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0 | Neuropathy, myopathy and destructive arthropathy in primary hypothyroidism | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A 75-year-old woman with untreated primary hypothyroidism was found with peripheral neuropathy (including carpal tunnel syndrome), severe myopathy (high levels of creatine phosphokinase) and destructive arthropathy, affecting fingers, toes and the left knee. Radiographs of her knee showed destructive lesions of the tib... |
0 | Low serum 25 hydroxyvitamin D is associated with poor clinicopathologic characteristics in female patients with papillary thyroid cancer | MSTS 2018 - Femur Mets and MM | BACKGROUND: Vitamin D has recently attracted attention because reduced levels are associated with the prevalence and aggressiveness of several cancers. This study aimed to evaluate the relationship between preoperative serum 25 hydroxyvitamin D (25(OH) vitamin D) levels and clinicopathologic characteristics in female p... |
0 | Endocannabinoids and acute pain after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis (OA) of the knee is a progressive disease that is associated with inflammation of the joints and lower extremity pain. Total knee arthroplasty (TKA) is a surgical procedure that aims to reduce pain and restore motor function in patients suffering from OA. The immediate postoperative period can be intense... |
0 | Late repair of abductor avulsion after the transgluteal approach for hip arthroplasty | PJI DX Updated Search | The abductor release sometimes does not heal after a transgluteal approach for hip arthroplasty. Factors influencing the success of subsequent repair are unclear. We used magnetic resonance imaging (MRI) to compare the condition of the gluteus medius with clinical outcome after late repair of abductor dehiscence in 12 ... |
0 | Management of multiple myeloma in asia: Resource-stratified guidelines | MSTS 2018 - Femur Mets and MM | Treatment of multiple myeloma has undergone substantial developments in the past 10 years. The introduction of novel drugs has changed the treatment of the disease and substantially improved survival outcomes. Clinical practice guidelines based on evidence have been developed to provide recommendations on standard trea... |
0 | Staged reconstructin for malunited fractures of the distal radius | Distal Radius Fractures | This prospective study assessed the outcomes of 26 symptomatic malunited distal radial fractures which were treated with an opening wedge corrective osteotomy and bone grafting with rigid fixation. An ulnar shortening osteotomy was subsequently required as a second-stage operation in five cases to restore normal ulnar ... |
1 | Biomarkers of bone remodeling in multiple myeloma patients to tailor bisphosphonate therapy | MSTS 2018 - Femur Mets and MM | BACKGROUND: Patients with multiple myeloma may be susceptible to osteonecrosis of the jaw (ONJ) and stress fractures due to long-term aminobisphosphonate (aBP) therapy. However, it is unknown whether urinary N-telopeptide (NTX) or other bone biomarkers are predictive of skeletal-related events (SRE) or the impact of ce... |
0 | Periprosthetic fractures of the tibia associated with total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | One hundred two periprosthetic tibial fractures associated with total knee arthroplasty were identified in 29 men and 73 women. Eighty-three fractures occurred postoperatively, and 19 occurred intraoperatively. Fractures were classified into four types based on location and proximity to the prosthesis. There were 61 Ty... |
0 | Diagnostics of hand-arm system disorders in workers who use vibrating tools | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A hand-arm vibration syndrome occurs in some workers who use hand held vibrating tools. It is recognised to consist of white fingers, diffusely distributed finger neuropathy, pain in the arm and hand, and a small excess risk of osteoarthrosis from percussion to the wrist and elbow. Carpal tunnel syndrome is mainly due ... |
1 | COVID-19. An update for orthopedic surgeons | Coronavirus Disease 2019 (COVID-19) | The COVID-19 pandemic has affected our world in a short period of time, and the orthopedic surgery practice was not an exclusion. Elective care was deferred in most health care facilities and emergency care was continued with strict precautions. With rapid progression of the pandemic, the response of the medical commun... |
0 | What are the rates and causes of hospital readmission after total knee arthroplasty? | PJI DX Updated Search | BACKGROUND: Total knee arthroplasty (TKA) and related interventions such as revision TKA and the treatment of infected TKAs are commonly performed procedures. Hospital readmission rates are used to measure hospital performance, but risk factors (both medical and surgical) for readmission after TKA, revision TKA, and tr... |
0 | Cushing's disease: a comparison of pituitary corticotroph microadenomas and macroadenomas | Upper Eyelid and Brow Surgery | Cushing's disease appears as a functionally heterogeneous disease, but criteria that are able to distinguish between different clinical forms remain elusive. We compared two subgroups of patients with proven Cushing's disease according to the size of the pituitary adenoma, evaluated by computed tomography or magnetic r... |
0 | Giant cell tumor of distal radius treated with ulnar translocation and wrist arthrodesis: What are the functional outcomes? | Distal Radius Fractures | Introduction: The aim is to analyze the functional outcomes of patients of giant cell tumor (GCT) of distal radius treated with ulnar translocation and wrist arthrodesis. Methods: Study included 25 patients of aggressive GCT of distal radius, resected and reconstructed using ulnar translocation and wrist arthrodesis. T... |
0 | Sonication of antibiotic spacers predicts failure during two-stage revision for prosthetic knee and hip infections | PJI DX Updated Search | BACKGROUND: Periprosthetic joint infection is a leading cause of failure after two-stage reimplantation. One cause of relapse may be persistent subclinical infection. Difficulty exists in detecting biofilm-forming infections. Sonication disrupts biofilm and has led to higher rates of positive intraoperative cultures. Q... |
0 | The correction of knee alignment in 225 consecutive total condylar knee replacements | Surgical Management of Osteoarthritis of the Knee CPG | Two hundred twenty-five consecutive total knee replacements were reviewed radiographically to determine final alignment of the leg and accuracy of component placement. Of the 126 knees that were in varus preoperatively, only one knee was found to be in varus after knee replacement. Eighty-nine percent of the knees were... |
1 | The effects of cryotherapy on pain and function in individuals with knee osteoarthritis: a systematic review of randomized controlled trials | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate the effectiveness of cryotherapy on pain and physical function in knee osteoarthritis. DATA SOURCES: An electronic search was performed up to February 2019 on PubMed/MEDLINE, EMBASE, CINAHL, Lilacs, Cochrane, Web of Science, Ibecs, and Scielo databases with keywords knee osteoarthritis and cry... |
1 | Is there still a role for knee arthrography? | AMP (Acute Meniscal Pathology) | To assess the continued value of arthrograms in the wake of arthroscopic diagnosis, an analysis of arthrographic data on 240 knees was carried out. The accuracy, sensitivity, and specificity of the arthograms were compared with the arthroscopic findings for each knee. For meniscal lesions, the arthrogram is reasonably ... |
0 | The volar extension of the lunate facet of the distal radius: a quantitative anatomic study | Distal Radius Fractures | PURPOSE: To describe quantitatively the protrusion of the volar part of the lunate facet of the distal radius articular surface anterior to the volar metaphyseal cortex, which is susceptible to fracture and can be difficult to control with plates and screws alone.
METHODS: Quantitative anatomic measurements of 48 3-dim... |
1 | Percutaneous carpal tunnel release compared with mini-open release using ultrasonographic guidance for both techniques | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To compare the outcomes of percutaneous carpal tunnel release (PCTR) and mini-open carpal tunnel release (mini-OCTR) using ultrasonographic guidance for both techniques. METHODS: We included 74 hands of 65 women with idiopathic carpal tunnel syndrome (age, 52-71 y; mean, 58 y). Thirty-five hands of 29 women ha... |
0 | Subtrochanteric/femoral shaft versus hip fractures: Incidences and identification of risk factors | Management of Hip Fractures in the Elderly | Subtrochanteric and femoral shaft (ST/FS) fractures are now considered to be fragility fractures in osteoporotic patients. Although rare, there is growing evidence of the burden that they constitute. Little is known about the change over time in incidence of ST/FS fractures. We assessed the incidence of ST/FS fractures... |
0 | Scar Assessment After Breast Augmentation Surgery with Axillary Incision versus Inframammary Fold Incision: Long-Term Follow-Up in Chinese Patients | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The inframammary fold (IMF) incision is widely used in Western countries for breast augmentation surgery, whereas the axillary incision is the dominant approach used in China, because many Chinese surgeons believe that the Asian population has a higher risk of developing hypertrophic scars. However, compara... |
0 | The UniSpacer Knee System: Have we been there before? | AAHKS (2) Corticosteroids | Tibial hemiarthroplasty using the UniSpacer Knee System is a viable treatment alternative for knee osteoarthritis of the medial compartment. Improvements in patient selection, surgical technique, and rehabilitation continue to improve results. In contrast to alternative procedures, implantation of the UniSpacer Knee Sy... |
0 | Management of knee deformities in children with arthrogryposis | Pediatric Supracondylar Humerus Fracture 2020 Review | Arthrogryposis includes heterogeneous disorders, characterized by congenital contractures of multiple joints. Knee involvement is very common (38-90Â % of patients with amyoplasia) ranging from soft-tissue contractures (in flexion or hyperextension) to subluxation and dislocation. Flexion contractures are more common a... |
0 | Tai Chi as a treatment for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Several studies have reported that Tai Chi reduces joint pain and improves physical function in people with knee osteoarthritis; however, the available clinical trials are generally small and further robust studies are needed. |
0 | Role of pectoralis major myocutanuos flap in salvage laryngeal surgery for prophylaxis of pharyngocutaneuos fistula and reconstruction of skin defect | Reconstruction After Skin Cancer | AIM OF WORK: This study was carried out to minimize the incidence of pharyngocutaneous fistula (PCF) following salvage laryngeal surgery using vascularized pedicle pectoralis major myocutaneous flap (PMMC) for enhancing wound healing, rapid intake of oral feeding, reconstruction of desqauamated irradiated skin, achievi... |
0 | Pulsed estrogen therapy in prevention of postmenopausal osteoporosis. A 2-year randomized, double blind, placebo-controlled study | Management of Hip Fractures in the Elderly | The aim of this study was to evaluate the efficacy of pulsed estrogen therapy (intranasal 17beta-estradiol) in the prevention of postmenopausal bone loss. A total of 386 women (40-65 years old), less than 5 years past menopause, were randomized to intranasal placebo, 17beta-estradiol 150 micro g, or 300 micro g daily f... |
1 | Comparative analysis of risk factors for pathological fracture with femoral metastases: Results based on a randomised trial of radiotherapy | MSTS 2018 - Femur Mets and MM | A number of risk factors based upon mostly retrospective surgical data, have been formulated in order to identify impending pathological fractures of the femur from low-risk metastases. We have followed up patients taking part in a randomised trial of radiotherapy, prospectively, in order to determine if these factors ... |
1 | Comparison of gastrointestinal safety and tolerability of aceclofenac with diclofenac: a multicenter, randomized, double-blind study in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare the gastrointestinal (GI) tolerability and efficacy of aceclofenac with diclofenac in patients with knee osteoarthritis (OA).
METHODS: In this randomized, double-blind, double-dummy, multicentric, comparative study, post 7 day placebo washout, patients were randomly allocated to receive either ace... |
0 | Ilizarov Distraction Before Revision Hip Arthroplasty After Resection Arthroplasty With Profound Limb Shortening | PJI DX Updated Search | We report the results of Ilizarov gradual distraction to regain 6.7 cm of leg length in a severely contracted hip 11 months after a resection arthroplasty. Restoration of leg length allowed revision hip arthroplasty. At 24 months after the revision arthroplasty, the patient is ambulating independently and pain free. Th... |
0 | A case of spontaneous femoral neck fracture associated with multicentric reticulohistiocytosis: oversecretion of interleukin-1beta, interleukin-6, and tumor necrosis factor alpha by affected synovial cells | Management of Hip Fractures in the Elderly | We describe a case of left femoral neck fracture associated with multicentric reticulohistiocytosis (MR). Biopsy specimens from a skin nodule and from synovial tissue showed histiocytic multinucleated giant cells (MR cells) that are characteristic of MR. A surgical specimen from the resected femoral head revealed that ... |
0 | Bisphosphonates, osteonecrosis of the jaw, and dental treatment recommendations | MSTS 2018 - Femur Mets and MM | Millions of patients in the United States take bisphosphonates for management of malignant bone metastases, osteoporosis, osteitis deformans (Paget's disease), and osteogenesis imperfecta. Since 2003, over 200 cases of osteonecrosis of the jaws have been described, mostly in patients with multiple myeloma or breast can... |
0 | Intermediate- to long-term results after hybrid total hip arthroplasty in patients with rheumatoid arthritis | PJI DX Updated Search | There have been few reports describing intermediate- to long-term results after hybrid total hip arthroplasty in patients with rheumatoid arthritis. We followed up 52 hips in 44 patients aged 5 men and 39 women, with a mean of 11.5 years (range, 5-23.5 years). Revisions had been performed in 6 hips in 6 patients: 1 bot... |
0 | The effect of intra-articular hyaluronic acid (Sinovial® One) on knee osteoarthritis: A preliminary study | OAK 3 - Non-arthroplasty tx of OAK | Intra-articular injections of hyaluronic acid are a valid treatment option for patients with osteoarthritis. Differences in purity, origin, and molecular weight may influence the efficacy and safety of hyaluronic acid products, therefore, we evaluated the safety, efficacy, and duration of improvements following a singl... |
0 | Outcome of management of patients with trauma to limbs presenting to general surgeon in Allama Iqbal Memorial Teaching Hospital, Sialkot | Distal Radius Fractures | Aim: To study the nature of injuries and outcome of management of the patients with trauma to limbs presenting to general surgeon in Emergency department at Allama Iqbal Memorial Teaching Hospital, Sialkot. Study Design: Prospective study. Place & duration of study: Department of General Surgery, Khawaja Muhammad Safda... |
0 | Mosaicplasty for the treatment of osteochondritis dissecans of the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The authors describe a new one step operative technique for the treatment of the osteochondral defects due to OCD of the knee. Between 6th February 1992 and 31st January 1998 76 patients have been treated for osteochondral defects due to osteochondritis dissecans. The authors evaluated their procedure in 61 patients op... |
0 | Osteocyte death and hip fracture | Management of Hip Fractures in the Elderly | The viability of osteocytes can be demonstrated in sawn decalcified sections of bone by their lactate dehydrogenase activity. In the cancellous bone of the femoral head, the proportion of lacunae containing viable osteocytes decreased from 88 +/- 7% (mean +/- SD) at 10-29 years to 58 +/- 12% (P < 0.001) by 70-89 years.... |
0 | Group trauma-focused cognitive-behavioural therapy with former child soldiers and other war-affected boys in the DR Congo: a randomised controlled trial | DoD PRF (Psychosocial RF) | BACKGROUND: The Democratic Republic of Congo (DRC) has been home to the world's deadliest conflict since World War II and is reported to have the largest number of child soldiers in the world. Despite evidence of the debilitating impact of war, no groupâ?based mental health or psychosocial intervention has been evalua... |
0 | Results of ankle arthrodesis for treatment of supramalleolar nonunion and ankle arthrosis | DoD LSA (Limb Salvage vs Amputation) | Seven patients with supramalleolar nonunions after tibial plafond fractures underwent ankle arthrodesis combined with surgical treatment of the nonunion. Stabilization of the nonunion and the ankle consisted of medial and lateral plating for two hypertrophic cases and medial external fixation for five atrophic cases. T... |
0 | A very late infection of an abdominal mesh following a pedicled TRAM flap harvest | Acellular Dermal Matrix | Pedicled transverse rectus abdominis myocutaneous (TRAM) flap is still a common procedure for breast reconstruction. To lessen the incidence of abdominal-wall abnormalities, the donor-site defect in the transverse rectus abdominis muscle is generally repaired with a prosthetic mesh. This carries the well-known risks of... |
0 | Drug release and bone growth studies of antimicrobial peptide-loaded calcium phosphate coating on titanium | PJI DX Updated Search | Preventing infection is one of the major challenges in total hip and joint arthroplasty. The main concerns of local drug delivery as a solution have been the evolution of antibiotic-resistant bacteria and the potential inhibition of osseointegration caused by the delivery systems. This work investigated the in vitro dr... |
1 | Efficacy and safety of hylan G-F 20 injection in treatment of knee osteoarthritis in Chinese patients: results of a prospective, multicentre, longitudinal study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To study the efficacy and safety of single intra-articular injection of 6-mL hylan G-F 20 in Chinese patients with symptomatic knee osteoarthritis.
DESIGN: Prospective case series.
SETTING: Six government hospitals in Hong Kong.
PATIENTS: Patients with primary knee osteoarthritis were recruited from six gove... |
0 | Do progressive tension sutures really decrease complications in abdominoplasty? | Panniculectomy & Abdominoplasty CPG | The purpose of this study is to evaluate the efficacy of progressive tension sutures (PTS) in preventing or reducing seroma formation and local wound complications in patients undergoing abdominoplasty. Forty-nine patients who underwent abdominoplasty procedures with the use of PTS were retrospectively compared with a ... |
1 | Treatment of carpal tunnel syndrome with polarized polychromatic noncoherent light (Bioptron light): a preliminary, prospective, open clinical trial | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Our aim was to assess the efficacy of polarized polychromatic noncoherent light (Bioptron light) in the treatment of idiopathic carpal tunnel syndrome. BACKGROUND: Carpal tunnel syndrome is the most common compression neuropathy, but no satisfactory conservative treatment is available at present. METHOD: An ... |
0 | Trauma type, age, and gender as determinants of hip fracture | Management of Hip Fractures in the Elderly | We determined the trauma type of femoral neck and trochanteric fractures in men and women aged greater than or equal to 20 years in 19, 128 fractures reported to a computerized medical information register during 1972-1981. We found that the earlier known exponential increase of fracture incidence by age started in ear... |
0 | Neuroleptic malignant syndrome induced by droperidol | Management of Hip Fractures in the Elderly | A case of droperidol-induced neuroleptic malignant syndrome during anaesthesia is presented. An 86-year-old man underwent spinal anaesthesia for open reduction and internal fixation of a trochanteric hip fracture. He received droperidol 5 mg intravenously for sedation towards the end of surgery. He subsequently became ... |
0 | Tibial shaft fractures treated with the AO unreamed tibial nail | DOD - Acute Comp Syndrome CPG | Background. The AO unreamed tibial nail (UTN) has been used for both open and closed tibial fractures. The reported results have been mixed. We evaluated its outcome in our unit. Aim. To assess the outcome of tibial shaft fractures treated with the AO UTN. Methods. Forty-eight patients underwent intramedullary nailing ... |
1 | Does total hip arthroplasty provide better outcomes than hemiarthroplasty for the femoral neck fracture? A systematic review and meta-analysis | Hip Fx in the Elderly 2019 | PURPOSE: By comparing the outcomes of total hip arthroplasty with hemiarthroplasty in elderly patients with a femoral neck fracture to investigate the one-year mortality, dislocation, infection, reoperation rate, and thromboembolic event.
METHODS: The PubMed, EMBASE databases, and Cochrane library were systematically s... |
0 | Aetiology of work-related carpal tunnel syndrome: the role of lumbrical muscles and tool size on carpal tunnel pressures | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A cadaveric study was undertaken to investigate the effect of tool size and lumbrical muscle incursion on carpal tunnel pressure during active grip. Active grip was simulated by securing the specimens on an apparatus and loading each of the eight finger flexor tendons with 1 kg each. Carpal tunnel pressures were measur... |
0 | Six-year prospective evaluation of second-look US with volume navigation for MRI-detected additional breast lesions | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: The aim of this study is to present a 6-year prospective evaluation of second-look ultrasound (US) using volume navigation (V Nav) for MRI-detected additional breast lesions. METHODS: After IRB approvals in both institutions, 1930 consecutive prone MRI breast examinations in 1437 patients were prospectively ... |
0 | Phase II study of zoledronic acid combined with docetaxel for non-small-cell lung cancer: West Japan Oncology Group | MSTS 2018 - Femur Mets and MM | The aim of this open-label, multicenter, randomized phase II trial was to evaluate the efficacy and safety of zoledronic acid in combination with docetaxel in previously treated patients with non-small-cell lung cancer (NSCLC) and bone metastases. In this study, patients randomly received docetaxel (60 mg/m2) with (gro... |
1 | Accuracy of intraoperative cultures in primary total hip arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of this investigation was to assess the diagnostic accuracy of intraoperative cultures for the early identification of patients who are at risk of infection after primary total hip arthroplasty.Four or six swabs were obtained immediately before the wound closure in 263 primary total hip replacements. Patients w... |
1 | Estimating the excess costs for patients with incident fractures, prevalent fractures, and nonfracture osteoporosis | HipFx Supplemental Cost Analysis | SUMMARY: Based on a population age 50+, significant excess costs relative to matched controls exist for patients with incident fractures that are similar in relative magnitude to other chronic diseases such as stroke or heart disease. Prevalent fractures also have significant excess costs that are similar in relative m... |
1 | Oral rifampin plus ofloxacin for treatment of Staphylococcus-infected orthopedic implants | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We examined the effectiveness and safety of the combination of rifampin plus ofloxacin given orally for treating prosthetic orthopedic implants infected with staphylococci. The prospective cohort study was conducted in a referral public hospital with ambulatory care services between 1985 and 1991. Consecutive patients ... |
0 | Analysis of wounds incurred by U.S. Army Seventh Corps personnel treated in Corps hospitals during Operation Desert Storm, February 20 to March 10, 1991 | DoD LSA (Limb Salvage vs Amputation) | One hundred and forty-three soldiers who received ballistic injury were actively treated at U.S. Army Seventh Corps hospitals during Operation Desert Storm. Ninety-five percent were wounded by fragments, 5% by bullets. Many had wounds of several body parts, including 17.3% who received a head wound; 4.3% a neck wound; ... |
0 | A Comparison of Risk Factors for Intimate Partner Violence-Related Injury Across Two National Surveys on Violence Against Women | DoD PRF (Psychosocial RF) | This study compares risk factors for intimate partner violence-related injury across two national data sources on violence against women, the Canadian Violence Against Women Survey and the National Violence Against Women Survey in the United States. After equating the data sets as much as possible on the types of viole... |
0 | Surgical management of clinoidal meningiomas | Upper Eyelid and Brow Surgery | OBJECTIVE: Surgical outcome has been less than desirable in the management of patients with clinoidal meningiomas in the past, and little attention has been directed at improving their visual function. The purpose of this article is to advocate an available cranial base technique for removing these difficult tumors and... |
1 | A systematic review of outcomes of abdominoplasty | Panniculectomy & Abdominoplasty CPG | Abdominoplasty is a well-established operation to remove abdominal tissue excess. The patients' benefits and risks of this surgical treatment are, however, incompletely studied. The aim of this study was to evaluate the quality of evidence of benefits and risks for patients having abdominoplasty from massive weight los... |
0 | Rheumatoid synovectomy: does the surgical approach matter? | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Surgical synovectomy relieves pain in patients with rheumatoid arthritis (RA). The comparative effect of arthroscopic versus open synovectomy on pain reduction, recurrence of synovitis, radiographic progression, and need for subsequent total joint arthroplasty (TJA) is unclear. Whether synovectomy relieves ... |
0 | Comparison of hemodynamic changes between old and very old patients undergoing cemented bipolar hemiarthroplasty under spinal anesthesia | AAHKS (8) Anesthetic Infiltration | Background: The old age population, including the very old aged (â?¥ 85 years), is rapidly increasing, and femur neck fracture from accidents is commonly seen in the elderly. Use of bone cement during bipolar hemiarthroplasty can cause bone cement implantation syndrome. Methods: This study was prospectively conducted o... |
0 | The non-genetic determinants of central adiposity | AAHKS (2) Corticosteroids | Central adiposity carries an increased risk of non-insulin dependent diabetes mellitus (NIDDM), cardiac disease, hypertension and death, and is closely related to insulin resistance. Genetic factors explain a large proportion of the population variance in central adiposity, although the genotypic characteristics remain... |
0 | A practical approach to compartmental syndrome. Part III. Management | DOD - Acute Comp Syndrome CPG | Early diagnosis and appropriate treatment of an established compartment syndrome usually results in a functional extremity for the patient. In my experience, the commonest causes for failure of a fasciotomy are (1) delay in initiation of the operative procedure and (2) an incomplete fasciotomy. Thorough knowledge of th... |
0 | Coordination stability between the legs is reduced after anterior cruciate ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | Background: The study was designed to examine coordination differences in walking between individuals with an anterior cruciate ligament reconstruction compared with healthy matched controls. Predictions from the extended Haken, Kelso, and Bunz coupled oscillator model were tested in these populations. Methods: Sevente... |
0 | Long-term results after conventional total meniscectomy: a point of reference | AMP (Acute Meniscal Pathology) | We have reviewed 167 conventional total meniscectomies with the aim of analyzing the long-term results. One hundred and twenty-five patients came to the hospital for personal view, and the Lysholm test was applied in each case. There was a 14.4% diagnostic error that caused us to remove the meniscus without demonstrabl... |
1 | Impact of postdischarge surveillance on the rate of surgical site infection after orthopedic surgery | DoD SSI (Surgical Site Infections) | OBJECTIVE: To evaluate the impact of postdischarge surveillance on surgical site infection (SSI) rates after orthopedic surgery.
SETTING: Nine hospitals participating in the Finnish Hospital Infection Program.
PATIENTS: All patients who underwent hip or knee arthroplasty or open reduction of a femur fracture during 199... |
0 | Tai chi chuan exercises improve functional outcomes and quality of life in patients with primary total knee arthroplasty due to knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND PURPOSE: Postoperative rehabilitation plays an indispensable role for a successful total knee arthroplasty (TKA) and the optimal exercises programs are not known. A single-centre, single-blind, randomised controlled trial was designed to explore whether tai chi chuan (TCC) exercises can improve the funct... |
0 | Factors affecting the incidence of infection in hip and knee replacement: an analysis of 5277 cases | PJI DX Updated Search | Infection remains a significant and common complication after joint replacement and there is debate about which contributing factors are important. Few studies have investigated the effect of the operating time on infection. We collected data prospectively from 5277 hip and knee replacements which included the type of ... |
0 | Muscle contributions to knee extension in the early stance phase in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to analyze individual muscle contributions to knee angular acceleration using a musculoskeletal simulation analysis and evaluate knee extension mechanics in the early stance phase in patients with knee osteoarthritis (OA). The subjects comprised 15 patients with medial knee OA and 14 healthy e... |
1 | Efficacy and safety of low-dose SoluMatrix meloxicam in the treatment of osteoarthritis pain: a 12-week, phase 3 study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as meloxicam are commonly used to treat osteoarthritis (OA) but are associated with potentially serious dose-related adverse events (AEs). SoluMatrix meloxicam has been developed with the goal of enabling effective treatment at low doses. This phase 3 study ... |
1 | Comparison of patient satisfaction after unilateral or simultaneous bilateral total hip arthroplasty through a direct anterior approach: Evaluation using the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire | Hip Fx in the Elderly 2019 | BACKGROUND: The aim of this study was to compare patients' perception of treatment outcome after unilateral or simultaneous total hip arthroplasty (THA) using the newly developed Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ).
METHODS: This study included 429 patients treated with primary ... |
0 | Ultrasonography of inflamed joints in patients with rheumatoid arthritis; comparison with histopathological analysis | Surgical Management of Osteoarthritis of the Knee CPG | Background Ultrasonography enables to assess the progression of inflammatory joint in patients with rheumatoid arthritis (RA) and the grey-scale and Doppler mode has become an established method for the diagnosis and measurement of response to treatment as part of the follow-up of RA patients. It is quite useful to inv... |
0 | The relationship of VEGF and PGE2 expression to extracellular matrix remodelling of the tenosynovium in the carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Tenosynovial thickening within the confined space of the carpal tunnel is thought to be the cause of the carpal tunnel syndrome (CTS). However, little is known about the pathological mechanism of tenosynovial thickening. In this study, the role of prostaglandin E(2) (PGE(2)) and vascular endothelial growth factor (VEGF... |
1 | A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma | AMP (Acute Meniscal Pathology) | OBJECTIVE: The present study aimed to investigate the effectiveness and safety of platelet-rich plasma (PRP) application in arthroscopic repair of complete vertical tear of meniscus located in the red-white zone.
METHODS: This single center, prospective, randomized, double-blind, placebo-controlled, parallel-arm study ... |
0 | Discoid lateral meniscus: evaluation and treatment | AMP (Acute Meniscal Pathology) | Although the etiology of the discoid lateral meniscus (DLM) has been the subject of debate, the entity is now believed to result from abnormal development secondary to a deficiency in normal attachments. In children younger than 10 years, snapping knee syndrome is pathognomonic for an unstable DLM. In adolescents, clin... |
0 | Correlation between iatrogenic ulnar nerve injury and angular insertion of the medial pin in supracondylar humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The aim of this study was to assess the correlation between the occurrence of iatrogenic ulnar nerve injury and frontal and saggital angular insertion of the medial pin in type 3 pediatric supracondylar humerus fractures treated by closed reduction and percutaneous fixation using a cross-pin configuration. Radiographs ... |
0 | Femoral head vitality in femoral neck fracture after hook-pin internal fixation | Management of Hip Fractures in the Elderly | Femoral head vitality was evaluated by tetracycline labeling and 99mTc-MDP scintimetry in 317 femoral neck fractures before and after internal fixation with two hook-pins. The preoperative vitality was about the same as that observed by others using comparable methods. The postoperative vitality was reduced in five of ... |
0 | Management of gynecomastia due to use of anabolic steroids in bodybuilders | Panniculectomy & Abdominoplasty CPG | Use of anabolic steroids is one of many possible causes for gynecomastia. Optimal surgical treatment for this entity involves a combination of liposuction and direct excision. A series of 20 patients treated for anabolic steroid-induced gynecomastia presented. Postoperative complications included two hematomas, one ser... |
1 | The effect of intra-articular hyaluronate and tramadol injection on patients with adhesive capsulitis of the shoulder | Trial Systematic Review Project | BACKGROUND: Local administration of opioids causes effective analgesia without adverse effects related to the central nervous system. After the beneficial demonstration of peripheral opioid receptors in joint synovia, intra-articular opioid injections were used for pain treatment. Clinical studies have reported the saf... |
1 | Is progressive early digit mobilization intervention beneficial for patients with external fixation of distal radius fracture? A pilot randomized controlled trial | Distal Radius Fractures | OBJECTIVE: To investigate whether progressive early digit mobilization resulted in better outcomes for hand stiffness and related functional results, as well as the effects on the bone healing process.
DESIGN: Prospective, pilot randomized controlled trial.
SETTING: A university hospital in southern Taiwan.
PARTICIPANT... |
0 | "Created" patella in total knee arthroplasty (TKA) after prior patellectomy | Surgical Management of Osteoarthritis of the Knee CPG | Currently, total knee arthroplasty (TKA) is one of the most successful orthopaedic surgeries. However, the results are inferior in patients with previous patellectomy because of anteroposterior instability, residual pain, and loss of the mechanical advantage of the patella. The moment arm of the quadriceps can be resto... |
0 | Deep fascia of the foot. Anatomical and clinical considerations | DoD - ACS - Interrater Reliability | The deep fascia of the foot lies beneath the subcutaneous tissue and surrounds the intrinsic foot muscles. Depending on its location, the composition of the deep fascia varies. In some areas it is thin, while in other areas it is greatly thickened to form retinacula and the plantar aponeurosis. Selected clinical consid... |
0 | Post-acute pathways among hip fracture patients: a system-level analysis | Hip Fx in the Elderly 2019 | BACKGROUND: Hip fractures among older adults are one of the leading causes of hospitalization and result in significant morbidity, mortality, and health care use. Guidelines suggest that rehabilitation after surgery is imperative to return patients to pre-morbid function. However, post-acute care (which encompasses reh... |
0 | Cement augmentation of the proximal femoral nail antirotation for the treatment of osteoporotic pertrochanteric fractures--a biomechanical cadaver study | PJI DX Updated Search | INTRODUCTION: Proximal femoral fractures will gain increasing importance in the future due to the epidemiological development. Osteoporosis is often a limiting factor in the achievement of implant stability. New nailing systems offer the possibility of augmentation of the femoral neck component with cement. The aim of ... |
1 | Medication-related osteonecrosis of the jaw in oncological patients with skeletal metastases: conservative treatment is effective up to stage 2 | MSTS 2018 - Femur Mets and MM | There is currently no widespread strategy for treating medication-related osteonecrosis of the jaw (MRONJ), so our aim was to evaluate retrospectively the outcome of a minimally invasive treatment protocol for patients with both MRONJ and cancer. We designed a retrospective cohort study of patients with cancer who had ... |
0 | Factors for Blood Transfusions Following Hemi Hip Arthroplasty for Patients With Femoral Neck Fracture | DoD SSI (Surgical Site Infections) | Background: Hemi hip arthroplasty is one treatment option for femoral neck fractures; however, there has been limited evidence on factors associated with blood transfusions following hemi hip arthroplasty. Hence, the aim of this study was to identify the predictors of blood transfusion after hemi hip arthroplasty, whic... |
0 | Age and ACL reconstruction revisited | Surgical Management of Osteoarthritis of the Knee CPG | To determine the age limitations for indicating ACL reconstructions in patients with functional instability, this article reviews the results of anterior cruciate ligament (ACL) reconstructions in 23 patients with an average age of 54 years (range: 49-64 years). Patients were evaluated with the Lysholm and Gillquist kn... |
0 | Imaging of Anatomical Variants Around the Knee | AMP (Acute Meniscal Pathology) | Several anatomical variants have been described in the knee. These variants may involve intra- and extra-articular structures, such as menisci, ligaments, plicae, bony structures, muscles, and tendons. They have a variable prevalence, are generally asymptomatic, and are usually discovered incidentally in knee magnetic ... |
0 | Knowledge of General Dentists and Senior Dental Students in Iran about Prevention of Infective Endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infective endocarditis (IE) is an infection of the endothelial surface of the heart and heart valves with serious, even fatal, complications and that often requires long-term and expensive treatment. Dental procedures may lead to IE in high-risk patients. The aim of this study was to evaluate and compare the knowledge ... |
0 | Tibial lengthening using a retrograde magnetically driven intramedullary lengthening device in 10 patients with preexisting ankle and hindfoot fusion | Pediatric Supracondylar Humerus Fracture 2020 Review | Background and purpose - Motorized intramedullary lengthening nails (ILNs) have been developed as an alternative to external fixators for long bone lengthening. The antegrade approach represents the standard method for tibial ILN insertion. In patients with preexisting ankle and hindfoot fusion a retrograde approach pr... |
0 | Simulating activities of daily living with finite element analysis improves fracture prediction for patients with metastatic femoral lesions | MSTS 2018 - Femur Mets and MM | Predicting fracture risk for patients with metastatic femoral lesions remains an important clinical problem. Mirels' criterion remains the most formalized radiographic scoring system with good sensitivity (correctly identifying clinical fractures) but relatively poor specificity (correctly identify cases that do not fr... |
0 | Rheumatoid arthritis: preoperative evaluation for total hip and total knee replacement surgery | Surgical Management of Osteoarthritis of the Knee CPG | The role of total joint replacement surgery remains significant in the contemporary management of patients with rheumatoid arthritis (RA), despite the impact of potent biologic and synthetic disease-modifying drugs. Patients with RA have a systemic polyarticular disease, with extra-articular manifestations such as anem... |
0 | A newly developed bisphosphonate, YM529, is a potent apoptosis inducer of human myeloma cells | MSTS 2018 - Femur Mets and MM | We examined the effect of YM529, a newly developed third-generation bisphosphonate (BP), on the growth of human myeloma cell lines using the trypan blue dye exclusion test and Alamar blue assay. BPs induced inhibition of proliferation in all cell lines dose-dependently, and YM529 had a most potent growth inhibitory eff... |
0 | Unfavourable short-term outcomes of a poly-L/D-lactide scaffold for thumb trapeziometacarpal arthroplasty | Glenohumeral Joint OA | The bioabsorbable poly-L-D-lactide joint scaffold arthroplasty is a recent attempt in the reconstruction of small joints in rheumatoid patients. In this study, we analysed the 1-year clinical, functional and radiologic results of partial trapeziectomy with the poly-L-D-lactide (96/4) joint scaffold in 23 patients with ... |
0 | Total knee arthroplasty in Asian subjects: preoperative range of motion determines postoperative range of motion? | Surgical Management of Osteoarthritis of the Knee CPG | To evaluate whether preoperative range of motion is a key determinant of postoperative range of motion in Asian patients undergoing conventional total knee arthroplasty. A retrospective review of 302 patients who underwent primary total knee arthroplasty performed by a single surgeon was conducted. Patients who had a f... |
0 | Total knee arthroplasty in the management of proximal tibial stress fractures | Surgical Management of Osteoarthritis of the Knee CPG | Five patients with stress fractures of the proximal tibia adjacent to an arthritic knee joint were treated by resurfacing arthroplasty with intramedullary fixation of the fracture. All five fractures healed and limb realignment was achieved. The literature concerning proximal tibial stress fractures in relation to the ... |
0 | Abnormal Skeletal Strength and Microarchitecture in Women With Celiac Disease | Distal Radius Fractures | CONTEXT: Osteoporosis is often a presenting sign of celiac disease (CD). Whether skeletal fragility in CD is associated with microarchitectural abnormalities is not known.
OBJECTIVE: The objective of the study was to evaluate microarchitecture and biomechanical properties of bone in CD.
DESIGN: This was a case-control ... |
0 | Reduction mammaplasty with a vertical bipedicle and transverse scar: a follow up | Reduction Mammoplasty for Female Breast Hypertrophy | A technique for reduction mammaplasty has been developed. The method has been used in 174 patients and the complications and final results have been analysed. If a transverse scar can be accepted the method gives an attractive, predictable shape, with very few complications and very little morbidity. |
0 | Effects of local anesthesia with bupivacaine plus epinephrine on blepharoptosis and levator palpebrae muscle function | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the effect of local anesthesia with bupivacaine plus epinephrine on the extent of blepharoptosis and levator palpebrae muscle function. METHODS: : In this prospective interventional case series, patients with blepharoptosis who were candidates for aponeurotic surgery were included. After initial pr... |
1 | Comparing the analgesia effects of single-injection and continuous femoral nerve blocks with patient controlled analgesia after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We compared the analgesic effects of single-injection or continuous femoral nerve block (FNB) with intravenous patient controlled analgesia (PCA) opioids. Two hundred patients undergoing knee arthroplasty were randomized to one of the three regimens. Significant knee pain on movement at postoperative 24h was reduced wi... |
0 | The treatment of transtrochanteric fractures of the femur with a minimally invasive technique using an extramedullary implant MINUS System | Management of Hip Fractures in the Elderly | We report here the results of a retrospective study on 120 patients treated for transtrochanteric fractures of the femur using a minimally invasive technique with an extramedullary sliding pin as implant - which we denoted the MINUS System. The evaluation was carried out in in the postoperative period, and the levels o... |
0 | Arthroscopic surgery in children | AMP (Acute Meniscal Pathology) | Arthroscopic surgery for children and adolescents is developing fast, thanks to technical progress in adult arthroscopy, improved knowledge of child joint disorders, and instrument miniaturization. The specificity of arthroscopy in children lies, on the one hand, in the small joint size and, on the other, in the presen... |
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