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1 | Predictors of mortality in elderly patients with an intertrochanteric or a femoral neck fracture | Management of Hip Fractures in the Elderly | BACKGROUND: We retrospectively analyzed 112 intertrochanteric femur fracture patients and 136 femoral neck fracture patients to determine mortality rates and factors affecting mortality. Internal fixation is the standard treatment method for intertrochanteric femur fracture patients in our institute, and arthroplasty, ... |
0 | Assessing the appropriateness of proton pump inhibitor utilization in hospitalized elderly patients | Management of Hip Fractures in the Elderly | PURPOSE: The primary objective of this study is to assess the appropriate use of proton pump inhibitors (PPIs) in elderly hospitalized patients and determine if continuation after discharge was warranted. Recent early clinical studies suggest that PPIs may increase a person's risk of developing pneumonia, hip fracture,... |
0 | Characterization of elderly patients in rehabilitation: stroke versus hip fracture | Management of Hip Fractures in the Elderly | PURPOSE: To compare the characteristics of elderly patients hospitalized for rehabilitation following stroke with those following hip fracture (HF). METHODS: A prospective study in a geriatrics department of a general university hospital in southern Israel. Five hundred and sixteen hospitalized elderly patients were in... |
0 | Laws' masks descriptors applied to bone texture analysis: an innovative and discriminant tool in osteoporosis | Management of Hip Fractures in the Elderly | OBJECTIVE: The objective of this study was to explore Laws' masks analysis to describe structural variations of trabecular bone due to osteoporosis on high-resolution digital radiographs and to check its dependence on the spatial resolution. Laws' masks are well established as one of the best methods for texture analys... |
0 | Popliteal cyst: a surgical approach | Surgical Management of Osteoarthritis of the Knee CPG | Twenty-nine adult patients (30 knees) who failed conservative treatment had surgical excision of a non-rheumatoid cyst. To determine the effectiveness of this surgical procedure, we reviewed the cases of 24 patients (25 knees) who were available for subjective and objective follow up. Twenty of the 25 knees (80%) were ... |
0 | Development of Korean Academy of Medical Sciences Guideline rating the physical impairment: lower extremities | DoD LSA (Limb Salvage vs Amputation) | Lower Extremities Committee of Korean Academy of Medical Sciences Guideline for Impairment Rating develops new guidelines which are based on McBride method, American Medical Association Guides, Disability evaluation by The Korean Orthopaedic Association, The Korean Neurosurgery Society, and Korean Academy of Rehabilita... |
1 | Knee sprains and acute knee hemarthrosis: misdiagnosis of anterior cruciate ligament tears | Anterior Cruciate Ligament Injuries CPG | A retrospective study and a prospective study comprising 186 patients with "typical knee sprains" were conducted at the University of Cincinnati Sports Medicine Institute. We concluded that the commonly encountered mild knee sprain may actually be a serious knee injury whose severity is easy to underestimate. Traumatic... |
0 | Biochemical magnetic resonance imaging of knee articular cartilage: T1rho and T2 mapping as cartilage degeneration biomarkers | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA) is a disease whose hallmark is the degeneration of articular cartilage. There is a worsening epidemic of OA in the United States today, with considerable economic costs. In order to develop more effective treatments for OA, noninvasive biomarkers that permit early diagnosis and treatment monitoring ... |
1 | Patient-controlled bolus femoral nerve block after knee arthroplasty: quadriceps recovery, analgesia, local anesthetic consumption | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Continuous femoral nerve block (cFNB) induces quadriceps muscle weakness, but patient-controlled femoral nerve block (PCFNB) can provide analgesia with lower consumption of local anesthetics compared to cFNB. We hypothesized that cFNB followed by PCFNB leads to accelerated recovery of quadriceps weakness af... |
0 | Seeking Asylum: Challenges Faced by the LGB Community | DoD PRF (Psychosocial RF) | A retrospective chart review was completed of patients self-identified as lesbian, gay, or bisexual seen through a program for survivors of torture between June 9, 2009 and December 31, 2014 (n = 50). Almost all (98 %) experienced persecution due to their sexual orientation and 84 % were survivors of torture. The circu... |
1 | Neonatal screening for hip joint instability. Its clinical and economic relevance | Developmental Dysplasia of the Hip CPG | Effort to determine the efficacy of neonatal hip examination began in 1967. During the subsequent 23 years, there have been three analyses of the study's data: (1) a retrospective review reported in 1981, (2) a prospective examination in 1989, and (3) an economic evaluation in 1990. The retrospective review concluded t... |
0 | Minimally displaced intra-capsular femoral neck fractures in the elderly--comparison of multiple threaded pins and sliding compression screws surgical techniques | Management of Hip Fractures in the Elderly | PURPOSE: To determine the outcome of treatment for minimally displaced femoral neck fractures using multiple threaded pins versus sliding compression screws for internal fixation. METHODS: The medical records of 62 consecutive elderly patients with minimally displaced intra-capsular femoral neck fractures who underwent... |
0 | What's New in Pediatric Sports Conditions of the Knee? | OAK 3 - Non-arthroplasty tx of OAK | Background:Sports injuries are common in pediatric and adolescent patients and the evaluation and treatment of these injuries continues to evolve. The purpose of this review is to provide a comprehensive appraisal of the literature, highlighting recent updates on sports-related knee injuries in the pediatric athlete. W... |
0 | Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is a chronic disease involving the entire joint, although the main tissue implicated in osteoarthritis is the cartilage. The most common joints affected include the knees, hips, lower back and neck, small joints of the fingers, base of the thumb and big toe. Progressive degeneration, chronic pain, s... |
1 | Early predictors of long-term work disability after major limb trauma | DoD PRF (Psychosocial RF) | BACKGROUND: A better understanding of the factors influencing return to work (RTW) after major limb trauma is essential in reducing the high costs associated with these injuries. METHODS: Patients (n = 423) who underwent amputation or reconstruction after limb threatening lower extremity trauma and who were working bef... |
1 | Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: This review examines the evidence for an association between computer work and neck and upper extremity disorders (except carpal tunnel syndrome). METHODS: A systematic critical review of studies of computer work and musculoskeletal disorders verified by a physical examination was performed. RESULTS: A tota... |
0 | Spatial localization in patients with unilateral posterior left or right hemisphere lesions | Upper Eyelid and Brow Surgery | In this study, perceptual and visuomotor spatial localization were examined in patients with unilateral right (RH) or left (LH) hemisphere lesions and in a group of control subjects. Perceptual localization was measured with a position-discrimination task; in the visuomotor localization task, subjects had to point to a... |
1 | Sedation depth during spinal anesthesia and survival in elderly patients undergoing hip fracture repair | Hip Fx in the Elderly 2019 | Low intraoperative Bispectral Index (BIS) values may be associated with increased mortality. In a previously reported trial to prevent delirium, we randomized patients undergoing hip fracture repair under spinal anesthesia to light (BIS >80) or deep (BIS approximately 50) sedation. We analyzed survival of patients in t... |
1 | COVID-19 in the operating room: A review of evolving safety protocols | Coronavirus Disease 2019 (COVID-19) | Background: The COVID-19 pandemic has already infected more than 3 million people across the world. As the healthworkers man the frontlines, the best practices model is continuously evolving as literature concerning the Coronavirus develops. Methods: A systematic review of the available literature was performed using t... |
0 | Cancer Rehabilitation: Challenges, Approaches, and New Directions | MSTS 2018 - Femur Mets and MM | Impairments and disability in cancer patients can be caused by the disease process or by its treatment, including the effects of surgery, chemotherapy, and radiation. The prevalence of all cancers, with an estimated 1.4 million new cases in 2006, the development of new treatment options, and improved outcomes have crea... |
0 | Patterns of high-dose morphine use in a home-care hospice service: should we be afraid of it? | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Management of cancer pain is one of the most important goals of palliative care. Relieving pain is often problematic. High doses of morphine at home may be required to relieve patients' pain, and is therefore feared. The goals of the current study were to assess the feasibility of high-dose morphine use at ... |
0 | Liver tumors and minimally invasive surgery: a feasibility study | Reconstruction After Skin Cancer | Laparoscopic liver resection has not yet been established, although recent reports document that liver resection can be performed safely by the laparoscopic approach. Other interventional procedures like cryoablation have also been introduced in treatment of liver metastases. In this report 11 liver resections performe... |
0 | Patient specific cutting blocks in total knee replacement: Preoperative planning reliability | Surgical Management of Osteoarthritis of the Knee CPG | Introduction The main purpose in knee surgery is anatomic axis reconstruction, in order to grant the best function and the lowest failure rate. Computer-assisted surgery was a great technical improvement, but disadvantages were higher complexity, with longer operating time and costs. Given this situation a new system w... |
1 | Surgical site infection in the elderly following orthopaedic surgery. Risk factors and outcomes | DoD SSI (Surgical Site Infections) | BACKGROUND: Risk factor and outcomes data pertaining to surgical site infection in the elderly following orthopaedic operations are lacking. The aim of this study was to identify risk factors for surgical site infections and to quantify the impact of these infections on health outcomes in elderly patients following ort... |
1 | Effect of augmented cup fixation on stability, wear, and osteolysis: a 5-year follow-up of total hip arthroplasty with RSA | Management of Hip Fractures in the Elderly | To evaluate different modes of cementless fixation of hemispherical cups, we operated on 87 hips in 81 patients using 4 different means of cup fixation. The hips were randomly assigned to fixation with press-fit technique only (PF), or with augmentation with screws (S), pegs (P), or hydroxyapatite (HA) coating. The pat... |
0 | Involvement of the lesser sigmoid notch in elbow fracture dislocations | Distal Radius Fractures | BACKGROUND: This study addressed the primary null hypothesis that there is no difference in the articular surface area of the lesser sigmoid notch involved among Mayo classes. Secondarily, we analyzed the fracture line location and the pattern of lesser sigmoid notch articular surface involvement among Mayo classes.
ME... |
0 | The AAHKS Clinical Research Award: intraosseous Regional Prophylaxis Provides Higher Tissue Concentrations in High BMI Patients in Total Knee Arthroplasty: a Randomized Trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Obesity is an established risk factor for periprosthetic joint infections after total knee arthroplasty (TKA). In obese patients, a larger dose of prophylactic vancomycin based on actual body weight is required to reach therapeutic concentrations. It is unclear how tissue concentrations are affected when in... |
0 | Combined use of ultrasonic-assisted liposuction and semicircular periareolar incision for the treatment of gynecomastia | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Of the wide range of excisional and liposuction techniques used to correct gynecomastia, so far, no single one was suitable for all grades of gynecomastia. We introduce ultrasonic-assisted liposuction (UAL) combined with conventional liposuction and partial gland resection without skin excision as the stand... |
0 | A nonsurgical approach to examination and treatment of the patellofemoral joint, part 2: pathology and nonsurgical management of the patellofemoral joint | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Patellofemoral pain (PFP) continues to be one of the most commonly diagnosed knee pathologies. Patellofemoral pain is a term used to describe any host of lesions in and around the anterior knee. Part 1 of this article described an evaluation and examination process to allow a more accurate diagnosis of this perplexing ... |
0 | Therapeutic plasmapheresis for the treatment of the thrombotic thrombocytopenic purpura-haemolytic uraemic syndromes | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: The thrombotic thrombocytopenic purpura-haemolytic uraemic syndromes (TTP-HUS) are uncommon disorders that are fatal if untreated. Therapeutic plasma exchange has resulted in excellent remission and survival rates in this patient population. Methods: We reviewed our experience of therapeutic plasmapheresi... |
0 | Autologous Bone Plug Supplemented With Autologous Chondrocyte Implantation in Osteochondral Defects of the Knee | Osteochondritis Dissecans 2020 Review | BACKGROUND: Structural and functional outcome of bone graft with first- or second-generation autologous chondrocyte implantation (ACI) in treating cartilage and subchondral bone defect has not been reported previously. PURPOSE: To evaluate the outcome of simultaneous transplantation of an autologous bone plug with firs... |
1 | Investigating correlation of lower extremity muscle compartment syndrome with muscle related serum enzyme tests: Is any reliable biomarker? | DOD - Acute Comp Syndrome CPG | Specific muscle related biomarker might better diagnose the compartment syndrome towards lessen complications. The trial assessed the issue of it's determining. 149 referral cases of lower extremity injuries were recruited for two sectional assessment of their muscle compartment pressures and simultaneously measurement... |
0 | Symptom assessment in knee osteoarthritis needs to account for physical activity level | OAK 3 - Non-arthroplasty tx of OAK | Objective Pain is not always correlated with severity of radiographic osteoarthritis (OA), possibly because people modify activities to manage symptoms. Measures of symptoms that consider pain in the context of activity level may therefore provide greater discrimination than a measure of pain alone. We undertook this s... |
0 | Dynamic thiol-disulphide homeostasis in grade 3-4 gonarthrosis | OAK 3 - Non-arthroplasty tx of OAK | Objectives: We aimed to determine thiol-disulphide homeostasis, which plays a vital role and to investigate the relationship among homeostatic parameters and disease. Methods: In this prospective study, we enrolled 38 patients with osteoarthritis (31 females and 7 males) and 38 healthy controls (30 females, 8 males vol... |
1 | Repair of supracondylar humerus fractures in children: does pin spread matter? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Supracondylar humerus fractures occur frequently in children and can be repaired by the lateral or crossed pinning technique, although the importance of pin divergence is unknown. A surgeon's experience using the crossed (N=46) and lateral (N=57) pinning technique was reviewed to determine whether the pin-spread ratio ... |
0 | Clinical improvement and radiographic evidence of remodeling in hip joints of patients with rheumatoid arthritis after administration of biologic agents: Report of 2 cases | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Recent clinical trials of biologic agents have reported that radiographic evidence of healing was seen in patients with rheumatoid arthritis (RA) who were in clinical remission. However, those results were limited to small joints (hand and foot), while the effects on large weight-bearing joints (hip and k... |
0 | Preoperative fasting for adults to prevent perioperative complications | SR for PM on OA of All Extremities | Background: Fasting before general anaesthesia aims to reduce the volume and acidity of stomach contents during surgery, thus reducing the risk of regurgitation/aspiration. Recent guidelines have recommended a shift in fasting policy from the standard 'nil by mouth from midnight' approach to more relaxed policies which... |
1 | Dickkopf-1 is a master regulator of joint remodeling | TO: WNT2 Pathway Modulator | Degenerative and inflammatory joint diseases lead to a destruction of the joint architecture. Whereas degenerative osteoarthritis results in the formation of new bone, rheumatoid arthritis leads to bone resorption. The molecular basis of these different patterns of joint disease is unknown. By inhibiting Dickkopf-1 (DK... |
0 | Limb shortening as a strategy for limb sparing treatment of appendicular osteosarcoma of the distal radius in a dog | Distal Radius Fractures | OBJECTIVE: To develop and report a novel limb sparing technique for the distal radius in a dog.
STUDY DESIGN: Case report.
ANIMAL: A 14-year-old, female spayed Labrador Retriever with an osteosarcoma of the right distal radius and a pathological fracture. A previous mast cell tumor had been treated 5 years prior to pre... |
0 | Lipectomy of fat rolls | Panniculectomy & Abdominoplasty CPG | A technique for lipectomy used on rolls of fat in the back is presented. It is proposed that multiplanar and aggressive liposuction in this region exaggerates the feminine waist and results in a lifting effect on the fat rolls. It is proposed that suction performed in a vertical way creates a new vertical collagen fram... |
0 | Pediatric sports medicine | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Purpose of review: Although children and adolescents have always been active, their exposure to competitive sports and associated injuries continues to increase. It is not surprising; therefore, that pediatric sports medicine has become an area of subspecialty. The purpose of this review is to highlight those pediatric... |
0 | Reducing progression of knee OA features assessed by MRI in overweight and obese women: secondary outcomes of a preventive RCT | AMP (Acute Meniscal Pathology) | OBJECTIVE: To evaluate the preventive effects of a randomized controlled trial on progression of Magnetic Resonance Imaging (MRI) features of knee osteoarthritis (OA) in overweight and obese women.
DESIGN: In a 2 x 2 factorial design, 2.5 years effects of a diet and exercise program and of glucosamine sulphate (double-... |
0 | The association between plasma homocysteine levels, methylation capacity and incident osteoporotic fractures | Management of Hip Fractures in the Elderly | Background: An elevated level of plasma homocysteine (Hcy) is a known risk factor for osteoporotic fractures. In addition, Hcy is related to DNA-methylation metabolism. To determine whether the association between Hcy and fractures is explained by an altered methylation capacity, we investigated the associations betwee... |
1 | Open surgical therapy for carpal tunnel decompression in long-term haemodialysis patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This retrospective study assessed the treatment of 91 cases of carpal tunnel syndrome in long-term haemodialysis patients. One group of patients underwent an enlargement reconstruction of the flexor retinaculum with synovectomy and the other group was treated with a conventional carpal tunnel release. There were no maj... |
0 | Somatosensory N250 and P300 during discrimination tasks | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We investigated the event-related potentials (N250 and P300) during three kinds of somatosensory discrimination tasks (oddball task). Strong (standard: 90%) and weak (deviant: 10%) electrical stimuli were randomly delivered to the right median nerve at the wrist with a 500-ms constant interstimulus interval. In a passi... |
0 | Outcome after temporary physeal stapling for knee valgus deformity in children with JIA | AAHKS (2) Corticosteroids | Introduction: Majority of children with secondary knee valgus deformity due to juvenile idiopathic arthritis (JIA) are affected by the polyarthritic disease subtype. Progressive rheumatoid knee destruction in patients with JIA and valgus deformity may necessitate total knee replacement (TKR) at a young age. Temporary p... |
0 | Practical considerations in the pharmacological treatment of postherpetic neuralgia for the primary care provider | Hip Fx in the Elderly 2019 | An estimated one million individuals in the US are diagnosed with herpes zoster (HZ; shingles) each year. Approximately 20% of these patients will develop postherpetic neuralgia (PHN), a complex HZ complication characterized by neuropathic pain isolated to the dermatome that was affected by the HZ virus. PHN is debilit... |
0 | Association of the DVWA and GDF5 polymorphisms with osteoarthritis in UK populations | SR for PM on OA of All Extremities | BACKGROUND: Variants in the growth differentiation factor 5 (GDF5) and in the double von Willebrand factor A (DVWA) have recently been reported to be associated with osteoarthritis (OA) in Asian populations. OBJECTIVE: To assess the role of such variants in OA susceptibility in two independent UK samples of Caucasian o... |
0 | Garrison Clinical Setting Inadequate for Maintenance of Procedural Skills for Emergency Medicine Physicians: A Cross-Sectional Study | DoD PRF (Psychosocial RF) | BACKGROUND: Emergency medicine physicians (EPs) are often placed in far-forward, isolated areas in theater. Maintenance of their emergency intervention skills is vital to keep the medical forces deployment ready. The US Army suggests that working at a Military Treatment Facility (MTF) is sufficient to keep emergency pr... |
0 | Low energy open ankle fractures in the elderly: Outcome and treatment algorithm | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: With an aging but still active population, open ankle fractures are increasingly presenting as low energy fragility injuries, sharing many characteristics with that of hip fractures. Yet, there is little in the literature on the management and outcome of these fractures. The primary aim of this study was to... |
0 | Total Hip Arthroplasty Using Non-Modular Cementless Long-Stem Distal Fixation for Salvage of Failed Internal Fixation of Intertrochanteric Fracture | Hip Fx in the Elderly 2019 | Thirty one patients were treated with salvage total hip arthroplasty (THA) for failed internal fixation of intertrochanteric fracture. After a mean follow-up of 47.5 months, all patients reported remarkable pain relief and return to ambulation. Twenty five patients had no pain, and 6 patients complained of residual tro... |
0 | Correction of alignment deformities during total knee arthroplasties: staged soft-tissue releases | Surgical Management of Osteoarthritis of the Knee CPG | Preoperative evaluation consists of a series of radiographs and a careful analysis of the gait in order to estimate the amount of bone resection and soft-tissue release needed for successful arthroplasty. Graduated, surgical soft-tissue releases were used for realigning arthritic knees during arthroplasty. Medial, late... |
0 | A New "Trapdoor technique" for Fixation of Displaced Greater Tuberosity Fractures of the Shoulder | Pediatric Supracondylar Humerus Fracture 2020 Review | Isolated greater tuberosity fractures of the proximal humerus are frequently displaced posteriorly and superiorly by the pull of the rotator cuff. This displacement can lead to a decline in function if left untreated. Traditionally these fractures have been treated surgically using screw fixation. On occasions this met... |
0 | The diagnosis of longstanding groin pain: A prospective clinical cohort study | Management of Hip Fractures in the Elderly | Background: Longstanding groin pain is a difficult diagnostic challenge for sports physicians, and the lack of consensus on diagnostic criteria and taxonomy makes comparison of published studies difficult. Aim: To determine the usefulness and validity of the clinical classification proposed by Holmich et al in a primar... |
0 | Biomechanical analysis of the meniscus and cartilage of the knee during a typical Tai Chi movement-brush-knee and twist-step | AMP (Acute Meniscal Pathology) | This study aimed to analyze the biomechanical response of the knee cartilage and meniscus to a typical Tai Chi (TC) movement, brush-knee and twist-step (BKTS). Kinematic and kinetic data was recorded while an experienced TC practitioner performed normal walking, jogging and BKTS. The kinetic data were then imported int... |
0 | Tibial cartilage damage and deformation at peak displacement compression during simulated landing impact | AMP (Acute Meniscal Pathology) | BACKGROUND: Structural changes of articular cartilage at the point of peak displacement compression during a landing impact are unknown. HYPOTHESIS: Extent of damage and deformation is significantly different for superficial, middle, and deep cartilage zones at peak displacement compression during simulated landing imp... |
0 | Abstracts Presented at the 8th Biennial Congress of ISAKOS | Osteochondritis Dissecans 2020 Review | The proceedings contain 280 papers. The topics discussed include: influence of intraâ?operative soft tissue balance on postâ?operative flexion angle in cruciateretaining total knee arthroplasty; the effect of preoperative rehabilitation on the outcomes of arthroscopic rotator cuff repair; arthroscopic release of the ... |
0 | Where does meniscal damage progress most rapidly? An analysis using three-dimensional shape models on data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Meniscal pathology is integral to knee osteoarthritis (OA) and its progression; it provides a progression biomarker and a potential treatment target. Magnetic resonance imaging (MRI) demonstrates large heterogeneity in meniscal damage; this structural complexity means measurement is difficult. The aim of th... |
0 | Radiotherapy for management of extremity soft tissue sarcomas: why, when, and where? | MSTS AUC - Based on ACR Lit Review | This critical review will focus on published data on the indications for radiotherapy in patients with extremity soft tissue sarcomas and its role in local control, survival, and treatment complications. The differences between pre- and postoperative radiotherapy will be discussed and consensus recommendations on targe... |
0 | The role of denosumab for prevention of skeletal-related complications in multiple myeloma | MSTS 2018 - Femur Mets and MM | OBJECTIVE: To evaluate the use of denosumab for the prevention of skeletal-related events (SREs) in patients with osteolytic lesions associated with multiple myeloma (MM).
DATA SOURCES: MEDLINE/Ovid (1946-April week 3, 2013), EMBASE (1980-2013 week 16), abstracts of the American Society of Clinical Oncology (1983-April... |
0 | Calcitonin | Management of Hip Fractures in the Elderly | Calcitonin is FDA approved for the treatment of postmenopausal osteoporosis but not for prevention. The preferred delivery system is nasal. Nasal calcitonin is safe and well tolerated. The vertebral fracture efficacy of calcitonin is less robust than the two approved bisphosphonates (alendronate and risedronate) but is... |
0 | Clindamycin in dentistry: more than just effective prophylaxis for endocarditis? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Clindamycin is a broad-spectrum antibiotic with activity against aerobic, anaerobic, and beta-lactamase-producing pathogens. This antibiotic has been used for many years as prophylactic treatment during dental procedures to prevent endocarditis. However, the spectrum and susceptibility of the bacteria species involved ... |
0 | Meniscal tear morphology independently affects pain relief following arthroscopic partial meniscectomy in middle-aged patients | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To analyze the influence of meniscal tear pattern on clinical outcomes following arthroscopic partial meniscectomy in middle-aged patients with medial meniscal tears.
METHODS: A total of 123 patients (130 knees) aged >= 50 years who underwent arthroscopic partial meniscectomy for medial meniscal tears were eva... |
1 | Clinical effectiveness of high tibial osteotomy for osteoarthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | An audit of high tibial osteotomy was done for 96 knees in 81 patients who had pain due to medial compartment osteoarthritis (OA) of the knee. The mean follow-up was 4.5 years. A modified preoperative and postoperative knee score was used to assess the knee pain and function for each patient. The standard 5-year follow... |
0 | Distracted walking: Cell phones increase injury risk for college pedestrians | DoD PRF (Psychosocial RF) | Introduction: Distraction on cell phones jeopardizes motor-vehicle driver safety, but few studies examine distracted walking. At particular risk are college students, who walk frequently in and near traffic, have increased pedestrian injury rates compared to other age groups, and frequently use cell phones. Method: Usi... |
0 | Total hip replacement with an uncemented Wagner cone stem for patients with congenital hip dysplasia | Dental Implant Infection | PURPOSE: The purpose of this study was to review retrospectively the cases operated upon in our department in recent years with a Wagner stem and a small socket in cases of Crowe I or II dysplastic hips., METHODS: We conducted a retrospective clinical radiological review of 30 hips diagnosed with hip dysplasia Crowe I ... |
1 | The analgesic effect of a popliteal plexus blockade after total knee arthroplasty: A feasibility study | AAHKS (9/10) Regional Nerve Blocks | INTRODUCTION: An obturator nerve block (ONB) and a femoral triangle block (FTB) provide effective analgesia after total knee arthroplasty (TKA) without impeding the ambulation, although the ONB produces motor blockade of the hip adductor muscles. The popliteal plexus (PP) in the popliteal fossa is formed by contributio... |
0 | Evidence of reduced muscle trauma through a minimally invasive anterolateral approach by means of MRI | PJI DX Updated Search | BACKGROUND: Minimally invasive techniques in THA are intended to minimize periarticular muscle trauma. The lateral approach has a risk of partial gluteal insufficiency, while the anterolateral approach carries the risk of damaging the tensor fasciae latae through intermuscular nerve and compression injury. QUESTIONS/PU... |
0 | Which women should be selected for vertebral fracture assessment? Comparing different methods of targeting VFA | Management of Hip Fractures in the Elderly | Vertebral fracture assessment (VFA) is a potential screening tool for vertebral fractures, but it is uncertain how to optimize the selection of women for VFA. We investigate the use of a probability score (VFscore) to select women for VFA screening and compare this to other means of targeting VFA. We identified 1,572 t... |
0 | The overlooked primary: bladder cancer metastases on dry bone. A study of the 20th century CAL Milano Cemetery Skeletal Collection | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVE: The aim of this article is to provide additional documentation of bone metastases to help anthropologists recognize the condition and potentially suggest the diagnosis of bladder carcinoma in differential diagnosis. MATERIALS AND METHODS: Thirteen individuals clinically diagnosed with bladder carcinoma from ... |
0 | Stability of cemented in-line pegged glenoid compared with keeled glenoid components in total shoulder arthroplasty | Glenohumeral Joint OA | BACKGROUND: Considerable interest has been focused on the design of the glenoid component used in total shoulder arthroplasty in order to reduce the risk of loosening. One design-related feature that has attracted attention is whether to use pegged or keeled cemented glenoid components. The main purpose of this study w... |
0 | Better results with patelloplasty compared to traditional total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The aim of this study was to compare the results of primary total knee arthroplasty with or without patelloplasty. METHODS: We retrospectively reviewed 89 patients who had received total knee arthroplasty. In patelloplasty, the patellar cartilage was resected using a tangential saw cut, and in the traditional ... |
0 | Invasive lobular carcinoma of the breast: A special histological type compared with invasive ductal carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | The clinical outcomes and therapeutic strategies for infiltrating ductal carcinoma (IDC) and infiltrating lobular carcinoma (ILC) are not uniform. The primary objectives of this study were to identify the differences in the clinical characteristics and prognoses between ILC and IDC, and identify the high-risk populatio... |
1 | Retears of postoperative knee meniscus: findings on magnetic resonance imaging (MRI) and magnetic resonance arthrography (MRA) by using low and high field magnets | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to determine the diagnostic performance of magnetic resonance (MR) obtained with intra-articular contrast medium in the evaluation of recurrent meniscal tears using low-field extremity-only and high-field whole-body magnets.
MATERIALS AND METHODS: Postoperative standard MR examina... |
0 | No Difference in Early Analgesia Between Liposomal Bupivacaine Injection and Intrathecal Morphine After TKA | AAHKS (2) Corticosteroids | BACKGROUND: Opioid analgesics have been a standard modality for postoperative pain management after total knee arthroplasty (TKA) but are also associated with increased risk of nausea, pruritus, vomiting, respiratory depression, prolonged ileus, and cognitive dysfunction. There is still a need for a method of anesthesi... |
1 | One-year outcome of hip fracture patients admitted to a Singapore hospital: quality of life post-treatment | Management of Hip Fractures in the Elderly | INTRODUCTION: A prospective and consecutive documentation of hip fracture care was performed. Outcomes, including quality of life, mortality, complication rates, were documented; and mobility, ambulatory status, freedom from pain and activities of daily living one year before and after treatment, were compared. METHODS... |
0 | Physical activity and its relationship to physical performance in patients with end stage knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | STUDY DESIGN: Cross-sectional observational design. OBJECTIVEs: To compare physical activity levels in men and women with end-stage knee osteoarthritis to those of a comparison group and to examine the relationship between physical activity level and physical performance. BACKGROUND: Osteoarthritis of the knee is assoc... |
0 | Solitary osteochondroma arising from cervical spina bifida occulta | MSTS 2022 - Metastatic Disease of the Humerus | Solitary osteochondromas are common benign long bone tumors originating from cartilage. They may produce a wide variety of symptoms and complications depending on their spinal location. These may include compressive myelopathy, nerve root compression, pathologic fracture and malignant degeneration, or in some cases onl... |
0 | Association between CCL2 haplotypes and knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | We examined five single nucleotide polymorphisms (SNPs) and reconstructed 5-locus haplotypes of the CCL2 gene, in knee osteoarthritis (OA) cases and in controls. The CCL2 rs2857657 variant (G) allele was observed more frequently in female knee OA cases than in controls. One haplotype (H5) was observed exclusively in th... |
0 | Prevention of endocarditis. The new guidelines | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infective endocarditis is an uncommon, potentially life-threatening illness. Traditionally, antibiotic prophylaxis has been given routinely before dental and other procedures to patients with cardiac conditions associated with an increased risk of infective endocarditis. However, endocarditis after dental or other proc... |
0 | Psychosocial adjustment to a lower limb amputation ten months after surgery | DoD LSA (Limb Salvage vs Amputation) | Objective: This longitudinal multisite study examined the influence of demographic characteristics, psychological reactions, functionality, coping strategies, and social support on psychosocial adjustment to lower limb amputation 10 months after surgery. Method: Of an initial referral of 206 Portuguese patients, a samp... |
0 | Endovascular treatment of a thrombosed intracardiac vena cava filter | PJI DX Updated Search | Intracardiac migration of a vena cava filter (VCF) is a rare but potentially fatal complication. We describe a unique case of intracardiac migration of a permanent VCF with extensive thrombus propagating into the inferior vena cava and right atrium. Percutaneous thrombectomy with the AngioVac (AngioDynamics, Latham, NY... |
1 | Analgesic efficacy of local anaesthetic wound administration in knee arthroplasty: volume vs concentration | AAHKS (8) Anesthetic Infiltration | Wound administration of local anaesthetic may be effective for postoperative pain management in knee arthroplasty, but the analgesic efficacy of local anaesthetic in relation to volume vs concentration has not been determined. In a double-blinded trial, 48 patients scheduled for total knee arthroplasty were randomly as... |
0 | Hip fracture in people with erectile dysfunction: A nationwide population-based cohort study | Hip Fx in the Elderly 2019 | The aims of this study were to investigate the risk of hip fracture and contributing factors in patients with erectile dysfunction(ED). This population-based study was performed using the Taiwan National Health Insurance Research Database. The analysis included4636 patients aged > 40 years who had been diagnosed with E... |
0 | Open carpal tunnel decompression in long-term haemodialysis patients [corrected] | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This retrospective study assessed the treatment of 91 cases of carpal tunnel syndrome in long-term haemodialysis patients. One group of patients underwent an enlargement reconstruction of the flexor retinaculum with synovectomy and the other group was treated with a conventional carpal tunnel release. There were no maj... |
0 | Gluteal contour improvement: different surgical alternatives | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Surgical techniques to achieve improvement in buttocks contour have evolved dramatically. The authors present their experience with the different techniques and indications they use to achieve improvement in this region. METHODS: This study reviewed the surgical procedures performed by the senior author ove... |
0 | Augmented dynamics and motor exploration as training for stroke | Pediatric Supracondylar Humerus Fracture 2020 Review | With chronic stroke survivors (n = 30), we investigated how upper extremity training with negative viscosity affects coordination under unperturbed conditions. Subjects trained with a planar robotic interface simulating 1) negative viscosity augmented to elbow and shoulder joints; 2) negative viscosity combined with in... |
1 | Randomised controlled trial of single-dose antibiotic prophylaxis in surgical treatment of closed fractures: the Dutch Trauma Trial | DoD SSI (Surgical Site Infections) | BACKGROUND: The efficacy of prophylactic antibiotics in fracture surgery remains controversial for lack of well-documented prospective studies. We report here the findings of the Dutch Trauma Trial, a prospective, randomised, double-blind, placebo-controlled study of antibiotic prophylaxis in the primary operative trea... |
0 | Tissue integration and inflammatory reaction in full-thickness abdominal wall repair using an innovative composite mesh | Panniculectomy & Abdominoplasty CPG | PURPOSE: When composite meshes are used in abdominal wall repair, seroma formation may persist and delay the desired integration leading to recurrence. This study compares tissue integration and inflammatory response in abdominal wall repair with composites with different absorbable synthetic barriers. METHODS: Full-th... |
0 | Operative strategy in postero-medial fracture-dislocation of the proximal tibia | Surgical Management of Osteoarthritis of the Knee CPG | Objective: In 1981, Moore introduced a new classification for dislocation-type fractures caused by high-energy mechanisms. The most common medial Moore-type fractures are entire condyle fractures with the avulsion of the median eminence (tibial anterior cruciate ligament (ACL) insertion). They are usually associated wi... |
0 | Aspirin Is as Effective as and Safer Than Warfarin for Patients at Higher Risk of Venous Thromboembolism Undergoing Total Joint Arthroplasty | PJI DX Updated Search | BACKGROUND: There is continued controversy regarding the optimal venous thromboembolism (VTE) prophylaxis, particularly for total joint arthroplasty (TJA) patients at higher risk. The purpose of this study was to compare the efficacy of aspirin (ASA) to warfarin in patients with higher risk of VTE. METHODS: This retros... |
0 | Intra-articular hyaluronic acid: Potential treatment of younger patients with knee injury and/or post-traumatic arthritis | AAHKS (2) Corticosteroids | Abstract: Anterior cruciate ligament (ACL) and meniscal injuries are common in both athletes and the general population. Such injuries may lead to early-onset post-traumatic osteoarthritis (OA) in 50% to 60% of patients, regardless of whether patients had reconstruction performed. In younger patients, intra-articular (... |
1 | Exercise for osteoarthritis of the knee (Cochrane review) [with consumer summary] | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | BACKGROUND: Biomechanical factors, such as reduced muscle strength and joint malalignment, have an important role in the initiation and progression of knee osteoarthritis (OA). Currently, there is no known cure for OA; however, disease-related factors, such as impaired muscle function and reduced fitness, are potential... |
0 | Plasma and red cell exchange transfusions for erythropoietic protoporphyria: A case report and review of the literature | PJI DX Updated Search | Erythropoietic protoporphyria (EPP) is a rare and usually autosomal dominant disorder characterized by ferrochelatase deficiency and accumulation of protoporphyrin in red blood cells (RBCs), skin, and liver. A small minority of patients develop severe liver dysfunction for which optimum treatment is lacking. Therapeuti... |
0 | Dens invaginatus: complications and treatment of non-vital infected tooth | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A case of non-vital infected dens invaginatus of the maxillary right lateral incisor with open apex, which presented with pain and swelling is presented. Although root growth and apical closure was achieved using calcium hydroxide, the periapical infection persisted and resolution was only achieved after apical curetta... |
0 | Intermediate-Term Hip Survivorship and Patient-Reported Outcomes of Periacetabular Osteotomy: The Washington University Experience | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The Bernese periacetabular osteotomy (PAO) is an alternative to arthroplasty for treating symptomatic acetabular dysplasia, but there have been few studies on the intermediate-term outcomes of this procedure. In the present study, we assessed intermediate-term hip survival and patient-reported outcomes of P... |
1 | Simulated femoral repositioning with three-dimensional CT | Developmental Dysplasia of the Hip CPG | Three-dimensional volumetric rendering of CT data has proven to be valuable in the evaluation of the hip. Although video loop animation allows review of the anatomy from all perspectives, it does not show the functional range of motion of the femur in the acetabulum. We have developed a technique termed simulated dynam... |
0 | Postoperative Sudden Hypotension Due to Relative Adrenal Insufficiency | AAHKS (2) Corticosteroids | Systemic blood pressure is regulated by three mechanisms: the sympathetic nervous system, the renin-angiotensin system, and the arginine-vasopressin system. Hypotension is a condition that can occur at any stage of management of general anaesthesia, including induction, extubation, and maintenance. Many of the medicati... |
1 | Hemiarthroplasty versus internal fixation for displaced intracapsular fractures of the hip in elderly men: a pilot randomised trial | Hip Fx in the Elderly 2019 | A total of 56 male patients with a displaced intracapsular fracture of the hip and a mean age of 81 years (62 to 94), were randomised to be treated with either a cemented hemiarthroplasty (the Exeter Trauma Stem) or reduction and internal fixation using the Targon Femoral Plate. All surviving patients were reviewed one... |
0 | Anorectal disorders | Reconstruction After Skin Cancer | Anorectal disorders are commonly encountered in the practice of emergency medicine. Most can be diagnosed and treated in the emergency department setting. Almost all anorectal disorders once diagnosed and treated in the emergency department need appropriate follow-up to ensure adequacy of treatment, for further possibl... |
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