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0 | Supramalleolar Osteotomy Combined With an Intra-articular Osteotomy for the Reconstruction of Malunited Medial Impacted Ankle Fractures | OAK 3 - Non-arthroplasty tx of OAK | Background: Malunion of a medial impacted ankle fracture may cause varus ankle deformity. This retrospective study examined the use of supramalleolar osteotomy combined with an intra-articular osteotomy in patients with malunited medial impacted ankle fractures. Methods: Twenty-four patients with malunited medial impac... |
0 | Reconstruction of the chest wall after full thickness resection: a comparison between myocutaneous flap and acrylic resin plate as reconstructive techniques | Acellular Dermal Matrix | Thirty-three patients with chest wall malignancies underwent full thickness resection of the chest wall and immediate reconstruction of the defects with either synthetic materials (acrylic resin plate, 16 patients) or with myocutaneous flaps (rectus abdominis flaps, 17 patients). Although the acrylic resin plate proved... |
0 | Predicting the stiffness and strength of human femurs with real metastatic tumors | MSTS 2018 - Femur Mets and MM | Background: Predicting patient specific risk of fracture in femurs with metastatic tumors and the need for surgical intervention are of major clinical importance. Recent patient-specific high-order finite element methods (p-FEMs) based on CT-scans demonstrated accurate results for healthy femurs, so that their applicat... |
0 | Vitamin D: a hormone for all seasons--how much is enough? | Management of Hip Fractures in the Elderly | Further understanding of its endocrine mechanisms and increased evidence for autocrine/paracrine actions has recently enhanced our knowledge of the biological activities of the vitamin D metabolite 1,25-dihydroxyvitamin D (1,25(OH)2D). The recognition of the contribution of vitamin D depletion to increased risk of oste... |
0 | Sleep Disturbances Following Traumatic Brain Injury | DoD PRF (Psychosocial RF) | Sleep disorders commonly complicate the course following traumatic brain injury (TBI). Insomnia, excessive daytime somnolence and alteration of the sleep-wake schedule are common disturbances that affect the course of recovery and prognosis in TBI survivors. Few studies, however, have looked at the diagnosis and manage... |
1 | A Quantitative Analysis of Animation Deformity in Prosthetic Breast Reconstruction | Acellular Dermal Matrix | BACKGROUND: Animation deformity is characterized by implant deformity with pectoralis contraction after subpectoral implant-based breast reconstruction. Extant methods to measure and analyze animation deformity are hampered by the paucity of objective, quantitative data. The authors endeavored to supplement subjective ... |
0 | A phase I-II controlled randomized trial using a promising novel cell-free formulation for articular cartilage regeneration as treatment of severe osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: A promising novel cell-free bioactive formulation for articular cartilage regeneration, called BIOF2, has recently been tested in pre-clinical trials. The aim of the present study was to evaluate the efficacy and safety of BIOF2 for intra-articular application in patients with severe osteoarthritis of the k... |
0 | Adaptation and validation of the Caregiver Burden Inventory in Spinal Cord Injuries (CBI-SCI) | DoD PRF (Psychosocial RF) | DESIGN: Validation cross-sectional study.
OBJECTIVES: Even though caregiver burden (CB) represents a well-recognised concern among caregivers of people with a spinal cord injury (SCI), there are no specific questionnaires designed for its evaluation. This study aimed to assess the psychometric properties of the Caregiv... |
0 | Bioabsorbable versus metallic interference screws for graft fixation in anterior cruciate ligament reconstruction | PJI DX Updated Search | Background: Anterior cruciate ligament (ACL) tears are frequently treated with surgical reconstruction with grafts, frequently patella tendon or hamstrings. Interference screws are often used to secure the graft in bone tunnels in the femur and tibia. This review examines whether bioabsorbable interference screws give ... |
0 | Distal third humeri fractures treated using the Synthesâ?¢ 3.5-mm extra-articular distal humeral locking compression plate: clinical, radiographic and patient outcome scores | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Conventional management protocols for distal humeral extra-articular fractures (e.g. conservative, double columnar plating) are often associated with complications. We aimed to describe our experience of using the Synthesâ?¢ 3.5-mm extra-articular distal humeral locking compression plate for treatment of ex... |
0 | A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Autologous chondrocyte implantation (ACI) and mosaicplasty are both claimed to be successful for the repair of defects of the articular cartilage of the knee but there has been no comparative study of the two methods. A total of 100 patients with a mean age of 31.3 years (16 to 49) and with a symptomatic lesion of the ... |
1 | Reoperation After Osteochondral Autograft and Allograft Transfer in the Pediatric Knee | Osteochondritis Dissecans 2020 Review | Osteochondral autograft (OAU) transfer and osteochondral allograft (OAL) transfer are options for treating sizable articular cartilage lesions in the knee, but there is little evidence to support one technique over another. The goal of this study is to compare the rate of reoperation among children and adolescents unde... |
0 | Femoral bone loss in revision total hip arthroplasty: evaluation and management | PJI DX Updated Search | Primary total hip arthroplasty (THA) is one of the most effective procedures for managing end-stage hip arthritis. The burden of revision THA procedures is expected to increase along with the rise in number of primary THAs. The major indications for revision THA include instability, aseptic loosening, infection, osteol... |
0 | Analysis of Ankle Range of Motion and Functional Outcome Following Total Ankle Arthoplasty | DoD SSI (Surgical Site Infections) | The success of ankle joint replacement has primarily been reviewed with respect to patient morbidity and survivorship rather than patient satisfaction. A retrospective review was performed of 95 patients who had undergone a total ankle replacement and who had completed both postoperative range of motion fluoroscopy and... |
0 | Proximal medial tibial biplanar retrotubercle open wedge osteotomy in medial knee arthrosis | OAK 3 - Non-arthroplasty tx of OAK | The patellar tendon length changes and patella infera occurs in medial open wedge osteotomies. We hypothesized that patellar tendon length in the sagittal plane would not change in a proximal medial tibial biplanar retrotubercle open wedge osteotomy. Proximal medial tibial biplanar retrotubercle open wedge osteotomies ... |
0 | Prediction of total and hip fracture risk in men and women by quantitative ultrasound of the calcaneus: EPIC-Norfolk prospective population study | Management of Hip Fractures in the Elderly | BACKGROUND: A quarter of fractures needing admission happen in men, but few data are available that show the value of bone measures for prediction of fracture risk in men. We aimed to assess quantitative ultrasound of the calcaneum and fracture incidence in a prospective observational population study. METHODS: Calcane... |
0 | Depression and life satisfaction among people ageing with post-polio and spinal cord injury | DoD PRF (Psychosocial RF) | PURPOSE AND BACKGROUND: Attention has recently begun to focus on the ageing of individuals with disability, not only as a long-term follow-up issue but as a unique developmental issue itself. The majority of individuals with an onset of disability before age 30 can now expect to live into their 60s, 70s and beyond. Mos... |
0 | Physeal injuries of the distal humerus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Physeal injuries of the distal humerus comprise approximately 10% of all physeal injuries. Diagnosis of these injuries at a young age before the ossification centers have ossified and become visible radiographically is difficult. Poor outcome of distal humeral physeal injuries is not uncommon and can be best prevented ... |
1 | Comparison of 2 Analgesia Modalities in Total Knee Replacement Surgery: Is There an Effect on Knee Function Rehabilitation? | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND We compared the effects of continuous femoral nerve block (CFNB) and continuous intraarticular block (CIAB) on pain, functional recovery and adverse effects after total knee arthroplasty (TKA). MATERIAL AND METHODS We prospectively randomized 54 patients undergoing TKA into 2 groups: CFNB (Group F) and CIAB ... |
0 | Prognosis of patients with advanced Hodgkin's disease: evaluation of four prognostic models using 344 patients included in the Group d'Etudes des Lymphomes de l'Adulte Study | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: To determine whether a high risk group could be identified within a group of patients with advanced stage Hodgkin's disease (HD), the authors applied several prognostic models to patients treated according to the H89 protocol.
METHODS: This study included 344 patients with Stage IIIB-IV HD who were treated ... |
0 | Vascular Endothelial Growth Factor in Cartilage Development and Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Genome wide studies indicate that vascular endothelial growth factor A (VEGF) is associated with osteoarthritis (OA), and increased VEGF expression correlates with increased disease severity. VEGF is also a chondrocyte survival factor during development and essential for bone formation, skeletal growth and postnatal ho... |
0 | Common risk factors seen in secondary carpal tunnel surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: We hypothesized that there are several common risk factors associated with secondary carpal tunnel releases. Therefore, we chose to investigate these common factors by analyzing the charts of those patients requiring a second carpal tunnel release (CTR) procedure. METHODS: A retrospective chart review was p... |
1 | Unicompartmental knee replacement provides early clinical and functional improvement stabilizing over time | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Unicompartmental knee replacement preserves uninvolved osteocartilaginous and soft tissue structures, thereby allowing a more physiological and early clinical and functional recovery. The aim of this study was to report the results of ZUK unicompartmental fixed metal-back prosthesis and how these results chang... |
0 | Difficulties in diagnosis and treatment of Pagetâ??s disease | MSTS 2018 - Femur Mets and MM | Pagetâ??s disease is a rare finding in Poland. It is a disorder of the osteoarticular system, which, in adults, mostly affects people over 55 years of age. The clinical picture varies, depending on the location of the lesions, making the diagnosis difficult, sometimes taking many years for a correct diagnosis to be mad... |
1 | Visual Cascaded-Progressive Convolutional Neural Network (C-PCNN) for Diagnosis of Meniscus Injury | AMP (Acute Meniscal Pathology) | OBJECTIVE: The objective of this study is to develop a novel automatic convolutional neural network (CNN) that aids in the diagnosis of meniscus injury, while enabling the visualization of lesion characteristics. This will improve the accuracy and reduce diagnosis times.
METHODS: We presented a cascaded-progressive con... |
0 | Fascia lata suspension in kinetic and strabismological ptosis | Upper Eyelid and Brow Surgery | Several ptosis problems bring plastic surgeons and strabologists together to share experiences and ideas. In general, there are the analyses of active and passive forces, the surgery on positions and motions, combined disorders of motility and ptosis, and various 'kinetic' ptoses, which can be defined as motility patte... |
0 | Arthrosis of the lunate-capitate joint | Distal Radius Fractures | Arthrosis of the lunate-capitate (LC) joint was investigated in 44 wrists from 36 patients. The symptomatology was uncharacteristic and most patients were examined because of pain, swelling or decreased function of the wrist. The LC arthrosis seemed to be secondary to trauma in most patients; 26 wrists had an increased... |
1 | Secondary carpal tunnel surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although carpal tunnel release relieves symptoms for most patients, there are certain patients who fail to respond to this surgery. This article reviews the complications that may follow carpal tunnel surgery and discusses surgical techniques to correct the symptoms. The author emphasizes the need for increased awarene... |
0 | Elbow functional compensation using a lightweight magnetorheological clutch | Pediatric Supracondylar Humerus Fracture 2020 Review | There are many applications for which a patient needs functional compensation due to motor disorders in daily activities. Classic research has focused on robotics solutions in terms of actuators or motors, but the point of this paper is to analyze new solutions combining both biological and artificial structures, in or... |
0 | Acute isolated hyperinsulinemia increases esophageal sensitivity in healthy adults | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background and aims: Gastrointestinal discomfort and peripheral neuropathic pain are common and cumbersome diabetes complications. The pathomechanisms have yet to be elucidated. Interestingly, recent studies have shown that a substantial proportion of patients with presumed idiopathic polyneuropathy have pathological g... |
0 | What Happens to the Articular Surface After Curettage for Epiphyseal Chondroblastoma? A Report on Functional Results, Arthritis, and Arthroplasty | PJI DX Updated Search | BACKGROUND: Chondroblastoma is an uncommon, benign, but locally aggressive bone tumor that occurs in the apophyses or epiphyses of long bones, primarily in young patients. Although some are treated with large resections, aggressive curettage and bone grafting are more commonly performed to preserve the involved joint. ... |
0 | Locking compression plate fixation of vancouver type-B1 periprosthetic femoral fractures | Management of Hip Fractures in the Elderly | Background: Fractures occurring at or near the distal tip of a hip prosthesis with a stable femoral stem (Vancouver type-B fractures) are associated with many complications because of the inherently unstable fracture pattern. Locking compression plates use screws that lock into the plate allowing multiple points of uni... |
0 | A Concept Analysis of Resilience Integrating Genetics | DoD PRF (Psychosocial RF) | Although clinicians and researchers are interested in the phenomenon of resilience, there is no agreed-upon definition of resilience. Scientific evidence suggests that resilience is influenced by intrapersonal (e.g. personality traits) and environmental (e.g. social support) variables. A concept analysis was conducted ... |
0 | Analysis of liposuction-related complications and mortality in the United States and Latin America | Panniculectomy & Abdominoplasty CPG | Over the past few years, accidents involving liposuction surgery (LS) have led to serious complications and death These outcomes have been well publicized, especially in the case of show-business people who suffered serious complications. This bad publicity has cast a shadow over the procedure and generated much tenden... |
0 | Lateral elbow ecchymosis as a clinical sign of lateral humeral condylar fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Given the appropriate clinical history and mechanism of injury, the presence of localized lateral elbow ecchymosis in a young child is usually the sign of lateral condyle fracture of the humerus. Recognition of this clinical sign helps in directing the diagnostic studies and empiric treatment toward a lateral condyle f... |
0 | Intimal sarcoma of the superficial femoral artery with osteosarcomatous differentiation | PJI DX Updated Search | Sarcomas of the large vessels usually present centrally in the aorta, pulmonary artery, and inferior vena cava. Peripheral arterial sarcomas are exceptionally rare. They have been reported in the iliac and common or profunda femoral arteries, and are frequently undifferentiated. In this study, we describe a differentia... |
0 | Absence of tissue factor expression by neoplastic plasma cells in multiple myeloma | MSTS 2022 - Metastatic Disease of the Humerus | Thrombosis portends a poor prognosis in individuals with solid tumors. Constitutive expression of tissue factor (TF) by cancer cells is a key in triggering activation of coagulation and promoting aggressive tumor behavior. Though multiple myeloma (MM) is associated with a high frequency of thrombosis in the context of ... |
0 | Multicentric giant cell tumor of bone. Clinicopathologic analysis of thirty cases | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Giant cell tumor of bone accounts for 4% to 5% of primary bone tumors. Approximately 1% of cases present as multiple synchronous or metachronous lesions. In this study, we describe the clinicopathologic features of thirty cases of multicentric giant cell tumor.
METHODS: Thirty patients who had two or more s... |
1 | Reconstruction after Mohs cancer excision | Reconstruction After Skin Cancer | At our institution 363 skin defects following Mohs excision for carcinoma were repaired in a two-year period. The majority of the patients were women (62%). Most repairs were to the nose (42%), and almost all followed basal cell carcinoma excision (91% of tumor types). Flaps were preferable to skin grafts for facial re... |
0 | Total knee arthroplasty using virtual prototyping and additive manufacturing | OAK 3 - Non-arthroplasty tx of OAK | The aim of the study was to evaluate clinical and radiological outcomes of total knee arthroplasty using patient-specific guides to position cutting blocks manufactured by means of virtual prototyping and 3D printing. Materials and Methods. During the period from 2016 to 2018, six surgeries in total knee arthroplasty w... |
0 | Combination of wrist splint and conventional treatment vs conventional treatment alone in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To determine the efficacy of using a wrist splint combined with conventional treatment on the improvement of symptoms, hand function and nerve conduction study (NCS) in mild to moderate degree of CTS. Design: A randomized single-blind controlled trial. Setting: King Chulalongkorn Memorial Hospital Participan... |
1 | Sliding screw-plate for fixation of femoral neck fracture | Management of Hip Fractures in the Elderly | Ninety-eight fractures of the femoral neck treated with a sliding screw-plate system were followed from 6 to 65 months. Two cases developing deep infection and four cases of primary technical failure were reoperated. Union was encountered in 80/92 of the fractures; 13/80 of the united fractures developed necrosis of th... |
0 | (iv) Disorders of the acromioclavicular joint and distal clavicle | DoD SSI (Surgical Site Infections) | The acromioclavicular joint (ACJ) is a common source of pathology in patients of all age groups and lifestyles. Young patients, particularly those engaged in contact sports, often suffer injuries that result in instability of the ACJ. Advances in arthroscopic surgery and implant technology have opened new avenues for t... |
0 | Should bisphosphonates be the treatment of choice for metastatic bone disease? | MSTS 2018 - Femur Mets and MM | Bone metastases commonly occur in cancer patients, most frequently in patients with breast and prostate cancers, and are associated with considerable morbidity. Cancer cells secrete a number of paracrine factors that stimulate osteoclast function, resulting in osteolysis. Bisphosphonates are potent inhibitors of both n... |
0 | Median-ulnar anastomosis to thenar, hypothenar, and first dorsal interosseous muscles: collision technique confirmation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Median-ulnar anastomosis (Martin-Gruber anastomosis; MGA) is traditionally diagnosed based upon changes in compound muscle action potential (CMAP) amplitude following proximal stimulation. We describe a rare patient with a MGA innervating thenar, hypothenar, and first dorsal interosseous muscles. Proximal stimulation, ... |
1 | Complications in tissue expander breast reconstruction: a comparison of AlloDerm, DermaMatrix, and FlexHD acellular inferior pole dermal slings | Acellular Dermal Matrix | Acellular dermal matrix (ADM) is frequently used in tissue expander breast reconstruction (TEBR) for coverage of the inferior pole. Several published studies have suggested increased rates of complications with the use of ADM. It is unknown, however, if the type of ADM used for TEBR impacts complication rates. The aim ... |
0 | Recommendations of the OARSI FDA Osteoarthritis Devices Working Group | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis (OA) is the most common type of arthritis and a major cause of chronic musculoskeletal pain and functional disability. While both pharmacologic and non-pharmacologic modalities are recommended in the management of OA, when patients with hip or knee OA do not obtain adequate pain relief and/or functional ... |
0 | Early repetitive radiography is unnecessary after an uncomplicated cemented hip or knee arthroplasty for osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Radiographs are necessary at some early point after a hip and knee arthroplasty. The aim of this study was to assess the value of routine repetitive radiographic examinations and the value of a reading of the images by a radiologist. Data of 200 cemented hip and knee arthroplasties for osteoarthritis were reviewed. In-... |
1 | Results After Total Hip Arthroplasty With a Large Head and Bipolar Arthroplasty in Patients With Displaced Femoral Neck Fractures | Management of Hip Fractures in the Elderly | The authors studied the short-term outcomes of total hip arthroplasty (THA) performed using large diameter femoral heads or bipolar arthroplasty (BA) in physiologically active elderly patients with displaced intracapsular femoral neck fractures. The THA group included 14 males and 66 females with a mean age of 75.5 yea... |
0 | Complications of paediatric elbow trauma treatment by traditional bonesetters | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | This is a retrospective review of paediatric elbow trauma, which was initially treated by bonesetters and subsequently reported to the hospital for management. This paper describes the pattern of trauma and the complications of unscientific management. The report also recommends a basic training programfor the bonesett... |
0 | Minimally invasive treatment of displaced intra-articular calcaneal fractures using the balloon kyphoplasty technique: preliminary study | DoD SSI (Surgical Site Infections) | BACKGROUND: The balloon kyphoplasty approach to the treatment of vertebral fractures can be adapted to achieve the reduction and cement stabilisation of intra-articular compression fractures at other sites, such as the calcaneus.
PATIENTS AND METHOD: We studied six patients with a median follow-up of 12 months (range, ... |
1 | Isolated Muller's muscle resection for the correction of blepharoptosis | Upper Eyelid and Brow Surgery | PURPOSE: To assess the outcome of isolated Muller's muscle resection with preservation of conjunctiva in patients with blepharoptosis and good to moderate levator function. METHODS: This study was designed as a prospective, nonrandomised case series. Thirty-four eyes of 27 blepharoptosis patients were operated on, who ... |
0 | Malignant fungating woundsâ??The meaning of living in an unbounded body | DoD PRF (Psychosocial RF) | Background: Malignant fungating wounds may have significant physiological, psychological and emotional consequences on patients and their families. This study focuses on understanding the lived experiences of patients with a malignant fungating breast wound and their informal carers. Method: The methodological framewor... |
0 | Bone mineral densitometry in dialyzed patients: quantitative computed tomography versus dual photon absorptiometry | DoD SSI (Surgical Site Infections) | Reduced bone mineral density (BMD) increases risk of fractures, thus making it necessary to monitor patients suffering from chronic renal failure and consecutive disturbance of bone metabolism. In order to evaluate the reliability of available methods, bone mineral density of the lumbar spine assessed with single energ... |
0 | Endoscopic Delayed Breast Reconstruction With Expanders and Implants via the Axillary Incision Made for Sentinel Lymph Node Biopsy or Lymphadenectomy | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Classic techniques of delayed prosthetic breast reconstruction use the mastectomy scar as an access route. As a result, the filling of the expander must be postponed until the wounds have healed. This creates an asymmetry between the breasts with the volume changes caused by the filling of the expander, whi... |
0 | Avascular necrosis after treatment of aplastic anaemia with antilymphocyte globulin and high-dose methylprednisolone | AAHKS (2) Corticosteroids | Avascular necrosis of bone (AVN) occurring in patients with aplastic anaemia (AA) treated with antilymphocyte globulin (ALG) followed by high-dose methylprednisolone (HDMP) has been studied retrospectively. Out of 49 patients treated at two centres, seven have developed AVN at a median of 14 months (range 6-30) followi... |
0 | The influence of radiotherapy on cosmetic outcome after breast conservative surgery | Reduction Mammoplasty for Female Breast Hypertrophy | PURPOSE: The influence of radiotherapy in the cosmetic outcome after conservative surgery for breast cancer was evaluated using an objective method of calculating the asymmetry between the two breasts.
METHODS AND MATERIALS: One hundred and one patients treated with the same conservative surgery were evaluated for cosm... |
0 | Clinical outcome and patient satisfaction with the use of bovine-derived acellular dermal matrix (SurgiMendTM) in implant based immediate reconstruction following skin sparing mastectomy: A prospective observational study in a single centre | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: The advent of acellular dermal matrix devices (ADMs) has enhanced both the scope of implant-based immediate breast reconstruction (IBR) following skin sparing mastectomy (SSM) for the treatment or risk reduction of breast cancer. Currently, there are a wide range of options available for the use of ADMs.
... |
0 | Complete femoral nerve resection with soft tissue sarcoma: functional outcomes | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The functional consequences of resecting the femoral nerve in conjunction with soft tissue sarcoma management are not well described. In comparison, sciatic nerve involvement by sarcoma was once considered an indication for amputation, but sciatic resection is now commonly performed as part of a limb-salvag... |
0 | A cadaver model to evaluate the accuracy and reproducibility of plain radiograph step and gap measurements for intra-articular fracture of the distal radius | Distal Radius Fractures | Purpose: The purpose of this study was to determine the accuracy and reproducibility of intra-articular step-off and gap displacements measured on plain radiographs using a standard cadaver model. Methods: Twenty-two physicians, in a blinded randomized fashion using a standard technique, examined the radiographs of 12 ... |
1 | Intra-substance meniscal changes and their clinical significance: a meta-analysis | AMP (Acute Meniscal Pathology) | The degeneration of radial tie fibres of the central meniscal layer, and thinning of its lamellar layer results in increased intensity signals on magnetic resonance imaging, making it difficult to differentiate from true meniscal tear. This study aimed to assess the rate of encountered MRI grades 1 and 2 intrasubstance... |
0 | Complications following 250 cemented modular hip hemiarthroplasties | Hip Fx in the Elderly 2019 | BACKGROUND AND AIMS: Hemiarthroplasty is a common method of treating displaced femoral neck fractures, especially among elderly non-active patients with frailty syndrome. Complications arising from the use of a modern, modular hemiendoprosthesis via a posterior approach have been poorly reported in this population. The... |
0 | Nonreamed locking intramedullary nailing for open fractures of the tibia | DoD SSI (Surgical Site Infections) | The use of nonreamed interlocking tibial nails in the management of open fractures of the tibial shaft has gained wide acceptance. This technique has been reported to have reproducible good results with a low incidence of complications in Type I, Type II, and Type IIIA open tibial shaft fractures. The use of nonreamed ... |
0 | Chronic exertional compartment syndrome of the leg in athletes: evaluation and management | DOD - Acute Comp Syndrome CPG | Chronic exertional compartment syndrome (CECS) is a well-known cause of activity-related lower leg pain in both athletes and nonathletes. In contrast to acute compartment syndrome, CECS is generally not related to trauma, and is often suspected in the outpatient setting by primary care physicians, podiatrists, sports m... |
0 | Macular function in eyes with open-angle glaucoma evaluated by multifocal electroretinogram | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate macular function in patients with open-angle glaucoma (OAG) by means of multifocal electroretinogram (mfERG). METHODS: Twenty-four OAG patients (mean age 54.6 +/- 9.1 years) and 14 age-similar controls were enrolled. OAG patients had intraocular pressure (IOP) less than 18 mm Hg with topical medica... |
0 | External fixators as an adjunct to wound healing | DoD LSA (Limb Salvage vs Amputation) | Complex foot and ankle wounds present multiple challenges for the reconstructive surgeon. Soft tissue deficits must be closed to protect underlying structures from infection and to provide a stable environment for healing. Surgical options commonly used include healing by secondary intention, local flap closure, skin g... |
0 | Moxibustion using different habitat moxa floss for moderate to severe primary knee osteoarthritis: study protocol for a three-armed randomized, double-blinded, sham-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: According to the traditional Chinese medicine theory, moxa floss is the best material for moxibustion; the effect of moxibustion is closely related to the habitats of moxa floss, among which Qichun County, Hubei Province, China, is considered as the genuine origin. However, this view has not been validated ... |
0 | The usability and preliminary effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: A large proportion of patients with knee and/or hip osteoarthritis (OA) do not meet the recommended levels of physical activity (PA). Therefore, we developed a web-based intervention that provides a tailored PA program for patients with knee and/or hip OA, entitled Join2move. The intervention incorporates c... |
0 | Stress fracture injury in female endurance athletes in the United Kingdom: A 12-month prospective study | DoD PRF (Psychosocial RF) | Studies of stress fracture (SF) incidence are limited in number and geographical location; this study determined the incidence of SF injury in female endurance athletes based in the United Kingdom. A total of 70 athletes aged between 18 and 45 years were recruited and prospectively monitored for 12 months. Questionnair... |
0 | Monitoring bacterial burden, inflammation and bone damage longitudinally using optical and muCT imaging in an orthopaedic implant infection in mice | PJI DX Updated Search | BACKGROUND: Recent advances in non-invasive optical, radiographic and muCT imaging provide an opportunity to monitor biological processes longitudinally in an anatomical context. One particularly relevant application for combining these modalities is to study orthopaedic implant infections. These infections are charact... |
0 | Traumatic orbital compartment syndrome: importance of the lateral canthomy and cantholysis | DOD - Acute Comp Syndrome CPG | BACKGROUND: Orbital compartment syndrome (OCS) is an ophthalmic emergency that requires urgent surgical decompression to preserve vision.
OBJECTIVE: To describe the clinical presentation, management and outcomes for patients with traumatic OCS.
METHODS: Retrospective case series of eight patients with OCS secondary to ... |
0 | The effect of a single high velocity low amplitude hip mobilization on strength in subjects with knee injuries | AMP (Acute Meniscal Pathology) | Background: Manual therapy have been used as a disinhibitory intervention to increase muscle activation before performing functional tasks that are limited by weakness. Knee injuries are commonly associated with weakness in quadriceps and gluteus. Currently, there is no evidence to support anecdotal experience that a h... |
1 | Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee. 2: economic evaluation alongside a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the cost effectiveness of manual physiotherapy, exercise physiotherapy, and a combination of these therapies for patients with osteoarthritis of the hip or knee.
METHODS: 206 Adults who met the American College of Rheumatology criteria for hip or knee osteoarthritis were included in an economic e... |
0 | Epidural anesthesia prevents hypercoagulation in patients undergoing major orthopedic surgery | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND OBJECTIVES: Epidural anesthesia (EA) is known to reduce postoperative thromboembolic complications, but mechanisms are incompletely understood. In this study, we tested the hypothesis that local anesthetics (LA) prevent postoperative hypercoagulability without affecting physiologic aggregation and coagul... |
1 | Comparison of Periarticular Local Infiltration Analgesia With Femoral Nerve Block for Total Knee Arthroplasty: a Meta-Analysis of Randomized Controlled Trials | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Total knee arthroplasty (TKA) is accompanied by moderate-to-severe postoperative pain. Postoperative pain will hamper functional recovery and lower patients' satisfaction with surgery. Recently, periarticular local infiltration analgesia (LIA) has been widely used in TKA. However, there is no definite answe... |
0 | Stress-riser fractures of the hip after sliding screw plate fixation | Management of Hip Fractures in the Elderly | Fractures occurring after fixation of intertrochanteric femur fractures have been described previously in the literature. Terms such as "stress-riser fracture" and "Young's modulus fracture" have been applied. The prevalence of these fracture types has increased, and so has use of the sliding screw plate device for fix... |
0 | Effects of cyclical etidronate combined with calcitriol versus cyclical etidronate alone on spine and femoral neck bone mineral density in postmenopausal osteoporotic women | Management of Hip Fractures in the Elderly | OBJECTIVES: Few data are available on the effects of combination therapy for the treatment of osteoporosis. The aim of this study was to compare the effects of intermittent cyclical etidronate (E) therapy alone with a combination of cyclical etidronate and calcitriol (E + C) on spine and femoral neck bone mineral densi... |
0 | Survival analysis at 10 years of a cohort of 297 atlas total hip prostheses | Management of Hip Fractures in the Elderly | The purpose of this work is to study the survival curve of Atlas hip prostheses (acetabular insert) implanted by a single surgeon and with a minimum follow-up period of 10 years. Between January 1989 and December 1995, 297 ATLAS cups have been implanted at the Clinic Saint Andre in Reims, 171 ATLAS II non coated with h... |
0 | Median and musculocutaneous nerves: Variant formation and distribution | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An unusual formation of the median and musculocutaneous nerves was observed during routine dissection of the left upper limb of a 60-year-old Caucasian male cadaver. The median nerve was formed by the fusion of three roots, two from the lateral and one from the medial cord of the brachial plexus. The variant lateral ro... |
1 | Pediatric supracondylar humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Pediatric supracondylar humerus fracture can occur in children and young teenagers; however, it is an injury seen most commonly between ages 5 and 8 years. Injuries tot he left arm are more common than to the right. Girls are affected as frequently as boys. Concurrent fractures in the same limb are possible, particular... |
0 | Postoperative pain relief after ultrasound-guided axillary brachial plexus block: a randomized, double-blinded comparison between levobupivacaine and levobupivacaine with dexamethason | Distal Radius Fractures | INTERVENTION: 0.5 % levobupivacaine 20 ml with dexamethasone 6.6 mg is administered for ultrasoundâ?guided axillary plexus block. 0.5 % levobupivacaine 20 ml with saline 2 ml is administered for ultrasoundâ?guided axillary plexus block. CONDITION: Fracture of the distal radius PRIMARY OUTCOME: The time when patients ... |
0 | Risedronate for prevention of bone mineral density loss in patients receiving high-dose glucocorticoids: a randomized double-blind placebo-controlled trial | Management of Hip Fractures in the Elderly | UNLABELLED: This 6-month randomized double-blind placebo-controlled trial shows that risedronate is well tolerated and effective in improving lumbar spine BMD and reducing loss of BMD at the hips in patients receiving high-dose prednisolone.INTRODUCTION: Bisphosphonates have proven benefits in patients receiving chroni... |
1 | Sociodemographic, clinical, and work characteristics associated with return-to-work outcomes following surgery for work-related knee injury | DoD PRF (Psychosocial RF) | Objective: This study examined the association between return-to-work (RTW) outcomes and sociodemographic, clinical, and work characteristics among a cohort of injured workers who underwent knee surgery between 2001-2005 in British Columbia, Canada. Methods: Workers' compensation databases were used to identify the ret... |
0 | [Alendronate prevents steroid-induced osteoporosis in patients with rheumatic diseases] | Management of Hip Fractures in the Elderly | OBJECTIVE: To investigate the effects of alendronate (Alen) on the prevention of systemic glucocorticoid-induced osteoporosis in patients with rheumatic diseases.METHODS: 140 patients suffering from rheumatic diseases, including systemic lupus erythematosus, polymyositis, dermatomyositis, and Sjögren's syndrome, with ... |
0 | Relationship between peri-operative outcomes and hospital surgical volume of total hip arthroplasty in Japan | Hip Fx in the Elderly 2019 | BACKGROUND: This study aimed to evaluate the relationship between peri-operative complication of total hip arthroplasty (THA) and hospital surgical volume.
METHODS: We reviewed discharge administrative data from 8321 patients who underwent primary THA between July and December 2008. Relationships between complications ... |
0 | Benzodiazepines and hip fracture: the New York State experience | Management of Hip Fractures in the Elderly | We assessed rates of hip fracture before and after the institution of the triplicate prescription policy for benzodiazepines in New York State. All patients 55 years of age or older who had a diagnosis of hip fracture between January 1, 1986, and June 30, 1991, were considered for the study. Patients with severe trauma... |
1 | Psychological distress and family satisfaction following traumatic brain injury: injured individuals and their primary, secondary, and tertiary carers | DoD PRF (Psychosocial RF) | OBJECTIVE: To assess family psychosocial outcome following traumatic brain injury (TBI) in all family members, including relatives more peripheral to the person with the injury.
DESIGN: A cross-sectional design was used to gather outcome data from individuals with TBI and primary, secondary, and tertiary carers, 19.3 m... |
0 | Operative treatment of terrible triad of the elbow via posterolateral and anteromedial approaches | Pediatric Supracondylar Humerus Fracture 2020 Review | The aim of the study was to explore the clinical outcome of posterolateral and anteromedial approaches in treatment of terrible triad of the elbow. The study involved 12 patients with closed terrible triad of the elbow treated by posterolateral and anteromedial approaches between January 2010 and June 2012. The mechani... |
0 | Clinical and diagnostic imaging of bisphosphonate-associated osteonecrosis of the jaws | MSTS 2018 - Femur Mets and MM | OBJECTIVES: It is important to recognize osteonecrosis of the jaws in patients treated with bisphosphonates because an early diagnosis can make a significant difference to the outcome of the disease. The aim of this study is to describe the radiological features of bisphosphonate osteonecrosis (BON) in order to aid its... |
0 | Concomitant ligamentous and meniscal injuries in floating knee | AMP (Acute Meniscal Pathology) | BACKGROUND: To identify and characterize the concomitant ligamentous and meniscal injuries in floating knee.
METHODS: A total of 37 cases of floating knee were enrolled. Arthroscopic or open surgical examination of the knee, Lachman test, posterior drawer's test, and varus and valgus stress tests under anesthesia were ... |
1 | Comparison of Blepharoptosis Correction Using Muller-aponeurosis Composite Flap Advancement and Frontalis Muscle Transfer | Upper Eyelid and Brow Surgery | BACKGROUND: Treatments for severe blepharoptosis are well documented and include the most common operations for restoring upper eyelid ptosis, which are levator surgery and frontal muscle transfers; however, the choice of treatment is still controversial. There are different approaches to the restoration of upper eyeli... |
0 | Osteofibrous dysplasia and adamantinoma | MSTS 2018 - Femur Mets and MM | Osteofibrous dysplasia (OFD) is a rare, benign, fibro-osseous lesion that typically is seen within the cortex of the tibia in children. Adamantinoma (AD) is a rare, low-grade malignant primary bone tumor that occurs most often in the tibia and/or fibula of adolescent persons and young adults; however, it has been repor... |
0 | Vascular abnormalities of the extremities: Clinical findings and management | DOD - Acute Comp Syndrome CPG | A retrospective review identified 41 patients with angiodysplastic lesions of the extremities. Twenty-two patients had a mass, 11 had limb length discrepancy and or hemihypertrophy, and two had recurrent joint effusions. Enhanced computed tomography (CT) and magnetic resonance imaging (MRI) were most valuable for both ... |
1 | Is There a Limit? A Risk Assessment Model of Liposuction and Lipoaspirate Volume on Complications in Abdominoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Combining liposuction and abdominoplasty is controversial because of concerns for increased complications and potential for vascular compromise of the abdominoplasty flap. Also, the lipoaspirate volume in abdominoplasty is regulated in some areas to as little as 500 ml when performed with abdominoplasty. Th... |
0 | Fat grafting of the buttocks and lower limbs | Panniculectomy & Abdominoplasty CPG | This article presents the senior author's experience in fat grafting for the treatment of contour deformities of the buttocks and lower limbs. This method has been termed liposculpture and consists in removal of adipose tissue by cannula and syringe and cleaning of the aspirated material with saline. All external conta... |
0 | Medical dental prophylaxis of endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Antibiotics have long been the main reason for the increase in man's longevity. Since their discovery, man has tried to reduce the level of infection by treating with antibiotics. At the same time, prophylactic use has been suggested, although this is controversial. Their routine use is not recommended, and empirical t... |
0 | Dynamic limited axial compression yields favorable functional outcomes in the fixation of Pauwels type-3 femoral neck fractures: A retrospective cohort study | Hip Fx in the Elderly 2019 | Purpose: Pauwels type-3 femoral neck fractures are challenging injuries to manage with high rates of complications after internal fixation and no consensus has been reached regarding the optimal fixation construct. The current study aims to evaluate the effect of dynamic limited axial compression in parallel screws com... |
0 | Prevention and management of osteoporosis: consensus statements from the Scientific Advisory Board of the Osteoporosis Society of Canada. 8. Vitamin D metabolites and analogs in the treatment of osteoporosis | HipFx Supplemental Cost Analysis | OBJECTIVE: To review recent findings on the skeletal actions of vitamin D and to examine results of the latest clinical trials of vitamin D in the treatment of osteoporosis. OPTIONS: The vitamin D analog 1-alpha hydroxycholecalciferol (1 alpha-OH-D3); the vitamin D metabolite calcitriol. OUTCOMES: Fracture and loss of ... |
0 | Is preoperative balloon aortic valvuloplasty of interest for severe aortic stenosis in hip fracture surgery? | Hip Fx in the Elderly 2019 | PURPOSE: In elderly patients, the discovery and management of a severe aortic stenosis (AS) prior to emergency non-cardiac surgery is a frequent and controversial issue. The objective of this study was to evaluate preoperative balloon aortic valvuloplasty (BAV) for severe AS in hip fracture surgery.
METHODS: We conduct... |
0 | Simultaneous breast augmentation and mastopexy | Reduction Mammoplasty for Female Breast Hypertrophy | The results of combining breast augmentation and mastopexy are less predictable than those associated with mastopexy or augmentation mammoplasty alone. A method of breast skin envelope reduction is presented that allows the surgeon performing mastopexy to preview the final breast shape before committing to skin resecti... |
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