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0 | Hypercalcemia of malignancy: Treatment with intravenous dichloromethylene diphosphonate | MSTS 2018 - Femur Mets and MM | Twelve patients with hypercalcemia associated with various malignancies were treated with intravenous dichloromethylene diphosphonate (CI2MDP), a potent inhibitor of osteoclastic bone resorption, in doses of 2.5 mg/kg of body weight initially and 5.0 mg/kg thereafter for up to 7 days. Mean serum calcium concentration f... |
0 | Does adding antibiotics to cement reduce the need for early revision in total knee arthroplasty? | PJI DX Updated Search | BACKGROUND: There is considerable debate about whether antibiotic-loaded bone cement should be used for fixation of TKAs. While antibiotics offer the theoretical benefit of lowering early revision due to infection, they may weaken the cement and thus increase the likelihood of aseptic loosening, perhaps resulting in a ... |
0 | Risk Factors for Infection After Knee Arthroscopy: Analysis of 595,083 Cases From 3 United States Databases | PJI DX Updated Search | PURPOSE: To identify and quantify patient- and procedure-related risk factors for post-arthroscopic knee infections using a large dataset. METHODS: An administrative health care database including 8 years of records from 2 large commercial insurers and Medicare (a 5% random sample) was queried to identify all knee arth... |
0 | Does cruciate retention primary total knee arthroplasty affect proprioception, strength and clinical outcome? | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception. METHODS: Two arthroplasty designs were compared: a posterior cruciate-substituting... |
1 | Erratum to "Sonographic findings of the median nerve and prevalence of carpal tunnel syndrome in patients with Parkinson's disease" [Eur. J. Radiol. 67 (3) (2008) 546-550] | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: Parkinson's disease (PD) is a chronic progressive disorder which is characterized by rest tremor, akinesia or bradykinesia and rigidity. Carpal tunnel syndrome (CTS) is caused by compression of median nerve and can occur as a result of repetitive trauma. The aim of this study was to estimate the prevalence of ... |
0 | Tibial pilon fractures: which method of treatment? | DoD SSI (Surgical Site Infections) | A comprehensive review of the existing literature, related to treatment options and management principles of pilon fractures was performed, and its results are presented. The identified series advocate in favour of a number of different treatment strategies and fixation methods. Decision making was mostly dependent on ... |
0 | Comparison of piroxicam and naproxen in osteoarthritis of the foot | Management of Hip Fractures in the Elderly | Osteoarthritis is the most common joint disease and the second highest ranking cause of disability in the US. Osteoarthritis commonly affects the hands, wrists, spine, knees, and feet. One of the mainstays of treatment for osteoarthritis is the use of nonsteroidal anti-inflammatory drugs. While there have been controll... |
0 | Low-Dose Ketamine Infusion for Emergency Department Patients with Severe Pain | Hip Fx in the Elderly 2019 | Objective: Use of low-dose ketamine infusions in the emergency department (ED) has not previously been described, despite routine use in perioperative and other settings. Our hypothesis was that a low-dose ketamine bolus followed by continuous infusion would 1) provide clinically significant and sustained pain relief; ... |
1 | Factors Related to Postoperative Osteochondritis Dissecans of the Lateral Femoral Condyle After Meniscal Surgery in Juvenile Patients With a Discoid Lateral Meniscus | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose was to assess the incidence of postoperative osteochondritis dissecans (OCD) and the related epidemiologic factors following meniscal surgery for juvenile discoid lateral meniscus (DLM).
METHODS: The study was a retrospective review of 103 knees in 89 patients with a mean age of 12.1 years who unde... |
0 | War exposure, daily stressors, and mental health in conflict and post-conflict settings: bridging the divide between trauma-focused and psychosocial frameworks | DoD PRF (Psychosocial RF) | This paper seeks to bridge the divisive split between advocates of trauma-focused and psychosocial approaches to understanding and addressing mental health needs in conflict and post-conflict settings by emphasizing the role that daily stressors play in mediating direct war exposure and mental health outcomes. The auth... |
0 | Efficacy and safety of monthly oral minodronate in patients with involutional osteoporosis | Management of Hip Fractures in the Elderly | Monthly minodronate at 30 or 50 mg had similar efficacy as 1 mg daily in terms of change in bone mineral density (BMD) and bone turnover markers with similar safety profiles. This new regimen provides patients with a new option for taking minodronate. INTRODUCTION: Minodronate at a daily oral dose of 1 mg has been prov... |
0 | Tibial shaft fractures - Management and treatment options. A review of the current literature | DOD - Acute Comp Syndrome CPG | Treatment of tibial shaft fractures is still discussed controversial. In the present study current literature was reviewed with the objective to demonstrate current recommendations concerning tibial shaft fractures. Tibial shaft fractures are often caused by high-energy trauma with severe concomitant soft-tissue injuri... |
0 | Surgical Treatment for Infected Long Bone Defects after Limb-Threatening Trauma: Application of Locked Plate and Autogenous Cancellous Bone Graft | DoD SSI (Surgical Site Infections) | BACKGROUND: Treatment strategies for bone defects include free bone grafting, distraction osteogenesis, and vascularized bone grafting. Because bone defect morphology is often irregular, selecting treatment strategies may be difficult. With the Masquelet technique, a fracture site is bridged and fixed with a locking pl... |
0 | Prospective randomized trial comparing alumina ceramic-on-ceramic with ceramic-on-conventional polyethylene bearings in total hip arthroplasty | Management of Hip Fractures in the Elderly | This prospective randomized study aims to compare the outcome between an alumina ceramic-on-ceramic (CC) articulation with a ceramic on ultra-high-molecular-weight polyethylene articulation (CP). Fifty-six hips in 55 patients with mean age 42.2 (range, 19-56) each received uncemented components, a 28-mm alumina head wi... |
0 | The effect of intravenous iron on postoperative transfusion requirements in hip fracture patients: study protocol for a randomized controlled trial | Hip Fx Time to Surgery | BACKGROUND: Anaemia following hip fracture is common. Approximately 30 to 45% of patients have haemoglobin concentrations below population norms on admission, and around 10% are severely anaemic. Anaemia on admission, and in the postoperative period, is associated with poor outcomes with regard to mobility, postoperati... |
0 | Preoperative urine-specific gravity and the incidence of complications after hip fracture surgery: A prospective, observational study | Hip Fx in the Elderly 2019 | BACKGROUND: Mild to moderately severe dehydration is common in the elderly, but its relationship to surgical outcome is unclear.
OBJECTIVES: To study the incidence of dehydration prior to hip fracture surgery and its relationship to postoperative complications.
DESIGN: Prospective observational study.
SETTING: Operatio... |
0 | Total wrist arthroplasty. Experience with Swanson flexible silicone implants, 1982-1988 | Distal Radius Fractures | In a study of the results of silicone rubber arthroplasty of the wrist 18 patients (19 operated wrists) were re-examined after a mean follow up of five years. Experience with the ulnar head implant was discouraging, and it was not used in the last eight wrists. This did not affect the outcome, patients having good supi... |
0 | Balance Evaluation and Gait Analysis After Arthroscopic Partial Meniscectomy | AMP (Acute Meniscal Pathology) | Purpose: The purpose of this study is to investigate how walking and balance are affected at different time intervals after arthroscopic partial meniscectomy (APM).
Methods: Forty-five patients with APM and a healthy control group of 46 people were included in the study. Gait and bipedal balance analysis were performed... |
0 | Abdominoplasty-derived dermal-fat graft augmentation gluteoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Plastic surgeons are exploring novel techniques for augmentation gluteoplasty as the demand for this procedure increases annually in the United States. OBJECTIVES: The authors retrospectively reviewed a series of lower abdominal dermal-fat graft augmentation gluteoplasties to validate the procedure. METHODS... |
0 | Significant risk of arthrolysis after simultaneous anterior cruciate ligament reconstruction and treatment of dislocated bucket-handle meniscal tear | AMP (Acute Meniscal Pathology) | INTRODUCTION: Postoperative stiffness is a feared complication after anterior cruciate ligament (ACL) reconstruction. In case of associated dislocated bucket-handle meniscal tear (BHMT), reduction is urgent, with ligament reconstruction in the same surgical step.
HYPOTHESIS: Treatment of associated dislocated BHMT in A... |
0 | Sensory conduction study in chronic sensory ataxic neuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Sensory conduction was studied in six patients with chronic sensory ataxic neuropathy of an idiopathic type and associated with Sjogren's syndrome. Motor nerve conduction velocities were normal in most cases, but sensory nerve potentials could not be evoked in a routine peripheral nerve conduction study. Cortical and c... |
0 | Detection of antibiotic resistance genes in samples from acute and chronic endodontic infections and after treatment | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: The purpose of this study was twofold: survey samples from acute and chronic endodontic infections for the presence of genes encoding resistance to beta-lactams, tetracycline and erythromycin, and evaluate the ability of treatment to eliminate these genes from root canals. DESIGN: DNA extracts from samples o... |
0 | A Case of Primary Aortoenteric Fistula: Review of Therapeutic Challenges | PJI DX Updated Search | BACKGROUNDS: Primary aortoenteric fistula (PAEF) is a lethal cause of gastrointestinal bleeding. They mainly originate from eroding abdominal aortic aneurysms into the intestinal wall. Other known causes involve malignancies, infection, corpora aliena, or radiation therapy. Traditional treatment consists of resection o... |
0 | Impact of the COVID-19 pandemic on orthopedic trauma workload in a London level 1 trauma center: the "golden month" | Hip Fx in the Elderly 2019 | Background and purpose - The COVID-19 pandemic has been recognized as an unprecedented global health crisis. This is the first observational study to evaluate its impact on the orthopedic workload in a London level 1 trauma center (i.e., a major trauma center [MTC]) before (2019) and during (2020) the "golden month" po... |
0 | Evaluation of a powered ankle-foot prosthetic system during walking | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To determine whether a powered ankle-foot prosthesis improves gait mechanics, physical performance, and user satisfaction after traumatic transtibial amputation. DESIGN: Pre-post. SETTING: Gait analysis laboratory. PARTICIPANTS: Young individuals with traumatic transtibial amputation (n=11) and matched contr... |
0 | Chondroitins 4 and 6 sulfate in osteoarthritis of the knee: a randomized, controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine whether chondroitin sulfate (CS) is effective in inhibiting cartilage loss in knee osteoarthritis (OA). METHODS: In this randomized, doubleâ?blind, placeboâ?controlled trial, 300 patients with knee OA were recruited from an outpatient clinic, from private practices, and through advertisements.... |
0 | The use of radiofrequency energy for arthroscopic chondroplasty in the knee | PJI DX Updated Search | We present a review of the current literature surrounding the use of radiofrequency energy for arthroscopic chondroplasty in the knee. This review article summarizes basic science, clinical efficacy, and recent advances in the understanding of radiofrequency energy use for the treatment of chondral lesions. Laboratory ... |
0 | Hip disease and hip arthroplasty | PJI DX Updated Search | There has been a significant increase in the prevalence of obesity in the United States over the last 20 years, with the highest percentage in Mississippi. The percentage of obese patients undergoing total hip arthroplasty (THA) appears to be increasing at an even faster rate. Orthopedic surgeons performing hip arthrop... |
0 | Plastic surgeon compliance with national safety initiatives: clinical outcomes and "never events" | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Venous thromboembolism and surgical-site infection have been identified as preventable complications that are addressed by the National Quality Forum and the Surgical Care Improvement Project. The authors examined compliance of faculty with venous thromboembolism and surgical-site infection prophylaxis and ... |
0 | Perioperative anesthetic management of orthopedic injuries | DOD - Acute Comp Syndrome CPG | Management of orthopedic trauma is challenging. Although many patients have isolated trauma, such as hip fractures, others suffer multiple injuries requiring an evaluation of the patient's physiologic condition before administering an anesthetic. Anesthesiologists must consider all aspects of the patient's status when ... |
0 | Knee donor site morbidity following harvest of medial femoral trochlea osteochondral flaps for carpal reconstruction | OAK 3 - Non-arthroplasty tx of OAK | Purpose This study examines donor site morbidity associated with the medial femoral trochlea (MFT) when used as a donor site for vascularized osteochondral flaps for reconstruction of challenging carpal defects such as proximal pole scaphoid nonunion and advanced Kienböck disease. Methods The retrospective study popul... |
0 | Role of mesotherapy in musculoskeletal pain: Opinions from the Italian Society of Mesotherapy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Mesotherapy is the injection of active substances into the surface layer of the skin. This method allows a slower spread, higher levels, and longer lasting effects of drugs in the tissues underlying the site of injection (skin, muscle, and joint) compared with those following intramuscular injection. This technique is ... |
0 | Hip fracture and urinary incontinence--use of indwelling catheter postsurgery | Hip Fx in the Elderly 2019 | BACKGROUND: Norway has a higher incidence of hip fractures than any other country. For older individuals, a hip fracture may cause dramatic changes in health status like incontinence and daily activities. Patients with hip fractures are at high risk of urinary incontinence (UI) after surgical repair. A urinary indwelli... |
0 | Cost effectiveness of a two-year home exercise program for the treatment of knee pain | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the cost effectiveness of a 2â?year home exercise program for the treatment of knee pain. METHODS: A total of 759 adults aged > or = 45 years were randomized to receive exercise therapy, monthly telephone contact, exercise therapy and telephone contact, or no intervention. Efficacy was measured us... |
0 | A Randomized Controlled Trial Comparing "High-Flex" vs "Standard" Posterior Cruciate Substituting Polyethylene Tibial Inserts in Total Knee Arthroplasty | PJI DX Updated Search | The purpose of this study is to compare the range of motion and clinical outcomes of a standard posterior-stabilized (PS) vs the high-flex (HF) polyethylene tibial insert of a posterior cruciate substituting total knee arthroplasty system. One hundred patients were entered into a prospective, blinded, randomized clinic... |
1 | Improvements in rehabilitation of the postmeniscectomized or meniscal-repaired patient | AMP (Acute Meniscal Pathology) | Recent advances in the surgical management of meniscal problems (arthroscopic meniscectomy or meniscal repair) have been associated with far less morbidity postoperatively. Aggressive rehabilitation programs using innovative devices have allowed the patients an early return to normal activities or competition. Even wit... |
0 | Minimal incisions vertical endoscopic lifting and fat grafting as a systematic approach to the rejuvenation of the periocular esthetic unit | Upper Eyelid and Brow Surgery | PURPOSE: The forehead/brow complex, the temporal region, the upper eyelid, the zygomatic area, the lower eyelid, and the cheek comprise the periocular esthetic unit. The combination of variable degrees of tissue descent and fat deflation of the component parts of the unit determine its appearance with age. The authors ... |
1 | Long-term neurological complications associated with surgery and peripheral nerve blockade: outcomes after 1065 consecutive blocks | Surgical Management of Osteoarthritis of the Knee CPG | Peripheral nerve blockade is gaining popularity as an analgesic option for both upper or lower limb surgery. Published evidence supports the improved efficacy of regional techniques when compared to conventional opioid analgesia. The incidence of neurological deficit after surgery associated with peripheral nerve block... |
1 | Granuloma after sling surgery: an attempt to answer the 'why' and 'what to do next' | Upper Eyelid and Brow Surgery | PURPOSE: To review cases of granuloma formation after sling surgery with a view to find out possible aetiological factors and propose a further plan of management MATERIALS AND METHODS: A retrospective analysis of 120 eyes of 108 patients who underwent frontalis sling surgery with silicone rod from Jan 2008 to Dec 2015... |
0 | Silicon and silicone levels in patients with silicone implants | Reduction Mammoplasty for Female Breast Hypertrophy | Although a potential link between silicone gel breast implants and autoimmune connective tissue disease has been suggested, none has been proven. The potential role of silicone as an immune adjuvant remains very controversial. Currently available techniques do not easily allow precise measurements of silicone in tissue... |
0 | Periprosthetic femoral fractures associated with contralateral hip disease | Management of Hip Fractures in the Elderly | Femoral osteolysis associated with contralateral hip degenerative changes is a risk factor for ipsilateral periprosthetic femoral fracture. We report 5 comminuted proximal shaft fractures around loose femoral implants occurring in patients with both symptomatic femoral lysis and a painful hip on the other side. Our evo... |
0 | A population pharmacokinetic model for the complex systemic absorption of ropivacaine after femoral nerve block in patients undergoing knee surgery | AAHKS (8) Anesthetic Infiltration | Because of its slow systemic absorption and flip-flop kinetics, ropivacaine's pharmacokinetics after a peripheral nerve block has never been thoroughly characterized. The purpose of this study was to develop a population pharmacokinetic model for ropivacaine after loco-regional administration and to identify patient ch... |
1 | Complications of ambulatory major dermatological surgery in patients older than 85 years | Reconstruction After Skin Cancer | BACKGROUND: During the last decades, the progressive ageing of the population has resulted in a rising skin cancer incidence. Although previous studies detected no higher morbidity for dermatological surgery in senior patients, their exclusion from optimal surgical treatment remains as a common clinical practice. OBJEC... |
1 | Avascular necrosis after treatment of DDH: the protective influence of the ossific nucleus | Developmental Dysplasia of the Hip CPG | We retrospectively reviewed the results of open or closed reduction for developmental dysplasia of the hip (DDH) in 49 children younger than 12 months old, who had 57 hip dislocations. Group A (18 hips) developed partial or complete avascular necrosis (AVN), and group B (39 hips) did not develop AVN. Thirty-eight hips ... |
0 | Analysis of muscle atrophy after hip fracture in the elderly | Management of Hip Fractures in the Elderly | OBJECTIVES: To examine the relationship between muscle atrophy, ambulatory ability, and fracture type, and to make a specific rehabilitation regimen for each fracture type. DESIGN: Observational study. SETTING: Public hospital. PARTICIPANTS: Consecutive patients (N=53) with hip fracture (mean age, 83.6y) who underwent ... |
0 | Effects of virtual reality training on gait biomechanics of individuals post-stroke | Management of Hip Fractures in the Elderly | OBJECTIVE: To evaluate gait biomechanics after training with a virtual reality (VR) system and to elucidate underlying mechanisms that contributed to the observed functional improvement in gait speed and distance.DESIGN: A single blind randomized control study.SETTING: Gait analysis laboratory in a rehabilitation hospi... |
0 | An experience of ischemic limb salvage associated with myositis ossificans of the left thigh | Management of Hip Fractures in the Elderly | A case of ischemic limb salvage associated with myositis ossificans of the left thigh in a 66-year-old man was reported. The patient had a medical history of cerebral palsy and a cervical spinal cord injury, and had an operative past history of hip arthroplasty for fracture of the left femoral neck 10 years before. He ... |
0 | LARS versus hamstring tendon autograft in anterior cruciate ligament reconstruction: a single-centre, single surgeon retrospective study with 8Â years of follow-up | OAK 3 - Non-arthroplasty tx of OAK | Purpose: The choice of graft type in the anterior cruciate ligament (ACL) reconstruction remains a subject of controversy. The aim of this study was to assess the outcomes in ACL reconstructions performed using a four-strand hamstring tendon graft (4SHG) or a LARS ligament comparing the effectiveness of the two grafts ... |
0 | Natural history and clinical significance of MRI-detected bone marrow lesions at the knee: a prospective study in community dwelling older adults | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: There are conflicting data on the natural history and clinical significance of bone marrow lesions (BMLs). The aims of this study were to describe the natural history of MRI-detected BMLs at the knee using a quantitative measure and examine the association of BMLs with pain, function and stiffness scores,... |
1 | Multimodal pain management for total hip arthroplasty | AAHKS (2) Corticosteroids | Multimodal pain management uses a variety of pharmacological agents administered at different perioperative times to target both peripheral and central nerve transduction and the various biochemical pathways, enzymes and receptors that signal painful stimuli and inflammation. This article reviews the role of patient-co... |
0 | Patent focus on cancer chemotherapeutics. III Angiogenesis agents: October 2000 - March 2001 | MSTS 2018 - Femur Mets and MM | Angiogenesis refers to the formation of new blood vessels from existing blood vessels, a process that is believed to be a key requirement for tumour growth and metastasis. Angiogenesis inhibition represents a new approach to cancer chemotherapy and several agents and approaches are now entering late clinical developmen... |
0 | Effects of traditional and ultrasonic liposuction on adipose tissue: a biochemical approach | Panniculectomy & Abdominoplasty CPG | Little is known about the interaction of ultrasonic liposculpture with fat tissue. The surgical technique is well established and its clinical effects are satisfactory. However, the in vivo effects on adipose tissue remain to be determined. Previous studies have shown that ultrasound waves break fat cells. The purpose ... |
0 | Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal | Panniculectomy & Abdominoplasty CPG | BACKGROUND: This is a continued examination of 10 years of prospectively collected Florida in-office adverse event data and new comparable data from mandatory Alabama in-office adverse event data reporting. OBJECTIVE: To determine which office surgical procedures have resulted in reported complications. METHODS: This s... |
0 | Management of metastatic disease of the appendicular skeleton | MSTS 2018 - Femur Mets and MM | Treatment advances have resulted in improved prognosis for patients with cancer metastatic to bone. The management of appendicular skeletal metastases requires a multi-disciplinary approach. The overall disease prognosis is important in determining the appropriate surgical treatment of metastases, with simple measures ... |
0 | Knee osteoarthritis after anterior cruciate ligament injury: a systematic review | SR for PM on OA of All Extremities | BACKGROUND: This is a systematic review of studies on the prevalence of osteoarthritis in the tibiofemoral joint more than 10 years after an anterior cruciate ligament injury, the radiologic classification methods used, and risk factors for development of knee osteoarthritis. METHODS: A systematic search was performed ... |
1 | Traumatic injuries and persistent opioid use in the USA: findings from a nationally representative survey | DoD PRF (Psychosocial RF) | BACKGROUND: Although opioid abuse is a rising epidemic in the USA, there are no studies to date on the incidence of persistent opioid use following injuries. Therefore, the aims of this study are: (1) to examine the incidence of persistent opioid use among a nationally representative sample of injured and non-injured p... |
0 | Work and power of the knee flexor and extensor muscles in patients with osteoarthritis and after total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Introduction: The inflammatory manifestations of knee osteoarthritis (OA) lead to muscle inhibition and hypotrophy, resulting in a reduction in total muscle work and muscle power. Total knee arthroplasty (TKA) is the most adequate surgery for the treatment of advanced OA. However, its effects on muscle functional behav... |
0 | Hemispheric asymmetry in visual recognition of words and motor response in schizophrenic and depressive patients | Upper Eyelid and Brow Surgery | Two-letter Hangul words were presented tachistoscopically as target words to either the right or left visual field of normal subjects, schizophrenics, and depressive patients. The subjects' task was to judge the similarity or difference between the target words and the words used for comparison. They were to signal as ... |
1 | Ultrasound appearance of the hip joint in newborns during the first week of life | Developmental Dysplasia of the Hip CPG | The frequency of different types of hip joints in newborns was determined on the basis of ultrasound screening examinations performed during the first week of life. A higher percentage (14.1%) of abnormal hip joints were seen in comparison with the groups examined in later weeks of life suggesting the possibility of na... |
0 | Functional status and severity of osteoarthritis in elderly is associated to the polymorphism of TNFA gene | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis (OA) is a major musculoskeletal disease with high prevalence in the elderly. The study of genetic polymorphisms of inflammatory mediators involved in OA may contribute to the elucidation of the complex pathophysiology of this disease and identification of susceptibility individuals. AIM: This... |
0 | Segmental tibial fractures: An assessment of procedures in 27 cases | DOD - Acute Comp Syndrome CPG | Twenty-seven patients (two women) with segmental tibial fractures (19 open) were treated in our institution with a mean age of 38.9 years (range 22-67 years) and a mean Injury Severity Score of 11.5 (9-34). Sixteen fractures were stabilised initially with an interlocking nail, seven with an external fixator, one with a... |
1 | Functional and radiographic outcomes of intertrochanteric hip fractures treated with calcar reduction, compression, and trochanteric entry nailing | Management of Hip Fractures in the Elderly | OBJECTIVES: Shortening after intertrochanteric hip fractures with sliding constructs is an increasingly recognized problem by the orthopaedic community. It often results in a limb length discrepancy causing maladaptation of the abductor lever arm. Functional limitations can also result from altered hip biomechanics and... |
0 | Medical conditions among Iraqi refugees in Jordan: data from the United Nations Refugee Assistance Information System | Dental Implant Infection | OBJECTIVE: To determine the range and burden of health services utilization among Iraqi refugees receiving health assistance in Jordan, a country of first asylum., METHODS: Medical conditions, diagnosed in accordance with the tenth revision of the International classification of diseases, were actively monitored from 1... |
1 | Comparison of adductor canal block and femoral nerve block for postoperative pain in total knee arthroplasty:a systematic review and meta-analysis | AAHKS (9/10) Regional Nerve Blocks | A total knee arthroplasty (TKA) has always been associated with moderate-to-severe pain. A systematic review of randomized controlled trials (RCTs) and non-RCTs was performed to evaluate the efficacy and safety of pain control of adductor canal block (ACB) and femoral nerve block (FNB) after TKA. Relevant literatures a... |
0 | The effect of complete radial lateral meniscus posterior root tear on the knee contact mechanics: a finite element analysis | AMP (Acute Meniscal Pathology) | BACKGROUND: In recent years, with technological advances in arthroscopy and magnetic resonance imaging and improved biomechanical studies of the meniscus, there has been some progress in the diagnosis and treatment of injuries to the roots of the meniscus. However, the biomechanical effect of posterior lateral meniscus... |
1 | Scheduled analgesic regimen improves rehabilitation after hip fracture surgery hip | Hip Fx in the Elderly 2019 | Background: Postoperative pain often is the limiting factor in the rehabilitation of patients after hip fracture surgery. Questions/purposes: We compared an approach using scheduled analgesic dosing with as-needed analgesic dosing in patients after hip fracture surgery, to compare these approaches in terms of (1) resti... |
0 | Obesity is no longer a risk factor for dislocation after total hip arthroplasty with a double-mobility cup | Hip Fx in the Elderly 2019 | PURPOSE: Dislocation is one of the most feared complications after total hip arthroplasty (THA). This risk is greater in obese patients compared with the general population.
METHODS: We performed a retrospective cohort study in which the main objective was to compare the dislocation rate between obese patients (BMI > 3... |
1 | Screw fixation for supracondylar humerus fractures in children: a report of seventeen cases | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: Supracondylar fractures in the pediatric population are common. For years, K-wires have been the preferred method of surgical fixation. However, fixation with K-wires alone may lead to multiple complications. This study reports the results of surgical care of supracondylar humerus fractures using screw fixatio... |
0 | Meniscal calcification, pathogenesis and implications | AMP (Acute Meniscal Pathology) | PURPOSE OF REVIEW: The purpose of this review is to discuss recent advances in the understanding of the nature of meniscal calcification and its relationships with meniscal degeneration and cartilage lesions in osteoarthritis.
RECENT FINDINGS: Calcium crystals are universally present in hyaline articular cartilage, as ... |
1 | Cost-Effectiveness of Different Forms of Intra-Articular Injections for the Treatment of Osteoarthritis of the Knee | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Osteoarthritis (OA), as one of the leading causes of disability, decreases the quality of life for those suffering from the disease and creates a substantial financial burden. Intra-articular hyaluronic acid (HA) can provide relief from the symptoms of OA and multiple HA products are prescribed. The purpo... |
0 | Clinical diagnostic accuracy and magnetic resonance imaging of patients referred by physical therapists, orthopaedic surgeons, and nonorthopaedic providers | AMP (Acute Meniscal Pathology) | STUDY DESIGN: Nonexperimental, retrospective design. OBJECTIVES: This study was designed to compare clinical diagnostic accuracy (CDA) between physical therapists (PTs), orthopaedic surgeons (OSs), and nonorthopaedic providers (NOPs) at Keller Army Community Hospital on patients with musculoskeletal injuries (MSI) refe... |
0 | Proof-of Concept Study of Topical 3%-Diclofenac-Nano-Emulsion Cream for Knee OA Pain | OAK 3 - Non-arthroplasty tx of OAK | This will be a multiâ?center, doubleâ?blind, placeboâ?controlled, multipleâ?dose, parallel treatment study. A total of 126 subjects will be randomized to receive either 3%â?Diclofenacâ?NE cream or a placebo cream respectively. Following screening and a washout period from previous treatments subjects will be enro... |
0 | Validation of the Chinese Western Ontario and McMaster Universities Osteoarthritis Index in Patients From Mainland China With Osteoarthritis of the Knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To establish the reliability, validity, and sensitivity to change of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) among Chinese subjects with osteoarthritis (OA) of the knee, living in mainland China.
METHODS: A multicenter, randomized, double-blind, placebo-controlled, parallel... |
0 | Concepts of anaerobic infection in relation to prevention and management | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Concepts of anaerobic infection are reviewed in relation to the management of wounds that might be contaminated by facultative or anaerobic organisms or mixtures of these. Considerations of post-operative wound infections oblige us to consider the indications for per-operative antimicrobial prophylaxis and to bear in m... |
0 | Carpal tunnel syndrome in children with mucopolysaccharidosis and related disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Four cases of mucopolysaccharidosis or mucolipidosis and carpal tunnel syndrome in children are presented. Carpal tunnel release achieved clinical and electrical improvement in all cases |
0 | No Decrease in Infection Rate with the Use of Local Vancomycin Powder After Partial Hip Replacement in Elderly Patients with Comorbidities | DoD SSI (Surgical Site Infections) | Introduction The goal of this study was to evaluate the effects of local intra-wound vancomycin powder (VP) administration to decrease surgical site infections (SSIs), particularly in elderly patients with comorbidities, after having undergone partial hip replacement in the treatment of intertrochanteric (ITF) or femor... |
1 | Efficacy of intra-articular injections of platelet-rich plasma as a symptom- and disease-modifying treatment for knee osteoarthritis - the RESTORE trial protocol | PRP (Platelet-Rich Plasma) | BACKGROUND: Knee osteoarthritis (OA) causes substantial pain, physical dysfunction and impaired quality of life. There is no cure for knee OA, and for some people, the disease may involve progressive symptomatic and structural deterioration over time. Platelet-rich plasma (PRP) is a therapeutic agent that aims to addre... |
0 | Involvement of peripheral and spinal tumor necrosis factor α in spinal cord hyperexcitability during knee joint inflammation in rats | OAK 3 - Non-arthroplasty tx of OAK | Objective. Tumor necrosis factor α (TNFα) is produced not only in peripheral tissues, but also in the spinal cord. The purpose of this study was to address the potential of peripheral and spinal TNFα to induce and maintain spinal hyperexcitability, which is a hallmark of pain states in the joints during rheumatoid a... |
0 | Sports injuries in children | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Introduction: Sports injuries in children affect both growing bone and soft tissues, and can result in damage of growth mechanisms with subsequent lifelong, growth disturbance. This clinical review unfolds the incidence and distribution, physiology, injury characteristics and the prevention modalities. Methods: A compr... |
0 | Further evidence for treatment of recalcitrant neuropathy of the upper limb with autologous vein wrapping | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The treatment of entrapment neuropathy in the upper extremity with surgical decompression has generally provided good results. Recurrence of symptoms, however, is not uncommon, and its management is both challenging and difficult. Autologous vein graft wrapping is an alternative technique, and it is recommended for the... |
0 | Markers of bone resorption predict hip fracture in elderly women: The | Management of Hip Fractures in the Elderly | Increased bone turnover has been suggested as a potential risk factor for osteoporotic fractures. We investigated this hypothesis in a prospective cohort study performed on 7598 healthy women more than 75 years of age. One hundred and twenty-six women (mean years 82.5) who sustained a hip fracture during a mean 22-mont... |
0 | Psoriatic arthritis or could it be singleton-merten syndrome? | Surgical Management of Osteoarthritis of the Knee CPG | Aims To describe Singleton-Merten Syndrome as an unusual cause of arthritis associated with a psoriasiform rash. Methods Case report. Results We present this case of a girl who at 11 months suffered from discrete red scaly areas on the trunk, limbs and scalp. She was given a diagnosis of psoriasis which remained poorly... |
0 | Management of a pelvic mass following a worn uncemented total hip arthroplasty | PJI DX Updated Search | Intrapelvic granulomatous masses from polyethylene wear debris can easily be misdiagnosed if orthopaedic etiology is not considered. This article presents the case of a 50 year old woman with history of hip joint trauma and total hip arthroplasty (THA) revisions who presented to her gynecologist with a large intrapelvi... |
1 | Local infiltration analgesia for postoperative pain after hip arthroplasty: a systematic review and meta-analysis | AAHKS (8) Anesthetic Infiltration | UNLABELLED: Postoperative pain after hip arthroplasty (HA) is very common and severe. Currently, use of routine analgesic methods is often accompanied by adverse events (AEs). Local infiltration analgesia (LIA) for controlling pain has been a therapeutic option in many surgical procedures. However, its analgesic effica... |
0 | Ultrasound-guided adductor canal block: a cadaveric study investigating the effect of a thigh tourniquet | AAHKS (8) Anesthetic Infiltration | Background: Placement of local anaesthetic within the adductor canal using ultrasonography is an alternative to femoral nerve blocks for postoperative pain relief after knee joint replacement surgery. However, the effect of an inflated thigh tourniquet on the distribution of local anaesthetic within the adductor canal ... |
0 | Nonoperative management of patients with carcinoma metastatic to bone | MSTS 2018 - Femur Mets and MM | The skeleton is the most common site of metastatic spread of cancer and a leading cause of morbidity and mortality from cancer. Treatment of bone metastases can lead to improvement in survival and quality of life. Because bone metastases usually are widespread by the time they become symptomatic, nonoperative managemen... |
0 | Most patients gain weight in the 2 years after total knee arthroplasty: comparison to a healthy control group | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: While joint arthroplasty improves the functional ability of persons with severe knee osteoarthritis (OA), the long-term effects of surgical intervention on body mass have not been evaluated. The objective of this study was to determine if a reduction in body mass index (BMI) was present following unilateral ... |
0 | The association between antagonist hamstring coactivation and episodes of knee joint shifting and buckling | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Hamstring coactivation during quadriceps activation is necessary to counteract the quadriceps pull on the tibia, but coactivation can be elevated with symptomatic knee osteoarthritis (OA). To guide rehabilitation to attenuate risk for mobility limitations and falls, this study evaluated whether higher antago... |
1 | Brief report: intraarticular sprifermin not only increases cartilage thickness, but also reduces cartilage loss: location-independent post hoc analysis using magnetic resonance imaging | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine whether an anabolic drug (sprifermin) is capable of reducing cartilage loss wherever it occurs in a given knee, using a subject-specific, location-independent analysis of cartilage change in patients with knee osteoarthritis (OA).
METHODS: Study participants (n = 168; ages >=40 years, 69% women)... |
0 | Epidemiological pro file of hospitalised injuries among electric bicycle riders admitted to a rural hospital in Suzhou: A cross-sectional study | DoD PRF (Psychosocial RF) | Police reports indicate an increasing burden of electric bike (E-bike) casualties in China; however, hospitalised injury data have not been reported. The aim of the present work was to describe hospitalised injury patterns for E-bikers involved in road crashes and explore injury risk disparities among them. For the per... |
0 | Anaesthesiological problems in patients with rheumatoid arthritis undergoing orthopaedic surgeries | AAHKS (8) Anesthetic Infiltration | The article presents anaesthesiological problems in patients with rheumatoid arthritis (RA) scheduled for orthopaedic surgeries. Organ changes due to RA and related treatment were taken into account. The anaesthetic techniques used for patients with RA underwent orthopaedic procedures were presented. © Clinical Rheuma... |
1 | The influence of age on outcome after operation for the carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Decompression of the carpal tunnel is a common surgical procedure. Although the incidence of the carpal tunnel syndrome increases with age, there is no clear information available on the outcome of surgery in relation to age. We studied prospectively 87 consecutive patients who underwent decompression, using a validate... |
1 | Platelet-Rich Plasma, Bone Morphogenetic Protein, and Stem Cell Therapies | PRP (Platelet-Rich Plasma) | The frequency of use of "biologics," including platelet-rich plasma (PRP), bone morphogenetic protein (BMP), and stem cell therapies in the treatment of orthopaedic conditions has significantly increased over the past few decades. The use of PRP and stem cells has been proposed for a wide variety of conditions includin... |
0 | Postoperative analgesia by intraarticular clonidine and neostigmine in patients undergoing knee arthroscopy | AMP (Acute Meniscal Pathology) | BACKGROUND AND OBJECTIVE: Clonidine and neostigmine have a central mechanism of analgesic action and are synergistic when given intrathecally. Both drugs also have a peripheral analgesic effect. The purpose of this study was to compare the analgesic effect of intraarticular clonidine and neostigmine, used separately an... |
0 | Bone graft substitutes for articular support and metaphyseal comminution: what are the options? | DoD SSI (Surgical Site Infections) | Subchondral and metaphyseal bone defects pose a great challenge for the Orthopaedic surgeon not only because the support for the articular surface has been lost but also because the mechanism for the nourishment of articular cartilage through the subchondral plate is distorted. A number of options are available to the ... |
0 | Balloon guided cement augmentation of lliosacral screws in the treatment of insufficiency fractures of the sacrum-description of a new method and preliminary results | Hip Fx in the Elderly 2019 | PURPOSE OF THE STUDY Fragility fractures of the pelvic ring in the elderly population are a serious problem in orthopaedics. The treatment options range from conservative treatment to diverse operative options. We present a balloon guided new technique of implanting cement augmented screws aiming at improved implant an... |
0 | Effect of the shorter stays in emergency departments time target policy on key indicators of quality of care | DoD SSI (Surgical Site Infections) | Aim: To determine whether implementation of a national health target called Shorter Stays in Emergency Departments impacted on clinical markers of quality of care. Method: A retrospective pre- and post-intervention study from 2006 to 2012 examined quality of care metrics for five different indicators at different sites... |
0 | Combined orthogeriatric care in the management of hip fractures: a prospective study | Management of Hip Fractures in the Elderly | AIMS: To evaluate the efficacy of combined care between orthopaedic surgeons and geriatricians in the management of patients with fractured necks of femur. PATIENTS AND METHODS: A prospective study of the admissions to a district general hospital with hip fractures was carried out over a 5-year period. In the years 199... |
0 | Minimal-resection arthroplasty to treat meniscal tears with associated condyle lesions: finite element analysis | AMP (Acute Meniscal Pathology) | An early intervention prosthesis which minimizes the extent of resected healthy bone would be advantageous to patients for whom a total or unicompartmental replacement would sacrifice extensive healthy tissue. In this study the use of a device to treat osteoarthritis localized upon a single condyle of the femur with an... |
0 | Autoimmune aspects of cytokine and anticytokine therapies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cytokines and anticytokines are used increasingly in the treatment of immune, autoimmune, inflammatory, infectious, and malignant disorders. Commonly used treatments include the anti-tumor necrosis factor agents interferon (alpha), interferon (beta), interferon (gamma), and interleukin 2. Several autoimmune phenomena h... |
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