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Is the clinical outcome after cartilage treatment affected by subchondral bone edema?
Diagnosis and Treatment of Osteochondritis Dissecans AUC
PURPOSE: Subchondral bone edema is a common finding after cartilage treatment, but its interpretation is still debated. The aim of this study is to analyse the presence of edema after matrix-assisted autologous chondrocyte transplantation (MACT) for knee cartilage lesions at different follow-up times and its correlatio...
0
Anatomic Hip Center Decreases Aseptic Loosening Rates After Total Hip Arthroplasty with Cement in Patients with Crowe Type-II Dysplasia: A Concise Follow-up Report at a Mean of Thirty-six Years
Developmental Dysplasia of the Hip 2020 Review
We previously reported the two to twenty-two-year results of 145 total hip arthroplasties (THAs) with cement performed from 1969 to 1980 in 117 patients with Crowe type-II dysplasia. The purpose of the present study was to update the long-term effects of a nonanatomic hip center on component loosening and aseptic revis...
0
Rapid, progressive neuropathic arthropathy of the hip in a patient co-infected with human immunodeficiency virus, hepatitis C virus and tertiary syphilis: Case report
PJI DX Updated Search
Background: Syphilis is a chronic infection that is classified into three stages. In its tertiary stage, syphilis spreads to the brain, heart and other organs; the lesions may involve the skin, mucous membranes and bones. Neuropathic arthropathy associated with tertiary syphilis has rarely been described in Europe and ...
0
Five-year results of metal-on-metal resurfacing arthroplasty in Asian patients
Management of Hip Fractures in the Elderly
Clinical results of 50 metal-on-metal resurfacing arthroplasties in 45 Japanese patients were evaluated to a minimum follow-up of 5 years. The predominant diagnosis was developmental dysplasia or dislocation of the hip (70%). One patient died of an unrelated cause and another was lost to follow-up. Two hips received re...
0
Cathepsin B and L activities in gastric cancer tissue: correlation with histological findings
MSTS 2018 - Femur Mets and MM
Cathepsin B and L activities in cancerous and noncancerous mucosal tissues from 29 patients with gastric cancer were determined with a small amount of tissue homogenate. Both enzyme activities were significantly higher in cancerous tissues than in noncancerous tissues. The cathepsin B activity was higher with decreasin...
0
Dysbaric osteonecrosis and its radiographic classification in China
MSTS 2018 - Femur Mets and MM
Dysbaric osteonecrosis was found in 259 cases among 2260 examined hyperbaric workers from several occupations. No positive cases were found in the divers in shipyards and diving experiments. Naval divers showed the lowest incidence (2.1%) and fishery divers the highest (19.8%). Distribution of long bone lesions was 46....
0
'Nonagenarians' with a hip fracture: is a different orthogeriatric treatment strategy necessary?
Hip Fx in the Elderly 2019
Nonagenarians differ from patients aged 70-79 and 80-89 years in baseline characteristics, complication and mortality rates. Differences increased gradually with age. The results of this study can be used, in combination with the Almelo Hip Fracture Score, to deliver efficiently targeted orthogeriatric treatment to the...
0
Pathogenesis and treatment of renal failure in multiple myeloma
MSTS 2018 - Femur Mets and MM
Renal failure is a frequent complication in patients with multiple myeloma (MM) that causes significant morbidity. In the majority of cases, renal impairment is caused by the accumulation and precipitation of light chains, which form casts in the distal tubules, resulting in renal obstruction. In addition, myeloma ligh...
0
Proteolysis in human breast cancer
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: The process of proteolysis is important at several stages of the metastatic cascade. A balance between the expression of the genes encoding endogenous proteinases and inhibitors exists and when the production of proteinases exceeds that of inhibitors proteolysis occurs. AIMS: To determine whether difference...
0
Average cost of VA rehabilitation, mental health, and long-term hospital stays
DoD PRF (Psychosocial RF)
This article describes the development of a database for the cost of inpatient rehabilitation, mental health, and long-term care stays in the Department of Veterans Affairs from fiscal year 1998 forward. Using "bedsection," which is analogous to a hospital ward, the authors categorize inpatient services into nine categ...
0
Lateral epicondylitis (tennis elbow): Nonoperative, open, or arthroscopic treatment?
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Lateral epicondylitis (tennis elbow) is a common cause of lateral elbow pain. It is characterized as a degenerative tendinosis, predominantly within the origin of the extensor carpi radialis. Recent controlled trials have proved the benefit of nonoperative modalities (including activity modification, physical therapy, ...
1
How many clinic visits does it take to treat distal radial fractures?
Distal Radius Fractures
The purpose of this study was to evaluate the changes in alignment during the course of treatment for extra-articular distal radius fracture and the relationship of initial and intermediate radiographs, with the final radiograph taken at fracture union. A cohort of 96 consecutive patients who were conservatively manage...
0
Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds
Management of Hip Fractures in the Elderly
The objectives of the present study were to estimate 10 year probabilities of osteoporotic fractures in men and women according to age and bone mineral density (BMD) at the femoral neck. Risks were computed from the incidence of a first hip, distal forearm, proximal humerus and symptomatic vertebral fracture from patie...
0
Two-directional arthrographic assessment for treating bilateral development dislocation of the hips in children after walking age
Developmental Dysplasia of the Hip 2020 Review
We reviewed the treatment outcome in 14 hips of 7 patients who were diagnosed as having bilateral developmental dislocation of the hip (DDH) after walking age and could be followed up until they were at least 14 years of age. Based on the results of two-directional arthrography of the hip, closed reduction was performe...
0
Safety of recombinant deoxyribonucleic acid-derived growth hormone: The National Cooperative Growth Study experience
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The National Cooperative Growth Study has monitored the safety of recombinant human GH (rhGH) since 1985. Data have been collected from more than 19,000 children representing over 47,000 patient-years of rhGH treatment. Children receiving GH for renal disease were more likely to develop problems such as intracranial hy...
0
The influence of continuous versus interval walking exercise on knee joint loading and pain in patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To evaluate whether knee contact force and knee pain are different between continuous and interval walking exercise in patients with knee osteoarthritis (OA). METHODS: Twenty seven patients with unilateral symptomatic knee OA completed two separate walking exercise sessions on a treadmill at 1.3m/s on two di...
0
Acute coronary syndromes with significant troponin increase in patients with hip fracture prior to surgical repair: differential diagnosis and clinical implications
Hip Fx in the Elderly 2019
Myocardial infarction after hip fracture but before surgical repair is associated with a 30-day mortality as high as 30 % at 1 month. In Florence, since 2011, hip fractures are referred to a multidisciplinary hip fracture team including internal medicine specialists, anesthesiologists, and orthopaedic surgeons. The aim...
0
Arthritis patterns in familial Mediterranean fever patients and association with M694V mutation
Surgical Management of Osteoarthritis of the Knee CPG
Familial Mediterranean fever (FMF) is an autosomal recessive disorder characterized by recurrent attacks of febrile peritonitis, pleuritis and synovitis. Arthritis is a common and important feature of FMF. The clinical spectrum of arthritis in 71 FMF patients was retrospectively investigated. Mutations in the familial ...
0
Comparison of osteoporosis and calcium intake between Japan and the United States
Management of Hip Fractures in the Elderly
The number of osteoporotic females in Japan with vertebral bone mineral density measured by dual energy x-ray absorptiometry, defined as less than -3 SD of the peak bone mass, is approximately 10,000,000, corresponding to 8% of the whole population of Japan. While this value approximately corresponds to the prevalence ...
0
The importance of lymph node ratio for patients with mandibular infiltration of oral squamous cell carcinoma
MSTS 2022 - Metastatic Disease of the Humerus
Purpose: Lymph node ratio (LNR) essentially improves assessment of prognosis and therapeutic decision making for patients with oral squamous cell carcinoma, as it considers both the number of positive lymph nodes and the number of dissected lymph nodes. Mandibular infiltration by oral squamous cell carcinoma is a vital...
1
Analysis of appropriateness of outpatient CT and MRI referred from primary care clinics at an academic medical center: how critical is the need for improved decision support?
Glenohumeral Joint OA
PURPOSE: The aim of this study was to retrospectively analyze a large group of CT and MRI examinations for appropriateness using evidence-based guidelines. METHODS: The authors reviewed medical records from 459 elective outpatient CT and MR examinations from primary care physicians. Evidence-based appropriateness crite...
0
Posterior ankle and subtalar arthroscopy: indications, technique, and results
Osteochondritis Dissecans 2020 Review
Over the decades, arthroscopy has grown in popularity for the treatment of many foot and ankle pathologies. While anterior ankle arthroscopy is a widely accepted technique, posterior ankle/subtalar arthroscopy is still a relatively new procedure. The goal of this review is to outline the indications, surgical technique...
0
Comparing the methods of measuring compartment pressures in acute compartment syndrome
DOD - Acute Comp Syndrome CPG
The objectives of this study were to compare the reliability and accuracy of published methods of measuring intramuscular compartment pressures. A muscle compartment model was constructed. Pressure was standardized using a water column exerting pressure on a muscle slab. The following three methods of intracompartmenta...
0
The management of fractures of the elbow joint in athletes
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Objective: A thorough review of the literature regarding fracture management of injuries to the elbow was reviewed, with emphasis placed on the care of the athlete. Data sources: The MEDLINE electronic database was searched from its inception to August 2004 with the following terms: elbow joint, athletic injuries, radi...
0
Prophylactic antibiotic therapy is associated with an increased prevalence of Aspergillus colonization in adult cystic fibrosis patients
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Aspergillus colonization is a common phenomenon in adult cystic fibrosis (CF) patients. The clinical significance of Aspergillus for the pathogenesis of CF lung disease remains unclear and factors predisposing to such colonization are still completely unknown. We investigated the prevalence of Aspergillus colonization ...
0
Geometry of proximal femur in the prediction of femoral neck fracture in the elderly female Thai population
Management of Hip Fractures in the Elderly
A retrospective study of two groups of 157 patients with one-sided hip fracture and 157 aged matched control group was performed in Siriraj hospital. Geometric measurement of femoral neck was performed as hip axis length (HAL), femoral neck length (FNL), femoral neck width (FNW), femoral head diameter (FHD), acetabular...
0
Essential Amino Acid Supplementation Mitigates Muscle Atrophy After Total Knee Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Trial
OAK 3 - Non-arthroplasty tx of OAK
Background: Substantial muscle atrophy occurs after total knee arthroplasty (TKA), resulting in decreased strength and impaired mobility. We sought to determine whether perioperative supplementation with essential amino acids (EAA) would attenuate muscle atrophy following TKA and whether the supplements were safe for i...
0
Surgery for posttraumatic wrist deformity. Radial osteotomy and/or ulnar shortening in 16 Colles' fractures
Distal Radius Fractures
16 patients with pain and impaired function after malunited fracture of the distal radius were treated with opening wedge lengthening osteotomy of the radius with bone grafting (12 cases), shortening osteotomy of the ulna (3 cases), or a combination of these methods (1 case), with or without reattachment of the triangu...
0
Role of the A-beta fibre damage in paroxysmal pain
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Patients suffering from neuropathic pain often complain of sensory deficits and different types of pain combined in various ways. Neuropathic pain may be ongoing, such as burning pain, or paroxysmal, such as electrical-shock-like sensations, or provoked by various stimuli, e.g. gentle brushing or cold water. Although s...
0
Long-term followup of total hip arthroplasty in patients with cerebral palsy
PJI DX Updated Search
Background Patients with cerebral palsy (CP) are at risk for hip arthrosis secondary to the loss of joint congruity. Questions/purposes We asked whether THA relieved pain, improved function, and provided durable improvements. Methods We retrospectively identified 56 patients (59 hips) with CP who had THAs for painful h...
0
Nerve conduction velocity in human limbs with late sequelae after local cold injury
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Cold-induced neuropathy may play a dominant role in the long-term sequelae with cold sensitivity after local cold injuries (LCIs). Somatosensory functions were assessed and nerve conduction velocity (NCV) and motor distal delay (MDD) were measured in the limbs of 31 Norwegian former soldiers with persistent cold Iitole...
0
Optimal management of physeal elbow injuries in the skeletally immature athlete remains undefined: A systematic review
Pediatric Supracondylar Humerus Fracture 2020 Review
Importance Physeal elbow injury remains common for the youth athlete. In this patient population, the most effective treatment strategy for these injuries is not established. Objective This systematic review aimed to synthesise current literature regarding treatment and outcomes of physeal elbow injuries in the skeleta...
0
Randomized trial of Codetron for pain control in osteoarthritis of the hip/knee
OAK 3 - Non-arthroplasty tx of OAK
Patients suffering from pain due to osteoarthritis of the hip and knee participated in a double�blind placebo controlled trial using daily Codetron home care units for 6 weeks over the tibial, saphenous, popliteal and sciatic nerves, and tender points. Seventy�four percent of patients in the real Codetron (Group A)...
0
GUEPAR hinge knee prosthesis
OAK 3 - Non-arthroplasty tx of OAK
Early and late results of the GUEPAR hinge knee prosthesis were evaluated on a series of 184operations performed before January 1st, 1974. There were 3 immediate deaths and 26 before 5. years. Nineteen prostheses were removed. One hundred and twenty-six knees had degenerative osteoarthritis, 52rheumatoid arthritis. Twe...
0
Smoking status as a predictor of hip fracture risk in postmenopausal women of northwest Texas
Management of Hip Fractures in the Elderly
INTRODUCTION: The purpose of this study was to determine the effect of cigarette smoking on the risk of hip fracture for postmenopausal women living in rural and urban areas of Northwest Texas. METHODS: Using an unmatched case-control design, we compared postmenopausal women who had recently experienced osteoporotic hi...
0
SAS weekly rounds: avascular necrosis
AAHKS (2) Corticosteroids
Osteonecrosis of the femoral head is a condition that affects upwards of 10,000 individuals in the USA each year. The peak incidence is in the fourth decade of life, and overall, there is a male preponderance. The condition accounts for up to 12% of total hip arthroplasties performed in developed countries. The etiolog...
0
Traumatic retroperitoneal hematoma illustrated on Tc-99m methylene diphosphonate bone scintigraphy in a patient presenting with a fall
Management of Hip Fractures in the Elderly
Retroperitoneal haematoma is rarely described in the context of bone scintigraphy, as it is usually an incidental discovery on bone scan carried out for another purpose. We report a case of a right retroperitoneal haematoma detected on Tc-99m-methylene diphosphonate bone scintigraphy taken in an elderly patient present...
0
Association of prostate-specific antigen levels and patterns of benign and malignant uptake detected. on bone scintigraphy in patients with newly diagnosed prostate carcinoma
MSTS 2018 - Femur Mets and MM
The bone scan patterns of benign and malignant uptake in 432 patients with newly diagnosed prostate carcinoma were reviewed in relation to prostate-specific antigen (PSA) levels determined within 4 months of scintigraphy. Scan results were categorized in terms of likelihood of metastatic disease and anatomical location...
0
Power-assisted liposuction (PAL) of multiple symmetric lipomatosis (MSL)--a longitudinal study
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Multiple symmetric lipomatosis (MSL) is a rare condition leading to grotesque disfigurement. Complete removal is almost impossible and recurrences inevitable. The objective of this study was to evaluate powered-assisted liposuction (PAL) for the treatment of MSL. METHODS: Magnetic resonance imaging (MRI) wa...
0
Industry Update: The latest developments in therapeutic delivery
MSTS 2018 - Femur Mets and MM
The present industry update covers the period 16 November to 15 December 2010, with information sourced from company press releases, regulatory agencies and patent search engines. A number of significant mergers took place with Novartis and Alcon set to form the largest eye company division in the industry. Roche annou...
0
A case of spontaneous hemoarthrosis after a total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
A 63-year-old woman with osteoarthritis had undergone right total knee arthroplasty. Nineteen months later, the patient presented with a recurrent hemoarthrosis. Open arthrotomy revealed hypertrophic synovium with small clots in the suprapatellar pouch, but entrapment of synovial tissues could not be observed. Histolog...
0
Systemic lupus erythematosus is not a risk factor for poor outcomes after total hip and total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
Objectives: Historically, arthroplasty in systemic lupus erythematosus (SLE) patients has been less successful than for patients with osteoarthritis (OA). It is not known if SLE remains an independent risk factor for poor arthroplasty outcomes or if other factors, such as avascular necrosis (AVN), continue to play a ro...
0
Arthroscopic management of osteoarthritis of the knee
Surgical Management of Osteoarthritis of the Knee CPG
Recent advances in instrumentation and a growing understanding of the pathophysiology of osteoarthritis have led to increased use of arthroscopy for the management of degenerative arthritis of the knee. Techniques include lavage and debridement, abrasion arthroplasty, subchondral penetration procedures (drilling and mi...
1
Nongenitourinary infections caused by Mycoplasma hominis in adults
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Eleven new cases of Mycoplasma hominis infection occurring outside the genitourinary tract in adults not in the puerperium were evaluated in relation to the 25 cases previously reported. Cases of bacteremia (n = 14) were commonly associated with trauma or manipulation of the genitourinary tract and were often self-limi...
0
Fused micro-computed tomography (μCT) and histological images of bone specimens
MSTS 2018 - Femur Mets and MM
Objectives: To describe a stepwise process to obtain fused images from micro-computed tomography (μCT) and histological images of bone specimens. Material and methods: Four surgically resected human femoral heads from four patients who had total hip replacement were imaged at a spatial resolution of 12-microns by usin...
0
Initiation of tumor necrosis factor alpha (TNF>) antagonists and risk of fractures in patients with selected rheumatic and autoimmune diseases
Management of Hip Fractures in the Elderly
Background/Purpose: Inflammation mediates bone resorption, in part through TNF+. In experimental models TNF+ antagonists reduce inflammation-mediated bone resorption; however, the effect of this class of drugs on fracture risk in patients is unknown. We tested the hypothesis that initiation of TNF+ antagonists reduced ...
0
Functional outcome of extra-articular distal humerus fracture fixation using a single locking plate: A retrospective study
Pediatric Supracondylar Humerus Fracture 2020 Review
PURPOSE: The optimal method for fixation of extra-articular distal humerus factures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates have emerged as a viable solution for these complex injuries. We assessed clinico-radiol...
1
Internal fixation versus nontreatment of hip fractures in senile patients
Management of Hip Fractures in the Elderly
Institutionalized senile patients with hip fractures have a high mortality regardless of whether treatment consists of internal stabilization or is non-operative. In an effort to select the best therapeutic approach in this type of patient, 150 patients were examined in 3 comparable groups. In the first group of 50 pat...
0
Re-fracture and correlated risk factors in patients with osteoporotic vertebral fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
Re-fracture risk is higher following osteoporotic fracture. However, there is no accurately reported rate of re-fracture incidence in southwest China. The purpose of this study was to describe the osteoporotic vertebral fracture (OVF) survival for re-fracture state and analyze the risk of re-fracture. This historical c...
0
Ipsilateral distal radius and scaphoid fractures
Distal Radius Fractures
Simultaneous fractures of the distal radius and scaphoid are uncommon. Previous reports have outlined a variety of treatment methods for this condition. We describe the results in eight patients with simultaneous fractures of the distal radius and scaphoid, who were treated at National Taiwan University Hospital from 1...
0
Complications in Distal Radius Fracture
Distal Radius Fractures
BACKGROUND. Distal radius fractures (FRD) are up to 17% of all diagnosed fractures and are the most commonly treated fractures in adult orthopedic patients. The management could be either conservative or surgical, depending on AO bone fracture classification. The principles of good treatment involves an anatomical redu...
0
Introducing a Clinical Practice Guideline Using Early CT in the Diagnosis of Scaphoid and Other Fractures
Distal Radius Fractures
OBJECTIVE: We developed and implemented clinical practice guideline (CPG) using computerized tomography (CT) as the initial imaging method in the emergency department management of scaphoid fractures. We hypothesized that this CPG would decrease unnecessary immobilization and lead to earlier return to work. METHODS: Th...
0
Increased prevalence of self-reported fractures in Asian Indians with diabetes: Results from the ICMR-INDIAB population based cross-sectional study
Hip Fx in the Elderly 2019
Background: Diabetes mellitus (DM), has been associated with increased fracture risk. However, there are no data pertaining to the prevalence of fractures for patients with DM in India. The aim of this study was to determine the prevalence of fractures in Asian Indians with and without diabetes. Methods: The study used...
0
Repeat falls and the recovery of social participation in the year post-hip fracture
Management of Hip Fractures in the Elderly
BACKGROUND: although the majority of hip fractures are the result of a fall, whether repeated falls in the year post-fracture adversely influence recovery of social participation is not known. DESIGN: analysis of data from a longitudinal cohort study. SUBJECTS: community-dwelling women aged > or = 65 years, admitted to...
1
Median nerve deformation in differential finger motions: ultrasonographic comparison of carpal tunnel syndrome patients and healthy controls
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We investigated the median nerve deformation in the carpal tunnel in patients with carpal tunnel syndrome and controls during thumb, index finger, middle finger, and a four finger motion, using ultrasound. Both wrists of 29 asymptomatic volunteers and 29 patients with idiopathic carpal tunnel syndrome were evaluated by...
0
Relationship between bone marrow lesions, cartilage loss and pain in knee osteoarthritis: results from a randomised controlled clinical trial using MRI
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To assess in a multicentre randomised double�blind phase III clinical trial evaluating the effect of licofelone in comparison with naproxen on knee osteoarthritis (OA) the presence of, and change in, bone marrow lesions (BML) over time, their relationship to cartilage volume loss, meniscal extrusion and pa...
1
Fundamentals of sonographic diagnosis of infant hip dysplasia
Developmental Dysplasia of the Hip CPG
Since 1978 we have examined 3,500 infant hips by ultrasonography. We classified these hips into four basic categories: (a) normal, according to age; (b) delayed ossification (dysplasia); (c) partial dislocation (subluxation); and (d) dislocation (total luxation). Ultrasound provides no exposure to radiation and can dif...
0
Screw versus helical proximal femoral nail in the treatment of unstable trochanteric fractures in the elderly
DoD SSI (Surgical Site Infections)
Purpose: Comparison of clinical, radiological and functional outcomes of screw proximal femoral nail (PFN) and helical PFN in management of unstable trochanteric fractures. Methods: This prospective randomised comparative study included 60 patients with closed unstable intertrochanteric fractures (AO classification-A2....
0
Reconstructing proximal humeral fractures using the bicipital groove as a landmark
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Controversy persists in the literature regarding the use of the bicipital groove as an anatomic landmark to restore humeral head retroversion when treating complex proximal humeral fractures with arthroplasty. We quantified the three-dimensional geometry of the bicipital groove in 49 dried humeri relative to the intram...
0
Medicare Reimbursement Attributable to Periprosthetic Joint Infection Following Primary Hip and Knee Arthroplasty
PJI DX Updated Search
This study estimated Medicare reimbursement attributable to periprosthetic joint infection (PJI) across the continuum of covered services four years following hip or knee arthroplasty. Using 2001-2008 Medicare claims data, total and annual attributable reimbursements were assessed using generalized linear regression, a...
0
A randomised controlled trial to compare patient satisfaction with two different types of local anaesthesia in ptosis surgery
Upper Eyelid and Brow Surgery
BACKGROUND: Ptosis surgery is performed under local anaesthetic to allow intra-operative assessment of lid positioning. Most commonly the anaesthetic is administered as a subcutaneous infiltration at the surgical site. Ptosis surgery using a regional nerve block has also been described, with reported advantages for min...
0
A midvastus muscle-splitting approach for total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
This study presents a modification of the medial parapatellar surgical approach for total knee arthroplasty. This approach separates the vastus medialis muscle in the direction of its fibers beginning at the superior pole of the patella. One hundred eighteen consecutive total knee arthroplasty cases, performed by a sin...
0
Acute flank pain due to renal infarction: Limitations of unenhanced CT
PJI DX Updated Search
A fifty-two-year-old woman developed severe right flank pain; she had an initial non-contrast CT, which was inconclusive. Subsequently, contrast enhanced CT showed subtotal infarction of the right kidney and occlusion of the right main renal artery. The current trend is using unenhanced helical CT for the diagnosis of ...
0
Disparities in joint replacement utilization: A quality of care issue
Surgical Management of Osteoarthritis of the Knee CPG
Although total joint replacement is an effective treatment option for end-stage lower extremity osteoarthritis, racial disparities in joint replacement utilization have been well documented. These disparities may be due in part to patient-level factors such as willingness to consider joint replacement and worse expecta...
0
Social complexity beliefs predict posttraumatic growth in survivors of a natural disaster
DoD PRF (Psychosocial RF)
OBJECTIVE: Most studies on posttraumatic growth (PTG) have focused on personal characteristics, interpersonal resources, and the immediate environment. There has been less attention on dynamic internal processes related to the development of PTG and on how these processes are affected by the broader culture. Calhoun an...
0
Patients' experiences following local-regional recurrence of thyroid cancer: a qualitative study
DoD PRF (Psychosocial RF)
BACKGROUND AND OBJECTIVE: The psychosocial impact of local-regional thyroid cancer recurrence is not known. The aim of this study was to explore thyroid cancer patients' experiences relating to diagnosis and treatment of local-regional disease recurrence. METHODS: We conducted 15 semi-structured interviews with survivo...
0
Neonatal septicemia isolates and resistance patterns in a tertiary care hospital of North India
Patrick’s pharmacoepidemiology project
Background: Septicemia continues to be a major cause of neonatal mortality and morbidity worldwide. Methodology: To know the rate of neonatal septicemia in our tertiary care centre, a retrospective analysis of 2,247 blood samples was done over a period of four years and three months (July 2003 to October 2007). Results...
0
Viscosupplementation for Osteoarthritis of the Knee: A Key Opinion Leader Panel Discussion
OAK 3 - Non-arthroplasty tx of OAK
With a sharp rise in the prevalence of osteoarthritis of the knee (OAK) in a younger population, new management strategies are needed to preserve mobility, improve patients' quality of life, and reduce the effects of potential disease-related comorbidities. Viscosupplementation with the use of hyaluronic acid (HA) inje...
0
Relations among sociodemographic, neurologic, clinical, and neuropsychologic variables, and vocational status following mild traumatic brain injury: A follow-up study
DoD PRF (Psychosocial RF)
OBJECTIVES: To explore the long-term relations among sociodemographic, neurologic, clinical, and neuropsychologic variables, and vocational status in persons with mild traumatic brain injury (MTBI), and to identify the symptoms that determine whether or not these individuals return to work. DESIGN: Longitudinal quasi-e...
0
Psychological resources, positive illusions, and health
DoD PRF (Psychosocial RF)
Psychological beliefs such as optimism, personal control, and a sense of meaning are known to be protective of mental health. Are they protective of physical health as well? The authors present a program of research that has tested the implications of cognitive adaptation theory and research on positive illusions for t...
0
Intrathecal ropivacaine for ambulatory surgery
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: The rationale of this study was to evaluate intrathecal ropivacaine for ambulatory surgery. METHODS: One hundred fifty patients with American Society of Anesthesiologists physical status 1 scheduled for knee arthroscopy were studied. Patients were randomly assigned to receive 4 ml of one of five isobaric in...
0
Effects of pH on the silk fibroin coating of CoCrMo alloy
PJI DX Updated Search
Bacteria related infections are still cited as a major problem for the implant materials resulting in failure of device especially knee and hip replacement. Two main approaches are focused for inhibiting the bacterial adhesion to the surface. These involve bactericidal substances and anti-adhesive coatings. Silk fibroi...
1
The effects of arthroscopic partial lateral meniscectomy in an otherwise normal knee: a retrospective review of functional, clinical, and radiographic results
AMP (Acute Meniscal Pathology)
A retrospective review of patients who underwent arthroscopic partial lateral meniscectomy for lateral meniscus tears in otherwise normal knees was conducted to review the long-term functional, clinical, and radiographic results. Twenty-six patients (27 knees) were evaluated by questionnaire; 20 patients (21 knees) als...
0
Ulcerative keratitis caused by beta-hemolytic Streptococcus equi in 11 horses
Reconstruction After Skin Cancer
Purpose To describe 11 clinical cases of ulcerative keratitis in horses associated with beta-hemolytic Streptococcus equi in Florida, USA. METHODS: Retrospective clinical study (1996-99). RESULTS: Beta-hemolytic Streptococcus equi was cultured from 11 horses with deep ulcers, descemetoceles or iris prolapse (n = 8), a ...
0
Long-term results of cementless femoral reconstruction following intertrochanteric osteotomy
Dental Implant Infection
PURPOSE: The objective of this retrospective cohort study was to assess the long-term outcome of cementless femoral reconstruction in patients with previous intertrochanteric osteotomy (ITO)., METHODS: We evaluated the clinical and radiographic results of a consecutive series of 45 patients (48 hips, mean age 50 years)...
0
Effects of neoadjuvant radiochemotherapy on pathological staging and prognosis for locally advanced esophageal squamous cell carcinoma
Reconstruction After Skin Cancer
The role of neoadjuvant therapy in the treatment of locally advanced esophageal carcinoma still remains controversial. The aim of this study was to evaluate the effects of neoadjuvant radiochemotherapy on pathological staging and prognosis in the patients with locally advanced esophageal squamous cell carcinoma. Betwee...
0
Perioperative dexketoprofen or lornoxicam administration for pain management after major orthopaedic surgery - A randomized, controlled study
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: Non-steroidal anti-inflammatory drugs (NSAIDs) are recommended for multimodal postoperative pain management. We evaluated postoperative pain relief and opioid sparing effects of dexketoprofen and lornoxicam after major orthopaedic surgery. Methods: After ethical committee approval and informed cons...
0
Traumatic osteochondral injury of the femoral head treated by mosaicplasty: a report of two cases
Diagnosis and Treatment of Osteochondritis Dissecans AUC
The increased risk of symptomatic progression towards osteoarthritis after chondral damage has led to the development of multiple treatment options for cartilage repair. These procedures have evolved from arthroscopic lavage and debridement, to marrow stimulation techniques, and more recently, to osteochondral autograf...
0
Cosmetic considerations and nonlaser cosmetic procedures in ethnic skin
Panniculectomy & Abdominoplasty CPG
The face of the aesthetic patient is changing to be more representative of the ethnic diversity of the United States population. It is imperative that the cosmetic dermatologic surgeon not only understand the concerns of the ethnic aesthetic patient but have an awareness of the unique needs of those with darker skin.
0
General principles
DOD - Acute Comp Syndrome CPG
This article outlines basic bone structure and physiology, reviews the fundamental concepts of bone injury, briefly correlates bone edema patterns with mechanism of injury, and finally reviews magnetic resonance imaging during fracture healing. Copyright © 2006 by Thieme Medical Publishers, Inc.
0
Meniscal regeneration in the long-term after total meniscectomy?
AMP (Acute Meniscal Pathology)
A cohort of 39 patients (28 male, 11 female) that had undergone total meniscectomy as adolescents (mean age 16 years) underwent FISP 3D Magnetic Resonance Imaging at a mean follow up of 30 years. The presence of meniscal tissue was assessed by two independent observers blinded to the operation details. The volume of an...
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Change in the use of hormone replacement therapy and the incidence of fracture in Oslo
Management of Hip Fractures in the Elderly
Fracture incidence in Oslo decreased from the 1970s to the 1990s in younger postmenopausal women, but not in older women or in men. Concurrently, hormone replacement therapy increased considerably. Using data from the Oslo Health Study, we estimated that roughly half the decline might be attributed hormone replacement ...
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The middle radioulnar joint and triarticular forearm complex
Distal Radius Fractures
The forearm is composed of the radial and ulnar shafts, which are linked by the interosseous membrane and intercalated between the elbow and wrist. The radius and ulna are connected by three joints, the proximal, middle, and distal radioulnar joints. The forearm ensures pronation/supination and longitudinal load transf...
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Surgical approaches to the posteromedial and posterolateral aspects of the knee
AMP (Acute Meniscal Pathology)
Surgical approaches to the posterior aspect of the knee are not commonly needed, and their use has become even rarer with the increasing sophistication of arthroscopic technology. As a result, physicians in orthopaedic surgical training are not often exposed to the practical use of surgical dissection around the poster...
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Serum hyaluronic acid concentration predicts the progression of joint space narrowing in normal knees and established knee osteoarthritis - a five-year prospective cohort study
OAK 3 - Non-arthroplasty tx of OAK
INTRODUCTION: Serum hyaluronic acid (sHA) is a serum biomarker for knee osteoarthritis (OA). Although sHA concentration is elevated in patients with knee OA, the relationship between serum concentration and disease progression remains unclear. We examined the relationship between sHA concentration and radiographic prog...
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Psychiatric disorders following first breast cancer recurrence: prevalence, associated factors and relationship to quality of life
DoD PRF (Psychosocial RF)
OBJECTIVE: The purpose of this study was to investigate the prevalence of and factors associated with psychiatric disorders and the impact on quality of life (QOL) in patients with first breast cancer recurrence. METHODS: We analyzed the baseline data on 50 consecutively enrolled recurrent breast cancer patients, parti...
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A geriatric-anesthesiologic program to reduce acute confusional states in elderly patients treated for femoral neck fractures
Management of Hip Fractures in the Elderly
The aim of this study was to evaluate the effect of a geriatric-anesthesiologic intervention program for the prevention and treatment of acute confusional states (ACS) in elderly patients treated for femoral neck fractures. The intervention program was based on the results of previous prospective studies in similar pat...
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Effects of intra-articular SHINBARO treatment on monosodium iodoacetate-induced osteoarthritis in rats
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: SHINBARO is a refined herbal formulation used to treat inflamed lesions and bone diseases. This study aimed to investigate the anti-osteoarthritic activities of intra-articular administration of SHINBARO and determine its underlying molecular mechanism in a monosodium iodoacetate (MIA)-induced osteoarthriti...
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Extended applications of the reamer-irrigator-aspirator (RIA) system
MSTS 2018 - Femur Mets and MM
While the RIA system was initially designed for reaming and clearing the femoral canal contents in preparation for femoral nailing, it has since been used in various other applications in the field of orthopaedic surgery. The RIA is an ideal device for accessing large quantities of autogenous bone graft, to be used in ...
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Epinephrine and clonidine do not improve intrathecal sufentanil analgesia after total hip replacement
AAHKS (8) Anesthetic Infiltration
BACKGROUND: We compared analgesia after intrathecal sufentanil alone, sufentanil with epinephrine 200 microg and sufentanil with clonidine 30 microg in patients after total hip replacement, the endpoints being onset and duration of action. METHODS: We performed a randomized double-blind study of 45 patients for electiv...
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Carpal tunnel syndrome caused by Mycobacterium szulgai
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We describe 2 cases of infection due to Mycobacterium szulgai revealed by a carpal tunnel syndrome (CTS) that was the only clinical manifestation. Both patients regularly cleaned their fish tank with bare hands. The diagnosis was made by isolation of M. szulgai from synovium. The cause of the CTS was a synovitis. Previ...
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Noninvasive radio frequency for skin tightening and body contouring
Panniculectomy & Abdominoplasty CPG
The medical use of radio frequency (RF) is based on an oscillating electrical current forcing collisions between charged molecules and ions, which are then transformed into heat. RF heating occurs irrespective of chromophore or skin type and is not dependent on selective photothermolysis. RF can be delivered using mono...
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Bovine viral diarrhea virus cyclically impairs long bone trabecular modeling in experimental persistently infected fetuses
MSTS 2018 - Femur Mets and MM
Persistent infection (PI) with bovine viral diarrhea virus (BVDV) has been associated with osteopetrosis and other long bone lesions, most commonly characterized as transverse zones of unmodeled metaphyseal trabeculae in fetuses and calves. This study was undertaken to characterize the morphogenesis of fetal long bone ...
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Longstanding nonunions of scaphoid fractures with bone loss: successful reconstruction with vascularized bone grafts
Distal Radius Fractures
Vascularized bone graft from the dorsum of distal radius was used to treat 22 nonunions of scaphoid fractures, with a mean delay of 4 years from the initial injury. Four of the eight patients with associated scapho-styloid arthritis also underwent a closing wedge osteotomy of the distal radius. Follow-up time ranged fr...
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Insall-Burstein posterior-stabilized knee prosthesis in rheumatoid arthritis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The authors reviewed 65 Insall-Burstein (Zimmer, Warsaw, IN) total condylar posterior-stabilized knee prostheses in 50 patients with rheumatoid arthritis with a follow-up period of at least 5 years (range, 5-13 years). Forty-two knees in 31 patients were evaluated using the Knee Society knee and functional rating score...
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Effect of acute reamed versus unreamed intramedullary nailing on compartment pressure when treating closed tibial shaft fractures: a randomized prospective study
DOD - Acute Comp Syndrome CPG
OBJECTIVE: To compare anterior and deep posterior compartment pressures during reamed and unreamed intramedullary nailing of displaced, closed tibial shaft fractures. DESIGN: Randomized prospective study. SETTING: University Hospital/Level I trauma center. PATIENTS: Forty-eight adults with forty-nine fractures treated ...
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A review of oscillating field stimulation to treat human spinal cord injury
PJI DX Updated Search
OBJECTIVE: To report the results of use of a human oscillating field stimulator (OFS) in a phase 1 trial of 14 human patients with complete motor and sensory spinal cord injury. METHODS: Entry criteria were complete spinal cord injury between C5 and T10 in patients 18-65 years old with no transection on magnetic resona...
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Glenohumeral osteoarthritis in active patients: diagnostic tips and complete management options
Glenohumeral Joint OA
In the normal glenohumeral joint, the humeral head and the glenoid articulate via smooth and congruent articular surfaces. In the osteoarthritic shoulder, however, both the articular surface anatomy and orientation may be severely distorted and the soft tissues grossly contracted, leading to pain and loss of function. ...
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Integrated algorithm for reconstruction of complex forms of Poland syndrome: 20-year outcomes
Panniculectomy & Abdominoplasty CPG
SummaryBackground The extent of breast and chest-wall deformity varies widely in Poland syndrome, and a variety of techniques are required to correct them. The aim of this study is to analyse our experience and long-term follow-up, and to propose an algorithmic approach to this complex deformity. Patients and methods R...
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Prevention of excessive postoperative sliding of the short femoral nail in femoral trochanteric fractures
Hip Fx in the Elderly 2019
INTRODUCTION: Lag screw cut-out is one of the major postoperative complications on femoral trochanteric fractures. However, precise analyses of excessive sliding and lag screw cut-out were limited. The purpose of this study was to investigate the factors that induce this unfavorable event. METHODS: From April 2010 to A...