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0 | Distal femur and proximal tibia replacement with megaprosthesis in revision knee arthroplasty: a limb-saving procedure | PJI DX Updated Search | PURPOSE: The aim of the present study was to assess whether using megaprostheses in revision knee arthroplasty procedures allows limb salvage with an acceptable outcome and complication rate, in comparison with other limb-saving procedures. METHODS: Between 2000 and 2010, megaprosthesis implantation was required for no... |
0 | Norepinephrine inhibition of mesenchymal stem cell and chondrogenic progenitor cell chondrogenesis and acceleration of chondrogenic hypertrophy | AMP (Acute Meniscal Pathology) | OBJECTIVE: Mesenchymal progenitor cell chondrogenesis is the biologic platform for the generation or regeneration of cartilage, but the external influence of the sympathetic nervous system on this process is not yet known. Sympathetic nerve fibers are present in articular tissue, and the sympathetic nervous system infl... |
1 | Instructional review the management of an infected total knee arthroplasty | PJI DX Updated Search | Periprosthetic joint infection (PJI) is one of the most feared and challenging complications following total knee arthroplasty. We provide a detailed description of our current understanding regarding the management of PJI of the knee, including diagnostic aids, pre-operative planning, surgical treatment, and outcome |
0 | CT lesion model-based structural allografts: Custom fabrication and clinical experience | OAK 3 - Non-arthroplasty tx of OAK | Background: Patients requiring knee and hip revision arthroplasty often present with difficult anatomical situations that limit options for surgery. Customised mega-implants may be one of few remaining treatment options. However, extensive damage to residual bone stock may also be present, and in such cases even custom... |
0 | Evolving Changes in the Management of Burns and Environmental Injuries | DOD - Acute Comp Syndrome CPG | Burns and environmental injuries are common as primary or secondary problems in survivors of natural disasters, terrorist incidents, and combat operations. In recent years, intensive military medical experience has resulted in substantial progress in treatment of these important problems. This article reviews practical... |
0 | Early mortality after modern total hip arthroplasty | AAHKS (9/10) Regional Nerve Blocks | UNLABELLED: Because of improvements in surgical technique, anesthesia, and rehabilitation, mortality after hip arthroplasty may be on the decline. The purpose of this study was to determine the 90-day mortality rate after uncemented total hip arthroplasty (THA) performed under regional anesthesia. We retrospectively re... |
1 | The value of adding sciatic block to continuous femoral block for analgesia after total knee replacement | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: The benefit of adding a sciatic nerve block to the femoral block to improve analgesia after total knee replacement is controversial. The aim of this study is to address this controversy in a prospective, comparative, and randomized study.
METHODS: Patients were allocated randomly to receive a... |
0 | The Prediction of Mandibular Osteoradionecrosis (ORN) in Head and Neck Radiotherapy Using CT-Derived Radiomic Features | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE/OBJECTIVE(S): The overall lifelong risk of mandibular Osteoradionecrosis (MORN) in head and neck (HN) radiotherapy (RT) is 4-8% which may result in poor health-related quality of life (QOL). Most of these patients (70-94% of cases) developed within the first 3 years after radiotherapy. The most effective way to... |
0 | Evaluation of therapeutic mammoplasty techniques in the surgical management of female patients with idiopathic granulomatous mastitis with mild to moderate inflammatory symptoms in terms of recurrence and patients' satisfaction | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Although idiopathic granulomatous mastitis (IGM) affects young females, its surgical management usually leads to disfigurement of the breasts. OBJECTIVES: To assess the use of therapeutic mammoplasty techniques for management of IGM in terms of recurrence and postoperative patients' satisfaction. METHODS: T... |
0 | Comparative Safety and Effectiveness of Denosumab Versus Zoledronic Acid in Patients With Osteoporosis: A Cohort Study | PJI DX Updated Search | Limited head-to-head comparative safety and effectiveness data exist between denosumab and zoledronic acid in real-world healthcare. We aimed to examine the safety and effectiveness of denosumab compared to zoledronic acid with regard to risk of serious infection and cardiovascular disease (CVD) and osteoporotic fractu... |
0 | Advances in supportive care for multiple myeloma | MSTS 2018 - Femur Mets and MM | As patients with multiple myeloma live longer, helping them live better through improvements in supportive care is equally as vital. Intrinsic to the disease are bone-related complications at presentation and over the course of illness. Bisphosphonates have been an important therapy for ameliorating the risk of skeleta... |
0 | Osteoporosis in men with prostate carcinoma receiving androgen-deprivation therapy: recommendations for diagnosis and therapies | MSTS 2018 - Femur Mets and MM | BACKGROUND: Androgen-deprivation therapy (ADT) is prescribed with increasing frequency for men with prostate carcinoma. There is growing concern about the effects of such therapy on the skeleton. In the current review, the authors addressed the current research, diagnostic methods, and treatment recommendations for bon... |
0 | Injuries to the Carpal Bones Revisited | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Falls on the outstretched hand, with resultant pain in the carpal region, account for a significant number of referrals to emergency rooms worldwide. Not only do they represent a significant proportion of the radiological workload arising from emergency rooms, interpretation of the images acquired is often difficult du... |
1 | Meniscal allograft transplantation | AMP (Acute Meniscal Pathology) | PURPOSE: Meniscal allograft transplantation (MAT) has become an accepted treatment option for patients undergoing meniscectomy with recalcitrant pain in the corresponding compartment. Whether MAT can oppose cartilage degeneration is unclear. Our purpose was to perform a systematic review of available literature to answ... |
0 | Glenohumeral arthrodesis for malignant tumor of the shoulder girdle | MSTS 2022 - Metastatic Disease of the Humerus | Background: Arthrodesis of the shoulder joint using a free vascularized fibular graft has been performed as a reconstruction method after resection of bone sarcoma in the shoulder girdle. Postoperative fractures occasionally occur as a complication of arthrodesis of the shoulder joint using single-bone fusion (the conv... |
0 | Expanding roles in orthopaedic care: A comparison of physiotherapist and orthopaedic surgeon recommendations for triage | AMP (Acute Meniscal Pathology) | Rationale, aims and objectives : Innovative service delivery models are emerging using physiotherapists in the assessment and management of patients referred for orthopaedic consultation. The primary objective of this study was to compare the clinical recommendations of specially trained physiotherapists with those of ... |
1 | A Systematic Review of Platelet-Rich Plasma in the Management of Upper Limb Tendinopathies | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Introduction: Currently, gold standards for treating upper-limb tendinopathies include steroid injections and operative treatment. However, these present a list of potential complications and hence, interest in alternative interventions, such as platelet-rich plasma (PRP), is growing. We review the recent high-level ev... |
0 | Percutaneous image-guided screws meditated osteosynthesis of impeding and pathological/insufficiency fractures of the femoral neck in non-surgical cancer patients | Hip Fx in the Elderly 2019 | Aim To present percutaneous image-guided screw-mediated osteosynthesis (PIGSMO) for fixation of impending fractures (ImF) and non-displaced/mildly displaced pathological/insufficient fractures (PF/InF) of the femoral neck in non-surgical cancer patients. Materials and methods This is a double-centre single-arm observat... |
0 | Intra-articular injection of Torin 1 reduces degeneration of articular cartilage in a rabbit osteoarthritis model | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Recent studies have shown that systemic injection of rapamycin can prevent the development of osteoarthritis (OA)-like changes in human chondrocytes and reduce the severity of experimental OA. However, the systemic injection of rapamycin leads to many side effects. The purpose of this study was to determine... |
0 | The skeletal metastatic complications of renal cell carcinoma | MSTS 2018 - Femur Mets and MM | Of the 103 patients with advanced renal cell carcinoma 31 (30%) developed symptomatic radiologically confirmed skeletal metastases. These were typically lytic, predominantly affecting the axial skeleton and associated with considerable skeletal morbidity. Solitary bone lesions occurred in 14 (45%) of patients. The medi... |
0 | Biological Treatments for Tendon and Ligament Abnormalities: A Critical Analysis Review | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | The poor intrinsic healing potential of tendon and ligamentous tissue has driven the search for biological agents that can improve healing, most notably platelet-rich plasma (PRP) and autologous stem cells. Current evidence best supports the use of PRP as treatment for chronic, degenerative tendinopathies such as later... |
0 | New technique of direct intra-abdominal pressure measurement | DOD - Acute Comp Syndrome CPG | OBJECTIVE: To determine the efficacy of 14-Fr PVC round drain in the direct measurement of intra-abdominal pressure.
METHODS: Fifty consecutive patients undergoing elective laparoscopic surgery in a tertiary teaching hospital were included in this pilot study. Patients underwent laparoscopic cholecystectomy, appendecto... |
0 | Association between delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) and joint space narrowing and osteophytes: a cohort study in patients with partial meniscectomy with 11 years of follow-up | AMP (Acute Meniscal Pathology) | OBJECTIVE: To examine the association between the relaxation time (T1Gd) of delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) and grade of tibiofemoral joint space narrowing (JSN) and osteophytosis 11 years later, in a cohort of meniscectomized patients.
DESIGN: Patients (n = 45) aged 35-50 ... |
0 | Survivorship analysis of cementless meniscal bearing total knee arthroplasty | AMP (Acute Meniscal Pathology) | Four hundred seventy-three consecutive cementless cruciate retaining meniscal bearing primary total knee replacements were done on 375 patients from May 1985 to February 1991. These were observed for a 10-year period (average, 5 years). Seventeen (3.6%) required change of components because of mechanical failure. There... |
0 | Institutionalization following incident non-traumatic fractures in community-dwelling men and women | Management of Hip Fractures in the Elderly | Summary Institutionalization after hip fracture occurs in at least 30% of patients in the year following hospital discharge. We demonstrate that the risk of transfer to a long-term care facility, after adjustment for age and burden of co-morbidity, is also increased following fractures at other osteoporotic sites in me... |
0 | Resource loss and naturalistic reduction of PTSD among inner-city women | DoD PRF (Psychosocial RF) | Halting the process of psychosocial and material resource loss has been theorized as being associated with the reduction of posttraumatic stress disorder (PTSD). This study examines how the limiting of resource loss is related to alleviation of PTSD symptoms among 102 inner-city women, who originally met diagnostic cri... |
1 | Types and complications of femoral neck fractures in children | MSTS 2018 - Femur Mets and MM | This multicenter collaborative study was undertaken to review the types and complications of femoral neck fractures in children. It is a retrospective clinical and radiological review of 108 femoral neck fractures. Cases originated from four different pediatric hospitals. All the patients had plain radiographs. Fractur... |
1 | Effects of an integrated 'Fast Track' rehabilitation service for multi-trauma patients: A non-randomized clinical trial in the Netherlands | Hip Fx in the Elderly 2019 | Objectives: The effects on health related outcomes of a newly-developed rehabilitation program, called 'supported Fast Track multi-trauma rehabilitation service' (Fast Track), were evaluated in comparison with conventional trauma rehabilitation service (Care as Usual). Methods: Prospective, multi-center, non-randomized... |
0 | The effect of intra-articular allogenic platelet rich plasma in Dunkin-Hartley guinea pig model of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objectives: To investigate the pathway for disease modifying effect of the PRP in osteoarthritis of knee.
Design: Two experimental models (group I and II) of Twelve Dunkin-Hartley guinea pigs each were enrolled as a part of a prospective controlled experimental study. One knee was enrolled for intervention and the othe... |
1 | Intramedullary nails for extracapsular hip fractures in adults | Management of Hip Fractures in the Elderly | BACKGROUND: Intramedullary nails may be used for the surgical fixation of extracapsular hip fractures in adults. They may be inserted from the top (cephalocondylic) or from the bottom (condylocephalic) end of the femur |
0 | Results of Wagner SL revision stem with impaction bone grafting in revision total hip arthroplasty | Hip Fx in the Elderly 2019 | BACKGROUND: As the number of total hip arthroplasties (THAs) performed increases, so do the number of required revisions. Impaction bone grafting with Wagner SL Revision stem is a good option for managing bone deficiencies arising from aseptic osteolysis. We studied the results of cementless diaphyseal fixation in femo... |
0 | Suprascapular nerve block for chronic shoulder pain from degenerative joint/rotator cuff disease - no advantage in a CT-guided approach over an anatomical landmark approach | Glenohumeral Joint OA | Presented at the Annual Scientific Meeting of the Australian Rheumatology Association and the Rheumatology Health Professionals Association, Sydney, NSW, Australia 18â?21 May 2003. |
1 | Open reduction and internal fixation of intraarticular fractures of the humerus: evaluation of 33 cases | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Standard treatment of type C elbow fractures is open reduction and internal fixation using reconstruction plates and pins. OBJECTIVES: The aim of this study was to evaluate the functional outcome following internal fixation of intraarticular fractures of the distal humerus (AO Type C) with a minimum follow-... |
0 | Evidence of the paradoxical effect of social network support: A study among Filipino domestic workers in China | DoD PRF (Psychosocial RF) | Labor migrants are at an increased risk for poor mental health. Post-migration stressors contribute significantly to this risk. Social network supports are vitally important to protect health but little is known about the role of social network supports among labor migrants. The current study evaluated the role of migr... |
0 | Small stem total hip arthroplasty in hypoplasia of the femur | Management of Hip Fractures in the Elderly | Total hip arthroplasty in hypoplastic femurs is technically difficult and the incidence of complications and aseptic loosening is relatively high. Cemented, uncemented, off-the-shelf, and custom-made stems all have been advocated in these cases. From 1978 to 1997, we performed 86 total hip arthroplasties in 77 patients... |
0 | Bisphosphonate-related complete atypical subtrochanteric femoral fractures: diagnostic utility of radiography | Management of Hip Fractures in the Elderly | OBJECTIVE: The objective of our study was to evaluate the diagnostic utility of conventional radiography for diagnosing bisphosphonate-related atypical subtrochanteric femoral fractures. MATERIALS AND METHODS: Retrospective interpretation of 38 radiographs of complete subtrochanteric and diaphyseal femoral fractures in... |
0 | Impact of case manager training on worksite accommodations in workers' compensation claimants with upper extremity disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Management of the return-to-work process in claimants with work-related upper extremity disorders often poses challenges to the health care provider, claimant, and employer. Modifying workplace ergonomic risk factors as a component of the workplace accommodation process may improve return-to-work outcomes by reducing r... |
0 | Superficial radial nerve injury during standard K-wire fixation of uncomplicated distal radial fractures | Distal Radius Fractures | This study determines the incidence of superficial radial nerve injury after Kirchner wire insertion. An experienced orthopedic surgeon inserted the K-wires into the radii of 92 adult cadavers. Subsequent dissection of the area exposed the superficial radial nerve and any observed nerve injury was documented. It is cle... |
0 | False aneurysm of the profunda femoris artery, a rare complication of a proximal femoral fracture | Management of Hip Fractures in the Elderly | The authors describe a false aneurysm of the profunda femoris artery caused by a bony fragment from the lesser trochanter after a proximal femoral fracture. False aneurysm as a complication of a hip fracture is rare; however it is essential to consider the possibility, more even so if there is inexplicable persisting p... |
0 | Obesity: an endocrine tumor? | Panniculectomy & Abdominoplasty CPG | Obesity is one of the most common disorders in clinical practice. The prevalance of obesity has increased by more than 60% since 1990. Adipose tissue acts as an endocrine organ secreting many factors into the blood, known as adipokines, including leptin, adipsin, acylation-stimulating protein, adiponectin, etc. This ar... |
0 | Use of Bisphosphonates in the Treatment of Multiple Myeloma | MSTS 2018 - Femur Mets and MM | Bone pain is the single most common presenting complaint in myeloma. Although first-line chemotherapy has a marked effect on bone pain, skeletal disease frequently continues to progress throughout the course of the disease and the incidence of skeletal events remains high. The underlying pathology in myeloma constitute... |
0 | New model-independent measures of trabecular bone structure applied to in vivo high-resolution MR images | Distal Radius Fractures | Complementing measurements of bone mass with measurements of the architectural status of trabecular bone is expected to improve predictions of fracture risk in osteoporotic patients and improve the assessment of response to drug therapy. With high-resolution MRI the trabecular network can be imaged with 156 x 156 x 500... |
0 | Hop bract polyphenols reduced three-day dental plaque regrowth | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Previous research has shown the inhibitory effects of hop bract polyphenols (HBP) on cariogenic streptococci in vitro, but their effects in humans have not been investigated. This double-blind, crossover clinical study tested the hypothesis that HBP delivered in a mouthrinse suppresses plaque regrowth in humans. Twenty... |
0 | Retinal functional changes measured by frequency-doubling technology in patients treated with hydroxychloroquine | Upper Eyelid and Brow Surgery | BACKGROUND: Antimalarial drugs such as chloroquine (CQ) and hydroxychloroquine (HCQ) are mainly used in the treatment of rheumatologic diseases, and their use may be associated with irreversible retinal toxicity. Previous studies indicate early paracentral visual field loss (Humphrey 10-2) in patients taking HCQ". Thes... |
0 | Vertebral fractures predict subsequent fractures | Management of Hip Fractures in the Elderly | This population-based study documents an increase in most types of fractures following the occurrence of a clinically recognized vertebral fracture among 820 Rochester, Minnesota, residents. During 4349 person-years of follow-up, 896 new fractures were observed. Relative to incidence rates in the community, there was a... |
0 | Acute Salmonella mastoiditis in an infant | Patrick’s pharmacoepidemiology project | During the last few decades antibiotics have played an extremely important role in the management of otitis media (OM). Nowadays there are only sporadic reports of its sequelae and complications in the developed countries. Nevertheless, complications of OM still arise and the potential seriousness of this problem empha... |
0 | The effect of platelet-rich plasma on pain, function, and quality of life of patients with knee osteoarthritis | PRP (Platelet-Rich Plasma) | Background. New studies in the management of knee osteoarthritis have focused on modern therapeutic methods stimulating cartilage healing process. In the present study, we evaluated the effects of 2 courses of leucocyte-rich PRP (LR-PRP) injections on patients' QOL and functions and also the relationship between the PR... |
0 | Bisphosphonates and cancer: What opportunities from nanotechnology? | MSTS 2018 - Femur Mets and MM | Bisphosphonates (BPs) are synthetic analogues of naturally occurring pyrophosphate compounds. They are used in clinical practice to inhibit bone resorption in bone metastases, osteoporosis, and Paget's disease. BPs induce apoptosis because they can be metabolically incorporated into nonhydrolyzable analogues of adenosi... |
0 | Preventing surgical site infection in haemophilia patients undergoing total knee arthroplasty | PJI DX Updated Search | The rate of infection following primary total knee arthroplasty (TKA) in the general population is 1% on average. However, in persons with haemophilia (PWH), the mean rate of infection following primary TKA is nearly 8%. QUESTIONS: why is the infection rate higher in persons with haemophilia compared with the general p... |
0 | Anterolateral approach to the distal tibia for fixation of pilon fractures: Rate of wound complications in the early postoperative period | DoD SSI (Surgical Site Infections) | Background Pilon fractures continue to be a treatment challenge. The purpose of this study was to examine our rate of early (up to 6 weeks) complications associated with using the anterolateral approach to the distal tibia. Methods Thirty-six patients treated between September, 2005, and July, 2007, at a level I trauma... |
0 | Imaging the implant-soft tissue interactions in total knee arthroplasty | PJI DX Updated Search | BACKGROUND: In Total Knee Arthroplasty (TKA), residual pain may be secondary to soft tissue impingements, which are difficult to visualize around chromium-cobalt implants using medical imaging, so their interactions remain poorly understood. The goal of this work was to establish a protocol for in-vitro imaging of the ... |
1 | Cognitive effects after epidural vs general anesthesia in older adults. A randomized trial | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To compare the effect of epidural vs general anesthesia on the incidence of long-term cognitive dysfunction after total knee replacement surgery in older adults. DESIGN: Randomized controlled clinical trial. SETTING: Orthopedic specialty academic hospital. PATIENTS: A total of 262 patients undergoing electiv... |
0 | Excessive dietary intake of vitamin A is associated with reduced bone mineral density and increased risk for hip fracture | Management of Hip Fractures in the Elderly | BACKGROUND: The highest incidence of osteoporotic fractures is found in northern Europe, where dietary intake of vitamin A (retinol) is unusually high. In animals, the most common adverse effect of toxic doses of retinol is spontaneous fracture. OBJECTIVE: To investigate whether excessive dietary intake of vitamin A is... |
1 | Risk factors for deep infection in secondary intramedullary nailing after external fixation for open tibial fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: Risk factors for deep infection in secondary intramedullary nailing (IMN) after external fixation (EF) for open tibial fractures were investigated by multivariate analysis following univariate analyses.
METHODS: Forty-two open tibial fractures were treated with secondary IMN after EF. The open tibial fractu... |
1 | Displaced supracondylar fracture of humerus in children--comparative study of the result of closed and open reduction | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The displaced supracondylar fracture of the humerus in children (Gartland type 3) is a most challenging injury to treat. There is controversy regarding the initial treatment either closed manipulation and splint immobilization or open reduction and internal fixation. This is a retrospective study comparing two groups o... |
0 | Tibial internal rotation is affected by lateral laxity in cruciate-retaining total knee arthroplasty: An intraoperative kinematic study using a navigation system and offset-type tensor | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The purpose of this study was to test the hypothesis that intraoperative soft-tissue balance assessed by an offset-type tensor influences post-operative knee kinematics after cruciate-retaining (CR) total knee arthroplasty (TKA). Methods: The influence of intraoperative soft-tissue balance on knee kinematics i... |
0 | The changing case-mix of hip fractures in Scotland - Evidence from the Scottish hip fracture audit | Hip Fx in the Elderly 2019 | Until discontinued in 2008, the Scottish Hip Fracture Audit collected and reported on data relating to the quality of care of hip fracture patients in Scotland. In 2013, the audit was recommenced under the umbrella of the MSK Audit group, which audits high volume orthopaedic pathways across Scotland. Our aim is to repo... |
0 | Body size and risk for clinical fractures in older women. Study of Osteoporotic Fractures Research Group | Management of Hip Fractures in the Elderly | BACKGROUND: Small body size predicts hip fractures in older women. OBJECTIVE: To test the hypothesis that small body size predicts the risk for other clinical fractures. DESIGN: Prospective cohort study. SETTING: Population-based listings in four areas of the United States. PATIENTS: 8059 ambulatory nonblack women 65 y... |
0 | Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY): a multi-center randomized controlled study comparing alternative antibiotic regimens in patients undergoing tumor resections with endoprosthetic replacements—a statistical analysis plan | MSTS 2022 - Metastatic Disease of the Humerus | Background: Limb salvage with endoprosthetic reconstruction is the current standard practice for the surgical management of lower extremity bone tumors in skeletally mature patients and typically includes tumor resection followed by the functional limb reconstruction with modular metallic and polyethylene endoprostheti... |
0 | Selection of implants in unilateral prosthetic breast reconstruction and contralateral augmentation | Reduction Mammoplasty for Female Breast Hypertrophy | Background In breast reconstruction using implants after unilateral mastectomy, it is challenging to create a natural, ptotic contour, and asymmetry is a potential drawback. To achieve breast symmetry and an ideal shape for both breasts, we performed contralateral augmentation in patients undergoing breast reconstructi... |
0 | Deformity correction in the conservative surgery of the knee: The tibio-femoral realignment | Surgical Management of Osteoarthritis of the Knee CPG | Introduction The deformities that are created are due to overloading joints that can occur: during the growth period with worsening of the deformity or deformity secondary compensation, after the growth with-arthritic degenerative changes affecting the medial tibial compartment, lateral patello-femoral. Materials and m... |
0 | An iliopsoas abscess spreading through an unusual location: Case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Iliopsoas abscess is an uncommon and a potentially fatal condition. It is a rarely encountered form of retroperitoneal infection Primary iliopsoas abscess has an increasing frequency and lends to be present in immunocompromised patients. Although secondary abscess was traditionally associated with tuberculosis of the s... |
0 | Ground reaction forces in patients with knee osteoarthritis after intra-articular treatments | OAK Recommendation 9 Articles | Background Osteoarthritis of the knee (OA) is the most common disease affecting the musculoskeletal system and one of the most important causes of disability among elderly population. Patients are assessed by questionnaires whose response may be influenced to some subjectivity (WOMAC, VAS, SF36). Gait analysis and grou... |
1 | Liposomal Bupivacaine Versus Standard Periarticular Injection in Total Knee Arthroplasty With Regional Anesthesia: A Prospective Randomized Controlled Trial | AAHKS (8) Anesthetic Infiltration | Background: Liposomal bupivacaine (Exparel) is a long-acting local anesthetic preparation with demonstrated efficacy over placebo in reducing postoperative pain and opioid requirement. Limited comparative efficacy and cost-effectiveness data exist for its use in total knee arthroplasty (TKA) when used in a multimodal, ... |
0 | Molecular mechanisms and treatment of bone metastasis | MSTS 2018 - Femur Mets and MM | The metastasis of cancer cells to bone alters bone architecture and mineral homeostasis. As described by the 'seed and soil' hypothesis, bone represents a fertile ground for cancer cells to flourish. A 'vicious cycle' of reciprocal bone-cancer cellular signals occurs with osteolytic (bone-resorbing) metastases, and a s... |
1 | Long-term follow-up and patient satisfaction after reduction mammoplasty: Superomedial versus inferior pedicle | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Surgery for hypertrophied breasts represents a challenge for plastic surgeons. The search for a good post-surgical cosmetic breast has led to the development of many techniques. Objectives for reduction mammoplasty are to achieve elevated, symmetrical breasts, a round shape, good projection, small cicatrice... |
0 | Hip fracture; an interruption that has consequences four months later. A qualitative study | Hip Fx in the Elderly 2019 | BACKGROUND: Effects following a hip fracture often lead to functional disabilities and increased dependence on others. Although persons sustaining a hip fracture constitute a heterogeneous group in Swedish health care, they tend to be treated as a homogenous one.
AIM: The aim of this study was to reveal how previously ... |
1 | (ii) Diagnosis and management of infection after total knee arthoplasty | PJI DX Updated Search | The incidence of infection after total knee replacement (TKR) has been reported variously between 0.4% to 2% in the current literature. As the numbers of TKR procedures are increasing annually, so are the numbers of prosthetic joint infections. Although the incidence of infection has been dramatically reduced over the ... |
1 | The location of knee pain and pathology in patients with a presumed meniscus tear: preoperative symptoms compared to arthroscopic findings | AMP (Acute Meniscal Pathology) | BACKGROUND: Pain is one of the primary motivations for patients to seek medical advice. Pain location is one element in the process of formulating a diagnosis.
AIMS: The purpose of the study is to determine if there is a correlation between the location of pain and the location of pathology in the knees of patients wit... |
1 | The Insall-Burstein total knee replacement in osteoarthritis: a 10-year minimum follow-up | Surgical Management of Osteoarthritis of the Knee CPG | A total of 99 Insall-Burstein posterior stabilized (IBPS) knee replacements were implanted in 86 osteoarthritic patients. We reviewed 60 knees with a 10- to 15-year follow-up. Using the Knee Society score, 35 knees (58%) were excellent, 15 (25%) good, 4 (7%) fair, and 6 (10%) poor. Flexion at follow-up was 106 degrees ... |
0 | Pathophysiology of bone metastases: how this knowledge may lead to therapeutic intervention | MSTS 2018 - Femur Mets and MM | Bone metastases are common in many advanced cancers and are a clinically relevant source of skeletal morbidity. The bone mineral matrix contains numerous growth factors that are released during normal bone remodeling, providing a fertile microenvironment for tumor cell colonization and proliferation. Tumor cells then r... |
0 | Baseline three-dimensional knee joint biomechanics and muscle activation patterns differ between those with moderate OA who have radiographic progression versus those who do not | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Recent management strategies for knee osteoarthritis (OA) include biomechanical interventions, but few longitudinal studies have linked biomechanics to progression. For structural progression the focus has been on knee adduction moment features (first peak and impulse), whereas both frontal and sagittal plane ... |
0 | Inhaled corticosteroids and hip fracture: a population-based case-control study | Management of Hip Fractures in the Elderly | There is accumulating evidence that the use of inhaled corticosteroids is associated with a dose-related reduction in bone mineral density. Whether this translates to an increase in fracture is unclear. We have used the General Practice Research Database to perform a case-control analysis, including 16,341 cases of hip... |
0 | Antibiotic prophylaxis as a quality of care indicator: does it help in the fight against surgical site infections following fragility hip fractures? | Hip Fx in the Elderly 2019 | INTRODUCTION: Fragility hip fractures are associated with increased morbidity, mortality, and costs. To improve patient care, quality indicator programs were introduced. Yet, the efficacy of these programs and specific quality indicators are questioned. We aimed to determine whether defining prophylactic pre-surgical a... |
0 | Immediate implants placed into infected sockets: a case report with 3-year follow-up | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The esthetics and functional integrity of the periodontal tissue may be compromised by dental loss. Immediate implants became a viable option to maintain the periodontal architecture because of their anatomic compatibility with the dental socket and the possibility of eliminating local contamination. This article descr... |
0 | Reducing blood loss in bilateral total knee arthroplasty with patient-specific instrumentation | OAK 3 - Non-arthroplasty tx of OAK | Patient-specific instrumentation (PSI) in total knee arthroplasty (TKA) has been introduced to obtain consistent alignment, prevent instrumentation of the medullary canal and improve operating room efficiency. This article compares simultaneous bilateral TKA performed with and without the use of PSI in terms of surgica... |
0 | Incidence of extensor pollicis longus tendon rupture after nondisplaced distal radius fractures | Distal Radius Fractures | PURPOSE: The incidence of extensor pollicis longus (EPL) tendon rupture in the setting of nondisplaced distal radius fractures is unknown. Extensor pollicis longus rupture is a known complication after distal radius fractures and is believed to occur more frequently after minimally displaced and nondisplaced distal rad... |
0 | Bioabsorbable implant material review | AMP (Acute Meniscal Pathology) | This article reviews the three most common materials used in bioabsorbable implants in orthopaedic surgery: PGA (polyglycolic acid), PLA (polylactic acid), and PDS (polydioxanone). The chemical, material, and resorption properties of the individual polymers as well as their copolymers are reviewed for the orthopaedic c... |
0 | An algorithm recommendation for the management of knee osteoarthritis in Europe and internationally: A report from a task force of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) | AAHKS (2) Corticosteroids | Objectives: Existing practice guidelines for osteoarthritis (OA) analyze the evidence behind each proposed treatment but do not prioritize the interventions in a given sequence. The objective was to develop a treatment algorithm recommendation that is easier to interpret for the prescribing physician based on the avail... |
1 | Reconstruction of the burned foot | DoD LSA (Limb Salvage vs Amputation) | Burns of the feet pose unique and difficult problems in initial management, reconstruction, and the attainment of long-term functional results. The primary reconstructive goals for this region are unimpeded ambulation and weightbearing on a pain-free limb. These objectives can be achieved by adherence to established pr... |
0 | The cementless femoral stem revisited | Dental Implant Infection | Despite the success of Sir John Charnley's cemented total hip arthroplasty (THA), large numbers of patients demonstrated mechanical failure due to loosening. The two main initial concerns were infection and wear. With the recent advances in antibiotics and aseptic techniques and with improvement in surgical technique, ... |
1 | Comparison of shoulder function, radial nerve palsy and infection after nailing versus plating in humeral shaft fractures | DoD SSI (Surgical Site Infections) | OBJECTIVE: To compare shoulder function, radial nerve palsy and infection after interlocking nailing with plating of fractures of shaft of humerus during 30 weeks of follow-up.
STUDY DESIGN: Experimental study.
PLACE AND DURATION OF STUDY: Orthopaedic Wards of Combined Military Hospital, Rawalpindi, from November 2006 ... |
0 | Discoid lateral meniscus associated with anomalous insertion of the medial meniscus | AMP (Acute Meniscal Pathology) | Discoid lateral meniscus in the knee joint is common. From July 1990 through September 1992, the authors performed arthroscopy on 534 symptomatic knee joints. Seventy-seven knees of 72 patients had discoid lateral meniscus. Of the 77 knees treated, 4 (5.5%) had discoid lateral meniscus associated with anomalous inserti... |
0 | Depressive symptoms post hip fracture in older adults are associated with phenotypic and functional alterations in T cells | Hip Fx in the Elderly 2019 | Ageing is accompanied by reduced immunity, termed immunesenescence. The immune system does not act in isolation and is sensitive to both psychological and physical stress. Hip fracture is a common physical stressor in older adults with a high incidence of new onset depression, which relates to poorer prognosis. We ther... |
0 | Current Treatments and New Developments in the Management of Glucocorticoid-induced Osteoporosis | Hip Fx in the Elderly 2019 | Glucocorticoids (GCs) are often used for improvement of quality of life, particularly in the elderly, but long-term GC use may cause harm; bone loss and fractures are among the most devastating side effects. Fracture risk is particularly high in patients with a severe underlying disease with an urgent need for treatmen... |
0 | Hepatic arterial embolization and chemoembolization for the treatment of patients with metastatic neuroendocrine tumors: variables affecting response rates and survival | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The objective of this study was to determine the prognostic variables that influence response and survival in patients with metastatic neuroendocrine tumors who are treated with hepatic arterial embolization (HAE) or chemoembolization (HACE).
METHODS: Patients with metastatic neuroendocrine tumors who under... |
0 | Predictors of adverse events in surgical admissions in Australia | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: The purpose of this study was to determine risk factors of adverse events in five surgical procedures. DESIGN: Retrospective record review was used to determine adverse events and risk factors of 1,177 surgical admissions. Procedures included in this study were transurethral resection of prostate, hysterecto... |
0 | Activity of daily living performance amongst Danish asylum seekers: a cross-sectional study | DoD PRF (Psychosocial RF) | OBJECTIVE: The aim of this study was to evaluate the extent of Activities of Daily Living (ADL) ability impairment in newly arrived Danish asylum seekers. It was hypothesized that exposure to trauma and torture would negatively influence ADL performance and that measures of ADL ability would be lower in individuals exp... |
0 | Endoscopic abdominoplasty: An alternative approach | Panniculectomy & Abdominoplasty CPG | We describe a technique for endoscopic abdominoplasty in which we used 3 incisions, following the triangulation principles. To maintain the subcutaneous cavity, CO2 was insufflated at 8 mm Hg, and Esmarch bandages were placed at the submammary fold in a circumferential way to prevent subcutaneous emphysema. The aponeur... |
0 | Anterior thoracic spine reconstruction using a titanium mesh cage and pedicled rib flap | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | STUDY DESIGN: A retrospective clinical study. OBJECTIVES: To evaluate the safety and efficacy of using an integrated titanium mesh cage and pedicled rib flap for thoracic spine reconstruction in patients at high risk of pseudarthrosis. SUMMARY OF BACKGROUND DATA: A variety of materials are available for interbody thora... |
0 | Parathyroid hormone deficiency and excess: similar effects on trabecular bone but differing effects on cortical bone | Management of Hip Fractures in the Elderly | Parathyroid hormone (PTH) may be anabolic at trabecular bone and catabolic in cortical bone. As many regions of the skeleton contain both types of bone, the effects of PTH deficiency or excess may be difficult to evaluate using bone densitometry, a technique that integrates the cortical and trabecular compartments of b... |
0 | Orthopedic injuries from the Andover, Kansas, Tornado | Management of Hip Fractures in the Elderly | Devastating tornados struck the state of Kansas on Friday, April 26, 1991. Twenty lives were lost and many people were injured. Property damage was extensive. Overall, the outcome of those admitted to the various hospitals was good, with few orthopedic-related complications. The low complication rate can be attributed ... |
0 | Combined anterior cruciate ligament reconstruction and unicompartimental knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Introduction Medial compartmental knee osteoarthritis is a frequent occurrence which is commonly treated with proximal tibial osteotomy, unicompartmental knee arthroplasty (UKA) or total knee arthroplasty (TKA). The options for treatment of the young active patient with isolated symptomatic osteoarthritis of the medial... |
0 | Periprosthetic shoulder infection | OAK 3 - Non-arthroplasty tx of OAK | Shoulder arthroplasty is considered the most effective surgical procedure for endstage shoulder pain from different causes including osteoarthritis, cuff-tear arthropathy, trauma, and tumors. Although uncommon and less frequent than knee or hip periprosthetic infection, periprosthetic shoulder infection represents a de... |
0 | The frequency of cartilage lesions in non-injured knees with symptomatic meniscus tears: results from an arthroscopic and NIR- (near-infrared) spectroscopic investigation | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Are symptomatic tear injuries to the menisci of the knee frequently or always associated with cartilage damage to the corresponding articular surfaces and other joint surfaces, respectively?
METHODS: A total of 137 patients (medial n = 127; lateral n = 10) underwent a meniscus resection. These patients sh... |
0 | What's New in Pediatric Orthopaedic Trauma: The Upper Extremity | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Upper extremity fractures are the most common fractures in children. Many high-quality studies have been reported regarding operative and nonoperative treatment of different upper extremity fractures in children. This review will summarize the literature on 4 major upper extremity fractures in children over... |
0 | "Pull-through": a new technique for breast reduction in gynecomastia | Reduction Mammoplasty for Female Breast Hypertrophy | This paper reports a new technique for breast reduction in gynecomastia, removing the glandular parenchyma by pulling it through two incisions previously made for liposuction. These incisions are localized in the anterior axillary pilar area and on the right side of the inframammary fold. No complications have been rep... |
0 | Dynamic quantitative bone scintigraphy in patients with prostatic carcinoma treated by orchiectomy | MSTS 2018 - Femur Mets and MM | Dynamic quantitative bone scintigraphy was performed on 31 men with prostatic carcinoma before orchiectomy as well as 2 weeks, 2 and 6 months postoperatively. After injection of technetium methylene diphosphonate Tc 99m (99mTc-MDP) the count rate was recorded as serial images over the lower thoracic and all the lumbar ... |
0 | [Effect of raloxifene hydrochloride on bone mineral density, bone metabolism and serum lipids in Chinese postmenopausal women with osteoporosis] | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine the effect of raloxifene hydrochloride (RLX) on the lumbar spine and total hip bone mineral density (BMD), bone metabolism and serum lipids in Chinese postmenopausal women with osteoporosis.METHODS: 204 Chinese postmenopausal women with osteoporosis from 3 hospitals in Beijing and Shanghai were ... |
0 | The bridging lateral mandibular reconstruction plate revisited | Reconstruction After Skin Cancer | BACKGROUND: Lateral oromandibular reconstruction using a soft tissue free flap with a first-generation locking mandibular reconstruction plate (MRP) was rejected in a previous series by the senior author (K.E.B.) owing to a high incidence of delayed plate extrusion through the cheek skin. OBJECTIVE: To reexamine this m... |
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