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0 | Combined lumbar-sacral plexus block in high surgical risk geriatric patients undergoing early hip fracture surgery | AAHKS (4) Acetaminophen | Objective: To evaluate the postoperative outcome after using combined lumbar and sacral plexus block (CLSB), as a sole anesthetic method in hip fracture (HF) surgery in highrisk geriatric patients. Materials and Methods: A single-center retrospective study was conducted, between 2010 and 2012, on 70 elderly HF patients... |
0 | Revision Total Hip Arthroplasty Using an Acetabular Reinforcement Ring With a Hook: A Precise Follow-Up, at Average 11.4 Years, of a Previous Report | PJI DX Updated Search | BACKGROUND: This study aims at determining the average long-term result of revision total hip arthroplasty (THA) using the acetabular reinforcement ring with a hook (ARRH) and bone grafting in severe acetabular bony defect. Expected 15-year survival of ARRH in revision THA is included in the study. METHODS: Retrospecti... |
0 | Adverse Outcomes in Infantile Bilateral Developmental Dysplasia of the Hip | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: It is believed that bilateral developmental dysplasia of the hip (DDH) has poorer outcomes with higher rates of avascular necrosis (AVN) and reintervention, compared with unilateral DDH. However, there is limited evidence in the literature, with few studies looking specifically at bilateral cases. METHODS: ... |
1 | Preoperative cardiac events in elderly patients with hip fracture randomized to epidural or conventional analgesia | Management of Hip Fractures in the Elderly | BACKGROUND: Perioperative myocardial ischemia occurs in 35% of unselected elderly patients undergoing hip fracture surgery. Perioperative epidural analgesia may reduce the incidence of adverse cardiac events. METHODS: The effect of early administration of epidural analgesia during the stressful period, on cardiac event... |
0 | Vascular trauma and compartment syndromes | DoD - ACS - Interrater Reliability | Vascular injuries produce ischemia, and their repair produces reperfusion. Ischemia and reperfusion produce compartment syndrome. Although a local event, a compartment syndrome risks not only the affected extremity, but also the life of the patient. A high index of suspicion coupled with adequate knowledge of subtle cl... |
0 | Distribution of tenascin-X in different synovial samples and synovial membrane-like interface tissue from aseptic loosening of total hip replacement | Surgical Management of Osteoarthritis of the Knee CPG | The distribution of tenascin-X (Tn-X) was investigated in synovial samples from rheumatoid arthritis (RA), osteoarthritis (OA) and knee injuries, and in synovial membrane-like interface tissue (SMLIT) from aseptic loosening of total hip replacement (THR). An affinity purified rabbit antiserum against Tn-X was applied i... |
0 | Prevention of pit and fissure caries using an antimicrobial varnish: 9 month clinical evaluation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: The purpose of this study was to determine whether Cervitec--a chlorhexidine--containing varnish could reduce the development of pit and fissure caries in children. METHODS: One hundred children each in age groups 7-8 and 12-14 years were selected from schools in Riyadh, Saudi Arabia. To be included in the s... |
0 | Psychological complications of maxillofacial trauma: preliminary findings from a Nigerian university teaching hospital | DoD PRF (Psychosocial RF) | PURPOSE: This study sought to determine 1) the prevalence of psychological distress in a series of subjects who sustained maxillofacial injuries and 2) temporal changes in psychological functioning over 12 weeks compared with baseline values.
PATIENTS AND METHODS: This was a prospective, repeated-measures design study ... |
0 | Early postoperative hypoalbuminemia is a risk factor for postoperative acute kidney injury following hip fracture surgery | Hip Fx in the Elderly 2019 | INTRODUCTION: Acute kidney injury (AKI) is a common and serious complication after hip fracture surgery in older adults. Hypoalbuminemia is a known independent risk factor for AKI. However, few studies have investigated the relationship between early postoperative hypoalbuminemia and AKI after hip fracture surgery. The... |
0 | Ultrasound for the early diagnosis of clinically suspected scaphoid fracture | Distal Radius Fractures | PURPOSE: To test the ability of ultrasound to diagnose clinically suspected occult scaphoid fractures.
METHODS: Eighteen wrists in 18 patients with an average age of 35 years (range, 10-77 years) were seen in the emergency room, each with a single traumatic wrist injury, snuffbox tenderness, swelling, and a negative wr... |
0 | [Different-dose alendronate for treating postmenopausal osteoporosis: a comparison of effects and adverse reactions during 6-months follow-up] | Management of Hip Fractures in the Elderly | Aim: Alendronate is a clinical often-used drug to prevent and treat osteoporosis. This study aimed to investigate effects of different doses and the use of alendronate on bone mineral density (BMD) in patients with postmenopausal osteoporosis and side effects. Methods: 1 100 postmenopausal women aged 46-59 years at the... |
0 | Osteoporosis in male patients: Epidemiology, clinical aspects and DEXA Scan assessment | Hip Fx in the Elderly 2019 | Introduction. Osteoporosis in male patients affects a significant number of the overall population and is the cause of a relevant percentage of fragility fractures. Our aim: to describe the epidemiology, clinical aspects and DEXA Scan assessment and results of osteoporosis in male patients at one single specialist cent... |
1 | The Comparison of Compression Hip Screw and Bipolar Hemiarthroplasty for the Treatment of AO Type A2 Intertrochanteric Fractures | Hip Fx in the Elderly 2019 | PURPOSE: The purpose of this study was to compare the outcomes of osteosynthesis using compression hip screw fixation versus bipolar hemiarthroplasty in AO type A2 intertrochanteric fractures.
MATERIALS AND METHODS: From March 2003 to December 2009, 89 patients were included in this study. They were treated using compr... |
0 | The surgical anatomy of the lateral femoral cutaneous nerve in the inguinal region: a meta-analysis | Panniculectomy & Abdominoplasty CPG | PURPOSE: Several variations in the anatomy and injury of the lateral femoral cutaneous nerve (LFCN) have been studied since 1885. The aim of our study was to analyze the available data on the LFCN and find a true prevalence to help in the planning and execution of surgical procedures in the area of the pelvis, namely i... |
1 | Comparative analysis on the effect of low-thermal plasma dissection device (PEAK PlasmaBlade) vs conventional electrosurgery in post-bariatric abdominoplasty: A retrospective randomised clinical study | Panniculectomy & Abdominoplasty CPG | Post-bariatric patients undergoing abdominoplasty have a relatively high risk of complications due to residual obesity and major comorbidities. Also, conventional electrosurgery and the associated thermal tissue damage may compromise outcomes. This retrospective randomised clinical study evaluated the effect of low-the... |
0 | Prediction of postoperative delirium by comprehensive geriatric assessment among elderly patients with hip fracture | Hip Fx in the Elderly 2019 | BACKGROUND: The purpose of this study is to investigate whether the preoperative comprehensive geriatric assessment (CGA) would predict postoperative delirium (POD) in elderly patients with hip fracture.
METHODS: This is an observational study, performed in a tertiary hospital from June 2014 to May 2018, which enrolled... |
1 | Mini transverse versus longitudinal incision in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To evaluate the effectiveness of mini-transverse compared with mini-longitudinal incision for carpal tunnel release (CTR) with reference to postoperative functional capacity, symptom severity and complication rate. STUDY DESIGN: Analytical study. PLACE AND DURATION OF STUDY: Cumhuriyet University Medical Fac... |
1 | Clinical Evaluation Using Magnetic Resonance Imaging for Patients with Stage III Cervical Carcinoma Treated by Radiation Alone in Multicenter Analysis: Its Usefulness and Limitations in Clinical Practice | MSTS 2018 - Femur Mets and MM | To evaluate the ability of magnetic resonance imaging (MRI) to predict the clinical outcome, we perform retrospective multicenter analysis of patients with stage III disease treated with radiation alone. From three institutions, 80 patients with stage III disease diagnosed with MRI were entered in the study. Seventy-ei... |
0 | Ultrasonography does not increase sensitivity of the carpal tunnel syndrome electrodiagnosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Median nerve entrapment at the wrist (i.e., the carpal tunnel syndrome-CTS), is the most common neuropathy. In spite of its high sensitivity, electrodiagnostic (EDx) studies are negative in some patients with typical and bothersome CTS symptoms (i.e., paresthesias in at least 2 of the first 4 fingers pronou... |
0 | Risk factors for progression in hand osteoarthritis: a systematic review | SR for PM on OA of All Extremities | OBJECTIVE: To assess the risk factors for progression of hand osteoarthritis (OA). METHODS: In a systematic review of cohort studies, medical literature databases were searched up to May 2012 for articles reporting data on the association between risk factors and hand OA progression. The quality of these studies was as... |
0 | Computer-assisted system versus conventional instrumentation in total knee replacement at 10-year follow-up | Surgical Management of Osteoarthritis of the Knee CPG | Introduction Total knee replacement (TKR) is a reliable, effective and reproducible technique to treat the advanced arthritic knee. In TKR a computer-assisted system (CAS) is expected to result in better clinical outcomes and longer implant survivorship than conventional instrumentation (CI) due to a more accurate targ... |
0 | Design of the Mobility and Independent Living in Elders Study: An older adult cohort in rural India | OAK 3 - Non-arthroplasty tx of OAK | AIM: The Mobility and Independent Living in Elders Study (MILES) was established in 2012 to estimate the prevalence, incidence, and risk factors for disability and age-related disease in rural older Indians. Here we describe the main goals of MILES, the essential elements of its design and examinations, and the initial... |
0 | The association of waist circumference with walking difficulty among adults with or at risk of knee osteoarthritis: the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Excess weight is a known risk factor for functional limitation and common in adults with knee osteoarthritis (OA). We asked to what extent high waist circumference was linked with developing difficulty with walking speed and distance over 4 years in adults with or at risk of knee OA.
METHOD: Using data from ... |
0 | Results of transarticular fixator application in distal radius fractures | Distal Radius Fractures | From January 1989 until October 1993, 102 patients with 103 distal radius fractures were included in a prospective study with the Pennig wrist fixator (Orthofix, Srl, Italy). 90.5% of these patients were reviewed with a minimum follow-up of 12 months. Using the functional outcome score according to Gartland and Werley,... |
0 | Useful role for bisphosphonates in cancer-related bone disease | MSTS 2018 - Femur Mets and MM | Bisphosphonates are effective in reducing hypercalcaemia of malignancy. Because of their efficacy and good tolerability, they are currently the primary treatment for the management of acute moderate-to-severe hypercalcaemia after adequate rehydration. Pamidronic acid is more effective than etidronic acid for this condi... |
0 | Open reduction and internal fixation of radial head fractures | Distal Radius Fractures | BACKGROUND: We evaluated the radiologic and functional outcomes of patients with radial head fractures managed with open reduction and internal fixation.
METHODS: Between 1998-2003, 15 patients (7 males, 8 females; mean age 34.1; range 18 to 49 years) with radial head fracture were treated with open reduction and inter... |
0 | Regaining pre-fracture basic mobility status after hip fracture and association with post-discharge mortality and readmission-a nationwide register study in Denmark | Hip Fx in the Elderly 2019 | BACKGROUND: early mobilization after hip fracture (HF) is an important predictor of outcome, but knowledge of the consequences of not achieving the pre-fracture basic mobility status in acute hospital recovery is sparse.
OBJECTIVE: we examined whether the regain of pre-fracture basic mobility status evaluated with the ... |
0 | Vancomycin-resistant Enterococcus infected total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Use of vancomycin to treat infections and hospital colonization with methicillin-resistant Staphylococcus aureus has contributed to the development of vancomycin resistance in Enterococcus. Postoperative infection with vancomycin-resistant Enterococcus developed in 2 patients after total knee arthroplasty, indicating t... |
0 | Personal and workplace factors and median nerve function in a pooled study of 2396 US workers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Evaluate associations between personal and workplace factors and median nerve conduction latency at the wrist. METHODS: Baseline data on workplace psychosocial and physical exposures were pooled from four prospective studies of production and service workers (N = 2396). During the follow-up period, electroph... |
0 | Assessment of the role of fibular fixation in distal-third tibia-fibula fractures and its significance in decreasing malrotation and malalignment | DoD SSI (Surgical Site Infections) | BACKGROUND: In the treatment of distal-third tibia/fibula fractures treated by interlocking nailing, the role of fibular fixation is not clearly defined. This study aimed to assess the benefits of fibular fixation in such fractures.
METHODS: Sixty patients with fractures of the lower third of the leg were enrolled into... |
0 | Repetitive Stress and Strain Injuries: Preventive Exercises for the Musician | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | There are many articles that support stretching, strengthening, good nutrition, hydration, rest, and ergonomics along with many other concepts that may be helpful in preventing repetitive stress injuries. The most conclusive literature proposes early recognition of onset of symptoms, and immediate reduction or cessatio... |
0 | Electrodiagnostic reports of median neuropathy at the wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The diagnosis of carpal tunnel syndrome (CTS) is confirmed by electrodiagnostic testing. Practice parameters for electrodiagnostic testing of CTS have been defined in a summary statement published by the American Academy of Neurology, the American Association of Electrodiagnostic Medicine, and the American Academy of P... |
0 | Impacts of differences in epidemiological case definitions on prevalence for upper-extremity musculoskeletal disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The aim of this study was to systematically evaluate prevalence based on variations in case definitions used for epidemiological studies of musculoskeletal disorders (MSDs). BACKGROUND: Prior studies of MSDs have mostly relied on a single case definition based on questionnaires. METHOD: In a multicenter pros... |
0 | Use of oxycodone in polytrauma patients: the "Gemelli" experience | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: This is the first study investigating the effect of oxycodone in polytrauma patients. The management of pain in polytrauma patients has become a very relevant issue. Nonsteroidal anti-inflammatory drugs (NSAIDs) represent the most used drugs in polytrauma patients, even though their use is associated with... |
0 | Are the etiologies of cervical and trochanteric hip fractures different? | Management of Hip Fractures in the Elderly | Review of results published in the past few years indicates that there are several differences between women sustaining trochanteric fractures or cervical hip fractures. In most series women with trochanteric fractures are older, shorter, and lighter than those with cervical fractures. The bone mineral density was foun... |
1 | Effects of Light Therapy on Osteoarthritis and Its Sequelae in Aging and Older Adults: A Systematic Narrative Review | OAK 3 - Non-arthroplasty tx of OAK | Objective: To assess the effectiveness of therapeutic phototherapy including laser, light-emitting diode, and supraluminous diode energy, in the management of osteoarthritis in aging and older adults. Methods: A systematic review of PubMed and CINAHL was completed using the following search terms and their associated a... |
1 | Proximal femoral nails anti-rotation versus dynamic hip screws for treatment of stable intertrochanteric femur fractures: an outcome analyses with a minimum 4 years of follow-up | Hip Fx in the Elderly 2019 | BACKGROUND: Dynamic hip screws (DHSs) and proximal femoral nails anti-rotation (PFNAs) are well-documented implants for stable intertrochanteric femur fractures(IFFs); however, there is no consensus regarding which type of implant is the better option for stable IFFs. This study aimed to compare DHSs with PFNAs in the ... |
0 | Thoracic outlet syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Thoracic outlet syndrome (TOS) should no longer be considered a single entity. The syndromes are venous (V-TOS), arterial (A-TOS) and neurological (N-TOS), but may co-exist. Paget Schroetter syndrome or effort thrombosis of the subclavian vein should be recognized early so that younger sportsmen and musicians can be of... |
0 | Denosumab: RANKL inhibition in the management of bone loss | MSTS 2018 - Femur Mets and MM | Receptor activator of nuclear factor-kB (RANK), its ligand (RANKL) and its decoy receptor osteoprotegerin (OPG) together play a key role in osteoclastogenesis. Alterations in the RANKL/ OPG ratio are central in the pathogenesis of bone loss, from osteoporosis in all its forms to malignancy-induced bone loss. This fact ... |
0 | Posttraumatic growth among women survivors of childhood sexual abuse: Its relation to cognitive strategies, posttraumatic symptoms, and resilience | DoD PRF (Psychosocial RF) | OBJECTIVE: Research suggests that, after a traumatic event, survivors can experience positive change (posttraumatic growth), but the relation of these changes to overall psychological adjustment (resilience) and psychological distress (posttraumatic symptoms; PTS), as well as the relation to possible contributors, is s... |
0 | Predictors of a Change and Correlation in Activities of Daily Living after Hip Fracture in Elderly Patients in a Community Hospital in Poland: A Six-Month Prospective Cohort Study | Hip Fx in the Elderly 2019 | OBJECTIVES: The consequences of hip fractures (HFs) in elderly persons include a deterioration in functional capacity to perform activities that enable independent living. Since prior research into this issue in Central Europe is rather scant, this study sought to assess the change in activities and instrumental activi... |
0 | Osteochondral Lesions of the Talar Dome Associated with Trauma | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Purpose: The purpose of this study was to clarify the differences in the causes of osteochondral lesions (OCL) of the ankle based on the presence of distal fibular fractures and lateral instability of the ankle. Type of Study: Case series. Methods: We evaluated 92 cases of distal fibular fractures and 86 cases of later... |
0 | Internal fixation in pelvic fractures and primary repairs of associated genitourinary disruptions: a team approach | DoD SSI (Surgical Site Infections) | Associated urological and orthopedic injuries of the pelvic ring are complex with numerous potential complications. These patients are treated optimally using a team approach. The combined expertise is not only helpful initially when managing these difficult patients, but also later as problems develop. This study desc... |
1 | Transepiphyseal replacement of the anterior cruciate ligament using quadruple hamstring grafts in skeletally immature patients | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Fear of iatrogenic growth disturbance has prevented the routine use, in children, of anatomic methods of anterior cruciate ligament replacement that have proven successful in adults. To minimize the risk of growth disturbance, extra-articular or modified physeal sparing procedures have been performed to sta... |
0 | Pilot study of breast sensation after breast reconstruction: Evaluating the effects of radiation therapy and perforator flap neurotization on sensory recovery | Reduction Mammoplasty for Female Breast Hypertrophy | Background Some sensation to the breast returns after breast reconstruction, but recovery is variable and unpredictable. We primarily sought to assess the impact of different types of breast reconstruction [deep inferior epigastric artery perforator (DIEP) flaps versus implants] and radiation therapy on the return of s... |
0 | Fracture treatment in the elderly | Hip Fx in the Elderly 2019 | With an ever increasing percentage of elderly people among the population fracture management in the aged is of increasing importance in the field of traumatology, since people between the ages of 60 and 80 will constitute the largest subpopulation by 2030. Due to relevant interindividual differences concerning physica... |
1 | The contribution of breast and abdominal pannus weight to body mass index: implications for rationing of reduction mammaplasty and abdominoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | The body mass index (BMI) is an arbitrary criterion used by third party fundholders in some countries for rationing the public funding of reduction mammaplasty and abdominoplasty surgery. Many patients have commented that the weight of their excess breast tissue or abdominal pannus contributes to an overestimation of t... |
0 | Traumatic brain injury is not associated with significant myocardial dysfunction: an observational pilot study | DoD PRF (Psychosocial RF) | BACKGROUND: Myocardial dysfunction has been well described with catastrophic neurological events, such as subarachnoid hemorrhage and brain death. There is very limited data describing myocardial function in the context of traumatic brain injury (TBI), as no prospective study has yet examined this association. The obje... |
0 | Factors preventing kneeling in a group of pre-educated patients post total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: Difficulties in kneeling, one of the poorest scoring functional outcomes post total knee arthroplasty (TKA),have been attributed to a lack of patient education. This is the first study to investigate specific factors affecting a patientâ??s perceived ability to kneel post TKA, following exposure to a preope... |
0 | Carpal tunnel syndrome: long-term nerve conduction studies in 261 hands | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To compare a long-term carpal tunnel syndrome (CTS) on nerve conduction studies (NCS) in hands treated non-surgically. METHOD: We retrospectively selected 261 symptomatic CTS hands (166 patients), all of them confirmed by NCS. In all cases, at least 2 NCS were performed in an interval greater than 12 months.... |
0 | The accuracy of retrospectively measured range of motion in knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | In retrospective studies the range of motion of the knee is gathered from existing clinical notes or databases. This study aims to assess the validity of this retrospective data. The range of motion of 48 patients was assessed using a goniometer and compared to that entered in the patient notes by the examiner during a... |
0 | A multinational, multicenter, randomized, double-blind, double-dummy, stratified, active controlled parallel group study comparing the efficacy and safety of intravenous zoledronic acid, 5 mg once yearly, and oral risedronate, 5 mg daily, in the prevention and treatment of corticosteroid induced osteoporosis - 2306 | Distal Radius Fractures | INTERVENTION: Product Name: zoledronic acid Product Code: ZOL446 Pharmaceutical Form: Solution for infusion INN or Proposed INN: zoledronic acid Concentration unit: mg/ml milligram(s)/millilitre Concentration type: equal Concentration number: 0.05â? Pharmaceutical form of the placebo: Solution for infusion Route of ad... |
0 | A personality trait contributes to the occurrence of postoperative delirium: a prospective study | Hip Fx in the Elderly 2019 | BACKGROUND: Although various physical risk factors for delirium have been identified, the effect of psychological aspects is currently unknown. This study aimed to examine psychological risk factors for postoperative delirium and to identify hidden subgroups of delirium in clinical and psychological feature space.
METH... |
0 | Tibia rotational technique to drill femoral bone tunnel in anatomic double-bundle anterior cruciate ligament reconstruction | Surgical Management of Osteoarthritis of the Knee CPG | In anatomic anterior cruciate ligament (ACL) reconstruction, several pitfalls in creating the femoral bone tunnels at the correct position are of great concern. Our new method, the tibia rotational (TR) technique, may contribute to resolving these. The purpose of this study is to describe further details about the TR t... |
0 | The effect of isolytic contraction and passive manual stretching on pain and knee range of motion after hip surgery: a prospective, double-blinded, randomized study | Management of Hip Fractures in the Elderly | Copyright release for this abstract has not been granted |
0 | On the road: Medical students' experiences on paramedic placements | DoD PRF (Psychosocial RF) | BACKGROUND: Undergraduate students' in several Australian medical courses undertake short placements with Paramedics to increase their awareness of biopsychosocial factors affecting health, provide opportunities to apply knowledge and clinical skills in health contexts and to develop inter-professional knowledge.
AIM: ... |
0 | Postoperative follow-up and rehabilitation after meniscus replacement | Surgical Management of Osteoarthritis of the Knee CPG | Even though basic scientific knowledge about the meniscal loading pattern may advocate restrictive rehabilitation after meniscus repair, experience and one controlled study favour accelerated rehabilitation. The current protocols for rehabilitation after meniscal substitution follow personal experience with parameters ... |
0 | Muscle activation and coactivation during five-time-sit-to-stand movement in patients undergoing total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Quadriceps weakness is prevalent with knee osteoarthritis (OA) and after total knee arthroplasty (TKA). To compensate for quadriceps dysfunction, patients often alter movement strategies. Little is known about muscle coordination during sit-to-stand (concentric) and stand-to-sit (eccentric) movements in the acute posto... |
0 | Minimally Invasive Plate Osteosynthesis Using Locking Plates for AO 43-Type Fractures: Lessons Learnt From a Prospective Study | DoD SSI (Surgical Site Infections) | INTRODUCTION: Managing fractures of distal tibia is still a subject of debate for orthopaedic surgeons in terms of both, reduction and fixation. Subcutaneous location and soft tissue anatomy predisposes it to angular and rotational instability as well as other bony and soft tissue complexities. Minimally invasive plati... |
0 | Hepatic haemangioma-prenatal imaging findings, complications and perinatal outcome in a case series | DOD - Acute Comp Syndrome CPG | Background The clinical presentation of foetal hepatic haemangioma (HH) is highly variable, from asymptomatic to life-Threatening. Objective The aim of this study was to describe foetal hepatic haemangioma and identify prognostic factors. Materials and methods Antenatal and postnatal imaging studies, clinical and biolo... |
0 | Superior lipolytic effect of the 1,444 nm Nd:YAG laser: comparison with the 1,064 nm Nd:YAG laser | Panniculectomy & Abdominoplasty CPG | BACKGROUND AND OBJECTIVES: Recently developed laser lipolysis systems have been disappointing because they require more time to remove the same amount of fat than other liposuction methods. A new Nd:YAG laser has been introduced that uses the 1,444 nm wavelength, better absorbed by fat. STUDY DESIGN/MATERIALS AND METHO... |
0 | Determination of the Ratio of the Decantation Time and the Separation of Components in Lipoaspirate | Panniculectomy & Abdominoplasty CPG | Decantation of the lipoaspirate is one of the most common techniques used to prepare the fat graft. The aim of the study was to determine the ideal time of decantation that provides the best separation of the components without compromising the viability of the adipocytes. METHODS: Thirty milliliters of fat were obtain... |
0 | CO2 laser arthroscopy using ambient gas pressure | AMP (Acute Meniscal Pathology) | Used arthroscopically, the CO2 laser rapidly and precisely incises and ablates tissue, adding a measure of hemostasis not possible with mechanical instruments. Currently available (and clinically tested) waveguides permit the incision and ablation of structures inaccessible to mechanical devices without the creation of... |
1 | Bacteremia incidence in pediatric patients under dental general anesthesia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: The aim of this study was to assess the incidence of bacteremia from various procedures in children undergoing dental treatment under general anesthesia. METHODS: Three blood samples for cultures were obtained from each patient; the first sample (10 ml basal) at the onset of the process and the second sampl... |
0 | Skeletal complications and survival in renal cancer patients with bone metastases | MSTS 2018 - Femur Mets and MM | Skeletal metastases occur in around one third of patients with advanced or metastatic renal cell carcinoma (RCC). Skeletal involvement is commonly an aggressive, lytic process which causes substantial morbidity through skeletal complications and occurrence of skeletal related events (SREs). However, compared with bone ... |
1 | Lower extremity combat-related amputations | DoD LSA (Limb Salvage vs Amputation) | Since the onset of combat activity in Iraq and Afghanistan, there have been over 1100 major limb amputations among United States service members. With a sustained military presence in the Middle East, continued severe lower extremity trauma is inevitable. For this reason, combat surgeons must understand the various amp... |
0 | Evaluation and treatment of the elbow and forearm injuries in the emergency department | Distal Radius Fractures | Elbow and forearm injuries result most commonly from direct blows to the area, or from fall on outstretched hand. The elbow may be injured if it is locked at the time of impact. Elbow or forearm bone dislocations may occur alone or in conjunction with fractures and generally require reduction to minimize future morbidi... |
0 | Pattern and distribution of bone metastases in common malignant tumors | MSTS 2018 - Femur Mets and MM | BACKGROUND: Bone scan is a sensitive but not specific method for evaluation of bone metastases. However, the clinical data and the pattern of bone scan findings help the physician to narrow the diagnostic differentials. We tried to investigate the distribution of bone metastases in common cancers using bone scintigraph... |
0 | Influence of venipuncture point and port chamber site on the risk of catheter fracture in right internal jugular port placements | DoD SSI (Surgical Site Infections) | BACKGROUND: For subcutaneously implanted central venous ports, some complications due to prolonged placement have been reported. We investigated the appropriate puncture points and port placement sites to prevent catheter fracture in right internal jugular port placement.
METHODS: This retrospective study included 709 ... |
0 | The combination of microfracture and a cell-free polymer-based implant immersed with autologous serum for cartilage defect coverage | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: The purpose of this short-term pilot study was to determine the clinical and MRI outcome of a combination of microfracture with a cell-free polymer-based matrix for the treatment of cartilage defects in the knee. METHODS: The technique was used for treatment of symptomatic cartilage defects in the knee. Five p... |
1 | Lateral bone flap approach for displaced intra-articular calcaneus fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: The traditional extended lateral approach for calcaneus fractures can provide sufficient exposure for reduction, but complications are frequent. The minimally invasive approach does limited damage to the soft tissue and its complication rate is low, but provides limited surgical exposure for complicated fra... |
0 | Adult congenital permanent bilateral dislocation of the patella with full knee function: Case report and literature review | AMP (Acute Meniscal Pathology) | Congenital permanent dislocation of the patella is a rare disorder of the knee joint in which the patella is permanently displaced, even in extension and is fixed on the lateral aspect of the femoral condyle. The dislocation is irreducible without surgical techniques. This rare condition is usually detected within the ... |
0 | Comparison of traditional physical therapy to internet-based physical therapy after knee arthroscopy: a prospective randomized controlled trial comparing patient outcomes and satisfaction | AMP (Acute Meniscal Pathology) | Objectives: Knee arthroscopy results in significant improvements in functional outcomes, pain and quality of life for patients suffering from meniscal tears. Traditionally, patients have undergone formal physical therapy (PT) after knee arthroscopy to regain function. Prior studies have demonstrated that patients who u... |
0 | Closed manipulation under anesthesia for pediatric post-traumatic elbow arthrofibrosis | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Post-traumatic elbow arthrofibrosis (PEA) and its associated limitations to elbow range of motion (ROM) are a recognized consequence of trauma to the pediatric elbow. Closed manipulation under anesthesia (CMUA) of the elbow can be performed in pediatric patients as a nonoperative attempt to improve dysfunct... |
0 | Reversed arthroscopic subacromial decompression for massive rotator cuff tears | Glenohumeral Joint OA | This prospective study evaluates the results of a procedure for massive rotator cuff tears that we term reversed arthroscopic subacromial decompression (ASD). The procedure includes an arthroscopic debridement of the subacromial space and glenohumeral joint, an arthroscopic tuberoplasty, and depending on the pathologic... |
0 | Sigma-1 receptor agonist fluvoxamine for postoperative delirium in older adults: Report of three cases | Management of Hip Fractures in the Elderly | Background: Postoperative delirium is a topic of great importance in the geriatric surgical specialty. Although antipsychotic drugs are the medications most frequently used to treat this syndrome, these drugs are associated with a variety of adverse events, including sedation, extrapyramidal side effects, and cardiac a... |
0 | Effect of epidural analgesia on muscle amino acid pattern after surgery | AAHKS (8) Anesthetic Infiltration | Free amino acids in muscle were studied before and 96 hours after skin incision in 14 patients undergoing elective hip replacement and allocated to general anesthesia or epidural analgesia (T10-S5) effective before incision and maintained with intermittent 0.5% bupivacaine during the first 24 postoperative hours. The g... |
0 | Direct comparison of non-osteoarthritic and osteoarthritic synovial fluid-induced intracellular chondrocyte signaling and phenotype changes | AMP (Acute Meniscal Pathology) | OBJECTIVE: Since the joint microenvironment and tissue homeostasis are highly dependent on synovial fluid, we aimed to compare the essential chondrocyte signaling signatures of non-osteoarthritic vs end-stage osteoarthritic knee synovial fluid. Moreover, we determined the phenotypic consequence of the distinct signalin... |
0 | Longitudinal design for sonographic measurement of median nerve swelling with controlled exposure to physical work using an animal model | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In the study described here, we examined the feasibility of a longitudinal design to measure sonographically swelling of the median nerve caused by controlled exposure to a work task and to evaluate the relationship of changes in morphology to diagnostic standards. Fifteen macaques, Macaca fascicularis, pinched a lever... |
1 | Analgesia for total knee arthroplasty: a meta-analysis comparing local infiltration and femoral nerve block | AAHKS (8) Anesthetic Infiltration | Patients frequently experience postoperative pain after a total knee arthroplasty; such pain is always challenging to treat and may delay the patient's recovery. It is unclear whether local infiltration or a femoral nerve block offers a better analgesic effect after total knee arthroplasty.We performed a systematic rev... |
0 | In vivo antimicrobial effectiveness of an essential oil-containing mouth rinse 12 h after a single use and 14 days' use | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: Two studies were conducted to determine the antimicrobial effect of rinsing with an essential oil-containing mouth rinse 12 h after a single rinse and 12 h after 2 weeks of twice daily rinsing, during the daytime and overnight. Materials and METHODS: These studies utilized a randomized, double-blind, contro... |
0 | Radiographic followup of joints injected with triamcinolone hexacetonide for the management of childhood arthritis | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Evidence of deleterious effects following intraarticular injection of triamcinolone hexacetonide was sought through a review of radiographs of 145 joints of 55 children with chronic arthritis. Possible deleterious effects were noted in 16 joints of 11 patients. These effects included: small patella (2 joints), patellar... |
0 | Amsterdam wrist rules: a clinical decision aid | Distal Radius Fractures | BACKGROUND: Acute trauma of the wrist is one of the most frequent reasons for visiting the Emergency Department. These patients are routinely referred for radiological examination. Most X-rays however, do not reveal any fractures. A clinical decision rule determining the need for X-rays in patients with acute wrist tra... |
1 | Effects of nutritional intervention upon bone turnover in elderly hip fracture patients. Randomized controlled trial | Hip Fx in the Elderly 2019 | BACKGROUND AND AIM: Hip fracture patients are at great risk of malnutrition, but documentation of the effect of nutrition supplementation in this group is sparse and inconclusive. The aim of this study was to examine if personalized nutrition advice combined with vitamin K1, Ca and vitamin D could improve bone turnover... |
0 | Locking plate fixation of periprosthetic femur fractures with and without cerclage wires | Hip Fx in the Elderly 2019 | OBJECTIVE: The number of patients requiring knee and hip arthroplasty has been steadily increasing, and periprosthetic fractures are on the rise. Locking plates are the most common treatment for periprosthetic fractures, but the use of cerclage wires with locking plate fixation has been controversial.
METHODS: Forty-se... |
0 | Evaluation and management of osteochondral lesions of the knee | Osteochondritis Dissecans 2020 Review | Osteochondral lesions of the knee is a common disorder in adolescents, although it may present in children and adults. Despite the fact that the disorder was discovered more than a century ago, no specific causes have been identified, although relationships with ischemia, irregular ossification of epiphyseal cartilage,... |
0 | Osteoarthritis alters the patellar bones subchondral trabecular architecture | OAK 3 - Non-arthroplasty tx of OAK | Following the principles of â??morphology reveals biomechanics,â? the cartilage-osseous interface and the trabecular network show defined adaptation in response to physiological loading. In the case of a compromised relationship, the ability to support the load diminishes and the onset of osteoarthritis (OA) may arise... |
0 | [Clinical research of posterior cruciate ligament-retained mobile-bearing total knee arthroplasty in treatment of rheumatoid arthritis] | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To analyse the results of posterior cruciate ligament-retained mobile-bearing total knee arthroplasty (TKA) in treatment of rheumatoid arthritis (RA) and to solve the problems often encountered during surgery.METHODS: From February 1999 to August 2005, the clinical data from 73 patients with RA undergoing TK... |
0 | Reversibility of pamidronate-associated glomerulosclerosis | MSTS 2018 - Femur Mets and MM | Bisphosphonates such as pamidronate are widely used in the treatment of patients with lytic bony lesions secondary to breast cancer or multiple myeloma, yet they have been associated with deterioration of renal function and histopathological changes in the kidney. There have been recent reports associating the use of p... |
0 | Mechanical debridement versus radiofrequency in knee chondroplasty with concomitant medial meniscectomy: 10-year results from a randomized controlled study | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: We compared the effectiveness of mechanical debridement (MD) and bipolar radiofrequency chondroplasty (RF) with regard to clinical outcome, rate of revision, and progression of knee osteoarthritis.
METHODS: Sixty patients with MRI-detected grade III cartilage lesions on the medial femoral condyle were consider... |
0 | Correction of dorsally-malunited extra-articular distal radial fractures using volar locked plates without bone grafting | Distal Radius Fractures | Malunion is the most common complication of the distal radius with many modalities of treatment available for such a problem. The use of bone grafting after an osteotomy is still recommended by most authors. We hypothesised that bone grafting is not required; fixing the corrected construct with a volar locked plate hel... |
0 | Is postspinal hypotension a sign of impaired cardiac performance in the elderly? An observational mechanistic study | AAHKS (8) Anesthetic Infiltration | Background: We have previously reported that stroke volume is reduced in a majority of elderly patients undergoing surgical repair of hip fracture before and after intrathecal injection of anaesthetic. We aimed to investigate these observations further in a prospective study of elderly patients undergoing elective hip ... |
0 | Neurological manifestations of human parvovirus B19 infection | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Since its discovery, human parvovirus B19 has been linked with a broad spectrum of clinical syndromes. An aetiological role for the virus has been confirmed in erythema infectiosum, transient aplastic crisis, persistent infection manifesting as pure red cell aplasia in immunocompromised persons, non-immune hydrops feta... |
0 | Surgical treatment of pathologic fractures in patients with metastatic tumors | DoD LSA (Limb Salvage vs Amputation) | The study presents results in treatment of pathologic fractures of long bones of all patients who underwent surgery in the last 10 years in our hospital. The study cohort comprised 133 consecutive patients divided in two groups who underwent surgery of long bone fractures caused by metastatic tumor or trauma. We used r... |
0 | Technical refinements in the surgical treatment of gynecomastia | Panniculectomy & Abdominoplasty CPG | The authors present their experience with liposuction of breast fat followed by sharp excision of the breast gland, when needed. Liposuction is performed, introducing a short uterine curette through a hemicircular periareolar incision. The suction is carried out as close as possible to the glandular tissue and all arou... |
0 | Comparative study of conventional therapy and additional yogasanas for knee rehabilitation after total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Amongst various modalities of post operative rehabilitation in a total knee replacement (TKR) surgery, this study focuses on evaluating the effect of additional yoga therapy on functional outcome of TKR patients.
MATERIALS AND METHODS: A comparative study was done to compare the effects of conventional phys... |
0 | Surgical management of metastatic lesions of proximal femur and the hip | Hip Fx in the Elderly 2019 | Metastatic bony lesions involving proximal femur and hip joint pose a challenge to orthopedic surgeons. Lesions in this important weight-bearing zone of the femur weaken its ability to sustain load causing pain and impending pathologic fracture. These Patients warrant multidisciplinary approach including orthopedic sur... |
0 | Unilateral Reconstruction of the Large Breast: Combining Prosthetic and Autologous Methods for Improved Symmetry | Reduction Mammoplasty for Female Breast Hypertrophy | Postmastectomy reconstruction in patients with significant macromastia and/or large chest wall dimensions can be challenging. Implants have a limited size range and may not be large enough to adequately reconstruct a wide, obese patient. Abdominally based flaps may be unsafe in these patients if they have significant o... |
1 | The effect of an abnormal bmi on orthopaedic trauma patients: A systematic review and meta-analysis | DoD SSI (Surgical Site Infections) | Aims: The aim of this systemic review is to identify the complications that arise in operating on orthopaedic trauma patients with an abnormal body mass index (BMI). Materials and Methods: Systematic literature search using a combination of MESH subject headings and free text searching of Medline, Embase, SCOPUS and Co... |
0 | The occurrence of Raynaud's phenomenon in a general population: the Framingham Study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The prevalence and predisposing conditions for primary and secondary Raynaud's phenomenon (RP) were examined in The Framingham Study based on 16 years of follow-up of a cohort of 4182 men and women. The association with atypical chest pain and migraine headache was also investigated. Over the 16 years of follow-up ther... |
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