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1 | A ten year audit of surgery for vascular trauma in a British teaching hospital | DoD LSA (Limb Salvage vs Amputation) | Vascular trauma is uncommon in the U.K. with the exception of Northern Ireland. In marked contrast to North America, gunshot wounds are rare and stabbings are infrequent. A 10 year audit was carried out in a regional vascular referral unit to determine the mechanisms, treatment and outcome of vascular injuries. Forty-s... |
1 | Analysis of predictors of pain response in patients with bone metastasis undergoing palliative radiotherapy: Does age matter? | MSTS 2022 - Metastatic Disease of the Humerus | INTRODUCTION: To evaluate whether age is a predictor of pain response after radiotherapy for painful bone metastasis (BM).
METHODS: Between June 2010 and June 2014, 204 patients with BM undergoing palliative radiotherapy participated in a multicentre prospective study. Patients completed the Brief Pain Inventory (BPI) ... |
0 | Intramedullary nailing has sufficient durability for metastatic femoral fractures | Hip Fx in the Elderly 2019 | BACKGROUND: Surgical treatment options of femoral metastases include intramedullary nailing (IMN) and endoprosthetic reconstruction (EPR). Previous studies have demonstrated functional and oncological advantages of EPR over IMN. The purpose of this study was to (1) report the durability of IMN and (2) establish the ind... |
1 | Critical displacement of neural injuries in supracondylar humeral fractures in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | To investigate a relation between the degree of initial fracture displacement and nerve complication, 53 consecutive acute extension-type supracondylar humeral fractures in children during 10 years were analyzed. From the initial roentgenographs, the direction and degree of displacement of each fracture were plotted on... |
0 | Intermittent negative pressure wound therapy with instillation for the treatment of persistent periprosthetic hip infections: A report of two cases | PJI DX Updated Search | Intermittent negative pressure wound therapy with instillation (NPWTi) is starting to be used successfully to treat early periprosthetic infections of endoprostheses. However, few articles have reported the outcome of treatment with intermittent NPWTi for late persistent periprosthetic infections of the hip. In this st... |
0 | Distal femoral physeal crush injury with metaphyseal comminution â?? A report of two cases and a new perspective to physeal injury | Pediatric Diaphyseal Femur Fractures 2020 Review | The physis of a long bone may get 'sandwichedâ?? and crushed between the metaphysis and the epiphysis if it is traumatically loaded along its long axis. Such a physeal injury may lead to complications like angular deformities and growth restrictions and hence, management of such injuries requires adequate planning and ... |
0 | Risk factors for osteoporosis are common in young and middle-aged patients with femoral neck fractures regardless of trauma mechanism | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: There have been few prospective studies examining young and middle-aged patients with hip fracture. We therefore investigated background data, risk factors, and the trauma mechanism in young and middle-aged patients with femoral neck fracture. PATIENTS AND METHODS: 185 patients, 27 young (20-49 ... |
1 | Imaging of meniscal allograft transplantation: what the radiologist needs to know | AMP (Acute Meniscal Pathology) | Meniscal allograft transplantation is an emerging surgical option for younger patients with symptomatic meniscal deficiency, which aims to restore anatomic biomechanics and load distribution in the knee joint, and by so doing to potentially delay accelerated osteoarthritis. In this review article, we summarize the stru... |
0 | Mepivacaine Spinal Anesthesia Facilitates Rapid Recovery in Total Knee Arthroplasty Compared to Bupivacaine | AAHKS (4) Acetaminophen | Background: Mepivacaine as a spinal anesthetic for rapid recovery in total knee arthroplasty (TKA) has not been assessed. The purpose of this study is to compare spinal mepivacaine vs bupivacaine for postoperative measures in patients undergoing primary TKA. Methods: Retrospective review of a prospectively collected si... |
1 | Which Factors Increase the Risk of Reoperation After Meniscal Surgery in Children? | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal injuries in children can pose treatment challenges, as the meniscus must maintain its biomechanical function over a long lifetime while withstanding a high activity level. While the adult literature contains a plethora of studies regarding risk factors for failure of meniscal surgery, such reports ... |
0 | Pediatric bone imaging: Imaging elbow trauma in children - A review of acute and chronic injuries | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE. Pediatric elbow trauma is challenging because of the complex nature of the growing skeleton. The objectives of this article are to review the anatomy and radiographic landmarks and to discuss common acute and chronic injuries sustained. CONCLUSION. Radiographic evaluation of elbow trauma in the acute setting... |
0 | Straight tapered titanium stem with alumina bearing in cementless primary total hip arthroplasty: a minimum 5-year follow-up | Management of Hip Fractures in the Elderly | The aim of this study was to assess the midterm results of primary cementless total hip arthroplasty using a tapered stem and alumina bearing couple in active patients. After a minimum of 5 years of follow-up, 78 arthroplasties in 72 patients were reviewed retrospectively. The mean Harris hip score was 94 points, and 2... |
0 | ACL injury while jumping rope in a patient with an unintended increase in the tibial slope after an opening wedge high tibial osteotomy | Surgical Management of Osteoarthritis of the Knee CPG | High tibial osteotomy (HTO) is an accepted surgical technique for the treatment of medial compartmental arthrosis of the knee in younger patients. Compared to total knee arthroplasty, HTO may be a good choice in patients who wish to continue with heavy labor and/or impact sports. Based on the rehabilitation protocol af... |
1 | Cost-effectiveness of inhaled steroids in asthma: impact of effect on bone mineral density | HipFx Supplemental Cost Analysis | BACKGROUND: The effects of inhaled corticosteroid (ICS) preparations on bone health have been debated. Multiple analyses have been published examining the question, with mixed results. OBJECTIVES: We examined how assumptions about the effect of ICS on bone mineral density (BMD) influence the cost-effectiveness of ICS i... |
0 | Asian-specific total knee system: 5-14 year follow-up study | PJI DX Updated Search | BACKGROUND: Knee size and body size differ in Asians compared with Caucasians. Nevertheless, many total knee arthroplasty (TKA) prostheses used worldwide are made for Western Caucasian subjects. As a result, an Asian's knee might not fit these prostheses. We studied the Flexible Nichidai Knee (FNK) system, a new model ... |
0 | Impact microindentation in men with impaired fasting glucose and type 2 diabetes | Hip Fx in the Elderly 2019 | Background: Individuals with type 2 diabetes (T2DM) are at increased fracture risk, with bone mineral density (BMD) measurements underestimating risk. Impact microindentation (IMI), a technique that measures bone microindentation distances, expressed as bone material strength index (BMSi), may improve fracture risk est... |
0 | Is there a role for acetabular dysplasia correction in an asymptomatic patient? | PJI DX Updated Search | Background: Childhood hip dysplasia is best treated in infancy or early childhood with hopes that the acetabulum will be completely normalized by nonoperative treatment methods, which may include Pavlik and brace treatment as well as formal closed reduction and hip spica casting. In many cases, this ideal result cannot... |
1 | Complications of the treatment of congenital dislocation of the hip by the Pavlik harness | Developmental Dysplasia of the Hip CPG | The results of the treatment of congenital dislocation of the hip using the Pavlik harness were satisfactory, but lateral displacement and deformity of the femoral head were sometimes observed after treatment. The causes of these complications are discussed and the measures taken to avoid them are discribed |
1 | Relationship between plate removal and Soong grading following surgery for fractured distal radius | Distal Radius Fractures | The aim of this study was to determine the relationship between volar plate removal and the Soong classification following fixation for fractured distal radius. In this retrospective cohort study, all consecutive patients who had volar plate fixation for a distal radius fracture in 2011-2015 were reviewed. Differences ... |
0 | Arthroscopic management of degenerative meniscus tears in patients with degenerative arthritis | Surgical Management of Osteoarthritis of the Knee CPG | Frequently, meniscal pathology accompanies degenerative changes affecting the articular surface of the knee. The attritional changes in the meniscus lead to fragmentation of the meniscus and a variety of tears, usually of the posterior horn of the medial meniscus. A prospective study of the results of arthroscopic part... |
0 | A quantitative assessment of ipsilateral knee pain: Improvement after hip arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Objective: Ipsilateral knee pain (IKP) is commonly associated with many intra-articular hip pathologies and other sources of pain referred from the lumbar spine and pelvic area. The purpose of this study was to evaluate the pattern of IKP before and after hip arthroplasty. We hypothesized that hip pathology was one of ... |
0 | Hyaluronan before osteoarthritis: About 339sportsmen | Osteochondritis Dissecans 2020 Review | Introduction: Physical activities, through traumas and intensity of practice expose the athletes to cartilage pain caused earlier compared to a population of sedentary people. Lesions at the origin of the pain may be traumatic or microtrauma however without meeting the radio-clinical osteoarthritis criteria defined by ... |
0 | Does THA Improve Social Status Among Turkish Women With Developmental Dysplasia of the Hip? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: In traditional societies, patients who reach adulthood with developmental dysplasia of the hip (DDH) may be labeled "disabled" and may be considered "defective," causing them psychologic pain and problems with social interactions. In some patriarchal societies, women disproportionately experience these prob... |
0 | Clinical and epidemiological features of clostridium perfringens bacteremia: A review of 18 cases over 8 year-period in a tertiary care center in metropolitan Tokyo area in Japan | Management of Hip Fractures in the Elderly | Clostridial sepsis has a very poor prognosis, owing to the life-threatening combination of shock and acute massive hemolysis. No papers have described the clinical features of clostridial sepsis cases in Japan. Therefore, we retrospectively examined the clinical features of patients with systemic inflammatory response ... |
1 | Cosmetic surgery in the adolescent patient | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Individuals younger than 18 years represent an increasing number of cosmetic surgery patients. The goals of this article are to address the unique psychological aspects of teens and cosmetic surgery; to understand literature related to adolescents and cosmetic surgery; and to consider methods for evaluating... |
0 | Tubercular infection after arthroscopic anterior cruciate ligament reconstruction | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | PURPOSE: Tubercular infection has not been described, to our knowledge, in the literature after anterior cruciate ligament (ACL) reconstruction, and, hence, the purpose of our case series was to describe our experience, evaluate the clinical and laboratory findings, and assess the treatment outcome. METHODS: We perform... |
0 | Departures from community equipoise may lead to incorrect inference in randomized trials | AMP (Acute Meniscal Pathology) | OBJECTIVE: To assess the impact of selective enrollment on the results of randomized controlled trials (RCTs).
STUDY DESIGN AND SETTING: We simulated an RCT of arthroscopic partial meniscectomy vs. nonoperative therapy in patients with meniscal tear and osteoarthritis (OA). We estimated efficacy with the risk ratio (RR... |
0 | The incidence of prepatellar neuropathy following medial meniscectomy | AMP (Acute Meniscal Pathology) | The frequency of lasting prepatellar dysesthesia following medial meniscectomy has been under-estimated. Analysis of 87 patients undergoing medial meniscectomy in a prospective study with a minimum follow-up period of six months showed dysesthesia in 63.2% immediately after operation. The condition persisted in 44.4% a... |
0 | Ongoing pain following knee replacement. Simple clinical tools to guide assessment of varying pain profiles | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Research has identified that approximately 20% of patients experience ongoing pain after knee replacement. Increasingly it is acknowledged that there is a complex interaction of multiple causative factors that contribute to a suboptimal outcome following knee replacement. It has been proposed that patients wit... |
0 | Is informed consent effective in trauma patients? | Management of Hip Fractures in the Elderly | BACKGROUND: Informed consent in the modern era is a common and important topic both for the well-informed patient and to prevent unnecessary litigation. However, the effectiveness of informed consent in trauma patients is an under-researched area. This paper aims to assess the differences in patient recall of the conse... |
0 | An innovative method for measuring the femoral arch | Hip Fx in the Elderly 2019 | A mismatch between the femoral bow and intramedullary nails causes a series of complications. Previous investigations have sought to determine the curvature of the femur using the radius of the femoral bow. However, the radius of the curvature is affected by femur length. To eliminate the influence of femur length, we ... |
0 | Low skeletal muscle mass and radiographic osteoarthritis in knee, hip, and lumbar spine: a cross-sectional study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Although several studies have shown that low skeletal muscle mass is correlated with knee osteoarthritis, no studies have investigated the correlation between skeletal muscle mass and hip and lumbar spine osteoarthritis (OA).
AIM: This study aimed to delineate the relationship between low skeletal muscle ma... |
0 | Results of a multicenter study investigating the potential impact of the overall treatment time on outcomes of radiation therapy alone with 5×4 Gy for metastatic epidural spinal cord compression | MSTS 2022 - Metastatic Disease of the Humerus | Purpose/Objective A 5×4 Gy program is commonly used for metastatic epidural spinal cord compression (MESCC). It is unclear whether an overall treatment time (OTT) of 5 days (5 consecutive fractions) results in better outcomes than an OTT of 7 days (ie, no irradiation during the weekend). Methods and materials A total o... |
0 | Intraoperative small-dose ketamine enhances analgesia after outpatient knee arthroscopy | AMP (Acute Meniscal Pathology) | Ketamine may prevent postoperative hyperalgesia. In patients undergoing arthroscopic meniscectomy using general anesthesia, we tested whether a single intraoperative dose of ketamine enhanced postoperative analgesia and improved functional outcome compared with a typical multimodal analgesic regimen. After the inductio... |
0 | Early migration predicts late aseptic failure of hip sockets | Management of Hip Fractures in the Elderly | We report a prospective, stratified study of 60 PCA-cups and 60 RM-polyethylene cups which have been followed for a median time of 90 months, with annual radiography. The radiological migration of cups was measured by the computer-assisted EBRA method. A number of threshold migration rates from 1 mm in the first year t... |
0 | Is 99m Tc-methylene diphosphonate bone scintigraphy a sensitive method for detecting bone lesions in multiple myeloma? | MSTS 2018 - Femur Mets and MM | Background: Bone lesion in multiple myeloma (MM) is most commonly presented as a lytic lesion in this disease. Determination of extent of bone lesions in MM is necessary to follow-up the patients. Whole body bone scan with 99m, Tc-methylene diphosphonate (MDP) has a lower sensitivity than other modalities. Methods: Fro... |
1 | Effect of early versus delayed wound closure on union time of gustilo III-A tibial shaft fractures | DoD SSI (Surgical Site Infections) | Objective: To evaluate the outcomes of wound closure: Early vs. Delayed; on union time of Gustilo III-A Tibial shaft fractures. Study Design:Cross-sectional comparative study. Place and Duration of Study:Department of Orthopedic Surgery & Traumatology at Liaquat University of Medical Health Sciences Jamshoro from 1stJa... |
1 | Computer navigation did not improve alignment in a lower-volume total knee practice | Surgical Management of Osteoarthritis of the Knee CPG | Postoperative alignment of the implanted prosthesis in computer-navigated TKA has been reported to be superior to that using the conventional technique. There is an assumption that use of computer navigation techniques can make an inexperienced or occasional TKA surgeon perform more like an expert TKA surgeon. To asses... |
0 | In Vivo Femoral Head Damage and Its Effect on Polyethylene Wear | Management of Hip Fractures in the Elderly | The purposes of this study were to determine the spectrum of femoral head damage in patients undergoing revision total hip arthroplasty and to determine the impact of that damage on polyethylene wear. One hundred eight consecutive modular metal femoral heads were retrieved at revision surgery. The mean roughness (Ra) v... |
0 | Health related quality of life and related factors in 539 persons with amputation of upper and lower limb | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: Limb amputation is followed by an important rehabilitation process, especially when a prosthesis is involved. The objective of this study is to assess the nature of factors related to health related quality of life (HRQL) of persons with limb amputation. METHOD: The Nottingham Health Profile (NHP) treated 1011... |
0 | Diagnosis, pathogenesis, and treatment of dialysis-related amyloidosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Dialysis-related amyloidosis (DRA) is a major complication of chronic renal failure and long-term renal replacement therapy. Beta2-Microglobulin is a major constituent of amyloid fibrils in DRA. Amyloid deposition mainly involves bone and joint structures, presenting as carpal tunnel syndrome, destructive arthropathy, ... |
0 | Randomized controlled trial of patient-controlled epidural analgesia after orthopaedic surgery with sufentanil and ropivacaine 0.165% or levobupivacaine 0.125% | AAHKS (4) Acetaminophen | BACKGROUND: Ropivacaine, and to a lesser extent also levobupivacaine, is commonly used for postoperative epidural analgesia. Despite ED50 data suggesting a potency difference between these drugs, clinically they can be difficult to distinguish. As a consequence, it is unclear which concentration of each drug to use whe... |
0 | Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition | OAK 3 - Non-arthroplasty tx of OAK | Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition, is based on a systematic review of the current scientific and clinical research. This guideline contains 15 recommendations, replaces the 2008 AAOS clinical practice guideline, and was reevaluated earlier than the 5-year recommendation of t... |
0 | Arthroscopic repair of meniscus tears extending into the avascular zone with or without anterior cruciate ligament reconstruction in patients 40 years of age and older | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to prospectively determine the outcome of meniscal repairs for tears that extended into the central one-third zone of the meniscus, or had a rim width of 4 mm or greater, in a case series of patients 40 years of age and older.
TYPE OF STUDY: Prospective case series.
MATERIALS AND ... |
0 | Two-stage revision of implant-associated infections after total hip and knee arthroplasty | PJI DX Updated Search | Septic loosening of total hip and knee endoprostheses gains an increasing proportion of revision arthroplasties. Operative revisions of infected endoprostheses are mentally and physically wearing for the patient, challenging for the surgeon and a significant economic burden for healthcare systems. In cases of early inf... |
0 | A technique to aid removal of blount staples with minimal bone destruction | OAK 3 - Non-arthroplasty tx of OAK | Ephiphysiodesis is fusion across the growth plate to arrest growth either permanently or temporarily. This procedure is usually carried out with Blount staples. Removal for total knee replacement in later years can be destructive to surrounding bone, sometimes causing inadvertent fracture. We present a simple and safe ... |
0 | The infected knee arthroplasty. A 6-year follow-up of 357 cases | Surgical Management of Osteoarthritis of the Knee CPG | The incidence of deep infection after 12,118 primary knee arthroplasties performed in Sweden from October 1, 1975 through 1985 with a median follow-up of 6 years was 1.7 percent for arthrosis and 4.4 percent for rheumatoid arthritis. Risk factors for infection were large prostheses, postoperative wound-healing complica... |
0 | The influence of visual field disorders on visual identification tasks | Upper Eyelid and Brow Surgery | Visual identification of shapes, figures, objects and faces was tested in a group of 26 patients with homonymous field defects due to unilateral "posterior" brain damage. In addition, a search test was used for evaluation of the effect of visual field loss on visual information acquisition. Of the patients, 5 performed... |
1 | Facilitated access to an integrated model of care for arthritis in an urban Aboriginal population | Trial Systematic Review Project | Objective To evaluate a model of care to improve arthritis detection and treatment in an urban Aboriginal population. Design Cohort study. Setting The Elbow River Healing Lodge in Calgary, Alta. Participants A total of 26 participants with noninflammatory arthritis and 12 with inflammatory arthritis. Intervention A mon... |
0 | Treatment of femoral neck and trochanteric simple bone cysts | DoD SSI (Surgical Site Infections) | Introduction: Problems associated with common treatment modalities of bone cysts located in the proximal femur include a high blood loss, infection, lack of stability, donor-site morbidity, restriction to normal activity, and high recurrence rate. Materials and methods: Twelve patients with a simple bone cyst of the pr... |
0 | Effects of yoga interventions on pain and pain-associated disability: A meta-analysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We searched databases for controlled clinical studies, and performed a meta-analysis on the effectiveness of yoga interventions on pain and associated disability. Five randomized studies reported single-blinding and had a higher methodological quality; 7 studies were randomized but not blinded and had moderate quality;... |
0 | Isolation, characterization, and differentiation potential of canine adipose-derived stem cells | Panniculectomy & Abdominoplasty CPG | Adipose tissue may represent a potential source of adult stem cells for tissue engineering applications in veterinary medicine. It can be obtained in large quantities, under local anesthesia, and with minimal discomfort. In this study, canine adipose tissue was obtained by biopsy from subcutaneous adipose tissue or by ... |
0 | Similar survival between screw cementless and cemented tibial components in young patients with osteoarthritis | PJI DX Updated Search | PURPOSE: The aim of this study was to compare the outcomes of tibial fixation with either a cemented or cementless with screw augmentation component in young patients with non-inflammatory arthritis. METHODS: Ninety-three patients aged 55 or younger with non-inflammatory arthritis were randomized to compare outcomes be... |
0 | Development of an Impulse Response Method for Assessing Knee Osteoarthritis at the Femorotibial Joint: Comparison Between Healthy Young Adults and Older Women with Clinical Knee Osteoarthritis | AMP (Acute Meniscal Pathology) | Purpose: Because in patients with knee osteoarthritis (OA), the knee joint properties such as cartilage, meniscus, soft tissue and bone formation are assumed to degeneration change, the shock absorb might also decrease. The transmission of impulse from femur and tibia is thought to change in the knee joint. The purpose... |
0 | The epidemiology of failure in total knee arthroplasty: avoiding your next revision | PJI DX Updated Search | Total knee arthroplasty (TKA) is a cost effective and extremely successful operation. As longevity increases, the demand for primary TKA will continue to rise. The success and survivorship of TKAs are dependent on the demographics of the patient, surgical technique and implant-related factors. Currently the risk of fai... |
0 | Pediatric vascular injuries: Acute management and early outcomes | DOD - Acute Comp Syndrome CPG | Background: Although uncommon in children, traumatic vascular injuries have the potential for lifelong disability. We reviewed these injuries, their acute management, and early outcomes at a Level I trauma center. Methods: Retrospective review of patients identified through trauma registry was query of all noniatrogeni... |
0 | The treatment of diabetic foot ulcers with uncultured, processed lipoaspirate cells: a pilot study | Panniculectomy & Abdominoplasty CPG | Human processed lipoaspirate (PLA) cells are relatively easy to obtain in large quantities without cell culture. The purpose of this study was to present the possibility of using uncultured PLA cell autografts for the treatment of diabetic ulcers. An in vitro study was designed initially to determine the effect of PLA ... |
1 | Self-reported upper extremity health status correlates with depression | DoD PRF (Psychosocial RF) | Background: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is the most widely used upper extremity-specific health-status measure. The DASH score often demonstrates greater variability than would be expected on the basis of objective pathology. This variability may be related to psychosocial factor... |
0 | Technique for liposuction fat reimplantation and long-term volume evaluation by magnetic resonance imaging | Panniculectomy & Abdominoplasty CPG | Injection with one's own fat tissue remains controversial due to a lack of objective data pertaining to postoperative volume control. Facial defects in a total of 53 patients were repaired using autogenous fat tissue. The fatty tissue was obtained from the lower abdomen, buttocks, or inner portion of the upper thigh an... |
0 | Effects of Salmon Calcitonin and Omega - 3 Fatty Acids on Glucoregulatory Indices, Lipid Profile and Antioxidant Markers in Experimental Knee Osteoarthritis in Wistar Rats | OAK 3 - Non-arthroplasty tx of OAK | It has been opined that a combined therapeutic approach should be considered in the optimal management ofosteoarthritis (OA). Therefore, the study investigated the effects of salmon calcitonin (Sct) and/or omega-3 fatty acids (N-3), relative to diclofenac sodium (DF) on selected biochemical parameters in induced osteoa... |
0 | Comparison of glenohumeral mechanics following a capsular shift and anterior tightening | Glenohumeral Joint OA | BACKGROUND: Numerous surgical techniques have been developed to treat glenohumeral instability. Anterior tightening procedures have been associated with secondary glenohumeral osteoarthritis, unlike the anterior-inferior capsular shift procedure, which has been widely advocated as a more anatomical repair. The objectiv... |
1 | Psychological distress and physical disability in patients sustaining severe injuries in road traffic crashes: Results from a one-year cohort study from three European countries | DoD PRF (Psychosocial RF) | The current study aimed to follow-up a group of road crash survivors for one year and assesses the impact of injury on their psychological and physical condition. All crash survivors that were admitted to the intensive or sub-intensive care units of selected hospitals in Greece, Germany and Italy over one year period (... |
1 | Potentially modifiable pre-, peri-, and postdeployment characteristics associated with deployment-related posttraumatic stress disorder among ohio army national guard soldiers | DoD PRF (Psychosocial RF) | PURPOSE: To evaluate potentially modifiable deployment characteristics-- predeployment preparedness, unit support during deployment, and postdeployment support-that may be associated with deployment-related posttraumatic stress disorder (PTSD).
METHODS: We recruited a sample of 2616 Ohio Army National Guard (OHARNG) so... |
1 | Stiffness following total knee arthroplasty: Evaluation and treatment | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty (TKA) for advanced arthritis of the knee is one of the most successful orthopaedic reconstructive procedures performed with excellent patient satisfaction and functional outcomes. Stiffness following total knee arthroplasty is relatively common and has a multifactorial etiology with associated p... |
1 | The comparative risk of developing postoperative complications in patients with distal radius fractures following different treatment modalities | Distal Radius Fractures | In this study, we performed a network meta-analysis to compare the outcomes of seven most common surgical procedures to fix DRF, including bridging external fixation, non-bridging external fixation, K-wire fixation, plaster fixation, dorsal plating, volar plating, and dorsal and volar plating. Published studies were re... |
1 | Endoscopic carpal tunnel release in the elderly | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The present study is aimed to clarify the postoperative outcome of endoscopic carpal tunnel release in elderly patients with carpal tunnel syndrome. Endoscopic carpal tunnel release was performed on 37 hands of 27 patients (2 men, 25 women) who were aged 70 years or older and clinically and electrophysiologically diagn... |
0 | Lateral atlantoaxial joint meniscoid volume in individuals with whiplash associated disorder: A case-control study | AMP (Acute Meniscal Pathology) | BACKGROUND: Lateral atlantoaxial (LAA) joints are established sources of nociceptive input in chronic whiplash associated disorder (WAD). These joints contain intra-articular meniscoids that may be damaged in whiplash trauma. LAA joint meniscoid morphology has not been investigated comprehensively in a chronic WAD popu... |
0 | Characteristics of bone biochemical indices in predicting secondary osteoporotic fracture after intertrochanteric fracture in elderly women | Hip Fx in the Elderly 2019 | Background This study aimed to explore the characteristics of bone biochemical indices, including bone mineral density (BMD), metabolic markers in elderly women with osteoporotic intertrochanteric fracture and their relevance in secondary fracture. Methods The standard for follow-up from 58 elderly women was establishe... |
0 | New developments in osteoarthritis. Posttraumatic osteoarthritis: pathogenesis and pharmacological treatment options | Osteochondritis Dissecans 2020 Review | Joint trauma can lead to a spectrum of acute lesions, including osteochondral fractures, ligament or meniscus tears and damage to the articular cartilage. This is often associated with intraarticular bleeding and causes posttraumatic joint inflammation. Although the acute symptoms resolve and some of the lesions can be... |
0 | Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first? | Distal Radius Fractures | Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Clinically her right elbow was pos... |
0 | Treating violent impulses: A case study utilizing eye movement desensitization and reprocessing with a military client | DoD PRF (Psychosocial RF) | The growing attention to acts of interpersonal violence and misconduct among military members has accompanied a host of research investigating the nature and causes associated with these behaviors. As such, a robust body of literature exists lending insight into risk factors and clinical presentations associated with a... |
1 | Comparative analysis of the surgical treatment results for multiple myeloma bone disease of the spine and the long bone/soft tissue | MSTS 2022 - Metastatic Disease of the Humerus | The present retrospective study was designed to compare the pain relief, surgery duration, life quality, survival time and relative prognostic factors in multiple myeloma (MM) bone disease patients with different surgical sites. A total of 65 cases were enrolled and divided into two groups. Group A included patients wi... |
0 | Outcome of Total Knee Arthroplasty Depending on Post-operative Pain Control Methods | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Rehabilitation physical therapy after a total knee arthroplasy (TKA) is important for the functional prognosis of the surgery and the methods of postoperative analgesic control could have influence on physical therapy. Therefore we compared surgical outcome of TKA patients receiving intravenous patientâ?co... |
0 | Avoidance of abdominal compartment syndrome in damage-control laparotomy after trauma | DOD - Acute Comp Syndrome CPG | HYPOTHESIS: Abdominal compartment syndrome (ACS) is a morbid complication of damage-control laparotomy. Moreover, the technique of abdominal closure influences the frequency of ACS.
DESIGN: Retrospective cohort study.
SETTING: Urban level I trauma center.
PATIENTS: We studied 52 patients with trauma who required damage... |
0 | Discontinuation of denosumab and associated fracture incidence: Analysis from the Fracture Reduction Evaluation of Denosumab in Osteoporosis Every 6 Months (FREEDOM) Trial | Hip Fx in the Elderly 2019 | Osteoporosis is a chronic disease and requires long-term treatment with pharmacologic therapy to ensure sustained antifracture benefit. Denosumab reduced the risk for new vertebral, nonvertebral, and hip fractures over 36 months in the Fracture Reduction Evaluation of Denosumab in Osteoporosis Every 6 Months (FREEDOM) ... |
0 | Mild traumatic brain injury | DoD PRF (Psychosocial RF) | Mild traumatic brain injury (TBI) is common but accurate diagnosis and defining criteria for mild TBI and its clinical consequences have been problematic. Mild TBI causes transient neurophysiologic brain dysfunction, sometimes with structural axonal and neuronal damage. Biomarkers, such as newer imaging technologies an... |
0 | The influence of footwear on knee joint loading during walking--in vivo load measurements with instrumented knee implants | OAK 3 - Non-arthroplasty tx of OAK | Since footwear is commonly used every day, its influence on knee joint loading and thereby on the development and progression of osteoarthritis may be crucial. So far the influence of footwear has been examined only indirectly. The aim of this study was to directly measure the effect of footwear on tibiofemoral contact... |
0 | Risk Factors for Intimate Partner Violence and Associated Injury Among Urban Women | DoD PRF (Psychosocial RF) | The objective of this study was to identify risk factors for abuse and IPV related injury among an urban population. This study reports an additional analysis of a case-control study conducted from 1994 to 2000 in 11 USA metropolitan cities where of 4746 women, 3637 (76.6%) agreed to participate. Control group women (N... |
0 | Distal spinal muscular atrophy with vocal paresis: From the welsh choir to genes | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Distal spinal muscular atrophy (SMA) represents approximately 10% of the peroneal muscular atrophy syndromes, differing from demyelinating and axonal hereditary sensory motor neuropathy (HSMN) in the preservation of normal motor and sensory nerve conduction velocities but neurogenic atrophy on electromyography indicati... |
0 | Comparison of hydrogen peroxide generation and the content of lipid peroxidation products in lung cancer tissue and pulmonary parenchyma | Reconstruction After Skin Cancer | Lipid peroxidation, as a well-known index of reactive oxygen species activity, not only in lung biochemistry, is an oxidative process associated with membrane lipid destruction. Also, the oxidative modification of nucleic acids by reactive oxygen species is of remarkable biological importance as it may contribute to ma... |
0 | Radiographic absorptiometry for pre-screening of osteoporosis in patients with low energy fractures | Management of Hip Fractures in the Elderly | Dual energy X-ray absorptiometry (DEXA) is the most accurate method and thus the method of choice for diagnosing osteoporosis. Due to the limited access to DEXA-scanners, screening of patients with low energy fractures (LEF) for osteoporosis is not routinely performed in Denmark. Pre-screening with a simple, less expen... |
0 | Abdominal compartment syndrome: the cause or effect of postinjury multiple organ failure | DOD - Acute Comp Syndrome CPG | Abdominal compartment syndrome (ACS) has emerged to be a significant problem in patients who develop postinjury multiple organ failure (MOF). Current laboratory research suggests that ACS could be a second hit for the development of MOF. Recent studies demonstrate that ACS is an independent predictor of MOF and that th... |
0 | Disparities in Rates of Surgical Intervention Among Racial and Ethnic Minorities in Medicare Accountable Care Organizations | Hip Fx in the Elderly 2019 | OBJECTIVE: To assess the effect of Accountable Care Organizations (ACOs) on the use of surgical services among racial and ethnic minorities.
BACKGROUND: Health reform efforts were expected to reduce healthcare disparities. The impact of ACOs on existing disparities in access to surgical care remains unknown.
METHODS: W... |
0 | Lower limb strength following total knee arthroplasty: A systematic review | OAK 3 - Non-arthroplasty tx of OAK | Background: Total knee arthroplasty (TKA) is commonly performed for end-stage knee osteoarthritis to relieve pain and improve quality of life. Understanding specific muscle weakness following TKA is required in order to develop targeted rehabilitation programmes for TKA patients. The aim of this systematic review was t... |
0 | Ultrasound-assisted liposuction: An analysis of 348 cases | Panniculectomy & Abdominoplasty CPG | The early experiences using ultrasound-assisted liposuction in treating difficult fibrous cases, such as gynecomastia, have led to the evolution and improvement of ultrasound-assisted liposuction techniques. This prospective study examined 348 consecutive patients treated with ultrasound-assisted liposuction over two a... |
0 | Review: Acute compartment syndrome of the foot | DOD - Acute Comp Syndrome CPG | Foot compartment syndrome is a serious potential complication of foot crush injury, fractures, surgery, and vascular injury. The purpose of this article is to summarize and review the existing literature on this entity. Long-term sequelae of foot compartment syndrome (FCS) include contractures, deformity, weakness, par... |
0 | Prostatic tumor stroma: A key player in cancer progression | MSTS 2018 - Femur Mets and MM | Although it is evident that prostatic epithelial stem cells are responsible for maintaining normal and malignant tissues, it is well recognized that epithelial cells do not exist independently, but act in concert with the stromal microenvironment. Prostatic stroma is pivotal for normal development and homeostasis. The ... |
0 | Survival, Recurrence, and Function After Epiphyseal Preservation and Allograft Reconstruction in Osteosarcoma of the Knee | MSTS 2018 - Femur Mets and MM | Background: Bone tumor resections for limb salvage have become the standard treatment. Recently, intercalary tumor resection with epiphyseal sparing has been used as an alternative in patients with osteosarcoma. The procedure maintains normal joint function and obviates some complications associated with osteoarticular... |
0 | Dual mobility total hip arthroplasty in hemiplegic patients | Hip Fx in the Elderly 2019 | INTRODUCTION: The rate of cerebrovascular insults is increasing, currently leaving many patients with difficulties to maintain their balance due to muscular weakness and/or poor central control. Those patients are at risk of dislocation when total hip arthroplasty (THA) is planned. Instability remains the most signific... |
0 | Knee closure in total knee replacement: A randomized prospective trial | Surgical Management of Osteoarthritis of the Knee CPG | A randomized prospective study of 75 total knee replacements in 64 patients who were randomized to capsular closure with the knee in full extension or in flexion was done. Thirty-one knees received a posterior cruciate ligament retaining prosthesis and 44 knees received a posterior stabilized prosthesis. Preoperatively... |
0 | Surgical Management of the Giant Pannus: Indications, Strategies, and Outcomes | Panniculectomy & Abdominoplasty CPG | The obesity pandemic continues to produce an inexorable increase in the number of patients requiring surgical treatment of obesity and obesity-related complications. Along with this growing number of patients, there is a concomitant increase in the complexity of management. One particular example is the treatment of pa... |
0 | Depression and geriatric assessment in older people admitted for hip fracture | Hip Fx in the Elderly 2019 | BACKGROUND: Depression is common among older people with hip fracture.
AIM: To assess depression scores and other mental and physical health variables in older people with and without depression, admitted to a traumatology ward for a hip fracture.
MATERIAL AND METHODS: Cross sectional study of older patients admitted f... |
0 | Prospective Assessment of Outcomes After Primary Unipolar, Multisurface, and Bipolar Osteochondral Allograft Transplantations in the Knee: A Comparison of 2 Preservation Methods | Osteochondritis Dissecans 2020 Review | BACKGROUND: Articular cartilage lesions in the knee remain a challenging clinical problem. HYPOTHESIS: A novel graft preservation method combined with surgical technique and patient management improvements would lead to consistently successful outcomes after osteochondral allograft (OCA) transplantation. STUDY DESIGN: ... |
1 | Hybrid breast reconstruction-the best of both worlds | Acellular Dermal Matrix | The two common reconstructive modalities following mastectomy include implant-based reconstruction and autologous reconstruction. While the majority of patients can be successfully treated with either one of these approaches, a subset of patients will benefit from a third reconstructive approach which combines implant-... |
1 | Traumatic brain injury and long-term quality of life: findings from an Australian study | DoD PRF (Psychosocial RF) | Recent calls have been made for the inclusion of health-related quality of life (HRQoL) in traumatic brain injury studies. This study reports the impact of TBI on traditional measures (general health, depression, social isolation, labor force participation), self-assessed health function status using the SF-36 version ... |
0 | Does early anterior cruciate ligament reconstruction prevent further meniscal damage secondary analysis of a randomized controlled trial | AMP (Acute Meniscal Pathology) | Background/Purpose : It has been suggested that recurrent instability episodes in a non-reconstructed anterior cruciate ligament (ACL) injured knee increase the risk for an incident meniscal tear. However, the evidence comes from observational studies with high risk on selection bias. Our objective was to determine dev... |
1 | Fresh osteochondral allografts for advanced giant cell tumors at the knee | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Sixteen patients with advanced giant cell tumors presenting at the knee were treated with complete tumor resection and reconstruction using fresh osteochondral allografts. All patients had one or more of the following indications for tumor resection (as opposed to curettage): tumor recurrence, pathologic fracture, or d... |
0 | In with the new, out with the old? Comparison of two approaches for psoas compartment block | AAHKS (8) Anesthetic Infiltration | We compared the approaches of Winnie and Capdevila for psoas compartment block (PCB) performed by a single operator in terms of contralateral spread, lumbar plexus blockade, and postoperative analgesic efficacy. Sixty patients underwent PCB (0.4 mL/kg levobupivacaine 0.5%) and subsequent spinal anesthesia for primary j... |
0 | Intertrochanteric femur fractures in the elderly treated with either proximal femur nailing or hemiarthroplasty: A prospective randomised clinical study | Hip Fx in the Elderly 2019 | INTRODUCTION: The purpose of this prospective randomised study is to compare in the elderly the functional results of intertrochanteric femur fractures treated either with closed reduction and internal fixation with proximal femoral nailing or cemented hemiarthroplasty.
MATERIALS AND METHODS: The study included patient... |
0 | Peripheral nerve blocks for distal extremity surgery | Surgical Management of Osteoarthritis of the Knee CPG | Peripheral nerve block is well suited for distal extremity surgery. Blocking the nerves at the distal extremity is easily done. It does not require ultrasound or stimulators to identify the nerve. Blocking nerves in the distal extremity is safe with low risk of toxicity. The effect of the nerve block is limited to the ... |
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