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1 | Automatic carpal tunnel syndrome tester | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: A device for automatic testing of sensory latency across the carpal tunnel is described. A fixed bar contains a stimulating electrode distally and a bipolar recording set up with the two poles at 7 and 14 cm distance proximally. The device is thus based on the so called 14/7 method, using orthodromic testing... |
0 | Acute treatment for Colles fracture: The case for a radical review | Distal Radius Fractures | Current methods of managing Colles fracture in the acute phase seem not to be achieving the desired clinical effect of preventing malunion/non-union of the fracture site. It also leaves the patient at risk from compartment syndrome or POP application errors. What is needed is a radical review of acute management. If di... |
0 | Radiation- and reference base-free navigation procedure for placement of instruments and implants: application to retrograde drilling of osteochondral lesions of the knee joint | Osteochondritis Dissecans 2020 Review | OBJECTIVE: A novel, radiation- and reference base-free procedure for placement of navigated instruments and implants was developed and its practicability and precision in retrograde drillings evaluated in an experimental setting. MATERIALS AND METHODS: Two different guidance techniques were used: One experimental group... |
0 | Cauda equina redundant nerve roots are associated to the degree of spinal stenosis and to spondylolisthesis | DoD PRF (Psychosocial RF) | To evaluate the association of redundant nerve roots of cauda equina (RNRCE) with the degree of lumbar spinal stenosis (LSS) and with spondylolisthesis. Method: After Institutional Board approval, 171 consecutive patients were retrospectively enrolled, 105 LSS patients and 66 patients without stenosis. The dural sac cr... |
0 | Ergosterol limits osteoarthritis development and progression through activation of Nrf2 signaling | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA) is a common joint disorder characterized by progressive articular cartilage degeneration and destruction and results in gradual disability among middle-aged and elderly patients. Our previous study demonstrated that depletion of nuclear factor erythroid 2-related factor 2 (Nrf2) exacerbated cartilag... |
0 | Digital avulsion injuries: the shish kebab effect of the fibrous flexor sheath | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | On debriding a hand from which four fingers with all their flexor tendons had been avulsed, a sizeable quantity of 'minced' muscle was found in the palm. Further cadaver investigations showed that the avulsed flexor tendons disrupted proximal to the musculo-tendon junction, and that a significant amount of devitalized ... |
0 | A new future for hip fracture care--orthogeriatrician lead in an 'Acute' Hip Unit | Hip Fx in the Elderly 2019 | Although surgery is the definitive treatment for almost all hip fractures, there is evidence that outcomes such as morbidity and mortality are not determined by the type of surgery but by comorbidities and postoperative complications. A team approach, especially the involvement of an orthogeriatrician in managing medic... |
0 | Ipsilateral concomitant fractures of the hip and femoral shaft | Management of Hip Fractures in the Elderly | Fifty-two cases of concomitant ipsilateral fractures of the hip and femoral shaft were reviewed from the literature and twenty-one of our own were added. Thirty-one per cent of the femoral-neck fractures reported in the literature and one of our own were missed on initial evaluation. Examples of non-union and aseptic n... |
1 | Measuring quality of life and patient satisfaction after body contouring: a systematic review of patient-reported outcome measures | Reduction Mammoplasty for Female Breast Hypertrophy | UNLABELLED: EVIDENCE-BASED BACKGROUND: In both cosmetic and postbariatric body contouring populations, the primary determinants of success are patient satisfaction and quality of life (QOL). These patient-reported outcomes (PRO) are ideally measured with specially-designed, procedure- or condition-specific questionnair... |
0 | A multicentre cross-sectional study to examine physicians' ability to rule out a distal radius fracture based on clinical findings | Distal Radius Fractures | PURPOSE: To study current use of radiography in patients with wrist trauma and examine physicians' ability to rule out a distal radius fracture based on their physical findings.
METHODS: We performed a multicentre cross-sectional observational study in five Emergency Departments (ED) between November 2010 and June 2014... |
0 | Why do we use arthroscopy for distal radius fractures? | Distal Radius Fractures | The management of distal radius fractures needs to be adapted to the increasingly complex traumas in patients with greater functional requirements. The goal remains to restore normal anatomy in order to preserve function. A pre-operative assessment using x-rays and thin-slice CT scans with three-dimensional reconstruct... |
0 | Association of laser phototherapy with PRP improves healing of bisphosphonate-related osteonecrosis of the jaws in cancer patients: a preliminary study | MSTS 2018 - Femur Mets and MM | The aim of this study was to compare retrospectively the effect of three different treatments on the healing outcome of bisphosphonate-related osteonecrosis of the jaws (BRONJ) in cancer patients. Twenty-two cancer patients were treated for BRONJ with one of the following protocols: clinical (pharmacological therapy), ... |
0 | Unequal burdens of loss: examining the frequency and timing of homicide deaths experienced by young Black men across the life course | DoD PRF (Psychosocial RF) | OBJECTIVES: I examined the frequency and developmental timing of traumatic loss resulting from the health disparity of homicide among young Black men in Baltimore, Maryland.
METHODS: Using a modified grounded theory approach, I conducted in-depth semistructured interviews with 40 Black men (aged 18-24 years) from Janua... |
0 | Better Knee, Better Meâ?¢: Effectiveness of two scalable health care interventions supporting self-management for knee osteoarthritis-protocol for a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Background: Although education, exercise, and weight loss are recommended for management of knee osteoarthritis, the additional benefits of incorporating weight loss strategies into exercise interventions have not been well investigated. The aim of this study is to compare, in a private health insurance setting, the cl... |
0 | Robotic total knee arthroplasty with a cruciate-retaining implant: A 10-year follow-up study | OAK 3 - Non-arthroplasty tx of OAK | Background: This study compared clinical and radiological results between robotic total knee arthroplasty (TKA) and conventional TKA with a cruciate-retaining implant at 10-year follow-up. The hypothesis was that robotic TKA would allow for more accurate leg alignment and component placement, and thus enhance clinical ... |
0 | Lower limb inequality treatment with subtrochanteric femoral shortening osteotomy fixed with intramedullary nail | DoD SSI (Surgical Site Infections) | BACKGROUND: The aim of the study is to analyze the results of treating the lower limb inequality with subtrochanteric femoral shortening osteotomy fixed with interlocking intramedullary nail. The analyzed material includes 14 patients aged 16 to 36 (mean 25), in whom femoral shortening osteotomy fixed with interlocking... |
0 | Primary total knee replacement: a comparison of a nationally agreed guide to best practice and current surgical technique as determined by the North West Regional Arthroplasty Register | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Association for Surgery of the Knee (BASK) to provide a basis for regional and national auditable standards: we have compared practice in the N... |
0 | Immunohistochemical analysis of estrogen receptors (ER) using formalin-fixed paraffin-embedded breast cancer tissue: correlation with clinical endocrine response | MSTS 2018 - Femur Mets and MM | A new immunohistochemical assay utilizing anti-ER monoclonal antibodies (H 222, Abbott) for detection of ER in formalin-fixed paraffin-embedded breast cancer tissue has been clinically evaluated. It is shown that tumors containing immunoreactive epithelial cells are much better candidates for hormonal manipulation than... |
0 | Assessment of early tibiofemoral joint space width changes after anterior cruciate ligament injury and reconstruction: a matched case-control study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Progression of primary knee osteoarthritis (OA) is often quantified by measuring structural alterations of the joint such as those in tibiofemoral joint space width (JSW) over time. Limited information is available regarding changes that occur during the onset and progression of posttraumatic OA (PTOA) that... |
0 | Pathogenesis and prophylaxis of circulatory reactions during total hip replacement | Management of Hip Fractures in the Elderly | Circulatory reactions such as a drop in blood pressure, bradycardia, cardiac arrest, and even intraoperative death after insertion of the stem are well known events during total hip replacement. The present paper reports bone marrow intravasation after rise of intramedullary pressure in the femoral cavity during insert... |
0 | A review of solitary fibrous tumor/hemangiopericytoma tumor and a comparison of risk factors for recurrence, metastases, and death among patients with spinal and intracranial tumors | MSTS 2022 - Metastatic Disease of the Humerus | Meningeal solitary fibrous tumors (SFTs) and hemangiopericytomas (HPCs) had been combined into a single classification until 2016. Recurrence and metastases rates are still understudied, especially for spinal SFT/HPCs. Here, we describe CNS SFT/HPCs and predictors for recurrence, metastases, and death, in spinal and in... |
0 | Corticosteroid/Ropivacaine Versus Corticosteroid/Saline Injections for Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Corticosteroid injections are commonly used for the symptomatic treatment of knee osteoarthritis. Common practice is to inject the joint with a combination of corticosteroid and local anesthetic, with the rationale of providing longer duration pain relief with the corticosteroid and immediate, though short duration rel... |
1 | MRI and Arthroscopic Evaluation of Meniscal Injuries | AMP (Acute Meniscal Pathology) | There has been an increasing awareness of the importance of the meniscus in maintaining the health and function of the knee. When injured, magnetic resonance imaging (MRI) has become the gold standard to diagnose meniscal tears. The information obtained from the MRI helps determine the need for surgical intervention. T... |
0 | Expressive writing for gay-related stress: psychosocial benefits and mechanisms underlying improvement | DoD PRF (Psychosocial RF) | OBJECTIVE: This study tested the effectiveness of an expressive writing intervention for gay men on outcomes related to psychosocial functioning.
METHOD: Seventy-seven gay male college students (mean age = 20.19 years, SD = 1.99) were randomly assigned to write for 20 min a day for 3 consecutive days about either (a) t... |
0 | Three hematological indexes that may serve as prognostic indicators in patients with primary, high-grade, appendicular osteosarcoma | MSTS 2022 - Metastatic Disease of the Humerus | Background: Although alkaline phosphatase (ALP) and lactate dehydrogenase (LDH) are considered effective prognostic factors of osteosarcoma, useful prognostic biomarkers for patients with osteosarcoma are still lacking. Methods: A retrospective study of 106 patients with primary, high-grade, appendicular osteosarcoma o... |
0 | Arthroscopic Chondral Defect Repair With Extracellular Matrix Scaffold and Bone Marrow Aspirate Concentrate | Osteochondritis Dissecans 2020 Review | Chondral defects of the knee are prevalent and often encountered during arthroscopic procedures. Despite the limited healing potential of chondral defects, several treatment options have been proposed. However, microfracture, osteochondral autograft (or allograft) transfer, autologous chondrocyte implantation, and matr... |
0 | Case report: Painless chronic liner dissociation of a total hip arthroplasty | PJI DX Updated Search | Background: Dislocation or liner dissociation of a total hip prosthesis usually results in pain and discomfort. Although several reports describe chronic dislocation and its treatment, chronic liner dissociation is an unreported complication. Case Description: We report an unrecognized dissociation and displacement of ... |
0 | High-frame-rate analysis of knee cartilage deformation by spiral dualMRI and relaxation mapping | AMP (Acute Meniscal Pathology) | Purpose: Daily activities including walking impose high frequency cyclic forces on cartilage and repetitive compressive deformation. Analyzing cartilage deformation during walking would provide spatial maps of displacement, strain, and enable viscoelastic characterization, which may serve as imaging biomarkers for earl... |
1 | Comparison of conservative and operative treatment for distal radius fracture: a meta-analysis of randomized controlled trials | Distal Radius Fractures | BACKGROUND: The authors conducted a meta-analysis to compare the effectiveness and safety of conservative and operative treatment for distal radius fracture.
METHODS: PubMed, EMBASE, and the Cochrane Library were searched to identify the relevant studies published up to February of 2015. All randomized controlled trial... |
0 | Expression of the multidrug resistance protein (MRP) in squamous cell carcinoma of the oesophagus and response to pre-operative chemotherapy | Reconstruction After Skin Cancer | One of the major problems in the treatment of squamous cell carcinoma of the oesophagus (ESCC) is the unresponsiveness to cytotoxic drugs. So far, the mechanisms underlying the intrinsic drug resistance of ESCC remain unclear. The aim of this study was to determine the role of the newly recognised drug resistance prote... |
0 | Meniscal ramp lesions - Skillful neglect or routine repair? | AMP (Acute Meniscal Pathology) | Background: Meniscal ramp lesions are injuries of the posterior horn of the medial meniscus at the meniscocapsular junction or the meniscotibial ligament and are frequently associated with concomitant anterior cruciate ligament (ACL) injury.
Objective: To review the current literature on meniscal ramp lesion management... |
0 | Effect of immobilization on vitamin D status and bone mass in chronically hospitalized disabled stroke patients | Management of Hip Fractures in the Elderly | OBJECTIVE: To assess the influence of immobilization upon vitamin D status and bone mass in chronically hospitalized, disabled, elderly patients following stroke. DESIGN: cross-sectional study. SETTING: Department of geriatric neurology in a Japanese hospital. SUBJECTS: 129 chronically hospitalized, disabled, elderly s... |
1 | Efficacy of a fabricated customized splint and tendon and nerve gliding exercises for the treatment of carpal tunnel syndrome: a randomized controlled trial | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To compare the effects of a neutral wrist and metacarpophalangeal (MCP) splint with a wrist cock-up splint, with and without exercises, for the treatment of carpal tunnel syndrome (CTS). DESIGN: A 2x2x3 randomized factorial design with 3 main factors: splint (neutral wrist and MCP and wrist cock-up), exercis... |
0 | Adulthood residential ultraviolet radiation, sun sensitivity, dietary vitamin D, and risk of lymphoid malignancies in the California Teachers Study | MSTS 2018 - Femur Mets and MM | To lend clarity to inconsistent prior findings of an inverse association between ultraviolet radiation (UVR) exposure and risk of lymphoid malignancies, we examined the association of prospectively ascertained residential ambient UVR exposure with risk of non-Hodgkin lymphomas (NHLs), multiple myeloma (MM), and classic... |
0 | Hepatic abscess in a preterm neonate | Patrick’s pharmacoepidemiology project | We present a preterm (32 weeks; weight: 1300g) neonate, with solitary hepatic abscess. The causative organism was Klebsiella. The child presented with septicemia, hepatomegaly and abdominal lump. Radiological investigations were inconclusive. Surgical drainage and prolonged antibiotic treatment led to resolution of the... |
0 | Knee osteoarthritis and high-heeled shoes | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Little is known about the effects of walking in high heels on joints in the legs. Since osteoarthritis of the knee is twice as common in women as in men, we investigated torques (forces applied about the leg joints) of women who wore highâ?heeled shoes. METHODS: We studied 20 healthy women who were comfort... |
0 | Intravenous zoledronic acid in postmenopausal women with low bone mineral density | Management of Hip Fractures in the Elderly | BACKGROUND: Bisphosphonates are effective agents for the management of osteoporosis. Their low bioavailability and low potency necessitate frequent administration on an empty stomach, which may reduce compliance. Gastrointestinal intolerance limits maximal dosing. Although intermittent intravenous treatments have been ... |
0 | The association of parity with osteoarthritis and knee replacement in the Multicenter Osteoarthritis Study | PJI DX Updated Search | Objective: We evaluated the association of parity to both risk of knee replacement (KR) and knee osteoarthritis (OA). Design: The NIH-funded Multicenter Osteoarthritis Study (MOST) is a longitudinal observational study of persons age 50-79 years with either symptomatic knee OA or at elevated risk of disease. Baseline a... |
0 | Physical activity levels in patients with early knee osteoarthritis measured by accelerometry | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Physical activity (PA) is recommended for osteoarthritis (OA) management to reduce pain and improve function. The purpose of this study was to objectively assess the level and pattern of PA in male and female knee OA patients to determine adherence to Centers for Disease Control and Prevention/American Colle... |
1 | Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) | Coronavirus Disease 2019 (COVID-19) | Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated viral infection (coronavirus disease 2019, COVID-19) is a virulent, contagious viral pandemic that is affecting populations worldwide. As with any airborne viral respiratory infection, surgical and non-surgical patients may be affected.... |
0 | The use of a T-plate as "spring plates" for small comminuted posterior wall fragments | Distal Radius Fractures | In the treatment of posterior wall fractures of the acetabulum, a modified distal radius T-plate can be substituted for one third tubular spring plates for fixation of thin, small, or comminuted posterior wall fragments. This technique is described as well as a case series of 33 patients with various posterior wall ace... |
0 | Post-traumatic bone and/or joint limb infections due to Clostridium spp | DoD SSI (Surgical Site Infections) | BACKGROUND: Clostridium spp. are saprophytic Gram-positive bacteria found in soil and capable of generating endospores. Spore germination occurs when environmental conditions are favorable. Clostridium spp. can cause infections of compound fractures and deep wounds contaminated from soil micro-organisms.
HYPOTHESIS: Cl... |
0 | External hip protectors in home-dwelling older persons | HipFx Supplemental Cost Analysis | BACKGROUND AND AIMS: External hip protectors have been shown to have a good preventive effect against hip fractures in many studies. However, these studies were carried out either entirely or mostly among older persons living in institutions. The aim of this study was to investigate whether health nurses can, after bri... |
0 | Prevention of venous thromboembolism in trauma patients | DoD SSI (Surgical Site Infections) | Trauma patients are at risk for thromboembolic complications, but effective methods of prophylaxis have not been established for this heterogenous population. In this prospective trial, 400 trauma patients were assigned to one of three groups, depending upon their injuries, and randomized within each group to a treatme... |
0 | Pain and disability in early knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: We've all heard people say: nullI get this twinge every once in a whilenull or nullI make my trips up and down the stairs count now. It saves my knees.null Are these people describing early osteoarthritis (OA)? Little is known about people's experiences with pain and functional limitations in the early stages ... |
0 | The Response of an Orthopedic Department and Specialty Hospital at the Epicenter of a Pandemic: The NYU Langone Health Experience | Coronavirus Disease 2019 (COVID-19) | As the world grapples with the COVID-19 pandemic, we as health care professionals thrive to continue to help our patients, and as orthopedic surgeons, this goal is ever more challenging. As part of a major academic tertiary medical center in New York City, the orthopedic department at New York University (NYU) Langone ... |
0 | The use of porous prostheses in delayed reconstruction of total hip replacements that have failed because of infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Between March 1984 and March 1989, thirty-four patients who had an infection at the site of a cemented total hip prosthesis were managed with resection arthroplasty and delayed implantation of a porous total hip prosthesis without cement. The interval from the time of the resection arthroplasty to the implantation of a... |
0 | Fall-related mandible fractures in a Japanese population: A retrospective study | Hip Fx in the Elderly 2019 | BACKGROUND/AIM: Maxillofacial trauma is frequent and represents a heavy burden for patients and society. The aim of this study was to investigate the characteristics and management of mandibular fractures caused by falls.
MATERIAL AND METHODS: One hundred thirty-nine patients with 185 mandible fractures caused by falls... |
0 | Effects of combined application of antimicrobial and fluoride varnishes in orthodontic patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A randomized prospective clinical study, with 220 patients scheduled for fixed orthodontic therapy, was conducted to test the hypothesis that application of an antimicrobial varnish in combination with a fluoride varnish (group 1) is significantly more efficient in reducing white spot lesions on the labial surfaces tha... |
0 | Adding value in knee arthroplasty: Role of sex and obesity on physical activity post surgery | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Over 620,000 total knee arthroplasties (TKAs) are performed annually in the US. Approximately 80% of TKA recipients achieve the primary goal of relieving pain and improving functional status. Given the rich evidence documenting the benefits of physical activity (PA), TKA recipients could further improve their ... |
1 | Abdominoplasty with Scarpa Fascia Preservation: Randomized Controlled Trial with Assessment of Scar Quality and Cutaneous Sensibility | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Scarpa fascia preservation during abdominoplasty has been shown to reduce complications associated with the traditional technique. As an extension of a previously published randomized controlled trial, this study aims to clarify whether preservation of Scarpa fascia during abdominoplasty has an influence on... |
0 | Over-the-top ACL Reconstruction Plus Extra-articular Lateral Tenodesis With Hamstring Tendon Grafts: Prospective Evaluation With 20-Year Minimum Follow-up | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: There are few published studies with very long-term follow-up of combined intra- and extra-articular anterior cruciate ligament (ACL) reconstruction.
PURPOSE: To analyze clinical and radiographic outcomes of over-the-top ACL reconstruction plus extra-articular lateral tenodesis with autologous hamstrings at... |
0 | Validation of an HR-pQCT-based homogenized finite element approach using mechanical testing of ultra-distal radius sections | Distal Radius Fractures | Osteoporotic (Colles' type) fractures of the distal radius occur relatively early in lifetime and could estimate risk of fracture of other, more endangered anatomical sites. High-resolution peripheral quantitative computed tomography (HR-pQCT) based micro finite element (muFE) analysis was shown to better predict fract... |
0 | Infectiological, functional, and radiographic outcome after revision for prosthetic hip infection according to a strict algorithm | PJI DX Updated Search | BACKGROUND AND PURPOSE: Successful treatment of prosthetic hip joint infection (PI) means elimination of infection and restored hip function. However, functional outcome is rarely studied. We analyzed the outcome of the strict use of a treatment algorithm for PI. PATIENTS AND METHODS: The study groups included 22 hips ... |
0 | Does pay-for-performance improve surgical outcomes An evaluation of phase 2 of the premier hospital quality incentive demonstration | PJI DX Updated Search | OBJECTIVE:: We sought to determine whether the changes in incentive design in phase 2 of MedicareEs flagship pay-for-performance program, the Premier Hospital Quality Incentive Demonstration (HQID), reduced surgical mortality or complication rates at participating hospitals. BACKGROUND:: The Premier HQID was initiated ... |
1 | Closed reduction and percutaneous fixation of supracondylar fracture of the humerus and ipsilateral fracture of the forearm in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We treated 22 children with a supracondylar fracture of the humerus and an ipsilateral fracture of the forearm by closed reduction and percutaneous fixation. There were four Gartland type-II and 18 Gartland type-III supracondylar fractures of the humerus. There were fractures of both bones of the forearm in 16 and of t... |
1 | Microbial infection and its control in cases of symptomatic apical periodontitis: a review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Apical periodontitis is an inflammation of dental periapical tissues developed as a response to colonization of microorganisms in root canal system. Etiology of periapical pathology is associated with different species of microorganisms that are not fully defined yet. The changes in the composition of root canal microb... |
1 | Clinical inquiry: does topical diclofenac relieve osteoarthritis pain? | OAK 3 - Non-arthroplasty tx of OAK | Topical diclofenac, with and without dimethyl sulfoxide (DMSO), modestly improves pain and function scores (by 4%-8%) for as long as 12 weeks in patients with osteoarthritis (OA) of the knee. |
1 | Meniscal abnormalities of the knee: 3DFT fast-scan GRASS MR imaging | AMP (Acute Meniscal Pathology) | The ability to use fast-scan techniques to obtain MR images without sacrificing diagnostic accuracy is a desirable goal in MR imaging. We describe a series of patients in whom fast-scan MR imaging was found to be equal to conventional spin-echo imaging in the detection and characterization of meniscal abnormalities. Th... |
0 | Periprosthetic fractures around the knee: Current concepts and advances in management | PJI DX Updated Search | Knee replacement is an effective treatment for pain and functional impairment secondary to degenerative joint conditions. The number of knee replacements performed continues to rise. Periprosthetic fractures around total knee arthroplasties are a relatively rare complication but are complex injuries that require the tr... |
0 | Double injuries of the forearm: a common occurrence | Distal Radius Fractures | To evaluate the frequency of different types of forearm fractures and, in particular, determine the frequency of double injury to the forearm, the authors prospectively examined 119 consecutive forearm fractures and found double injuries to the forearm in all but five cases. In 79 of the 119 patients (66%), ligamentous... |
0 | Long-term effects of psychological trauma on psychosocial functioning | DoD PRF (Psychosocial RF) | BACKGROUND: Most studies of the effects of trauma on mental health have generally not separately assessed psychosocial functioning, and in those that have key issues have received little attention, such as the relation between the time courses of the two kinds of outcome, and detailed assessment of social functioning i... |
0 | Treatment for ulnar neuropathy at the elbow | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Ulnar neuropathy at the elbow is the second most common entrapment neuropathy after carpal tunnel syndrome. Treatment may be conservative or surgical but optimal management remains controversial. This is an update of a review first published in 2010. OBJECTIVES: To determine the effectiveness and safety of ... |
0 | Role of Alpha-2-Microglobulin in the Treatment of Osteoarthritic Knee Pain: a Brief Review of the Literature | PRP (Platelet-Rich Plasma) | PURPOSE OF REVIEW: Chronic knee pain remains a debilitating condition that remains difficult to manage. The purpose of this review, therefore, is to summarize current understanding of alpha-2-microglobulin in the treatment of osteoarthritic knee pain. Furthermore, we investigate its role in the anti-inflammatory proper... |
1 | Measuring outcomes in lower limb surgery | DoD LSA (Limb Salvage vs Amputation) | This discussion focuses on limb salvage versus limb amputation. The authors address decision-making and outcomes that relate to the following questions: "Which patients would benefit from limb salvage as opposed to an amputation?" "Does the level of injury make a difference?" "Are there surgical or patient factors outs... |
0 | Local catecholamine production and synovial inflammation: New target for arthritis therapy? | Surgical Management of Osteoarthritis of the Knee CPG | It is well demonstrated that norepinephrine can influence the immune response [1].Wealready demonstrated that inRA synovial tissue there are cells producing catecholamines. To study the role of local catecholamine production in the inflammatory process in arthritis. Synovial samples were obtained from 21OA and 10RA pat... |
0 | Is There a Safe Lipoaspirate Volume? A Risk Assessment Model of Liposuction Volume as a Function of Body Mass Index | Panniculectomy & Abdominoplasty CPG | BACKGROUND: No concrete data exist to support a specific volume at which liposuction becomes unsafe; surgeons rely on their own estimates, professional organization advisories, or institutional or government-imposed restrictions. This study represents the first attempt to quantify the comprehensive risk associated with... |
0 | Novel Pre-Surgery Exercise-Conditioning in Patients Waiting for Total Knee Arthroplasty (TKA) | OAK 3 - Non-arthroplasty tx of OAK | Total knee arthroplasty (TKA) is the treatment of choice for patients suffering from severe pain and functional limitation caused by osteoarthritis (OA) of the knee joint's surfaces (Magee et al. 2009). Within the UK, over 60,000 TKA surgeries are registered yearly (NJR 2015), making TKA one of the most common surgerie... |
0 | Osteoporosis in Polish older women: Risk factors and osteoporotic fractures: A cross–sectional study | Hip Fx in the Elderly 2019 | Background: Osteoporosis is a skeletal disease. It is still not known which of the risk factors have the greatest impact on osteoporosis development. The study aimed to determine how the selected osteoporosis risk factors contribute to the development of the disease and to assess the risk of osteoporotic fractures in o... |
0 | Shame and self-acceptance in continued flux: qualitative study of the embodied experience of significant weight loss and removal of resultant excess skin by plastic surgery | Panniculectomy & Abdominoplasty CPG | This study explored the embodied experience of body change using a qualitative design. Eight previous plastic surgery patients of a London hospital took part in in-depth, semi-structured interviews 1 year post a plastic surgery procedure to remove excess skin around their abdomen, resulting from weight loss. Participan... |
1 | An observational cohort study of the adoption of elastic stable intramedullary nailing for the treatment of pediatric femur fractures in Kumasi, Ghana | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: In high- and middle-income countries, elastic stable intramedullary nailing (ESIN) is the commonest treatment of femur fractures in children 5-11 years of age. At Komfo Anokye Teaching hospital (KATH) in Kumasi, Ghana, prior to this study all pediatric femur fractures were treated with skin traction to unio... |
0 | Individualizing osteoporosis therapy | MSTS 2018 - Femur Mets and MM | Guidelines for osteoporosis treatment are available; however, these guidelines suggest when to treat patients, without specific recommendations on what drugs to prescribe in various situations. Choice of osteoporosis therapy should be individualized based on consideration of the efficacy, safety, cost, convenience (i.e... |
1 | Management of bleeding and associated complications of hemophilia in the hand and forearm | DOD - Acute Comp Syndrome CPG | Hemorrhage into the hand and forearm in hemophiliacs can be devastating if not treated early and properly. Of 200 hemophiliacs followed from 1969 to 1976, thirty-four had lesions of the hand and forearm. Hemarthrosis, the most common musculo-skeletal manifestation of hemophilia, occurred in the wrist and hand on only t... |
0 | The hidden experience of radiotherapy to the head and neck: a qualitative study of patients after completion of treatment | DoD PRF (Psychosocial RF) | Only a small proportion of cancer patients undergo radical radiotherapy to the head and neck, but their needs are particularly complex. Radiation reactions often exacerbate existing functional difficulties and may severely limit 'normal' life. Few existing studies examine what happens when radiotherapy is over, yet thi... |
0 | A retrospective analysis of surgical outcomes following direct anterior hip arthroplasty with or without a surgical extension table | Hip Fx in the Elderly 2019 | Purpose: Using a surgical extension table during total hip arthroplasty (THA) is widely considered state-of-the-art. However, intra-operative leg positioning requires additional time and leg length determination can be challenging. Our study’s aim was to compare patient outcomes, particularly leg length precision, foll... |
0 | Procrastination of wound drainage and malnutrition affect the outcome of joint arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The association between wound drainage and subsequent periprosthetic infection is well known. However, the most appropriate treatment of wound drainage is not well understood. We retrospectively reviewed the records of 10,325 patients (11,785 procedures), among whom 300 patients (2.9%) developed persistent (greater tha... |
0 | Anterior tibial compartment syndrome following prolonged tetany | DOD - Acute Comp Syndrome CPG | A patient developed a persistent, disabling, bilateral anterior tibial compartment syndrome after salicylate self poisoning. Prolonged tetany is postulated as the probable mechanism. |
0 | Risk and protective factors for sporadic Alzheimer's disease | DoD PRF (Psychosocial RF) | Alzheimer's disease (AD) is the most common form of senile dementia. There are 24.3 million people suffering from this progressive neurodegenerative disorder worldwide. A century ago, AD was characterized with regard to the clinical manifestations and pathology for the first time. Up till now, there is a lack of full u... |
0 | Efficacy of Myalgesinâ?¢ to Support Joint Function in Patients With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Myalgesin is a botanical preparation consisting of celery seed extract,extract of dried Boswellia serrata, and dried extract of Phellodendron bark. Component of these extracts have been shown to exert antiâ?inflammatory effects and to inhibit cyclooxygenase and 5â?lipooxygenase. The study is based on the hypothesis t... |
1 | Basic science and surgical treatment options for articular cartilage injuries of the knee | Osteochondritis Dissecans 2020 Review | The complex structure of articular cartilage allows for diverse knee function throughout range of motion and weight bearing. However, disruption to the structural integrity of the articular surface can cause significant morbidity. Due to an inherently poor regenerative capacity, articular cartilage defects present a tr... |
0 | The popliteus as a retractor of the lateral meniscus of the knee | AMP (Acute Meniscal Pathology) | Because of inconsistencies in the literature regarding popliteus and its relation to the lateral meniscus, it was decided to investigate the influence on the behavior of the lateral meniscus of contraction of the popliteus muscle via arthroscopy. A series of 50 knees from 44 patients who underwent elective arthroscopic... |
0 | Outcomes and subjective assessment of rotation-plasty in patients with proximal femoral focal deficiency | DoD SSI (Surgical Site Infections) | This study presents outcomes of rotation-plasty for unilateral proximal femoral focal deficiency in the adolescent population. The function, timing of knee fusion, and complications were presented as well as patients' assessment of their function and appearance. Eight patients, aged 8.37 years (range: 3-16 years) durin... |
0 | Infective endocarditis in infants and children | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Due to changing characteristics of infective endocarditis in the past two decades, we, retrospectively analysed 28 cases of infective endocarditis in children of age less than 15 years at Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar from December, 1983 to November, 1993. The incidence of disease was ob... |
1 | Surgical techniques for repair of abdominal rectus diastasis: a scoping review | Panniculectomy & Abdominoplasty CPG | Rectus diastasis is characterized by widening and laxity of the linea alba, causing the abdominal content to bulge. Rectus diastasis is treated either conservatively with physiotherapy, or surgically, surgical treatment showing especially convincing results. The primary aim of this study was to describe surgical techni... |
0 | Blood management for patients with hemoglobin level lower than 130 g/l in total knee arthroplasty | AAHKS (2) Corticosteroids | Introduction: The risk of requiring allogeneic blood transfusion after total knee arthroplasty has been recently decreased with several methods such as blood donation, blood salvage, and hematinic. For patients with a low baseline hemoglobin level, however, the rate of allogeneic transfusion is still high, and an effec... |
0 | Meniscal extrusion as booster of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Meniscal extrusion (ME) has shown to play a critical but still unclear role in osteoarthritis (OA) development. ME has been described as an important risk factor in the progression of knee OA, as it is involved in the thinning of articular cartilage, joint space narrowing, spontaneous osteonecrosis of the knee and subc... |
0 | Treatment and results in pediatric traumatic hip dislocation: case series and review of the literature | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Six acute traumatic hip dislocations in pediatric patients were retrospectively analyzed. Types of dislocations, associated lesions, treatment methods, complications, and clinical and radiological outcomes were reviewed. METHODS: Six child patients treated due to traumatic hip dislocation between 2007 and 2... |
0 | Randomized controlled trial of a simplified adductor canal block performed for analgesia following total knee arthroplasty | AAHKS (4) Acetaminophen | Background and objectives The objective of the study was to determine if injection of local anesthetic into the vastus medialis and sartorius muscles adjacent to the adductor canal produces sensory changes comparable with adductor canal block (ACB). This could result in a technically easier and potentially safer altern... |
0 | Local anesthetics and inflammation | Coronavirus Disease 2019 (COVID-19) | Peripheral inflammation following surgery activates and sensitizes both peripheral and central nervous system. These phenomena involved in the maintenance of the inflammatory response lead to hypersensibility and hyperalgesia. Hyperalgesia participates in the general experience of postoperative pain and also in the dev... |
1 | Prospective randomized trial comparing open reduction and internal fixation with minimally invasive reduction and percutaneous fixation in managing displaced intra-articular calcaneal fractures | DoD SSI (Surgical Site Infections) | PURPOSE: Managing displaced intra-articular calcaneal fractures remains controversial. A prospective randomised trial was undertaken to compare open reduction and internal fixation (ORIF) with minimally invasive reduction and percutaneous fixation (MIRPF). METHODS: Forty-five displaced intra-articular calcaneal fractur... |
0 | Complete horizontal skin cell resurfacing and delayed vertical cell infiltration into porcine reconstructive tissue matrix compared to bovine collagen matrix and human dermis | Acellular Dermal Matrix | BACKGROUND: Xenogenous dermal matrices are used for hernia repair and breast reconstruction. Full-thickness skin replacement is needed after burn or degloving injuries with exposure of tendons or bones. The authors used a human skin organ culture model to study whether porcine reconstructive tissue matrix (Strattice) i... |
0 | State-of-the-art management of complications of myeloma and its treatment | MSTS 2018 - Femur Mets and MM | Multiple myeloma is an incurable disease, although patient survival has increased with the availability of novel agents. Both multiple myeloma and its therapies often affect the renal, immune, skeletal, hematologic, and nervous systems. The resulting organ dysfunctions often impair the quality of life of affected patie... |
0 | Decision making on timing of surgery for hip fracture patients on clopidogrel | DoD SSI (Surgical Site Infections) | Patients taking clopidogrel who sustain a fractured neck of femur pose a challenge to orthopaedic surgeons. The aim of this study was to determine whether delay to theatre for these patients affects drop in haemoglobin levels, need for blood transfusion, length of hospital stay and 30-day mortality. A retrospective rev... |
0 | Autotransfusion for blood loss in some major esthetic operations | Reduction Mammoplasty for Female Breast Hypertrophy | The donation and reinfusion of autologous blood is physiologically sound and eliminates the hazards of homologous blood transfusion. Experiences in 24 cases are described. |
0 | Different pharmacokinetics of tramadol in mothers treated for labour pain and in their neonates | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: The aim of the present study was to investigate the pharmacokinetic profile of tramadol hydrochloride in neonates, born from mothers who underwent analgesia with tramadol for the relief of labour pain. Methods: Intramuscular tramadol (100-250 mg) was administered to 22 mothers giving birth who requested pain... |
0 | Reliability of indices measured on infant hip MRI at time of spica cast application for dysplasia | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: Infants with persistent developmental dysplasia of the hip (DDH) after harness treatment may be treated by operative reduction and spica casting, with post-reduction hip alignment assessed by magnetic resonance imaging (MRI), which can demonstrate three-dimensional hip geometry. This may provide valuable infor... |
0 | Survival instantaneous log-odds ratio from empirical functions | Management of Hip Fractures in the Elderly | The objective of this work is to introduce a new method called the Survivorship Instantaneous Log-odds Ratios (SILOR); to illustrate the creation of SILOR from empirical bivariate survival functions; to also derive standard errors of estimation; to compare results with those derived from logistic regression. Hip fractu... |
0 | Ultrasound mapping to facilitate the placement of a spiral peripheral nerve cuff electrode | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: A pilot study (n = 10) to study the effect of high frequency nerve block to treat chronic amputation stump pain was conducted using a nerve cuff electrode. Cuff electrode placement was achieved by undergoing surgical dissection to expose the targeted peripheral nerves. In an effort to make this procedure ... |
0 | Double-barrel fibular graft for metaphyseal areas reconstruction around the knee | Surgical Management of Osteoarthritis of the Knee CPG | The metaphyses around the knee (distal femoral and proximal tibial) are junction areas subject to considerable stress. Double-barrel free vascular fibular graft (D-FVFG) provides good bone augmentation and restores the metaphyseal cone; the present study assessed its capacity to restore metaphyseal anatomy and axis and... |
0 | Wroblewski wedge augmentation for recurrent posterior dislocation of the Charnley total hip replacement | Management of Hip Fractures in the Elderly | We analysed 68 cases of acetabular augmentation using the Wroblewski wedge for recurrent posterior dislocation of Charnley total hip replacements inserted through a posterior approach. The follow-up was done by postal questionnaire in living patients or by thorough search of case notes in the dead. All hips were follow... |
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