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0 | (untitled) | PRP (Platelet-Rich Plasma) | OBJECTIVES: To assess the evidence for the efficacy of the following interventions for improving clinical outcomes in adults with osteoarthritis (OA) of the knee: cell-based therapies; glucosamine, chondroitin, or glucosamine plus chondroitin; strength training, agility, or aerobic exercise (land or water based); balne... |
0 | Alendronate in the prevention of bone loss after a fracture of the lower leg | Management of Hip Fractures in the Elderly | Fracture of a leg and the consequent absence from weight-bearing lead to local bone loss. A 1-year, single-center, prospective, randomized, double-blind study was conducted, to determine whether bone loss would occur in the proximal femur and the calcaneus after a fracture of the lower leg and whether this loss could b... |
0 | Articular Cartilage Lesion Characteristic Reporting Is Highly Variable in Clinical Outcomes Studies of the Knee | Osteochondritis Dissecans 2020 Review | OBJECTIVE: The purpose of this study was to investigate the degree of standardized evaluation and reporting of cartilage lesion characteristics in high-impact clinical studies for symptomatic lesions of the knee. We hypothesized that there are significant inconsistencies in reporting these metrics across orthopedic lit... |
0 | Therapeutic effect of bone decompression needle on the knee osteoarthritis in rabbit | OAK 3 - Non-arthroplasty tx of OAK | Objective: Osteoarthritis is a progressive disease of the joints which often cause increased intraosseous pressure in the tibia bones and reduced blood flow. Bone decompression needle is a newly developed osteoarthritis treatment device. Methods: To investigate the effectiveness of bone decompression needle on osteoart... |
0 | Arthroscopic Bioabsorbable Screw Fixation of Unstable Osteochondritis Dissecans in Adolescents: Clinical Results, Magnetic Resonance Imaging, and Second-Look Arthroscopic Findings | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: This study aimed to evaluate the clinical and radiological outcomes of arthroscopic bioabsorbable screw fixation in osteochondritis dissecans (OCD) in adolescent patients with unstable lesions causing pain.
METHODS: The study included 11 patients (10 males and 1 female) with OCD who underwent arthroscopic b... |
0 | Does a volar locking plate provide equivalent stability as a dorsal nonlocking plate in a dorsally comminuted distal radius fracture?: A biomechanical study | Distal Radius Fractures | Objectives: The purpose of this study was to compare the fixation afforded by a dorsal nonlocking plate with a volar locking plate in a fracture model simulating an extra-articular distal radius fracture with dorsal comminution (OTA [Orthopaedic Trauma Association] type 23-A3.2). Methods: In 10 matched pairs of fresh-f... |
1 | Relation between resiliency and post-traumatic growth in a group of paramedics: The mediating role of coping strategies | DoD PRF (Psychosocial RF) | OBJECTIVES: The purpose of the research is to investigate the mediating role of coping strategies for stress in the relation between resiliency and post-traumatic growth in a group of paramedics.
MATERIAL AND METHODS: Data of 80 paramedics who have experienced traumatic event at their worksites was analyzed. The age ra... |
1 | Development and implementation of a regional anesthetic service by general anesthesiologists for total joint arthroplasty patients in a small community hospital in the United States | AAHKS (9/10) Regional Nerve Blocks | Background & Objective: Regional anesthesia (RA) blocks are most commonly performed in large academic hospitals and has been shown to reduce postoperative pain. The lack of RA blocks in rural hospitals leaves a large subset of the population without availability of this service. In North Carolina, there is an increased... |
0 | Total knee arthroplasties performed with a mini-incision or a standard incision. Similar results at six months follow-up | PJI DX Updated Search | Background. Minimal invasion surgery (MIS) is a recent technique recommended for Total knee arthroplasty (TKA) but demands an effort of the surgeons and the learning curve may be long. Methods. Twenty six MIS-TKA were matched to 36 standard TKA with respect to age, sex, body mass index or preoperative score. All patien... |
0 | Hip Fracture Management | DoD SSI (Surgical Site Infections) | Hip fractures are an increasingly frequent source of morbidity in elderly people and a harbinger of increased mortality. This article describes current medical management of hip fractures, including epidemiology, assessment, consultation, perioperative risk reduction, and secondary prevention. © 2013 . |
0 | Tracheostomy in the COVID-19 pandemic | Coronavirus Disease 2019 (COVID-19) | PURPOSE: The role of tracheostomy in COVID-19-related ARDS is unknown. Nowadays, there is no clear indication regarding the timing of tracheostomy in these patients. METHODS: We describe our synergic experience between ENT and ICU Departments at University Hospital of Modena underlining some controversial aspects that ... |
0 | The Effect of High- and Low-Damping Prosthetic Foot Structures on Knee Loading in the Uninvolved Limb Across Different Walking Speeds | OAK 3 - Non-arthroplasty tx of OAK | Lower limb amputation has been associated with secondary impairments such as knee osteoarthritis in the uninvolved limb. Greater knee loading in the frontal plane has been related to severity and rate of progression in knee osteoarthritis. Reduced push-off work from the involved limb can increase uninvolved limb knee l... |
0 | Unstable Colles' fractures in elderly patients. A randomised trial of external fixation for redisplacement | DoD SSI (Surgical Site Infections) | We report the results of a prospective randomised controlled trial of the management of 101 Colles' fractures in patients over the age of 55 years. Within two weeks of initial reduction 43 fractures had displaced with either more than 10 degrees dorsal angulation or more than 5 mm radial shortening. These patients were... |
0 | Can a day 4 bone scan accurately determine the presence or absence of scaphoid fracture? | Distal Radius Fractures | STUDY OBJECTIVE: To evaluate the accuracy of day 4 bone scans in predicting the presence or absence of fracture in patients with "clinical scaphoid fracture."
DESIGN: Prospective sensitivity study of ED patients with clinical scaphoid fractures. Each patient was immobilized in a thumb spica cast and had day 4 bone scan... |
0 | Risk factors in developing pregnancy-related pelvic girdle pain | DoD PRF (Psychosocial RF) | Background. In this prospective epidemiologic cohort study the aim was to identify possible risk factors for developing four different syndromes of pelvic girdle pain during pregnancy. Methods. Over a one-year period a total of 2,269 consecutive pregnant women - at week 33 of gestation - responded to a structured quest... |
0 | Diastasis recti abdominis in pregnancy and postpartum period. Risk factors, functional implications and resolution | Panniculectomy & Abdominoplasty CPG | Diastasis recti abdominis (DRA) or the increased inter rectus distance (IRD) is described as the separation of the rectus abdominis muscles. It can occur during pregnancy and after childbirth. Mota et al. (2015) found DRA may affect up 100% of pregnant women [1], and it may persist separated in the immediate postpartum... |
0 | Cutting the delay reduces the risk. Assessment of the risk of developing pressure sores among elderly patients in A&E | Management of Hip Fractures in the Elderly | 1. A fractured neck of femur is one of the most common presentations in elderly people within A&E departments, and they have a high incidence rate of pressure sores. 2. Patients should have their pressure sore risk calculated on admission and a triage category assigned. 3. A district approach to pressure sore preventio... |
0 | Cell therapy for knee osteoarthritis: Mesenchymal stromal cells | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is designated the 11th highest contributor of 291 diseases of global disability and the most common cause of chronic disability in elderly people. OA has a devastating impact on quality of life and represents an enormous socio-economic burden. Currently, OA is incurable, and no approved medications,... |
0 | Care principles at four fast-track arthroplasty departments in Denmark | AAHKS (5) Gabapentinoids | INTRODUCTION: The goal of this study was to describe the logistic and clinical set-up at four Danish arthroplasty departments offering fast-track surgery.
MATERIAL AND METHODS: Based on the National Patient Registry's information on patients who have undergone total hip and knee arthroplasty, four departments were chos... |
0 | A systematic approach to diabetic foot infections | DoD LSA (Limb Salvage vs Amputation) | Foot infection is the most common reason for hospitalization and subsequent lower extremity amputation among persons with diabetes. Foot ulceration caused by diabetic neuropathy, trauma, and peripheral vascular disease can lead to a limbor life-threatening infection. The optimum treatment of these potentially devastati... |
0 | Employee and Customer Injury During Violent Crimes in Retail and Service Businesses | DoD PRF (Psychosocial RF) | Objectives: We sought to compare the frequency and risk factors for employees and customers injured during crimes in retail (convenience, grocery, and liquor stores) and service businesses (bars, restaurants, motels). Methods: A total of 827 retail and service businesses in Los Angeles were randomly selected. Police cr... |
0 | Epidemiology, treatment and outcome after compartment syndrome of the thigh in 69 cases – Experiences from a level I trauma centre | DoD SSI (Surgical Site Infections) | Background: Compartment syndrome of the thigh (CST) is a rare condition, and its delayed diagnosis and therapy may lead to devastating adverse effects. Thus, the aim of this study was to present the amassed clinical experiences, regarding diagnosis and treatment of CST at a level I trauma centre. Materials and methods:... |
0 | Pressure monitoring during neuroendoscopy: new insights | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Significant increases in intracranial pressure (ICP) may occur during neuroendoscopic procedures. To detect and prevent serious and sustained increases, ICP should be monitored. At present, controversy exists on the optimal location of the monitoring sensor. Therefore, we conducted an in vitro study to esti... |
0 | Gender Surgery Beyond Chest and Genitals: Current Insurance Landscape | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Plastic surgery plays an essential role in the treatment of gender dysphoria. International standards of care currently consider genital and chest surgeries to be medically necessary. Ancillary procedures such as facial surgery, chondrolaryngoplasty, hair restoration/removal, and body contouring are conside... |
0 | The frequency of cartilage lesions in non-injured knees with symptomatic meniscus tears: results from an arthroscopic and NIR- (near-infrared) spectroscopic investigation | AMP (Acute Meniscal Pathology) | INTRODUCTION: Are symptomatic tear injuries to the menisci of the knee frequently or always associated with cartilage damage to the corresponding articular surfaces and other joint surfaces, respectively?
METHODS: A total of 137 patients (medial n = 127; lateral n = 10) underwent a meniscus resection. These patients sh... |
1 | Cosmetic Body Lift | Panniculectomy & Abdominoplasty CPG | BACKGROUND: High-tension lateral abdominoplasty provides ideal central contouring of the abdomen, but it inadequately addresses laxity and fullness in the flank and lateral thigh. The adjunct of liposuction improves abdomen contour, but excess flank soft tissue often persists. Small case series in the literature have s... |
0 | A novel trephine design for sinus lift lateral approach. Case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Various techniques are described in the literature, either by crestal or lateral approach. Sinus augmentation has a high percentage of success, but presents a number of intraoperative and postoperative complications. The most frequent complication is the Schneiderian membrane perforation with a percentage of perforatio... |
0 | US of the shoulder: rotator cuff and non-rotator cuff disorders | Glenohumeral Joint OA | Ultrasonography (US) has been shown to be an effective imaging modality in the evaluation of both rotator cuff and non-rotator cuff disorders, usually serving in a complementary role to magnetic resonance imaging of the shoulder. US technique for shoulder examination depends on patient positioning, scanning protocol fo... |
0 | Surgical decision making for residual limb deformities following traumatic brain injury | Surgical Management of Osteoarthritis of the Knee CPG | When neurologic recovery has plateaued following traumatic brain injury, careful assessment is needed prior to making surgical decisions to correct residual limb deformities. Sufficient cognition to follow simple commands, cooperate with postoperative therapy, and benefit from improved function is essential. Sensation ... |
0 | Nonunion of the tibia treated with a reamed intramedullary nail | DoD SSI (Surgical Site Infections) | Forty-seven tibial nonunions were treated with a reamed intramedullary nail. Initially, there were 14 (30%) closed and 33 (70%) open tibial fractures. The initial fracture management consisted of casts in 12 (26%) patients, Ender or Lottes nails in nine (19%), and external fixation in 26 (55%). The time from injury to ... |
1 | Repair site integrity after arthroscopic transosseous-equivalent suture-bridge rotator cuff repair | Optimizing the Management of Full-Thickness Rotator Cuff Tears | BACKGROUND: Successful healing after arthroscopic rotator cuff repair remains a challenge. Earlier studies have shown a relatively high rate of failure. New surgical techniques may improve healing potential. The purpose of this study was to provide an objective evaluation of repair site integrity after arthroscopic tra... |
0 | Overview of the recent definitions and terminology for acute gastrointestinal injury, intra-abdominal hypertension and the abdominal compartment syndrome | DOD - Acute Comp Syndrome CPG | This paper summarizes the latest definitions and terminology on acute gastrointestinal injury, intra-abdominal hypertension and the abdominal compartment syndrome in the intensive care unit patients as published recently by the Working Group on Abdominal Problems (WGAP) of the European Society of Intensive Care Medicin... |
0 | Cartilage-penetrating nanocarriers improve delivery and efficacy of growth factor treatment of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis is a debilitating joint disease affecting nearly 30 million people for which there are no disease-modifying therapies. Several drugs that have failed clinical trials have shown inefficient and inadequate delivery to target cells. Anabolic growth factors are one class of such drugs that could be disease-m... |
0 | The influence of the number of holes in the open wedge high tibial osteotomy on knee biomechanics using finite element analysis | AMP (Acute Meniscal Pathology) | BACKGROUND: The most significant differences of high tibial osteotomy (HTO) were found in terms of plate length, and this was related to number of holes distal region of the plate below wedge. The purpose of this study is to evaluate the biomechanical effects of three different designs medial opening wedge plates.
HYPO... |
0 | Effectiveness and utility of hyaluronic acid in osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is a chronic degenerative joint disease characterized by pain and progressive functional limitation. Viscosupplementation with intra-articular hyaluronic acid is a treatment option in knee OA that is included in the professional guidelines for treatment of this joint disease, but potentially should ... |
0 | Body Dysmorphic Disorder in Patients Seeking Abdominoplasty, Rhinoplasty, and Rhytidectomy | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Body dysmorphic disorder may negatively affect self-perception of body shape and lead patients to seek cosmetic surgery. This study estimates the level of body dissatisfaction and prevalence of body dysmorphic disorder symptoms in candidates for three plastic surgical procedures. METHODS: Three hundred pati... |
0 | Articular cartilage restoration: The shape of things to come | Osteochondritis Dissecans 2020 Review | Cartilage restoration may be a misnomer as our current technologies fail to produce true native hyaline cartilage. There are multiple techniques and technologies available as a potential solution for symptomatic full thickness chondral or osteochondral defects. This review will discuss the indications and contraindicat... |
0 | Bone invasion in extremity soft-tissue sarcoma: Impact on disease outcomes | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND. The purpose of the current study was to evaluate histologic bone invasion as a predictor of oncologic outcome in extremity soft-tissue sarcoma (STS) patients presenting to a specialty sarcoma center between 1986 and 2001. METHODS. All patients who underwent surgery for extremity STS were identified from the... |
0 | Continuous adductor-canal-blockade for adjuvant post-operative analgesia after major knee surgery: preliminary results | AAHKS (8) Anesthetic Infiltration | Because both the saphenous nerve and in part the obturator nerve are traversing the adductor canal of the thigh, we hypothesised that repeated administration of a local anaesthetic (LA) into this aponeurotic space could be a useful option for post-operative analgesia after knee replacement surgery. A systematic search ... |
0 | The evolving incidence and reasons for re-operation after fixed-bearing PCL retaining total knee arthroplasty | PJI DX Updated Search | PCL retaining fixed-bearing TKA is a highly successful operation with the need for more surgery occurring at the rate of approximately 0.4% per year over the first 27 years. The most common cause for revision surgery is related to polyethylene insert failure and accounts for approximately 50% of re-operations. Late met... |
0 | Intraoperative distraction in the upper extremity | Distal Radius Fractures | Intraoperative distraction aids in the restoration of length, facilitates reduction, assists in maintaining rotational alignment, and provides a temporary stable platform for definitive fixation of acute fractures, malunions, and nonunions. This technique has been described at length in the lower extremity; however, th... |
1 | Reduction of venous thromboembolism following prolonged prophylaxis with the low molecular weight heparin Certoparin after endoprothetic joint replacement or osteosynthesis of the lower limb in elderly patients | Management of Hip Fractures in the Elderly | The peri- and postsurgical thromboembolic prophylaxis with low molecular weight heparins is a well established therapy regimen, but the optimum duration of prophylaxis after surgery still remains uncertain. A few studies have pointed to the fact that the thromboembolic risk of high-risk patients persists longer than th... |
0 | Progressing toward, and recovering from, knee replacement surgery: A five-year cohort study | OAK 3 - Non-arthroplasty tx of OAK | Objective: To determine the trajectories of preoperative worsening and postoperative recovery for both the index knee and the contralateral knee of patients undergoing knee replacement surgery. Methods: Of the 4,796 subjects in the Osteoarthritis Initiative cohort study database, we examined 5-year data from 177 patien... |
0 | Quadriceps Neuromuscular Function and Jump-Landing Sagittal-Plane Knee Biomechanics After Anterior Cruciate Ligament Reconstruction | OAK 3 - Non-arthroplasty tx of OAK | CONTEXT: Aberrant biomechanics may affect force attenuation at the knee during dynamic activities, potentially increasing the risk of sustaining a knee injury or hastening the development of osteoarthritis after anterior cruciate ligament reconstruction (ACLR). Impaired quadriceps neuromuscular function has been hypoth... |
0 | Traumatic rupture of median artery an unusual cause for acute median nerve compression | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Previous case reports of haemorrhage into the carpal tunnel causing median nerve compression were extraneural and usually associated with a blood dyscrasia although Watson Jones reported one due to direct trauma and Hayden recorded spontaneous intraneural haemorrhage not associated with trauma. We describe a case of in... |
1 | Military blast exposure, ageing and white matter integrity | DoD PRF (Psychosocial RF) | Mild traumatic brain injury, or concussion, is associated with a range of neural changes including altered white matter structure. There is emerging evidence that blast exposureâ??one of the most pervasive causes of casualties in the recent overseas conflicts in Iraq and Afghanistanâ??is accompanied by a range of neuro... |
0 | Coping with burns: the role of coping self-efficacy in the recovery from traumatic stress following burn injuries | DoD PRF (Psychosocial RF) | We conducted a three-wave prospective study among patients with burns (N = 178) to examine the prospective influence of coping self-efficacy (CSE) perceptions on trajectories of posttraumatic stress symptoms in the first 12 months after burn injuries. Using linear growth curve modeling, we corrected for demographics, t... |
0 | Proximally versus fully porous-coated femoral stems: a multicenter randomized trial | Management of Hip Fractures in the Elderly | There are two broad-based categories of cementless femoral component designs: proximally porous-coated and fully porous-coated. While both have been widely used, there remains debate regarding differences in clinical outcome scores, relative incidence of thigh pain, and development of stress shielding. We investigated ... |
0 | Strategies for articular cartilage lesion repair and functional restoration | Osteochondritis Dissecans 2020 Review | Injury of articular cartilage due to trauma or pathological conditions is the major cause of disability worldwide, especially in North America. The increasing number of patients suffering from joint-related conditions leads to a concomitant increase in the economic burden. In this review article, we focus on strategies... |
0 | Inpatient oncology rehabilitation in Toronto: A descriptive 18-month retrospective record review | MSTS 2022 - Metastatic Disease of the Humerus | Purpose The purpose was twofold: (1) to develop a comprehensive profile of patients discharged from an inpatient oncology rehabilitation unit and (2) to explore the relationships between patient characteristics and functional status. Methods A retrospective review of electronic data from all patients discharged from on... |
0 | Human Cartilage-Derived Progenitors Resist Terminal Differentiation and Require CXCR4 Activation to Successfully Bridge Meniscus Tissue Tears | AMP (Acute Meniscal Pathology) | Meniscus injuries are among the most common orthopedic injuries. Tears in the inner one-third of the meniscus heal poorly and present a significant clinical challenge. In this study, we hypothesized that progenitor cells from healthy human articular cartilage (chondroprogenitor cells [C-PCs]) may be more suitable than ... |
0 | Early results of primary Birmingham hip resurfacings | Management of Hip Fractures in the Elderly | We describe the experience with the first consecutive 230 Birmingham hip resurfacings at our centre. At a mean follow-up of three years (25 to 52 months) survivorship was 99.14% with revision in one patient for a loose acetabular component and one death from unrelated causes. One patient developed a fracture of the fem... |
0 | Interlimb symmetry of dynamic knee joint stiffness and co-contraction is maintained in early stage knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Individuals with knee OA often exhibit greater co-contraction of antagonistic muscle groups surrounding the affected joint which may lead to increases in dynamic joint stiffness. These detrimental changes in the symptomatic limb may also exist in the contralateral limb, thus contributing to its risk of developing knee ... |
0 | Design of an orthopaedic-specific discharge summary | Hip Fx in the Elderly 2019 | BACKGROUND: Patients undergoing orthopaedic procedures experience major changes in function and daily routines upon their return home. Discharge summaries are an important communication tool that may play a role in optimizing a safe transition from hospital. Current care gaps and key elements of an ideal discharge summ... |
0 | The use of bioabsorbables in the treatment of children's fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Bioabsorbable implants have specific benefit in the treatment of certain children's fractures that have a high rate of implant removal where rigid fixation is needed only temporarily, and where implant removal would be difficult or costly. The bioabsorbable implant materials most commonly used today are polylevolactic ... |
1 | Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To identify predictors of poor exercise adherence in patients with osteoarthritis (OA) and meniscal tear.
DESIGN: Secondary analysis of data gathered over the first 12 weeks in the Meniscal Tear in Osteoarthritis Research (MeTeOR) trial, a multicenter, randomized controlled trial.
SETTING: Seven referral cen... |
0 | Simultaneous bilateral total hip arthroplasties do not lead to higher complication or allogeneic transfusion rates compared to unilateral procedures | PJI DX Updated Search | Purpose: About 20 % of patients undergoing a primary total hip arthroplasty could undergo a second contralateral procedure within five years. The possibility to perform simultaneous bilateral hip replacements instead of two-stage surgery could reduce hospitalisation time and patient management costs, but concerns exist... |
0 | Muscle strength, physical fitness, and weight but not age predict femoral neck bone mass | Management of Hip Fractures in the Elderly | Hip fractures are the most serious complication of osteoporosis. Although low proximal femoral bone mineral density (BMD) does not cause hip fractures directly, it is clearly a prerequisite for the increased risk associated with aging. To investigate the mechanism of the age-related decline in proximal femoral bone min... |
0 | More common skin infections in children | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A high index of suspicion is needed to diagnose scabies correctly. Permethrin 5% dermal cream is the treatment of choice for scabies in the UK, Australia, and USA; however, incorrect or inappropriate treatment is ineffective and promotes drug resistance. The diagnosis of active head lice infestation, as shown by the ex... |
0 | Magnetic resonance imaging of articular cartilage of the knee | AMP (Acute Meniscal Pathology) | Recently developed magnetic resonance (MR) imaging techniques allow accurate detection of moderate- and high-grade articular cartilage defects. There has been increased interest in MR imaging of articular cartilage in part because it is useful in identifying patients who may benefit from new articular cartilage replace... |
0 | Whole-mount specimens in the analysis of en bloc samples obtained from revisions of resurfacing hip implants: A report of 4 early failures | PJI DX Updated Search | Background Modern metal-on-metal hip resurfacing implants are being increasingly used for young and active patients although the long-term outcome and failure mechanisms of these implants are still unknown. In this consecutive revision case series early failures of femoral implants (at < 4 years) were studied. Methods ... |
0 | Rosiglitazone-associated fractures in type 2 diabetes: an Analysis from A Diabetes Outcome Progression Trial (ADOPT) | DoD SSI (Surgical Site Infections) | OBJECTIVE: The purpose of this study was to examine possible factors associated with the increased risk of fractures observed with rosiglitazone in A Diabetes Outcome Progression Trial (ADOPT). RESEARCH DESIGN AND METHODS: Data from the 1,840 women and 2,511 men randomly assigned in ADOPT to rosiglitazone, metformin, o... |
0 | Prospective Outcomes of Cryopreserved Osteochondral Allograft for Patellofemoral Cartilage Defects at Minimum 2-Year Follow-up | Osteochondritis Dissecans 2020 Review | OBJECTIVE: To analyze the clinical outcomes, knee function, and activity level of patients after treatment of full-thickness cartilage defects involving the patellofemoral compartment of the knee with cryopreserved osteochondral allograft. DESIGN: Nineteen patients with cartilage defects involving the patellofemoral co... |
0 | A new three-dimensional conformal radiotherapy (3DCRT) technique for large breast and/or high body mass index patients: evaluation of a novel fields assessment aimed to reduce extra-target-tissue irradiation | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: To develop an alternative three-dimensional treatment plan with standardized fields class solution for whole-breast radiotherapy in patients with large/pendulous breast and/or high body mass index (BMI).
METHODS: Two treatment plans [tangential fields and standardized five-fields technique (S5F)] for a total... |
0 | Compartmental syndrome complicating Salter-Harris type II distal radius fracture | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Distal radius fractures are common in children, yet complications are rare. A rarely described complication, acute volar compartmental syndrome, occurred in a 15-year-old boy. An accurate physical examination and awareness of the syndrome are essential for diagnosis. Compartmental pressures can be obtained easily and a... |
0 | MR arthrography of the knee: How, why, when | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Direct MR arthrography of the knee is an invaluable study that helps to improve not only the diagnostic sensitivity, specificity, and accuracy for pathologic processes in the knee, but also proves instrumental in providing a detailed characterization of pathology that is crucial for treatment planning. Indications for ... |
1 | A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up | Anterior Cruciate Ligament Injuries CPG | PURPOSE: Our goal was to compare results of partial medial arthroscopic meniscectomy with results of partial lateral arthroscopic meniscectomy and to determine prognostic factors. TYPE OF STUDY: Retrospective comparative study with statistical analysis. METHODS: In this study, 362 medial and 109 lateral isolated arthro... |
0 | Reduced risk of hip fracture in women with endometrial cancer | Management of Hip Fractures in the Elderly | The effect of excessive endogenous oestrogens on the risk of hip fracture was investigated in a population-based cohort of 2111 women with endometrial carcinoma who were followed up from age 50 years regarding the occurrence of a first hip fracture. Overall, 77 cases of hip fracture were observed, as against 120.8 expe... |
1 | Supracondylar fractures of the humerus in children. A modified technique for closed pinning | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Complications in the treatment of displaced supracondylar fractures of the humerus (DSFH), particularly cubitus varus, are a persistent problem. A prospective study was conducted on 20 children with DSFH, using a modified technique to reduce and pin the fracture. All fractures were treated with closed reduction and per... |
0 | Reconstruction of Distal Radius Osteochondral Defects Using Metatarsal Autografts: A Multi-case Series | Distal Radius Fractures | Objective Delayed reconstruction of the articular surface of the distal radius after trauma is a difficult problem for hand surgeons, and the common solution is usually partial or total wrist fusion, relieving pain but sacrificing motion. A relative novel reconstructive technique addresses the problem with a free micro... |
0 | Wheelchair skills performance between discharge and one year after inpatient rehabilitation in hand-rim wheelchair users with spinal cord injury | DoD PRF (Psychosocial RF) | OBJECTIVE: To study possible changes in wheelchair skills in participants with spinal cord injury between discharge and 1 year after rehabilitation, and to determine whether changes in wheelchair skills performance are related to lesion and personal characteristics, self-efficacy, and wheelchair satisfaction.
STUDY DES... |
0 | Massage therapy in the treatment of lymphedema | Panniculectomy & Abdominoplasty CPG | The ongoing NCCAM-supported experimental and clinical translational approaches should shed light not only on the physiologic mechanisms underlying the benefits of massage therapy but could also, if successful in defined populations of patients, have a substantial impact by providing a simpler, more cost-effective LE tr... |
0 | Use of aromatase inhibitors in large cell calcifying sertoli cell tumors: effects on gynecomastia, growth velocity, and bone age | Reduction Mammoplasty for Female Breast Hypertrophy | CONTEXT: Large cell calcifying Sertoli cell tumors (LCCSCT) present in isolation or, especially in children, in association with Carney Complex (CNC) or Peutz-Jeghers Syndrome (PJS). These tumors overexpress aromatase (CYP19A1), which leads to increased conversion of delta-4-androstenedione to estrone and testosterone ... |
0 | Risk of hospitalisation and death due to bone fractures after breast cancer: A registry-based cohort study | MSTS 2022 - Metastatic Disease of the Humerus | Background:Bone fractures may have an impact on prognosis of breast cancer. The long-term risks of bone fracture in breast cancer patients have not been thoroughly studied.Methods:Poisson regression was used to investigate the incidence of hospitalisation due to bone fracture comparing women with and without breast can... |
1 | Use of the Giliberty bipolar endoprosthesis in femoral neck fractures | Management of Hip Fractures in the Elderly | Thirty-three patients (average age, 78.9 years) with femoral neck fractures were treated with Giliberty bipolar prosthesis inserted through a posterior approach. There were four procedure-related deaths. Nine patients required readmission for treatment of complications including five patients with a dislocated prosthes... |
0 | Adipose-derived mesenchymal stem cells from liposuction and resected fat are feasible sources for regenerative medicine | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The use of mesenchymal stem cells (MSCs) in research and in regenerative medicine has progressed. Bone marrow as a source has drawbacks because of subsequent morbidities. An easily accessible and valuable source is adipose tissue. This type of tissue contains a high number of MSCs, and obtaining higher quan... |
1 | Minimum effective local anaesthetic dose of isobaric levobupivacaine and ropivacaine administered via a spinal catheter for hip replacement surgery | AAHKS (8) Anesthetic Infiltration | Background. Continuous spinal anaesthesia with spinal catheters allows incremental dosing of local anaesthetic and, consequently, less haemodynamic changes. However, little is known about the required doses. Therefore, we designed a study to assess the minimum effective local anaesthetic dose (MLAD) of levobupivacaine ... |
0 | An evaluation of two tourniquet systems for the control of prehospital lower limb hemorrhage | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND:: Hemorrhage remains the main cause of preventable death on the modern battlefield. As Improvised Explosive Devices in Afghanistan become increasingly powerful, more proximal limb injuries occur. Significant concerns now exist about the ability of the windlass tourniquet to control distal hemorrhage after mi... |
0 | A prospective evaluation of lower extremity ulcers in a Zimbabwean population | DoD LSA (Limb Salvage vs Amputation) | Aetiological factors and their frequencies, causes, level and impact of immunosuppression on outcome of lower extremity ulcers were prospectively recorded. A total of 100 patients were evaluated. Consent for HIV testing was given by 68 patients and 31 (46%) of these were HIV infected. Thirty patients were diabetic. CD ... |
0 | Retrospective study of seizure-related injuries in older people: A 10-year observation | DoD PRF (Psychosocial RF) | Objective: The goal of this study was to assess the characteristics and risk factors for injuries caused by seizures in older persons. Methods: All patients aged 65 years or older having injuries secondary to seizures between July 1, 1999, and June 30, 2009, were identified through the diagnostic coding system. Results... |
0 | Do all hip fractures result from a fall? | Management of Hip Fractures in the Elderly | Although most fractures of the proximal femur result from a fall and are related to direct loads to the hip, there is evidence that intrinsic factors, such as muscle contraction, can result in a hip fracture and subsequent fall. This paper reviews the current literature on the various mechanisms of femoral neck and int... |
1 | Intra-articular onabotulinumtoxinA in osteoarthritis knee pain: effect on human mechanistic pain biomarkers and clinical pain | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: OnabotulinumtoxinA (onabotA) attenuates peripheral nociceptive transduction and consequently neuronal firing. The aim of this mechanistic study was to evaluate the effect of intra-articular (IA) onabotA in patients with painful knee osteoarthritis (OA).
METHOD: We conducted a double-blind, randomized, place... |
1 | Risk factors for compartment syndrome in traumatic brachial artery injuries: an institutional experience in 139 patients | DOD - Acute Comp Syndrome CPG | BACKGROUND: The brachial artery is the most common vascular injury encountered in upper extremity trauma. If not treated promptly, it can result in compartment syndrome (CS) and long-term disability. Here, we report an institutional experience of traumatic brachial artery injuries and establish risk factors for the dev... |
0 | Dew point effect of cooled hydrogel pads on human stratum corneum biosurface | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Cooled hydrogel pads are used to prevent overheating effects of laser therapy. They do not induce cold injuries to the skin, but their more subtle physiological effects have not been thoroughly studied. PURPOSE: To describe the changes in transepidermal water loss and electrometric properties of the skin su... |
0 | Celecoxib versus ibuprofen in the prevention of heterotopic ossification following total hip replacement: a prospective randomised trial | Management of Hip Fractures in the Elderly | We examined whether a selective cyclooxygenase-2 (COX-2) inhibitor (celecoxib) was as effective as a non-selective inhibitor (ibuprofen) for the prevention of heterotopic ossification following total hip replacement. A total of 250 patients were randomised to receive celecoxib (200 mg b/d) or ibuprofen (400 mg t.d.s) f... |
0 | Proximal Tibia Reconstruction After Bone Tumor Resection: Are Survivorship and Outcomes of Endoprosthetic Replacement and Osteoarticular Allograft Similar? | PJI DX Updated Search | BACKGROUND: The proximal tibia is one of the most challenging anatomic sites for extremity reconstructions after bone tumor resection. Because bone tumors are rare and large case series of reconstructions of the proximal tibia are lacking, we undertook this study to compare two major reconstructive approaches at two la... |
0 | Predicting the risk of interval distant metastases in patients with esophageal squamous cell carcinoma undergoing chemoradiotherapy | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: This study was conducted to identify risk factors for distant interval metastases (IM) in patients with esophageal squamous cell carcinoma (ESCC) who underwent chemoradiotherapy (CRT).
METHODS: We retrospectively reviewed the clinical records of 358 patients with ESCC treated with CRT between 2006 and 2017.... |
0 | Myositis ossificans in children: a review | Pediatric Supracondylar Humerus Fracture 2020 Review | The formation of lamellar bone in the soft tissues, where bone normally does not exist, is called myositis ossificans. However, it would be more accurate to describe as myositis ossificans the involvement of skeletal muscles and as ectopic or heterotopic ossification the involvement of soft tissues in general. The lesi... |
0 | Modified mitchell's osteotomy for moderate to severe hallux valgus-an outcome study | DoD SSI (Surgical Site Infections) | The purpose of this study was to evaluate the outcome of a modified technique of Mitchell's osteotomy for treatment of moderate to severe hallux valgus deformity with the aims of reducing first metatarsal shortening and osteonecrosis. Between February 2001 and December 2007, a total of 69 patients (90 feet) underwent M... |
0 | How the impact of median neuropathy on sensorimotor control capability of hands for diabetes: An achievable assessment from functional perspectives | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | To comprehend the sensorimotor control ability in diabetic hands, this study investigated the sensation, motor function and precision pinch performances derived from a pinch-holding-up activity (PHUA) test of the hands of diabetic patients and healthy subjects. The precision, sensitivity and specificity of the PHUA tes... |
0 | Laceration of the median nerve from skiing | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Increased numbers of injuries to the upper extremity are being seen since improved equipment is available to protect the lower extremity. Three patients, who are excellent skiers, have been seen in which significant structures of the wrist were lacerated by the sharp outer edge of the ski. Well fitted leather gloves or... |
0 | Primary and metastatic intracranial ewing sarcoma at diagnosis: Retrospective international study and systematic review | MSTS 2022 - Metastatic Disease of the Humerus | Intracranial Ewing sarcoma (EwS) is rare and publications on primary or metastatic intracranial EwS are minimal. The aim of this study was to describe incidence, clinical behavior, treatment, and factors associated with outcome in patients with primary intracranial EwS or patients with a primary extracranial EwS and ce... |
0 | Prediction of Early Postoperative Major Cardiac Events and In-Hospital Mortality in Elderly Hip Fracture Patients: The Role of Different Types of Preoperative Cardiac Abnormalities on Echocardiography Report | Hip Fx in the Elderly 2019 | Introduction: Transthoracic echocardiography (TTE) is a common cardiac screening test before hip fracture surgery. However, the general TTE test delays surgery, so it would be meaningful if we could simplify the TTE by only assessing cardiac abnormality specifically. Therefore, we aimed to establish the most clinically... |
0 | Efficacy of Elaeagnus Angustifolia extract in the treatment of knee osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is one of the most common musculoskeletal disorders all over the world. Available anti-arthritic medications have only partial efficacy and their long-term use is associated with adverse events. Elaeagnus Angustifolia (EA) is a medicinal plant with analgesic and anti-inflammatory properties. The pre... |
0 | Tibial Tuberosity Advancement Techniques (TTAT): A Systematic Review | AMP (Acute Meniscal Pathology) | (1) Background: Several surgical techniques were described for the treatment of cranial cruciate ligament rupture in dogs. This report aims to critically review the available literature focused on preoperative planning, surgical procedure, follow-up, and complications of cranial cruciate ligament rupture treated by tib... |
0 | SMAS Facelift Techniques to Minimize Stigmata of Surgery | Panniculectomy & Abdominoplasty CPG | For the facial plastic surgeon, the ability to minimize the stigmata of facial rejuvenation surgery is critical not only for patient and professional satisfaction but also for maintaining a successful facial rejuvenation practice. The philosophy and techniques presented herein have served the senior author well, establ... |
1 | The epidemiology of diseases of the hip: a review of the literature | Developmental Dysplasia of the Hip CPG | Diseases of the hip are significant public health problems. Fractures and osteoarthrosis of the hip are common in older age-groups, while congenital dislocation of the hip, Legg-Calve-Perthes disease, and slipped epiphysis affect a certain proportion of infants, children, and adolescents. The distribution of these five... |
0 | Postoperative respiratory depression associated with pregabalin: A case series and a preoperative decision algorithm | Surgical Management of Osteoarthritis of the Knee CPG | Pregabalin is gaining popularity in the perioperative period for its usefulness in treating neuropathic pain and its apparent opioid- sparing effect. The present report describes the perioperative course of three patients who received pregabalin and experienced significant respiratory depression in the postoperative pe... |
0 | The Fate of the Iliopsoas Muscle in Long-term Follow-up After Open Reduction With a Medial Approach in Developmental Dysplasia of the Hip. Part 2: Isokinetic Muscle Strength Evaluation | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The impact on long-term weakness of hip flexion of complete iliopsoas tenotomy during open reduction of developmental hip dysplasia with a medial approach has not yet been fully clarified. The purpose of this study was to investigate the isokinetic muscle strength (IMS) of hip flexor and extensor muscles in... |
0 | Review of the currently available systems to obtain platelet related products to treat equine musculoskeletal injuries | OAK 3 - Non-arthroplasty tx of OAK | Lameness secondary to chronic or acute injuries of the musculoskeletal system is a cause of equine wastage. This old problem has been traditionally managed with treatments, such as corticosteroids and non steroidal antiinflammatory drugs. However, recent discoveries in the pathophysiology of these diseases have provide... |
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