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0 | Dental infections and general health | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The detrimental effect of focal infection on general health has been known for decades. Chronic dental infections may worsen the condition of medically compromised patients. Prophylactic antibiotics are therefore routinely prescribed before dental treatment to immunosuppressed and other at-risk patients to combat the s... |
0 | Efficacy of the anabolic therapies in severe osteoporosis: Experience of a team of endocrinologists and orthopaedic surgeons and clinical results | Management of Hip Fractures in the Elderly | Introduction Anabolic therapies represent a major advance in the management of severe osteoporosis, and they may provide significant benefit to those patients with post-menopausal osteoporosis in whom antiresorptive therapy has proven insufficient. Parathyroid hormone (PTH) and human recombinant PTH peptide 1-34 (Terip... |
1 | Post-traumatic growth among the UK veterans following treatment for post-traumatic stress disorder | DoD PRF (Psychosocial RF) | INTRODUCTION: The aim of this paper was to examine levels of post-traumatic growth (PTG) in a sample of the UK veterans who had received treatment for post-traumatic stress disorder (PTSD).
METHODS: The study followed-up 149 UK veterans after they had completed standardised treatment for PTSD provided by Combat Stress.... |
0 | Small extracellular vesicles from human adipose-derived stem cells attenuate cartilage degeneration | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA) is a chronic degenerative disease of articular cartilage that is the most common joint disease worldwide. Mesenchymal stem cells (MSCs) have been the most extensively explored for the treatment of OA. Recently, it has been demonstrated that MSC-derived extracellular vesicles (EVs) may contribute to ... |
0 | The Center-Center Technique for the Direct Anterior Approach in Total Hip Arthroplasty: Precise Femoral Canal Preparation to Optimize Implant Fit and Fill | Hip Fx in the Elderly 2019 | BACKGROUND: The use of the direct anterior approach has been criticized as a significant risk factor for subsidence, perioperative fracture, and thigh pain. Therefore, the purpose of our study was to evaluate the outcome of using the center-center technique via the direct anterior approach.
MATERIALS AND METHODS: Conse... |
0 | The plastic surgery postcode lottery in England | Panniculectomy & Abdominoplasty CPG | INTRODUCTION AND AIM: The National Health Service (NHS) provides treatment free at the point of delivery to patients. Elective medical procedures in England are funded by 149 independent Primary Care Trusts (PCTs), which are each responsible for patients within a defined geographical area. There is wide variation of av... |
0 | Magnetic resonance imaging of injuries in the child athlete | AMP (Acute Meniscal Pathology) | Sports related injuries in children and adolescents are an increasingly frequent clinical problem. Soft tissue injury is relatively less common in children than in adults and radiographs suffice in most situations. However there are specific clinical circumstances where MR imaging is of value. We discuss and demonstrat... |
0 | Knee pain in tennis players | AMP (Acute Meniscal Pathology) | Knee injuries are relatively common in tennis, comprising about one fifth of all tennis injuries. The most common injuries are meniscus injuries and degenerative cartilage problems in middle aged and elderly recreational players. In younger individuals, patellofemoral pain syndromes are the most frequent and intriguing... |
0 | Clinical results of the Oxford knee. Surface arthroplasty of the tibiofemoral joint with a meniscal bearing prosthesis | AMP (Acute Meniscal Pathology) | The Oxford method of knee arthroplasty replaces the femoral condyles with convex spherical metal components and relines the tibial plateaus with flat metal components. Free meniscal bearings of polyethylene, spherically concave above and flat below, lie between the fixed metal components, held in place by their geometr... |
0 | Efficiency and cost analysis of cell saver auto transfusion system in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background: Blood loss and replacement is still a controversial issue in major orthopaedic surgery. Allogenic blood transfusion may cause legal problems and concerns regarding the transmission of transfusion-related diseases. Cellsaver Systems (CSS) were developed as an alternative to allogenic transfusion but CSS tran... |
0 | Local infiltration analgesia in joint replacement: the evidence and recommendations for clinical practice | AAHKS (4) Acetaminophen | Relief of acute pain after hip and knee replacement represents a major therapeutic challenge as post-operative pain hinders early mobilisation and rehabilitation with subsequent consequences on mobility, duration of hospitalisation and overall recovery. In recent years, there has been increased interest in high-volume ... |
0 | Knee injury and osteoarthritis outcome score or international knee documentation committee subjective knee form: Which questionnaire is most useful to monitor patients with an anterior cruciate ligament rupture in the short term? | OAK 3 - Non-arthroplasty tx of OAK | Purpose: To evaluate which questionnaire, the Knee Injury and Osteoarthritis Outcome Score (KOOS) or the International Knee Documentation Committee Subjective Knee Form (IKDC subjective), is most useful to evaluate patients with recent anterior cruciate ligament (ACL) ruptures or those within 1 year of an ACL reconstru... |
0 | Costs induced by hip fractures: a prospective controlled study in Belgium. Belgian Hip Fracture Study Group | Management of Hip Fractures in the Elderly | The economic burden of hip fractures is thought to be important, but the excess medical costs they induce remain largely unknown. We assessed the direct medical costs induced by hip fractures during and after hospitalization. Hospital costs of 170 consecutive Belgian women with hip fracture were gathered. During the ye... |
0 | Cognition in patients with burn injury in the inpatient rehabilitation population | DoD PRF (Psychosocial RF) | Objective To analyze potential cognitive impairment in patients with burn injury in the inpatient rehabilitation population. Design Rehabilitation patients with burn injury were compared with the following impairment groups: spinal cord injury, amputation, polytrauma and multiple fractures, and hip replacement. Differe... |
0 | Surgical management of skeletal metastases of the appendicular skeleton | MSTS 2022 - Metastatic Disease of the Humerus | Skeletal metastases are a common cause of morbidity in cancer patients through bone pain, pathological fracture and spinal cord compression. With advances in surgical and medical treatment, and a multidisciplinary approach, the outcome and survival for these patients has improved in recent years. The orthopaedic surgeo... |
0 | Effectiveness of locking versus dynamic compression plates for diaphyseal forearm fractures | DOD - Acute Comp Syndrome CPG | This study compares the results of the locking compression plate (LCP) and the dynamic compression plate (DCP) in the treatment of diaphyseal forearm fractures in adults and defines the indications for the use of the LCP. Forty-two patients with diaphyseal forearm fractures were retrospectively analyzed. Of those, 22 h... |
1 | Challenges and strategies in management of osteoporosis and fragility fracture care during COVID-19 pandemic | Coronavirus Disease 2019 (COVID-19) | Background: COVID-19 has resulted in restriction of face to face consultations and mechanisms to access health care. Osteoporosis and fragility fractures forms a significant proportion of adult trauma and orthopaedic workload even during the pandemic. Aims: We assess the challenges and strategies used in the management... |
0 | American Association of Hip and Knee Surgeons-Endorsed Comorbidity Coding for Total Joint Arthroplasty: How Often Did We Hit the Mark With International Classification of Diseases, Ninth Revision? | PJI DX Updated Search | BACKGROUND: Initiatives led by the American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons (AAHKS) have indicated a number of clinical risk factors associated with total joint arthroplasty that might reflect the complexity of contemporary hip and knee care. This study sought to ex... |
0 | Mental health and resiliency following 44 months of terrorism: a survey of an Israeli national representative sample | DoD PRF (Psychosocial RF) | BACKGROUND: Israeli citizens have been exposed to intense and ongoing terrorism since September 2000. We previously studied the mental health impact of terrorism on the Israeli population (Bleich et al., 2002), however the long-term impact of ongoing terrorism has not yet been examined. The present study evaluated the ... |
0 | Can stimulating massage improve joint repositioning error in patients with knee osteoarthritis? | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to investigate the effect of massage applied to the thigh muscles on joint repositioning error (JRE) in patients suffering from osteoarthritis (OA).We hypothesized that stimulating massage of the muscles around an osteoarthritic knee joint, could improve the neuromuscular function... |
1 | Simultaneous bilateral total knee replacement: a prospective study of 150 patients | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To evaluate the safety of simultaneous bilateral total knee replacement (TKR). METHODS: 124 women and 26 men (mean age, 66 years) underwent simultaneous bilateral TKR for tricompartmental osteoarthritis using a posteriorstabilised, high-flexion implant. All patients underwent dobutamine stress echocardiography... |
0 | Direct magnetic resonance arthrography of the knee: Utility of axial traction | AMP (Acute Meniscal Pathology) | The purpose of this study was to determine the impact of axial traction during acquisition of direct magnetic resonance (MR) arthrography examination of the knee in terms of joint space width and amount of contrast material between the cartilage surfaces. Direct knee MR arthrography was performed in 11 patients on a 3-... |
0 | Zoledronic acid induces caspase-dependent apoptosis in renal cancer cell lines | MSTS 2018 - Femur Mets and MM | OBJECTIVE: To study and characterize the potential antitumoral effects of zoledronic acid (ZA) on renal cancer cell lines in vitro.
MATERIAL AND METHODS: Three different and well-characterized renal cancer cell lines were studied, namely ACHN, A-498 and CAKI-2. The cytotoxic potential of ZA was evaluated using a fluoro... |
0 | In vivo study of a medial stabilizing total knee replacement for analysis of postoperative knee stability and patient satisfaction | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Intervention 1: Patients who will receiving a TKA will be treated with medial stabilizing prosthesis design (MS design) Intervention 2: Patients who will receiving a TKA will be treated with a Cruciate Retaining (CR) design CONDITION: M17 â? Gonarthrosis [arthrosis of knee] PRIMARY OUTCOME: Measurement o... |
0 | Histologic study of periprosthetic osteolytic lesions after AES total ankle replacement. A 22 case series | PJI DX Updated Search | INTRODUCTION: Medium-term results for total ankle replacement (TAR) are in general satisfactory, but there is a high redo rate for periprosthetic osteolysis associated with the AES implant. HYPOTHESIS: Comparing radioclinical findings and histologic analysis of implant revision procedure specimens can account for the e... |
0 | Posttraumatic stiffness: Distraction arthroplasty | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Loss of motion after elbow trauma is a common complication. At times, the limitation of motion may significantly impair function. Options to improve posttraumatic motion by surgery depend on whether the joint surface has been severely involved (intrinsic vs extrinsic contracture). Increasing experience with the surgica... |
0 | Laser-assisted lipolysis in the treatment of gynecomastia: a prospective study in 28 patients | Panniculectomy & Abdominoplasty CPG | Gynecomastia is the most common breast pathology. Numerous excisions and liposuction techniques have been described to correct bilateral male breast enlargement. Recently, there has been a shift from the open approach to minimally invasive techniques. This article reports a 5-year experience using laser-assisted lipoly... |
0 | Current strategies for nonsurgical, arthroscopic, and minimally invasive surgical treatment of knee cartilage pathology | Surgical Management of Osteoarthritis of the Knee CPG | The current approaches to treating articular cartilage defects in the knee comprise a spectrum from pharmacologic therapies to total knee arthroplasty. Nonsurgical treatment can include anti-inflammatory medications, bracing, and physical therapy. Surgical treatments include reconstructive repair of a small or large de... |
0 | Quantitative three-dimensional collagen orientation analysis of human meniscus posterior horn in health and osteoarthritis using micro-computed tomography | AMP (Acute Meniscal Pathology) | OBJECTIVE: Knee osteoarthritis (OA) is associated with meniscal degeneration that may involve disorganization of the meniscal collagen fiber network. Our aims were to quantitatively analyze the microstructural organization of human meniscus samples in 3D using micro-computed tomography (muCT), and to compare the local ... |
1 | Epidural clonidine for postoperative pain after total knee arthroplasty: a dose-response study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Combinations of epidural clonidine, local anesthetics, and opioids have improved postoperative analgesia after total knee arthroplasty. In this study we sought to determine the optimal epidural bolus dose of clonidine, which provides the best analgesia and fewest side effects. METHODS: Eighty ASA I-III pati... |
0 | Nuclear cysteine cathepsin variants in thyroid carcinoma cells | MSTS 2018 - Femur Mets and MM | The cysteine peptidase cathepsin B is important in thyroid physiology by being involved in thyroid prohormone processing initiated in the follicular lumen and completed in endo-lysosomal compartments. However, cathepsin B has also been localized to the extrafollicular space and is therefore suggested to promote invasiv... |
0 | Multimodal pain management after total joint arthroplasty | AAHKS (9/10) Regional Nerve Blocks | Adequate postoperative pain control in patients who have undergone total joint arthroplasty allows faster rehabilitation and reduces the rate of postoperative complications. Multimodal pain management involves the introduction of adjunctive pain control methods in an attempt to control pain with less reliance on opioid... |
0 | Alzheimer's disease and risk of hip fracture: a meta-analysis study | Management of Hip Fractures in the Elderly | BACKGROUND: Alzheimer's disease (AD) is the most common cause of dementia in the elderly population. Growing evidence supports that AD patients are at high risk for hip fracture, but the issue remains questionable. The purpose of the present study is to perform a meta-analysis to explore the association between AD and ... |
0 | Circumferential suction-assisted lipectomy in the treatment of primary and secondary end-stage lymphoedema of the leg | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The treatment of end-stage lymphoedema of the leg is challenging, especially when conservative treatment fails and there is a large volume difference between the affected and unaffected legs. Circumferential suction-assisted lipectomy (CSAL) has been described as a treatment option for end-stage lymphoedema... |
1 | Phytotherapy in the treatment of arthritis: A review | OAK 3 - Non-arthroplasty tx of OAK | As the conventional treatment is associated with large number of side effects, herbal treatment is gaining popularity particularly in the treatment of chronic disease like jaundice, vitiligo, rheumatoid arthritis, asthma etc. Herbal treatment has been identified as safe and effective in treating such disease. The aim o... |
0 | Sarcopenia in the elderly: Diagnosis, physiopathology and treatment | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Sarcopenia, defined as a syndrome rather than as a pathology, is the loss of muscle mass and function associated with age. Sarcopenia is an enigma for medicine, and despite the numerous publications available in the literature and the number of papers currently being published, there is no agreement about its definitio... |
0 | The anxiolytic effect of pregabalin in outpatients undergoing minor orthopaedic surgery | AMP (Acute Meniscal Pathology) | Preoperative anxiety can increase postoperative pain and is therefore important to avoid. Different approaches have already been tested for preoperative anxiolysis. Gabapentinoids might be a useful alternative to benzodiazepines. Pregabalin is used for treating generalized anxiety disorders and shows a favourable pharm... |
0 | Selective spinal anaesthesia with low-dose bupivacaine and bupivacaine + fentanyl in ambulatory arthroscopic knee surgery | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To investigate the effects of selective spinal anaesthesia with low-dose bupivacaine alone and in combination with various doses of fentanyl, on blockage, haemodynamics, quality of anaesthesia, perioperative complications, and hospital release criteria. METHODS: This prospective study included 45 ASA I-II pa... |
0 | Biochemical markers of bone turnover, endogenous hormones and the risk of fractures in postmenopausal women: The OFELY study | Management of Hip Fractures in the Elderly | The mechanisms leading to increased bone loss and skeletal fragility in women with postmenopausal osteoporosis are still poorly understood. Increased bone resorption, low serum estradiol and high serum sex-hormone-binding globulin (SHBG) recently have been reported as predictors of vertebral and hip fractures in elderl... |
0 | Intra-articular injection of autologous adipose-derived mesenchymal stem cells in the treatment of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis (OA) is a chronic degenerative joint disease and is considered to be the fourth leading cause of disability and the second cause of inability to work in men. Recently, adipose-derived mesenchymal stem cells (AD-MSCs) came into focus for regenerative medicine as a promising tool for the treatm... |
0 | Pseudarthrosis after postoperative wound infection in the lumbar spine | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This retrospective investigation attempts to define the incidence of fusion success after postoperative infection after a posterior lumbar fusion, as well as which risk factors may adversely affect arthrodesis after successful debridement. At an average follow-up of 37 months, 18 of 29 patients (62.1%) had a successful... |
1 | Body Image Concerns and Associated Impairment Among Adults Seeking Body Contouring Following Bariatric Surgery | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The current study examined a range of body image concerns and associated distress and impairment in patients who have undergone bariatric surgery and are seeking subsequent body contouring surgery. OBJECTIVES: The aim of this study was to investigate the hypotheses that individuals seeking body contouring e... |
0 | Removal of interscapular brown adipose tissue increases aortic stiffness despite normal systemic glucose metabolism in mice | Panniculectomy & Abdominoplasty CPG | Brown adipose tissue (BAT) is considered protective against obesity and related cardiometabolic dysfunction. Indeed, activation of BAT improves glucose homeostasis and attenuates cardiovascular disease development. However, whether a reduction in BAT mass perturbs metabolic function and increases risk for cardiovascula... |
0 | Cement-within-cement revision of infected total hip replacement; disappointing results in 10 retrospective cases | PJI DX Updated Search | INTRODUCTION: This retrospective analysis evaluates 10 patients with a late infection of a cemented total hip arthroplasty (THA) treated with two-stage revision with retention of the original well-fixed femoral cement mantle. METHODS: Clinical, laboratory, and radiological outcomes were evaluated. The average age at th... |
0 | Location of the Popliteal Artery in Knee Extension on Magnetic Resonance Imaging | AMP (Acute Meniscal Pathology) | The goal of this study was to define the course of the popliteal artery (PA) and determine any variability among different patient demographics; by identifying risk factors for injury, surgeons can decrease patient morbidity and mortality. Ninety-four adult magnetic resonance imaging studies of the knee were reviewed. ... |
1 | Correction of implant rippling using allograft dermis | Acellular Dermal Matrix | The author describes a technique for insertion of allograft dermis to reduce visible rippling of breast implants. The technique, designed primarily for use in soft tissue-deficient patients, may be appropriate for both cosmetic augmentation and reconstruction. |
0 | Continuous passive motion (CPM): theory and principles of clinical application | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Stiffness following surgery or injury to a joint develops as a progression of four stages: bleeding, edema, granulation tissue, and fibrosis. Continuous passive motion (CPM) properly applied during the first two stages of stiffness acts to pump blood and edema fluid away from the joint and periarticular tissues. This a... |
0 | A method for determining the rate of major limb amputations in battle casualties: experiences of a British Field Hospital in Iraq, 2003 | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: The majority of battle casualties undergoing surgery at 34 Field Hospital, the sole Coalition field hospital in Iraq during the conflict, sustained injuries to the extremities. To compare our experiences with those from previous conflicts, we report data on major limb amputations and propose a method for ... |
0 | Randomized, Placebo-Controlled, Phase III Trial of Yeast-Derived Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) Versus Peptide Vaccination Versus GM-CSF Plus Peptide Vaccination Versus Placebo in Patients With No Evidence of Disease After Complete Surgical Resection of Locally Advanced and/or Stage IV Melano... | Reconstruction After Skin Cancer | PATIENTS AND METHODS: Patients with completely resected stage IV or high-risk stage III melanoma were grouped by human leukocyte antigen (HLA) -A2 status. HLA-A2-positive patients were randomly assigned to receive GM-CSF, PV, both, or placebo; HLA-A2-negative patients, GM-CSF or placebo. Treatment lasted for 1 year or ... |
0 | Excision of os trigonum | DOD - Acute Comp Syndrome CPG | Os trigonum impingement is a cause of posterior ankle pain in ballet dancers and other athletes who forcibly point their feet. It must be distinguished from other causes of posterolateral ankle pain. A course of nonsurgical therapy is recommended as the initial treatment. In those cases where conservative treatment fai... |
0 | Duloxetine added to oral nonsteroidal anti-inflammatory drugs for treatment of knee pain due to osteoarthritis: results of a randomized, double-blind, placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine the efficacy, tolerability, and safety of duloxetine when added to oral nonsteroidal antiâ?inflammatory drugs (NSAIDs) in patients with osteoarthritis (OA) of the knee with pain of moderate or greater severity. RESEARCH DESIGN AND METHODS: This was a 10â?week randomized, doubleâ?blind, flexib... |
0 | Effect of opening-wedge high tibial osteotomy on the three-dimensional kinematics of the knee | OAK 3 - Non-arthroplasty tx of OAK | Although it is clear that opening-wedge high tibial osteotomy (HTO) changes alignment in the coronal plane, which is its objective, it is not clear how this procedure affects knee kinematics throughout the range of joint movement and in other planes. Our research question was: how does opening-wedge HTO change three-di... |
0 | Trends in the surgical treatment of pathologic proximal femur fractures among Musculoskeletal Tumor Society members | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Several strategies for the treatment of pathologic proximal femur fractures are practiced but treatment outcomes have not been rigorously compared. QUESTIONS/PURPOSES: Major variations in the use of intramedullary fixation, extramedullary/plate-screw fixation, and endoprosthetic reconstruction techniques fo... |
1 | Comparison of satisfied and dissatisfied patients 2 to 5 years after anatomic total shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: With an increasingly large number of patients undergoing total shoulder arthroplasty (TSA) combined with increased requirements for public reporting of patient outcomes, there is a greater need to better understand the underlying factors related to patient satisfaction. The purpose of this study was to comp... |
0 | Paramedian technique of spinal anesthesia in elderly patients for hip fracture surgery | Management of Hip Fractures in the Elderly | The objective of this study was to observe the success rate, difficulties and complications during the technique of spinal anesthesia through para median approach in elderly frail patients with spinal abnormalities, for femur fracture surgery. Case series study was performed at Pakistan Naval Shifa Hospital, Karachi, P... |
0 | BMD T-score discriminates trochanteric fractures from unfractured controls, whereas geometry discriminates cervical fracture cases from unfractured controls of similar BMD | Management of Hip Fractures in the Elderly | The ability of bone mineral density (BMD) to discriminate cervical and trochanteric hip fractures was studied. Since the majority of fractures occur among people who are not diagnosed as having osteoporosis, we also examined this population to elucidate whether geometrical risk factors can yield additional information ... |
0 | Determinants of bone loss from the femoral neck in women of different ages | Management of Hip Fractures in the Elderly | An age-stratified sample of 304 women from Rochester, Minnesota, aged 30-94 years (median 60 years) at baseline underwent measurement of femoral neck bone mineral density (BMD) over a follow-up period extending to 16 years. The average rate of change in femoral neck BMD was -1.0% per year (range -10.0% to +13.4%) and d... |
0 | Access to postacute rehabilitation | Management of Hip Fractures in the Elderly | Each year, more than 10 million Medicare beneficiaries are discharged from acute care hospitals into postacute care (PAC) settings, including inpatient rehabilitation facilities, skilled nursing facilities, and homes with services from home health agencies. These beneficiaries include very frail and vulnerable elders, ... |
0 | Multicenter Trial of Stem Cell Therapy for Osteoarthritis (MILES) | OAK 3 - Non-arthroplasty tx of OAK | Primary osteoarthritis is a debilitating disease characterized by extensive damage to the joints and excruciating pain leading to loss of activity and depression. Despite advances in diagnosis and relatively efficient control of nociception, to date, the quest for the development of a disease modifying osteoarthritis d... |
0 | Topical minocycline microspheres versus topical chlorhexidine gel as an adjunct to mechanical debridement of incipient peri-implant infections: a randomized clinical trial | Dental Implant Infection | AIM: This randomized clinical trial presents a 12-month follow-up of the clinical and microbiological results after application of minocycline microspheres as an adjunct to mechanical treatment of incipient peri-implant infections compared with an adjunctive treatment using 1% chlorhexidine gel application., MATERIAL A... |
0 | Impaired dexterity of the ipsilateral hand after stroke and the relationship to cognitive deficit | Upper Eyelid and Brow Surgery | BACKGROUND AND PURPOSE: Previous research has reported impaired hand function on the "unaffected" side after stroke, but its incidence, origins, and impact on rehabilitation remain unclear. This study investigated whether impairment of ipsilateral dexterity is common early after middle cerebral artery stroke and explor... |
0 | Pain Perception following Initial Closed Reduction in the Preoperative Care of Unstable, Dorsally Displaced Distal Radius Fractures | Distal Radius Fractures | Introduction Closed reduction and cast immobilization is a common practice as initial treatment for distal radius fractures. This study examines the pain perception that accompanies this approach. Materials and Methods Thirty dorsally displaced distal radius fractures were reduced and casted under finger-trap traction ... |
0 | Primary carcinoma of the hypopharynx and cervical esophagus: evolution of surgical therapy | Reconstruction After Skin Cancer | Carcinoma of the cervical esophagus is invariably fatal because of its advanced stage at presentation. In our surgical division, 167 patients with primary squamous-cell carcinoma of the cervical esophagus were treated over the period between 1973 and June 1992. The tumor was localized in the cervical esophagus in only ... |
0 | Particulated Juvenile Articular Cartilage Implantation in the Knee: A 3-Year | PJI DX Updated Search | Objective: The goal of this report is to describe the outcome of sequential particulated cartilage allograft and autologous osteochondral transfer treatments for an osteochondral lesion of the medial femoral condyle. Methods: A 44-year-old woman was treated with a particulated juvenile articular cartilage allograft (De... |
0 | Hormone therapy for breast cancer, with an emphasis on the pure antiestrogen fulvestrant: Mode of action, antitumor efficacy and effects on bone health | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Breast cancer is a major health problem in women of developed Western countries. Whereas estrogen receptor (ER) may be involved in many cases in breast carcinogenesis, its expression in breast tumors may predict a favorable response to hormone therapy. In this review, we report the role played by ER in breast cancer an... |
0 | Preliminary comparison of the rupture of human and rabbit anterior cruciate ligaments | DoD LSA (Limb Salvage vs Amputation) | Objective. This study was aimed at examining ruptures of the human anterior cruciate ligaments by scanning electron microscopy and video imaging and comparing the appearance of the rupture surfaces with those from rabbit anterior cruciate ligaments. Design. The specimens were tested to failure as femur-anterior cruciat... |
0 | Visceral involvement of dialysis amyloidosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome, peripheral arthropathy, erosive spondyloarthropathy and lytic bone lesions have all been associated with dialysis amyloidosis. Recent studies indicate that beta 2-microglobulin is the major constituent protein in this new form of amyloidosis. Dialysis amyloidosis was reported to have a local rat... |
1 | Risk and protective factors associated with symptoms of post-traumatic stress, depression, and alcohol misuse in OEF/OIF veterans | DoD PRF (Psychosocial RF) | Military personnel returning from the conflicts in Iraq and Afghanistan commonly experience mental health problems and efforts are underway to determine risk and protective factors associated with postdeployment mental health concerns. This study examined the contribution of trait neuroticism, predeployment life events... |
1 | Meniscal Allograft Transplants in Skeletally Immature Patients: A Systematic Review of Indications and Outcomes | AMP (Acute Meniscal Pathology) | Meniscal lesions in skeletally immature patients can lead to joint degradation and knee instability. Meniscal allograft transplant (MAT) surgery is a solution to maintain knee stability. There is a lack of consensus on MAT surgery outcomes in pediatric patients. A systematic review was conducted according to the PRISMA... |
0 | Sagittal plane gait characteristics in hip osteoarthritis patients with mild to moderate symptoms compared to healthy controls: a cross-sectional study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Existent biomechanical studies on hip osteoarthritic gait have primarily focused on the end stage of disease. Consequently, there is no clear consensus on which specific gait parameters are of most relevance for hip osteoarthritis patients with mild to moderate symptoms. The purpose of this study was to exp... |
0 | Multiple simultaneous fractures are associated with higher all-cause mortality: results from a province-wide fracture liaison service | Pediatric Supracondylar Humerus Fracture 2020 Review | Mortality rates in our fracture liaison service ranged from 2.7% at year 1 to 14.8% at year 5 post-screening. Presentation with multiple simultaneous fractures at screening was associated with higher risk of death. This finding indicates the need for increased focus on this high-risk group. PURPOSE: To examine all-caus... |
0 | Changes in voluntary quadriceps activation predict changes in muscle strength and gait biomechanics following knee joint effusion | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: It has been hypothesized that arthrogenic muscle inhibition is responsible for altering physical function following knee injury. The association between the onset of arthrogenic muscle inhibition, measured using voluntary quadriceps activation, and changes in muscle strength and gait biomechanics are unknow... |
0 | The clinicopathologic findings of a subchondral insufficiency fracture of the femoral head in a male patient: a case report | PJI DX Updated Search | There are few reports describing the clinicopathologic characteristics of subchondral insufficiency fractures of the femoral head (SIF) in men over 50ÃÂ years of age. A 59-year-old man experienced a sudden onset of the left hip pain without any antecedent trauma. The hip pain did not improve despite conservative treat... |
0 | Ultrasonic-assisted liposuction: Internal and external | Panniculectomy & Abdominoplasty CPG | UAL has not provided the promised ideal of 'fat dissolution without surgery.' In extremely fibrous areas and second procedure liposuction, internal UAL may be a valuable tool once it is further perfected. UAL equipment continues to evolve and as it improves we hope to see a better safety profile, a mechanism for smalle... |
0 | Intramedullary nail with integrated cephalocervical screws in the intertrochanteric fractures treatment: Position of screws in fracture stability | DoD SSI (Surgical Site Infections) | BACKGROUND: Stable fracture fixation is important in the treatment of intertrochanteric femur (ITF) fractures in the elderly population to prevent the loss of reduction, achieve early mobility, and restore independence. The aim of this study was to present the results of surgical treatment of stable and unstable ITF fr... |
0 | Importance of antiresorptive therapies for patients with bone metastases from solid tumors | MSTS 2018 - Femur Mets and MM | Patients with bone metastases are at risk of skeletal-related events such as pathologic fractures, spinal cord compression, the need for orthopedic surgery to bone, and palliative radiotherapy for severe bone pain. Antiresorptive therapies have demonstrated efficacy for reducing the risk of skeletal-related events and ... |
0 | Structure-symptom relationship with wide-area ultrasound scanning of knee osteoarthritis | AMP (Acute Meniscal Pathology) | The aetiology of knee pain in osteoarthritis (OA) is heterogeneous and its relationship with structural changes and function is unclear. Our goal was to determine the prevalence of wide-area scanned ultrasound-defined knee OA structural features and their association with pain and functional impairment in 79 symptomati... |
0 | Effects of nicotine on a rat model of early stage osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The objective of the study was to investigate the effects of nicotine on articular cartilage degeneration and inflammation in a rat model of early stage osteoarthritis (OA), using T2 mapping. In this study, a rat model of early stage OA was established by immobilizing the left knee joints of adult male rats for two wee... |
0 | A technique for laparoscopic peritoneal entry after abdominoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND AND OBJECTIVES: The fascial anatomy of the anterior midline of the abdominal wall is permanently altered by the vertical plication of the rectus abdominis muscles commonly performed during abdominoplasty. In order to achieve safe and expeditious peritoneal entry in patients undergoing laparoscopy after a pre... |
0 | Internal fixation of garden I and II femoral neck fractures: posterior tilt did not influence the reoperation rate in 382 consecutive hips followed for a minimum of 5 years | Hip Fx in the Elderly 2019 | OBJECTIVE: To analyze factors influencing the reoperation rate due to fracture healing complications after internal fixation of Garden I and II femoral neck fractures with special reference to a new validated method assessing the preoperative posterior tilt on lateral radiographs.
DESIGN: Prospective cohort study.
SETT... |
0 | Knee malalignment is associated with an increased risk for incident and enlarging bone marrow lesions in the more loaded compartments: The MOST study | OAK 3 - Non-arthroplasty tx of OAK | Objective: To examine the relationship of knee malalignment with occurrence of incident and enlarging bone marrow lesions (BMLs) and regression of BMLs. Methods: Subjects from the Multicenter Osteoarthritis Study aged 50-79 years with or at high risk of knee osteoarthritis were studied. Full-limb radiographs were taken... |
0 | Periprosthetic joint infection: modern aspects of prevention, diagnosis, and treatment | PJI DX Updated Search | Periprosthetic joint infection (PJI) following total joint arthroplasty (TJA) is a devastating complication. Despite improvements in our understanding of PJI, the prevalence of this complication has not decreased in recent years, with various authors reporting rates of 1 to 2% after primary TJA and up to 7% following r... |
0 | Abdominal compartment syndrome. The Nashville experience | DoD - ACS - Interrater Reliability | Intra-abdominal hypertension is an unusual and often lethal syndrome. It is most often seen in critically ill surgical patients. The most important component of therapy is reduction of intra-abdominal pressure. Unfortunately, even with appropriate treatment, mortality is still high. [References: 22] |
0 | Regenerative injection therapy with whole bone marrow aspirate for degenerative joint disease: a case series | PRP (Platelet-Rich Plasma) | Regenerative therapeutic strategies for joint diseases usually employ either enriched concentrates of bone marrow-derived stem cells, chondrogenic preparations such as platelet-rich plasma, or irritant solutions such as hyperosmotic dextrose. In this case series, we describe our experience with a simple, cost-effective... |
0 | Fixed-head and bipolar hip endoprostheses. A retrospective clinical and roentgenographic study | Management of Hip Fractures in the Elderly | A retrospective review of 1,001 hip hemiarthroplasties was performed. The prosthetic designs were grouped into fixed-head types (682 cases) and bipolar types (319 cases) for comparison. The main indications for operation were femoral neck fracture and avascular necrosis of the femoral head. Clinical and roentgenographi... |
0 | Fractures of the distal radius and ulna: Metaphyseal and physeal injuries | Distal Radius Fractures | Fractures of the distal radius account for 80 percent of pediatric forearm fractures. The rapid growth of the distal radial physis and the on-going transformation of the metaphysic explain the propensity for fractures in this location and the potential for fracture remodeling. Fractures of the distal ulna are less comm... |
1 | Less is more: lag screw only fixation of lateral malleolar fractures | DoD SSI (Surgical Site Infections) | Displaced fractures of the lateral malleolus are typically treated with plate osteosynthesis with or without the use of lag screws, and immobilisation in a plaster cast for up to 6 weeks. Fixation through a smaller incision with less metal, such as lag screw only fixation, would theoretically lead to decreased infectio... |
0 | On Beyond Lidocaine: Reconsidering Local Anesthetics in Tumescent Liposuction-A Critical Review | Panniculectomy & Abdominoplasty CPG | The use of tumescent solution in liposuction is now considered standard of care; however, much debate still exists regarding its ideal components, especially surrounding the inclusion of local anesthetics. This article reviews the discussion regarding the use of local anesthetics in tumescent liposuction and how it may... |
0 | Biological activities of phosphocitrate: a potential meniscal protective agent | AMP (Acute Meniscal Pathology) | Phosphocitrate (PC) inhibited meniscal calcification and the development of calcium crystal-associated osteoarthritis (OA) in Hartley guinea pigs. However, the mechanisms remain elusive. This study sought to examine the biological activities of PC in the absence of calcium crystals and test the hypothesis that PC is po... |
0 | Use of bisphosphonates in prostate cancer: Current status | MSTS 2018 - Femur Mets and MM | Bisphosphonates are a relatively newer class of drugs which have been used for the prevention of skeletal related complications of age related osteoporosis or metastatic disease from carcinoma breast or multiple myeloma. Their role in the management of prostate cancer is still under evolution. We hereby review the ongo... |
0 | Sex hormone status may modulate rate of expansion of proximal femur diameter in older women alongside other skeletal regulators | Management of Hip Fractures in the Elderly | CONTEXT: Little is known of associations between hip geometry and skeletal regulators. This is important because geometry is a determinant of both hip function and resistance to fracture. OBJECTIVE: We aimed to determine the effects of sex hormone status and other candidate regulators on hip geometry and strength. SUBJ... |
0 | Nerve entrapments of the wrist: early treatment preserves function | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Nerve entrapment syndromes may affect as many as one in four office workers. Prompt diagnosis is critical to the selection of an appropriate and effective treatment |
0 | Postoperative mortality after total hip arthroplasty: An analysis of deaths after two thousand seven hundred and thirty-six procedures | MSTS 2022 - Metastatic Disease of the Humerus | We retrospectively determined the prevalence and nature of mortality as many as ninety days after 2736 primary and revision total hip arthroplasties performed in 2002 patients by one surgeon at a teaching hospital between January 1969 and December 1996. All but seventy-one of the patients had received prophylaxis again... |
1 | MR diagnosis of meniscal tears of the knee: value of fast spin-echo vs conventional spin-echo pulse sequences | AMP (Acute Meniscal Pathology) | OBJECTIVE: Contrast can be similar on fast spin-echo and conventional spin-echo MR images, but data acquisition is faster with fast spin-echo sequences. This study was designed to evaluate the performance of fast spin-echo sequences in the detection of meniscal tears in the knee, with the established conventional spin-... |
0 | Infection as a cause of primary total hip arthroplasty revision and its predictive factors | PJI DX Updated Search | INTRODUCTION: Infection is a serious complication of total hip arthroplasty (THA) and is one of the most frequent causes of failure. The goal of this study was to evaluate the importance of infection among the different causes of revision THA and identify any risk factors specifically associated with this cause of revi... |
0 | Amyloid localized to tenosynovium at carpal tunnel release. Immunohistochemical identification of amyloid type | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Thirty-five patients seen at the Mayo Clinic from 1968 to 1977 who had carpal tunnel syndrome and local deposition of amyloid without evidence of systemic amyloidosis were identified. The unlabeled immunoperoxidase method was used with antisera against purified amyloid proteins of the AA, A kappa, A lambda, AF/ASC1 (pr... |
0 | Osteoclastoma | MSTS 2022 - Metastatic Disease of the Humerus | The giant cell tumor of bone (GCTB), also known as an osteoclastoma or a myeloid sarcoma, is a benign local aggressive osteolytic neoplasm that primarily affects skeletally mature young adults.[1] These usually arise in the metaphysis and extend into the epiphysis of long bones. While most GCTB are benign, they rarely ... |
1 | Do magnetic resonance imaging and computed tomography provide equivalent measures of rotator cuff muscle size in glenohumeral osteoarthritis? | Trial Systematic Review Project | Background: Rotator cuff muscle volume is associated with outcomes after cuff repair and total shoulder arthroplasty. Muscle area on select magnetic resonance imaging (MRI) slices has been shown to be a surrogate for muscle volume. The purpose of this study was to determine whether computed tomography (CT) provides an ... |
0 | Gaucher disease--Norrbottnian type. Ocular abnormalities | Upper Eyelid and Brow Surgery | Ocular abnormalities in 22 patients with the Norrbottnian type of Gaucher disease are reported. During their first 10 years of life 10 patients had a horizontal gaze abnormality simulating congenital ocular motor apraxia. Examination showed signs of supranuclear oculomotor disturbances in several of them. Thirteen pati... |
0 | Treatment of displaced femoral neck fractures in the elderly: a cost-benefit analysis | Management of Hip Fractures in the Elderly | BACKGROUND: The optimal treatment for displaced femoral neck fractures in elderly patients is controversial. Compared with hemiarthroplasty (HA), internal fixation (IF) is associated with less operative trauma, bleeding, and possibly lower mortality at the expense of a higher reoperation rate and possibly increased cos... |
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