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0 | Emergency management of type IIIB open tibial fractures | DoD SSI (Surgical Site Infections) | We present our therapeutic strategy for the treatment of type IIIB open tibial fractures. It involves emergency internal stabilisation of the bone by locked intra-medullary nailing when appropriate and skin cover using either a pedicled or free muscle flap. Where there is bone loss, a cancellous iliac graft is performe... |
0 | Rare case of simultaneous enterococcal endocarditis and prosthetic joint infection | PJI DX Updated Search | A 59-year-old man was admitted with a 3-month history of daily fevers as well as bilateral knee pain and swelling. Medical history was significant for bilateral knee arthroplasties 4 years prior to admission. Two sets of peripheral blood cultures as well as bilateral knee synovial fluid grew Enterococcus faecalis withi... |
1 | Efficacy of multimodal perioperative analgesia protocol with periarticular medication injection in total knee arthroplasty: A randomized, double-blinded study | AAHKS (8) Anesthetic Infiltration | Pain control is necessary for successful rehabilitation and outcome after total knee arthroplasty. Our goal was to compare the clinical efficacy of periarticular injections consisting of a long-acting local anesthetic (ropivacaine) and epinephrine with and without combinations of an α2-adrenergic agonist (clonidine) a... |
1 | A comparative study of the medial St Georg sled and kinematic total knee arthroplasties. Ten-year survivorship | Surgical Management of Osteoarthritis of the Knee CPG | We have studied the long-term outcome of 408 primary medial St Georg Sled unicompartmental arthroplasties of the knee and 531 primary Kinematic total knee arthroplasties using survivorship analysis. The operations were performed by a number of surgeons under the supervision of two consultants at one orthopaedic centre.... |
0 | Prevalence and risk factors of tendinitis and related disorders of the distal upper extremity among U.S. workers: comparison to carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: National estimates of tendinitis and related disorders of the distal upper extremity among U.S. workers have not been available with the exception of carpal tunnel syndrome. METHODS: The Occupational Health Supplement Data of the 1988 National Health Interview Survey were analyzed for tendinitis and related... |
0 | Osteonecrosis of the jaws and bisphosphonates | MSTS 2018 - Femur Mets and MM | Osteonecrosis of the jaws associated with bisphosphonate therapy was first identified in 2003 as a condition typified by exposed bone that does not heal after 8 weeks. Other signs and symptoms, such as pain and infection, may or may not be present. There is a strong need for consensus on a case definition for this cond... |
0 | Current Strategies in Anesthesia and Analgesia for Total Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | Total knee arthroplasty is associated with substantial postoperative pain that may impair mobility, reduce the ability to participate in rehabilitation, lead to chronic pain, and reduce patient satisfaction. Traditional general anesthesia with postoperative epidural and patient-controlled opioid analgesia is associated... |
0 | Early complications after revision total hip arthroplasty with cemented dual-mobility socket and reinforcement ring | PJI DX Updated Search | Encouraged by the success of dual-mobility sockets in achieving implant stability in primary hip replacement, surgeons have started to use the implant in revision hip arthroplasty. However, very little is known yet about the postoperative complication rate of this type of implant when fixation in a reinforcement ring i... |
0 | A novel antibacterial modification treatment of titanium capable to improve osseointegration | Dental Implant Infection | BACKGROUND: Among the different causes of orthopedic and dental implant failure, infection remains the most serious and devastating complication associated with biomaterial devices., PURPOSE: The aim of this study was to develop an innovative osteointegrative and antibacterial biomimetic coating on titanium and to perf... |
0 | Minimal Incision Protocols for Anesthesia, Pain Management, and Physical Therapy With Standard Incisions in Hip and Knee Arthroplasties. The Effect on Early Outcomes | AAHKS (8) Anesthetic Infiltration | Dramatic early outcomes with "minimal incision" surgery are attributed to patient selection, perioperative management, and the surgical procedure. This study was one on 50 patients in a single surgeon's practice who underwent total hip and total knee arthroplasties with standard incisions. The first 25 patients had sta... |
0 | Meniscal Allograft Transplantation | AMP (Acute Meniscal Pathology) | Meniscal allograft transplantation provides treatment options for patients with a meniscus-deficient knee with lifestyle-limiting symptoms in the absence of advanced degenerative changes. Meniscal transplantation helps to restore the native biomechanics of the involved knee, which may provide chondroprotective effects ... |
0 | Therapeutic efficacy and Pharmacoeconomics evaulation of pamidronate versus zoledronic acid in multiple myeloma patients | MSTS 2018 - Femur Mets and MM | Sixty patients of multiple myeloma were randomized into two equal groups to receive Pamidronate and Zoledronic acid intravenously every month for a total of six months. The primary endpoint was to compare the therapeutic efficacy of both drugs by the resolution of hypercalcemia, prevention of skeletal related events an... |
1 | Knee Pain Examined under Musculoskeletal Ultrasonography: Experience from a Community-based Rheumatology Practice – A Cross-sectional Study | AMP (Acute Meniscal Pathology) | Background: Diagnostic musculoskeletal ultrasonogram (MSUS) in musculoskeletal pain practice has increased. MSUS helps delineate extra-and intra-articular structures that are not visible on X-ray. Objective: Explore knee pain under ultrasonogram in a primary care rheumatology (PCR) facility. Methods: This cross-section... |
0 | Bone viability of amputated limbs treated with hypothermia: assessment by evaluation of mRNA levels | DoD LSA (Limb Salvage vs Amputation) | We evaluated rat bone viability using a bone viability index (BVI). To evaluate hypothermic ischaemic bone injury, 21 amputated hind limbs of Fischer rats were preserved at hypothermia (4 degrees C) for 1, 3 and 6 hours. To evaluate hypothermic ischaemia/reperfusion injury, another 28 amputated limbs were transplanted ... |
0 | Risk and Protective Factors for Middle- and Long-Distance Running-Related Injury | DoD PRF (Psychosocial RF) | BACKGROUND: Despite a rapidly growing body of research, a systematic evidence compilation of the risk and protective factors for middle- and long-distance running-related injury (RRI) was lacking. OBJECTIVES: Our objective was to compile the evidence about modifiable and non-modifiable training-related and behavioral r... |
0 | Thematic evidence of psychosocial thriving in childhood cancer survivors | DoD PRF (Psychosocial RF) | Advances in medical treatment for childhood cancer have resulted in dramatically increased survival rates and a growing population of long-term survivors. Until recently, researchers reported primarily negative psychosocial sequelae of childhood cancer. Emergent conceptual frameworks propose that the assumption of path... |
0 | Clinical outcomes of conjunctiva-Müller muscle resection: association with phenylephrine test-negative blepharoptosis and dry eye syndrome | Upper Eyelid and Brow Surgery | OBJECTIVE: The aim of this study was to investigate the clinical outcomes of conjunctiva-Müller muscle resection (CMMR) in patients with mild to moderate ptosis, the factors related to successful procedures, and the influence of CMMR on dry eye symptoms and signs. METHODS: In a tertiary university hospital, the medica... |
0 | Examination of displaced acetabular fractures in adults treated qith open reduction and internal fixation | Hip Fx in the Elderly 2019 | Background: The occurrence of acetabular fractures is growing at a fast pace globally owing to increased crashes in train and highway traffic and high-speed injuries. The incidence of acetabular fractures is growing at a fast pace globally owing to increased crashes in train and highway traffic and high-speed injuries.... |
0 | Current concepts in the surgical management of acute diabetic foot infections | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot complications are common, costly, and difficult to treat. Peripheral neuropathy, repetitive trauma, and peripheral vascular disease are common reasons that lead to ulcers, infection, and hospitalization. Individuals with diabetes presenting with foot infection require optimal medical and surgical manageme... |
0 | Surgical management of posttraumatic elbow arthrofibrosis | Distal Radius Fractures | BACKGROUND: Functional loss of motion is a frequent complication after elbow trauma. The purpose of this study was to determine the effectiveness of open elbow release in restoring functional elbow motion.
METHODS: A retrospective chart review of 177 adult patients who underwent open elbow release at our institution by... |
0 | The role of S100P in the invasion of pancreatic cancer cells is mediated through cytoskeletal changes and regulation of cathepsin D | MSTS 2018 - Femur Mets and MM | Up-regulation of S100P, a member of the S100 calcium-binding protein family, is an early molecular event in the development of pancreatic cancer and it is expressed at high levels in both precursor lesions and invasive cancer. To gain more insight into the molecular mechanisms underlying the functional roles of this pr... |
1 | (untitled) | OAK 3 - Non-arthroplasty tx of OAK | This Future Research Needs (FRN) project is a followup to the draft Comparative Effectiveness Review (CER) "Physical Therapy Interventions for Knee Pain Secondary to Osteoarthritis." The review was motivated by uncertainty around the effectiveness and comparative effectiveness of physical therapy (PT) treatments for ad... |
0 | Autologous Costal Cartilage Grafting for a Large Osteochondral Lesion of the Femoral Head: A 1-Year Single-Arm Study with 2 Additional Years of Follow-up | Osteochondritis Dissecans 2020 Review | BACKGROUND: There is currently no ideal treatment for osteochondral lesions of the femoral head (OLFH) in young patients. METHODS: We performed a 1-year single-arm study and 2 additional years of follow-up of patients with a large (defined as >3 cm 2 ) OLFH treated with insertion of autologous costal cartilage graft (A... |
0 | The reduction of radiation mucositis by selective decontamination antibiotic pastilles: a placebo-controlled double-blind trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of this study was to see if antibiotic pastilles could reduce radiation mucositis, pain, dysphagia and weight loss in patients undergoing radical radiotherapy for head and neck cancer. A total of 275 patients with T1-T4 tumours entered the study; 136 were allocated to suck four times daily a pastille containing... |
0 | Primary lesions that may imitate metastatic tumors histologically: A selective review | MSTS 2022 - Metastatic Disease of the Humerus | Several primary pathologic entities in diverse anatomic locations have the potential to simulate metastatic neoplasms histologically. Their misinterpretation as such may result in needless and extensive clinical evaluations that are intended to detect a presumed malignancy at another site. More importantly, mistakes of... |
1 | Cross-sectional area of the median nerve characterized by ultrasound in patients with carpal tunnel syndrome before and after the release of the transverse carpal ligament | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The objective of this study was to evaluate the cross-sectional area of the median nerve by ultrasonography before and after release of the transverse carpal ligament in patients with carpal tunnel syndrome. An additional goal was to correlate the cross-sectional area following surgery with clinical symptoms. Eighteen ... |
1 | Results of treatment of displaced supracondylar humeral fractures in children by percutaneous lateral cross-wiring technique | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Seventy children with displaced type II and III supracondylar fractures of the humerus were managed with percutaneous lateral cross-wiring technique from January 2006 to January 2007. There were 54 boys and 16 girls with a mean age of 6.1 +/- 3.07 years. All patients were operated within 24 h after trauma using the Dor... |
0 | Dislocation/subluxation of meniscal bearing elements after New Jersey low-contact stress total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | From October 1985 to April 1986, 43 consecutive New Jersey low-contact stress total knee arthroplasties (TKAs) were performed for degenerative arthritis of the knee. At the one-year follow-up examination, 91% of the patients had good to excellent results based on the Hospital for Special Surgery scoring system. Four pa... |
0 | Reduction in daily hydrocortisone dose improves bone health in primary adrenal insufficiency | AAHKS (2) Corticosteroids | OBJECTIVE: Individuals with primary adrenal insufficiency (PAI) or congenital adrenal hyperplasia (CAH) receive life-long glucocorticoid (GC) replacement therapy. Current daily GC doses are still higher than the reported adrenal cortisol production rate. This GC excess could result in long-term morbidities such as oste... |
0 | The cost of treating osteoporotic fractures in the United Kingdom female population | HipFx Supplemental Cost Analysis | Osteoporotic fractures represent a significant burden to society. The costs of osteoporotic fractures to the UK health care system have not previously been accurately described. In this paper, we quantify the health care and social care costs of fractures occurring in women aged 50 years and over in the UK. We used a v... |
0 | Discoid lateral meniscus incidence during knee arthroscopy | AMP (Acute Meniscal Pathology) | Discoid meniscus is a morphological anomaly of the lateral meniscus that appears in 1-5% of meniscectomies. A precise diagnosis remains diffi cult to make, and many dilemmas hinder eff ective treatment. To evaluate the incidence of discoid meniscus in patients who underwent knee arthroscopy, as well as the discoid meni... |
0 | Biomechanics of Lower Limbs during Walking among Candidates for Total Knee Arthroplasty with and without Low Back Pain | OAK 3 - Non-arthroplasty tx of OAK | The effect of joint pathologies, such as unilateral knee osteoarthritis (UKOA) or low back pain (LBP), on bilateral gait symmetry has gained increased attention during the past decade. This study is the first to compare gait patterns between patients with UKOA and LBP in combination and with UKOA only. Temporal, kinema... |
0 | The effect of body mass index on the risk of post-operative complications during the 6 months following total hip replacement or total knee replacement surgery | PJI DX Updated Search | OBJECTIVE: To assess the effect of obesity on 6-month post-operative complications following total knee (TKR) or hip (THR) replacement. DESIGN: Data for patients undergoing first THR or TKR between 1995 and 2011 was taken from the Clinical Practice Research Datalink. Logistic regression was used to assess whether body ... |
1 | Platelet-Rich Plasma Versus Corticosteroid Injections for the Treatment of Recalcitrant Lateral Epicondylitis: A Cost-Effectiveness Markov Decision Analysis | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | BACKGROUND: Both platelet-rich plasma (PRP) and corticosteroid injections may be used to treat lateral epicondylitis. We evaluated the cost-effectiveness of PRP injections versus corticosteroid injections for the treatment of recalcitrant lateral epicondylitis.
METHODS: Markov modeling was used to analyze the base-case... |
1 | The Northwestern Abdominoplasty Scar Model: A Novel Human Model for Scar Research and Therapeutics | Panniculectomy & Abdominoplasty CPG | There is a growing interest in the development and evaluation of therapeutic agents that improve the cosmetic appearance of scars. Existing nonhuman animal models to study scarring, while valuable, have well-acknowledged limitations, as it is accepted that the biology of human scarring differs significantly from scarri... |
0 | Risedronate sodium therapy for prevention of hip fracture in men 65 years or older after stroke | Management of Hip Fractures in the Elderly | BACKGROUND: There is a high incidence of hip fractures in patients after hemiplegic stroke. Bone mineral density is decreased on the hemiplegic side in patients after stroke, correlating with the immobilization-induced bone resorption, the degree of paralysis, and hypovitaminosis D. The purpose of this study is to eval... |
0 | Effect of lower limb malalignment in the frontal plane on transverse plane mechanics during gait in young individuals with varus knee alignment | OAK 3 - Non-arthroplasty tx of OAK | Background: Varus knee alignment has been identified as a risk factor for the progression of medial knee osteoarthritis (OA). This study tested the hypothesis that not only frontal plane kinematics and kinetics but also transverse plane lower extremity mechanics during gait are affected by varus malalignment of the kne... |
0 | Delayed surgery in displaced paediatric supracondylar fractures: a safe approach? Results from a large UK tertiary paediatric trauma centre | DoD SSI (Surgical Site Infections) | BACKGROUND: Displaced paediatric supracondylar humeral fractures pose a significant risk of neurovascular injury and consequently have traditionally been treated as a surgical emergency. Recently, the need for emergency surgery has been questioned. We wished to analyse our experience at a large UK tertiary paediatric t... |
0 | Long-term results of hybrid alumina-on-alumina total hip arthroplasty: 10-14-Year results | Hip Fx in the Elderly 2019 | Between 2000 and 2004, 89 hybrid alumina-on-alumina hip replacements were performed by a single surgeon. There were 46 men and 43 women with an average age of 51 years. All patients were followed up for a minimum of 10 years. Prior to surgery, the mean Harris hip score (HHS) was 44 points (35-55). Following surgery, th... |
0 | The need for multi-disciplinary management of combined orthopaedic and genito-urinary injuries | DoD SSI (Surgical Site Infections) | Introduction: Combined pelvic ring disruptions and genito-urinary injuries can be potentially devastating. An array of debilitating and lifelong complications can result from such injuries. Early and expert management of patients presenting with these injuries is therefore imperative to minimise the risk of complicatio... |
0 | An uncemented iso-elastic monoblock acetabular component: Preliminary results | DoD SSI (Surgical Site Infections) | Little is known about the clinical application of highly cross-linked polyethylene (HXLPE) blended with vitamin E. This study evaluates an uncemented iso-elastic monoblock cup with vitamin E blended HXLPE. 112 patients were followed up for 2. years. 95.5% completed the follow-up. The mean VAS score for patient satisfac... |
1 | A comparison of the lidocaine patch 5% vs naproxen 500 mg twice daily for the relief of pain associated with carpal tunnel syndrome: a 6-week, randomized, parallel-group study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: Carpal tunnel syndrome (CTS) is a common entrapment neuropathy caused by median nerve compression. This pilot clinical trial was designed to compare the safety and effectiveness of the lidocaine patch 5% to that of naproxen 500 mg twice daily for the treatment of neuropathic pain associated with CTS. METHOD... |
0 | [Evaluation of the hip joint after Kee-Farrar total hip arthroplasty from the aspect of certain clinical biomechanical criteria] | Management of Hip Fractures in the Elderly | Hundred hips in 84 arthritic patients after Mc Kee-Farrar total hip arthroplasty were reviewed. Biomechanical measurements in operated, arthritic non-operated and normal hips were compared. The moment of adductive forces, adductive forces, the strength of abductors, Hamacher-Roesler index and Woźny coefficient wer... |
0 | Efficacy and safety of risedronate 150 mg once a month in the treatment of postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | Fragility fractures that occur as a result of osteoporosis are frequently associated with chronic pain and decreased quality of life as well as significant morbidity and mortality. Fracture reduction, however, is often less than optimal due to poor compliance with medications. Studies have demonstrated that risedronate... |
0 | The effects of therapeutic exercise on the balance of women with knee osteoarthritis: a systematic review | SR for PM on OA of All Extremities | OBJECTIVE: The objective of this review was to examine evidence regarding the effects of therapeutic exercise on the balance of women with knee osteoarthritis (OA). METHODS: The search was conducted in Pubmed, Medline, Lilacs, SciELO, ISI web of knowledge, PEDro and the Cochrane Collaboration. We used the keywords: "kn... |
0 | Post-traumatic osteoarthritis diagnosed within 5 years following ACL reconstruction | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose was to calculate the incidence of osteoarthritis in individuals following Anterior Cruciate Ligament Reconstruction (ACLR) in a large, national database and to examine the risk factors associated with OA development. METHODS: A commercially available insurance database was queried to identify new d... |
0 | Antibiotic-loaded bone cement spacer usage combined with membrane induction in infected gap non-unions: A case series | DoD SSI (Surgical Site Infections) | Objective: To explore the clinical effects upon gap nonunion of antibiotic-loaded bone cement spacer combined with membrane induction on infected bone defects.
Methods: The data of 16 patients with infected bone defects admitted in General Hospital of Shenyang Military Area Command from January 2009 to January 2011 wer... |
0 | Mucopolysaccharidosis I: Management and treatment guidelines | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE. Disease management for mucopolysaccharidosis type I has been inconsistent because of disease rarity (~ 1 case per 100 000 live births), phenotypic heterogeneity, and limited therapeutic options. The availability of hematopoietic stem cell transplantation and the recent introduction of enzyme replacement ther... |
0 | A well-fixed femoral stem facing a failed acetabular component: to exchange or not? A 5- to 15-year follow-up study | PJI DX Updated Search | INTRODUCTION: There is no consensus about the necessity of exchanging a stable femoral component during revision total hip arthroplasty (RTHA) when only the acetabular component requires replacement. Sparing the femoral component reduces morbidity, but can make acetabular replacement technically more difficult. Moreove... |
1 | Pain management for total knee arthroplasty: Single-injection femoral nerve block versus local infiltration analgesia | Surgical Management of Osteoarthritis of the Knee CPG | Background: Pain is one of the major concerns of patients underwent Total Knee Arthroplasty (TKA); appropriate pain management is a key factor in patient's early physical fitness to move, physiotherapy, and most importantly, patient satisfaction. Objectives: In this study the analgesic effect of single injection femora... |
0 | Stage-I osteochondritis dissecans versus normal variants of ossification in the knee in children | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Juvenile osteochondritis dissecans (OCD) has a better prognosis than the adult type. OBJECTIVE: We postulated that the excellent prognosis of juvenile OCD could be explained, at least in part, by the erroneous diagnosis of some developmental variants of ossification as stage-I OCD. MATERIALS AND METHODS: Kn... |
0 | Infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infective Endocarditis (IE) is a known and a well-described complication of congenital and acquired heart disease. Its onset may be related to a procedure (which is commonly dental) or to poor dental hygiene. Use of antibiotics prior to the procedure prevents IE. General awareness of dental hygiene and use of prophylac... |
0 | High tibial osteotomy: our experience with hemicallotasis method | Surgical Management of Osteoarthritis of the Knee CPG | Despite the many progresses and ever better outcomes in knee arthroplasty, surgical osteotomy in this area of the body is still commonly used. Valgus high tibial osteotomy (HTO) through external fixator progressive distraction (hemicallotasis) has given good results in the treatment of varus knee deformities. Such surg... |
0 | The effect of exercise training programs on bone mass: a meta-analysis of published controlled trials in pre- and postmenopausal women | Management of Hip Fractures in the Elderly | With the aging of the population, the medical and social costs of skeletal fragility leading to fractures will cause an immense burden on society unless effective prophylactic and therapeutic regimens can be developed. Exercise is suggested as a possible regimen against involutional bone loss. The purpose of the presen... |
0 | ORIF of Distal Humerus Fractures with Modern Pre-contoured Implants is Still Associated with a High Rate of Complications | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The purpose of this study was to identify complications after operative treatment of distal humerus fractures with anatomic, pre-contoured, locking distal humeral plates. We hypothesized that these fractures have high complication rates despite the use of these modern implants. MATERIALS AND METHODS: Betwee... |
0 | The outcomes of total knee arthroplasty in morbidly obese patients: a systematic review of the literature | OAK 3 - Non-arthroplasty tx of OAK | Introduction: The increasing prevalence of obesity has led to an increase in total knee arthroplasties (TKAs) being undertaken in patients with a higher body mass index (BMI). TKA in morbidly obese patients can be technically challenging due to numerous anatomical factors and patient co-morbidities. The long-term outc... |
1 | Glucosamine and chondroitin: an appropriate adjunct treatment of symptomatic osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is a leading cause of disability in the United States. Current treatment focuses on symptom relief and improving a patient's overall function. Pharmacological treatments aim to correct symptomatic complaints as well as structural problems in OA. Glucosamine (sulfate or hydrochloride) and chondroitin... |
0 | The diagnosis and treatment of growth hormone deficiency in adults | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE OF REVIEW: This review summarizes the recent published information regarding efficacy and complications of growth hormone replacement therapy. Several recent reports have monitored patients for periods of up to 10 years. Additionally, a consensus conference has been held regarding needed improvements in diagnos... |
0 | Endoscopic Superficialisation of Haemodialysis Arteriovenous Fistulas in Obese Patients - Safety, Feasibility, and Outcomes | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: The aim was to evaluate the safety and feasibility of endoscopic superficialisation (ES) in patients with deeply located cephalic veins in well matured arteriovenous fistulae (AVF) and to present functional outcomes. METHODS: All patients with cannulation difficulties due to a deep lying cephalic vein of mor... |
0 | History of osteochondral allograft transplantation | Osteochondritis Dissecans 2020 Review | Osteochondral defects or injuries represent the most challenging entities to treat, especially when occur to young and active patients. For centuries, it has been recognized that such defects are almost impossible to treat. However, surgeons have never stopped the effort to develop reliable methods to restore articular... |
1 | Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. A prospective, systematic, multicenter study with specific focus on postoperative dislocation | Management of Hip Fractures in the Elderly | INTRODUCTION: Displaced fractures of the femoral neck in the elderly are best treated with arthroplasty. The type of arthroplasty to be used, either hemi- or total hip arthroplasty, remains controversial as total hip replacements potentially have a higher rate of dislocation. HYPOTHESIS: Dual mobility cups have a low d... |
0 | Efficacy of multimodal, systematic non-surgical treatment of knee osteoarthritis for patients not eligible for a total knee replacement: a study protocol of a randomised controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: It is recommended that non-operative treatment of knee osteoarthritis (KOA) should be individually tailored and include multiple treatment modalities. Despite these recommendations, no one has yet investigated the efficacy of combining several non-surgical treatment modalities in a randomised controlled s... |
0 | Ultrasound assessment of the anatomic landmarks for spinal anesthesia in elderly patients with hip fracture: A prospective observational study | Hip Fx in the Elderly 2019 | Tuffier line is a common landmark for spinal anesthesia. The 10th rib line has been suggested as a new landmark to predict the intervertebral levels. We evaluated the accuracy of these 2 anatomic landmarks for identifying the L4-L5 intervertebral space using ultrasonography in elderly patients with hip fracture.Seventy... |
0 | Comparative responsiveness of outcome measures for total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The aim of this study was to compare the responsiveness of various patient-reported outcome measures (PROMs) and clinician-reported outcomes following total knee arthroplasty (TKA) over a 2-year period. METHODS: Data were collected in a prospective cohort study of primary TKA. Patients who had completed Forg... |
0 | Development of a novel decellularized meniscal scaffold for use in tissue engineering | AMP (Acute Meniscal Pathology) | INTRODUCTION: Approximately 1 million meniscal surgeries are performed each year in the United States.1 Given the poor intrinsic healing capacity of the meniscus, arthroscopic partial meniscectomy is commonly performed for patients with clinical dysfunction following meniscal tear. While short-term clinical results are... |
1 | Bilateral occurrence and morphologic analysis of complete discoid lateral meniscus | AMP (Acute Meniscal Pathology) | PURPOSE: The aim of the study was to investigate and analyze bilateral incidence and morphology of complete discoid lateral meniscus (DLM) with possible relation to tears and symptoms in knee joints.
MATERIALS AND METHODS: Thirty-eight consecutive patients with symptomatic or already-torn complete DLM on magnetic reson... |
0 | The Ideal Thigh: A Crowdsourcing-Based Assessment of Ideal Thigh Aesthetic and Implications for Gluteal Fat Grafting | Panniculectomy & Abdominoplasty CPG | Background: As the popularity of aesthetic gluteoplasty continues to grow, there is renewed focus on defining the ideal buttocks. However, the literature lacks studies characterizing an ideal thigh, despite the impact of thigh contour on overall gluteal aesthetic. Objectives: The authors performed the first population ... |
0 | Iatrogenic type A aortic dissection during cardiac surgery | DOD - Acute Comp Syndrome CPG | We reviewed our experience of intraoperative type A aortic dissection during cardiovascular surgery. From January 1998 to May 2009, intraoperative aortic dissection occurred in 10 of 3421 cardiac surgical patients (M:F=4:6, 62.4±8.0 years). Preoperative diagnoses were valvular heart disease (n=6), ischemic heart disea... |
0 | Categorization of two-photon microscopy images of human cartilage into states of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The degeneration of articular cartilage is part of the clinical syndrome of osteoarthritis (OA) and one of the most common causes of pain and disability in middle-aged and older people(1). However, the objective detection of an initial state of OA is still challenging. In order to categorize cartilage into s... |
0 | Bone formation blocking closure of the expanded distal fins during removal of a Seidel humeral nail | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The authors report the case of a young patient in which, during removal of a Seidel nail four years after healing of a mid shaft fracture of the humerus, bone formation into the central canal of the nail through the peripheral slots, prevented the three spread distal fins of the nail to close. The nail could only be ex... |
0 | The lack of correlation between radiographic findings and cartilage integrity | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty is a common treatment of osteoarthritis, although unicompartmental knee arthroplasties are frequently used to retain unaffected compartments. Joint space width (JSW) is a major factor in determining treatment. We examined the relationship between JSW and cartilage quality in 60 patients undergoi... |
0 | Morphometric analysis of anatomical implant forms for minimally invasive acetabular fracture osteosynthesis | Management of Hip Fractures in the Elderly | Anatomical implants enable minimally invasive osteosynthesis (MIO) and represent ideal complements of computer-assisted surgical workflows. This 3D morphometric study analyzes anatomical implant forms (AIF) for acetabular fracture osteosynthesis (AFO). Materials and Three-dimensional pelvis models were created from cli... |
0 | Ten-year survival and seven-year functional results of cementless Oxford unicompartmental knee replacement: A prospective consecutive series of our first 1000 cases | Dental Implant Infection | BACKGROUND: Cementless fixation is an alternative to cemented unicompartmental knee replacement (UKR), with several advantages over cementation. This study reports the ten-year survival and seven-year clinical outcome of cementless Oxford unicompartmental knee replacement (OUKR)., METHODS: This prospective study descri... |
0 | Radiological decision aid to determine suitability for medial unicompartmental knee arthroplasty: Development and preliminary validation | OAK 3 - Non-arthroplasty tx of OAK | Aims An evidence-based radiographic Decision Aid for meniscal-bearing unicompartmental knee arthroplasty (UKA) has been developed and this study investigates its performance at an independent centre. Patients and Methods Pre-operative radiographs, including stress views, from a consecutive cohort of 550 knees undergoin... |
1 | Satisfaction, Adherence and Health-Related Quality of Life with Transdermal Buprenorphine Compared with Oral Opioid Medications in the Usual Care of Osteoarthritis Pain | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis (OA) causes substantial pain and reduced health-related quality of life (HRQL). Although opioid analgesics are commonly used, the relative benefits of different opioids are poorly studied. Transdermal buprenorphine (TDB) offers an alternative to oral opioids for the treatment of moderate-to-s... |
1 | Liposomal Bupivacaine Injection Technique in Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | Liposomal bupivacaine has gained popularity for pain control after total knee arthroplasty (TKA), yet its true efficacy remains unproven. We compared the efficacy of two different periarticular injection (PAI) techniques for liposomal bupivacaine with a conventional PAI control group. This retrospective cohort study co... |
1 | Mild Traumatic Brain Injury, PTSD, and Psychosocial Functioning Among Male and Female U.S. OEF/OIF Veterans | DoD PRF (Psychosocial RF) | This study examined the unique and combined relationship between mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) with psychosocial functioning in a cohort of 1,312 U.S. male and female veterans of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF) enrolled in the Veterans After-Discha... |
0 | Rehabilitation of older adults with hip fracture: cognitive function and walking abilities | Management of Hip Fractures in the Elderly | OBJECTIVES: To investigate the association between baseline cognitive function and the achievement of walking independence and its maintenance at 1 year in a population of older adults who underwent post-hip fracture (HF) surgery rehabilitation. DESIGN: Prospective cohort study. SETTING: Department of rehabilitation an... |
0 | Dissociation of mobile-bearing patellar component in low contact stress patellofemoral arthroplasty, its mechanism and management: two case reports | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: Isolated patellofemoral osteoarthritis can be treated with patellofemoral arthroplasty. CASE PRESENTATION: We present two cases of isolated patellofemoral osteoarthritis treated with Low Contact Stress patellofemoral arthroplasty; in both cases the polyethylene mobile-bearing of the patellar component dis... |
1 | Predictors of Patient-Reported Function and Pain Outcomes in Operative Ankle Fractures | DoD SSI (Surgical Site Infections) | Background: Risk factors associated with short-term functional outcomes in patients with operative ankle fractures have been established. However, no previous studies have reported the association between these risk factors and functional outcomes outside of the first postoperative year. We identified predictors of fun... |
0 | Efficacy of home-based virtual cycling training on bone mineral density in ambulatory children with cerebral palsy | Pediatric Supracondylar Humerus Fracture 2020 Review | The 12-week home-based virtual cycling training (hVCT) improved lower limb muscle strength and areal bone mineral density (aBMD) than the control program in children with cerebral palsy (CP). A muscle strengthening program, rather than general physical activity, is more specific in enhancing aBMD for these children. A ... |
1 | Vibration perception thresholds in workers exposed to vibration | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The vibration perception thresholds (VPT) at six frequencies from 16 to 500 Hz were examined in 77 workers exposed to hand-arm vibration and in 77 controls using a limits procedure. A dose-response relationship between VPTs and exposure to vibration was found, and the age-adjusted VPTs at each frequency were higher in ... |
0 | The effect of tibio-talar arthrodesis on foot kinematics and ground reaction force progression during walking | OAK 3 - Non-arthroplasty tx of OAK | Degenerative osteoarthritis in the subtalar and midâ?tarsal joints occurring after tibioâ?talar arthrodesis is thought to be a consequence of abnormal foot dynamics. We hypothesized that the forward tilt of the tibia during stance induces early heelâ?off and alteration of the progression of ground reaction force (GR... |
1 | Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVE: Adequate analgesia is needed after total hip arthroplasty to control pain at rest and during rehabilitation. Our aim was to compare, in a randomized study, the efficacy of two analgesia regimens in control of postoperative pain after total hip arthroplasty: opioid-free continuous psoas compart... |
0 | Aromatase expression in osteoarthritic and osteoporotic bone | Management of Hip Fractures in the Elderly | OBJECTIVE: Estrogen deprivation is a central mechanism in the development of osteoporosis with aging. Results from recent studies also suggest the involvement of estrogens in the pathophysiology of osteoarthritis (OA). Aromatization of androgenic precursors in peripheral tissue is the main source of estrogens in postme... |
0 | Lupus erythematosus: considerations for dentistry | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Lupus erythematosus, or LE, is a connective tissue disease that affects a number of organ systems. Patients with this condition can experience several other serious conditions--bleeding, infection, endocarditis, adrenal insufficiency and mucocutaneous disease--that can affect the provision of dental care. The authors d... |
1 | Excision arthroplasty with delayed wound closure for the infected total hip replacement | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Methods of management of infections in total hip replacement vary from the use of antibiotics with reimplantation to a complete removal of the prosthetic unit. This is a series of 10 consecutive patients having documented sepsis following total hip replacement characterized by gram-negative organisms which was managed ... |
0 | Detection of osteomyelitis using (18)FDG and positron emission tomography | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A positron emission tomography (PET) scan with 2-[fluorine-18]fluoro-2-deoxy-D-glucose ((18)FDG) was performed on a patient with clinical and laboratory signs of infection after a removed hip prosthesis but with indistinct signs on the bone scan and radiographs. The PET scan confirmed the clinical and laboratory signs ... |
0 | A comparison of early and late reconstruction of malunited fractures of the distal end of the radius | DoD SSI (Surgical Site Infections) | We retrospectively evaluated the results for ten patients in whom a malaligned fracture of the distal end of the radius had been treated with early reconstruction (an average of eight weeks [range, six to fourteen weeks] after the injury) consisting of an osteotomy through the site of the fracture, autogenous cancellou... |
0 | Shoulder function after surgical treatment of displaced fractures of the humeral shaft: a randomized trial comparing antegrade intramedullary nailing with minimally invasive plate osteosynthesis | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Minimally invasive plate osteosynthesis for humeral shaft fractures has been described recently, but there are no randomized studies comparing the clinical results for shoulder function between this technique and locking intramedullary nailing. METHODS: A prospective randomized study was performed. Fortyâ?... |
0 | Fully Awake Breast Reduction | Reduction Mammoplasty for Female Breast Hypertrophy | The authors present 25 cases and an in-depth 4-minute video of fully awake aesthetic breast reduction, which was made possible by thoracic epidural anesthesia. There are obvious and important advantages to this technique. Not only does this allow for intraoperative patient cooperation (i.e., patient self-positioning an... |
0 | Location of the ankle center for total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The purpose of this study was to investigate the ankle center position as determined from the malleoli for total knee arthroplasty (TKA).
METHODS: We retrospectively analyzed computed tomography data from 102 patients with osteoarthritic knees. The tibial anteroposterior (AP) axis and transmalleolar axis (T... |
1 | Injury specific trauma registry: Outcomes of a prospective cohort with proximal femur fractures | Hip Fx in the Elderly 2019 | Background: The elderly population is prone to hip fractures, and treating such patients to achieve good outcomes can be challenging. Collection of outcomes data can support clinicians to modify their treatment protocols and improve outcomes over time. The aim of this study is to compare different surgical procedures i... |
1 | Comparative outcomes of combined corticosteroid with low volume compared to high volume of local anesthetic in subacromial injection for impingement syndrome: systematic review and meta-analysis of RCTs | Trial Systematic Review Project | Subacromial impingement syndrome (SIS) is one of the most frequent pathologies of the shoulder, which may cause serious restriction of daily activities and lifestyle changes. Corticosteroid injection (CI) into the subacromial space is a palliative treatment option. Currently, there have been no studies that compare bet... |
0 | Perioperative chronic use of statins and the risk of muscle complaints in patients undergoing knee and hip endoprosthesis surgery | AAHKS (4) Acetaminophen | Study Objective: To assess whether regular statin therapy enhances muscular and hepatic deterioration and muscle complaints in patients undergoing elective arthroplasty. Design: Prospective, case-controlled, observational study. Setting: Tertiary-level university teaching hospital in Eastern Finland. Patients: 48 ASA p... |
1 | Rates, trends, and severity of depression after burn injuries | DoD PRF (Psychosocial RF) | It is commonly assumed that patients hospitalized for burn treatment will experience some level of depression. However, little is known about the trends in severity of depression over time. The purpose of this study was to determine the rates and severity of depression over a 2-year period. The Beck Depression Inventor... |
1 | Effects of Aquatic Training and Bicycling Training on Leg Function and Range of Motion in Amateur Athletes with Meniscal Allograft Transplantation during Intermediate-Stage Rehabilitation | AMP (Acute Meniscal Pathology) | Meniscal allograft transplantation (MAT) is a treatment modality for restoring knee function in patients with irreversible meniscal injury. Strengthening programs to promote functional recovery are treated with caution during the intermediate rehabilitation phase following MAT. This study analyzed the effects of aquati... |
0 | Blister formation with negative pressure dressings after total knee arthroplasty | PJI DX Updated Search | Background Negative pressure wound dressings have revolutionized the treatment of open wounds by stimulating the formation of granulation tissue and hastening wound closure. We hypothesized that negative pressure therapy in the immediate postoperative period after total knee arthroplasty (TKA) in high-risk patients wou... |
1 | Pharmacoeconomic analysis of osteoporosis treatment with risedronate | HipFx Supplemental Cost Analysis | Hip fracture is an important and costly problem. Therapy with the bisphosphonate risedronate effectively prevents hip and other fractures among women with established osteoporosis. Risedronate is a first-choice therapy option in the German Guidelines of the Dachverband Osteologie for Osteoporosis according to evidence-... |
0 | Mud-Bath Therapy in Addition to Usual Care in Bilateral Knee Osteoarthritis: An Economic Evaluation Alongside a Randomized Controlled Trial | AAHKS (4) Acetaminophen | Objective: To perform a cost-effectiveness analysis of mud-bath therapy (MBT) in addition to usual treatment compared to usual treatment alone in patients with bilateral knee osteoarthritis (OA). Methods: An economic evaluation alongside a randomized controlled trial was conducted. Patients were randomly assigned to re... |
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