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1 | Common Soft Tissue Musculoskeletal Pain Disorders | Trial Systematic Review Project | Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. The authors used a regional approach to organize... |
0 | Treatment with once-weekly alendronate 70 mg compared with once-weekly risedronate 35 mg in women with postmenopausal osteoporosis: a randomized double-blind study | Management of Hip Fractures in the Elderly | UNLABELLED: Once-weekly alendronate 70 mg and once-weekly risedronate 35 mg are indicated for the treatment of postmenopausal osteoporosis. These two agents were compared in a 12-month head-to-head trial. Greater gains in BMD and greater reductions in markers of bone turnover were seen with alendronate compared with ri... |
0 | A multi-center, double blind randomized controlled trial evaluating flap fixation after mastectomy using sutures or tissue glue versus conventional closure: protocol for the Seroma reduction After Mastectomy (SAM) trial | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Seroma formation is a common complication after mastectomy and is associated with delayed wound healing, infection, skin flap necrosis, patient discomfort and repeated visits to the out patient clinic to deal with seroma and its sequelae. Closing the dead space after mastectomy seems to be key in reducing s... |
0 | Designing the ideal perioperative pain management plan starts with multimodal analgesia | AAHKS (8) Anesthetic Infiltration | Multimodal analgesia is defined as the use of more than one pharmacological class of analgesic medication targeting different receptors along the pain pathway with the goal of improving analgesia while reducing individual class-related side effects. Evidence today supports the routine use of multimodal analgesia in the... |
0 | Temperature-sensitive anti-adhesive poloxamer hydrogel decreases fascial adhesion in total knee arthroplasty: A prospective randomized controlled study | OAK 3 - Non-arthroplasty tx of OAK | A temperature sensitive anti-adhesive poloxamer (TAP) hydrogel has been developed to reduce post-operative adhesion. The purpose of this study was to evaluate the efficacy and safety of TAP hydrogel on fascial adhesion and clinical outcomes including range of motion, pain, and patient satisfaction after total knee arth... |
0 | The relationship between loading conditions and fracture patterns of the proximal femur | Management of Hip Fractures in the Elderly | In an attempt to test the hypothesis of spontaneous hip fracture, seven pairs of femurs, with ages ranging from 59 to 90, were tested under two loading conditions designed to simulate muscular contraction. Simulated iliopsoas contraction produced femoral neck fractures at an average normalized ultimate load of 5.2 +/- ... |
0 | Dorsolateral Biplane Closing Radial Osteotomy and Lunate Fixation for Stage IIIC Kienböck Disease: A New Surgical Approach | Distal Radius Fractures | The treatment of advanced-stage Kienböck disease (KD) remains highly controversial. Particularly important is stage IIIC KD, which includes patients with a lunate coronal fracture. The purpose of this paper was to describe a new approach to KD in patients with Lichtman stage IIIC KD, and our results using it. The proc... |
0 | Pain Management After TKA: comparison of Short- and Long-term Nerve Blocks | AAHKS (8) Anesthetic Infiltration | Postâ?operative pain remains one of the patient's greatest concerns after Total Knee Arthroplasty (TKA). Insufficient pain control can delay mobilization and inhibit rehabilitation efforts. Multimodal analgesia, including peripheral nerve block, is recommended for pain relief, and reaching an effective level of pain m... |
1 | Trephination of incomplete meniscal tears | AMP (Acute Meniscal Pathology) | The meniscus performs several roles that are important to the function of the knee joint. In an effort to preserve these functions of the meniscus, methods to promote the healing of meniscal lesions have been investigated. One such method involves trephination or the creation of vascular access channels by removal of a... |
0 | Surgical debridement with muscle flap transposition and systemic teicoplanin therapy for infected hip arthroplasty | PJI DX Updated Search | The use of muscle flaps is now accepted as a method for coverage of infected wounds. To obtain complete eradication of infection following hip arthroplasty surgery is combined with antibiotic treatment. Aggressive debridment to remove devitalized tissue followed by vastus lateralis muscle flap transposition may improve... |
0 | Postoperative Knee and Shoulder | AMP (Acute Meniscal Pathology) | Arthroscopic surgery in the knee most commonly addresses ligament, meniscal, or articular cartilage abnormalities. Similarly, arthroscopic surgery of the shoulder most commonly addresses tendon and labral abnormalities. The expected postoperative MRI findings depend on both the procedure performed and the time since su... |
0 | Computer-assisted Joint Space Area Measurement: A New Technique in Patients With Knee Osteoarthritis | AMP (Acute Meniscal Pathology) | OBJECTIVES: This study aims to assess the validity and reproducibility of computer-assisted joint space area measurement in knee roentgenograms of patients with knee osteoarthritis and compare it with a qualitative method in knee roentgenograms and quantitative and semi-quantitative methods in magnetic resonance imagin... |
0 | When one liter does not equal 1000 milliliters: Implications for the tumescent technique | Panniculectomy & Abdominoplasty CPG | BACKGROUND. Tumescent anesthesia has revolutionized the practice of liposuction. Inherent to the tumescent technique is the use of large volumes of dilute solutions of lidocaine with epinephrine instilled into subcutaneous fat deposits. Precise formulation of the tumescent anesthesia is essential to liposuction techniq... |
0 | Femoral neck fractures in the geriatric population: the influence of perioperative health upon the selection of surgical treatment | Management of Hip Fractures in the Elderly | The use of a primary prosthetic replacement such as an Austin-Moore hemi-arthroplasty in patients sustaining fractures of the femoral neck has been associated with increased post-operative medical morbidity and mortality. A retrospective review was performed using the medical records of patients greater than 59 years o... |
0 | Mycobacterium kansaii flexor tenosynovitis presenting as carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We present a case in which Mycobacterium kansasii flexor tenosynovitis caused the development of carpal tunnel syndrome. The diagnosis was made from synovial tissue specimens taken at the time of operation |
1 | Changes in pain catastrophizing following physical therapy for musculoskeletal injury: the influence of depressive and post-traumatic stress symptoms | DoD PRF (Psychosocial RF) | PURPOSE: The aim of the present study was to investigate the factors that influence the change in pain catastrophizing during the course of a physical therapy intervention for musculoskeletal injury.
METHODS: 187 clients enrolled in a 7-week physical therapy intervention were divided into four mutually exclusive groups... |
0 | Influence of anastomotic techniques in totally endoscopic coronary artery bypass | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Beating heart totally endoscopic coronary artery bypass grafting (TECAB) utilizing a computer-enhanced telemanipulation system is a technically challenging procedure. The objective of our study was to compare two different anastomotic techniques. METHODS: Ten canine beating heart TECAB procedures were perfo... |
0 | Day of the week lost time occupational injury trends in the US by gender and industry and their implications for work scheduling | DoD PRF (Psychosocial RF) | While there is a growing body of research on the impact of work schedules on the risk of occupational injuries, there has been little investigation into the impact that the day of the week might have. The present research was completed to explore day of the week trends, reasons for such trends and the corresponding imp... |
0 | Mapping of cartilage depth in the knee and elbow for use in osteochondral autograft procedures | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Osteochondritis dissecans (OCD) of the elbow is a problematic condition that affects a fair number of young athletes. One treatment option is the use of osteochondral autografts, which are commonly taken from donor sites on the less weightbearing surfaces of the knee. PURPOSE: To use magnetic resonance imag... |
0 | Participation Following Knee Replacement: The MOST Cohort Study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Participation is an important, yet seldom studied, outcome after total knee replacement (TKR). OBJECTIVE: The purpose of this study was to investigate the extent and predictors of participation and participation restriction among people after TKR. MATERIALS AND METHODS: This study investigated the changes i... |
0 | Association of systemic lupus erythematosus with a higher risk of cervical but not trochanteric hip fracture: A nationwide population-based study | HipFx Supplemental Cost Analysis | Objective: To determine the incidence rates and risk factors of cervical and trochanteric hip fractures (HFs) among patients with systemic lupus erythematosus (SLE) based on a nationwide population-based data set. Methods: We conducted a cohort study using data from the Taiwan National Health Insurance database. Patien... |
1 | Is surgical intervention more effective than non-surgical treatment for carpal tunnel syndrome? A systematic review | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Carpal tunnel syndrome is a common disorder in hand surgery practice. Both surgical and conservative interventions are utilized for the carpal tunnel syndrome. Although certain indications would specifically indicate the need for surgery, there is a spectrum of patients for whom either treatment option migh... |
0 | Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Physiotherapy in the plastic surgery post-operative (PO) is essential to provide means for an adequate and fast recovery as it restores function through the use of physiotherapeutic procedures. AIM: The aim of the following study is to verify the effects of the association between the manual lymphatic drain... |
1 | Treatment of glenohumeral arthritis with a hemiarthroplasty: a minimum five-year follow-up outcome study | Glenohumeral Joint OA | BACKGROUND: Glenohumeral hemiarthroplasty is well established as a method to treat glenohumeral arthritis. This study was designed to report longer-term results and to provide a decision model to assist surgeons in achieving successful outcomes. Our selection strategy for hemiarthroplasty included shoulders with (1) a ... |
0 | Detection of localized Salmonella infection by gallium-67 citrate scan | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Fifteen cases (9 males, 6 females, ages: 18-73 y/o) of salmonella bacteremia were referred for a Gallium-67 citrate (Ga-67) scan to detect the focal site(s) of salmonella infection. Among them, 8 were finally proved to have focal infection(s). Their underlying diseases were systemic lupus erythematous (SLE, 4 cases), m... |
0 | To compare the effect of the drug teriparatide as an adjunct to the standard of care in fracture healing | Distal Radius Fractures | INTERVENTION: Intervention1: Teriparatide: Doseâ? 20â?mcg Durationâ?Daily (preferably at late evening at the same time)for the treatment duration of the study (08 weeks) Mode of administrationâ?subcutaneous injections Control Intervention1: Placebo: Doseâ?20â?mcg Durationâ?Daily (preferably at late evening at th... |
1 | Exercise reduces impairment and improves activity in people after some upper limb fractures: a systematic review | Distal Radius Fractures | QUESTION: What is the effect of exercise on reducing impairment and increasing activity in the rehabilitation of people with upper limb fractures?
DESIGN: Systematic review of controlled trials.
PARTICIPANTS: Adults following an upper limb fracture.
INTERVENTION: Any exercise therapy program, including trials where exe... |
0 | External fixation techniques for distal radius fractures | Distal Radius Fractures | UNLABELLED: Fractures of the distal radius are common injuries. Low-energy or high-energy mechanisms may be involved. Unstable distal radius fractures present a challenge to the treating orthopaedic surgeon. External fixation is a valuable instrument for fracture reduction and stabilization. Limited open incisions, ear... |
0 | Cephalosporins in surgery. Prophylaxis and therapy | DoD SSI (Surgical Site Infections) | Prophylactic antibiotics in surgery are intended to prevent morbidity and mortality, as well as to reduce the duration and cost of hospitalisation. The indications for prophylaxis, and its effectiveness, should be evaluated with these criteria in mind. The basis for antibiotic prophylaxis in surgery is either provision... |
0 | Platelet-rich plasma (PRP) for knee disorders | PRP (Platelet-Rich Plasma) | Platelet-rich plasma (PRP) is an autologous blood product with platelet concentrations above baseline values. The process involves the extraction of blood from the patient which is then centrifuged to obtain a concentrated suspension of platelets by plasmapheresis. It then undergoes a two-stage centrifugation process t... |
0 | Orbitoblepharophimosis syndrome: A 16-year perspective | Upper Eyelid and Brow Surgery | The orbitoblepharophimosis syndrome is a congenital malformation of the orbitopalpebral region. It is an autosomal-dominant condition typified by palpebral and orbital phimosis, ptosis, epicanthus inversus with telecanthus, and enophthalmia. It has three forms: minor, major, and extreme. It is a rare malformation affec... |
0 | Bone mineral metabolism after total gastrectomy | Management of Hip Fractures in the Elderly | Gastric surgery is mostly needed for treatment of gastric malignancy. To investigate the effect of total gastrectomy on bone mineral density (BMD) and bone mineral metabolism we evaluated 18 patients after total gastrectomy. Mean interval since operation was 71 +/- 20 months. BMD results were compared with age- and gen... |
0 | Porous-coated endoprosthesis in treatment of subcapital fractures | AAHKS (2) Corticosteroids | Excision of the femoral head and replacement with a non-cemented porous-coated Austin Moore prosthesis was performed on 13 patients with subcapital fractures. These fractures represented a small cross-section of problems, including simple trauma, pathologic lesions, and fractures in patients with chronic renal failure ... |
0 | Comparison of Continuous Three-in-One Block and Intravenous Patient-Controlled Analgesia for Postoperative Pain after Total Knee Replacement | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Severe postoperative pain can delay knee rehabilitation and prolong the duration of convalescence after a total knee replacement (TKR). This study compared a continuous 3â?inâ?1 block using a patientâ?controlled analgesia (PCA) technique and IV PCA for analgesia after a unilateral TKR. METHODS: Forty pat... |
0 | Posttraumatic stress and maladjustment among adult burn survivors 1 to 2 years postburn. Part II: the interview data | DoD PRF (Psychosocial RF) | The purpose of this study was to assess the reaction to burn trauma, the hospitalisation characteristics and psychosocial adjustment in 174 burn victims who agreed to participate in a structured interview. It was postulated that once patients sustain a burn, the level of loneliness feelings and feelings of shame is a f... |
0 | Cooled Radiofrequency Ablation of Genicular Nerves for Knee Osteoarthritis Pain: A Protocol for Patient Selection and Case Series | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Chronic knee pain from osteoarthritis (OA) is common in the aging and the obese population. Radiofrequency ablation of the genicular nerves has been introduced as a potential surgery-sparing treatment for chronic knee pain from OA, yet only two outcome studies have been published and optimal patient selecti... |
0 | Stevens-Johnson syndrome in children | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | During a 22-year period 51 cases of Stevens-Johnson syndrome (SJS) occurred in infants and children who ranged in age from 3 months to 14 years. Fifty-six percent of patients had an antecedent upper respiratory tract infection or non-specific viral infection, and 67% had received a prescription medication in the 3 week... |
0 | Comparison of Clinical, Magnetic Resonance Imaging (MRI) and Arthroscopic Findings in Assessment of Cartilage Defects and Internal Derangement of Knee | AMP (Acute Meniscal Pathology) | BACKGROUND: The knee is the most commonly injured joint because of its anatomical structure, its exposure to external forces, and its functional demands. Orthopaedic surgeons previously relied on clinical evaluation for diagnosing any internal derangement of the knee joint. With the advent of new clinical methods for d... |
0 | Demographics, fracture patterns and treatment strategies following wrist trauma | Distal Radius Fractures | The objective of this study was to determine the percentage of radiographs which showed a fracture of the wrist. Secondary, the fracture characteristics and the received treatment were determined. Additionally, the percentage of operatively treated patients with a distal radius fracture was compared between the hospita... |
0 | Autologous stem cell transplantation in the elderly including pre- and post-treatment options | MSTS 2018 - Femur Mets and MM | Multiple myeloma (MM) is a disease of the elderly with a median age at diagnosis of 67 years in a referral population. High-dose chemotherapy (HDT) and autologous stem cell transplantation has been shown to improve survival in patients with MM in randomized trials and remains the preferred option for eligible patients.... |
0 | Role of Osteocytes in Myeloma Bone Disease: Anti-sclerostin Antibody as New Therapeutic Strategy | MSTS 2018 - Femur Mets and MM | Osteocytes are terminally differentiated cells of the osteoblast lineage. They are involved in the regulation of bone remodeling by increasing osteoclast formation or decreasing bone formation by the secretion of the osteoblast inhibitor sclerostin. Monoclonal antibody anti-sclerostin, Romosozumab, has been developed a... |
0 | Post-traumatic pseudolipomas - a review and postulated mechanisms of their development | Panniculectomy & Abdominoplasty CPG | Post-traumatic pseudolipomas develop in areas of the body that have been subjected to acute, severe, blunt trauma and chronic trauma. This study aimed to review the literature for reports of post-traumatic pseudolipomas on Medline and identify the possible mechanisms of their development. In the literature, 124 such ca... |
1 | Health-related quality of life in children and youth with acquired brain injury: Two years after injury | DoD PRF (Psychosocial RF) | Objective To determine health-related quality of life (HRQoL) in children and youth with acquired brain injury (ABI) two years post-injury and explore associated factors. Design Cross-sectional. Subjects Children and youth (n = 72; aged 6-22 years) with mild to severe ABI (87% mild). Methods The primary outcome measure... |
1 | Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the effectiveness of physical therapy, given either as an individually attended treatment or in a small group format, in terms of pain, physical function, and health related quality of life for patients with osteoarthritis (OA) of the knee. METHODS: After 2 baseline assessments, 126 patients were r... |
0 | Internal Fixation of Osteochondritis Dissecans Using PushLock Suture Anchors | Osteochondritis Dissecans 2020 Review | Osteochondritis dissecans (OCD) of the knee is a subchondral bone abnormality that results in the separation of the articular cartilage and bone with subsequent progression to osteoarthritis. Unstable OCD lesions should undergo fixation to preserve the natural contour of the articular surface. Although several fixation... |
1 | Management of osteoarthritis (OA) with the pharma-standard supplement FlexiQule (Boswellia): a 12-week registry | OAK 3 - Non-arthroplasty tx of OAK | This registry study assessed the pharma-standard supplement FlexiQule (Boswellia extract in capsules) in the management of symptoms associated to osteoarthritis (OA) also managed with the 'standard management' (SM) in comparison with a group of patients managed only with SM. The 12- week registry included patients with... |
0 | Clinical impact of lower limb imaging in 68Ga-PSMA PET-CT for patients with prostate cancer | MSTS 2018 - Femur Mets and MM | Purpose: To determine if there is a clinical benefit of the lower limb imaging in 68Ga-PSMA PET-CT scans for patients with prostate cancer (PC). Methods: A total of 701 patients with PC who underwent a 68Ga-PSMA PET-CT scan were evaluated retrospectively. All patients underwent additional lower limb imaging. Images wer... |
0 | Radiofrequency-assisted liposuction device for body contouring: 97 patients under local anesthesia | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Radiofrequency-assisted liposuction involves the delivery of a controlled amount of energy to treated tissue resulting in fat liquefaction, accompanying hemostasis, and skin tightening. The purpose of this study is to report experience with a larger sample size using the BodyTite radiofrequency-assisted lip... |
0 | Diagnosis and treatment of infections associated with fracture-fixation devices | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The pathogenesis of infections associated with fracture-fixation devices is related to microorganisms growing in biofilms, which render these infections difficult to treat. These infections are classified as early (< 2 weeks), delayed (2-10 weeks) or late infections (> 10 weeks) according to the implant surgery. Most i... |
0 | Cost analysis of fracture of the neck of femur | HipFx Supplemental Cost Analysis | A detailed cost analysis of fractures of the neck of femur in elderly patients has been conducted at Aberdeen Royal Infirmary. The aims of this study were as follows: (1) to show that the use of average orthopaedic bed day costs can lead to an overestimation of costs; (2) to identify the key explanatory variables of hi... |
1 | Routine monitoring of compartment pressure in patients with tibial fractures: Beware of overtreatment! | DOD - Acute Comp Syndrome CPG | PURPOSE: This prospective clinical study sought to evaluate the possible effects of routine compartment pressure monitoring in tibial fractures and to assess the previously published criteria. Pressures in the anterior compartment were measured in consecutive cases of tibial fractures. In 95 patients, the protocol was ... |
0 | Ptosis and cataract surgery. A multivariant computer analysis of a prospective study | Upper Eyelid and Brow Surgery | A prospective study investigated the effect of local anesthesia, eyelid edema and superior rectus muscle injury on postoperative ptosis. Patients were randomized into four groups to study these effects. Group A received a Van Lint eyelid block and a superior rectus bridle suture. Group B received a Van Lint block and a... |
0 | Treatment of intracapsular femoral neck lesions: aggressive or conservative surgery? | PJI DX Updated Search | Benign fibrous histiocytomas (BFHs) and non-ossifying fibromas (NOFs) are benign bone tumors that are clinically different, but histologically similar. Most benign lesions are treated with curettage and grafting; however, some misdiagnosed cases are treated with more aggressive procedures, including arthroplasty. Herei... |
1 | The use of a femoral revision stem in the treatment of primary or secondary bone tumours of the proximal femur: A prospective study of 31 cases | MSTS 2018 - Femur Mets and MM | Endoprosthetic reconstruction following resection of 31 tumours of the proximal femur in 30 patients was performed using a Wagner SL femoral revision stem. The mean follow-up was 25.6 months (0.6 to 130.0). Of the 28 patients with a metastasis, 27 died within a mean follow-up period of 18.1 months (0.6 to 56.3) after t... |
0 | Herbal prevention and treatment of nipple trauma and/or pain in Iranian studies: A systematic review | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Adequate nutrition during infancy is essential for lifelong health and wellbeing. However, painful nipple trauma is problematic for mothers and may lower the prevalence of breastfeeding. This systematic review was conducted to assess herbal prevention and treatment of nipple trauma and/or pain in Iranian ... |
0 | Early-onset neonatal sepsis in the era of group B streptococcal prevention | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To determine whether intrapartum antibiotic prophylaxis for neonatal group B streptococcal (GBS) disease has resulted in an increased rate of non-GBS or antibiotic-resistant early-onset invasive neonatal disease. METHODS: Maternal and infant chart review of all infants with bacteria other than GBS isolated f... |
0 | The Global Economic Cost of Osteoarthritis: How the UK Compares | Surgical Management of Osteoarthritis of the Knee CPG | Aims. To examine all relevant literature on the economic costs of osteoarthritis in the UK, and to compare such costs globally. Methods. A search of MEDLINE was performed. The search was expanded beyond peer-reviewed journals into publications by the department of health, national orthopaedic associations, national aut... |
0 | Supercrowding: weakly masking a target expands the range of crowding | Upper Eyelid and Brow Surgery | Crowding is impairment of peripheral object identification by nearby objects. Critical spacing (the minimum target-flanker distance that does not produce crowding) scales with target eccentricity and is consistently reported as roughly equal to or less than 50% of target eccentricity (0.5e). This study demonstrates tha... |
0 | The 2003 Nicolas Andry Award. Orthopaedic gene therapy | AMP (Acute Meniscal Pathology) | We review progress in the field of orthopaedic gene therapy since the concept of using gene transfer to address orthopaedic problems was initiated approximately 15 years ago. The original target, arthritis, has been the subject of two successful Phase I clinical trials, and additional human studies are pending in rheum... |
0 | Diagnostic algorithm for a validated displacement grading of pediatric supracondylar fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: The first AO comprehensive pediatric long bone fracture classification system has been established following a structured path of development and validation with experienced pediatric surgeons. METHODS: A follow-up series of agreement studies was applied to specify and evaluate a grading system for displace... |
0 | Why radiography should no longer be considered a surrogate outcome measure for longitudinal assessment of cartilage in knee osteoarthritis | SR for PM on OA of All Extremities | Imaging of cartilage has traditionally been achieved indirectly with conventional radiography. Loss of joint space width, or 'joint space narrowing', is considered a surrogate marker for cartilage thinning. However, radiography is severely limited by its inability to visualize cartilage, the difficulty of ascertaining ... |
0 | A village possessed by "witches": a mixed-methods case-control study of possession and common mental disorders in rural Nepal | DoD PRF (Psychosocial RF) | In Nepal, spirit possession is a common phenomenon occurring both in individuals and in groups. To identify the cultural contexts and psychosocial correlates of spirit possession, we conducted a mixed-method study in a village in central Nepal experiencing a cluster of spirit possession events. The study was carried ou... |
0 | Feasibility of a reduction protocol in the emergency department for diaphyseal forearm fractures in children | Distal Radius Fractures | Introduction: Diaphyseal forearm fractures are very common pediatric traumas. At present, distal radius metaphyseal fractures are often successfully treated with closed reduction by emergency physicians. However, the management of diaphyseal fractures remains controversial. The purpose of this study was to analyze the ... |
1 | Do hip replacements improve outcomes for hip fracture patients? | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture is a common problem among older Americans. Two types of procedures are available for repairing hip fractures: hip replacement and open or closed reduction with or without internal fixation. The assumption has been that hip replacement produces better functional outcomes. Although that is the co... |
0 | Overview of Total Knee Arthroplasty and Modern Pain Control Strategies | AAHKS (8) Anesthetic Infiltration | Perioperative pain management of total knee arthroplasty (TKA) remains a challenge for physicians and anesthesiologists. Reducing postoperative pain is an essential component of patient satisfaction, functional outcomes, and hospital length of stay. Multimodal pain management regimens have been demonstrated to be super... |
0 | The influence of passenger car front shape on pedestrian injury risk observed from German in-depth accident data | DoD PRF (Psychosocial RF) | Quantified relationships between passenger car front shape and pedestrian injury risk derived from accident data are sparse, especially considering the significant recent changes in car front design. The purpose of this paper is therefore to investigate the detailed effects of passenger car front shape on injury risk t... |
0 | Risedronate | MSTS 2018 - Femur Mets and MM | Risedronate is a pyridinyl bisphosphonate that can be administered orally in lower dosages than other antiresorptive bisphosphonates. Like others of its class risedronate inhibits osteoclast-mediated bone resorption. In experimental models of osteoporosis, risedronate inhibited bone loss and improved trabecular archite... |
0 | Factors predicting resilience in people with spinal cord injury during transition from inpatient rehabilitation to the community | DoD PRF (Psychosocial RF) | STUDY DESIGN: This is a longitudinal design study.
OBJECTIVES: The objective of this study was to determine factors that predict resilience in people with spinal cord injury (SCI) at discharge from inpatient rehabilitation and after reintegration into the community 6 months post discharge.
SETTING: This study was condu... |
1 | External fixation versus open reduction and internal fixation for tibial pilon fractures: A meta-analysis based on observational studies | DoD SSI (Surgical Site Infections) | Purpose Tibial pilon fractures remain challenging for an orthopaedic surgeon to repair. External fixation (ExFix) and open reduction and internal fixation (ORIF) are two widely used methods for repairing tibial pilon fractures. However, conclusions of comparative studies regarding which method is superior are controver... |
0 | Prognostic relevance of circulating 25OHD fractions for early recovery and survival in patients with hip fracture | Hip Fx in the Elderly 2019 | The relation between vitamin-D (VD) status and healing after hip fracture had not been sufficiently addressed. Currently serum total 25-hydroxy-VD (t-25OHD) is the most widely used indicator of VD status. It is unclear whether free or bioavailable VD are better markers of 25OHD availability for tissues. Validity of ove... |
0 | Safety, biodistribution, and initial efficacy of ART-I02, an AAV-5 vector encoding human IFN-beta, delivered via intra-articular injection in rhesus monkeys with collagen-induced arthritis | OAK Recommendation 9 Articles | Background and objective: Recombinant AAV5.NFkB.hIFN-(beta) (ART-I02) is an adeno-associated type 5 (rAAV5) vector expressing human interferon (beta) (hIFN-(beta)), under development for local treatment of rheumatoid arthritis (RA). We investigated biodistribution, safety, and initial efficacy after intra-articular (i.... |
0 | Surgical treatment of compressive cervical band | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Compression of the lower portion of the brachial plexus by a cervical band continuous with the scalenus medius is a rare but well-defined cause of arm pain. The syndrome should be suspected in a patient who presents with chronic arm pain and thenar atrophy. Cervical ribs or prominent C-7 transverse processes will be pr... |
0 | A possible involvement of the carboxymethylation process in carpal tunnel syndrome in hemodialysis patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A median motor nerve latency (DML) is generally prolonged in the carpal tunnel syndrome (CTS) of hemodialysis patients. Meanwhile, the advanced glycation process of proteins has been reported to be involved in the pathogenesis of the dialysis related amyloidosis. To investigate the role of carboxymethylation in dialysi... |
0 | Results after late polymicrobial, gram-negative, and methicillin-resistant infections in knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Previous studies of knee arthroplasty infections caused by high-virulence organisms suggest poor outcomes. Polymicrobial and Gram-negative infections are less studied. QUESTIONS/PURPOSES: This study compared the results of treatment of knee arthroplasty infections by single versus polymicrobial isolates, Gr... |
1 | A new measure of fear of falling: psychometric properties of the fear of falling questionnaire revised (FFQ-R) | DoD PRF (Psychosocial RF) | BACKGROUND: Although fear of falling is prevalent among older adults recovering from hip fracture, current instruments are inadequate due to focus on specific situations and measurement of self-efficacy rather than fear.
METHODS: The authors revised and tested a form of the Fear of Falling Questionnaire with three grou... |
0 | The functional effect of lesser trochanter involvement in hip fractures: A prospective cohort study | Hip Fx in the Elderly 2019 | INTRODUCTION: Hip fractures are the most common fractures amongst frail older patients. Earlier studies have indicated an impaired hip flexion strength in patients with fractures that include detachment of the lesser trochanter. These patients may experience protracted functional impairment and longer recovery time, ca... |
0 | Medical management of skeletal metastasis | MSTS 2018 - Femur Mets and MM | This article discusses general principles of medical management of bone metastases, including diagnosis and follow-up; management of specific symptoms; options for systemic treatment, including bisphosphonates; specific details about each cancer type; and future directions in therapy. [References: 60] |
1 | Risk factors for deep infection after total knee arthroplasty: a meta-analysis | PJI DX Updated Search | OBJECTIVE: Estimated the risk factors for postoperative infection after total knee arthroplasty (TKA) to prevent its occurrence. DESIGN: The meta-analysis collected twelve cohorts or case-control studies which included 548 infected persons in 57,223 general cases. Review Manager 5.0 was operated to assess the heterogen... |
0 | Racial/ethnic differences in the birth prevalence of congenital anomalies in the United States | Developmental Dysplasia of the Hip 2020 Review | Objectives: This work aimed to analyze a single large representative population to determine racial/ethnic differences in the prevalence of congenital anomalies (CA). Design: This is a population-based comprehensive analysis of racial/ethnic differences in the prevalence of CA diagnoses. We reviewed all live births in ... |
1 | Continuous psoas and sciatic block after knee arthroplasty: good effects compared to epidural analgesia or i.v. opioid analgesia: a prospective study of 63 patients | AAHKS (9/10) Regional Nerve Blocks | INTRODUCTION: For endoprosthetic knee surgery, intensive postoperative pain therapy is necessary. We therefore evaluated whether the combination of continuous psoas compartment and sciatic analgesia (PSC) is as effective as epidural analgesia (EPI) and whether it provides better analgesia than patient-controlled intrav... |
0 | Patient involvement in musculoskeletal research: A qualitative evaluation of impact | Surgical Management of Osteoarthritis of the Knee CPG | Background: There is a need to evaluate the effect of patient involvement activity on research, but gains provided by patient involvement may be diffuse and hard to quantify. Therefore, it has been suggested that an effective way to evaluate patient involvement is to examine impact on stakeholders, particularly patient... |
0 | Investigation of anodal stimulation and its implications for F-wave examinations | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction: Recent studies have shown that stimulation occurs at the anode of stimulating electrodes instead of anodal block. This phenomenon may be a pitfall in F-wave examinations. Methods: Subjects included 10 healthy volunteers. Their ulnar nerve was stimulated at the wrist with the cathode placed distally. Antid... |
0 | Inflammatory bowel disease and the risk of fracture | Management of Hip Fractures in the Elderly | BACKGROUND & AIMS: Although patients with inflammatory bowel disease (IBD) have reduced bone mass, there is controversy whether there is an increased risk of fracture. This study examines the risk of fracture and its predictors in patients with IBD. METHODS: In a primary care- based nested case-control study, 231,778 f... |
0 | Minimally invasive plating osteosynthesis (MIPO) of middle and distal third humeral shaft fractures | Distal Radius Fractures | OBJECTIVE: To evaluate the clinical, radiographic, and functional outcomes of middle and distal third humeral shaft fractures treated with the minimally invasive percutaneous osteosynthesis (MIPO).
DESIGN: Prospective, single-center, nonconsecutive clinical series study.
SETTING: : Skeletal trauma center of a universit... |
1 | Long-term follow-up and amputation-free survival in 497 casualties with combat-related vascular injuries and damage-control resuscitation | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The effectiveness of damage-control resuscitation (DCR) has been demonstrated in recent US conflicts. Wartime casualties treated for hemorrhagic shock from vascular wounds were studied to report the 24-hour transfusion requirements, graft patency, and amputation-free survival for major vascular injuries. ME... |
0 | Incidence and risk factors for hospital-acquired Clostridium difficile infection among inpatients in an orthopaedic tertiary care hospital | PJI DX Updated Search | The aim of this retrospective study was to identify risk factors for hospital-acquired Clostridium difficile infection (HA-CDI) in orthopaedic patients. Thirty-two HA-CDI cases were each matched with two controls. Incidence rate was 0.33 cases per 1000 patient-days. Univariate analyses showed that surgery >24 h after a... |
0 | Dkk-1 promotes angiogenic responses and cartilage matrix proteinase secretion in synovial fibroblasts from osteoarthritic joints | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Synovial hypervascularity is a prominent pathologic feature in osteoarthritic (OA) joints. Wnt inhibitor Dkk-1 contributes to joint remodeling. We undertook this study to investigate whether Dkk-1 regulates cartilage destruction activities in OA synovial fibroblasts.
METHODS: Synovial tissues were harvested ... |
0 | Wearable activity sensors and early pain after total joint arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | A prospective observational cohort of 20 primary total hip arthroplasty (n = 12) and total knee arthroplasty (n = 8) patients (mean age: 63 ± 6 years) was passively monitored with a consumer-level wearable activity sensor before and 6 weeks after surgery. Patients were clustered by minimal change or decreased activity... |
0 | vacA genotypes in oral cavity and Helicobacter pylori seropositivity among adults without dyspepsia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objective: The aims of this research were to determine the prevalence of Helicobacter pylori and its vacA genotypes in oral cavity in persons without dyspepsia and to establish the association between the presence of H. pylori in oral cavity and oral hygiene. The seroprevalence of anti-H. pylori antibodies and its asso... |
1 | Fascia-iliaca compartment block vs intra-articular hip injection for preoperative pain management in intracapsular hip fractures: A blind, randomized, controlled trial | Hip Fx in the Elderly 2019 | BACKGROUND: The aim of this study was to compare the fascia-iliaca compartment block and the intra-articular hip injection in terms of pain management and the need for additional systemic analgesia in the preoperative phase of intracapsular hip fractures.
METHODS: Patients >65 years old with an intracapsular hip fractu... |
0 | [30 degree trunk elevation of the patient and quality of lumbar epidural anesthesia. Effects of elevation in operations on the lower extremities] | Surgical Management of Osteoarthritis of the Knee CPG | The spread and intensity of lumbar epidural anaesthesia are unpredictable. Moreover, segments L5 and S1 are frequently missed. In this study the effect of 30 degrees trunk elevation on the spread and intensity of lumbar epidural sensory and motor blockade and on the cardiovascular system were studied. METHODS. After or... |
0 | Utilization of Post-Acute Care Following Distal Radius Fracture Among Medicare Beneficiaries | Distal Radius Fractures | PURPOSE: To examine the utilization and cost of post-acute care following isolated distal radius fractures (DRFs) among Medicare beneficiaries.
METHODS: We examined utilization of post-acute care among Medicare beneficiaries who experienced an isolated DRF (n = 38,479) during 2007 using 100% Medicare claims data. We an... |
0 | Outcome evaluation of minimally invasive surgery versus extensile lateral approach in management of displaced intra-articular calcaneal fractures: A randomised control trial | DoD SSI (Surgical Site Infections) | Background Minimally invasive surgery has a significant and evolving role in the treatment of DIACFs, but there is limited literature on this topic. Objectives To compare the clinico-radiological outcomes of DIACFs fixed with MIS technique with ORIF. Methods This randomised control trial (RCT) included 21 closed Sander... |
0 | Positive effects of anabolic steroids, vitamin D and calcium on muscle mass, bone mineral density and clinical function after a hip fracture | Management of Hip Fractures in the Elderly | A total of 63 women who had an operation for a fracture of the hip was randomly allocated to one year of treatment either with anabolic steroids, vitamin D and calcium (anabolic group) or with calcium only (control group). The thigh muscle volume was measured by quantitative CT. The bone mineral density of the hip, fem... |
1 | Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | PURPOSE: This retrospective study compares Kirschner wires versus 3.5-mm diameter AO cannulated screw internal fixation in treatment for the displaced lateral humeral condyle fractures. METHODS: The study included 62 patients (42 boys, 20 girls; mean age 6.93 years; age range two to 14 years) with displaced lateral hum... |
0 | Press fit condylar Sigma total knee arthroplasty: 7-9 years results | Surgical Management of Osteoarthritis of the Knee CPG | Objective This study reports the first clinical and radiological results at 7-9 years for the DePuy Pressed Fit Condylar Sigma total knee arthroplasty (TKA). Methods A total of 318 consecutive Sigma TKAs were performed in 275 patients between October 1998 and March 2000. Results Of 318 knees, 225 (193 patients) were al... |
0 | Two-phase whole-body skeletal scintigraphy in children - Revisiting the usefulness of the early blood pool phase | MSTS 2018 - Femur Mets and MM | The usefulness of whole-body blood pool imaging as part of Tc-99m methylene diphosphonate (MDP) skeletal scintigraphy in detection of marrow infiltrative processes and unexpected soft-tissue and visceral abnormalities is demonstrated via illustrative case examples. Technical aspects of this simple and fast scanning tec... |
1 | Predicting non return to work after orthopaedic trauma: The Wallis Occupational Rehabilitation RisK (WORRK) model | DoD PRF (Psychosocial RF) | Background: Workers with persistent disabilities after orthopaedic trauma may need occupational rehabilitation. Despite various risk profiles for non-return-to-work (non-RTW), there is no available predictive model. Moreover, injured workers may have various origins (immigrant workers), which may either affect their re... |
1 | Comparative double-blind study of two dosage regimens of low-molecular weight heparin in elderly patients with a fracture of the neck of the femur | Management of Hip Fractures in the Elderly | A randomized double-blind study comparing the efficacy and safety of two different dosage regimens of a low-MW heparin, Enoxaparin (Lovenox) 20 mg twice (group A) or 40 mg once (group B), was carried out in 103 elderly patients with a fracture of the neck of the femur. Distal and proximal thrombosis occurred in 18.3% o... |
0 | Assisted pre-operative navigation in knee prosthesis: Preliminary results of a prospective randomised and controlled study | Surgical Management of Osteoarthritis of the Knee CPG | Introduction Navigation MRI-based surgery has been proposed as a technique to improve implant alignment and soft tissue balancing during total knee arthroplasty (TKA). A digital 3D reconstruction of the knee allows the production of custom-made plastic guides that should ensure proper bone resection and implant placeme... |
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