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0 | Positioning evaluation of corrective osteotomy for the malunited radius: 3-D CT versus 2-D radiographs | Distal Radius Fractures | The authors retrospectively investigated the postoperative position of the distal radius after a corrective osteotomy using 2-dimensional (2-D) and 3-dimensional (3-D) imaging techniques to determine whether malposition correlates with clinical outcome. Twenty-five patients who underwent a corrective osteotomy were ava... |
0 | The effect of platelet-rich plasma injection on lateral epicondylitis following failed conservative management | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | OBJECTIVE: We assessed the effect PRP injection on pain and function in patients with lateral epicondylitis where conservative management had failed.
METHODS: We prospectively reviewed 34 patients. The mean follow-up was 26 weeks (range 6-114 weeks). We used the Oxford Elbow Score (OES) and progression to surgery to as... |
0 | Upgaze eyelid position allows differentiation between congenital and aponeurotic blepharoptosis according to the neurophysiology of eyelid retraction | Upper Eyelid and Brow Surgery | To differentiate between congenital and aponeurotic blepharoptosis, we investigated whether upgaze with stretching of the mechanoreceptor of Mueller muscle increases involuntary reflex contraction of the levator slow-twitch muscle fibers. In 50 cases each of unilateral congenital blepharoptosis and of asymmetric aponeu... |
0 | Expression of DUX4 in zebrafish development recapitulates facioscapulohumeral muscular dystrophy | Glenohumeral Joint OA | Facioscapulohumeral muscular dystrophy (FSHD) is a common form of muscular dystrophy characterized by an asymmetric progressive weakness and wasting of the facial, shoulder and upper arm muscles, frequently accompanied by hearing loss and retinal vasculopathy. FSHD is an autosomal dominant disease linked to chromosome ... |
0 | (untitled) | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The Coverage and Analysis Group at the Centers for Medicare and Medicaid Services (CMS) requested from The Technology Assessment Program (TAP) at the Agency for Healthcare Research and Quality (AHRQ), a review of the evidence that intraarticular injections of hyaluronic acid (HA) in individuals with degenerati... |
0 | Acupuncture as treatment for nervous system diseases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Acupuncture and moxibustion have been used for at least 2000 years to treat a wide range of diseases. In recognition of the increasing worldwide interest in the subject, the World Health Organization conducted a symposium on acupuncture in 1979 and put forth a list of 40 suitable diseases that can be treated with this ... |
0 | Renal Allograft Compartment Syndrome: Is It Possible to Prevent? | DoD - ACS - Interrater Reliability | Renal allograft compartment syndrome (RACS) is a complication characterized by increased pressure over 15 to 20 mm Hg of the iliac fossa site of transplanted kidney that can lead to a reduction of the blood supply to the graft, resulting in organ ischemia. This study aims to evaluate, through a review of the literature... |
0 | Management of hip fractures in the elderly | Hip Fx in the Elderly 2019 | A fracture of the proximal femur (or hip fracture) is a devastating injury to an elderly patient. Nearly all patients require surgery as part of their treatment but their care necessitates complex multidisciplinary involvement. In the last ten years there have been a number of initiatives to help improve care for this ... |
0 | Effect of anaesthetic technique on mortality following major lower extremity amputation: a propensity score-matched observational study | Surgical Management of Osteoarthritis of the Knee CPG | We investigated whether the type of anaesthesia affects mortality and length of stay after non-traumatic major lower extremity amputations. A total of 1365 eligible patients who were operated on between 2002 and 2010 were included in the final analysis. Propensity score matching was used to produce 475 matched pairs of... |
1 | Role of diabetes type in perioperative outcomes after hip and knee arthroplasty in the United States | Surgical Management of Osteoarthritis of the Knee CPG | The objective of this study was to determine whether the type of diabetes mellitus (DM) affected the incidence of immediate perioperative complications following joint replacement. From 1988 to 2003, the Nationwide Inpatient Sample recognized 65,769 patients with DM who underwent total hip and knee arthroplasty in the ... |
0 | Effects of extracorporeal shock waves on human articular chondrocytes and ovine bone marrow stromal cells in vitro | Diagnosis and Treatment of Osteochondritis Dissecans AUC | INTRODUCTION: We investigated the effects of extracorporeal shock waves on cytotoxicity and on the proliferation of human chondrocytes and ovine bone marrow stromal cells. MATERIALS AND METHODS: Isolated cells were cultured to confluence, and 500 shock waves were applied at energy flux densities of 0, 0.02, 0.06, and 0... |
0 | Prevalence of BER gene polymorphisms in sporadic breast cancer | Reduction Mammoplasty for Female Breast Hypertrophy | Studies suggest that breast cancer is initiated by the induction of somatic mutations from errors in the base excision repair (BER) of endogenous estrogen-induced abasic sites. If so, the inheritance of certain polymorphic mutations in BER genes involved in the incorporation and management of such errors should increas... |
0 | Do Psychosocial Factors Predict Muscle Strength, Pain, or Physical Performance in Patients With Knee Osteoarthritis? | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The aim of this study was to examine the relationship of psychosocial factors, namely, pain catastrophizing, kinesiophobia, and maladaptive coping strategies, with muscle strength, pain, and physical performance in patients with knee osteoarthritis (OA)-related symptoms.
METHODS: A total of 109 women (64 wit... |
0 | Use of the wide-awake local anaesthetic no tourniquet in the management of distal radius fractures | Distal Radius Fractures | OBJECTIVE: To evaluate the Wide-Awake Local Anaesthesia with No Tourniquet (WALANT) method in fixation of distal radial fractures. METHODS: Forty patients admitted to the Jinnah Postgraduate Medical Centre, Karachi, Pakistan were recruited from March 2017 to December 2018. All patients had a distal radial fracture whic... |
1 | Perceived mental health and needs for mental health services following trauma with and without brain injury | DoD PRF (Psychosocial RF) | OBJECTIVES: To compare self-reported mental health in trauma survivors with and without brain injury; to describe factors associated with lower mental health; and to compare needs in terms of mental health services and perceived access limitations to such services.
DESIGN: Cross-sectional community survey.
PATIENTS: A ... |
0 | Is unicompartmental knee arthroplasty (UKA) superior to total knee arthroplasty (TKA)? A systematic review and meta-analysis of randomized controlled trial | PJI DX Updated Search | OBJECTIVE: To compare clinical outcomes of unicompartmental knee arthroplasty (UKA) versus total knee arthroplasty (TKA). METHODS: A systematic review and meta-regression to compare postoperative outcomes of pain VAS, knee function score, range of motion, complications and revision surgery rates between UKA and TKA wer... |
1 | Use of fenestrations in acellular dermal allograft in two-stage tissue expander/implant breast reconstruction | Acellular Dermal Matrix | The authors present a new technique of alteration of the acellular dermal matrix through strategically placed fenestrations, improving the reconstructive experience and overall cosmetic outcome. The authors present a retrospective chart review following two surgeons' experience at the University of California, Irvine, ... |
0 | Preventing bone loss during androgen deprivation therapy for prostate cancer: Early experience with neridronate | MSTS 2018 - Femur Mets and MM | Objective: Androgen-deprivation therapy (ADT) is the usual treatment for locally advanced or metastatic prostate cancer. Osteoporosis is a common complication of ADT. The aim of our study was to evaluate the efficacy of neridronate, a relatively new bisphosphonate to prevent bone loss during androgen ablation. Methods:... |
0 | Osteochondral tissue regenerated via a strategy by stacking pre-differentiated BMSC sheet on fibrous mesh in a gradient | Osteochondritis Dissecans 2020 Review | The reconstruction of osteochondral tissue remains a challenging task in clinical therapy because of its heterogeneous structure. The best way to face the challenge is to develop a biomimetic construct to mimic the multilayered gradient from cartilage, to calcified cartilage and subchondral bone. In this study, bone ma... |
0 | Articular reconstruction of the elbow after high kinetic injury trauma | Pediatric Supracondylar Humerus Fracture 2020 Review | Trauma to the elbow resulting in intra-articular damage can be difficult to manage. The elbow joint is very complex and, for it to function well it must be able to flex and extend and supinate and pronate. Recent basic science experiments have demonstrated that the subchondral and chondral surface of the elbow joint is... |
0 | Surgical correction of leg alignment in unilateral knee osteoarthrosis reduces the load on the hip and knee joint bilaterally | Surgical Management of Osteoarthritis of the Knee CPG | Seventeen patients with strictly unilateral medial knee osteoarthrosis that justified surgical treatment constituted the study group. No patient had any symptoms from the hip or ankle joints or from the other knee. Eight patients were operated with high tibial osteotomy and nine were operated with unicompartmental pros... |
0 | Osteoporosis and osteoarthritis: Shared mechanisms and epidemiology | OAK 3 - Non-arthroplasty tx of OAK | Purpose of review Osteoporosis and osteoarthritis are different diseases, with differences in risk factors, bone mineral density (BMD), BMI, phenotype, morbidity and mortality. We review new data on the role of bone metabolism in osteoporosis and osteoarthritis. Recent findings The insights in the common convergent and... |
1 | Incidence and pattern of congenital dislocation of the hip in Aseer region of Saudi Arabia | Developmental Dysplasia of the Hip CPG | OBJECTIVE: The aim of this paper is to determine the incidence, pattern, predisposing risk factors, treatment modalities and outcome of congenital dislocation of the hip (CDH) in the Aseer region of Saudi Arabia. METHODS: A retrospective study of 300 cases of CDH seen during a 4-year period between 1996 to 1999 was car... |
0 | Low incidence of postoperative urinary retention with the use of a nurse-led bladder scan protocol after hip and knee arthroplasty: a retrospective cohort study | AAHKS (4) Acetaminophen | Purpose: Postoperative urinary retention (POUR), defined as the inability to empty the bladder voluntary after surgery, is a commonly reported complication. This study reports the incidence and possible risk factors for POUR after elective fast-track hip or knee arthroplasty when using a nurse-led bladder scan protocol... |
1 | A comparison of five tests for determining hand sensibility | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Three hundred seventeen normal fingers and 612 fingers in 153 hands with carpal tunnel syndrome were tested for sensibility using the Weinstein Enhanced Sensory Test (WEST) with calibrated monofilaments, by static two-point discrimination (s2PD) and moving two-point discrimination (m2PD), using the Disk-Criminator, and... |
0 | In vivo kinematics of high-flex mobile-bearing total knee arthroplasty, with a new post-cam design, in deep knee bending motion | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The objective of this study was to evaluate the in vivo knee kinematics to assess the available functional motion of the characteristic mobile-bearing prosthesis design and to examine whether the artificial joint would work in vivo according to its design concept. METHODS: We studied 14 knees (11 patients) imp... |
0 | Improving patient and staff safety by minimising radiation exposure during trauma surgery: A simple and validated predictive model | Hip Fx in the Elderly 2019 | INTRODUCTION: Minimising radiation exposure, from fluoroscopic equipment during trauma surgery is crucial to safe-guarding patients and staff. This aim of this study was to identify variables associated with increased radiation exposure for 3 of the most common trauma procedures. Secondly, we aimed to derive an interna... |
0 | Industry Update: The latest developments in therapeutic delivery | MSTS 2018 - Femur Mets and MM | The present industry update covers the period 16 November to 15 December 2010, with information sourced from company press releases, regulatory agencies and patent search engines. A number of significant mergers took place with Novartis and Alcon set to form the largest eye company division in the industry. Roche annou... |
0 | A new tool for mini-open carpal tunnel release - the PSU retractor | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Mini-open carpal tunnel release has become increasingly popular for the treatment of carpal tunnel surgery. The main advantages are shortening recovery time and return-to-work time. However, the risk of neurovascular injury still remains worrisome. METHODS: In this study, we developed a new retractor (herei... |
0 | Bone turnover following autologous transplantation in multiple myeloma | MSTS 2018 - Femur Mets and MM | Most patients with multiple myeloma have lytic lesions at multiple sites in the axial skeleton. These lesions commonly give pain and are at risk of pathological fracture, and bony disease is therefore a cause of much morbidity in myeloma. Recent data indicates that the Receptor Activator of NF-kappaB ligand (RANKL) and... |
0 | Prehabilitation versus usual care before total knee arthroplasty: A case report comparing outcomes within the same individual | Surgical Management of Osteoarthritis of the Knee CPG | This case report compared pre- and postoperative functional ability, knee strength, and pain of a female who underwent two separate total knee arthroplasty (TKA) procedures. The female patient was part of a larger research study. The first surgery on the right knee was preceded with usual care and the second surgery on... |
0 | The diagnostic potential of synovial effusion in meniscal pathology | AMP (Acute Meniscal Pathology) | During a 20-month period, 382 arthroscopies were performed and the type of washout fluid obtained was noted. When a torn meniscus was found, the fluid was macroscopically abnormal in 97.4% of cases. A crystal clear washout was associated with no demonstrable pathology in over half the cases, the remainder having mainly... |
0 | Repairing proximal and middle lower-leg wounds with retrograde sartorius myocutaneous flap pedicled by perforating branches of medial inferior genicular artery or posterior tibial artery | DOD - Acute Comp Syndrome CPG | Background and objectives: The blood supply of the lower one-third of the sartorius muscle is mainly provided by the descending genicular artery (saphenous artery). The terminal branches of the saphenous artery, together with the perforators of the posterior tibial artery and medial inferior genicular artery, form a st... |
0 | Timing of Treatment of Open Fractures of the Distal Radius in Patients Younger Than 65 Years | Distal Radius Fractures | The authors aimed to characterize surgical and functional outcomes of open fractures of the distal radius in patients younger than 65 years. At their level I trauma center, the authors conducted a retrospective review of 92 patients (age range, 16-64 years) who had 94 open fractures of the distal radius (average follow... |
0 | Solitary Plasmacytoma: a Review of Diagnosis and Management | MSTS 2018 - Femur Mets and MM | Purpose of Review: Solitary plasmacytoma is a rare plasma cell dyscrasia, classified as solitary bone plasmacytoma or solitary extramedullary plasmacytoma. These entities are diagnosed by demonstrating infiltration of a monoclonal plasma cell population in a single bone lesion or presence of plasma cells involving a so... |
0 | Laser lipolysis using a 1064/1319-nm blended wavelength laser and internal temperature monitoring | Panniculectomy & Abdominoplasty CPG | Lasers, both in single and multiple wavelength designs, have recently been introduced to enhance the results of liposuction. Safe parameters of fluence and temperature have not yet been described. In this study, I describe a series of laser lipolysis patients treated with a dual wavelength (1064/1319 nm) laser where in... |
1 | Intravenous antibiotic regimens and prophylaxis of odontogenic bacteraemia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: This study retrospectively examines the efficacy of prophylactic intravenous antibiotic regimens in the prevention of odontogenic bacteraemia in children with severe congenital heart defects receiving comprehensive dental treatment under general anaesthesia. PATIENTS AND METHODS: Blood cultures were taken f... |
0 | Unsatisfactory outcome of arthrodesis performed after septic failure of revision total knee arthroplasty | PJI DX Updated Search | BACKGROUND: Periprosthetic infection is one of the most dreaded orthopaedic complications. Current treatment procedures include one-stage or two-stage revision total knee arthroplasty. If the periprosthetic infection is no longer controllable after several revision total knee arthroplasties, many surgeons regard knee a... |
1 | Effectiveness of Inclusion of Dry Needling in a Multimodal Therapy Program for Patellofemoral Pain: A Randomized Parallel-Group Trial | OAK 3 - Non-arthroplasty tx of OAK | Study Design Randomized controlled trial. Background Evidence suggests that multimodal interventions that include exercise therapy may be effective for patellofemoral pain (PFP); however, no study has investigated the effects of trigger point (TrP) dry needling (DN) in people with PFP. |
1 | Prediction of tendinitis and carpal tunnel syndrome among solderers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is one of the fastest-growing occupational illnesses in the United States. Workers in the meat packaging, newspaper, poultry, textile, and electronics industries suffer from incidence rates as high as 20 to 50 percent per year. The costs associated with this syndrome range from $3500 to $30... |
0 | Analysis of the outcome in male and female patients using a unisex total knee replacement system | Surgical Management of Osteoarthritis of the Knee CPG | Gender-specific total knee replacement has generated much interest recently. We reviewed 1970 Sigma knees implanted in 920 women and 592 men with a mean age of 69.7 years. At a mean follow-up of 7.3 years (minimum, five years), we found minimal differences in the outcome between genders. At the final follow-up, men had... |
0 | Continuous intra-articular infusion anesthesia for pain control after total knee arthroplasty: study protocol for a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Postoperative pain control after total knee arthroplasty (TKA) remains a great challenge. The management of pain in the immediate postoperative period is one of the most critical aspects to allow speedier rehabilitation and reduce the risk of postoperative complications. Recently, periarticular infiltration... |
0 | Antibiotic prophylaxis in dentistry: a common sense approach | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Current knowledge about potentially serious infections after dental treatment suggests that antibiotic prophylaxis is of benefit in their prevention. This article describes several regimens for preventing infectious sequelae in patients with heart disease, prosthetic joints, and other "high risk" medical conditions. Th... |
0 | Crystallographic and thermodynamic characterization of phenylaminopyridine bisphosphonates binding to human farnesyl pyrophosphate synthase | MSTS 2018 - Femur Mets and MM | Human farnesyl pyrophosphate synthase (hFPPS) catalyzes the production of the 15-carbon isoprenoid farnesyl pyrophosphate. The enzyme is a key regulator of the mevalonate pathway and a well-established drug target. Notably, it was elucidated as the molecular target of nitrogen-containing bisphosphonates, a class of dru... |
0 | Outcomes of posterior wall fractures of the acetabulum. Surgical technique | DoD PRF (Psychosocial RF) | BACKGROUND: The Musculoskeletal Function Assessment (MFA) is a validated, reliable, self-administered questionnaire that is useful for determining functional status. The Merle d'Aubigne score is a clinical measure of hip function. The purpose of the present study was to evaluate the outcome information provided by thes... |
0 | Topical NSAIDs for acute pain in adults | SR for PM on OA of All Extremities | Background: Use of topical NSAIDs to treat acute musculoskeletal conditions is widely accepted in some parts of the world, but not in others. Their main attraction is their potential to provide pain relief without associated systemic adverse events.Objectives: To review the evidence from randomised, double-blind, contr... |
0 | No differences in functional results and quality of life after single-radius or multiradius TKA | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The main objective of this study was to compare the functional results and the impact on quality of life after a single-radius or a multiradius TKA implantation. The secondary objectives were to compare range of motion, satisfaction and the ability to perform daily life activities with both types of implant. I... |
0 | Experience with the combination of dutasteride and tamsulosin in the long-term management of benign prostatic hyperplasia | Reduction Mammoplasty for Female Breast Hypertrophy | Lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia (BPH) commonly affect older men. These bothersome symptoms can lead to a decreased quality of life. Currently, two classes of drugs - α-adrenergic blockers and 5α-reductase inhibitors - are prescribed to treat LUTS secondary to BPH. Due to the... |
0 | Hidrosmin Attenuates Inflammatory Response Induced by IL1beta by Suppressing the Activation of NF-kappaB Involving Nrf2/HO1 Pathway in Human Osteoarthritis Chondrocytes | AMP (Acute Meniscal Pathology) | BACKGROUND: Osteoarthritis (OA) is a disorder of joints involving degeneration and destruction of cartilages. Inflammation has been found to play an important role in the development of OA. Hidrosmin (HDS) is a flavone useful in venous insufficiency disorders and cancer. However, its role in OA remains unexplored. Here... |
0 | Increase in the incidence of cervical and trochanteric fractures of the proximal femur in Niigata Prefecture, Japan | Management of Hip Fractures in the Elderly | This study aimed to determine the incidence of cervical and trochanteric fractures of the proximal femur in 1994 in Niigata Prefecture, Japan, and to compare this incidence with those previously reported in Niigata in 1985, 1987, and 1989. We visited all hospitals within Niigata Prefecture having an orthopedic departme... |
1 | Resilience is associated with fatigue after mild traumatic brain injury | DoD PRF (Psychosocial RF) | Objective: To examine resilience as a predictor of change in self-reported fatigue after mild traumatic brain injury (MTBI). Participants: A consecutive series of 67 patients with MTBI and 34 orthopedic controls. Design: Prospective longitudinal study. Main Measures: Resilience Scale, Beck Depression Inventory-Second E... |
0 | Neoumbilicus after Selective Excision in Deep Inferior Epigastric Perforator Flap Breast Reconstruction | Panniculectomy & Abdominoplasty CPG | The umbilicus offers no functional importance to the adult human but remains a key aesthetic landmark of the anterior abdominal wall, and its absence can be a cause for concern in aesthetic and reconstructive patients. Umbilical reconstruction or transposition for abdominoplasty and abdominally based flap operations is... |
0 | Synchronous malignant otitis externa and squamous cell carcinoma of the external auditory canal | Reconstruction After Skin Cancer | Objectives. To discuss the management of a squamous cell carcinoma in the presence of malignant otitis externa. Study Design. We present only the third reported case in the literature of a synchronous tumour with malignant otitis externa in the literature. Methods. A case report and review of malignant otitis externa a... |
0 | Neuromuscular function in painful knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Pain is a major cause of impaired mobility in elderly patients with chronic osteoarthritis (OA) of the knee. Central sensitization and impaired nociceptive inhibitory mechanisms have both been identified as contributing factors to heightened pain in this patient population. While central sensitization has been shown to... |
0 | The perioperative effects of chronic preoperative opioid use on shoulder arthroplasty outcomes | OAK 3 - Non-arthroplasty tx of OAK | HYPOTHESIS AND BACKGROUND: Chronic opioid therapy is an increasingly used modality for the treatment of osteoarthritis-associated pain. We hypothesized that chronic opioid use would be associated with adverse outcomes in shoulder arthroplasty.
METHODS: A retrospective analysis of patients undergoing elective anatomic t... |
0 | The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures | DoD SSI (Surgical Site Infections) | OBJECTIVES: Report the technical aspects, radiographic results, and complications after minimum 1-year follow up of the anterior intra-pelvic (AIP or modified Rives-Stoppa) approach as an alternative to the ilioinguinal approach for the treatment of acetabular fractures.
DESIGN: Retrospective review.
SETTING: Level I t... |
0 | Should acute scaphoid fractures be fixed? A randomized controlled trial | DoD SSI (Surgical Site Infections) | BACKGROUND: With the proliferation of different fixation screws, there is an increasing trend to recommend early internal fixation of the broken scaphoid even if the fracture is not displaced. The benefits and risks of early fixation of scaphoid fractures have not been established. These were investigated in eighty-eig... |
1 | Intra-Articular Hyaluronic Acid in the Symptomatic Treatment of Knee Osteoarthritis: A Meta-Analysis of Single-Injection Products | OAK 3 - Non-arthroplasty tx of OAK | Background: Viscosupplementation of the synovial fluid with intra-articular hyaluronic acid (IA HA) is a well-known symptomatic treatment of knee osteoarthritis. The question arises whether a monoinjection (ie, single injection) could be as efficient as multi-injection (ie, 3â??5 injections) regimens. Methods: A meta-a... |
0 | Intramedullary locking nails for femoral shaft fractures in elderly patients | Management of Hip Fractures in the Elderly | Fractures of the femoral shaft are generally considered to affect young patients, but we have reviewed 24 cases in patients over 60 years who have been treated by locked nailing, usually by closed methods. Most were women with low-velocity injuries, but despite this, 14 fractures were significantly comminuted. The comp... |
1 | Timing Matters in Hip Fracture Surgery: Patients Operated within 48 Hours Have Better Outcomes. A Meta-Analysis and Meta-Regression of over 190,000 Patients | Management of Hip Fractures in the Elderly | BACKGROUND: To assess the relationship between surgical delay and mortality in elderly patients with hip fracture. Systematic review and meta-analysis of retrospective and prospective studies published from 1948 to 2011. Medline (from 1948), Embase (from 1974) and CINAHL (from 1982), and the Cochrane Library. Odds rati... |
0 | Variations in the performance of hip fracture procedures | Management of Hip Fractures in the Elderly | OBJECTIVES: Hip replacement is the preferred treatment for displaced femoral neck fractures, whereas other less expensive procedures are preferred for nondisplaced fractures. The authors determined whether there was geographic variation in the use of hip replacement to treat displaced and nondisplaced fractures. METHOD... |
0 | Computer navigation-assisted surgery for musculoskeletal tumors: a closer look into the learning curve | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Computer navigation-assisted surgery for musculoskeletal tumors has shown to reduce the risk of intra-lesional margins in resection. Experiences with this method are still limited to smaller case series.
METHOD: We reviewed our first experiences in 24 patients in whom computer navigation-assisted surgery ha... |
0 | Arthroplasty versus internal fixation for femoral neck fractures in the elderly | PJI DX Updated Search | We studied 140 patients with femoral neck fractures treated from January 1999 to December 2006. There were 68 men and 72 women with a mean age of 72 years (range 60-80 years). Seventy patients were treated with closed reduction and internal fixation (group A), and 70 patients with hip arthroplasty (group B). The durati... |
0 | Pattern of hospital associated infections in a teaching hospital in Nigeria | Patrick’s pharmacoepidemiology project | Objective: This study aimed at investigating the distribution and antibiogram of possible hospital associated pathogens, providing baseline information for the hospital. Methods: Patients with hospital associated infections in the various wards of OOUTH, Sagamu, between January 2007 and October 2010 were analyzed with ... |
0 | A double-blind, crossover study of a sustained-release tablet of ketoprofen and normal ketoprofen capsules in the treatment of patients with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | A doubleâ?blind, crossover study was carried out to assess the efficacy and tolerance of a sustainedâ?release tablet formulation of ketoprofen given as a single daily 200 mg dose compared with 2 X 50 mg normal formulation capsules of ketoprofen twice daily. Eightyâ?four patients with osteoarthritis of the hip and/or... |
0 | Sodium hyaluronate for the treatment of chronic shoulder pain associated with glenohumeral osteoarthritis: a multicenter, randomized, double-blind, placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Nonoperative treatments for glenohumeral osteoarthritis (GH-OA) are limited. Intra-articular therapy with sodium hyaluronate (HA) has been effective in treating OA of the knee. Therefore, we sought to evaluate the efficacy and safety of HA in treating chronic pain associated with GH-OA.
METHODS: This double... |
1 | Cost-effectiveness of hip protector use on a geriatric ward in Germany: a Markov model | HipFx Supplemental Cost Analysis | Summary: In this study, we determined the cost-effectiveness of hip protector use compared with no hip protector on a geriatric ward in Germany. From both the societal and the statutory health insurance (SHI) perspectives, the cost-effectiveness ratios for the provision of hip protectors were below (euro)12,000/quality... |
0 | Image formation of brain function in patients suffering from knee osteoarthritis treated with moxibustion | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Functional magnetic resonance imaging (fMRI) technology was used to study changes to the resting state blood flow in the brains of patients with knee osteoarthritis (KOA) before and after treatment with moxibustion at the acupoint of the left Dubi (ST 35) and to probe the cerebral mechanism underlying the e... |
0 | Opening-wedge high tibial osteotomy performed with locking plate fixation (TomoFix) and early weight-bearing but without filling the defect. A concise follow-up note of 48 cases at 10 years’ follow-up | DoD SSI (Surgical Site Infections) | Introduction: Use of a locking plate during medial opening high tibial osteotomy (HTO) eliminates the need to fill the defect and its associated complications. It also allows early weight-bearing. Since long-term data with this type of construct are rare, we wanted to report the outcomes of a 51-patient cohort evaluate... |
0 | Identifying mothers of very preterm infants at-risk for postpartum depression and anxiety before discharge | DoD PRF (Psychosocial RF) | Objective: We investigated whether particular demographics, maternal psychosocial and infant factors identified mothers of very preterm infants at risk for postpartum depression or anxiety at the time of discharge from a level III urban Neonatal Intensive Care Unit (NICU). Study Design: A racially diverse cohort of mot... |
0 | Acute non-traumatic arm ischaemia | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Much attention has been paid to the management of acute leg ischaemia. Acute arm ischaemia is perceived as less of a problem because the risk of limb loss is lower. After conservative treatment up to half the patients have late symptoms, such as forearm claudication. METHODS: This study was a review of all ... |
0 | Outcome Analysis of Hemiarthroplasty vs. Total Hip Replacement in Displaced Femoral Neck Fractures in the Elderly | DoD SSI (Surgical Site Infections) | INTRODUCTION: Management of displaced fracture neck femur in the elderly population is frequently done by Hemiarthroplasty or Total Hip Replacement (THR). It avoids high rates of nonunion and avascular necrosis which usually occur after internal fixation of neck femur fractures in this age group.
AIM: The present study... |
0 | Utilization of the less-invasive stabilization system internal fixator for open fractures of the proximal tibia: a multi-center evaluation | DoD SSI (Surgical Site Infections) | BACKGROUND: Locked plating has become popular and has clear biomechanical advantages when compared with conventional plating. When combined with minimally invasive surgical techniques, locked plating may cause substantially less iatrogenic tissue damage when compared with conventional plating. These characteristics may... |
0 | Early Failure of a Polyethylene Acetabular Liner Cemented Into a Metal Cup | Management of Hip Fractures in the Elderly | In 2002, a patient underwent revision total hip arthroplasty for polyethylene wear. The acetabular cup was well fixed, and it was decided to cement a new polyethylene liner into the existing cup. In 2006, the patient presented with inability to weight bear and easy subluxation of the hip. Revision surgery was performed... |
1 | Knee osteoarthritis radiographic progression and associations with pain and function prior to knee arthroplasty: A multicenter comparative cohort study | Surgical Management of Osteoarthritis of the Knee CPG | Objectives: We determined the radiographic osteoarthritic worsening rate prior to knee arthroplasty (TKA) and whether this worsening was associated with worsening pain and function as compared to a non-surgical matched sample. Methods: We used the Osteoarthritis Initiative 5-year datasets. Extent of knee OA 2 years pri... |
0 | Long-term Bone Remodeling in HA-coated Stems: A Radiographic Review of 208 Total Hip Arthroplasties (THAs) with 15 to 20 Years Follow-up | PJI DX Updated Search | We present a prospective study focused on radiographic long-term outcomes and bone remodeling at a mean of 17.0 years (range: 15 to 20) in 208 cementless fully HA-coated femoral stems (Corail, DePuy International Ltd, Leeds, UK). Total hip replacements in this study were performed by three members of the surgeon design... |
0 | A new in vivo interdental sampling method comparing a daily flossing regime versus a manual brush control | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: The impact of flossing the interdental space is typically assessed by visual methods of questionable reliability, such as clinician observations and evaluations for scoring of plaque on visual tooth surfaces. The objective of this study was to develop and validate a method to measure interproximal quantities... |
0 | Robust registration for computer-integrated orthopedic surgery: laboratory validation and clinical experience | Distal Radius Fractures | In order to provide navigational guidance during computer-integrated orthopedic surgery, the anatomy of the patient must first be registered to a medical image or model. A common registration approach is to digitize points from the surface of a bone and then find the rigid transformation that best matches the points to... |
1 | Effects of nursing interventions within an integrated care pathway for patients with hip fracture | Hip Fx in the Elderly 2019 | Aim. This paper reports a study to evaluate the contribution of nursing care within an integrated care pathway for patients with hip fracture. Background. There is growing interest in quality assurance in health care. Integrated care pathways are a method to achieve this goal, and are a multi-professional team approach... |
0 | Traumatic extremity arterial injury in children: epidemiology, diagnostics, treatment and prognostic value of Mangled Extremity Severity Score | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Traumatic paediatric arterial injuries are a great challenge due to low incidence and specific characteristics of paediatric anatomy and physiology. The aim of the present study was to investigate their epidemiology, diagnostic and therapeutic options and complications. Furthermore, the prognostic value of ... |
0 | Intramedullary fixation for arthrodesis of the knee after infected total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Knee arthrodesis with curved intramedullary rods was performed in 12 patients after infected total knee arthroplasty. The underlying pathologic condition was osteoarthritis in nine patients and rheumatoid arthritis in three patients. Nine patients with a postoperative follow-up time of greater than two years (average, ... |
0 | Adhesive capsulitis of the hip | Glenohumeral Joint OA | PURPOSE: It is postulated that adhesive capsulitis of the hip is more common than suggested in the published literature, which recounts only a few isolated cases, and that this condition shares many of the same characteristics seen in the shoulder. The purpose of this study was to investigate and report the findings of... |
0 | Function after total hip replacement for primary osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | We have reviewed 505 cases of surviving total hip replacement for primary osteoarthritis and studied the functional result and pain relief obtained between four and fourteen years after implantation. The risk factors were stratified and evaluated by multivariate statistical analysis. The patients were satisfied with th... |
1 | Factors influencing infection in 10 years of battlefield open tibia fractures | DoD SSI (Surgical Site Infections) | The aim of this study was to characterise severe open tibial shaft fractures sustained by the UK military personnel over 10 years of combat in Iraq and Afghanistan. The UK military Joint Theatre Trauma Registry was searched for all such injuries, and clinical records were reviewed for all patients. One hundred Gustilo-... |
1 | Diagnostic value of angled oblique sagittal images of the supraspinatus tendon for the detection of rotator cuff tears on MR imaging | Trial Systematic Review Project | PURPOSE: The goal of this study was to evaluate the added value of sagittal T2-weighted magnetic resonance imaging (MRI) of the supraspinatus tendon by comparison with a standard MRI protocol for the evaluation of the rotator cuff.
MATERIALS AND METHODS: This retrospective single center study included 100 patients refe... |
0 | Comparison of piroxicam with placebo in the management of pain after total hip replacement | AAHKS (4) Acetaminophen | A randomized double-blind controlled study was undertaken to assess the analgesic efficacy of piroxicam. Twenty-four patients underwent total hip replacement under spinal anaesthetic; after operation, they received a 3-day course of either placebo (n = 12) or piroxicam (n = 12). Adequate analgesia was provided for 48 h... |
0 | Perforation of Surgical Gloves during Lower Extremity Fracture Surgery and Hip Joint Replacement Surgery | DoD SSI (Surgical Site Infections) | PURPOSE: To assess the frequencies and sites of surgical glove perforations in lower extremity fracture surgery and hip joint replacement (HJR) surgery. Additionally, we also studied the usefulness of an indicator system glove.
MATERIALS AND METHODS: We assessed surgical glove perforations in 30 cases of lower extremit... |
0 | Use of a powered toothbrush for hygiene of edentulous implant-supported prostheses | Dental Implant Infection | Effective professional maintenance and personal oral hygiene are important for the long-term success and comfortable functioning of implant-assisted dental restorations. Incorporating the most effective oral hygiene devices into each patient's oral hygiene regimen facilitates optimal results. The use of a powered tooth... |
0 | The prophylaxis and treatment of bacterial infective endocarditis in adults | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infective endocarditis is a relatively rare disease that has an associated high morbidity and mortality. The basic pathology involves the adherence of micro-organisms to areas of endothelial damage, causing local infection resulting in the formation of vegetations. Complications include sepsis, valvular failure and emb... |
0 | BEDSIDE TRANSCERVICAL-TRANSTRACHEAL POST-INTUBATION INJURY REPAIR IN A COVID-19 PATIENT | Coronavirus Disease 2019 (COVID-19) | SARS-Co-2 disease 2019 (COVID-19) has rapidly spread worldwide since December 2019. A relevant rate of patients develops an acute respiratory distress syndrome that require hospitalization. Among them, a non-negligible rate (9.8%-15.2%) requires tracheal intubation for invasive ventilation. We report the case of a COVI... |
0 | Therapeutic synergism between hyaluronic acid and dexamethasone in the intra-articular treatment of osteoarthritis of the knee: a preliminary open study | OAK 3 - Non-arthroplasty tx of OAK | In vitro studies on the effects of dexamethasone on human synovial cells have shown that with high concentrations of the steroid in the culture medium cellular activity was completely blocked whereas with low concentrations (10(â?6)M), cellular density decreased but there was an increase in the synthesis of RNA, DNA, ... |
0 | Microsurgical Reconstruction of the Jaws Using Vascularised Free Flap Technique in Patients with Medication-Related Osteonecrosis: A Systematic Review | MSTS 2018 - Femur Mets and MM | Background. Osteonecrosis of the jaw (ONJ) has been reported to be associated with patients receiving primarily bisphosphonate (BP) therapies. However, lately it has been documented that other medications, such as RANK ligand inhibitor (denosumab) and antiangiogenic drug, can cause ONJ. Micro-osseous-vascular reconstru... |
0 | The trajectory of long-term psychosocial development 16 years following childhood traumatic brain injury | DoD PRF (Psychosocial RF) | Childhood traumatic brain injury (CTBI) is one of the most common causes of impairment in children and adolescents, with psychosocial difficulties found to be the most persisting. Given that the transition into adolescence and adulthood can be a stressful period, it is likely that young people who have sustained a CTBI... |
0 | Ischiofemoral Impingement in Children: Imaging With Clinical Correlation | PJI DX Updated Search | OBJECTIVE: The purpose of this study is to correlate the MRI finding of quadratus femoris edema in children with established measures of ischiofemoral impingement in adults and to determine their clinical significance. MATERIALS AND METHODS: A case-control retrospective review was performed of MR images of 12 hips of n... |
0 | Resection of degenerate menisci - is it useful? | AMP (Acute Meniscal Pathology) | Forty-three symptomatic patients, with a pre-operative MRI diagnosis of an isolated degenerate tear of the meniscus, treated by Arthroscopic resection were reviewed after a minimum follow up of 6 years post-surgery. Pre-operatively there was no clinical or radiological evidence of arthroses, but at surgery 65% of patie... |
0 | Chondromyxoid fibroma of bone: a clinicopathologic review of 278 cases | MSTS 2022 - Metastatic Disease of the Humerus | In a study of the clinical, radiographic, and pathological features of chondromyxoid fibroma, the tumor was slightly more common in men, usually in the second decade of life. Almost half of the tumors involved the long bones, although the ilium and the small bones were also common sites. Roentgenograms showed a sharply... |
0 | Bioabsorbable devices in the fixation of humeral condylar fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | This article deals with our own experience on the use of self-reinforced bioabsorbable devices in the fixation of humeral condylar fractures. The operative technique is presented also. A short discussion shows the advantages and disadvantages of this fairly new operative method. Bioabsorbable screws and rods seem to be... |
0 | Early conversion from cyclosporine to everolimus following living-donor kidney transplantation: Outcomes at 5 years posttransplant in the randomized ZEUS trial | Reconstruction After Skin Cancer | Aims: To assess 5-year efficacy, renal, and safety outcomes following early conversion from cyclosporine to everolimus vs. a standard cyclosporine-based regimen in living-donor kidney transplant (LDKT) recipients. Materials and methods: The ZEUS study was a randomized, open-label, 1-year, multicenter study in which 300... |
0 | Intra-articular injection for pain relief in patients awaiting hip replacement | AAHKS (8) Anesthetic Infiltration | A double blind randomised trial was carried out to ascertain whether intra-articular injections of saline, bupivacaine or bupivacaine plus triamcinolone would be of value in the relief of hip pain suffered by patients awaiting total hip replacement for osteoarthritis. The majority of patients had good pain relief for 1... |
0 | Acute arterial occlusion associated with total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Acute arterial occlusion is a rare but limb-threatening complication in total knee arthroplasty. Most of the previously reported cases of this complication required surgical intervention. This report illustrates an unusual case of this complication that was managed conservatively with an acceptable outcome. The case is... |
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