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0 | Subcapital stress fractures of the hip complicating total knee replacement | Management of Hip Fractures in the Elderly | Subcapital stress fracture of the femoral neck may complicate total knee replacement particularly if a large deformity has been corrected in a poorly mobile patient. This complication must be suspected in a patient presenting with ipsilateral hip pain following a total knee replacement as prompt diagnosis and internal ... |
0 | Degenerative Changes in the Elbow Joint after Radial Head Excision for Fracture: Quantitative 3-Dimensional Analysis in Bone Density, Stress Distribution and Bone Morphology | Pediatric Supracondylar Humerus Fracture 2020 Review | HYPOTHESIS AND BACKGROUND: Some speculate that excision may lead to elbow arthritis and associated problems; however, evidence supporting these theories is limited. It is hypothesized that radial head excision causes bone density changes as a result of asymmetric stress distributions, consequently leading to osteophyte... |
0 | Radical vulvectomy and bilateral inguinal-femoral lymphadenectomy through separate incisions-experience with 100 cases | MSTS 2018 - Femur Mets and MM | Over a 6-year period 100 patients with vulvar cancer were treated by radical vulvectomy and bilateral inguinal femoral lymphadenectomy performed through separate incisions. The average age of the patients was 68.8 years. Ninety patients had squamous carcinoma, six had melanoma and four had other vulvar malignancies. FI... |
0 | 3-Dimensional prebent plate fixation in corrective osteotomy of malunited upper extremity fractures using a real-sized plastic bone model prepared by preoperative computer simulation | Distal Radius Fractures | PURPOSE: To assess the clinical outcome and accuracy of prebent plate fixation in corrective osteotomy for malunited upper extremity fractures using a plastic bone model manufactured by preoperative computer simulation.
METHODS: Nine consecutive patients underwent computed tomography (CT)-based 3-dimensional corrective... |
0 | Early results of one-stage correction for hip instability in cerebral palsy | PJI DX Updated Search | Background: We evaluated the clinical and radiological results of one-stage correction for cerebral palsy patients. Methods: We reviewed clinical outcomes and radiologic indices of 32 dysplastic hips in 23 children with cerebral palsy (13 males, 10 females; mean age, 8.6 years). Ten hips had dislocation, while 22 had s... |
0 | Transsphenoidal pituitary surgery in the elderly is safe and effective | Upper Eyelid and Brow Surgery | OBJECT: With an increasingly ageing population, the number of elderly people diagnosed with pituitary tumours continues to rise. There is a concern that with increasing age and comorbidities, there is higher anaesthetic risk, as well as peri-operative morbidity and mortality from pituitary surgery. This study aimed to ... |
0 | How Are We Measuring Patient Satisfaction After Anterior Cruciate Ligament Reconstruction? | OAK 3 - Non-arthroplasty tx of OAK | Background: Reconstruction of the anterior cruciate ligament (ACL) is one of the most common orthopaedic operations in the United States. The long-term impact of ACL reconstruction is controversial, however, as longer term data have failed to demonstrate that ACL reconstruction helps alter the natural history of early ... |
0 | Morbidity and Safety of Iliac Crest Reference Array Pins in Navigated Total Hip Arthroplasty: A Prospective Cohort Study | Hip Fx in the Elderly 2019 | BACKGROUND: Navigated total hip arthroplasty (THA) can employ intra-osseous pins through a separate incision to secure reference arrays to the iliac crest. This study is the first to investigate the consequences of pin use in THA in vivo.
METHODS: A prospective, consecutive series of 43 patients presenting for navigate... |
0 | Still's disease and recurrent complex regional pain syndrome type-i: The first description | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Complex regional pain syndrome (CRPS) is a chronic neuropathic pain disorder characterized by neuropathic pain associated with local edema and changes suggestive of autonomic involvement such as altered sweating, skin color, and skin temperature of the affected region. CRPS was described associated with several disease... |
0 | No association of the single nucleotide polymorphism rs8044769 in the fat mass and obesity-associated gene with knee osteoarthritis risk and body mass index: A PPPULATION-BASEd STUDY IN China | OAK 3 - Non-arthroplasty tx of OAK | Objectives: previous genome-wide association studies (GWAS) have reported significant association of the single nucleotide polymorphism (snp) rs8044769 in the fat mass and obesity-associated gene (FTO) with osteoarthritis (OA) risk in European populations. However, these findings have not been confirmed in Chinese popu... |
0 | Changes in the structure and the symptoms of the osteoarthritic knee and prediction of future knee replacement over an 8-year follow-up period | Surgical Management of Osteoarthritis of the Knee CPG | Objective: In osteoarthritis clinical trials, the clinical relevance of a change in structure (e.g., joint space width, cartilage volume) or symptoms is not very well know. If they were predictive of a hard clinical outcome (i.e., joint replacement), they could be considered as clinically relevant. The objective of thi... |
0 | Asymptomatic median mononeuropathy among men with chronic paraplegia | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To compare electrophysiologic abnormalities of the median nerve in asymptomatic paraplegic subjects and able-bodied controls and to examine the influence of personal factors on these parameters. DESIGN: Cross-sectional survey. SETTING: University hospital. PARTICIPANTS: Forty-seven men with paraplegia and 3... |
0 | Population-based Canadian hip fracture rates with international comparisons | Management of Hip Fractures in the Elderly | SUMMARY: We identified hospitalizations throughout Canada during 2000-2005 in which the most responsible diagnosis was a proximal femoral fracture. Use of the US fracture risk assessment tool (FRAX) would be inappropriate for Canada as it would overestimate fracture risk in Canadian women and older men. INTRODUCTION: I... |
0 | Histological evaluation of spontaneous osteonecrosis of the medial femoral condyle and short-term clinical results of osteochondral autografting: a case series | AMP (Acute Meniscal Pathology) | Although many surgical modalities for spontaneous osteonecrosis of the knee (SONK) of the medial femoral condyle have been reported, few reports have described these treatment options from the etiological point of view. Recently, osteochondral autografting has gained popularity for use in small cartilage injuries. The ... |
1 | The relationship between catastrophizing and disability in amputees experiencing phantom pain | DoD PRF (Psychosocial RF) | Purpose: In recent years, researchers have noted that catastrophizing predicts both self-reported and objective measures of disability in a variety of chronic pain conditions. The present study sought to examine this in a working-age amputee population experiencing phantom pain. Method: Participants completed a postal ... |
0 | Radioembolization with yttrium microspheres for neuroendocrine tumour liver metastases | MSTS 2018 - Femur Mets and MM | Background: 90Y microsphere radioembolization is performed by injecting the microspheres through a hepatic artery catheter placed percutaneously via the femoral or brachial artery. This study assessed the efficacy of 90Y microsphere therapy for patients with unresectable neuroendocrine tumour liver metastases (NETLMs).... |
0 | The Community Orthopaedic Surgeon Taking Trauma Call: Pediatric Supracondylar Humeral Fracture Pearls and Pitfalls | Pediatric Supracondylar Humerus Fracture 2020 Review | Supracondylar humeral fractures are the most common type of pediatric elbow fracture. With proper treatment, these injuries usually heal well and the patients return to full function. However, a small percentage of these injuries may result in devastating complications and, thus, provoke anxiety in many surgeons treati... |
0 | Monitoring the one year postoperative infection rate after primary total hip replacement | PJI DX Updated Search | PURPOSE: Infection of a total hip replacement is potentially a devastating complication. Statistical process control methods have been generating interest as a means of improving the quality of healthcare, and we report our experience with the implementation of such a method to monitor the one year infection rate after... |
0 | Bone mineral alterations and Mg content in aging | Management of Hip Fractures in the Elderly | The authors propose to determine whether the quantity of bone mass reduction linked to aging is accompanied by qualitative modifications of the mineral structure. To this end, 18 samples of cancellous bone from the femoral heads of two groups of patients (Groups A & B), were examined. Group A was made up of 8 old osteo... |
0 | Intraoperative low-dose ketamine infusion reduces acute postoperative pain following total knee replacement surgery: A prospective, randomized double-blind placebo-controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Objective: To evaluate the effect of intraoperative low-dose ketamine with general anesthesia on postoperative pain after total knee replacement surgery. Study Design: A randomized, double-blind comparative study. Place and Duration of Study: Ankara Numune Training and Research Hospital, Turkey, from January and June 2... |
0 | Ulcerative and mutilating variant of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cutaneous involvement in severe carpal tunnel syndrome is secondary to damage to sensory and autonomic fibers of the median nerve. We report the case of a 63 year old man who presented skin and bone lesions, confined to the sensory zones of both median nerves. The lesions consisted of dystrophic modifications of the fi... |
1 | Meniscal allograft transplantation after meniscectomy: clinical effectiveness and cost-effectiveness | AMP (Acute Meniscal Pathology) | PURPOSE: To assess the clinical effectiveness and cost-effectiveness of meniscal allograft transplantation (MAT) after meniscal injury and subsequent meniscectomy.
METHODS: Systematic review of clinical effectiveness and cost-effectiveness analysis.
RESULTS: There is considerable evidence from observational studies, of... |
0 | The course of health status and (health-related) quality of life following fracture of the lower extremity: a 6-month follow-up study | Hip Fx in the Elderly 2019 | Purpose: The aim of this prospective study was to describe the course of health status (HS), health-related quality of life, and quality of life (QOL) in patients with lower extremity fractures (LEF) up to 6 months post-fracture. Methods: Patients (n = 171; age range 18â??100 years) completed the World Health Organ... |
0 | 18F-FDG PET/CT as an indicator of progression-free and overall survival in osteosarcoma | MSTS AUC - Based on ACR Lit Review | UNLABELLED: The aim of our study was to retrospectively evaluate whether maximum standardized uptake value (SUV(max)), total lesion glycolysis (TLG), or change therein using (18)F-FDG PET/CT performed before and after initial chemotherapy were indicators of patient outcome. METHODS: Thirty-one consecutive patients who ... |
1 | The value of arthroscopy of the knee in the management of sports injuries | AMP (Acute Meniscal Pathology) | A retrospective review of 31 sportsmen and 4 sportswomen who underwent arthroscopy of the knee is presented. The indications for and the results of arthroscopy are discussed. The recommendation that an arthroscopy be performed on all patients in whom it is proposed to do a meniscectomy is made. |
0 | Magnetic resonance imaging of the hip: Anatomy and pathology | AMP (Acute Meniscal Pathology) | The aim of this review is to outline the normal anatomy of the hip and to discuss common painful conditions of the hip that affect the general adult population. Hip pain is a common complaint with many different etiologies. In this review, hip pathologies are divided by location into osseous, intra-articular and extra-... |
0 | Clinical value of SPECT/CT for evaluation of patients with painful knees after total knee arthroplasty--a new dimension of diagnostics? | PJI DX Updated Search | BACKGROUND: The purpose of our study was to evaluate the clinical value of hybrid SPECT/CT for the assessment of patients with painful total knee arthroplasty (TKA). METHODS: Twenty-three painful knees in patients following primary TKA were assessed using Tc-99m-HDP-SPECT/CT. Rotational, sagittal and coronal position o... |
1 | Incidence and prediction of psychiatric morbidity after a motor vehicle accident in Japan: The Tachikawa Cohort of Motor Vehicle Accident Study | DoD PRF (Psychosocial RF) | OBJECTIVES: To assess both the incidence of new-onset psychiatric illness after involvement in a motor vehicle accident in Japan for comparison with Western data and the predictors of psychiatric morbidity and posttraumatic stress disorder (PTSD) evaluated immediately after the accident. DESIGN: Prospective cohort stud... |
0 | Economic evaluation of methyl aminolaevulinate-based photodynamic therapy in the management of actinic keratosis and basal cell carcinoma | Reconstruction After Skin Cancer | OBJECTIVESTo evaluate the cost-effectiveness of a recent approach, methyl aminolaevulinate-based photodynamic therapy (MAL-PDT; Metvix; Galderma, Lausanne, Switzerland) in AK and BCC.METHODSA medical decision tree was developed for simulation of all possible outcomes associated with the medical decision to apply MAL-PD... |
0 | Custom total hip arthroplasty | HipFx Supplemental Cost Analysis | Custom total hip arthroplasty (THA) has been advocated as a primary operation to achieve optimal proximal fit and fill in THA. Because of the increased cost of the implant, it must be proved that survivorship of the custom component is improved compared with a well-cemented or cementless off- the-shelf femoral prosthes... |
0 | Osteochondral Autograft Transfer for Focal Cartilage Lesions of the Knee With Donor-Site Back-Fill Using Precut Osteochondral Allograft Plugs and Micronized Extracellular Cartilage Augmentation | Osteochondritis Dissecans 2020 Review | Osteochondral autograft transfer (OAT) allows for the treatment of focal chondral lesions of the femoral condyles. Patients undergoing OAT have been shown to have the greatest rate and quickest return to sport of any cartilage-restoration procedure. Disadvantages encountered with the OAT procedure include limited donor... |
0 | Preventing the development of chronic pain after orthopaedic surgery with preventive multimodal analgesic techniques | AAHKS (8) Anesthetic Infiltration | The prevalences of complex regional pain syndrome, phantom limb pain, chronic donor-site pain, and persistent pain following total joint arthroplasty are alarmingly high. Central nervous system plasticity that occurs in response to tissue injury may contribute to the development of persistent postoperative pain. Many r... |
0 | Minimally invasive surgery unicompartmental knee arthroplasty assisted by computer navigation system | Surgical Management of Osteoarthritis of the Knee CPG | Background: Computer navigation system in total hip replacement can strictly locate prosthetic position. Objective: To explore the feasibility and preliminary effect of minimally invasive surgery unicompartmental knee arthroplasty (MIS-UKA) assisted by computer navigation system. Methods: Between May 2009 and May 2010,... |
0 | Cervical epidural anesthesia and surgical blood loss in radical mastectomy | AAHKS (8) Anesthetic Infiltration | To determine whether epidural anesthesia reduces intraoperative blood loss, intraoperative blood loss during radical mastectomy in three groups of patients was compared: cervical epidural plus 67% N2O and O2 (n=22);enflurane and 67% N2O and O2 (n=21); and deep enflurane and 67% N2O and O2 (n=15). Intra-operative blood ... |
0 | Injury patterns from major urban terrorist bombings in trains: the Madrid experience | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Terrorist urban mass casualty incidents (MCI) in the last 3 years have targeted commuter trains at rush hour, producing large numbers of casualties. Civilian care providers are usually not familiar with the types of blast injuries sustained by victims of these MCI. METHODS: We focus on the injury patterns s... |
1 | Can we reduce morphine use in elderly, proximal femoral fracture patients using a fascia iliac block? | Hip Fx in the Elderly 2019 | Proximal femoral fractures are becoming increasingly common with an ageing population. Many patients have multiple comorbidities increasing their risk of opiate complications. 40 consecutive patients presenting with a proximal femoral fracture to a trauma centre in the UK were given either a Fascia Iliaca Block (FIB) w... |
0 | Comparison the effect of acupuncture in treatment of De Quervainâ??s disease with steroid injection | Distal Radius Fractures | INTERVENTION: Control group (injection): To inject the sheath around the abductor pollicis longus and extensor pollicis brevis tendons, the insulin needle is inserted 1 cm proximal to the radial styloid process at the angle of 45 degree from the skin and parallel to the direction of the tendons. If resistance is so hig... |
0 | Changes in bone mineral density, lean body mass and fat content as measured by dual energy x-ray absorptiometry in patients with prostate cancer without apparent bone metastases given androgen deprivation therapy | Management of Hip Fractures in the Elderly | PURPOSE: We characterize the consequences of androgen deprivation therapy on body composition in elderly men. MATERIALS AND METHODS: Using a dual energy x-ray absorptiometry instrument, we determined the changes in bone mineral density, bone mineral content, fat body mass and lean body mass in 35 patients with prostate... |
0 | Improving emergency medicine residents' approach to patients with alcohol problems: a controlled educational trial | DoD PRF (Psychosocial RF) | STUDY OBJECTIVE: We determine whether training using a structured skills-based intervention would improve emergency medicine residents' knowledge and practice in screening and intervening with patients presenting to the emergency department with alcohol problems.
METHODS: In a controlled trial conducted at 2 similar em... |
0 | INFECTIOUS ENDOCARDITIS IN PATIENTS AT PELTIER HOSPITAL IN DJIBOUTI | Dental Implant Infection | Bacterial endocarditis remains a serious tropical disease. Bacterial endocarditis is predisposed by the presence of a lesion on the intracardiac surface upon which blood borne pathogens adhere, damage the endothelium and colonize causing vegetation on the valves. Majority of patients have a history of either, indwellin... |
0 | Rehabilitation after plate fixation of upper and lower extremity fractures | Distal Radius Fractures | Post-operative rehabilitation and weight-bearing protocols are important to fracture fixation outcomes, yet there is a dearth in the literature concerning universal treatment guidelines following plate fixation of extremity fractures. There are controversies regarding time to allow weight-bearing and range of motion fo... |
1 | Reduced blood loss after total knee arthroplasty with local injection of bupivacaine and epinephrine | AAHKS (8) Anesthetic Infiltration | Our goal was to determine by direct measurement of drain output whether intraoperative injection of bupivacaine with epinephrine significantly reduces postoperative blood loss in total knee arthroplasty (TKA). The study and control groups were primary TKAs performed by 1 surgeon using a single-cemented TKA design and a... |
0 | A potential complication of endoscopic carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Complications of carpal tunnel release have been well documented in the literature. Recently, a procedure for endoscopic release of the transverse carpal ligament has been described. This case report demonstrates a potential complication of endoscopic carpal tunnel release, in which the flexor digitorum superficialis t... |
1 | Magnetic resonance imaging assessment for unicompartmental knee replacement: a limited role | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of this study was to see if MRI has a role in pre-operative assessment of patients for unicompartmental knee replacement. Until now, surgeons have been unable to predict whether a patient is suitable until the operation itself when the anterior cruciate ligament is inspected. We found that 33% of patients w... |
0 | Eleven myths of dentoalveolar surgery | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Through the years, dentists who perform dentoalveolar surgery have perpetuated many myths and other unproven beliefs from one generation to another. Sometimes, these beliefs originated in older textbooks, while others were given birth by mentors sharing anecdotal experiences with their students. Even today, many of the... |
0 | Cranial and peripheral neuropathy in rheumatoid arthritis with special emphasis to II, V, VII, VIII and XI cranial nerves | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Cranial neuropathy in rheumatoid arthritis (RA) is relatively rare compared to the frequently reported peripheral neuropathy. Methods: We investigated the occurrence of subclinical cranial and peripheral nerve involvement in 55 patients with RA. Results: Patients had a mean age of 43.1 years and a mean dura... |
0 | Frontal lobe dysfunctions in schizophrenia--I. Eye movement impairments | Upper Eyelid and Brow Surgery | The phenomena of eye movement impairments in schizophrenia are interpreted in this paper, Part I of a two-paper series, in the context of neural mechanisms of attention and eye movement control. The predominant pattern of attention and eye movement impairment in schizophrenia--a disruption of smooth pursuit by saccadic... |
1 | Breast lesions in reduction mammaplasty specimens: a histopathological pattern in 534 patients | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The prevalence of breast lesions (benign, precancerous and cancer lesions) in reduction mammaplasty (RM) specimens has rarely been reported in Europe and never in the Swiss population.
METHODS: Personal and histopathological data from 534 female patients who underwent RM were reviewed.
RESULTS: Benign and/o... |
0 | Randomised controlled study comparing general and spinal anaesthesia with and without a tourniquet on the outcomes of total knee arthroplasty: study protocol | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Total knee arthroplasty is a highly effective treatment for end-stage knee osteoarthritis, and it is usually performed under spinal or general anaesthesia with or without a surgical tourniquet. Some debate about the preferred mode of anaesthesia regarding patient outcomes remains. The aim of this study, w... |
0 | Microbiology and injury characteristics in severe open tibia fractures from combat | PJI DX Updated Search | BACKGROUND: Type III open tibia fractures are common combat injuries. The purpose of the study was to evaluate the effect of injury characteristics and surveillance cultures on outcomes in combat-related severe open tibia fractures. METHODS: We conducted a retrospective study of all combat-related open Gustilo and Ande... |
0 | Magnetic resonance arthrography results that indicate surgical treatment for partial articular-sided supraspinatus tendon avulsion: a retrospective study in a tertiary center | Glenohumeral Joint OA | Background Specific findings on magnetic resonance arthrography (MRA) that indicate the need for surgery in patients with partial articular-sided supraspinatus tendon avulsion (PASTA) are not well understood. |
0 | Effects of 2-year therapy with ipriflavone in elderly women with established osteoporosis | Distal Radius Fractures | The effectiveness and safety of a longâ?term treatment with ipriflavone were investigated in 49 elderly osteoporotic women (age 65â?79) with at least one vertebral fracture and forearm bone mineral density (BMD) below 2 SD of ageâ?matched average. Women were randomly allocated to treatment with either oral ipriflavo... |
0 | Quadriceps fat pad edema: significance on magnetic resonance images of the knee | AMP (Acute Meniscal Pathology) | OBJECTIVE: While clinically reading magnetic resonance (MR) images of the knees we have occasionally noted edema within the suprapatellar fat pad, with mass effect both on the suprapatellar joint recess posteriorly, and on the quadriceps tendon anteriorly. This MR appearance is analogous to Hoffa's disease described in... |
0 | Anabolic role of lysyl oxidase like-2 in cartilage of knee and temporomandibular joints with osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Lysyl oxidase like-2 (LOXL2) is a copper-dependent amine oxidase. Our previous studies showed that LOXL2 is elevated during mouse fracture healing. The goal of this study was to evaluate the potential of LOXL2 to act as an anabolic agent in cartilage affected by osteoarthritis (OA).
METHODS: LOXL2 was visua... |
0 | Mental health among clients of the Sydney Medically Supervised Injecting Centre (MSIC) | DoD PRF (Psychosocial RF) | The Sydney Medically Supervised Injecting Centre (MSIC) is a supervised injecting facility (SIF) where people who inject drugs (PWID) can do so legally, under health professional supervision. The majority of clients have low levels of education and employment, high rates of incarceration and unstable housing and poor s... |
1 | The 2012 ABJS Nicolas Andry Award: The Sequence of Prevention: A Systematic Approach to Prevent Anterior Cruciate Ligament Injury | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: ACL injuries are common, often devastating injuries that lead to short-term disability and long-term sequelae, many of which lack effective treatment, such as osteoarthritis. Therefore, prevention of ACL injury is currently the only effective intervention for these life-altering sequelae, while much of the ... |
0 | Adamantinoma of tibia: a study of 12 cases | MSTS 2018 - Femur Mets and MM | BACKGROUND: Adamantinoma is a rare tumor of long bones that can be mistaken for a carcinoma, and numerous other lesions such as myoepithelial tumor, malignant mixed tumor of bone, fibrous dysplasia/osteofibrous dysplasia, and vascular tumors.
METHODS: The histology and clinical features of 12 cases accrued from the sur... |
1 | Patient satisfaction needs as related to knee stability and objective findings after ACL reconstruction using the LARS artificial ligament | Anterior Cruciate Ligament Injuries CPG | The purposes of this study are to compare patient satisfaction with the objective measurement of knee stability and assess early complications following ACL reconstruction using a LARS artificial ligament. Forty-seven patients were reviewed 8-45 months after surgery. Assessment was made by the Knee and Osteoarthritis O... |
0 | The Epidemiology of Benign Proliferative Processes of the Skeletal System in Children | Osteochondritis Dissecans 2020 Review | A suspicion of a proliferative bone lesion in a child seems to be a major diagnostic problem for clinicians. There are no diagnostic and treatment algorithms described in the literature and no reliable cohort epidemiological data. Our study was conducted among 289 paediatric patients (0-18 years old) with an initial di... |
0 | The older worker with osteoarthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Changing demographics mean that many patients with large joint arthritis will work beyond traditional retirement age. This review considers the impact of knee osteoarthritis (OA) on work participation and the relation between work and total knee replacement (TKR). SOURCES: Two systematic searches in Embase ... |
0 | A personalized snack-based intervention for hip fracture patients: development, feasibility and acceptability | Management of Hip Fractures in the Elderly | INTRODUCTION: Undernutrition is common in older people admitted to hospital with hip fracture. Oral supplementation with sip feeds may be provided but compliance is a major problem. OBJECTIVE: To develop a personalized snack-based intervention for practical implementation in hip fracture patients and to assess feasibil... |
1 | Injecting autologous platelet rich plasma solely into the knee joint is not adequate in treating geriatric patients with moderate to severe knee osteoarthritis | PRP (Platelet-Rich Plasma) | Knee pain caused by osteoarthritis (OA) is commonly seen in geriatric patients. Patients with knee OA are often complicated with joint pain, soreness, and weakness. The injection of autologous platelet rich plasma (aPRP) has been proven to be effective in treating mild knee OA. The effect of injecting aPRP in treating ... |
0 | The use of inflammatory markers as a method for discharging patients post hip or knee arthroplasty | PJI DX Updated Search | Background: Complications after orthopaedic surgery have a substantial impact on resources, including the financial resources of the health-care system. Early detection of patients developing complications, thus excluding those patients without complications should have a major impact on patients' management. Methods: ... |
1 | Analysis of IR thermal imager for mass blind fever screening | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Obtaining meaningful temperature for the human body requires identifying a body site that will provide reliable data across a large population. It is important to understand that skin temperature does not solely depend on body-core temperature and may be affected by other physiological and environmental fac... |
0 | The basic science of the patella: structure, composition, and function | Surgical Management of Osteoarthritis of the Knee CPG | The patella is the largest sesamoid bone in the body. The patellofemoral joint provides an integral articulating component of the extensor mechanism of the knee joint. A detailed description of patella anatomy, embryology and development, neurovascular anatomy, biomechanical function, and imaging modalities is provided... |
0 | Acute occlusion of popliteal and/or tibial arteries: The value of percutaneous treatment | DOD - Acute Comp Syndrome CPG | Objectives: To describe early and mid-term results with a percutaneous therapeutic protocol including thromboaspiration, thrombolysis, and correction of the underlying lesion by PTA. Methods: Thirty-three consecutive selected patients with recent (<1 month) reversible acute ischaemia associated with popliteal and/or ti... |
0 | Clinical burden and incremental cost of fractures in postmenopausal women in the United Kingdom | HipFx Supplemental Cost Analysis | This cohort study of postmenopausal women in the United Kingdom aged (greater-than or equal to)50 years determined the incremental cost of health care and clinical outcomes in the 12. months following incident, selected fractures (non-vertebral non-hip [NVNHF], vertebral [VF] and multiple [MF]). Incremental costs and o... |
0 | Medial ulnar collateral ligament origin in children and adolescents: an MRI anatomic study | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The medial ulnar collateral ligament (MUCL) is the primary stabilizer against valgus stress on the elbow. The anatomy of the 3 bundles of the MUCL has been well studied in adults, but our review of the English literature found no study evaluating the origin of the MUCL in a large group of asymptomatic, skel... |
0 | Mesenchymal cells inhibit expansion but not cytotoxicity exerted by gamma-delta T cells | Reconstruction After Skin Cancer | BACKGROUND: Multipotent mesenchymal stromal cells (MSCs) exert a relevant immunosuppressive activity by inhibiting T- and B-lymphocytes, natural killer (NK) cells and dendritic cell expansion. Nevertheless, a possible activity on gamma/delta T cells has still not been evaluated. Gamma-delta T lymphocytes play an import... |
0 | Adalimumab and the heart: Cause of concern? | Surgical Management of Osteoarthritis of the Knee CPG | Background: Anti-TNF agents are widely used by rheumatologists in the treatment of rheumatoid arthritis, ankylosing spondylitis and psoriatic arthropathy. Dermatologists and gastroenterologists also use them in plaque psoriasis and crohn's disease respectively. Whilst such agents are gaining popularity, by modulating i... |
0 | 2015 Beers Criteria and STOPP v2 for detecting potentially inappropriate medication in community-dwelling older people: prevalence, profile, and risk factors | OAK 3 - Non-arthroplasty tx of OAK | Purpose: To comparatively assess the prevalence rates of potentially inappropriate medications (PIMs) obtained by the former and latest versions of American Geriatrics Society Beers Criteria (AGS BC) and screening tool of older personâ??s potentially inappropriate prescriptions (STOPP), and analyze the factors of influ... |
0 | A pitfall in the insertion of a sliding screw | Management of Hip Fractures in the Elderly | This article describes the problem that can arise when an effort is made to insert a malaligned side plate during a sliding screw fixation |
0 | Total hip arthroplasty: Use and select complications in the US Medicare population | HipFx Supplemental Cost Analysis | Use and outcomes of primary total hip arthroplasty among US Medicare recipients more than 65 years of age were investigated by means of physician and hospital claims for a 5% random sample during 1986 through 1989. Cases involving hip fracture or evidence of existing orthopedic devices in the hip were omitted. Use rate... |
0 | Clinicopathological Characteristics and Prognosis of Squamous Cell Carcinoma of the Breast: A Population-Based Analysis | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: To better understand the clinicopathological features and prognostic profiles of squamous cell carcinoma (SCC) of the breast.
METHODS: Information on breast cancer was obtained from the Surveillance, Epidemiology, and End Results database (2004-2016). Comparative analyses were carried out to investigate the... |
0 | Knee joint biomechanics following arthroscopic partial meniscectomy | AMP (Acute Meniscal Pathology) | We investigated spatiotemporal data, joint kinematics, and joint kinetics during gait in a group of subjects who had recently undergone arthroscopic partial meniscectomy and compared the results to those of healthy controls. Gait analysis was performed on 105 pain-free meniscectomy patients and 47 controls, walking at ... |
1 | Analysis of the characteristics of patients with open tibial fractures of Gustilo and Anderson type III | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To analyze the characteristics of patients with Gustilo-Anderson Type III open tibial fractures treated at a tertiary care hospital in Sao Paulo between January 2013 and August 2014. METHODS: This was a cross-sectional retrospective study. The following data were gathered from the electronic medical records:... |
0 | Treatment of Painful, Irreparable Partial Meniscal Defects With a Polyurethane Scaffold: Midterm Clinical Outcomes and Survival Analysis | PJI DX Updated Search | BACKGROUND: A biodegradable polyurethane scaffold was designed to fulfill a challenging clinical need in the treatment of patients with painful, irreparable partial meniscal defects. HYPOTHESIS: The use of an acellular polyurethane scaffold for new tissue generation in irreparable, partial meniscal defects provides bot... |
1 | Indications for performing carpal tunnel surgery: clinical quality measures | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Rates of carpal tunnel surgery vary for unclear reasons. In this study, the authors developed measures determining when surgery is necessary (benefits exceed risks), inappropriate (risks outweigh benefits), or optional. METHODS: Measures were developed using a modified-Delphi panel. Clinical scenarios were ... |
0 | Outcomes of Distal Ulna Fractures Associated With Operatively Treated Distal Radius Fractures | Distal Radius Fractures | BACKGROUND: The purpose of this study was to report outcomes in patients with nonstyloid distal ulna fractures treated in conjunction with open reduction internal fixation (ORIF) of distal radius fractures.
METHODS: A retrospective review of all patients who had undergone ORIF of a distal radius fracture over a 5-year ... |
0 | Tissue pressure threshold for peripheral nerve viability | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | To investigate the pressure threshold for peripheral nerve dysfunction in compression syndromes (carpal tunnel and compartment syndromes), carpal canal pressure was elevated to 40, 50, 60, and 70 mm Hg in normal volunteers. Motor and sensory latencies and amplitudes of the median nerve were evaluated before compression... |
0 | Fracture history and bone loss in patients with MS | Management of Hip Fractures in the Elderly | Objectives: We have previously shown that MS patients have significantly reduced bone mass and a high prevalence of abnormal vitamin D status. The object of this study was to characterize the frequency of adulthood fractures in MS patients, prospectively determine rates of bone loss in MS, and determine whether vitamin... |
0 | Arthroscopic treatment of ulnar impaction syndrome | DoD - ACS - Interrater Reliability | Ulnar impaction syndrome occurs in the setting of a central traumatic or degenerative defect in the triangular fibrocartilage complex in patients with ulnar positive variance. Chondral and subchondral edema, mechanical impingement of the articular disc, and chondromalacia of the distal ulna, proximal lunate, and proxim... |
0 | Normal anatomy and biomechanics of the knee | AMP (Acute Meniscal Pathology) | Functionally, the knee comprises 2 articulations-the patellofemoral and tibiofemoral. Stability of the joint is governed by a combination of static ligaments, dynamic muscular forces, meniscocapsular aponeurosis, bony topography, and joint load. The surgeon is ill equipped to undertake surgical treatment of a dislocate... |
1 | The Effect of Concomitant Biceps Tenodesis on Reoperation Rates After Rotator Cuff Repair: A Review of a Large Private-Payer Database From 2007 to 2014 | Trial Systematic Review Project | PURPOSE: To determine if reoperation rates are higher for patients who underwent isolated rotator cuff repair (RCR) than those who underwent RCR with concomitant biceps tenodesis using a large private-payer database.
METHODS: A national insurance database was queried for patients who underwent arthroscopic RCR between ... |
0 | Study of the relation between body weight and functional limitations and pain in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the influence of the body weight in functional capacity and pain of adult and elderly individuals with knee osteoarthritis.
METHODS: The sample consisted of 107 adult and elderly patients with knee osteoarthritis divided into two groups (adequate weight/adiposity and excessive weight/adiposity) acc... |
0 | Long term use of analgesics and risk of osteoarthritis progressions and knee replacement: Propensity score matched cohort analysis of data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Objectives: To determine the association between the long-term use of analgesics and progression of osteoarthritis (OA) as evidenced by up to 3-years follow-up worsening of radiographic Kellgren-Lawrence (KL) grade and incidence of knee replacement (KR). Design: Using nearest neighbor matching of the propensity scores ... |
0 | Predictors of visual outcome with transsphenoidal excision of pituitary adenomas having suprasellar extension: A prospective series of 100 cases and brief review of the literature | Upper Eyelid and Brow Surgery | OBJECTIVE: The aim was to assess the factors influencing the visual outcome following trans-sphenoidal excision of pituitary adenomas. MATERIALS AND METHODS: One hundred consecutive patients of pituitary adenomas with suprasellar extension (SSE) were operated by trans-sphenoidal approach from July 2003 to December 2006... |
0 | Stem cells in breast epithelia | MSTS 2018 - Femur Mets and MM | The rodent and human nonpregnant mammary glands contain epithelial, intermediate and myoepithelial cells which have all been isolated as cell lines in vitro. Transforming growth factor-alpha (TGF alpha) and basic fibroblast growth factor (bFGF) are produced by myoepithelial cells and can stimulate the growth of interme... |
1 | Value of power Doppler and gray-scale US in the diagnosis of carpal tunnel syndrome: contribution of cross-sectional area just before the tunnel inlet as compared with the cross-sectional area at the tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To determine the value of gray-scale and power Doppler ultrasonography in the evaluation of carpal tunnel syndrome (CTS). MATERIALS AND METHODS: Median nerves at the carpal tunnel were evaluated by using gray-scale and power Doppler ultrasonography and by using accepted and new criteria in 42 patients with C... |
0 | Osteoarthritis year in review 2017: clinical | PRP (Platelet-Rich Plasma) | This review is based on a systematic review of the literature relevant to clinical topics in osteoarthritis (OA) performed for the time period February 22, 2016 to April 1, 2017. A PubMed search using the terms “osteoarthritis” and “treatment or epidemiology” returned over 800 papers, of which 57 are reviewed here, wit... |
0 | Different risk magnitudes of femoral neck and intertrochanteric fractures in Thai women | Management of Hip Fractures in the Elderly | OBJECTIVE: To study the risk factors associated of femoral neck and intertrochanteric fractures in Thai women. MATERIAL AND METHOD: A case,control study was conducted in Bangkok and its vicinity between 1997 and 1998 to compare factors related to each type of hip fracture in Thai women. Cases, aged > or =51 years old, ... |
0 | Hyaluronic acid instillation following arthroscopic anterior cruciate ligament reconstruction: a double-blinded, randomised controlled study | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To assess the effect of hyaluronic acid instillation after arthroscopic anterior cruciate ligament (ACL) reconstruction for improving pain, range of movement, and function of the knee.
METHODS: 28 men and 4 women underwent arthroscopic ACL reconstruction for isolated ACL rupture (partial or complete) and insta... |
0 | Osteoporosis and African American women | Management of Hip Fractures in the Elderly | The incidence of osteoporosis and related fractures in African American women is half that of Caucasian women. African American women who sustain osteoporosis-related fractures have increased disability and decreased survival. Given the exponential increase in hip fracture rate among African American women over the age... |
0 | Computed tomography of the carpal tunnel: a radioanatomical study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cross-sectional anatomy of the carpal tunnel was evaluated by computed tomography (CT) on eight cadavers. Prior to CT, the wrists were marked and, subsequently, anatomical cross sections of the specimens were carefully made along the markers. The anatomical section planes closely correlated with the levels of the CT im... |
1 | Early failure and mortality following intramedullary fixation of peritrochanteric fractures | Management of Hip Fractures in the Elderly | Background: The treatment of subtrochanteric and unstable pertrochanteric fractures by operative methods is technically demanding and presents a surgical challenge to the orthopedic surgeon. Fixation failure rates of 5-33% have been reported. However, outstanding results (98% healing) have recently been reported in a l... |
0 | Outcomes of knee replacement in patients with posttraumatic arthritis due to previous tibial plateau fracture | OAK 3 - Non-arthroplasty tx of OAK | Introduction: Tibial plateau fractures are routinely treated with open reduction internal fixation (ORIF); however, the long-term results of ORIF are unclear. The purpose of the current study is to evaluate outcomes in these patients, including: the rate of conversion of ORIF to total knee arthroplasty (TKA), the relat... |
0 | Reduced delays in A&E for elderly patients with hip fractures | Management of Hip Fractures in the Elderly | Published guidelines recommend early transfer of patients with hip fractures to hospital wards and avoidance of unnecessary delays in A&E. We describe a protocol whereby the liaison of an orthopaedic trauma co-ordinator with A&E reduced A&E-to-ward transfer times by 43%. Following introduction of the new protocol, 39% ... |
0 | Longitudinal construct validity of the Health Utilities Indices Mark 2 and Mark 3 in hip fracture | Hip Fx in the Elderly 2019 | PURPOSE: The objective of this study is to evaluate the longitudinal construct validity of the Health Utilities Index Mark 2 (HUI2) and Health Utilities Index Mark 3 (HUI3) using a convergent/divergent validity approach in patients recovering from hip fracture, with the Functional Independence Measure (FIM) as the comp... |
0 | AUtologous fat graft in foot calcaneal postsurgical chronic ulcer | DoD SSI (Surgical Site Infections) | INTRODUCTION: Post-traumatic injury of talus's posterior area and ankle joint with consequent scar formation is often complicated by an unhealing trophic ulcer. Aim of this paper is to evaluate the autologous fat graft effectiveness in treating Achilles tendon area wounds.
MATERIAL AND METHODS: From October 2011 to Mar... |
1 | Treatment of type II, IIIA, and IIIB open fractures of the tibial shaft: a prospective comparison of unreamed interlocking intramedullary nails and half-pin external fixators | DoD SSI (Surgical Site Infections) | OBJECTIVE: To compare unreamed intramedullary nailing (IMN) with external fixation (EF) in patients with Type II, IIIA, and IIIB open fractures of the tibial shaft.
DESIGN: An inception cohort of consecutive patients with Type II, IIIA, and IIIB tibial fractures incurred between January 1988 and March 1993 were systema... |
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