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0 | Carpal tunnel syndrome after distal release of the flexor digitorum profundus and subsequent retraction of the lumbrical muscle into the carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We present three patients who had traumatic amputation of a finger or fingers with subsequent retraction of the flexor digitorum profundus and lumbrical muscle leading to the development of carpal tunnel syndrome |
0 | The economic implications of a multimodal analgesic regimen for patients undergoing major orthopedic surgery: A comparative study of direct costs | AAHKS (9/10) Regional Nerve Blocks | Background and Objectives: Total knee and total hip arthoplasty (THA) are 2 of the most common surgical procedures performed in the United States and represent the greatest single Medicare procedural expenditure. This study was designed to evaluate the economic impact of implementing a multimodal analgesic regimen (Tot... |
1 | Factors associated with prolonged length of stay following a total knee replacement in patients aged over 75 | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The aim of this study was to examine factors associated with a prolonged length of stay (LOS) in patients over 75 undergoing a total knee replacement (TKR). METHODS: Patients over 75 undergoing a TKR at our institution from January 2008 to February 2009 were identified (n = 112). Patient and operative factors ... |
0 | Osteochondritis dissecans of the tibial plafond: imaging characteristics and a review of the literature | Diagnosis and Treatment of Osteochondritis Dissecans AUC | OBJECTIVE; Osteochondritis dissecans of the talar articular surface of the ankle joint has been well described. We report the imaging characteristics of osteochondritis dissecans of the tibial articular surface (tibial plafond). CONCLUSION: Osteochondritis dissecans of the tibial plafond is a rare condition that may no... |
0 | Knee extensor and flexor muscle power explains stair ascension time in patients with unilateral late-stage knee osteoarthritis: A cross-sectional study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To determine the extent of asymmetrical deficits in knee extensor and flexor muscles and to examine whether asymmetrical muscle deficits are associated with mobility limitations in persons with late-stage knee osteoarthritis (OA). DESIGN: Cross-sectional. SETTING: Research laboratory. PARTICIPANTS: A clinica... |
1 | A retrospective study on the use of a low-molecular-weight heparin for thromboembolism prophylaxis in large-volume liposuction and body contouring procedures | Panniculectomy & Abdominoplasty CPG | This retrospective study was designed to evaluate the efficacy of low-molecular-weight heparin (enoxeparin) as a prophylaxis for venous thromboembolism and deep venous thrombosis (DVT) in the management of large-volume liposuction, added body-contouring procedures, or both. The author present an 18-month experience wit... |
1 | Single shot spinal anaesthesia with hypobaric bupivacaine for hip fracture repair surgery in the elderly. Randomized, double blinded comparison of 3.75 mg vs. 7.5 mg | Hip Fx in the Elderly 2019 | BACKGROUND: Arterial hypotension is the most frequent adverse effect of subarachnoid anaesthesia in the elderly sustaining a femoral proximal fracture. Decreasing the local anaesthetic dose reduces the incidence of hypotension but shortens sensory block duration that could be insufficient in some surgical procedures. S... |
0 | Late cognitive and behavioural improvement following treatment of disabling orthopaedic complications of a severe closed head injury | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Interactions of physical, emotional, cognitive and behavioural impairments after severe closed head injury (CHI) remain poorly understood. A 47-year-old man was referred to our department 13 months after a severe CHI. He demonstrated severe left hemiplegia and disabling orthopaedic complications (left hip infectious ar... |
0 | The Clinical Outcome of Patellofemoral Arthroplasty vs Total Knee Arthroplasty in Patients Younger Than 55 Years | OAK 3 - Non-arthroplasty tx of OAK | Background: Patellofemoral osteoarthritis affects 10% of patients older than 40 years and is commonly treated by patellofemoral joint arthroplasty (PFA) or a total knee arthroplasty (TKA). PFA is a more conservative approach with documented faster recovery. No study to date has compared both approaches with respect to ... |
1 | Hip Arthroplasty for Fracture vs Elective Care: One Bundle Does Not Fit All | Hip Fx in the Elderly 2019 | BACKGROUND: To quantify how baseline differences in patients undergoing hip arthroplasty for fracture vs elective care potentially lead to significant differences in immediate health care outcomes and whether these differences affect feasibility of current bundled payment models.
METHODS: New York Statewide Planning an... |
0 | Pressure in the erector spinae muscle during exercise | DOD - Acute Comp Syndrome CPG | The microcapillary infusion method was evaluated in recording intramuscular pressure during isometric and concentric exercise of the erector spinae muscle. Intramuscular pressure at rest was 6.1 (SD = 1.4) mm Hg without infusion and 8.3 with an infusion rate of 1.5 ml/hour. When the subject experienced muscle fatique d... |
0 | Ultrasonographic predictors for clinical and radiological progression in knee osteoarthritis after 2 years of follow-up | PJI DX Updated Search | OBJECTIVE: The aim of this study was to investigate the association between a set of US features and radiographic and clinical progression of knee OA after 2 years of follow-up. METHODS: A total of 125 patients fulfilling ACR clinical criteria for knee OA underwent US examination of the most symptomatic knee. The US pr... |
1 | Anterior knee symptoms after four-strand hamstring tendon anterior cruciate ligament reconstruction | Anterior Cruciate Ligament Injuries CPG | Proponents of hamstring anterior cruciate ligament (ACL) reconstruction suggest that anterior knee symptoms (AKS) may be less than following the use of bone-patella-bone autograft. Our aim was to assess the incidence of AKS in a cohort of patients who had undergone hamstring reconstructions. Forty-four of 50 consecutiv... |
0 | Major emergency orthopaedic surgery in patients with a concomitant acute coronary event following trauma | Hip Fx in the Elderly 2019 | Introduction: This paper is a short series description of our experience with five cases managed surgically for orthopaedic trauma and who suffered meanwhile an acute coronary event. Materials and methods: Five polytrauma, multiply fractured patients were treated in our institution for various lesions, including an ope... |
0 | Proximal femoral nail versus hemiarthroplasty for senile intertrochanteric fractures | Management of Hip Fractures in the Elderly | BACKGROUND: Proximal femoral nail (PFN) internal fixation has been widely used for the treatment of intertrochanteric fractures in senile patients and has a good therapeutic effect. However, it is still controversial that whether artificial joint replacement can be used in intertrochanteric fractures in senile patients... |
0 | Beneficial effects of qigong wuqinxi in the improvement of health condition, prevention, and treatment of chronic diseases: Evidence from a systematic review | OAK 3 - Non-arthroplasty tx of OAK | Purpose. Qigong is a modality of traditional Chinese mind-body medicine that has been used to prevent and cure ailments, to improve health in China for thousands of years. Wuqinxi, a Chinese traditional Qigong that focuses on mind-body integration, is thought to be an effective exercise in promoting physical and mental... |
0 | Femoral component fracture due to osteolysis after cemented mobile-bearing total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | A 58-year-old man with osteoarthritis in the left knee underwent a total knee arthroplasty with a New Jersey anterior-posterior gliding low contact stress mobile-bearing implant. All femoral, tibial, and patellar components were implanted with bone cement. Pain developed at 43 months postsurgery, and plain radiography ... |
0 | A randomized comparison of long-and short-axis imaging for in-plane ultrasound-guided femoral perineural catheter insertion | AAHKS (8) Anesthetic Infiltration | OBJECTIVES: Continuous femoral nerve blocks provide effective analgesia after knee arthroplasty, and infusion effects depend on reliable catheter location. Ultrasound-guided perineural catheter insertion using a short-axis in-plane technique has been validated, but the optimal catheter location relative to target nerve... |
0 | Plasma IGF-1 and IGFBP-3 may be imprecise surrogates for breast concentrations: an analysis of healthy women | Reduction Mammoplasty for Female Breast Hypertrophy | We investigated insulin-like growth factor (IGF)-1 and IGF binding protein (IGFBP)-3 concentrations in histologically normal breast tissues and assessed their association with plasma concentrations, and breast cancer risk factors. IGF-1 and IGFBP-3 were assessed in plasma and breast tissues of 90 women with no history ... |
0 | The effect of previous acetabular fractures on total hip arthroplasty outcomes: A matched-controlled study protocol | DoD SSI (Surgical Site Infections) | BACKGROUND: Total hip arthroplasty (THA) is a safe and mature surgical method for the treatment of post-traumatic arthritis and end-stage degenerative osteoarthritis. The cohort study regarding the outcomes of THA following acetabulum fracture is sparse. Therefore, we carried out this present retrospective paired cohor... |
0 | Effect of Implementing Simulation Education on Health Care Worker Comfort With Nasopharyngeal Swabbing for COVID-19 | Coronavirus Disease 2019 (COVID-19) | OBJECTIVE: To determine if rapid implementation of simulation training for the nasopharyngeal swab procedure can increase provider confidence regarding procedure competency. METHODS: A simulation training exercise was designed as a departmental initiative to improve competency performing nasopharyngeal swabs during the... |
0 | Management of Upper Abdominal Laxity After Massive Weight Loss: Reverse Abdominoplasty and Inframammary Fold Reconstruction | Panniculectomy & Abdominoplasty CPG | Background: Central to body contouring after weight loss surgery is treatment of the abdominal region, often through a circumferential abdominoplasty. This procedure, however, neglects the laxity of the lower thoracic/upper abdominal region. A reverse abdominoplasty with reconstruction of a new inframammary fold (IMF) ... |
0 | Acute chondral injuries to the femoral condyles | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Acute chondral lesions of the knee may be divided into two groups: osteochondral fractures and isolated chondral fracture separations. The mechanism of injury is caused by patella dislocation, a direct force, and a rotatory shearing force. Symptoms are nonspecific, usually with pain and swelling. These lesions mimic to... |
1 | How important are dental procedures as a cause of infective endocarditis? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Eighteen pediatric patients with infective endocarditis (IE) were reviewed for "failure" of chemoprophylaxis; none had had a previous dental procedure. Surprisingly, published reports reveal a similarly low prevalence of dental extractions preceding IE, only 3.6% for 1,322 cases. Although bacteremia was associated with... |
0 | Sunitinib treatment for patients with clear-cell metastatic renal cell carcinoma: Clinical outcomes and plasma angiogenesis markers | MSTS 2018 - Femur Mets and MM | Background: Sunitinib is a protein tyrosine kinase-inhibitor targeting VEGFR, c-kit and PDGFR. It has been approved for the treatment of metastatic renal-cell carcinoma and gastrointestinal stromal tumors. Although it has been shown to prolong disease-free and overall survival in renal-cell carcinoma patients, only 70%... |
0 | MRI of the Knee Meniscus | AMP (Acute Meniscal Pathology) | Menisci are small fibrocartilaginous structures that are essential for the knee stability and preservation of articular cartilage. This article discusses the anatomy and function, variations, appearance and consequence of tears, and postoperative evaluation. We also address pitfalls and signs which can help improve dia... |
0 | Do men and women fracture bones at similar bone densities? | Management of Hip Fractures in the Elderly | When the World Health Organization (WHO) guidelines for the definition of osteoporosis in postmenopausal women were identified similar proposals were not developed for men as there was insufficient evidence about the relationship between bone density and fracture in men. We have therefore examined the relationship betw... |
0 | Arthroscopic femoral osteochondroplasty for cam lesions with isolated acetabular chondral damage | Diagnosis and Treatment of Osteochondritis Dissecans AUC | This study evaluates the outcome of arthroscopic femoral osteochondroplasty for cam lesions of the hip in the absence of additional pathology other than acetabular chondral lesions. We retrospectively reviewed 166 patients (170 hips) who were categorised according to three different grades of chondral damage. The outco... |
1 | Postoperative rehabilitation and outcomes of primary anatomic shoulder arthroplasty | Glenohumeral Joint OA | The purpose of this review is to outline appropriate rehab and discuss outcomes of anatomic total shoulder arthroplasty. Rehabilitation is an important part in producing an effective total shoulder arthroplasty. Implant protection, guided motion and strengthening, and pain control are pillars of appropriate rehab that ... |
0 | Segmental nerve conduction velocity in vibration-exposed shipyard workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: Segmental sensory nerve conduction velocity (SNCV) was measured from the wrists to the hands and digits of a population of vibration-exposed shipyard workers. This study was designed to investigate whether SNCV was selectively slowed in the fingers and whether a laboratory approach could be adapted for robu... |
0 | Episodic cardiac arrhythmia and femoral neck fracture | Management of Hip Fractures in the Elderly | Fifty-eight consecutive patients admitted to hospital for fracture of the upper end of the femur were examined by continuous ECG monitoring for 22--24 hours. More than one third of the patients had occult, previously unknown episodic arrhythmias severe enough to cause dizzy spells and syncope. These patients had more o... |
0 | Dialysis carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Twelve carpal tunnel releases were performed in eight out of ten dialysis patients who developed progressive median and ulnar nerve compartment syndromes following side (artery)-to-end (vein) fistulae required for vascular access, out of a total population of between 200 and 250 patients (4 to 5%). It is our contention... |
1 | Continuation of Medically Necessary Aspirin and Warfarin During Cutaneous Surgery | Reconstruction After Skin Cancer | Excisional cutaneous surgery is performed commonly in patients who take medically necessary aspirin or warfarin. Although controversy has existed regarding the appropriate perioperative management of anticoagulant therapy during cutaneous surgery, recent data suggest that the risk of severe hemorrhagic complications is... |
1 | Use of reverse total shoulder arthroplasty in the Medicare population | Glenohumeral Joint OA | BACKGROUND: Reverse shoulder arthroplasty (RSA) has been Food and Drug Administration approved in the United States since 2004 but did not obtain a unique code until 2010. Therefore, the use of this popular procedure has yet to be reported. The purpose of this study was to examine the use and reimbursement of RSA compa... |
0 | Fractures in users of antidepressants and anxiolytics and sedatives: Effects of age and dose | Management of Hip Fractures in the Elderly | Antidepressants have been associated with fractures. In a case-control study, increasing age was associated with more fractures in users of selective serotonin reuptake inhibitors and tricyclic antidepressants, whereas for anxiolytics and sedatives, more fractures were seen among the younger users. Depression per se di... |
0 | Supramalleolar osteotomy for realignment of the ankle joint | Surgical Management of Osteoarthritis of the Knee CPG | Ankle replacement systems have not been as reliable as hip replacements in providing long-term relief of pain, increased motion, and return to full activity. Supramalleolar Osteotomy is an extraarticular procedure that realigns the mechanical axis, thereby restoring ankle function. The literature discussing knee arthri... |
0 | Computed tomography of acetabular fractures | Management of Hip Fractures in the Elderly | Computed tomography (CT) is helpful in delineating the extent and configuration of fractures of the acetabulum. These injuries are frequently complex, and the precise pathological anatomy is not easily demonstrated by conventional radiographs. In some cases CT will reveal a fracture which may not be seen on the radiogr... |
0 | Is quadriceps H-reflex excitability a risk factor for patellofemoral pain? | OAK 3 - Non-arthroplasty tx of OAK | Patellofemoral pain (PFP) is one of the most common conditions in orthopedic practice while recent evidence has suggested that it may be a predisposing factor to patellofemoral osteoarthritis. In addition to biomechanical alterations associated with the pathomechanisms underlying PFP, the investigation of neurophysiolo... |
0 | The incidence of ptosis following extracapsular and phacoemulsification surgery: comparison of two prospective studies and review of the literature | Upper Eyelid and Brow Surgery | We prospectively compared 120 patients who underwent either phacoemulsification or extracapsular cataract (ECCE) surgery to establish the incidence of postoperative ptosis between the two techniques. Of the 120 patients, 60 underwent ECCE (unpublished data 1989) and 60 had phacoemulsification. Data was collected prospe... |
0 | A systematic review of risk factors for the development and recurrence of pressure ulcers in people with spinal cord injuries | DoD PRF (Psychosocial RF) | STUDY DESIGN: A systematic review was undertaken, based upon methods recommended for effectiveness questions but adapted to identify observational risk factor (RF) studies.
OBJECTIVES: The literature identifies many RFs for pressure ulcer (PU) recurrence and development; however, RFs independently predictive of PU deve... |
1 | The microbiological impact of pulsed xenon ultraviolet disinfection on resistant bacteria, bacterial spore and fungi and viruses | Coronavirus Disease 2019 (COVID-19) | Pathogens can persist in the patient care environment and cause the risk of transmission to patients. Pulsed xenon ultraviolet (PX-UV) is increasingly being used to disinfect patient rooms, operating rooms and other areas. Data on the impact of PX-UV on resistant bacteria, bacterial spores, fungi, viruses and the Ebola... |
0 | Rheumatic manifestations in myxedema | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In 16 patients with myxedema, rheumatic manifestations predominated among the subjective complaints while other manifestations of this disease were not striking at first sight. Acroparesthesia, mostly on the base of the carpal tunnel syndrome, pains in the muscles of the extremities and backache as well as stiffness we... |
0 | Fracture at the modular junction of a cementless revision hip system | PJI DX Updated Search | Case: Multiple cases of modular femoral component failure involving fatigue at the modular stem junction have been reported following revision total hip arthroplasty. In the present report, we describe what we believe to be the first case of catastrophic failure involving the Biomet Arcos revision system. The failure i... |
0 | Hip fusion as hip salvage procedure in Cerebral Palsy | DoD LSA (Limb Salvage vs Amputation) | The treatment of the spastic hip in Cerebral Palsy (CP) remains a challenge especially in cases of advance changes. Many options are available and the key for a good outcome is to find the best surgical procedure to an individualized patient. The hip fusion is one of the surgical options. The authors presented a group ... |
0 | S-Adenosylmethionine for osteoarthritis of the knee or hip | Management of Hip Fractures in the Elderly | BACKGROUND: Osteoarthritis is the most common form of joint disease and the leading cause of pain and disability in the elderly. S-Adenosylmethionine may be a viable treatment option but the evidence about its effectiveness and safety is equivocal. OBJECTIVES: We set out to compare S-Adenosylmethionine (SAMe) with plac... |
1 | Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom.[Reprint in J Spec Oper Med. 2009 Summer;9(3):67-73; PMID: 19739479] | DoD PRF (Psychosocial RF) | BACKGROUND: A number of studies have examined the prevalence and correlates of posttraumatic stress disorder (PTSD), depression, and related psychiatric conditions in soldiers returning from Operations Enduring Freedom and Iraqi Freedom (OEF/OIF), but none have examined whether factors such as psychological resilience ... |
0 | Positive effects of cell-free porous PLGA implants and early loading exercise on hyaline cartilage regeneration in rabbits | PJI DX Updated Search | The regeneration of hyaline cartilage remains clinically challenging. Here, we evaluated the therapeutic effects of using cell-free porous poly(lactic-co-glycolic acid) (PLGA) graft implants (PGIs) along with early loading exercise to repair a full-thickness osteochondral defect. Rabbits were randomly allocated to a tr... |
1 | Evaluation of a symptom diagram for identifying carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Hand symptom diagrams (HSDs) for rating the distribution of paraesthesias are proposed for use in epidemiological studies of carpal tunnel syndrome (CTS). AIM: To assess the validity of HSDs in a working population of manufacturing and service workers participating in a prospective study of musculoskeletal ... |
0 | Systemic lupus erythematosus is not a risk factor for poor outcomes after total hip and total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: Historically, arthroplasty in systemic lupus erythematosus (SLE) patients has been less successful than for patients with osteoarthritis (OA). It is not known if SLE remains an independent risk factor for poor arthroplasty outcomes or if other factors, such as avascular necrosis (AVN), continue to play a ro... |
0 | Bone matters in lung cancer | MSTS 2018 - Femur Mets and MM | Background: Bone metastases are a significant and undertreated clinical problem in patients with advanced lung cancer. Design: We reviewed the incidence of bone metastases and skeletal-related events (SREs) in patients with lung cancer and examined the burden on patients' lives and on health care systems. Available the... |
0 | Effects of transcutaneous electrical nerve stimulation and therapeutic exercise on quadriceps activation in people with tibiofemoral osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | STUDY DESIGN: Blinded, randomized controlled trial. OBJECTIVES: To determine if the combination of transcutaneous electrical nerve stimulation (TENS) set to a sensory level and therapeutic exercise would be more effective than the combination of placebo TENS and therapeutic exercises or therapeutic exercises only to in... |
0 | The Global Longitudinal Study of Osteoporosis in Women (GLOW): Rationale and study design | Management of Hip Fractures in the Elderly | The Global Longitudinal study of Osteoporosis in Women (GLOW) is a prospective cohort study involving 723 physicians and 60,393 women subjects (greater-than or equal to)55 years. The data will provide insights into the management of fracture risk in older women over 5 years, patient experience with prevention and treat... |
0 | [Comparison between docetaxel plus cisplatin and cisplatin plus fluorouracil in the neoadjuvant chemoradiotherapy for local advanced esophageal squamous cell carcinoma] | Reconstruction After Skin Cancer | OBJECTIVE: To compare the efficacy and feasibility of neoadjuvant chemoradiotherapy with docetaxel plus cisplatin or with cisplatin plus fluorouracil in the treatment of local advanced esophageal squamous cell carcinoma.METHODS: A total of 154 cases in the stage of cT3N0-1M0 were randomly assigned to two arms. The arm ... |
0 | Decreased risk of knee buckling with adductor canal block versus femoral nerve block in total knee arthroplasty: a retrospective cohort study | AAHKS (8) Anesthetic Infiltration | Background: Femoral nerve (FNB) and adductor canal blocks (ACB) are used in the setting of total knee arthroplasty (TKA), but neither has been demonstrated to be clearly superior. Although dynamometer studies have shown ACBs spare perioperative quadriceps function when compared to FNBs, ACBs have been widely adopted in... |
0 | Smoking Increases Postoperative Complications After Distal Radius Fracture Fixation: A Review of 417 Patients From a Level 1 Trauma Center | Distal Radius Fractures | BACKGROUND: Unstable distal radius fractures that undergo surgical stabilization have varying complication rates in the literature. Smoking is known to affect bone healing and implant fixation rates but has never been definitively shown to affect postoperative outcomes of surgically managed distal radius fractures.
MET... |
0 | Eccentric and Concentric Resistance Exercise Comparison for Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: To compare the efficacy of eccentrically-focused resistance exercise (ECC RT) to concentrically-focused resistance exercise (CNC RT) on knee osteoarthritis (OA) symptoms and strength. METHODS: 90 participants consented. Participants were randomized to CNC RT, ECC RT or a wait-list no-exercise control grou... |
0 | Geriatric perioperative care | Hip Fx in the Elderly 2019 | The number of older people undergoing surgery is increasing yearly. Older adults are more likely to present for emergency surgery than undergo an elective operation. Advanced age, frailty, multimorbidity, cognitive impairment, and urgency of surgery are all predictors of poor outcome, including functional and cognitive... |
1 | Decision making in detecting abnormal Semmes-Weinstein monofilament thresholds in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Both hands of 39 patients who had symptoms of pain and/or numbness in one or both hands were tested by two hand therapists using the full kit of Semmes-Weinstein monofilaments (SWMFs). The SWMF thresholds were obtained for the thumb, the index finger, and the long and small fingers. These thresholds were classified as ... |
1 | Liposomal bupivacaine in total hip arthroplasty: Do the results justify the cost? | AAHKS (8) Anesthetic Infiltration | INTRODUCTION: Liposomal bupivacaine has a paucity of data regarding narcotic requirements and hospital length of stay in comparison to other peri-articular injections, specifically in the total hip arthroplasty (THA) population.
METHODS: 69 patients who underwent THA by a single surgeon were divided into two cohorts ov... |
0 | Bone Metastases in Follicular Carcinoma of Thyroid | MSTS 2018 - Femur Mets and MM | Though the association between follicular carcinoma and bone metastasis is well established, the site-wise distribution is not known. One hundred seventy-three patients of follicular carcinoma presenting between 2003 and 2011 were selected from 1093 patients of follicular lesions presenting at a single institution. Of ... |
1 | Effect of selective flora suppression on colonization, infection, and mortality in critically ill patients: a one-year, prospective consecutive study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To study the effect of enterally administered polymyxin E, tobramycin, and amphotericin B (selective flora suppression) on bacterial colonization, infection, resistance, and mortality rate. DESIGN: Prospective, consecutive crossover controlled study. SETTING: Two surgical ICUs in a university hospital; ICU I... |
0 | Liposuction for highly active antiretroviral therapy (HAART)-associated lipohypertrophy | Panniculectomy & Abdominoplasty CPG | The aim is to explore satisfaction levels in HIV patients following liposuction for HAART-associated lipodystrophy. Ninety postal questionnaires were sent out, enquiring about regions affected and scoring the improvement in lifestyle, discomfort and time of recurrence. We received 66 replies (73%). All areas showed sig... |
0 | Cy5.5-Gly-His-Pro-Gly-Gly-Pro-Gln-Gly-Lys(Fitc)-Cys-Poly-L-lysine-methoxypolyethylene glycol | MSTS 2018 - Femur Mets and MM | Optical fluorescence imaging is increasingly used to study biological functions of specific targets (1, 2). However, the intrinsic fluorescence of biomolecules poses a problem when fluorophores that absorb visible light (350-700 nm) are used. Near-infrared (NIR) fluorescence (700-1,000 nm) detection avoids the backgrou... |
0 | Pain monitoring and management in a rehabilitation setting after total joint replacement | AAHKS (4) Acetaminophen | Total hip replacement (THR) and, particularly, total knee replacement (TKR), are painful surgical procedures. Effective postoperative pain management leads to a better and earlier functional recovery and prevents chronic pain. Studies on the control of pain during the postoperative rehabilitation period are not common.... |
0 | Changes in coagulability as measured by thrombelastography following surgery for proximal femoral fracture | Management of Hip Fractures in the Elderly | The effect of surgery for femoral neck fracture on whole blood coagulation and the relationship of altered coagulation to deep venous thrombosis were investigated in 250 patients. Whole blood coagulation was measured using thrombelastography preoperatively, in the early postoperative period and at 6-week review. Signif... |
0 | Simultaneous bilateral total knee arthroplasty in severe hemophilia: a retrospective cost-effectiveness analysis | PJI DX Updated Search | INTRODUCTION: Simultaneous bilateral total knee arthroplasty (TKA) is proposed in the general population as an alternative to staged bilateral TKA and has the advantage of reducing costs with equivalent complication rates. The aim of this study was to evaluate the cost-effectiveness of this alternative in a population ... |
0 | Analysis of third body particles generated during total knee arthroplasty: is metal debris an issue? | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: There is a concern amongst knee surgeons that during total knee arthroplasty (TKA) certain particles could be generated which might become left inside the knee, and which could become a possible cause of third body wear. Especially during the sawing process, when an oscillating saw is used through slots in a c... |
0 | Histopathological, radiological and clinical aspects of the temporal assignment of scaphoid non-union | Distal Radius Fractures | OBJECTIVE: The aim of this study was to evaluate the correlation between clinical, radiological and histopathological signs of scaphoid non-unions (SNU) with regard to the age of the fracture, primarily because this is relevant for therapy and compensation claims.
MATERIALS AND METHODS: Thirty-eight patients with SNU u... |
0 | Primary tumours and tumorous lesions of clavicle | MSTS 2022 - Metastatic Disease of the Humerus | Primary tumours and tumorous lesions of the clavicle are very rare, and little literature is available regarding their characteristics and outcome. We studied the clinical, radiological, and histopathological characteristics, and outcome of management of patients with primary tumours of the clavicle presenting to us fr... |
0 | Willingness of facial injury patients to change causal substance using behaviors | DoD PRF (Psychosocial RF) | Many injuries due to interpersonal violence among patients presenting to urban trauma centers for treatment are preventable, with alcohol and illicit drug use presenting as common antecedent risk factors. However, many patients with such problems do not seek treatment. Substance use patients were surveyed to determine ... |
0 | All-Suture Transosseous Repair for Rotator Cuff Tear Fixation Using Medial Calcar Fixation | Pediatric Supracondylar Humerus Fracture 2020 Review | We describe an all-suture transosseous repair technique used in the management of rotator cuff tears by means of an all-suture anchor secured on the intra-articular side of the humeral calcar. The technique uses an anterior cruciate ligament guide to ensure accurate positioning of the tunnels, avoiding the articular ca... |
0 | Electrolytes: Calcium Disorders | MSTS 2018 - Femur Mets and MM | A normal serum calcium level is 8 to 10 mg/dL. The diagnosis of hypercalcemia (ie, levels 10.5 mg/dL or greater) should be confirmed with an albumin-adjusted or ionized calcium level. The two most common causes of hypercalcemia are hyperparathyroidism and malignancy. Drugs, notably lithium and thiazide diuretics, also ... |
0 | Real world outcomes with Bortezomib Thalidomide dexamethasone and Cyclophosphamide Bortezomib dexamethasone induction treatment for transplant eligible multiple myeloma patients in a Latin American country. A Retrospective Cohort Study from Grupo Argentino de Mieloma Multiple | MSTS 2022 - Metastatic Disease of the Humerus | Data about treatment outcomes and toxicity in Latin America are scarce. There are differences with central countries based on access to healthcare system and socioeconomic status. Argentinean Society of Hematology recommends bortezomib-based triplets for induction treatment of transplant eligible newly diagnosed multip... |
0 | Severe persistent synovitis after cobalt-chromium total knee arthroplasty requiring revision | PJI DX Updated Search | Implant-related hypersensitivity is a well-established cause of failure after total hip arthroplasty but is a rare complication after total knee arthroplasty (TKA). It remains a relatively unpredictable and poorly understood cause of implant-related failure. This article describes 5 patients (6 knees) who presented wit... |
0 | Cost-utility analysis of total knee arthroplasty for osteoarthritis in a regional medical center in China | OAK 3 - Non-arthroplasty tx of OAK | Background: To analyze the cost-effective ratio of total knee arthroplasty (TKA) in the osteoarthritis (OA) treatment of at a regional medical center in China. Methods: One hundred thirty-nine patients with osteoarthritis who underwent TKA at the Department of Osteoarthritis in Luhe hospital (Tongzhou, Beijing) from Ja... |
0 | The effects of lifetime food restriction on the development of osteoarthritis in the canine shoulder | Glenohumeral Joint OA | To report effects of age and lifetime food restriction on development and progression of shoulder joint osteoarthritis (OA) in Labrador retriever dogs. Longitudinal life-span, cohort study. Labrador retriever dogs (n=48). Littermates were paired (gender, weight) to make 24 pairs of genetically similar dogs. Each diet-r... |
0 | The effect of a garlic supplement on the pro-inflammatory adipocytokines, resistin and tumor necrosis factor-alpha, and on pain severity, in overweight or obese women with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Osteoarthritis (OA) is a prevalent degenerative joint disease, which is associated with chronic and disabling pain. The adipocytokines, resistin and tumor necrosis factor-alpha (TNF-alpha), might play a role in OA pathogenesis and outcomes.
PURPOSE: The aim of this study was, therefore, to assess the anti-i... |
0 | Serum metalloproteinases 2 and 9 as predictors of gait status, pressure ulcer and mortality after hip fracture | Hip Fx in the Elderly 2019 | INTRODUCTION: The aim of this study is to evaluate the serum activity of metalloproteinases (MMPs) -2 and -9 as predictors of pressure ulcer (PU), gait status and mortality 6 months after hip fracture.
METHODS: Eighty-seven patients over the age of 65 admitted to the orthopedic unit from January to December 2010 with h... |
0 | Comparative study of the effect of Tai Chi and isometric exercises on the severity of pain and balance in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Background: Osteoarthritis is a chronic and debilitating disease that often occurs in elderly populations, causing pain and loss of balance. The aim of this study was to compare the effect of Tai Chi and isometric exercises on the pain and balance in patients with knee osteoarthritis. Methods: In this study, 24 male su... |
0 | Avulsion fracture of the lateral ankle ligament complex in severe inversion injury: incidence and clinical outcome | Management of Hip Fractures in the Elderly | BACKGROUND: Avulsion fracture of the lateral ankle ligaments is often undetected on early radiographs. The epidemiology and treatment of such avulsion fractures have received much less attention than the epidemiology and treatment of rupture of these ligaments. HYPOTHESIS: The clinical characteristics of avulsion fract... |
0 | Functional recovery after hip fracture: the combined effects of depressive symptoms, cognitive impairment, and delirium | Management of Hip Fractures in the Elderly | OBJECTIVES: To measure the prevalence of depressive symptoms, cognitive impairment, and delirium in patients with hip fracture and to estimate their effect on functional recovery, institutionalization, and death after surgical repair. DESIGN: Prospective cohort. SETTING: Hospital, follow-up to community and nursing hom... |
0 | Hostile Marital Interactions, Proinflammatory Cytokine Production, and Wound Healing | DoD PRF (Psychosocial RF) | Context: A growing epidemiological literature has suggested that marital discord is a risk factor for morbidity and mortality. In addition, depression and stress are associated with enhanced production of proinflammatory cytokines that influence a spectrum of conditions associated with aging. Objective: To assess how h... |
0 | Cut off values of bone mineral density defining postmenopausal women with bone fractures | Distal Radius Fractures | OBJECTIVES: To define cut off values of bone mineral density (BMD), measured at different forearm sites by single photon absorptiometry, that discriminated postmenopausal women who have had fractures from those who have not, in order to provide an index of fracture risk for screening purposes.
METHODS: BMD values were ... |
0 | [Influence of nocturnal surgery on mortality and complications in patients with hip fractures] | Management of Hip Fractures in the Elderly | UNLABELLED: SUBJECT OF INVESTIGATION: The appropriate time of day for surgery of hip fractures and the question of whether surgery should be performed at night are controversial. We therefore investigated the influence of the time of day on mortality and complication rates in surgery for hip fractures.METHOD: A total o... |
0 | Exercise protects against insulin-dependent diabetes-induced osteoarthritis in rats: A scanning electron microscopy study | OAK 3 - Non-arthroplasty tx of OAK | We tested the hypothesis that swim exercise can protect the articular cartilage from damages induced secondary to insulin-dependent diabetes mellitus in rats using the scanning electron microscopy and to monitor the blood levels of oxidative and antioxidative stress biomarkers that are known to be modulated in osteoart... |
0 | Sirt6 attenuates chondrocyte senescence and osteoarthritis progression | AMP (Acute Meniscal Pathology) | Sirt6 has been implicated as a key regulator in aging-related diseases, including osteoarthritis. However, its functional role and molecular mechanism in chondrocyte senescence and osteoarthritis pathophysiology remain largely undefined. Here we show that Sirt6 deficiency exaggerates chondrocyte senescence and osteoart... |
0 | The Minimum Clinically Important Difference of the Patient-rated Wrist Evaluation Score for Patients With Distal Radius Fractures | Distal Radius Fractures | BACKGROUND: The Patient-rated Wrist Evaluation (PRWE) is a commonly used instrument in upper extremity surgery and in research. However, to recognize a treatment effect expressed as a change in PRWE, it is important to be aware of the minimum clinically important difference (MCID) and the minimum detectable change (MDC... |
1 | Streptococci isolated from the bloodstream and gingival crevice of man | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | One hundred and twenty six strains of streptococci isolated from the bloodstreams of 123 hospital in-patients--55 with endocarditis--and 255 strains isolated from the gingival crevices of 66 volunteers were characterised. Species isolated were Streptococcus mitior, S. sanguis, undifferentiated viridans streptococci, S.... |
0 | Comparison of intra-articular injections of hyaluronic acid and corticosteroid in the treatment of osteoarthritis of the hip in comparison with intra-articular injections of bupivacaine. Design of a prospective, randomized, controlled study with blinding of the patients and outcome assessors | Management of Hip Fractures in the Elderly | BACKGROUND: Although intra-articular hyaluronic acid is well established as a treatment for osteoarthritis of the knee, its use in hip osteoarthritis is not based on large randomized controlled trials. There is a need for more rigorously designed studies on hip osteoarthritis treatment as this subject is still very muc... |
0 | Median nerve contusion during endoscopic carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Median nerve contusion occurred in two patients treated by endoscopic carpal tunnel release. We discuss the possible cause of this complication and how to avoid it |
0 | The good-old-days bias and post-concussion syndrome symptom reporting in a non-clinical sample | DoD PRF (Psychosocial RF) | Primary objective: To investigate the good-old-days bias, a psychosocial factor associated with post-concussion syndrome (PCS). Study design: Repeated measures comparison of PCS symptoms reported 6 months prior (retrospectively) and currently. A non-clinical sample was used to determine if this bias is a general recall... |
0 | Port catheter fracture and migration in Internal Jugular Vein | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Central venous access devices for chemotherapy are being used extensively in patients with cancer. Spontaneous fracture and migration of the catheter is uncommon. We present the uncommon occurrence of a fracture and spontaneous migration of the fragment into the internal jugular vein as a delayed complicati... |
1 | What Is the Magnitude and Long-term Economic Cost of Care of the British Military Afghanistan Amputee Cohort? | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Personal protection equipment, improved early medical care, and rapid extraction of the casualty have resulted in more injured service members who served in Afghanistan surviving after severe military trauma. Many of those who survive the initial trauma are faced with complex wounds such as multiple amputat... |
0 | Cathepsin B in predicting the extent of the cervix carcinoma | MSTS 2018 - Femur Mets and MM | The value of cathepsin B activity in determining the extent of disease was investigated in 106 patients with carcinoma of the cervix uteri and in 20 women with dysplasia of the cervix uteri. The measurements of serum and tumor cathepsin B activity were performed before treatment. The levels of cathepsin B were estimate... |
0 | Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty: A randomised controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Objective To investigate the postoperative efficacy of a supervised programme of neuromuscular exercise prior to hip or knee arthroplasty. Methods: In this assessor-blinded randomised controlled trial, we included 165 patients scheduled for hip or knee arthroplasty due to severe osteoarthritis (OA). An 8-week preoperat... |
0 | Intractable wounds and infections: the role of impaired vascularity and advanced surgical methods for treatment | DoD SSI (Surgical Site Infections) | Fracture nonunion, delayed union, and osteomyelitis remain serious problems with substantial morbidity and mortality rates. Healing promoters, including bone morphogenic proteins, fibroblast growth factors, and transforming growth factor-beta, regulate bone growth in experimental models, such as those employing a "crit... |
1 | Autogenous bone grafts from the femoral head for the treatment of acetabular deficiency in primary total hip arthroplasty with cement. Long-term results | Developmental Dysplasia of the Hip CPG | Thirty-five consecutive total hip arthroplasties in twenty-eight patients were performed with use of cement and insertion of an autogenous graft from the femoral head. Five patients (six hips) subsequently died or were lost to follow-up. The results for the remaining twenty-three patients (twenty-nine hips) were review... |
0 | Evidence for an association of human papillomavirus and breast carcinomas | Reduction Mammoplasty for Female Breast Hypertrophy | Human papillomavirus (HPV) DNA has been detected in breast carcinoma by different laboratorial techniques, suggesting the virus could play a role in the pathogenesis of this tumor. The aim of the present study is to investigate the presence of HPV in patients with breast carcinoma and the correlation of the viral infec... |
0 | Autologous wound drains have no effect on allogeneic blood transfusions in primary total hip and knee replacement: a three-arm randomised trial | PJI DX Updated Search | We hypothesised there was no clinical value in using an autologous blood transfusion (ABT) drain in either primary total hip (THR) or total knee replacement (TKR) in terms of limiting allogeneic blood transfusions when a modern restrictive blood management regime was followed. A total of 575 patients (65.2% men), with ... |
0 | Annual case volume is a risk factor for 30-day unplanned readmission after open reduction and internal fixation of acetabular fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: Surgical fixation of acetabular fractures is technically challenging, and quality of reduction directly correlates to patient outcomes. Considering the difficulty of open reduction and internal fixation (ORIF), increased case volumes may improve patient outcomes. No studies have investigated case volume as ... |
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