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1 | Outcomes of intra-articular calcaneal fractures: surgical treatment of 114 consecutive cases at a maximum care trauma center | DoD SSI (Surgical Site Infections) | BACKGROUND: The aim of this retrospective monocentric study was to investigate the outcomes of surgically treated intra-articular calcaneus fractures in a maximum care trauma center.
METHODS: One hundred forty patients who had undergone surgery for intra-articular calcaneal fractures between 2002 and 2013 were included... |
0 | The effect of chlorhexidine/xylitol chewing-gum on cariogenic salivary microflora: a clinical trial in elderly patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The effects of 14-day use of either a chlorhexidine/xylitol or a xylitol chewing gum on salivary levels of mutans streptococci, lactobacilli, and yeasts were determined for 53 subjects (mean age 79.49 +/- 7.7 years) participating in this randomised, double-blind, placebo-controlled trial. Salivary flow rates and enamel... |
0 | The benefits and barriers to physical activity and lifestyle interventions for osteoarthritis affecting the adult knee | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis prevalence is increasing, placing greater demands on healthcare and future socioeconomic costing models. Exercise and non-pharmacological methods should be employed to manage this common and disabling disease. Expectations at all stages of disease are increasing with a desire to remain active and indepen... |
0 | Associations of knee muscle force, bone malalignment, and knee-joint laxity with osteoarthritis in elderly people | OAK 3 - Non-arthroplasty tx of OAK | [Purpose] From the viewpoint of prevention of knee osteoarthritis, the aim of this study was to verify how muscle strength and joint laxity are related to knee osteoarthritis. [Subjects and |
1 | Efficacy of botulinum toxin type a in the relief of Carpal tunnel syndrome: A preliminary experience | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND AND OBJECTIVES: Botulinum toxin type A has been shown to relieve primary headaches, myofascial pain and various neuropathic pains. Carpal tunnel syndrome (CTS) is a common disorder resulting from median nerve compression at the wrist. As reports of botulinum toxin A in the treatment of CTS were limited, this... |
0 | The use of an anabolic steroid (nandrolone decanoate) to improve nutritional status after esophageal resection for carcinoma | Reconstruction After Skin Cancer | Anabolic steroids increase appetite and muscle mass. This randomized, double-blind trial investigates any nutritional benefits of anabolic steroid in patients after surgery for esophageal cancer. Forty patients were recruited: 19 patients had five injections of 50 mg nandrolone decanoate and 21 patients received placeb... |
0 | Acupuncture for peripheral joint osteoarthritis | SR for PM on OA of All Extremities | Background: Peripheral joint osteoarthritis is a major cause of pain and functional limitation. Few treatments are safe and effective.Objectives: To assess the effects of acupuncture for treating peripheral joint osteoarthritis.Search methods: We searched the Cochrane Central Register of Controlled Trials (The Cochrane... |
0 | Body mass index moderates the association between gait kinetics, body composition, and femoral knee cartilage characteristics | AMP (Acute Meniscal Pathology) | This study compared femoral cartilage characteristics between age- and sex-matched individuals with (n = 48, age = 22.8 ± 3.5 years; body mass index [BMI] = 33.1 ± 4.1 kg/m2) and without obesity (n = 48 age = 22.0 ± 2.6 years; BMI = 21.7 ± 1.7 kg/m2) and evaluated the associations between body composition, quadriceps f... |
1 | Arthroscopically assisted meniscal allograft transplantation in the knee: a medium-term subjective, clinical, and radiographical outcome evaluation | AMP (Acute Meniscal Pathology) | BACKGROUND: Allograft meniscal transplantation is known as a possible procedure to solve pain and loss of function in the knee of patients with a history of subtotal or total meniscectomy.
PURPOSE: This work was undertaken to evaluate, using subjective questionnaires and clinical and radiographical scores, patients who... |
0 | Wrist splint versus conventional casting for the management of wrist fractures | Distal Radius Fractures | INTERVENTION: This is a RCT with two arms â? intervention group and control. The intervention group will have their distal radius fracture managed with the adaptable wrist splint (low risk medical device) to immobilise the fracture. This will be applied by the fracture clinic staff who are qualified nurses and doctors... |
0 | Injuries of the hand and forearm in young children caused by steam roller presses in laundries | DOD - Acute Comp Syndrome CPG | Fourteen children (median age 43 months, range 14-82 months; 7 girls and 7 boys) were treated for mangle injuries (one hot steam, and 13 cold roller presses) to the hand and forearm between 1996-2002 at the Department of Hand Surgery, Malmo, Sweden. All children had unilateral skin damage with avulsion or necrosis of s... |
0 | Whole-exome sequencing identifies a novel ALMS1 mutation (p.Q2051X) in two Japanese brothers with Alstrom syndrome | Upper Eyelid and Brow Surgery | PURPOSE: No mutations associated with Alstrom syndrome (AS), a rare autosomal recessive disease, have been reported in the Japanese population. The purpose of this study was to investigate the genetic and clinical features of two brothers with AS in a consanguineous Japanese family. METHODS: Whole-exome sequencing anal... |
0 | Cost of infection after surgery for intracapsular fracture of the femoral neck | PJI DX Updated Search | INTRODUCTION: We investigated the financial and human costs of postoperative infection for intracapsular fracture of the femoral neck at a district general hospital in the UK. METHODS: Data on postoperative infections after surgical treatment for intracapsular fracture of the femoral neck were collected prospectively f... |
0 | New and Common Perioperative Pain Management Techniques in Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | Optimal pain control in patients undergoing total knee arthroplasty (TKA) is imperative for good rehabilitation and functional outcomes. However, despite technological advancements, surgeons continue to struggle with adequate pain management in their patients. Current modalities in use, such as patient-controlled analg... |
0 | Evaluation of driving performance in patients with juvenile macular dystrophies | Upper Eyelid and Brow Surgery | The driving performance of 20 subjects with central vision impairment due to either Stargardt disease or cone-rod dystrophy (visual acuity, 20/40 to 20/70) was compared with that of 29 control subjects with normal vision who had similar driving histories. Driving performance was defined by accident involvement based on... |
1 | Influence of Menisci on Tibiofemoral Contact Mechanics in Human Knees: A Systematic Review | AMP (Acute Meniscal Pathology) | <b>Purpose:</b> Menisci transfer axial loads, while increasing the load-bearing tibiofemoral contact area and decreasing tibiofemoral contact pressure (CP). Numerous clinical and experimental studies agree that an increased CP is one predominant indicator for post-traumatic osteoarthritis (PTOA) of the knee joint. Howe... |
0 | Bisphosphonate Fractures as a Cause of Painful Total Hip Arthroplasty | PJI DX Updated Search | Osteoporotic fractures pose a significant health concern for postmenopausal women. Bisphosphonate therapy has been shown to decrease the risk of these fractures. The bisphosphonate alendronate was approved by the US Food and Drug Administration for use in the United States in 1995, but questions have recently arisen co... |
0 | Extra spinal osteoarticular tuberculosis: a case series of 66 patients from a tertiary care hospital in Karachi | Dental Implant Infection | The demographic, clinical and laboratory data of patients diagnosed as extra-spinal osteoarticular tuberculosis, presenting at Department of Orthopaedic Surgery, Abbasi Shaheed Hospital, Karachi Medical and Dental College, Karachi, between December 2006 and January 2009 were analysed. There were 66 patients registered ... |
0 | Wrist arthroplasty--a systematic review | PJI DX Updated Search | INTRODUCTION: Severely painful or dysfunctional destroyed wrists can be reconstructed by fusion, interposition of soft-tissue or by arthroplasty using artificial materials. Total and partial wrist arthroplasty (T/PWA) has been used on a regular basis since the 1960's. The objective of this study was to review the liter... |
0 | State of the art in geriatric rehabilitation. Part I: review of frailty and comprehensive geriatric assessment | Management of Hip Fractures in the Elderly | OBJECTIVES: To increase recognition of geriatric rehabilitation and to provide recommendations for practice and future research. DATA SOURCES: A CINAHL and 2 MEDLINE searches were conducted for 1980 to 2001. A fourth search used the Cochrane database. STUDY SELECTION: One author reviewed the reference for relevance and... |
0 | Relationship between plasma levels of hyaluronic acid and amyloid-associated osteoarthropathy in chronic hemodialysis patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Plasma levels of hyaluronic acid (HA) and acute-phase reactants were determined in chronic hemodialysis patients with or without carpal tunnel syndrome (CTS) and/or shoulder pain, which are characteristic symptoms of amyloid-associated osteoarthropathy. While levels of acute-phase reactants tended to be higher in the p... |
0 | Anti-arthritic agents: Progress and potential | OAK 3 - Non-arthroplasty tx of OAK | Abstract Osteoarthritis and rheumatoid arthritis are the two most common types of arthritis. Cartilage breakdown is a key feature of both diseases which contributes to the pain and joint deformity experienced by patients. Therefore, anti-arthritis drugs are of great importance. The aim of this review is to present rece... |
0 | Hyperbaric oxygen therapy as an adjuvant to standard therapy in the treatment of diabetic foot ulcers | DoD SSI (Surgical Site Infections) | Background and Aims: Chronic diabetic foot ulcers pose a major problem because of associated limb threatening complications. The aim of the present study was to evaluate the efficacy of hyperbaric oxygen therapy (HBOT) as an adjuvant to standard therapy for treatment of diabetic foot ulcers. Material and Methods: A tot... |
0 | Liver abnormalities in pregnancy | DOD - Acute Comp Syndrome CPG | Abnormalities of liver function (notably rise in alkaline phosphatase and fall in serum albumin) are common in normal pregnancy, whereas rise in serumbilirubin andaminotransferase suggest either exacerbation of underlying pre-existing liver disease, liver disease related to pregnancy or liver disease unrelated to pregn... |
0 | Effect of tourniquet use on blood loss and incidence of deep vein thrombosis in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Tourniquet time and its relationship to blood loss and deep vein thrombosis were studied in 80 cases of unilateral total knee arthroplasty. These data were part of a prospective multicenter double-blind study on thromboprophylaxis for knee surgery. This study reports on the cases done at one institution in which the to... |
0 | The Munich Knee Questionnaire: Development and Validation of a New Patient-Reported Outcome Measurement Tool for Knee Disorders | AMP (Acute Meniscal Pathology) | PURPOSE: To develop and validate an all-purpose patient-reported outcome questionnaire for a patient-based follow-up examination regarding knee disorders.
METHODS: Each scale of the Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) score, Lysholm knee score, Western ... |
0 | Microbial diversity in saliva of oral squamous cell carcinoma | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In the oral cavity, chronic inflammation has been observed at various stages of oral squamous cell carcinomas (OSCC). Such inflammation could result from persistent mucosal or epithelial cell colonization by microorganisms. There is increasing evidence of the involvement of oral bacteria in inflammation, warranting fur... |
0 | Does the location of the surgery or the specialty of the physician affect malpractice claims in liposuction? | Panniculectomy & Abdominoplasty CPG | BACKGROUND. There is increasing national dialogue on who should perform liposuction and where it should be performed. OBJECTIVE. To determine the effect of the location of liposuction surgery and the specialty of the physician on the incidence of malpractice claims. METHODS. Physicians Insurance Association of America ... |
0 | Gait rehabilitation: a new biofeedback device for monitoring and enhancing weight-bearing over the affected lower limb | Management of Hip Fractures in the Elderly | AIM: Gait rehabilitation programs often require either partial weight-bearing (PWB) or encourage full weight-bearing (FWB) on the affected limb. Until recently, there was no objective and practical way to measure correct weight-bearing during ambulation. The present study evaluates a new in-shoe device (SmartStep, Anda... |
0 | Obtaining intra-articular bone grafts arthroscopically for intra-articular grafting | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Autogenous bone graft is frequently necessary for arthroscopic procedures and even small open procedures that involve cruciate revision, osteochondritis dissecans repair, and fracture reduction and internal fixation. Currently used sites to obtain bone graft are the iliac crest and Gerdy's tubercle. This article descri... |
0 | Neuro-ophthalmological assessment using spinal anaesthesia | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The aim of the study was to compare the neuro-ophthalmological and anaesthetic effects of isobaric levobupivacaine and bupivacaine when intrathecally administered for knee arthroscopy. Material and Methods: A prospective, double-blind, randomized study with 60 ASA grade I-II patients aged 18-65 years awaiting ... |
1 | Management of suprapatellar synovial plica, a common cause of anterior knee pain: A clinical review | OAK 3 - Non-arthroplasty tx of OAK | Background and aim of the work: Suprapatellar synovial plica is caused by a congenital thickening of the synovial membrane and is generally asymptomatic. In the literature, suprapatellar plicae are described as one of the causes of anterior knee pain however, their real role in determining symptoms is controversial. Th... |
0 | Epidemiological Evaluation of Meniscal Ramp Lesions in 3214 Anterior Cruciate Ligament-Injured Knees From the SANTI Study Group Database: A Risk Factor Analysis and Study of Secondary Meniscectomy Rates Following 769 Ramp Repairs | AMP (Acute Meniscal Pathology) | BACKGROUND: Ramp lesions are characterized by disruption of the peripheral meniscocapsular attachments of the posterior horn of the medial meniscus. Ramp repair performed at the time of anterior cruciate ligament reconstruction (ACLR) has been shown to improve knee biomechanics.
PURPOSE: The primary objectives of this ... |
0 | Peripheral arterial injuries: A study of four hundred and seventeen cases | DoD LSA (Limb Salvage vs Amputation) | In this article 417 patients are examined retrospectively. They are reviewed according to their ages, sex, types of injuries, clinical findings, surgical approaches and complications. Most of them were young males (78%) between 11-30 years of age (65%) and 74% were injured by sharp weapons and gunshots. Femoral artery ... |
0 | Management in non-traumatic arm, neck and shoulder complaints: differences between diagnostic groups | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Arm, neck and/or shoulder complaints are common in western societies. In the Netherlands, general practice guidelines are issued on shoulder pain and epicondylitis only. Little is known about actual management of the total range of diagnoses. The objectives of the study are: to determine management in patients consulti... |
1 | Less invasive posterior surgical approach for hip joint replacement--complications and limitations | Management of Hip Fractures in the Elderly | BACKGROUND: We attempted to analyse the difficulties and risk of complications associated with total hip replacement using a limited posterior approach and standard instrumentation. MATERIAL AND METHODS: A series of 85 consecutive cases (47 females and 38 males; age range 22-87 years; mean age: 65.6 +/- 10.4) of total ... |
0 | Preoperative prediction for regaining ambulatory ability in paretic non-ambulatory patients with metastatic spinal cord compression | MSTS 2022 - Metastatic Disease of the Humerus | Objectives: To analyze the predictive factors for postoperative ambulatory recovery in paretic non-ambulatory patients with metastatic spinal cord compression (MSCC). Setting: Japan. Methods: Eighty-two consecutive patients (74.4% men; mean age, 66.2 years) who could not walk before surgery due to cervical or thoracic ... |
0 | Perioperative inflammatory response in major fracture: do geriatric patients behave differently? | Hip Fx in the Elderly 2019 | PURPOSE: Interleukin-6 is a mainly proinflammatory interleukin and an indicator for the magnitude of surgery. The IL-6 serum concentration correlates with injury severity, the extent of tissue trauma and has negative impact on prognosis. To date it is unclear whether the immunologic changes assessed are age dependent. ... |
0 | Prediction of Central Nervous System Relapse of Diffuse Large B-Cell Lymphoma Using Pretherapeutic [18F]2-Fluoro-2-Deoxyglucose (FDG) Positron Emission Tomography/Computed Tomography | MSTS 2022 - Metastatic Disease of the Humerus | Central nervous system (CNS) relapse of diffuse large B-cell lymphoma (DLBCL) is a rare complication, but has a poor prognosis with unknown pathophysiology. Recent trials of CNS prophylaxis have shown to be ineffective, despite patient's selection using several known clinical risk factors. In this study, the authors ev... |
0 | A modified technique for tibial bone sparing in unicompartmental knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: Previously, the authors modified the surgical technique to preserve tibial bone mass for Oxford unicompartmental knee arthroplasty (UKA). The purpose of this study was to determine the clinical outcomes and values of this modified technique. Methods: Clinical data of 34 consecutive patients who underwent th... |
1 | What is the Diagnostic Accuracy of Aspirations Performed on Hips With Antibiotic Cement Spacers? | PJI DX Updated Search | BACKGROUND: Periprosthetic joint infection is a serious complication after THA and commonly is treated with a two-stage revision. Antibiotic-eluting cement spacers are placed for local delivery of antibiotics. Aspirations may be performed before the second-stage reimplantation for identification of persistent infection... |
0 | Tubercular arthritis of the elbow joint following olecranon fracture fixation and the role of TGF-beta in its pathogenesis | DoD SSI (Surgical Site Infections) | Tuberculosis (TB) occurring after a closed bone fracture in the patient with no history of TB and no evidence of TB infection at the time of initial fracture is a rare entity. We report one such case of a 48-year-old female, who presented in the emergency department with an olecranon fracture which was open reduced and... |
1 | Fasciotomy for severe, blunt and penetrating trauma of the extremity | DOD - Acute Comp Syndrome CPG | Blunt or penetrating injuries to the extremity with vascular or severe soft tissue and skeletal trauma frequently require fasciotomy. Long term follow-up studies of these patients are rare. From 1976 to 1983, 85 patients underwent 39 fasciotomies upon the upper extremities and 57 upon the lower. Amputations were requir... |
0 | Histoplasmosis infection presenting as an isolated subcutaneous periarticular upper limb swelling in the immunosuppressed patient | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Atypical mycobacterial and fungal infections may occur in immunosuppressed patients. The impaired host response can make the clinical presentation atypical. Blood and tissue cultures may be negative in the acute phase of the illness, which can lead to a delay in diagnosis. In those patients with |
0 | Periprosthetic joint infections: a clinical practice algorithm | PJI DX Updated Search | PURPOSE: periprosthetic joint infection (PJI) accounts for 25% of failed total knee arthroplasties (TKAs) and 15% of failed total hip arthroplasties (THAs). The purpose of the present study was to design a multidisciplinary diagnostic algorithm to detect a PJI as cause of a painful TKA or THA. METHODS: from April 2010 ... |
0 | Incidence of skeletal morbidity rates over time in patients with multiple myeloma-related bone disease as reported in randomized trials employing bone-modifying agents | MSTS 2018 - Femur Mets and MM | AIM: The purpose of this review was to investigate if advances in bone-targeted therapies have decreased the incidence of skeletal morbidity rates over time in patients with multiple myeloma-related bone disease.
METHODS: A literature search was conducted over the OvidSP platform in MEDLINE, EMBASE and Cochrane Central... |
0 | Severe hand injuries in children related to farm tractors: A report of 70 cases | DoD SSI (Surgical Site Infections) | BACKGROUND: The purpose of this study was to review tractor-related childhood hand injuries. METHODS: Seventy children (53 males, 17 females; range 1 to 11 years) were admitted to our unit. Patients were analyzed according to sex, age, pattern of injury, type of treatment and functional results. The first step of the t... |
1 | Lateral fixation of AO type-B2 ankle fractures in the elderly: the Knowles pin versus the plate | DoD SSI (Surgical Site Infections) | The study was a retrospective evaluation and comparison. Seventy-five elderly patients (>50 years) with AO type-B2 ankle fractures were treated by open reduction and internal fixation. All patients were followed up retrospectively for at least 12 months. The 75 patients were divided into two groups, based on the method... |
0 | A valgus angulation fracture of the proximal humeral epiphysis | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The case presented illustrates a previously unreported form of valgus angulation of a proximal humeral epiphyseal fracture. For reduction this fracture requires traction and adduction, not abduction, of the arm |
0 | Environmental factors associated with crash-related mortality and injury among taxi drivers in New South Wales, Australia | DoD PRF (Psychosocial RF) | This exploratory study aims to investigate the associations between some environmental factors and the increased risk of motor vehicle crash-related injuries among taxi drivers. Information utilised in the study are obtained from police reports of all road traffic accidents that occurred on the roads between 1996 and 2... |
0 | Post-Mortem Evaluation of Potentially Survivable Hemorrhagic Death in a Civilian Population | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Although the survivability of military extremity hemorrhage is well documented, equivalent civilian data are limited. We analyzed statewide autopsy records in Maryland to determine the number of hemorrhagic deaths that might have been potentially survivable with prompt hemorrhage control. Similar analyses o... |
1 | Post-operative analgesia following total knee arthroplasty: comparison of low-dose intrathecal morphine and single-shot ultrasound-guided femoral nerve block: a randomized, single blinded, controlled study | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: Total knee arthroplasty often results in marked postoperative pain. A recent meta-analysis supports the use of femoral nerve block or alternatively spinal injection of morphine plus local anaesthetic for post-operative analgesia. On the other hand, the use of intrathecal morphine may be assoc... |
1 | Percutaneous pinning versus volar locking plate fixation for dorsally displaced distal radius fractures- reoperation rates over an eight year period | Distal Radius Fractures | Purpose: To compare reoperation rates between closed reduction with percutaneous pinning (CRPP) and internal fixation with a volar locking plate (VLP) for the treatment of distal radius fractures.
Methods: A retrospective review of all patients with dorsally displaced distal radius fractures presenting to a hospital ov... |
0 | Atypical femoral fractures and bisphosphonate treatment: experience in two large United Kingdom teaching hospitals | Management of Hip Fractures in the Elderly | We performed a retrospective review of all patients admitted to two large University Hospitals in the United Kingdom over a 24-month period from January 2008 to January 2010 to identify the incidence of atypical subtrochanteric and femoral shaft fractures and their relationship to bisphosphonate treatment. Of the 3515 ... |
0 | Total condylar knee arthroplasty for valgus and combined valgus-flexion deformity of the knee | Surgical Management of Osteoarthritis of the Knee CPG | Total condylar knee arthroplasty was performed on 64 knees with fixed valgus or valgus/flexion deformities. The technique for release of tight lateral and posterior structures is important to balance the ligament. Clinical results were rated good and excellent in 95% of the knees. Four patients with excessive flexion d... |
0 | Autologous Matrix-Induced Chondrogenesis: A Systematic Review of the Clinical Evidence | AMP (Acute Meniscal Pathology) | BACKGROUND:: The addition of a type I/III collagen membrane in cartilage defects treated with microfracture has been advocated for cartilage repair, termed "autologous matrix-induced chondrogenesis" (AMIC). PURPOSE:: To examine the current clinical evidence regarding AMIC for focal chondral defects. STUDY DESIGN:: Syst... |
0 | Local infiltration analgesia versus regional blockade for postoperative analgesia in total knee arthroplasty: A meta-analysis of randomized controlled trials | PJI DX Updated Search | Background: Total knee arthroplasty (TKA) is one of the most commonly performed procedures while postoperative analgesia still remains challenging. The efficacy and safety of local infiltration analgesia (LIA) versus regional blockade (RB; epidural analgesia and/or peripheral nerve block) for pain management after TKA ... |
0 | Prevalence of delirium, risk factors and cognitive functions in elderly hip fracture patients with general and spinal anesthesia | Management of Hip Fractures in the Elderly | Introduction: Delirium is a serious cause of morbidity and mortality for geriatric patients with hip fractures. The aim of this study is to investigate the prevalence of postoperative delirium after hip fractures in Turkey in the presence of certain risk factors, and to determine the effects of anesthesia on postoperat... |
0 | Relation between increase in length of hip axis in older women between 1950s and 1990s and increase in age specific rates of hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine whether length of hip axis in elderly women has increased over the past 40 years and, if so, whether the increase may have contributed to the increase in the age adjusted rate of hip fractures during those years. DESIGN: Retrospective assessment of anteroposterior x ray films of the pelvis. SETT... |
0 | Trauma admissions in the elderly: how does a patient's age affect the likelihood of their being admitted to hospital after a fracture? | Management of Hip Fractures in the Elderly | In two projects we have studied patients presenting to Accident and Emergency (A&E) departments with a fracture, to examine how their age influences their likelihood of admission. Over 1 year from April 1994 we collected data on all 6467 Cardiff residents who presented to the city's A&E department with a fracture. In t... |
0 | An ultrasonographic and anatomical study of carpal tunnel, with special emphasis on the safe zones in percutaneous release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We examined 40 wrists of 12 embalmed and eight fresh cadavers and defined the relative position of the flexor retinaculum to the neurovascular structure, ultrasonographic markers and safe zones by ultrasonography and anatomical dissection. Both longitudinal and transverse ultrasonographic sections clearly depicted the ... |
0 | Regulatory T cell frequency in patients with melanoma with different disease stage and course, and modulating effects of high-dose interferon-α 2b treatment | Reconstruction After Skin Cancer | Background: High-dose interferon-alpha 2b (IFN-α 2b) is the only approved systemic therapy in the United States for the adjuvant treatment of melanoma. The study objective was to explore the immunomodulatory mechanism of action for IFN-α 2b by measuring serum regulatory T cell (Treg), serum transforming growth factor... |
0 | Cementless total hip arthroplasty using titanium, plasma-sprayed implants: a study with 10 to 15 years of follow-up | PJI DX Updated Search | PURPOSE: To evaluate long-term outcomes of total hip arthroplasty (THA) using the Perfecta cementless system. METHODS: 73 men and 76 women aged 65 to 88 (mean, 71) years underwent 168 THAs using the Perfecta cementless system and were followed up for a mean of 13 (10 to 15) years. 19 patients had bilateral THA. The dia... |
0 | Blood loss closely correlates with body mass index in total hip arthroplasty performed through direct lateral approach | Hip Fx in the Elderly 2019 | Objectives: To investigate total blood loss (TBL),intraoperative blood loss (IBL), post-operative drainage (POD), and other related variables in total hip arthroplasty (THA) performed through direct lateral approach. Methods: This study was completed in Shanghai Sixth People's Hospital, Shanghai, China, between January... |
0 | Clinical and radiological midterm results from using the Fixion expandable intramedullary nail in transverse and short oblique fractures of femur and tibia | DoD SSI (Surgical Site Infections) | Background: A locked nail is the principal method used to eliminate rotatory components in femoral and tibial fractures. Nevertheless, weight bearing is not directed onto the fracture site, slowing down the healing process; another possibility is to use a large-diameter nail and ream the canal to obtain as much adheren... |
1 | Arthroscopic Repair for Parrot Beak Tear of Lateral Meniscus with Reduction Suture and Inside-Out Technique | AMP (Acute Meniscal Pathology) | Parrot beak tear is a white-white meniscal injury that often occurs in isolated injuries. Partial meniscectomy for parrot beak tears is often recommended, owing to the avascular zone; however, partial meniscectomy, especially with the lateral meniscus, has a high failure rate for return to sports, leading to residual m... |
0 | Single-institution outcome experience using AlloDerm® as temporary coverage or definitive reconstruction for cutaneous and soft tissue malignancy defects | Reconstruction After Skin Cancer | Definitive reconstruction after excision of cutaneous and soft tissue malignancies is sometimes limited as a result of lack of native tissue coverage options, patient comorbidities, or pending permanent margin analysis. Acellular dermis (AlloDerm®) reconstruction offers an excellent coverage alternative in these situa... |
0 | Impulsive behavior and its correlates among patients with schizophrenia in a tertiary care psychiatry setting in Mansoura | DoD PRF (Psychosocial RF) | BACKGROUND AND OBJECTIVES: Impulsive behavior has been repeatedly identified as a major problem in schizophrenia. Our objective was to examine the possible demographical and clinical correlates for impulsive behavior in patients with schizophrenia.
METHODS: Fifty-eight patients with schizophrenia and Seventy-seven heal... |
1 | Outcome of Gartland type II and type III supracondylar fractures treated by Blount's technique | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: According to some orthopedic surgeons, almost all supracondylar humerus fractures should be treated operatively by reduction and pinning. While according to others, closed reduction and immobolization should be used for Gartland type II and some type III fractures. However, the limit of this technique remai... |
0 | Report of the Primary Outcomes for Gait Mechanics in Men of the ACL-SPORTS Trial: Secondary Prevention With and Without Perturbation Training Does Not Restore Gait Symmetry in Men 1 or 2 Years After ACL Reconstruction | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Movement asymmetries during walking are common after anterior cruciate ligament (ACL) injury and reconstruction and may influence the early development of posttraumatic osteoarthritis. Preoperative neuromuscular training (like perturbation training, which is neuromuscular training requiring selective muscle... |
0 | Role of Metal-on-Metal Resurfacing in the Treatment of Late Stage Osteonecrosis | AAHKS (2) Corticosteroids | Many patients with osteonecrosis of the femoral head present or end up with late-stage disease. There are few options beyond standard total hip arthroplasty available for these patients. Metal-on-metal resurfacing arthroplasty offers a viable alternative for some of these patients. The early- and midterm results appear... |
1 | The value of the history in the diagnosis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Details of the clinical history were elicited by questionnaire from 8,223 patients with suspected carpal tunnel syndrome and compared with the neurophysiological findings. Distribution of symptoms to the radial part of the hand and nocturnal exacerbation of symptoms showed the strongest individual correlations with pos... |
0 | Osteochondral autologous transfer combined with valgus high tibial osteotomy: long-term results and survivorship analysis | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Deep osteochondral defects of the medial femoral condyle in young and active patients are a serious condition that might lead to early osteoarthritis of the knee joint. Concomitant varus malalignment most likely promotes this process because of overloading of the medial compartment. Osteochondral autologous... |
0 | Efficacy of ropivacaine compared with ropivacaine plus sufentanil for postoperative analgesia after major knee surgery | AAHKS (8) Anesthetic Infiltration | This study compared the analgesic efficacy of an epidural infusion of ropivacaine and ropivacaine with sufentanil following major knee surgery. In a double-blind clinical trial, 115 adult patients received either epidural ropivacaine (R group, 2 mg.ml(-1)), or ropivacaine (2 mg.ml(-1)) with sufentanil (RS group, 1 micr... |
0 | Impact of Image-Derived Instrumentation on Total Knee Arthroplasty Revision Rates: An Analysis of 83,823 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry | OAK 3 - Non-arthroplasty tx of OAK | Background:Computer navigation and image-derived instrumentation (IDI) are technology-based methods developed to improve outcomes and potentially reduce revision total knee arthroplasty (TKA). IDI refers to the use of manufactured, patient-specific surgical jigs. Conflicting reports exist on IDI-associated improvements... |
0 | Factors Affecting Depressive Symptoms among North Korean Adolescent Refugees Residing in South Korea | DoD PRF (Psychosocial RF) | We examined factors affecting the depressive symptoms and the relationship between depression and quality of life among 131 North Korean adolescent refugees aged 12-24 years. We compared sociodemographic, social, and individual characteristics and perceived the quality of life between participants with and without depr... |
0 | Distribution of clinical risk factors for fracture in a Brussels cohort of postmenopausal women: The FRISBEE study and comparison with other major cohort studies | Hip Fx in the Elderly 2019 | Objectives The estimation of fracture risk using clinical risk factors (CRFs) is of primary concern in osteoporosis management, but only some risk factors have been thoroughly evaluated and incorporated in predictive models. We have launched a large prospective study, the â??Fracture Risk Brussels Epidemiological Enqui... |
0 | More radial shortening after low-energy Colles' fractures is associated with type 2 diabetes mellitus among postmenopausal women, irrespective of bone mineral density | Distal Radius Fractures | BACKGROUND: Recent meta-analysis data reveal that patients with type 2 diabetes mellitus (DM) have a higher risk of fracture, despite higher bone mineral density (BMD), than patients without type 2 DM. The purpose of this study was to compare BMD and distal radial shortening after low-energy Colles' fractures among Jap... |
1 | The relationship of trauma to mental disorders among trafficked and sexually exploited girls and women | DoD PRF (Psychosocial RF) | OBJECTIVES: We explored the association between traumatic events and mental health among girls and women trafficked for sexual exploitation.
METHODS: We used subscales of the Brief Symptom Inventory and Harvard Trauma Questionnaire to interview 204 trafficked girls and women in 7 posttrafficking service settings. Multi... |
0 | Hand-arm vibration syndrome: a common occupational hazard in industrialized countries | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Regular exposure to hand-transmitted vibration can result in symptoms and signs of peripheral vascular, neurological and other disorders collectively known as the hand-arm vibration syndrome (HAVS). A significant proportion of workers can suffer from HAVS after using vibrating power tools. HAVS is a chronic and progres... |
0 | Identifying changes in gait waveforms following a strengthening intervention for women with knee osteoarthritis using principal components analysis | OAK 3 - Non-arthroplasty tx of OAK | Lower limb strengthening exercise is pivotal for the management of symptoms related to knee osteoarthritis (OA). Though improvement in clinical symptoms is well documented, concurrent changes in gait biomechanics are ill-defined. This may occur because discrete analyses miss changes following an intervention, analyses ... |
1 | Shoulder arthroplasty in the presence of posterior glenoid bone loss | Glenohumeral Joint OA | Chronic osteoarthritis of the glenohumeral joint, traumatic injury, post-reconstruction arthropathy, and developmental conditions such as glenoid dysplasia can result in posterior glenoid bone loss and excessive retroversion of the glenoid. Shoulder replacement in this setting is technically challenging and characteriz... |
0 | An Evaluation of the Safety and Effectiveness of Total Hip Arthroplasty as an Outpatient Procedure: A Matched-Cohort Analysis | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Outpatient hip arthroplasty is being performed more routinely; however, safety remains a concern. The purpose of this study was to compare the rate of adverse events of outpatient total hip arthroplasty (THA) and assess barriers to discharge.
METHODS: We examined 136 patients who underwent unilateral THA by... |
0 | Knee joint loading indices before and 3 months after arthroscopic partial medial meniscectomy | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Increased knee adduction moment (KAM) is considered an important marker of medial compartment loading in knee osteoarthritis (OA) research. Patients undergoing arthroscopic partial medial meniscectomy (APMM) are at increased risk of developing medial compartment knee OA. APMM may contribute to altered knee joi... |
0 | Role of Free Iliac Crest Flap in Foot and Ankle Reconstruction | DoD SSI (Surgical Site Infections) | Background Reconstruction of extensive bone and compound defects in the foot and ankle is challenging. This cross-sectional study aimed to assess the outcomes of free iliac crest flap in foot and ankle reconstruction. Methods We retrospectively reviewed patient records and identified 13 cases with 1 osseous and 12 comp... |
0 | Impact of liposomal bupivacaine administration on postoperative pain in patients undergoing total knee replacement | AAHKS (5) Gabapentinoids | STUDY OBJECTIVE: To determine whether liposomal bupivacaine, a long-acting anesthetic indicated for single-dose wound infiltration to produce postoperative analgesia, has an impact on postoperative pain in patients undergoing total knee arthroplasties (TKAs).
DESIGN: Single-center retrospective cohort study.
SETTING: L... |
0 | Validation of diagnostic codes for subtrochanteric, diaphyseal, and atypical femoral fractures using administrative claims data | Management of Hip Fractures in the Elderly | Administrative claims databases have large samples and high generalizability. They have been used to evaluate associations of atypical femoral fractures with bisphosphonates. We developed and assessed accuracy of claims-based algorithms with hospital and physician diagnosis codes for these fractures. Medical records an... |
0 | Relationship between blood lead levels and nerve conduction velocities | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Nerve conduction velocities decrease in lead poisoning even in the absence of neurologic deficits. Such impairment has also been shown among lead workers whose blood lead levels (Pb-B) had not exceeded 70 (mu)g/100 ml. The present study deals with 78 workers, 66 men and 12 women, who had been occupationally exposed to ... |
0 | Component motion in bipolar cemented hemiarthroplasty | Management of Hip Fractures in the Elderly | A total of 17 patients with a cemented bipolar Hastings hemiarthroplasty were examined clinically and radiologically between 1 and 3 years after being treated for a displaced femoral neck fracture. Only a minor part of the motion in the Hastings prostheses took place between the metal femoral head and the polyethylene ... |
0 | All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To examine all cause and disease specific mortality in patients with osteoarthritis of the knee or hip. DESIGN: Population based cohort study. SETTING: General practices in the southwest of England. PARTICIPANTS: 1163 patients aged 35 years or over with symptoms and radiological confirmation of osteoarthriti... |
0 | Long term effects of laterally wedged insoles on knee frontal plane biomechanics in patients with medial knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Purpose: The aim of this study was to examine the effects of laterally wedged insoles to treat knee osteoarthritis on frontal plane mechanics and knee varus moment after one year. Methods: Fourteen individuals diagnosed as having medial knee osteoarthritis (OA) and 13 healthy controls were included in this study. Patie... |
0 | Prophylactic antibiotics in pediatric orthopedic surgery: current practices | AMP (Acute Meniscal Pathology) | A limited survey of 90 orthopedic surgery programs throughout the U.S.A. was conducted to determine the use of prophylactic antibiotics in pediatric orthopedic operations. Prophylaxis was used most often in the Harrington rod procedure (80.7%); less often in hip (64.2%) and knee (44.7%) reconstructive surgery; rarely i... |
0 | Subchondral insufficiency fracture of the femoral head in elderly people | PJI DX Updated Search | We evaluated the clinical course of subchondral insufficiency fracture of the femoral head (SIFFH) and its characteristic findings with special regard to joint space narrowing (JSN). Thirty-one cases of SIFFH of mean age 68.9 yr initially underwent limited weight-bearing conservative treatment. During the follow-up per... |
0 | Diagnosis of discoid lateral meniscus of the knee on MR imaging | AMP (Acute Meniscal Pathology) | To establish the quantitative MR diagnostic criteria for discoid lateral meniscus, MR imaging of 60 knees with arthroscopically confirmed discoid lateral menisci and 134 knees with semilunar lateral menisci were analyzed. Following four quantitative parameters were measured. (1) Meniscal width (MW): The minimum menisca... |
0 | Endoscopic versus open great saphenous vein harvesting for femoral to popliteal artery bypass | DoD LSA (Limb Salvage vs Amputation) | Objective: Conflicting data exist on outcomes of open vein harvest (OVH) and endoscopic vein harvest (EVH) for infrainguinal bypass. The purpose of this study was to compare outcomes between OVH and EVH in femoral to popliteal artery bypasses. Methods: A retrospective review was performed of all patients undergoing com... |
0 | Site-specific response of bone to exercise in premenopausal women | Management of Hip Fractures in the Elderly | We studied the response of bone at specific skeletal sites to either lower body exercise alone or complemented with upper body exercise in premenopausal women. Thirty-five exercisers and 24 age-matched controls completed the 12-month study. Exercising women (N = 35) were randomly assigned to either lower body resistanc... |
1 | Radiographic Changes Five Years After Treatment of Meniscal Tear and Osteoarthritic Changes | AMP (Acute Meniscal Pathology) | OBJECTIVE: Meniscal tear in persons aged 45+ years is typically managed with physical therapy (PT), with arthroscopic partial meniscectomy (APM) offered to those who do not respond. Prior studies suggest APM may be associated with greater progression of radiographic changes.
METHODS: We assessed changes between baselin... |
0 | Complications when using threaded K-wire fixation for displaced intra-articular calcaneal fractures | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A retrospective chart review was performed on patients treated at a level one trauma centre for displaced intra-articular calcaneal fractures by a single trauma surgeon between January 1998 and July 2007. Patients were treated with open reduction and internal fixation utilising the extended lateral incision and a new t... |
1 | A Survey of Expert Opinion Regarding Rotator Cuff Repair | Trial Systematic Review Project | Many patients with rotator cuff tears have questions for their surgeons regarding the surgical procedure, perioperative management, restrictions, therapy, and ability to work after a rotator cuff repair. The purpose of our study was to determine common clinical practices among experts regarding rotator cuff repair and ... |
0 | The use of PRP injections in the management of knee osteoarthritis | PRP (Platelet-Rich Plasma) | Osteoarthritis (OA) is a degenerative disease involving joint damage, an inadequate healing response and progressive deterioration of the joint architecture that commonly affects the knee and/or hip joints. It is a major world public health problem and is predicted to increase rapidly with an ageing population and esca... |
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