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0 | Complications of Total Hip Arthroplasty: Standardized List, Definitions, and Stratification Developed by The Hip Society | DoD SSI (Surgical Site Infections) | BACKGROUND: Reporting of complications after total hip arthroplasty (THA) is not standardized, and it is done inconsistently across various studies on the topic. Advantages of standardizing complications include improved patient safety and outcomes and better reporting in comparative studies.
QUESTIONS/PURPOSES: The pu... |
0 | Redefining Optimal Nail to Medullary Canal Diameter Ratio in Stainless Steel Flexible Intramedullary Nailing of Pediatric Femur Fractures | Pediatric Diaphyseal Femur Fractures 2020 Review | PURPOSE: The ideal canal fill for flexible intramedullary fixation of pediatric femoral shaft fractures is considered to be 80% based upon relatively few clinical studies. The purpose of this study is to assess the relationship between the summed nail to intramedullary canal diameter (ND/MCD) ratio and alignment at rad... |
0 | Pancreaticoduodenectomy for the management of pancreatic or duodenal metastases from primary sarcoma | MSTS 2018 - Femur Mets and MM | Background/Aim: Sarcomas are rare and heterogeneous solid tumours of mesenchymal origin and frequently have an aggressive course. The mainstay of management for localized disease is surgical excision. Following excision there is approximately 30-50% risk of developing distant metastases. The role of pancreatic resectio... |
0 | Adolescent patellar osteochondral fracture following patellar dislocation | Osteochondritis Dissecans 2020 Review | PURPOSE: Patellar dislocations in adolescents may cause osteochondral fractures of the patella. The aim of this study was to review the outcomes of adolescent patients who underwent surgical intervention for patellar osteochondral fracture following patellar dislocation. METHODS: Nine patients who underwent surgery for... |
0 | Effect of NSAID Use on Pain and Opioid Consumption Following Distal Radius Fracture | Distal Radius Fractures | In the United States, drug overdose deaths and opioidâ?involved deaths continue to increase, quadrupling since 1999; six out of ten drug overdose deaths involve an opioid. Overdoses from prescription opioids are a driving factor in the 15â?year increase in opioid overdose deaths. The amount of prescription opioids so... |
0 | Are there benefits to one- versus two-stage procedures in bilateral hip resurfacing? | HipFx Supplemental Cost Analysis | Background: Short-term studies report comparable complication rates of one-stage bilateral versus two-stage procedures in hip resurfacing, although the long-term effects of such procedures on survivorship, quality of life, and disease-specific scores are currently unknown. Questions/purposes: We compared clinical score... |
0 | Heating infiltration solutions used in tumescent liposuction: minimizing surgical risk | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Liposuction, one of the most common operations performed by plastic surgeons, is not free of complications. One of the most common factors is patient hypothermia, a factor little studied but one capable of producing severe arrhythmias and cardiac arrest. A comparative clinical study was conducted to determi... |
0 | Fractures of the proximal part of the femur | Management of Hip Fractures in the Elderly | The orthopaedic surgeon has a multitude of internal fixation devices and techniques available for use in the treatment of subtrochanteric fractures of the proximal femur. The successful use of second-generation locking nails is technically demanding. Close attention to positioning of the patient, reduction of the fract... |
0 | Bipolar fresh osteochondral allografting of the tibiotalar joint | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Tibiotalar arthritis in the young, active patient is a debilitating condition with limited treatment options. Bipolar tibiotalar fresh osteochondral allograft transplantation was conceived as a possible alternative to arthrodesis and arthroplasty. We reported our experience with bipolar ankle osteochondral ... |
0 | The "Sheba" model of comprehensive orthogeriatric care for elderly hip fracture patients: a preliminary report | HipFx Supplemental Cost Analysis | BACKGROUND: The progressive increase in the number of elderly patients with hip fractures and the particular multidisciplinary needs of this population call for the investigation of other models of orthogeriatric care. OBJECTIVES: To describe the nature and assess the feasibility of a comprehensive orthogeriatric unit ... |
0 | Intraoperative Techniques to Reduce Thromboembolism: Regional Anesthesia and Intraoperative Heparin | AAHKS (8) Anesthetic Infiltration | Both neural blockade (spinal or epidural) have been shown to reduce the risk of thrombogenesis after both hip and knee arthroplasty. The mechanism is most likely due to enhanced blood flow in the deep venous system of the legs. Reduction in blood loss during and after surgery may also play a role. Intraoperative hepari... |
0 | Prevalent bacterial species and novel phylotypes in advanced noma lesions | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of this study was to determine the bacterial diversity in advanced noma lesions using culture-independent molecular methods. 16S ribosomal DNA bacterial genes from DNA isolated from advanced noma lesions of four Nigerian children were PCR amplified with universally conserved primers and spirochetal selectiv... |
0 | Predicting the impacts of epidemic outbreaks on global supply chains: A simulation-based analysis on the coronavirus outbreak (COVID-19/SARS-CoV-2) case | Coronavirus Disease 2019 (COVID-19) | Epidemic outbreaks are a special case of supply chain (SC) risks which is distinctively characterized by a long-term disruption existence, disruption propagations (i.e., the ripple effect), and high uncertainty. We present the results of a simulation study that opens some new research tensions on the impact of COVID-19... |
1 | Bone mineral and migratory patterns in uncemented total knee arthroplasties: a randomized 5-year follow-up study of 38 knees | Surgical Management of Osteoarthritis of the Knee CPG | We measured the amount of bone mineral in the medial tibial condyle 1 week postoperatively, after 1 year and after 4-5 years in 38 arthrotic knees randomized to a Freeman-Samuelson hydroxyapatite-coated (FS HA) or a Miller-Galante II (MG II) total knee arthroplasty. Clinically excellent results were recorded in both gr... |
0 | Arthroscopic Transtibial Pull-Out Repair for Meniscal Posterior Root Tear: The Slip Knot Technique | AMP (Acute Meniscal Pathology) | A meniscal root tear can increase the tibiofemoral contact pressure to approximate that of total meniscectomy, and eventually lead to degenerative change. An anatomic and stable meniscal root repair is essential in restoring the tibiofemoral contact pressure back to that of a normal knee. Suture anchor technique and pu... |
1 | Antiinflammatory effect of peripheral nerve blocks after knee surgery: clinical and biologic evaluation | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Nerve blocks provide analgesia after surgery. The authors tested whether nerve blocks have antiinflammatory effects.
METHODS: Patients had combined sciatic (single-shot) and continuous femoral block (48 h) (block group) or morphine patient-controlled analgesia after total knee arthroplasty. Pain at rest and... |
0 | Lengthening of the tibia over an intramedullary nail, using the Ilizarov external fixator. Major complications and slow consolidation in 9 lengthenings | DoD SSI (Surgical Site Infections) | We lengthened 9 tibial segments over a nail to reduce the time in the external fixator in 5 patients with constitutional shortness. The median lengthening was 7 (5.5-7.3) cm and the external Ilizarov frame was removed after median 99 (63-125) days. In spite of a short time in the external fixator, consolidation was slo... |
1 | MR imaging of the knee: three-dimensional volume imaging combined with fast processing | AMP (Acute Meniscal Pathology) | A new examination protocol for patients with suspected meniscal or hyaline cartilage disorders is presented. Knees were imaged with a fast gradient echo imaging sequence with subsequent three-dimensional transformation. Data were transferred to an image processing system that allows reconstruction in any plane desired.... |
0 | The Dexamethasone for Pain Treatment After Total Knee Arthroplasty Trial | AAHKS (2) Corticosteroids | Trial name: Dexamethasone twice for pain treatment of total knee arthroplasty: A randomised, blinded, pragmatic, 3â?group multicentre clinical trial Trial Acronym: DEXâ?2â?TKA Background: Effective postoperative pain management is essential for the wellâ?being and rehabilitation of the surgical patient. No "gold st... |
0 | Foot pain after total knee replacement: A case report | Surgical Management of Osteoarthritis of the Knee CPG | Case Description: The patient underwent elective right TKR through median parapatellar approach on 10/5/10 with spinal anesthesia w/o complications. Admitted to rehab on POD#3. Exam: 4/5 ankle plantar and dorsiflexion, 4/5 EHL strength, unable to flex her toes or invert the R foot. Sensation: Slight decrease in sensati... |
0 | Reliability of hand-held dynamometry in assessment of knee extensor strength after hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVES: To examine the reliability of hand-held dynamometry in assessing knee extensor strength in inpatients undergoing rehabilitation after hip fracture and to examine the discriminant validity of this measure. DESIGN: A total of 16 subjects (14 women; mean +/- SD, 79 +/- 7 yrs) undergoing inpatient rehabilitatio... |
0 | Arterial reconstruction of vessels in the foot and ankle | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: This study demonstrated that arterial reconstruction of vessels of the foot and ankle can preserve the majority of ischemic extremities with extensive tibial and peroneal occlusive disease and patent pedal arteries. SUMMARY BACKGROUND DATA: There are successful reports of bypass procedures to the ankle and f... |
0 | Management of femoral diaphyseal infected nonunion with antibiotic beads local therapy, external skeletal fixation, and staged bone grafting | DoD SSI (Surgical Site Infections) | BACKGROUND: Fifteen patients with femoral shaft fractures complicated by infected nonunions were treated with a two-stage protocol.
METHODS: In the first stage, radical debridement was performed along with antibiotic bead chains local therapy and external skeletal fixation. In the second stage, the debrided nonunion si... |
1 | Reverse Total Shoulder Arthroplasty With Humeral Head Autograft Fixed Onto Glenoid for Treatment of Severe Glenoid Retroversion | Glenohumeral Joint OA | Advanced glenohumeral osteoarthritis can transform glenoid morphology and, in some cases, is found in association with severe glenoid retroversion. The associated glenoid retroversion leads to difficulty in fixation of the glenoid component in reverse total shoulder arthroplasty. In the context of extreme glenoid wear,... |
0 | Predicting the 10-year risk of hip and major osteoporotic fracture in rheumatoid arthritis and in the general population: an independent validation and update of UK FRAX without bone mineral density | Hip Fx in the Elderly 2019 | OBJECTIVES: FRAX incorporates rheumatoid arthritis (RA) as a dichotomous predictor for predicting the 10-year risk of hip and major osteoporotic fracture (MOF). However, fracture risk may deviate with disease severity, duration or treatment. Aims were to validate, and if needed to update, UK FRAX for patients with RA a... |
0 | A systematic review and meta-analysis of medical leech therapy for osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Osteoarthritis of the knee is a common chronic disease among older adults. Therapeutic approaches mainly consist of physiotherapy or pharmacological therapy, but these approaches are limited over time by their cost and/or side effects. This paper presents a systematic review and meta-analysis of the effecti... |
1 | The significance of second lumbrical-interosseous latency comparison in the diagnosis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | AIM: To assess the significance of the second lumbrical-interosseous latency (2LI-DML) comparison in the diagnosis of carpal tunnel syndrome (CTS). PATIENTS AND METHODS: We examined 150 consecutive hands of patients referred with suspected CTS, using the 2LI-DML test and other standard measures of median nerve function... |
0 | Ophthalmologic and intraocular non-Hodgkin's lymphoma: A large single centre study of initial characteristics, natural history, and prognostic factors | MSTS 2022 - Metastatic Disease of the Humerus | The aims of this study were to define the initial characteristics, natural history, and prognostic factors of patients with ophthalmologic and intraocular malignant lymphoma. All patients treated at the Institut Curie for lymphoma with ophthalmologic (orbit and/or adnexa) or intraocular involvement were retrospectively... |
0 | Single Ilioinguinal Approach to Treat Complex Acetabular Fractures with Quadrilateral Plate Involvement: Outcomes Using a Novel Dynamic Anterior Plate-Screw System | DoD SSI (Surgical Site Infections) | OBJECTIVES: To evaluate the efficacy and safety of a novel fixation technique referred to as the dynamic anterior plate-screw system for quadrilateral plate (DAPSQ) for complex acetabular fractures with quadrilateral plate involvement through the single ilioinguinal approach.
METHODS: A total of 32 patients with acetab... |
1 | Flexible intramedullary nails with traction versus plaster cast for treating femoral shaft fractures in children: Comparative retrospective study | Treatment of Pediatric Diphyseal Femur Fractures CPG | Context and Objective: Femoral fractures are common in children between 2 and 12 years of age, and 75% of the lesions affect the femoral shaft. Traction followed by a plaster cast is universally accepted as conservative treatment. However, in some situations, a surgical approach is recommended. The objective here was t... |
0 | Opening wedge osteotomy for malunion of the distal radius with neuropathy. 13 cases followed for 6 (1-11) years | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | 13 patients with malunion of the distal radius after Colles' fractures and electroneurographically verified median nerve compression underwent an opening wedge osteotomy without a simultaneous release of the transverse carpal ligament. 12 patients had reduction of the typical night pain with normal or almost normal sen... |
0 | Proximal radial resection for posttraumatic radioulnar synostosis: a new technique to improve forearm rotation | Distal Radius Fractures | BACKGROUND: Heterotopic ossification about the elbow joint can lead to considerable functional disability, including the loss of forearm rotation. Many procedures have been described for the treatment of proximal radioulnar synostosis. Varying degrees of success have been achieved with regard to the improvement of the ... |
0 | Renal function after elective total hip replacement | PJI DX Updated Search | Background and purpose - Acute kidney injury (AKI) is associated with increased short-term and long-term mortality in intensive care populations and in several surgical specialties, but there are very few data concerning orthopedic populations. We have studied the incidence of AKI and the prevalence of chronic kidney d... |
0 | Management of multiple myeloma bone disease: impact of treatment on renal function | MSTS 2018 - Femur Mets and MM | INTRODUCTION: Bone disease (BD) is one of the most common features of multiple myeloma. Seventy to eighty percent of patients at diagnosis present with lytic lesions which may lead to skeletal-related events. Areas covered: The aim of this review is to present the possible adverse profile of bisphosphonates (BPs) on re... |
0 | UKA Can Be Safely Revised to Primary Knee Arthroplasty by Using an Autologous Bone Plate From the Proximal Lateral Tibia | Surgical Management of Osteoarthritis of the Knee CPG | The bone-preservation by UKA in medial osteoarthritis constitutes only an advantage if in the case of revision an unconstrained TKA can be implanted. The aim of this study was to evaluate a revision technique using an autologous bone slice from the lateral to the medial proximal tibia. We report on 17 patients with a m... |
0 | Treatment of scaphoid waist nonunions with an avascular proximal pole and carpal collapse. Surgical technique | Distal Radius Fractures | BACKGROUND: Surgically, it is difficult to achieve union of a scaphoid nonunion that is associated with osteonecrosis of the proximal pole, and those with carpal collapse are especially difficult to treat. A variety of vascularized bone grafts can be used. The purpose of this study was to compare the effectiveness of t... |
0 | Sport-Specific Limb Prostheses in Para Sport | DoD LSA (Limb Salvage vs Amputation) | Prostheses form an essential part of participation in sport and physical activity for athletes with lower or upper limb amputation. These prostheses come in the form of everyday nonsport-specific prostheses, as well as sport-specific prostheses designed to enable participation in specific sports. Sport-specific prosthe... |
0 | Pregnancy and the orthopaedic patient | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Pregnancy presents unique challenges to both the Orthopaedic surgeon, and the patient. Uniquely there exists not one, but two patients necessitating consideration in each decision process. Physiological changes serve to contribute to the presentation of a number of orthopaedic conditions unique to pregnancy, as well as... |
0 | Management of simple elbow dislocations. Does the period of immobilization affect the eventual results? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | METHODS: Forty-five patients with a simple elbow dislocation were re-examined at an average time of 61 months after injury. All patients were treated by means of closed reduction. Only patients with minor associated injuries were included in the study. The Morrey score was used to evaluate pain, limitation of motion, i... |
0 | Ptosis correction: a challenge following complex orbital injuries | Upper Eyelid and Brow Surgery | Ptosis occurs when the muscles that raise the upper eyelid (levator and Muller's muscle) get damaged. There are lot of ptosis correction surgery reported in the journals of oculoplastic surgery and opthalmic surgery. Most of these surgeries are cosmetic correction. Rarely ptosis can be seen as a complication following ... |
0 | ACR-ASTRO practice guideline for the performance of therapy with unsealed radiopharmaceutical sources | MSTS 2018 - Femur Mets and MM | This guideline is intended to guide appropriately trained and licensed physicians performing therapy with unsealed radiopharmaceutical sources. Adherence to this guideline should help to maximize the efficacious use of these procedures, maintain safe conditions, and ensure compliance with applicable regulations. The to... |
1 | Radial tears of the posterior horn of the medial meniscus | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to introduce clinical features and characteristics of radial tears of the posterior horn of the medial meniscus and the results of arthroscopic surgery.
TYPE OF STUDY: Retrospective case series.
METHODS: From August 1996 to December 1999, 345 consecutive cases of medial meniscal t... |
0 | Fractures of the forearm bones and distal radius | Distal Radius Fractures | Fractures of the radius and ulna should be treated as a single unit rather than separate bony entities due to the intricate relationship of both bones in the forearm. Injuries can be divided into fractures of both bones, fracture of a single bone, and fracture of single bone associated with joint injuries. Distal radiu... |
0 | A sequential protocol for management of severe open tibial fractures | DoD SSI (Surgical Site Infections) | Fifty consecutive open fractures of the tibia, including 22 Grade IIIB and 4 Grade IIIC, were treated using a protocol of debridement, immediate wound coverage, and intramedullary nailing. Fasciocutaneous flaps were used extensively to cover areas of exposed bone. The severity of the soft tissue injury dictated the tim... |
1 | Magnetic resonance imaging of internal derangements of the knee | AMP (Acute Meniscal Pathology) | The authors, in a careful prospective study, report the accuracy of MRI to be comparable to that of pneumoarthrography and arthroscopy in the diagnosis of internal derangements of the knee. |
0 | The fate of the remaining knee(s) or hip(s) in osteoarthritic patients undergoing a primary TKA or THA | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study was to determine the fate of the remaining hip(s) and knee(s) following an initial total hip or knee arthroplasty in 5352 patients with idiopathic osteoarthritis who were followed for a minimum ten years (mean 17.8 +/- 5.7 years). Following an initial primary TKA, 46.0% of patients had a contr... |
1 | No effect of double nerve block of the lateral cutaneous nerve and subcostal nerves in total hip arthroplasty | AAHKS (9/10) Regional Nerve Blocks | Background and purpose - The use of local infiltration anesthesia (LIA) has become one of the cornerstones of rapid recovery protocols in total knee arthroplasty patients during the past decade. In total hip arthroplasty (THR), however, the study results are more variable and LIA has therefore not yet been generally ac... |
0 | Factors influencing fracture risk, T score, and management of osteoporosis in patients with rheumatoid arthritis in the Consortium of Rheumatology Researchers of North America (CORRONA) registry | Management of Hip Fractures in the Elderly | OBJECTIVES: This study examined a wide array of clinical factors to evaluate their influence on fracture risk and T scores in women with rheumatoid arthritis (RA) and determine if women with RA who are at risk for osteoporosis (OP) are adequately treated with OP medications. METHODS: Data from 8419 female RA patients p... |
0 | Carpometacarpal dislocation of the thumb associated with ipsilateral fracture of the distal radius | Distal Radius Fractures | An acute carpometacarpal (CMC) dislocation of the thumb is itself an extremely rare injury, but one associated with a fracture of the distal radius has never before been reported. In our case, the fracture of the distal radius was treated by closed reduction and immobilization with a plaster cast, whereas the dislocati... |
1 | A conceptual quantitative model for prevention of work-related carpal tunnel syndrome (CTS) | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In this paper the authors present a pathogenic mechanism of carpal tunnel syndrome (CTS) and a heuristic conceptual model to assess the musculoskeletal stress of manual work for the purpose of establishing quantitative guidelines to prevent work-related CTS. The model is based on the concept that the frictional energy ... |
0 | Experience with sandwich liner and its high rate of failure | Hip Fx in the Elderly 2019 | BACKGROUND: Composite ceramic with polyethylene backing was introduced to enhance the quality of ceramic articulation, but the liner's high rate of ceramic fracture has brought serious concern. In this study, the authors investigated the failure rate of sandwich liner in long-term follow-up patients at single instituti... |
0 | Relation between surgeon volume and risk of complications after total hip arthroplasty: propensity score matched cohort study | PJI DX Updated Search | OBJECTIVES: To identify a cut point in annual surgeon volume associated with increased risk of complications after primary elective total hip arthroplasty and to quantify any risk identified. DESIGN: Propensity score matched cohort study. SETTING: Ontario, Canada. PARTICIPANTS: 37,881 people who received their first pr... |
0 | Reduction mammaplasty: outcome analysis based on bodyweight | Reduction Mammoplasty for Female Breast Hypertrophy | This retrospective study aimed to evaluate how reduction mammaplasty influences the bodyweight of patients 5Â years after the procedure. The literature shows controversy regarding the effect of breast reduction on the progression of bodyweight. Between 1 January 2006 and 31 July 2007, 249 reduction mammaplasties were p... |
1 | A clinically meaningful difference was generated for a performance measure of recovery from hip fracture | Management of Hip Fractures in the Elderly | BACKGROUND AND OBJECTIVE: The Lower Extremity Gain Scale (LEGS) is a performance measure of tasks that are often impaired in hip fracture patients. This study was designed to determine a clinically meaningful difference in LEGS. METHODS: The population was 139 female patients (age >65 years) admitted to Baltimore hospi... |
1 | Local infiltration analgesia in joint replacement: the evidence and recommendations for clinical practice | Surgical Management of Osteoarthritis of the Knee CPG | Relief of acute pain after hip and knee replacement represents a major therapeutic challenge as post-operative pain hinders early mobilisation and rehabilitation with subsequent consequences on mobility, duration of hospitalisation and overall recovery. In recent years, there has been increased interest in high-volume ... |
0 | Prospective mid-term results of a consecutive series of a short stem | Hip Fx in the Elderly 2019 | A large number of short stem prostheses for hip -arthroplasty have been introduced in the past years. Although there is a large increase of publications about short stems, there is still little data available about survival and revision rates. We report prospectively on the outcome of 84 consecutive NANOS® short stem ... |
0 | What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis | SR for PM on OA of All Extremities | OBJECTIVE: To determine the proportion of people with hip and knee osteoarthritis that meet physical activity guidelines recommended for adults and older adults. METHOD: Systematic review with meta-analysis of studies measuring physical activity of participants with hip and knee osteoarthritis using an activity monitor... |
0 | Does ACL reconstruction alter natural history?: A systematic literature review of long-term outcomes | SR for PM on OA of All Extremities | BACKGROUND: Anterior cruciate ligament (ACL) injury can lead to tibiofemoral instability, decreased functional outcomes, and degenerative joint disease. It is unknown whether ACL reconstruction alters this progression at long-term follow-up. METHODS: A systematic literature review of the long-term results (minimum foll... |
0 | Knee osteoarthritis, potential mediators, and risk of all-cause mortality: data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the relation of symptomatic knee osteoarthritis (OA), knee pain, and radiographic knee OA to all-cause mortality and identify mediators in the causal pathway. METHODS: Participants from the Osteoarthritis Initiative were divided into four groups: (1) symptomatic knee OA (i.e., both radiographic kne... |
0 | Clinical and radiological results following radial osteotomy in patients with Kienbock's disease: four- to 18-year follow-up | Distal Radius Fractures | Radial osteotomy is currently advocated for patients with Lichtman's stages II and IIIA of Kienbock's disease; its place in the treatment of patients with stage IIIB disease remains controversial. The purpose of this study was to evaluate the medium-term results of this procedure and to compare the outcome in patients ... |
1 | Dynamic sonography in the diagnosis of ligament and meniscal injuries of the knee | AMP (Acute Meniscal Pathology) | A total of 84 patients with ligament or meniscal injuries of the knee was prospectively examined clinically and under anaesthesia, by arthroscopy and sonography. The sensitivity, specificity, positive and negative predictive values were compared. For sonography a high resolution scanner (Picker LSC 7000 with a 5-MHz tr... |
1 | Vertical scar reduction mammaplasty: a 15-year experience including a review of 250 consecutive cases | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Vertical scar reduction mammaplasty has the advantage of reduced scar burden and improved long-term projection of the breasts. The technique has been criticized for being restricted to cases of mild to moderate mammary hypertrophy and is considered more intuitive and difficult to learn when compared with mo... |
0 | Adductor canal block versus femoral nerve block for analgesia after total knee arthroplasty: a randomized, double-blind study | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND OBJECTIVES: Femoral nerve block (FNB), a commonly used postoperative pain treatment after total knee arthroplasty (TKA), reduces quadriceps muscle strength essential for mobilization. In contrast, adductor canal block (ACB) is predominately a sensory nerve block. We hypothesized that ACB preserves quadri... |
0 | Rotational deformity in varus osteoarthritis of the knee: analysis with computed tomography | Surgical Management of Osteoarthritis of the Knee CPG | Rotational deformities in varus osteoarthritis of the knee were evaluated with computed tomography. Preoperative computed tomography scans of 150 knees (114 patients) having total knee arthroplasty and 31 control knees (20 patients) were included. The femorotibial rotation was quantified using the clinical epicondylar ... |
0 | A rapid recovery program: early home and pain free | AAHKS (8) Anesthetic Infiltration | Enhancement of our perioperative pain management protocols has resulted in accelerated rehabilitation. At our facility, the majority of patients undergoing total and partial knee arthroplasty are treated with a single-shot spinal anesthetic consisting of a combination of bupivacaine and duramorph. The bupivacaine affor... |
1 | Understanding the Health Burden of Macromastia: Normative Data for the BREAST-Q Reduction Module | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The BREAST-Q Reduction module evaluates outcomes in reduction mammaplasty. However, there are currently no published normative scores, limiting the interpretation of BREAST-Q data.
METHODS: The BREAST-Q Reduction module was administered via the Army of Women, an online community of women (with and without b... |
0 | Balance training (proprioceptive training) for patients with rheumatoid arthritis | SR for PM on OA of All Extremities | Background: Patients with rheumatoid arthritis may have an increased risk of falls due to impairments in lower-extremity joints, which may result in either mobility, or postural stability problems. There is evidence in the literature suggesting that balance, agility and coordination training techniques can induce chang... |
0 | Patellar taping for patellofemoral pain syndrome in adults | SR for PM on OA of All Extremities | Background: Patellofemoral pain syndrome refers to the clinical presentation of knee pain related to changes in the patellofemoral joint. Patellofemoral pain syndrome usually has a gradual onset of pain with none of the features associated with other knee diseases or trauma. It is often treated by physiotherapists, who... |
1 | No recurrences in selected patients after curettage with cryotherapy for grade I chondrosarcomas | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The low aggressiveness of Grade I chondrosarcomas is compatible with conservative surgical treatment.
QUESTIONS/PURPOSE: We asked whether combined curettage and cryotherapy would yield low rates of recurrence and whether supplemental internal fixation would retain function with low rates of complications in... |
0 | Predictors of inpatient mortality and systemic complications in acetabular fractures requiring operative treatment | Hip Fx in the Elderly 2019 | Patient demographics, physiologic variables, and injury characteristics predictive of mortality and major systemic complications following operative fixation of acetabulum fractures were identified using the National Sample Program of the National Trauma Data Bank. Age older than 60 years, obesity, and Injury Severity ... |
0 | Umbilical reconstruction: A review of techniques | Panniculectomy & Abdominoplasty CPG | Whilst of minimal functional importance, the umbilicus is a key aesthetic landmark of the anterior abdominal wall and its absence or distortion a frequent cause for concern and patient complaint. For such an anatomically simple structure, the plethora of techniques described indicates either an unappreciated complexity... |
0 | What's new in musculoskeletal oncology | MSTS 2022 - Metastatic Disease of the Humerus | We reviewed the recent literature related to primary musculoskeletal tumors and metastatic bone tumors. With regard to primary bone tumors, computer navigation systems and three-dimensional-printed prostheses seem to be new treatment options, especially in challenging anatomical locations, such as the sacrum and pelvis... |
0 | Program Use and Outcome Change in a Web-Based Trauma Intervention: Individual and Social Factors | DoD PRF (Psychosocial RF) | BACKGROUND: Insight into user adherence to Web-based intervention programs and into its relationship to intervention effect is needed.
OBJECTIVE: The objective of this study was to examine use of a Web-based self-help intervention program, the Chinese version of My Trauma Recovery (CMTR), among Chinese traumatized indi... |
0 | The impact of custom cutting guides on patient satisfaction and residual symptoms following total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: Custom cutting guides (CCGs) in total knee arthroplasty (TKA) use preoperative three-dimensional (3-D) imaging to manufacture cutting blocks specific to a patient's anatomy. The purpose of this study was to evaluate the impact of CCGs versus standard intramedullary and extramedullary guides on patient-repor... |
1 | Wound-healing risk factors after open reduction and internal fixation of calcaneal fractures: does correction of Bohler's angle alter outcomes? | DoD SSI (Surgical Site Infections) | The study reviewed in this article evaluated a group of patients who underwent surgical therapy for calcaneal fractures at a Level I trauma center. One group of patients was treated after outpatient referral to the center, whereas the other group was admitted to, and underwent surgery at, the center. This study attempt... |
0 | Recurrent Desmoid Tumor with Intra-Abdominal Extension After Abdominoplasty: A Rare Presentation | Panniculectomy & Abdominoplasty CPG | BACKGROUND Desmoid tumors are fibrous neoplasms that originate from the musculoaponeurotic structures in the body. Abdominal wall desmoid tumors are rare, but they can be locally aggressive, with high incidence of recurrence. These tumors are more common in young, fertile women. They frequently occur during or after pr... |
0 | Periprosthetic fractures of the femur after hip replacement | DoD SSI (Surgical Site Infections) | Periprosthetic fracture of the femur after hip replacement is a serious complication of total hip arthroplasty (THA), the prevalence of which is increasing. It can be difficult to treat, and potentially fraught with complications. The prevention of these fractures is achieved by improved techniques in primary arthropla... |
0 | Avascular necrosis after fracture-separation of the distal end of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Fracture-separation of the distal end of the humerus in children has been reported infrequently, and may be misdiagnosed as a fracture of the condyle or a traumatic dislocation of the elbow. We discuss eight cases of a seldom reported complication following fracture-separation of the distal end of the humerus. This com... |
0 | The difference in activity of daily living (ADL) and mortality in patients aged over 80 years with femoral neck fracture treated with hemiarthroplasty or osteosynthesis at 2 years of follow-up | Hip Fx in the Elderly 2019 | INTRODUCTION: Hip fractures are one of the major causes of morbidity and mortality in the elderly and outcomes following hip fracture have been the focus of several studies over recent decades. Among all types of fall-related injuries, hip fractures cause the greatest number of deaths, lead to severe health problems an... |
0 | Neurologic Disorders Associated with Weight Lifting and Bodybuilding | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Weight lifting and other forms of strength training are becoming more common because of an increased awareness of the need to maintain individual physical fitness. Emergency room data indicate that injuries caused by weight training have become more universal over time, likely because of increased participation rates. ... |
0 | Tumour cell detection in the bone marrow of breast cancer patients at primary therapy: results of a 3-year median follow-up | MSTS 2018 - Femur Mets and MM | We examined bone marrow aspirates from 100 metastasis-free primary breast cancer patients. In 38/100 patients (38%), tumour cells were detected in the marrow using an immunocytochemical technique with a cocktail of two monoclonal antibodies: anti-EMA and anti-cytokeratin. Median follow-up was 34 months: 15/38 (39%) tum... |
0 | Femoral anterior tangent line of the osteoarthritic knee for determining rotational alignment of the femoral component in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Several reference axes have been used to establish femoral rotational alignment during total knee arthroplasty. The current study examined the configuration of the anterior surface of the femur immediately proximal to the trochlea as an alternative rotational landmark. An analysis of computed tomographic images of 150 ... |
0 | Increased prevalence of soft tissue hand lesions in type 1 and type 2 diabetes mellitus: various entities and associated significance | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Sixty Type 1 (insulin dependent) and sixty Type 2 (non insulin dependent) diabetic patients attending a diabetology unit were examined in search of limited joint mobility, Dupuytren's disease, flexor tenosynovitis and carpal tunnel syndrome, in comparison with two populations of 60 non diabetic controls matched for sex... |
1 | Conservative treatment of Garden stage I femoral neck fracture in elderly patients | Management of Hip Fractures in the Elderly | We reviewed 38 patients aged 65 years and older with fresh Garden stage I femoral neck fractures treated nonsurgically to determine factors that influence fracture union. The mean follow-up period was 20 (range 6-86) months. Twenty-three (61%) fractures united within 6 months after injury, while 15 (39%) failed to unit... |
1 | Improved performance in activities of daily living and mobility after a multidisciplinary postoperative rehabilitation in older people with femoral neck fracture: a randomized controlled trial with 1-year follow-up | Management of Hip Fractures in the Elderly | OBJECTIVE: To investigate the short- and long-term effects of a multidisciplinary postoperative rehabilitation programme in patients with femoral neck fracture. DESIGN AND SUBJECTS: A randomized controlled trial in patients (n = 199) with femoral neck fracture, aged >or= 70 years. METHODS: The primary outcomes were: li... |
0 | Insights from the Global Longitudinal Study of Osteoporosis in Women (GLOW) | HipFx Supplemental Cost Analysis | GLOW is an observational, longitudinal, practice-based cohort study of osteoporosis in 60,393 women aged >/=55 years in 10 countries on three continents. In this Review, we present insights from the first 3 years of the study. Despite cost analyses being frequently based on spine and hip fractures, we found that nonver... |
0 | Knee pain in patients with cancer after chemotherapy, radiotherapy, and bone marrow transplantation | MSTS 2018 - Femur Mets and MM | The causes of knee pain in patients with cancer with are different from those without cancer, and the purpose of this study was to evaluate these differences. Thirty-six patients with cancer who had knee pain who had undergone 1 or more modalities of treatment, including chemotherapy, radiotherapy, and bone marrow tran... |
1 | Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome | Surgical Management of Osteoarthritis of the Knee CPG | Anterior knee pain and/or radiological evidence of degeneration of the patellofemoral joint are considered to be contraindications to unicompartmental knee replacement. The aim of this study was to determine whether this is the case. Between January 2000 and September 2003, in 100 knees (91 patients) in which Oxford un... |
0 | Blinded interpretation of study results can feasibly and effectively diminish interpretation bias | AMP (Acute Meniscal Pathology) | Objective Controversial and misleading interpretation of data from randomized trials is common. How to avoid misleading interpretation has received little attention. Herein, we describe two applications of an approach that involves blinded interpretation of the results by study investigators. Study Design and Settings ... |
1 | Preoperative Predictors for Non-Copers to Pass Return to Sports Criteria After ACL Reconstruction | Anterior Cruciate Ligament Injuries CPG | Less than 50% of athletes pass criteria to return to sports (RTS) 6 months after ACL reconstruction (ACLR). Using data on these 38 non-copers, we hypothesized that: pre-operative age, quadriceps strength index (QI), and knee flexion moments (KFM) during gait would predict the ability to pass/fail RTS criteria; and pre-... |
1 | Preliminary diagnosis of medial meniscus posterior root tears using the Rosenberg radiographic view | AMP (Acute Meniscal Pathology) | PURPOSE: To verify the effectiveness of detecting medial meniscus posterior root tears (MMPRTs) using weight-bearing posterior-anterior (PA) radiographs.
MATERIALS AND METHODS: Twenty-three patients were diagnosed with an MMPRT using magnetic resonance imaging (Group A), with 23 matched individuals forming the control ... |
0 | Personal Evolution in Thighplasty Techniques for Patients Following Massive Weight Loss | Panniculectomy & Abdominoplasty CPG | Background: Lockwood described the importance of Colles' fascia anchoring in medial thighplasty to reduce morbidity associated with the procedure. However, this maneuver may still have complications including traumatic dissection, prolonged edema, and potential wound healing ramifications form increased tension. Altern... |
0 | Why anticipatory postural adjustments in gait initiation need to be modified when stepping up onto a new level? | Panniculectomy & Abdominoplasty CPG | The study examined why anticipatory postural adjustments (APA) associated to gait initiation in a stepping up to a new level situation (SU) are reduced as compared to a level walking situation (LW), as previously reported. Five young adults performed gait initiation in both situations at normal and fast speed. Data fro... |
0 | A replication study and meta-analysis of mitochondrial DNA variants in the radiographic progression of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To conduct a replication study and meta-analysis involving the study of mtDNA variants in the radiographic progression of OA in different cohorts worldwide, including Cohort Hip and Cohort Knee (CHECK), the OA Initiative and a cohort from Spain.
METHODS: The influence of the haplogroups in the rate of radiog... |
0 | FlexiQule (Boswellia extract) in the supplementary management of osteoarthritis: a supplement registry | OAK 3 - Non-arthroplasty tx of OAK | UNLABELLED: The aim of the present pilot, registry study was an assessment in a supplement study of FlexiQule (standardized Boswellia extract) capsules in the supplementary management of patients with symptomatic knee osteoarthritis (OA) also treated with the "standard management" (SM) in comparison with a group of pat... |
0 | Revisional surgery after reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | The occasional unsatisfactory results after reduction mammaplasty are classified and analyzed. Methods of revision in 4 illustrative cases are presented and discussed. |
0 | Polyethylene wear of mobile-bearing unicompartmental knee replacement at 20 years | Surgical Management of Osteoarthritis of the Knee CPG | The Oxford unicompartmental knee replacement (UKR) was designed to minimise wear utilising a fully-congruent, mobile, polyethylene bearing. Wear of polyethylene is a significant cause of revision surgery in UKR in the first decade, and the incidence increases in the second decade. Our study used model-based radiostereo... |
0 | Efficacy of a target-matching foot-stepping exercise on proprioception and function in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | STUDY DESIGN: A randomized clinical trial design. OBJECTIVE: To investigate the efficacy of high, repetitive, targetâ?matching footâ?stepping exercise (TMFSE) performed in a sitting position on proprioception, functional score, and walking velocity for patients with knee osteoarthritis (OA). BACKGROUND: Researchers h... |
0 | Local infiltration analgesia in total knee arthroplasty and hip resurfacing: A methodological study | AAHKS (9/10) Regional Nerve Blocks | Effective pain management is essential for early recovery and rehabilitation after total hip and knee arthroplasty. Current methods include a multimodal regimen of oral analgesics combined with either continuous epidural analgesia or continuous peripheral nerve blockade both of which have risk of side effects and deman... |
1 | The effectiveness of postoperative physical therapy treatment in patients who have undergone arthroscopic partial meniscectomy: systematic review with meta-analysis | AMP (Acute Meniscal Pathology) | STUDY DESIGN: Systematic review with meta-analysis.
OBJECTIVES: To evaluate the effectiveness of postoperative physical therapy treatment for patients who have undergone arthroscopic partial meniscectomy.
BACKGROUND: There is no consensus on which treatment is best for patients post meniscectomy.
METHODS: A search for ... |
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