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Change in visual perceptual detection distances for low vision travelers as a result of dynamic visual assessment and training
Management of Hip Fractures in the Elderly
This study evaluated the ability of a dynamic visual assessment and training protocol to improve the ability of 65 persons who were legally blind to detect environmental hazards. Training improved the ability of the majority of subjects to detect hazards, and the assessments identified those who did not need training o...
1
Wristwatch-distal radial fracture as a marker for osteoporosis investigation: a controlled trial of patient education and a physician alerting system
Distal Radius Fractures
This article reports a controlled trial to investigate the effectiveness of patient education and a physician alerting system in altering secondary osteoporosis prevention after a low-trauma (fragility) wrist fracture and to record the current rate of osteoporosis investigation following such fractures. Fifty-one women...
0
Advanced techniques in liposuction
Panniculectomy & Abdominoplasty CPG
Liposuction is a procedure that has been widely used since the 1980s. The introduction of the tumescent technique in 1987 greatly improved the safety of the procedure. Innovative techniques and equip ment modifications have continued to evolve, broadening the scope of application and improving the results that can be o...
0
A noninvasive approach to off-face skin laxity and tightening: A review of the literature
Panniculectomy & Abdominoplasty CPG
Off-face skin scales tailored to each anatomical site can measure laxity and tightening of the neck, chest, arms, hands, abdomen, buttocks, and medial thighs. Although surgery may be indicated for major weight loss patients, other noninvasive modalities may be considered including: CO2 laser, bipolar radiofrequency, mo...
0
Effectiveness of Occupational Therapy Interventions for Adults With Musculoskeletal Conditions of the Forearm, Wrist, and Hand: A Systematic Review
Distal Radius Fractures
Occupational therapy practitioners are key health care providers for people with musculoskeletal disorders of the distal upper extremity. It is imperative that practitioners understand the most effective and efficient means for remediating impairments and supporting clients in progressing to independence in purposeful ...
1
Local infiltration analgesia in TKA patients reduces length of stay and postoperative pain scores
AAHKS (8) Anesthetic Infiltration
Numerous postoperative pain protocols exist for patients undergoing total knee arthroplasty (TKA). We compared the length of stay, early range of motion (ROM), and pain scores of a control group with a femoral nerve block to those of a group with femoral nerve block and local infiltration analgesia following TKA. In a ...
0
Examination of the cutoff value of postchemotherapy increase in tumor volume as a predictor of subsequent oncologic events in stage IIB osteosarcoma
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Tumor enlargement after chemotherapy is a predictor of a poor histological response, poor survival, and local recurrence. However, the cutoff point of tumor enlargement for predicting subsequent oncologic events has not been determined. METHODS: We retrospectively reviewed 567 patients who were treated at o...
0
National clinical guidelines in municipality-based rehabilitation: A cross-sectional survey of knowledge, use, and implementation
AMP (Acute Meniscal Pathology)
<b>Background</b>: Despite increasing research within physiotherapy, consistent implementation of evidence-based guidelines in everyday physiotherapy practice can present a challenge. <b>Objective</b>: To examine the knowledge, use, and implementation of National Clinical Guidelines (NCG) for knee arthrosis and meniscu...
0
Patient-specific medial unicompartmental knee arthroplasty has a greater protective effect on articular cartilage in the lateral compartment: A Finite Element Analysis
AMP (Acute Meniscal Pathology)
OBJECTIVES: Patient-specific (PS) implantation surgical technology has been introduced in recent years and a gradual increase in the associated number of surgical cases has been observed. PS technology uses a patient's own geometry in designing a medical device to provide minimal bone resection with improvement in the ...
0
Controlled hypotension in adults undergoing choroidal melanoma resection: comparison between the efficacy of nitroprusside and magnesium sulphate
Reconstruction After Skin Cancer
METHODSForty adult patients undergoing choroidal melanoma resection and anaesthetized with 2.5 mg kg(-1) propofol, followed by a constant infusion of 120 microg kg(-1) min(-1), and remifentanil 1 microg kg(-1), followed by a continuous infusion of 0.25 microg kg(-1) min(-1), were randomly assigned to two groups to rece...
1
Sequential bilateral total knee arthroplasty under 1 anesthetic in patients (greater-than or equal to)75 years old: Complications and functional outcomes
Surgical Management of Osteoarthritis of the Knee CPG
The objectives of this study were to determine the perioperative surgical and medical risks associated with sequential bilateral total knee arthroplasty (TKA) in patients (greater-than or equal to)75 years old and to assess their functional status and overall level of satisfaction at follow-up. Study participants were ...
0
Clinical outcome following surgical intervention for periprosthetic hip fractures at a tertiary referral centre
DoD SSI (Surgical Site Infections)
Complications following surgical intervention for periprosthetic hip fractures are not uncommon. We report the clinical outcome following definitive surgical intervention for this indication at a single tertiary referral centre. All patients admitted between 2003 and 2009 undergoing such treatment were included. Patien...
0
Effects of mouthrinses with chlorhexidine and zinc ions combined with fluoride on the viability and glycolytic activity of dental plaque
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Inhibition of plaque acidogenicity by a mouthrinse with chlorhexidine (CHX) or zinc ions has been ascribed to a prolonged bacteriostasis due to substantive properties of the agents. The present aim was to study the effects of mouthrinses with CHX and Zn ions combined with fluoride on the viability and glycolytic activi...
0
Meniscal repair with allograft
OAK 3 - Non-arthroplasty tx of OAK
INTERVENTION: meniscal allograft CONDITION: meniscal injury PRIMARY OUTCOME: Clinical symptom SECONDARY OUTCOME: Physical findings, Knee score, Images, Blood examination INCLUSION CRITERIA: * It's diagnosed as meniscal injury. * The cartilage of the knee joint degenerated after lateral meniscectmy. * The age when agree...
0
Management of infected tibial intramedullary nailing using an organized treatment protocol
DoD SSI (Surgical Site Infections)
Twenty cases of osteomyelitis following intramedullary nailing of the tibial shaft fracture were managed with a prospective treatment protocol comprising intramedullary reaming debridement, antibiotic-bead depot, external skeletal fixation, microvascular muscle flap and early cancellous bone grafting. The follow-up per...
1
Medial and Lateral Meniscal Inside-Out Repairs
AMP (Acute Meniscal Pathology)
Meniscal tears differ in terms of pattern and location. If left untreated, a meniscal tear can lead to the development of osteoarthritis and increased pain, swelling, and functional limitations. Tears in the vascularized outer two-thirds of the meniscus can often be successfully repaired with use of an inside-out techn...
0
Nutritional factors that influence change in bone density and stress fracture risk among young female cross-country runners
Management of Hip Fractures in the Elderly
OBJECTIVE: To identify nutrients, foods, and dietary patterns associated with stress fracture risk and changes in bone density among young female distance runners.DESIGN AND SETTING: Two-year, prospective cohort study. Observational data were collected in the course of a multicenter randomized trial of the effect of or...
0
Complex metabolic and skeletal changes in men taking long-term androgen deprivation therapy
Management of Hip Fractures in the Elderly
Background: The objective of this study was to assess complex skeletal and metabolic changes in a single cohort of PCa patients taking long-term ADT. Patients and Methods: Ninety-five patients with locally advanced PCa (mean age 73.3 (plus or minus) 6.2 years) were treated with ADT for 24 months. Body mass index (BMI),...
0
Pediatric ptosis as a sign of treatable autonomic dysfunction
Upper Eyelid and Brow Surgery
Purpose: To report the ophthalmic findings in young patients with dopamine β-hydroxylase deficiency and to assess them in the context of other reports in an attempt to discern if ophthalmic criteria may assist in early detection of this debilitating, yet treatable, disorder. Design: Prospective, observational case ser...
0
Is internal fixation of the intertrochanteric fractures reliable option in patients with cognitive dysfunction?
Developmental Dysplasia of the Hip 2020 Review
The purpose of this study was to compare the results of hemiarthroplasty with those of treatment internal fixation devices for stable intertrochanteric fractures in patients with moderate and severe cognitive dysfunction. 155 patients were evaluated retrospectively. 54 patients were treated with proximal femoral nail (...
1
Use of anti-granulocyte scintigraphy with 99mTc-labeled monoclonal antibodies for the diagnosis of periprosthetic infection in patients after total joint arthroplasty: a diagnostic meta-analysis
PJI DX Updated Search
The accurate diagnosis of periprosthetic joint infections (PJI) is crucial for therapy and the prevention of complications. No diagnostic test of PJI is 100% accurate. The aim of this study was to assess the use of anti-granulocyte scintigraphy using 99 mTc-labeled monoclonal antibodies to diagnose PJI after total join...
1
Hip fracture time-to-surgery and mortality revisited: mitigating comorbidity confounding by effect of holidays on surgical timing
Hip Fx in the Elderly 2019
PURPOSE: The association between delayed hip fracture surgery and mortality remains elusive because of strong confounding by comorbidity factors. We designed a study to investigate the effect of small delays in surgery due to holidays. METHODS: Consecutive hip fractures operated in a high-income, publicly funded health...
0
Three-year follow-up of the use of transdermal 17beta-estradiol matrix patches for the prevention of bone loss in early postmenopausal women
Management of Hip Fractures in the Elderly
OBJECTIVE: A total of 325 of 569 postmenopausal women who were initially recruited into two 2-year, double-blind, placebo-controlled, dose-ranging studies of a matrix transdermal formulation of 17beta-estradiol (Menorest) participated in open-label extensions for a third year.STUDY DESIGN: Those patients originally ran...
0
Prevalence of completely edentulous patients opting for implant supported prosthesis
Dental Implant Infection
A completely edentulous patient faces many problems like difficulty in chewing, drooping corners of the mouth, unaesthetic appearance etc. Hence, it is important to restore the patient's mouth. There are a variety of treatment options for completely edentulous patients ranging from complete denture to implant supported...
0
Comorbidities associated with end-stage knee osteoarthritis explain differences in the probability of major complications within 30 days of joint arthroplasty when compared to patients with hip osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: Differences in the incidence of several major early postoperative complications have been reported following hip and knee arthroplasty procedures for osteoarthritis (OA). However, given the postulated different pathogenesis and comorbidities associated with OA of these joints, the relative contributions of the...
0
Inhibition of lung metastasis by synthetic and recombinant fragments of human fibronectin with functional domains
Reconstruction After Skin Cancer
We have investigated the antimetastatic effect of synthetic or recombinant peptides containing the functional domains of fibronectin on experimental and spontaneous lung metastases of murine tumor cells. CS1 peptide which is present within type III homology connecting segment (IIICS) as well as C-274 (cell-binding doma...
0
A physiological approach in stabilization and consolidation of unstable femoral neck fracture in osteoporotic elderly patients: A retrospective review
Management of Hip Fractures in the Elderly
A retrospective review was performed on 46 unstable femoral neck fractures in osteoporotic elderly patients. They were treated with internal fixation using a nail-plate associated with filling of the metaphysis with a biomaterial - natural coral - which undergoes bone incorporation. From 1992 to 1996, the increased kno...
0
Common variants in the GDF5-UQCC region are associated with variation in human height
SR for PM on OA of All Extremities
Identifying genetic variants that influence human height will advance our understanding of skeletal growth and development. Several rare genetic variants have been convincingly and reproducibly associated with height in mendelian syndromes, and common variants in the transcription factor gene HMGA2 are associated with ...
0
Concurrent Use of Opioids with Other Central Nervous System-Active Medications among Older Adults
Hip Fx in the Elderly 2019
The primary objective was to determine the prevalence and characteristics of older adults concurrently using opioids and other central nervous system (CNS)-active medications, and the specialties of providers who ordered the medications. A secondary objective was to document medication-related adverse effects associate...
0
Radiographic Healing and Functional Outcomes of Untreated Ulnar Styloid Fractures Following Volar Plate Fixation of Distal Radius Fractures: A Prospective Analysis
Distal Radius Fractures
Background: Ulnar styloid fractures (USFs) are common concomitant injuries associated with distal radius fractures (DRFs). Recent studies have found conflicting evidence on whether these fractures treated or untreated effect pain and functional outcomes. The purpose of this study was to prospectively evaluate pain and ...
0
Bisphosphonate complications including osteonecrosis of the jaw
MSTS 2018 - Femur Mets and MM
Bisphosphonate therapy has been incorporated in the standard management of patients with multiple myeloma-related bony disease. Although their efficacy in reducing skeletal related events is important in the supportive management of the myeloma patient, post-marketing experience with this class of agents, particularly ...
0
Blood Flow Restriction Exercise Study
OAK 3 - Non-arthroplasty tx of OAK
This pilot study will investigate the effects of blood flow restriction (BFR) exercise for up to 4�6 weeks prior to total knee arthroplasty (TKA) surgery in older patients to measure clinical outcomes such as strength, lower extremity function, and pain.
0
The importance of correct patient positioning in theatres and implications of mal-positioning
DOD - Acute Comp Syndrome CPG
Patient positioning in theatre pertains to how a patient is transferred and positioned for a specific procedure. Patient safety is a central focus of care within the NHS and every healthcare practitioner must ensure that patients are protected from harm where possible. Mal-positioning of the patient has important impli...
0
A reliable, valid and responsive questionnaire to score the impact of knee complaints on work following total knee arthroplasty: the WORQ
Surgical Management of Osteoarthritis of the Knee CPG
The Work, Osteoarthritis or joint-Replacement Questionnaire (WORQ) was developed to assess physical difficulty experienced in work before or following total knee arthroplasty (TKA). Thirteen questions were designed. The WORQ was tested for internal consistency by factor analysis, internal reliability (Crohnbach's alpha...
0
Pain management in patients who undergo outpatient arthroscopic surgery of the knee
AAHKS (2) Corticosteroids
Arthroscopy of the knee joint produces an initial afferent barrage of pain signals that have the capacity to initiate prolonged changes in the nervous system leading to the amplification and prolongation of postoperative pain. Preemptive analgesia involves the administration of analgesics prior to painful stimuli to pr...
0
Determinants of return to work after carpal tunnel release
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
PURPOSE: The determinants of time to return to work-a common measure of treatment effectiveness-are incompletely defined. Our primary hypothesis was that employment circumstances are the strongest determinant of earlier return to work. Our secondary hypothesis was that return to work in patients with desk-based jobs is...
0
Assessment of osteoarthritis candidate genes in a meta-analysis of nine genome-wide association studies
SR for PM on OA of All Extremities
OBJECTIVE: To assess candidate genes for association with osteoarthritis (OA) and identify promising genetic factors and, secondarily, to assess the candidate gene approach in OA. METHODS: A total of 199 candidate genes for association with OA were identified using Human Genome Epidemiology (HuGE) Navigator. All of the...
0
Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus
PRP (Platelet-Rich Plasma)
PURPOSE: The importance of meniscus integrity in the prevention of early osteoarthritis is well known, and preservation is accepted as the primary goal. The purpose of the ESSKA (European Society for Sports Traumatology, Knee Surgery and Arthroscopy) European consensus on traumatic meniscus tears was to provide recomme...
0
Development of a Comprehensive Falls Prevention Model in a Long-Term Care Facility
DoD PRF (Psychosocial RF)
This article discusses the development of a comprehensive falls prevention and injury reduction model in a large long-term care facility. The model, appropriately named the S.A.F.E. program, was adopted from another Veterans Administration medical center and significantly revised to meet the specific needs of our patie...
0
Compartment pressure curves predict surgical outcome in chronic deep posterior compartment syndrome
DOD - Acute Comp Syndrome CPG
BACKGROUND: Results of surgery for chronic exertional compartment syndrome (CECS) of the lower leg deep posterior compartment are inferior compared with other types of CECS. Factors predicting success after surgery are unknown. PURPOSE: To study the prognostic value of preoperative compartmental pressure curves in pati...
0
Oncoplastic surgery in a Japanese patient with breast cancer in the lower inner quadrant area: partial mastectomy using horizontal reduction mammoplasty
Reduction Mammoplasty for Female Breast Hypertrophy
We report the results of oncoplastic surgery in a Japanese patient with early breast cancer. Her breasts were ptotic, and her lesion was considered to be suitable for breast-conserving surgery. Oncoplastic surgery involving partial resection of the gland and a horizontal-type mammoplasty was performed. The technique wa...
0
[Postoperative delirium after general anesthesia vs. spinal anesthesia in geriatric patients]
Management of Hip Fractures in the Elderly
BACKGROUND: Influence of the type of anesthesia on postoperative delirium was examined in geriatric patients with femoral neck fracture.METHODS: Forty patients aged 70 or more were randomly allocated to receive either general anesthesia (sevoflurane, nitrous oxide in oxygen, G group, n = 21) or spinal anesthesia (0.5% ...
0
Nanomaterials and synergistic low-intensity direct current (LIDC) stimulation technology for orthopedic implantable medical devices
DoD SSI (Surgical Site Infections)
Nanomaterials play a significant role in biomedical research and applications because of their unique biological, mechanical, and electrical properties. In recent years, they have been utilized to improve the functionality and reliability of a wide range of implantable medical devices ranging from well-established orth...
0
Treatment outcomes of patients with spinal metastases derived from hepatocellular carcinoma
MSTS 2018 - Femur Mets and MM
BACKGROUND: The prognosis of hepatocellular carcinoma (HCC) used to be poor, but it has recently improved, which has meant that clinicians have greater opportunity to treat spinal metastases and the associated epidural spinal cord compression. However, there have been few systematic functional studies about HCC-derived...
0
MOntelukast as a potential CHondroprotective treatment following Anterior cruciate ligament reconstruction (MOCHA Trial): study protocol for a double-blind, randomized, placebo-controlled clinical trial
AMP (Acute Meniscal Pathology)
Background: After anterior cruciate ligament (ACL) reconstruction, patient-reported outcomes are improved 10 years post-surgery; however, cytokine concentrations remain elevated years after surgery with over 80% of those with combined ACL and meniscus injuries having posttraumatic osteoarthritis (PTOA) within 10–15 yea...
0
Non-steroidal anti-inflammatory drugs, cyclooxygenase-2 and the bone healing process
AAHKS (8) Anesthetic Infiltration
Traditional non-steroidal anti-inflammatory drugs (NSAID) and selective cyclooxygenase-2 (COX-2) inhibitors are widely used in the treatment of pain, including bone fracture pain and orthopaedic post-operative pain. The gastrointestinal and cardiovascular adverse effects of NSAIDs are acknowledged, but their effects on...
0
Can martial arts techniques reduce fall severity? An in vivo study of femoral loading configurations in sideways falls
Management of Hip Fractures in the Elderly
Sideways falls onto the hip are a major cause of femoral fractures in the elderly. Martial arts (MA) fall techniques decrease hip impact forces in sideways falls. The femoral fracture risk, however, also depends on the femoral loading configuration (direction and point of application of the force). The purpose of this ...
1
Recent advances in hyaluronic acid based therapy for osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis is a debilitating disease that has increased in prevalence across the world due to the aging population. Currently, physicians use a plethora of treatment strategies to try and slow down the progression of the disease, but none have been shown to ubiquitously treat and cure the disease. One of the strate...
0
Postpartum rubella immunization: association with development of prolonged arthritis, neurological sequelae, and chronic rubella viremia
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Six women developed chronic long-term arthropathy after postpartum immunization against rubella. All individuals developed acute polyarticular arthritis within 12 days to three weeks postimmunization and have had continuing chronic or recurrent arthralgia or arthritis for two to seven years after vaccination. Acute neu...
1
Hospital stay and blood transfusion in elderly patients with hip fractures
Hip Fx in the Elderly 2019
Neck of femur (NOF) fractures in elderly patients are the most frequent condition which an orthopaedic surgeon confronts nowadays. The incidence of these fractures is increasing as the population continues to age. These patients absorb the majority of the resources in the hospitals, as their healthcare demands are incr...
0
Up to seven years' follow-up of short cemented stems in complex primary total knee arthroplasty: A prospective study
Dental Implant Infection
BACKGROUND: Although primary total knee arthroplasty (TKA) shows good clinical, functional and radiological results, it can be complicated by certain conditions or pathologies. The main objective of this study was to evaluate the global performance of short cemented metaphyseal stem components in patients undergoing co...
0
Diabetic foot ulcers: pathogenesis and management
DoD LSA (Limb Salvage vs Amputation)
Foot ulcers are a significant complication of diabetes mellitus and often precede lower-extremity amputation. The most frequent underlying etiologies are neuropathy, trauma, deformity, high plantar pressures, and peripheral arterial disease. Thorough and systematic evaluation and categorization of foot ulcers help guid...
0
Orthopaedic enhanced recovery programme for elective hip and knee arthroplasty â?? Could a regional programme be beneficial
AAHKS (4) Acetaminophen
Introduction Arthroplasty is commonplace in orthopaedic practice, and post operative pain has been shown to substantially hinder recovery and discharge from hospital. Objectives The current study assessed a multidisciplinary, multimodal Orthopaedic ERP in terms of its effect on patient perceived post operative pain in ...
0
Research in Osteochondritis Dissecans of the Knee: 2016 Update
Osteochondritis Dissecans 2020 Review
Osteochondritis dissecans (OCD) of the knee remains a relatively common and poorly understood pediatric and adolescent knee condition. Both conservative and surgical treatments have major impact on the lives of young active, athletic patients with knee OCD. OCD has been recently redefined as a "focal, idiopathic altera...
0
Assessment of neurophysiologic changes and disease activity in patients with chronic rheumatoid arthritis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: The involvement of the peripheral nervous system is not uncommon in rheumatoid arthritis (RA); the most common disorders are multiple mononeuritis, sensor motor neuropathy, and entrapment neuropathy. Several auto-antibodies are associated with the disease, but of the most important are the anti-cyclic citrul...
0
Ergonomics: a case study in preventing repetitive motion injuries
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Dental Services Group has designed and implemented a system for its dental laboratories to mitigate cumulative trauma injuries, such as carpal tunnel syndrome and tendinitis. In the dental laboratory, these injuries result from repetitive motions such as waxing, sandblasting, grinding and polishing. This article descri...
0
Accelerating 3D-T1? mapping of cartilage using compressed sensing with different sparse and low rank models
AMP (Acute Meniscal Pathology)
Purpose: To evaluate the feasibility of using compressed sensing (CS) to accelerate 3D-T1? mapping of cartilage and to reduce total scan times without degrading the estimation of T1? relaxation times. Methods: Fully sampled 3D-T1? datasets were retrospectively undersampled by factors 2-10. CS reconstruction using 12 di...
0
Chondrocytes extract from patients with osteoarthritis induces chondrogenesis in infrapatellar fat pad-derived stem cells
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Infrapatellar fat pad of patients with osteoarthritis (OA) contains multipotent and highly clonogenic adipose-derived stem cells that can be isolated by low invasive methods. Moreover, nuclear and cytoplasmic cellular extracts have been showed to be effective in induction of cell differentiation and reprogra...
0
Cement pinning of osteoporotic distal radius fractures with an injectable calcium phosphate bone substitute: Report of 6 cases
Distal Radius Fractures
The treatment of osteoporotic distal radius fractures is frequently complicated by secondary displacements, mainly because of the posterior comminution. This work studies the advantages of injectable calcium phosphate cement, applied in addition to osteosynthesis with intrafocal pins. Our series comprises six osteoporo...
0
Dislocation of posterior-stabilized mobile-bearing knee prosthesis. A case report
Surgical Management of Osteoarthritis of the Knee CPG
Spin-out of mobile-bearing knees is a significant early complication of mobile-bearing total knee arthroplasty. Dislocation of the cam-post mechanism of fixed-bearing posterior-stabilized knees occurs more rarely. We have observed an unusual case of dislocation of posterior-stabilized rotating-platform total knee arthr...
0
Lower hip bone mass and proximal femur fractures in elderly patients: more valuable than lumbar vertebrae bone mineral density
Management of Hip Fractures in the Elderly
A decreased bone mineral density, such as osteoporosis, has been considered a factor closely associated with proximal femur fractures. We studied the relationship between osteoporosis and proximal femur fractures. Dual energy radiograph absorptiometry was used to measure the bone mineral density of 121 patients with a ...
0
The Freeman femoral component with hydroxyapatite coating and retention of the neck: an update with a minimum follow-up of 17 years
PJI DX Updated Search
The outcome at ten years of 100 Freeman hip stems (Finsbury Orthopaedics, Leatherhead, United Kingdom) retaining the neck with a proximal hydroxyapatite coating in a series of 52 men (six bilateral) and 40 women (two bilateral), has been described previously. None required revision for aseptic loosening. We have extend...
0
Effect of arthroscopic debridement for osteoarthritis of the knee on health-related quality of life
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: The available evidence supporting the use of arthroscopic debridement for the treatment of symptomatic osteoarthritis of the knee is largely retrospective and lacks validated health-related quality-of-life measures. The goal of the study was to prospectively assess a cohort of patients with osteoarthritis o...
0
Autologous osteochondral transplantation for the treatment of knee lesions: results and limitations at two years' follow-up
Osteochondritis Dissecans 2020 Review
PURPOSE: Focal chondral and osteochondral knee lesions are a common condition, particularly hard to treat, and often involve young active patients with high expectations in terms of symptomatic relief and return to sports. Autologous osteochondral transplantation allows the defect area to be restored with hyaline carti...
0
Clinical and radiographic study of bone and joint lesions in 26 dogs with leishmaniasis
MSTS 2018 - Femur Mets and MM
Twenty-six dogs with parasitologically confirmed leishmaniasis and abnormalities of gait were studied to determine the most common radiollogical patterns of bone and joint lesions. The clinical findings included either lameness, joint pain and crepitation, soft tissue swelling and/or muscle atrophy. Bone lesions were o...
1
Ultrasound with neurostimulation compared with ultrasound guidance alone for lumbar plexus block: A randomised single blinded equivalence trial
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND: Ultrasound-guided lumbar plexus blocks usually require confirmatory neurostimulation. A simpler alternative is to inject local anaesthetic inside the posteromedial quadrant of the psoas muscle under ultrasound guidance. OBJECTIVE: We hypothesised that both techniques would result in similar total anaesthesi...
0
The use of bone morphogenic protein-7 (OP-1) in the management of resistant non-unions in the upper and lower limb
PJI DX Updated Search
The aim of the present study was to investigate the safety and efficacy of local implantation of BMP-7 for the treatment of resistant non-unions in the upper and lower limb. Fifty-two patients (30 males, mean age 52.8 years; range 20-81) were treated with local BMP-7 implantation in a bovine bone-derived collagen paste...
0
Early mortality after diagnosis of multiple myeloma: analysis of patients entered onto the United kingdom Medical Research Council trials between 1980 and 2002--Medical Research Council Adult Leukaemia Working Party
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: Early mortality in multiple myeloma (MM) is usually attributed to combined effects of active disease and comorbid factors. We have studied early deaths in a series of large multicenter trials to assess direct causes of death, their predictability, and whether current management strategies have reduced their fr...
0
Symptoms and coping in Sri Lanka 20-21 months after the 2004 tsunami
DoD PRF (Psychosocial RF)
BACKGROUND: The estimated prevalence of clinically significant psychiatric and somatic symptoms in adults >1 year after the 2004 Asian tsunami is unknown. AIMS: To estimate the prevalence of psychiatric and somatic symptoms and impairment in Sri Lanka 20-21 months after the 2004 Asian tsunami, and to assess coping stra...
0
Localization of frequency-dependent conduction block in carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Frequency-dependent conduction block (FDB) has been demonstrated in subjects with carpal tunnel syndrome (CTS) when the median nerve was stimulated at 30-Hz frequency proximal to the carpal tunnel (CT). However, it was still questionable whether FDB occurred within the region of the CT or more distally. High-frequency ...
0
Parameter on systemic conditions affected by periodontal diseases. American Academy of Periodontology
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The American Academy of Periodontology has developed the following parameter on systemic conditions affected by periodontal diseases. It is well known that systemic conditions may affect the onset, progression, and treatment of such diseases (see Parameter on Periodontitis Associated With Systemic Conditions, pages 876...
0
Symptomatic disc herniation and serum lipid levels
AMP (Acute Meniscal Pathology)
Insufficient blood supply to the intervertebral disc (IVD) has been proposed to play a role as causative factor in IVD degeneration. There is an association between IVD diseases and increased risk of dying of ischaemic heart disease. Obesity and tobacco are potential risk factors for degenerative IVD disease. High bloo...
0
Office carpal tunnel release with wrist block and wrist tourniquet
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Carpal tunnel release is usually performed in a hospital setting with regional anesthesia. The cost for use of the hospital operating room, anesthesia, and surgeon's fee is quite excessive. Over the past 5 years we have performed carpal tunnel releases in the office setting using wrist block anesthesia and a wrist tour...
1
Systematic Review and Meta-Analysis of 12 Randomized Controlled Trials Evaluating the Efficacy of Invasive Radiofrequency Treatment for Knee Pain and Function
OAK 3 - Non-arthroplasty tx of OAK
Radiofrequency (RF) treatment is an invasive and promising procedure in the treatment of osteoarthritis (OA). A meta-analysis based on 12 RCT studies was to investigate whether invasive RF treatment is more effective in relieving knee pain and improving knee function. Relevant studies were searched on database of Pubme...
0
Morbimortality in adult patients with septic arthritis: a three-year hospital-based study
PJI DX Updated Search
BACKGROUND: The objective of this ambispective study was to determine outcomes and associated factors for adult patients with confirmed septic arthritis (SA). METHODS: All adult patients admitted to Amiens University Hospital between November 2010 and December 2013 with confirmed SA were included in the study. Patients...
0
Effects of alcohol-related disease on hip fracture and mortality: A retrospective cohort study of hospitalized medicare beneficiaries
HipFx Supplemental Cost Analysis
Objectives. This study investigated the effect of alcohol-related disease on hip fracture and mortality. Methods. A retrospective cohort design was used. The study cohort consisted of hospitalized Medicare beneficiaries with alcohol-related disease (n = 150 119) and randomly matched controls without alcohol-related dis...
0
Magnitude and economic effect of overuse of antisecretory therapy in the ambulatory care setting
HipFx Supplemental Cost Analysis
OBJECTIVES: To determine the prevalence and economic effect of inappropriate proton pump inhibitor (PPI) use in an ambulatory care setting. STUDY DESIGN: Retrospective medical record review of random sample with subgroup analysis. METHODS: Patients were categorized according to appropriateness of pharmacotherapy based ...
0
High-level South Korean athletesâ?? experiences of injury and rehabilitation
DoD PRF (Psychosocial RF)
Although the biopsychosocial model of sport injury rehabilitation (Brewer, Andersen, & Van Raalte, 2002) is one of the most comprehensive frameworks to address athletesâ?? postinjury responses, there has been little research centralizing the myriad of cultural factors (e.g., nationality, ethnicity, socioeconomic status...
1
The use of vacuum assisted closure (VAC) in soft tissue injuries after high energy pelvic trauma
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Application of vacuum-assisted closure (VAC) in soft tissue defects after high-energy pelvic trauma is described as a retrospective study in a level one trauma center. MATERIALS AND METHODS: Between 2002 and 2004, 13 patients were treated for severe soft tissue injuries in the pelvic region. All musculoskel...
0
Management of osteochondral lesions of the ankle joint by implantation of autologous chondrocytes
Osteochondritis Dissecans 2020 Review
PUPOSE OF THE STUDY The treatment of osteochondral lesions of weight-bearing joints remains a serious therapeutic challenge, largely due to the minimal ability of articular hyaline cartilage to regenerate. The authors present the long-term clinical and MRI results of treating deep chondral and osteochondral defects of ...
0
Associations between neurocognitive functioning and social and occupational resilience among South African women exposed to childhood trauma
DoD PRF (Psychosocial RF)
<b>Background</b>: Prior research on adaptation after early trauma among black South African women typically assessed resilience in ways that lacked contextual specificity. In addition, the neurocognitive correlates of social and occupational resilience have not been investigated. <b>Objective</b>: The primary aim of t...
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Functional outcome in knee osteoarthritis after treatment with hylan G-F 20: a prospective study
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To assess functional change in patients with knee osteoarthritis (OA) after treatment with intra-articular hyaluronic acid (Hylan G-F 20; Synvisc). DESIGN: Prospective case series with 6-month follow-up. SETTING: Outpatient community orthopedic practice. PARTICIPANTS: Eighty-four consecutive patients referre...
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The effect of tibio-femoral over-distraction in primary knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: Overstuffing the patellofemoral joint has been associated with poor post-operative outcomes. No study has assessed the effect of over-distracting the tibio-femoral joint in the vertical plane and its effects on function and quality of life. The purpose of this study is to assess the effect of tibio-femoral joi...
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The somatopause: an indication for growth hormone therapy?
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Human aging causes adverse changes in body composition, a fall in bone mineral density, a deterioration in physical performance, a worsening cardiovascular risk profile, and increased morbidity and mortality. In addition, growth hormone (GH) secretion and serum insulin-like growth factor (IGF)-I levels fall. GH deficie...
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Arthroscopic debridement of unicompartmental arthritis: fact or fiction?
OAK 3 - Non-arthroplasty tx of OAK
Patients with recurrent or mechanical symptoms of unicompartmental knee arthritis that have failed conservative management are candidates for surgical intervention. Surgical options include debridement, lavage, chondroplasty, bone marrow-stimulating techniques, chondrocyte transfer, and chondrocyte implantation. These ...
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Management of proximal femoral fractures in the presence of hip resurfacing arthroplasty: Peri-operative considerations and a meta analysis
SR for PM on OA of All Extremities
Periprosthetic fractures which occur in close proximity to an in situ hip resurfacing prosthesis can pose a technically demanding challenge to orthopaedic surgeons. While this is currently an uncommon problem, it is logical to assume that as the numbers of hip resurfacing arthroplasties increase, we are likely to see l...
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Dentifrices containing new agents for the control of plaque and gingivitis: microbiological aspects
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Antimicrobial agents have been proposed as playing an important role in controlling plaque and gingivitis. Unfortunately, a large number of potential compounds are unsuitable for use in dentifrices because they lack "substantivity", produce undesirable side-effects, or are incompatible with toothpaste ingredients. New ...
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Injuries to the elbow
Distal Radius Fractures
Presented is an outline of the anatomy, biomechanics and function of the elbow joint, as it relates to normal and sporting activities. A variety of elbow injuries, including fractures of the olecranon, radial head and distal humerus are presented with appropriate methods of treatment. The aim to return patients to earl...
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Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Patients with knee and/or hip osteoarthritis (OA) are less physically active than the general population, while the benefits of physical activity (PA) have been well documented. Based on the behavioral graded activity treatment, we developed a Web-based intervention to improve PA levels in patients with kne...
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Causes and effects of surgical delay in patients with hip fracture: A cohort study
HipFx Supplemental Cost Analysis
Background: The clinical effect of surgical delay in older patients with hip fracture is controversial. Discrepancies among study findings may be due to confounding that is caused by the reason for the delay or a differential effect on patient risk subgroups. Objective: To assess the effect of surgical delay on hospita...
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Is global quality of life reduced before fracture in patients with low-energy wrist or hip fracture? A comparison with matched controls
Management of Hip Fractures in the Elderly
BACKGROUND: The aims of the study were (i) to examine global quality of life (GQOL) before fracture in patients with low-energy wrist or hip fracture compared with an age- and sex-matched control group, and (ii) to identify relationships between demographic variables, clinical fracture variables, and health- and global...
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The RM Pressfit vitamys: 5-year Swiss experience of the first 100 cups
Hip Fx in the Elderly 2019
BACKGROUND: The RM Pressfit vitamys is a titanium particle-coated monoblock cup with vitamin E stabilised highly cross-linked polyethylene. Initial fixation is achieved via press-fit with subsequent stability by bone on-growth. This is the first study to report the 5-year results of this design. METHODS: We performed a...
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Impact of time to surgery in upper femoral fracture in orthogeriatrics
Hip Fx in the Elderly 2019
INTRODUCTION: Treatment of hip fracture in the elderly is a major public health issue. Orthogeriatric departments have been developed for these patients at high risk of complications. Time to surgery seems to be an important factor in the care pathway, but remains controversial. OBJECTIVES: The aim of this study was to...
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Special features of total knee replacement in hemophilia
OAK 3 - Non-arthroplasty tx of OAK
Total knee replacement is an operation frequently needed by hemophilia patients, which greatly improves their quality of life. This operation, however, carries a higher risk of bleeding and infection for hemophiliacs than it does for osteoarthritis sufferers. It is advisable to implant prosthetic components using antib...
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Complex and revision arthrodesis of the ankle and hindfoot
DoD SSI (Surgical Site Infections)
Primary as well as revision arthrodesis procedures of the ankle are associated with a high rate of complications including nonunion, malunion, infection, wound healing problems, damage to nerves and blood vessels, and gait disturbance secondary to malposition, all of which have prompted the development of various techn...
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Molecular signatures of age-associated chronic degeneration of shoulder muscles
Glenohumeral Joint OA
Chronic muscle diseases are highly prevalent in the elderly causing severe mobility limitations, pain and frailty. The intrinsic molecular mechanisms are poorly understood due to multifactorial causes, slow progression with age and variations between individuals. Understanding the underlying molecular mechanisms could ...
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Antibiotic prophylaxis for infective endocarditis: ethical care in the era of revised guidelines
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Beginning in 1955, the American Heart Association recommended antibiotic prophylaxis among patients with certain structural heart diseases to decrease the likelihood of infective endocarditis (IE) following dental procedures. Over the ensuing 52 years, the American College of Cardiology/American Heart Association (ACC/...
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Rectus Abdominis Fat Transfer (RAFT) in Lipoabdominoplasty: A New Technique to Achieve Fitness Body Contour in Patients that Require Tummy Tuck
Panniculectomy & Abdominoplasty CPG
OBJECTIVE: To describe a new technique to achieve a fit-look in lipoabdominoplasty patients through liposculpture and rectus abdominis fat transfer (RAFT). METHODS: Patients with a body mass index under 26 and of both genders scheduled for abdominoplasty or body lift were selected for this procedure. Fat was transferre...
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Aurothiomalate inhibits the expression of mPGES-1 in primary human chondrocytes
AAHKS (2) Corticosteroids
OBJECTIVES: Microsomal prostaglandin E synthase-1 (mPGES-1) is a terminal enzyme in the production of prostaglandin E2 (PGE2) and its expression is upregulated during inflammation. mPGES-1 is considered as a potential drug target for the treatment of arthritis to reduce adverse effects related to the current non-steroi...
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Subchondral drilling for articular cartilage repair: A systematic review of translational research
OAK 3 - Non-arthroplasty tx of OAK
Articular cartilage defects may initiate osteoarthritis. Subchondral drilling, a widely applied clinical technique to treat small cartilage defects, does not yield cartilage regeneration. Various translational studies aiming to improve the outcome of drilling have been performed; however, a robust systematic analysis o...