recall
int64
0
1
article_title
stringlengths
5
500
topic
stringlengths
21
84
abstract
stringlengths
2
65.8k
1
Incidence and cost of serious fall-related injuries in nursing homes
HipFx Supplemental Cost Analysis
BACKGROUND: Fall-related injuries (FRIs) result in morbidity and mortality for patients, as well as unnecessary expense to health care institutions. OBJECTIVES: (a) Estimate the incidence of falls and FRIs with a nursing home as the source of admission in Veterans Administration (VA) and non-VA facilities. (b) Estimate...
0
Twenty-four hour care for schizophrenia
Management of Hip Fractures in the Elderly
BACKGROUND: Despite modern treatment approaches and a focus on community care, there remains a group of people who cannot easily be discharged from psychiatric hospital directly into the community. Twenty-four hour residential rehabilitation (a 'ward-in-a-house') is one model of care that has evolved in association wit...
0
The Study of Neuromuscular Exercise Therapy and Patients Self-management Program in Knee Osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
The study plans to enroll patients above 50 years old who suffered from knee OA, but patients meets any of the exclusion criteria will not be enrolled. 400 patients of knee OA will be randomly divided into A, B, C, D four parallel groups with fully informed, each group will enroll 100 patients, A for control group, B f...
1
Effectiveness of liposome bupivacaine for postoperative pain control in total knee arthroplasty: A PRISMA-compliant meta-analysis of randomized controlled trials
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Adequate pain control after total knee arthroplasty (TKA) enables quicker recovery and reduces readmissions and treatment costs. The aim of this study was to determine the effect of liposomal bupivacaine (LB) for postoperative pain control in patients prepared for TKA. METHODS: We searched for the reports t...
0
Patient and physician predictors of post-fracture osteoporosis management
HipFx Supplemental Cost Analysis
BACKGROUND: Undertreatment of osteoporosis after hip or wrist fracture has been well documented, but the reasons for current patterns of care are poorly understood. OBJECTIVE: We tested the role of physician and patient characteristics in predicting undertreatment when osteoporosis management was clearly indicated afte...
0
Popliteal Artery Pseudoaneurysm After Total Knee Arthroplasty
DOD - Acute Comp Syndrome CPG
Background Popliteal artery pseudoaneurysm is a rare complication after total knee arthroplasty. Early recognition is imperative in its management to prevent the subsequent development of compartment syndrome and soft tissue ischemia. The aim of this study was to evaluate the complication rate, recognition, and managem...
0
Effect of leptin on differentiation of human dental stem cells
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Oral Diseases (2011) Objectives: Mesenchymal stem cells (MSCs) were identified in adult human periodontal ligament and dental pulp that are considered as potential stem cell sources for future clinical applications in dentistry. Leptin is known as an important regulator of mesenchymal differentiation. The objective of ...
0
Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients
Management of Hip Fractures in the Elderly
Fifty-three patients with A2.2 and A2.3 intertrochanteric fracture according to the Muller classification were treated with total hip replacement between April 2000 and February 2004. The average age of the patients was 77 years. Average follow-up period was 3.7 years. We studied postoperative complications, mortality ...
0
The Effect of Isometric Massage on Global Grip Strength after Conservative Treatment of Distal Radial Fractures. Pilot Study
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: The most common fracture of the distal end of the radius is Colles' fracture. Treatment modalities available for use in hand rehabilitation after injury include massage. The aim of this study was to evaluate the effect of isometric massage on the recovery of hand function in patients with Colles fractures. ...
1
Hybrid external fixation in the treatment of tibial pilon fractures: A retrospective analysis of 162 fractures
DoD SSI (Surgical Site Infections)
OBJECTIVES: To determine the efficacy of hybrid external fixation in the treatment of tibial pilon fractures. DESIGN: Retrospective, multicentre study. PATIENTS/PARTICIPANTS: Adult patients with tibial pilon fractures treated with hybrid external fixation. INTERVENTION: Fracture reduction with ligamentotaxis and fixati...
0
Perioperative care of patients with hip fracture: Management of vitamin K antagonists
Hip Fx in the Elderly 2019
Hip fracture is a major concern for elderly patients and longer delay of surgery is associated with poor clinical outcomes. It is recommended to perform surgery within 2 days from hospital admission. The proportion of these patients undergoing vitamin K antagonist therapy is approximately 5 to 10%. They present with mo...
0
Utility of interim and end-of-treatment PET/CT in peripheral T-cell lymphomas: A review of 124 patients
MSTS 2022 - Metastatic Disease of the Humerus
According to the updated guidelines for imaging in lymphoma, 18F-FDG positron emission tomography/computed tomography (PET/CT) is recommended for staging and evaluation of treatment response in FDG-avid lymphomas. The purpose of the study was to evaluate the utility of PET/CT in nodal peripheral T-cell lymphomas (PTCL)...
1
Lateral wedge insoles as a conservative treatment for pain in patients with medial knee osteoarthritis: a meta-analysis
OAK 3 - Non-arthroplasty tx of OAK
IMPORTANCE: There is no consensus regarding the efficacy of lateral wedge insoles as a treatment for pain in medial knee osteoarthritis. OBJECTIVE: To evaluate whether lateral wedge insoles reduce pain in patients with medial knee osteoarthritis compared with an appropriate control. DATA SOURCES: Databases searched inc...
0
Hemophilus aphrophilus osteomyelitis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Hemophilus aphrophilus is a slow-growing, aerobic (capnophilic), gram-negative bacillus. H. aphrophilus was the cause of hematogenous vertebral osteomyelitis in a patient who had a lip laceration. This was successfully treated with parenteral penicillin. The antimicrobial susceptibilities of 14 antimicrobial agents are...
0
Abdominal Flap-based Breast Reconstruction versus Abdominoplasty: The Impact of Surgical Procedure on Scar Location
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Autologous breast reconstruction has been demonstrated to be associated with superior patient-reported outcomes, and hence is regarded as the gold standard reconstructive modality. A common drawback of this procedure, however, is related to a high abdominal scar. Recently, hybrid breast reconstruction (ie, ...
0
Postural control in rheumatoid arthritis patients scheduled for total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To investigate the use of compensatory visual and attentional control strategies for standing balance in patients with rheumatoid arthritis (RA) with severe knee joint impairment. DESIGN: Experimental 2-group design. SETTING: Specialized clinic for orthopedics, rheumatology, and rehabilitation in The Netherl...
0
In-Office Needle Arthroscopy Can Evaluate Meniscus Tear Repair Healing as an Alternative to Magnetic Resonance Imaging
AMP (Acute Meniscal Pathology)
PURPOSE: To assess the healing of horizontal cleavage tears of the meniscus 1 year after surgical repair and to determine what modality is best to determine healing. METHODS: Patients were prospectively followed for 12 months after surgical meniscus repair using a circumferential compression stitch. Inclusion criteria ...
0
Arthroscopic treatment of ulnar impaction syndrome
DOD - Acute Comp Syndrome CPG
Ulnar impaction syndrome occurs in the setting of a central traumatic or degenerative defect in the triangular fibrocartilage complex in patients with ulnar positive variance. Chondral and subchondral edema, mechanical impingement of the articular disc, and chondromalacia of the distal ulna, proximal lunate, and proxim...
0
Preemptive Analgesia in Total Knee Arthroplasty: Comparing the Effects of Single Dose Combining Celecoxib with Pregabalin and Repetition Dose Combining Celecoxib with Pregabalin: Double-Blind Controlled Clinical Trial
AAHKS (8) Anesthetic Infiltration
Acute pain is the most common early complication after total knee arthroplasty causing delayed mobilization and increased demands of morphine, leading to higher operative cost. Several studies have assessed the effectiveness, side-effects, and ease of use of various analgesics. Preemptive analgesia with combined celeco...
0
Plate Fixation With Autogenous Calcaneal Dowel Grafting Proximal Fourth and Fifth Metatarsal Fractures: Technique and Case Series
DoD SSI (Surgical Site Infections)
Metaphyseal and proximal diaphyseal fractures of the lateral column metatarsals can have problems with healing. In particular, those involving the fifth metatarsal have been associated with a high nonunion rate with nonoperative treatment. Although intramedullary screw fixation results in a high union rate, delayed hea...
0
A safety and feasibility study of a novel radiofrequency-assisted liposuction technique
Panniculectomy & Abdominoplasty CPG
BACKGROUND: The feasibility, safety, and efficacy of a novel radiofrequency device for radiofrequency-assisted liposuction were evaluated in various body areas. METHODS: From July to December of 2008, 23 subjects underwent radiofrequency-assisted liposuction using the BodyTite system. Information regarding aesthetic re...
0
Associations between chronic conditions, body functions, activity limitations and participation restrictions: A cross-sectional approach in Spanish non-clinical populations
Hip Fx in the Elderly 2019
Objectives To analyse the relationships between chronic conditions, body functions, activity limitations and participation restrictions in the International Classification of Functioning, Disability and Health (ICF) framework. Design A cross-sectional study. Setting 2 geographical areas in the Autonomous Region of Arag...
0
Paediatric supracondylar humerus fractures
Pediatric Supracondylar Humerus Fracture 2020 Review
This article gives a practical guide to the management of supracondylar fractures of the humerus in paediatric patients, from initial presentation to definitive treatment. It reviews the optimal management of this common and serious injury based on current evidence including the British Orthopaedic Association Standard...
0
Function following limb salvage for primary tumors of the shoulder girdle. 10 patients followed 4 (1-11) years
MSTS 2022 - Metastatic Disease of the Humerus
10 patients with primary neoplasms of the shoulder girdle underwent limb salvage procedures involving resection of the proximal humerus and parts of the scapula and clavicle. The function of the ipsilateral limb was assessed in all patients, in 9 at least one and a half years after surgery. Function was good in 3 of th...
0
Do osteoporosis-related vertebral fractures precede hip fractures?
Management of Hip Fractures in the Elderly
AIM: To evaluate the relationship between a vertebral fracture and a hip fracture in Saudi Arabians with osteoporosis. METHODS: In this retrospective study, 154 Saudi Arabian patients with osteoporosis-related hip fractures were analyzed for the presence of a vertebral fracture. Radiographs were retrieved from the IPAC...
1
Comparison of whole-body versus limited whole-body 18F-FDG PET/CT scan in malignant cutaneous melanoma
MSTS 2018 - Femur Mets and MM
OBJECTIVES: The objectives of this study were to estimate retrospectively the incidence of clinically significant findings in the lower extremities in patients with malignant cutaneous melanoma scanned from the skull vertex to the bottom of the feet and whether these add additional diagnostic and prognostic information...
0
Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty: a randomized trial
AAHKS (8) Anesthetic Infiltration
BACKGROUND: This study was undertaken to compare the effects of general anaesthesia (GA) and spinal anaesthesia (SA) on the need for postoperative hospitalization and early postoperative comfort in patients undergoing fast-track total knee arthroplasty (TKA). METHODS: One hundred and twenty subjects were randomly alloc...
1
Prevalence of traumatic hip and pelvic fractures in patients with suspected hip fracture and negative initial standard radiographs--a study of emergency department patients
Management of Hip Fractures in the Elderly
OBJECTIVES: To determine the prevalence of hip and pelvic fractures in emergency department (ED) patients with hip pain and negative standard initial radiographs. METHODS: This was a retrospective, cohort study at an academic, community-based ED. ED patients presenting during a one-year period with hip pain for whom a ...
0
Experiences with total femur replacement for malignant bone and soft tissue tumors
MSTS 2018 - Femur Mets and MM
Background: Reasonable function can be restored after total femur replacement after massive resection of bone and soft tissue sarcomas of the thigh. The type of femoral prosthesis and surgical approach are tailored to the clinical characteristics of individual patients and to tumor anatomy. Though the complication rate...
0
Beneficial Effects of Concentrated Growth Factors and Resveratrol on Human Osteoblasts In Vitro Treated with Bisphosphonates
MSTS 2018 - Femur Mets and MM
Bisphosphonates are primary pharmacological agents against osteoclast-mediated bone loss and widely used in the clinical practice for prevention and treatment of a variety of skeletal conditions, such as low bone density and osteogenesis imperfecta, and pathologies, such as osteoporosis, malignancies metastatic to bone...
0
Biomechanical evaluation of plate osteosynthesis for AO type C2 fracture of the distal radius--a cadaver study
Distal Radius Fractures
An AO type C2 distal radius fracture was simulated in a cadaver model by creating a metaphyseal defect of 5 mm and an intra-articular defect of 2 mm. Five different methods of plate osteosynthesis were tested biomechanically in each of six fresh cadaveric hands. Biomechanical testing suggested that cement augmented pla...
1
Meniscal scaffolds: results and indications. A systematic literature review
AMP (Acute Meniscal Pathology)
PURPOSE: The aim of this systematic review was to document the available clinical evidence to support meniscal scaffold implantation, analysing results and indications for the treatment of meniscal loss. METHODS: The systematic review of the literature was performed searching three medical electronic databases: PubMed,...
0
Does hip implant positioning affect the peak external adduction moments of the healthy knees of subjects with total hip replacements?
OAK 3 - Non-arthroplasty tx of OAK
After unilateral total hip replacement (THR) for hip osteoarthritis (OA), knee OA incidence or progression is common. The contralateral knee is at particular risk, and some have speculated that abnormal THR-hip biomechanics contributes to this asymmetry. We investigated the relationships between operated-hip joint geom...
0
Anthropometric Determinations of Umbilical Position in Iraqi Adults
Panniculectomy & Abdominoplasty CPG
Introduction Umbilicus is an important surface landmark on the anterior abdominal wall in addition to its aesthetic and psychological effect. Objectives The objective of the study is to determine the position of umbilicus in Iraqi adults to provide a guide for the neoumbilicus in abdominoplasty. Subjects and Methods ...
0
The association between erosive hand osteoarthritis and subchondral bone attrition of the knee: The Framingham Osteoarthritis study
OAK 3 - Non-arthroplasty tx of OAK
Objective: To examine whether erosive hand osteoarthritis (OA) is associated with knee subchondral bone attrition (SBA) and systemic bone mineral density (BMD). Methods: Associations of MRI-defined knee SBA with radiographic erosive hand OA were evaluated in 1253 Framingham participants using logistic regression with g...
0
Musculoskeletal disorders associated with obesity: a biomechanical perspective
Glenohumeral Joint OA
Despite the multifactorial nature of musculoskeletal disease, obesity consistently emerges as a key and potentially modifiable risk factor in the onset and progression of musculoskeletal conditions of the hip, knee, ankle, foot and shoulder. To date, the majority of research has focused on the impact of obesity on bone...
0
Implications of Three-Phase Bone Scintigraphy for the Diagnosis of Bisphosphonate-Related Osteonecrosis of the Jaw
MSTS 2018 - Femur Mets and MM
Purpose: Bisphosphonate (BP)-related osteonecrosis of the jaw (BRONJ) is a well-known serious complication of BP treatment. This study was undertaken to evaluate the diagnostic usefulness of three-phase bone scintigraphy in patients with BRONJ. Methods: Forty-one patients (48 lesions) with clinically proven BRONJ (2 ma...
1
Transtendon repair in partial articular supraspinatus tendon tear
Trial Systematic Review Project
Introduction: Partial thickness rotator cuff tears (PTRCTs) are common, with an incidence between 17% and 37%, and a high prevalence in throwing athletes. Different surgical procedures are suggested when partial tears involve the articular portion of the rotator cuff, including arthroscopic debridement of the tear, deb...
0
Pharmacovigilance in oncology: Pattern of spontaneous notifications, incidence of adverse drug reactions and under-reporting
MSTS 2018 - Femur Mets and MM
The high toxicity and narrow therapeutic window of antineoplastic agents makes pharmacovigilance studies essential in oncology. The objectives of the current study were to analyze the pattern of spontaneous notifications of adverse drug reactions (ADRs) in oncology patients and to analyze the incidence of ADRs reported...
0
The chemokine system in allogeneic stem-cell transplantation: A possible therapeutic target?
MSTS 2018 - Femur Mets and MM
Further improvements in allogeneic stem-cell transplantation will probably depend on a better balance between immunosuppression to control graft-versus-host disease and immunological reconstitution sufficient to ensure engraftment, reduction of infection-related mortality and maintenance of post-transplant antileukemic...
1
Buckling in the Iranian patients with knee osteoarthritis: Its frequency and correlation with physical activities and falling
OAK 3 - Non-arthroplasty tx of OAK
Introduction: Knee osteoarthritis (KOA), one of the most common articular diseases, sometimes leads to severe disability. This study aimed to estimate the prevalence of knee-buckling in patients with KOA during the past three months and to investigate its relation with the physical function. Methods: A cross-sectional ...
0
Pattern of animal-related injuries in Iran
Management of Hip Fractures in the Elderly
Animal related injuries as most common causes of human morbidity have different pattern by geographical zones. We aimed to explore the main descriptive epidemiology of animal-related injuries in both rural and urban areas in Iran. Between 2000 and 2004, we collected the data of all the cases of animal related trauma ho...
0
Development of an in vivo model of human multiple myeloma bone disease
MSTS 2022 - Metastatic Disease of the Humerus
Osteolytic bone destruction and its complications, bone pain, pathologic fractures, and hypercalcemia, are a major source of morbidity and mortality in patients with multiple myeloma. The bone destruction in multiple myeloma is due to increased osteoclast (OCL) activity and decreased bone formation in areas of bone adj...
0
Mechanisms of osteoarthritis in the knee: MR imaging appearance
AMP (Acute Meniscal Pathology)
Osteoarthritis has grown to become a widely prevalent disease that has major implications in both individual and public health. Although originally considered to be a degenerative disease driven by "wear and tear" of the articular cartilage, recent evidence has led to a consensus that osteoarthritis pathophysiology sho...
1
Long-term follow-up after severe suicide attempt by multiple blunt trauma
DoD PRF (Psychosocial RF)
OBJECTIVE: After parasuicide there is a high risk of reattempts. However, it seems that patients who survived severe suicidal trauma recover well. Therefore, the outcome of patients with severe multiple blunt trauma as a result of a suicide attempt was investigated with respect to psychiatric and somatic health, qualit...
0
Antimicrobial prophylaxis in dentistry
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Use of antibiotics both in humans and animals runs along with effects that can contribute to the spread of antibiotic resistance. Although several available guidelines for antibiotic treatment have been published to date, clinical practice in dentistry and particularly in oral surgery is not free from controversies reg...
0
Bipolar Hemiarthroplasty should not be selected as the primary option for intertrochanteric fractures in elderly patients aged 85 years or more
Hip Fx in the Elderly 2019
This study aimed to compare the early outcome of proximal femoral nail antirotation (PFNA) and bipolar hemiarthroplasty (BPH) in elderly intertrochanteric fractures (ITFs) patients aged 85 years or more. This is a prospective cohort study, and we analyzed 120 elderly patients aged 85 years or more presented with ITFs w...
0
Tuberous breast correction by fat grafting
Reduction Mammoplasty for Female Breast Hypertrophy
Introduction: Tuberous breast is a rare malformation that has negative physical and psychological impacts during puberty. A range of surgical techniques has been used to correct breast shape and volume in this context, including a combination of skin plasty and mammary gland remodeling, as well as prostheses and locore...
0
Biologic approaches to articular cartilage surgery: future trends
Surgical Management of Osteoarthritis of the Knee CPG
The treatment of unicompartmental osteoarthritis and focal chondral pathologic conditions in the knee in active aging athletes has captured the interest of patients, clinicians, basic scientists, and medical industry researchers. Most would agree that a biologic solution to treating hyaline cartilage injuries and degen...
1
Lateral meniscus allograft transplantation with platelet-rich plasma injections: A minimum two-year follow-up study
AMP (Acute Meniscal Pathology)
BACKGROUND: The aim of this study was to report the short-term clinical and imaging outcomes of lateral meniscus allograft transplantations (LMAT) combined with intra-articular platelet-rich plasma (PRP) injection. METHODS: Thirty-three patients who had undergone LMAT combined with intra-articular PRP injection were ev...
0
External fixators for wrist fractures: a biomechanical and clinical study
Distal Radius Fractures
The rigidity of four external fixators for the wrist was determined by using the Instron universal testing instrument. Using the equivalent stiffness index, the small A.O. was 7.6, the mini Hoffman was 3.7, Roger Anderson was 3.5, and Ace Colles' was 4.3. Thus, the small A.O. was about twice as rigid overall as the oth...
0
Lateral compartment osteoarthritis of the knee: Biomechanics and surgical management of end-stage disease
OAK 3 - Non-arthroplasty tx of OAK
The lateral compartment is predominantly affected in approximately 10% of patients with osteoarthritis of the knee. The anatomy, kinematics and loading during movement differ considerably between medial and lateral compartments of the knee. This in the main explains the relative protection of the lateral compartment co...
1
Cerebrospinal fluid neurotransmitter changes during the perioperative period in patients undergoing total knee replacement: a randomized trial
AAHKS (5) Gabapentinoids
BACKGROUND: Total knee replacement (TKR) is of enormous benefit to patients with osteoarthritis of the knee; however, the acute postoperative pain can be severe and difficult to manage. The role of major spinal cord neurotransmitters in this acute postoperative period is not clear, although there are a few studies in h...
1
Traumatic brain injury and functional outcomes: Does minority status matter?
DoD PRF (Psychosocial RF)
Objectives: (1) to determine differences between minorities vs. non-minorities on demographic, injury and rehabilitation characteristics and functional outcomes at admission, discharge and 1-year post-injury and (2) to examine differences in functional outcome at 1-year post-injury among (African-Americans, Hispanics a...
0
Neuromuscular ultrasound findings in eosinophilic fasciitis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: To describe the ultrasonographic features of eosinophilic fasciitis (EF), assess the efficacy of neuromuscular ultrasound in the diagnosis and management of EF, and propose standardized parameters for ultrasound in this condition.BACKGROUND: EF is a rare disorder characterized by stiffness,skin thickening, a...
0
Ankle strength impairments associated with knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Knee Osteoarthritis seems to negatively impact ankle biomechanics. However, the effect of knee osteoarthritis on ankle muscle strength has not been clearly established. This study aimed to evaluate the ankle strength of the plantar flexors and dorsiflexors of patients with knee osteoarthritis in different d...
1
Radial tears associated with cleavage tears of the medial meniscus in athletes
AMP (Acute Meniscal Pathology)
PURPOSE: To evaluate the significance of a small radial tear in the root of the posterior horn of the medial meniscus in an otherwise normal-looking meniscus in individuals who play vigorous sports. TYPE OF STUDY: Retrospective review. METHODS: Arthroscopy was performed in 1,270 patients; 11 patients (0.86%) had a smal...
0
The effect of canal fill on paediatric femur fractures treated with titanium elastic nails
Pediatric Diaphyseal Femur Fractures 2020 Review
PURPOSE: Traditional teaching for fixation of paediatric femur fractures recommends 80% nail diameter/medullary canal diameter ratio (ND/MCD) for successful maintenance of reduction. Prior studies have investigated this with stainless steel Enders nails. Our aim was to assess the impact of ND/MCD on maintenance of redu...
0
Genome-wide association analysis of osteochondrosis of the tibiotarsal joint in Norwegian Standardbred trotters
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Osteochondrosis (OC), a disturbance in the process of endochondral ossification, is by far the most important equine developmental orthopaedic disease and is also common in other domestic animals and humans. The purpose of this study was to identify quantitative trait loci (QTL) associated with osteochondrosis dissecan...
0
Posterior arthroscopic treatment of ankle osteochondral lesions: Technical note
Osteochondritis Dissecans 2020 Review
Osteochondral lesions of the ankle are lesions that involve the cartilage and the subchondral bone of the talus. The aim of this study is to describe the clinical results of a consecutive case series of posterior osteochondral lesions of the talus treated with debridement and bone marrow stimulation by means of posteri...
0
Meniscal root tears: repair and salvage techniques
AMP (Acute Meniscal Pathology)
Recent interest has uncovered the importance of understanding meniscal root anatomy, its effect on biomechanics of the knee joint, and appropriate treatment modalities. Meniscal root tears may account for up to one-fifth of all meniscal tears and have downstream consequences that can be as severe as total meniscectomy ...
0
Usefulness of additional measurements of the median nerve with ultrasonography
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
High resolution sonography is a relatively new diagnostic technique in diagnosing carpal tunnel syndrome (CTS). Normal values in different studies, however, vary and this makes their practical use difficult. The aim of this study was to establish normal values for the median nerve cross-sectional area (CSA) and to inve...
0
Salmon calcitonin in the prevention of bone loss at perimenopause
Distal Radius Fractures
The objective of this study was to determine whether intranasal salmon calcitonin prevents physiological bone loss at perimenopause. A double-blind study of 120 perimenopausal women without present or past disease or medication that could affect bone metabolism were studied. The subjects were randomized in two groups a...
0
Ultrasound measurement of knee synovial fluid during external pneumatic compression
OAK 3 - Non-arthroplasty tx of OAK
Synovial fluid based biomarker research has been limited by the small volumes of synovial fluid from the knees of some patients. We used ultrasound (US) to determine if synovial fluid could be displaced into an access port during pneumatic compression to 100 mmHg. Forty knees from 37 consecutive arthritis patients with...
0
Update: adverse events associated with anthrax prophylaxis among postal employees--New Jersey, New York City, and the District of Columbia metropolitan area, 2001
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Antimicrobial prophylaxis to prevent inhalational anthrax has been recommended for persons potentially exposed to Bacillus anthracis as a result of the recent bioterrorist attacks. During October 26-November 6, 2001, an epidemiologic evaluation to detect adverse events associated with antimicrobial prophylaxis was cond...
0
Osteochondritis dissecans of the elbow: excellent results in teenage athletes treated by arthroscopic debridement and microfracture
Diagnosis and Treatment of Osteochondritis Dissecans AUC
AIM: To evaluate the outcome of patients who underwent microfracture procedure on osteochondritis dissecans (OCD) lesions in the elbow, which had already been proven successful on OCD lesions in the knee and ankle. METHODS: Nine young patients who were previously treated by arthroscopic debridement and microfracture by...
0
Imaging of the optic chiasm and retrochiasmal visual pathways
Upper Eyelid and Brow Surgery
The exploration of the chiasmal and retrochiasmal visual pathways is based on magnetic resonance imaging. A bitemporal hemianopsis suggests a lesion of the optic chiasm while homonymous lateral hemianopsis should lead to a search for a lesion of the retrochiasmal visual pathways. The causes of chiasmal impairment are m...
0
Heating infiltration solutions used in tumescent liposuction: Minimizing surgical risk
Panniculectomy & Abdominoplasty CPG
Background: Liposuction, one of the most common operations performed by plastic surgeons, is not free of complications. One of the most common factors is patient hypothermia, a factor little studied but one capable of producing severe arrhythmias and cardiac arrest. A comparative clinical study was conducted to determi...
0
Emergency Department Frequent Utilization for Non-Emergent Presentments: Results from a Regional Urban Trauma Center Study
DoD PRF (Psychosocial RF)
OBJECTIVES: First, to test a model of the drivers of frequent emergency department utilization conceptualized as falling within predisposing, enabling, and need dimensions. Second, to extend the model to include social networks and service quality as predictors of frequent utilization. Third, to illustrate the variatio...
0
Long-term mortality following fractures at different skeletal sites: a population-based cohort study
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Summary: Adjusting for age, sex, and precipitating cause, the relative risk of death was increased following fractures at most skeletal sites. Introduction: This study aims to determine long-term survival following fractures due to any cause at each skeletal site. Methods: In a historical cohort study, 2,901 Olmsted Co...
0
The surgical management of symptomatic articular cartilage defects of the knee: Consensus statements from United Kingdom knee surgeons
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Symptomatic articular cartilage and osteochondral lesions in the knee are an important source of pain and disability, and may lead to osteoarthritis. There are several surgical treatments for the condition, with emerging data evaluating their clinical effectiveness and longer-term clinical outcome. Health c...
0
Intertrochanteric fractures of the femur: Results of treatment with 95° Condylar Blade Plate
Hip Fx in the Elderly 2019
The aim of the present study was to analyze patients treated with 95° Condylar Blade Plate and to describe the technique that can prevent complications. 69 patients with closed intertrochanteric femoral fractures were treated by one surgeon using the 95° Condylar Blade Plate, and it was found that 56 of them met the ...
0
CXCR4 ligands: The next big hit?
MSTS 2018 - Femur Mets and MM
The G protein-coupled protein receptor C-X-C chemokine receptor 4 (CXCR4) is an attractive target for cancer diagnosis and treatment, as it is overexpressed in many solid and hematologic cancers. Binding of its ligand, C-X-C chemokine ligand 12 (CXCL12), results in receptor internalization and activation of several sig...
0
Genetic variant of lactase-persistent C/T-13910 is associated with bone fractures in very old age
Management of Hip Fractures in the Elderly
OBJECTIVES: To determine the relation between the C/T(-13910) single-nucleotide polymorphism residing 13,910 base pairs from the 5' end of the lactase gene associated with lactase persistence and the occurrence of bone fractures in elderly people. DESIGN: Population-based study. SETTING: Vantaa 85+ population-based stu...
0
Multidisciplinary rehabilitation following botulinum toxin and other focal intramuscular treatment for post-stroke spasticity
Pediatric Supracondylar Humerus Fracture 2020 Review
Background: Spasticity may affect stroke survivors by contributing to activity limitations, caregiver burden, pain and reduced quality of life (QoL). Spasticity management guidelines recommend multidisciplinary (MD) rehabilitation programmes following botulinum toxin (BoNT) treatment for post-stroke spasticity. However...
0
Surface repair of the femoral head using press-osteochondral autograft transfer
Osteochondritis Dissecans 2020 Review
AIMS: Hyaline cartilage has a low capacity for regeneration. Untreated osteochondral lesions of the femoral head can lead to progressive and symptomatic osteoarthritis of the hip. The purpose of this study is to analyze the clinical and radiological long-term outcome of patients treated with osteochondral autograft tra...
0
Effect of oral factor Xa inhibitor and low-molecular-weight heparin on surgical complications following total hip arthroplasty
PJI DX Updated Search
This prospective study was conducted to report the effect of oral factor Xa inhibitor and low-molecular-weight heparin (LMWH) on surgical complications following total hip arthroplasty (THA). The patients with an age < 60 years were randomly assigned to three groups (rivaroxaban, enoxaparin, and placebo) and the patien...
0
Intraoperative application Platelet rich fibrin, postoperative injections OF PRP or microfracture only for osteochondral lesions of the knee: a five-year retrospective evaluation
Osteochondritis Dissecans 2020 Review
Cartilage lesions are the most common cause of chronic knee pain. Micro-fracturing is reliable, effective, easy to perform and inexpensive. We propose a novel approach to cartilage lesions where microfractures are performed contextually to intra-operative or post-operative administration of platelet concentrates. We re...
0
Listeria monocytogenes infection in a prosthetic knee joint in rheumatoid arthritis
Surgical Management of Osteoarthritis of the Knee CPG
The prosthetic knee joint of a 64 year old woman with severe rheumatoid arthritis was found to be infected with Listeria monocytogenes. After treatment with intravenous antibiotics, symptoms gradually resolved. She subsequently received prolonged treatment with oral co-trimoxazole and 18 months later remained well
0
Total hip arthroplasty in hemodialysis and renal transplant patients
Management of Hip Fractures in the Elderly
Osteoarticular complications are common in patients with chronic renal failure and they often require implantation of a hip arthroplasty (total or partial) due to osteoarthritis, femoral neck fracture or ischemic necrosis of multifactor aetiology. Between 1992 and 2005 we operated on eighteen patients (23 hips) with ch...
0
Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis
SR for PM on OA of All Extremities
BACKGROUND: Osteoarthritis (OA) is a leading cause of pain and disability and leads to a reduced quality of life. The aim was to determine the current evidence on risk factors for onset of knee pain/OA in those aged 50 and over. METHODS: A systematic review and meta-analysis was conducted of cohort studies for risk fac...
1
Carpal tunnel syndrome in patients on long-term haemodialysis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The purpose of this study was to describe the pathophysiology of carpal tunnel syndrome (CTS) in patients on long-term haemodialysis. We examined 110 patients, who had been having haemodialysis for chronic renal failure and had CTS, to clarify the clinical features and electrophysiological changes in peripheral nerves....
0
An enlarging distal tibia osteochondroma in the adult patient
Diagnosis and Treatment of Osteochondritis Dissecans AUC
The extensive enlargement of a solitary osteochondroma in a skeletally mature patient is rare and might result from malignant transformation. Excision of such a lesion in the distal and lateral aspect of the tibia is difficult because of the risk of injury to the neurovascular structures and the possible functional con...
0
Rheumatoid Arthritis in North Jordan
Surgical Management of Osteoarthritis of the Knee CPG
Objective- To describe the pattern of joint involvement, systematic complication and functional status in patients Rheumatiod Arthritis (RA). Design- Descriptive and analytical clinical study. Setting- Princes Basma Teaching Hospital (PBTH), Irbid, North Jodan. Material and Method- Followed up 54 patients with Rheumato...
0
Increased mortality after fracture of the surgical neck of the humerus: a case-control study of 253 patients with a 12-year follow-up
Management of Hip Fractures in the Elderly
BACKGROUND: Several studies have shown a higher mortality rate in patients with osteoporosis-related fractures of the hip and vertebrae. METHOD: In 1999, we did a long-term follow-up case-control mortality study of 253 patients, mean age 72 years, who had sustained a fracture of the surgical neck of the humerus in 1987...
0
Liposuction-Augmentation Mammaplasty
Panniculectomy & Abdominoplasty CPG
Background: The female breast loses superior fullness and becomes more ptotic over time. Women often present to their plastic surgeon requesting reversal of this evolution. While liposuction alone has been proven to lift the breast, no solution combining augmentation and liposuction has been reported. Objectives: Herei...
0
Early Subsidence Predicts Failure of a Cemented Femoral Stem With Minor Design Changes
Hip Fx in the Elderly 2019
Background: Radiostereometry (RSA) measurements of early micromotion can predict later failure in hip and knee prostheses. In hip implants, RSA has been particularly helpful in the evaluation of composite-beam stem designs. The Spectron EF Primary stem (Smith & Nephew, London, UK) has shown inferior performance compare...
0
Understanding resilience: New approaches for preventing and treating PTSD
DoD PRF (Psychosocial RF)
All individuals experience stressful life events, and up to 84% of the general population will experience at least one potentially traumatic event. In some cases, acute or chronic stressors lead to the development of posttraumatic stress disorder (PTSD) or other psychopathology; however, the majority of people are resi...
1
Tobacco use results in inferior outcomes after anatomic total shoulder arthroplasty
Glenohumeral Joint OA
Background: This study examined the effect of tobacco use on outcomes of primary anatomic total shoulder arthroplasty (TSA). Methods: A retrospective search identified 59 nonsmokers, 29 former smokers, and 14 current smokers with primary anatomic TSA and at least 2 yr of follow-up. At mean follow-up of 3 yr, patients w...
1
Use of Graft Jacket as an Augmentation for Massive Rotator Cuff Tears
Optimizing the Management of Full-Thickness Rotator Cuff Tears
Tendon healing and improved strength in the face of massive rotator cuff tear repair remains a daunting challenge. Seventeen consecutive patients with massive rotator cuff tears were treated with a standardized open repair technique and the repair augmented with Graft Jacket (Wright Medical, Memphis, Tennessee). Mean f...
0
Advances in arthroscopic surgery: Indications and outcomes
Diagnosis and Treatment of Osteochondritis Dissecans AUC
PURPOSE OF REVIEW: To examine recent trends in the use of arthroscopic surgical techniques to address musculoskeletal problems. The review is particularly timely given the rapidly expanding range of indications for diagnostic and therapeutic arthroscopic procedures involving virtually every peripheral joint. RECENT FIN...
0
CD20 antigen expression by lymphoproliferative disorders after kidney transplant is independently associated with a poor outcome: PTLD.Int survey
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVES: Antigen expression by neoplastic cells is important because of its effects on the behavior and survival of patients. We sought to gather data on renal transplant recipients who had developed posttransplant lymphoproliferative disorders in their posttransplant era, and had a documented report on CD20 antigen...
0
Expression and localization of connective tissue growth factor (CTGF/Hcs24/CCN2) in osteoarthritic cartilage
Management of Hip Fractures in the Elderly
OBJECTIVE: The investigation of the expression and localization of connective tissue growth factor/hypertrophic chondrocyte-specific gene product 24/CCN family member 2 (CTGF/Hcs24/CCN2) in normal and osteoarthritic (OA) cartilage, and quantification of CTGF/Hcs24-positive cells. METHODS: Cartilage samples of patients ...
0
Dental treatment and orthopedic implants--a malpractice case
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A patient who required a revision of a six-year-old hip prosthesis five months following root canal therapy and removal of a root tip subsequently sued his dentist for malpractice. The alleged torts were the presence of a positive culture for lactobacillus--presumably an "oral organism" from the infected hip site one w...
0
Surgical management and strategies in the treatment of hypothermia and cold injury
DOD - Acute Comp Syndrome CPG
Increased participation in outdoor activities and the epidemic of homelessness have caused the incidence of cold injuries in the civilian population to rise dramatically over the last 20 years. Knowledge of the treatment is crucial for emergency physicians in rural and urban areas. Recent developments have significantl...
0
Giant synovial cyst of thigh: a rare entity
PJI DX Updated Search
Synovial cyst occurs secondary to traumatic, degenerative, or inflammatory conditions. Synovial cysts represent abnormal distension of bursae, which communicate with the joint. Giant synovial cysts are typically due to rheumatoid arthritis, other causes being trauma and synovial pseudoarthrosis. A 33-year-old male pres...
0
Isolation of anaerobic and aerobic bacteria from clean surgical wounds: an experimental and clinical study
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A pad imprint method was evaluated for quantitative sampling of anaerobic and aerobic bacteria from clean surgical wounds. The best recovery of bacteria from the pads was obtained when they were treated with a rinsing solution in a 'Stomacher' apparatus. Pads of three different fabrics were compared, but no difference ...
0
Prevention of infection in open fractures: Where are the pendulums now?
DoD SSI (Surgical Site Infections)
Soft tissue management and fracture fixation including initial external fixation in Gustilo-Anderson type II and type III open fractures are cornerstones in the treatment but details on timing and type of wound closure, irrigation and debridement, systemic and local antibiotics, antimicrobial-coated implants and the us...
0
Clinicopathological characteristics and survival outcomes in patients with synchronous lung metastases upon initial metastatic breast cancer diagnosis in Han population
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: We investigated the clinicopathological characteristics and survival of breast cancer lung metastases (BCLM) patients at initial diagnosis of metastatic breast cancer (MBC) in the Han population. METHODS: We attained clinical data of 3155 MBC patients initially diagnosed between April 2000 and September 201...
0
Loose bodies of the temporomandibular joint: arthrographic and CT findings in five patients
Diagnosis and Treatment of Osteochondritis Dissecans AUC
We report a series of five patients with symptoms of internal derangements of the temporomandibular joint (TMJ), in whom intraarticular loose bodies were found. Three patients with a single loose body had osteochondrosis dissecans of the temporal part of the joint; one trauma patient had two loose bodies (including a b...