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0 | Stereoscopic spot filming in arthrography | AMP (Acute Meniscal Pathology) | Stereoscopic spot filming has proven efficacious on selective occasions where overlying structures have hindered the diagnosis of meniscal tears. Arthrograms performed for the localization of loose bodies or bony or chondral defects benefit from stereoscopy so frequently that we use the technique as routine for these c... |
0 | Lifetime fracture risk: an approach to hip fracture risk assessment based on bone mineral density and age | Management of Hip Fractures in the Elderly | Hip fractures occur late in life following a substantial reduction in skeletal mass. If risk for such fractures could be predicted early, efforts to prevent excessive bone loss would be more successful and could be directed at the individuals most likely to be affected. With this objective in mind, we devised an approa... |
0 | Elbow interposition arthroplasty in children and adolescents: Long-term follow-up | Distal Radius Fractures | A long-term follow-up was made of 12 elbows operated upon between 1971 and 1986, with more than 20 years' follow-up, in nine males and three females, age at the time of surgery between 10 and 19 years . Eight right and four left elbows were involved, and there were three aetiological causes. Seven cases were sequelae o... |
0 | The relationship between physical and mental health variables in individuals with spinal cord injury from Latin America | DoD PRF (Psychosocial RF) | BACKGROUND: Previous research has examined the health-related quality of life (HRQOL) and mental health of persons with spinal cord injury (SCI), but the majority of the research has taken place in the United States, Western Europe, and other developed countries. Limited research has been conducted with persons with SC... |
0 | Diagnosis and referral of rheumatoid arthritis by primary care physician: Results of a pilot study on the city of Pisa, Italy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The aims of the present study were to evaluate, in the city of Pisa: (1) the prevalence of rheumatoid arthritis; (2) the reliability of the prevalence estimated by primary care physicians, using the rheumatologist's diagnosis as the "gold standard" and (3) the economic impact of the disease. The Tuscany registry of pri... |
0 | The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | The Knee injury and Osteoarthritis Outcome Score (KOOS) was developed as an extension of the WOMAC Osteoarthritis Index with the purpose of evaluating short-term and long-term symptoms and function in subjects with knee injury and osteoarthritis. The KOOS holds five separately scored subscales: Pain, other Symptoms, Fu... |
0 | Fixation of acetabular fractures. A novel method of pre-operative omega plate contouring | Surgical Management of Osteoarthritis of the Knee CPG | Purpose Of The Study The aim of the study was to describe a novel Omega plate and the procedure for obtaining an accurate pelvic inlet view, the mode of pre-operative plate contouring, the surgical procedure used and the evaluation of results in the first 15 patients treated using this method. Material And Methods In t... |
1 | Ultrasound screening for developmental dysplasia of the hip and its socioeconomic impact: Experience of tertiary care health level | Developmental Dysplasia of the Hip 2020 Review | Objective: The purpose of this study was to investigate the usefulness of screening ultrasound to detect developmental dysplasia of the hip in infants with risk factors and to assess its socioeconomic impact. Patients and methods: This is a retrospective study. In the duration of 30. months, all infants born at Hospita... |
0 | Cartilage Repair With Autologous Bone Marrow Mesenchymal Stem Cell Transplantation: Review of Preclinical and Clinical Studies | Osteochondritis Dissecans 2020 Review | Clinical trials of various procedures, including bone marrow stimulation, mosaicplasty, and autologous chondrocyte implantation, have been explored to treat articular cartilage defects. However, all of them have some demerits. We focused on autologous culture-expanded bone marrow mesenchymal stem cells (BMSC), which ca... |
1 | Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears | Optimizing the Management of Full-Thickness Rotator Cuff Tears | BACKGROUND: Treatment of irreparable rotator cuff tears remains controversial. Latissimus dorsi transfer to the greater tuberosity has been proposed for the treatment of irreparable tears associated with severe functional impairment and chronic, disabling pain. METHODS: Sixty-seven patients with sixty-nine irreparable,... |
1 | A Randomized, Multicenter, Phase III Trial to Evaluate the Efficacy and Safety of Polmacoxib Compared with Celecoxib and Placebo for Patients with Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background: The aim of this study was to evaluate the safety and analgesic efficacy of polmacoxib 2 mg versus placebo in a superiority comparison or versus celecoxib 200 mg in a noninferiority comparison in patients with osteoarthritis (OA).
Methods: This study was a 6-week, phase III, randomized, double-blind, and par... |
0 | The effect of storage time on adipose-derived stem cell recovery from human lipoaspirates | Panniculectomy & Abdominoplasty CPG | Multipotent adipose-derived stromal/stem cells (ASCs) can be isolated with high yield from human subcutaneous lipoaspirates. This study reports our experience isolating, expanding, differentiating and immunophenotypically characterizing ASCs over a period of 4 days after having surgically obtained the lipoaspirate samp... |
0 | A phase II study of docetaxel and carboplatin with concurrent radiation therapy for locally advanced head and neck cancer | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objective: In this study we evaluate the clinical response and safety profile of a regimen of docetaxel. +. carboplatin concurrent with radiotherapy (RT) in locally advanced squamous cell carcinoma of head and neck (HNSCC). Methods: Between January 2006 and December 2008, we enrolled 38 patients (stage IVA: 29 patients... |
0 | Optimizing Treatment Strategies in Myeloma Cast Nephropathy: Rationale for a Randomized Prospective Trial | MSTS 2018 - Femur Mets and MM | Renal failure is a frequent complication of multiple myeloma (MM) that strongly affects patient survival. Although a variety of renal diseases may be observed in MM, myeloma cast nephropathy (MCN), a tubulo-interstitial disorder related to precipitation of a monoclonal light chain (LC) within tubular distal lumens, is ... |
0 | Heart failure is a clinically and densitometrically independent risk factor for osteoporotic fractures: Population-based cohort study of 45,509 subjects | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective: The aim of the study was to determine whether heart failure is associated with an increased risk of major osteoporotic fractures that is independent of bone mineral density (BMD). Methods:Weconducted a population-based cohort study in Manitoba, Canada, by linking a clinical registry of all adults 50 yr ofage... |
0 | Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis | Hip Fx in the Elderly 2019 | There have been few reports on fixation of Rommens classification Type IIIA fragility fractures of the pelvis (FFPs). Here, we present our less invasive surgical technique, called iliac intramedullary stabilization (ILIS), for the internal fixation of Type IIIA FFPs. The technique involves a closed reduction, termed th... |
0 | Surgical Treatment Strategy for Distal Humerus Intra-articular Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Treating distal humerus fractures, especially those involving intra-articular lesions, is complex and often technically demanding. Although there still exist many controversial issues, the goal of treatment is to establish anatomical stable fixation by restoring the two columns and the articular surface. Universally, a... |
0 | Selective computed tomography-guided perisciatic injection as a diagnostic tool in multiple hereditary exostoses | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Multiple osteochondromas, also known as multiple hereditary exostoses, is an autosomal-dominant disease. Multiple osteochondromas are characterized by the development of cartilage-capped bony tumors, known as osteochondromas. Osteochondromas can cause limb deformities, limb-length discrepancies, angular deformations, b... |
0 | The carpal tunnel syndrome: About a Tunisian hospital series | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Carpal tunnel syndrome (CTS) is the most frequent ductal syndrome. Few epidemiological studies in Tunisia exist. Aim: To describe clinical, biological and electromyographic data of Tunisian patients with CTS Methods: A retrospective study including 80 patients with CTS, during the period going from 2009 to ... |
0 | Development of prognosis in palliative care study (PiPS) predictor models to improve prognostication in advanced cancer: Prospective cohort study | MSTS 2022 - Metastatic Disease of the Humerus | Objective: To develop a novel prognostic indicator for use in patients with advanced cancer that is significantly better than clinicians' estimates of survival. Design: Prospective multicentre observational cohort study. Setting: 18 palliative care services in the UK (including hospices, hospital support teams, and com... |
0 | Blunt traumatic diaphragmatic rupture Single-center experience with 38 patients | DoD SSI (Surgical Site Infections) | Blunt traumatic diaphragmatic rupture (BTDR) is uncommon, but is associated with high rates of morbidity and mortality. The purpose of this study was to present our experience with management of this injury. Medical records of 38 patients with BTDR who were treated in our hospital from January 2001 to June 2016 were an... |
0 | The association between immunodeficiency and the development of autoimmune disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | There is a paradoxical relationship between immunodeficiency diseases and autoimmunity. While not all individuals with immunodeficiency develop autoimmunity, nor are all individuals with autoimmunity immunodeficient, defects within certain components of the immune system carry a high risk for the development of autoimm... |
1 | Oral rivaroxaban for the prevention of symptomatic venous thromboembolism after elective hip and knee replacement | Management of Hip Fractures in the Elderly | A once-daily dose of rivaroxaban 10 mg, an oral, direct Factor Xa inhibitor, was compared with enoxaparin 40 mg subcutaneously once daily for prevention of venous thromboembolism in three studies of patients undergoing elective hip and knee replacement (RECORD programme). A pooled analysis of data from these studies (n... |
0 | MR appearance of autologous chondrocyte implantation in the knee: correlation with the knee features and clinical outcome | AMP (Acute Meniscal Pathology) | OBJECTIVE: To relate the magnetic resonance imaging (MRI) appearance of autologous chondrocyte implantation (ACI) in the knee in the 1st postoperative year with other knee features on MRI and with clinical outcome.
DESIGN AND METHODS: Forty-nine examinations were performed in 49 patients at 1 year after ACI in the knee... |
0 | Hybrid high tibial osteotomy is superior to medial opening high tibial osteotomy for the treatment of varus knee with patellofemoral osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To evaluate patellofemoral congruity after opening wedge high tibial osteotomy (OWHTO) and hybrid HTO.
METHODS: Twenty-four knees with hybrid HTO and 24 with OWHTO were evaluated in this study. The Caton-Deschamps and modified Miura-Kawamura indices were used to evaluate pre- and post-operative patellar height... |
0 | Effects of potent anticholinergics, sedatives and antipsychotics on postoperative mortality in elderly patients with hip fracture: a retrospective, population-based study | Management of Hip Fractures in the Elderly | BACKGROUND: Concomitant use of several medications for somatic and mental disorders is common in elderly people and increases the risk of falls, with hip fracture being the most serious consequence. OBJECTIVE: The objective of this study was to describe relationships between use of sedatives, antipsychotics or potent a... |
0 | A multi-scale finite element model for investigation of chondrocyte mechanics in normal and medial meniscectomy human knee joint during walking | OAK 3 - Non-arthroplasty tx of OAK | Mechanical signals experienced by chondrocytes (articular cartilage cells) modulate cell synthesis and cartilage health. Multi-scale modeling can be used to study how forces are transferred from joint surfaces through tissues to chondrocytes. Therefore, estimation of chondrocyte behavior during certain physical activit... |
0 | Orthogeriatric co-management of hip fractures in elderly patients: The experience of the Orthopaedic Unit of ASMN Hospital in Reggio Emilia | Management of Hip Fractures in the Elderly | Introduction Hip fractures are a major health care problem. Most of the elderly patients with such a fracture have one or more co-morbid conditions that affect the outcome and must be managed. Epidemiological studies showed a high incidence of medical complications during hospital stays and also frequent re-admission f... |
0 | The geometry of the tibial plateau and its influence on the biomechanics of the tibiofemoral joint | Surgical Management of Osteoarthritis of the Knee CPG | Background: The geometry of the tibial plateau is complex and asymmetric. Previous research has characterized subject-to-subject differences in the tibial plateau geometry in the sagittal plane on the basis of a single parameter, the posterior slope. We hypothesized that (1) there are large subject-to-subject variation... |
0 | Safety report from the desirudin postmarketing registry-Europe in patients undergoing major orthopedic surgery (desire) | Surgical Management of Osteoarthritis of the Knee CPG | Introduction : Introduction: Deep venous thrombosis (DVT) is an important complication in patients undergoing major orthopedic surgery (MOS). The American College of Chest Physicians recommends perioperative DVT prophylaxis for all patients undergoing major surgical or invasive procedures. Perioperative anticoagulant (... |
1 | Noninvasive measurement of compartment syndrome | DOD - Acute Comp Syndrome CPG | This study compared the effectiveness of a commercially available invasive intracompartmental pressure measuring device with an investigational noninvasive hardness measuring device in 75 patients undergoing examination for possible compartment syndrome. Legs, forearms, thighs, and arms were tested. Pressure values and... |
0 | The outcome of partial arthroplasty for treatment of type 1 intertrochanteric fractures in Iraqi elderly patients | Hip Fx in the Elderly 2019 | Background: When a fracture affects the proximal end of the femur at an extracapsular location and between the greater and the lesser trochanter, a dense trabecular type of bone, the fracture is known as intertrochanteric fracture. Indeed, there are two principal risk factors for fractures affecting the proximal end of... |
0 | Therapist's practice patterns for subsequent fall/osteoporotic fracture prevention for patients with a distal radius fracture | Distal Radius Fractures | STUDY DESIGN: Cross-sectional survey.
INTRODUCTION: Multifactorial risk factor screening and treatment is needed for subsequent falls/osteoporotic fractures prevention (SFOFP), given the elevated risk among patients with distal radius fracture (DRF).
PURPOSE OF THE STUDY: The primary objective was to describe hand ther... |
0 | Occupational Therapists Whose Primary Area of Practice Is Hand TherapySelf-Reported Cumulative Trauma Disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Hand therapists perform hand-intensive work and engage in tasks that require movements and postures cited in the literature to be risk factors for the development of cumulative trauma disorders. This study was conducted to determine the incidence, prevalence, and types of work-related cumulative trauma disorders of the... |
1 | Results of total shoulder arthroplasty in patients aged 55 years or younger versus those older than 55 years: an analysis of 1135 patients with over 2 years of follow-up | Glenohumeral Joint OA | BACKGROUND: The results of anatomic total shoulder arthroplasty (TSA) in younger patients have not been clearly elucidated. The purpose of this study was to compare early outcomes after TSA in patients aged 55 years or younger versus patients older than 55 years.
METHODS: A total of 1135 patients who were treated with ... |
0 | Simultaneous hip and upper limb fracture in the elderly: incidence, features and management considerations | Distal Radius Fractures | We performed a retrospective analysis of all patients admitted to a single unit over 4 years with fractured neck of femur. Of the 760 patients admitted over this period of time 36 (4.7%) were found to also have a fracture of the upper limb. The associated upper limb fractures were distal radius (n=28), olecranon (n=2) ... |
0 | Adding triamcinolone to viscosupplementation: One year outcome of randomized trial | OAK Recommendation 9 Articles | Purpose: This is an extended follow up of a randomised controlled trial to evaluate if the addition of triamcinolone to viscosupplementation could alter one-year pain and function of viscosupplementation alone. Methods: We prospectively enrolled 104 patients with knee osteoarthritis and randomized them to receive eithe... |
0 | Clinical and radiological results of non-cement impaction bone-graft method of total hip arthroplasty for rheumatoid arthritis | Management of Hip Fractures in the Elderly | We performed total hip arthroplasty using the non-cement impaction auto-bone-grafting method with the resected femoral head for acetabular protrusion that is not combined with the destruction of acetabular rim or dysplasia of the hip joint. Ten patients (eight women and two men) with rheumatoid arthritis who showed ace... |
0 | Topical verapamil as a scar modulator | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Skin injuries and the consequent loss of tissue integrity triggers a sequence of cellular and biochemical events that lead to a healed wound. Any failure during this rather sophisticated process may result in pathological scarring. METHODS: To evaluate the efficacy of topical verapamil as a modulator of the... |
0 | Beneficial effects of hypertonic mannitol in acute ischemia--reperfusion injuries in humans | DoD LSA (Limb Salvage vs Amputation) | Acute ischemia-reperfusion of extremities is characterized by edema, compartment syndrome and neuromuscular dysfunction. Intravenous hypertonic mannitol has been shown to be of benefit in several experimental models. The authors' 5-year experience with the use of hypertonic mannitol and the treatment of acute ischemia ... |
0 | Influence of conversion on the perioperative and oncologic outcomes of laparoscopic resection for rectal cancer compared with primarily open resection | DOD - Acute Comp Syndrome CPG | Background: This study aimed to evaluate the influence of conversion on perioperative and short- and long-term oncologic outcomes in laparoscopic resection for rectal cancer and to compare these with those for an open control group. Methods: The data of 276 consecutive patients who underwent surgery for rectal cancer b... |
0 | Total hip arthroplasty using a combined anterior and posterior approach via a lateral incision in patients with ankylosed hips | PJI DX Updated Search | BACKGROUND: For most patients with severely ankylosed hips, traditional surgical approaches do not provide sufficient exposure during THAs. We report our experience with a combined anterior and posterior approach using a lateral incision for total hip arthroplasty (THA) in patients with severe, spontaneous bony hip ank... |
1 | Pullout strength of cement-augmented and wide-suture transosseous fixation in the greater tuberosity | Trial Systematic Review Project | BACKGROUND: Obtaining strong fixation in low-density bone is increasingly critical in surgical repair of rotator cuff tears because of the aging population. To evaluate two new methods of improving pullout strength of transosseous rotator cuff repair in low-density bone, we analyzed the effects of 1) using 2-mm suture ... |
0 | Results of treatment of infection in both knees after bilateral total knee arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: The purpose of this study was to review the results and complications of treatment of simultaneous infection of both knees after bilateral total knee arthroplasty. Methods: Between 1976 and 1999, twenty-one patients with a mean age of seventy-one years were treated for simultaneous infection of both knees a... |
0 | Rehabilitation costs: implications for prospective payment | Management of Hip Fractures in the Elderly | OBJECTIVE: To obtain information relevant to development of prospective payment for Medicare rehabilitation facilities (RFs) and skilled nursing facilities (SNFs): compares service utilization, length of stay (LOS), case mix, and resource consumption for Medicare patients receiving postacute institutional rehabilitatio... |
0 | Vitamin E for intermittent claudication | SR for PM on OA of All Extremities | Background: It is thought that vitamin E may improve tolerance to intermittent claudication (i.e. pain caused by ischaemia in the muscles of the leg during exercise), thereby relieving the pain, through a variety of mechanisms.Objectives: The objective of this review was to determine the effects of vitamin E on people ... |
0 | Does Dexamethasone Reduce Hospital Readiness for Discharge, Pain, Nausea, and Early Patient Satisfaction in Hip and Knee Arthroplasty? A Randomized, Controlled Trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Reduction in postoperative pain, nausea, and vomiting in patients undergoing total joint arthroplasty may facilitate earlier discharge from hospital and reduce healthcare costs. This study was performed to primarily assess whether perioperative dexamethasone reduced hospital length of stay and to assess the... |
0 | Analysis of knee functional flexion axis in navigated TKA: Identification and repeatability before and after implant positioning | OAK 3 - Non-arthroplasty tx of OAK | Purpose: Providing correct rotational alignment of femoral component in total knee arthroplasty (TKA) is mandatory to achieve correct kinematics, good ligament balance and patellar tracking. The purpose of this study was to evaluate potential clinical applications of functional flexion axis (FFA) by analysing the diffe... |
1 | Cementless versus cemented glenoid components in conventional total shoulder joint arthroplasty: analysis from the Australian Orthopaedic Association National Joint Replacement Registry | Glenohumeral Joint OA | BACKGROUND: Glenoid loosening is a common mode of failure after total shoulder arthroplasty (TSA). Newer cementless glenoid components have been introduced to promote biological fixation with the aim to decrease glenoid loosening. Limited data are available comparing revision rates between cemented and cementless gleno... |
0 | Obesity in patients and nurses increases the nurse's risk of injury lifting patients | DoD PRF (Psychosocial RF) | As the number of Americans who are overweight and obese grows, the risk of lifting injuries to both patients and nurses increases. Occupational back and other musculoskeletal injuries are preventable; however, many changes in the workplace must occur in order to assure prevention and safe lifting. (PsycINFO Database Re... |
0 | Distal radius fractures | Distal Radius Fractures | Distal radius fractures are a common injury, particularly in the elderly population. Severity of these fractures is directly related to the bone mineral density of the patient, and clinical results are dependent on this parameter as well. In terms of treatment, several options exist. Nonoperative management consists of... |
0 | Knee dislocation. Complications of nonoperative and operative management | DoD LSA (Limb Salvage vs Amputation) | Because of the nature and extreme severity of the injury, complications will continue to be a common denominator in traumatic knee dislocations. The major complications that cause significant morbidity, including amputation and death, are now relatively infrequent. Prompt recognition and treatment of these complication... |
1 | Utilization of agents to prevent skeletal-related events among patients with multiple myeloma: analysis of real-world data | MSTS 2018 - Femur Mets and MM | PURPOSE: This study examined real-world utilization patterns of bone-targeted agents (BTA) in patients with multiple myeloma (MM).
METHODS: In this retrospective cohort study, adults with an MM diagnosis recorded in 2012-2014 were identified from electronic health records in the Oncology Services Comprehensive Electron... |
0 | Improving time to surgery for hip fracture patients. Impact of the introduction of an emergency theatre | Hip Fx in the Elderly 2019 | Hip fractures are a major cause of morbidity and mortality1. Surgery performed on the day of or after admission is associated with improved outcome2,3. An audit cycle was performed examining time to surgery for hip fracture patients. Our initial audit identified lack of theatre space as one factor delaying surgery. A d... |
0 | The Effect of Adductor Canal Block on Knee Extensor Muscle Strength 6 Weeks After Total Knee Arthroplasty: A Randomized, Controlled Trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Total knee arthroplasty (TKA) reduces knee extensor muscle strength (KES) in the operated limb for several months after the surgery. Immediately after TKA, compared to either inguinal femoral nerve block or placebo, adductor canal block (ACB) better preserves KES. Whether this short-term increase in KES is ... |
0 | A bone metastasis model with osteolytic and osteoblastic properties of human lung cancer ACC-LC-319/bone2 in natural killer cell-depleted severe combined immunodeficient mice | MSTS 2018 - Femur Mets and MM | Lung cancer is commonly associated with multiple-organ metastasis, and bone is a frequent metastatic site for lung cancer. Lung cancer frequently develops osteolytic, and less frequently osteoblastic, metastasis to bone. Osteolytic metastasis models of lung cancer have been reported, but no osteoblastic metastasis mode... |
0 | Metastatic lesions of the proximal femur | MSTS 2018 - Femur Mets and MM | Skeletal metastases are common in the adult population. The proximal femur is a frequently affected bone in the appendicular skeleton. The orthopaedic surgeon may be the first to find a pathologic lesion of the proximal femur and appropriate diagnosis and nonoperative management is essential prior to surgical treatment... |
0 | Teicoplanin versus cefamandole in the prevention of infection in total hip replacement | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In a prospective, controlled, single-blind study the efficacy of teicoplanin versus cefamandole in preventing infections in total hip replacement was investigated in 496 consecutive patients. A single intravenous dose of teicoplanin (400 mg) was as effective as two intravenous doses of cefamandole (2 g before and 1 g a... |
0 | Caregiver Supervision and Child-Injury Risk: I. Issues in Defining and Measuring Supervision; II. Findings and Directions for Future Research | DoD PRF (Psychosocial RF) | Objective: To discuss the role of caregiver supervision in child-injury risk, with attention given to definitional and methodological issues and outlining important questions to be addressed in future research. Methods: Analysis, synthesis, and critique of existing literature. Results: Comparisons across studies are di... |
1 | Marriage abdominoplasty expands the mini-abdominoplasty concept | Panniculectomy & Abdominoplasty CPG | The marriage of aggressive superwet liposculpture of the abdomen and adjacent anatomic regions with a modification of well-established open surgical techniques to address skin excess and perform muscle plication was used to treat 29 patients presenting for aesthetic abdominal contouring over the past 3 1/2 years. The c... |
0 | Bone scan in systemic amyloidosis | MSTS 2018 - Femur Mets and MM | Thirty patients diagnosed as having systemic amyloidosis (six with primary amyloidosis and 24 with secondary amyloidosis) were given bone scans with 99Tc(m)-methylene diphosphonate in order to evaluate the skeletal and extra-osseus uptake and their clinical-scintigraphic correlation. Extra-osseous uptake appeared in ni... |
0 | (iv) Treatment options for articular cartilage damage in the knee | Osteochondritis Dissecans 2020 Review | Chondral damage within the knee of young patients remains a challenge to orthopaedic surgeons, with the chance of resulting mechanical symptoms limiting activity and the risk of progression to osteoarthritis. There are a number of different treatment options which utilize one of two principles for filling chondral defe... |
0 | Osteosarcoma: A Comparison of Jaw versus Nonjaw Localizations and Review of the Literature | MSTS 2022 - Metastatic Disease of the Humerus | Purpose . It is assumed that osteosarcomas of the jaws mainly occur at older ages, whereas the most prominent sites, that is, the long bones, are more affected at ages <20. Jaw-localized tumors are less malignant and have lower metastatic spread rates. Patients and Methods. This study analyses the nationwide data of th... |
0 | Histological changes in congenital and acquired blepharoptosis | Upper Eyelid and Brow Surgery | Histological specimens of eyelids from patients with congenital genuine ptosis and acquired involutional ptosis are compared. In congenital ptosis there is evidence of true muscular dystrophy of the levator muscle as demonstrated by: loss of cross striations, random decrease in muscle fibre diameter, sarcolemmal retrac... |
1 | Effects of lead, zinc and copper absorption on peripheral nerve conduction in metal workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | To examine the antagonistic effects of lead, zinc and copper on the nervous system in man, we measured maximal motor and sensory conduction velocities (MCV and SCV, respectively) in the distal radial and median nerves in 20 gun metal founders with asymptomatically increased absorption of these metals [blood lead concen... |
0 | Presence of pannus-like tissue on osteoarthritic cartilage and its histological character | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To investigate and characterize pannus-like tissue which is often present on osteoarthritic articular cartilage. DESIGN: Cartilage specimens from 15 knee and five hip joints of patients with osteoarthritis (OA) undergoing arthroplasty were stained for HE and Safranin-O. They were also immunostained by antity... |
0 | [The effects of two different continuous passive motion protocols on knee range of motion after total knee arthroplasty: a prospective analysis] | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: We prospectively evaluated the effects of continuous passive motion (CPM) started after two different time intervals following total knee arthroplasty (TKA) on short- and long-term results, in comparison with standard physical therapy. METHODS: Eighty-six patients were randomized to three groups following T... |
0 | Double-blind clinical evaluation of intra-articular glucosamine in outpatients with gonarthrosis | OAK 3 - Non-arthroplasty tx of OAK | Fiftyâ?four outpatients with gonarthrosis participated in a doubleâ?blind clinical test with the aim of evaluating the efficacy and tolerance of intraâ?articular glucosamine in comparison with a 0.9% NaCl placebo. Each patient had one intraâ?articular injection per week for five consecutive weeks. Pain, active and ... |
0 | Endoscopic carpal tunnel release. A current perspective | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome is defined as a clinical condition related to dysfunction of the median nerve specifically related to the carpal tunnel. This article reviews anatomy, current surgical treatment options, technique, indications and contraindications, efficacy, complications, and the author's own perspective on the... |
0 | Familial association of femoral trochlear dysplasia with recurrent bilateral patellar dislocation | Surgical Management of Osteoarthritis of the Knee CPG | Femoral trochlear dysplasia is an anatomic deformity that predisposes patients to patellar instability, including patellar subluxation and dislocation, and can lead to severe patellofemoral joint degeneration if left untreated. Femoral trochlear dysplasia leading to recurrent bilateral patellar dislocation has rarely b... |
1 | Treatment with lorecivivint, a novel, intra-articular CLK/DYRK1A inhibitor that modulates the WNT pathway, led to improved responder outcomes in subjects with knee osteoarthritis: a post HOC analysis of a phase 2b trial | TO: WNT2 Pathway Modulator | Purpose: Lorecivivint (LOR, SM04690), a small-molecule, intra-articular (IA) CLK/DYRK1A inhibitor that modulates the Wnt pathway, demonstrated beneficial effects on patient-reported outcomes (PROs) in early phase knee osteoarthritis (OA) studies. PROs assessed as discrete group threshold responses may represent therape... |
0 | Subungual melanoma | DoD LSA (Limb Salvage vs Amputation) | Twenty (1.5%) of 1 350 patients with malignant melanoma treated during a 17-year period had their primary lesion in the nail bed. The thumb (5 patients) and big toe (7) were the most commonly involved digits. Mean delay before diagnosis was 1.4 years. Thirteen patients were black and 7 white. Eight patients (40%) were ... |
0 | Mortality following surgery for fractures of the neck of femur | Management of Hip Fractures in the Elderly | The mortality following surgery for hip fractures during 1982 is reviewed. 91 procedures were performed on 89 patients. The mortality rate at 4 weeks following general anaesthesia was 2.7%. This is much lower than previously reported. Possible reasons for the variation in mortality between this series and others, are d... |
0 | Principles of Breast Re-Reduction: A Reappraisal | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: This article examines outcomes following breast re-reduction surgery using a random pattern blood supply to the nipple and vertical scar reduction.
METHODS: A retrospective review was conducted of patients who underwent bilateral breast re-reduction surgery performed by a single surgeon over a 12-year perio... |
0 | Improved tissue repair in articular cartilage defects in vivo by rAAV-mediated overexpression of human fibroblast growth factor 2 | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Therapeutic gene transfer into articular cartilage is a potential means to stimulate reparative activities in tissue lesions. We previously demonstrated that direct application of recombinant adeno-associated virus (rAAV) vectors to articular chondrocytes in their native matrix in situ as well as sites of tissue damage... |
0 | Anatomy and biomechanics of the sternoclavicular joint | Glenohumeral Joint OA | Disorders of the sternoclavicular (SC) joint are becoming increasingly recognized as significant contributors to shoulder dysfunction in many patients, especially after a traumatic injury. Despite the increased interest, a thorough understanding of the anatomy and biomechanics of the SC joint is required for safe and e... |
0 | Evolving diagnostic criteria for multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) is a plasma cell malignancy historically defined by the presence of end-organ damage, specifically, hypercalcemia, renal failure, anemia, and bone lesions (CRAB features) that can be attributed to the neoplastic process. In 2014, the International Myeloma Working Group (IMWG) updated the diagnosti... |
0 | Popliteal artery injury in orthopedic knee surgery | DoD LSA (Limb Salvage vs Amputation) | Objectives: Iatrogenic popliteal artery trauma associated with knee orthopedic surgery are extremely rare, but present high morbidity. The effect of concomitant orthopedic and vascular lesions in relation to limb loss in patients with lower extremity vascular lesions and their predictive factors is analyzed. Material a... |
0 | Influence of degenerative changes of cervical spine on dysfunctions of the motor system in middle-aged women | Glenohumeral Joint OA | The aim of this study was to assess the impact of the degenerative changes of the cervical spine on mobility of the entire spine and shoulder joints, and on muscle mass of the shoulder girdle. Examinations covered a group of 60 women, aged 45-55 years, working in an office for at least 8 hours a day. Significant degene... |
0 | Effect of intraoperative blood loss on the serum level of cefazolin in patients managed with total hip arthroplasty. A prospective, controlled study | Management of Hip Fractures in the Elderly | The effect of intraoperative blood loss on serum levels of cefazolin in patients being managed with total hip arthroplasty was studied. Eighteen patients, thirteen men and five women, with a mean age of sixty-five years (range, forty to eighty-five years) were enrolled in the study. Fifteen had a primary total hip arth... |
0 | What Is the Implant Survivorship and Functional Outcome After Total Humeral Replacement in Patients with Primary Bone Tumors? | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Total humeral replacement is an option to reconstruct massive bone defects after resection of locally advanced bone tumors of the humerus. However, implant survivorship, potential risk factors for implant revision surgery, and functional results of total humeral replacement are poorly elucidated because of ... |
0 | Distal medial tibial locking plate for fixation of extraarticular distal humeral fractures; an alternative choice for fixation | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: The aim of this study was to describe an alternative fixation method for distal humeral extra-articular fractures through posterior approach using distal tibia anatomic locking plate; and to evaluate the patient's functional outcome and union condition. METHODS: Eighteen patients (11 men and 7 women; average... |
0 | Delamination of tantalum porous coating from a TKA due to regional dissemination of debris | PJI DX Updated Search | Metallic debris from metal-on-metal bearings is a recognized mode of failure that may lead to implant loosening and periprosthetic soft tissue reactions. The sequelae of metallosis have been most commonly reported with respect to total hip arthroplasty. The authors report a rare case of metallosis following a hybrid me... |
0 | The effects of liposuction removal of subcutaneous abdominal fat on lipid metabolism are independent of insulin sensitivity in normal-overweight individuals | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Abdominal fat (both visceral and subcutaneous) accumulation is associated with an increased risk of developing insulin resistance. The latter stands as the basis upon which diabetes, hypertension, and atherogenic dyslipidemia tend to build up. Hence, abdominal liposuction (AL) could theoretically hold metab... |
0 | Electroacupuncture serum inhibits TNF-alpha-mediated chondrocyte inflammation via the Ras-Raf-MEK1/2-ERK1/2 signaling pathway | OAK 3 - Non-arthroplasty tx of OAK | The Ras-Raf-mitogen-activated protein kinase kinase (MEK)1/2-extracellular signal-regulated kinase (ERK)1/2 signaling pathway contributes to the release of chondral matrix-degrading enzymes and accelerates the degradation of articular cartilage. Electroacupuncture (EA) treatment has been widely used for the treatment o... |
0 | A Review of National Insurance Coverage of Post-bariatric Upper Body Lift | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Recent years have seen an increased utilisation of upper body lift following massive weight loss. Although it is typically considered cosmetic, the recurrent skin conditions and decline in quality of life may warrant medical necessity. We evaluated current insurance coverage and characterised policy crite... |
0 | Extended replacement of the thoracic aorta | PJI DX Updated Search | OBJECTIVES: We present our experience of total aortic arch replacement. METHODS: Twenty-nine patients (21 males and 8 females; mean age 63.3 +/- 13.3 years) with extended thoracic aortic aneurysms underwent graft replacement. The pathology of the diseased aorta was non-dissecting aneurysm in 11 patients, including one ... |
1 | Clinical characteristics of invasive Haemophilus aphrophilus infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Haemophilus aphrophilus, an oral fastidious Gram-negative commensal with low pathogenicity, is a member of the HACEK group (H. aphrophilus, H. paraphrophilus, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, and Kingella spp.), and a rare cause of human infections. We reviewed the cha... |
1 | Cutaneous surgery in patients receiving warfarin therapy | Reconstruction After Skin Cancer | BACKGROUND: Anticoagulant treatment with warfarin is an essential therapy in patients with prosthetic heart valves and atrial fibrillation to prevent thromboembolisms. The question whether to stop warfarin treatment in patients undergoing cutaneous surgery is debatable. OBJECTIVE: To evaluate the outcome of surgery in ... |
0 | Silent soft tissue pathology is common with a modern metal-on-metal hip arthroplasty | PJI DX Updated Search | BACKGROUND AND PURPOSE: Adverse reactions to metal debris have been reported to be a cause of pain in metal-on-metal hip arthroplasty. We assessed the incidence of both symptomatic and asymptomatic adverse reactions in a consecutive series of patients with a modern large-head metal-on-metal hip arthroplasty. METHODS: W... |
0 | Fracture risk in people with primary biliary cirrhosis: a population-based cohort study | Management of Hip Fractures in the Elderly | BACKGROUND & AIMS: Controversy exists as to whether people with primary biliary cirrhosis (PBC) have an increased risk of developing osteoporosis and the extent to which this may translate into an increased risk of fracture. We have performed a cohort study using the General Practice Research Database to quantify the e... |
0 | Distal radius microstructure and finite element bone strain are related to site-specific mechanical loading and areal bone mineral density in premenopausal women | Distal Radius Fractures | While weight-bearing and resistive exercise modestly increases aBMD, the precise relationship between physical activity and bone microstructure, and strain in humans is not known. Previously, we established a voluntary upper-extremity loading model that assigns a person's target force based on their subject-specific, c... |
0 | Mechanical stimulation toward tissue engineering of the knee meniscus | AMP (Acute Meniscal Pathology) | Current clinical practices do not adequately regenerate the meniscus of the knee secondary to a tear. Complete or partial meniscus removal leads to degenerative changes within the joint. Tissue engineering of the meniscus promises a potent solution. Before embarking on tissue engineering of the meniscus, it is crucial ... |
0 | Osteolysis of the greater trochanter following reattachment of hip abductors using polyester suture in total hip arthroplasty | Management of Hip Fractures in the Elderly | We report a specific pattern of osteolysis around bone tunnels on the lateral cortex of the greater trochanter following abductor reattachment using a polyester suture. Radiographs of 395 patients who underwent cemented THA during a four year period between 1999 and 2003 were reviewed. 27 patients had abductor reattach... |
0 | Retrograde versus antegrade nailing of femoral shaft fractures | Management of Hip Fractures in the Elderly | OBJECTIVES: To compare union rates and complications of retrograde intramedullary nailing of femoral shaft fractures with those of antegrade intramedullary nailing. DESIGN: Retrospective. SETTING: Level I trauma center. PATIENTS: Two hundred eighty-three consecutive adult patients with 293 fractures of the femoral shaf... |
1 | Early or delayed surgical treatment in compound limb fractures due to high velocity missile injuries: a 5-year retrospective study from Medical City in Baghdad | DoD SSI (Surgical Site Infections) | BACKGROUND: Compound limb fractures due to high-velocity missiles are complex and usually associated with multiple other injuries. These can occur in both military and civilian settings. High-velocity missiles are presently used by terrorists worldwide. Early surgical debridement and skeletal fixation are the gold stan... |
0 | The Avon Patellofemoral Joint Replacement: Mid-Term Prospective Results from an Independent Centre | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Approximately 10% of patients with osteoarthritis (OA) of the knee have unicompartmental OA confined to the patellofemoral joint (PFJ). The main surgical options are total knee replacement (TKR) and PFJ replacement (PFJR). PFJR has a number of advantages over TKR, including being less invasive, preserving t... |
0 | Frequency and impact of active clinical issues and new impairments on hospital discharge in patients with hip fracture | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture is associated with significant mortality and disability. Patients who are discharged from the hospital with active clinical problems may have worse outcomes than those patients without active clinical problems. OBJECTIVE: To assess the frequency and impact of clinical problems at discharge on c... |
0 | Intraobserver and interobserver reliability of the assessment of the patellar articular cartilage in osteoarthritic patients undergoing total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | This study was performed to investigate intraobserver and interobserver reliability of the intraoperative assessment of patellar cartilage status and the decision on patellar resurfacing based on the cartilage assessment in osteoarthritic patients undergoing total knee arthroplasty. Photographs of patellar cartilage we... |
0 | Physiological characterization of neuropathy in Fabry's disease | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Fabry's disease is commonly associated with a painful, debilitating neuropathy. Characterization of the physiological abnormalities is an important step in evaluating response to specific therapies. Twenty-two patients with Fabry's disease, and with relatively preserved renal function, underwent conventional and near-n... |
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