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0 | Evaluation of blood loss during tumescent liposuction in Orientals | Panniculectomy & Abdominoplasty CPG | BACKGROUND: There are high risks from general anesthesia and excessive bleeding associated with traditional liposuction using the dry or wet method. The blood loss has been estimated to be between 15% and 45%. The tumescent technique permits liposuction of more than 3,000 ml of fat totally by local anesthesia without s... |
0 | Predictors of deep venous thrombosis in patients admitted to rehabilitation clinics after major orthopaedic surgery | Management of Hip Fractures in the Elderly | BACKGROUND: Venous thromboembolism (VTE) is a frequent complication of major orthopaedic surgery; prolonged prophylaxis with anticoagulants is standard of care. However, late manifestation of VTE is common and little is known about the predictors of late deep vein thrombosis (DVT) and the distribution of proximal and d... |
0 | Osseous metastases from renal cell carcinoma: embolization and surgery for restoration of function. Work in progress | MSTS 2018 - Femur Mets and MM | Five patients underwent preoperative embolization of osseous metastases from renal cell carcinoma. The group consisted of four men and one woman who ranged in age from 46 to 79 years. The lesions were located in the pubic ramus and acetabulum, proximal femur, femoral midshaft, proximal humerus, and proximal tibia. All ... |
0 | Factors Influencing patient experience and satisfaction following surgical management of ankle fractures | Hip Fx in the Elderly 2019 | BACKGROUND: Patient feedback is increasingly important to inform and develop effective healthcare within the United Kingdom. In order to optimise patient experience of ankle fracture care in our unit, we sought to identify elements of practice associated with poor patient experience and low levels of satisfaction.
METH... |
0 | Impaired muscle function with aging. A background factor in the incidence of fractures of the proximal end of the femur | Management of Hip Fractures in the Elderly | Muscle biopsy material from vastus lateralis musculus quadriceps was obtained during surgery from 43 66-100-year-old female and nine 70-89-year-old male patients with fresh hip fractures. Before the accident, 18 women and two men were clinically healthy, and in the others, one-third had cardiovascular, one-third locomo... |
1 | Should we routinely analyze reduction mammaplasty specimens? | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Reduction mammaplasty is one of the most common plastic surgery procedures. Preoperative imaging and histopathology protocols vary among countries and institutions. We aimed to analyze the incidence of occult breast cancer and high-risk lesions in reduction mammaplasty specimens. We also analyzed whether pa... |
0 | Persistent median artery and compression neuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Two cases are presented, each with a large persistent unthrombosed median artery associated with carpal tunnel syndrome. It is noted that in cases such as these, excision of the unthrombosed median artery is not indicated because it may sometimes substantially contribute to the circulation of the hand |
0 | Radiocarpal dislocation: A retrospective study of 14 patients | Distal Radius Fractures | INTRODUCTION: Radiocarpal dislocation (RCD) is defined as total loss of contact between the carpal and radial joint surfaces. The condition is rare, with few published series. The aim of the present study was to assess functional results of RCD surgery, notably without ligament reconstruction., HYPOTHESIS: Functional o... |
0 | Comparative outcomes of total joint arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | A prospective pre- and postoperative general health/quality-of-life factor comparison, using the Rand SF-36 Health Status Questionnaire (TyPE Specification, Quality Quest [Health Outcomes Institute, Minneapolis, MN]), was carried out on a consecutive series of patients with diagnosed osteoarthritis undergoing total hip... |
0 | Factors affecting the outcome of hemi hip arthroplasty in elderly patients with femoral neck fractures | Hip Fx in the Elderly 2019 | The outcome of hemi hip arthroplasty is affected by many factors. Which factors may affect the outcome remains a controversial topic. The aim of this study was to assess the factors that may have the greatest influence on patientsâ?? postoperative outcome. 258 patients underwent HA from January 2006 to December 2012 we... |
0 | Reconstruction of fingertip defects with great toe pulp grafts | DoD LSA (Limb Salvage vs Amputation) | Various methods have been used to treat fingertip defects that are caused when distal parts are amputated. In this study, we used the pulp graft harvested from the lateral aspect of the great toe. Between September 2004 and August 2006, the great toe pulp graft were performed on 16 patients. The ages of patients ranged... |
0 | A comparison of rheumatoid arthritis in Australia and China | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A comparison was made of two series of consecutive outpatients with a presumptive diagnosis of rheumatoid arthritis (RA) attending referral centres in Melbourne and Shanghai. No significant differences were observed in disease onset, course, presence of antinuclear antibodies (ANA), or seropositivity. In the Australian... |
0 | Ceramic-on-ceramic total hip arthroplasty: minimum of six-year follow-up study | PJI DX Updated Search | BACKGROUND: This study examines the clinical and radiologic results of ceramic-on-ceramic total hip arthroplasties with regard to wear, osteolysis, and fracture of the ceramic after a minimum follow-up of six years. METHODS: We evaluated the results of a consecutive series of 148 primary ceramic-on-ceramic total hip ar... |
0 | Open reduction and internal fixation with 90-90 plating of bicolumn distal humeral fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A bicolumn intra-articular fracture is the most challenging distal humeral fracture to treat. Open reduction and internal fixation of these fractures is best achieved using either 90-90 medial-lateral or parallel opposing plates. Either technique can be used to treat most patients, although in some instances, one techn... |
0 | Firearm Ownership Among Military Veterans With PTSD: A Profile of Demographic and Psychosocial Correlates | DoD PRF (Psychosocial RF) | Post-traumatic stress disorder (PTSD), a condition that disproportionately affects military veterans, is associated with heightened rates of aggression and suicide. Although experience with firearms is common among this population, virtually nothing is known regarding who is more likely to own a firearm and whether fir... |
0 | Bilateral periprosthetic stress fractures in a juvenile chronic arthritis patient secondary to bilateral genu valgum | Surgical Management of Osteoarthritis of the Knee CPG | Lateral insufficiency fractures following total hip replacement have been reported with the femoral stems positioned in varus, together with osteopenia of the lateral femoral cortex. Any abnormal alignment of the lower limbs, such as genu valgum, will alter the load distribution across the femoral cortices, and repetit... |
0 | The reliability of measurements taken from computer-stored digitalised x-rays of acute distal radius fractures | Distal Radius Fractures | Sixteen observers measured eight anatomical parameters on digitalised images of six acute distal radial fractures using the Patient Archiving Communication System software and repeated the measurements at least 2 weeks later. Inter- and intraobserver reliability was calculated using intraclass correlation coefficients ... |
0 | Complications of a cable grip system | Management of Hip Fractures in the Elderly | From a group of 643 total hip arthroplasties, 98 patients required trochanteric osteotomies, and in 68 the trochanteric osteotomies were repaired with the Dall-Miles cable grip system (Howmedica, Rutherford, NJ). Trochanteric nonunion occurred in 17 of these patients (25%), with fraying and fragmentation of the cable p... |
0 | The effect of high dose antibiotic impregnated cement on rate of surgical site infection after hip hemiarthroplasty for fractured neck of femur: a protocol for a double-blind quasi randomised controlled trial | DoD SSI (Surgical Site Infections) | BACKGROUND: Mortality following hip hemiarthroplasty is in the range of 10-40% in the first year, with much attributed to post-operative complications. One such complication is surgical site infection (SSI), which at the start of this trial affected 4.68% of patients in the UK having this operation. Compared to SSI rat... |
0 | Prevalence of Developmental Dysplasia of the Hip in Chinese Adults: A Cross-sectional Survey | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The prevalence of developmental dysplasia of the hip (DDH) is unknown in China. We aimed to determine the prevalence of DDH in Chinese adults. METHODS: In this study, we performed a cross-sectional survey of a nationally representative sample of Chinese adults. All participants underwent questionnaire inves... |
0 | Compartment syndromes | DoD - ACS - Interrater Reliability | Compartment syndrome occurs when pressure within a closed muscle compartment exceeds the perfusion pressure and results in muscle and nerve ischaemia. Two distinct conditions are recognized: acute and chronic (exertional) compartment syndromes. Differences in aetiology, pathophysiology and management are elaborated on ... |
0 | Predictors of complications following breast reduction surgery: A National Surgical Quality Improvement Program study of 16,812 cases | Panniculectomy & Abdominoplasty CPG | Background: Breast reduction is one of the most common procedures performed by plastic surgeons. Despite good outcomes and high patient satisfaction, there are little national data on the predictors that lead to complications in this patient population. We accessed a national outcomes database to examine these factors.... |
0 | Injuries in Aleppo, Syria; first population-based estimates and characterization of predominant types | DoD PRF (Psychosocial RF) | BACKGROUND: Despite the growing burden of injuries worldwide, Syria and many other Arab countries still lack population-based estimates of different types of injuries. This study aims to provide first population-based estimates of major injuries in Syria and characterize groups at increased risk.
METHODS: An interviewe... |
1 | Effect of therapeutic exercise on knee osteoarthritis after intra-articular injection of botulinum toxin type A, hyaluronate or saline: A randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To study the effect of therapeutic exercise on knee osteoarthritis after injection of botulinum toxin type A, hyaluronate or saline.
METHODS: Sixty participants with knee osteoarthritis were randomly assigned to 3 groups: injection of saline (control) (group A), botulinum toxin type A (group B), or hyalurona... |
0 | Natural history of squeaking after total hip arthroplasty | Hip Fx Time to Surgery | BACKGROUND: In recent years, a number of alternative bearing surfaces, such as ceramic on ceramic, are being used in THA. Squeaking after THA is a recently recognized complication; however, its incidence is unknown. QUESTIONS/PURPOSES: Find the incidence of squeaking; when it ensues; activities associated to squeaking;... |
0 | The history of fetal therapy | Panniculectomy & Abdominoplasty CPG | The Fetal Treatment Center founded by Michael Harrison is credited as the birthplace of fetal surgery. His trainees in pediatric surgery subsequently founded fetal centers throughout the United States. In Europe, the advent of minimally invasive fetal surgical techniques led to the establishment of treatment centers le... |
1 | Porcine small intestine submucosa augmentation of surgical repair of chronic two-tendon rotator cuff tears. A randomized, controlled trial | Optimizing the Management of Full-Thickness Rotator Cuff Tears | BACKGROUND: Evidence to justify the use of porcine small intestine submucosa to augment repairs of large and massive rotator cuff tears is based on favorable results found in studies of Achilles tendon and infraspinatus tendon repairs in canines. The purpose of this study was to determine the effectiveness of a small i... |
0 | A study of the relationship between meniscal injury and bone microarchitecture in ACL reconstructed knees | AMP (Acute Meniscal Pathology) | BACKGROUND: Anterior cruciate ligament (ACL) tears increase the risk of developing knee osteoarthritis. This risk increases further with concurrent meniscus injury. The role of bone changes during knee osteoarthritis development are not well-understood, but may be important to its etiology.
PURPOSE: To explore the effe... |
0 | Breast cancer anti-estrogen resistance 3 inhibits transforming growth factor beta/Smad signaling and associates with favorable breast cancer disease outcomes | MSTS 2018 - Femur Mets and MM | INTRODUCTION: This study helps to define the implications of breast cancer anti-estrogen resistance 3 (BCAR3) in breast cancer and extends the current understanding of its molecular mechanism of action. BCAR3 has been shown to promote cell proliferation, migration and attachment to extracellular matrix components. Howe... |
0 | A lateral meniscus tear incarcerated behind the popliteus tendon: A case report | PJI DX Updated Search | A 51-year-old male, sustained an injury to his left knee after being pinned between his motorcycle and a road barrier. In the ER, the patient complained of medial knee pain, and had a significant joint effusion. MRI demonstrated an ACL injury, medial meniscal tear, bone bruising and impaction at the lateral femoral con... |
0 | Hip fracture as a complication of hospitalization | Management of Hip Fractures in the Elderly | This work seeks to assess the possible contribution of hospitalization to hip fractures sustained in an acute care hospital and to determine the need for hospital care for these patients at the time of the fracture. Between 1988 and 1997 there was an average of 399 falls and four in-hospital hip fractures per year. For... |
0 | Immediate breast reconstruction with anatomical implants following mastectomy: The radiation perspective | Acellular Dermal Matrix | Immediate implant-based breast reconstruction followed by postmastectomy radiation therapy (PMRT) is controversial because of the risk of compromised treatment plans and concerns regarding cosmetic outcomes. We evaluated the effects of immediate direct-to-implant breast reconstruction with anatomical implants on the qu... |
0 | The Sauve-Kapandji procedure for posttraumatic wrist disorders: further experience | Distal Radius Fractures | A prospective survey was conducted to evaluate the outcome of the Sauve-Kapandji procedure for posttraumatic wrist disorders. Eighty four patients were treated, all with posttraumatic disorders of the distal radioulnar joint, 73 as an isolated procedure, 11 in combination with another wrist procedure. There was signifi... |
0 | Study of Effectiveness of rMV (Repeated Muscle Vibration) in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The rehabilitation protocols in knee osteoarthritis are often difficult to be applied in elderly patients because they are long lasting and need the constant participation of patients. To rapidly improve the motor performances of patients it is possible to use the mechanical vibration applied to individual muscles usin... |
0 | Evaluation of prognostic scoring systems for spinal metastases in 196 patients treated during 2005–2010 | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: Estimating the survival time of patients with spinal metastases based on pre-treatment parameters is important for the best choice of therapy. Following two previous studies, this sequel analyzes possible changes in the impact of various parameters and scoring systems and includes a comparison to the previous ... |
0 | Patient Mortality in Geriatric Distal Femur Fractures | Hip Fx in the Elderly 2019 | Objectives: To estimate 1-year mortality rates in elderly patients who undergo operative treatment for distal femur fractures and identify potential risk factors for mortality. Design: Retrospective chart review. Setting: Level 1 and Level 2 trauma centers. Patients/Participants: Two hundred eighty-three elderly patien... |
0 | Arthritis increases the risk for fractures--results from the Women's Health Initiative | Management of Hip Fractures in the Elderly | OBJECTIVE: To examine the relationship between arthritis and fracture. METHODS: Women were classified into 3 self-reported groups at baseline: no arthritis (n = 83,295), osteoarthritis (OA; n = 63,402), and rheumatoid arthritis (RA; n = 960). Incident fractures were self-reported throughout followup. Age-adjusted fract... |
1 | Physical effects of trauma and the psychological consequences of preexisting diseases account for a significant portion of the health-related quality of life patterns of former trauma patients | DoD PRF (Psychosocial RF) | BACKGROUND: Health-related quality of life (HRQoL) is known to be significantly affected in former trauma patients. However, the underlying factors that lead to this outcome are largely unknown. In former intensive care unit (ICU) patients, it has been recognized that preexisting disease is the most important factor fo... |
1 | Functional discharge readiness and mobility following total knee arthroplasty for osteoarthritis: a comparison of analgesic techniques | AAHKS (9/10) Regional Nerve Blocks | OBJECTIVE: To determine if functional discharge readiness and mobility following total knee arthroplasty (TKA) for osteoarthritis is delayed after femoral nerve block (FNB) with or without patient-controlled analgesia (PCA) opioid compared with PCA opioid alone.
METHODS: We analyzed secondary outcomes from a randomized... |
0 | Management of myeloma-associated renal dysfunction in the era of novel therapies | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) is a plasma cell neoplasm often associated with renal impairment (RI), with myeloma cast nephropathy recognized as the most common cause. While RI is present in over 50% of MM patients at some point in their disease course, it is associated with higher tumor burden, more aggressive disease, dimini... |
0 | Management of the Galeazzi fracture | Distal Radius Fractures | Fifty-one adults with Galeazzi fractures were treated by operation and the results compared in cases treated early, late and after inadequate initial treatment. We conclude that in cases treated up to 10 weeks after injury, immobilisation with the forearm in full supination in an above elbow cast helps to maintain stab... |
0 | Tourniquet use for civilian extremity trauma | DOD - Acute Comp Syndrome CPG | BACKGROUND Unlike in the military setting, where the use of tourniquets has been well established, in the civilian sector their use has been far less uniform. The purpose of this study was to examine the outcomes associated with the use of tourniquets for civilian extremity trauma. STUDY DESIGN Adult (â?¥18 years) pati... |
0 | Comparative study of systemic intravenous and regional intravenous administration of prophylactic antibiotic in lower extremity orthopaedic surgery | PJI DX Updated Search | In this study, we describe a technique for the delivery of regional antibiotic prophylaxis in patients undergoing reconstructive surgery in the lower extremities and compare the tissue antibiotic concentrations achieved by this technique with those achieved by standard systemic intravenous prophylaxis. The efficacy of ... |
0 | Treatment of a High-Risk Diabetic Patient with Peripheral Vascular Disease and Osteomyelitis | PJI DX Updated Search | We report a case of calcaneal osteomyelitis that was surgically resected from a patient with diabetes and peripheral vascular disease. A 91-year-old male with history of type 2 diabetes, peripheral vascular disease, balloon angioplasty, and recent (2 months ago) stent of the superficial femoral artery presented to the ... |
0 | Comparison of traditional and Dorgan's lateral crosswiring of supracondylar humerus fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | Objectives: To evaluate the outcomes of traditional medial-lateral and Dorgan's lateral cross-wiring of supracondylar humerus fractures in children. Methods: In our retrospective study, we evaluated 51 children in the Department of Orthopedic Surgery, Harran University Medical Faculty, Sanliurfa, Turkey between Februar... |
0 | Evidence of trochlear dysplasia in patellofemoral arthroplasty designs | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The design of the trochlear compartment is crucial in patellofemoral arthroplasty (PFA), because 78 % of patients with isolated patellofemoral arthritis present concomitant trochlear dysplasia with patellar maltracking and therefore remain predisposed to post-operative patellar subluxation and dislocation. The... |
0 | Evaluation of tamoxifen doses with and without fluoxymesterone in advanced breast cancer | MSTS 2018 - Femur Mets and MM | From a group of 108 female patients with measurable and/or evaluable metastatic breast carcinoma, 52 were randomized to receive tamoxifen and 56 to receive tamoxifen and fluoxymesterone. The fluoxymesterone dose, given orally twice a day, was 7 mg/m2 body surface area. The tamoxifen dose per patient, also given orally ... |
0 | Interaction between calcium intake and menarcheal age on bone mass gain: an eight-year follow-up study from prepuberty to postmenarche | Management of Hip Fractures in the Elderly | Both late menarcheal age and low calcium intake (Ca intake) during growth are risk factors for osteoporosis, probably by impairing peak bone mass. We investigated whether lasting gain in areal bone mineral density (aBMD) in response to increased Ca intake varies according to menarcheal age and, conversely, whether Ca i... |
0 | Treatment of distal femur and proximal tibia fractures with external fixation followed by planned conversion to internal fixation | DoD SSI (Surgical Site Infections) | PURPOSE: To evaluate healing rates and complications in patients treated with temporary external fixation (EF) and subsequent open reduction and internal fixation (ORIF) for high-energy distal femur or proximal tibia fractures.
METHODS: Retrospective analysis of prospectively collected data 1999 to 2005. Demographic da... |
0 | No advantage to rhBMP-2 in addition to autogenous graft for fracture nonunion | DoD SSI (Surgical Site Infections) | Bone morphogenetic proteins are a necessary component of the fracture healing cascade. Few studies have delineated the efficacy of iliac crest bone graft and recombinant human bone morphogenetic protein 2 (rhBMP-2), especially, in comparison with the gold standard treatment of nonunion, which is autogenous bone graft a... |
0 | Tibiofemoral loss of contact area but no changes in peak pressures after meniscectomy in a Lapine in vivo quadriceps force transfer model | AMP (Acute Meniscal Pathology) | PURPOSE: The menisci are thought to modulate load transfer and to absorb shocks in the knee joint. No study has experimentally measured the meniscal functions in the intact, in vivo joint loaded by physiologically relevant muscular contractions. METHODS: Right knee joints of seven New Zealand white rabbits were loaded ... |
0 | Adult-onset Still's disease; clinical and laboratory features, treatment and progress of 45 cases | Surgical Management of Osteoarthritis of the Knee CPG | The clinical and laboratory features, treatment, prognosis, complications and disability of 45 patients with adult-onset Still's disease were studied. Sixty per cent of the patients were female. Median age at onset was 25 years and median observation period after onset was 41 months. For 28 patients detailed data were ... |
0 | The effect of graft height mismatch on contact pressure following osteochondral grafting: a biomechanical study | Diagnosis and Treatment of Osteochondritis Dissecans AUC | HYPOTHESIS: Incongruity of the articular cartilage following osteochondral transplantation affects surface contact pressure. STUDY DESIGN: An 80 N load was applied for 120 seconds to the femoral condyles of 10 swine knees. Contact pressures were measured using Fuji prescale film. Seven conditions were tested: (1) intac... |
0 | The proximal tibia donor site in cleft alveolar bone grafting: experience of 75 consecutive cases | DoD SSI (Surgical Site Infections) | BACKGROUND: The optimum donor site for cleft alveolar bone grafting is still debated. Donor site morbidity is an important factor in deciding the site for harvest of cancellous bone. Use of the proximal tibia as donor site is associated with few complications. The occurrence of a proximal tibia fracture following cance... |
0 | Total knee replacement in a patient with myelodysplasia and bronchectasis | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Regional anesthesia may be preferred in a subject with bronchectasis. However, patients with myelodysplastic syndrome and bronchectasis may represent a unique challenge for neuraxial anesthesia due to low platelet counts and concerns for bleeding. We report a case of a subject with myelodysplastic syndrom... |
0 | Arthroscopic observation was useful to detect loosening of the femoral component of unicompartmental knee arthroplasty in a recurrent hemoarthrosis | AMP (Acute Meniscal Pathology) | A case of recurrent hemarthrosis of the knee after a mobile-bearing unicompartmental knee arthroplasty (UKA; Oxford UKA) is described. A 58-year-old man met with a road traffic accident 10 months after UKA. He developed anteromedial pain and hemarthrosis of the knee joint 1 month after the accident, which required mult... |
0 | Graded inhibition of retrograde axonal transport by compression of rabbit vagus nerve | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Effects of experimental compression at different pressures on retrograde axonal transport were studied in rabbit vagus nerve. Proteins in the sensory neurones were radiolabelled by injection of [(3)H]leucine into the nodose ganglion. Sixteen hours after labelling, a small compression chamber and/or ligatures were appli... |
0 | Limb-length measurement in total hip arthroplasty using a calipers dual pin retractor | Management of Hip Fractures in the Elderly | Background: Limb-length inequality is not uncommon after total hip arthroplasty (THA) and may cause subjective problems for patients. During THA a stable reference point must be established to determine changes in leg length. Several methods have been useful in minimizing the incidence and magnitude of this problem. Th... |
0 | Supination and Pronation Strength Deficits Persist at 2-4 Years after Treatment of Distal Radius Fractures | Distal Radius Fractures | Forearm rotation is a key function in the upper extremity. Following distal radius fracture, residual disability may occur in tasks requiring forearm rotation. The objectives of this study are to define pronation and supination strength profiles tested through the range of forearm rotation in normal individuals, and to... |
0 | Lest we forget | Coronavirus Disease 2019 (COVID-19) | The severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) pandemic has caused shockwaves throughout the US healthcare system. Nowhere has coronavirus 19 (COVID-19) caused more infections than in New York, where there have been over 26,500 infections. Resources have been appropriately allocated towards combating ... |
0 | Reporting functional outcome after knee arthroplasty and regional anesthesia: a methodological primer | AAHKS (9/10) Regional Nerve Blocks | The introduction of ultrasound guidance for regional anesthesia has resulted in an explosion of interest in its use for postoperative analgesia, particularly for orthopedic surgery. Regional anesthesia demonstrates unequivocal superiority compared with systemic opioids with respect to analgesia, reduced opioid consumpt... |
0 | Trinion Meniscal Screw | AMP (Acute Meniscal Pathology) | Abstract: All-inside meniscal repair devices require no accessory incisions, allow faster repairs, and are widely used. The purpose of this study was to determine the in vitro load to failure strength of one new recently released meniscal repair device. Using an established protocol, a vertical longitudinal tear 3 mm f... |
0 | Differences between men and women in the rate of use of hip and knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Previous studies suggest that, for some conditions, women receive fewer health care interventions than men. We estimated the potential need for arthroplasty and the willingness to undergo the procedure in both men and women and examined whether there were differences between the sexes. METHODS: All 48,218 p... |
1 | Mobile and fixed-bearing (all-polyethylene tibial component) total knee arthroplasty designs: surgical technique | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Proponents of mobile-bearing total knee arthroplasty believe that it has potential advantages over a fixed-bearing design in terms of diminished wear and improved motion and/or function, but these advantages have not been demonstrated in a randomized clinical comparison to our knowledge. We conducted a pati... |
0 | A new inguinal approach for the obturator nerve block: anatomical and randomized clinical studies | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Obturator nerve block is highly recommended for knee surgery in addition to a femoral nerve block. The main disadvantage of the classic approach at the pubic tubercle is low patient acceptance due to pain and discomfort. The authors hypothesized that the use of a new inguinal obturator nerve block technique... |
0 | Introductory remarks | Distal Radius Fractures | The cause of osteoporosis, a condition in which bone mass is decreased to a point where structural failure may occur, is unknown; many factors that contribute to the development of osteoporosis are known.Bone mass increases until the late twenties, the time when people attain peak bone mass. For a time after peak bone ... |
0 | Self-management education programmes for osteoarthritis | OAK Recommendation 9 Articles | Background: Self-management education programmes are complex interventions specifically targeted at patient education and behaviour modification. They are designed to encourage people with chronic disease to take an active self-management role to supplement medical care and improve outcomes.Objectives: To assess the ef... |
0 | An frontalis sling operation using an autogenous en-bloc, fan-shaped tensor fascia lata graft for blepharoptosis | Upper Eyelid and Brow Surgery | This article presents a modification of the frontalis sling operation for severe blepharoptosis with poor levator function. The fascia or other suspension materials are usually used in strip form to avoid a mass under the skin and lid-crease obliteration in the frontal sling operations. However, the 'strip-sling techni... |
1 | Direct Anterior Approach for Total Hip Arthroplasty in the Lateral Decubitus Position: Our Experiences and Early Results | Hip Fx in the Elderly 2019 | BACKGROUND: The direct anterior approach (DAA) for total hip arthroplasty (THA) is typically performed in the supine position using a specially designed operating room table, which makes this approach more accessible to orthopedic surgeons. We attempted to perform this procedure in the lateral decubitus position on an ... |
0 | Clinical observation on fire needles at bones combined with cupping and Tuina for knee osteoarthritistis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To explore a better therapy for knee osteoarthritis. METHODS: One hundred cases were randomly divided into a comprehensive group and an acupuncture group, 50 cases in each one. The comprehensive treatment of fire needles at bones combined with cupping and Tuina on local area of affected knee was applied in t... |
0 | Complications following one-bone forearm surgery for posttraumatic forearm and distal radioulnar joint instability | Glenohumeral Joint OA | Purpose: To present the outcomes after one-bone forearm (OBF) surgery for chronic posttraumatic forearm and distal radioulnar joint instability. Methods: We conducted a retrospective chart review to study patients who underwent OBF surgery because of a traumatic etiology. We collected patient demographics, surgical tec... |
0 | The importance of ultrasound in diagnosis of carpal tunnel syndrome in Iraqi subjects | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Aim: This study was designed to evaluate the use of ultrasound in diagnosis carpal tunnel syndrome. Patients & Methods: This study enrolled 50 patients with symptomatic carpal tunnel syndrome and 100 healthy volunteers as a control, with age & sex matched,at the period from December 2008 till May 2009 in Al yarmouk Tea... |
0 | Autogenous osteochondral graft transplantation for steroid-induced osteonecrosis of the femoral condyle: A report of three young patients | Osteochondritis Dissecans 2020 Review | Steroid-induced osteonecrosis of the femoral condyle is a relatively uncommon condition and is often difficult to select appropriate treatment especially in young patients. Three young men (aged 25, 18, and 24) presented with severe pain and dysfunction of the knee diagnosed as steroid-induced osteonecrosis of the femo... |
0 | Intraoperative passive knee kinematics during total knee arthroplasty surgery | OAK 3 - Non-arthroplasty tx of OAK | Surgical navigation systems for total knee arthroplasty (TKA) surgery are capable of capturing passive three-dimensional (3D) angular joint movement patterns intraoperatively. Improved understanding of patient-specific knee kinematic changes between pre and post-implant states and their relationship with post-operative... |
1 | Augmentation of Meniscal Repair With Platelet-Rich Plasma: A Systematic Review of Comparative Studies | AMP (Acute Meniscal Pathology) | BACKGROUND: The effect of platelet-rich plasma (PRP) augmentation for meniscal repair (MR) is unclear, as current evidence is limited to small, mostly nonrandomized studies.
PURPOSE: To systematically review the literature to evaluate the efficacy and safety of MR with PRP augmentation.
STUDY DESIGN: Systematic review;... |
0 | Single-cell RNA sequencing in osteoarthritis | AMP (Acute Meniscal Pathology) | Osteoarthritis is a progressive and heterogeneous joint disease with complex pathogenesis. The various phenotypes associated with each patient suggest that better subgrouping of tissues associated with genotypes in different phases of osteoarthritis may provide new insights into the onset and progression of the disease... |
0 | Similar outcomes between two-stage revisions for infection and aseptic hip revisions | PJI DX Updated Search | PURPOSE: Two-stage revision hip arthroplasty using an antibiotic-loaded spacer is the most widely performed procedure for infected hip arthroplasties. The clinical outcome of this type of surgery compared with aseptic joint revision with exchange of femoral and acetabular components is still controversial due to the re... |
0 | Total joint replacement: a consideration for antimicrobial prophylaxis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infection is the principal and most devastating complication of total joint replacement, resulting in long periods of hospitalization, staggering costs, loss of the implant, disastrous physical impairment, and even death. Staphylococcus aureus and Staphylococcus epidermidis account for more than 50% of late infections.... |
0 | Arthroscopic treatment of osteochondral knee defects with resorbable biphasic synthetic scaffold: clinical and radiological results and long-term survival analysis | AMP (Acute Meniscal Pathology) | Purpose: The aim of our study is to evaluate the long-term results in patients treated with a fully arthroscopic TruFit system for osteochondral lesions of the femoral condyle, analyzing the clinical and radiological outcomes, survival rate, complications, and correlations. Methods: The study included all patients trea... |
0 | Effect of distraction arthroplasty on osteoarthritic goat models of the articular cartilage | OAK 3 - Non-arthroplasty tx of OAK | Background: Osteoarthritis (OA) is the most common knee degenerative disease, the number of OA patients increases along with the increase of life expectancy. Distraction arthroplasty is a less invasive alternatif for OA management by releaving mechanical stress while maintaining intermitten joint fluid pressure changes... |
1 | Yoga for stress reduction and injury prevention at work | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | At work employees face numerous psychological stressors that can undermine their work performance. These stressors, stemming from a variety of possible causes, have enormous health and financial impacts on employees as well as employers. Stress has been shown to be one of the factors leading to musculo-skeletal disorde... |
0 | Irreversible inhibition of DELTA16HER2 is necessary to suppress DELTA16HER2-positive breast carcinomas resistant to Lapatinib | MSTS 2018 - Femur Mets and MM | HER2 tyrosine kinase receptor is a validated target in breast cancer therapy. However, increasing evidence points to a major role of DELTA16HER2 splice variant commonly coexpressed with HER2 and identified as a clinically important HER2 molecular alteration promoting aggressive metastatic breast cancer. Consistently, m... |
1 | The long-term consequences of war: the experience of World War II | DoD PRF (Psychosocial RF) | Seven hundred and thirty-one World War II and Korean War veterans completed a questionnaire about their experiences and their current psychological reactions to the war. Nineteen percent scored above the cut-off points for both the General Health Questionnaire and the (war-related) Impact of Event Scale, demonstrating ... |
0 | (ii) Shoulder and elbow imaging | Pediatric Supracondylar Humerus Fracture 2020 Review | The shoulder is a ball and socket joint, the stability of which is conferred predominantly by surrounding soft tissue. The majority of clinical symptoms in the shoulder are either instability related or impingement syndrome in the subacromial area.The elbow is a complex hinge joint with three individual articulations. ... |
0 | The technique of mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | It is much easier to perform a corrective operation in cases of atrophic and ptotic breast. The authors transpose the breast after a wide resection of skin and after exposure of the pectoralis fascia. It is unnecessary to remove any glandular or fat tissue; on the contrary, all this tissue should be brought up on the p... |
0 | New technologies in knee arthroplasty | PJI DX Updated Search | Advances in surgical technique and implant design have increased the treatment options available to joint reconstruction surgeons. New technologies for component alignment such as custom cutting blocks and disposable cutting blocks hold the potential for more anatomic component positioning and less instrument turnover ... |
1 | Heterogenic control groups in randomized, controlled, analgesic trials of total hip and knee arthroplasty | AAHKS (4) Acetaminophen | INTRODUCTION: Postoperative analgesic interventions are often tested adjunct to basic non-opioid analgesics in randomized controlled trials (RCTs). Consequently, treatment in control groups, and possible assay sensitivity, differs between trials. We hypothesized that postoperative opioid requirements and pain intensiti... |
0 | Reconstruction of traumatic tubular bone defects using vascularized fibular graft | DoD SSI (Surgical Site Infections) | Large segmental bone defects due to major trauma constitute a major challenge for the orthopaedic surgeon, especially when combined with poor or lost soft tissue envelope. Vascularized fibular transfer is considered as the gold standard for the reconstruction of such defects of the extremities due to its predictable va... |
0 | Is there a lower incidence of deep venous thrombosis after joint replacement in rheumatoid arthritis? | Surgical Management of Osteoarthritis of the Knee CPG | Patients with rheumatoid arthritis (RA) and osteoarthritis (OA) were compared for the incidence of deep venous thrombosis (DVT) after total hip replacement (THR). RA patients after total knee replacement (TKR) were also compared for the incidence of DVT. The relative risk of OA patients developing DVT after THR was 2.3... |
1 | Arthroscopic debridement and decompression for selected rotator cuff tears. Clinical results, pathomechanics, and patient selection based on biomechanical parameters | Optimizing the Management of Full-Thickness Rotator Cuff Tears | Clinical results of arthroscopic rotator cuff debridement and decompression in 25 patients are presented. Additionally, a fluoroscopic study of 14 patients with known massive rotator cuff tears reveals four kinematic patterns in patients with major cuff deficiencies. Biomechanical models are used to support further the... |
0 | Improving Sexual Satisfaction in Persons with Spinal Cord Injuries: Collective Wisdom | DoD PRF (Psychosocial RF) | Sexuality is an important part of life, and it is necessary for clinicians to have a specific format in which to address sexual issues with their patients. A systematic approach to working with patients with spinal cord injury (SCI) to improve their sexual functioning and response is presented. Nonjudgmental communicat... |
0 | Hemi-field and full-field form-deprivation induce timing changes in multifocal ERG responses in chick | Upper Eyelid and Brow Surgery | In animal models hemi-field deprivation results in localised, graded vitreous chamber elongation and presumably deprivation induced localised changes in retinal processing. The aim of this research was to determine if there are variations in ERG responses across the retina in normal chick eyes and to examine the effect... |
0 | Outcomes of people with a fractured hip and dementia who reside in a specialized nursing home | Hip Fx in the Elderly 2019 | Fifteen persons who had Alzheimer's disease and experienced a fractured hip were described in relationship to age, sex, type of fracture, type of surgery, length of hospital stay, time between fracture and surgery, and physical therapy to outcomes. Sixty-four percent of the subjects did not receive physical therapy in ... |
0 | The effects of surgically removing subcutaneous fat on the metabolic profile and insulin sensitivity in obese women after large-volume liposuction treatment | Panniculectomy & Abdominoplasty CPG | The aim of this study was to identify the effects of surgically removing subcutaneous fat on the metabolic profile and insulin sensitivity in obese women after large-volume liposuction treatment. An open clinical trial with a non-intervention parallel group was carried out on 12 young, obese women. After randomization,... |
1 | Weight change and change in tibial cartilage volume and symptoms in obese adults | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: There is a paucity of data examining the effects of weight change on knee joint structures and symptoms. This study examined the effect of weight change on change in knee cartilage volume and symptoms in an obese cohort.
METHODS: 112 obese subjects (Body Mass Index >=30 kg/m(2)) were recruited from variou... |
0 | Microsurgical breast reconstruction in thin patients: The impact of low body mass indices | Reduction Mammoplasty for Female Breast Hypertrophy | Abstract Background The purpose of this investigation was to examine patients with low body mass index (BMI) regarding the feasibility to perform autologous breast reconstruction in such patients, as well as to determine optimal donor sites and evaluate outcomes accordingly. Patients and Methods All patients undergoing... |
0 | Hematological malignancies and the bone (myeloma excluded) | MSTS 2018 - Femur Mets and MM | Bone involvement is a rare event in lymphomas, except in patients with adult T-cell leukemia/lymphoma associated with HTLVI. It is usually characterised by lytic bone lesions located in the metaphysis of long bones or in the axial skeleton. The occurrence of bone lesions reflects a progression of the disease affecting ... |
0 | Activity of N-acetyl-ß-hexosaminidase and its isoenzymes in serum and synovial fluid from patients with different arthropathies | AMP (Acute Meniscal Pathology) | Objective. To evaluate the activity of N-acetyl-ß-hexosaminidase (HEX) and its isoenzymes in the serum and synovial fluid of healthy volunteers and patients with an injury to the anterior cruciate ligament and/or meniscus (ACL) osteoarthritis (OA), juvenile idiopathic arthritis (JIA) and rheumatoid arthritis (RA). Meth... |
0 | Postliposuction histologic alterations of adipose tissue | Panniculectomy & Abdominoplasty CPG | The author studied seven patients who received suction assisted lipectomy prior to classic abdominal dermolipectomies. The liposuction sessions were performed 180, 150, 60, 30, 15, 12, 8, and 5 days before the abdominoplasties. Histologic studies disclosed extensive amounts of dead adipocytes and free fat within the as... |
0 | The psychosocial difficulties in brain disorders that explain short term changes in health outcomes | DoD PRF (Psychosocial RF) | BACKGROUND: This study identifies a set of psychosocial difficulties that are associated with short term changes in health outcomes across a heterogeneous set of brain disorders, neurological and psychiatric.
METHODS: Longitudinal observational study over approximately 12 weeks with three time points of assessment and ... |
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