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0 | Phalloplasty and penile implant surgery | Panniculectomy & Abdominoplasty CPG | Impotence is often accompanied by loss of phallic length. To enhance penile prosthesis surgery, it is possible to perform simple adjuvant procedures that will increase perceived or true length. This article presents an overview of these techniques, which may be categorized as involving removal or fixation of tissue abo... |
0 | Hip fracture patients have generalized osteopenia with a preferential deficit in the femur | Management of Hip Fractures in the Elderly | Bone density was measured in 31 white women with hip fractures by single- and dual-photon absorptiometry at the radius, lumbar spine and proximal femur. The mean age was 71.4 years. Comparison with premenopausal normals revealed Z-scores as follows: radius, -1.75; spine, -1.45; femoral neck, -2.40; Ward's triangle, -2.... |
0 | Nomogram-based Prediction of Overall Survival in Patients with Metastatic Urothelial Carcinoma Receiving First-line Platinum-based Chemotherapy: Retrospective International Study of Invasive/Advanced Cancer of the Urothelium (RISC) | MSTS 2022 - Metastatic Disease of the Humerus | Background The available prognostic models for overall survival (OS) in patients with metastatic urothelial carcinoma (UC) have been derived from clinical trial populations of cisplatin-treated patients. Objective To develop a new model based on real-world patients. Design, setting, and participants Individual patient-... |
0 | A 12-week supervised exercise therapy program for young adults with a meniscal tear: Program development and feasibility study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To describe the development and feasibility of an exercise therapy program for treatment of young adults (18-40 years of age) with a meniscal tear.
METHODS: Researchers and experienced physical therapists developed a 12-week supervised neuromuscular and strengthening exercise therapy program based on clinica... |
1 | The glenoid in total shoulder arthroplasty: Current concepts | Glenohumeral Joint OA | Total shoulder arthroplasty is an accepted treatment for glenohumeral arthritis. In appropriately selected patients, total shoulder arthroplasty decreases pain and improves function. One of themost common causes for failure is glenoid loosening, which leads to postoperative pain, limitation of function, and the possibi... |
0 | Gait deviations in individuals with inflammatory joint diseases and osteoarthritis and the usage of three-dimensional gait analysis | OAK 3 - Non-arthroplasty tx of OAK | This chapter describes three-dimensional gait analysis and common gait deviations in adults with rheumatoid arthritis (RA) and osteoarthritis (OA). Furthermore, we describe changes in gait deviations following surgical and non-surgical interventions. Gait analysis is used to define gait deviations and to evaluate varyi... |
0 | Multiple Osteochondral Allograft Transplantation with Concomitant Tibial Tubercle Osteotomy for Multifocal Chondral Disease of the Knee | Osteochondritis Dissecans 2020 Review | Symptomatic patellofemoral chondral lesions are a challenging clinical entity, as these defects may result from persistent lateral patellar maltracking or repetitive microtrauma. Anteromedializing tibial tubercle osteotomy has been shown to be an effective strategy for primary and adjunctive treatment of focal or diffu... |
0 | Damage control surgery and open abdominal management: recent advances and our approach | DoD - ACS - Interrater Reliability | The concept of damage control and improved understanding of the pathophysiology of abdominal compartment syndrome (ACS) have been proven to be great advances in the management of both traumatic and nontraumatic surgical conditions. The practice of damage control surgery includes 3 components: 1) abbreviated resuscitati... |
0 | The practice of unicompartmental knee arthroplasty in the United Kingdom | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To survey the current practice of unicompartmental knee arthroplasty (UKA) in the United Kingdom. METHODS: Questionnaires were sent to all 341 local members of the British Association for Surgery of the Knee to inquire into their practice of UKA, including clinical indications, preoperative investigations, sur... |
0 | Acute forefoot and midfoot injuries | DOD - Acute Comp Syndrome CPG | Forefoot and midfoot injuries in the athlete are common. Injuries of the digits include subungual hematomas and fractures. Metatarsal fractures occur frequently in sports, and their treatments range greatly. Hyperflexion and extension injuries about the first metatarsophalangeal joint can be very debilitating. Midfoot ... |
0 | Impact of Visceral Fat on Survival and Metastasis of Stage III Colorectal Cancer | MSTS 2022 - Metastatic Disease of the Humerus | Background/Aims: Previous studies have investigated the relationship between visceral obesity and the risk of colorectal tumors. Visceral obesity may affect the outcome of colorectal cancer (CRC), including survival and metastasis. We investigated the associations between visceral adipose tissue and oncologic outcomes ... |
0 | Acute hematogenous septic arthritis of the knee in adults | OAK 3 - Non-arthroplasty tx of OAK | Purpose of study: To evaluate the factors associated with acute hematogenous septic arthritis of the knee in adults and to assess the outcome after open knee arthrotomy. Methods: We performed a prospective evaluation of 26 adult patients with acute nongonococcal septic arthritis of the knee presenting within 7 days. Al... |
1 | Open reduction internal fixation versus primary arthrodesis for lisfranc injuries: A prospective randomized study | DoD LSA (Limb Salvage vs Amputation) | Background: Dislocations and fracture-dislocations involving the tarsometatarsal joint are a relatively common injury. These injuries are associated with long-term disability from subsequent painful osteoarthritis and residual deformity. This study evaluated whether performing a primary arthrodesis (PA) resulted in imp... |
1 | Improvement in subjective visual function and quality of life outcome measures after blepharoptosis surgery | Upper Eyelid and Brow Surgery | PURPOSE: To examine patients' subjective perception of visual function and health-related quality of life as affected by blepharoptosis and the change in these perceptions after blepharoptosis surgery. METHODS: A 27-item questionnaire pertaining to vision-related activities and symptoms was used preoperatively to asses... |
0 | Heterotopic ossification of the elbow treated with surgical resection: risk factors, bony ankylosis, and complications | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Heterotopic ossification is the most common extrinsic cause of elbow contracture and may lead to clinically important stiffness, and rarely, complete bony ankylosis. Surgery sometimes is performed to treat this problem, and published reports differ regarding the factors that are associated with success or f... |
0 | Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate | Distal Radius Fractures | PURPOSE: The locking compression extra-articular distal humerus plate (EADHP) is an anatomically shaped, angular stable single-column fixation system for distal third humerus fractures. The purpose of this retrospective study was to evaluate clinical and radiographic outcomes after open reduction and internal fixation ... |
0 | Differences in mammalian target of rapamycin gene expression in the peripheral blood and articular cartilages of osteoarthritic patients and disease activity | OAK 3 - Non-arthroplasty tx of OAK | The gene expression of mTOR, autophagy-related ULK1, caspase 3, CDK-inhibitor p21, and TNF α was measured in the peripheral blood of osteoarthritic (OA) patients at different stages of the disease aiming to establish a gene expression profile that might indicate the activity of the disease and joint destruction. Whole... |
0 | Bone grafting in femoral neck fractures: results in 28 cases operated on with multiple pinning and cancellous bone grafting | Management of Hip Fractures in the Elderly | Twenty-eight patients with displaced femoral neck fractures were operated on with multiple pinning combined with cancellous bone grafting from the ipsilateral greater trochanter. The bone graft was introduced through a drilled channel in the femoral neck without exposing the fracture. At follow-up after 2 years, seven ... |
0 | Cardiac surgery in the time of the coronavirus | Coronavirus Disease 2019 (COVID-19) | The current Covid-19 pandemic is a significant global health threat. The outbreak has profoundly affected all healthcare professionals, including heart surgeons. To adapt to these exceptional circumstances, cardiac surgeons had to change their practice significantly. We herein discuss the challenges and broad implicati... |
0 | Double plating for the treatment of distal tibia and fibula fractures: case series of twenty five patients | DoD SSI (Surgical Site Infections) | BACKGROUND: The treatment of fractures of the distal third of the tibia and fibula usually involves two incisions, thus raising the risk of wound dehiscence, wound necrosis, infection, and the delayed union or non-union of distal tibial fractures. To decrease and prevent aforementioned serious complications, one-incisi... |
0 | Assessment of knee function | Surgical Management of Osteoarthritis of the Knee CPG | In our department we are evaluating the problem of assessing function in patients with arthritic knees before and after operation. In the clinic we use very simple tests, which are easily reproducible. Nonetheless, they are objective and give a more accurate indication of the capacity of the knee, the object of our con... |
0 | Operative treatment of distal radial fractures with locking plate system-a prospective study | Glenohumeral Joint OA | The aim of this study was to determine the results of operative treatment of distal radial fractures with a 2.4-mm locking plate system in a single tertiary teaching hospital. Seventy-five patients were recruited into the study between May 2004 and November 2006. There were 41 males and 34 females, with a mean age of 5... |
0 | Coronal malalignment in the adult knee | AMP (Acute Meniscal Pathology) | Coronal plane deformity in the adult patient is a complex clinical problem. Once the hip, knee, and ankle joint centers lose collinerarity, the knee is exposed to abnormal loads across its tibiofemoral compartments, leading to early degenerative changes. Malalignment can coexist with arthrosis and ligamentous instabili... |
0 | Volar morphology of the distal radius in axial planes: a quantitative analysis | Distal Radius Fractures | To investigate the cause of rupture of the flexor pollicis longus (FPL) after volar plate fixation of distal radius fractures, previous studies have examined the shape of the distal radius in the sagittal plane or in the lateral view. However, there are no reports on the anatomical shape of the volar surface concavity ... |
0 | Comparison between preassembled and modular cups in primary cementless total hip arthroplasty: A two-year minimum follow-up study | DoD SSI (Surgical Site Infections) | We prospectively analyzed 83 patients who underwent ceramic-on-ceramic THA using preassembled (n = 22) or modular acetabular components (n = 61) between June 2010 and June 2012. There were no significant differences in mean postoperative radiographic outcomes, functional outcomes, or complications between the two group... |
0 | Prevention of falls in the elderly--a review | HipFx Supplemental Cost Analysis | The proportion of elderly in the society increases and fall frequency increases with advancing age. Many falls result in fractures and also soft tissue injuries, longstanding pain, functional impairment, reduced quality of life, increased mortality, and excess in healthcare costs. Due to the magnitude of these negative... |
0 | Targeting the gut microbiome to treat the osteoarthritis of obesity | OAK 3 - Non-arthroplasty tx of OAK | Obesity is a risk factor for osteoarthritis (OA), the greatest cause of disability in the US. The impact of obesity on OA is driven by systemic inflammation, and increased systemic inflammation is now understood to be caused by gut microbiome dysbiosis. Oligofructose, a nondigestible prebiotic fiber, can restore a lean... |
0 | The Evolving Role of Pre-pectoral ADM-assisted Approach in Implant-based Immediate Breast Reconstruction Following Conservative Mastectomy: An Overview of the Literature and Description of Technique | Acellular Dermal Matrix | BACKGROUND/AIM: The recent development of acellular dermal matrix (ADM) devices has enhanced implant-based breast reconstruction surgery following conservative mastectomy for therapeutic and risk-reducing purposes leading to improved aesthetics. In the traditional sub-pectoral approach, coverage of the implant is provi... |
0 | Treatment of humeral shaft fractures with antegrade intramedullary locking nail | DoD SSI (Surgical Site Infections) | Antegrade interlocked humeral nailing for stabilization of humeral fractures was introduced many years ago, and studies on this method in the orthopedic literature have shown mixed results. The purpose of this investigation was to document the clinical outcome and complications associated with the use of an antegrade i... |
0 | Risk Factors Associated with Failure of Cephalomedullary Nail Fixation in the Treatment of Trochanteric Hip Fractures | Hip Fx in the Elderly 2019 | Background: Intramedullary (IM) nailing is widely performed in elderly patients with trochanteric fractures. Thus, it is important to identify causative factors associated with fixation failure. We investigated fixation failures after IM nailing in elderly patients with trochanteric fractures and compared the failure g... |
0 | Gluteal re-contouring with combination treatments: implants, liposuction, and fat transfer | Panniculectomy & Abdominoplasty CPG | Patients seeking augmentation or re-contouring of the gluteal region have three basic options: gluteal implants, liposuction, and augmentation with fat injections. In many cases, all three treatments are used together to achieve attractively shaped buttocks with proper proportions and good projection. The treatment or ... |
1 | Do preexisting abdominal scars threaten wound healing in abdominoplasty? | Panniculectomy & Abdominoplasty CPG | PURPOSE: Abdominal scars may impair healing after abdominoplasty. We aimed to determine whether right subcostal or upper midline scars led to increased wound healing problems. METHODS AND MATERIALS: Review of all patients who had abdominoplasty from March 1998 to February 2008 was performed. Variables studied included ... |
0 | Long-term results of uncemented total hip arthroplasty with the Taperloc femoral component in patients with Dorr type C proximal femoral morphology | PJI DX Updated Search | AIMS: To investigate the longevity of uncemented fixation of a femoral component in total hip arthroplasty (THA) in patients with Dorr type C proximal femoral morphology. PATIENTS AND METHODS: A total of 350 consecutive uncemented THA in 320 patients were performed between 1983 and 1987, by a single surgeon using the T... |
0 | Intimate Relationships Buffer Suicidality in National Guard Service Members: A Longitudinal Study | DoD PRF (Psychosocial RF) | OBJECTIVE: Members of the U.S. military are at a high suicide risk. While studies have examined predictors of suicide in the U.S. military, more studies are needed which examine protective factors for suicide. Informed by the interpersonal theory of suicide, this study examined the strength of the intimate relationship... |
0 | Long-term aspirin use and the risk of total, high-grade, regionally advanced and lethal prostate cancer in a prospective cohort of health professionals, 1988-2006 | MSTS 2022 - Metastatic Disease of the Humerus | Experimental studies suggest a role for aspirin in the chemoprevention of prostate cancer and epidemiological evidence supports a modest inverse association between regular aspirin use and prostate cancer risk, especially for advanced disease. In a prospective cohort study of 51,529 health professionals aged 40-75 year... |
0 | Influence of knee flexion and atraumatic mobilisation of infrapatellar fat pad on incidence and severity of anterior knee pain after tibial nailing | AMP (Acute Meniscal Pathology) | We evaluated the incidence and aetiology of anterior knee pain (AKP) in a series of patients that underwent intramedullary nailing for stabilisation of tibial fractures. During the preparation of the entry site no excision of the infrapatellar fat was allowed and electrical haemostasis was kept at the lowest level. Med... |
0 | Popliteal blocks for foot and ankle surgery: success rate and contributing factors | Surgical Management of Osteoarthritis of the Knee CPG | The purpose of the present study was to evaluate the factors contributing to the success of popliteal nerve blocks performed by podiatric surgical residents in various stages of training. A retrospective review was conducted of 143 consecutively performed blocks during a 2-year period. A total of 29 blocks using a late... |
0 | Characterization of a consistent radiographic finding in chronic anterior cruciate ligament deficiency: the posteromedial osteophyte | Surgical Management of Osteoarthritis of the Knee CPG | Often found in patients undergoing total knee arthroplasty (TKA) is an osteophyte, at the posterior lateral corner of the medial tibial plateau, that prevents anterior translation. This osteophyte does not occur in the presence of an entirely normal anterior cruciate ligament (ACL) with normal vascularity. Although sim... |
0 | The efficacy of ultrasound-guided pulsed radiofrequency of genicular nerves in the treatment of chronic knee pain due to severe degenerative disease or previous total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | Background: Pulsed radiofrequency of genicular nerves in the management of osteoarthritis related chronic knee pain has recently become a promising treatment. Ultrasonography has replaced fluoroscopic guidance in pain medicine. The aim of this study was to investigate the effect of ultrasound-guided genicular pulsed ra... |
0 | Revision following cemented and uncemented primary total hip replacement: a seven-year analysis from the New Zealand Joint Registry | Dental Implant Infection | We have reviewed the rate of revision of fully cemented, hybrid and uncemented primary total hip replacements (THRs) registered in the New Zealand Joint Registry between 1999 and December 2006 to determine whether there was any statistically significant difference in the early survival and reason for revision in these ... |
0 | [Comparison of various types of pharmacological prevention of lower extremities deep vein thrombosis in patients with proximal femoral fractures] | Management of Hip Fractures in the Elderly | Adminstration of coagulation-active substances is one of the options to prevent thromboemboembolic disease (TED), including deep vein thrombosis and systemic response to stress entailed by an injury or a surgical procedure. Lately, a synthetic analogue of the heparin molecule--of its functionally active part--pentasacc... |
0 | Comparison of urinary markers for bone resorption in multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma causes extensive bone remodeling. Classical biochemical markers such as urinary calcium have poor sensitivity for detecting multiple myeloma bone remodeling. New biochemicals have been developed including a carboxyterminal telopeptide of collagen I (CTX). We used an immunoenzymatic assay to determine u... |
0 | Posterior urethral injuries and the Mitrofanoff principle in children | DoD SSI (Surgical Site Infections) | OBJECTIVE: To report our experience of children with trauma causing posterior urethral injury who at some stage underwent a Mitrofanoff intervention, as post-traumatic urethral injuries can demand long-term treatment which (regardless of the surgical intervention) requires a period of dilatation of the reconstructed ur... |
1 | PRP Injections for the Treatment of Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials | PRP (Platelet-Rich Plasma) | OBJECTIVE: To evaluate effectiveness, in terms of patient-reported outcome measures, of platelet-rich plasma (PRP) injections for knee osteoarthritis compared to placebo and other intraarticular treatments.
DESIGN: PubMed, Cochrane Library, Scopus, Embase, Web of Science, as well as the gray literature were searched on... |
0 | Periodontal diseases as bacterial infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The periodontal disease is conformed by a group of illnesses affecting the gums and dental support structures. They are caused by certain bacteria found in the bacterial plaque. These bacteria are essential to the onset of illness; however, there are predisposing factors in both the host and the microorganisms that wil... |
0 | The balance between extracellular cathepsins and cystatin C is of importance for ovarian cancer | MSTS 2018 - Femur Mets and MM | BACKGROUND: A major step in cancer formation involves the degradation of the extracellular matrix, mediated by multiple degradative actions of (lysosomal) proteases. Extracellular release of lysosomal proteases (cathepsins) and their inhibitors has been associated with the development and progression of several types o... |
0 | Exposure of the surgeon to radiation during surgery | Distal Radius Fractures | Exposure to radiation over many years increases the incidence of cataracts and promotes the development of carcinoma of the thyroid gland. A prospective study of 24 operative procedures involving minimal invasive techniques and fluoroscopic guidance was undertaken in order to measure the radiation exposure to the prima... |
0 | Clinical outcomes of bacteremic pneumococcal pneumonia in the era of antibiotic resistance | Patrick’s pharmacoepidemiology project | Limited data are available about the impact of antimicrobial resistance on clinical outcomes in cases of pneumococcal pneumonia. This was studied in 146 persons hospitalized with invasive pneumonia due to Streptococcus pneumoniae (minimum inhibitory concentration of cefotaxime, ââ?°Â¥.25 Ã?¼g/mL) who were identified ... |
0 | An evaluation of an educational intervention in psychology of injury for athletic training students | DoD PRF (Psychosocial RF) | Context: "Psychosocial Intervention and Referral" is 1 of the 12 content areas in athletic training education programs, but knowledge gained and skill usage after an educational intervention in this area have never been evaluated. Objective: To evaluate the effectiveness of an educational intervention in increasing psy... |
0 | Dorsal instrumentation for idiopathic adolescent thoracic scoliosis: rod rotation versus translation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The radiographic and clinical outcomes and complications among two groups of adolescent patients treated for idiopathic thoracic scoliosis with dorsal instrumentation using a unified implantation system (Universal Spinal System) were compared retrospectively. A total of 69 patients were included in the study. In 30 pat... |
0 | Human osteoarthritic (OA) and rheumatoid arthritis (RA) tissues express the novel histamine H4 receptor (H4R) | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: To determine whether the H4 receptor is pharmacologically expressed in human OA and RA tissues, and the different cell types that express this receptor. Methods: Human synovial tissues from OA and RA tissues were collected with the consent from patients undergoing total knee replacement. These tissues were inv... |
1 | A collaborative system to improve compartment syndrome recognition | DOD - Acute Comp Syndrome CPG | BACKGROUND AND OBJECTIVE: Acute compartment syndrome (ACS) is a rare but serious complication of extremity injury that can cause permanent damage or death. ACS development is variable and unpredictable, and delay in recognition or treatment of ACS can lead to significant morbidity. Our objective was to create a reliabl... |
0 | Mechanical and repeated antimicrobial therapy using a local drug delivery system in the treatment of peri-implantitis: a randomized clinical trial | Dental Implant Infection | BACKGROUND: Peri-implantitis is an inflammatory process caused by microorganisms affecting the tissues around an osseointegrated implant in function, resulting in a loss of supporting bone. Limited data exist regarding the treatment of peri-implantitis. The aim of this study was to assess the clinical and microbiologic... |
0 | Acute carpal tunnel syndrome as a complication of oral anticoagulant therapy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Acute carpal tunnel syndrome is well recognized in patients with haemophilia and conservative management with factor replacement and temporary splinting is recommended. There have, however, been very few reported cases of acute carpal tunnel syndrome as a complication of oral anticoagulant therapy. We describe such a c... |
0 | Encounters with pseudoaneurysms in orthopaedic practice | DoD SSI (Surgical Site Infections) | Thirteen pseudoaneurysms are presented of which five were caused as a complication of pin/wire placement of external fixators (one conventional and four Ilizarov frames). The most common symptom was the presence of profuse persistent bleeding from either the wound or the pin/wire site. In nine patients the pseudoaneury... |
1 | The clinical significance of anterior horn meniscal tears diagnosed on magnetic resonance images | AMP (Acute Meniscal Pathology) | We assessed the accuracy of magnetic resonance imaging in detecting clinically significant lesions of the anterior horn of the meniscus by reviewing 947 consecutive knee magnetic resonance imaging reports. Of these, 76 (8%) indicated a tear of the anterior horn of the medial or lateral meniscus. Thirty-one of these 76 ... |
0 | Platelet-Rich Plasma Increases Anti-inflammatory Markers in a Human Coculture Model for Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Platelet-rich plasma (PRP) has anti-inflammatory effects with potential applications in the treatment of osteoarthritis (OA).
PURPOSE: To use an in vitro coculture model of OA in human cartilage and synovium to investigate the anti-inflammatory effects of 2 different PRP preparations.
STUDY DESIGN: Controll... |
1 | The use of bootstrap methods for analysing health-related quality of life outcomes (particularly the SF-36) | SR for PM on OA of All Extremities | Health-Related Quality of Life (HRQoL) measures are becoming increasingly used in clinical trials as primary outcome measures. Investigators are now asking statisticians for advice on how to analyse studies that have used HRQoL outcomes. HRQoL outcomes, like the SF-36, are usually measured on an ordinal scale. However,... |
0 | Revision of ceramic fracture with ceramic-on-polyethylene in total hip arthroplasty: Medium-term results | PJI DX Updated Search | There is no consensus on the bearing of choice in revision for ceramic fracture after total hip arthroplasty (THA). The aim of this study was to evaluate the outcomes using ceramic-on-polyethylene (CoP) articulation in revision for ceramic breakage. Twelve patients who underwent revision hip surgery between 2002 and 20... |
0 | Development of a knee scoring scale | AMP (Acute Meniscal Pathology) | Two knee scoring scales have been tested against post-osteotomy knees for degeneration arthritis and post-arthroplasty knees (McIntosh Operation) and were found to be acceptable for both conditions. Scoring Scale I was slightly better than Scale II. This scale should be tested on other types of knee reconstruction. Mod... |
0 | "The Skiver Screw": A useful fixation technique for iliac wing fractures | Hip Fx in the Elderly 2019 | Summary:The contour of the ilium is curved and the iliac fossa is thin, making adequate fixation for fractures involving the iliac wing challenging to achieve at times. The purpose of this article is to describe a previously unreported technique for enhancing fixation in iliac fractures using simple cortical screws. |
0 | A case report of rhabdomyolysis and pressure sores following hypotensive anaesthesia and prolonged surgery in the prone position | Surgical Management of Osteoarthritis of the Knee CPG | A 51 year old, 89 kg , fit and well man was unexpectedly admitted to our high dependency unit (HDU) following an elective lumbar decompression and fusion. Induction of anaesthesia was uneventful and anaesthesia was maintained using a combination of Isoflurane and Remifentanil. Invasive arterial pressure monitoring was ... |
0 | Peroneus brevis rotation flap: Anatomic considerations and clinical experience | DoD LSA (Limb Salvage vs Amputation) | Background: Large soft tissue defects of the distal third of the leg are common occurrences at trauma centers. Massive defects often require vascularized free tissue transfer for coverage; however, smaller defects may frequently be closed by rotation of local tissue. The peroneus brevis muscle is ideally located to pro... |
1 | The unstable Colles' fracture | Distal Radius Fractures | One hundred and twenty-one displaced Colles' fractures were assessed radiographically until union. An acute loss of position occurred during the first week of splintage, necessitating re-manipulation in six fractures. In the remaining 115 fractures whose position had been retained after one week, chronic instability le... |
0 | Sciatic nerve block for lower limb surgery in elderly patients | Surgical Management of Osteoarthritis of the Knee CPG | Objectives: To evaluate the effectiveness of regional anaesthesia and haemodynamic stability of sciatic nerve block for lower limb surgery in elderly patients. Material And Methods: A prospective study of fifty patients was carried out at the department of anaesthesiology of Hayatabad Medical Complex, Peshawar and Paki... |
0 | Anatomy of the distal radioulnar joint | Distal Radius Fractures | The distal radioulnar joint (DRUJ) is of the utmost importance in treatment of fractures of the distal radius. To improve the treatment of these fractures, knowledge of the anatomy and biomechanics of the DRUJ is essential. Three major findings from anatomic specimen studies of the DRUJ are discussed. The radius of the... |
0 | How are outcomes affected by performing a one-stage combined procedure simultaneously in bilateral developmental hip dysplasia? | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: The aim of this study was to compare the outcomes of one-stage combined surgical treatment in children of unilateral and bilateral developmental hip dysplasia diagnosed after walking age. METHODS: We reviewed 24 patients who underwent one-stage combined surgery for DDH diagnosed after walking age. Group I cons... |
0 | Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery | AMP (Acute Meniscal Pathology) | BACKGROUND: The Medical Outcomes General Health Survey (SF-36) is a widely used health status measure; however, limited evidence is available for its performance in orthopedic settings. The aim of this study was to examine the magnitude and meaningfulness of change and sensitivity of SF-36 subscales following orthopedi... |
0 | Young athletes return too early to knee-strenuous sport, without acceptable knee function after anterior cruciate ligament reconstruction | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to evaluate the return to knee-strenuous sport rate, muscle function and subjective knee function among adolescent patients (15-20 years of age) and adult patients (21-30 years of age) 8 and 12 months, respectively, after anterior cruciate ligament (ACL) reconstruction. It was hyp... |
0 | Physical Activity in the Acute Ward Following Hip Fracture Surgery is Associated with Less Fear of Falling | Hip Fx in the Elderly 2019 | Early mobilization following hip fracture surgery reduces medical complications and mortality, but may increase the risk of falling. The aim was to objectively measure the physical activity (time spent upright) the first week after hip fracture surgery and relate it to functional performance and fear of falling at disc... |
1 | Meniscectomy | AMP (Acute Meniscal Pathology) | To review the meniscus from a historical perspective especially on surgical management and general guidelines for arthroscopic meniscectomy procedures for various types of meniscal tears. We searched MEDLINE and PubMed for the years of 1980-2010 using the terms meniscus, meniscal repair, menisectomy, and arthroscopy. O... |
0 | Hypocalcaemia in patients with metastatic bone disease treated with denosumab | MSTS 2018 - Femur Mets and MM | Abstract Background This analysis was performed to further characterise treatment-emergent hypocalcaemia in patients with bone metastases receiving denosumab. Methods Laboratory abnormalities and adverse events of hypocalcaemia in patients with metastatic bone disease were analysed using data from three identically des... |
0 | Fracture of the femoral neck: optimal screw position and bone density determined by computer tomography | Management of Hip Fractures in the Elderly | The bone density of five proximal femurs from female cadavers was measured with computed tomography using a pixel size of 1.2 mm. A three dimensional reconstruction was performed along four well-defined axes. The region of maximal relative bone density correlated well with a previous report of the optimal position of a... |
1 | A critical review of literature regarding the effectiveness of physical therapy management of hip fracture in elderly persons | Management of Hip Fractures in the Elderly | The purpose of this review is to analyze the research literature that has examined the effectiveness of physical therapy in the management of hip fractures in elderly persons. Using literature databases and keywords, we located relevant studies. Fifteen studies met the criteria and were then categorized according to Sa... |
1 | Psoas Compartment Block vs Periarticular Local Anesthetic Infiltration for Pain Management After Anterior Total Hip Arthroplasty: A Prospective, Randomized Study | AAHKS (8) Anesthetic Infiltration | BACKGROUND: The psoas compartment block (PCB) or periarticular soft-tissue local anesthetic injection are forms of regional anesthesia often used as one of the components in multimodal anesthesia applied during total hip arthroplasty (THA). The most efficacious form of regional anesthesia for THA has yet to be determin... |
0 | Occult vascular injuries following gunshot wounds resulting in long bone fractures of the extremities | DoD SSI (Surgical Site Infections) | The routine use of arteriography following penetrating injuries to the extremities has declined in popularity in recent years. A careful physical examination coupled with Doppler-derived blood pressure has been shown to be sufficient to determine the presence of significant vascular injuries in most circumstances. Eval... |
0 | Interventional management of hypervascular osseous metastasis: role of embolotherapy before orthopedic tumor resection and bone stabilization | MSTS 2018 - Femur Mets and MM | OBJECTIVE: The purpose of this study was to evaluate, in relation to intraoperative estimated blood loss (EBL), the effectiveness of preoperative transcatheter arterial embolization of hypervascular osseous metastatic lesions before orthopedic resection and stabilization.
MATERIALS AND METHODS: Between June 1987 and No... |
0 | Regional differences in hip bone mineral density levels in Norway: the NOREPOS study | Management of Hip Fractures in the Elderly | SUMMARY: Large regional differences in hip fracture rates within Norway have previously been shown. However, regional differences in hip bone mineral density (BMD) have not yet been assessed. In this study including 10,504 hip scans, there were significant regional differences in BMD. Further studies to address reasons... |
1 | Evaluation of the American Society of Anesthesiologists physical status classification system in risk assessment for plastic and reconstructive surgery patients | Panniculectomy & Abdominoplasty CPG | Background: The American Society of Anesthesiologists Physical Status (ASA-PS) classification is a ranking system that quantifies patient health before anesthesia and surgery. Some surgical disciplines apply the ASA-PS to gauge a patients likelihood of developing postoperative complications. Objective: In this study, t... |
1 | Effect of a chlorhexidine mouthwash on the risk of postextraction bacteremia | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE. To investigate the prevalence, duration, and etiology of bacteremia following dental extractions performed after a single administration of chlorhexidine mouthwash. DESIGN AND SETTING. A randomized, controlled trial performed in a university hospital. METHODS. A series of 106 patients with mental and behavio... |
0 | The Application of All-arthroscopic Technique to Deep Osteochondral Lesions in the Talus With Scaffold and Autograft Bone Taken From the Tibial Plafond | Osteochondritis Dissecans 2020 Review | Osteochondral lesions in the talus are frequently seen disorders that can cause chronic ankle pain. Surgical treatment is determined by the size and location of the lesion. The microfracture procedure and additional application of scaffold technique have gained popularity for the treatment of small osteochondral defect... |
0 | Implementation of a Breast/Reconstruction Surgery Coordinator to Reduce Preoperative Delays for Patients Undergoing Mastectomy With Immediate Reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | PURPOSE: Mastectomy with immediate reconstruction (MIR) requires coordination between breast and reconstructive surgical teams, leading to increased preoperative delays that may adversely impact patient outcomes and satisfaction. Our cancer center established a target of 28 days from initial consultation with the breas... |
0 | Nanomedicines Reprogram Synovial Macrophages by Scavenging Nitric Oxide and Silencing CA9 in Progressive Osteoarthritis | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA) is a progressive joint disease characterized by inflammation and cartilage destruction, and its progression is closely related to imbalances in the M1/M2 synovial macrophages. A two-pronged strategy for the regulation of intracellular/extracellular nitric oxide (NO) and hydrogen protons for reprogra... |
0 | Primary sarcoma of the anterior cruciate ligament - A case report | PJI DX Updated Search | Clear cell sarcoma of tendons and aponeuroses (CCSTA) is a rare, aggressive soft tissue malignancy, which is found in intimate association with tendon, aponeurosis or fascia. It has not previously been reported in association with intraarticular ligaments. We report the first case of an intraarticular |
0 | Squamous cell carcinoma arising from chronic osteomyelitis | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Our aim was to present the results from a retrospective study of 7 cases of squamous cell carcinoma arising from chronic osteomyelitis.
METHODS: We treated seven cases of chronic osteomyelitis related squamous cell carcinoma between 1993 and 2005. The patients had an average age of 54.5 (range: 38-71) years... |
0 | The Amsterdam wrist rules: the multicenter prospective derivation and external validation of a clinical decision rule for the use of radiography in acute wrist trauma Background | Distal Radius Fractures | Although only 39 % of patients with wrist trauma have sustained a fracture, the majority of patients is routinely referred for radiography. The purpose of this study was to derive and externally validate a clinical decision rule that selects patients with acute wrist trauma in the Emergency Department (ED) for radiogra... |
0 | The relative benefits of tamoxifen in older women with T1 early-stage breast cancer treated with breast-conserving surgery and radiation therapy | MSTS 2018 - Femur Mets and MM | Small, hormone receptor-positive breast carcinomas in older women are associated with low local recurrence rates. The relative benefits of adjuvant hormonal therapy remain unclear in elderly women with small, node-negative breast cancer after breast-conserving surgery and adjuvant radiation therapy. From our institutio... |
0 | Nutritionally deficient streptococci: electron microscopic study of 14 strains isolated in bacterial endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Fourteen strains of nutritionally deficient streptococci were isolated from patients with bacterial endocarditis and observed by light and electron microscopy. In brain-heart infusion broth supplemented wit Isovitalex, they could be distributed into three morphological groups in which numerous abnormalities involving s... |
0 | Stage classifications, types of joint destruction, and bone scintigraphy in Charcot joint disease | Management of Hip Fractures in the Elderly | The histories of 36 Charcot joints (including four fractures) in 22 patients were investigated and a new stage classification system (Stage I-III) was introduced. Scintiscanning showed the uptake magnitude of radioactive substance in the Charcot lesions ranged from 6-22 times that of normal areas |
1 | An algorithmic approach for managing orthopaedic surgical wounds of the foot and ankle | DoD SSI (Surgical Site Infections) | BACKGROUND: Wound breakdown after orthopaedic foot and ankle surgery may necessitate secondary soft tissue coverage. The foot and ankle region is challenging to reconstruct for orthopaedic and plastic surgeons owing to its complex bony anatomy and unique functional demands. Therefore, identifying strategies for plastic... |
0 | Role of nonoperative treatment in managing degenerative tears of the medial meniscus posterior root | AMP (Acute Meniscal Pathology) | BACKGROUND: Tears of the medial meniscus posterior root can lead to progressive arthritis, and its management has no consensus. The aim of our study was to evaluate the effect of supervised exercise therapy on patients with medial meniscus posterior root tears.
MATERIALS AND METHODS: Between January 2005 and May 2007, ... |
0 | Common hand injuries in the athlete | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Common injuries to the hand and wrist of athletes have been discussed under the headings of ligament injuries, fractures, tendon injuries, and neurovascular injuries. Although the frequency and mechanisms of certain injuries may be different in the athlete than in the nonathlete, the principles of proper early diagnosi... |
0 | What is the optimal treatment of atrophic scaphoid non-union? | Distal Radius Fractures | Aim: To evaluate the efficacy of the treatment method of autogenous iliac wing or radius bone graft and fixation with screw applied to cases of scaphoid non-union. Material and Method: A retrospective evaluation was made of 89 cases between 2000 and 2014. Postoperative measurements were taken of both wristsâ?? movement... |
1 | The incidence of bacteraemia associated with tracheal intubation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Expert committees on bacterial endocarditis prophylaxis have provided differing opinions on whether tracheal intubation is an 'at-risk' manipulation. We studied the incidence of bacteraemia after orotracheal and nasotracheal intubation. The study group comprised 110 patients who underwent surgery under general anaesthe... |
0 | Hepatobiliary rickets | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Rickets secondary to hepatobiliary disease is a rare condition; however, the skeletal manifestations are similar to simple nutritional rickets. These skeletal changes include epiphyseal plate abnormalities, pseudofractures, bowing of long bones, scoliosis, and fractures. One-hundred and twelve charts and radiographs of... |
0 | Critical care management of adults with community-acquired severe respiratory viral infection | Coronavirus Disease 2019 (COVID-19) | With the expanding use of molecular assays, viral pathogens are increasingly recognized among critically ill adult patients with community-acquired severe respiratory illness; studies have detected respiratory viral infections (RVIs) in 17-53% of such patients. In addition, novel pathogens including zoonotic coronaviru... |
0 | Wnt Pathway in Bone Repair and Regeneration - What Do We Know So Far | TO: WNT2 Pathway Modulator | Wnt signaling plays a central regulatory role across a remarkably diverse range of functions during embryonic development, including those involved in the formation of bone and cartilage. Wnt signaling continues to play a critical role in adult osteogenic differentiation of mesenchymal stem cells. Disruptions in this h... |
1 | Effects of denosumab in patients with bone metastases with and without previous bisphosphonate exposure | MSTS 2018 - Femur Mets and MM | Bone metastases place patients at increased risk of skeletal-related events (SREs), including pathologic fractures, spinal cord compression, severe pain requiring radiotherapy or surgery, and hypercalcemia, because of increased osteoclast-mediated bone resorption. Denosumab, a fully human monoclonal antibody, decreases... |
0 | Pathological fracture of the femur in Alagille Syndrome: A case report | Pediatric Diaphyseal Femur Fractures 2020 Review | Alagille Syndrome is a rare autosomal dominant genetic disorder, occur only 1:70,000 in population, and characterized by reduced interlobular bile ducts, and resultant nutritional deficiencies associated with the inability to absorb fat-soluble vitamins such as vitamin D. Patients are at risk for secondary osteoporosis... |
1 | Breast reduction with use of the free nipple graft technique | Reduction Mammoplasty for Female Breast Hypertrophy | In properly selected patients, the results of free nipple graft breast reduction may be equal or superior to a pedicle technique. A free nipple graft is clearly indicated for gigantomastia, but it is also useful in severe macromastia, when a large, bulky pedicle may impede adequate reduction and optimal contour, and in... |
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