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0 | Early clinical and radiographic results of minimally invasive anterior approach hip arthroplasty | Hip Fx in the Elderly 2019 | We present a retrospective review of the early results and complications in a series of 35 consecutive patients with 43 total hip arthroplasties performed through an anterior muscle sparing minimally invasive approach. We found the early complication rates and radiographic outcomes comparable to those reported from art... |
0 | The Prodrome of Extensor Pollicis Longus Tendonitis and Rupture: Rupture May Be Preventable | Distal Radius Fractures | Current literature suggests that tendonitis of the extensor pollicis longus (EPL) is a rare condition that has a high rate of progression to rupture. This study documents the prodrome of impending EPL rupture in patients with prior nondisplaced distal radial fracture. A retrospective study identified patients with EPL ... |
0 | Discrepancy in therapeutic and prophylactic antibiotic prescribing in general dentists and maxillofacial specialists in Australia | Dental Implant Infection | There are concerns that general dentists (GDs) and dental specialists may be prescribing antibiotics inappropriately. This study explored the prescribing habits and decision-making processes of GDs versus oral and maxillofacial surgeons (OMFSs). A case-based online questionnaire was used to examine the prescribing of t... |
0 | Lidocaine and epinephrine levels in tumescent technique liposuction | Panniculectomy & Abdominoplasty CPG | The safety of lidocaine dosing in the tumescent technique has been well documented, but there is little evidence regrading the safety of combining tumescent lidocaine infiltration with subcutaneous lidocaine infiltration required in other aesthetic surgery. The safety of lidocaine and epinephrine dosing was investigate... |
0 | Forearm ulnar-to-median nerve anastromosis of sensory axons | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A 22-year-old man showed electrophysiological evidence of an ulnar-to-median nerve communication involving only sensory fibers. The nerve action potentials evoked by stimulation of the middle finger (ulnar side) and the ring finger (radial side) digital nerves were propagated with the median nerve at the wrist and the ... |
0 | Effect of mulligan’s pain release phenomenon with kinesiotaping in chronic patellofemoral osteoarthritis | PRP (Platelet-Rich Plasma) | Objective: To find out effect of Mulligan’s Pain release phenomenon with kinesiotaping in chronic patellofemoral osteoarthritis. Settings and Design: A comparative study was done with a pre and post test study design on 30 subjects at Krishna Institute of Medical sciences Deemed to be university, Physiotherapy OPD, Kar... |
0 | Effects of elevation on nerve function in an acute upper extremity nerve compression model | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | External compression was applied to the palmar surface of the wrist over the carpal tunnel in eight healthy volunteer subjects. With the arm in the maximum elevated position, the carpal tunnel pressure was elevated to 50 mm Hg, being continuously monitored by a slit catheter inserted into the carpal canal. Sensory and ... |
0 | Injured or arthritic knees: Evaluating patellofemoral and tibiofemoral articulation | OAK 3 - Non-arthroplasty tx of OAK | Palpate the entire retinaculum, retropatellar surface, and trochlear grooves when examining the patellofemoral articulation in a patient with an injured or arthritic knee. Various manipulations of the patella reveal retinacular tightness, instability, or symptomatic chondromalacia. A tight lateral retinaculum or an inc... |
0 | Factors influencing short- and long-term mortality after lower limb amputation | Surgical Management of Osteoarthritis of the Knee CPG | Mortality after lower limb amputation is high, with UK 30-day mortality rates of 9-17%. We performed a retrospective analysis of factors affecting early and late outcome after lower limb amputation for peripheral vascular disease or diabetic complications at a UK tertiary referral vascular centre between 2003 and 2010.... |
1 | Influence of lower-limb torsion on long-term outcomes of tibial valgus osteotomy for medial compartment knee osteoarthritis | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | BACKGROUND: The results of tibial osteotomy used to treat osteoarthritis of the medial compartment of the knee deteriorate over time even when the initial correction is optimal. Studies have shown that tibial and femoral torsion and the femorotibial index (tibial torsion minus femoral torsion) contribute, together with... |
0 | The effect of patient age and diagnosis on the 5-year outcomes of mobile-bearing total ankle replacement | DoD SSI (Surgical Site Infections) | Total Ankle Replacement is an established technique for the management of end-stage ankle arthritis. However, there are few studies focussing on patient-reported outcomes in the medium and long term related to age or arthritis type. We compared demographic data and patient-reported outcomes preoperatively and at five y... |
0 | Cartilage-specific knockout of miRNA-128a expression normalizes the expression of circadian clock genes (CCGs) and mitigates the severity of osteoarthritis | AMP (Acute Meniscal Pathology) | BACKGROUND: Micro-ribonucleic acids (miRNAs) are involved in osteoarthritis (OA) pathogenesis and clock-controlled genes (CCGs) regulation. However, the interaction between miRNAs and CCGs remains unclear.
MATERIALS AND METHODS: Human OA samples were used to assess CCGs expression. Cartilage-specific miR-128a knockout ... |
0 | Nerve palsy after hamstring lengthening in patients with cerebral palsy | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The purpose of this study was to assess the incidence of, risk factors for, and treatment of nerve palsy after hamstring lengthening in children with cerebral palsy. METHODS: A medical record review of patients with cerebral palsy who had hamstring lengthening between 1994 and 2005 was performed. Data inclu... |
0 | Hospital volume and patient outcomes. The case of hip fracture patients | Management of Hip Fractures in the Elderly | Patients achieve better outcomes at hospitals that treat larger numbers of patients with certain diagnoses or who are undergoing particular procedures. However, the causal direction underlying this relationship is less well understood. Do patients treated at institutions with higher volumes of patients achieve better o... |
1 | The Rochester Diabetic Neuropathy Study: Design, criteria for types of neuropathy, selection bias, and reproducibility of neuropathic tests | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A cross-sectional survey and subsequent longitudinal study among diabetic residents of Rochester, MN-The Rochester Diabetic Neuropathy Study (RDNS)-is population-based and uses quantitative, validated, and unique end points to detect, classify, and stage neuropathy. Nondiabetic persons, drawn from the same population, ... |
0 | Effect Of Meloxicam Versus Placebo In Mainland Chinese Patients With Osteoarthritis Of The Knee | OAK 3 - Non-arthroplasty tx of OAK | To validate culturally the WOMAC tool in mainland China and observe the different response of meloxicam and placebo in a patient population with osteoarthritis of the knee |
0 | The use of implantable bone stimulators in nonunion treatment | DoD SSI (Surgical Site Infections) | Delayed or failure of bone healing in fracture, osteotomy, and arthrodesis patients continues to be a clinical dilemma. Electromagnetic stimulation is 1 modality demonstrated in many studies to aid bone healing; however, relatively few studies depict the use and complications associated with direct current implantable ... |
0 | Total knee arthroplasty after failed distal femoral varus osteotomy using selectively stemmed posterior stabilized components | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this study was to evaluate the outcomes of patients treated with total knee arthroplasty (TKA) for progression of arthritis after distal femoral varus osteotomy. Twenty-two consecutive distal femoral varus osteotomies converted to TKA were reviewed at a mean follow-up of 5 years (range, 2-14 years). Stem... |
0 | Hyaluronic acid as a treatment for ankle osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Viscosupplementation refers to the concept of synovial fluid replacement with intra-articular injections of hyaluronic acid (HA) for the relief of pain associated with osteoarthritis (OA). Intra-articular viscosupplementation was approved by the Food and Drug Administration (FDA) in 1997. It is currently indicated only... |
1 | Treatment of grade-IIIb open tibial fractures. A prospective randomised comparison of external fixation and non-reamed locked nailing | DoD SSI (Surgical Site Infections) | Severe open fractures of the tibia have a high incidence of complications and a poor outcome. The most usual method of stabilisation is by external fixation, but the advent of small diameter locking intramedullary nails has introduced a new option. We report the early results of a randomised, prospective study comparin... |
0 | Improving bowel care after surgery for hip fracture | Hip Fx in the Elderly 2019 | Constipation is a common problem in older people with hip fracture because of immobility, opioid prescription and lack of privacy. There is a dearth of meaningful evidence about the way constipation is recognised and its subsequent treatment. The orthogeriatric team in a university hospital trust investigated the effec... |
0 | Prevalence and pattern of retinal diseases at the Guinness Eye Hospital, Onitsha, Nigeria | Upper Eyelid and Brow Surgery | OBJECTIVES: To determine the prevalence and pattern of retinal diseases at the Guinness Eye Hospital, Onitsha, Nigeria. MATERIALS AND METHODS: This was a prospective study. All new patients seen by the author at the outpatients clinic of the Guinness Eye Hospital, Onitsha, Nigeria were examined for evidence of retinal ... |
0 | Clinical efficacy and prognostic factors for overall survival in Japanese patients with metastatic renal cell cancer treated with sunitinib | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVES: • To report the treatment efficacy and safety profile of sunitinib for patients with metastatic renal cell carcinoma (RCC) in ordinary clinical practice. • In addition, to investigate the prognostic clinicopathological factors in these patients. PATIENTS AND METHODS: • The present study consisted of native ... |
0 | Urgent Arthroplasty Interventions During the COVID-19 Pandemic: Operating Risks in Low-Prevalence Areas | Hip Fx in the Elderly 2019 | Background and objective Orthopaedic services have reorganised their delivery of care in response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. In this study, we aimed to share our operating experience during the coronavirus disease 2019 (COVID-19) pandemic and analyse its effect on urge... |
0 | Pathogenesis and management of myeloma bone disease | MSTS 2018 - Femur Mets and MM | Osteolytic bone disease is a frequent complication of multiple myeloma, resulting in skeletal complications that are a significant cause of morbidity and mortality. It is the result of increased activity of osteoclasts that is not followed by reactive bone formation by osteoblasts. Recent studies have revealed novel mo... |
0 | Oligohydramnios: should it be considered a risk factor for developmental dysplasia of the hip? | Developmental Dysplasia of the Hip 2020 Review | Breech, family history, first born and female sex are the main risk factors described for developmental dysplasia of the hip (DDH). Foot abnormalities and oligohydramnios have also been listed. Recent studies have discredited torticollis, multiple gestation pregnancy, mode of delivery and prematurity as risk factors. D... |
1 | Carpal tunnel syndrome. A new feature in the natural history of TOS? | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To ascertain whether carpal tunnel syndrome (CTS) in patients affected with toxic oil syndrome (TOS) is associated with conditions and diseases considered risk factors for CTS in the general population and/or with certain clinical manifestations of TOS. METHODS: We conducted a case-control study to compare 8... |
0 | Chondrocalcinosis following osteochondritis dissecans in the femur condyles | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Chondrocalcinosis, defined as radiopaque deposits in the joint cartilages and in semilunar cartilages of the knee joint, develops frequently in patients in whom osteochondritis dissecans is diagnosed after the epiphyseal line of the distal end of the femur is closed. Chondrocalcinosis occurred in 2/3 of the cases surgi... |
0 | Outcomes of Inside-out Meniscal Repair in the Setting of Multiligament Reconstruction in the Knee | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Limited evidence exists for meniscal repair outcomes in a multiligament reconstruction setting. Purpose/Hypothesis: The purpose of this study was to assess outcomes and failure rates of meniscal repair in patients who underwent multiligament reconstruction compared with patients who underwent multiligament ... |
0 | Possible contribution of active MMP2 to lymph-node metastasis and secreted cathepsin L to bone invasion of newly established human oral-squamous-cancer cell lines | MSTS 2018 - Femur Mets and MM | We have established human oral-squamous-cancer cell lines, BHY and HN, derived from non-metastatic cancer and metastatic cancer respectively. We examined the expression of matrix-degrading enzymes and their inhibitors in these cell lines. Both cell lines expressed pro-matrix metalloproteinase (MMP)1, proMMP2, proMMP9, ... |
0 | Principles of managing Vancouver type B periprosthetic fractures around cemented polished tapered femoral stems | Hip Fx in the Elderly 2019 | The management of periprosthetic fractures around total hip replacements is a complex and challenging problem. Getting it right first time is an important factor in reducing the morbidity, mortality and financial burden associated with these injuries. Understanding and applying the basic principles of fracture manageme... |
0 | Low rate of implant failure and good long-time palliation after combined operative and radiotherapeutic management of bone metastases. A retrospective analysis of 111 patients | MSTS 2018 - Femur Mets and MM | Introduction: Implant failure is a well known complication after operation of bone metastases. After perioperative radiotherapy, which is widely recommended due to the expected improvement of palliation of pain, an enhanced risk of implant failure is discussed. Patients and methods: Results of combined treatment of bon... |
0 | Penetration of topical diclofenac sodium 4 % spray gel into the synovial tissue and synovial fluid of the knee: a randomised clinical trial | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The present study was designed to evaluate the penetration of diclofenac sodium 4 % spray gel in synovial tissue, synovial fluid and blood plasma after topical application in subjects with joint effusions and planned total knee arthroplasty (TKA) due to osteoarthritis. METHODS: A total of 39 patients were rand... |
0 | Carpal tunnel syndrome and workers' compensation among an occupational clinic population in New York State | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: This study evaluated the experience in the New York State workers' compensation (WC) system of 135 patients with work-related carpal tunnel syndrome diagnosed at an academic occupational medicine clinic between 1991-1994. METHODS: Worker's Compensation Board (WCB) records were reviewed to ascertain: (1) the... |
0 | Fracture of Femoral Component in a Resurfacing Total Knee Arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We present a case of an unusual complication after a resurfacing total knee arthroplasty. Fracture of the uncemented porous-coated femoral component occurred 4 years after its implantation. The mechanical axis was restored and collateral ligament balance was achieved at the primary procedure. At revision, the femoral c... |
0 | Short term recovery of function following total knee arthroplasty: A randomised study of the medial parapatellar and midvastus approaches | Surgical Management of Osteoarthritis of the Knee CPG | This pilot double blind randomised controlled study aimed to investigate whether the midvastus (MV) approach without patellar eversion in total knee arthroplasty (TKA) resulted in improved recovery of function compared to the medial parapatellar (MP) approach. Patients were randomly allocated to either the MV approach ... |
0 | Total hip arthroplasty instability in Italy | Developmental Dysplasia of the Hip 2020 Review | Hip dislocation is a major and common complication of total hip arthroplasty (THA), which appears with an incidence between 0.3% and 10% in primary total hip arthroplasties and up to 28% in revision THA. The hip dislocations can be classified into three groups: early, intermediate and late. Approximately two-thirds of ... |
0 | Randomized controlled trial comparing the outcome of titanium elastic nailing versus stainless steel nailing in the management of pediatric diaphyseal femur fractures | Pediatric Diaphyseal Femur Fractures 2020 Review | Purpose: Pediatric femoral fracture mostly occurs in the middle shaft. The treatment method is basically guided by the age/weight of the child, fracture personality, and level of fracture as well as surgeons preferences. Flexible intramedullary nailing is a reliable method of diaphyseal fracture fixation in children be... |
0 | Profix cemented total knee replacement: a 5-year outcome review from lagos, Nigeria | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total knee replacement is a standard treatment for severe osteoarthritis of the knees. It is however, still a novel procedure in Nigeria. Literature on the procedure and outcome of management are sparse in Nigeria. OBJECTIVE: This study aimed at describing Total Knee prosthetic Replacement as it is practice... |
0 | Evaluation and treatment of osetoporotic distal radius fracture in the elderly patient | Distal Radius Fractures | Distal radius fractures are an increasingly prevalent upper extremity injury, especially among elderly patients. While treatment guidelines for the acute bony injury have been well documented, treatment of the underlying metabolic bone disease has been less commonly discussed in the orthopedic literature. Distal radius... |
0 | A double-blind randomized clinical trial of subgingival minocycline for chronic periodontitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of this study was to evaluate the presence of A. actinomycetemcomitans, P. gingivalis, P. intermedia, E. corrodens and F. nucleatum in 30 subjects with chronic periodontitis treated by scaling and root planing (SRP) plus minocycline (test group) during 12 months with regular trimester maintenance care. Addi... |
1 | Patterns of extremity traumas leading to amputation in Iran: results of Iranian National Trauma Project | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To determine the patterns of traumatic extremity injuries leading to amputation in Iran. METHODS: Data of Iranian National Trauma Project was used to identify patients with upper and lower extremity traumas undergoing amputation. This project was conducted in 8 major cities during 2000-2004. RESULTS: Of 17 7... |
0 | Utilizing Atlas-Based Modeling to Predict Knee Joint Cartilage Degeneration: Data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Currently, there are no clinically available tools or applications which could predict osteoarthritis development. Some computational models have been presented to simulate cartilage degeneration, but they are not clinically feasible due to time required to build subject-specific knee models. Therefore, the objective o... |
0 | Abdominoplasty with Circumferential Liposuction: A Review of 1000 Consecutive Cases | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The authors present the technique called "abdominoplasty with concurrent circumferential liposuction," where the whole trunk is addressed as a single aesthetic unit. METHODS: Between January of 2008 and June of 2016, abdominoplasty with circumferential liposuction was performed in 1000 patients (984 women a... |
0 | Antibacterial properties and regenerative potential of Sr2+ and Ce3+ doped fluorapatites; a potential solution for peri-implantitis | Dental Implant Infection | Scaffolds and implants in orthopaedics and regenerative dentistry usually fail because of bacterial infections. A promising solution would be the development of biomaterials with both significant regenerative potential and enhanced antibacterial activity. Working towards this direction, fluorapatite was synthesised and... |
1 | PTSD'S mediation of the relationships between trauma, depression, substance abuse, mental health, and physical health in individuals with severe mental illness: evaluating a comprehensive model | DoD PRF (Psychosocial RF) | OBJECTIVE: Following trauma exposure and PTSD, individuals with severe mental illness (SMI) frequently suffer a complex course of recovery complicated by reduced mental and physical health and increased substance abuse. The authors evaluated a theoretical PTSD-SMI model which theorizes that trauma, PTSD, depression, su... |
0 | Serial notching of the platysma bands | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Traditional procedures for the reduction of platysma bands can result in scarring and hardening of tissue in the submental region. OBJECTIVE: A technique for serial notching of the platysma bands is described that is more effective and causes fewer complications than the traditional submental and midline ap... |
0 | SF-36 Shows Increased Quality of Life Following Complete Reduction of Postmastectomy Lymphedema with Liposuction | Panniculectomy & Abdominoplasty CPG | Background: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (CCT) reduces the lymphedema completely. Methods and Results: Sixty female patients with arm lymphedema ... |
0 | Eplerenone Versus Spironolactone in Resistant Hypertension: an Efficacy and/or Cost or Just a Men's Issue? | Reduction Mammoplasty for Female Breast Hypertrophy | PURPOSE OF REVIEW: To review comparative efficacy and tolerability data between the two main mineralocorticoid receptor antagonists (MRAs), spironolactone and eplerenone, in patients with resistant hypertension (HTN). The focus was whether spironolactone, being the classical non-selective agent that has been used for y... |
1 | Technique of arthroscopic meniscus repair with autograft tendon fibers | AMP (Acute Meniscal Pathology) | Meniscus injury is a very common injury in knee joint. Meniscus injury may result in knee joint pain, snapping, locking, and later even osteoarthritis. Due to poor healing capability of broken meniscus after injury, meniscus repair or meniscectomy was often used based on the location and type of torn muniscus. For the ... |
1 | Risk factors for renal impairment in patients with solid tumors or multiple myeloma treated with zoledronic acid | MSTS 2018 - Femur Mets and MM | OBJECTIVE: Using retrospective prescription analysis, this study aimed to investigate the risk factors for renal impairment among adult solid tumor and multiple myeloma patients who have received zoledronic acid injections in a teaching hospital over the last 4 years.
METHODS: We examined solid tumor and multiple myelo... |
0 | Treatment of non-union of the humerus using the Orthofix((registered trademark)) external fixator | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | An Orthofix((registered trademark)) monolateral axial external fixator was used to treat 31 patients with non-union of the humeral shaft, 30 of whom had been previously treated surgically.In seven cases the non-union was hypertrophic and one of these cases had been treated by simple fixation anol compression, the other... |
0 | Long-term results of retention of the posterior cruciate ligament in total knee replacement in rheumatoid arthritis | Surgical Management of Osteoarthritis of the Knee CPG | We analysed the long-term results with a mean follow-up of 10.2 years, of 66 total knee replacements in 42 patients with rheumatoid arthritis. In all cases the posterior cruciate ligament was retained. There were only three complications (4.5%). Revision surgery was necessary in five knees (7.6%), including one (1.5%) ... |
0 | Treatment algorithm for abdomino-torso body contouring in massive weight-loss patients in the presence of scars - A comprehensive review | Panniculectomy & Abdominoplasty CPG | Background: Patients requiring surgical skin excision after massive weight loss are challenging and require a structured approach. The characteristic abdominal deformity includes a draping apron of panniculus, often extending to the glutaeal, back and thigh areas. Occasionally, these deformities are associated with pre... |
0 | Synovial sarcoma: A multivariate analysis of prognostic factors in 112 patients with primary localized tumors of the extremity | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: Synovial sarcoma is a high-grade tumor that is associated with poor prognosis. Previous studies analyzing prognostic factors are limited because of inclusion of heterogeneous cohorts of patients with nonextremity and recurrent tumors. The objective of this study was to determine independent prognostic factors ... |
0 | Is Direct Anterior Approach a Credible Option for Severely Obese Patients Undergoing Total Hip Arthroplasty? A Matched-Control, Retrospective, Clinical Study | DoD SSI (Surgical Site Infections) | Background: Severely obese patients present a significant challenge for arthroplasty surgeons because of their body habitus. Up to date, there is no clear consensus on the safety of the direct anterior approach (DAA) in obese patients undergoing total hip arthroplasty. Therefore, the purpose of the present study was to... |
1 | Single-dose intra-articular corticosteroid injection prior to platelet-rich plasma injection resulted in better clinical outcomes in patients with knee osteoarthritis: A pilot study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The synergistic and protective effect of platelet-rich plasma (PRP) added to methlyprednisolone (MP) has been demonstrated via in-vitro studies. However, there is no report in the literature about this issue.
OBJECTIVE: The aim of this study was to evaluate clinical outcomes of intra-articular (IA) MP injec... |
0 | Discoid medial meniscus | AMP (Acute Meniscal Pathology) | Three cases of discoid medial menisci were diagnosed preoperatively by arthrography. Discoid meniscus usually occurs on the lateral side of the knee; its pathogenesis is obscure. |
0 | Improved survival with preoperative chemotherapy followed by resection uncompromised by tumor response for advanced squamous cell carcinoma of the head and neck | Reconstruction After Skin Cancer | BACKGROUND: A total of 93 patients were treated with one of two preoperative chemotherapy regimens over a 15-year period. The study supports the importance of strict adherence to guidelines for ablative surgery. METHODS: A single surgeon performed the surgery and evaluated each patient prior to treatment. The extent of... |
0 | External fixation of intertrochanteric fractures of the femur | Management of Hip Fractures in the Elderly | External fixation was used in the treatment of 154 intertrochanteric fractures of the femur over a period of eight years. Good fixation and early ambulation was achieved in all cases. Blood loss was slight. There were 12 deaths due to medical causes unrelated to the surgical procedure. Deep pin-track infection occurred... |
0 | Outcome after Colles fracture: the relative responsiveness of three questionnaires and physical examination measures | Distal Radius Fractures | Clinical evaluation of outcome after Colles fracture has not been standardized. To assess the relative responsiveness of various clinical and questionnaire measures for the assessment of outcome after Colles fracture, 21 patients were surveyed on the day fracture immobilization was discontinued and again 3 months after... |
1 | Coping strategies and mental health outcomes of conflict-affected persons in the Republic of Georgia | DoD PRF (Psychosocial RF) | AIMS: Adults who experienced the 1992 and 2008 armed conflicts in the Republic of Georgia were exposed to multiple traumatic events and stressors over many years. The aim was to investigate what coping strategies are used by conflict-affected persons in Georgia and their association with mental disorders.
METHOD: A cro... |
0 | Environmental hazards and hip fractures | Management of Hip Fractures in the Elderly | The type of environmental hazards implicated in the aetiology of a consecutive series of 787 hip-fracture patients was prospectively studied. Most falls occurred between 09 h 00 and midday and there was no seasonal variation. Fifty-one different environmental hazards were implicated in the aetiology of the fall for 58%... |
1 | The plight of the traumatic amputee | DoD LSA (Limb Salvage vs Amputation) | This retrospective review of the long-term problems of patients with lower extremity amputation from trauma fails to support the opinion that most traumatic amputees do well. Overall, anatomic problems involved 51% of the amputees, and social problems involved 56%. Attempting limb salvage with subsequent secondary ampu... |
0 | Treatment thresholds for osteoporosis in men on androgen deprivation therapy: T-score versus FRAX | Management of Hip Fractures in the Elderly | Men treated by androgen deprivation therapy (ADT) for localized prostate cancer are at risk for fracture, but it is not known which men require pharmacologic treatment. We found that 33% of men on ADT had osteoporosis of spine, hip, or forearm by dual-energy X-ray absorptiometry (DXA), thus requiring treatment. Using t... |
0 | New techniques in electrodiagnostics, determination and managementof carpal tunnel syndromein mucopolysaccharidosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Mucopolysaccharidosis is the most common cause of carpal tunnel syndrome in children. The mucopolysaccharides tend to accumulate on the median nerve and flexor retinaculum, increasing pressure within the compartment, producing nerve damage. Those with mucopolysaccharidosis tend to have more difficulty with hand clumsin... |
0 | Total bilateral ruptures of the knee extensor apparatus | OAK 3 - Non-arthroplasty tx of OAK | Objective: Bilateral extensor tendon ruptures of the knee are rare and have only been published in the form of case reports or small series.
Methods: Seven patients corresponding to 14 extensor tendon ruptures of the knee were evaluated by the same examiner after a minimum one year post-surgery. Clinical and radiograph... |
0 | Dextrose prolotherapy for knee osteoarthritis: results of a randomized controlled trial | AMP (Acute Meniscal Pathology) | Purpose: Knee osteoarthritis (KOA) is common, expensive and debilitating. Sources of pain incluDe the joint capsule, ligaments, synovium, bone, menisci and extra-articular ligament and tendon attachments. Prolotherapy is a complementary and alternative injection therapy for chronic musculoskeletal pain including KOA hy... |
0 | Routine imaging after operatively repaired distal radius and scaphoid fractures: a survey of hand surgeons | Distal Radius Fractures | Background There is currently no standard of care for imaging after hand and upper-extremity procedures, and current imaging practices have not been characterized. Questions/Purposes To characterize current imaging practices and to compare those practices to the best available evidence. Patients and |
0 | Validation of the inter-individual variability of the lateral offset of the acromion | Glenohumeral Joint OA | Introduction: Anatomical variations of the lateral offset of the acromion (LOA) are supposed to be a factor favoring of the development of rotator cuff tears. The primary objective of this study is to quantify the inter-individual variations of the lateral offset of the acromion. Methods: The morphology of 103 dried sc... |
0 | Plasma-rich in growth factor and its clinical application | Osteochondritis Dissecans 2020 Review | The potential use of growth factors in stem cell-based therapies for the repair and regeneration of tissues and organs offers a paradigm shift in regenerative medicine. Growth factors are critical signalling molecules that play an important role in tissue development and remodelling. Plasma rich in growth factor (PRGF)... |
0 | Long-term outcome of total knee arthroplasty in patients with morbid obesity | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Patients with morbid obesity and advanced painful knee osteoarthritis are considered as poor candidates for total knee replacement. Our aims were to evaluate the outcomes of TKR surgery and the risks for post-operative complications in patients with morbid obesity (BMI > 40Â kg/m2) as compared with obese ... |
0 | Distribution pattern of peripheral nerve hypertrophy in patients with Guillain-Barre syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Ultrasonography noninvasively evaluates the morphological appearance of peripheral nerves, and could demonstrate the nerve enlargement in chronic inflammatory demyelinating polyneuropathy (CIDP). Indeed, no study has examined in detail whether patients with Guillain-Barre syndrome (GBS) have peripherally en... |
0 | Fibroma of a tendon sheath at the wrist: a rare cause of compression of the median nerve | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We report a case of fibroma of a tendon sheath, a rare benign tumour, which presented as a painless swelling at the wrist and caused symptoms of median nerve compression. We have also reviewed similar cases |
0 | Combination of high-fluoride toothpaste and no post-brushing water rinsing on enamel demineralization using an in-situ caries model with orthodontic bands | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To compare the effects on enamel demineralization and fluoride (F) retention of two different brushing-rinsing regimens. MATERIAL AND METHODS: An in-situ caries model with orthodontic bands was used for 8-9 weeks. A total of 20 orthodontic patients participated. They were randomized into two groups: (1) a te... |
0 | Adaptive Proximal Scaphoid Implant (APSI): 10-year outcomes in patients with SNAC wrists | Distal Radius Fractures | Radioscaphoid arthroplasty with the Adaptive Proximal Scaphoid Implant (APSI R) is an attractive treatment alternative in the short and medium term for patients with early scaphoid non-union advanced collapse (SNAC) wrist. The purpose of our study was to determine the long-term outcomes of this implant in SNAC wrists. ... |
0 | Displacement in femoral neck fractures. A numerical analysis of 200 fractures | Management of Hip Fractures in the Elderly | We measured the proximal-distal and anterior-posterior displacement of the femoral head in 200 femoral neck fractures. The numerical data were compared with the Garden classification. The average displacement of the Stages I and II fractures were almost equal. Moreover, the displacement of the Stage III fractures did n... |
0 | A systematic review of bilateral upper limb training devices for poststroke rehabilitation | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction. In stroke rehabilitation, bilateral upper limb training is gaining ground. As a result, a growing number of mechanical and robotic bilateral upper limb training devices have been proposed. Objective. To provide an overview and qualitative evaluation of the clinical applicability of bilateral upper limb tr... |
1 | Analysis of Surgical Outcome After Levator Advancement by Assessing Changes in Eyelid Contour | Upper Eyelid and Brow Surgery | PURPOSE: The authors analyzed changes in eyelid contour after levator advancement by measuring multiple radial midpupil lid distance (MPLD). METHODS: The study enrolled 61 eyes of 61 patients with involutional ptosis who underwent levator advancement from 2 oculoplastic surgeons from September 2008 to December 2013. An... |
0 | Ultrasonography of the knee | AMP (Acute Meniscal Pathology) | Sonography is a useful modality in the diagnosis of a wide variety of knee disorders, including lesions of the articular cartilage, tendons and ligaments, menisci, synovial space, and adjacent vessels and muscles. Sonography is noninvasive, rapidly performed, widely available, readily accepted by patients, uses no ioni... |
0 | Diabetes Mellitus and Gender Have a Negative Impact on the Outcome of Hip Fracture Surgery-A Pilot Study | Hip Fx in the Elderly 2019 | Diabetes mellitus (DM) is associated with an elevated risk of post-operative complications. The impact it has on patients living with DM following hip fracture surgery (HFS) is not completely understood and may represent a predictor of increased mortality. This study investigates the impact of DM, gender, American Soci... |
0 | Prevention of chronic pain syndromes by anaesthetic measures: Fact or fiction? | DoD LSA (Limb Salvage vs Amputation) | A clinically relevant benefit resulting from prophylactic analgesia has so far been observed in only a very few studies. In general, these effects have been limited to the immediate post-operative period. The most promising results have been observed with spinal opioids. However, several investigations on the effect of... |
0 | Swim cast versus traditional cast in pediatric distal radius fractures: a prospective randomized controlled trial | Distal Radius Fractures | PURPOSE: Non-displaced distal radius fractures in children are traditionally treated in a forearm cast. However, a traditional cast does not tolerate getting wet, with skin lesions and bad smell as result. A Swim cast, which has the ability to dry quickly, is an airy cast that is applied using the MOKcast technique. We... |
0 | Is physical activity a risk factor for primary knee or hip replacement due to osteoarthritis? A prospective cohort study | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: There is conflicting evidence regarding the relationship between physical activity and the risk of osteoarthritis. Total joint replacement is considered a surrogate measure for symptomatic end-stage osteoarthritis. The aim of this study was to estimate prospectively any association between measures of physical... |
0 | Superficial dermal fibroblasts enhance basement membrane and epidermal barrier formation in tissue-engineered skin: implications for treatment of skin basement membrane disorders | Panniculectomy & Abdominoplasty CPG | Basement membrane is a highly specialized structure that binds the dermis and the epidermis of the skin, and is mainly composed of laminins, nidogen, collagen types IV and VII, and the proteoglycans, collagen type XVIII and perlecan, all of which play critical roles in the function and resilience of skin. Both dermal f... |
0 | Tactical modifications in the Skoog reduction mammoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | Some modifications of the Skoog reduction mammoplasty are presented, with the aims of greater safety, longer lasting results, and a better shape of the breast. These modifications are lengthening and thickening of the flap that carries the nipple-areolar complex and a dermal flap in the lower part of the breast, to pre... |
0 | Epidural analgesia for pain relief following hip or knee replacement | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Hip and knee replacement are common operative procedures to improve mobility and quality of life. Adequate pain relief is essential in the postoperative period to enable ambulation and initiation of physiotherapy. Lumbar epidural analgesia is a common modality for pain relief following these procedures. How... |
0 | Nutritional Counseling Program for Morbidly Obese Patients Enables Weight Optimization for Safe Total Joint Arthroplasty | DoD SSI (Surgical Site Infections) | Obesity affects one-third of total joint arthroplasty (TJA) patients and is the most common modifiable risk factor for increased complications in the TJA population. The authors' institution implemented a body mass index (BMI) cutoff of 40 kg/m<sup>2</sup> to define appropriate TJA candidates. Patients above the cutoff... |
0 | Sphingosine-1-phosphate inhibits interleukin-1beta-induced inflammation in human articular chondrocytes | OAK 3 - Non-arthroplasty tx of OAK | Sphingosine-1-phosphate (S1P) is a pluripotent lipid mediator that transmits signals through a family of G-protein-coupled receptors (GPCRs) to control diverse biological processes including inflammation and wound-healing. In this study, a novel biological activity of S1P in articular chondrocytes was identified. Human... |
0 | Arthroscopic Management of Elbow Fractures and Dislocations | DoD SSI (Surgical Site Infections) | Arthroscopic management of fractures and dislocations of the elbow encompasses a set of evolving techniques that are often advantageous in the treatment of these challenging injuries. The arthroscopic approach allows for direct visualization of fracture patterns and reductions without an open exposure, minimizing soft ... |
0 | Gene therapy for chondral and osteochondral regeneration: Is the future now? | Osteochondritis Dissecans 2020 Review | Gene therapy might represent a promising strategy for chondral and osteochondral defects repair by balancing the management of temporary joint mechanical incompetence with altered metabolic and inflammatory homeostasis. This review analysed preclinical and clinical studies on gene therapy for the repair of articular ca... |
1 | Bridging Graft in Irreparable Massive Rotator Cuff Tears: Autogenic Biceps Graft versus Allogenic Dermal Patch Graft | Trial Systematic Review Project | Background: Few comparative studies have reported on the use of biologic grafts for irreparable massive rotator cuff tears. The purpose of this study was to assess the results of arthroscopic bridging graft in irreparable massive rotator cuff tears using an autogenic long head of biceps tendon (LHBT) or an allogenic de... |
0 | Role of mechanical and psychosocial factors in the onset of forearm pain: prospective population based study | DoD PRF (Psychosocial RF) | OBJECTIVE: To determine the aetiology of forearm pain. In particular to determine the relative contribution of (a) psychological factors, features of somatisation, and health anxiety and behaviour, (b) work related mechanical factors, and (c) work related psychosocial factors in the onset of forearm pain.
DESIGN: 2 yea... |
0 | Internal fixation of proximal radial head fractures | Distal Radius Fractures | The treatment of choice for proximal radial head fractures remains controversial. The goal of any treatment for an intra-articular fracture must be the complete restoration of the joint and its function. Nonoperative treatment leads to full motion in cases of less than 1-2 mm of fracture displacement. Resection of the ... |
1 | Anterior cruciate ligament reconstruction in the immature athlete: long-term results of intra-articular reconstruction | Anterior Cruciate Ligament Injuries CPG | From 1986-1992, a total of 21 ACL reconstructions were completed in 20 skeletally immature athletes with an average age of 13.7 years (range: 11.8-15.6 years). Fifteen patients underwent operative reconstruction with hamstring tendons with wide open physes and 6 patients with bone-patellar tendon-bone (BPTB). All graft... |
0 | Reduction of subcutaneous fat and improvement in cellulite appearance by dual-wavelength, low-level laser energy combined with vacuum and massage | Panniculectomy & Abdominoplasty CPG | BACKGROUND: This study compares the efficacy and safety of low-level, dual-wavelength laser energy and massage with massage alone for the reduction of subcutaneous fat in the thighs of normal women. The device was an early prototype of the FDA-cleared SmoothShapes system (Eleme Medical, Merrimack, NH, USA). METHODS: Th... |
0 | Nasal methicillin-resistant Staphylococcus aureus colonization is associated with increased wound occurrence after major lower extremity amputation | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: Wound occurrence (WO) after major lower extremity amputation (MLEA) can be due to wound infection or sterile dehiscence. We sought to determine the association of nasal methicillin-resistant Staphylococcus aureus (MRSA) colonization and other patient factors with overall WO, WO due to wound infection, and WO... |
1 | The functional outcome of lower-extremity fractures with vascular injury | DoD LSA (Limb Salvage vs Amputation) | Salvage of lower-extremity Gustilo type IIIC fractures is difficult, time-consuming for the patients and physicians, and not universally successful because of poor functional outcomes. Even if successful with limb salvage, the functional result may be unsatisfactory because of mutilating injuries to muscle and nerve, b... |
0 | Management of open abdomen | DOD - Acute Comp Syndrome CPG | Non-closure of abdominal fascia and the resultant open abdomen after laparotomy has become a major advance in the management of critically ill or injured patients. The benefits of open abdomen are many and include the prevention of intra-abdominal hypertension and the consequent abdominal compartment syndrome. Appropri... |
0 | A Comparative Study of the Postoperative Morbidity and Mortality in Femoral Neck Fractures in Elderly Patients Treated With Cemented and Uncemented Thompson Hemiarthroplasty | Management of Hip Fractures in the Elderly | Background: Thompson hip hemiarthroplasty is a well-established procedure for the treatment of displaced intracapsular fracture neck of femur in the elderly. However, considerable debate exists regarding the use of cemented prosthesis in this elderly group of patients. The main purpose of our study was to analyse the o... |
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