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0 | Statins Are Associated With Reduced Mortality in Multiple Myeloma | MSTS 2018 - Femur Mets and MM | Purpose The 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors (statins) have activity in one of the pathways influenced by nitrogen-containing bisphosphonates, which are associated with improved survival in multiple myeloma (MM). To understand the benefit of statins in MM, we evaluated the association between ... |
0 | Fatal acute pancreatitis associated with reactive AA amyloidosis in rheumatoid arthritis with end-stage renal disease: A report of three cases | PJI DX Updated Search | We report three cases of fatal pancreatitis associated with systemic AA amyloidosis in rheumatoid arthritis (RA). All of the patients showed end-stage renal failure, and hemodialysis was introduced during the course of treatment. Autopsy was performed on two of the three patients, and this revealed amyloid deposition o... |
0 | The Attenborough and Gallannaugh knee prostheses for total knee arthroplasty: A comparison and survival analysis | Surgical Management of Osteoarthritis of the Knee CPG | The characteristic feature of the Attenborough knee prosthesis was a stabilizing link rod, designed to act in place of the cruciate ligaments and to supplement the function of the collateral ligaments when damaged by disease. However, the reported long-term results obtained with this prosthesis have not been satisfacto... |
0 | Rehabilitation and Return to Play Following Meniscal Repair | AMP (Acute Meniscal Pathology) | The outcome of meniscal repair has been good to excellent with regard to functional restoration and return to play (RTP). Athletes represent the most demanding subgroup of patients as they have high expectations to return to their preinjury level of activity and in doing so they place maximum stress on any meniscal rep... |
0 | Early results of a domed tibia, mobile bearing lateral unicompartmental knee arthroplasty from an independent centre | Surgical Management of Osteoarthritis of the Knee CPG | AIM: The aim of this study is to determine the short-term outcome of lateral unicompartmental knee arthroplasty (UKA) using a domed tibia, mobile bearing prosthesis. The primary outcome measure was revision due to bearing dislocation and the secondary measure was functional outcome. METHODS: From 2005 to 2009, a total ... |
0 | Acute compartment syndromes of the foot | DoD - ACS - Interrater Reliability | The early recognition and treatment of impending compartmental ischemia in the foot in the context of severe injuries will prevent the late sequelae of myoneural necrosis. When suspected, simple tests will confirm the diagnosis. If the clinical findings are equivocal, compartment pressure monitoring is an essential dia... |
0 | Vascularized bone grafts for the treatment of carpal bone pathology | Distal Radius Fractures | Primary bone healing fails to occur in 5-15 % of scaphoid bones that undergo fracture fixation. Untreated, occult fractures result in nonunion up to 12 % of the time. Conventional bone grafting is the accepted management in the treatment algorithm of scaphoid nonunion if the proximal pole is vascularized. Osteonecrosis... |
0 | Arthroscopic assessment of human cartilage stiffness of the femoral condyles and the patella with a new tactile sensor | Diagnosis and Treatment of Osteochondritis Dissecans AUC | We measured the stiffness of the cartilage of the human femoral condyles via an ultrasonic tactile sensor under arthroscopic control. The stiffness and the degeneration of articular cartilage were assessed in 105 knees in 74 patients (39 men, 35 women, age: 9-72 years) who underwent arthroscopic observation or surgery.... |
0 | Perioperative complication rate of one-stage bilateral total hip arthroplasty using the direct anterior approach | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: To date, details of the surgical and clinical outcomes of one-stage bilateral total hip arthroplasty using the direct anterior approach have not been widely available. The purpose of this study was to report the perioperative blood management and investigate the perioperative complication rate of one-stage ... |
0 | Range of flexion after primary TKA: the effect of soft tissue release and implant design | Surgical Management of Osteoarthritis of the Knee CPG | Range of motion following total knee arthroplasty (TKA) is a crucial measure of clinical outcome. The purpose of this randomized, controlled study was to determine which factors are predictive of postoperative range of flexion. Fifty-six patients received either a standard or a high-flexion design NexGen Legacy Posteri... |
0 | Health-related quality of life of patients with hip fracture before and after rehabilitation therapy: discrepancies between physicians' findings and patients' ratings | Management of Hip Fractures in the Elderly | BACKGROUND AND AIMS: Health-related quality of life (HrQoL) is broadly accepted as an evaluation criterion of medical therapy effects. The major objectives of this work are a) measuring of the effects of rehabilitation therapy on the HrQoL of elderly patients after hip fracture, and b) study of discrepancies between th... |
0 | Optimizing Pain and Rehabilitation After Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | This will be a prospective, randomized, double blind study. Patients will be randomized using a computerâ?generated sequence to one of three groups: Group 1: Continuous femoral nerve block group (cFNB) Group 2: Single injection femoral nerve block group (sFNB) Group 3: Local infiltration analgesia group (LIA) Inclusio... |
1 | The kinematic total knee arthroplasty. A 10- to 15-year follow-up and survival analysis | Surgical Management of Osteoarthritis of the Knee CPG | In 86 patients 102 consecutive cemented Kinematic total knee arthroplasties were reviewed 10-15 years after surgery to determine the clinical and radiographic results and to assess the survival rate. The average age of the 65 female and 21 male patients at the time of surgery was 63 years. Forty-six knees were affected... |
0 | Parenting practices as potential mechanisms for child adjustment following mass trauma | DoD PRF (Psychosocial RF) | Trauma research has identified a link between parental adjustment and children's functioning and the sometimes ensuing intergenerational impact of traumatic events. The effects of traumatic events on children have been demonstrated to be mediated through their impact on children's parents. However, until now, little co... |
0 | Self-Complementary Adeno-Associated Virus-Mediated Interleukin-1 Receptor Antagonist Gene Delivery for the Treatment of Osteoarthritis: Test of Efficacy in an Equine Model | OAK 3 - Non-arthroplasty tx of OAK | The authors are investigating self-complementary adeno-associated virus (scAAV) as a vector for intra-articular gene-delivery of interleukin-1 receptor antagonist (IL-1Ra), and its therapeutic capacity in the treatment of osteoarthritis (OA). To model gene transfer on a scale proportional to the human knee, a frequent ... |
0 | Effects of epidural anesthesia on incidence of venous thromboembolism following joint replacement | Surgical Management of Osteoarthritis of the Knee CPG | Deep vein thrombosis (DVT) and pulmonary embolism are serious complications following hip and knee replacement surgery. Both surgical procedures have significantly high postoperative rates of DVT. In total hip replacement, the rate of proximal thrombi tends to be higher. However, total knee replacement produces a high ... |
0 | Management of osteoarthritis of the wrist and hand | Distal Radius Fractures | Osteoarthritis of the wrist and hand can cause significant functional impairment and disability. Its management is as much an art as it is science, as one has to consider increasing patient expectations, functional demands, pain relief and preserving motion. A sound knowledge of the wrist and hand anatomy, biomechanics... |
0 | Short-day-like body weight changes do not prevent fat pad compensation after lipectomy in Siberian hamsters | Panniculectomy & Abdominoplasty CPG | Long-day (LD)-housed Siberian hamsters show compensatory increases in white adipose tissue (WAT) weight after lipectomy, whereas hamsters exposed to short days (SDs) for a long duration (22 wk) do not. We tested whether SD-induced body weight changes prevent fat pad compensation after lipectomy. In experiment 1, hamste... |
1 | Patient-reported Outcomes after ADM-assisted Implant-based Breast Reconstruction: A Cross-sectional Study | Acellular Dermal Matrix | BACKGROUND: Although the use of acellular dermal matrices (ADMs) in implant-based reconstruction increases, there is a lack of studies evaluating patient-reported outcome measures after this reconstruction method. We aim to evaluate the patient satisfaction after ADM-assisted implant-based breast reconstruction (IBBR) ... |
0 | Correlation of insulin-like growth factor 1 and osteoarthritic cartilage degradation: a spontaneous osteoarthritis in guinea-pig | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The pathogenesis of osteoarthritis centers on the imbalance between catabolic and anabolic processes in cartilage metabolism. Insulin growth factor 1 (IGF-1) has been shown to have anabolic effects in cartilage in vitro. This study aim to determine whether IGF-1 on cartilage is associated with loss of chondr... |
0 | The "Trauma Signature:" understanding the psychological consequences of the 2010 Haiti earthquake | DoD PRF (Psychosocial RF) | The 2010 Haiti earthquake was one of the most catastrophic episodes in history, leaving 5% of the nation's population killed or injured, and 19% internally displaced. The distinctive combination of earthquake hazards and vulnerabilities, extreme loss of life, and paralyzing damage to infrastructure, predicts population... |
0 | Laser Therapy on Pain Intensity of patients with advanced knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Device E02.774 Sixty participants of both genders diagnosed with grade 4 of knee osteoarthritis according to radiological features will be selected to participate in the study. They will be randomly distributed into two groups: Placebo group and Photobiomodulation Group. Treatment will consist on a three ... |
0 | Paraphilic Thoughts, Behaviors and Sex Addiction in a Sample of Persons Who Use Drugs: A Cross-Sectional Study | DoD PRF (Psychosocial RF) | OBJECTIVE: The aim of this study was to evaluate the prevalence of paraphilic thoughts/behaviors (including paraphilic disorders) with and without sexual addiction and sexual-related conditions in a sample of substance disorder patients.
METHODS: This was a cross-sectional study of substance-dependent individuals who s... |
0 | The role of bone-seeking radionuclides in the palliative treatment of patients with painful osteoblastic skeletal metastases | MSTS 2018 - Femur Mets and MM | Background: Pain from skeletal metastases represents a major burden of advanced disease from solid tumors. Analgesic medications, bisphosphonates, hormonal agents, cytotoxic chemotherapy, and external beam radiotherapy are all effective treatments. However, patients often suffer from diffuse painful metastases and resp... |
0 | Study protocol--resilience in individuals and families coping with the impacts of alcohol related injuries in remote indigenous communities: a mixed method study | DoD PRF (Psychosocial RF) | BACKGROUND: Alcohol Management Plans (AMPs) were first implemented by the Queensland Government a decade ago (2002-03). In 2008, further stringent controls were implemented and alcohol was effectively prohibited in some of the affected remote Indigenous communities. With the Queensland Government currently reviewing AM... |
1 | Tibial plateau fracture with compartment syndrome: a complication of higher incidence in Taiwan | DOD - Acute Comp Syndrome CPG | BACKGROUND: Compartment syndrome after tibial plateau fracture has been described, solely as case reports in previously published articles, as a relatively rare complication.
METHODS: A retrospective review of 106 patients with 107 tibial plateau fractures was undertaken from January 1996 to June 1997 at a level I trau... |
0 | Arthroscopic Subscapularis Augmentation of Bankart Repair in Chronic Anterior Shoulder Instability With Bone Loss Less Than 25% and Capsular Deficiency: Clinical Multicenter Study | Glenohumeral Joint OA | PURPOSE: To assess the short-term outcomes of the arthroscopic subscapularis augmentation (ASA) technique, consisting of a tenodesis of the upper third of the subscapularis tendon and a Bankart repair, and its effect on shoulder external rotation.
METHODS: Patients selected for this study were involved in contact sport... |
0 | Three-dimensional reconstruction of subject-specific knee joint using computed tomography and magnetic resonance imaging image data fusions | AMP (Acute Meniscal Pathology) | Three-dimensional reconstruction of human body from a living subject can be considered as the first step toward promoting virtual human project as a tool in clinical applications. This study proposes a detailed protocol for building subject-specific three-dimensional model of knee joint from a living subject. The compu... |
0 | Standard plan for nutrition treatment in hip fracture patients: Room for improvement | Management of Hip Fractures in the Elderly | Rationale: Patients with hip fracture are most commonly frail elderly people. Fasting regimes, pain, medication and immobilisation increase nutritional risk. The aim of this study was to introduce a standard plan to improve nutrition intake. Methods: A standard plan was made including better logistics, peroral maltodex... |
0 | 7-Tesla MRI Evaluation of the Knee, 25 Years after Cartilage Repair Surgery: The Influence of Intralesional Osteophytes on Biochemical Quality of Cartilage | AMP (Acute Meniscal Pathology) | Objective: To evaluate the morphological and biochemical quality of cartilage transplants and surrounding articular cartilage of patients 25 years after perichondrium transplantation (PT) and autologous chondrocyte transplantation (ACT) as measured by ultra-high-field 7-Tesla (7T) magnetic resonance imaging (MRI) and t... |
0 | Stress fracture of the fifth metatarsal bone as a late complication of total knee arthroplasty | PJI DX Updated Search | A 64-year-old man had undergone a right total knee arthroplasty (TKA) as treatment for osteoarthritis of the knee. Six months after the TKA, the patient sustained a stress fracture of the left fifth metatarsal bone, which was a contralateral side of the TKA, without any apparent trauma or cause. The fracture was treate... |
1 | Primary total hip arthroplasty with an uncemented femoral component: two- to seven-year results | Management of Hip Fractures in the Elderly | This prospective study reports the midterm outcome of total hip arthroplasty performed in a consecutive series of patients using a tapered uncemented femoral component. The cohort consists of 631 patients (700 hips). The clinical records and the routine serial radiographs of these patients were monitored closely over a... |
0 | Synovial and systemic pharmacokinetics (PK) of triamcinolone acetonide (TA) following intra-articular (IA) injection of an extended-release microsphere-based formulation (FX006) or standard crystalline suspension in patients with knee osteoarthritis (OA) | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Intra-articular (IA) corticosteroids relieve osteoarthritis (OA) pain, but rapid absorption into systemic circulation may limit efficacy and produce untoward effects. We compared the pharmacokinetics (PK) of IA triamcinolone acetonide (TA) delivered as an extended-release, microsphere-based formulation (FX00... |
0 | Comminuted intra-articular fracture of the distal radius--results of early open reduction and internal fixation | Distal Radius Fractures | Comminuted intra-articular fracture of the distal radius remains a challenging problem. This article reviews the results of 15 consecutive cases which were treated with open reduction and internal fixation with T-plate after failing to achieve articular congruency with closed reduction. The follow-up ranges from 20 mon... |
0 | Obese patients undergoing total knee arthroplasty have distinct preoperative characteristics: an institutional study of 4718 patients | Surgical Management of Osteoarthritis of the Knee CPG | Obesity affects a disproportionate proportion of total knee arthroplasty (TKA) patients. Our study explores pre-operative characteristics between obese and non-obese patients undergoing TKA surgery. A cohort of 4718 osteoarthritic patients, undergoing primary TKA, was studied. Patients were stratified according to BMI ... |
1 | Acute traumatic hemarthrosis of the knee. Is routine arthroscopic examination necessary? A study of 320 consecutive patients | Anterior Cruciate Ligament Injuries CPG | BACKGROUND AND AIMS: Distortions and contusions of the knee are common. Fairly often they will result in hemarthrosis. The purpose of this study was to evaluate the findings in patients with acute traumatic hemarthrosis of the knee and based on these findings estimate the necessity of acute arthroscopic examination. MA... |
0 | Cartilage Surgery in Overweight Patients: Clinical and MRI Results after the Autologous Matrix-Induced Chondrogenesis Procedure | AMP (Acute Meniscal Pathology) | Modern orthopaedic surgery provides a variety of techniques for cartilage repair. The Autologous Matrix-Induced Chondrogenesis (AMIC) procedure is a single-step technique with a collagen I/III scaffold for the treatment of full-thickness cartilage lesions. The aim of the study was to analyze the outcome of the AMIC pro... |
1 | Half-body single photon emission computed tomography with resolution recovery for the evaluation of metastatic bone disease: Implementation into routine clinical service | MSTS 2018 - Femur Mets and MM | Objectives Typically, scintigraphic evaluation of metastatic bone disease uses planar imaging. Although single photon emission computed tomography (SPECT) offers increased clinical utility, the acquisition time necessary to cover the required scan range (at our centre, skull vertex to mid-femur) has made its use in pla... |
0 | Atypical bilateral pedicle fracture in long-term bisphosphonate therapy | Management of Hip Fractures in the Elderly | Study Design: A case report with review of the literature. Objective: To present a first case of an atraumatic bilateral pedicle fracture of L5 in a patient with long-term risedronate therapy and without any previous history of surgery or fracture. Summary of Background Data: A few cases of bilateral osteoporotic pedic... |
1 | Non-operative treatment of ACL rupture with mild instability | Anterior Cruciate Ligament Injuries CPG | PURPOSE: This study examined whether or not conservative treatment of an acutely injured anterior cruciate ligament (ACL) could be successful in a select group of patients. Routine ACL reconstruction surgery in all acute ACL-injured patients should be avoided. We hypothesize that acutely injured ACL with mild instabili... |
0 | Modification of vertical scar in vertical mammaplasty technique | Reduction Mammoplasty for Female Breast Hypertrophy | Vertical mammaplasty is a simple and safe procedure that relies on an upper pedicle to the areola with lower central breast reduction and glandular shaping. We applied this technique to six patients adding a modification of the vertical scar which distributed skin tension both to the areola and vertical suture line. It... |
0 | Does the Addition of a Vascularized Fibula Improve the Results of a Massive Bone Allograft Alone for Intercalary Femur Reconstruction of Malignant Bone Tumors in Children? | Hip Fx in the Elderly 2019 | BACKGROUND: Massive bone allograft with or without a vascularized fibula is a potentially useful approach for femoral intercalary reconstruction after resection of bone sarcomas in children. However, inadequate data exist regarding whether it is preferable to use a massive bone allograft alone or a massive bone allogra... |
1 | Abdominoplasty: the use of stapled prolene mesh in severe musculoaponeurotic laxity | Panniculectomy & Abdominoplasty CPG | We have evaluated the role of stapled Prolene mesh for reinforcement of the midline abdominal wall plication in patients with advanced musculoaponeurotic laxity. Twenty-one multiparous women underwent a standard abdominoplasty with wide longitudinal rectus sheath plication, followed by stapling of the mesh to the exter... |
0 | Validation of a quality of life questionnaire measuring the subjective fear of falling in nursing home residents | Management of Hip Fractures in the Elderly | A quality of life scale was developed to measure the subjective fear of falling in nursing home residents. We assessed the dimensions fear of falling, daily living and social life within a randomized controlled trial of hip protector use. The Nottingham Health Profile (NHP) was used for validation. Statistical analysis... |
1 | The correlation between the OTA/AO classification system and compartment syndrome in both bone forearm fractures | DOD - Acute Comp Syndrome CPG | Objective:To evaluate the efficacy of using the Orthopaedic Trauma Association (OTA/AO) classification for both bone forearm fractures in predicting compartment syndrome.Design:Retrospective cohort.Setting:Level 1 Academic Trauma Center.Patients/Participants:One hundred fifty-one patients 18 years of age and older, wit... |
1 | Using only MRI is moderately reliable in the prediction of meniscal tear reparability | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to evaluate the role of surgeons' experience with meniscal repairs and meniscectomy decisions, and to determine the factors affecting the disagreement between meniscal repairs and meniscectomy decisions.
METHODS: In total, 223 patients with meniscal tears, 106 meniscal repairs, an... |
0 | MR imaging of the knee menisci | AMP (Acute Meniscal Pathology) | MR imaging of the knee is highly accurate for the noninvasive diagnosis of meniscal tears and other meniscal pathology. Familiarity with the normal anatomy and common pitfalls reduces errant interpretations, but does not eliminate them entirely. The two MR imaging signs of a meniscal tear are abnormal intrameniscal sig... |
1 | Occupational soft-tissue and tendon disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Reports of work-related musculoskeletal disorders have increased. The cause of the problem has yet to be determined. Thus far, only cross-sectional case and controlled studies exist. It is important for the physician to develop a thought process to separate patients with subjective complaints and real objective finding... |
0 | Mediators linking childhood adversities and trauma to suicidality in individuals at risk for psychosis | DoD PRF (Psychosocial RF) | Suicidality is highly prevalent in patients at clinical high risk (CHR) for psychosis. Childhood adversities and trauma are generally predictive of suicidality. However, the differential effects of adversity/trauma-domains and CHR-criteria, i.e., ultra-high risk and basic symptom criteria, on suicidality remain unclear... |
0 | Oral Health Literacy and Oral Health Status among Adults Attending Dental College Hospital in India | Dental Implant Infection | BACKGROUND: Low health literacy is one among many reasons why preventable diseases remain so common and why people often do not adopt healthy practices. It is important to detect patients with inadequate oral health literacy (OHL) and to improve the level of communication between the provider and the patient. This stud... |
0 | Improving evaluation and treatment for osteoporosis following distal radial fractures. A prospective randomized intervention | Distal Radius Fractures | BACKGROUND: Fragility fractures are associated with a significant increase in the risk of future fracture, but the rates of evaluation to identify osteoporosis after such injuries are low. The purpose of this study was to determine the rates of evaluation and treatment of osteoporosis following distal radial fractures ... |
0 | Osteoarthrosis and late growth | Management of Hip Fractures in the Elderly | To examine the hypothesis that late growth of bone may occur, pelvic radiographs taken during 1990 to 1992 of patients born between 1901 and 1972 were studied. All radiographs were taken using the same equipment with constant exposure techniques. Films showing osteoarthrosis (obviously decreased joint space) or hip fra... |
1 | Prospective Randomized Trial Comparing Femoral Nerve Block With Intraoperative Local Anesthetic Injection of Liposomal Bupivacaine in Total Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Postoperative pain after total knee arthroplasty (TKA) may impact long-term results and incidence of complications. Femoral nerve block (FNB) provides excellent pain relief after TKA, although associated risks include weakness, delayed participation in therapy, and nerve injury. Liposomal bupivacaine (LB) i... |
0 | Return to knee-strenuous sport after anterior cruciate ligament reconstruction: a report from a rehabilitation outcome registry of patient characteristics | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To characterise patients who returned to knee-strenuous sports after an anterior cruciate ligament (ACL) reconstruction.
METHODS: Data from isotonic tests of muscle function and patient-reported outcome measures, Tegner activity scale (Tegner and Lysholm in Clin Orthop Relat Res 198:43-49, 1985), physical acti... |
1 | Health-related quality of life after paediatric supracondylar humeral fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | AIMS: We aimed to evaluate the health-related quality of life (HRQoL) in children with supracondylar humeral fractures (SCHFs), who were treated following the recommendations of the Paediatric Comprehensive AO Classification, and to assess if HRQoL was associated with AO fracture classification, or fixation with a late... |
0 | Location-specific hip joint space width for progression of hip osteoarthritis: Predictive validity and responsiveness of a new computerized measure | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Responsive measures of radiographic joint space width (JSW) in hip osteoarthritis (OA) are important for the evaluation of treatment interventions. To date, quantitative measures of JSW have only shown a weak relationship with symptoms and predictive validity and moderate responsiveness. One problem may be tha... |
0 | Comparison of Cellular Alterations in Fat Cells Harvested With Laser-Assisted Liposuction and Suction-Assisted Liposuction | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: The aim of the present study was to evaluate the viability and proliferative capacity of adipose-derived stem cells obtained by laser-assisted liposuction (LAL). METHODS: Fat tissue was obtained from 7 male patients treated surgically for gynecomastia. On one side, harvesting was made before LAL, while it wa... |
0 | Our experience with the so-called pull-through technique combined with liposuction for management of gynecomastia | Panniculectomy & Abdominoplasty CPG | Gynecomastia is a benign enlargement of male breast, common in adolescents and adults. To treat this deformity, we have been carrying out liposuction through small cutaneous incisions placed in the axilla and on the sternum. If necessary, we performed a surgical excision of glandular tissue through a periareolar incisi... |
0 | Knee Articular Cartilage Repair and Restoration Techniques: A Review of the Literature | Osteochondritis Dissecans 2020 Review | CONTEXT: Isolated chondral and osteochondral defects of the knee are a difficult clinical challenge, particularly in younger patients for whom alternatives such as partial or total knee arthroplasty are rarely advised. Numerous surgical techniques have been developed to address focal cartilage defects. Cartilage treatm... |
0 | Osteoporosis and aging. Current update | Management of Hip Fractures in the Elderly | Osteoporosis is 1 of the most prevalent musculoskeletal disorders afflicting the elderly population today. Together with a propensity for falls, it can lead to a life-threatening condition such as a hip fracture, making prevention a key concept. In this article, the pathophysiology of bone loss in the elderly is review... |
0 | Risk factors for osteomyelitis | DoD SSI (Surgical Site Infections) | An approach that is useful in classifying the risk factors for the development of acute osteomyelitis is the same as one commonly employed to discuss the mechanisms responsible for pathogenesis: hematogenous dissemination, direct inoculation, and contiguous spread from an adjacent area of soft tissue infection. Acute h... |
0 | Sensitivity and specificity of clinical examination, magnetic resonance imaging and arthroscopy in the diagnosis of chronic knee joint injury | AMP (Acute Meniscal Pathology) | Objective: To compare the accuracy of clinical examination and magnetic resonance imaging (MRI) findings versus arthroscopy findings in chronic knee injuries. Methods: During the years 2003 to 2007, we evaluated 60 patients (58 male,2 female) with an average age of 28.5 years ( range 17 to 52 years ) with chronic knee ... |
0 | SOR cutaneous melanoma | Reconstruction After Skin Cancer | Cutaneous melanoma is a highly malignant tumour. The incidence has increased dramatically over the last few decades and is now estimated at between 45000 new cases per year in France. The term naevus, unless otherwise specified, refers to an acquired or congenital benign melanocytic tumour (commonly known as a naevus, ... |
0 | The Impact of the COVID-19 Pandemic on the Radiology Research Enterprise: Radiology Scientific Expert Panel | Coronavirus Disease 2019 (COVID-19) | The current COVID-19 crisis continues to grow and has resulted in marked changes to clinical operations. In parallel with clinical preparedness, universities have shut down the majority of scientific research activities. Radiology researchers are currently grappling with these challenges that will continue to affect cu... |
0 | Algorithm for establishing the indication for knee arthroscopy in children: a comparison of adolescent and preadolescent children | AMP (Acute Meniscal Pathology) | The aim of this study was to select children with pathological lesions of the intra-articular structures from children with identical complaints but with no pathological intra-articular changes. The younger the child, the more difficult it is to make the diagnosis, and the expected distribution of pathology changes inc... |
0 | Twenty-year evaluation of meniscal bearing and rotating platform knee replacements | Surgical Management of Osteoarthritis of the Knee CPG | Clinical results of the initial cemented and cementless series of 373 New Jersey Low Contact Stress total knee replacements in 282 patients surviving at least 10 years were analyzed using a strict knee scoring scale. The study showed excellent, good, fair, or poor results in 68.1%, 29.8%, 2.1%, or 0% of primary posteri... |
0 | Median nerve compression in the proximal forearm | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Thirty-nine limbs in 36 patients underwent surgical decompression of the median nerve in the proximal forearm. Seventeen patients with 19 limbs had prior ipsilateral carpal tunnel releases, and 24 had workers' compensation claims related to heavy labor or repetitive tasks. The most common presenting complaints were par... |
1 | Predictability of salvage and outcome of Gustilo and Anderson type-IIIA and type-IIIB open tibial fractures using Ganga Hospital Scoring system | DoD LSA (Limb Salvage vs Amputation) | Although numerous scoring systems are designed for lower limb open injuries, most of them are based on orthopaedic and vascular injuries and can define only an amputation score. These scoring system lack specificity and sensitivity in predicting the salvage and outcome. Ganga Hospital Scoring system was found to have g... |
0 | Posttraumatic stress disorder six months after an earthquake: findings from a community sample in a rural region in Italy | DoD PRF (Psychosocial RF) | BACKGROUND AND AIMS: Various studies assessed rates of post-traumatic stress disorder (PTSD) following natural disasters including earthquakes. Yet, samples were often non-representative or small or both. This study aims to assess the prevalence of PTSD and predictors of PTSD 6 months after an earthquake in a rural reg... |
0 | Acute carpal tunnel syndrome produced by anomalous flexor digitorum superficialis indicis muscle | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A 23 year old female nurse developed acute sensory symptoms of median nerve compression. Early exploration revealed abnormal flexor superficialis indicis muscle as the compressing structure. Symptoms were relieved by freeing the muscle from the nerve |
0 | Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: A systematic review | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This systematic review aims to identify and review the best available evidence to answer the clinical question 'What are the incidence and the factors influencing the development of osteoradionecrosis after tooth extraction in irradiated patients?'. A systematic review of published articles on post-irradiation extracti... |
0 | Effects of qigong exercise on upper limb lymphedema and blood flow in survivors of breast cancer: A pilot study | Pediatric Supracondylar Humerus Fracture 2020 Review | Hypothesis. Qigong exercise is a popular method for relieving the side effects of conventional cancer treatments in survivors of breast cancer, yet its effects are not empirically assessed. This study aimed to investigate the effects of qigong exercise on upper limb lymphedema, arterial resistance, and blood flow veloc... |
0 | Dental implications of narcotic addiction | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The nature of dental problems peculiar to narcotic addicts is discussed. A high caries rate and severe periodontal disease are common and can be attributed to a combination of dietary considerations and oral neglect. Loss of customary accompanying analgesia may complicate an attempted withdrawal programme. An approach ... |
0 | Fatal massive adrenal hemorrhage after bilateral total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Adrenal hemorrhage can occur in association with postoperative stress, trauma, myocardial infarction, infection, and chronic medical illness. Other risk factors for the development of spontaneous adrenal hemorrhage include a thromboembolic state and anticoagulation therapy, although it has rarely been observed followin... |
0 | Failed unicompartmental knee replacement to total knee replacement conversion: Can you achieve a primary outcome? | PJI DX Updated Search | This review provides an overview of aetiology, diagnosis and management of failed UKRs and highlights key aspects of the decision making process and operative technique to ensure satisfactory outcome after UKR revision surgery.With correct diagnosis and management, in the majority of revision UKR cases outcome similar ... |
1 | COVID-19 infection and diffusion among the healthcare workforce in a large university-hospital in northwest Italy | Coronavirus Disease 2019 (COVID-19) | Backgroud: Since the beginning of the coronavirus disease 2019 (COVID-19) outbreak, healthcare workers (HCWs) have been the workers most likely to contract the disease. Intensive focus is therefore needed on hospital strategies that minimize exposure and diffusion, confer protection and facilitate early detection and i... |
1 | Fine needle aspiration in infected hip replacements | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Ninety painful prosthetic hips from 88 consecutive patients underwent fine needle aspiration and the results compared with clinical progress, operative findings and culture. Fourteen of the 15 cases proven to be infected at operation were correctly identified by fine-needle aspiration. The one hip with a false negative... |
0 | Mediated effects of physical risk factors, leaderâ??member exchange and empowerment in predicting perceived injury risk | DoD PRF (Psychosocial RF) | In the context of conservation of resources theory, we examine the indirect (mediated) effects of physical risk factors, leaderâ??member exchange (LMX) and empowerment on perceived injury risk in a heterogeneous sample (N = 226) of individuals employed in occupations related to production, construction and installation... |
0 | Clinical outcomes in the revision of unicondylar arthoplasties to bicondylar arthroplasties. A matched-pair study | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: The aim of the following study was to find out how much a previously implanted unicondylar prosthesis affects the clinical and functional outcome of a total knee arthroplasty in case of revision surgery. MATERIALS AND METHODS: A matched-pair comparative analysis was performed on 28 patients (group A) who ... |
0 | Controversies in the management of intra-articular fractures of distal humerus in adults | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: The surgical approach, type of olecranon osteotomy, method of stabilization of osteotomy, type of fracture stabilization, orthogonal vs parallel plate fixation, need for transposition of ulnar nerve, place for primary total elbow replacement, and type of rehabilitation schedule after surgical fracture treat... |
0 | Latissimus dorsi tendon transfer for irreparable postero-superior cuff tears: current concepts, indications, and recent advances | Glenohumeral Joint OA | Latissimus dorsi tendon transfer is a method for surgical treatment of massive irreparable posterosuperior cuff tears. It partially restores active anteflexion, external rotation, and function of the shoulder but does not significantly increase strength of the shoulder. It is contraindicated in case of pseudoparalytic ... |
0 | Evolution in Management of Tibial Pilon Fractures | DoD SSI (Surgical Site Infections) | PURPOSE OF REVIEW: Tibial plafond, or pilon, fractures can be some of the most difficult fractures to manage. As they are often associated with high-energy trauma, both the soft tissue involvement and the comminuted fracture pattern pose challenges to fixation. Furthermore, the complex anatomy and trauma to the cartila... |
0 | Dialysis-related amyloidosis revisited | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Dialysis-related amyloidosis occurs secondarily to the deposition of beta(2)-microglobulin. Dialysis-related amyloidosis predominantly involves the osteoarticular system and is clinically manifested by erosive and destructive osteoarthropathies, destructive spondyloarthropathy, and carpal tunnel syndrome. Th... |
1 | The diagnostic validity of magnetic resonance imaging in acute knee injuries with hemarthrosis. A single-blinded evaluation in 69 patients using high-field MRI before arthroscopy | Anterior Cruciate Ligament Injuries CPG | Sixty-nine patients with traumatic knee hemarthrosis were evaluated an average of 3 days after trauma by high field (1.5T) magnetic resonance imaging (MRI) using sagittal T1, T2-weighted and coronal 3D-gradient echo images. All knees were arthroscopically examined shortly afterwards. The diagnostic validity of MRI for ... |
1 | Value of modern sonography in the assessment of meniscal lesions | AMP (Acute Meniscal Pathology) | The aim of this prospective study was to assess the accuracy of modern ultrasonography in diagnostic imaging of meniscal tears. One hundred and sixty menisci were evaluated in 80 patients (42 females, 38 males, mean age=36.2 years, range=16-70 years). Inclusion criteria for the study were twofold: clinical suspicion of... |
0 | Clinical and electrophysiological presentation of pronator syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Median neuropathy at the elbow (pronator syndrome [PS]) is rare compared to compression at the wrist. We sought to evaluate the clinical/electrophysiological parameters of this focal neuropathy. Between 1992 and 2002, we retrospectively reviewed records of eighty-three limbs in seventy-two patients with PS. Electrodiag... |
0 | Reconstructing facial contour deformities using stereoscopic thoracodorsal artery perforator adipofascial flaps | Panniculectomy & Abdominoplasty CPG | Purpose: Correcting facial contour deformities is a challenge, as it demands thoughtful planning on design, composition of flap, and secondary procedures. The thoracodorsal artery perforator (TDAP) flap has become a workhorse flap for various reconstructions. In this report, we present our experience of reconstructing ... |
0 | Design of a Clinical Decision Support System for Fracture Prediction Using Imbalanced Dataset | Hip Fx in the Elderly 2019 | More than 1 billion people suffer from chronic respiratory diseases worldwide, accounting for more than 4 million deaths annually. Inhaled corticosteroid is a popular medication for treating chronic respiratory diseases. Its side effects include decreased bone mineral density and osteoporosis. The aims of this study ar... |
0 | A Randomized Clinical Trial Comparing Posterior Cruciate-Stabilizing vs Posterior Cruciate-Retaining Prostheses in Primary Total Knee Arthroplasty: 10-Year Follow-Up | PJI DX Updated Search | BACKGROUND: This 10-year follow-up compares health-related quality of life (HRQL) and reoperations in 100 subjects who were randomized to receive posterior cruciate ligament substituting (PS) or posterior cruciate ligament retaining (CR) total knee arthroplasty. We previously reported 2-year results. METHODS: Subjects ... |
1 | Comparative study on proximal femur locking plate and proximal femoral nail anti-rotation II in treating intertrochanteric fracture in the elderly | Hip Fx in the Elderly 2019 | Objective: To compare and analyse retrospectively the clinical effect of Proximal Femoral Nail AntiRotation II (PFNA-II) and Proximal Femur Locking Plate (PFLP) for the treatment of intertrochanteric fracture in the elderly. Methods: A total of 161 elderly patients with intertrochanteric fracture, who underwent either ... |
0 | Early results of displaced femoral neck fragility fractures treated with supercapsular percutaneous-assisted total hip arthroplasty | Hip Fx in the Elderly 2019 | Background: Total hip arthroplasty (THA) is the preferred treatment for displaced femoral neck fractures in select patients, although dislocation remains a concern. In some studies, the supercapsular percutaneously assisted (SuperPATH) approach has demonstrated early mobilization, short hospital stay, and low dislocati... |
0 | A comparison of intraarticular morphine and bupivacaine for pain control and outpatient status after an arthroscopic knee surgery under a low dose of spinal anaesthesia | Surgical Management of Osteoarthritis of the Knee CPG | Effective pain control is important after an outpatient arthroscopic knee surgery to permit early discharge and improve outcome. The aim of this study was to compare intraarticular morphine and bupivacaine with placebo for postoperative pain control and outpatient status after a knee arthroscopic surgery under a low do... |
0 | Osteoarthritis management: the role of cyclooxygenase-2-selective inhibitors | SR for PM on OA of All Extremities | BACKGROUND: Cyclooxygenase (COX)-2-selective inhibitors are a new type of nonsteroidal anti-inflammatory drug (NSAID) for the management of pain caused by osteoarthritis (OA). The most recent OA guidelines from the American College of Rheumatology were published in 2000 because new therapies such as the COX-2-selective... |
0 | Managing perioperative risk in the hip fracture patient | Management of Hip Fractures in the Elderly | Patients with hip fracture benefit from a multidisciplinary team approach for preoperative and postoperative care. Team members, consisting of the orthopedic surgeon, internal medicine consultant, and anesthesiologist, should each have a role in determining a patient's readiness for surgery and communicate with one ano... |
0 | Internal fixation of garden i and II femoral neck fractures: Posterior tilt did not influence the reoperation rate in 382 consecutive hips followed for a minimum of 5 years | DoD SSI (Surgical Site Infections) | OBJECTIVE: To analyze factors influencing the reoperation rate due to fracture healing complications after internal fixation of Garden I and II femoral neck fractures with special reference to a new validated method assessing the preoperative posterior tilt on lateral radiographs. DESIGN: Prospective cohort study. SETT... |
0 | Ultrasound evaluation of elbow fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: Elbow fractures are a common pathology in any pediatric emergency unit. X-ray of the elbow is the standard diagnostic procedure. Previous studies have shown that fractures can also be visualized by ultrasound (US). The aim of our study was to evaluate the diagnostic accuracy of US in comparison to X-rays in di... |
1 | Functional Outcomes From Inpatient Rehabilitation After Traumatic Brain Injury: How Do Hispanics Fare? | DoD PRF (Psychosocial RF) | Arango-Lasprilla JC, Rosenthal M, DeLuca J, Cifu DX, Hanks R, Komaroff E. Functional outcomes from inpatient rehabilitation after traumatic brain injury: how do Hispanics fare? Objective: To examine the relation between Hispanic ethnicity and rehabilitation outcome in traumatic brain injury (TBI) survivors. Design: Ret... |
0 | Calcitonin as a marker for bronchogenic cancer: a prospective study | MSTS 2018 - Femur Mets and MM | A prospective study was done of serum calcitonin (HCT) levels in 61 patients with bronchogenic cancer. Initially, 52% of patients had hypercalcitonemia. Hypercalcitonemia was not confined to patients with any particular histologic type. Seventy-eight percent of those with high calcitonin remained normocalcemic. There w... |
0 | A novel approach of INTRABEAM intraoperative radiotherapy for nipple-sparing mastectomy with breast reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Despite the advancement and increasing use of breast-conserving surgery, mastectomies, including nipple-sparing mastectomy (NSM), are still carried out in a portion of breast cancer patients. However, the role of NSM is still controversial, mainly because of concern about the oncologic safety of the nipple-... |
0 | Patient Characteristics, Treatment, and Presenting PROMIS Scores Associated with Number of Office Visits for Traumatic Hand and Wrist Conditions | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Overuse of healthcare resources is burdensome on society. Prior research has demonstrated that many patients with traumatic musculoskeletal injuries continue to seek care long after appropriate healing is well established, suggesting an overuse of services. However, few studies have examined the factors-inc... |
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