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0 | Achieving Consensus for the Design and Delivery of an Online Intervention to Support Midwives in Work-Related Psychological Distress: Results From a Delphi Study | DoD PRF (Psychosocial RF) | BACKGROUND: Some midwives are known to experience both professional and organizational sources of psychological distress, which can manifest as a result of the emotionally demanding midwifery work, and the traumatic work environments they endure. An online intervention may be one option midwives may engage with in purs... |
0 | Health care expenditures associated with skeletal fractures among Medicare beneficiaries, 1999-2005 | HipFx Supplemental Cost Analysis | Fractures impose substantial burdens, in terms of both costs and health, on individuals and health care systems. This is particularly true for older Americans and the Medicare system. The objective of this study was to estimate the costs of care associated with selected fractures among Medicare beneficiaries. This was ... |
0 | Hypercalcemia of Malignancy: An Update on Pathogenesis and Management | MSTS 2018 - Femur Mets and MM | Hypercalcemia of malignancy is a common finding typically found in patients with advanced stage cancers. We aimed to provide an updated review on the etiology, pathogenesis, clinical presentation, and management of malignancy-related hypercalcemia. We searched PubMed/Medline, Scopus, Embase, and Web of Science for orig... |
0 | Individuals with isolated patellofemoral joint osteoarthritis exhibit higher mechanical loading at the knee during the second half of the stance phase | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Patellofemoral joint osteoarthritis is a highly prevalent disease and an important source of pain and disability. Nonetheless, biomechanical risk factors associated with this disease remain unclear. The purpose of this study was to compare biomechanical factors that are associated with patellofemoral joint ... |
0 | Neuromuscular and musculoskeletal problems in instrumental musicians | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Over the past 20 years, there has been increasing interest in the medical problems of performing artists. In this review, the major playing-related disorders seen in instrumental musicians are discussed. Among the 1353 instrumentalists personally evaluated, the major diagnoses included musculoskeletal disorders in 64%,... |
0 | Multiple Myeloma: Diagnosis and Treatment | MSTS 2018 - Femur Mets and MM | Multiple myeloma accounts for 1.6% of all cancer cases and approximately 10% of hematologic malignancies in the United States. In 2015, an estimated 28,850 new cases of multiple myeloma were diagnosed in the United States, and the disease caused more than 11,000 deaths. Patients older than 65 years account for 85% of t... |
0 | Acute and recurrent patellar instability in the young athlete | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Many reports of patellofemoral instability treatment suffer the same flaws of inappropriate patient selection, poor injury definition, insufficient activity assessment, and, especially in skeletally immature patients, limited followup found in other orthopedic literature. A significant number of dogmatic statements con... |
0 | Frequency of acute and chronic scapholunate dissociation in distal radius fractures. Different treatment plans | Distal Radius Fractures | BACKGROUND: Early diagnosis and appropriate treatment of acute scapholunate dissociation (SLD) is crucial for obtaining a favorable result in fractures of the distal radius. The aim of this study was to determine the incidence of acute SLD in a prospective study and to differentiate this entity from chronic SLD. PATIEN... |
1 | Achieving a predictable 24-hour return to normal activities after breast augmentation: Part II. Patient preparation, refined surgical techniques, and instrumentation.[Reprint in Plast Reconstr Surg. 2006 Dec;118(7 Suppl):115S-27S; discussion 128S-129S, 130S-132S; PMID: 17099488] | Reduction Mammoplasty for Female Breast Hypertrophy | The goal of this study was to develop practices that would allow patients undergoing subpectoral augmentation to predictably return to full normal activities within 24 hours after the operation, free of postoperative adjuncts. Part I of this study used motion and time study principles to reduce operative times, medicat... |
0 | Is there an association between delirium and plasma tryptophan and kynurenine levels in elderly hospitalized patients? | Management of Hip Fractures in the Elderly | Introduction.- One of the hypotheses in the pathophysiology of delirium is a low plasma trypophan. The reduction in tryptophan might be caused by increased breakdown of tryptophan to kynurenine. It has been hypothesized that this is accompanied by an increased breakdown of serotonin and melatonin. An imbalance in both ... |
1 | Association between socioeconomic deprivation and surgical complications in adults undergoing ankle fracture fixation: a population-based analysis | DoD SSI (Surgical Site Infections) | Background: Few studies have investigated the outcomes of surgical fracture care among socially deprived patients despite the increased incidence of fractures and the inequality of care received in this group. We evaluated whether socioeconomic deprivation affected the complications and subsequent management of margina... |
0 | Partial medial meniscectomy and rotational differences at the knee during walking | AMP (Acute Meniscal Pathology) | Loss of meniscal function due to injury or partial meniscectomy is common and represents a significant risk factor for premature osteoarthritis. The menisci can influence the transverse plane movements (anterior-posterior (AP) translation and internal-external (IE) rotation) of the knee during walking. While walking is... |
0 | Hand and foot surgery rates in rheumatoid arthritis have declined from 1986 to 2011, but large-joint replacement rates remain unchanged: results from two UK inception cohorts | AAHKS (2) Corticosteroids | OBJECTIVE: To assess whether there have been any secular changes in orthopedic interventions in patients with rheumatoid arthritis (RA) since 1986, as examined in 2 early rheumatoid arthritis (RA) inception cohorts with up to 25 years of followup.
METHODS: The study examined orthopedic data from the UK Early RA Study (... |
0 | Inter-observer reliability of the arthroscopic quantification of chondropathy of the knee | AMP (Acute Meniscal Pathology) | BACKGROUND: Several scoring systems have been proposed in order to quantify the degree of cartilage damage observed by arthroscopy of the knee in patients with osteoarthritis.
OBJECTIVE: To evaluate the inter-observer reliability of five different scoring systems of arthroscopic evaluation for chondropathy in osteoarth... |
0 | Minimal invasive plating of distal radius fractures. A safe procedure? | Distal Radius Fractures | BACKGROUND: Minimal invasive plate osteosynthesis (MIPO) with preservation of the pronator quadratus (PQ) muscle represents a new technique for stabilization of distal radius fractures. However, the complex anatomy of the distal radius metaphysis requires implants with features that adress all morphologic specifics of ... |
1 | Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients | Management of Hip Fractures in the Elderly | One hundred elderly patients who had an intertrochanteric femoral fracture were randomized to treatment with a compression hip-screw with a plate (fifty patients) or a new intramedullary device, the intramedullary hip-screw (fifty patients). All patients were followed prospectively for one year or until death. A detail... |
1 | Can MR imaging effectively replace diagnostic arthroscopy? | Anterior Cruciate Ligament Injuries CPG | A study was performed to determine whether magnetic resonance (MR) imaging is cost-effective and reduces the need for diagnostic arthroscopy of the knee. During a 9-month period, 103 consecutive patients with knee injury that justified diagnostic arthroscopy underwent MR imaging. The MR images were interpreted by means... |
0 | A More Positive Culture by Resin-containing Media Usage after Suspicious Arthroscopic Infections in Patients Receiving Antimicrobial Therapy | AMP (Acute Meniscal Pathology) | BACKGROUND: Although infections following arthroscopic surgery of cruciate ligament and meniscus are uncommon, they have potentially serious consequences for the graft and articular cartilage. This study aimed to investigate the efficacy of correct sampling and appropriate media, especially resin-containing media, for ... |
0 | Management of comminuted patellar fracture with non-absorbable suture cerclage and Nitinol patellar concentrator | OAK 3 - Non-arthroplasty tx of OAK | Purpose: To evaluate the effectiveness and safety of a fixation technique for comminuted patellar fracture using non-absorbable suture cerclage and nickel-titanium patellar concentrator (Ni-Ti PC). Methods: Twenty-nine consecutive patients with displaced comminuted patellar fractures accepted internal fixation procedur... |
0 | Short-term sampling stability of synovial fluid measurements in knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Short-term fluctuations in biomarker measurements unrelated to disease progression or treatment would invalidate the utility of biomarkers for patient assessment. Burden of disease biomarkers in end-stage knee OA should reflect the biological failure associated with the extent of clinical and structural (radio... |
1 | Radiation-induced heart disease after Hodgkin's disease and breast cancer treatment: dental implications | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: People with Hodgkin's disease and breast cancer often receive therapeutic irradiation to the chest (mediastinum) as an element of treatment. While the therapy often cures the malignancy, it has been implicated in causing late-onset heart disease that may influence the provision of dental treatment. TYPE OF ... |
0 | An audit of Haematology/Oncology Clinic services at an urban academic hospital in Jamaica | MSTS 2022 - Metastatic Disease of the Humerus | Objective: To determine the range of disorders seen at the Haematology/Oncology Clinic of the University Hospital of the West Indies (UHWI). Methods: A retrospective chart review for patients referred to the clinic during the two-year period 2006 to 2007 was conducted. A standardized data extraction template was used t... |
0 | Clinical outcome of posteromedial versus posteromedial-lateral release for clubfoot | DOD - Acute Comp Syndrome CPG | Although the Ponseti serial casting method is the gold standard for the management of clubfoot, surgical correction remains the best option for resistant cases. Therefore, we compared posteromedial and posteromediallateral surgical approaches for the correction of resistant clubfoot. Between 2007 and 2013, 68 patients ... |
0 | Occupational biomechanics. An emerging discipline | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Physical trauma, due to over-exertion in various occupations, accounts for between 20 and 60% of all compensatable injury and illness. Slips and falls account for another 10-40% of such injury and illness. The discipline necessary to define and control the cause of such hazards is now being formulated as 'Occupational ... |
0 | VTD consolidation, without bisphosphonates, reduces bone resorption and is associated with a very low incidence of skeletal-related events in myeloma patients post ASCT | MSTS 2018 - Femur Mets and MM | We prospectively evaluated the effect of bortezomib, thalidomide and dexamethasone (VTD) consolidation on bone metabolism of 42 myeloma patients who underwent an autologous stem cell transplantation (ASCT). VTD started on day 100 post ASCT; patients received four cycles of VTD (first block), were followed without treat... |
0 | Open surgical or endovascular revascularization for acute limb ischemia | DOD - Acute Comp Syndrome CPG | Acute limb ischemia (ALI) is one of the most common vascular emergencies, with high risk for limb loss if it is not treated expediently. Endovascular therapy is less invasive and used increasingly because of patient factors that disfavor open surgery despite limited quality data to support its safety and efficacy. This... |
0 | Alteration of proximal conduction velocity at distal nerve injury in carpal tunnel syndrome: demyelinating versus axonal change | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The objective of this study was to determine the cause of median forearm motor conduction velocity (FMCV) slowing in patients with carpal tunnel syndrome, due to either focal conduction abnormality over wrist or retrograde conduction slowing, and to decide whether the slowing is related to severity of compression or no... |
1 | Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: Pulmonary Embolism Prevention (PEP) trial | Hip Fx in the Elderly 2019 | BACKGROUND: Previous trials of antiplatelet therapy for the prevention of venous thromboembolism have individually been inconclusive, but a meta-analysis of their results indicated reductions in the risks of deep-vein thrombosis and of pulmonary embolism in various high-risk groups. The aim of this large randomised pla... |
1 | Baseline and longitudinal change in isometric muscle strength prior to radiographic progression in osteoarthritic and pre-osteoarthritic knees--data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To test whether cross-sectional or longitudinal measures of thigh muscle isometric strength differ between knees with and without subsequent radiographic progression of knee osteoarthritis (KOA), with particular focus on pre-osteoarthritic female knees (knees with risk factors but without definite radiograph... |
0 | Pitfalls of laparoscopic colorectal surgery and how to avoid them | DOD - Acute Comp Syndrome CPG | SUMMARY Laparoscopic surgery is commonly used for colorectal diseases. Recently, laparoscopy for colorectal carcinoma has increased in use, especially by colorectal surgeons. Laparoscopy is associated with potential pitfalls that pose challenges to the surgeon and team. The identification and management of these pitfal... |
0 | Ultrasound-guided medial mid-thigh approach to sciatic nerve block with a patient in a supine position | Surgical Management of Osteoarthritis of the Knee CPG | We report the use of a 'medial mid-thigh approach (medial approach),' a new approach for performing ultrasound-guided sciatic nerve blockade (SNB) with patients in a supine position. Fifty-four patients undergoing knee surgery under general anesthesia and a combined femoral nerve block (FNB) and SNB were included in th... |
0 | Choice and doses of antibacterial agents for cement spacers in treatment of prosthetic joint infections: review of published studies | PJI DX Updated Search | BACKGROUND: Addition of antibacterial drugs to interim antibacterial cement spacers (ACSs) is considered to be standard of care for surgical revision in prosthetic joint infections (PJIs). We reviewed published studies evaluating the choice and doses of antibacterials in spacers. METHODS: We conducted a PubMed search o... |
0 | Electronic referrals for virtual fracture clinic service using the National Integrated Medical Imaging System (NIMIS) | Distal Radius Fractures | Introduction: Virtual fracture clinics (VFC) are now prevalent across many orthopaedic services in the UK and Ireland. The management of a variety of musculoskeletal injuries using the VFC model has been demonstrated to be safe, cost-effective and associated with high levels of patient satisfaction. Referrals were made... |
0 | Survivorship analysis of the "Performance" total knee replacement--7-year follow-up | Surgical Management of Osteoarthritis of the Knee CPG | We present the results of a prospective study in which 32 "Performance" total knee replacements were implanted with a mean follow-up period of 6.5 years. Survival analysis showed 89% survival at 7 years. Of those knees that survived to follow-up 80% were pain free or had mild pain when climbing stairs and only 1 knee w... |
0 | Kinesio taping or sham taping in knee osteoarthritis? A randomized, double-blind, sham-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To compare effects of kinesio taping with sham taping at the end of 3 consecutive taping periods in knee osteoarthritis.
METHODS: 41 patients diagnosed with knee osteoarthritis according to American College of Rheumatology were randomized to receive either KT or sham taping. Baseline evaluations included a vis... |
0 | Abnormalities of orbital volume | Panniculectomy & Abdominoplasty CPG | New information on the physiopathology and treatment of orbital volumes pathologies is described: 1) In post-enucleation or evisceration socket syndrome placing of synthetic material (HATCP) directly in the intraconal orbital fat can correct most of the symptoms. However the best approach is to prevent orbital volume d... |
0 | Genital reassignment surgery for transsexual people | DOD - Acute Comp Syndrome CPG | Transsexualism is defined as a persistent and strong cross-gender identification, combined with the patients persistent discomfort with his or her sex and a sense of inappropriateness in the gender role of that sex (Diagnostic and Statistical Manual of Mental Disorders, revision 4, [DSM-IV-TR]). This disturbance causes... |
0 | Serum zinc as a prognostic tool for wound healing in hip hemiarthroplasty | Management of Hip Fractures in the Elderly | Malnutrition in patients who had surgery leads to the risk of postoperative complications, especially impaired wound healing. Preoperative serum zinc levels and other nutritional parameters were analyzed to establish criteria that would enable delayed healing to be predicted. A prospective study of 97 patients who had ... |
0 | Is bisphosphonate therapy for benign bone disease associated with impaired dental healing? A case-controlled study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Bisphosphonates are common first line medications used for the management of benign bone disease. One of the most devastating complications associated with bisphosphonate use is osteonecrosis of the jaws which may be related to duration of exposure and hence cumulative dose, dental interventions, medical co... |
0 | Liposuction breast reduction: a prospective trial in African American women | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Recently published case reports and outcome studies support the use of liposuction alone as an effective technique for ameliorating symptoms of breast hypertrophy. This study is the first prospective trial to examine the effectiveness of liposuction breast reduction as a primary modality of breast reduction... |
0 | Pseudointercondylar notch sign: manifestation of osteochondritis dissecans of the trochlea | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondritis dissecans (OCD) is an idiopathic condition affecting the articular epiphysis. Initially described in the knee, this entity affects several other parts of the body such as the talar dome, tarsal navicular, and femoral capital epiphysis. OCD of the elbow primarily involves the capitellum. OCD involving th... |
0 | Survivorship Analysis of Eighty Revised Hip Arthroplasties With the Impaction Grafting Technique Using Whole Femoral Head Allografts With the Articular Cartilage | Hip Fx in the Elderly 2019 | BACKGROUND: Acetabular impaction bone grafting aims to restore anatomy in hip revision surgery. This is an effective but expensive and time-consuming technique. Usually, the articular cartilage is removed from the femoral head allograft. We aimed to reproduce the same results retaining the cartilage of the allograft.
M... |
0 | Acid-base disorders: Learning the basics | PJI DX Updated Search | Nutrition support practitioners should be confident in their ability to recognize and treat various metabolic and respiratory disorders encountered in daily practice. A clinician's comprehension of the underlying physiologic processes and/or exogenous causes that occur during acid-base disorders is essential when makin... |
0 | International Survey: Factors Associated With Operative Treatment of Distal Radius Fractures and Implications for the American Academy of Orthopaedic Surgeons' Appropriate Use Criteria | Distal Radius Fractures | OBJECTIVES: Through an international survey, we assessed whether deciding to operatively treat an intra-articular distal radius fracture (DRF) is guided by identifiable patient and surgeon factors. In addition, we compared surgeons' treatment decisions with the American Academy of Orthopaedic Surgeons' Appropriate Use ... |
0 | Kinesio taping improves pain and function in patients with knee osteoarthritis: A meta-analysis of randomized controlled trials | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To perform a meta-analysis from randomized controlled trials (RCTs) to evaluate the efficacy of Kinesio Taping in reducing pain and increasing knee function in patients with knee osteoarthritis (OA).
METHODS: The electronic databases include PubMed, Embase, web of science and the Cochrane Library up to Augus... |
1 | Moral injury in U.S. Combat veterans: Results from the national health and resilience in veterans study | DoD PRF (Psychosocial RF) | Background: Combat exposure is associated with increased risk of mental disorders and suicidality. Moral injury, or persistent effects of perpetrating or witnessing acts that violate one's moral code, may contribute to mental health problems following military service. The pervasiveness of potentially morally injurious... |
1 | Clinical, MRI, and arthroscopic correlation in meniscal and anterior cruciate ligament injuries | Anterior Cruciate Ligament Injuries CPG | The aim of this prospective study was to compare and correlate clinical, magnetic resonance imaging (MRI), and arthroscopic findings in cases of meniscal tear and anterior cruciate ligament (ACL) injuries. MRI scan results and clinical diagnosis are compared against the arthroscopic confirmation of the diagnosis. One h... |
1 | Prevalence and predictors of disability 24-months after injury for hospitalised and non-hospitalised participants: results from a longitudinal cohort study in New Zealand | DoD PRF (Psychosocial RF) | INTRODUCTION: Most studies investigating disability outcomes following injury have examined hospitalised patients. It is not known whether variables associated with disability outcomes are similar for injured people who are not hospitalised. AIMS: This paper compares the prevalence of disability 24 months after injury ... |
1 | Repair of meniscal tears with the absorbable Clearfix screw: results after 1-3 years | AMP (Acute Meniscal Pathology) | INTRODUCTION: Total meniscus resection usually leads to osteoarthritis of the knee joint. Preservation and refixation of the injured menisci are therefore of great clinical importance.
MATERIALS AND METHODS: The present study examines 40 meniscal injuries in 37 patients that were arthroscopically treated with Clearfix ... |
0 | Zoledronic acid use in patients with bone metastases from renal cell carcinoma or bladder cancer | MSTS 2018 - Femur Mets and MM | Approximately 30% of patients with renal cell carcinoma (RCC) and 40% of patients with bladder cancer develop bone metastases that can disrupt normal bone homeostasis and place patients at risk for potentially life-limiting skeletal-related events (SREs). In the absence of bone-directed therapies, patients with RCC may... |
0 | Prognostic factors in cancer of unknown primary site | MSTS 2022 - Metastatic Disease of the Humerus | AIMS AND BACKGROUND: Patients with cancer of an unknown primary site (CUP) usually have a poor outcome. The identification of prognostic factors that affect survival can help clinicians find a better approach to such cases in terms of diagnostic and therapeutic management.
METHODS: We conducted a retrospective study in... |
0 | Important perioperative factors, guidelines and outcomes in the management of hip fracture | Hip Fx in the Elderly 2019 | Hip fractures are common injuries in the elderly and are associated with significant morbidity and mortality. There are multiple perioperative factors that must be considered when managing these patients. These include analgesia, timing of surgery, choice of operation, type of anaesthesia, postoperative complications a... |
1 | Restore orthobiologic implant: not recommended for augmentation of rotator cuff repairs | Optimizing the Management of Full-Thickness Rotator Cuff Tears | BACKGROUND: Following repairs of large-to-massive tears of the rotator cuff, the rates of tendon retears are high and often involve tissue deficiency. Animal studies of the Restore Orthobiologic Implant, a collagen-based material derived from the small intestine mucosa of pigs, have indicated that it might be used to h... |
0 | Determinants of work absence following surgery for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: The objective was to identify factors across multiple domains associated with return to work in a community-based cohort of workers with carpal tunnel syndrome. METHODS: Workers scheduled for carpal tunnel release were recruited into this prospective study. Subjects completed questionnaires preoperatively a... |
1 | Predictors of functional outcome following femoral neck fractures treated with an arthroplasty: limitations of the Harris hip score | Management of Hip Fractures in the Elderly | INTRODUCTION: To study the association between potential prognostic factors and functional outcome at 1 and 5 year follow-up in patients with femoral neck fractures treated with an arthroplasty. To analyze the reliability of the Harris hip score (HHS). MATERIALS AND METHODS: A multicenter analysis which included 252 pa... |
0 | Raloxifene: A review of its use in postmenopausal osteoporosis | AAHKS (8) Anesthetic Infiltration | Raloxifene is a selective estrogen receptor modulator that partially mimics the effects of estrogens in bone and the cardiovascular system, while functioning as an antiestrogen in endometrial and breast tissue. In randomised placebo-controlled studies involving postmenopausal women or patients with osteoporosis, raloxi... |
0 | Inter-limb effects of isometric quadriceps strengthening on untrained contra-lateral homologous muscle of patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The primary objective of this study was to establish if there would be inter-limb crossing of strength from trained quadriceps muscles of unaffected limb to the untrained homologous group of muscles in subjects with knee osteoarthritis.
METHODS: Twenty-one patients with knee osteoarthritis were recruited for t... |
0 | The infra-areolar longitudinal incision in reduction mammoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | The author presents a reduction mammoplasty technique in which an infra-areolar longitudinal incision is used. The incision can be either one line, without skin removal, or an ellipse, with some skin to be removed. The gland is totally freed from the pectoral muscle and the resection of the mammary cone's base is then ... |
0 | Routine radiographic follow-up is not necessary after physeal fractures of the distal tibia in children | Pediatric Supracondylar Humerus Fracture 2020 Review | Background and purpose - Unnecessary radiographic and clinical follow-ups are common in treatment of pediatric fractures. We hypothesized that follow-up radiographs are unnecessary to monitor union of physeal fractures of the distal tibia.Patients and methods - All 224 (147 boys) children under 16 years old treated for... |
0 | The treatment of selected fractures of the humeral shaft with the True-Flex nail | MSTS 2022 - Metastatic Disease of the Humerus | The True-Flex nail was used in 23 selected non-pathological and eight pathological fractures/lesions of the humeral shaft. The overall fracture union rate was 69.5 per cent and the patients achieved a good range of movement of the shoulder and elbow. Nailing did not lead to union of established non-unions or fractures ... |
0 | Topical NSAIDs for chronic musculoskeletal pain: systematic review and meta-analysis | SR for PM on OA of All Extremities | : A previous systematic review reported that topical NSAIDs were effective in relieving pain in chronic conditions like osteoarthritis and tendinitis. More trials, a better understanding of trial quality and bias, and a reclassification of certain drugs necessitate a new review. METHODS: Studies were identified by sear... |
0 | Clinical experiences with bisphopsphonate induced osteochemonecrosis of the jaws | MSTS 2018 - Femur Mets and MM | QUESTION: Bisphosphonates are frequently used drugs in the adjuvant therapy of bone metastases and tumour-induced hypercalcaemia, but also for osteoporosis or Pagets disease. Several publications within the last three years considered osteonecrosis of the jaws to be connected with bisphosphonate therapy. Until today po... |
0 | Alzheimer's Disease and Intranasal Fluticasone Propionate in the FDA MedWatch Adverse Events Database | MSTS 2018 - Femur Mets and MM | Background: Studies of Alzheimer's disease suggest that neuroinflammation or deranged brain wound healing may be a cause of some cases. But a placebo controlled study showed no effect at all on Alzheimer's disease of low dose oral prednisone after one year. Introducing the steroid directly into the hippocampus and rhin... |
0 | A three-year follow-up on injuries sustained by cruise ship passengers and crew treated at the Orthopaedic and Traumatology Department at Dubrovnik County Hospital | Distal Radius Fractures | Dubrovnik is one of the most popular destinations in the world for cruise ships. Several cruise ship passengers and crew members who have suffered different injuries have been treated at our department. This was a retrospective study to analyse injuries that occurred to crew members and passengers on cruise ships that ... |
0 | Surgical management of the aging neck | Panniculectomy & Abdominoplasty CPG | Blunting of the cervicomental angle with age is caused by progressive laxity of the skin and subcutaneous tissues, along with proliferation of fatty deposits and platysma muscle banding. This contributes to a loss of the slender neckline associated with youth, often a primary point of concern for patients. Surgeons may... |
0 | Bone loss associated with the use of spacer blocks in infected total knee arthroplasty | Dental Implant Infection | Twenty-five knees in 24 patients with infected total knee replacements were treated with debridement, component removal, and insertion of an antibiotic impregnated cement spacer block. Intravenous antibiotics were administered for 6 weeks during which time the patients' knees were kept in a knee immobilizer nonweightbe... |
0 | Secondary patella resurfacing in painful non-resurfaced total knee arthroplasties: A study of survival and clinical outcome from the Norwegian Arthroplasty Register (1994ââ??2011) | PJI DX Updated Search | Purpose: In Norway, 19à% of revisions of non-resurfaced total knee arthroplasties done for knee pain between 1994 and 2011 were Secondary Patella Resurfacing (SPR). It is, however, unclear whether SPR actually resolves the pain. The aim was to investigate prostheses survival and clinical outcomes following SPR. Meth... |
0 | Organised violence and the stress of exile. Predictors of mental health in a community cohort of Vietnamese refugees three years after resettlement | DoD PRF (Psychosocial RF) | BACKGROUND: The prevalence and course of mental disorders among Vietnamese refugees were studied, using a model including variables from different research traditions.
METHOD: A consecutive community cohort of 145 Vietnamese boat refugees aged 15 and above were personally interviewed on their arrival in Norway and thre... |
0 | Intracranial extension of inverted papilloma: An unusual and potentially fatal complication | Reconstruction After Skin Cancer | Background. The purpose of this article is to define the outcome of intracranial extension of inverted papilloma and outline a rationale for management of this rare clinical presentation. Methods. A review of patients with intracranial extension of inverted papilloma reported in the literature (18 patients), or treated... |
1 | Treatment of persistent shoulder pain with sodium hyaluronate: a randomized, controlled trial. A multicenter study | Glenohumeral Joint OA | BACKGROUND: Presently, there are no approved nonoperative therapies for the ongoing treatment of persistent shoulder pain. Preliminary data suggest that intra-articular sodium hyaluronate injections may be beneficial for the treatment of persistent shoulder pain resulting from various etiologies. The present study eval... |
0 | Recent intraarticular steroid injection may increase infection rates in primary THA | AAHKS (2) Corticosteroids | We retrospectively determined the rate of therapeutic intraarticular steroid injection within 1 year before total hip arthroplasty (THA) for osteoarthritis and whether the injection of the steroid increased the risk of infection. In a retrospective matched cohort study, 224 primary THAs (217 patients) implanted within ... |
0 | Characterization of peripheral neuropathy associated with monoclonal gammopathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Review of clinical and electrophysiologic features of neuropathy associated with monoclonal gammopathy in consecutive patients in 2006 at Lahey Clinic. 506 patients had monoclonal gammopathy, mean age: 72(21- 98 years). 138 patients (27.2%) had symptoms of neuropathy. Neuropathy was the presenting feature of gammopathy... |
1 | Psychological distress and quality of life after orthopedic trauma: an observational study | DoD PRF (Psychosocial RF) | OBJECTIVE: Little is known about the clinical consequences of psychological morbidity associated with orthopedic trauma. The objective of our study was to investigate the extent of psychological symptoms that patients experience following orthopedic trauma and whether these are associated with quality of life.
METHODS:... |
0 | Greater than 10-year results of red-white longitudinal meniscal repairs in patients 20 years of age or younger | AMP (Acute Meniscal Pathology) | BACKGROUND: A prospective longitudinal investigation was conducted to determine the long-term outcome of single longitudinal meniscal repairs extending into the central avascular region in patients aged 20 years or younger.
PURPOSE: To determine the long-term success rate and reoperation rate of meniscal repairs extend... |
0 | MR imaging of cysts, ganglia, and bursae about the knee | AMP (Acute Meniscal Pathology) | Cystic lesions around the knee comprise a diverse group of entities, ranging from benign cysts to complications of underlying diseases such as infection, arthritis, and malignancy. Their diverse causes result in varied prognoses and therapeutic options. Although the presentation of cystic masses may be similar, their m... |
0 | Knee extensor and flexor torque characteristics before and after unilateral total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The purpose of this study was to document torque characteristics and strength recovery of the knee extensors and flexors before and up to 1 yr after unilateral total knee arthroplasty. Our goal was to also document the responsiveness of isokinetic testing over repeated measures. DESIGN: Thirteen individuals ... |
0 | Clinical Efficacy and Safety of Benjakul Recipe in Treating Primary Osteoarthritis of Knee Compared With Diclofenac | OAK 3 - Non-arthroplasty tx of OAK | Efficacy and adverse effects of Benjakul recipe in Treating Primary Osteoarthritis of Knee Compared with Diclofenac. This study was designed as double blind, randomized controlled trial. Approval from the ethical committee of Human Research Ethics Committee of Thammasat University (No: 1 Faculty of Medicine) |
0 | Syndecan-1: A dynamic regulator of the myeloma microenvironment | MSTS 2018 - Femur Mets and MM | Emerging data in myeloma and other cancers indicates that heparan sulfate proteoglycans promote tumor progression by enhancing their growth and metastasis. By acting as key regulators of cell signaling via their interactions with multiple growth and angiogenic factors, heparan sulfates mediate a shift in the microenvir... |
0 | Orbital Radiotherapy Plus Concomitant Steroids in Moderate-to-Severe Graves' Ophthalmopathy: Good Results After Long-Term Follow-Up | Panniculectomy & Abdominoplasty CPG | Background: Orbital radiotherapy (RT) is an effective and consolidate treatment for steroid-refractory Graves' ophthalmopathy (GO); however, long term effects are not well known. Objectives: The aim of this study was to evaluate the long term efficacy and toxicity of orbital RT plus concomitant systemic steroids in a p... |
0 | Functional analysis on the treatment of torn discoid lateral meniscus | AMP (Acute Meniscal Pathology) | The purpose of this study is to evaluate the functional outcome on the treatment of torn discoid lateral meniscus. Thirty-two torn discoid lateral meniscuses in 29 patients were retrospectively reviewed. There were 13 males and 16 females with a mean age of 31.3+/-17.0. The age distribution were 24% in pediatric age (<... |
0 | Outcome evaluation measures for wrist and hand - Which one to choose? | Distal Radius Fractures | The aim of this study was to critically analyse the various outcome measures available for assessing wrist and hand function. To this end, an extensive literature search was performed on Medline, PubMed and the Science Citation Index, focusing on terms associated with the method of development of the outcome measures i... |
0 | Protocol-based arthroplasty: Less is more | AAHKS (5) Gabapentinoids | Total joint arthroplasty is a successful orthopedic procedure that is performed in high volume in the United States and internationally. As economic pressures continue to mount in the US health care system, it will become increasingly important to minimize cost and improve quality and value. At the authors' institution... |
0 | An approach to virtual clinical trial site visits: Lessons from the MeTeOR trial | AMP (Acute Meniscal Pathology) | Objective: To provide a framework for conducting clinical trial site visits virtually over videoconference, and to report on our experience doing so during the twelve-year follow-up of the Meniscal Tear in Osteoarthritis Research (MeTeOR) trial.
Design: Using published FDA guidance and prior literature, we created a st... |
1 | Is the subscapularis normal after the open Latarjet procedure? An isokinetic and magnetic resonance imaging evaluation | Trial Systematic Review Project | BACKGROUND: The Latarjet procedure is considered to be a violation of the subscapularis muscle. This study evaluated the postoperative status of the subscapularis through isokinetic and magnetic resonance imaging analysis after splitting. We hypothesized that compared with a healthy contralateral shoulder, there would ... |
0 | Improving hip fractures outcomes for COPD patients | Management of Hip Fractures in the Elderly | Hip fractures in the elderly have high rates of mortality and perioperative complications. Both men and COPD patients have worse mortality and complications but this may be due to more co-morbid disease. We assessed mortality and complications in a large cohort (n = 12,646) of men undergoing hip fracture surgery within... |
0 | Effect of alendronate on limited-activity days and bed-disability days caused by back pain in postmenopausal women with existing vertebral fractures | Management of Hip Fractures in the Elderly | Background: Women with new vertebral fractures have an increased risk of back pain and functional limitation because of back pain. Alendronate sodium treatment reduces the risk of new vertebral fracture by 50% in postmenopausal women with osteoporosis. Objective: To determine the effect of alendronate therapy on days a... |
0 | Does a single bolus dose of tranexamic acid reduce blood loss and transfusion requirements during hip fracture surgery? A prospective randomized double blind study in 67 patients | Management of Hip Fractures in the Elderly | Extensive blood loss in total hip surgery is well known and is associated with a high transfusion rate of allogeneic blood. The aim of this study is to assess the effects of intraoperative tranexamic acid on post-operative bleeding and need for allogeneic transfusion during hip fracture surgery. We investigated 67 pati... |
1 | The natural history of developmental dysplasia of the hip: sonographic findings in infants of 1-3 months of age | Developmental Dysplasia of the Hip CPG | The natural history of sonographic developmental dysplasia of the hip was determined in a population-based study in which 5170 infants were screened by ultrasound using Graf's method. Of the normal hips at the age of 1 month, 99.6% were still normal at the age of 3 months. Of the immature type IIa/IIa+ and type IIa- hi... |
0 | Iliopubic subcutaneous plate osteosynthesis for osteoporotic fractures of the anterior pelvic ring. An alternative to the supra-acetabular external fixator | Hip Fx in the Elderly 2019 | The majority of fractures of the anterior pelvic ring is treated non-operatively. However, a number of patients do not get pain free and cannot be mobilized. Since the supra-acetabular external fixator is associated with significant complications we developed an alternative technique based on recent anatomical studies.... |
0 | Ultrasound-guided aspiration and corticosteroid injection compared to horizontal therapy for treatment of knee osteoarthritis complicated with Baker's cyst: a randomized, controlled trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Combining different therapies, physical therapy agents, pharmacological and physical therapies, generally produces better outcomes for symptoms of knee osteoarthritis (OA) than do isolated therapies.
AIM: To demonstrate if horizontal therapy (HT) and aspiration alone and corticosteroid injection alone or in... |
0 | Treatment of displaced neck fractures of the femur with total hip arthroplasty | Management of Hip Fractures in the Elderly | We report our experience in unstable fractures of the femoral neck in a consecutive series of patients who underwent total hip arthroplasty. Over a period of 12 years, 88 patients were treated with a cemented total hip arthroplasty; 3 patients were lost to follow-up, leaving 86 fractures (85 patients) for retrospective... |
0 | Odontostomatological aspects in patients with Williams syndrome: a series of 4 cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The authors examined four patients with Williams syndrome presenting characteristic odontostomatological alterations. Agenesis, dental deposits, chewing difficulties due to bone malformations and poor cooperation of patients with malformations also in other districts and mental and physical retardation require the dent... |
0 | Total hip arthroplasty for acute femoral neck fractures using a cementless tapered femoral stem | Management of Hip Fractures in the Elderly | The purpose of this study was to evaluate the osseointegration potential and implant-related complications of cementless total hip arthroplasty with a titanium alloy collarless, tapered, wedge-shaped femoral stem with a proximal circumferential plasma-spray coating in patients with acute hip fractures. The cohort consi... |
0 | Characterization of patients undergoing total knee arthroplasty in a real-world setting and pain-related medication prescriptions for management of postoperative pain | Surgical Management of Osteoarthritis of the Knee CPG | Presently, no "gold-standard" exists for the management of pain after total knee arthroplasty (TKA) surgery. Understanding pain management methods used in clinical practice and the associated patient outcomes are necessary to fill gaps in pain management strategies. This study characterizes medication use in the immedi... |
0 | Gallium nitrate for treatment of cancer-related hypercalcemia | MSTS 2018 - Femur Mets and MM | Cancer-related hypercalcemia is the most common metabolic abnormality encountered in medical oncology. Gallium nitrate, a new agent that is a potent inhibitor of bone resorption, may also stimulate formation of new bone. Data from trials suggest that this agent may be the therapy of choice in hospitalized patients with... |
0 | Management of multiple myeloma | MSTS 2018 - Femur Mets and MM | After a sequence of standard and intensive therapies, approximately 70% of patients with multiple myeloma achieve a remission of good quality and of many months duration. Yet the disease remains incurable because the high residual burden of approximately 1010 tumor cells cannot be eradicated. Initial disease control, f... |
0 | Chronic obstructive pulmonary disease is associated with osteoporosis and low levels of vitamin D | Management of Hip Fractures in the Elderly | We did a cross-sectional analysis of chronic pulmonary obstructive disease (COPD) patients without chronic use of systemic glucocorticoids (CUG). Osteoporosis was found in 51% and bone mineral density (BMD) was correlated with severity of disease. Low levels of vitamin D were found in 94%. All COPD patients may benefit... |
0 | Modified combined approach for distal humerus shaft fracture: anterolateral and lateral bimodal approach | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Due to the anatomical nature of the radial nerve, dissection and attainment of an adequate operative field in mid to distal humerus fracture is dangerous and limited. We devised a combined anterolateral and lateral approach that ensures protection of the radial nerve. This is achieved by performing bimodal ... |
0 | Modular endoprosthetic replacement for failed internal fixation of the proximal femur following trauma | Management of Hip Fractures in the Elderly | PURPOSE: Although originally designed for reconstruction after primary malignant bone tumour resection, modular endoprosthetic replacement (EPR) can be used in salvage surgery for complex periprosthetic fracture and failed internal fixation. The purpose of this study was to assess the functional outcome following EPR f... |
0 | Web-Based Education Prior to Knee Arthroscopy Enhances Informed Consent and Patient Knowledge Recall: A Prospective, Randomized Controlled Study | AMP (Acute Meniscal Pathology) | BACKGROUND: Preoperative patient education is an important part of the informed consent process, and a perceived lack of information can lower patient satisfaction. We sought to evaluate the effect of a web-based multimedia patient education tool on the perioperative experience of patients undergoing first-time knee ar... |
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