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Hip dysplasia screening - epidemiological data from Valcea County
Developmental Dysplasia of the Hip 2020 Review
RATIONALE: :In its most severe form, developmental dysplasia of the hip (DDH) is one of the most common congenital malformations. Uncorrected developmental dysplasia of the hip is associated with long-term morbidity such as gait abnormalities, chronic pain, and degenerative arthritis. AIMS: (1) to identify the risks an...
1
Blueberries Improve Pain, Gait Performance, and Inflammation in Individuals with Symptomatic Knee Osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Osteoarthritis (OA) is the most common joint disorder in the world and is the most frequent cause of walking related disability among older adults in the US, which brings a significant economic burden and reduces quality of life. The initiation and development of OA typically involves degeneration or progressive loss o...
0
Pain control after total hip arthroplasty: a randomized trial determining efficacy of fascia iliaca compartment blocks in the immediate postoperative period
AAHKS (8) Anesthetic Infiltration
INTRODUCTION: Pain control after total hip arthroplasty (THA) is an essential component of patient satisfaction. Published studies suggest postoperative fascia iliaca blocks provide additional benefit when used in conjunction with a multi modal pain regimen; however, there have been no studies that describe single shot...
0
Correlation between the rotational degree of the dial test and arthroscopic and physical findings in posterolateral rotatory instability
AMP (Acute Meniscal Pathology)
Diagnosing posterolateral rotatory instability (PLRI) is difficult because it occurs rarely, takes time to manifest, and no single definitive tool exists in diagnosing posterolateral corner injuries. We sought to evaluate the correlation between rotational degrees in the dial test and physical and arthroscopic findings...
0
Intrarticular infiltration of bupivacaine and magnesium sulfate in distal radius fractures. A pilot study
Distal Radius Fractures
BACKGROUND: The distal radius fracture represent until 15% of all bone injuries in adults. The key in the recovery of mobility and functional outcomes are rehabilitation. The intra�articular application of magnesium sulphate has been used for postoperative pain. The objective was to determinate the improvement in pai...
0
Novel therapies for metastatic castrate-resistant prostate cancer
MSTS 2018 - Femur Mets and MM
Recent advances in tumor biology have made remarkable achievements in the development of therapy for metastatic castrate-resistant prostate cancer. These advances reflect a growing appreciation for the role of the tumor microenvironment in promoting prostate cancer progression. Prostate cancer is no longer viewed predo...
0
Complications in posteromedial arthroscopic suture of the medial meniscus
AMP (Acute Meniscal Pathology)
INTRODUCTION: All-inside posteromedial suture for lesions of the posterior horn of the medial meniscus in anterior cruciate ligament (ACL) repair provides effective freshening and good healing. HYPOTHESIS: The posteromedial portal provides satisfactory healing rates without increasing morbidity or complications rates. ...
0
Vertical Continuous Meniscal Suture Technique
AMP (Acute Meniscal Pathology)
Meniscal injuries are common in the population, representing the major cause of functional impairment in the knee. Vertical longitudinal injuries of the meniscus can be stable or unstable. When extensive, they are commonly unstable and can lead to clinical signs of significant functional disability. Vertical longitudin...
0
Computer navigation for total knee arthroplasty reduces revision rate for patients less than sixty-five years of age
PJI DX Updated Search
Background: Computer navigation for total knee arthroplasty has improved alignment compared with that resulting from non-navigated total knee arthroplasty. This study analyzed data from the Australian Orthopaedic Association National Joint Replacement Registry to examine the effect of computer navigation on the rate of...
0
An Assessment of United States Dermatology Practices during the COVID-19 Outbreak
Coronavirus Disease 2019 (COVID-19)
Objectives: The COVID-19 outbreak is a serious threat to public health and social distancing on the part of individuals can help contain the epidemic. It is unknown if dermatologists are assisting with the public health officials' recommendations for social distancing by closing their practice or limiting their practic...
0
Mucopolysaccharidosis type VI in Spain
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Background: Mucopolysaccharidosis VI is a progressive autosomal recessive lysosomal storage disorder. Since 2006 enzyme replacement therapy is available which has improved the prognosis of these patients. In Spain there are 11 patients withMPS VI, all under treatment with ERT. The aim of this review is to present Spani...
0
Breast cancer (non-metastatic)
MSTS 2018 - Femur Mets and MM
INTRODUCTION: Breast cancer affects at least 1 in 10 women in the UK, but most present with primary operable disease, which has an 80% 5-year survival rate overall. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of interventions after br...
0
Success of meniscal repair at anterior cruciate ligament reconstruction
AMP (Acute Meniscal Pathology)
BACKGROUND: Meniscal repair is performed in an attempt to prevent posttraumatic arthritis resulting from meniscal dysfunction after meniscal tears. The socioeconomic implications of premature arthritis are significant in the young patient population. Investigations and techniques focusing on meniscus preservation and h...
0
Evaluation of a Hospital at Home scheme for the early discharge of patients with fractured neck of femur
Management of Hip Fractures in the Elderly
The community health services in Southern Derbyshire, in conjunction with an acute hospital, established a pilot scheme for the early discharge of fractured neck of femur patients from hospital to their own homes. The scheme was evaluated by prospectively comparing a group of patients using Hospital at Home (HAH) and a...
0
Vitality and mental health in disability: Associations with social relationships in persons with spinal cord injury and their partners
DoD PRF (Psychosocial RF)
BACKGROUND: Various social relationship constructs have been proposed to affect mental health. However, these constructs have rarely been studied in a comprehensive way in persons with chronic disabilities and their partners, inhibiting researchers from evaluating their relative importance. OBJECTIVE: To investigate 1)...
0
Femoral head size is a risk factor for total hip luxation: A study of 42,987 primary hip arthroplasties from the Norwegian Arthroplasty Register
Management of Hip Fractures in the Elderly
On the basis of the Norwegian Arthroplasty Register, which has recorded nearly all primary hip prostheses and revisions in Norway since 1987, we studied risk factors for prosthesis luxation leading to revision. 7 prosthesis brand combinations used in 42,987 primary operations were included from 1987-2000. We found that...
0
Adductor Canal Block After Total Knee Replacement - a Suture-method Catheter vs a Standard Catheter vs a Single Bolus
AAHKS (9/10) Regional Nerve Blocks
The aim of the study is to compare the clinical effects of three different administration forms for an ACB: repeated intermittent boluses through a Certa catheter (CC) versus repeated boluses through a standard catheter (through the needle) (SC) versus a single bolus (SB). Our dual hypothesis is that repeated boluses t...
1
Radiographs late in the follow up of uncomplicated distal radius fractures: are they worth it? Clinical outcome and financial implications
Distal Radius Fractures
Fractures of the distal radius are common. Displacement can quickly lead to secondary osteoarthritis. Early follow up radiographs are subsequently paramount to facilitate for early attempts at reduction. Developing callus eventually makes this impractical. In the absence of complications we propose that radiographs may...
0
Benign fibrous histiocytoma of bone: a report of ten cases and review of literature
MSTS 2022 - Metastatic Disease of the Humerus
The benign fibrous histiocytoma is a rare tumor with only a few descriptions. In order to better define the optimal therapeutic procedure and the necessity of surgery we retrospectively analyzed the patients of the orthopedic department. Benign fibrous histiocytoma occurred in the femur (n = 3), pelvis (n = 2), humerus...
0
Legg-calvé-perthes disease an overview with recent literature
Developmental Dysplasia of the Hip 2020 Review
The evolving knowledge on Legg-Calvé-Perthes (LCP) demonstrates the utility of studying a rare disease systematically by piecing together the biology and mechanics of this condition and applying clinical observations to improve patient care. As treatments of less common diseases are hard to randomize and study in mean...
1
Popliteal artery trauma. Systemic anticoagulation and intraoperative thrombolysis improves limb salvage
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVE: This study was conducted to evaluate those factors associated with popliteal artery injury that influence amputation, with emphasis placed on those that the surgeon can control. SUMMARY BACKGROUND DATA: Generally accepted factors impacting amputation after popliteal artery injury include blunt trauma, prolon...
0
TruFit CB bone plug: chondral repair, scaffold design, surgical technique and early experiences
Diagnosis and Treatment of Osteochondritis Dissecans AUC
The TruFit CB osteochondral scaffold plug is a commercially available and licensed scaffold implant for the treatment of chondral and osteochondral defects of the knee. A number of surgical techniques have been described that are designed to achieve neocartilaginous tissue cover of a chondral defect, but many result in...
0
Analysis of fractures of the proximal femur in the Jordanian population
Management of Hip Fractures in the Elderly
BACKGROUND: Proximal femur fractures represent a challenging medical problem worldwide. In recent years numerous reports have documented a progressive increase in the incidence of hip fractures. In Jordan, this problem has not received sufficient attention, and to my knowledge, this is the first study to address the pr...
1
External Fixation Versus Hemiartroplasty In Unstable Intertrochanteric Hip Fractures Of The Elderly
Hip Fx in the Elderly 2019
To compare two alternative methods : external fixation (EF) and hemiarthroplasty (HA) in elderly patients with unstable intertrochanteric hip fractures. Forty-two patients with Orthopaedic Trauma Association type 31A2-2 or 31A2-3 fractures treated between January 2007 and December 2010 were included. Twenty-two patient...
0
Functional performance and inflammatory cytokines after squat exercises and whole-body vibration in elderly individuals with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To investigate the effects of squat exercises combined with whole-body vibration on the plasma concentration of inflammatory markers and the functional performance of elderly individuals with knee osteoarthritis (OA). DESIGN: Clinical, prospective, randomized, single-blinded study. SETTING: Exercise physiolo...
1
The refractory period of transmission in patients with carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
In patients with the carpal tunnel syndrome (CTS) and in control subjects, pairs of shocks at intervals of 0.8 msec and 1.0 msec were used to stimulate the median nerve just above the wrist. Nerve action potentials were recorded at the elbow and from the index or middle finger. In patients but not in controls, recordin...
0
Arthroscopic distal clavicle resection
Glenohumeral Joint OA
The acromioclavicular joint is a potential source of pain in the shoulder. There are a variety of disorders that can affect this joint, including distal clavicle osteolysis, posttraumatic arthritis, osteoarthritis, and rheumatoid arthritis. Nonoperative treatment for this condition with nonsteroidal medication and acti...
0
The fat pad sign following elbow trauma in adults: its usefulness and reliability in suspecting occult fracture
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
OBJECTIVE: An elbow joint effusion with no fracture seen on radiographs after acute trauma has become synonymous with occult fracture. This study evaluates the incidence of fracture in such cases as determined by MR imaging and the predictive value of an elbow joint effusion. METHODS: Twenty consecutive patients whose ...
0
Interventions for the management of temporomandibular joint osteoarthritis
SR for PM on OA of All Extremities
Background: Osteoarthritis (OA) is the most common form of arthritis of the temporomandibular joint (TMJ), and can often lead to severe pain in the orofacial region. Management options for TMJ OA include reassurance, occlusal appliances, physical therapy, medication in addition to several surgical modalities.Objectives...
0
Management of postoperative complications: anemia
HipFx Supplemental Cost Analysis
Anemia is extremely common following hip fracture. Consistent data from randomized trials show that transfusion of less blood, with a transfusion threshold around 8 g/dL hemoglobin concentration, is preferable to a traditional threshold of 10 g/dL. Adoption of a lower threshold leads to at least equivalent clinical out...
0
No Disparity for American Indians in Surgery for Pelvis/Lower Extremity Fractures: a Cohort Study of the National Trauma Data Bank (NTDB)
Hip Fx in the Elderly 2019
BACKGROUND: Racial/ethnic disparities in trauma care have been reported. The American Indian/Alaska Native (AI/AN) population faces a twofold to fourfold increase of risk for traumatic injury. We hypothesized that surgical intervention and time to surgery were associated with race/ethnicity, specifically AI/AN compared...
0
High blood pressure and bone-mineral loss in elderly white women: A prospective study
Management of Hip Fractures in the Elderly
Background. High blood pressure is associated with abnormalities in calcium metabolism. Sustained calcium loss may lead to increased bone-mineral loss in people with high blood pressure. We investigated the prospective association between blood pressure and bone-mineral loss over time in eldery white women. Methods. We...
0
MR imaging of entrapment neuropathies at the elbow
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
MR imaging is a useful modality for diagnosing compressive neuropathies at the elbow. The most typical finding is denervation muscle edema and atrophy. Morphologic and signal alterations of the affected nerves also may be detected. Finally, tumors and other masses producing nerve compression can be identified
0
Well-aerated Lung on Admitting Chest CT to Predict Adverse Outcome in COVID-19 Pneumonia
Coronavirus Disease 2019 (COVID-19)
Background Computed tomography (CT) of patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease depicts the extent of lung involvement in COVID-19 pneumonia. Purpose The aim of the study was to determine the value of quantification of the well-aerated lung obtained at baseline chest CT for det...
0
Is a calculated total hip BMD of clinical use?
Management of Hip Fractures in the Elderly
The diagnosis of osteoporosis is based on bone mass measurement. To avoid the errors associated with the measurement of spinal bone density the total hip has been accepted as the standard measurement site. This information is not available for many early measurements. We have assessed whether it is possible to derive c...
1
Validity of magnetic resonance imaging in knee injuries
AMP (Acute Meniscal Pathology)
INTRODUCTION: Knee injuries are common in athletes, recreationists, and other people in their everyday activities. OBJECTIVE: The study is aimed at establishing the validity of clinical findings, MRI and diagnostic arthroscopy of the knee in ACL, PCL, medial or lateral ligament lesions. METHODS: The prospective researc...
0
The effect of total knee replacement on dynamic support of the body during walking and stair ascent
Surgical Management of Osteoarthritis of the Knee CPG
Background: Little is known about the effects of total knee replacement surgery on the contributions of individual joint moments to the total support moment. A better understanding of these effects may enhance rehabilitation protocols and determine factors related to long-term surgical outcome. Method: Twenty-one subje...
0
Lysosomal enzymes in serum and synovial fluid in patients with osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Objective. To assess the activity of arylsulfatase (AS), acid phosphatase (ACP), cathepsin D (CAT-D) and alpha-1 antitrypsin (AAT) in blood serum and synovial fluid (SF) of patients with hip or knee osteoarthritis (OA). Methods. The study included 43 subjects with OA (35 hip OA, 8 knee OA), submitted total joint replac...
0
Safety of Arthroscopic Versus Open or Combined Heterotopic Ossification Removal Around the Elbow
Pediatric Supracondylar Humerus Fracture 2020 Review
PURPOSE: To analyze the complications of arthroscopic heterotopic ossification (HO) excision and compare them with those of open removal of HO or a combined open-arthroscopic approach. METHODS: We performed a retrospective review of elbow HO removal cases performed by a single surgeon from 1997 to 2014. In all cases st...
0
The impact of associated tenotomies on the outcome of incomplete phalangeal osteotomies for lesser toe deformities
DoD SSI (Surgical Site Infections)
BACKGROUND: Partial or incomplete osteotomy (IO) of the phalanx is recently described in the literature. However, the clinical outcome and the rate of complications when applied to lesser toe deformities (LTD) have been never addressed. This study aims to find out if the association of tenotomies to incomplete or parti...
0
Intraoperative use of bupivacaine for tumescent liposuction: the Robert Wood Johnson experience
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Bupivacaine anesthetic is commonly used as a wetting solution additive in tumescent liposuction, but its routine use remains controversial because of a lack of evidence in the current literature. METHODS: In accordance with local institutional review board regulations, a retrospective chart review was condu...
0
Comparison of different anesthetic techniques on postoperative outcomes in elderly patients with hip fracture
Management of Hip Fractures in the Elderly
Objective: Determining the type of anesthesia is a complex medical decision that depends on many factors including co-morbidity, age, type of surgery performed, and the risk of the anesthetic techniques. This study evaluated the effects of anesthesia type on postoperative mortality and morbidity in hip fractures. Mater...
0
Survival analysis of an asymmetric primary total knee replacement: a European multicenter prospective study
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE OF THE STUDY: This multicenter prospective study objective is to provide midterm results and 10-year survival analysis of the original Natural Knee-I System as experienced by a group of surgeons performing, within various settings, primary total knee replacement (TKR) in the general population. HYPOTHESIS: The ...
0
Consumer guidelines for chronic disease management
SR for PM on OA of All Extremities
This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the effects of consumer guidelines for people with chronic illnesses, on health outcomes
0
Cardiac output during hemiarthroplasty of the hip. A prospective, controlled trial of cemented and uncemented prostheses
HipFx Supplemental Cost Analysis
In a prospective, controlled study, we measured the effect on cardiac output of the introduction of methylmethacrylate during hemiarthroplasty for displaced fractures of the femoral neck. We treated 20 elderly patients who were similar in age, height, weight and preoperative left ventricular function with either cement...
0
Non-steroidal anti-inflammatory drugs, including cyclo-oxygenase-2 inhibitors, in osteoarthritic knee pain: meta-analysis of randomised placebo controlled trials
SR for PM on OA of All Extremities
OBJECTIVE: To estimate the analgesic efficacy of non-steroidal anti-inflammatory drugs (NSAIDs), including selective cyclo-oxygenase-2 inhibitors (coxibs), in patients with osteoarthritis of the knee. DESIGN: Systematic review and meta-analysis of randomised placebo controlled trials. STUDIES REVIEWED: 23 trials includ...
0
CXCR7 mediates TGFbeta1-promoted EMT and tumor-initiating features in lung cancer
MSTS 2018 - Femur Mets and MM
In the tumor microenvironment, chemokine system has a critical role in tumorigenesis and metastasis. The acquisition of stem-like properties by cancer cells is involved in metastasis and drug resistance, which are pivotal problems that result in poor outcomes in patients with lung cancer. Patients with advanced lung ca...
0
Oral Rehabilitation With Bone Graft and Simultaneous Dental Implants in a Patient With Epidermolysis Bullosa: A Clinical Case Report
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Epidermolysis bullosa (EB) represents a group of mainly hereditary skin disorders, manifested by an exceptional tendency of the skin and mucosa to form bullae and vesicles after minor friction and trauma. Oral features include repeated blistering, scar formation, elimination of buccal and vestibular sulci, and alveolar...
0
A retrospective review of outcomes and flap selection in free tissue transfers for complex lower extremity reconstruction
DoD LSA (Limb Salvage vs Amputation)
PURPOSE: Complex lower extremity wounds present a significant challenge to the reconstructive surgeon. We report a consecutive experience of free tissue transfers for lower extremity reconstruction with a focus on outcomes and flap selection. METHODS: A retrospective review of all free tissue transfers for lower extrem...
0
Restorative procedures for articular cartilage in the ankle: State-of-the-art review
Osteochondritis Dissecans 2020 Review
Articular cartilage is a highly specialised connective tissue that serves to lubricate joint surfaces and distribute loads across the joint. Injury to articular cartilage is a significant cause of pain and dysfunction that may eventually lead to osteoarthritis or degenerative arthrosis. Management of these injuries is ...
0
Complete endoscopic carpal canal decompression
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We made a model of the endoscopic decompression of the carpal canal in clinical cases. The model entailed the release of the transverse carpal ligament, ie, the flexor retinaculum, first; then the transverse fibers: deep layer of the midpalmar fascia or distal portion of the flexor retinaculum; and, finally, release of...
0
Associations of the collagen type Ialpha1 Sp1 polymorphism with five-year rates of bone loss in older adults
Management of Hip Fractures in the Elderly
The collagen type Ialpha1 Sp1 (ColIA1) polymorphism has been associated with reduced bone mineral density (BMD) and increased prevalence of osteoporosis. This study examines associations of the ColIA1 genotype with BMD and 5-year rates of change in BMD in elderly men and women. The 243 subjects, aged 65 years and older...
0
Shoulder hemi arthroplasty radiological and clinical outcomes at more than two years follow-up
Glenohumeral Joint OA
INTRODUCTION: Humeral head replacement is used for glenohumeral osteoarthritis in young or active patients, for conditions sparing glenoid cartilage or when glenoid implantation does not appear feasible. These surgical procedures usually give satisfactory results but there is a risk of glenoid erosion and a possible de...
0
Fractures of the distal radius. Current concepts for treatment
Distal Radius Fractures
The authors review the treatment of fractures of the distal radius, based on their experience and from data in the literature. The choice of a treatment for any given fracture must take into account first of all the stability of the fracture. The best results are achieved in stable fractures. Only minimally displaced d...
0
Intervention thresholds for osteoporosis
HipFx Supplemental Cost Analysis
The aim of this study was to determine the threshold of fracture probability at which interventions become cost-effective. We modeled the effects of a treatment costing $500/year, given for 5 years, that decreased the risk of all osteoporotic fractures by 35%, followed by a waning of effect for 5 years. Sensitivity ana...
0
Latissimus dorsi muscle transfer reduces external rotation deficit at the cost of internal rotation in reverse shoulder arthroplasty patients: a cohort study
DoD SSI (Surgical Site Infections)
Hypothesis: We hypothesized that treatment of rotator cuff arthropathy (RCA) with reverse shoulder arthroplasty (RSA) and an additional latissimus dorsi transfer (LDT) in patients with an active external rotation deficit (ERD) would restore external rotation (ER) with concomitant deterioration in internal rotation. Met...
0
Is monocyte chemotactic protein 1 elevated in aseptic loosening of TKA? A pilot study
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Failure of TKA from aseptic loosening is a growing concern, as TKA is performed with increasing frequency. Loosening is multifactorial and may be associated with elevated inflammatory cytokines in addition to biomechanical failure. QUESTIONS/PURPOSES: We asked whether proinflammatory cytokines and chemokine...
0
Osteochondritis Dissecans of the Adult Knee
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Osteochondritis dissecans is a disease that originates in the subchondral bone that affects the articular cartilage. It generally presents gradually and is associated with non-specific symptoms. The true etiology is unknown but likely related to genetic, vascular or trauma. Multiple modes for diagnosis and classificati...
0
Determining the rotational alignment of the tibial component at total knee replacement
Surgical Management of Osteoarthritis of the Knee CPG
We prospectively assessed the benefits of using either a range-of-movement technique or an anatomical landmark method to determine the rotational alignment of the tibial component during total knee replacement. We analysed the cut proximal tibia intraoperatively, determining anteroposterior axes by the range-of-movemen...
0
Multiple timescales of body schema reorganization due to plastic surgery
Panniculectomy & Abdominoplasty CPG
Plastic surgery modifies the distribution of mass centers of a person's body segments, changing his or her posture. The functional reorganization processes that lead subjects to re-integrate these body changes into a new stable body (posture) schema is poorly understood but current theories suggest the possible contrib...
0
Palpebral fissure height and downgaze in patients with Graves upper eyelid retraction and congenital blepharoptosis
Upper Eyelid and Brow Surgery
PURPOSE: To compare the relation between vertical eyelid fissure height and downgaze in healthy subjects and in patients with Graves upper eyelid retraction and congenital blepharoptosis. METHODS: With a caliper rule, the authors measured the vertical eyelid fissure height of 25 patients with no previous history of eye...
0
Antibacterial activity of 2% chlorhexidine gluconate and 5.25% sodium hypochlorite in infected root canal: in vivo study
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
In this study, the antibacterial activity of the different antibacterial solutions using as root canal irrigant was compared in the teeth with pulpal necrosis and with periapical pathosis. Thirty root canals of incisors and premolars of 20 patients were used. Before and after the root canal preparation, two canal sampl...
0
Ultrasound-guided continuous femoral nerve block: a randomized trial on the influence of femoral nerve catheter orifice configuration (six-hole versus end-hole) on post-operative analgesia after total knee arthroplasty
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Multiorifice catheters have been shown to provide superior analgesia and significantly reduce local anesthetic consumption compared with end-hole catheters in epidural studies. This prospective, blinded, randomized study tested the hypothesis that, in continuous femoral nerve block (CFNB) under ultrasound g...
0
Is Ultrasound Remission a Real Remission? Does Ultrasound Permit to Achieve and Maintain the Remission in Rheumatoid Arthritis Patients More Efficiently Than Clinical Scores?
Glenohumeral Joint OA
REVECHO is an international prospective multicentre simple blinded randomized study with a longitudinal follow�up of 18 months and a total study duration of 48 months. During the first visit, after having signed the consent form, Patients undergo at each visit, a clinical evaluation comprising an assessment of tender...
0
Hypertension in nursing home patients
Management of Hip Fractures in the Elderly
There have been few studies of hypertension in nursing home patients. To assess the prevalence, demographic characteristics, comorbidity and drug therapy in hypertensive nursing home patients compared with those who are normotensive, we reviewed all medical charts of patients in three nursing home facilities. Of the 80...
0
Fresh-socket implants in periapical infected sites in humans
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: The aim of the present study is to compare the outcome of the immediate placement of implants when used in the replacement of teeth with and without chronic periapical lesions. METHODS: Thirty patients requiring a single-tooth extraction of a monoradicular or premolar tooth were selected. The control group ...
1
Cost effectiveness of denosumab versus oral bisphosphonates for postmenopausal osteoporosis in the US
HipFx Supplemental Cost Analysis
BACKGROUND: In the US, 26 % of women aged >/=65 years, and over 50 % of women aged >/=85 years are affected with postmenopausal osteoporosis (PMO). Each year, the total direct health care costs are estimated to be $US12-18 billion. OBJECTIVE: The cost effectiveness of denosumab versus oral bisphosphonates in postmenopa...
0
High Tibial Osteotomy following Biologic Replacement of the Knee
AMP (Acute Meniscal Pathology)
Biologic unicondylar replacement with fresh osteoarticular allografts of the femoral condyle and tibial plateau plus a meniscus transplant provides an option for young or active patients with severe articular cartilage loss. The timing of osteotomy procedures to correct malalignment either before, concurrent, or after ...
0
Psychosocial factors in fibromyalgia compared with rheumatoid arthritis: II. Sexual, physical, and emotional abuse and neglect
DoD PRF (Psychosocial RF)
OBJECTIVE: Two recent reports have found associations between fibromyalgia and sexual victimization, but had methodologic characteristics that limited their interpretation. METHOD: We compared 36 patients with fibromyalgia and 33 patients with rheumatoid arthritis by using structured interviews for sexual, physical, an...
0
The Impact of Metabolic Syndrome on 30-Day Outcomes Following ORIF for Ankle Fractures
DoD SSI (Surgical Site Infections)
<b>Introduction:</b> Metabolic syndrome (MetS) is associated with significant postoperative morbidity. Despite an increasing prevalence of MetS in the US population, its impact on postoperative outcomes following ankle fractures remains limited. <b>Materials and Methods:</b> The 2012-2016 American College of Surgeons-N...
0
Treatment of adolescents with a periacetabular osteotomy after previous pelvic surgery hip
Developmental Dysplasia of the Hip 2020 Review
Background: Although the success of the Bernese periacetabular osteotomy (PAO) has been reported for primary dysplasia, there is no study analyzing the radiographic, functional, and gait results of the PAO to correct residual hip dysplasia after previous pelvic surgery. Questions/purposes: We assessed (1) radiographic ...
0
Predictors of post-traumatic psychological growth in the late years after lung transplantation
DoD PRF (Psychosocial RF)
BACKGROUND: Although lung transplantation improves quality of life, most psychosocial research focuses on adverse psychological and social functioning outcomes. Positive effects, particularly in the late-term years as physical morbidities increase, have received little attention. We provide the first data on a psycholo...
1
High resolution US of peripheral nerves
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Peripheral nerves have a typical ultrasound structure that correlates well with histologic appearance and makes differentiation between nerves and adjacent structures possible in most cases. This allows ultrasonography to study a large variety of lesions involving peripheral nerves such as entrapment syndromes, tumors,...
0
Rotating hinge prosthesis for complex revision total knee arthroplasty: A review of the literature
OAK 3 - Non-arthroplasty tx of OAK
Introduction: The rotating hinge prosthesis was originally used and designed as a primary total knee arthroplasty implant, but was hampered due to poor outcomes and catastrophic failures. Newer rotating hinge implants can be utilized in complex revision total knee arthroplasties when appropriately indicated, but their ...
0
Increased localization of (99m)Tc pyrophosphate in a bone island: case report
MSTS 2018 - Femur Mets and MM
A positive (99m)Tc pyrophosphate bone scan is reported in a proven case of large compact bone island. Pyrophosphate uptake in this case is presumed to be due to either large size or growth of the bone island. A radionuclide bone scan does not always differentiate bone islands from metastatic or inflammatory sclerotic b...
0
Evaluation of NFKB1A variants in patients with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
A key feature of osteoarthritis (OA) is articular cartilage loss mediated by numerous catabolic factors including pro-inflammatory cytokines. Cytokine expression is modulated by the nuclear factor kappaB (NF-kappaB) family of transcription factors that are in turn, regulated by the inhibitor of NF-kappaB IkappaBalpha e...
0
A case report describing a suspected rivaroxaban hypersensitivity reaction in a surgical patient
Surgical Management of Osteoarthritis of the Knee CPG
Summary What is known and Objective: Rivaroxaban is an oral anticoagulant, currently licensed for use as a venous thromboembolism (VTE) prophylaxis, and recommended by the National Institute for Clinical Excellence (NICE) for all patients undergoing elective hip and knee replacement surgery in the UK. We present the fi...
0
Nonbridging external fixation of distal radius fractures
Distal Radius Fractures
Surgical management of distal radius fractures continues to evolve because of their high incidence in an increasingly active elderly population. Traditional radiocarpal external fixation relies on ligamentotaxis for fracture reduction but has several drawbacks. Nonbridging external fixation has evolved to provide early...
0
Sonographic imaging of meniscal subluxation in patients with radiographic knee osteoarthritis
AMP (Acute Meniscal Pathology)
BACKGROUND/PURPOSE: This study was undertaken to describe the sonographic features of meniscal subluxation in the weight-bearing position and to determine any association between meniscal subluxation and radiographic osteoarthritis. METHODS: In total, 238 knees with symptoms were examined successfully with weight-beari...
0
Bony island within the articular cartilage of the knee in a child: a rare condition for early osteoarthritis
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Articular cartilage is a specific type of connective tissue composed of hydrated proteoglycans within a matrix of collagen fibrils. In the elderly population, it shows degenerative changes that may results in osteoarthritis. The more severe form of osteoarthritis occasionally demonstrates bone formation within the cart...
0
Are lesions of the posterior cruciate ligament predictable before knee arthroplasty? A histological study of 434 ligaments in osteoarthritic knees
Surgical Management of Osteoarthritis of the Knee CPG
Despite the number of publications which have dealt with posterior cruciate ligament (PCL) retaining total knee arthroplasty, few studies have addressed the histology of the PCL. Based on these, the use of some predictive factors for lesions of the PCL has been suggested, as a decisive argument to substitute the ligame...
0
Randomized trial of the effects of risedronate on vertebral fractures in women with established postmenopausal osteoporosis. Vertebral Efficacy with Risedronate Therapy (VERT) Study Group
Management of Hip Fractures in the Elderly
The purpose of this randomized, double-masked, placebo-controlled study was to determine the efficacy and safety of risedronate in the prevention of vertebral fractures in postmenopausal women with established osteoporosis. The study was conducted at 80 study centers in Europe and Australia. Postmenopausal women (n = 1...
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Psychosocial and health correlates of types of traumatic event exposures among U.S. military personnel
DoD PRF (Psychosocial RF)
The prevalence of lifetime exposure to violence, natural disaster, or major accidents involving injuries or fatalities was examined in the largest population-based epidemiologic survey of U.S. military personnel to date. The psychosocial and health effects of types of exposure experience (witness only, victim/survivor,...
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Prevention and management of infection after total joint replacement
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Prophylactic antimicrobial regimens providing adequate drug levels in tissue during surgery and for periods of 24 hours to 14 days are of proven effectiveness in reducing infection rates after joint arthroplasty. Although most surgeons employ short regimens of <24 hours' duration, their efficacy has not been clearly es...
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Osteomyelitis as a Late Complication of Percutaneous Pinning of a Supracondylar Fracture of the Distal Part of the Humerus
Pediatric Supracondylar Humerus Fracture 2020 Review
CASE: We report a case of an eleven-year-old boy who presented to our clinic with a draining wound from the left elbow. He had a history of a left closed supracondylar humeral fracture that had been treated with closed reduction and percutaneous pinning at five years of age, and he subsequently developed late-onset ost...
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Surgical indication and significance of portal vein resection in biliary and pancreatic cancer
MSTS 2018 - Femur Mets and MM
Tumor and vascular resection was carried out in 27 patients with biliary and pancreatic cancer. Vascular resection included resection and reconstruction of the both the portal vein and hepatic artery in two of the patients. Portal vein resection only was carried out in 23 patients, and resection of the side wall and pl...
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Detection and quantitation by lysis-filtration of bacteremia after different oral surgical procedures
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Patients with bacteremia after dental extraction, third-molar surgery, dental scaling, endodontic treatment, and bilateral tonsillectomy were studied by means of lysis-filtration of blood samples with subsequent aerobic and anaerobic incubation. Samples were obtained before, during, and 10 min after treatment. Bacterem...
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The value of an organized fracture program for the elderly: early results
HipFx Supplemental Cost Analysis
OBJECTIVES: To describe the early financial results of an organized hip fracture program for older adults. DESIGN: Retrospective evaluation of financial data for a 1-year period on a hip fracture program for older adults. SETTING: University medical center. PATIENTS: All 193 adults older than age 60 with a native, nonp...
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Effect of retaining articular capsule in total hip arthroplasty through posterior approach on hip stability
Management of Hip Fractures in the Elderly
Background: Articular capsule ligaments can lead articular surface to move normally and limit the excessive movement, especially to prevent any non-physiological movement. They are the important structures for stabilizing hip joints. It was previously thought that articular capsule should be routinely resected in the t...
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Diagnosing snapping sartorius tendon secondary to a meniscal cyst using dynamic ultrasound avoids incorrect surgical procedure
AMP (Acute Meniscal Pathology)
We describe a case of painful snapping in the medial aspect of the knee of a 40-year-old man, following a knee hyperflexion injury. Dynamic real-time ultrasonography determined that the snapping was due to the distal tendon of sartorius passing over a medial meniscal cyst. The patient subsequently underwent arthroscopi...
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Vitamin D status, parathyroid function, bone turnover, and BMD in postmenopausal women with osteoporosis: global perspective
HipFx Supplemental Cost Analysis
Poor vitamin D status is common in the elderly and is associated with bone loss and fractures. The aim was to assess worldwide vitamin D status in postmenopausal women with osteoporosis according to latitude and economic status, in relation to parathyroid function, bone turnover markers, and BMD. The study was performe...
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Pain and recovery of physical functioning nine months after total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To describe pain and recovery of physical functioning after total knee arthroplasty. DESIGN: A longitudinal design with assessments preoperatively, and 1 week, 3 and 9 months postoperatively. SUBJECTS: Sixty-three patients participated. METHODS: Pain was assessed by visual analogue scale. Physical functionin...
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Unilateral spinal anesthesia with hyperbaric bupivacaine versus hyperbaric articaine in out-patient knee surgery
Surgical Management of Osteoarthritis of the Knee CPG
Hemodynamic alterations due to sympathetic blockade during spinal anesthesia should be minimized. Restriction of sympathetic blockade during unilateral spinal anesthesia causes minimal hemodynamic alterations. The aim of this study was to compare the effect of hyperbaric bupivacaine and hyperbaric articaine on hemodyna...
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Why not resurface the patella?
Surgical Management of Osteoarthritis of the Knee CPG
The results of resurfacing or not resurfacing the articular cartilage of the patella were reviewed in 71 knees--47 with rheumatoid arthritis and 24 with osteoarthritis--which had been replaced with the ICLH prosthesis. Two rheumatoid and osteoporotic patellae developed transverse fractures with separation and were excl...
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Repair of five distal radius fractures with an investigational cancellous bone cement: a preliminary report
Distal Radius Fractures
OBJECTIVE: The purpose of the study was to evaluate the feasibility of Norian SRS bone cement injected percutaneously into a distal radius following reduction in both preventing loss of reduction as well as safety. DESIGN: The study was a prospective clinical study with an established protocol. SETTING: The study was c...
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Volumetric bone mineral density using peripheral quantitative computed tomography in Japanese women
Distal Radius Fractures
The present study evaluated a commercial device for peripheral quantitative computed tomography (pQCT) and examined the age-related changes in normal Japanese women. The volumetric bone mineral density (vBMD) of the distal radius [integral bone mineral density (BMDI), trabecular bone mineral density (BMDT) and cortical...
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Poverty is a risk factor for osteoporotic fractures
Management of Hip Fractures in the Elderly
This study assesses the possible association between poverty and osteoporosis and/or fragility fractures in a population of postmenopausal women. We found that postmenopausal women with low socioeconomic status had lower values of BMD at the lumbar spine, a higher prevalence of densitometric osteoporosis, and a higher ...
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Minimally invasive technique versus conventional technique of dynamic hip screws for intertrochanteric femoral fractures
Management of Hip Fractures in the Elderly
INTRODUCTION: Intertrochanteric fractures of femur are common in elderly patients. The compression hip screw has become the predominant method for osteosynthesis of intertrochanteric fractures. However, the conventional dynamic hip screws (CDHS) technique has some disadvantages. Recently, we have used a minimally invas...
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Balneotherapy for osteoarthritis. A cochrane review
SR for PM on OA of All Extremities
OBJECTIVE: Balneotherapy (or spa therapy, mineral baths) for patients with arthritis is one of the oldest forms of therapy. We assessed effectiveness of balneotherapy for patients with osteoarthritis (OA). METHODS: We performed a broad search strategy to retrieve eligible studies, selecting randomized controlled trials...
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Efficacy of Single-stage Revision with Aggressive Debridement Using Intra-articular Antibiotics in the Treatment of Infected Joint Prosthesis
PJI DX Updated Search
Prosthetic joint infections (PJI) of the hip and knee are uncommon, but result in significant morbidity and mortality when they do occur. Current management consists of a combination of either single- or two-stage exchange of the prosthesis and/or exchange of polymer components with intravenous (IV) antibiotics (4-6 we...