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0 | The effect of dexamethasone upon patient-controlled analgesia-related nausea and vomiting | AAHKS (8) Anesthetic Infiltration | Ninety female patients were enrolled in this randomised, double-blind, placebo-controlled study to compare the anti-emetic effect of intravenous dexamethasone 8 mg with saline control in preventing patient-controlled analgesia-related nausea and vomiting following major orthopaedic surgery. The prophylactic administrat... |
0 | Sports injuries | DOD - Acute Comp Syndrome CPG | Musculoskeletal injuries are a frequent consequence of physical activity and sports participation. Many injuries are predictable based on the physical demands of the sport or the inherent risk of the participant. Injuries also tend to follow characteristic patterns because of vulnerabilities dictated by anatomy or skel... |
1 | Magnetic resonance imaging of anterior cruciate ligament rupture | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Magnetic resonance (MR) imaging is a useful diagnostic tool for the assessment of knee joint injury. Anterior cruciate ligament repair is a commonly performed orthopaedic procedure. This paper examines the concordance between MR imaging and arthroscopic findings. METHODS: Between February, 1996 and February... |
0 | Health care renunciation for economic reasons in Switzerland | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Most societies elaborate ways to contain increasing health care expenditures. In Switzerland out of pocket payments and cuts in the catalogue of reimbursed services are used as cost-containment measures. The aims of the study were to estimate the extent of health care renunciation for economic reasons and t... |
0 | Ethnic disparity in the treatment of women with established low bone mass | Management of Hip Fractures in the Elderly | OBJECTIVE: To assess the extent of bone-health treatment and to test for racial differences in that treatment among black and white women with documented low bone mass. METHODS: All women who underwent central dual-energy X-ray absorptiometry testing at the Washington, DC Veterans Affairs Medical Center (VAMC) from Jan... |
0 | The Tromso study: registration of fractures, how good are self-reports, a computerized radiographic register and a discharge register? | Management of Hip Fractures in the Elderly | In order to compare different methods of fracture registration, we sought all nonvertebral fractures suffered during 8 years (1988-95) among 21,441 persons invited to a survey in 1979/80. We registered a total of 54 hip fracture cases through three separate sources (self-report, computer linkage to the local radiograph... |
0 | Cancer therapies and bone health | MSTS 2018 - Femur Mets and MM | Cancer patients are at risk for adverse events involving bone. Metastasis of cancer to bone and primary bone tumors can compromise the integrity of bone. Various cancer therapies cause long-term skeletal disorders, particularly bone loss, osteomalacia, and avascular necrosis. Cancer therapies that include chemotherapy,... |
0 | Evaluation of the sigmoid notch with computed tomography following intra-articular distal radius fracture | Distal Radius Fractures | A classification system for disruption patterns of the sigmoid notch of the radius associated with distal radius fractures has not been established. Using plain x-rays and corresponding computed tomography (CT) scans we characterized and quantified the types of sigmoid notch involvement in 20 consecutive distal radius ... |
0 | Comparison of muscle activity associated with structural differences in dental hygiene mirrors | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: Ergonomic studies suggest that the commonly used pinch grasp, held in a static position, is a contributing factor for dental Hygienists' development of work-related musculoskeletal disorders (WMSDs) such as carpal tunnel syndrome (CTS), Trigger Thumb, de Quervain's stenosing tenosynovitis, and carpometacarpal ... |
0 | Does clinically important change in function after knee replacement guarantee good absolute function? the multicenter osteoarthritis study | OAK 3 - Non-arthroplasty tx of OAK | Objective. Poor functional outcomes post-knee replacement are common, but estimates of its prevalence vary, likely in part because of differences in methods used to assess function. The agreement between improvement in function and absolute good levels of function after knee replacement has not been evaluated. We evalu... |
0 | Are structural abnormalities on knee MRI associated with osteophyte development? Data from the Osteoarthritis Initiative | AMP (Acute Meniscal Pathology) | OBJECTIVE: To assess which structural abnormalities on knee MRI are associated with development of osteophytes in middle-aged subjects without radiographic knee osteoarthritis.
DESIGN: We included subjects from the Osteoarthritis Initiative, aged 40-55 years, Kellgren & Lawrence grade 0 in both knees, and knee MRIs fro... |
0 | Vertebral fracture definition from population-based data: preliminary results from the Canadian Multicenter Osteoporosis Study (CaMos) | Management of Hip Fractures in the Elderly | The Canadian Multicenter Osteoporosis Study is a large population-based prospective study of osteoporosis in the Canadian population. The study involves 9424 subjects, both male and female, from nine centers and seven regions of Canada. Each subject completed an extensive interview to obtain medical, demographic and li... |
1 | Silicone implants and lymphoma: The role of inflammation | Example Literature Review | The risk of hematological malignancies is mainly determined by genetic background, age, sex, race and ethnicity, geographic location, exposure to certain chemicals and radiation; along with the more recently proposed immune factors such as chronic inflammation, immunodeficiencies, autoimmunity, and infections. Paradigm... |
0 | Volar locking plate fixation for intra-articular distal radius fractures with volar lunate facet fragments distal to the watershed line | DoD SSI (Surgical Site Infections) | Background: Standard volar plating of distal radius fractures may not adequately fix the volar lunate facet (VLF) fragment, which can result in volar carpal subluxation. We hypothesized that the size of VLF fragments distal to the watershed line might affect reduction loss after distally placed volar locking plate fixa... |
0 | Anatomical study of superficial fascia and localized fat deposits of abdomen | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The development of liposuction and abdominoplasty has renewed interest in the anatomy of the localized fat deposits (LFD) areas of the abdomen. This study aims at ascertaining the gross anatomy of superficial fascia and the localized fat deposits of abdomen. MATERIALS AND METHODS: Eight adult cadavers (four... |
0 | Evaluation of the fixation of the trabecular metal wedge in patients undergoing revision of total hip arthroplasty | PJI DX Updated Search | OBJECTIVE: this study aimed to evaluate the fixation of the trabecular metal wedge in patients undergoing revision of total hip arthroplasty. METHODS: twenty-three cases with minimum grading of Paprosky II-B that were operated between July 2008 and February 2013 were evaluated. These cases were evaluated based on radio... |
1 | Ulnar nerve involvement in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This is a retrospective study of the involvement of the ulnar nerve in patients with electrodiagnostic evidence of carpal tunnel syndrome as defined by median sensory nerve action potential (SNAP) greater than 3.6msec at the wrist and/or motor distal latency in excess of 4.3msec. The study included 248 patients, 63 (25... |
0 | Role of whole-body Tc 99m MDP bone scintigraphy for evaluating skeletal metastasis in patients with lung cancer | MSTS 2018 - Femur Mets and MM | Lung cancer is the third most common site of origin of metastatic cancer deposits in bone, after breast and prostate. It's metastasis to bone is one of the most aggressive tumors and has a very unfavorable prognosis. This retrospective descriptive study was designed to detect the skeletal metastasis of carcinoma (Ca) l... |
0 | Pelvic movement strategies and leg extension power in patients with end-stage medial compartment knee osteoarthritis: a cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: During movement tasks, patients with medial compartment knee osteoarthritis use compensatory strategies to minimise the joint load of the affected leg. Movement strategies of the knees and trunk have been investigated, but less is known about movement strategies of the pelvis during advancing functional t... |
0 | Trauma-induced coagulopathy and critical bleeding: The role of plasma and platelet transfusion | DOD - Acute Comp Syndrome CPG | Hemorrhage is responsible for 30 to 40% of all trauma-related mortality. Among adult trauma patients, 94% of hemorrhage-related deaths occur within 24 h and approximately 60% of these deaths within 3 h of hospital admission. Therefore, appropriate initial fluid resuscitation for bleeding is crucial to avoid preventable... |
1 | Magnetic resonance imaging of painful total hip replacement: detection and characterisation of periprosthetic fluid collection and interobserver reproducibility | PJI DX Updated Search | PURPOSE: The purpose of our study was to demonstrate the diagnostic value of magnetic resonance imaging (MRI) when measuring and characterising periprosthetic fluid collections in patients with painful hip prosthesis and to provide an estimation of interobserver reproducibility. MATERIALS AND METHODS: Nineteen patients... |
0 | Development of Risk Prediction Model for Grade 2 or Higher Hypocalcemia in Patients With Bone Metastasis Treated With Denosumab Plus Cholecalciferol (Vitamin D<sub>3</sub> )/Calcium Supplement | MSTS 2022 - Metastatic Disease of the Humerus | Denosumab-induced hypocalcemia is sometimes severe, and although a natural vitamin D/calcium combination is used to prevent hypocalcemia, some patients rapidly develop severe hypocalcemia even under supplementation. It is clinically important to predict this risk. This study aimed to develop a risk prediction model for... |
0 | Vertical Medial Thigh Contouring | Panniculectomy & Abdominoplasty CPG | Excess thigh laxity is a problem for many patients following significant weight loss. Thigh laxity has both vertical and horizontal components that require correction to optimize the aesthetic appearance of the thigh. The vertical vector is best corrected first with a lower body lift or extended abdominoplasty. The rem... |
0 | Semistructural allografting in bone defects after curettage | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND AND OBJECTIVES: A variety of aggressive benign bone tumors often require wide bone and soft tissue excision for adequate local control, but this creates a large defect and a seriously weakened extremity. Restoration of limb function presents a difficult problem.
METHODS: The treatment of 104 patients with sp... |
1 | Periarticular Injection of Liposomal Bupivacaine Offers No Benefit Over Standard Bupivacaine in Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Periarticular injection of liposomal bupivacaine has been adopted as part of multimodal pain management after total knee arthroplasty (TKA).
METHODS: In this prospective, randomized clinical trial, we enrolled 162 patients undergoing primary TKA in a single institution between January 2014 and May 2015. Eig... |
0 | The spatio-temporal mechanical environment of healthy and injured human cartilage during sustained activity and its role in cartilage damage | AMP (Acute Meniscal Pathology) | Recently we presented a computational model of articular cartilage calibrated for normal human tissue explants. This model was able to capture the transient deformation of cartilage experiencing a cyclic load. The model takes into account the tension-compression nonlinearity of the cartilage and incorporates the depend... |
0 | Effects of Covertly Measured Home Exercise Adherence on Patient Outcomes Among Older Adults With Chronic Knee Pain | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Assessment of home exercise adherence and the degree to which adherence influences changes in patient outcomes is limited by the use of self-reported measures. OBJECTIVES: To determine the relationship between adherence to a home strengthening program, covertly measured by accelerometers in ankle cuff weigh... |
0 | Encountering cancer or its sequelae at the hip | PJI DX Updated Search | The orthopedist may need act as an adjunct to the medical oncologist in the management of the cancer patient with hip disease. While management of the cancer patient with routine hip pathology is relatively straightforward, the surgeon should be aware that the cancer patient may be on treatment protocols that affect wo... |
0 | Sagittal-Plane Knee Moment During Gait and Knee Cartilage Thickness | OAK 3 - Non-arthroplasty tx of OAK | CONTEXT: Understanding the factors associated with thicker cartilage in a healthy population is important when developing strategies aimed at minimizing the cartilage thinning associated with knee osteoarthritis progression. Thicker articular cartilage is commonly thought to be healthier cartilage, but whether the sagi... |
1 | The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations | Panniculectomy & Abdominoplasty CPG | Abdominal contouring operations are in high demand after massive weight loss. Anecdotally, wound problems seemed to occur frequently in this patient population. Our study was designed to delineate risk factors for wound complications after body contouring. Our retrospective institutional analysis was assembled from 222... |
0 | The relationship between dietary vitamin k and depressive symptoms in late adulthood: A cross-sectional analysis from a large cohort study | OAK 3 - Non-arthroplasty tx of OAK | Few studies assessed the associations between dietary vitamin K and depressive symptoms. We aimed to investigate the association between dietary vitamin K and depressive symptoms in a large cohort of North American People. In this cross-sectional analysis, 4,375 participants that were aged 45-79 years from the Osteoart... |
1 | Enhancing treatment of osteoarthritis knee pain by boosting expectancy: A functional neuroimaging study | OAK 3 - Non-arthroplasty tx of OAK | Objectives: Expectation can significantly modulate pain and treatment effects. This study aims to investigate if boosting patients' expectancy can enhance the treatment of knee osteoarthritis (KOA), and its underlying brain mechanism.
Methods: Seventy-four KOA patients were recruited and randomized to three groups: boo... |
0 | Variability in long-term pain and function trajectories after total knee replacement: A cohort study | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Previous research suggests that patient-reported outcomes plateau by one year after total knee replacement (TKR). Analysis of trajectories to date has predominately been based on changes in median/mean scores over the first post-operative year, rather than variability in trajectory patterns over the longe... |
0 | Pain catastrophizing and beliefs predict changes in pain interference and psychological functioning in persons with spinal cord injury | DoD PRF (Psychosocial RF) | The current study sought to examine how changes in pain-related beliefs and coping responses are related to changes in pain interference and psychological functioning in individuals with spinal cord injuries (SCI) and pain. To measure longitudinal changes in these variables, respondents completed a survey that included... |
0 | Buttocks fat grafting: 14 years of evolution and experience | Panniculectomy & Abdominoplasty CPG | Fat infiltration for gluteal contour improvement is a procedure that is gaining more advocates. This has caused the application technique and the amount of fat infiltrated to change over time. The authors present their buttocks fat grafting technique evolution that occurred over a 14-year period. From April of 1995 to ... |
0 | Correlation between timing of ASV administration and complications in snake bites | DOD - Acute Comp Syndrome CPG | AIMS OF STUDY: The present study was undertaken to study the relationship between the time of anti-snake venom (ASV) administration due to late arrival of patient at hospital and subsequent development of complications.
MATERIAL AND METHODS: All patients of snake bite that presented to our institution over a period of ... |
0 | A case of metastatic carcinoma from Christian Sayala (Egyptian Nubia) | MSTS 2018 - Femur Mets and MM | The paper deals with a case of a most probable metastatic carcinoma, found in skeletal remains of a 35-45 year old female who lived in Sayala, Egyptian Nubia, during the Christian Period. The macroscopic and radiographic morphology supported by microscopic investigation by M. Schultz (Göttingen) revealed the predomina... |
0 | Antimicrobial prophylaxis in clean surgery with special focus on inguinal hernia repair with mesh | Acellular Dermal Matrix | Until recently, antimicrobial prophylaxis was thought to be unnecessary for clean surgery except when a foreign body is implanted or the presence of infection poses a significant risk to patients. However, the results of several trials support extending the administration of antimicrobial prophylaxis to other types of ... |
1 | Total elbow arthroplasty following complex fractures of the distal humerus: Results in patients over 65 years of age | DoD SSI (Surgical Site Infections) | Background: The treatment of complex distal humerus fractures is challenging and is often associated with unsatisfactory results. Anatomic reduction and stable internal fixation is difficult to obtain, especially in elderly osteoporotic patients. For these reasons, total elbow arthroplasty (TEA) has recently evolved as... |
0 | Real-time ultrasound for diagnosis of symptomatic venous thrombosis and for screening of patients at risk: correlation with ascending conventional venography | Management of Hip Fractures in the Elderly | This is a prospective study of 108 patients in two distinct groups undergoing real-time ultrasonography (US) and ascending conventional venography within the same day. The two patient groups consisted of the following: Those patients evaluated because of suspicion of deep venous thrombosis of lower limbs (69 patients) ... |
0 | Closed reduction and fixation of high-energy femoral neck fractures: Still a viable surgical treatment option | Hip Fx in the Elderly 2019 | Background: Femoral neck fracture causes disability if not treated properly and high-energy fractures usually have increased complication rates. Does closed reduction and internal fixation of femoral neck high energy fractures have increased complication rates? Methods: We used closed reduction and internal fixation us... |
0 | Cementless Bipolar Hemiarthroplasty for Low-energy Intracapsular Proximal Femoral Fracture in Elderly East-Asian Patients: A Longitudinal 10-year Follow-up Study | Hip Fx in the Elderly 2019 | Purpose: Short-term outcomes following cemented and cementless hemiarthroplasties (HAs) are reported to be comparable, however, long-term outcomes of cementless HA-especially among Asian patients-is limited. We aimed to assess long-term outcomes in elderly East-Asian patients with intracapsular proximal femoral fractur... |
1 | Outcomes of four different surgical techniques in the treatment of geriatric intertrochanteric femur fractures | Hip Fx in the Elderly 2019 | Aim: The aim of this study was to evaluate the suicide and intoxication cases between April 2011 and April 2013. Methods: One hundred eighty-two patients operated due to intertrochanteric femur fracture in our clinic were divided into four groups: hemiarthroplasty (HA), proximal femoral nail (PFN), sliding hip screw (S... |
0 | How to perform local soft-tissue glucocorticoid injections | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Inflammation of periarticular soft-tissue structures such as tendons, tendon sheaths, entheses, bursae, ligaments and fasciae are the hallmark of many inflammatory rheumatic diseases, but inflammation - or rather irritation - of these structures also occurs in the absence of an underlying rheumatic disease. In both the... |
1 | Resorbable collagen scaffolds for the treatment of meniscus defects: a systematic review | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate the clinical and structural outcomes after resorbable collagen meniscus scaffold implantation through a systematic review of the published literature.
METHODS: A systematic search of both the PubMed and Embase databases was undertaken to identify all studies that repor... |
0 | Bilaminar pattern of tibial condyle cartilage layer on the fat-suppressed 3D gradient echo images: artifact or structural and biochemical difference in composition of cartilage? | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this study was to examine if an unusual bilaminar pattern of lateral tibial condyle cartilage layer on the fat-suppressed three-dimensional (3D) spoiled gradient echo sequence is artifactual or correlates with structural and/or biochemical composition of cartilage. The laminar appearance of the lateral t... |
0 | 75-kd sirtuin 1 blocks tumor necrosis factor alpha-mediated apoptosis in human osteoarthritic chondrocytes | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Sirtuin 1 (SirT1) has been implicated in the regulation of human cartilage homeostasis and chondrocyte survival. Exposing human osteoarthritic (OA) chondrocytes to tumor necrosis factor alpha (TNFalpha) generates a stable and enzymatically inactive 75-kd form of SirT1 (75SirT1) via cathepsin B-mediated cleav... |
0 | Surgery and sepsis increase somatostatin-like immunoreactivity in the human plasma | PJI DX Updated Search | We have previously shown in animals that somatostatin released from capsaicin-sensitive afferents in response to inflammation and tissue damage exerts systemic anti-nociceptive and anti-inflammatory actions. Since peptidergic sensory innervation of the airways and the joints are particularly dense, we aimed at investig... |
0 | Compressed sensing acceleration of biexponential 3D-T1? relaxation mapping of knee cartilage | AMP (Acute Meniscal Pathology) | Purpose: Use compressed sensing (CS) for 3D biexponential spin-lattice relaxation time in the rotating frame (T1?) mapping of knee cartilage, reducing the total scan time and maintaining the quality of estimated biexponential T1? parameters (short and long relaxation times and corresponding fractions) comparable to ful... |
0 | Hip protectors: interpreting the evidence and addressing practicalities | HipFx Supplemental Cost Analysis | Some evidence suggests hip protectors are helpful in reducing fractures among older people. But, says Nicky Hayes, issues of compliance, tissue viability, cost and product design all need to be considered by nurses considering the implementation of hip protection strategies |
0 | Nonablative fractional laser resurfacing for the treatment of scars and grafts after Mohs micrographic surgery: a randomized controlled trial | Reconstruction After Skin Cancer | BACKGROUND: Mohs micrographic surgery is a tissue sparing surgical technique for removal of skin cancer. To optimize the cosmetic result of scars and skin grafts after surgery non invasive procedures as non-ablative fractional laser (NAFL) resurfacing are attractive.OBJECTIVE: To evaluate efficacy and safety of 1540 nm... |
0 | Minimally invasive Oxford medial unicompartmental knee arthroplasty. A note of caution! | Surgical Management of Osteoarthritis of the Knee CPG | We present the peak outcome results of the Oxford medial unicompartmental arthroplasty through a minimally invasive surgical incision. This prospective study included 78 Oxford medial unicompartmental knee replacements in 68 patients. At the 2 year review the patients achieved a mean Oxford Knee Score of 38.3. This was... |
1 | Effects of Teriparatide Compared with Risedronate on Recovery After Pertrochanteric Hip Fracture: Results of a Randomized, Active-Controlled, Double-Blind Clinical Trial at 26 Weeks | Hip Fx in the Elderly 2019 | BACKGROUND: Osteoporosis drugs might affect fracture-healing. We therefore studied the effects of teriparatide in comparison with risedronate on recovery after pertrochanteric hip fractures.
METHODS: The study was a randomized, multicenter, active-controlled, 78-week trial comparing teriparatide (20 mug/day) with rised... |
0 | Investigation into the efficiency of ultrasound of different intensities in degenerative tendopathy of the shoulder | Glenohumeral Joint OA | Purpose: Ultrasound is one of the most effective depth heat procedures with specific heat patterns at several tissues. Analgesic, prokinetic and antiphlogistic effectives are used; application technique, series patterns and dosage are of decisive importance. The present study deals with the question of dosage dependenc... |
0 | Circumferential approach to contouring of the trunk | Panniculectomy & Abdominoplasty CPG | Background: Body contouring usually involves the lower and upper abdomen, flanks, hips, and back. Several techniques are available with which to achieve suitable simultaneous correction of all these aesthetic units. Objective: We review the techniques available for contouring of the trunk. Excisional procedures are abd... |
0 | The lateral joint space width can be measured reliably with Telos valgus stress radiography in medial knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To examine the reproducibility of valgus stress radiographs with the Telos stress device for assessment of lateral compartment degenerative changes in patients with medial osteoarthritis of the knee.
MATERIALS AND METHODS: A prospective reliability study was performed. Seventy-nine patients (80 knees) were i... |
0 | Substance use and suicide risk in a sample of young Colombian adults: An exploration of psychosocial factors | DoD PRF (Psychosocial RF) | BACKGROUND AND OBJECTIVES: Young adults might engage in many risk behaviors, including alcohol and drug use, which could lead to mental health problems, such as suicide. The aim of this study was to examine specific psychosocial and clinical factors that could influence the possible relationship between polysubstance u... |
0 | No enhancement of sensory and motor blockade by neostigmine added to mepivacaine axillary plexus block | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Intrathecal neostigmine induces analgesia but also several side effects. Recently, 500 microg neostigmine administered intraarticularly was shown to produce postoperative analgesia without side effects. The authors' goal was to determine whether 500 microg neostigmine added to mepivacaine in axillary plexus... |
1 | Comparison of adductor canal block with local infiltration analgesia in primary total knee arthroplasty: A meta-analysis of randomized controlled trials | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Currently, there remains a paucity of literature about the efficiency of adductor canal block (ACB) versus local infiltration analgesia (LIA) for pain management after total knee arthroplasty (TKA). The purpose of this study was to perform a relatively credible and overall assessment to compare the efficien... |
0 | Alexidine Dihydrochloride Attenuates Osteoclast Formation and Bone Resorption and Protects Against LPS-Induced Osteolysis | PJI DX Updated Search | Aseptic loosening and periprosthetic infection leading to inflammatory osteolysis is a major complication associated with total joint arthroplasty (TJA). The liberation of bacterial products and/or implant-derived wear particles activates immune cells that produce pro-osteoclastogenic cytokines that enhance osteoclast ... |
0 | Merkel cell carcinoma: A clinicopathologic study with prognostic implications | MSTS 2022 - Metastatic Disease of the Humerus | Background: Merkel cell carcinoma (MCC) is a frequently aggressive neuroendocrine malignancy of the skin that presents in sun-exposed areas on elderly patients. Although originally described over 30 years ago, many aspects of MCC remain to be defined. Of particular importance is the need to identify prognostic factors ... |
0 | Estimating bias from loss to follow-up in a prospective cohort study of bicycle crash injuries | DoD PRF (Psychosocial RF) | Background: Loss to follow-up, if related to exposures, confounders and outcomes of interest, may bias association estimates. We estimated the magnitude and direction of such bias in a prospective cohort study of crash injury among cyclists. Methods: The Taupo Bicycle Study involved 2590 adult cyclists recruited from N... |
0 | Can tranexamic acid and hydrogen peroxide reduce blood loss in cemented total knee arthroplasty? | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: The use of tourniquet in total knee arthroplasty (TKA) has resulted in negligible intra-operative blood loss but notable post-operative blood loss, creating the ideal scenario for using topical haemostatic agents intra-operatively. Recently, medical adjuvants including tranexamic acid (TXA) and hydrogen p... |
1 | Trauma exposure, resilience, social support, and PTSD construct validity among former prisoners of war | DoD PRF (Psychosocial RF) | BACKGROUND: The aim of this study was to investigate predictors of persistent symptoms of posttraumatic stress disorder (PTSD) and to examine the construct validity of PTSD in a national sample of 270 World War II and Korean Conflict prisoners of war (POWs).
METHOD: POWs were interviewed at two points in time (1965 and... |
1 | Long bone fractures: treatment patterns and factors contributing to use of intramedullary nailing | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: This study evaluated treatment patterns for long bone fractures and factors that contribute to use of intramedullary nails (IMN).
METHODS: Patients from IBM MarketScan R Research Commercial and Medicare Databases with femoral/tibial/humeral fractures during inpatient admission between January 2016-July 2019... |
0 | The association of education level on outcome after distal radius fracture | Distal Radius Fractures | BACKGROUND: Socioeconomic factors have been found to be predictors of outcome for other ailments. The purpose of this study was to evaluate the association of patient education level on pain and disability after distal radius fracture.
METHODS: A series of patients with distal radius fractures (n = 335) were enrolled i... |
0 | Intervention program in college instrumental musicians, with kinematics analysis of cello and flute playing: A combined program of yogic breathing and muscle strengthening-flexibility exercises | Pediatric Supracondylar Humerus Fracture 2020 Review | College musicians encounter health risks not dissimilar to those of professional musicians. Fifteen collegiate instrumental musicians participated in the intervention program of yogic-breathing and muscle-strengthening and flexibility exercises for 8 weeks. Pre- and post-intervention data from the Health-Pain-Injury In... |
0 | Work-related outcomes in randomized, double blind, placebo-controlled trials in osteoarthritis - Are they adequately reported in journal publications? A systematic review | OAK 3 - Non-arthroplasty tx of OAK | Background: Osteoarthritis (OA) has a high prevalence in Western societies and can affect an individual's life in a number of domains, including work. In our experience, treatment trials on OA, however, rarely report work-related outcomes. Here we conducted a systematic review to assess the reporting of work-related ou... |
0 | Comparison of low-dose spinal anesthesia and single-shot femoral block combination with conventional dose spinal anesthesia in outpatient arthroscopic meniscus repair | AAHKS (9/10) Regional Nerve Blocks | OBJECTIVE: In the current prospective, randomized study, we aimed to compare the effects of low dose selective spinal anesthesia with 5 mg of hyperbaric bupivacaine and single-shot femoral nerve block combination with conventional dose selective spinal anesthesia in terms of intraoperative anesthesia characteristics, b... |
0 | Measuring markers of aging and knee osteoarthritis gait using inertial measurement units | OAK 3 - Non-arthroplasty tx of OAK | Differences in gait with age or knee osteoarthritis have been demonstrated in laboratory studies using optical motion capture (MoCap). While MoCap is accurate and reliable, it is impractical for assessment outside the laboratory. Inertial measurement units (IMUs) may be useful in these situations. Before IMUs are used ... |
0 | Modular endoprosthetic replacement after total femur resection for malignant bone tumor | MSTS 2018 - Femur Mets and MM | Total femur endoprothesis is an alternative replacement for massive malignant bone tumor with intramedullary extension or skip lesion. Four patients underwent total femoral resection and replacement with megaprosthesis: three had primary malignant bone tumor and one had salvage procedure for aseptic loosening of the di... |
0 | Chemokine receptors in cancer metastasis and cancer cell-derived chemokines in host immune response | MSTS 2018 - Femur Mets and MM | The chemotactic cytokines called chemokines are a superfamily of small secreted cytokines that were initially characterized through their ability to prompt the migration of leukocytes. Attention has been focused on the chemokine receptors expressed on cancer cells because cancer cell migration and metastasis show simil... |
0 | A mobile-bearing total knee prosthesis compared with a fixed-bearing prosthesis. A multicentre single-blind randomised controlled trial | AMP (Acute Meniscal Pathology) | Before proceeding to longer-term studies, we have studied the early clinical results of a new mobile-bearing total knee prosthesis in comparison with an established fixed-bearing device. Patients requiring bilateral knee replacement consented to have their operations under one anaesthetic using one of each prosthesis. ... |
0 | Stress fracture of the tibia after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We present a case of total knee arthroplasty in which the patient suffered a transverse stress fracture of the tibia 2 weeks after replacement without significant injury. Plain radiographs were obtained on event presentation. Later radiographic examination showed the fracture and a periosteal reaction. The fracture hea... |
1 | Reduction of the incidence of development of venous thromboembolism by ultrasound-guided femoral nerve block in total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | Background: Venous thromboembolism (VTE) and the subsequent development of pulmonary embolism (PE) is a major cause of post-operative mortality in total knee arthroplasty (TKA). We evaluated whether the addition of an ultrasound-guided femoral nerve block with general anesthesia affected the incidence in the developmen... |
0 | Health outcomes in offspring of mothers with breast implants | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: To examine the occurrence of esophageal disorders, connective tissue diseases, and congenital malformations in children of mothers with breast implants.
METHODS: Nationwide register-based follow-up study of all offspring born during 1977 to 1992 to a cohort of 1135 women with breast implants for cosmetic rea... |
0 | Collaborative Creation of Regional Opioid-Prescribing Guidelines in Orthopaedics: Description of a Process, Measurement of Its Effectiveness, and Impact on Patient Satisfaction at a Participating Institution | AMP (Acute Meniscal Pathology) | BACKGROUND: Interventions designed to decrease opioid prescribing in orthopaedics have been effective when employed by specific institutions, subspecialties, and procedures. The objectives of this study were to examine the effectiveness of developing regional guidelines on opioid-prescribing practices after common orth... |
0 | Should Total Hip Arthroplasty be Performed Acutely in the Treatment of Acetabular Fractures in Elderly or Used as a Salvage Procedure Only? | Hip Fx in the Elderly 2019 | BACKGROUND: Total hip arthroplasty (THA) is now an increasingly common procedure for people sustaining acetabular fractures. The incidence of acetabular fractures among the elderly population is increasing, and contemporary treatment aims to avoid the risks of prolonged incumbency associated with poor bone stock for fi... |
0 | Longitudinal magnetic resonance imaging of pseudotumors following metal-on-metal total hip arthroplasty | PJI DX Updated Search | The purpose of the study was to determine the natural history of pseudotumors following metal-on-metal total hip arthroplasty (THA) using magnetic resonance imaging (MRI). Initial MRI was conducted at a mean of 36months postoperatively. Follow-up MRI was performed at a mean of 20months after the detection of 24 asympto... |
0 | Expression of phenotypical changes by human breast epithelial cells treated with carcinogens in vitro | Reduction Mammoplasty for Female Breast Hypertrophy | In order to determine whether human breast epithelial cells undergo malignant transformation when treated with chemical carcinogens in vitro, and how host factors, such as degree of gland development, affect their response to that treatment, twenty-two reduction mammoplasty specimens from women ranging in age from 18 t... |
0 | The use of human acellular dermal matrices in irradiated breast reconstruction | Acellular Dermal Matrix | This article examines the effects of radiation on prosthetic breast reconstruction when human dermal allograft is used in the reconstruction. A brief review of radiation terminology and techniques as applied to the breast is given, followed by a review of the effects of radiation on wound healing in human tissue. The e... |
0 | Effect of bisphosphonates on pain and quality of life in patients with bone metastases | MSTS 2018 - Femur Mets and MM | Bone is the most common organ for tumor metastasis, especially in patients with cancers of the breast or prostate. Bone metastases disrupt skeletal metabolism and result in considerable skeletal morbidity, including intractable, chronic bone pain, hypercalcemia of malignancy, pathologic fracture and spinal-cord compres... |
1 | Arthroscopic repair of rotator cuff tear with a modified Mason-Allen stitch: mid-term clinical and ultrasound outcomes | Optimizing the Management of Full-Thickness Rotator Cuff Tears | One of the most discussed point about arthroscopic full-thickness rotator cuff (RTC) repair is the strength of tendon-stitch interface. In the period between November 2003 and September 2004, in a series of 29 patients with primary isolated supraspinatus tear measuring > 2 cm a reconstruction using one titanium anchor ... |
0 | Lateral and medial epicondylitis: Role of occupational factors | DoD PRF (Psychosocial RF) | Epicondylitis is a common upper-extremity musculoskeletal disorder. It is most common at the age of 40-60 years. Epicondylitis seems to affect women more frequently than men. Diagnosis of epicondylitis is clinical and based on symptoms and findings of physical examination. The prevalence of lateral epicondylitis in the... |
0 | Specialised chronic compartment measurement clinic in a district general hospital: is it worthwhile? | DOD - Acute Comp Syndrome CPG | INTRODUCTION: Chronic compartment syndrome is one of the conditions that cause exertional pain in the young. In this condition, a careful history taking is usually the key for making the correct diagnosis, but intracompartmental pressure measurement that has high sensitivity and specificity rates can add invaluable con... |
0 | Support for breastfeeding mothers | Management of Hip Fractures in the Elderly | BACKGROUND: There is extensive evidence of the benefits of breastfeeding for infants and mothers. In 2003, the World Health Organization (WHO) recommended infants be fed exclusively on breast milk until six months of age. However, breastfeeding rates in many developed countries continue to be resistant to change. OBJEC... |
0 | Tibiofemoral Dislocation After Total Knee Arthroplasty | PJI DX Updated Search | BACKGROUND: Tibiofemoral dislocation after total knee arthroplasty (TKA) is a rare complication. Published case reports describe fewer than 6 patients, making conclusions about the etiology, epidemiology, complications, and treatment of tibiofemoral dislocation difficult. This case series highlights common demographic ... |
0 | Obesity has no effect on outcomes following unicompartmental knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Although obesity has historically been described as a contraindication to UKA, improved outcomes with modern UKA implant designs have challenged this perception. The purpose of this study was to assess the influence of obesity on the outcomes of UKA with a robotic-assisted system at a minimum follow-up of 24 m... |
0 | Comparison of direct anterior and lateral approaches in total hip arthroplasty: A systematic review and meta-analysis (PRISMA) | PJI DX Updated Search | The direct anterior approach (DAA) to total hip arthroplasty has been promoted as a minimally invasive alternative to the lateral approach, which we sought to verify by systematically reviewing and meta-analyzing the literature comparing clinical, radiographic, and surgical outcomes. Two reviewers independently searche... |
0 | The effect of cyclooxygenase-2 inhibitors on bone mineral density: results from the Canadian Multicentre Osteoporosis Study | Management of Hip Fractures in the Elderly | INTRODUCTION: The use of cyclooxygenase-2 (COX-2) inhibitors has been demonstrated to not only impair load-induced bone formation but also prevent menopause-associated bone loss. We hypothesized that COX-2 inhibitor use would be associated with increased bone mineral density (BMD) in postmenopausal women not using estr... |
0 | Meniscal Repair With Fibrin Clot Augmentation | BMAC (Bone Marrow Aspirate Concentrate) | Meniscal injuries and meniscal loss are associated with changes in knee kinematics and loading, ultimately leading to poor functional outcomes and increased risk of progression to osteoarthritis. Biomechanical studies have shown restored knee function, and clinical studies have reported improved outcomes and decreased ... |
0 | Musculoskeletal MR: knee | AMP (Acute Meniscal Pathology) | Magnetic resonance imaging is the most sensitive, specific, and accurate noninvasive method for diagnosing internal derangement of the knee. During the past 15 years knowledge of pathologic conditions of the knee had evolved significantly. Beyond the basic principles of imaging knee injuries great impact was made on th... |
0 | Ultrasound-Guided Bilateral Erector Spinae Block Versus Tumescent Anesthesia for Postoperative Analgesia in Patients Undergoing Reduction Mammoplasty: A Randomized Controlled Study | Panniculectomy & Abdominoplasty CPG | PURPOSE: The aim of this prospective, randomized, double-blind study was to compare the tumescent anesthesia method and erector spinae block with respect to postoperative analgesia consumption, pain scores and patient satisfaction, in patients receiving breast reduction surgery under general anesthesia. METHODS: The st... |
1 | Patient preferences in knee prostheses | Surgical Management of Osteoarthritis of the Knee CPG | A total of 344 patients underwent bilateral total knee replacement (TKR) using a different prosthesis on each side. Four knee prostheses were used: anterior and posterior cruciate-retaining (ACL-PCL), posterior cruciate-retaining (PCL), medial or lateral pivot (MLP), and posterior cruciate-substituting (PS). All patien... |
0 | Management of the exposed total knee prosthesis, a six-year review | PJI DX Updated Search | INTRODUCTION: An exposed knee prosthesis is a limb threatening condition. Our unit manages such cases according to a multidisciplinary orthoplastic protocol. Whilst early prosthetic joint infection with dehiscence may be managed by Debridement, Antibiotics and Implant Retention (DAIR) and soft tissue coverage, the majo... |
0 | Streptococcus oralis as a risk factor for middle cerebral artery thrombosis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We reported a case of an 8-year-old boy who was presented to the emergency department with left-sided hemiparesis. Computed tomography showed hypodense areas in the territory of the right middle cerebral artery, indicating acute cerebral infarct. Diagnostic evaluation was performed to identify the etiology. On the eigh... |
0 | (untitled) | SR for PM on OA of All Extremities | The leading cause of disability in the United States is osteoarthritis. There is no known cure. Consequently, osteoarthritis is managed with a variety of treatments to reduce disability, improve function, and alleviate symptoms. When conservative treatments fail, surgical intervention is indicated. The most effective s... |
0 | Avascular necrosis of the femoral head after intertrochanteric fractures | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine factors that may influence the appearance of avascular necrosis after intertrochanteric fractures. DESIGN: Retrospective. SETTING: University hospital. PATIENTS: Twelve patients between the ages of fifty-nine and eighty-eight who had developed avascular necrosis of the femoral head after treatme... |
0 | Management of types B(2) and B(3) femoral periprosthetic fractures by a tapered, fluted, and distally fixed stem | Management of Hip Fractures in the Elderly | The management of periprosthetic femoral fractures is difficult and challenging. Nonsurgical and surgical treatment modalities have been described. We reviewed 24 patients (average age, 74 years) with types B(2) and B(3) fractures (Vancouver classification) managed with a cementless, tapered, fluted, and distally fixed... |
0 | Multiplanar reconstruction in MR imaging of the knee. Comparison with standard sagittal and coronal images | AMP (Acute Meniscal Pathology) | PURPOSE: To compare standard MR sagittal and coronal imaging of the knee with the MR technique of finer sagittal imaging and subsequent reconstruction in any plane.
MATERIAL AND METHODS: Forty-seven patients took part in the study. Two radiologists each made two independent interpretations in every case, based on image... |
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