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1 | The predictive value of five clinical signs in the evaluation of meniscal pathology | AMP (Acute Meniscal Pathology) | One hundred sixty-one consecutive patients with knee pain of at least 1 year's duration were studied on a prospective basis to determine the predictive value of five common clinical tests for the diagnosis of meniscal tears. Each patient had a preoperative examination that evaluated the presence or absence of joint lin... |
0 | Toxic oil syndrome: a syndrome with features overlapping those of various forms of scleroderma | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Thirty-two toxic oil syndrome (TOS) patients were selected because they presented with scleroderma-like changes and were observed during the first 36 months of evolution of the disease. Initially, these patients presented with a noncardiogenic pulmonary edema, eosinophilia, arthralgia/arthritis, peripheral edema, and m... |
0 | Dual Diagnosis and Total Hip Arthroplasty | Hip Fx in the Elderly 2019 | The co-occurrence of a mental illness and a substance abuse disorder (SUD) is common and has been referred to as a "dual diagnosis" (DD). Although studies have independently investigated mental illness alone and SUD alone, few have examined the effects of these entities combined on complications. A search of the Medica... |
0 | Revision anterior cruciate ligament reconstruction: timing of surgery and the incidence of meniscal tears and degenerative change | AMP (Acute Meniscal Pathology) | We reviewed 87 patients who underwent revision reconstruction of the anterior cruciate ligament. The incidence of meniscal tears and degenerative change was assessed and related to the interval between failure of the primary graft and revision reconstruction. Patients were divided into two groups: early revision surger... |
0 | Bones and salt: The renin-angiotensinaldosterone axis in bone | Management of Hip Fractures in the Elderly | Osteoporosis and hypertension are characterised by abnormalities in calcium metabolism, with emerging evidence of cellular and molecular mechanisms that underlie the comorbidity of both conditions. Increased urinary calcium has been associated with hypertension, which in some studies has also been associated with incre... |
1 | Effect of custom-made and prefabricated orthoses on grip strength in persons with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background:Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position.Objectives:We hypothesized tha... |
0 | Is it safe to combine abdominoplasty with other dermolipectomy procedures to correct skin excess after weight loss? | Panniculectomy & Abdominoplasty CPG | The development of sophisticated bariatric surgery techniques has led to an increasing number of patients demanding a complexity of body contouring procedures that can be achieved either with a step-by-step approach or by combining dermolipectomy in various regions. The aim of this study was to test the hypothesis that... |
0 | The societal burden of osteoporosis in Sweden | HipFx Supplemental Cost Analysis | In osteoporosis, the bone mass is decreased, thereby increasing the risk of fractures. Common osteoporotic fractures include those at the hip, the spine and the forearm. Fractures are a burden to society; in terms of costs, morbidity and mortality. The main objective of this study was to estimate the burden of osteopor... |
0 | A genitourinary cancer-specific scoring system for the prediction of survival in patients with bone metastasis: A retrospective analysis of prostate cancer, renal cell carcinoma, and urothelial carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | Aim: The aim of this study was to develop a risk scoring system specific to patients with bone metastasis of genitourinary cancer. Materials and Methods: This study included 180 patients with bone metastasis of three major types of genitourinary cancer: prostate cancer (n=111), renal cell carcinoma (n=43,), and urothel... |
0 | Derotational osteotomy at the distal femur is effective to treat patients with patellar instability | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Increased femoral antetorsion influences patellofemoral joint kinematics. The aim of this study was to retrospectively evaluate the clinical outcome after derotational osteotomies and combined procedures in patients with patellofemoral instability.
METHODS: All patients with derotational osteotomies and combin... |
0 | Pain drawings predict outcome of surgical treatment for degenerative disc disease in the cervical spine | Glenohumeral Joint OA | INTRODUCTION: Pain drawings have been frequently used in the preoperative evaluation of spine patients. For lumbar conditions comprehensive research has established both the reliability and predictive value, but for the cervical spine most of this knowledge is lacking. The aims of this study were to validate pain drawi... |
0 | Comparison of six calcaneal quantitative ultrasound devices: precision and hip fracture discrimination | Management of Hip Fractures in the Elderly | Quantitative ultrasound (QUS) is now accepted as a useful tool in the management of osteoporosis. There are a variety of QUS devices clinically available with a number of differences among them, including their coupling methods, parameter calculation algorithms and sites of measurement. This study evaluated the abiliti... |
0 | Fatal pulmonary tumor embolism in a child with chondroblastic osteosarcoma | MSTS 2018 - Femur Mets and MM | Fatal embolic chondroblastic osteosarcoma to the lung is an extremely rare phenomenon. We report a case of a 15-year-old boy who developed bilateral pulmonary embolism shortly after resection of the right distal femur for chondroblastic osteosarcoma. The patient succumbed to right-sided heart failure 8 weeks later. An ... |
0 | Moving towards a more inclusive patient and public involvement in health research paradigm: the incorporation of a trauma-informed intersectional analysis | DoD PRF (Psychosocial RF) | BACKGROUND: The concept of patient engagement in health research has received growing international recognition over recent years. Yet despite some critical advancements, we argue that the concept remains problematic as it negates the very real complexities and context of people's lives. Though patient engagement conce... |
0 | Mandibular Condyle Reconstruction With Fibula Free-Tissue Transfer: The Role of the Masseter Muscle | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Free fibula flap is an option for primary restoration after disarticulation mandibular resection, though literature on technique refinements is scarce. The authors hypothesized that inset of the masseter, the key mandibular elevator muscle, at the reconstructed mandible may optimize functional recovery. MET... |
1 | The Ideal Implant for Mayo 2A Olecranon Fractures? An Economic Evaluation Ideal Implant Mayo 2A Olecranon Fracture (short form running title) | DoD SSI (Surgical Site Infections) | BACKGROUND AND OBJECTIVES: The ideal implant for stable, non-comminuted olecranon fractures is controversial. Tension Band Wiring (TBW) is associated with lower cost but higher implant removal rates. Plate fixation (PF) is purported to be biomechanically superior with lower failure and implant removal rates however ass... |
0 | Can injection CT scan assess the residual femoral head vascularity after acute neck fracture? | Management of Hip Fractures in the Elderly | INTRODUCTION: Femoral neck fracture jeopardizes the vital prognosis of the elderly subject and the functional prognosis of the young subject. The vascular consequence is important, with the risk of osteonecrosis of the femoral head. In young patients, predicting the risk of necrosis at the acute stage seems warranted s... |
0 | Treatment of distal humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The elbow is a complex joint and is vital in positioning the hand in space. We believe that open reduction internal fixation offers the best chance for return to function following intra-articular fractures of the distal humerus. We advocate the following principles for the effective treatment of these injuries: identi... |
0 | Elmslie-Trillat procedure | Surgical Management of Osteoarthritis of the Knee CPG | Patella instability is a complex and frequently observed condition. Although most initial dislocations are successfully treated nonoperatively, some patients with recurrent instability require surgical intervention. Recurrent instability can be associated with structural abnormalities including a tibial tubercle trochl... |
0 | Hip arthroplasty for failed treatment of proximal femoral fractures | PJI DX Updated Search | Failed treatment of an intertrochanteric fracture typically leads to profound functional disability and pain. Salvage treatment with hip arthroplasty may be considered. The aim of this study was to evaluate the results and complications of hip arthroplasty performed as a salvage procedure after the failed treatment of ... |
1 | Controlling pain after total knee arthroplasty using a multimodal protocol with local periarticular injections | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Measures for pain management after total knee arthroplasty (TKA) are important for early improvement in the quality of life after operation and early postoperative rehabilitation. We investigated the benefits and safety analgesic effect of locally injected drugs around the total knee prosthesis. METHODS: 60... |
0 | Pediatric monteggia fractures: A multicenter examination of treatment strategy and early clinical and radiographic results | DOD - Acute Comp Syndrome CPG | BACKGROUND:: Monteggia fractures remain challenging pediatric injuries because of difficulties in diagnosis, propensity for instability, and complexity of late reconstruction. The objective of this investigation was to assess the efficacy of the following treatment strategy based upon ulnar fracture pattern: closed red... |
0 | Can the early reduction of tumour markers predict outcome in surgically treated sporadic medullary thyroid carcinoma? | MSTS 2018 - Femur Mets and MM | BACKGROUND AND AIMS: Patients with sporadic medullary thyroid carcinoma (MTC) have a variable clinical course. Our aim was to analyse the reduction of tumour markers after thyroidectomy with meticulous dissection and relate it to clinical outcome.
MATERIALS AND METHODS: Twenty consecutive patients with palpable sporadi... |
0 | Abdominal compliance: A bench-to-bedside review | DOD - Acute Comp Syndrome CPG | Abdominal compliance (AC) is an important determinant and predictor of available workspace during laparoscopic surgery. Furthermore, critically ill patients with a reduced AC are at an increased risk of developing intra-abdominal hypertension and abdominal compartment syndrome, both of which are associated with high mo... |
0 | Current clinical and pathogenetic understanding of beta2-m amyloidosis in long-term haemodialysis patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | As the number of patients undergoing long-term haemodialysis continues to grow, beta2-microglubulin (beta2-m) amyloidosis is emerging as an increasingly common complication. The frequency of beta2-m amyloid-related osteoarthropathy in haemodialysis patients rises steadily with length of survival. We confirmed that the ... |
1 | Safety and Utility of the Drainless Abdominoplasty in the Post-Bariatric Surgery Patient | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Surgical drains are used in abdominoplasty patients to combat wound closure disruption by hematoma or seroma formation. Several recent publications have described techniques that allow abdominoplasty to be performed safely without the need for surgical drains. This has not, however, been described in the ... |
0 | Dupuytren's disease in women: evaluation of long-term results after operation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A study of the long-term results after operation on 66 women (83 hands) with Dupuytren's disease showed that women are twice as likely as men to have a postoperative flare reaction. Why a flare reaction develops is uncertain. In this study, patients who had a carpal tunnel release at the time of operation for treatment... |
0 | Immunosuppressive agents for treating IgA nephropathy | Osteochondritis Dissecans 2020 Review | - Background IgA nephropathy is the most common glomerulonephritis worldâ?wide. IgA nephropathy causes endâ?stage kidney disease (ESKD) in 15% to 20% of affected patients within 10 years and in 30% to 40% of patients within 20 years from the onset of disease. This is an update of a Cochrane review first published in ... |
0 | WITHDRAWN: Co-ordinated multidisciplinary approaches for inpatient rehabilitation of older patients with proximal femoral fractures | HipFx Supplemental Cost Analysis | BACKGROUND: Hip fracture is a major cause of morbidity and mortality in older people and its impact, both on the individual and to society, is substantial. OBJECTIVES: To examine the effects of co-ordinated multidisciplinary inpatient rehabilitation, compared with usual (orthopaedic) care, for older patients with hip f... |
0 | Hand splints in rehabilitation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Hand splinting in rehabilitation has a long tradition and represents a well-established clinical treatment method. There are various therapeutic goals in hand splinting, from immobilization to functional improvement. Pathological conditions that frequently require splint treatment as a part of their rehabilitation mana... |
0 | Determination of a safe INR for joint injections in patients taking warfarin | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: With an increase in life expectancy in 'developed' countries, the number of elderly patients receiving joint injections for arthritis is increasing. There are legitimate concerns about an increased risk of thromboembolism if anticoagulation is stopped or reversed for such an injection. Despite being a com... |
1 | The preoperative machine learning algorithm for extremity metastatic disease can predict 90-day and 1-year survival: An external validation study | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The prediction of survival is valuable to optimize treatment of metastatic long-bone disease. The Skeletal Oncology Research Group (SORG) machine-learning (ML) algorithm has been previously developed and internally validated. The purpose of this study was to determine if the SORG ML algorithm accurately pre... |
0 | Pauwel's osteotomy and osteosynthesis in patients with non-union of femoral neck fractures | Management of Hip Fractures in the Elderly | Objective:- To evaluate the results of Pauwel's ostetotomy and oseosynthesis in patients with non union of femoral neck fractures. Material and methods:- This Study was conducted in the Orthopaedic Unit, Nishtar Hospital, Multan during the period of 1989-1998. A total of 30 patients were included in the study. Results:... |
0 | Risk factors for infection in total knee artrhoplasty, including previously unreported intraoperative fracture and deep venous thrombosis | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To carry out a statistical analysis on the significant risk factors for deep late infection (prosthetic joint infection, PJI) in patients with a knee arthroplasty (TKA). METHODS: A retrospective observational case-control study was conducted on a case series of 32 consecutive knee infections, using an analysis... |
0 | The effect of leukocyte interleukin injection (Multikine) treatment on the peritumoral and intratumoral subpopulation of mononuclear cells and on tumor epithelia: a possible new approach to augmenting sensitivity to radiation therapy and chemotherapy in oral cancer--a multicenter phase I/II clinical Trial | Reconstruction After Skin Cancer | OBJECTIVES/HYPOTHESIS: The main objective of this study was to investigate the effect of the administration of a novel immunoadjuvant, leukocyte interleukin injection, as part of an immuno-augmenting treatment regimen on the peritumoral and intratumoral subpopulations of the tumor infiltrating mononuclear cells and on ... |
1 | What Is the Important Point Related to Follow-Up Sonographic Evaluation for the Developmental Dysplasia of the Hip? | Developmental Dysplasia of the Hip 2020 Review | Developmental dysplasia of the hip (DDH) is an important cause of childhood disability. Subluxation or dislocation can be diagnosed through pediatric physical examination; nevertheless, the ultrasonographic examination is necessary in diagnosing certain borderline cases. It has been evaluated routine sonographic examin... |
0 | Rearthroplasty after conventional total hip prosthesis and double-cup prosthesis. A comparative study | Management of Hip Fractures in the Elderly | Revision of 19 Muller total hip prostheses and 9 ICLH double-cup prostheses is compared. In the Muller group the mean operation time was 186 min, the amount of blood transfused 3526 ml, and the hospital stay 34.9 days. The corresponding figures for the ICLH group were 94 min, 1389 ml, and 25.7 days. Revision of the con... |
0 | Radiologic discrepancies in diagnosis of fractures in a Dutch teaching emergency department: a retrospective analysis | Hip Fx in the Elderly 2019 | BACKGROUND: Missed fractures in the emergency department (ED) are common and may lead to patient morbidity.
AIM: To determine the rate and nature of radiographic discrepancies between ED treating physicians, radiologists and trauma/orthopaedic surgeons and the clinical consequences of delayed diagnosis. A secondary out... |
0 | Intraarticular findings after gunshot wounds through the knee | DoD SSI (Surgical Site Infections) | OBJECTIVES: To compare the radiographic findings in patients with a low-velocity gunshot wound through the knee with the intraarticular pathology as documented by arthroscopy, and to evaluate arthroscopic management of these injuries.
STUDY DESIGN: Retrospective review of a protocol.
MATERIALS AND METHODS: Thirty-three... |
1 | Handling of COVID-19 in the emergency department : Field report of the emergency ward of the University Hospital Münster | Coronavirus Disease 2019 (COVID-19) | With the COVID-19 pandemic, emergency rooms are faced with major challenges because they act as the interface between outpatient and inpatient care. The dynamics of the pandemic forced emergency care at the University Hospital Münster to extensively adjust their processes, which had to be carried out in the shortest t... |
0 | Recent Advances in Multimodal Analgesia | AAHKS (8) Anesthetic Infiltration | Greater understanding of the pathophysiology and mechanism of acute pain has led to advances in pharmacologic therapy. Understanding the principles of multimodal therapy along with surgical-specific protocols leads to improved outcome in patients. However, further large-scale randomized trials need to be performed to f... |
0 | Reasons for failure of primary total hip arthroplasty performed through a direct anterior approach | Hip Fx in the Elderly 2019 | The direct anterior approach (DAA) for total hip arthroplasty (THA) is a technique popular among some arthroplasty surgeons. There is currently a paucity of data regarding reasons for failure of THA using the DAA. The authors conducted a retrospective review of prospectively collected data on 56 patients who underwent ... |
1 | Infectious Complications Leading to Explantation in Implant-Based Breast Reconstruction With AlloDerm | Acellular Dermal Matrix | OBJECTIVE: The role for acellular dermal matrix in implant-based breast reconstruction-providing coverage of the inferolateral border of the underlying prosthesis and allowing control over the inframammary fold-has become increasingly popular. Although AlloDerm (LifeCell, Branchburg, NJ) is free of cellular components ... |
0 | Differential knee joint loading patterns during gait for individuals with tibiofemoral and patellofemoral articular cartilage defects in the knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine compartment-specific loading patterns during gait, quantified as joint reaction forces (JRF), of individuals with knee articular cartilage defects (ACD) compared to healthy controls (HC).
METHODS: Individuals with ACDs and HC participated. Individuals with ACDs were divided into groups according... |
0 | Moleculight i: xÎ?äó in Wound Healing | DoD LSA (Limb Salvage vs Amputation) | Diabetic foot disease is a global health problem. Diabetes affects over 450million people worldwide, expected to rise to 1 in 10 people by 2040. 60Î?Ã?Ã?70% will lose sensation in their feet and up to 25% will develop a diabetic foot ulcer (DFU Î?Ã?Ã? a wound on the foot). More than half of DFUs become infected requiri... |
0 | Diagnostic Validity of Combining History Elements and Physical Examination Tests for Traumatic and Degenerative Symptomatic Meniscal Tears | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The current approach to the clinical diagnosis of traumatic and degenerative symptomatic meniscal tears (SMTs) proposes combining history elements and physical examination tests without systematic prescription of imaging investigations, yet the evidence to support this diagnostic approach is scarce.
OBJECTI... |
0 | Associations of clinical and biomarker variables withcartilage damage in painful pre-radiographic knee osteoarthritis. results from a population-based study | OAK Recommendation 9 Articles | Objectives: To evaluate the association of clinical and biomarker variables with cartilage damage in subjects with knee pain and no radiographic OA Methods: Subjects with knee pain, age 40-79, stratified by age decade and gender, were recruited in a cross-sectional population-based study. Subjects were evaluated clinic... |
0 | Pudendal nerve neuralgia after hip arthroscopy: Retrospective study and literature review | Hip Fx in the Elderly 2019 | Introduction: Pudendal nerve neurapraxia is a classic complication after traction on the fracture table. Diagnosis, however, is difficult and often overlooked, especially after arthroscopy in traction on fracture table; incidence is therefore not known exactly. Hypothesis: The study hypothesis was that incidence of pud... |
0 | Determinants of bone loss from the femoral neck in women of different ages | Management of Hip Fractures in the Elderly | An age-stratified sample of 304 women from Rochester, Minnesota, aged 30-94 years (median 60 years) at baseline underwent measurement of femoral neck bone mineral density (BMD) over a follow-up period extending to 16 years. The average rate of change in femoral neck BMD was -1.0% per year (range -10.0% to +13.4%) and d... |
0 | Treatment of aneurysmal bone cysts of the pelvis and sacrum | MSTS 2018 - Femur Mets and MM | Background: Aneurysmal bone cysts are benign, non-neoplastic, highly vascular bone lesions. The purpose of this study was to describe the prevalence, the clinical presentation, and the recurrence rate of aneurysmal bone cysts of the pelvis and sacrum and to examine the diagnostic and therapeutic options and prognosis f... |
0 | An Overview of Cardenolides in Digitalis - More Than a Cardiotonic Compound | Reduction Mammoplasty for Female Breast Hypertrophy | The genus Digitalis L. containing species, commonly known as the "foxglove", is the main source of cardenolides, which have various pharmacological properties effective against certain pathological conditions including myocardial infarction, arterial hypertension, cardiac dysfunction, angina, and hypertrophy. Togehter ... |
1 | Meniscal pathology in children and adolescents | AMP (Acute Meniscal Pathology) | The menisci play a key role in knee biomechanics and long-term cartilage protection. Preserving the meniscus is thus a major functional consideration in children and adolescents. In normal menisci, lesions are traumatic in origin. They are often vertical, in the posterior segment, associated with anterior cruciate liga... |
0 | Surgical interventions for treating tarsometatarsal (Lisfranc) fracture dislocations | SR for PM on OA of All Extremities | This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the effects (benefits and harms) of different surgical interventions for treating tarsometatarsal (Lisfranc) fracture dislocations |
0 | Mid-term survival of total knee arthroplasty in patients with posttraumatic osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE OF THE STUDY There is limited evidence on survival and complication rates in patients after total knee arthroplasty for posttraumatic osteoarthritis. The failure mechanisms leading to revision remain an issue of constant debate. The purpose of this study was to analyze the mid-term survival of primary total kne... |
0 | Current diagnosis of infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | An analysis was made of 91 cases of infective endocarditis (IE) with regard to causative organisms and their sensitivities to various antibiotics, the clinical features of the disease, the laboratory test results and other items were important in establishing a diagnosis of IE. The number of cases of IE has shown a ten... |
0 | Age-related changes in the attentional control of visual cortex: a selective problem in the left visual hemifield | Upper Eyelid and Brow Surgery | To what extent does our visual-spatial attention change with age? In this regard, it has been previously reported that relative to young controls, seniors show delays in attention-related sensory facilitation. Given this finding, our study was designed to examine two key questions regarding age-related changes in the e... |
0 | Clinics in diagnostic imaging (82). Lesser trochanter metastasis | Management of Hip Fractures in the Elderly | A 73-year-old woman who had previous mastectomy for breast carcinoma presented with persistent pain over the left hip area for two to three months. Pelvic radiograph showed an expanded osteolytic lesion involving the lesser trochanter of the left femur, with adjacent ill-defined destructive changes. She subsequently de... |
0 | Olecranon osteotomy fixation using a novel device: the olecranon sled | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A posterior approach to the elbow utilizing an olecranon osteotomy has been shown to provide excellent visualization of the distal humerus articular surface. However, many bony stabilization and fixation methods for the olecranon osteotomy are usually prominent, frequently symptomatic, and often require a second operat... |
0 | A technique for reduction mammoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | The author presents a technique for reduction mammoplasty in which the amount of skin removed is limited to a small area in the middle part of the breast. The glandular tissue is resected laterally and medially at the caudal part of the circumference of the breast, along with a midline wedge. With this technique and wi... |
0 | Partial lipectomy, but not PVN lesions, increases food hoarding by Siberian hamsters | Panniculectomy & Abdominoplasty CPG | We tested the inverse relationship between body fat and food hoarding in Siberian hamsters by decreasing or increasing body fat through partial surgical lipectomy (LIPX) or by making obesity-inducing lesions of the paraventricular nucleus of the hypothalamus (PVNx), respectively. We asked three questions. 1) Is food ho... |
1 | A randomised, placebo controlled, comparative trial of the gastrointestinal safety and efficacy of AZD3582 versus naproxen in osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the gastrointestinal safety and efficacy of the COX inhibiting nitric oxide donator AZD3582 in patients with hip or knee osteoarthritis. METHODS: 970 patients were randomised (7:7:2) to AZD3582 750 mg twice daily, naproxen 500 mg twice daily, or placebo twice daily in a double blind study. The pr... |
0 | Catheter-Directed Intraarterial Thrombolysis as Part of a Multidisciplinary Management Protocol of Frostbite Injury | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: To evaluate intraarterial catheter-directed thrombolysis for prediction and prevention of delayed surgical amputation as part of multidisciplinary management of frostbite injury. MATERIALS AND METHODS: A retrospective review was performed of 13 patients (11 men, 2 women; median age, 33.4 y; range, 8-62 y) at r... |
0 | Effects of toe-in and toe-in with wider step width on level walking knee biomechanics in varus, valgus, and neutral knee alignments | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Increased peak external knee adduction moments exist for individuals with knee osteoarthritis and varus knee alignments, compared to healthy and neutrally aligned counterparts. Walking with increased toe-in or increased step width have been individually utilized to successfully reduce 1st and 2nd peak knee ... |
1 | Magnetic stimulation F-responses | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We used the 9 cm Cadwell magnetic coil, stimulating at the wrist, to obtain simultaneous median and ulnar nerve F-responses. Surface recording was performed from conventional thenar and hypothenar sites. It is known that with this type of coil it is difficult to accomplish selective supramaximal stimulation of the medi... |
0 | Maximal Levator Muscle Resection for Primary Congenital Blepharoptosis with Poor Levator Function | Upper Eyelid and Brow Surgery | PURPOSE: To evaluate the clinical outcomes of maximal levator muscle resection surgery in patients with poor levator function. METHODS: This prospective study included 29 eyelids of 23 patients who underwent maximal levator resection surgery. Pre- and postoperatively, all patients' routine ophthalmic examination includ... |
0 | Methods of operative treatment of proximal femur fractures in elderly patients with osteoporosis | Management of Hip Fractures in the Elderly | Introduction. Progressive osteoporosis as a cause of bone fractures is a serious clinical and social problem.<br /> Material and methods. We studied 465 elderly patients treated surgically for fractures of the proximal femur. 3rd and 4th-degree fractures of the femoral neck according to the Garden scale were operated b... |
0 | Surgical Management of Medial Discoid Meniscus in Pediatric and Adolescent Patients | AMP (Acute Meniscal Pathology) | BACKGROUND: Medial discoid meniscus (MDM) is an exceedingly rare anatomic abnormality that presents similarly to other meniscal pathologies. Symptomatic MDM is typically managed arthroscopically with mixed short-term and long-term outcomes, although the existing knowledge about MDM is limited. The purpose of this study... |
0 | Repeated Time-to-event Analysis of Consecutive Analgesic Events in Postoperative Pain | Hip Fx Time to Surgery | BACKGROUND: Reduction in consumption of opioid rescue medication is often used as an endpoint when investigating analgesic efficacy of drugs by adjunct treatment, but appropriate methods are needed to analyze analgesic consumption in time. Repeated time-to-event (RTTE) modeling is proposed as a way to describe analgesi... |
0 | A study of the effects of a physiotherapy treatment technique known as Mulligan technique in people suffering from knee pain over a prolonged period, i.e, more than 3 months | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Intervention1: Mulligan Techniques: Mulligan technique involves "glides"or forces delivered by a physiotherapist, causing accessory joint movements, while the subject performs active movement. Control Intervention1: Sham technique/ Placebo: Hand placement mimicking the treatment technique without actually... |
1 | Psychological factors predicting outcome after traumatic injury: The role of resilience | DoD PRF (Psychosocial RF) | Background Increasingly, studies have examined the psychological impact on individuals who survive a traumatic physical injury. The primary aim of this study was to determine the stability of resilience and its association with depressive symptoms Methods: This study included 110 adults admitted to a Level I trauma cen... |
1 | Surgical wound infection occurrence in clean operations; risk stratification for interhospital comparisons | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A five year prospective study of surgical wound infection complicating eight clean elective operations was carried out in 9,108 community hospital patients by detailed stratification of risk. Remote infection, diabetes mellitus and/or operations lasting beyond 4 hours characterized high risk patients with disparate sur... |
0 | Long-term results in children with massive bone osteoarticular allografts of the knee for high-grade osteosarcoma | PJI DX Updated Search | BACKGROUND: Reconstruction of distal femur or proximal tibia in growing patients is a challenge for the high rate of complications and limb length discrepancy at the end of growth. The purpose of this study was to evaluate the long-term outcome of children affected by high-grade osteosarcoma of the knee region, reconst... |
0 | Complications in lumbar fusion surgery for chronic low back pain: Comparison of three surgical techniques used in a prospective randomized study. A report from the Swedish Lumbar Spine Study Group | DoD PRF (Psychosocial RF) | The reported complication rates after various surgical techniques used to create a lumbar fusion vary within wide ranges. In a previous paper, the Swedish Lumbar Spine Study Group have reported on the clinical outcome of lumbar spine fusion for chronic low back pain in a comparably homogeneous patient population where ... |
0 | Localized chronic suppurative bone infection as a sequel of peri-implantitis in a hydroxyapatite-coated dental implant | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Plaque-induced lesions can produce peri-implant bone loss with ultimate implant loss. Although the peri-implant tissues seem to be more resistant than the periodontal ones to plaque and calculus, they can produce a more extensive spread of the infection to the deeper tissues around implants. The case of a 45-year-old f... |
0 | Celecoxib 200 mg q.d. is efficacious in the management of osteoarthritis of the knee or hip regardless of the time of dosing | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: The primary objective was to demonstrate equivalence between a.m. and p.m. dosing of celecoxib 200 mg q.d. An equivalence assessment of q.d. vs b.i.d. dosing was a secondary objective. METHODS: In this randomized, doubleâ?blind study, patients with symptomatic osteoarthritis of the knee or hip were randomi... |
0 | The Effect of Preoperative Physical Status on Pain Management in Total Knee Arthroplasty Patients Receiving Adductor Canal Blockade | AAHKS (9/10) Regional Nerve Blocks | INTRODUCTION: Managing postoperative pain can be challenging for arthroplasty surgeons. While pain control modalities, such as adductor canal blockade (ACB), have been proven effective, the multifactorial nature of pain perception may serve as an obstacle for optimizing pain control. This study assesses the effect of p... |
0 | Musculoskeletal ultrasonography in patients with rheumatoid arthritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In the current paradigm for management of patients with rheumatoid arthritis (RA), obtaining clinical remission of symptoms remains the most important aim, but achieving radiographic remission is another key goal of treatment. Several parameters detectable by musculoskeletal ultrasonography can predict the development ... |
0 | Simple bone cysts: Better with age? | Pediatric Supracondylar Humerus Fracture 2020 Review | Methods: Twenty four subjects with SBC who participated in a prior randomized clinical trial but had not healed at trial conclusion were evaluated for cyst healing. The following clinical and radiographic data were evaluated: age, sex, pain (Visual Analogue Scale), functional health (Short Form 36), subsequent fracture... |
1 | Clinical results of arthroscopic meniscal repair using biodegradable screws | AMP (Acute Meniscal Pathology) | This study was performed to assess the clinical results of meniscus refixation using biodegradable Clearfix meniscal screws. Between July 1999 and June 2001 this technique was performed on 65 patients, of whom 60 (27 women, 33 men; 92%) were followed up by clinical examination after an average of 18 months (range 8-34)... |
0 | Analysis of Low-Field Magnetic Resonance Imaging Scanners for Evaluation of Knee Pathology Based on Arthroscopy | Osteochondritis Dissecans 2020 Review | BACKGROUND: In recent years, few studies have evaluated low-field magnetic resonance imaging (MRI) diagnoses compared with intraoperative findings of the knee. PURPOSE: To determine the accuracy and sensitivity of low-field MRI scanners in diagnosing pathology of the menisci, cruciate ligaments, and osteochondral surfa... |
0 | Evidence that popliteal fat provides damping during locomotion in the cat | Panniculectomy & Abdominoplasty CPG | Current models and concepts of motor control represent the limb as a neuro-musculoskeletal system and rarely include other potentially important supporting tissues such as fascia and adipose tissue. It is possible that a normal complement of adipose tissue could contribute to the viscoelastic properties of supporting l... |
0 | Prevalence of persistent pain in the U.S. Adult population: new data from the 2010 national health interview survey | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Published adult prevalence estimates of chronic pain in the United States vary significantly. A more consistent pain measure is needed to assess unmet need for pain management in the general population. In this study, secondary analyses of the 2010 Quality of Life Supplement of the National Health Interview Survey are ... |
0 | The safety of liposuction: Results of a national survey | Panniculectomy & Abdominoplasty CPG | BACKGROUND. Liposuction procedures are increasing in frequency and may be performed in hospitals, ambulatory surgery centers, or physician offices. Deaths associated with liposuction and previous surveys of liposuction safety have raised concern about the safety of office-based surgery. OBJECTIVE. To determine the safe... |
0 | Treatment of myeloma in patients not eligible for transplantation | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) remains an incurable disease for most patients, with a median survival of 4 to 5 years. High-dose chemotherapy followed by transplantation has resulted in improvement in response rates and survival compared with conventional therapy, but relapse is nearly universal and not all patients are candida... |
0 | Comparison of frailty metrics and the Charlson Comorbidity Index for predicting adverse outcomes in patients undergoing surgery for spine metastases | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVE: Frailty-the state defined by decreased physiological reserve and increased vulnerability to physiological stress-is exceedingly common in oncology patients. Given the palliative nature of spine metastasis surgery, it is imperative that patients be healthy enough to tolerate the physical insult of surgery. In... |
0 | High morbidity and mortality after lower extremity injuries in Malawi: A prospective cohort study of 905 patients | Developmental Dysplasia of the Hip 2020 Review | Introduction A lower extremity injury can be a devastating event in low-income countries due to limited access to surgical care. Its incidence, treatment patterns, and outcomes, however, have not been well-described. Methods We prospectively enrolled all patients admitted with lower extremity trauma to a tertiary hospi... |
1 | The Suprapubic Dermoadipose Flap for Aesthetic Reshaping of the Postpregnancy Abdomen | Panniculectomy & Abdominoplasty CPG | Background: Postpregnancy full-length diastasis of the recti abdominis muscles is a common condition occasionally associated with atrophy of the subcutaneous fat located at the midline above and below the umbilicus. Objectives: The authors report a preliminary clinical experience with the suprapubic flap to prevent the... |
0 | A technical note on the reduction of distal radius fractures with angular stable plates | Distal Radius Fractures | Plating of distal radius fractures is a common procedure. Especially in busy practices the procedure is mostly performed by a single surgeon. By the use of a distance holder screw in the most proximal hole of the shaft of an angular stable distale radius plate a Lever arm can be created that allows indirect reduction o... |
0 | Sequential scintimetry after femoral neck fracture. Methodologic aspects and prediction of healing complications | Management of Hip Fractures in the Elderly | Forty-five patients with recent cervical hip fractures were included in a prospective, clinical, radiographic and sequential scintimetric study. Striking changes in radionuclide uptake over the entire hip region on the fracture side were found during the first 5 postoperative months. Fractures that healed without compl... |
1 | Is the delay to surgery for isolated hip fracture predictive of outcome in efficient systems? | Hip Fx Time to Surgery | BACKGROUND: Adverse outcomes for patients with isolated hip fracture have been documented when preoperative delay is longer than 48 hours. An efficient system will have the capacity to repair all hip fractures within 48 hours. We hypothesized that in an efficient system, there would be a medical justification for a del... |
0 | An integrated AMLAB-based system for acquisition, processing and analysis of evoked EMG and mechanical responses of upper limb muscles | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An integrated multi-channel AMLAB-based data acquisition, processing and analysis system has been developed to simultaneously display, quantify and correlate electromyographic (EMG) activity, resistive torque, range of motion, and pain responses evoked by passive elbow extension in humans. The system was designed aroun... |
0 | Infection Rate of Intramedullary Nailing in Closed Fractures of the Femoral Diaphysis After Temporizing External Fixation in an Austere Environment | Pediatric Diaphyseal Femur Fractures 2020 Review | OBJECTIVES: To determine the infection rate of intramedullary (IM) nailing of closed diaphyseal femur fractures after temporary stabilization with external fixation in an austere combat environment. DESIGN: Retrospective case series. SETTING: Iraq and Afghanistan Theater and Military Medical Treatment Centers in the Un... |
1 | Streamlining an existing hip fracture patient pathway in an acute tertiary adult Irish hospital to improve patient experience and outcomes | Hip Fx in the Elderly 2019 | OBJECTIVE: To improve access for hip fracture patients to surgery within 48 h of presentation to the Emergency Department, and to increase the number of patients receiving pre-operative orthogeriatric review, through streamlining an existing hip fracture patient pathway.
DESIGN: A pre-post design involving a multi-disc... |
0 | Mapping phantom movement representations in the motor cortex of amputees | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Limb amputation results in plasticity of connections between the brain and muscles, with the cortical motor representation of the missing limb seemingly shrinking, to the presumed benefit of remaining body parts that have cortical representations adjacent to the now-missing limb. Surprisingly, the corresponding percept... |
1 | Lipoabdominoplasty with Anatomical Definition | Panniculectomy & Abdominoplasty CPG | BACKGROUND: In the past two decades, lipoabdominoplasty has increased in popularity worldwide, presenting low rates of complications and morbidity when the proper surgical steps are followed. The authors present an update of the lipoabdominoplasty technique with the addition of an abdominal definition and standardized ... |
0 | Nerve entrapment syndromes in musicians | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Nerve entrapment syndromes are common in instrumental musicians. Carpal tunnel syndrome, ulnar neuropathy at the elbow, and thoracic outlet syndrome appear to be the most common. While electrodiagnostic studies may confirm the diagnosis of nerve entrapment, they may be falsely normal in musicians. Non-operative treatme... |
0 | Improved prediction of knee osteoarthritis progression by genetic polymorphisms: the Arthrotest Study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The aim of this study was to develop a genetic prognostic tool to predict radiographic progression towards severe disease in primary knee OA (KOA) patients. METHODS: This investigation was a cross-sectional, retrospective, multicentric association study in 595 Spanish KOA patients. Caucasian patients aged >/... |
0 | Validity and reliability of a shoe-embedded sensor module for measuring foot progression angle during over-ground walking | OAK 3 - Non-arthroplasty tx of OAK | Wearable systems are becoming increasingly popular for gait assessment outside of laboratory settings. A single shoe-embedded sensor module can measure the foot progression angle (FPA)during walking. The FPA has important clinical utility, particularly in populations with knee osteoarthritis, as it is a target for biom... |
0 | Estimated prevalence and patterns of presumed osteoporosis among older Americans based on Medicare data | HipFx Supplemental Cost Analysis | Introduction: Estimates of osteoporosis (OP) prevalence based on bone mineral density testing and fracture occurrence may be imprecise for small demographic groups. Medicare data are a useful supplemental source of information on OP. Methods: We studied people ages (greater-than or equal to)65 years covered by Medicare... |
0 | Results of treatment of subtrochanteric femoral fractures with the AO/ASIF Long Trochanteric Fixation Nail (LTFN) | Hip Fx in the Elderly 2019 | PURPOSE OF THE STUDY: This retrospective study reports on the clinical results of a group of 23 patients with subtrochanteric femoral fractures using the Long Trochanteric Fixation Nail (LTFN). MATERIAL: Between January 2005 and January 2008, 23 patients (20 women, 3 men; average age: 64.8 years old) with subtrochanter... |
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