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0 | External ultrasound-assisted liposuction: Liposound | Panniculectomy & Abdominoplasty CPG | The role of ultrasound in liposuction is a subject to debate between supporters of the technique and those who consider the method to be harmful. We believe that a "third way", i.e. application directly onto the skin surface exploits the benefits of ultrasound to the full and avoids potential risks. The treated adipose... |
0 | Cementless, modular, distally fixed stem in hip revision arthroplasty: a single-center study of 132 consecutive hips | Hip Fx in the Elderly 2019 | PURPOSE: The use of cementless, modular, distally fixed stem in hip revision arthroplasty has increased during the last decades. We aimed to analyze the early and late postoperative complications, re-operation rate, and survival rate of the MP stem operated at our county hospital with relatively limited caseload.
METHO... |
0 | The effect of local bone mineral density on the rate of mechanical failure after surgical treatment of distal radius fractures: a prospective multicentre cohort study including 249 patients | Distal Radius Fractures | INTRODUCTION: The aim of this prospective, multicentre study was to evaluate the influence of local bone mineral density (BMD) on the rate of mechanical failure after locking plate fixation of closed distal radius fractures.
MATERIALS AND METHODS: Between June 2007 and April 2010, 230 women and 19 men with a mean age o... |
0 | The effect of trunk angle on power production in cycling | Management of Hip Fractures in the Elderly | The purpose of this investigation was to determine the effect of three different trunk angles (60, 90, and 120 degrees relative to the ground) on power production of 16 male recreational cyclists (age 20-36 years) when the hip, knee, and ankle angles were controlled. Wingate anaerobic tests were performed on a modified... |
0 | Factors contributing to skeletal health of postmenopausal Mexican-American women | Management of Hip Fractures in the Elderly | Incidence rates of hip fracture are lower in Hispanic (HC) than non-Hispanic Caucasians (NHC). To investigate factors that may affect skeletal health of Hispanics, we recruited 152 healthy community-dwelling Mexican-American Caucasian women into a 4-year longitudinal study that evaluates bone mass, nutritional status, ... |
0 | Docetaxel and carboplatin is an active regimen in advanced non-small-cell lung cancer: a phase II study in Caucasian and Asian patients | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The purpose of this study was to report response rates, survival and toxicity in advanced non-small-cell lung cancer (NSCLC) following docetaxel and carboplatin, and to explore potential differences in these end points between Caucasian and Asian patients.
PATIENTS AND METHODS: Sixty-eight patients of good ... |
0 | Is it influenza or anthrax? A decision analytic approach to the treatment of patients with influenza-like illnesses | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | STUDY OBJECTIVE: We analyze the risks and benefits of alternative treatment strategies for non-septic-appearing febrile patients with influenza-like illnesses and possible exposure to anthrax. METHODS: We used a decision analytic model to evaluate 6 testing and treatment strategies in an emergency department. Patients ... |
1 | The Risk of Iatrogenic Peroneal Nerve Injury in Lateral Meniscal Repair and Safe Zone to Minimize the Risk Based on Actual Arthroscopic Position: An MRI Study | AMP (Acute Meniscal Pathology) | BACKGROUND: Lateral meniscal repair using an all-inside meniscal repair device involves a risk of iatrogenic peroneal nerve injury. To our knowledge, there have been no previous studies evaluating the risk of injury with the knee in the standard operational figure-of-4 position with joint dilatation in arthroscopic lat... |
0 | Total Knee Arthroplasty: Does the Tibial Medial Side Defect Affect Outcome? | PJI DX Updated Search | Primary knee osteoarthritis (OA) is one of the degenerative diseases that destroy auricular cartilage within knee joint and cause pain, varies deformity, decrease knee function. Total knee arthroplasty (TKA) is an effective intervention in order to relieve pain, improve function and QOL (quality of life) in patients wi... |
0 | Abdominal compartment syndrome in vascular surgery - A review | DOD - Acute Comp Syndrome CPG | Abdominal compartment syndrome is a lethal yet under appreciated complication of vascular surgery. The World Society of Abdominal Compartment Syndrome conference in 2004 culminated recent research to formulate the internationally accepted definitions and promote education, in an attempt to reduce a quoted 82% mortality... |
0 | A biphasic, demineralized, and Decellularized allograft bone-hydrogel scaffold with a cell-based BMP-7 delivery system for osteochondral defect regeneration | Osteochondritis Dissecans 2020 Review | The reconstruction of bone and cartilage defects remains a challenge in orthopedics and tissue engineering. In this study, a mimetic natural scaffold based on a demineralized and decellularized bone and collagen type I (Col I) allograft was developed. The resulting hydrogel has the capability of loading allogeneic bone... |
0 | Platelet rich plasma and knee surgery | AMP (Acute Meniscal Pathology) | In orthopaedic surgery and sports medicine, the knee joint has traditionally been considered the workhorse. The reconstruction of every damaged element in this joint is crucial in achieving the surgeon's goal to restore the knee function and prevent degeneration towards osteoarthritis. In the last fifteen years, the fi... |
1 | Effect of whole body vibration training on quadriceps muscle strength in individuals with knee osteoarthritis: a systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Several studies have reported the effects of whole body vibration (WBV) training on muscle strength. This systematic review investigates the current evidence regarding the effects of WBV training on quadriceps muscle strength in individuals with knee osteoarthritis (OA).
DATA SOURCES: We searched PubMed, CI... |
0 | Comparing the effect of topical 1% Avy extract gel with 1% Diclofenac gel in the treatment of patients with primary knee osteoarthritis referred to orthopedic clinic | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: 1% Diclofenac gel, topical use, three times a day. 1% Hedera helix extract gel, topical use, three times a day. Intervention 1: 1% Hedera helix extract gel, topical use, three times a day. Intervention 2: 1% Diclofenac gel, topical use, three times a day. Intervention 3: Placebo gel, topical use, three ti... |
0 | High-grade osteosarcoma treated with hemicortical resection and biological reconstruction | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND AND OBJECTIVES: Wide excision with a 2-3 cm safe margin is widely-accepted in treating high-grade osteosarcoma. However, a wider margin sacrifices more healthy bone and may jeopardize joint function. We hypothesize that our innovative hemicortical resection for such tumors leads to better joint function with... |
0 | In vivo inhibition of bone morphogenetic protein-2 on breast cancer cell growth | MSTS 2018 - Femur Mets and MM | STUDY DESIGN: In vitro and in vivo study.
OBJECTIVE: To evaluate the role of recombinant human bone morphogenetic protein-2 (rhBMP2) on breast cancer cell (MDA-MB-231 cells) growth.
SUMMARY OF BACKGROUND DATA: Bone morphogenetic proteins (BMPs) are expressed in a variety of human carcinoma cell lines and are known to p... |
0 | In vivo finger flexor tendon force while tapping on a keyswitch | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Force may be a risk factor for musculoskeletal disorders of the upper extremity associated with typing and keying. However, the internal finger flexor tendon forces and their relationship to fingertip forces during rapid tapping on a keyswitch have not yet been measured in vivo. During the open carpal tunnel release su... |
0 | Assessment of Tissue Perfusion Following Conventional Liposuction of Perforator-Based Abdominal Flaps | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The effect of liposuction on the perforators of the lower abdominal wall has been investigated in several studies. There are controversial results in the literature that have primarily demonstrated the number and patency of the perforators. The aim of this study was to determine the effect of liposuction on... |
1 | Multiple cultures and extended incubation for hip and knee arthroplasty revision: impact on clinical care | PJI DX Updated Search | The impact on patient care of introducing a protocol of obtaining 5 or more intra-operative separate tissue biopsies that were cultured for 10 days was assessed for hip and knee arthroplasty revision. The charts of seventy-three patients undergoing 77 cases of revision arthroplasty were reviewed one year post-operative... |
0 | Incidence of hip fracture in Kermanshah, Iran | Management of Hip Fractures in the Elderly | SUMMARY: The aim of this study was to estimate the incidence of hip fracture in Kermanshah, Iran. 161 cases (88 men and 73 women) were recorded. The annual age-standardized incidence rates were 181.1/100,000 in men and 214.6/100,000 in women. Incidence rate of hip fracture was less than in Western countries. INTRODUCTI... |
0 | Dermoscopy in the diagnosis and management of non-melanoma skin cancers | Reconstruction After Skin Cancer | Over the past two decades, dermoscopy has remarkably enhanced the diagnostic accuracy of pigmented skin lesions and, more recently, of non-pigmented skin disorders, including skin cancers, inflammatory and infectious diseases. With respect to non-melanoma skin cancers (NMSC), dermoscopy is an effective diagnostic tool ... |
1 | Comparison of Thessaly Test with Joint Line Tenderness and McMurray Test in the Diagnosis of Meniscal Tears | AMP (Acute Meniscal Pathology) | INTRODUCTION: Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with those of McMurray and Joint-line tenderness tests for diagnosing meniscal tears. <b>Materials and methods:</b> This study was designed as a prospect... |
0 | Post-operative concurrent chemo-radiotherapy versus post-operative radiotherapy in high-risk cutaneous squamous cell carcinoma of the head and neck: a randomized phase III trial (Trans Tasman Radiation Oncology Group 05.01 Trial; POST study) | Reconstruction After Skin Cancer | Background: We report on the first multi-centre randomized phase III trial of post-operative radiotherapy (PORT) vs post-operative chemo-RT (CRT) in high-risk cutaneous squamous cell carcinoma of the head and neck (cSCCHN) (NCT00193895). Methods: The primary objective was to determine whether there was a freedom from l... |
0 | 21-year results of the uncemented fully textured lord hip prosthesis | Management of Hip Fractures in the Elderly | We report the updated results for a previously evaluated patient cohort who had uncemented total hip arthroplasties using the Lord femoral component. The original cohort consisted of 114 total hip arthroplasties (110 patients) performed from 1979 to 1984. The patients were followed up for an average of 21 years postope... |
0 | Disfiguring burns and the experienced reactions in Iran: Consequences and strategies-A qualitative study | DoD PRF (Psychosocial RF) | As the exact stereotyped content of physical attractiveness depends on cultural values, a study was conducted to obtain information concerning psycho-social problems experienced by people with burn disfigurement after being discharged from the hospital, in order to devise psycho-social support programs based on this ev... |
0 | Fractured neck of femur in black patients: a prospective study | Management of Hip Fractures in the Elderly | We explored the role of iron overload, deficiency of vitamin C and alcohol abuse in the aetiology of cervical and intertrochanteric fractures of the neck of the femur as a result of minor trauma. We studied prospectively 72 patients (45 men, 27 women). Levels of serum iron markers, vitamin C and alcohol markers were me... |
0 | Cell-Enriched Lipotransfer (CELT) Improves Tissue Regeneration and Rejuvenation without Substantial Manipulation of the Adipose Tissue Graft | Panniculectomy & Abdominoplasty CPG | The good availability and the large content of adult stem cells in adipose tissue has made it one of the most interesting tissues in regenerative medicine. Although lipofilling is one of the most frequent procedures in plastic surgery, the method still struggles with high absorption rates and volume losses of up to 70%... |
0 | Fishtail deformity of the distal humerus: A report of 15 cases | Distal Radius Fractures | Background: Osteonecrosis of the humeral trochlea is an uncommon but challenging complication of pediatric elbow fractures. The purpose of this investigation was to characterize the clinical and radiographic presentation of fishtail deformity and outline a treatment algorithm. Methods: Fourteen patients were treated at... |
0 | Acupuncture for peripheral joint osteoarthritis | Management of Hip Fractures in the Elderly | BACKGROUND: Peripheral joint osteoarthritis is a major cause of pain and functional limitation. Few treatments are safe and effective. OBJECTIVES: To assess the effects of acupuncture for treating peripheral joint osteoarthritis. SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (The Cochr... |
0 | The risk of a subsequent fracture: The effect of time since an initial fracture-the tromso study | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Objective(s): To examine the risk of subsequent non-vertebral fracture at specific time intervals after different types of initial fracture. Material & Methods: This study included data from the Tromso Study in Norway. During 15 years follow-up from 1994-2009, all fractures were ascertained by computerized search in th... |
0 | Other tunnels, other nerves | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This note describes briefly various types of spontaneous nerve compression or irritation, the so called entrapment syndrome. The writer recognizes that trauma is often an associated or precipitating factor. Local injections of steroid may give temporary relief but surgical decompression is usually the treatment of choi... |
0 | Long-term corticosteroid therapy induces mild changes in trabecular bone texture | Management of Hip Fractures in the Elderly | The relative roles of bone mineral density (BMD) decrease and of microarchitectural changes in corticosteroid-induced osteoporosis (CIOP) are debated. Our objective has been to evaluate both bone microarchitecture (by a fractal analysis of texture on radiographs) and BMD in corticosteroid (CS)-treated patients. In this... |
0 | Vitamin D status and concentrations of serum vitamin D metabolites and osteocalcin in elderly patients with femoral neck fracture: a follow-up study | Management of Hip Fractures in the Elderly | Vitamin D status and the serum osteocalcin concentration in patients with femoral neck fractures were studied as follows. Thirty-seven elderly patients (P) with fracture of the femoral neck were studied, whereas 24 age-matched persons (C) seen at the out-patient department for non-orthopaedic reasons served as controls... |
0 | Empyema associated with community-acquired pneumonia: A Pediatric Investigator's Collaborative Network on Infections in Canada (PICNIC) study | Patrick’s pharmacoepidemiology project | Background: Although the incidence of serious morbidity with childhood pneumonia has decreased over time, empyema as a complication of community-acquired pneumonia continues to be an important clinical problem. We reviewed the epidemiology and clinical management of empyema at 8 pediatric hospitals in a period before t... |
0 | Shoulder arthroplasty for proximal humeral nonunions | Glenohumeral Joint OA | Between 1980 and 1997, 27 patients underwent shoulder arthroplasty because of pain or functional impairment due to a proximal humeral nonunion. Twenty-five of the 27 shoulders with a mean 6-year follow-up period (range, 2-15 years) were included in the study. There were 19 women and 6 men, with a mean age of 65 years. ... |
0 | Seasonal variation of fractures of the hip in elderly persons | Management of Hip Fractures in the Elderly | A prospective study was made of 1500 elderly patients who suffered from acute hip fractures from 1986 to 1990. There were 36 per cent more fractures in the 6 colder months from November to April than in the rest of the year (P < 0.001). A strong correlation between the monthly adjusted fracture rate and the average low... |
1 | Allograft Versus Xenograft Bioprosthetic Mesh in Tissue Expander Breast Reconstruction: A Blinded Prospective Randomized Controlled Trial | Acellular Dermal Matrix | BACKGROUND: With the increased use of acellular dermal matrix (ADM) in breast reconstruction, the number of available materials has increased. There is relative paucity of high-quality outcomes data for use of different ADMs. OBJECTIVES: The goal of this study is to compare the outcomes between a human (HADM) and a bov... |
0 | Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure | Glenohumeral Joint OA | BACKGROUND: As several neurologic and hardware complications have been reported with screw fixation. Suture buttons are used to serve as an alternative to screw fixation to obtain better outcome and to reduce the complication. The purpose of this study was to observe the clinical outcomes and make the radiologic assess... |
0 | Value of incisional negative pressure wound therapy in orthopaedic surgery | DoD SSI (Surgical Site Infections) | Soft tissue and wound treatment after orthopaedic interventions (especially after trauma) is still an enormously challenging situation for every surgeon. Since development of negative pressure wound therapy (NPWT), new indications have been consistently added to the original field of application. Recently, NPWT has bee... |
0 | The first 6 weeks of recovery after primary total hip arthroplasty with fast track: A diary study of 94 patients | AAHKS (4) Acetaminophen | Background and purpose â?? Fast-track protocols have been introduced worldwide to improve the recovery after total hip arthroplasty (THA). These protocols have reduced the length of hospital stay (LOS), and THA in an outpatient setting is also feasible. However, less is known regarding the first weeks after THA with fa... |
0 | Nationwide Inpatient Sample and National Surgical Quality Improvement Program give different results in hip fracture studies | DoD SSI (Surgical Site Infections) | BACKGROUND: National databases are being used with increasing frequency to conduct orthopaedic research. However, there are important differences in these databases, which could result in different answers to similar questions; this important potential limitation pertaining to database research in orthopaedic surgery h... |
0 | Surgical techniques in breast cancer: An overview | Panniculectomy & Abdominoplasty CPG | Despite significant advances in the medical treatment and chemo-manipulation of breast cancer, surgery with curative intent retains a fundamental mainstay of treatment, with surgeons continuing to play a central and key role within the multidisciplinary team setting. There has been a continued evolution from the radica... |
1 | Varus deformity in supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Eighty cases of supracondylar fracture of the humerus at the elbow in children have been analysed. The post-reduction radiograph of the fracture was classified depending on the residual deformity present and related to the loss of carrying angle and cubitus varus deformity at the time of follow-up. Fifty-four percent o... |
0 | Metastatic basal cell carcinoma in the era of hedgehog signaling pathway inhibitors | Reconstruction After Skin Cancer | Background: Inhibition of the hedgehog signaling pathway (HHSP) for the treatment of locally advanced basal cell carcinoma (BCC) and metastatic BCC (mBCC) has produced promising results. Typically, mBCC is not taken into consideration during the workup of a patient with multifocal metastatic disease who has a history o... |
0 | Incidence and Reason for Readmission and Unscheduled Health Care Contact After Distal Radius Fracture | Distal Radius Fractures | BACKGROUND: Understanding risk factors for readmission may help decrease the rate of these costly events. The purpose of this study is to define the incidence of 30-day readmission and unscheduled health care contact (UHC) after distal radius fracture (DRF). In addition, we aim to define risk factors for readmission an... |
1 | Short-Term Outcomes of Percutaneous Trephination with a Platelet Rich Plasma Intrameniscal Injection for the Repair of Degenerative Meniscal Lesions. A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study | PRP (Platelet-Rich Plasma) | Meniscal tears are the most common orthopaedic injuries, with chronic lesions comprising up to 56% of cases. In these situations, no benefit with surgical treatment is observed. Thus, the purpose of this study was to investigate the effectiveness and safety of percutaneous intrameniscal platelet rich plasma (PRP) appli... |
0 | The Kocher-Langenbeck Approach: Differences in Outcome of Transverse Acetabular Fractures Depending on the Patient's Position | PJI DX Updated Search | INTRODUCTION: The Kocher-Langenbeck approach is most frequently used for open reduction and internal fixation of transverse acetabular fractures, the positioning of the patient still falling to the preference of the surgeon. The impact of 'prone' and 'lateral' positioning on radiographic outcome and postoperative compl... |
0 | Nailing of femoral neck fracture. Clinical and sociologic 5-year follow-up of 510 consecutive hips | Management of Hip Fractures in the Elderly | In a retrospective population-based study, 510 consecutive cervical hip fractures treated by internal fixation with a spring-loaded four-flanged nail, early weight bearing, and social rehabilitation were examined at 5 years after primary nailing. Six (1.6 percent) deep infections occurred. After a new trauma, seven fra... |
1 | Predictors for Prolonged Drainage following Tissue Expander-Based Breast Reconstruction | Acellular Dermal Matrix | BACKGROUND: A closed-suction drain is usually inserted during tissue expander-based breast reconstruction. Prolonged duration of drain retention can disturb patients' daily lives and affect overall sociomedical costs. This study aimed to investigate factors that may influence the drainage and to identify predictors of ... |
0 | Multilingual cross-cultural adaptation of the patient-rated wrist evaluation (PRWE) into Czech, French, Hungarian, Italian, Portuguese (Brazil), Russian and Ukrainian | Distal Radius Fractures | The use of patient-reported outcome questionnaires is recommended in studies of the orthopaedic field. Reliable, validated tools are necessary to ensure the comparability of results across different studies, centers, and countries. The patient-rated wrist evaluation (PRWE) is a widely accepted and commonly used outcome... |
0 | Unique combination of patellofemoral joint arthroplasty with Osteochondral Autograft Transfer System (OATS) - a case series of six knees in five patients | Surgical Management of Osteoarthritis of the Knee CPG | Patellofemoral arthroplasty (PFA) is an accepted procedure for the treatment of isolated patellofemoral osteoarthritis. However its failure rate has been attributed to progressive femorotibial arthritis. Autologous osteochondral transplantation is an established procedure for the repair of focal cartilaginous defects o... |
0 | Interobserver Agreement and Intraobserver Reproducibility of Barzullah Working Classification of Distal End Radius Fractures among Orthopaedic Residents | Distal Radius Fractures | BACKGROUND: The purpose of this study is to test the hypothesis of the new classification system of distal end radius fractures (Barzullah working classification) proposed by one of the author in a prospective cohort study, among the orthopaedic residents.
METHODS: The initial post-injury radiographs of 300 patients wi... |
0 | Current management of fractures of distal radius and ulna | Distal Radius Fractures | Distal radial and ulnar fractures are very common and their morbidity is greatly underestimated. This article reviews the current management of these injuries and that of their associated complications. [References: 60] |
0 | Osteosynthesis of fractures of the femoral neck by nail-plate, screws and valgus osteotomy | Management of Hip Fractures in the Elderly | The authors describe the method used for the treatment of subcapital fractures of the femoral neck in younger subjects. This method associates intertrochanteric osteotomy with osteosynthesis using one or two spongy bone screws and a nail plate. The series includes 26 patients followed up both clinically and radiographi... |
0 | Prognostic value of dynamic MRI positive enhancement integral color mapping in osteosynthesis of undisplaced femoral neck fractures | Hip Fx in the Elderly 2019 | AIMS: The common treatment for an undisplaced femoral neck fracture is osteosynthesis. Two major complications of osteosynthesis are non-union and late collapse of the femoral head. We speculated that femoral head perfusion is one of the most important factors that affect the outcome of osteosynthesis after femoral nec... |
0 | Differences in gaze behaviour of expert and junior surgeons performing open inguinal hernia repair | Upper Eyelid and Brow Surgery | INTRODUCTION: Various fields have used gaze behaviour to evaluate task proficiency. This may also apply to surgery for the assessment of technical skill, but has not previously been explored in live surgery. The aim was to assess differences in gaze behaviour between expert and junior surgeons during open inguinal hern... |
0 | Ninety-day morbidity in patients undergoing primary TKA with discontinuation of warfarin and bridging With LMWH | Surgical Management of Osteoarthritis of the Knee CPG | We asked whether patients under long-term warfarin and managed with current guidelines regarding bridging therapy have a higher complications rate within ninety days following total knee arthroplasty. We retrospectively identified 38 patients under long-term warfarin. They were match-paired with 76 control patients. Ou... |
1 | All-inside versus inside-out suture techniques in arthroscopic meniscus repair: A prospective randomized study protocol | AMP (Acute Meniscal Pathology) | BACKGROUND: With advancements in our understanding of meniscal function, treatment options for meniscal injuries have evolved considerably over the past few decades. The aim of the current study was to compare the all-inside and inside-out techniques with regard to retear rate, functional outcomes, and perioperative co... |
0 | Pathologic fracture does not influence local recurrence and survival in high-grade extremity osteosarcoma with adequate surgical margins | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND AND OBJECTIVES: The purpose of this study was to estimate the risk factors having relationships with pathologic fracture of osteosarcoma of extremities and to evaluate the role of limb salvage surgery in this group of patients. METHODS: We retrospectively analyzed 28 consecutive cases of pathologic fracture ... |
0 | Arthroplasty rates are increased among US patients with systemic lupus erythematosus: 1991-2005 | Glenohumeral Joint OA | 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 | Outcomes of people with a fractured hip and dementia who reside in a specialized nursing home | Management of Hip Fractures in the Elderly | Fifteen persons who had Alzheimer's disease and experienced a fractured hip were described in relationship to age, sex, type of fracture, type of surgery, length of hospital stay, time between fracture and surgery, and physical therapy to outcomes. Sixty-four percent of the subjects did not receive physical therapy in ... |
0 | Characteristics and clinical outcome in patients after popliteal artery injury | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: The treatment of popliteal artery injury (PAI) caused by blunt or penetrating mechanism is demanding. Concomitant injuries and prolonged ischemia are the major causes of lower extremity morbidity and poor rates of limb salvage. This study assessed the amputation rate and, subsequently, the therapeutic manag... |
1 | Segmental study of the median nerve versus comparative tests in the diagnosis of mild carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The aims of this study were to analyze normative data of nerve conduction studies (NCS) by optimal transformations, and compare the utility of electrodiagnostic tests in detecting mild carpal tunnel syndrome (CTS). METHODS: In 131 hands of patients with mild CTS and 136 hands of controls, the segmental study... |
0 | Impact of the presence of orthopedic hardware on technical performance of major amputations | DoD LSA (Limb Salvage vs Amputation) | Metallic prostheses used for joint reconstruction or open reduction of fractures were discovered pre- or intraoperatively during the performance of six above-knee amputations. The prosthesis was found fortuitously before surgery in two cases on the basis of a surgical scar or radiograph of the leg. In four patients, di... |
0 | Efficacy of a Procedure-Specific Education Module on Informed Consent in Plastic Surgery | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: Truly informed consent is an elusive goal, seldom attained in medical or surgical practice. Patients often do not fully understand procedures and therapies they undergo or the associated sequelae. Historically, informed consent and patient education have been limited to physician discussions, sometimes wi... |
1 | Tapentadol prolonged release for severe chronic osteoarthritis pain in the elderly: Improvements in daily functioning and quality of life | OAK 3 - Non-arthroplasty tx of OAK | Background: Chronic osteoarthritis (OA) pain leads to severe impairments in physical functioning and quality of life. Patients & methods: Data of patients with severe chronic knee and/or hip OA pain were extracted from the database of a prospective, noninterventional trial to assess the benefits of tapentadol prolonged... |
0 | The influence of endodontic infection on progression of marginal bone loss in periodontitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of the present investigation was to determine magnitude and rate of proximal radiographic attachment loss in relation to endodontic infection in periodontally involved teeth. The investigation was conducted as a retrospective longitudinal study on a periodontitis-prone randomly selected referral population,... |
0 | Double-blind cross-over comparison of flurbiprofen and indomethacin in osteoarthritis of the knee and hip | OAK 3 - Non-arthroplasty tx of OAK | A randomised double blind crossâ?over study was conducted in order to compare the therapeutic efficacy and tolerability of flurbiprofen and indomethacin in 16 patients with osteoarthrosis of the knee or hip. 300 mg per diem flurbiprofen and 150 mg per diem indomethacin were given for 14 days. Both treatment were very ... |
1 | Postoperative analgesic efficacy of fascia iliaca block versus periarticular injection for total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | STUDY OBJECTIVE: This study evaluated the postoperative analgesic efficacies of fascia iliaca block and periarticular drug injection techniques after TKA (total knee arthroplasty) surgeries.
DESIGN: Prospective, randomized clinical trial.
SETTING: University Teaching and Research Center.
PATIENTS: Seventy-one American ... |
1 | Anterior cruciate ligament reconstruction using patellar tendon allograft: an age-dependent outcome evaluation | Anterior Cruciate Ligament Injuries CPG | PURPOSE: To compare the outcomes of a consecutive series of nonrevision bone-patellar tendon-bone (BPTB) allograft anterior cruciate ligament (ACL) reconstructions in patients aged 40 years or older and patients aged younger than 40 years. METHODS: Prospectively collected data from consecutive BPTB allograft ACL recons... |
0 | High-dose glucocorticoid to improve post-operative recovery in total hip and knee arthroplasty | AAHKS (8) Anesthetic Infiltration | Background: Total hip and knee arthroplasty (THA and TKA) are frequently performed surgical procedures with excellent long-term functional outcomes. However, pain is pronounced in the early post-operative phase, especially after TKA. Glucocorticoids have proven to relieve post-operative pain, but a higher dose might be... |
0 | Knee reconstruction with endoprosthesis after extra-articular and intra-articular resection of osteosarcoma | DoD LSA (Limb Salvage vs Amputation) | Objective: Extra-articular resection is necessary to obtain a wide margin for primary osteosarcomas invading the knee joint, and the limb is often reconstructed using a prosthesis. Here, outcomes of extra-articular and intra-articular procedures were compared. Methods: Between 1999 and 2012, 14 patients with osteosarco... |
0 | Modifying Risk Factors for Total Joint Arthroplasty: Strategies That Work Nicotine | PJI DX Updated Search | Smoking and nicotine use remain a major health care crisis in the United States. Although rates have dropped dramatically over the last 50 years, approximately 18% of the US adult population still smokes. The musculoskeletal effects of nicotine and other byproducts of smoking place patients at increased risk for periop... |
0 | Dyslipidaemia for patients with low-energy femoral neck fractures after the treatment of cancellous screws: A retrospective study with a 3-year minimum follow-up | Hip Fx in the Elderly 2019 | Background: Avascular necrosis of the femoral head (AVNFH) occurs infrequently following femoral neck fracture. The association between AVNFH and dyslipidaemia remains controversial. Although major risk factors for AVNFH have been proposed, most of them remain under discussion. Our purpose herein was to evaluate the as... |
0 | Aseptic complications after total knee arthroplasty | DoD SSI (Surgical Site Infections) | Aseptic complications after total knee arthroplasty are occurring less frequently than they did one or two decades ago. This is related in part to technical advancements, design improvements, and changes in perioperative management. Extensor mechanism dysfunction is the most frequent complication and the most commonly ... |
1 | Litigation Cases After Post-Bariatric Surgery: Lesson from the Past | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Due to the high demand of post-bariatric surgeries, the number of litigation cases is rapidly growing. Even if surgical mistakes still represent one of the main causes of medico-legal issues, many disputes depend on what happens in the post-operative course. In this article we analyzed the litigation cases ... |
0 | Pulse-dose radiofrequency for knee osteoartrithis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Knee osteoarthritis (OA) is a leading cause of disability in the elderly. The purpose of this study was to investigate the effectiveness of pulse-dose radiofrequency (PDRF) in patients with chronic pain refractory to conservative therapies.
MATERIAL AND METHODS: Between January 2011 and November 2012, PDRF was... |
0 | Expression of CD14, CD16 and CD45RA on monocytes from periodontitis patients | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND AND OBJECTIVE: Peripheral blood monocytes are a heterogeneous population, with phenotypes that change on activation or differentiation. Most of the monocytes express lipopolysaccharide (LPS) receptor, CD14 intensely, and do not express Fc gamma receptor III, CD16 (CD14++ |
0 | External hip protectors are effective for the elderly with higher-than-average risk factors for hip fractures | Management of Hip Fractures in the Elderly | In our cluster randomised controlled trial for efficacy of hip protector with 672 ambulatory elderly women, a hip protector was more effective for prevention of hip fractures in residents with fall history (n = 202; hazard ratio (HR), 0.375; 95%CI, 0.14-0.98; p = 0.05) and body-mass index (BMI) < or = 19.0 (n = 206; HR... |
0 | Application of external fixators for management of charcot deformities of the foot and ankle | DoD LSA (Limb Salvage vs Amputation) | External fixators have been used effectively for a variety of traumatic, congenital and neuromuscular conditions of the lower extremity for many decades. The transition to management of Charcot foot and ankle deformities in the diabetic neuropathic patient is a logical application. External fixation can address the uni... |
0 | Two different techniques for frontalis suspension using Gore-Tex to treat severe congenital ptosis | Upper Eyelid and Brow Surgery | PURPOSE: Severe congenital ptosis is commonly associated with poor levator function. This study compares the functional and cosmetic outcomes of open versus closed frontalis sling using Gore-Tex in the treatment of such conditions. METHODS: Randomized interventional comparative case series of 20 eyes of 13 patients wit... |
0 | Acute Compartment Syndrome | DOD - Acute Comp Syndrome CPG | In brief A high school football player suffered an acute lateral lower leg compartment syndrome following an apparent peroneal muscle strain. Early diagnosis was made on the basis of worsening symptoms and signs and by intracompartment pressure readings. Prompt fasciotomy and removal of necrosed tissue, followed by cas... |
0 | Arthroscopic resection of talocalcaneal coalitions | PJI DX Updated Search | Excision of symptomatic talocalcaneal coalitions, after failure of an adequate conservative treatment, is a widely accepted surgical treatment when less than 50% of the subtalar joint is involved and in the absence of degenerative changes to the subtalar or surrounding tarsal joints. Favorable results have been reporte... |
0 | Musculoskeletal Disorders of Pregnancy, Delivery and Postpartum | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Gender-specific care of musculoskeletal impairments is increasingly important in women's health. This is most relevant and of paramount importance as it relates to identification and management of musculoskeletal and peripheral neurologic disorders of pregnancy, delivery, and postpartum. The specific anatomic and physi... |
0 | Postoperative complications of distal humeral fractures. 27/96 adults followed up for 6 (2-10) years | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Of 96 adult patients with a distal intercondylar, intraarticular fracture of the humerus treated operatively during a 10-year period, 27 patients suffered a local complication, while the total number of individual complications were 34. There were six postoperative infections, 12 neural injuries, and 16 fixation failur... |
0 | Multiple myeloma: effect of daily dichloromethylene bisphosphonate on skeletal complications | MSTS 2018 - Femur Mets and MM | In 1989, a prospective randomized multicenter study was initiated in order to determine the safety and efficacy of oral clodronate in myeloma patients. The primary objective of this long-term trial is to evaluate whether supportive clodronate is able to prevent or retard the progression of bone disease and reduce the o... |
0 | Effects of joint lavage and steroid injection in patients with osteoarthritis of the knee: results of a multicenter, randomized, controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the efficacy of joint lavage and intraarticular steroid injection, alone and in combination, in the treatment of patients with symptomatic knee osteoarthritis (OA). METHODS: Ninetyâ?eight patients with painful tibiofemoral OA were enrolled in a prospective, randomized, controlled, 2 x 2 factoria... |
0 | Path planning for minimally-invasive knee surgery using a hybrid optimization procedure | AMP (Acute Meniscal Pathology) | The aim of this study was to develop a procedure for medical tool path planning in minimally-invasive knee surgery. The collision-free paths for the tool were obtained using the control locations method with a hybrid optimization strategy. The tool and knee elements were described with surface meshes. The knee model al... |
0 | Degeneration alters the biomechanical properties and structural composition of lateral human menisci | AMP (Acute Meniscal Pathology) | OBJECTIVE: Because the literature relating to the influence of degeneration on the viscoelasticity and tissue composition of human lateral menisci remains contradictory or completely lacking, the aim of this study was to fill these gaps by comprehensively characterising the biomechanical properties of menisci with rega... |
0 | The effect of administration of dietary supplement with calcium and vitamins D3 and B6 on calcium homeostasis and falls incidence in patients with high fracture risk undergoing medical rehabilitation | Hip Fx in the Elderly 2019 | Elimination of vitamin D and calcium deficiencies is of particular importance in older patients undergoing medical rehabilitation after a serious illness, surgery or injury and having a high risk of fractures. Preventing falls and fractures, including during the course of rehabilitation, is an important challenge that ... |
0 | Risk factors for early hemorrhagic progression after traumatic brain injury: A focus on lipid profile | DoD PRF (Psychosocial RF) | The purpose of this study was to identify the risk factors related to the hemorrhagic progression (HP) of brain contusion in patients after traumatic brain injury (TBI).Recently, many studies have reported abnormal lipid levels associatedwith hemorrhagic stroke. Unlike hemorrhage stroke, however, the lipid profiles in ... |
0 | Primary osteoarthritis of the elbow: Lack of radiographic evidence for morphologic predisposition, results of operative debridement at intermediate follow-up, and basis for a new radiographic classification system | Glenohumeral Joint OA | This study evaluated whether or not a morphologic predisposition exists to the development of primary osteoarthritis and establishes a classification tool to predict outcome in surgical treatment of elbow osteoarthritis. Detailed radiographic morphologic analysis of the ulnotrochlear and radio-capitellar joints in 90 n... |
1 | A modified technique combining vertical and high lateral incisions for abdominal-to-hip contouring following massive weight loss in persistently obese patients | Panniculectomy & Abdominoplasty CPG | Massive weight loss following bariatric surgery or diet and exercise can often result in significant improvements not only in health status but also in overall lifestyle. The resulting redundant skin, however, may itself present new and unanticipated problems, both physical and psychological, making surgical interventi... |
0 | Dermolipectomies following weight loss after surgery for morbid obesity | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Dermolipectomies play a major role in the functional and esthetic deformities which result from massive weight loss.
METHODS: From June 1994 to June 2000, 148 morbidly obese patients underwent various bariatric surgical procedures. After at least 1 year, 33 patients underwent 51 regional dermolipectomies pe... |
0 | Are the High Hip Fracture Rates Among Norwegian Women Explained by Impaired Bone Material Properties? | Hip Fx in the Elderly 2019 | Hip fracture rates in Norway rank among the highest in the world, more than double that of Spanish women. Previous studies were unable to demonstrate significant differences between the two populations with respect to bone mass or calcium metabolism. In order to test whether the difference in fracture propensity betwee... |
0 | Is pain after TKA better with periarticular injection or intrathecal morphine? | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Postoperative pain after TKA is a major concern to patients. The best technique to control pain is still controversial. Intrathecal morphine or periarticular multimodal drug injection are both commonly used and both appear to provide better pain control than placebo, but it is unclear whether one or the oth... |
0 | Meniscal Injuries: Mechanism and Classification | AMP (Acute Meniscal Pathology) | Meniscal tears may be managed through conservative physical therapy and nonsteroidal anti-inflammatory medications or operative intervention. Meniscal repair is superior to partial meniscectomy with better functional outcomes and less severe degenerative changes over time. Surgical advances in operative techniques, mod... |
0 | A case-control study of elective hip surgery among HIV-infected patients: exposure to systemic glucocorticoids significantly increases the risk | PJI DX Updated Search | OBJECTIVES: This was a cross-sectional study with a nested case-control analysis among a cohort of HIV-infected adults aiming to explore the prevalence of and risk factors for elective hip surgery (total hip arthroplasty and resurfacing). METHODS: Cases were identified from the out-patient database of HIV-infected adul... |
0 | Relationship of changes in total hip bone mineral density to vertebral and nonvertebral fracture risk in women with postmenopausal osteoporosis treated with once-yearly zoledronic acid 5 mg: The HORIZON-Pivotal Fracture Trial (PFT) | Management of Hip Fractures in the Elderly | Measurements of change in bone mineral density (BMD) are thought to be weak predictors of treatment effect on the reduction of fracture risk. In this study we report an alternative year-on-year approach for the estimation of treatment effect explained by BMD in which we examine the relationship between fracture risk an... |
1 | Sterility of the personal protection system in total joint arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Bacteria shed by operating room personnel is a source of wound contamination and postoperative infections. The personal protection system (PPS) was designed to decrease airborne bacteria and intraoperative contamination in total joint arthroplasty. QUESTIONS/PURPOSES: We determined the microbial contaminati... |
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