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0 | Glenohumeral arthritis: Current indications for hemiarthroplasty versus total shoulder arthroplasty | AMP (Acute Meniscal Pathology) | Total shoulder arthroplasty remains the procedure of choice for most end-stage degenerative conditions; however, hemiarthroplasty is a reasonable alternative for young, active patients with heavy-lifting demands. |
0 | Safe anesthesia for office-based plastic surgery: Proceedings from the PRS Korea 2018 meeting in Seoul, Korea | Panniculectomy & Abdominoplasty CPG | There has been an exponential increase in plastic surgery cases over the last 20 years, surging from 2.8 million to 17.5 million cases per year. Seventy-two percent of these cases are being performed in the office-based or ambulatory setting. There are certain advantages to performing aesthetic procedures in the office... |
0 | Radiocarpal dislocations and fracture-dislocations: Injury types and long-term outcomes | Distal Radius Fractures | INTRODUCTION: Radiocarpal dislocation (RCD) and fracture-dislocations (RCFD) are severe but rare injuries for which the treatment and outcomes are not well defined. The aim of this retrospective study was to describe the prevalence of the various injury types and their long-term outcomes.
PATIENTS AND METHODS: Between ... |
1 | Shoelace technique for gradual closure of fasciotomy wounds | DOD - Acute Comp Syndrome CPG | BACKGROUND: After emergency fasciotomy in acute compartment syndrome, skin graft techniques are usually necessary to cover the wound.
METHODS: The shoelace technique for gradual skin closure was retrospectively analyzed after having been applied in 20 patients with acute compartment syndrome.
RESULTS: With the applicat... |
0 | Complications associated with autogenous bone marrow aspirate harvest from the lower extremity: an observational cohort study | DoD SSI (Surgical Site Infections) | UNLABELLED: The purpose of this article is to report the complications associated with autogenous bone marrow aspirate harvested from the lower extremity (ie, tibia and/or calcaneus) for soft tissue and/or osseous healing augmentation. This is a multisite, multisurgeon, observational cohort study involving retrospectiv... |
0 | Acute compartment syndrome | DOD - Acute Comp Syndrome CPG | Orthopaedic nurses must be continually alert for the dreaded complication of fractures, acute compartment syndrome (ACS). This article reviews the current literature on predisposing factors, pathophysiology (including systemic factors), assessments, various diagnostic methods, and treatments of patients at risk for, or... |
0 | Extracellular pressure stimulates tumor cell adhesion in vitro by paxillin activation | MSTS 2018 - Femur Mets and MM | Metastasizing colon cancer cells bind target tissues primarily via integrins. Extracellular pressure or shear stress stimulates integrin-mediated adhesion to matrix proteins or endothelial cells by activating the focal adhesion proteins FAK and Src. Because this effect is blocked by cytoskeletal perturbation and paxill... |
0 | Strength and Functional Improvement Using Pneumatic Brace with Extension Assist for End-Stage Knee Osteoarthritis: A Prospective, Randomized trial | OAK 3 - Non-arthroplasty tx of OAK | Pneumatic unloader bracing with extension assists have been proposed as a non-operative modality that may delay the need for knee surgery by reducing pain and improving function. This prospective, randomized trial evaluated 52 patients who had knee osteoarthritis for changes in: (1) muscle strength; (2) objective funct... |
0 | Analysis of the bony geometry of the acromio-clavicular joint 11 Medical and Health Sciences 1103 Clinical Sciences | Glenohumeral Joint OA | Background: The primary goal of this study was to analyse the anatomic configuration of the acromio-clavicular joint in a healthy population to be able to develop a classification in a second step. On the basis of the primary findings a secondary goal was to find potential clinical indications in refer to AC-joint disl... |
0 | Investigation of the Relationship between Type 2 Diabetes and Osteoporosis Using Bayesian Inference | Management of Hip Fractures in the Elderly | This study aims to determine the prevalence of Type 2 diabetes in women with osteoporosis and estimate the odds ratio (OR) of osteoporosis in women with Type 2 diabetes using Bayesian inference. This is a case-control study design that looked into prevalence of diabetes among 582 female patients who had normal bone min... |
0 | Role of mesenchymal stem cells in meniscal repair | AMP (Acute Meniscal Pathology) | Meniscus integrity is the key for joint health of the knee. Therefore, the main goal of every meniscus treatment should be the maintenance of as much meniscus tissue as possible.Repair of meniscus tears can be achieved by meniscus suture. However, in a recently published meta-analysis, the long-term outcome of meniscus... |
1 | Randomized clinical trial of rotating-platform and fixed-bearing total knee arthroplasty: no clinically detectable differences at five years | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: For some surgeons, rotating-platform total knee designs are an intellectually appealing option to use for total knee arthroplasty because of the contention that they can self-align and accommodate small mismatches in the rotational position of the tibial and femoral components. We carried out a randomized c... |
0 | Construction features and application of a new wrist-hand orthosis | Distal Radius Fractures | Aim: To introduce a new kind of wrist-hand orthosis. Methods: The major frame of wrist-hand orthosis is composed of dorsal carpal guard plate and carpal bracket; while, a U-shaped anterior bracket is fixed on the anterior side of the major frame. Ferrules of index finger, middle finger, fourth finger and little finger ... |
0 | Simultaneous reconstruction of breast and well-projected nipple after expansion of mammary skin | Reduction Mammoplasty for Female Breast Hypertrophy | The problem of postoperative reduction of projecting reconstructed nipples remains to be resolved. To this end we did a clinical study of reconstructing the nipple at the same time as the breast. A tissue-expander was placed under the skin of the breast at the first operation, and then the breast and nipple were recons... |
0 | Association of obesity and systemic factors with bone marrow lesions at the knee: a systematic review | SR for PM on OA of All Extremities | OBJECTIVE: The objective of this study was to systematically review the literature to determine whether obesity and systemic factors, including age, gender, heritability, dietary factors, smoking, serum and urine biomarkers of cartilage or bone metabolism, bone-related factors, and medication, are associated with knee ... |
1 | The analgesic efficacy of two different approaches to the lumbar plexus for patient-controlled analgesia after total knee replacement | AAHKS (9/10) Regional Nerve Blocks | This study assessed the efficacy of a patient-controlled regional analgesia technique for either psoas compartment block or femoral nerve block after total knee replacement in 68 patients who were randomly divided into these two groups. All patients received 40 ml of 0.25% bupivacaine via femoral or psoas catheters bef... |
0 | Effect of whole body vibration training on physical performance among institutionalized older people: A 10-WK pilot blinded randomized controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Objective(s): The objective of the study was to assess the feasibility and effectiveness of whole body vibration (WBV) training on physical performance among institutionalized older adults with low physical function. Material & Methods: A pilot (double)-blinded RCT was conducted among nursing home residents (mean age 8... |
0 | Recent developments in the treatment of osteoarthritis with NSAIDs | SR for PM on OA of All Extremities | OBJECTIVE: To conduct a systematic review of evidence supporting the efficacy and safety profiles of nonsteroidal anti-inflammatory drugs (NSAIDs) introduced in the last decade for the treatment of patients with osteoarthritis (OA), including their analgesic effects, ability to improve function, and adverse event profi... |
0 | (untitled) | OAK 3 - Non-arthroplasty tx of OAK | Background: Osteoarthritis of the knee is a major cause of disability among adults. Electro-acupuncture is considered a potentially useful treatment for osteoarthritis. The purpose of this study is to assess the efficacy of electro-acupuncture on pain control, pain perception, plasma cortisol and beta-endorphin levels,... |
1 | Early complications and implant loss in implant-based breast reconstruction with and without acellular dermal matrix (Tecnoss Protexa®): a comparative study | Acellular Dermal Matrix | INTRODUCTION: Acellular dermal matrix (ADM) may improve outcomes in implant-based breast reconstruction, but recent evidence suggests complication rates may be higher when ADM is used. We retrospectively compared early complications and implant loss in implant-based breast reconstruction (BR) with and without ADM to ev... |
0 | Decreased bone mineral density in patients with prolonged thyrotoxicosis before and after treatment | Management of Hip Fractures in the Elderly | To investigate the effects of prolonged thyrotoxicosis, we measured the bone mineral densities (BMD) of 24 untreated patients who had suffered from symptoms of thyrotoxicosis for at least 1 year. We also recruited 116 healthy Chinese women residing in the Taipei area as normal controls. The BMDs of these 24 patients fo... |
0 | Bone densitometry of proximal femur in Chinese subjects: gender differences in bone mass and bone areas | Management of Hip Fractures in the Elderly | Bone mineral content (BMC), bone areas (BA), and bone mineral density (BMD) of the proximal femur were measured in 202 healthy Chinese men and 507 healthy Chinese women, aged 21-70 years, to investigate gender differences in densitometry of the femur. Densitometric values measured at the femoral neck, trochanter, and W... |
0 | The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience | Glenohumeral Joint OA | BACKGROUND: The purpose of this study was to review our experience with recurrent shoulder instability in epileptic patients and to discuss factors influencing its management.
METHODS: A retrospective review was conducted at a single facility. All patients with epilepsy and recurrent shoulder instability were included ... |
0 | Meniscal Ramp Lesions Repair: An Under-Meniscus All-Inside Suture in Cases of Isolated Meniscotibial Ligament Tears | AMP (Acute Meniscal Pathology) | Anterior cruciate ligament ruptures are commonly associated with ramp lesions of the medial meniscus. These posterior longitudinal peripheral tears induce medial meniscus instability and increase the anteroposterior and rotational knee laxity. We divided ramp lesions in 3 types: meniscocapsular ligament tears, meniscot... |
1 | Prevalence of new candidate pathogens Prevotella baroniae, Prevotella multisaccharivorax and as-yet-uncultivated Bacteroidetes clone X083 in primary endodontic infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | INTRODUCTION: Culture-independent studies have revealed a broad spectrum of oral bacterial taxa that may be associated with disease. This study investigated the prevalence of three new candidate oral pathogens: Prevotella baroniae, Prevotella multisaccharivorax, and as-yet-uncultivated Bacteroidetes oral clone X083 in ... |
0 | The Safety and Benefits of the Semisterile Technique for Closed Reduction and Percutaneous Pinning of Pediatric Upper Extremity Fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Closed reduction and percutaneous pinning (CRPP) is traditionally performed following full surgical prep and draping. The semisterile technique utilizes minimal prep and draping, which was proven to be a viable alternative when treating pediatric supracondylar humerus fractures. The purpose of this study wa... |
0 | Perioperative management of unicompartmental knee arthroplasty using the | Surgical Management of Osteoarthritis of the Knee CPG | Unicompartmental knee arthroplasty (UKA) is a popular treatment for unicompartmental knee arthritis. Indications for UKA include mechanical axis of less than 10 degrees varus and less than 5 degrees valgus, intact anterior cruciate ligament (ACL), and absence of femorotibial subluxation. Appropriately selected patients... |
0 | Metal-to-metal hip surface arthroplasty in 63 cases: A follow-up assessment | Management of Hip Fractures in the Elderly | Background: With the advanced progress of prostheses manufacture and surgical technique, early loosening of hip articulation prostheses and femoral neck fracture tend to reduce after hip surface arthroplasty. Meanwhile hip articulation activity has been improved. Objective: To discuss the biocompatibility between the i... |
1 | Human engineered meniscus transcriptome after short-term combined hypoxia and dynamic compression | AMP (Acute Meniscal Pathology) | This study investigates the transcriptome response of meniscus fibrochondrocytes (MFCs) to the low oxygen and mechanical loading signals experienced in the knee joint using a model system. We hypothesized that short term exposure to the combined treatment would promote a matrix-forming phenotype supportive of inner men... |
0 | Relationship between skin and urine colonization and surgical site infection in the proximal femur fracture: a prospective study | Hip Fx in the Elderly 2019 | PURPOSE: Antibiotic prophylaxis is routinely used in the surgical management of proximal femur fractures. The role of bacterial colonization of the skin and urine in the development of deep surgical site infections (SSI) is yet to be elucidated. This study aimed to evaluate the role of previous skin and urine colonizat... |
0 | Reproducible fixation with a tapered, fluted, modular, titanium stem in revision hip arthroplasty at 8-15 years follow-up | Hip Fx in the Elderly 2019 | The use of tapered, fluted, modular, distally fixing stems has increased in femoral revision surgery. The goal of this retrospective study was to assess mid-term to long-term outcomes of this implant. Seventy-one hips in 70 patients with a mean age of 69 years were followed for an average of 10 years. Preoperative HHS ... |
0 | Current status of allograft meniscal transplantation | AMP (Acute Meniscal Pathology) | The meniscus has several roles that contribute to knee function. Many clinical studies have documented the detrimental effects of loss of meniscus function. Meniscal repair is recommended when technically and anatomically feasible to preserve meniscal function. Techniques for meniscal repair can be used to transplant m... |
0 | Nurses' perceived and actual caregiving roles: identifying factors that can contribute to job satisfaction | DoD PRF (Psychosocial RF) | AIMS AND OBJECTIVES: To compare nurses' caring expectations with their caregiving experiences and to identify factors that could potentially be included in a preliminary conceptual model of job satisfaction and compassion fatigue.
BACKGROUND: Nurses often report emotional reward and satisfaction in their profession fro... |
0 | Medical screening of office workers for upper extremity cumulative trauma disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | An apparent "outbreak" of cumulative trauma disorders (CTDs) was noted in a subset of white-collar workers employed in medical illustration and medical graphic arts. Among graphic artists (n = 7), there were three cases of carpal tunnel syndrome (CTS), based on patient reports of personal physician diagnoses; no such r... |
0 | Protective effects of dexmedetomidine on cognitive function in elderly patients with hip replacement | AAHKS (2) Corticosteroids | This study aimed to investigate the protective effects of dexmedetomidine on cognitive function in elderly patients with hip replacement. Sixty elderly patients undergoing hip replacement were randomly divided into control and dexmedetomidine groups, 30 cases in each group. After anesthesia, the dexmedetomidine group w... |
0 | 3T MR imaging of the musculoskeletal system (Part II): Clinical applications | AMP (Acute Meniscal Pathology) | The gain in SNR that is afforded by 3T MR imaging systems has tremendous clinical applications in the musculoskeletal system. The potential for demonstrating and enhancing the visibility of normal osseous, tendinous, cartilaginous, and ligamentous structures is exciting. Furthermore, harnessing this added signal to inc... |
1 | Diastolic blood pressure in patients with tibia fractures under anaesthesia: implications for the diagnosis of compartment syndrome | DOD - Acute Comp Syndrome CPG | OBJECTIVE: In the treatment of tibia fractures, is the intraoperative diastolic blood pressure (DBP) less than pre- and postoperative DBP, and how does this relate to the diagnosis of compartment syndrome using DeltaP (diastolic blood pressure [DBP] - intracompartmental pressure)?
DESIGN, SETTING, AND PATIENTS: This wa... |
1 | Pre-emptive injection of peri-articular-multimodal drug for post-operative pain management in total knee arthroplasty: a double-blind randomized clinical trial | AAHKS (8) Anesthetic Infiltration | PURPOSE: Severe post-operative pain is one of the main problems after total knee arthroplasty. In this study, we investigated the effect of a peri-articular multimodal drugs injections pre-emptively on post-operative pain control and knee functions following total knee arthroplasty.
METHODS AND MATERIALS: This study wa... |
0 | Influences of alignment and obesity on knee joint loading in osteoarthritic gait | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine the influences of frontal plane knee alignment and obesity on knee joint loads in older, overweight and obese adults with knee osteoarthritis (OA).
METHODS: Cross-sectional investigation of alignment and obesity on knee joint loads using community dwelling older adults (age >= 55 years; 27 kg m(... |
0 | Retrograde intramedullary nailing of supracondylar femoral fractures: design and development of a new implant | Hip Fx in the Elderly 2019 | Since 1992 we have developed an implant in which the distal (condylar) screws have a diagonal configuration so that the screws can be closer to the distal end of the nail, allowing more distal fractures to be fixed. It also utilises the denser bone of the posterior condyles for more secure fixation in osteoporotic pati... |
0 | Role of Magnetic Resonance Imaging in Classifying Individuals Who Will Develop Accelerated Radiographic Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | We assessed whether adding magnetic resonance (MR)-based features to a base model of clinically accessible participant characteristics (i.e., serological, radiographic, demographic, symptoms, and physical function) improved classification of adults who developed accelerated radiographic knee osteoarthritis (AKOA) or no... |
0 | Relationship between time course SSEP and prognosis in patients after cardiac arrest and ROS C | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Therapeutic hypothermia is established to improve outcome for patients following pre-hospital cardiac arrest. Yet the rate of favorable neurological outcome still stands in only about the fiftieth percentile. The presence of short-latency somatosensory evoked potential (SSEP) N20 is useful as a prognostic... |
0 | Volar Internal Plate Fixation vs. Plaster in Extra- Articular Distal Radial Fractures | Distal Radius Fractures | BACKGROUND: Fractures of the distal radius are common and account for an estimated 17% of all fractures diagnosed. Twoâ?thirds of these fractures are displaced and require reduction. Although distal radius fractures are considered to be relatively harmless, inadequate treatment may result in impaired function of the w... |
0 | Total Knee Replacement in Young Patients: Survival and Causes of Revision in a Registry Population | OAK 3 - Non-arthroplasty tx of OAK | Background: The incidence of total knee replacements (TKRs) in young patients is increasing. Few reports described encouraging results and acceptable survival rates. However, many concerns still persist, in particular about the high rates of infection and aseptic loosening. Aim of this article was to investigate the su... |
0 | Comprehensive geriatric assessment for older people admitted to a surgical service | Hip Fx in the Elderly 2019 | BACKGROUND: Aging populations are at increased risk of postoperative complications. New methods to provide care for older people recovering from surgery may reduce surgery-related complications. Comprehensive geriatric assessment (CGA) has been shown to improve some outcomes for medical patients, such as enabling them ... |
0 | Evidence for reduced bone formation surface relative to bone resorption surface in female femoral fragility fracture patients | Management of Hip Fractures in the Elderly | Fragility fractures, including neck of femur fractures, result from reductions in the amount, quality and architecture of bone. The aim of this study was to compare the cancellous bone structure, and static indices of bone turnover, in female patients, who had sustained fragility fracture at the femoral neck, with age-... |
0 | Efficacy and Safety of repeated administration of intravenous acetaminophen injection for pain management after total knee arthroplasty | AAHKS (4) Acetaminophen | INTERVENTION: Study group:Fentanyl sustained intravenous administration given after operation end. And use the Intravenous acetaminophen 4 times per 6 hour.Dosage is 15 mg/kg for the patient less than 50 kg in weight and 1000 mg for the patient more than 50 kg in weight. Control group:Fentanyl sustained intravenous adm... |
0 | Impaction bone grafting with proximal and distal femoral arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Capacious diaphyses and poor bone stock in revision arthroplasty can lead to fracture and poor component fixation. Impaction bone grafting can be performed in salvage reconstructions in cases with extensive circumferential bone loss. We present a consecutive series of patients who underwent proximal or distal femoral r... |
0 | Epidemiology of the rheumatic diseases | Management of Hip Fractures in the Elderly | Replication of similar findings in diverse study populations using different study designs provides important evidence for causal inferences regarding risk factors reported in epidemiologic studies. Risk factors for knee osteoarthritis have been substantiated in a number of cross-sectional and longitudinal cohort studi... |
0 | Overview of hereditary neuropathy with liability to pressure palsies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Hereditary neuropathy with liability to recurrent pressure-sensitive palsies (HNPP; also called tomaculous neuropathy) is an autosomal dominant disorder that produces an episodic, recurrent demyelinating neuropathy. HNPP generally develops during adolescence, and may cause attacks of numbness, muscular weakness, and at... |
0 | Percutaneous in Situ Fixation of Slipped Capital Femoral Epiphysis | DoD SSI (Surgical Site Infections) | Slipped capital femoral epiphysis (SCFE), a common cause of adolescent hip pain, is a displacement of the femoral head through the proximal femoral physis. The exact etiology of SCFE is unknown, but both biochemical and biomechanical factors, including obesity, femoral retroversion, increased physeal obliquity, puberty... |
1 | Trauma and suicidality in war affected communities | DoD PRF (Psychosocial RF) | Purpose: The aim was to assess whether experiences of war trauma remain directly associated with suicidality in war affected communities when other risk factors are considered. Materials and methods: In the main sample 3313 participants from former Yugoslavia who experienced war trauma were recruited using a random sam... |
1 | Classification and management of seromas in immediate breast reconstruction using the tissue expander and acellular dermal matrix technique | Acellular Dermal Matrix | Tissue expander (TE)/acellular dermal matrix (ADM)-based breast reconstruction used in immediate postmastectomy breast reconstruction, although a popular technique, is not without complications.Although seroma formation is recognized and reported in the literature as a complication, little information addresses seroma(... |
0 | Tranexamic acid is effective for blood management in open-wedge high tibial osteotomy | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: There has been paucity in literature regarding the blood-sparing effect of TXA after high tibial osteotomy (HTO). The purpose of this study is to determine the efficacy of tranexamic acid (TXA) with regard to its blood-sparing effects in open-wedge HTO, and to assess thromboembolic complications in patien... |
0 | High-resolution Fourier-domain optical coherence tomography and microperimetric findings after macula-off retinal detachment repair | Upper Eyelid and Brow Surgery | OBJECTIVE: To evaluate the morphologic changes in the macula of subjects with repaired macula-off retinal detachment (RD) using high-resolution Fourier-domain optical coherence tomography (FD OCT) and to perform functional correlation in a subset of patients using microperimetry (MP-1). DESIGN: Prospective observationa... |
0 | Electrophysiological assessment of somatosensory function in sporadic and familial amyotrophic lateral sclerosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Sensory nervous systems have been reported to be involved in patients with amyotrophic lateral sclerosis (ALS). Objectives; To investigate peripheral and central sensory pathway function in patients with sporadic (SALS) and familial ALS (FALS, with SOD1 gene abnormalities) in advanced stages on ventilator... |
0 | Effectiveness of behavioral graded activity in patients with osteoarthritis of the hip and/or knee: a randomized clinical trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine the effectiveness of a behavioral graded activity program (BGA) compared with usual care (UC; exercise therapy and advice) according to the Dutch guidelines for physiotherapy in patients with osteoarthritis (OA) of the hip and/or knee. The BGA intervention is intended to increase activity in the... |
0 | Complications of trochanteric osteotomy | AAHKS (8) Anesthetic Infiltration | Trochanteric osteotomy continues to have an important role in total hip replacement, but more so as a useful adjunct in selected instances rather than as a necessary and integral part of every arthroplasty. Improved exposure is the most important benefit of and indication for trochanteric osteotomy. Trochanteric nonuni... |
0 | Radial head fractures: operative or conservative treatment? The Greek temple model | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | An important point in any communication on fracture treatment is agreement on classification of the fracture to be discussed. for fractures of the radial head there are several useful classification systems. The well-recognized Mason classification is particularly useful in the treatment of radial head fractures. It is... |
0 | Subcapital fracture in a femoral prosthesis: brief report | Management of Hip Fractures in the Elderly | Stem fractures in prosthetic femoral components are a well recognized problem. More recently neck fractures have been described. An unusual case of a 'sub-capital fracture' in a femoral component is described |
0 | Cruciate ligament replacement using a meniscus. An experimental study | AMP (Acute Meniscal Pathology) | In 30 rabbits, the medial meniscus was used to replace the anterior or posterior cruciate ligament. The changes that took place were followed in histological sections, obtained both from the area of insertion into bone and from the intra-articular part of the graft. There was a gradual differentiation to chondroid tiss... |
0 | Antibiotic prophylaxis for bacterial infections in afebrile neutropenic patients following chemotherapy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Bacterial infections are a major cause of morbidity and mortality in neutropenic patients following chemotherapy for malignancy. Trials have shown the efficacy of antibiotic prophylaxis in decreasing the incidence of bacterial infections, but not in reducing mortality rates. OBJECTIVES: This review aimed to... |
0 | Comparison of dental water quality management procedures | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The effectiveness of ADA-recommended approaches for reducing dental unit waterline, or DUWL, contamination was investigated using newly installed dental units. Over a 2-month period, the authors studied independent water reservoirs, a sodium hypochlorite disinfection regimen, daily draining and purging of DUWLs and poi... |
0 | Evaluation of Bone Marrow Adipose Tissue and Bone Mineralization on Broiler Chickens Affected by Wooden Breast Myopathy | Reduction Mammoplasty for Female Breast Hypertrophy | In humans, alterations in bone metabolism have been associated with myopathies. We postulate the hypothesis that perhaps similar pathologies can also be associated in modern chickens. Hence, this study aimed to assess the fat infiltration in bone marrow and its repercussion on broiler chicken affected by Wooden Breast ... |
1 | Medical care for wheelchair athletes | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The number of wheelchair-bound athletes training for and competing in local, state, national, and international sporting events increases every year. As participation increases, sports injuries associated with the training and competition of these athletes also increase. Medical attention for wheelchair athletes during... |
0 | Gait disorder in a cohort of patients with mild and moderate Alzheimerâ??s disease | DoD PRF (Psychosocial RF) | Gait disturbance results in an increase in the risk of falls in patients with Alzheimerâ??s disease (AD). The falls are events that might be related to an increase in the number of fractures, loss of mobility, being bedridden, early institutionalization, and increased use of medication. Therefore, the reduction in the ... |
0 | Selective bundle reconstruction in partial ACL tears leads to excellent long-term functional outcomes and a low percentage of failures | AMP (Acute Meniscal Pathology) | Background: The optimal treatment of partial anterior cruciate ligament (ACL) tears continues to be debatable. Short-term results of selective bundle reconstruction have already been widely shown. The purpose of this study was to assess functional outcomes, subjective satisfaction and the failure rate of selective bund... |
0 | Long-term results of finger reconstruction with microvascular toe transfers after trauma | DoD LSA (Limb Salvage vs Amputation) | Amputation of all or most of the fingers severely disturbs the gripping function of the hand. The purpose of this study was to evaluate the long-term functional results of finger-amputation patients rehabilitated with microvascular toe transfers. Fifteen such patients (10 males, median age at injury 26 years (range 5-4... |
1 | Efficacy of ceftriaxone versus cefazolin in the prophylactic management of extra-articular cortical violation of bone due to low-velocity gunshot wounds | DoD SSI (Surgical Site Infections) | One hundred patients sustained gunshot wounds involving bone but not joint with a low-velocity bullet. Soft-tissue involvement was less than 1 cm at its greatest diameter. All patients were free from artery or nerve damage. No formal fixation of fracture was required. The results of the study suggest that patients need... |
0 | Physical performance and clinical outcomes after exercise therapy and patient education in patients with hip osteoarthritis. long term follow-up of a randomized controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The objective of the study was to evaluate the long term results of clinical outcomes and physical performance (hip range of motion, six minute walk test, isokinetic muscle strength tests, and Anullstrand test) in patients with mild to moderate hip osteoarthritis who underwent both supervised exercises and pat... |
0 | Development of a clinical assessment tool in identifying Asian men with low bone mineral density and comparison of its usefulness to quantitative bone ultrasound | Management of Hip Fractures in the Elderly | Osteoporosis in men is a largely neglected condition in Asia (and elsewhere), despite the fact that one-third of hip fractures occur in men. Moreover, access to bone mineral density (BMD) measurements is limited in many areas of Asia, and inexpensive methods of targeting high risk patients for BMD measurements would be... |
0 | Contrast sensitivity loss in the neglected hemifield | Upper Eyelid and Brow Surgery | Contrast sensitivity to gratings of various spatial frequencies displayed in the left and right visual hemifield was measured in a group of ten right brain-damaged patients with unilateral visuospatial neglect. Two groups of ten left brain-damaged (LBD) and ten right brain-damaged (RBD) patients without neglect served ... |
0 | The neurological complications of bariatric surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Weight is a national obsession. In 1999, Americans spent more than $300 million on prescription medications for obesity, and 2.5% of the adult population reported using such preparations at the end of the 20th century. By some estimates, the total cost of obesity in the United States is $1000 billion annually. Obesity ... |
1 | Continuous Posterior Lumbar Plexus Nerve Block Versus Periarticular Injection with Ropivacaine or Liposomal Bupivacaine for Total Hip Arthroplasty: A Three-Arm Randomized Clinical Trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Debate surrounds the issue of whether peripheral nerve blockade or periarticular infiltration (PAI) should be employed within a contemporary, comprehensive multimodal analgesia pathway for total hip arthroplasty. We hypothesized that patients treated with a continuous posterior lumbar plexus block (PNB) wou... |
0 | Gastrointestinal and cardiovascular risks of non-steroidal anti- inflammatory drugs (NSAIDs): Time to translate knowledge into practice | SR for PM on OA of All Extremities | Arthritis is a complex disorder that comprises more than hundred distinct conditions involving damage to the joints of the body. Many mediators are known to be involved in the pathophysiology and progression of arthritis. These include cartilage-degrading enzymes, cytokines, leukotrienes (LTs), and prostaglandins (PGs)... |
1 | Periarticular injection in knee arthroplasty improves quadriceps function knee | AAHKS (8) Anesthetic Infiltration | Background: The postoperative analgesic potential of periarticular anesthetic infiltration (PAI) after TKA is unclear as are the complications of continuous femoral nerve block on quadriceps function. Questions/purposes: We asked (1) whether PAI provides equal or improved postoperative pain control in comparison to a f... |
0 | Osteochondritis dissecans of the knee in children and adolescents | Osteochondritis Dissecans 2020 Review | PURPOSE OF REVIEW: Osteochondritis dissecans (OCD) of the knee is a well-described condition that can cause significant morbidity in children and adolescents; timely diagnosis is key to preventing compromise to the articular cartilage and maximizing opportunity to perform a restorative procedure. Juvenile OCD has a bet... |
0 | Lipotransfer as an adjunct in head and neck reconstruction | Panniculectomy & Abdominoplasty CPG | OBJECTIVES: To present our technique of lipotransfer and to evaluate a single center's experience in the use of lipotransfer as an adjunct to head and neck reconstruction. STUDY DESIGN: A retrospective review of all patients undergoing lipotransfer over a 5-year period by the senior author was undertaken. A total of 23... |
0 | Management of paraproteinaemia | MSTS 2018 - Femur Mets and MM | A paraprotein is a monoclonal immunoglobulin or light chain present in the blood or urine; it is produced by a clonal population of mature B cells, most commonly plasma cells. In individuals aged >50 years the incidence of a paraprotein is 3.2%. Plasma cell disorders can be considered as a spectrum of conditions rangin... |
1 | Arthroscopic GraftJacket repair of rotator cuff tears | Optimizing the Management of Full-Thickness Rotator Cuff Tears | HYPOTHESIS: Management of massive, degenerative, and irreparable rotator cuff tears is challenging. Excessive re-tear rates and poor clinical outcome after standard repair have led to alternative methods of treatment. Tendon transfers and shoulder arthroplasty have had mixed results; both are invasive procedures with h... |
0 | Actifit R scaffold implantation: Influence of preoperative meniscal extrusion on morphological and clinical outcomes | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal substitutes have been suggested for the treatment of knee pain after partial meniscectomy. However, despite the partial nature of the initial meniscectomy, secondary extrusion of the substitute is common. The primary objective of this study was to evaluate morphological outcomes of meniscal substit... |
0 | Hypotension during subarachnoid anaesthesia: Haemodynamic effects of ephedrine | Management of Hip Fractures in the Elderly | We have compared the haemodynamic effects of ephedrine alone with ephedrine and colloid for the treatment of hypotension produced by subarachnoid anaesthesia in 30 patients aged 60-90 yr with fractures of the neck of femur. Group one received ephedrine as an initial of 0.2 mg kg(-1) followed by an infusion of 0.5 mg kg... |
0 | Readmissions After Outpatient Transforaminal Decompression for Lumbar Foraminal and Lateral Recess Stenosis | DoD SSI (Surgical Site Infections) | Background: The objective of this study was to analyze readmission rates after outpatient transforaminal endoscopic decompression surgery for lumbar foraminal and lateral recess stenosis done in an ambulatory surgery center. Endoscopic lumbar spinal surgery is gaining popularity for the treatment of lumbar disc herniat... |
0 | OARSI Clinical Trials Recommendations: Design and conduct of clinical trials of surgical interventions for osteoarthritis | AMP (Acute Meniscal Pathology) | To highlight methodological challenges in the design and conduct of randomized trials of surgical interventions and to propose strategies for addressing these challenges. This paper focuses on three broad areas: enrollment; intervention; and assessment including implications for analysis. For each challenge raised in t... |
0 | Diagnosis and management of extremity compartment syndromes: an orthopaedic perspective | DOD - Acute Comp Syndrome CPG | More than 200,000 people in the United States are diagnosed annually with compartment syndrome. This condition is commonly established based on clinical parameters. Determining its presence, however, can be challenging in obtunded patients or those with an altered mental status. A delay in diagnosis and treatment of th... |
0 | Management of hip fractures in lateral position without a fracture table | Hip Fx in the Elderly 2019 | Background: Hip fracture Management in supine position on a fracture table with biplane fluoroscopic views has some difficulties which leads to prolongation of surgery and increasing x-rays' dosage. The purpose of this study was to report the results and complications of hip fracture management in lateral position on a... |
0 | Influence of the location and number of metastases in the survival of metastatic prostatic cancer patients | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: The prognosis of patients diagnosed with metastatic prostate cancer seems to be modulated by factors such as the number and site of metastases. Our objective is to evaluate survival outcomes according to the number and site of metastases in our series of metastatic patients over the last 15 years.
MATERIA... |
0 | A Contemporary Algorithm for the Treatment of Patello-Femoral Arthritis | AAHKS (2) Corticosteroids | Patellofemoral joint arthritis is now recognized as an increasingly encountered condition that can be quite debilitating. Unfortunately, the evidence-based treatment recommendations for this entity primarily consist of uncontrolled, observational case series. As such, the treatment of isolated patellofemoral disease va... |
0 | Clinical management of patients with hip and knee osteoarthritis: patient satisfaction with treatment switch | OAK 3 - Non-arthroplasty tx of OAK | Hip and knee osteoarthritis (OA) is a common cause of disability, with great quality of life and economic impact, hence the need for effective treatment. Patient satisfaction with treatment is a measure of therapeutic effectiveness and may be used to assess treatment switch in OA patients. A 3-month multicenter, prospe... |
1 | An uncemented metal-backed glenoid component in total shoulder arthroplasty for osteoarthritis: factors affecting survival and outcome | Glenohumeral Joint OA | BACKGROUND: The reported survivorship of total shoulder replacement (TSR) is variable. This is probably related to implant design. We report the outcome and survivorship of the uncemented glenoid in patients with osteoarthritis receiving a TSR with an intact or repairable rotator cuff at surgery.
METHODS: Thirty-two co... |
0 | Evans' classification of trochanteric fractures: An assessment of the interobserver and intraobserver reliability | Management of Hip Fractures in the Elderly | The reliability of Evans' classification of trochanteric femoral fractures was examined using (kappa) (Kappa) statistics. Radiographs of 50 randomly chosen trochanteric fractures were evaluated by six observers. One set of radiographs was uniformly classified as a subtrochanteric fracture by all observers and was exclu... |
0 | Effects of topical oral antiseptic rinses on bacterial counts of saliva in healthy human subjects | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Wound infections remain a significant source of morbidity in patients undergoing major head and neck operations that invade the aerodigestive tract. Infection rates have been significantly reduced by the administration of perioperative intravenous antibiotics; however, the incidence of infection remains unacceptably hi... |
1 | MRI of the knee at 3T: first clinical results with an isotropic PDfs-weighted 3D-TSE-sequence | AMP (Acute Meniscal Pathology) | PURPOSE: To clinically evaluate MRI of the knee using a highly resolved isotropic fat-saturated (fs) proton-density weighted 3D-TSE-sequence (SPACE) at 3T.
MATERIALS AND METHODS: Imaging was performed on a 3T-scanner (Magnetom TRIO). For technical evaluation, sagittally orientated SPACE-datasets (repetition-time [TR], ... |
1 | A comparison of a new skin closure device and intradermal sutures in the closure of full-thickness surgical incisions | Panniculectomy & Abdominoplasty CPG | BACKGROUND: A novel topical skin adhesive system was developed to close the outermost layer of skin in an expeditious manner. To determine its clinical utility, a clinical investigation was undertaken to demonstrate equivalence of a new adhesive skin closure system (Prineo Skin Closure System) to intradermal sutures in... |
0 | The Effect of Physical Activity Interventions Comprising Wearables and Smartphone Applications on Physical Activity: a Systematic Review and Meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | Background: Worldwide physical activity levels of adults are declining, which is associated with increased chronic disease risk. Wearables and smartphone applications offer new opportunities to change physical activity behaviour. This systematic review summarizes the evidence regarding the effect of wearables and smart... |
0 | The complexity of pain around the knee in patients with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis of the knee is a common joint disease that can cause substantial pain and disability. The manifestation of pain, however, is highly variable and has a poor correlation to plain radiographs. The source of pain in gonarthrosis is elusive. Pain receptors have been found in the synovium, ligaments, capsule, ... |
0 | Cutaneous squamous cell carcinoma metastasis to the parotid region lymph nodes | MSTS 2022 - Metastatic Disease of the Humerus | Objective: To determine the effect on survival of periauricular region cutaneous squamous cell carcinomas (cSCC) metastasizing to parotid region and cervical lymph nodes. Methods: From May 1995 to October 2013, consecutive patients with cSCC undergoing parotidectomy/neck dissection = 18 years without distant metastasis... |
0 | Asepsis during periodontal surgery involving oral implants and the usefulness of peri-operative antibiotics: a prospective, randomized, controlled clinical trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: This randomized clinical trial compares the usefulness of pre- and post-operative antibiotics while strict asepsis was followed during periodontal surgery. MATERIAL AND METHODS: Two groups of 40 consecutive patients each with fully or partially edentulous jaws were enrolled. Antibiotics group (GrAB(+)): 23 ... |
0 | Decreased left ventricular (LV) function is associated with hip-fractures | Hip Fx in the Elderly 2019 | BACKGROUND: Several risk factors for falls and hip-fractures have been recognized, but controversy still exists toward the importance of structural cardiac abnormalities as a potentially modifiable risk factor for recurrent falls. Aim of this study was to determine the association between echocardiographic abnormalitie... |
0 | Shoelace Technique Plus Negative-Pressure Wound Therapy Closure in Fasciotomy Wounds | DoD SSI (Surgical Site Infections) | BACKGROUND: Fasciotomy incision closure is often performed with skin grafts that can lead to cosmetic and functional complications after surgical intervention. Because fasciotomy incisions do not result in skin loss, the authors hypothesized that better closure can be achieved by reducing tissue edema with negative-pre... |
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