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Continuous femoral nerve block using 0.125% bupivacaine does not prevent early ambulation after total knee arthroplasty
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Continuous femoral nerve block has been shown to decrease opioid use, improve postoperative pain scores, and decrease length of stay. However, several studies have raised the concern that continuous femoral nerve block may delay patient ambulation and increase the risk of falls during the postoperative peri...
0
Evaluating the safety and effectiveness of percutaneous acetabuloplasty
PJI DX Updated Search
Purpose: To evaluate the safety and effectiveness of percutaneous acetabuloplasty in treating the pain and disability related to metastatic lesions of the acetabulum. Materials and methods: This institutional review board approved retrospective study examined 11 patients who underwent percutaneous acetabuloplasty in ou...
0
Arthroplasty rates are increased among US patients with systemic lupus erythematosus: 1991-2005
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To evaluate population-based systemic lupus erythematosus (SLE) arthroplasty rates and compare them with rates in patients with no inflammatory or autoimmune conditions. METHODS: Administrative hospital discharge databases from 10 American states were used to compare knee, hip, and shoulder arthroplasty rate...
0
ERCC1 and histopathology in advanced NSCLC patients randomized in a large multicenter phase III trial
Reconstruction After Skin Cancer
PATIENTS AND METHODSFour hundred and forty-three patients with advanced NSCLC were enrolled in a phase III trial and were randomly allocated to triplet chemotherapy or standard doublet regimen. Immunohistochemical evaluation for ERCC1 status was mainly carried out on bioptic material.RESULTSTwo hundred and sixty-four (...
0
Vitamin D receptor gene polymorphisms and the risk of fractures in older women. For the Study of Osteoporotic Fractures Research Group
Management of Hip Fractures in the Elderly
The association between vitamin D receptor gene polypmorphisms and bone mineral density is controversial. The relationship between vitamin D receptor genotype and risk of fracture is uncertain. To determine whether vitamin D receptor polymorphisms were associated with the risk of hip, vertebral, and other (nonhip, nonv...
0
Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee: A randomized, controlled trial
AAHKS (2) Corticosteroids
Background: Few investigations include both subjective and objective measurements of the effectiveness of treatments for osteoarthritis of the knee. Beneficial interventions may decrease the disability associated with osteoarthritis and the need for more invasive treatments. Objective: To evaluate the effectiveness of ...
0
Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee. American College of Rheumatology
AAHKS (2) Corticosteroids
Treatment of patients with OA of the knee should be individualized and tailored to the severity of the symptoms. In individuals with mild symptomatic OA, treatment may be limited to patient education, physical and occupational therapy and other nonpharmacologic modalities, and pharmacologic therapy including non-opioid...
1
Current treatments of isolated articular cartilage lesions of the knee achieve similar outcomes
Diagnosis and Treatment of Osteochondritis Dissecans AUC
BACKGROUND: Many surgical techniques, including microfracture, periosteal and perichondral grafts, chondrocyte transplantation, and osteochondral grafts, have been studied in an attempt to restore damaged articular cartilage. However, there is no consensus regarding the best method to repair isolated articular cartilag...
0
Psychosocial correlates of self-reported coping among Japanese Americans interned during World War II
DoD PRF (Psychosocial RF)
This study investigated psychosocial correlates of self-reported internment coping among Japanese Americans who were incarcerated during World War II. Economic, physical, emotional, and total coping were assessed in relation to demographics, distal internment characteristics (age interned and length of internment), pro...
0
External rotation of the femoral component decreases patellofemoral contact stress in total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: The purpose of this study was to investigate the relationship between patellofemoral (PF) contact stress in vivo and the alignment of the femoral component in patients after total knee arthroplasty (TKA). METHODS: Thirty knees with medial compartment osteoarthritis that underwent mobile-bearing TKA with modifi...
1
Single shot versus continuous technique adductor canal block for analgesia following total knee arthroplasty: A PRISMA-compliant meta-analysis
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND: An adductor canal block (ACB) provides recognized analgesia following total knee arthroplasty (TKA). This meta-analysis compared the single-injection ACB (SACB) with the continuous-injection ACB (CACB). METHOD: Relevant studies were searched from PubMed (1996-October 2018), Embase (1980-October 2018), and C...
0
Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: One long-held tenet of total knee arthroplasty is that implant durability is maximized when postoperative limb alignment is corrected to 0 degrees +/- 3 degrees relative to the mechanical axis. Recently, substantial health-care resources have been devoted to computer navigation systems that allow surgeons t...
0
Surgery for shoulder osteoarthritis
SR for PM on OA of All Extremities
BACKGROUND: Surgical treatment including shoulder arthroplasty is a treatment option for patients with advanced osteoarthritis of the shoulder who have failed conservative treatment. OBJECTIVES: To determine the benefit and harm of surgery in patients with osteoarthritis of the shoulder confirmed on X-ray who do not re...
0
Catechol-oxide-methyltransferase (COMT rs4680:G>A) gene polymorphism does not affect analgesicsâ?? demand after elective hip replacement
AAHKS (4) Acetaminophen
Pain in patients with hip osteoarthritis appears long before surgery, and requires effective management as it affects patient comfort and daily activities. Therefore, the search for factors influencing response rate to analgesics is mandatory. In recent years, increasing attention has been paid to genetic factors under...
0
The Lubinus patellofemoral arthroplasty: a series of 17 cases
Surgical Management of Osteoarthritis of the Knee CPG
INTRODUCTION: The Lubinus patellofemoral arthroplasty was introduced in our institution in 1994. The first 17 patients were followed-up in order to identify the short-term outcome for this prosthesis. MATERIALS AND METHODS: The average age at surgery was 66 years (range 37-82 years). The mean follow-up was 19 months. T...
1
Comparison of the 2-Incision and Mini-Incision Posterior Total Hip Arthroplasty Technique. A Retrospective Match-Pair Controlled Study
Management of Hip Fractures in the Elderly
We compared the outcomes of the mini-posterior and 2-incision total hip arthroplasty approaches by analyzing 43 matched pairs of patients. The following outcomes were evaluated: (1) Harris Hip Score, (2) Medical Outcomes Study 36-Item Short-Form Health Survey, (3) the Medical Outcomes Study Sleep Scale, and (4) the Wes...
0
Musculoskeletal aging
Management of Hip Fractures in the Elderly
PURPOSE OF REVIEW: Chronic conditions associated with musculoskeletal aging contribute to a heavy functional and economic burden for our rapidly aging population. The purpose of this article is to review recent investigations in musculoskeletal epidemiology related to aging. RECENT FINDINGS: Well over half the older ad...
1
Incidence and risk factors for removal of an internal fixation following surgery for ankle fracture: A retrospective cohort study of 997 patients
DoD SSI (Surgical Site Infections)
BACKGROUND: Implant removal in ankle fractures treated by open reduction and fixation is often based on diffuse complaints. This study determined the incidence of implant removal and identified risk factors for two principal causes for removal: complaints and surgical site infection (SSI). METHODS: Retrospective cohort...
0
Resistance exercise training for fibromyalgia
Panniculectomy & Abdominoplasty CPG
- Background Fibromyalgia is characterized by chronic widespread pain that leads to reduced physical function. Exercise training is commonly recommended as a treatment for management of symptoms. We examined the literature on resistance training for individuals with fibromyalgia. Resistance training is exercise perform...
0
Early ambulation after total knee arthroplasty prevents patients with osteoarthritis and rheumatoid arthritis from developing postoperative higher levels of D-dimer
Surgical Management of Osteoarthritis of the Knee CPG
This study aimed to clarify the therapeutic effects of postoperative ambulation after total knee arthroplasty (TKA) on deep venous thrombosis (DVT) in patients with osteoarthritis (OA) and rheumatoid arthritis (RA) after TKA. Subjects of this study were thirty-seven inpatients (21 inpatients: OA, 16 inpatients: RA) und...
0
Distal Radius Fractures in the Elderly
Distal Radius Fractures
Distal radius fractures are common in elderly patients, and the incidence continues to increase as the population ages. The goal of treatment is to provide a painless extremity with good function. In surgical decision making, special attention should be given to the patient's bone quality and functional activity level....
0
Internal fixation of supracondylar fractures after condylar total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Condylar buttress plates were applied in six patients with total knee arthroplasties and supracondylar fractures. According to the criteria of Cain, 50% of the patients had a satisfactory result with an average follow-up period of 17 months. Time to union (full weight bearing) averaged 14 weeks. The final coronal femor...
1
Does cruciate-retaining total knee arthroplasty enhance knee flexion in Western and East Asian patient populations? A meta-analysis
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: This study analyzed the published data to examine if CR TKAs can enhance the flexion and functional outcomes of the knee in the Western and East Asian populations using a meta-analysis approach. Materials and methods: A systematic review of literature published through Medline and
0
Visual search for features and conjunctions following declines in the useful field of view
Upper Eyelid and Brow Surgery
UNLABELLED: BACKGROUND/STUDY CONTEXT: Typical measures for assessing the useful field (UFOV) of view involve many components of attention. The objective of the current experiment was to examine differences in visual search efficiency for older individuals with and without UFOV impairment. METHODS: The authors used a co...
0
Closed reduction and internal fixation of displaced unstable lateral condylar fractures of the humerus in children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
BACKGROUND: Open reduction and internal fixation of a displaced unstable fracture of the lateral condyle of the humerus in a child usually produces a good result. Only a few reports have focused on closed reduction and internal fixation of these fractures. We prospectively studied closed reduction and internal fixation...
1
Reduction mammaplasty for symptomatic macromastia: which factors influence the post-operative outcome?
Reduction Mammoplasty for Female Breast Hypertrophy
PURPOSE: We evaluated the long-term results and patient's satisfaction in reduction mammaplasties for symptomatic mammary hypertrophy. METHODS: From 2002 to 2008 a total of 92 women underwent bilateral mammaplasty for a symptomatic macromastia at our department. Three different surgical techniques for reduction mammapl...
0
Treatment of nonunited fractures with capacitively coupled electric field
DoD SSI (Surgical Site Infections)
Fracture healing undoubtedly depends on the orthopedic treatment applied: Alignment, immobilization and contact between the stumps of the fracture constitute the biomechanical basis for any effective orthopedic treatment capable of ensuring fracture healing. However, the relevance of the biological environment and the ...
0
Long-term outcome of first metatarsophalangeal joint fusion in the treatment of severe hallux rigidus
DoD SSI (Surgical Site Infections)
Aims: This study was aimed to study the arthrodesis of the first metatarsophalangeal joint using an oblique interfragmentary lag screw and dorsal plate as an effective option for the treatment of hallux rigidus. Few researchers have studied the outcome of this surgical method over a long follow-up period. Patients and ...
0
Acute total hip replacement for acetabular fractures: a systematic review of the literature
SR for PM on OA of All Extremities
INTRODUCTION: Immediate total hip replacement (THR) in patients with acetabular fractures is controversial because of concerns about high complication rates. The current article is a systematic review of the literature on the use of acute THR for the treatment of acetabular fractures. MATERIALS AND METHODS: This system...
0
Atacicept in patients with rheumatoid arthritis and an inadequate response to methotrexate: Results of a phase II, randomized, placebo-controlled trial
PJI DX Updated Search
Objective To assess the efficacy, safety, and biologic activity of atacicept in tumor necrosis factor antagonist-naive patients with rheumatoid arthritis (RA) in whom the response to methotrexate treatment was inadequate. Methods In this phase II study, patients with active RA (n = 311) were randomized 1:1:1:1 to recei...
1
Risk factors for reoperation after total elbow arthroplasty
DoD SSI (Surgical Site Infections)
Background Total elbow arthroplasty (TEA) is a treatment option for arthritic conditions of the elbow and for complex distal humerus fractures in the elderly. Complications are common, however, and rates of survivorship vary. The goal of this study was to describe the factors associated with reoperation and revision af...
0
Rapid destructive arthritis of the hip revisited
PJI DX Updated Search
Rapid destructive arthritis of the hip is a rare entity with unknown pathogenesis and outcome. First described by Forestier in 1957, it is characterized by a rapidly progressive hip disease resulting in rapid destruction of both the femoral and acetabular aspects of the hip joint, with almost complete disappearance of ...
0
Management of musculoskeletal injuries after the 2009 western Sumatra earthquake
Distal Radius Fractures
PURPOSE: To report injury patterns and management of musculoskeletal injuries after an earthquake. METHODS: 94 male and 161 female patients aged 17 to 90 (mean, 53) years underwent surgery for musculoskeletal injuries. Their injury patterns, anaesthesia administered, surgeries undertaken, and development of postoperati...
1
Locking versus non-locking neutralization plates for treatment of lateral malleolar fractures: A randomized controlled trial
DoD SSI (Surgical Site Infections)
Purpose: The reduction of periosteal compression through the use of a locking plate may minimize disturbances of bone blood supply and may improve the rate of bone union. A single-centre, assessor blinded randomized controlled trial was conducted to compare the clinical effectiveness of a locking plate and a non-lockin...
1
The magnetic resonance aspect of a polyurethane meniscal scaffold is worse in advanced cartilage defects without deterioration of clinical outcomes after a minimum two-year follow-up
AMP (Acute Meniscal Pathology)
BACKGROUND: Meniscal scaffolding is thought to provide functional improvement and to prevent cartilage degeneration. Advanced chondral injuries might damage the scaffold structural properties. OBJECTIVE: To evaluate the influence of different degrees of articular chondral injuries on the imaging aspect of a polyurethan...
0
Deep infection in tumor endoprosthesis around the knee: a multi-institutional study by the Japanese musculoskeletal oncology group
PJI DX Updated Search
BACKGROUND: The incidence of endoprosthesis failure has been well studied, but few studies have described the clinical characteristics of deep infection in tumor prostheses. This study aimed to analyze the characteristics of deep infection in tumor endoprostheses around the knee. METHODS: We analyzed clinical data of 5...
0
Use of an internal fixator device to treat comminuted fractures of the distal radius: report of a technique
Distal Radius Fractures
An internal fixator technique for stabilizing comminuted Colles fractures has been developed in the anatomy laboratory and used in 35 clinical cases. The Colles Fracture Plate (Biomet, Inc, Warsaw, Indiana) can be used to treat any comminuted Colles fracture for which an external fixator is considered proper management...
0
Development of thoracic injury risk functions for the THOR ATD
DoD PRF (Psychosocial RF)
The Test Device for Human Occupant Restraint (THOR) 50th percentile male anthropomorphic test device (ATD) aims to improve the ability to predict the risk of chest injury to restrained automobile occupants by measuring dynamic chest deflection at multiple locations. This research aimed to describe the methods for devel...
1
Silicate antibodies in Danish women with silicone breast implants
Reduction Mammoplasty for Female Breast Hypertrophy
OBJECTIVES: To use a new immunological assay to evaluate silicate antibody levels in women with and without silicone breast implants (SBIs). METHODS: Women (n=186) were identified through Danish population-based registers and categorized into six groups defined by prior breast surgery (breast implantation/breast reduct...
1
Comparison of medial and lateral meniscal transplantation with regard to extrusion of the allograft, and its correlation with clinical outcome
AMP (Acute Meniscal Pathology)
We compared extrusion of the allograft after medial and lateral meniscal allograft transplantation and examined the correlation between the extent of extrusion and the clinical outcome. A total of 73 lateral and 26 medial meniscus allografts were evaluated by MRI at a mean of 32 months (24 to 59) in 99 patients (67 men...
0
Marcus Gunn jaw-winking phenomenon: a new supplemental test in the preoperative evaluation
Upper Eyelid and Brow Surgery
PURPOSE: To introduce a new method for the evaluation of Marcus Gunn jaw-winking ptosis that more precisely defines the severity of blepharoptosis. METHODS: A retrospective review of 16 consecutive patients with Marcus Gunn jaw-winking ptosis presenting to our institution between 1993 to 1999 was performed. The positio...
0
Assessment of private security guards by Suicide Probability Scale and Brief Symptom Inventory
DoD PRF (Psychosocial RF)
AIM: The aim of the present study was to investigate the influence of suicide probability and relevant sociodemographic features and to provide information for preventing suicide in private security guards working under the stressful conditions and continuous exposure to the negative and traumatic life events. METHODS:...
0
Predictors of the outcome of physiotherapy following a meniscus tear: A systematic review
AMP (Acute Meniscal Pathology)
BACKGROUND: Physiotherapy is indicated for treatment of a painful degenerative knee meniscus tear. Predicting the outcome remains uncertain. OBJECTIVE: The purpose of this systematic review was to identify which predictive factors are associated with the outcome of physiotherapy for degenerative knee meniscus tear. MET...
0
Meniscal Transplantation in Symptomatic Patients Under Fifty Years of Age: Survivorship Analysis
AMP (Acute Meniscal Pathology)
BACKGROUND: The purpose of this study was to prospectively evaluate the long-term results and survivorship of meniscal transplantation in a consecutive series of patients. METHODS: Forty cryopreserved menisci were implanted into thirty-eight patients. Survival end points were transplant removal, revision, or tibiofemor...
1
Effectiveness of local anesthetic injection in geriatric patients following operative management of proximal and diaphyseal femur fracture
Hip Fx in the Elderly 2019
Introduction: Geriatric fracture patients are at risk for poorly controlled pain and side effects of opioid medications. The arthroplasty literature has demonstrated that infiltration of long-acting local anesthetic or anesthetic cocktails improves pain control and reduces post-operative opioid use resulting in better ...
0
Greater trochanter fractures: MR assessment and its influence on patient management
Hip Fx in the Elderly 2019
Eight patients with nondisplaced greater trochanteric (GT) fractures diagnosed by conventional radiographs were evaluated with magnetic resonance (MR) imaging. MR imaging demonstrated unsuspected intertrochanteric (IT) extension in each of the eight patients. This resulted in unanticipated surgical intervention in six ...
0
What is the comparative health status and associated risk factors for the Metis? A population-based study in Manitoba, Canada
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Metis are descendants of early 17th century relationships between North American Indians and Europeans. This study's objectives were: (1) to compare the health status of the Metis people to all other residents of Manitoba, Canada; and (2) to analyze factors in predicting the likelihood of diabetes and relat...
1
Compartment syndrome delays tibial union
DOD - Acute Comp Syndrome CPG
There has been no previous investigation into the association between compartment syndrome and delayed or nonunion of the tibia following fracture. To establish whether such an association might exist, a retrospective survey of the results of the treatment of closed and Grade I tibial fractures complicated by compartme...
0
Very low prevalence of hip osteoarthritis among Chinese elderly in Beijing, China, compared with Whites in the United States: The Beijing osteoarthritis study
Management of Hip Fractures in the Elderly
Objective. To compare the prevalence of osteoarthritis (OA) of the hip among elderly persons in China and the US. Methods. We recruited a population-based sample of 1,506 persons (82% of those enumerated) ages (greater-than or equal to)60 years living in Beijing, China. Subjects answered questions about joint symptoms ...
1
Lower amputation rate after fasciotomy by straight midline incision technique for a 22,900-V electrical injury to the upper extremities
DOD - Acute Comp Syndrome CPG
Purpose The purpose of this study is to compare the major amputation rate following two different fasciotomy techniques, conventional versus straight midline, in patients with high-voltage arc burn injury by electric currents of 22,900 V to the upper extremities. Methods A retrospective analysis of 230 patients (270 bu...
0
Hip fracture treatment in Norway: deviation from evidence-based treatment guidelines: data from the Norwegian Hip Fracture Register, 2014 to 2018
Hip Fx in the Elderly 2019
Aims: The aim of this study was to describe variation in hip fracture treatment in Norway expressed as adherence to international and national evidence-based treatment guidelines, to study factors influencing deviation from guidelines, and to analyze consequences of non-adherence. Methods: International and national gu...
0
Evaluation of the Singh index for measuring osteoporosis
Management of Hip Fractures in the Elderly
We studied the reliability of the Singh classification of trabecular bone structure in the proximal femur as a measure of osteoporosis, using kappa statistics. Radiographs of fractures of the femoral neck or trochanteric region in 80 consecutive patients were assessed by six observers. The interobserver variation was l...
0
Comparison of image quality in magnetic resonance imaging of the knee at 1.5 and 3.0 Tesla using 32-channel receiver coils
AMP (Acute Meniscal Pathology)
We examined to what degree the visualization of anatomic structures in the human knee is improved using 3.0-T magnetic resonance imaging (MRI) and many element RF receive coils as compared to 1.5 T. We imaged 20 knees at 1.5 and 3.0 T using T2-weighted STIR, T2-weighted gradient echo, T1-weighted spin-echo, true-FISP a...
1
A Prospective Cohort Study of the Therapeutic Patterns, Challenges and Outcomes of Paediatric Femoral Fractures in a Cameroonian Tertiary Center
Pediatric Diaphyseal Femur Fractures 2020 Review
BACKGROUND: Knowledge of the therapeutic patterns, challenges and outcomes of treatment of paediatric femoral fractures (PFF) helps to better choose the ideal therapeutic modality which is still controversial. However, this data is scarce in the sub-Saharan African literature. OBJECTIVE: To determine the therapeutic pa...
0
Correlation of gait analysis and clinical evaluation of polycentric total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
This study evaluates clinical parameters of polycentric total knee arthroplasty with gait analysis. Thirteen patients who had polycentric total knee arthroplasty performed at the New Orleans Veterans Administration Hospital during a six-year period were available for restrospective study. Eleven patients had osteoarthr...
0
Human end-stage osteoarthritic cartilage is responsive to transforming growth factor beta and contains a population of cells that expresses
Surgical Management of Osteoarthritis of the Knee CPG
Background/Purpose: Joint diseases such as osteoarthritis (OA) result in destruction of articular cartilage. Transforming Growth factor beta is considered as a protective factor in young cartilage while this function is lost upon aging. In chondrocytes, TGF beta can signal via phosphorylation of SMAD2/3 (via ALK5) or S...
0
Improvement in abdominal and flank contouring by a novel adipocyte-selective non-contact radiofrequency device
Panniculectomy & Abdominoplasty CPG
Background: The demand for undergoing subcutaneous fat reduction has been gradually increasing, and there are many methods and devices for performing non-surgical and non-invasive fat reduction, such as high-intensity focused ultrasound, cryolipolysis, radiofrequency (RF) devices, and lasers. Objectives: This study eva...
0
Clinical and Radiological Evaluation of Patients Undergoing Distal Radio Osteosynthesis with Locking Plate-Retrospective Study
Distal Radius Fractures
Objective The objective of the present work was to perform a retrospective study based on the medical files and radiographs of the patients, as well as on the socioeconomic data of the patients submitted to distal radio osteosynthesis with locking plates, evaluating them clinically and radiographically. Methods The pos...
0
Orthoses for mechanical neck disorders
SR for PM on OA of All Extremities
This is the protocol for a review and there is no abstract. The objectives are as follows:The objectives of this review will be to determine the effects of orthoses for adults suffering from various forms of mechanical neck disorders. Will they improve neck pain, function/disability (including work-related disability),...
0
Comparison between preassembled and modular cups in primary cementless total hip arthroplasty: A two-year minimum follow-up study
Hip Fx in the Elderly 2019
We prospectively analyzed 83 patients who underwent ceramic-on-ceramic THA using preassembled (n = 22) or modular acetabular components (n = 61) between June 2010 and June 2012. There were no significant differences in mean postoperative radiographic outcomes, functional outcomes, or complications between the two group...
0
An investigation of physical and mental health consequences among Chinese parents who lost their only child
DoD PRF (Psychosocial RF)
BACKGROUND: The term "loss-of-only-child family" means that the only child in a family passed away or is disabled due to an accident or other events. The parents who cannot conceive or do not adopt another child, are known as Shidu parents in China. This study compares the physical and mental health of Shidu parents wi...
1
Anterior subluxation of the lateral tibial plateau. A new clinical test and the morbidity of this type of knee instability
AMP (Acute Meniscal Pathology)
A new clinical test is presented for the diagnosis of anterolateral knee instability. The advantages of the test are obviation of apprehension- and muscle spasm avoiding false negative results and also the recognition by the patient of his sensation of "collapsing at the knee". This allows for differentiation between "...
0
Investigation of an anaerobic microbial community associated with a corneal ulcer by denaturing gradient gel electrophoresis and 16S rDNA sequence analysis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The bacterial community manifested in a corneal ulcer was investigated with culture-independent techniques. DNA was extracted from the eye swab, 200-bp fragments spanning the hypervariable V3 region of the 16S rRNA gene (16S rDNA) were amplified by broad-range PCR and genetic fingerprinting of the total bacterial commu...
0
Motor Cortex Plasticity and the Effect of Deep Intramuscular Needling Stimulation Therapy (DIMST) in Osteoarthritis Pain
OAK 3 - Non-arthroplasty tx of OAK
Recent developments in the treatment of chronic pain have shown that the primary motor cortex (M1) is an effective target for neural brain stimulation techniques, such as transcranial magnetic stimulation (TMS). Due to these promising initial results, the plasticity of M1 has also been investigated as a potential marke...
0
Avoiding free nipple grafts during reduction mammaplasty in patients with gigantomastia
Reduction Mammoplasty for Female Breast Hypertrophy
Excessive breast hypertrophy or gigantomastia (>2000 g excision of tissue per breast) has traditionally been approached with breast amputation and free nipple grafting during reduction mammaplasty procedures. Disadvantages of free nipple grafts include loss of sensation, poor projection, uneven nipple-areolar complex p...
0
Local infusion analgesia using intra-articular double lumen catheter after total knee arthroplasty: a double blinded randomized control study
PJI DX Updated Search
PURPOSE: Although intra-operative local infiltration analgesia has gained increasing popularity in joint replacement surgery, it is not clear whether postoperative local infusion analgesia using an indwelling catheter provides clinically important additional effects. We, therefore, conducted a randomized controlled tri...
0
Visual function and cortical organization in carriers of blue cone monochromacy
Upper Eyelid and Brow Surgery
Carriers of blue cone monochromacy have fewer cone photoreceptors than normal. Here we examine how this disruption at the level of the retina affects visual function and cortical organization in these individuals. Visual resolution and contrast sensitivity was measured at the preferred retinal locus of fixation and vis...
0
Influences of osteoarthritis and osteoporosis on the electrical properties of human bones as in vivo electrets produced due to Wolff's law
Hip Fx in the Elderly 2019
We characterized the electrical properties of living bone obtained from patients who had undergone total hip arthroplasty (THA) or hemiarthroplasty by means of analysis of the electrically polarized and nonpolarized bone specimens, and we discussed the role of an organic and inorganic matrix of human bone in bone piezo...
1
Impact of COVID-19 on Orthopaedic and Trauma Service: An Epidemiological Study
Coronavirus Disease 2019 (COVID-19)
BACKGROUND: Coronavirus disease 2019 (COVID-19) has caused substantial disruptions to orthopaedic and trauma services. The purpose of the present study was to quantify its impact on surgical volume, hospitalizations, clinic appointments, and accident and emergency attendances to guide staffing and resource deployment f...
0
Prevention of catheter-associated urinary tract infections in patients with hip fractures through education of nurses to specific catheter protocols
Management of Hip Fractures in the Elderly
The majority of patients who experience hip fractures are elderly, and complications in these patients increase length of hospital stays, medical costs, and mortality rates. Catheter-associated urinary tract infections (CAUTI) are one of the common complications in this patient population. Studies have demonstrated tha...
0
Red blood cell transfusion: what is the evidence when to transfuse?
Hip Fx in the Elderly 2019
PURPOSE OF REVIEW: This review provides a summary of the clinical trials evaluating transfusion thresholds and recommendations for red blood cell transfusion. We highlight the trial results in patients in the critical care setting, undergoing surgery, and patients with gastrointestinal bleed, acute coronary syndrome, a...
0
Implementation of and compliance with NICE guidelines in the secondary prevention of osteoporotic fractures in postmenopausal women
HipFx Supplemental Cost Analysis
Osteoporosis affects more than 1.2 million women in England and Wales. Hip fractures are associated with increased mortality. The total cost of treating osteoporotic fractures in postmenopausal women is expected to rise to (pounds)2.1 billion by 2010. The National Institute for Health and Clinical Excellence (NICE) has...
0
Aesthetic and reconstructive surgery in the aging patient
Panniculectomy & Abdominoplasty CPG
Before discussing the many ways in which plastic surgeons interface with elderly patients, a preliminary question should be addressed: who are the elderly? Life expectancy continues to increase toward the maximum theoretical age of 120 years in humans. A life expectancy of only 21 years could be expected in the Bronze ...
0
Offering patients the opportunity to choose their hospital for total knee replacement: impact on satisfaction with the surgery
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To describe the extent to which patients were offered a choice between 2 or more hospitals for total knee replacement (TKR); to examine the association between having a choice of hospital for TKR and satisfaction with the surgery; and to identify population groups less likely to be offered a choice. METHODS:...
1
Multimodal Pain Management in Older Elective Arthroplasty Patients
AAHKS (4) Acetaminophen
BACKGROUND: Pain management after elective arthroplasty in older adults is complicated due to the risk of undertreatment of postoperative pain and potential adverse effects from analgesics, notably opioids. Using combinations of analgesics has been proposed as potentially beneficial to achieve pain control with lower o...
0
Patient satisfaction with total knee replacement cannot be predicted from pre-operative variables alone: A cohort study from the National Joint Registry for England and Wales
Surgical Management of Osteoarthritis of the Knee CPG
Pre-operative variables are increasingly being used to determine eligibility for total knee replacement (TKR). This study was undertaken to evaluate the relationships, interactions and predictive capacity of variables available pre- and post-operatively on patient satisfaction following TKR. Using nationally collected ...
0
Prognostic factors in the treatment of carpal scaphoid nonunions
Distal Radius Fractures
The aim of this multicenter study of 138 patients with scaphoid nonunions was to assess the prognostic factors of bone healing or failure after curative surgical treatment options: isolated bone grafting (30%), internal fixation (23%), or combined bone grafting and internal fixation (47%). Bone healing occurred in 75% ...
0
MRI of rotator cuff disease
Glenohumeral Joint OA
The rotator cuff comprises four muscles and their tendons. The supraspinatus, infraspinatus and teres minor muscles arise from the scapula and their tendons insert into the greater tuberosity of the humerus. The subscapularis muscle arises from the scapula but the tendon inserts into the lesser tuberosity. Rotator cuff...
0
MR and applanation tonometry derived aortic impedance: association with aging and left ventricular remodeling
PJI DX Updated Search
PURPOSE: We sought to noninvasively estimate aortic impedance indices from MR and tonometric data. MATERIALS AND METHODS: MR aortic velocity-encoded and carotid applanation tonometry pressure data of 70 healthy subjects (19-79 years) were used to calculate the following indices from impedance spectrum: (i) characterist...
0
Predictors of incomplete response to therapy among Filipino patients with papillary thyroid cancer in a tertiary hospital
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Although survival rate in papillary thyroid cancer (PTC) is high, the risk of persistence and recurrence together with the dramatic rise in its incidence cannot be overemphasized. Filipinos are considered to be at greater risk for negative outcomes. A paradigm shift in the management of PTC introduces re-st...
0
Osteoporotic fracture risk associated with cumulative exposure to tenofovir and other antiretroviral agents
Management of Hip Fractures in the Elderly
BACKGROUND: Whereas tenofovir (TDF) exposure has been associated with decreased bone density, it remains unclear whether it is associated with increased risk of osteoporotic fractures. METHODS: Patients with any osteoporotic fracture (defined as wrist, vertebral or hip fracture) occurring after HIV diagnosis were ident...
0
Geriatric rehabilitation following fractures in older people: A systematic review
HipFx Supplemental Cost Analysis
Background: The prevalence of fractures in older people is increasing rapidly. Different types of programmes are available for rehabilitation after these fractures. However, the effectiveness of these programmes is uncertain. Objectives: These were to identify, critically appraise and synthesise the published evidence ...
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Comparison of closing-wedge and opening-wedge high tibial osteotomy for medial compartment osteoarthritis of the knee: a randomized controlled trial with a six-year follow-up
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Varus deformity increases the risk of progression of medial compartment knee osteoarthritis. The aim of this study was to investigate the clinical and radiographic mid-term results of closing-wedge and opening-wedge high tibial osteotomy when used to treat this condition. METHODS: From January 2001 to April...
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Pain in European long-term care facilities: Cross-national study in Finland, Italy and the Netherlands
Management of Hip Fractures in the Elderly
There have been very few and limited cross-national comparisons concerning pain among residents of long-term care facilities in Europe. The aim of the present cross-sectional study has been to document the prevalence of pain, its frequency and severity as well as its correlates in three European countries: Finland (nor...
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Estrogen receptor mutations and their role in breast cancer progression
MSTS 2018 - Femur Mets and MM
Endocrine therapy is the mainstay of treatment in estrogen receptor-positive breast cancers and significantly reduces disease recurrence and breast cancer-related mortality. However, acquired resistance to therapy has been noted in nearly one-third of women treated with tamoxifen and other endocrine therapies. Mutation...
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Incidence, surgical procedures, and outcomes of hip fracture among elderly type 2 diabetic and non-diabetic patients in Spain (2004-2013)
Hip Fx in the Elderly 2019
UNLABELLED: Hip fracture is a serious public health problem. We used Spanish hospital discharge data to examine trends in 2004-2013 in the incidence of hip fracture among elderly patients. We found that hip fracture incidence is higher in subjects with than without diabetes and is much higher among women than men. INTR...
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Effectiveness of hematoma block in term of pain relief in distal radial fractures
Distal Radius Fractures
Objective: To determine effectiveness of hematoma block in term of pain relief in reduction of distal radius fracture. Methodology: This cross sectional descriptive study was conducted on 150 patients distal radius fracture. The patients were given 1.5% Xylocaine at the fracture hematoma site from the dorsal aspect. Af...
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Rates and Risk Factors of Revision Arthroscopy or Conversion to Total Knee Arthroplasty Within 1 Year Following Isolated Meniscectomy
AMP (Acute Meniscal Pathology)
PURPOSE: To identify the rates of and risk factors for revision arthroscopy and conversion to total knee arthroplasty (TKA) within 1 year of isolated meniscectomy. METHODS: Humana and Medicare national insurance databases were queried for patients who underwent isolated meniscectomy. Patients who underwent revision art...
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Simultaneous fat-free isotropic 3D anatomical imaging and T2 mapping of knee cartilage with lipid-insensitive binomial off-resonant RF excitation (LIBRE) pulses
AMP (Acute Meniscal Pathology)
Background: Improved knee cartilage morphological delineation and T2 mapping precision necessitates isotropic 3D high-resolution and efficient fat suppression. Purpose: To develop and assess an isotropic 3D lipid-insensitive T2 mapping technique of the knee for improved cartilage delineation and precise measurement of ...
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Long-term benefits and risks of cyclosporin A (sandimmun)--an analysis at 10 years
Reconstruction After Skin Cancer
To evaluate long-term benefits and risks of CyA therapy in renal transplantation, we analyzed the 10-year experience with all 59 patients who had received a first cadaveric renal graft until August 1983 and were immunosuppressed with CyA. We compared their actual graft survival with that of all 213 patients who had rec...
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The effect of a standard activity on the size of the median nerve as determined by ultrasound visualization
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The purpose of this study was to determine whether a standardized hand activity would produce changes in the cross-sectional diameter of the median nerve. Ultrasound measures of proven reliability of the cross-sectional diameter of the median nerve in the wrist were taken. These measures were taken before activity and ...
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A ten year history of mycobacterium malmoense septic arthritis of the wrist
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: Mycobacterium malmoense is a non-tuberculous mycobacterium and a rare cause of septic arthritis. Chest disease is the most frequent associated condition with lung as the commonest site of infection. We would like to describe a case of Mycobacterium malmoense septic arthritis of the wrist in a gentleman who ...
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Performance of simplified scoring systems for hand diagrams in carpal tunnel syndrome screening
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
PURPOSE: Katz et al have published a standardized scoring system of hand diagrams for carpal tunnel syndrome. The purpose of this study was to quantitatively evaluate an alternative scoring of the hand diagram for detection of carpal tunnel syndrome. METHODS: In a prospective study of 1,107 workers, 221 workers with ha...
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Distal radius osteotomy in the elderly patient using angular stable implants and Norian bone cement
Distal Radius Fractures
PURPOSE: To report our results after testing the combination of two technologies--angular-stable locking screw implants and Norian SRS cement--in corrective osteotomies of the distal radius in the elderly. This technique eliminates donor site bone-graft morbidity and expands the indications of corrective osteotomies to...
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The use of bisphosphonates in the management of bone metastatic prostate cancer
MSTS 2018 - Femur Mets and MM
Improved understanding of the pathophysiology of prostate cancer-induced metabolic bone disease implies that bisphosphonates may have a role in the treatment of this disorder. Although prostate cancer cells stimulate osteoblasts, resulting in a marked increase in bone volume and the classic radiologic aspect of sclerot...
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Comparison of clonidine, morphine or placebo mixed with bupivacaine during continuous spinal anaesthesia
AAHKS (8) Anesthetic Infiltration
PURPOSE: To compare intraoperative anaesthetic and haemodynamic effects of clonidine-bupivacaine, morphine-bupivacaine and placebo-bupivacaine combinations during continuous spinal anaesthesia. METHODS: Thirty six geriatric patients, undergoing knee replacement using continuous spinal anaesthesia were randomly assigned...
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Radiocarpal arthrodesis for osteoarthritis following fractures of the distal radius
Distal Radius Fractures
To compare the radioscapholunate (RSL) arthrodesis and radiolunate (RL) arthrodesis as a treatment for radiocarpal osteoarthritis following fractures of the distal radius, nine patients, 23 to 70 years old (average 41) at the time of surgery, were assessed two to 33 years after surgery. The periods between injury and s...
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External fixation of pediatric femoral fractures
DoD SSI (Surgical Site Infections)
Fifteen pediatric femoral fractures in 14 patients were treated with external fixation using the EBI Orthofix unilateral external fixator. The average patient age was 8.5 years (range, 3-13 years). There were 7 children with multiple injuries and 7 with isolated fractures. The average duration in the fixator was 63 day...
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Functional improvement and costs of hip and knee arthroplasty in destructive rheumatoid arthritis
Surgical Management of Osteoarthritis of the Knee CPG
Functional improvement and costs were analysed in 54 patients after 23 hip and 31 knee arthroplasties. All patients had destructive RA (ARA criteria 5-8). Mean stay at the surgical department was 15 and 26 days respectively, regardless of preoperative locomotion status, sex, or age, but additional in-patient rehabilita...
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Unexpected bleeding caused by arterial variation inferolateral to levator palpebrae
Upper Eyelid and Brow Surgery
When incisional or nonincisional double-eyelid operations are in process, unexpected bleeding adjacent to the lateral canthal area is often encountered. The unexpected bleeding may result in intraoperative hematoma and swelling. It may also cause temporary intraoperative ptosis. The intraoperative swelling along the de...