOD: One hundred and sixty-five community dwelling elderly 65-year-old and over (mean age of 78 years), ... |
0 | Strength training for partially paralysed muscles in people with recent spinal cord injury: A within-participant randomised controlled trial | Pediatric Supracondylar Humerus Fracture 2020 Review | Objectives: To determine whether strength training combined with usual care increases strength in partially paralysed muscles of people with recent spinal cord injury (SCI) more than usual care alone. Settings: SCI units in Australia and India. Methods: Thirty people with recent SCI undergoing inpatient rehabilitation ... |
1 | Persistent detection of SARS-CoV-2 RNA in patients and healthcare workers with COVID-19 | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Current guidelines for returning health care workers (HCW) to service after a positive SARS-CoV-2 RT-PCR test and ceasing of transmission precautions for patients is based on two general strategies. A test-based strategy that requires negative respiratory RT-PCR tests obtained after the resolution of sympto... |
0 | Arthroscopic Posterior Ankle Ligament Anatomy | AMP (Acute Meniscal Pathology) | BACKGROUND: The purpose of this article is to document the normal arthroscopic appearance of the posterior ankle capsular and ligamentous structures, and variations in their anatomical relationships.
METHODS: 102 ankle arthroscopy videotapes were evaluated retrospectively for the configuration of the posterior capsulol... |
0 | Tenascin-C levels in synovial fluid are elevated after injury to the human and canine joint and correlate with markers of inflammation and matrix degradation | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: We have previously shown the capacity of tenascin-C (TN-C) to induce inflammatory mediators and matrix degradation in vitro in human articular cartilage. The objective of the present study was to follow TN-C release into knee synovial fluid after acute joint injury or in joint disease, and to correlate TN-C ... |
0 | Integrity of proximal femoral allografts: A serial radiographic analysis | Management of Hip Fractures in the Elderly | To assess the integrity of proximal femoral allografts, we reviewed annual post-operative radiographs of 26 patients (27 hips) with a mean follow-up of 10.0 years (range 6 to 15 years). Radiographs were examined for: graft resorption, implant loosening, host/graft union, trochanteric union and escape, and graft fractur... |
0 | Neurological symptoms in patients with biopsy proven celiac disease | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In celiac disease (CD), the gut is the typical manifestation site but atypical neurological presentations are thought to occur in 6 to 10% with cerebellar ataxia being the most frequent symptom. Most studies in this field are focused on patients under primary neurological care. To exclude such an observation bias, pati... |
0 | Volar Barton's fractures with concomitant dorsal fracture in older patients | Distal Radius Fractures | PURPOSE: To describe a variant of Barton's volar articular shearing fracture of the distal radial articular surface with a subtle concomitant fracture of the dorsal metaphyseal cortex.
METHODS: This fracture pattern was observed in 6 women and 2 men with an average age of 67 years (range, 58-76 years). All 8 patients w... |
0 | Searching for the 'winner' hip fracture patient: the effect of modifiable and non-modifiable factors on clinical outcomes following hip fracture surgery | Hip Fx in the Elderly 2019 | BACKGROUND: Various factors, other than the quality of surgery, may influence clinical outcomes of hip fracture patients. We aimed to evaluate the relative impact of several factors on functional outcome, quality of life, re-fracture and mortality rates following surgery for hip fractures.
METHODS: We studied 498 (62.2... |
0 | Dosage effects of extracorporeal shockwave therapy in early hip necrosis | PJI DX Updated Search | BACKGROUND: This study investigated the effects of different dosages of extracorporeal shockwave therapy (ESWT) in early osteonecrosis of the femoral head (ONFH). MATERIALS AND METHODS: Thirty-three patients (42 hips) were randomly divided into three groups. Group A (10 patients with 16 hips) received 2000 impulses of ... |
0 | The hand | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article defines a comprehensive hand evaluation process that allows the therapist to identify and treat the many types of hand pathologies that can affect us as we age. The authors hope to provide s better understanding that pathology, even if it is related to aging and found more frequently in the elderly populat... |
0 | Epidemiology of periprosthetic femoral fractures in 5417 revision total hip arthroplasties: a 40-year experience | Pediatric Diaphyseal Femur Fractures 2020 Review | AIMS: The goals of this study were to define the risk factors, characteristics, and chronology of fractures in 5417 revision total hip arthroplasties (THAs). PATIENTS AND METHODS: From our hospital's prospectively collected database we identified all patients who had undergone a revision THA between 1969 and 2011 which... |
0 | Propoxyphene use and risk for hip fractures in older adults | Management of Hip Fractures in the Elderly | BACKGROUND: Published guidelines have identified propoxyphene as an inappropriate medication for use in aged patients. It is no more effective than acetaminophen, yet has been associated with the same adverse effects (AEs) associated with other opioid drugs. In particular, its central nervous system-related AEs, dizzin... |
0 | Right impairment of temporal order judgements in dyslexic children | Upper Eyelid and Brow Surgery | This study investigates the spatial bias of visual attention measured by a temporal order judgement (TOJ) task and the influence of a high attentional load condition in a group of dyslexic children compared to a control group with normal reading skills (each group N=10). The TOJ task (T2) was placed after a shape discr... |
0 | The severity of microvascular dysfunction due to compartment syndrome is diminished by the systemic application of CO-releasing molecule-3 | DOD - Acute Comp Syndrome CPG | OBJECTIVES: To examine the protective effects of carbon monoxide (CO), liberated from a novel CO-releasing molecule (CORM-3), on the function of compartment syndrome (CS)-challenged muscle in a rodent model, thus providing for a potential development of a pharmacologic adjunctive treatment for CS.
METHODS: Wistar rats ... |
0 | Detection of focal cerebral hemisphere lesions using the neurological examination | Upper Eyelid and Brow Surgery | OBJECTIVE: To determine the sensitivity and specificity of clinical tests for detecting focal lesions in a prospective blinded study. METHODS: 46 patients with a focal cerebral hemisphere lesion without obvious focal signs and 19 controls with normal imaging were examined using a battery of clinical tests. Examiners we... |
0 | Problems of basic nursing care in acutely confused and non-confused hip-fracture patients | Management of Hip Fractures in the Elderly | Thirty-five patients operated on for femoral neck fracture were studied. Fifteen (42.9%) became acutely confused after surgery. Problems in the 14 components of basic nursing care (Henderson 1964), were identified by means of interviews with the patients and their caregivers. The quantitative analysis of the results sh... |
0 | MicroRNA-183 attenuates osteoarthritic pain by inhibiting the TGFalpha-mediated CCL2/CCR2 signalling axis | AMP (Acute Meniscal Pathology) | AIMS: MicroRNA-183 (miR-183) is known to play important roles in osteoarthritis (OA) pain. The aims of this study were to explore the specific functions of miR-183 in OA pain and to investigate the underlying mechanisms.
METHODS: Clinical samples were collected from patients with OA, and a mouse model of OA pain was co... |
1 | The Relationship of Parathyroidectomy and Bisphosphonates With Fracture Risk in Primary Hyperparathyroidism: An Observational Study | Hip Fx in the Elderly 2019 | BACKGROUND: The comparative effectiveness of surgical and medical treatments on fracture risk in primary hyperparathyroidism (PHPT) is unknown.
OBJECTIVE: To measure the relationship of parathyroidectomy and bisphosphonates with skeletal outcomes in patients with PHPT.
DESIGN: Retrospective cohort study.
SETTING: An in... |
0 | Comparison of radiographic joint space width and magnetic resonance imaging for prediction of knee replacement: A longitudinal case-control study from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Objective: To evaluate whether change in fixed-location measures of radiographic joint space width (JSW) and cartilage thickness by MRI predict knee replacement. Methods: Knees replaced between 36 and 60Â monthsâ?? follow-up in the Osteoarthritis Initiative were each matched with one control by age, sex and radiographi... |
0 | Outcome of exact anatomic repair and coracoclavicular cortical lag screw in acute acromioclavicular dislocations | Glenohumeral Joint OA | BACKGROUND: The optimal surgical approach for acute acromioclavicular (AC) dislocations is still controversial. The purpose of this study is to analyze the outcome of anatomic repair or approximation of intra-articular and extra-articular damage.
METHODS: Fifty-six patients with Rockwood type-III, IV, and V acute AC di... |
1 | The accuracy of MRI for the diagnosis of ramp lesions | AMP (Acute Meniscal Pathology) | OBJECTIVES: To assess the diagnostic accuracy of MRI in diagnosing ramp lesions in patients with an acute lesion of the anterior cruciate ligament (ACL).
MATERIALS AND METHODS: All consecutive patients over 15 years of age who underwent surgical repair of the ACL at a single hospital between January and May 2019, with ... |
0 | Clinical effects of buprenorphine during and after operation | AAHKS (2) Corticosteroids | The analgesic, respiratory and hormonal effects of two doses of buprenorphine were studied during and after operation in 20 patients undergoing total hip replacement. The drug provided analgesia of long duration. The analesic and hormonal effects of the drug were greater after i.m. than after i.v. administration. The p... |
0 | A comparison of wound closure techniques for total knee arthroplasty | PJI DX Updated Search | Four wound closure techniques for total knee arthroplasty were compared in a prospective, randomized, controlled, institutional review board-approved study with 75 subjects. The study compared tissue adhesives, stapling, and suturing with respect to procedure time and cost, together with functional and clinical outcome... |
0 | External-beam radiation therapy combined with limb-sparing surgery in elderly patients (>70 years) with primary soft tissue sarcomas of the extremities : A retrospective analysis | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: To report our experience with EBRT combined with limb-sparing surgery in elderly patients (>70 years) with primary extremity soft tissue sarcomas (STS). METHODS: Retrospectively analyzed were 35 patients (m:f 18:17, median 78 years) who all presented in primary situation without nodal/distant metastases (Charl... |
0 | Bone scintigraphy after osteochondral autograft transplantation in the knee: 13 patients followed for 4 years | Osteochondritis Dissecans 2020 Review | BACKGROUND AND PURPOSE: Autologous osteochondral transplantation (OCT) is an established method of treating articular cartilage defects in the knee. However, the potential for donor site morbidity remains a concern. Both the restoration of the original cartilage defect and the evolution of the donor site defects can be... |
0 | Cost-effectiveness analysis of goal-directed hemodynamic treatment of elderly hip fracture patients: before clinical research starts | Management of Hip Fractures in the Elderly | BACKGROUND: Health economic evaluations are increasingly used to make the decision to adopt new medical interventions. Before such decisions, various stakeholders have invested in clinical research. But health economic factors are seldom considered in research funding decisions. Cost-effectiveness analyses could be inf... |
0 | Relationship between shaft bowing in the femur and tibia and bone mineral density in women with varus knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Anterior and lateral shaft bowing of the femur and tibia in patients with varus knee osteoarthritis (OA) results in malalignment of the whole lower extremity, when the preoperative planning in total knee arthroplasty or high tibial osteotomy is performed on the knee radiograph. Previous studies reported that f... |
0 | Venous thromboembolism prophylaxis after total knee or hip replacement: treatment pattern and outcomes | Management of Hip Fractures in the Elderly | PURPOSE: To determine the thromboprophylactic treatment pattern and occurrence of venous thromboembolism (VTE), major bleeding, and wound infections in patients undergoing total knee replacement (TKR) or total hip replacement (THR). METHODS: From the PHARMO database, all patients >/= 18 years hospitalized for TKR or TH... |
0 | Medial approach for popliteal artery injuries | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To evaluate the clinical application of the medial approach for repairing popliteal artery injuries. METHODS: From 2002 to 2008, 11 cases of popliteal artery injuries had been repaired via the medial approach. Of these cases, 8 had limb fractures, 1 had knee dislocation, and 2 had visceral injuries. Ten popl... |
0 | Vitamin D deficiency and osteopenia in the hemiplegic limbs of stroke patients | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: Little is known about bone changes in hemiplegic stroke patients. We evaluated the vitamin D status and bone changes on the hemiplegic and intact sides of stroke patients. METHODS: Sera were collected from 87 hemiplegic stroke patients (42 outpatients and 45 inpatients) and from 28 control subje... |
0 | Incidence of Infection and Inhospital Mortality in Patients With Chronic Renal Failure After Total Joint Arthroplasty | DoD SSI (Surgical Site Infections) | BACKGROUND: Patients with chronic renal failure (CRF) may require total joint arthroplasty (TJA) to treat degenerative joint disease, fractures, osteonecrosis, or amyloid arthropathy. There have been conflicting results, however, regarding outcomes of TJA in patients with chronic renal disease. The aim of this case-con... |
0 | Polymorphisms in the Growth Differentiation Factor 5 (GDF 5) Gene in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To identify the frequency of the rs143383 SNPin the GDF5 gene, which is located in the 5'-untranslated region of Turkish population with knee osteoarthritis (OA).
STUDY DESIGN: Acase-control study.
PLACE AND DURATION OF STUDY: Orthopedics and Traumatology Department, Bozok University Medical Faculty, Yozgat,... |
0 | Reliability and Validity Study of the Finnish Adaptation of Scoliosis Research Society Questionnaire Version SRS-30 | DoD PRF (Psychosocial RF) | Study Design. A prospective clinical study to test and adapt a Finnish version of the Scoliosis Research Society 30 (SRS-30) questionnaire. Objective. The aim of this study was to perform cross-cultural adaptation and evaluate the validity of the adapted Finnish version of the SRS-30 questionnaire. Summary of Backgroun... |
1 | Prepectoral Immediate Direct-to-Implant Breast Reconstruction with Anterior AlloDerm Coverage | Acellular Dermal Matrix | BACKGROUND: Staged subpectoral expander-implant breast reconstruction is widely performed. Disruption of the pectoralis major origin and the frequent occurrence of animation deformity and functional discomfort associated with subpectoral reconstruction remain ongoing concerns. Prepectoral single-stage direct-to-implant... |
1 | Female sexual dysfunction in patients with spinal cord injury: a study from Iran | DoD PRF (Psychosocial RF) | OBJECTIVES: We assess the prevalence of sexual dysfunction in patients with spinal cord injury (SCI), compare sexual function and sexual distress between female patients with SCI and gender-matched healthy controls, and address risk factors associated with sexual dysfunction among Iranian female patients with SCI.
SETT... |
1 | Magnetic resonance imaging of the knee: initial experience in a district general hospital | AMP (Acute Meniscal Pathology) | We present the results of a prospective study comparing the accuracy of magnetic resonance imaging with arthroscopy in the assessment of knee complaints. Using a low field strength magnet, MRI was able to achieve a high diagnostic accuracy within the setting of a district general hospital. |
0 | Penetrating arterial trauma to the limbs: outcome of a modified protocol | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Penetrating arterial injuries to the limbs are common injuries in high volume trauma centers. Their overall surgical results reported in the literature are satisfactory - apart of those of the popliteal artery that still may lead to a significant incidence in amputations. With the present study we assessed ... |
0 | A Comparative Study of Single-Port Laparoscopic Surgery Versus Robotic-Assisted Laparoscopic Surgery for Rectal Cancer | DOD - Acute Comp Syndrome CPG | Introduction. Conventional laparoscopic surgery is the treatment of choice for many abdominal procedures. To further reduce surgical trauma, new minimal invasive procedures such as single-port laparoscopic surgery (SPLS) and robotic assisted laparoscopic surgery (RALS) have emerged. The aim of this study was to compare... |
1 | Bleeding Complications in Dermatologic Surgery | Reconstruction After Skin Cancer | Although the overall incidence is low, bleeding complications in dermatologic surgery can occur and be the source of significant patient morbidity. In this article, we summarize the key aspects of preoperative assessment of patients at risk for bleeding. A review of current issues and literature regarding safe continua... |
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