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0 | Consequences of hip fracture on activities of daily life and residential needs | Management of Hip Fractures in the Elderly | The aim of this study was to describe the consequences of hip fracture with respect to changes in residential needs and the ability to perform activities of daily life. Patients 50 years and older admitted to the two largest hospitals of Oslo with a hip fracture during the period May 1996 through April 1997 were identi... |
1 | Clinical Outcomes in Breast Reconstruction Patients Using a Sterile Acellular Dermal Matrix Allograft | Acellular Dermal Matrix | BACKGROUND: Human acellular dermal matrices (ADMs) have enabled successful breast reconstructions while decreasing muscle donor morbidity and pain for the patient. However, some literature reports indicate an increase in complications, especially infection. The decellularization and terminal sterilization properties of... |
0 | Anterior chemodenervation of levator palpebrae superioris with botulinum toxin type-A (Botox) to induce temporary ptosis for corneal protection | Upper Eyelid and Brow Surgery | AIM: To evaluate the effectiveness of anterior chemodenervation of levator palpebrae superioris with Botulinum toxin type A (Botox) to induce temporary ptosis for corneal protection, and assess the incidence of superior rectus underaction. METHODS: Prospective interventional case series. Patients with ocular surface pa... |
0 | Bilateral simultaneous supracondylar femoral fractures after bilateral simultaneous intertrochanteric femoral fractures | Management of Hip Fractures in the Elderly | We present a case in which a frail non-ambulant resident of a nursing home sustained bilateral simultaneous intertrochanteric fractures of the femoral neck. These were treated non-operatively because of the patient's poor general condition. Subsequently the same patient sustained bilateral simultaneous supracondylar fr... |
0 | Liposuction and scar placement | Panniculectomy & Abdominoplasty CPG | A simple methodology is described that addresses liposuction procedures and the placement of scars. Natural body creases are employed to disguise scarring. |
0 | American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee | AAHKS (4) Acetaminophen | OBJECTIVE: To update the American College of Rheumatology (ACR) 2000 recommendations for hip and knee osteoarthritis (OA) and develop new recommendations for hand OA.
METHODS: A list of pharmacologic and nonpharmacologic modalities commonly used to manage knee, hip, and hand OA as well as clinical scenarios representin... |
0 | Pre-fracture medication use as a predictor of 30-day mortality in hip fracture patients: an analysis of 141,201 patients | Hip Fx in the Elderly 2019 | PURPOSE: To evaluate the predictive value of pre-fracture medication usage on 30-day mortality following a hip fracture.
METHODS: Information on age, sex, fracture type, time of death and Charlson co-morbidity index (CCI) was collected from the Danish National Patient Registry on all patients above 60 years, sustaining... |
0 | The Birmingham Hip Resurfacing Prosthesis. An Independent Single Surgeon's Experience at 7-Year Follow-Up | DoD SSI (Surgical Site Infections) | An independent single surgeon's 7-year experience with Birmingham hip resurfacing is presented. The study also involved investigation of the significance of pedestal sign in patients requiring revision. A consecutive 117 hips in 101 patients (59 male and 42 female patients) operated on by the senior author (VGJ) were a... |
0 | Anatomic Reconstruction of the Proximal Tibiofibular Joint | AMP (Acute Meniscal Pathology) | Proximal tibiofibular joint (PTFJ) instability can be easily missed or confused for other, more common lateral knee pathologies such as meniscal tears, fibular collateral ligament injury, biceps femoris pathology, or iliotibial band syndrome. Because of this confusion, some authors believe that PTFJ instability is more... |
0 | Perivascular lymphocytic infiltration is not limited to metal-on-metal bearings | PJI DX Updated Search | BACKGROUND: Perivascular lymphocytic infiltration (PVLI) suggests an adaptive immune response. Metal hypersensitivity after THA is presumed associated with idiopathic pain and aseptic loosening, but its incidence and relationship to metallic wear leading to revision are unclear as are its presence and relevance in non-... |
0 | Post-discharge compliance to venous thromboembolism prophylaxis in high-risk orthopaedic surgery: results from the ETHOS registry | HipFx Supplemental Cost Analysis | Venous thromboembolism (VTE) risk persists for several weeks following high-risk orthopaedic surgery (HROS). The ETHOS registry evaluated post-operative VTE prophylaxis prescribed, and actual VTE prophylaxis received, compared with the 2004 American College of Chest Physicians (ACCP) guidelines in HROS patients. We per... |
0 | Patellar complications following distal femoral replacement after bone tumor resection | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Patellar complications following endoprosthetic reconstruction can occur as a result of anatomic, physiologic, and surgical reasons. Patellar impingement on tibial polyethylene is a complication of distal femoral replacement, and it is frequently related to inaccurate restoration of the joint line and to so... |
0 | Short-latency scalp somatosensory evoked potentials and central spine to scalp propagation characteristics during peroneal and median nerve stimulation in multiple sclerosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Peripheral (cauda-lumbar, wrist-Erb, Erb-cervical) and central (cauda-vertex, cervical-scalp) nervous impulse propagation velocities and times to peroneal and median nerve stimulation were investigated in 34 patients suffering from definite (17 cases), probable (6 cases) and possible (11 cases) forms of multiple sclero... |
0 | Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: steps towards an international consensus | DOD - Acute Comp Syndrome CPG | Negative pressure wound therapy (NPWT) has become widely adopted over the last 15 years and over 1000 peer reviewed publications are available describing its use. Despite this, there remains uncertainty regarding several aspects of usage. In order to respond to this gap a global expert panel was convened to develop evi... |
0 | Pediatric Musculoskeletal Injuries | AMP (Acute Meniscal Pathology) | Musculoskeletal injuries are a common reason for emergency department and primary care visits in the pediatric population. The prevalence of these injuries is likely related to children and adolescents participating in sports activities, physical activity, and exercise that can lead to these injuries. It is important f... |
0 | High expression of CXCR2 is associated with tumorigenesis, progression, and prognosis of laryngeal squamous cell carcinoma | MSTS 2018 - Femur Mets and MM | The laryngeal squamous cell carcinoma (LSCC) is one of the most common cancers threatening people's life. CXC-chemokine receptor type 2 (CXCR2) was reported to play critical roles in angiogenesis, tumorigenesis, and metastasis of several cancers such as colon cancer, melanoma, lung cancer, and so on. However, the expre... |
1 | Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius - A prospective randomized trial | Distal Radius Fractures | Purpose: Many outcome studies of various surgical techniques for unstable fractures of the distal radius have been published but applicability of the results remains limited because the majority of these trials were not done in a prospective and/or randomized manner. In this study we evaluated 2 common surgical techniq... |
0 | Meniscal Root Tears: Current Concepts Review | AMP (Acute Meniscal Pathology) | Meniscal root tears are defined as radial tears located within 1 cm from the meniscal attachment or a bony root avulsion. This injury is biomechanically comparable to a total meniscectomy, leading to compromised hoop stresses resulting in decreased tibiofemoral contact area and increased contact pressures in the involv... |
0 | Developing CT based computational models of pediatric femurs | Pediatric Diaphyseal Femur Fractures 2020 Review | The mechanisms of fracture in infants and toddlers are not well understood. There have been very few studies on the mechanical properties of pediatric bones and their responses under fracture loading. A better understanding of fracture mechanisms in children will help elucidate both accidental and non-accidental injuri... |
1 | Carpal tunnel syndrome: a system for categorizing and grading electrophysiologic abnormalities | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A system for classifying and grading electrophysiologic abnormalities in carpal tunnel syndrome is described. It is based on criteria for assessing severity of: 1) focal nerve conduction slowing; 2) conduction block or dispersion in the responses; and 3) axonal loss. These criteria are applied separately to each compon... |
0 | Effects of footwear on the knee adduction moment in medial knee osteoarthritis: classification criteria for flat flexible vs stable supportive shoes | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To validate simple criteria that distinguish flat flexible from stable supportive walking shoes by comparing their effects on the knee adduction moment (KAM) in people with medial knee osteoarthritis (OA).
DESIGN: This was a cross-sectional biomechanical study. We proposed five criteria to differentiate flat... |
0 | Practice patterns for postoperative radiation therapy in patients with metastases to the long bones: a survey of the Japanese Radiation Oncology Study Group | MSTS 2022 - Metastatic Disease of the Humerus | Evidence regarding postoperative radiation therapy (PORT) for metastases to the long bones is lacking. Characterizing the current practice patterns and identifying factors that influence dose-fractionation schedules are essential for future clinical trials. An internet-based survey of the palliative RT subgroup of the ... |
0 | Cemented revision hip arthroplasty using strut and impacted cancellous allografts | Dental Implant Infection | The purpose of this study was to evaluate the hypothesis that the mechanical failure rate is reduced by the combined use of cortical strut and impacted cancellous allografts. There were 10 men and 14 women in the series, with a mean age at the time of the index revision of 56.6 years (range, 43-69 years). They were fol... |
0 | Recurrent digital ischemia due to thrombosis of the persistent median artery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A case of recurrent digital ischemia due to thrombosis of the persistent median artery is presented. Diagnosis and treatment are based on accepted principles of therapy for upper extremity vascular disorders |
0 | Varus will have varus; a radiological study to assess and predict varus stem placement in uncemented femoral stems | Hip Fx in the Elderly 2019 | Background: Varus inclination of the uncemented stem is not necessarily a technical error. The proximal femoral anatomy of hips with a coxa vara deformity frequently predisposes varus inclination. Methods: We reviewed a series of 200 patients undergoing primary uncemented THA with the Corail® hip system. Preoperative ... |
0 | Multifocal motor nerve conduction abnormalities in amyotrophic lateral sclerosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Motor nerve conduction in motor neuron disease is considered normal until the terminal stages of the disease, a notable exception being lower motor neuron syndrome associated with anti-glycolipid antibodies. We reviewed the electrophysiological findings in all our patients who were diagnosed as having amyotrophic later... |
0 | Retrospective Evaluation of the Duracon Periapatite-Coated Tibial Tray. Midterm Results and Factors Affecting Success | OAK 3 - Non-arthroplasty tx of OAK | This study reports the retrospective radiographic outcome of a series of 63 consecutive total knee arthroplasties using an uncemented hydroxyapatite-coated Duracon cruciate-retaining tibial baseplate (Stryker Howmedica Osteonics Corp, Mahwah, NJ). Sixty-three knees were assessed at a mean follow-up of 65 months. The kn... |
1 | Developments in shoulder arthroplasty | Glenohumeral Joint OA | Indications for shoulder arthroplasty are numerous, mainly owing to glenohumeral osteoarthritis, rheumatoid arthritis, or fracture of the proximal humerus. However, the anatomy and the biomechanics of the shoulder are complex and shoulder arthroplasty has evolved significantly over the past 30 years. This paper present... |
0 | Initial Hospital-Related Cost Comparison of Total Ankle Replacement and Ankle Fusion With Hip and Knee Joint Replacement | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total hip and knee arthroplasty (THA and TKA) are accessible to patients with end-stage hip and knee arthritis in most health care systems. The availability of total ankle arthroplasty (TAA) to patients with end-stage ankle arthritis is often restricted because of prosthesis cost. Ankle fusion (AF) is often... |
1 | Quadriceps strength and functional capacity after anterior cruciate ligament reconstruction. Patellar tendon autograft versus allograft | Anterior Cruciate Ligament Injuries CPG | Harvesting the central third of the patellar tendon for autograft anterior cruciate ligament reconstruction is thought to compromise quadriceps strength and functional capacity. We compared objective measurements of quadriceps strength and functional capacity in athletes after patellar tendon autograft or allograft ant... |
1 | Health status of critically ill trauma patients | DoD PRF (Psychosocial RF) | AIMS AND OBJECTIVES: To describe the recovery of trauma intensive care patients up to six months posthospital discharge. BACKGROUND: Injury is a leading cause of preventable mortality and morbidity worldwide, with approximately 10% of hospitalised trauma patients being admitted to intensive care. Intensive care patient... |
1 | Median nerve cross-sectional area and MRI diffusion characteristics: normative values at the carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Enlargement of the median nerve is an objective potential imaging sign of carpal tunnel syndrome. Diffusion tensor MRI (DTI) may provide additional structural information that may prove useful in characterizing median neuropathy. This study further examines normal values for median nerve cross-sectional area... |
0 | A Comparison of Outcomes of Treatment with Resection Prosthesis of the Hip in Revision and Oncological Surgery | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: The introduction of resection prostheses paved the way for the development of limb-sparing surgery in patients with primary or metastatic bone tumours. After some time, the developing possibilities of treatment of extensive bone defects allowed for the use of resection prostheses as an emergency procedure... |
0 | Nonosseous athletic injuries of the elbow, forearm, and hand | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article deals with soft-tissue injuries of the upper extremity incurred by competitive athletes. The authors describe the pathophysiology, conservative and operative management of musculotendinous elbow injuries, entrapment neuropathy, tendinous disorders, vascular injuries, and dermatologic conditions in athletes... |
0 | Control strategies to prevent total hip replacement-related infections: a systematic review and mixed treatment comparison | PJI DX Updated Search | OBJECTIVE: To synthesise the available evidence and estimate the comparative efficacy of control strategies to prevent total hip replacement (THR)-related surgical site infections (SSIs) using a mixed treatment comparison. DESIGN: Systematic review and mixed treatment comparison. SETTING: Hospital and other healthcare ... |
0 | Assessment of pisotriquetral misalignment with magnetic resonance imaging: Is it associated with trauma? | Distal Radius Fractures | OBJECTIVE: Our objective was to determine whether there is an association between pisotriquetral (PT) malalignment and acute distal radius fracture by using magnetic resonance imaging (MRI).
METHODS: We evaluated 138 patients who underwent 3-T MRI of the wrists. Group A comprised 85 patients with acute distal radius fr... |
0 | Osteonecrosis of the jaw | MSTS 2018 - Femur Mets and MM | This review looks at osteonecrosis in the stomatognathic system (mainly the jaws). Osteonecrosis of the jaw (ONJ) is a rare but serious clinical condition. It affects patients treated with bisphosphonates, and also with denosumab, mainly in oncological doses. In osteoporosis, it is a problem of relatively small signifi... |
0 | Clodronate | MSTS 2018 - Femur Mets and MM | Clodronate is a second-generation bisphosphonate of intermediate potency between etidronate and aminobisphosphonates. It is an effective inhibitor of bone resorption, but unlike etidronate does not impair the mineralization of bone. Unlike pamidronate, it can be given both intravenously and orally. There is wide experi... |
0 | Surgical management of 121 benign proximal fibula tumors | Osteochondritis Dissecans 2020 Review | BACKGROUND: Tumors of the fibula comprise only 2.5% of primary bone lesions. Patients with aggressive benign tumors in the proximal fibula may require en bloc resection. Peroneal nerve function, knee stability, and recurrence are substantial concerns with these resections. The incidence and fate of these complications ... |
0 | Medial unicompartimental knee arthroplasty for osteonecrosis or osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | We report a prospective series of 33 unicompartmental knee arthroplasties (UKAs) operated for a spontaneous osteonecrosis of the knee (SPONK) compared with 35 UKAs operated for osteoarthritis (OA). The mean follow-up was 5 years. Preoperative functional score in the SPONK group was significantly lower than that in the ... |
0 | The cost of hemiarthroplasty compared to that of internal fixation for femoral neck fractures. 2-year results involving 222 patients based on a randomized controlled trial | HipFx Supplemental Cost Analysis | BACKGROUND AND PURPOSE: There is very little information on the cost of different treatments for femoral neck fractures. We assessed whether total hospital and societal costs of treatment of elderly patients with displaced femoral neck fractures differ between patients operated with internal fixation or hemiarthroplast... |
1 | Risk factors for infection in total hip replacement surgery at Hospital Kuala Lumpur | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Sixty-seven primary THR surgeries in 57 patients between January 1992 and December 1998 were reviewed after a mean follow-up of 35.9 months. The rate of superficial and deep wound infections were 11.9% and 1.5% respectively. The most common organism in superficial wound infection was Staphylococcus aureus. The factors ... |
0 | A randomized clinical trial of cyclosporine in cadaveric renal transplantation. Analysis at three years | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | In a multicenter trial we investigated the effect of immunosuppressive therapy on graft and patient survival, renal function, and complications in 291 recipients of cadaveric renal transplants. One hundred forty-two patients were randomly assigned to treatment with cyclosporine and prednisone, and 149 to control immuno... |
1 | Efficacy of Platelet-Rich Plasma in Pain and Self-Report Function in Knee Osteoarthritis: A Best-Evidence Synthesis | PRP (Platelet-Rich Plasma) | OBJECTIVE: The aim of this study was to assess the efficacy of platelet-rich plasma (PRP) in pain and self-report function of patients with knee osteoarthritis on the basis of comparisons with hyaluronic acid or placebo.
DESIGN: Best-evidence synthesis of randomized controlled trials (RCTs) was conducted. Literature re... |
0 | Bone mineral density measurements of distal radius in Saudi Arabian females | Distal Radius Fractures | A survey using Gammadensit x-ray bone mineralometer was conducted on 150 Saudi Arabian postmenopausal (PM) females and on another group of 150 females of menstruating age of around 30 years as the group with peak bone mass (PBM). The minimum age in the PM group was 44 years and maximum was 71 years (mean 54.08 years), ... |
0 | Current and innovative pain management techniques in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Pain management is a major concern for patients contemplating total knee replacement surgery and is one of the leading causes of dissatisfaction after knee replacement. Substantial progress has been made over the past several years in improving pain control after total knee replacement using multimodal pain control, pr... |
0 | Longitudinal changes in mandibular bone mineral density compared with hip bone mineral density and quantitative ultrasound at calcaneus and hand phalanges | Management of Hip Fractures in the Elderly | The aim of this prospective study was to evaluate changes in bone mineral density (BMD) of the mandible (m-BMD) compared with hip BMD and ultrasound parameters of the calcaneus and hand phalanges over 28 months. The study group consisted of 18 post-menopausal edentulous women with no reasons known to affect bone metabo... |
1 | Local anesthetics after total knee arthroplasty: intraarticular or extraarticular administration? A randomized, double-blind, placebo-controlled study | AAHKS (8) Anesthetic Infiltration | BACKGROUND: High-volume local infiltration analgesia with additional intraarticular and wound administration of local anesthetic has been shown to be effective after knee replacement, but the optimum site of administration of the local anesthetic (i.e. intraarticular or extraarticular) has not been evaluated.
PATIENTS ... |
0 | Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: To determine the effectiveness of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia (VAP). DESIGN: Randomized controlled trial and meta-analysis. SETTING: A tertiary care university hospital in Bangkok, Thailand. PARTICIPANTS: Adult patients who receive... |
0 | Hydrostatic Pressure Regulates Oxidative Stress through microRNA in Human Osteoarthritic Chondrocytes | TO: WNT2 Pathway Modulator | Hydrostatic pressure (HP) modulates chondrocytes metabolism, however, its ability to regulate oxidative stress and microRNAs (miRNA) has not been clarified. The aim of this study was to investigate the role of miR-34a, miR-146a, and miR-181a as possible mediators of HP effects on oxidative stress in human osteoarthriti... |
0 | Prevalence of vitreous floaters in a community sample of smartphone users | Upper Eyelid and Brow Surgery | AIM: To estimate the prevalence and risk factors for vitreous floaters in the general population. METHODS: An electronic survey was administered through a smartphone app asking various demographic and health questions, including whether users experience floaters in their field of vision. Multivariate logistic regressio... |
0 | Early versus delayed operative intervention in displaced clavicle fractures | DoD SSI (Surgical Site Infections) | OBJECTIVES: Recent evidence to suggest that fixation of clavicle fractures yields better outcomes than conservative treatments has led to an increasing trend toward operative management. There is no evidence, however, to compare early fixation with delayed fixation for symptomatic patients before union.
DESIGN: Prospec... |
0 | The variable presentation and natural history of Langerhans cell histiocytosis | MSTS 2018 - Femur Mets and MM | Langerhans cell histiocytosis is not a well defined or predictable disease. Instead, it is a spectrum of disorders of unknown etiology that vary widely in presentation and natural history, but have in common the proliferation of histiocytic cells and infiltration of these cells into normal tissues. Although the lesions... |
0 | Linking of the American Academy of Orthopaedic Surgeons Distal Radius Fracture Clinical Practice Guidelines to the International Classification of Functioning, Disability, and Health; International Classification of Diseases; and ICF Core Sets for Hand Conditions | Distal Radius Fractures | <b>Background:</b> American Academy of Orthopaedic Surgeons (AAOS) distal radius fracture (DRF) clinical practice guidelines (CPG) are readily available to clinicians, patients, and policymakers. International Classification of Functioning, Disability, and Health (ICF) provides a framework for describing the impact of ... |
0 | Combined Coventry-Maquet procedure for two-compartment degenerative arthritis | Surgical Management of Osteoarthritis of the Knee CPG | The combined Coventry-Maquet procedure has been proposed as a means of treating dual-compartment degenerative arthritis of the knee. The procedure was investigated in a prospective study of 14 patients treated by combined high tibial osteotomy and tibial tubercle elevation. Preoperative scores averaged 50 points and sc... |
0 | Zirconia versus Co-Cr femoral heads in total hip arthroplasty: early assessment of wear | Management of Hip Fractures in the Elderly | Polyethylene wear and associated osteolysis are major limitations to the long-term success of total hip arthroplasty. In vitro laboratory studies suggest polyethylene wear in THA may be substantially reduced with ceramic femoral heads. We evaluated the potential value of zirconia ceramic on conventional polyethylene as... |
1 | Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: The commonly accepted treatment of displaced supracondylar fractures of the humerus in children is fracture reduction and percutaneous pin fixation; however, there is controversy about the optimal placement of the pins. A crossed-pin configuration is believed to be mechanically more stable than lateral pins... |
0 | Recombinant growth hormone: A new cardiovascular drug therapy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | GH has an important role in normal cardiovascular physiologic functioning, working indirectly through effects on IGF-1. An excess or deficiency of GH causes an increased rate of cardiovascular disease, including cardiomyopathy. A relative GH deficiency in older subjects may also increase cardiovascular morbidity and mo... |
1 | Repair of massive rotator cuff tears in patients older than 70 years | Optimizing the Management of Full-Thickness Rotator Cuff Tears | Major ruptures of the rotator cuff are common in elderly patients, and their management has been a challenge for orthopaedic surgeons. This study was undertaken to evaluate the results obtained in patients older than 70 years who were treated with open surgical repair for massive ruptures of the rotator cuff tendons an... |
0 | Evaluation of skin tightening after laser-assisted liposuction | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Lasers have been used to enhance the emulsification of fat and coagulation of small blood vessels in conjunction with lipoaspiration. Although seen anecdotally, documented skin tightening has not been established. OBJECTIVE: The authors sought to establish a model and a quantifiable method for documenting c... |
0 | The knee joint in rheumatoid arthritis | Surgical Management of Osteoarthritis of the Knee CPG | The knee joint is commonly damaged in polyarticular rheumatoid arthritis. Surgical management depends on the preservation of the articular cartilage and degree of synovitis. Arthroscopic synovectomy is performed in intractable synovitis with cartilage sparing. Technique of total knee replacement is more complex because... |
1 | Clinical outcome of abdominal wall after DIEP flap harvesting and immediate application of abdominoplasty techniques | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Although breast reconstruction with the deep inferior epigastric perforator (DIEP) flap is a well-known technique, few publications have reported the aesthetic outcome of the abdomen and the donor-site closure techniques utilized. The aim of this study was to analyze the feasibility of immediate clinical ap... |
0 | Reconstruction of ankle and heel defects with peroneal artery perforator-based pedicled flaps | DoD SSI (Surgical Site Infections) | Background The reconstruction of ankle and heel defects remains a significant problem for plastic surgeons. The following options exist for reconstructing such defects: local random flaps, reverse flow island flaps, and free flaps. However, each of these methods has certain drawbacks. Peroneal artery perforators have m... |
0 | Sedentary behavior and blood pressure control among osteoarthritis initiative participants | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To examine the association between sedentary behavior and blood pressure (BP) among Osteoarthritis Initiative (OAI) participants.
DESIGN: We conducted a cross-sectional analysis of the OAI 48-month visit participants whose physical activity was measured using accelerometers. Participants were classified into... |
0 | Hypercalcemia of Malignancy and Colorectal Cancer | MSTS 2018 - Femur Mets and MM | Our aim is to describe the association between colorectal cancer (CRC) and humoral hypercalcemia of malignancy (HHM). Causes of hypercalcemia of malignancy include parathyroid hormone-related peptide (PTHrP) secretion, local osteolysis, calcitriol production and ectopic parathyroid hormone (PTH) secretion. Hypercalcemi... |
0 | Peripheral neuropathy in patients with hepatitis virus C infection in the Amazon region | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION: Hepatitis virus C (HCV) infection is considered a health problem in the State of Acre localized in the Brazilian Amazon which has a prevalence rate of 5.9%. Peripheral neuropathy is a common extra-hepatic manifestation in patients with HCV. OBJECTIVE: To determine the prevalence of peripheral neuropathies... |
0 | Long-term results of dorsal intercarpal ligament capsulodesis for the treatment of chronic scapholunate instability | Glenohumeral Joint OA | The purpose of this study was to assess the clinical and radiological outcomes of dorsal intercarpal ligament capsulodesis for the treatment of static scapholunate instability at a minimum follow-up of four years. A total of 59 patients who underwent capsulodesis for this condition were included in a retrospective anal... |
0 | Differential effects of the antioxidant n-acetylcysteine on the production of catabolic mediators in IL-1beta-stimulated human osteoarthritic synoviocytes and chondrocytes | Surgical Management of Osteoarthritis of the Knee CPG | Oxidative stress may play a relevant role in synovial inflammation and subsequently on cartilage damage during osteoarthritis development. We have assessed how the antioxidant N-acetylcysteine (NAC) affects the expression of different proinflammatory and structural mediators in human stimulated osteoarthritic synoviocy... |
0 | Total knee arthroplasty for rheumatoid arthritis patients with large tibial condyle defects | PJI DX Updated Search | PURPOSE: To review clinical results of total knee arthroplasty (TKA) in rheumatoid arthritis (RA) patients with large bone defects of the tibial condyle. METHODS: Records of 33 knees in 27 women and 3 men aged 44 to 80 (mean, 63.6) years who underwent primary TKA for RA with large tibial bone defects were reviewed. 16 ... |
1 | Antibiotic bone cement and the incidence of deep infection after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We asked if the use of antibiotic-laden bone cement (ALBC) decreased the deep infection rate after primary total knee arthroplasty as compared to plain bone cement. We surveyed 1625 consecutive patients for relevant covariates. Joint pain and function were assessed at baseline and at 1 year of follow-up with the Wester... |
0 | Results of 1236 endoscopic carpal tunnel release procedures using the Brown technique | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In a series of 1236 patients who underwent endoscopic carpal tunnel releases using the two-portal Brown technique, the results were favorable in 98%, the failure rate was 2%, the instance of iatrogenic injury was 0.08% (one tendon injury), and the overall complication rate was 0.97%. The patients had resolution of carp... |
0 | Effect of intermittent cyclical disodium etidronate therapy on bone mineral density in men with vertebral fractures | Management of Hip Fractures in the Elderly | Objectives: to investigate the effects of oral intermittent cyclical etidronate therapy on bone mineral density (BMD) in men with idiopathic vertebral osteoporosis. Design: consecutive case series. Setting: regional specialist clinic for metabolic bone disease. Subjects: 42 men aged 35-81 (median 60.5) with established... |
0 | Vascular Impulse Technology versus elevation in the treatment of posttraumatic swelling of extremity fractures: Study protocol for a randomized controlled trial | Distal Radius Fractures | Background: Fractures of the extremities are often complicated by a variable degree of swelling secondary to hemorrhage and soft tissue injury. Patients typically require up to 7 days of inpatient bed rest and elevation to reduce swelling to an acceptable level for operative treatment with internal fixation. Alternativ... |
0 | Mechanical dynamics in supracondylar fractures of the humerus in children | Distal Radius Fractures | Supracondylar fractures of the humerus in children may be associated with difficulties in diagnosis and treatment. One of the major problems is malrotation of the distal fragment, which has to be reduced. On clinical examination, as well as radiography, the initial malrotation cannot be assessed. In the authors' experi... |
1 | Psychosocial factors impacting workplace injury rehabilitation: Evaluation of a concise screening tool | DoD PRF (Psychosocial RF) | Purpose: To determine whether the delayed recovery often observed in simple musculoskeletal injuries occurring at work is related to poor workplace and home social support. Method: A four question psychosocial screening tool called the â??How are you coping gauge?â? (HCG) was developed. This tool was implemented as pa... |
0 | Intramedullary Fixation of Distal Radius Fractures Using CAGE-DR Implant | Distal Radius Fractures | <b>Purpose</b> CAGE-DR implant is a novel Food and Drug Administration approved intramedullary fracture fixation device used for distal radius fractures. We examine a series of 22 patients and report the outcomes with this device. <b>Materials and |
0 | Assessment of Efficacy, Safety, and Quality of Life of 124 Patients Treated With Axitinib as Second-Line Therapy for Metastatic Renal-Cell Carcinoma: Experience in Real-World Clinical Practice in Japan | MSTS 2022 - Metastatic Disease of the Humerus | Encouraging data, including efficacy, safety, and quality of life, could be achieved in Japanese patients with metastatic renal-cell carcinoma (mRCC) who received axitinib as a second-line agent in a real-world clinical setting. The introduction of axitinib as a standard of care may thus be strongly recommended for Jap... |
1 | Early postoperative delirium after hemiarthroplasty in elderly patients aged over 70 years with displaced femoral neck fracture | Hip Fx in the Elderly 2019 | Purpose: Postoperative delirium is a risk factor for worse outcome after hip fracture surgery in elderly patients. Postoperative delirium is associated with anesthesia, postoperative pain, and patient factors. We investigated the incidence, predictors, and prognostic implications of post-operative delirium after hemiar... |
1 | Comparison of Abbott ID Now, Diasorin Simplexa, and CDC FDA EUA methods for the detection of SARS-CoV-2 from nasopharyngeal and nasal swabs from individuals diagnosed with COVID-19 | Coronavirus Disease 2019 (COVID-19) | Dozens of in vitro diagnostics (IVDs) have received emergency use authorization (EUA) from the U.S. Food & Drug Administration (FDA) for the detection of SARS-CoV-2, but little has been studied to determine how well these assays perform using clinical specimens.â?¦. |
0 | Prevalence of symptomatic hip, knee, and spine osteoarthritis nationwide health survey analysis of an elderly Korean population | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis is prominent among the elderly, with symptoms originating from multiple parts of the body. A cross-sectional study of a nationwide survey was performed to describe the prevalence of and identify factors related to symptomatic hip, knee, and spine osteoarthritis. This cross-sectional study collected data ... |
0 | Topographic features retained after antibiotic modification of Ti alloy surfaces: Retention of topography with attachment of antibiotics | PJI DX Updated Search | Periprosthetic infection is increasingly prevalent in orthopaedics with infection rates of 2% to 15% after total hip arthroplasty. To effectively decrease bacterial attachment, colonization, and subsequent development of periprosthetic infection, we previously described a method to covalently bond vancomycin to smooth ... |
0 | Surgical technique: Lateral retinaculum release in knee arthroplasty using a stepwise, outside-in technique knee | PJI DX Updated Search | Background: Lateral release of a tight lateral retinaculum in a TKA is intended to correct patellar maltracking but the widely used inside-out technique has associated risks. We describe an alternate stepwise outside-in technique, with titrated release intended to maximize the chance of preserving the superior lateral ... |
1 | Study on the effect and safety of open high osteotomy in the repair of medial compartment osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: Study on the effect and safety of open high osteotomy in the repair of medial compartment os-teoarthritis. Method: From January 2015 to January 2017, 126 patients with medial compartment knee osteoarthri-tis were admitted to Shanxi Provincial Peopleâ??s Hospital. According to the age â?¤60 years old, they we... |
0 | The influence of depression on patient-reported outcomes for hip-fracture patients 1 year after surgery: a prospective cohort study | Hip Fx in the Elderly 2019 | BACKGROUND: Depression is common in elderly hip-fracture patients and together with cognitive impairment is associated with increased risk of mortality.
AIM: We aimed to examine the influence depression has on patient-reported outcome up to 1 year after acute hip fracture.
METHODS: 162 hip-fracture patients participate... |
0 | Safety of total hip replacement following an intra-articular steroid hip injection - An audit | AAHKS (8) Anesthetic Infiltration | The aim of this study was to determine the deep infection rates in patients who underwent a total hip replacement after having had a prior diagnostic steroid injection into the same hip. We identified and reviewed the case notes, relevant radiographs and microbiology reports of all patients who underwent a total hip re... |
0 | Intra-articular Analgesia and Discharge to Home Enhance Recovery Following Total Knee Replacement | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The increasing demand for total knee arthroplasty (TKR) and the initiatives to reduce health care spending have put the responsibility for efficient care on hospitals and providers. Multidisciplinary care pathways have been shown to shorten length of stay and result in improved short-term outcomes. However,... |
1 | Knee Pain and the Use of Various Types of Footwear-A Review | OAK 3 - Non-arthroplasty tx of OAK | Knee pain is a highly prevalent condition in the United States with multiple etiologies, with two of the most common sources being osteoarthritis (OA) and patellofemoral pain (PFP). These conditions can lead to reduced physical function and a poor quality of life. Various modalities have been used to decrease the amoun... |
0 | Intra-articular morphine and/or bupivacaine after total knee replacement | OAK 3 - Non-arthroplasty tx of OAK | The postoperative analgesic effects of intraâ?articular injections of bupivacaine and/or morphine were examined prospectively in 437 patients who had total knee replacement for osteoarthritis. They were divided randomly into four groups. Group I received 10 mg of morphine (1 ml) and 9 ml of saline, group II received 1... |
1 | Platelet-rich plasma for open meniscal repair in young patients: any benefit? | AMP (Acute Meniscal Pathology) | PURPOSE: Many studies have demonstrated that injection of various growth factors including platelet-derived growth factor could increase meniscal cell activity and stimulate repair. The purpose of this study was to augment repair and promote meniscal healing by the use of platelet-rich plasma (PRP) within horizontal cl... |
0 | Cerebrospinal fluid levels of neopterin are elevated in delirium after hip fracture | Hip Fx in the Elderly 2019 | BACKGROUND: The inflammatory cell product neopterin is elevated in serum before and during delirium. This suggests a role for disordered cell-mediated immunity or oxidative stress. Cerebrospinal fluid (CSF) neopterin levels reflect brain neopterin levels more closely than serum levels. Here we hypothesized that CSF neo... |
0 | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: To compare the rates of ulnar nerve neuropathy following ulnar nerve subcutaneous anterior transposition versus no transposition during open reduction and internal fixation (ORIF) of distal humerus fractures. METHODS: This was a retrospective cohort study at an academic level I trauma centre. A total of 97 con... |
1 | Late group-based rehabilitation has no advantages compared with supervised home-exercises after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: This study aimed to test whether groupbased rehabilitation focusing on strength training, education and self-management is more effective than individual, supervised home-training after fast-track total knee arthroplasty (TKA). MATERIAL AND METHODS: We allocated 80 participants undergoing primary TKA to e... |
0 | Treating the SARS-CoV-2-positive patient with cancer: A proposal for a pragmatic and transparent ethical process | Coronavirus Disease 2019 (COVID-19) | The treatment of patients with cancer who test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) poses unique challenges. In this commentary, the authors describe the ethical rationale and implementation details for the creation of a novel, multidisciplinary treatment prioritization committee, i... |
1 | Changes of Muscle Atrophy According to the Immediate Postoperative Time Point in Magnetic Resonance Imaging After Arthroscopic Rotator Cuff Repair | Trial Systematic Review Project | PURPOSE: The purpose of this study was to investigate changes of rotator cuff muscles after arthroscopic rotator cuff repair by measuring the muscle atrophy (MA) of rotator cuff muscles at the preoperative, immediate postoperative, and 1-year postoperative time points.
METHODS: Inclusion criteria were (1) arthroscopic ... |
1 | Comparative effectiveness of dabigatran and rivaroxaban versus warfarin for the treatment of non-valvular atrial fibrillation | Hip Fx in the Elderly 2019 | Background Effectiveness data on novel oral anticoagulants (NOACs) versus warfarin for stroke prevention in non-valvular atrial fibrillation (NVAF) by prior warfarin use are limited. Methods We used data from the US MarketScan databases from 2009 to 2012. NVAF patients initiating dabigatran or rivaroxaban were matched ... |
1 | Accuracy of glenoid component placement in total shoulder arthroplasty and its effect on clinical and radiological outcome in a retrospective, longitudinal, monocentric open study | Glenohumeral Joint OA | BACKGROUND: The success of Total Shoulder Arthroplasty (TSA) is believed to depend on the restoration of the natural anatomy of the joint and a key development has been the introduction of modular humeral components to more accurately restore the patient's anatomy. However, there are no peer-reviewed studies that have ... |
0 | Scaling up cancer care for children without medical insurance in developing countries: The case of Mexico | MSTS 2022 - Metastatic Disease of the Humerus | Background: In 2006, the Mexican government launched the Fund for Protection Against Catastrophic Expenditures (FPGC) to support financially healthcare of high cost illnesses. This study aimed at answering the question whether FPGC improved coverage for cancer care and to measure survival of FPGC affiliated children wi... |
0 | Axillary Accessory Breast: Optimal Time for Operation | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Accessory breasts are usually located in the axilla. Symptoms associated with an axillary accessory breast (AAB) may newly develop or worsen after pregnancy. After childbirth, AAB engorgement and hyperplasia may occur due to milk formation. We evaluated the optimal time for AAB excision and assessed variati... |
0 | Effect of intervention on development of hip posture in very preterm babies | Management of Hip Fractures in the Elderly | Preterm babies are physiologically hypotonic, which causes their posture to be flattened when lying in the prone position. This flattened posture may persist beyond term. In a prospective, randomised, controlled, double blind trial of postural support carried out on 45 babies born at less than 33 weeks of gestation, we... |
0 | All-Inside Quadrupled Semitendinosis Autograft Demonstrates Equivalent Stability to Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction: Randomized Controlled Trial in Athletes 24 Years or Younger | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this investigation was to compare clinical outcomes of knee anterior cruciate ligament (ACL) autograft reconstruction using all-inside quadrupled semitendinosus (AIST) versus bone-patellar tendon-bone (BPTB) in a high-risk athletic population 24 years or younger. METHODS: Skeletally mature candi... |
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