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0 | Second- and third-generation omniflex modular femoral stem: Results 3 to 8 years after surgery | Management of Hip Fractures in the Elderly | Primary cementless total hip arthroplasty (THA) using the Omniflex modular femoral stem was conducted on 73 hips in 70 patients. The arc deposition (AD)-type stem was used in 26 hips, and the hydroxyapatite (HA)-type stem was used in 47hips. The mean follow-up period of patients in the AD group was 78 (range, 61-96) mo... |
0 | A refined definition improves the measurement reliability of the tip-apex distance | Hip Fx in the Elderly 2019 | BACKGROUND: Tip-apex distance (TAD) is reported as a good predictor for cut-outs of lag screws and spiral blades in the treatment of intertrochanteric fractures, and surgeons are advised to strive for TAD within 20 mm. However, the femoral neck axis and the position of the lower limb in the lateral radiograph are not c... |
0 | The peripheral nerve function in chronic renal failure. V. Sensory and motor conduction velocity | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Sensory and motor nerve conduction was measured in 56 patients with chronic renal failure. Slowed nerve conduction was present in one or more segments in 38 of 39 patients with a 24 hr creatinine clearance below 10 ml/min/1.73 m(2). The impairment involved upper and lower extremities, motor and sensory fibers, distal a... |
0 | Vascularized iliac crest grafts: evaluation of viability status with marrow scintigraphy | Management of Hip Fractures in the Elderly | Forty-three vascularized iliac crest grafts in the femoral neck region in 38 patients were assessed with marrow scintigraphy. Twenty grafting procedures had been performed for treatment of fractures, 16 for nontraumatic osteonecrosis, and seven for focal bone lesions. Scintiscans were obtained preoperatively and in the... |
0 | Neighborhood effects on posthospitalization mortality: A population-based cohort study of the elderly in Chicago | HipFx Supplemental Cost Analysis | Context. Place of residence is associated with health outcomes. Objective. To examine neighborhood effects on mortality after the onset of serious disease and to assess whether these effects vary for different sociodemographic or diagnostic subgroups. Design, Setting, Patients. Our sample consists of a complete cohort ... |
0 | The effect of combined androgen blockade on bone turnover and bone mineral densities in men treated for prostate carcinoma: longitudinal evaluation and response to intermittent cyclic etidronate therapy | Management of Hip Fractures in the Elderly | BACKGROUND: Androgen receptor blocking agents have become an established form of therapy for men with disseminated prostate carcinoma. The purpose of this study was to evaluate markers of bone turnover and to measure bone mineral densities (BMD) in men with disseminated prostate carcinoma treated with combined androgen... |
0 | Shoulder activity level and progression of degenerative cuff disease | Glenohumeral Joint OA | BACKGROUND: This study prospectively examined the relationship of direct and indirect measures of shoulder activity with the risks of tear progression and pain development in subjects with an asymptomatic degenerative rotator cuff tear.
METHODS: A cohort of asymptomatic degenerative rotator cuff tears was prospectively... |
0 | Outcome instruments for the shoulder | Glenohumeral Joint OA | Outcome surveys may play a vital role in the future of orthopaedics. Institutions may increasingly look toward determining the effectiveness of treatment options, but different validation studies often yield different results. There is a clear need for consistency when reporting patient-reported outcome scores. Knowled... |
0 | Spinal involvement in Pyle's disease | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Pyle's disease is a rare skeletal dysplasia involving the metaphyses of long bones. To date, spinal involvement has been only rarely described in the literature.
OBJECTIVE: To show that spinal changes, which are an expression of the same growth defect of the long bones, are an important and constant sign of... |
0 | Acute compartment syndrome in forearm fractures | DOD - Acute Comp Syndrome CPG | Sixteen patients were reexamined 2 to 5 years after surgical treatment of acute compartment syndrome in forearm fractures. High-energy trauma was the casual factor in 11 cases, in 5 of which there was an open fracture with skin defect. Fracture stabilization and fasciotomy of forearm and carpal compartments were perfor... |
1 | Volumetric evaluation of the rotator cuff musculature in massive rotator cuff tears with pseudoparalysis | Trial Systematic Review Project | BACKGROUND: If the balance of the rotator cuff force couple is disrupted, pseudoparalysis may occur, but the exact mechanism remains unknown. This study investigated the effect of rotator cuff force couple disruption on active range of motion in massive rotator cuff tear (mRCT) by rotator cuff muscle volume analysis.
M... |
0 | A systematic review and economic model of switching from non-glycopeptide to glycopeptide antibiotic prophylaxis for surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objectives: To determine whether there is a level of methicillin-resistant Staphylococcus aureus (MRSA) prevalence at which a switch from non-glycopeptide to glycopeptide antibiotics for routine prophylaxis is indicated in surgical environments with a high risk of MRSA infection. Data sources: Major electronic database... |
0 | Early versus deferred treatment for smoldering multiple myeloma: A meta-analysis of randomized, controlled trials | MSTS 2018 - Femur Mets and MM | Purpose: Whether patients with smoldering multiple myeloma (SMM) needed to receive early interventional treatment remains controversial. Herein, we conducted a meta-analysis comparing the efficacy and safety of early treatment over deferred treatment for patients with SMM. Methods: MEDLINE and Cochrane Library were sea... |
0 | Neurological Outcome After Traumatic Transverse Sacral Fractures: A Systematic Review of 521 Patients Reported in the Literature | Hip Fx in the Elderly 2019 | BACKGROUND: The purpose of this study was to determine the neurological outcome after transverse sacral fractures in patients with neurological impairment. METHODS: A systematic review of the English, French, German, and Dutch literature was conducted. All study designs, including retrospective cohort studies and case ... |
0 | An Enzyme-free Method for Isolation and Expansion of Human Adipose-derived Mesenchymal Stem Cells | Panniculectomy & Abdominoplasty CPG | Mesenchymal stem cells (MSCs) are a population of multipotent cells that can be isolated from various adult and fetal tissues, including adipose tissue. As a clinically relevant cell type, optimal methods are needed to isolate and expand these cells in vitro. Most methods to isolate adipose-derived MSCs (ADSCs) rely on... |
0 | Unicompartmental knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We report the outcome of 135 knees with anteromedial osteoarthritis in which the Oxford meniscal-bearing unicompartmental arthroplasty was inserted in a district general hospital by a single surgeon. All the knees had an intact anterior cruciate ligament, a correctable varus deformity and the lateral compartment was un... |
0 | Treatment for older men with fractures | Management of Hip Fractures in the Elderly | Less than 10% of men receive osteoporosis treatment, even after a fracture. A study of 17,683 men revealed that older men, those with spinal fractures, and those taking steroids or antidepressants are more likely to receive treatment after a fracture. Seeing a primary care physician also increases osteoporosis treatmen... |
0 | Erratum regarding missing Declaration of Competing Interest statements in previously published articles (Journal of Orthopaedics (2020) 22 (308–315), (S0972978X20302178), (10.1016/j.jor.2020.06.011)) | Dental Implant Infection | Declaration of Competing Interest statements were not included in published version of the following articles that appeared in previous issues of “Journal of Orthopaedics”. Hence, the authors of the below articles were contacted after publication to request a Declaration of Interest statement: 1. “Catastrophic ceramic ... |
0 | The NexGen LPS-flex to the knee prosthesis at a minimum of three years | Surgical Management of Osteoarthritis of the Knee CPG | We carried out a prospective study to assess the clinical outcome, complications and survival of the NexGen Legacy posterior-stabilised-Flex total knee replacement (TKR) in a consecutive series of 278 knees between May 2003 and February 2005. Mean follow-up for 259 TKRs (98.2%) was 3.8 years (3.0 to 4.8). Annual follow... |
0 | Changes in varus-valgus laxity after total knee arthroplasty over time | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: This randomized, prospective study was performed to evaluate changes in varus-valgus laxity over time and to evaluate the relationship between laxity and retention of the posterior cruciate ligament. METHODS: Sixty knees of 60 patients with osteoarthritis received mobile-bearing prostheses. Thirty patients rec... |
0 | Injectable calcium phosphate in the treatment of distal radial fractures | Distal Radius Fractures | An injectable material which hardened in situ to form a carbonated hydroxyapatite, Norian SRS (Norian Corp., Cupertino, USA), was used as the only treatment of unstable distal radial fractures in six patients. Except for an external dorsal splint for 2 weeks, no other treatment was used. The material maintained reducti... |
0 | Antibiotics for preventing recurrent urinary tract infection in non-pregnant women | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Urinary tract infection (UTI) is a common health care problem. Recurrent UTI (RUTI) in healthy non-pregnant women is defined as three or more episodes of UTI during a twelve month period. Long-term antibiotics have been proposed as a prevention strategy for RUTI. OBJECTIVES: To determine the efficacy (durin... |
1 | Risks of loosening of a prosthetic glenoid implanted in retroversion | Glenohumeral Joint OA | Osteoarthritis of the shoulder is frequently associated with posterior glenoid wear, which may be difficult to correct during shoulder arthroplasty. This study was designed to evaluate the risks that a prosthetic glenoid implanted in retroversion will loosen. The scapula, the humerus, the rotator cuff, and a total shou... |
0 | Neutral fat globules in traumatized knees | AMP (Acute Meniscal Pathology) | Synovial fluid was analyzed for neutral fat globules using a modified Gurd test in 146 patients with various knee disorders. The presence of liquid neutral fat without an intra-articular fracture is an ominous sign of a significant soft tissue injury. Mechanically damaged knees contain neutral fat globules that are not... |
0 | Successful total knee arthroplasty in the presence of sporotrichal arthritis | Surgical Management of Osteoarthritis of the Knee CPG | Articular sporotrichosis, a chronic granulomatous fungal infection, is a rare entity but when present may lead to significant joint destruction. Severe knee arthrosis due to sporotrichal arthritis has traditionally been treated with arthrodesis. Total knee arthroplasty in the presence of sporotrichal arthritis has been... |
0 | Leukocyte Esterase: Metal-on-Metal Failure and Periprosthetic Joint Infection | PJI DX Updated Search | BACKGROUND: Adverse local tissue reactions (ALTRs) and periprosthetic joint infection can occur after metal-on-metal total hip arthroplasty (THA), both potentially generating purulent synovial fluid (SF) and elevated white cell count. This makes it difficult to distinguish between diagnoses; therefore, we evaluated leu... |
0 | Pre-hospital dietary intake correlates with muscle mass at the time of fracture in older hip-fractured patients | Hip Fx in the Elderly 2019 | BACKGROUND: Failure to meet an adequate dietary intake is involved in the pathogenesis of sarcopenia and osteoporosis, which in turn increase the risk for falls and fractures, respectively. Older people with hip fracture are often protein-malnourished at hospitalization. Whether low protein-energy intake is associated ... |
0 | Bisphosphonates-osteonecrosis of jaw | MSTS 2018 - Femur Mets and MM | The recent recognition of bisphosphonate use came into use for pathological conditions which includes osteonecrosis of the jaw (ONJ) and other bone diseases. This article highlights about bisphosphonate and its effect and affect on ONJ. Jaw necrosis is a complication associated with conditions such as radiotherapy, sev... |
0 | [Earlier postoperative mobilization with minimally invasive hip hemiarthroplasty] | Management of Hip Fractures in the Elderly | Treatment of medial femoral fractures in elderly patients with cemented hip hemiarthroplasty (HEP) is a widely established procedure. The main problems with this procedure are complications associated with soft tissue damage and prolonged immobilization. The aim of this study was to compare the clinical and radiologica... |
0 | Tai Chi for osteopenic women: design and rationale of a pragmatic randomized controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND: Post-menopausal osteopenic women are at increased risk for skeletal fractures. Current osteopenia treatment guidelines include exercise, however, optimal exercise regimens for attenuating bone mineral density (BMD) loss, or for addressing other fracture-related risk factors (e.g. poor balance, decreased mus... |
0 | The concept of ankle joint preserving surgery: why does supramalleolar osteotomy work and how to decide when to do an osteotomy or joint replacement | OAK 3 - Non-arthroplasty tx of OAK | The structure of the ankle is stabilized by bone, and external force is distributed to the adjacent intertarsal joints, reducing the vulnerability of the joint to osteoarthritis. Joint-preserving surgical techniques include arthroscopic debridement, ligament reconstruction, distraction arthroplasty, and osteotomy. Supr... |
0 | Incomplete seating of the liner with the Trident acetabular system: A cause for concern? | Management of Hip Fractures in the Elderly | We reviewed the initial post-operative radiographs of the Trident acetabulum and identified a problem with seating of the metal-backed ceramic liner. We identified 117 hips in 113 patients who had undergone primary total hip replacement using the Trident shell with a metal-backed alumina liner. Of these, 19 (16.4%) wer... |
0 | Childhood life events and psychological symptoms in adult survivors of the 2004 tsunami | DoD PRF (Psychosocial RF) | BACKGROUND: Negative life events in childhood have an adverse influence on adult psychological health, and increase vulnerability to subsequent potential traumas. It remains unclear whether this is also true in the case of disasters.
AIM: This study investigates whether the experience of negative life events in childho... |
0 | Resuspension of mild to moderate jawline laxity using a minimally invasive technique | Panniculectomy & Abdominoplasty CPG | BACKGROUND. A practical approach for superficial musculoapponeurotic system plication and neck lift is indicated for early aging changes of jawline. METHODS. A single or series of small punches or single incisions at the earlobe and then minor undermining to lift the superficial musculoapponeurotic system followed by r... |
1 | Significance of baseline bone markers on disease progression and survival in hormone-sensitive prostate cancer with bone metastasis | MSTS 2018 - Femur Mets and MM | METHODS: Patients received zoledronic acid 4 mg intravenously every 4 weeks for up to 24 months, concomitantly started with bicalutamide 80 mg orally every day and goserelin acetate 10.8 mg subcutaneously every 12 weeks. RESULTS: A total of 53 Japanese patients were enrolled between July 2008 and April 2010, and 52 pat... |
1 | Total hip arthroplasty is less painful at 12 months compared with hemiarthroplasty in treatment of displaced femoral neck fracture | Management of Hip Fractures in the Elderly | OBJECTIVES: The Displaced Femoral (neck fracture) Arthroplasty Consortium for Treatment and Outcomes (DFACTO) study compared total hip arthroplasty (THA) to hemiarthroplasty in the treatment of displaced femoral neck fractures. DESIGN: This study was designed as a prospective, randomized clinical trial. SETTING: The st... |
0 | Simple and safe method to prepare patients with prosthetic heart valves for surgical dental procedures | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Temporary discontinuation of high-intensity oral anticoagulant treatment is not recommended in patients undergoing dental surgery. This policy is not based on solid data from randomized clinical trials but on expert consensus. The alternative, i.e., to continue treatment and treat patients with tranexamic acid mouthwas... |
0 | Acute lung injury and multiple organ dysfunction syndrome secondary to intra-abdominal hypertension and abdominal decompression in extensively burned patients | DOD - Acute Comp Syndrome CPG | BACKGROUND: Secondary abdominal compartment syndrome (ACS) is a lethal complication after resuscitation from burn shock, even after abdominal decompression (AD) is performed. This study investigated increased susceptibility to multiple organ dysfunction syndrome (MODS) in extensively burned patients with ACS.
METHODS: ... |
0 | Risk of clinical pulmonary embolism after joint surgery in patients receiving low-molecular-weight heparin prophylaxis in hospital: a 10-year prospective register of 3,954 patients | Management of Hip Fractures in the Elderly | We studied the incidence of nonfatal, radiologically-confirmed, clinical pulmonary embolism (PE) after major joint surgery during 10 years of observation. The findings are based on a prospective register of all patients undergoing total hip replacement (THR), total knee replacement (TKR), or nailed hip fracture (NHF) i... |
0 | Protocol for a systematic review of autologous fat grafting for wound healing | Panniculectomy & Abdominoplasty CPG | Background: Autologous fat grafting is an emerging therapeutic option for cutaneous wounds. The regenerative potential of autologous fat relates to the presence of adipose-derived stem cells (ADSCs) within the stromal vascular fraction (SVF). ADSCs are capable of differentiating into fibroblasts and keratinocytes, as w... |
0 | Autologous platelet gel in total knee arthroplasty: a prospective randomized study | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Total knee arthroplasty (TKA) is often associated with major postoperative blood loss, postoperative pain, and impaired wound healing. The application of autologous platelet gel (APG), prepared from the buffy coat of a unit of autologous blood, has been advocated to improve haemostasis after surgery, to decrea... |
0 | Computed tomography of the brain stem with intrathecal metrizamide. Part I: the normal brain stem | AMP (Acute Meniscal Pathology) | In summary, the anatomic details of the brain stem are exquisitely demonstrated with metrizamide CT. The obex is the zone of transition from the closed medulla, which has a conical pear-shaped appearance to the quadriconcave open medulla. The pyramids and inferior olivary nuclei characterize the anterior surface of the... |
1 | Antibiotic prophylaxis for dental or urological procedures following hip or knee replacement | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: Reports of prosthetic joint infection associated with urological or dental procedures have prompted suggestions that these patients require antibiotic prophylaxis, but no guidelines have been agreed. We have polled orthopaedic surgeons, urologists, and dentists on this issue. METHODS: The questions asked we... |
0 | Combination of Intra-Articular and Intraosseous Injections of Platelet Rich Plasma for Severe Knee Osteoarthritis: A Pilot Study | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to assess a novel approach to treating severe knee osteoarthritis by targeting synovial membrane, superficial articular cartilage, synovial fluid, and subchondral bone by combining intra-articular injections and intraosseous infiltrations of platelet rich plasma. We explored a new strategy con... |
0 | Epidemiology of Surgical Treatment of Adolescent Sports Injuries in the United States: Analysis of the MarketScan Commercial Claims and Encounters Database | AMP (Acute Meniscal Pathology) | PURPOSE: To determine whether there is increasing surgical management of adolescent sports injuries and whether the average age of surgical patients is decreasing.
METHODS: The Truven Health MarketScan Database was searched from 2008 to 2014 for patients 10 to 19 years of age using the International Classification of D... |
0 | What was the survival of megaprostheses in lower limb reconstructions after tumor resections? | PJI DX Updated Search | BACKGROUND: Prosthetic replacement is the most commonly used option for reconstruction of osteoarticular bone loss resulting from bone neoplasm resection or prosthetic failure. Starting in late 2001, we began exclusively using a single system for large-segment osteoarticular reconstruction after tumor resection; to our... |
0 | Preferential hyperacuity perimeter in best vitelliform macular dystrophy | Upper Eyelid and Brow Surgery | PURPOSE: To determine the visual field patterns obtained by the preferential hyperacuity perimetry (PHP) in patients with Best vitelliform macular dystrophy with mutations in the BEST1 gene. METHODS: Consecutive patients with Best vitelliform macular dystrophy underwent a complete ophthalmologic examination, including ... |
1 | Functional status in older women following hip fracture | Management of Hip Fractures in the Elderly | BACKGROUND: Women aged 65 years and over are at high risk for a fractured hip because of osteoporosis. One of the devastating effects of a fracture is the loss of ability to live independently. AIM: The major aim of this study was to describe the functional status, or ability to perform activities of daily living, of w... |
0 | Atomic force microscopy on human trabecular bone from an old woman with osteoporotic fractures | Management of Hip Fractures in the Elderly | AFM images were taken of the exterior surface of a single trabecula, extracted from a human femoral head removed during surgery for a hip fracture in an old women with former fractures. The images showed a dense structure of bundled collagen fibrils banded with 67 nm periodicity. Bundles were seen to run in parallel in... |
0 | Neurocognitive functioning and health-related behaviours in adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Positive health-related behaviours are essential for the future wellbeing of childhood cancer survivors, though relatively few maintain healthy behaviours into adulthood. Methods: Neurocognitive function and emotional distress were examined in 6,440 adult survivors from the Childhood Cancer Survivor Study, ... |
0 | Hip Instability in Down Syndrome: A Focus on Acetabular Retroversion | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The aim of this study is to compare acetabular anteversion between children with Down syndrome with or without hip instability. The second aim is to report the surgical experience at our institution in treating unstable hips for this population. METHODS: All children with Down syndrome who were seen at our ... |
1 | Ultrasound for carpal tunnel syndrome screening in manual laborers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION: Manual laborers are at increased risk for carpal tunnel syndrome (CTS), and a combination of history, physical examination, and nerve conduction studies is often used to screen for CTS in this population. Neuromuscular ultrasound may be a better screening tool, because it is painless. In this study we com... |
0 | Southwestern Internal Medicine Conference. Etiology and management of delirium | Management of Hip Fractures in the Elderly | Delirium has been recognized for the last 3 millennia and is the most common complication found in hospitalized patients aged 65 and older in the United States. However, critical basic science and clinical research did not progress until the DSM III criteria clearly defined delirium 20 years ago. The term delirium then... |
0 | Results of the 136 consecutive minimally invasive total knee arthroplasties | Surgical Management of Osteoarthritis of the Knee CPG | The authors evaluated results of 136 consecutive minimally invasive total knee arthroplasties (MIS TKAs). The first 22 knees, performed with strict patient selection criteria, were determined as a learning experience. According to results of the next 114 knees, the average wound length was 9.2 centimeters and the avera... |
1 | Prevalence of carpal tunnel syndrome in meat and fish processing plants | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This study was carried out to survey the prevalence of carpal tunnel syndrome (CTS) in a high-risk job. The experimental group was composed of 69 workers sampled from meat and fish processing plants, who were using their upper extremities repetitively. The control group was composed of 28 workers sampled from managers,... |
1 | Plantar Approach for Midfoot Wedge Resection to Reconstruct the Rocker Bottom Foot | DoD SSI (Surgical Site Infections) | Chronic deformity of the foot can lead to ulceration, infection, and amputation. Midfoot wedge osteotomy for deformity correction has been described in the literature; however, most reports are case review or small series. Wedge osteotomy can be performed from a medial or plantar approach, but there are limited data on... |
0 | Cancer mortality in Europe, 2005-2009, and an overview of trends since 1980 | MSTS 2022 - Metastatic Disease of the Humerus | Background: After a peak in the late 1980s, cancer mortality in Europe has declined by ~10% in both sexes up to the early 2000s. We provide an up-to-date picture of patterns and trends in mortality from major cancers in Europe. Methods: We analyzed cancer mortality data from the World Health Organization for 25 cancer ... |
0 | Role of total hip replacement arthroplasty between transplantation and acute kidney injury | AAHKS (2) Corticosteroids | Osteonecrosis of the femoral head is a severely disabling complication of steroid immunosuppression in renal transplant patients. The increased number of patients undergoing transplantation has increased the number of transplant recipients undergoing total hip replacement arthroplasty (THRA). In this study, we retrospe... |
0 | Viable Osteochondral Allograft for the Treatment of a Full-Thickness Cartilage Defect of the Patella | Osteochondritis Dissecans 2020 Review | Isolated cartilage defects can lead to significant pain and disability, prompting the development of a number of options for restorative treatment. Each method has advantages and limitations, and no single technique has gained widespread use. We present a technique for implantation of a cryopreserved osteochondral allo... |
0 | Knee adduction moment peak and impulse do not change during the first six months of walking with a prosthesis | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Individuals with unilateral lower limb loss are at increased risk for developing knee osteoarthritis in their contralateral limb. The mechanisms underlying this phenomenon are unknown, but large or unusual loads on the limb are thought to contribute to osteoarthritis development. Yet, to our knowledge, ther... |
0 | Botulinum toxin for neuropathic pain and spasticity: an overview | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In recent years, a large body of data has surfaced reporting the therapeutic benefit of botulinum toxin injection in multiple conditions. The aim of this review is: to summarize the highest quality literature pertaining to clinical application of botulinum toxin in neuropathic pain conditions including postherpetic neu... |
0 | Tissue engineering of the meniscus | AMP (Acute Meniscal Pathology) | Meniscus lesions are among the most frequent injuries in orthopaedic practice and they will inevitably lead to degeneration of the knee articular cartilage. The fibro-cartilage-like tissue of the meniscus is notorious for its limited regenerative capacity. Tissue engineering could offer new treatment modalities for rep... |
0 | Use of a Lysine-Derived Urethane Surgical Adhesive as an Alternative to Progressive Tension Sutures in Abdominoplasty Patients: A Cohort Study | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Fluid accumulation is a common complication after abdominoplasty procedures, and is typically managed by the placement of post-surgical drains. Progressive tension sutures (PTS) have been shown to be an effective approach to reduce the dead space by point-wise mechanical fixation, allowing for drain-free pr... |
0 | Regional variation in T1rho and T2 times in osteoarthritic human menisci: correlation with mechanical properties and matrix composition | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Changes in T1rho and T2 magnetic resonance relaxation times have been associated with articular cartilage degeneration, but similar relationships for meniscal tissue have not been extensively investigated. This work examined relationships between T1rho and T2 measurements and biochemical and mechanical prope... |
0 | Veterans Affairs Multicenter Low Vision Enhancement System (LVES) study: clinical results. Report 1: effects of manual-focus LVES on visual acuity and contrast sensitivity | Upper Eyelid and Brow Surgery | PURPOSE: The Department of Veterans Affairs LVES Study is a multicenter study to determine the effectiveness of the Low Vision Enhancement System (LVES) as a visual rehabilitation device. The purpose of this study was to explore the efficacy of the Beta 1 manual-focus LVES for improving visual acuity and contrast sensi... |
0 | Inflatable bouncer-related fractures in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Inflatable bouncers or moonbouncers are very popular in private and public settings and are usually perceived as very safe attractions, but are associated with frequent fractures in children. To date, there are no publications in the medical literature about these types of injuries. The purpose of this stud... |
0 | Orthobiologic Interventions Using Ultrasound Guidance | PRP (Platelet-Rich Plasma) | The application of regenerative therapies for the treatment of musculoskeletal conditions has emerged over the last decade with recent acceleration. These include prolotherapy, platelet-rich plasma, and mesenchymal stem cell therapy. These strategies augment the body's innate physiology to heal pathologic processes. Th... |
0 | Unicompartmental knee arthroplasty for lateral gonarthrosis: midterm results | Surgical Management of Osteoarthritis of the Knee CPG | Thirty-eight lateral compartment arthroplasties were performed in 22 years. Eighteen joints in 17 patients with an average age of 64.5 years were evaluated with minimum 5-year follow-up. Using the Hospital for Special Surgery knee score, 16 of 18 joints had satisfactory results in terms of function and pain relief. The... |
1 | Comparison of partial meniscectomy versus meniscus repair for bucket-handle lateral meniscus tears in anterior cruciate ligament reconstructed knees | Anterior Cruciate Ligament Injuries CPG | PURPOSE: For patients who underwent anterior cruciate ligament (ACL) reconstruction and had an unstable bucket-handle tear and no other meniscus lesions or articular damage, we sought to determine if repair of the lateral meniscus was superior to partial meniscectomy with regard to subjective and objective results. TYP... |
0 | Time to Surgery and Patient Mortality in Geriatric Acetabular Fractures | Hip Fx in the Elderly 2019 | OBJECTIVES: To determine whether surgical intervention within 48 hours of injury results in decreased mortality in geriatric patients who have sustained acetabular fractures.
DESIGN: Retrospective case series SETTING: : University Level 1 Trauma CenterPatients/Participants: One hundred and eighty-three patients aged 65... |
0 | Does upper lid blepharoplasty improve contrast sensitivity? | Upper Eyelid and Brow Surgery | PURPOSE: To assess the effect of upper eyelid blepharoplasty surgery on contrast sensitivity. METHODS: A prospective study was performed. Pre- and postoperative contrast sensitivity measurements were taken on patients undergoing routine upper eyelid blepharoplasty surgery. The patients were selected for surgery on the ... |
1 | Early detection of developmental dysplasia of the hip in The Netherlands: the validity of a standardized assessment protocol in infants | Developmental Dysplasia of the Hip CPG | OBJECTIVES: This study evaluated the validity of the traditionally recommended screening protocol for developmental dysplasia of the hip in infants. METHODS: Study children (n = 1968) underwent a standardized screening examination. RESULTS: The incidence of developmental dysplasia of the hip was 3.7%. The sensitivity o... |
1 | Carpal tunnel release under intravenous regional anaesthesia with ropivacaine or lidocaine | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) surgery is usually performed utilizing regional anaesthesia techniques such as local infiltration, brachial plexus block and intravenous regional anaesthesia (IVRA). The present investigation aimed to compare the clinical effects of IVRA with lidocaine or ropivacaine. Forty patients undergo... |
0 | The influence of MRI on treatment decisions regarding knee injuries | AMP (Acute Meniscal Pathology) | This study evaluated whether the information gained from magnetic resonance imaging (MRI) of the knee would provide information that was useful in the treatment algorithm. Three orthopedic surgeons completed a questionnaire immediately after the initial evaluation of a patient with a knee injury and for whom an MRI als... |
0 | Three year joint space narrowing predicts long term incidence of knee surgery in patients with osteoarthritis: an eight year prospective follow up study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To assess the clinical relevance of mean and minimum femorotibial joint space narrowing (JSN) for predicting future osteoarthritis related surgery in patients with knee osteoarthritis. METHODS: 126 subjects with primary knee osteoarthritis were followed prospectively for a mean eight years. Minimum and mean ... |
1 | Proximal deep vein thrombosis after hip fracture surgery in elderly patients despite thromboprophylaxis | Management of Hip Fractures in the Elderly | OBJECTIVE: Hip fracture is very common in the elderly population and is a highly significant risk factor for the development of deep vein thrombosis. Thus, deep vein thrombosis prophylaxis is indicated in these patients. The objective of this study was to determine the prevalence of proximal deep vein thrombosis in pat... |
0 | Five-year results of trabeculectomy with mitomycin C | Upper Eyelid and Brow Surgery | BACKGROUND: The long-term efficacy and safety of primary trabeculectomy with mitomycin C were retrospectively studied. METHODS: Sixty eyes of 60 patients with severe glaucoma, 25 female and 35 male, with a mean age of 72.5 years who underwent primary trabeculectomy with mitomycin C between 1993 and 1995 were included. ... |
0 | Use of synthetic mesh for the entire abdominal wall after TRAM flap transfer | Acellular Dermal Matrix | Abdominal wall competence is a major concern of all plastic surgeons using the TRAM flap for breast reconstruction. Low hernia rates and adequate abdominal stability are standard expectations in abdominal wall closure. Described here is this institution's experience with the use of a large piece of synthetic mesh as a ... |
0 | The practicing orthopedic surgeon's guide to managing long bone metastases | MSTS 2022 - Metastatic Disease of the Humerus | Long bone skeletal metastases are common in the United States, with more than 280,000 new cases every year. Most of these will be managed by the on-call orthopedic surgeon. A practical primer is offered for the evaluation and surgical management for the practicing orthopedist, including questions to ask during the hist... |
1 | Effects of long-term exercise therapy on knee joint structure in people with knee osteoarthritis: A systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate effects of long-term exercise therapy for people with knee osteoarthritis (OA) on radiographic disease severity and cartilage integrity (primary outcomes) as well as severity of bone marrow lesions (BMLs), synovitis and/or effusion (secondary outcomes).
METHODS: We sourced randomized controlle... |
0 | An osteolytic lesion associated with polyethylene wear debris adjacent to a stable total knee prosthesis | Surgical Management of Osteoarthritis of the Knee CPG | Seven years after total knee arthroplasty, a patient with a well-fixed, uncemented femoral component (cobalt-chromium-molybdenum alloy) developed a large cystic lesion in the distal femur adjacent to the femoral component. This lesion contained fibrotic soft tissue, evidence of a foreign-body giant cell reaction, and a... |
0 | Economic evaluations of interventions for the prevention and treatment of osteoporosis: a structured review of the literature | Management of Hip Fractures in the Elderly | Economic evaluations are increasingly being used by decision-makers to estimate the cost-effectiveness of interventions. The objective of this study was to conduct a structured review of economic evaluations of interventions to prevent and treat osteoporosis. Articles were identified independently by two reviewers thro... |
0 | Knee kinematics during walking at different speeds in people who have undergone total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | People who have undergone total knee replacement (TKR) experience difficulties in some daily activities including walking. Walking at faster speeds requires more knee flexion and may therefore present a greater challenge following TKR. The aim of this study was to compare the knee kinematics of patients following TKR a... |
0 | Fluoroscopy-guided retrograde core drilling and cancellous bone grafting in osteochondral defects of the talus | Diagnosis and Treatment of Osteochondritis Dissecans AUC | PURPOSE: In undetached osteochondral lesions (OCL) of the talus both revitalisation of the subchondral necrosis and cartilage preservation are essential. For these cases, we assess the results of minimally invasive retrograde core drilling and cancellous bone grafting. METHODS: Forty-one osteochondral lesions of the ta... |
0 | Improved Safety and Cost Savings from Reductions in Cast-Saw Burns After Simulation-Based Education for Orthopaedic Surgery Residents | Distal Radius Fractures | BACKGROUND: The purpose of this investigation was to characterize the clinical efficacy and cost-effectiveness of simulation training aimed at reducing cast-saw injuries.
METHODS: Third-year orthopaedic residents underwent simulation-based instruction on distal radial fracture reduction, casting, and cast removal using... |
1 | Management of nipple-areola complex ischemia after breast reduction: A systematic literature review and algorithm proposal | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Rare and dreaded, necrosis of the nipple-areola complex (NAC) is one of the major complications of breast reduction surgery. Our objective was to establish a management algorithm summarizing the different possible treatments reported in the literature. Methods: The data extracted from the articles selected ... |
0 | Total knee arthroplasty and infection: how surgeons can reduce the risks | AAHKS (2) Corticosteroids | Total joint arthroplasty (TJA) is one of the most common orthopaedic procedures. Nevertheless, several complications can lead to implant failure.Peri-prosthetic joint infections (PJI) certainly represent a significant challenge in TJA, constituting a major cause of prosthetic revision. The surgeon may have an important... |
0 | Carpal tunnel syndrome: "no-stitch endoscopic surgery" as a treatment option | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is the most common nerve entrapment disorder causing considerable discomfort, activity limitations and even a change in occupation. Appropriate medical and surgical treatment can interrupt the progression of the syndrome and avoid permanent disability. We report here a case of a woman who w... |
0 | Congenital ptosis and amblyopia: a retrospective study of 130 cases | Upper Eyelid and Brow Surgery | PURPOSE: To provide supplementary data on the association between congenital ptosis and amblyopia. METHODS: In a retrospective chart study of 130 patients whose congenital ptosis was surgically corrected between 1987 and 1999, 27 (20.8%) had strabismus and 30 (23%) had amblyopia. In 9 patients (6.3%), it was not attrib... |
0 | Combination of High Tibial Osteotomy and Autologous Bone Marrow Derived Cell Implantation in Early Osteoarthritis of Knee: A Preliminary Study | OAK 3 - Non-arthroplasty tx of OAK | Background: High tibial osteotomy (HTO) is a recommended treatment for medial compartment knee osteoarthritis. Newer cartilage regenerative procedures may add benefits to the results of HTO. In this prospective study we have investigated the safety and also results of HTO associated with autologous bone marrow derived ... |
0 | Precontoured parallel plate fixation of AO/OTA type C distal humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | OBJECTIVES: To determine the clinical effectiveness of precontoured parallel plating for the management of Orthopaedic Trauma Association (OTA) type C distal humerus fractures. DESIGN: Retrospective case series. SETTING: Level I trauma center. PATIENTS/PARTICIPANTS: Between 2001 and 2005, 37 patients with OTA type C di... |
0 | An effective method of reconstructing posttraumatic dorsal dislocated distal radioulnar joints | Distal Radius Fractures | A new method of reconstructing a posttraumatic dorsally dislocated distal radioulnar joint with use of a long, distally attached palmaris longus tendon strip is described. This sling holds the dislocated distal ulna radially and volarward. Long-term results have been excellent. |
0 | Inverse Relationship Between Radiographic Lateral Ankle Instability and Osteochondral Lesions of the Talus in Patients With Ankle Inversion Injuries | Osteochondritis Dissecans 2020 Review | Background: Insufficient or excessive bony constraint surrounding the talus might contribute to the occurrence of ligamentous injury or bone contusion, respectively, at the time of ankle inversion injuries. This study aimed to investigate the relationship between radiographic lateral ankle instability and osteochondral... |
0 | Factors Influencing Treatment of Proximal Femoral Fractures | Hip Fx in the Elderly 2019 | BACKGROUND: Orthopaedics and traumatology departments are dominated by patients with proximal femoral fractures, who represent 20-30% of all patients treated there. The aim of this study was identification and evaluation of factors influencing treatment of proximal femoral fractures.
MATERIAL AND METHODS: Between 2008 ... |
0 | Symptomatic knee disorders in floor layers and graphic designers. A cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | Abstract. Background: Previous studies have described an increased risk of developing tibio-femoral osteoarthritis (TF OA), meniscal tears and bursitis among those with a trade as floor layers. The purpose of this study was to analyse symptomatic knee disorders among floor layers that were highly exposed to kneeling wo... |
0 | Risk Factors Predict Increased Length of Stay and Readmission Rates in Revision Joint Arthroplasty | PJI DX Updated Search | BACKGROUND: This study aimed to identify risk factors for 30-day readmission and extended length of stay (LOS) in revision total knee (RKA) and hip (RHA) arthroplasty patients. METHODS: Patients who underwent RKA or RHA from 2011 to 2013 were identified in the National Surgical Quality Improvement Program database. Biv... |
0 | What Factors Predict Adverse Discharge Disposition in Patients Older Than 60 Years Undergoing Lower-extremity Surgery? The Adverse Discharge in Older Patients after Lower-extremity Surgery (ADELES) Risk Score | Hip Fx in the Elderly 2019 | BACKGROUND: Adverse discharge disposition, which is discharge to a long-term nursing home or skilled nursing facility is frequent and devastating in older patients after lower-extremity orthopaedic surgery. Predicting individual patient risk allows for preventive interventions to address modifiable risk factors and hel... |
0 | Zoledronic acid treatment in advanced non-small cell lung cancer patients with bone metastases | MSTS 2018 - Femur Mets and MM | Bone metastases occur in 30-40 % of patients with advanced non-small cell lung cancer (NSCLC). Several studies have demonstrated the direct anticancer effect of zoledronic acid against lung cancer; however, most of these studies are preclinical research. A total of 311 NSCLC patients with bone metastases who were treat... |
0 | Body contouring surgery | Reduction Mammoplasty for Female Breast Hypertrophy | This article discusses nursing care of patients having body contouring surgery of the abdomen, thighs, and breasts. Specific surgery reviewed includes lipoplasty, abdominoplasty, thigh lift, breast reduction, and breast augmentation. [References: 25] |
0 | Dermolipectomy of the pubic area associated with abdominoplasty | Panniculectomy & Abdominoplasty CPG | Aesthetic alterations of the pubic area, whether constitutional or the result of excessive weight, if not treated, may become more evident after an abdominoplasty. The authors recommend a simple and effective technique to be performed simultaneously with abdominoplasty that leads to satisfactory results and does not in... |
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