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0 | Self-management of injection-related wounds among injecting drug users | DoD PRF (Psychosocial RF) | Injection-related wounds are an important complication of injection drug use. This study describes behaviors related to self-management of injection-related wounds and identifies factors associated with behaviors that may increase the potential for harm. We conducted interviews with 101 injecting drug users in Washingt... |
1 | Unicompartmental versus total knee arthroplasty database analysis: is there a winner? | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: TKA and unicompartmental knee arthroplasty (UKA) are both utilized to treat unicompartmental knee arthrosis. While some surgeons assume UKA provides better function than TKA, this assumption is based on greater final outcome scores rather than on change in scores and many patients with UKA have higher preop... |
0 | Eliminating cardiac contamination from myoelectric control signals developed by targeted muscle reinnervation | DoD LSA (Limb Salvage vs Amputation) | The electrocardiogram (ECG) artifact is a major noise contaminating the myoelectric control signals when using shoulder disarticulation prosthesis. This is an even more significant problem with targeted muscle reinnervation to develop additional myoelectric sites for improved prosthesis control in a bilateral amputee a... |
0 | Effect of eccentric exercise on patients with chronic exertional compartment syndrome | DOD - Acute Comp Syndrome CPG | There are a number of similarities between chronic exertional compartment syndrome (CECS) and the effects of high force eccentric contractions in healthy controls. We hypothesised that CECS patients would be particularly susceptible to pain, fatigue and swelling after eccentric exercise. Ten CECS patients [aged 30.3 (8... |
0 | Which Extrinsic and Intrinsic Factors are Associated with Non-Contact Injuries in Adult Cricket Fast Bowlers? | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The high prevalence of injury amongst cricket fast bowlers exposes a great need for research into the risk factors associated with injury. Both extrinsic (environment-related) and intrinsic (person-related) risk factors are likely to be implicated within the high prevalence of non-contact injury amongst fas... |
1 | Diagnostic performance of clinical examination and selective magnetic resonance imaging in the evaluation of intraarticular knee disorders in children and adolescents | Osteochondritis Dissecans 2020 Review | To determine the diagnostic performances of clinical examination and selective magnetic resonance imaging in the evaluation of intraarticular knee disorders in children and adolescents we compared them with arthroscopic findings in a consecutive series of pediatric patients (< or = 16 years old). Stratification effects... |
0 | Magnetic resonance imaging T1 and T2 mapping provide complementary information on the bone mineral density regarding cancellous bone strength in the femoral head of postmenopausal women with osteoarthritis | Hip Fx in the Elderly 2019 | Background: Since bone mass is not the only determinant of bone strength, there has been increasing interest in incorporating the bone quality into fracture risk assessments. We aimed to examine whether the magnetic resonance imaging (MRI) T1 or T2 mapping value could provide information that is complementary to bone m... |
0 | Eradication of infection, survival, and radiological results of uncemented revision stems in infected total hip arthroplasties | PJI DX Updated Search | Background and purpose - The use of uncemented revision stems is an established option in 2-stage procedures in patients with periprosthetic joint infection (PJI) after total hip arthroplasty (THA). However, in 1-stage procedures, they are still rarely used. There are still no detailed data on radiological outcome afte... |
0 | Incidence and risk factors of bisphosphonate-related osteonecrosis of the jaw in multiple myeloma patients having undergone autologous stem cell transplantation | MSTS 2018 - Femur Mets and MM | BACKGROUND: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a severe complication of bisphosphonate therapy. Due to their long survival and subsequently high cumulative doses of bisphosphonates, multiple myeloma patients have the highest risk of developing BRONJ of all patients treated with bisphosphonates. ... |
0 | Predictive value of inflammatory markers for irrigation and debridement of acute TKA infection | PJI DX Updated Search | The roles of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are well established in the diagnosis of total joint infection. However, it is not entirely clear what value preoperative CRP and ESR have in predicting outcomes following irrigation and debridement with insert exchange for acute hematogenou... |
1 | Preoperative intermittent manual traction in congenital dislocation of the hip | Developmental Dysplasia of the Hip CPG | To avoid prolonged hospitalization and the complications of skin and skeletal traction, we have devised a method of intermittent preoperative manual traction in the treatment of congenital dislocation of the hip. Of 60 hips that were followed for more than 1 year, 88.3% had Class I or Class II results according to Seve... |
0 | Preoperative acute normovolaemic hemodilution (ANH) in combination with hypotensive epidural anaesthesia (HEA) during knee arthroplasty surgery. No effect on transfusion rate. A randomized controlled trial [ISRCTN87597684] | AAHKS (4) Acetaminophen | Background: Hypotensive epidural anaesthesia (HEA) combines a high epidural anaesthesia, performing a sympathetic blockade, with low-dose iv-infusion of epinephrine to stabilize circulation in the conscious patient. Mean artery blood pressure is reduced to 45-50 mmHg and hereby a reduced blood loss. In this study we ha... |
0 | Metastatic disease of the skeleton | MSTS 2018 - Femur Mets and MM | Metastatic cancer is among the most frequent causes of skeletal pain associated with a destructive bone lesion or pathologic fracture in adults. Patients with a known primary carcinoma should undergo systematic evaluation and monitoring to determine the extent of skeletal disease and risk of pathologic fracture. Patien... |
0 | Retained cartilage in the distal radial physis of foals | Distal Radius Fractures | Examination of growth plate defects in the distal radial physis of 13 foals three to 70 days of age revealed lesions in the lateral and medial aspects of the distal radial physis; the lateral defects were more numerous and obvious. Lesions consisted of widening of the zone of hypertrophying cells of the metaphyseal gro... |
0 | The long telegraph nail for humeral shaft fractures - How to avoid non-union | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Introduction: The long Telegraph Nail was developed for use in humeral shaft fractures. Proximal locking is ensured by two or three screws, locked in the nail. Distal anteroposterior locking can be either static or dynamic. Materials and Methods: The study initially included 148 patients who were operated between Septe... |
0 | pH and metal concentration of synovial fluid of osteoarthritic joints and joints with metal replacements | OAK 3 - Non-arthroplasty tx of OAK | Background: Due to degradation and metal dissolution during articulation of metal joint replacements the chemical periprosthetic environment may change. The aim was to establish whether metal replacements cause the local changes in pH and elevated metal concentrations. Methods: pH was measured on samples from 167 patie... |
0 | Screening for nasal carriage of Staphylococcus aureus among patients scheduled to undergo orthopedic surgery: Incidence of surgical site infection by nasal carriage | OAK 3 - Non-arthroplasty tx of OAK | Background Staphylococcus aureus (S. aureus), including MRSA, is considered to be the leading cause of surgical site infection (SSI) after orthopedic surgery. We screened for nasal carriers of S. aureus among patients who were scheduled to undergo orthopedic surgery at our hospital to reveal the effect of nasal S. aure... |
0 | Operative Treatment In Non-Emergency Sports Injuries: A Sports Medicine Clinic Experience | AMP (Acute Meniscal Pathology) | PURPOSE: To elucidate referrals from sports medicine clinic (SMC) to orthopaedics, consensus rates among physicians and surgeons on surgical need in these patients, and reasoning of the patients who refused to have surgery despite the recommendations by both groups in non-emergency sports injury patients.
METHODS: We c... |
0 | Can We Quantify Functional Improvement Following Total Knee Arthroplasty in the Clinical Setting? | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study was to determine if improvements in knee function after arthroplasty could be practicably measured in the clinical setting using available, validated technology. The tools we assessed included a timed test of common activities, a platform posturography analysis, and a portable gait laboratory ... |
0 | Effect of prophylaxis for deep venous thrombosis in traumatic spinal cord injury | MSTS 2022 - Metastatic Disease of the Humerus | Inclusion criteria: Exclusion criteria: 1. Incomplete spinal cord injury patient 2. Spinal cord injury without neurological deficit 3. Pathological fractures of the spine 4. Congenital deformity of the spine 5. Localised infection in extremities 6. Derranged PT/INR Values DEEP VENOUS THROMBOSIS IN TRAUMATIC SPINAL CORD... |
0 | The effects of ACL deficiency on the meniscus and articular cartilage | OAK 3 - Non-arthroplasty tx of OAK | Objectives: Through altered tibiofemoral kinematics, isolated tears of the anterior cruciate ligament (ACL) likely affect the meniscus and its ability to distribute joint forces. Changes in meniscal movement and deformation may result in altered cartilage contact location and volume, possibly leading to osteoarthritis.... |
0 | The Tibial Tubercle-Trochlear Groove Distance/Trochlear Dysplasia Index Quotient Is the Most Accurate Indicator for Determining Patellofemoral Instability Risk | AMP (Acute Meniscal Pathology) | PURPOSE: The primary aim of our study was to evaluate diagnostic accuracy of the tibial tubercle-trochlear groove (TT-TG) distance relative to associated quotients produced from trochlear width (TT-TG distance/TW) and trochlear dysplasia index (TT-TG distance/TDI) for detecting patellofemoral instability. Secondary aim... |
0 | Acute respiratory distress syndrome secondary to radiotherapy for breast cancer: A case report | Coronavirus Disease 2019 (COVID-19) | Objective: Unusual or unexpected effect of treatment Background: Radiotherapy is often used as an adjuvant therapy in breast cancer following surgical resection of the primary malignant tumor. It has multiple respiratory side effects, but acute respiratory distress syndrome (ARDS) is a rare complication. We describe he... |
1 | Mid-Term Clinical and Radiological Outcomes of Lateral Meniscal Allograft Transplantation with Suture-Only Fixation Plus Capsulodesis | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal allograft transplantation (MAT) is an effective reconstructive procedure for treating symptomatic post-meniscectomy syndrome. It consists of replacing the lost meniscal tissue aiming to improve the clinical outcomes and prevent a progressive deterioration of the joint. The aim of this study was to ... |
0 | Current insights in intra-abdominal hypertension and abdominal compartment syndrome | DoD - ACS - Interrater Reliability | A compartment syndrome exists when increased pressure in a closed anatomic space threatens the viability of the tissue within the compartment. When this occurs in the abdominal cavity it threatens not only the function of the intra-abdominal organs, but it can have a devastating effect on distant organs as well. Recent... |
0 | Recurrent carpal tunnel syndrome--analysis of the impact of patient personality in altering functional outcome following a vascularised hypothenar fat pad flap surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We retrospectively analysed 25 patients (27 hands) who had both clinical and electrophysiological confirmation of true recurrent carpal tunnel syndrome from January 2004 to December 2009. In all the patients, after releasing the nerve a vascularised fat pad flap was mobilised from the hypothenar region and sutured to t... |
0 | Does Timing of Primary Total Hip Arthroplasty Prior to or After Lumbar Spine Fusion Have an Effect on Dislocation and Revision Rates? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Patients undergoing primary total hip arthroplasty (THA) following lumbar spine fusion have an increased incidence of dislocation compared to those without prior lumbar fusion. The purpose of this study is to determine if timing of THA prior to or after lumbar fusion would have an effect on dislocation and ... |
0 | "Reverse" hip spacer for massive distal femur defects in peri-prosthetic knee infections | PJI DX Updated Search | BACKGROUND: Bone loss in the distal femur is a common problem in knee revision surgeries. The problem is exacerbated in the context of an active infection. In extreme cases this bone loss could compromise the feasibility of a two-stage exchange protocol using dynamic spacers due to the inherent instability of this type... |
0 | Pediatric acl repair: the effects of lower extremity nerve blocks on same day surgery discharge | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: Anterior cruciate ligament(ACL) repair is a notoriously painful procedure. Adult studies demonstrate the benefit of lower extremity nerve blocks in providing high quality postoperative analgesia which can facilitate same day surgery(SDS) discharge. We performed an observational study involving pedi... |
0 | Expressing effects of osteoporosis interventions in terms of postponing of fractures | Management of Hip Fractures in the Elderly | OBJECTIVE: To estimate the effect from an osteoporosis intervention in terms of postponement of hip fractures. DESIGN: A Markov model using Nordic data on mortality and hip fracture incidence. PATIENTS: Women aged 50 years and older with increased risk of hip fracture. INTERVENTION: A hypothetical intervention that red... |
1 | The Correlation between Preoperative and Postoperative Hypoalbuminaemia and the Development of Acute Kidney Injury with Respect to the KDIGO Criteria in the Hip Fracture Surgery in Elderly Patients | Hip Fx in the Elderly 2019 | Objective: The aim of the present study was to determine the correlation between preoperative and postoperative hypoalbuminaemia and acute kidney injury (AKI) in the hip fracture surgery in elderly patients.
Methods: A total of 160 patients aged >=65 years were scanned retrospectively. They were grouped into four as th... |
0 | Imaging Appearances of Musculoskeletal Developmental Variants in the Pediatric Population | Osteochondritis Dissecans 2020 Review | Variations in musculoskeletal development in children are commonly encountered. These variants often have a confusing appearance on imaging and may simulate pathologic conditions. However, in many instances, these normal variants have certain features that allow for confident determination of the benign nature of these... |
0 | Risk of fractures requiring hospitalization after an initial prescription for zolpidem, alprazolam, lorazepam, or diazepam in older adults | Management of Hip Fractures in the Elderly | OBJECTIVES: To determine whether zolpidem is a safer alternative to benzodiazepines. DESIGN: Retrospective cohort study. SETTING: Community based. PARTICIPANTS: Health maintenance organization members with an initial prescription for zolpidem (n = 43,343), alprazolam (n = 103,790), lorazepam (n = 150,858), or diazepam ... |
0 | Musculoskeletal changes following non-invasive knee injury using a novel mouse model of post-traumatic osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: Post-traumatic osteoarthritis (PTOA) is a common consequence of traumatic joint injury, with 50% of anterior cruciate ligament (ACL) rupture patients developing PTOA within 10-20. years. Currently accepted mouse models of PTOA initiate symptoms using various methods, none of which faithfully mimic clinically... |
0 | Ibandronate for the treatment of hypercalcemia or nephrocalcinosis in patients with multiple myeloma and acute renal failure: Case reports | MSTS 2018 - Femur Mets and MM | Multiple myeloma disrupts calcium homeostasis by a variety of mechanisms, including bone destruction and resorption. This causes hypercalcemia. When left untreated, hypercalcemia leads to nephrocalcinosis, impairment of kidney function, and eventually renal failure. Some degree of renal dysfunction is common in myeloma... |
0 | Osteoporosis as a risk factor for distal radial fractures: a case-control study | Distal Radius Fractures | BACKGROUND: Distal radial fractures occur earlier in life than hip and spinal fractures and may be the first sign of osteoporosis. The aims of this case-control study were to compare the prevalence of osteopenia and osteoporosis between female and male patients with low-energy distal radial fractures and matched contro... |
0 | 1alpha,25-Dihydroxyvitamin D3 regulates the expression of Id1 and Id2 genes and the angiogenic phenotype of human colon carcinoma cells | MSTS 2018 - Femur Mets and MM | 1alpha,25-Dihydroxyvitamin D3 (1alpha,25(OH)2D3) has antitumor activity in addition to its classical action on calcium metabolism and bone tissue biology. It is thought to regulate the expression of multiple target genes and thus modulate processes critical for tumor growth and metastases. Here we show that 1alpha,25(O... |
0 | High tibial osteotomy in the treatment of adult osteochondritis dissecans | Diagnosis and Treatment of Osteochondritis Dissecans AUC | This study reports one surgeon's experience using valgus high tibial osteotomy in the treatment of osteochondritis dissecans of the medial femoral condyle in adult patients. Seven knees in six patients with osteochondritis dissecans were reviewed as the basis of the study. Five patients (five knees) were men, and one p... |
0 | Efficacy and safety of three different approaches for ultrasound guided femoral nerve block for patients undergoing total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Total knee arthroplasty (TKA) causes considerable postoperative pain. It can prolong hospitalization, impair rehabilitation and early mobilization, and may worsen functional outcome. Effective postoperative pain control following TKA lowers the risk of postoperative complications, such as thromboembolic d... |
0 | The validity of duruoz hand index (DHI) in geriatric population | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background The Duruoz Hand Index (DHI) [1] has 18 items of daily activities questions. It was developed to assess the functional disability of rheumatoid hand and cross validated for some other arthropaties of the hand (osteoarthritis, systemic sclerosis, carpal tunnel syndrome, stroke, flexor tendon rupture etc.). Obj... |
0 | New therapeutic approaches to treat medullary thyroid carcinoma | MSTS 2018 - Femur Mets and MM | Medullary thyroid carcinoma (MTC) accounts for up to 8% of all thyroid cancers. Although primary surgery is curative in the vast majority of patients treated at an early stage, disease can persist or recur with deleterious effects on quality of life. Local and distant metastases can occur and are the major causes of mo... |
0 | The efficacy of a counter-rotational powered toothbrush in the maintenance of endosseous dental implants | Dental Implant Infection | BACKGROUND: Although most patients with implants have lost their natural teeth because of poor oral hygiene, limited data exist to guide practitioners in their recommendations of home-care regimens for their patients' endosseous dental implants and maintenance of peri-implant soft-tissue health. The authors conducted a... |
0 | The relationship between retinal vessel calibre and knee cartilage and BMLs | OAK 3 - Non-arthroplasty tx of OAK | Background: Whether the increase in vascular disease prevalence and mortality in OA populations is a result of co-occurrence of cardiovascular disease and OA, which are both common in the older population, is due to OA treatments or to the common association with reduced physical activity and/or obesity is unclear. One... |
0 | Age Is Not a Contraindication for Cartilage Surgery: A Critical Analysis of Standardized Outcomes at Long-term Follow-up | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Age is commonly accepted as a negative prognostic factor in cartilage surgery, and cutoff values of 30 to 40 years have been previously suggested as treatment indication. However, the lower outcome scores documented in older patients do not take in consideration the decreasing requirements of an aging joint... |
0 | Day-case or short-stay admission for arthroscopic knee surgery: a randomised controlled trial | AMP (Acute Meniscal Pathology) | The Royal Colleges, The Audit Commission, and politicians have encouraged day-case care for patients undergoing arthroscopic knee surgery. However, there remains both public and professional concern regarding the acceptability and safety of this form of management, although there are clear economic benefits. In a prosp... |
0 | The uncemented, titanium-coated RM cup: Survival and analyses of failures | Management of Hip Fractures in the Elderly | This study evaluates the incidence of revision of the monoblock, uncemented, titanium-coated RM (Robert Mathys) cup (Mathys Medical, Bettlach, Switzerland) in primary total hip arthroplasty, Between 1991 and 1995 a total of 630 RM cups were implanted in 462 patients. A Kaplan-Meier survival analysis was performed with ... |
0 | Wear rate of highly cross-linked polyethylene in total hip arthroplasty. A randomized controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND: Highly cross-linked polyethylene was introduced for clinical use in total hip arthroplasty with the expectation that it would exhibit less wear when compared with conventional polyethylene. The purpose of this study was to report the clinical and radiographic results, after a minimum of five years of follow... |
0 | Total elbow arthroplasty: Outcomes driving the evolution of implant design | Pediatric Supracondylar Humerus Fracture 2020 Review | »Since the 1940s, innovations in total elbow arthroplasty (TEA) implant design have been made based on reported outcomes. However, complications still exist and current designs remain imperfect.»Currently, linked (semiconstrained) implants can be used for any indication for TEA; however, aseptic loosening at the bone... |
0 | Ethnic and racial factors influencing well-being, perceived pain, and physical function after primary total joint arthroplasty | Management of Hip Fractures in the Elderly | Background: Studies suggest, even when controlling for disease severity, socioeconomic status, education, and access to care, racial and ethnic minorities receive lower-quality health care and have worse perceived pain and function before and after total joint arthroplasty. Question/purposes: We evaluated the influence... |
0 | Arterial anatomy of the nipple-areola complex | Reduction Mammoplasty for Female Breast Hypertrophy | The blood supply of the nipple-areola complex was investigated radiographically in five fresh cadavers that had been systemically injected with lead oxide. The blood supply of the breast is derived from the external mammary, internal mammary, intercostal, and thoracoacromial arteries. We found that branches of the exte... |
0 | Treatment patterns and survival after 18F-fluorodeoxyglucose positron emission tomography/computed tomography-guided local consolidation therapy for oligometastatic non-small cell lung cancer: a two-center propensity score-matched analysis | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: In this retrospective study, we evaluated the treatment patterns and survival after positron emission tomography-computed tomography (PET/CT)-guided local consolidation therapy (LCT) for oligometastatic non-small cell lung cancer (NSCLC). Methods: We reviewed the medical records of Chinese patients with oligom... |
1 | Displaced supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | From 1972 to 1981, 60 children with severely displaced supracondylar fractures were treated with closed reduction and vertical osseous traction with a screw in the olecranon. None of the patients had complications (infection or neurovascular damage) due to the treatment, but eight patients had loss of reduction and req... |
1 | Zoledronic acid plus methylprednisolone versus zoledronic acid or placebo in symptomatic knee osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Background: The aim of this study was to compare the efficacy and safety of zoledronic acid (ZA) plus intravenous methylprednisolone (VOLT01) to ZA, and placebo for knee osteoarthritis. Methods: A single-center, double-blind, randomized controlled trial (RCT) was carried out. Adults (aged ⩾50 years) with knee osteoar... |
0 | Hyaluronic acid and chondroitin sulfate content of osteoarthritic human knee cartilage: Site-specific correlation with weight-bearing force based on femorotibial angle measurement | AMP (Acute Meniscal Pathology) | This study analyzed glycosaminoglycan (GAG) content in specific compartments of the knee joint to determine the impact of malalignment and helped refine indications for osteotomy. To assess malalignment, the radiological femorotibial angle (FTA) was measured and knee joints were also graded for OA severity with the Kel... |
0 | Infective endocarditis and dentistry: outcome-based research | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Antibiotic prophylaxis for prevention of infective endocarditis has long been recommended for patients receiving dental care. Two studies of patients with endocarditis found limited risk associated with dental treatment. It is imperative that guidelines for therapy be based on outcome studies and on evidence of safety,... |
0 | Rheumatoid shoulder assessed by ultrasonography: Prevalence of abnormalities and associated factors | DoD PRF (Psychosocial RF) | Introduction: The shoulder involvement in rheumatoid arthritis (RA) is common. It can be subclinical and compromise the function of the upper limb. Musculoskeletal ultrasonography can detect subclinical abnormalities in rheumatoid shoulder. Our aim was to assess the prevalence of ultrasound abnormalities in rheumatoid ... |
0 | Tight calorie control in geriatric patients following hip fracture decreases complications: a randomized, controlled study | Hip Fx in the Elderly 2019 | BACKGROUND & AIMS: Optimizing nutritional intake has been recommended for geriatric patients undergoing hip-fracture surgery. Whether nutritional support guided by repeated measurements of resting energy requirements (REE) improves outcomes in these patients is not known.
METHODS: A randomized, controlled, unblinded, p... |
0 | Ultrasound quantification of acetabular rounding in hip dysplasia: reliability and correlation to treatment decisions in a retrospective study | Developmental Dysplasia of the Hip 2020 Review | Currently, acetabular rounding is only subjectively assessed on ultrasound for developmental dysplasia of the hip. We tested whether acetabular rounding can be quantified reliably and can distinguish between hips requiring and not requiring treatment. Consecutive infants (n = 90) suspected of having dysplasia of the hi... |
0 | Patient-perceived outcome after displaced distal radius fractures. A comparison between radiological parameters, objective physical variables, and the DASH score | Distal Radius Fractures | Outcome after distal radius fractures has traditionally been measured by radiological parameters and objective physical variables. To what extent these measurements reflect outcome as perceived by the patient has been questioned. We evaluated the association between radiological position, objective physical result (gri... |
0 | A modified two-incision minimally invasive total hip arthroplasty: Technique and short-term results | Management of Hip Fractures in the Elderly | Between 2003 and 2005, a total of 425 consecutive cases with a modified two-incision minimally invasive total hip arthroplasty (THA) were performed at our hospital. We analysed 225 cases with greater than 12 months follow-up clinically and radiographically. The mean operative time was 70 minutes. Patients could walk on... |
0 | Effect of single vision soft contact lenses on peripheral refraction | Upper Eyelid and Brow Surgery | PURPOSE: To investigate changes in peripheral refraction with under-, full, and over-correction of central refraction with commercially available single vision soft contact lenses (SCLs) in young myopic adults. METHODS: Thirty-four myopic adult subjects were fitted with Proclear Sphere SCLs to under-correct (+0.75 DS),... |
0 | Knee stability in posterior cruciate ligament retaining total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Anteroposterior knee laxity was evaluated in 14 patients (19 knees) who had posterior cruciate ligament retaining total knee arthroplasty using the Miller Galante I prosthesis. The followup ranged from 87 to 118 months (average, 105.9 months), and the measurements were done using the KT-2000 arthrometer. The mean anter... |
0 | Probability of fractures predicted by FRAX(registered trademark) and observed incidence in the Spanish ECOSAP Study cohort | Management of Hip Fractures in the Elderly | Purpose: To assess the ability of the Spanish version of the WHO fracture risk assessment tool (FRAX(registered trademark)) to predict the observed incident fractures in the ECOSAP Study cohort. Methods: 5201 women, aged 65 or older, were enrolled in a three-year, prospective study by a non-randomized sampling of conse... |
0 | There is inadequate evidence to determine the effectiveness of nonpharmacological and nonsurgical interventions for hand osteoarthritis: an overview of high-quality systematic reviews | SR for PM on OA of All Extremities | BACKGROUND: Patients with hand osteoarthritis are commonly treated by health care professionals (allied to medicine). Practice should be informed by updated evidence from systematic reviews of randomized controlled trials. PURPOSE: The purpose of this overview is to summarize the evidence from systematic reviews of the... |
0 | Novel cartilage-specific splice variants of fibronectin | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To determine the nature of alternatively spliced isoforms of fibronectin expressed in healthy bovine articular cartilage and cartilage derived from human osteoporotic and osteoarthritic joints. DESIGN: Our study focused on a single alternatively spliced region of the fibronectin gene, the variable region. Bo... |
0 | North American male reference population for speed of sound in bone at multiple skeletal sites | Management of Hip Fractures in the Elderly | Alternatives to dual-energy X-ray absorptiometry (DXA) have been sought to increase access to low-cost osteoporosis risk assessment. Early quantitative ultrasound (QUS) systems measured speed of sound (SOS) and broadband ultrasound attenuation (BUA) at the calcaneus, and these were demonstrated to be good predictors of... |
1 | Ventral hernia repair with simultaneous panniculectomy | Panniculectomy & Abdominoplasty CPG | The repair of a ventral hernia in an obese patient presents an interesting clinical challenge. We retrospectively reviewed the charts of 55 patients who, over a 12-year period from 1983 to 1995, concomitantly underwent both ventral herniorrhaphy and panniculectomy or abdominoplasty. In six of 55 patients, the hernia wa... |
0 | MRSA-infected external iliac artery pseudoaneurysm treated with endovascular stenting | Surgical Management of Osteoarthritis of the Knee CPG | A 48-year-old woman with severe juvenile-onset rheumatoid arthritis presented with a bleeding cutaneous sinus distal to her right total hip replacement scar. Methicillin resistant Staphylococcus aureus (MRSA) was isolated on culture. She had previously undergone bilateral total hip and knee replacements at aged 23 and ... |
0 | Two-Stage Revision Anterior Cruciate Ligament Reconstruction | PJI DX Updated Search | The number of primary anterior cruciate ligament (ACL) tears is rapidly increasing. In patients who wish to return to their preoperative level of function, specifically as it pertains to participation in sports, the gold standard of treatment following an ACL tear remains an anterior cruciate ligament (ACL) reconstruct... |
0 | Long-term results of bipolar hemiarthroplasty for osteoarthritis of the hip and idiopathic osteonecrosis of the femoral head | Management of Hip Fractures in the Elderly | BACKGROUND: Satisfactory results have been reported from long-term studies on bipolar hemiarthroplasty for femoral neck fracture. However, long-term results of this procedure for osteoarthritis of the hip (OA) and idiopathic necrosis of the femoral head (ION) have given rise to pessimism. These poor results have often ... |
0 | Diagnosis and treatment of Parkes Weber syndrome: a review of 10 consecutive patients | PJI DX Updated Search | BACKGROUND: We sought to retrospectively analyze the clinical presentation, diagnosis, treatment, and outcomes of patients with Parkes Weber syndrome (PWS) who were treated at a single institution. METHODS: A retrospective review was conducted of medical records of all patients with PWS treated at La Paz Children's Hos... |
0 | Characteristics of refractory sweating areas following minimally invasive surgery for axillary hyperhidrosis | Panniculectomy & Abdominoplasty CPG | Background: Several surgical strategies have evolved for the treatment of focal axillary hyperhidrosis (FAH). However, nonresponders are found in every procedure. Until now no characterization of the recurrent sweating areas has been reported. The aim of this study was to characterize the axillary sweat area by using t... |
0 | Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy | Coronavirus Disease 2019 (COVID-19) | PURPOSE: The SARS-CoV-2 outbreak affected health care systems at different levels with important consequences on health, economy, and social structures. This paper aims to analyse the impact on surgical block utilisation and efficiency in an orthopaedics reference centre in Northern Italy. METHODS: The timeframe chosen... |
0 | Study of Relationship between Bone Mineral Density in Ipsilateral Proximal Femur and Severity of Osteoarthritis of Knee | AMP (Acute Meniscal Pathology) | Introduction: Osteoarthritis (OA) of the knee is the most common rheumatic disease that is characterized by degradation of articular cartilage, subchondral bone alteration, meniscal degeneration, synovial inflammatory response, and overgrowth of bone and cartilage. In severe OA, the reduced mobility caused by pain can ... |
0 | Long-term follow-up of radial shortening osteotomy for Kienbock disease | Distal Radius Fractures | BACKGROUND: Three previous studies have investigated the long-term outcome of radial osteotomy in the treatment of Kienbock disease. However, none used patient-based assessment. The purpose of this study was to investigate the long-term clinical and radiographic outcomes of this osteotomy, including the subjective eval... |
0 | Outcomes after Open Reduction and Plate Fixation of Distal Humerus Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Distal humerus fractures (DHFs) have been a serious challenge since the beginning of surgery. The outcome of surgical treatment of a DHF should not only be assessed with clinical ratings. It is also important to take into account the patient's subjective evaluation of limb function. MATERIAL AND METHODS: Th... |
1 | What are the costs of queuing for hip fracture surgery in Canada? | Management of Hip Fractures in the Elderly | This paper investigates the effect of wait time for hip fracture surgery in Canada on post-surgery length of stay in hospital and inpatient mortality. After controlling for observed and unobserved patient and hospital characteristics, pre-surgery delay has little effect on either of the two outcome variables. Patients ... |
0 | Effect of Abdominal Lipectomy on Lipid Profile, Glucose Handling and Blood Pressure in Patients with Truncal Obesity | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Previous studies have found that people with apple (android)-shaped body fat distribution are at risk of developing cardiovascular disease, impaired glucose tolerance and hypertension. METHODS: To investigate the effects of lipectomy, we measured lipid and lipoprotein levels, indices associated with glucose... |
0 | Wound healing after laser treatment of oral and oropharyngeal cancer | Reconstruction After Skin Cancer | The wound healing after laser surgery is delayed in contrast to conventional scalpel surgery. There are some animal studies, which investigated the effects of laser surgery upon wound healing, whereas clinical investigations on wound healing of human mucous membrane after laser surgery is missing. A histological study ... |
0 | Chronic osteomyelitis of the pelvis | Reconstruction After Skin Cancer | The aim of this study was to examine the aetiology and response to treatment of a series of patients with pelvic osteomyelitis. Criteria for selection were multiple positive intra-operative cultures and/or a positive radiological diagnosis. Twenty patients met these criteria (age range: 21-78 years, mean = 46). Data wa... |
0 | The outcome of the treatment of diaphyseal primary bone sarcoma by resection, irradiation and re-implantation of the host bone: extracorporeal irradiation as an option for reconstruction in diaphyseal bone sarcomas | MSTS 2022 - Metastatic Disease of the Humerus | We analysed the outcome of patients with primary non-metastatic diaphyseal sarcomas who had en bloc resection with preservation of the adjoining joints and reconstruction with re-implantation of sterilised tumour bone after extracorporeal radiation (50 Gy). Between March 2005 and September 2009, 32 patients (16 Ewing's... |
0 | Imaging of cartilage repair procedures | Osteochondritis Dissecans 2020 Review | The rationale for cartilage repair is to prevent precocious osteoarthritis in untreated focal cartilage injuries in the young and middle-aged population. The gamut of surgical techniques, normal postoperative radiological appearances, and possible complications have been described. An objective method of recording the ... |
0 | Osteochondritis Dissecans Lesions of the Pediatric and Adolescent Knee | Osteochondritis Dissecans 2020 Review | Osteochondritis dissecans of the knee in pediatric and adolescent patients remains an incompletely understood entity, with multiple theories proposed for its underlying cause and variable treatment modalities. In addition to the importance of history and examination, treatment is primarily guided by lesion stability, w... |
1 | A New Suturing Method for Optimal Wound Healing: Technique and Experience | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Wound closure utilizing barbed sutures has been associated with healing problems, such as thread extrusion, infection, and the increase of an inflammatory response around the scar. OBJECTIVES: In our study, the senior author described a novel technique of skin incision and wound closure based on de-epitheli... |
0 | Peripheral visual perception during exercise: why we cannot see | Upper Eyelid and Brow Surgery | Peripheral visual perception may be relevant to performance in sports. Peripheral visual perception seems to be impaired during strenuous exercise. The hypothesis proposed is that a decrease in cerebral oxygenation is associated with impairment in peripheral visual perception during strenuous exercise. Recent behaviora... |
1 | The Synovial Flap in Recurrent and Failed Carpal Tunnel Surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Recurrent carpal tunnel syndrome is defined by a return of numbness after a symptom-free period after surgical decompression. The most common reason for recurrent symptoms is thought to be the formation of a constrictive scar. In this event, it seems reasonable to lay a barrier about the nerve after rerelease to try to... |
0 | Cancer-treatment-induced bone loss, part 2 | AAHKS (2) Corticosteroids | Purpose. The pathophysiology, frequency, sequelae, diagnosis, and treatment of cancer-treatment-induced bone loss (CTIBL) are discussed. Summary. CTIBL is a long-term complication associated with cancer therapies that can directly or indirectly affect bone metabolism. Although CTIBL can occur in any patient receiving a... |
0 | Open Distal Radius Fractures: Timing and Strategies for Surgical Management | DoD SSI (Surgical Site Infections) | Open distal radius fractures are rare injuries with few studies to guide treatment. Degree of soft tissue injury and contamination may be a primary consideration to dictate timing and operative intervention. Antibiotics should be started as early as possible and include a first-generation cephalosporin. Surgical fixati... |
0 | Emerging concepts of the cell biology of the meniscus | AMP (Acute Meniscal Pathology) | Three distinct populations of cells are now recognized in the knee joint meniscus: (a) round or oval-shaped fibrochondrocytes; (b) fibroblast-like cells; (c) superficial zone cells. Injury to the meniscus causes apoptosis in specific sites and an upregulation of gene expression for type I, II, III, and VI collagen and ... |
1 | An advice and exercise program has some benefits over natural recovery after distal radius fracture: a randomised trial | Distal Radius Fractures | QUESTION: Does an advice and exercise program improve outcome for adults following distal radius fracture?
DESIGN: Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis.
PARTICIPANTS: Fifty-six patients whose fracture had been managed with pins and/or cast.
INTERVENTION: The exp... |
0 | Distal radius bone mineral density estimation using the filling factor of trabecular bone in the x-ray image | Distal Radius Fractures | Osteoporosis is characterized by an abnormal loss of bone mineral content, which leads to a tendency to non-traumatic bone fractures or to structural deformations of bone. Thus, bone density measurement has been considered as a most reliable method to assess bone fracture risk due to osteoporosis. In past decades, X-ra... |
1 | Temporal profile of care following mild traumatic brain injury: predictors of hospital admission, follow-up referral and six-month outcome | DoD PRF (Psychosocial RF) | Objective: To investigate the clinical management and medical follow-up of patients with mild traumatic brain injury (mTBI) presenting to emergency departments (EDs). Methods: Overall, 168 adult patients with mTBI from the prospective, multicentre Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) Pilot st... |
0 | Abnormalities identified in the knees of asymptomatic volunteers using peripheral magnetic resonance imaging | AMP (Acute Meniscal Pathology) | OBJECTIVE: To estimate the prevalence of bone and soft tissue abnormalities in asymptomatic knees using peripheral magnetic resonance imaging (pMRI) and to examine the relationship between these abnormalities and Kellgren-Lawrence (K-L) graded X-rays.
METHOD: Volunteers (20-68 years) with no history of knee pain, injur... |
0 | The use of a perioperative supra-physiological dose of glucocorticoid is not supported by evidence â?? A systematic review | AAHKS (2) Corticosteroids | Introduction: A supra-physiological dose of glucocorticoid (SDS) is administered routinely in the perioperative management of patients on long-term regular glucocorticoid therapy. The dose of glucocorticoid used in these regimens varies. The current treatment is based on two 60-year-old case reports. No data exist to d... |
0 | Lipid metabolism of monosodium glutamate obese rats after partial removal of adipose tissue | Panniculectomy & Abdominoplasty CPG | We analyzed the effects of partial fat pad removal on retroperitoneal and epididymal fat depots and carcass metabolism of control (C) and MSG-obese (M) rats. Three-month-old C and M male Wistar rats were submitted to either partial surgical excision of epididymal and retroperitoneal fat tissue (lipectomy, L) or sham su... |
0 | Hyperbaric oxygen in trauma and surgical emergencies | DOD - Acute Comp Syndrome CPG | Hyperbaric oxygen therapy (HBO), that is the administration of 100% oxygen delivered under pressure, has a beneficial effect in several surgical conditions. Its use has been assessed and audited and its pharmacological effects demonstrated. It is appropriate for use in several acute surgical conditions as evidence-base... |
0 | Comparison of two different locking plates for two-, three- and four-part proximal humeral fractures - Results of an international multicentre study | DoD SSI (Surgical Site Infections) | Purpose: The aim of this study was to compare the functional outcome, quality of restoration, and complication rate after open reduction and internal fixation (ORIF) of displaced or unstable 2-, 3- and 4-part humeral fractures using two different locking plates. Methods: The data used in this analysis was prospectively... |
0 | What Risks are Associated with Primary THA in Recipients of Hematopoietic Stem Cell Transplantation? | Hip Fx in the Elderly 2019 | INTRODUCTION: As patients who receive hematopoietic stem cell transplantation are at increased risk of avascular necrosis (AVN) and subsequent degenerative arthritis, THA may be considered in some of these patients, particularly as overall patient survival improves for patients undergoing stem-cell transplants. Patient... |
0 | Synergistic toxicity of gentamicin- and nanosilver-doped polymethylmethacrylate bone cement on primary human osteoclasts | PJI DX Updated Search | Bacterial colonization of implant surfaces is a feared complication in surgery and orthopedics. Due to the increasing number of periprosthetic infections caused by multidrug-resistant microorganisms, new antibacterial coatings for biomaterials must be developed. The excellent antibacterial properties of silver nanopart... |
0 | Infections of electrophysiologic cardiac devices | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infections related to electrophysiologic cardiac device placement are increasing dramatically and are associated with adverse outcomes. With the US population aging and living longer, cardiac devices are utilized in an older population with significant comorbidities, making the threat from infectious complications sign... |
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