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0 | Treatment of Periprosthetic Femoral Fracture After Cementless Total Hip Arthroplasty With Ilizarov External Fixation | Management of Hip Fractures in the Elderly | A 72-year-old woman with periprosthetic femoral fracture after cementless total hip arthroplasty (THA) underwent external fixation using the Ilizarov method. Although open reduction and internal fixation with a condylar plate system were initially attempted, deep infection with methicillin-resistant Staphylococcus aure... |
1 | Visually-guided irrigation in patients with early knee osteoarthritis: a multicenter randomized, controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine if visually-guided arthroscopic irrigation is an effective therapeutic intervention in patients with early knee osteoarthritis. DESIGN: Ninety patients with knee osteoarthritis were randomized in a double-blind fashion to receive either arthroscopic irrigation with 3000 ml of saline (treatment g... |
0 | Behavior of insulin sensitivity and its relation to leptin and tumor necrosis factor-alpha in obese women undergoing liposuction: 6-Month follow-up | Panniculectomy & Abdominoplasty CPG | Background: Metabolic syndrome is a group of pathological processes which involve insulin resistance, a biochemical and molecular disorder. Obesity appears to be the most frequent clinical component in metabolic syndrome. Subcutaneous fat, independent from visceral fat, is still controversial as a marker of the pathoph... |
0 | Guideline for Limb-Salvage Treatment of Osteosarcoma | DoD SSI (Surgical Site Infections) | Osteosarcoma is the most common primary malignant bone tumor, occurring mainly in children and adolescents, and the limbs are the main affected sites. At present, limb-salvage treatment is considered as an effective basic standard treatment for osteosarcoma of the limb. China has a vast territory, but the development o... |
1 | Matrix based autologous chondrocyte implantation in children and adolescents: a match paired analysis in a follow-up over three years post-operation | Osteochondritis Dissecans 2020 Review | PURPOSE: The aim of this study is the investigation of the clinical results after third generation autologous chondrocyte implantation in the knee in a follow-up over three years post-operation. Our primary focus is on the effects of this procedure on children and adolescent patients as there is a lack of knowledge reg... |
0 | Locking intramedullary nails compared with locking plates for two- and three-part proximal humeral surgical neck fractures: a randomized controlled trial | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Previous studies have shown good clinical results in patients with proximal humeral fractures (PHFs) treated with locking intramedullary nails or locking plates. Our study compared the clinical and radiographic outcomes in patients with 2â? and 3â?part surgical neck fractures. METHODS: In this prospective... |
0 | Surgical treatment of acute and chronic anterior cruciate ligament/posterior cruciate ligament/lateral sided injuries of the knee | Surgical Management of Osteoarthritis of the Knee CPG | Combined bicruciate and posterolateral corner injuries are among the most challenging reconstructive problems in orthopedics. The potential for severity of injury (including the soft tissue envelope), chance for multi trauma, peroneal nerve palsy, and complex gait abnormalities with varus thrust add to the already diff... |
1 | Centromedullary manipulation and stabilization of completely displaced proximal humerus fractures in adolescents | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Completely displaced metaphyseal fractures of the proximal humerus in older children may need reduction and stabilization. The authors describe a technique for closed reduction and intramedullary stabilization of these fractures using a centromedullary pin inserted from the distal humerus through a small distal incisio... |
1 | Gartland type I supracondylar humerus fractures in children: is splint immobilization enough? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | OBJECTIVE: The primary objective of this study was to determine if Gartland type I supracondylar humerus (SCH) fractures undergo significant displacement resulting in a change in management when treated with a long-arm splint. Secondary objectives included measured changes at follow-up in displacement and/or angulation... |
0 | Questionnaire on the perceptions of patients about total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | We have developed a 12-item questionnaire for patients having a total knee replacement (TKR). We made a prospective study of 117 patients before operation and at follow-up six months later, asking them to complete the new questionnaire and the form SF36. Some also filled in the Stanford Health Assessment Questionnaire ... |
0 | "Generalized osteoarthritis": A systematic review | SR for PM on OA of All Extremities | Objectives: Given the conflicting definitions of "generalized osteoarthritis" (GOA) in the literature, we performed a systematic review of GOA definitions, risk factors, and outcomes. Methods: We searched the |
0 | Bone radiofrequency ablation combined with prophylactic internal fixation for metastatic bone tumor of the femur from hepatocellular carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | A 64-year-old man with 6-year history of hepatocellular carcinoma (HCC) was referred to us regarding bone metastasis to the right proximal femur. Although he underwent radiotherapy for pain palliation and local tumor control, the pain persisted and the tumor relapsed 3 months after the radiotherapy and he was thought t... |
0 | Non-Hodgkin lymphoma in elderly patients: Experience at Taipei Veterans General Hospital | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND. The annual incidence of non-Hodgkin lymphoma (NHL) has increased over the past two decades in all age groups, including the elderly. Establishing guidelines for proper care for this segment of the population requires further information. METHODS. Between January 1993 and April 2002, 187 consecutive patients... |
0 | Landmark Technique for a Wrist Block | Pediatric Supracondylar Humerus Fracture 2020 Review | Effective anesthesia of the hand and wrist has many uses inside and outside the operating room. In the emergency department or fracture clinic, a wrist block may be used for closed reductions of dislocations and fractures or for effective inspection and treatment of wounds. In the operating room, surgery may be carried... |
0 | Botulinum toxin dosage template for frontal wrinkle effacement | Upper Eyelid and Brow Surgery | Background: There is no consensus in the literature about the ideal technique for precisely placing botulinum toxin in the frontal facial regions for the most natural posttreatment appearance. Objectives: The authors describe a safe and effective dosage template for botulinum toxin injection (a "dose disc," which makes... |
0 | Ultrasonography-guided injections for knee osteoarthritis in primary care | OAK 3 - Non-arthroplasty tx of OAK | Ultrasonography (US) is becoming a commonly used imaging modality for the musculoskeletal system, particularly in patients with knee osteoarthritis. It has several advantages, including the absence of ionizing radiation, the availability of real-time data, that it is relatively inexpensive, and that it typically yields... |
0 | Magnetic resonance imaging of the wrist | Distal Radius Fractures | Magnetic resonance (MR) imaging has developed rapidly as a diagnostic tool in the evaluation of the wrist. In this article, the authors review simple high-resolution technique and appropriate surface coils to aid in wrist evaluation. Evaluation of the wrist is facilitated by an understanding of the anatomy of the carpa... |
1 | Leukocyte-poor platelet-rich plasma versus bupivacaine for recalcitrant lateral epicondylar tendinopathy | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | PURPOSE: To compare a single leukocyte-poor (type-4B) platelet-rich plasma (PRP) injection versus bupivacaine injection for recalcitrant lateral epicondylar tendinopathy (LET).
METHODS: 25 patients aged 27 to 50 years with painful and recalcitrant LET of the humerus were randomised to receive leukocyte-poor (type-4B) P... |
0 | Carpal tunnel syndrome: The possibility of early diagnosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is a clinical disorder caused by compression of the median nerve at the wrist. Despite the long history of the disease (over 100 years), there remains the problem of early detection and diagnosis of carpal tunnel syndrome. Many people have classic symptoms without abnormal electrodiagnostic... |
0 | The medial adipofascial flap for infected tibia fractures reconstruction: 10 years of experience with 59 cases | DoD SSI (Surgical Site Infections) | OBJECTIVE: The purpose of this study was to evaluate the results of the medial adipofascial flap (MAF) in infected tibia fractures reconstruction and to identify criteria for success or failure.
PATIENTS AND METHODS: Fifty-nine patients treated with a MAF were enrolled. Age, BMI, tobacco use and bone status were record... |
0 | Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III: A cross-sectional analysis | DoD PRF (Psychosocial RF) | OBJECTIVE: To investigate the factors related to self-perceived work ability in patients with chronic whiplash-associated disorder grades II-III. DESIGN: Cross-sectional analysis. PATIENTS: A total of 166 working age patients with chronic whiplash-associated disorder. METHODS: A comprehensive survey collected data on w... |
0 | Study of Cingalâ?¢ for the Relief of Knee Osteoarthritis Compared to Triamcinolone Hexacetonide | OAK 3 - Non-arthroplasty tx of OAK | This is a multiâ?center, randomized, doubleâ?blind, parallel group, active comparator controlled trial to evaluate the efficacy and safety of a single injection of Cingal for the relief of joint pain in subjects with OA of the knee. |
0 | Anatomy, function, and rehabilitation of the popliteus musculotendinous complex | AMP (Acute Meniscal Pathology) | We present a clinical commentary of existing evidence regarding popliteus musculotendinous complex anatomy, biomechanics, muscle activation, and kinesthesia as they relate to functional knee joint rehabilitation. The popliteus appears to act as a dynamic guidance system for monitoring and controlling subtle transverse-... |
0 | Anesthesia for Same-Day Total Joint Replacement | AAHKS (4) Acetaminophen | Demand for low-cost, high-quality health care has forced the total joint replacement (TJR)industry to evaluate and mitigate high variable costs. Minimizing hospital stay can significantly reduce total cost of care. A shortened hospital stay does not compromise patient safety or satisfaction, and may reduce perioperativ... |
0 | Rheumatoid arthritis and anaesthesia | PJI DX Updated Search | There has been a great deal of progress in our understanding and management of rheumatoid arthritis in recent years. The peri-operative management of rheumatoid arthritis patients can be challenging and anaesthetists need to be familiar with recent developments and potential risks of this multi system disease. You can ... |
0 | Hip Fracture in Nonagenarians: Characteristics and Factors Related to 30-Day Mortality in 1177 Patients | DoD SSI (Surgical Site Infections) | Background: The number of nonagenarian patients with hip fracture is increasing. The goals of this study were to describe the characteristics and in-hospital course of a cohort of 1177 nonagenarians admitted for hip fracture compared with younger patients and to identify risk factors for 30-day mortality after admissio... |
1 | The economic impact of a multifactorial intervention to improve postoperative rehabilitation of hip fracture patients | HipFx Supplemental Cost Analysis | OBJECTIVE: To assess the cost savings associated with a patient education and high-intensity strength intervention to improve rehabilitation after hip fracture. METHODS: Economic analysis conducted alongside a randomized controlled trial, using cost-benefit ratios and net present value statistics. Study subjects were a... |
0 | Operative treatment and avascular necrosis of the hip development disorder | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: The purpose of this research was (1) to evaluate the consequences of an operative treatment of hip developmental disorder in children, (2) to evaluate the significance of hip vascular supply in children through indirect radiological signs, such as morphological changes on femoral head, and to classify them wit... |
0 | Plastic Surgery for Women | Panniculectomy & Abdominoplasty CPG | Plastic surgery is a broad field, including maxillofacial surgery, reconstruction after injuries, hand surgery, and skin flaps and grafts, but the most common procedures for women are liposuction and body contouring, breast surgery, and facial cosmetic procedures. Techniques of face and brow lifts, blepharoplasty, and ... |
1 | Surgical outcomes of a randomized prospective trial involving patients with a proximal femoral fracture | Hip Fx in the Elderly 2019 | Background: An orthopaedic management/patient-focused care unit (OMPFCU) involving a dedicated orthopaedic-geriatrics liaison team was established at the Royal Brisbane Hospital in 1994 in an effort to safely accelerate rehabilitation of patients with proximal femoral fractures. Methods: The surgical outcomes of the pa... |
0 | Traumatic deaths at hospital: analysis of preventability and lessons learned | Hip Fx in the Elderly 2019 | PURPOSE: The aim of the present study was to characterize traumatic deaths of major trauma patients occurring in a university trauma centre and to assess retrospectively the quality of given care by evaluating whether any of the deaths could be identified as potentially preventable.
METHODS: All consecutive deaths of t... |
0 | Displaced medial clavicle fractures: operative treatment with locking compression plate fixation | Distal Radius Fractures | OBJECTIVES: Medial clavicle fractures are rare injuries and historically treated non-operatively. Displaced medial clavicle fractures, however, have a higher incidence of delayed- or non-union compared to non- displaced medial clavicle fractures and might benefit from operative treatment. We describe below a new techni... |
0 | Outcome assessment after reconstruction of complex defects of the forearm and hand with osteocutaneous free flaps | DOD - Acute Comp Syndrome CPG | BACKGROUND: Complex defects of the forearm and hand often require microvascular reconstruction with osteocutaneous free flaps for limb salvage. METHODS: Fifteen patients with osseous and soft-tissue defects of the forearm and hand were treated with osteocutaneous flaps (1992 to 2004) and evaluated for postoperative res... |
0 | Direct Anterior Approach Versus Posterolateral Approach for Hemiarthroplasty in the Treatment of Displaced Femoral Neck Fractures in Geriatric Patients | DoD SSI (Surgical Site Infections) | BACKGROUND In the present study, we aimed to evaluate early clinical and biochemical outcomes of direct anterior approach (DAA) versus posterolateral approach (PLA) for hemiarthroplasty in the treatment of displaced femoral neck fractures in geriatric patients. MATERIAL AND METHODS Between September 2012 and September ... |
0 | A multicenter, retrospective epidemiologic survey of the clinical features and management of bone metastatic disease in China | MSTS 2018 - Femur Mets and MM | BACKGROUND: Bone metastases are common in patients with advanced cancer. Bisphosphonates (BPs) could prevent or delay the development of skeleton-related events (SREs). The present study aimed to identify the clinical features of and treatment strategies for Chinese patients with bone metastases.
METHODS: Consecutive c... |
1 | Influence of the timing of surgery on mortality and activity of hip fracture in elderly patients | Management of Hip Fractures in the Elderly | BACKGROUND: Existing reports describe the decline of the mortality rate by conducting surgery for hip fractures within 24 h; however, the theory is still controversial. We have compared the perioperative mortality rate, improvement of mobility, and duration of hospital stay for early surgery (within 24 h) and delayed s... |
1 | The quantitative relationship between physical examinations and the nerve conduction of the carpal tunnel syndrome in patients with and without a diabetic polyneuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To understand the quantitative correlation between the clinical severity and physical examinations along with the electrodiagnostic findings by subjects with carpal tunnel syndrome (CTS) and also the influence of diabetic polyneuropathy (DPN) on physical examinations by subjects with CTS. METHODS: Among 200 ... |
0 | Brachial plexopathies: Classification, causes, and consequences | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The brachial plexus, which is the most complex structure of the peripheral nervous system, supplies most of the upper extremity and shoulder. The high incidence of brachial plexopathies reflects its vulnerability to trauma and the tendency of disorders involving adjacent structures to affect it secondarily. The combina... |
0 | Variation in Resource Utilization for Patients With Hip and Pelvic Fractures Despite Equal Medicare Reimbursement | Hip Fx in the Elderly 2019 | BACKGROUND: Medicare currently reimburses hospitals for inpatient admissions with "bundled" payments based on patient Diagnosis-related Groups (DRGs) regardless of true hospital costs. At present, DRG 536 (fractures of the hip and pelvis) includes a broad spectrum of patients with orthopaedic trauma, likely with varyin... |
1 | The Cost and Educational Experience of Treating Supracondylar Humerus Fractures: A Pilot Analysis on Standardizing Surgical Care | Pediatric Supracondylar Humerus Fracture 2020 Review | Closed reduction and percutaneous pinning (CRPP) for supracondylar humeral fractures (SCHF) comprised considerable surgical volume in pediatric orthopaedics. Limited reports are available on how standardization of the surgical care affects the cost and trainee's learning experience. METHODS: Cost analysis was performed... |
0 | Replacement of an extruded segment of radius after autoclaving and sterilising with gentamicin | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | A 10 year-old boy had a traumatic extrusion of 10 cm of the distal radius. The segment of bone was replaced after washing it with providine iodine solution and normal saline, autoclaving and dipping in gentamicin solution for 2 hour. At four and half year's follow-up, there was complete incorporation of the segment wit... |
0 | Therapeutic mammaplasty - Impact on the delivery of chemotherapy | Reduction Mammoplasty for Female Breast Hypertrophy | Therapeutic mammaplasty allows breast conservation and maintains breast cosmesis in women with larger and ptotic breasts. They are associated with more post-operative complications, potentially delaying adjuvant treatment. Our aim is to investigate the impact of therapeutic mammaplasty on the timing of adjuvant chemoth... |
0 | Serum vitamin D, vitamin D binding protein, and lung cancer survival | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Vitamin D may prolong cancer survival by inhibiting tumor progression and metastasis, however, there are limited epidemiologic studies regarding the association between circulating 25-hydroxyvitamin D (25(OH)D) and lung cancer survival. The aim of this study was to examine the relationship between serum 25(... |
1 | Autonomic dysfunction in idiopathic carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | While the sensorimotor features of carpal tunnel syndrome (CTS) are well known, a prospective, systematic study of autonomic disturbances in CTS is lacking. Of 139 limbs with CTS (76 patients), autonomic symptoms were reported in 76 (47 patients). Of these, 59% consisted of swelling of the fingers, 39% dry palms, 33% R... |
0 | Effectiveness of Two Types of Treatment in Restoring Muscle After Hip or Knee Surgery | OAK 3 - Non-arthroplasty tx of OAK | Hip fractures among the elderly are a major health concern. Nearly oneâ?third of elderly hip fracture patients die within 1 year of the injury. Events surrounding the actual injury and any necessary surgical repair often lead to reduced muscle protein, and eventually, muscle strength. Loss in everyday function and ind... |
0 | Combined block of the lower extremity | Surgical Management of Osteoarthritis of the Knee CPG | A combined block of the lower extremity offers many advantages over spinal or epidural anaesthesia, such as less hypotension, no bladder paralysis or postspinal headache and fewer concerns regarding coagulation problems. The advantages of a low complication rate are overshadowed by the fact that more time is required t... |
0 | Evaluation of reparative cartilage after autologous chondrocyte implantation for osteochondritis dissecans: histology, biochemistry, and MR imaging | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: The aim of this study was to investigate the biochemical properties, histological and immunohistochemical appearance, and magnetic resonance (MR) imaging findings of reparative cartilage after autologous chondrocyte implantation (ACI) for osteochondritis dissecans (OCD). METHODS: Six patients (mean age 20.2... |
0 | Mesenchymal stem cells from adipose tissue and plasma rich in growth factors in degenerative joint dissease in dogs | OAK Recommendation 9 Articles | A. Purpose: The aim of this study was to compare the effect of adipose mesenchymal stem cells (aMSC) (Dog Stem-) and Plasma rich in growth factors (PRGF) (PRGF-Endoret-) in the treatment of osteoarthritis disease (OA) in dogs. B. Methods: The study was performed in 50 dogs with elbow, knee or hip degenerative ostheoart... |
0 | Cardiovascular fitness and health in patients with end-stage osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To evaluate the cardiovascular fitness of a group of patients with severe osteoarthritis (OA). METHODS: Thirty-seven patients with end-stage OA were evaluated just before hip or knee replacement surgery. Severity of arthritis was evaluated using standardized techniques. Patients and age- and sex-matched cont... |
0 | Incidence of hip fractures in Malmo, Sweden, 1992-1995. A trend-break | Management of Hip Fractures in the Elderly | The incidence of hip fractures in Malmo, Sweden, has been studied since 1924. Predictions based on material from the 1950s to the 1980s have shown an almost exponential increase in incidence. During 1992-1995, 2,268 patients aged 50 and older, with hip fractures, were admitted to Malmo University Hospital, the only hos... |
0 | Functional improvement after hip and knee arthroplasty: 6-month follow-up with a new functional assessment system | Surgical Management of Osteoarthritis of the Knee CPG | Altogether, 271 patients with osteoarthritis of the hip and knee were evaluated pre-and post-operatively using a new functional assessment system for lower-extremity dysfunction, primarily intended as an instrument for physiotherapists. This system consists of 20 variables arranged in five functional groups. The result... |
0 | Polymorphism of the vitamin D receptor gene and corticosteroid-related osteoporosis | Management of Hip Fractures in the Elderly | Corticosteroid therapy (CST) is associated with reduced intestinal calcium absorption, bone loss and increased fracture risk. As polymorphisms of the vitamin D receptor (VDR) gene may be associated with bone mineral density (BMD) and intestinal calcium absorption, we asked whether patients with a given VDR genotype rec... |
0 | Patient activation and disability in upper extremity illness | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose To determine if higher patient activation (active involvement in one's health care) correlates with fewer symptoms and less disability in patients with hand and upper extremity illness. Methods We enrolled 112 patients presenting to our department for the first time. Before meeting with the surgeon, subjects co... |
0 | Total knee replacement in a patient with lupus anticoagulant | Surgical Management of Osteoarthritis of the Knee CPG | The lupus anticoagulant is an acquired circulating anticoagulant that was first described in patients with systemic lupus erythematosus (SLE). This rare hematologic entity is seen in about 1% to 2% of the general population and about 10% to 35% of the patients with SLE. Although associated with a prolonged partial thro... |
0 | Topographic organization of the human primary and secondary somatosensory areas: An fMRI study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The topographical organization of SI and SII somatosensory areas was investigated using fMRI at 1.5 T and electrical sensory stimulation. Electrical stimuli were delivered unilaterally to the median nerve at the wrist and to the tibial nerve at the medial malleolus, during a block paradigm study. In all subjects, activ... |
0 | Musculoskeletal Injuries in Master Swimmers: A National Survey in Turkey | AMP (Acute Meniscal Pathology) | Background This study aimed to determine the frequency of musculoskeletal injuries in master swimmers in Turkey. Methods A questionnaire was formed and distributed to all master swimmers registered with the Turkish Swimming Federation. The collected data included age, sex, the age to start swimming (SAS), weekly traini... |
0 | A comparison of the clinical and experimental characteristics of four acute surgical pain models: Dental extraction, bunionectomy, joint replacement, and soft tissue surgery | AAHKS (9/10) Regional Nerve Blocks | When a clinical trial of an analgesic produces a negative finding, it is important to consider the influence (if any) of experimental error on the validity of that result. Although efforts to identify and minimize experimental error in chronic pain investigations have begun in earnest, less work has been performed on t... |
0 | COVID-19 pandemic and hip fractures: impact and lessons learned | Hip Fx in the Elderly 2019 | Aims: The coronavirus disease (COVID)-19 pandemic forced an unprecedented period of challenge to the NHS in the UK where hip fractures in the elderly population are a major public health concern. There are approximately 76,000 hip fractures in the UK each year which make up a substantial proportion of the trauma worklo... |
0 | Patella Fracture after Total Knee Replacements | Management of Hip Fractures in the Elderly | A retrospective study was done to determine the incidence, clinical function, and complications of treatment in a large series of patella fractures after total knee replacement (TKR). Between 1983 and 1996, 4583 primary AGC TKRs done at our institution. One hundred seventy-seven fractures were identified in 135 patient... |
0 | Bone scintigraphy in plasma-cell myeloma. A prospective study of 70 patients | MSTS 2018 - Femur Mets and MM | Radiography and scintigraphy were correlated in 70 patients with recently diagnosed, untreated multiple myeloma, including 59 with and 11 without primary lytic bone lesions. A site-by-site comparison showed that scintigraphy was more sensitive than radiography in only 18% of cases, whereas radiography was more sensitiv... |
0 | Domiciliary VR-Based Therapy for Functional Recovery and Cortical Reorganization: Randomized Controlled Trial in Participants at the Chronic Stage Post Stroke | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Most stroke survivors continue to experience motor impairments even after hospital discharge. Virtual reality-based techniques have shown potential for rehabilitative training of these motor impairments. Here we assess the impact of at-home VR-based motor training on functional motor recovery, corticospinal... |
0 | Interlocking nailing of forearm fractures | Distal Radius Fractures | INTRODUCTION: With the exception of forearm fractures, intramedullary techniques are preferred for osteosynthesis in the case of long-bone fractures. For the latter, however, the main problem remains insufficient stability against torsional forces resulting in high rates of non-union. This is why plate osteosynthesis b... |
0 | Singh index screening for femoral neck osteoporosis | Management of Hip Fractures in the Elderly | The present study included 130 elderly women living in Khon Kaen, Thailand, and all but one underwent both DEXA-BMD and AP radiographs of the left hip joint. The mean (SD) of age, weight, height and BMI of the 129 participants was 72.5 (5.3) years, 49.8 (10.3) kg, 1.49 (0.06) m, and 22.21 (4.13) kg/m2, respectively. Th... |
0 | Efficacy and safety of <sup>153</sup>Sm-EDTMP as treatment of painful bone metastasis: a large single-center study | MSTS 2018 - Femur Mets and MM | PURPOSE: The purpose of this study is to assess the efficacy of <sup>153</sup>Sm-EDTMP (Quadramet) in a clinical setting.
METHODS: We have conducted a retrospective study of all consecutive patients (pts) treated with <sup>153</sup>Sm-EDTMP for painful bone metastases. At each visit (before and after treatment), four p... |
0 | Haemodynamic changes induced by hyperbaric bupivacaine during lateral decubitus or supine spinal anaesthesia | Management of Hip Fractures in the Elderly | BACKGROUND AND OBJECTIVE: Hypotension, the commonest side-effect of spinal anaesthesia, results from sympathetic denervation. This study compared patient positioning (supine vs. decubitus) on haemodynamic variables during spinal anaesthesia. METHODS: After intravenous crystalloid preloading with 5 mL kg(-1), hyperbaric... |
1 | Alcohol misuse in the United Kingdom Armed Forces: A longitudinal study | DoD PRF (Psychosocial RF) | OBJECTIVES: We assessed changes in Alcohol Use Disorders Identification Test (AUDIT) scores over time. We investigated the impact of life events and changes in mental health status on AUDIT scores over time in UK military personnel.
METHODS: A random representative sample of regular UK military personnel who had been s... |
0 | Imaging evaluation of nonacute shoulder pain | Glenohumeral Joint OA | OBJECTIVE. A variety of radiographic views have been described in the literature for the initial imaging of nonacute shoulder pain. Multiple articles have also discussed the best next imaging test if radiographs do not show the diagnosis, especially the use of unenhanced MRI, MR arthrography, CT arthrography, and ultra... |
0 | Deep wound infection after proximal femoral fracture: consequences and costs | Management of Hip Fractures in the Elderly | The purpose of this study was to assess the impact of deep wound infection after surgery for proximal femoral fracture (PFF) on the patient in terms of mortality and social consequences, and on the National Health Service in terms of financial burden. Sixty-one cases of PFF over a six-year period were complicated with ... |
0 | Young peoples' experience and self-management in the six months following major injury: A qualitative study | DoD PRF (Psychosocial RF) | PURPOSE: The aim of this qualitative study was to explore how young people aged 16-24 years' experience, perceive and manage the effects of major traumatic injury during the initial six months following major traumatic injury. Specifically: (1) how do young people manage the physical and emotional effects of major inju... |
0 | Ultrasound-guided continuous adductor canal block for analgesia after total knee replacement | PJI DX Updated Search | BACKGROUND: There are several methods for postoperative analgesia for knee surgery. The commonly utilized method is multimodal analgesia based on continuous femoral nerve block. The aim of this study was to investigate the application of continuous adductor canal block for analgesia after total knee replacement and com... |
0 | The efficiency of electromagnetic field treatment in Complex Regional Pain Sydrome Type I | Distal Radius Fractures | Introduction: Complex Regional Pain Syndrome Type I is a pathological condition that occurs without evident nerve injury and follows a course characterized by severe pain. Purpose: The aim of this study is to assess whether or not electromagnetic field treatment administered with calcitonin and exercise has positive ef... |
1 | Efficacy and safety of topical diclofenac containing dimethyl sulfoxide (DMSO) compared with those of topical placebo, DMSO vehicle and oral diclofenac for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | While topical nonâ?steroidal antiâ?inflammatory drugs are considered safe, their longâ?term efficacy for osteoarthritis has been suspect. We conducted a 12â?week, doubleâ?blind, doubleâ?dummy, randomized controlled trial of topical diclofenac (TDiclo) in a vehicle solution containing dimethyl sulfoxide (DMSO) in ... |
0 | Ankle fractures involving the fibula proximal to the distal tibiofibular syndesmosis | DoD LSA (Limb Salvage vs Amputation) | Thirty-two cases of ankle fractures associated with fibular fractures above the distal tibiofibular syndesmosis were studied. All were treated with open reduction and internal fixation. The average follow-up was 25 months. The results of the postoperative evaluation were rated, based on subjective clinical criteria, as... |
0 | Autotransplantation of two maxillary premolars in a free vascularized fibula reconstructed mandible | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A 10-year-old female patient with a fibula transplant in her left hemimandible due to ameloblastoma treatment was referred for combined orthodontic and surgical planning and treatment to observe and prevent expected asymmetric facial development and malocclusion, because the premolars and molars on the left side of the... |
1 | Detection of congenital dislocation of the hip by an early screening program, with particular reference to false negatives | Developmental Dysplasia of the Hip CPG | The incidence of hip abnormality was investigated in 11,980 children born at Hope Hospital, Salford, between 1975 and 1978. Of 179 neonates (14.9/1,000 livebirths) found to have an abnormal hip, only 22 (1.8/1,000 livebirths) required treatment with an abduction splint. Despite this high detection rate of hip abnormali... |
0 | Incidence of deepening of the upper eyelid sulcus on treatment with a tafluprost ophthalmic solution | Upper Eyelid and Brow Surgery | Purpose: Deepening of the upper eyelid sulcus (DUES), one symptom of prostaglandin-associated periorbitopathy, was recently found to be an additional side effect of prostaglandin-related ophthalmic solutions. Here, we prospectively investigated the incidence and factors associated with DUES in Japanese open-angle glauc... |
0 | Blood flow changes to the femoral head after acetabular fracture or dislocation in the acute injury and perioperative periods | Management of Hip Fractures in the Elderly | OBJECTIVES: Acute blood flow to the femoral head has been postulated to be affected negatively by traumatic acetabular fracture or dislocation. To the best of our knowledge, a prospective study that has examined acute changes in blood flow to the femoral head with respect to the timing of reduction and the effect of op... |
1 | Anterior cruciate ligament reconstruction: endoscopic versus two-incision technique | Anterior Cruciate Ligament Injuries CPG | The purpose of this study was to compare the single-incision, "endoscopic" (ENDO) anterior cruciate ligament (ACL) reconstruction technique with the two-incision, "rear-entry" technique (RE). Sixty patients were entered into a prospective study. Thirty patients underwent ACL reconstruction by the RE technique, followed... |
0 | Single-Dose Perioperative Antibiotics Do Not Increase the Risk of Surgical Site Infection in Unicompartmental Knee Arthroplasty | AAHKS (4) Acetaminophen | Background: Unicompartmental knee arthroplasty (UKA) is commonly performed as an outpatient procedure. To facilitate this process, a single-dose intravenous (IV) perioperative antibiotic administration is required compared to 24-hour IV antibiotic dosing schedules that are typical of most inpatient arthroplasty procedu... |
0 | Reconstruction of the mandible using preshaped 2.3-mm titanium plates, autogenous cortical bone plates, particulate cancellous bone, and platelet-rich plasma: a retrospective analysis of 20 patients | Reconstruction After Skin Cancer | PURPOSE: The purpose of this retrospective study was to evaluate a group of 20 patients who underwent a reconstruction of the mandible by use of free bone grafts and platelet-rich plasma (PRP). MATERIALS AND METHODS: In a period of 8 years, 20 patients underwent a reconstruction of the mandible, by use of preshaped 2.3... |
0 | The effect of age on sciatic nerve block duration | Surgical Management of Osteoarthritis of the Knee CPG | The physiologic changes that occur with advancing age and their effect on the duration of peripheral nerve blocks have yet to be defined. We prospectively studied the duration of sciatic nerve block using mepivacaine in younger and older patients. Eighty ASA physical status I-III patients, aged 18-35 (n = 40) or 55-80 ... |
1 | A comparison of treatment approaches used after carpal tunnel release surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Two treatment approaches used by two hand clinics were compared for patients who had undergone carpal tunnel release surgery. One of the clinics used an exercise program consisting of progressive resistive exercise; the other clinic used limited activity and no specific exercise program. Measurements of grip strength a... |
0 | Effects of load on the acute response of muscles proximal and distal to blood flow restriction | Pediatric Supracondylar Humerus Fracture 2020 Review | To determine the effects of load and blood flow restriction (BFR) on muscular responses, we asked 12 participants to perform chest presses under four different conditions [30/0, 30/40, 50/0, and 50/40, presented as percentage one-repetition maximum (1RM)/percentage arterial occlusion pressure (AOP)]. Muscle thickness i... |
0 | The prevention of bone fractures after liver transplantation: experience with alendronate treatment | Management of Hip Fractures in the Elderly | OBJECTIVE: The aim of this study was to prevent fractures in the first postoperative year.METHODS AND PATIENTS: We studied 59 patients (48 men, 11 women) aged 42.6+/-11.4 years, who underwent liver transplantation. All patients received oral alendronate 70 mg weekly and calcium 1 g and calcitriol 0.5 mug daily. Bone mi... |
0 | Ulnar neuropathy at the elbow in diabetes | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To compare the prevalence of diabetes in a consecutive sample of patients with ulnar neuropathy at the elbow (UNE) with that in patients with carpal tunnel syndrome (CTS) and to assess differences in demographic, clinical, and electrophysiologic findings between diabetic, idiopathic, and posttraumatic UNE. D... |
0 | Musculoskeletal work disability for clinicians: time course and effectiveness of a specialized intervention program by diagnosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To evaluate how an intervention program modifies the clinical course of work disability in musculoskeletal diagnoses. METHODS: All patients with temporary work disability related to musculoskeletal disorders (MSDs) in 3 health districts of Madrid, Spain were randomized into standard care (control group) or t... |
0 | [The gamma-nail as a resilient alternative to the dynamic hip screw in unstable proximal femoral fractures in the elderly] | Management of Hip Fractures in the Elderly | In a prospective randomised trial between September 1989 and June 1990 one hundred patients with per- and subtrochanteric fractures were consecutively treated by gamma-nail or DHS. The average age of both groups was about 80 years. The operation time for gamma-nailing was longer than for DHS implantation and also the p... |
0 | Surgical Site Infection In Orthopaedic Surgery: Correlation Between Age, Diabetes, Smoke And Surgical Risk | Hip Fx in the Elderly 2019 | INTRODUCTION: Surgical site infection is a common complication after orthopaedic surgery. It can be associated with increased morbidity rate and social cost. The accurate identification of risk factors is essential so that strategies to prevent these potentially devastating infections can be developed. We have conducte... |
0 | Long-term thermal manipulation in the late incubation period can inhibit breast muscle development by activating endoplasmic reticulum stress in duck (Anasplatyrhynchos domestica) | Reduction Mammoplasty for Female Breast Hypertrophy | Poultry embryos are easily affected by environmental changings during incubation, thereinto, the temperature modification is the most important one, but the mechanism of temperature effects on bird eggs is not clear. By using RNA-seq, we have previously found that endoplasmic reticulum stress (ERS) may involve in regul... |
0 | Paraesthesiae and hypaesthesia following prolonged high-frequency stimulation of cutaneous afferents | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The activity of cutaneous afferents was recorded in human subjects using microelectrodes inserted into individual fascicles of the median nerve at the wrist before and after a 10 min train of electrical stimuli at 200 Hz delivered to the appropriate digital nerve (via ring electrodes) or to individual afferent axons (v... |
0 | Processing properties of recombinant human procathepsin L | MSTS 2018 - Femur Mets and MM | Human procathepsin L is highly expressed in mouse myeloma cells and processed into the mature enzyme under the acidic condition below pH 5.5. Different from the mature enzyme, it is stable at a neutral pH. To examine whether or not procathepsin L is autoprocessed intramolecularly, we constructed a mutant procathepsin L... |
0 | Fast-track knee arthroplasty - status and future challenges | AAHKS (5) Gabapentinoids | Background: Fast-track programs have been developed for different surgical procedures leading to higher patient satisfaction and lower morbidity. This concept has been extended to knee arthroplasty in recent years. The purpose of this narrative review was to discuss the different aspects of fast-track knee arthroplasty... |
1 | Factors affecting results of patients with humeral proximal end fractures undergoing primary hemiarthroplasty: A retrospective study in 42 patients | DoD SSI (Surgical Site Infections) | Aim: Our study reports long-term results and factors related to patient satisfaction in the case of primary hemiarthroplasty for humeral proximal end fractures. Patients and methods: We retrospectively evaluated 42 patients with humeral proximal end fractures who underwent primary hemiarthroplasty in our clinic from Fe... |
0 | Risk of dementia in patients with spinal cord injury: A nationwide population-based cohort study | DoD PRF (Psychosocial RF) | Spinal cord injury (SCI) can cause physical disability and psychological distress; however, whether SCI is a risk factor for dementia is unclear. This study evaluated the incidence of dementia in patients with SCI. Study participants were recruited from a nationwide cohort during 2004â??2007 and categorized into SCI (p... |
0 | Blood supply of the knee joint. A microangiographic study in children and adults | AMP (Acute Meniscal Pathology) | The knee joint blood supply is derived from a rich anastomosis of the five major constant arteries, namely, the superior medial and lateral, the middle (posterior), and the inferior medial and lateral genicular arteries. Anastomosis also occurs with descending genicular arteries and the anterior tibial recurrent artery... |
0 | Effects of tourniquet use on quadriceps function and pain in total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: A pneumatic tourniquet is commonly used in total knee arthroplasty (TKA) to improve surgical field visualisation but may result in quadriceps muscle ischaemia. We performed this study to analyse the effect of the tourniquet on recovery following TKA.
MATERIALS AND METHODS: A prospective randomised single-blind... |
0 | Effectivity of the Outside-In Pie-Crusting Technique and an All-Inside Meniscal Repair Device in the Repair of Ramp Lesions | AMP (Acute Meniscal Pathology) | Ramp lesions are characteristic medial meniscus injuries seen in anterior cruciate ligament-injured knees. Anterior cruciate ligament injuries combined with ramp lesions increase the amount of anterior tibial translation and tibial external rotation. Therefore, the diagnosis and treatment of ramp lesions have received ... |
0 | The mortality burden attributable to nontrauma fracture for privately insured adults with epilepsy | DoD SSI (Surgical Site Infections) | OBJECTIVE: Individuals with epilepsy have poor bone development and preservation throughout the lifespan and are vulnerable to nontrauma fracture (NTFx) and post-NTFx complications. However, no studies have examined the contribution of NTFx to mortality among adults with epilepsy. The objective was to determine whether... |
1 | Pain management after total knee arthroplasty using a multimodal approach.[Retraction in Orthopedics. 2016 Jul 1;39(4):209; PMID: 27434888] | AAHKS (9/10) Regional Nerve Blocks | Improvements in pain management techniques over the past decade have had a significant impact on the outcomes of total knee arthroplasty. Of these techniques, multimodal approaches have shown potential. The purpose of this study was to compare the results of periarticular injection (PAI) to a combination of patient-con... |
0 | Distally based saphenous neurocutaneous perforator flap combined with vac therapy for soft tissue reconstruction and hardware salvage in the lower extremities | DoD SSI (Surgical Site Infections) | The complex wound with the exposed hardware and infection is one of the common complications after the internal fixation of the tibia fracture. The salvage of hardware and reconstruction of soft tissue defect remain challenging. In this report, we presented our experience on the use of the distally based saphenous neur... |
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