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Superior Improvements in Knee Pain and Function with a Novel Synthetic Medial Meniscus Replacement Prosthesis Compared to Non-surgical Care in Subjects with Knee Pain Following Partial Meniscectomy: three-year Results from Two Prospective US Clinical Trials
AMP (Acute Meniscal Pathology)
Objectives: Results from 2 FDA-regulated clinical trials demonstrate superiority of a synthetic medial meniscus prosthesis to non-surgical care in treating persistent or recurrent knee pain following previous partial meniscectomy. Arthroscopic partial meniscectomy (APM) is the most common surgical treatment for symptom...
0
Surgical treatment of early knee osteoarthritis with a cell-free osteochondral scaffold: results at 24 months of follow-up
AMP (Acute Meniscal Pathology)
PURPOSE: "Early Osteoarthritis (EOA)" has been defined combining clinical, imaging and surgical parameters, with the aim to identify patients in early degenerative phases, who might benefit from the use of available regenerative procedures. Aim of this first clinical trial is to prospectively evaluate the results obtai...
0
Fixation of Vancouver B1 peri-prosthetic fractures by broad metal plates without the application of strut allografts
HipFx Supplemental Cost Analysis
The use of allograft struts and cerclage wire, possibly augmented by plate fixation, for the treatment of Vancouver type-B1 peri-prosthetic fractures around a total hip replacement has been strongly advocated. We examined our results using plate fixation without allograft struts and compared them with the results of th...
1
Comparison of Minimally Invasive Total Hip Arthroplasty versus Conventional Hemiarthroplasty for Displaced Femoral Neck Fractures in Active Elderly Patients
Hip Fx in the Elderly 2019
Fractures of the femoral neck in elderly patients can be treated by internal fixation, hemiarthroplasty, or total hip arthroplasty (THA), and the treatment modality used should be determined on the basis of considerations of the degree of fracture displacement, age, functional demands, and the risk factors for surgery ...
1
Carpal tunnel syndrome in women undergoing reduction mammaplasty
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Women with mammary hypertrophy who present for reduction mammaplasty have several well-described musculoskeletal complaints, but a high prevalence of carpal tunnel syndrome has not been reported. We identified 151 patients from a plastic surgery practice who underwent reduction mammaplasty from 1994 to 1996. To this gr...
0
Admission Norton scale scores (ANSS) correlate with rehabilitation outcome and length in elderly patients following hip arthroplasty
Management of Hip Fractures in the Elderly
We sought to determine if ANSS used for evaluating pressure sore risk also correlate with rehabilitation outcome and length following hip arthroplasty in elderly patients. This was a retrospective study conducted in a geriatric rehabilitation department during 2009. ANSS, admission albumin serum levels, mini-mental sta...
1
Clinical and electrophysiological follow-up after local steroid injection in the carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: Local steroid injections are used for treatment for the carpal tunnel syndrome (CTS). Study of changes in neurophysiological parameters after such treatment for idiopathic CTS might be a supportive argument for the effectiveness of steroid treatment. METHODS: Twenty-one patients with CTS were included and ev...
0
Ultrasound of the Knee in Obese Patients With Knee Osteoarthritis; Weight Loss
OAK 3 - Non-arthroplasty tx of OAK
This is a substudy to a randomised trial investigating the effect of liraglutide on body weight and pain in overweight or obese patients with knee osteoarthritis (NCT02905864). In the parent trial, patients will be subjected to an 8�week diet intervention phase including a low�calorie diet and dietetic counseling, ...
0
Periprosthetic joint infections treated with two-stage revision over 14 years: an evolving microbiology profile
PJI DX Updated Search
Late periprosthetic joint infection (PJI) occurs in 0.3%-1.7% of total hip arthroplasties (THAs) and 0.8%-1.9% of total knee arthroplasties (TKAs). Surgical debridement, explant, and appropriate antibiotics are imperative for successful treatment. We analyzed organisms from PJIs at one institution for temporal trends o...
0
The experience of emotional wellbeing for patients with physical injury: A qualitative follow-up study
DoD PRF (Psychosocial RF)
INTRODUCTION: Traumatic physical injury is abrupt, painful, debilitating, costly and life-altering. The experience of emotional wellbeing following traumatic physical injury has not been well investigated, and the role of health services and how services can support the emotional recovery of injured patients has not be...
0
Lack of extended venous thromboembolism prophylaxis in high-risk patients undergoing major orthopaedic or major cancer surgery. Electronic Assessment of VTE Prophylaxis in High-Risk Surgical Patients at Discharge from Swiss Hospitals (ESSENTIAL)
Management of Hip Fractures in the Elderly
Extended pharmacological venous thromboembolism (VTE) prophylaxis beyond discharge is recommended for patients undergoing high-risk surgery. We prospectively investigated prophylaxis in 1,046 consecutive patients undergoing major orthopaedic (70%) or major cancer surgery (30%) in 14 Swiss hospitals. Appropriate in-hosp...
1
Pain control after total knee arthroplasty: a randomized trial comparing local infiltration anesthesia and continuous femoral block
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND AND PURPOSE: Pain after total knee arthroplasty (TKA) is usually severe, and epidural analgesia or femoral nerve block has been considered to be an effective pain treatment. Recently, local infiltration analgesia (LIA) has become increasingly popular but the outcome of this method regarding the analgesic eff...
0
Mid-term outcomes of primary constrained condylar knee arthroplasty for severe knee deformity
PJI DX Updated Search
This study aimed to examine the clinical and radiographic outcomes of primary total knee arthroplasy (TKA) with use of NexGen(R) Legacy(R) Constrained Condylar Knee (CCK) prosthesis for severe knee deformity. Clinical data of 46 patients (48 knees in total, aged 61 years on average) with severe knee deformity who under...
1
> 10-year outcome of dislocated radial fractures with concomitant intracarpal lesions as proven by MRI and CT
Distal Radius Fractures
To clarify the role of concomitant carpal lesions in dislocated distal radius fractures (DRF), 104 consecutive patients with DRF underwent a preoperative morphological examination using CT and MRI. The study was performed between 2004 and 2006 with the aim of recording all types of concomitant carpal lesions as well as...
1
Clinical outcome following treatment of stable and unstable intertrochanteric fractures with dynamic hip screw
Hip Fx in the Elderly 2019
Introduction: Intertrochanteric (IT) fractures are associated with significant morbidity and mortality in the elderly population. We aim to compare the clinical outcome of unstable with stable IT fractures after treatment with dynamic hip screw (DHS). Materials and Methods: Patients with IT fractures treated with DHS a...
1
Clinical utility of the flick maneuver in diagnosing carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: To determine the utility of the flick maneuver (flicking motion of hands and wrists when most symptomatic) in the clinical evaluation of carpal tunnel syndrome (CTS). DESIGN: Review of standardized data collection on 142 subjects referred for electrodiagnostic evaluation of possible CTS at a university hospi...
0
Decreased bone mineral density in men with metabolic syndrome alone and with type 2 diabetes
Management of Hip Fractures in the Elderly
Background: Metabolic syndrome is associated with decreased physical activity and increased incidence of diabetes. Bone Mineral density (BMD) is positively associated with physical activity. Lower BMD is a risk factor for bone fractures. Whether subjects with metabolic syndrome alone show early signs of lower BMD and o...
0
Joint infection after knee arthroscopy: medicolegal aspects
AMP (Acute Meniscal Pathology)
INTRODUCTION: Septic knee arthritis following arthroscopy is a rare but dreaded complication: it might compromise patients' functional prognosis and engage surgeon's liability. This study analyzes the context of such infection occurrences, their management as well as their medicolegal consequences. PATIENTS AND METHODS...
1
Relationship between CTX-II and patient characteristics, patient-reported outcome, muscle strength, and rehabilitation in patients with a focal cartilage lesion of the knee: a prospective exploratory cohort study of 48 patients
Osteochondritis Dissecans 2020 Review
BACKGROUND: C-telopeptide fragments of type II collagen (CTX-II) are created during articular cartilage breakdown and CTX-II is considered useful as a biomarker of osteoarthritis. The primary objective of the present study was to explore the relationship between urinary CTX-II concentration and patient characteristics,...
0
Preclinical models of bone metastases
MSTS 2018 - Femur Mets and MM
The clinical use of bisphosphonates for the management of bone metastases in malignant disease is well established, though the precise pathophysiology of metastasis and the mechanism of action of bisphosphonates is not fully understood. In addition, recent clinical studies indicate that bisphosphonates may have an anti...
1
Internal fixation of femoral neck fracture. No difference between the Rydell four-flanged nail and Gouffon's pins
Management of Hip Fractures in the Elderly
Two methods of internal fixation of femoral neck fractures were compared in a prospective randomized study of 223 patients. Radiographic evidence of early redisplacement, nonunion, or late segmental collapse occurred in 45 of 122 patients operated on with the Rydell four-flanged hook nail and in 33 of 101 patients oper...
0
Which diabetic patients should receive podiatry care? An objective analysis
DoD LSA (Limb Salvage vs Amputation)
INTRODUCTION: Diabetes is the leading cause of lower limb amputation in Australia. However, due to limited resources, it is not feasible for everyone with diabetes to access podiatry care, and some objective guidelines of who should receive podiatry is required. METHODS: A total of 250 patients with neuropathy (Biothes...
0
Juvenile osteochondritis dissecans
Diagnosis and Treatment of Osteochondritis Dissecans AUC
JOCD has better potential for healing than adult OCD, but several series have shown up to a 50% failure to heal with nonsurgical techniques. JOCD poses a therapeutic dilemma for the pediatric sports specialist because the healing potential is unpredictable at the disease onset. There are no controlled prospective studi...
0
Venous thromboembolism in plastic surgery patients: Survey results of plastic surgeons
Reduction Mammoplasty for Female Breast Hypertrophy
Background: Recommendations for venous thromboembolism (VTE) prophylaxis have been published in the plastic surgery literature. However, no comprehensive survey of the overall incidence of VTE among plastic surgery patients has been undertaken. Objective: This study was performed to determine the incidence of VTE in pl...
0
Estimating risk in Medicare patients with THA: an electronic risk calculator for periprosthetic joint infection and mortality
PJI DX Updated Search
BACKGROUND: Although risk factors for periprosthetic joint infection (PJI) and mortality after total hip arthroplasty (THA) have been identified, interactions between specific patient risk factors are poorly understood. Therefore, it is difficult for surgeons to counsel patients on their individual risk of PJI or morta...
1
Revision anterior cruciate ligament reconstruction with hamstring tendon autograft: 5- to 9-year follow-up
Anterior Cruciate Ligament Injuries CPG
BACKGROUND: The results of revision anterior cruciate ligament reconstruction are limited in the current literature, and no studies have previously documented the outcome of revision anterior cruciate ligament reconstruction using solely hamstring tendon grafts. HYPOTHESIS: Revision anterior cruciate ligament reconstru...
0
Midterm outcomes of sleeve gastrectomy in the elderly
Panniculectomy & Abdominoplasty CPG
Background: The increase in life expectancy presents health systems with a growing challenge in the form of elderly obesity. Bariatric surgery has been shown to be a safe and effective treatment for obesity with reduction of excess weight and improvement in obesity-related co-morbidities. However, only recently have su...
0
Expression and function of EZH2 in synovial fibroblasts: epigenetic repression of the Wnt inhibitor SFRP1 in rheumatoid arthritis
TO: WNT2 Pathway Modulator
OBJECTIVES: To study the expression, regulation and function of the histone methyltransferase enhancer of zeste homologue 2 (EZH2) in synovial fibroblasts (SF) from patients with rheumatoid arthritis (RA) and osteoarthritis (OA). METHODS: SF were obtained from RA and OA patients undergoing joint surgery. Expression lev...
0
Topical revitalization of body skin
Panniculectomy & Abdominoplasty CPG
Topical treatments for the body are beneficial for photoageing as well as for specific disease processes, such as scars or striae. Every patient should topically apply photoprotectants in order to prevent photodamage to the skin. Tretinoin can improve body skin and has a documented use in striae. α-Hydroxy acids can r...
1
The Effect of Upper Aging Blepharoplasty on Upper and Lower Eyelid Position
Upper Eyelid and Brow Surgery
PURPOSE: Change in eyelid position after upper blepharoplasty is an important factor that can affect postoperative patient satisfaction. However, no one has investigated eyelid changes during follow-up for upper eyelid surgery. Thus, the purpose of this study was to investigate position changes in the upper and lower e...
0
NOS isoforms in adult human osteocytes: multiple pathways of NO regulation?
Management of Hip Fractures in the Elderly
Until now, eNOS has been considered to be the predominant osteocytic nitric oxide synthase (NOS) isoform in bone. We previously studied the distribution of eNOS protein expression in the human femoral neck because of its possible involvement in the response to load. Studies in rat and human fracture callus have shown t...
0
Thyroid dysfunction in the elderly
Management of Hip Fractures in the Elderly
Thyroid dysfunction is common in the general population, and mild or subclinical forms can be present in more than 10% of individuals aged >80 years. The diagnosis of abnormal thyroid hormone concentrations in people aged >60 years poses a challenge, as the clinical presentation of thyroid dysfunction is usually nonspe...
0
Effects of high dose raloxifene in selected patients with advanced breast carcinoma
MSTS 2018 - Femur Mets and MM
BACKGROUND: An earlier trial of raloxifene, conducted in women with metastatic breast carcinoma who initially had responded to tamoxifen and subsequently developed disease progression, suggested no antitumor activity for raloxifene in tamoxifen-refractory disease. However, preclinical studies and preliminary clinical d...
0
Internal decontamination of dental implants: an in vivo randomized microbiologic 6-month trial on the effects of a chlorhexidine gel
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Microbial penetration inside an implant's internal cavity results in a bacterial reservoir that has been associated with an area of inflamed connective tissue facing the fixture-abutment junction. The aim of the present clinical trial was to evaluate the effectiveness of a 1% chlorhexidine gel on the intern...
0
Investigation of nonspecific neurogenic thoracic outlet syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVE: To determine the value of investigations for nonspecific neurogenic thoracic outlet syndrome (NNTOS) and formulate a rational diagnostic approach. DESIGN: Retrospective review. SETTING: Thoracic surgery clinic. PATIENTS: Fifty-six patients referred with a presumptive diagnosis of NNTOS: Patients with arteria...
1
Effect of patient age on morphology of anterior cruciate ligament grafts at second-look arthroscopy
Anterior Cruciate Ligament Injuries CPG
PURPOSE: The purpose of this study was to evaluate the effect of patient age on the morphology of anterior cruciate ligament (ACL) graft after ACL reconstruction, as well as to investigate the relation between morphology and clinical outcomes. METHODS: Anatomic double-bundle ACL reconstruction by use of autogenous semi...
0
The role of disodium pamidronate in the management of bone pain due to malignancy
MSTS 2018 - Femur Mets and MM
A number of controlled studies have recently demonstrated the role of disodium pamidronate in the prevention of skeletal complications in patients with metastatic bone disease due to breast cancer and multiple myeloma. They have also shown that it relieves pain and is well tolerated. The aim of this open prospective st...
0
High-flex Posterior Cruciate-Retaining vs Posterior Cruciate-Substituting Designs in Simultaneous Bilateral Total Knee Arthroplasty. A Prospective, Randomized Study
Surgical Management of Osteoarthritis of the Knee CPG
The superiority between the posterior cruciate-retaining and the posterior cruciate-substituting designs still remains controversial. We performed a prospective, randomized control study for evaluation of the superiority of these designs. This study investigated 58 knees in 29 patients with simultaneous bilateral total...
1
Modified vertical abdominoplasty in the massive weight loss patient
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Patients with massive weight loss following bariatric surgery are now presenting in large numbers for body contouring. To achieve optimum cosmetic results in these patients, a comprehensive circumferential approach is usually required that includes the lateral thighs and buttocks. For a number of reasons, m...
0
A 3-year multi-institutional experience with the liposhaver
Panniculectomy & Abdominoplasty CPG
OBJECTIVE: To report a 3-year multi-institutional clinical experience with the liposhaver in facial plastic surgery. DESIGN: Nonrandomized, nonblinded, multi-institutional evaluation of the liposhaver in a clinical setting. INTERVENTIONS: Seventy-two patients who presented for facial plastic surgical procedures underwe...
0
Curative effect of knee arthroplasty on patients with osteoarthritis and analysis of long-term joint function of these patients
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: We aimed to explore the curative effect of knee arthroplasty on patients with osteoarthritis and analysis of their long-term joint function. METHODS: 96 cases of osteoarthritis patients, collected in our hospital from June 2010 to May 2011, were divided into control group and observation group (n=48, each g...
0
Case-control study on stiletto needle and Dichofenac Diethylammon for the treatment of knee osteoarthritis pain
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To investigate therapeutic effects of stiletto needle and Dichofenac Diethylammon in treating knee osteoarthritis pain at early and medium�term. METHODS: Sixty�seven patients with early and medium�term knee osteoarthritis were randomly divided into two groups, 34 cases in stiletto needle group (treatme...
0
Health and social status in patients with hip fractures and controls
Management of Hip Fractures in the Elderly
Six hundred and nine patients with hip fractures in Malmo, Sweden, were compared with a sex- and age-matched control group (609). The comparison showed that patients with hip fractures were more often institutionalized, had more home aid, walking aids, poorer eyesight and were slender. Furthermore, the hip-fracture gro...
0
Prediction of Mortality and Postoperative Complications using the Hip-Multidimensional Frailty Score in Elderly Patients with Hip Fracture
Hip Fx in the Elderly 2019
High mortality and dependent living after hip fracture pose a significant public health concern. Retrospective study was conducted with 481 hip fracture patients (>=65 years of age) undergoing surgery from March 2009 to May 2014. The Hip-MFS was calculated by Comprehensive Geriatric Assessment (CGA). The primary outcom...
0
Botryomycosis of the oral regions
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Botryomycosis is an unusual bacterial infection capable of producing chronic granulomatous inflammation and characterised by the production of distinctive grains formed by the interaction of the infective bacteria with the host tissues. The occurrence of this infection in a healthy individual generally results in local...
0
Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius
Distal Radius Fractures
PURPOSE: Despite the recent popularity of volar plating for dorsally displaced distal radius fractures there is a paucity of data documenting the results of this treatment method. The purpose of this study was to determine the functional outcome of patients treated with volar fixed-angle plating for dorsally displaced,...
0
Matrix-Applied Characterized Autologous Cultured Chondrocytes Versus Microfracture: Two-Year Follow-up of a Prospective Randomized Trial
PJI DX Updated Search
BACKGROUND: Randomized controlled trials studying the efficacy and safety of matrix-applied characterized autologous cultured chondrocytes (MACI) versus microfracture (MFX) for treating cartilage defects are limited. PURPOSE: To compare the clinical efficacy and safety of MACI versus MFX in the treatment of patients wi...
0
Lateral condylar humerus fractures: which ones should we fix?
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Lateral condyle fractures of the distal humerus are problematic whether displaced early or late. Operative intervention with closed reduction and percutaneous pinning or open reduction internal fixation are indicated for a malaligned articular surface and/or an unstable fracture. Intraoperative arthrograms can aid the ...
0
Late occurring clinical deep vein thrombosis in joint-operated patients
Management of Hip Fractures in the Elderly
In a prospective study of 4,840 patients, we determined the annual incidence of clinical deep vein thrombosis (DVT) in mobilized, discharged orthopedic-operated "high-risk" patients (hip replacement surgery, knee replacement surgery, nailed hip fracture) and assumed "low-risk" patients (diagnostic knee arthroscopy). In...
0
Effects of mud pack treatment on skin microcirculation
Glenohumeral Joint OA
OBJECTIVES: The objective of this study was to conduct a laser-Doppler flowmetry investigation of skin microcirculation changes induced by mud pack therapy. The magnitude of the changes, potential remote effects, and potential influence of mud pack thickness were studied. METHODS: Twenty female spa therapy patients age...
1
The clinical effect of platelet-rich plasma injections on symptomatic meniscal tears of the knee
AMP (Acute Meniscal Pathology)
This study aims to assess the clinical efficacy of intra-articular platelet-rich plasma injections in symptomatic meniscus tears of the knee. Forty one patients (12 males, 29 females; mean age 38.2±8.37 years; range 21 to 50 years) with meniscal tear included in the study. Lateral patellofemoral approach was used for i...
0
A double blind study of intranasal calcitonin for established postmenopausal osteoporosis
Management of Hip Fractures in the Elderly
Intranasal administration of calcitonin (CT) avoids the problem of daily injections in the long-term treatment of osteoporosis. We examined the effect of nasal CT on bone and calcium metabolism in postmenopausal osteoporotic women in a double-blind design. 46 women, 55-75 years in age, and in good general health were i...
0
Acetabular fractures converted to total hip arthroplasties in the elderly: how does function compare to primary total hip arthroplasty?
Hip Fx in the Elderly 2019
OBJECTIVES: Little data exist regarding the outcomes of total hip arthroplasty (THA) after acetabular fracture treatment failure. We hypothesize that these patients achieve a lower level of function than those who undergo primary THA for osteoarthritis (atraumatic). DESIGN: Retrospective review. Control group consisted...
0
Early intra-intensive care unit psychological intervention promotes recovery from post traumatic stress disorders, anxiety and depression symptoms in critically ill patients.[Erratum appears in Crit Care. 2011;15(2):418 Note: Trevisan, Monica [added]]
DoD PRF (Psychosocial RF)
INTRODUCTION: Critically ill patients who require intensive care unit (ICU) treatment may experience psychological distress with increasing development of psychological disorders and related morbidity. Our aim was to determine whether intra-ICU clinical psychologist interventions decrease the prevalence of anxiety, dep...
0
Impact of psychosocial job stress on non-fatal occupational injuries in small and medium-sized manufacturing enterprises
DoD PRF (Psychosocial RF)
BACKGROUND: Workers involved in manufacturing are known to comprise a high-risk population for occupational injury, and this risk is greater in small and medium-sized enterprises (SMEs). The purpose of this study was to examine the association between psychosocial job stress and occupational injuries among workers in S...
0
The headless bone scan: an uncommon manifestation of metastatic superscan in carcinoma of the prostate
MSTS 2018 - Femur Mets and MM
Five cases of metastatic prostatic carcinoma are presented. In each case, skeletal metastases were extensive, but the calvaria was not involved, resulting in a headless appearance. The mechanism for this scintigraphic manifestation is presented, and its value is emphasized.
0
Reaching an underserved population with a randomly assigned home safety intervention
DoD PRF (Psychosocial RF)
OBJECTIVE: To access an underserved, mobile segment of a monolingual Spanish speaking population and to improve maternal self efficacy for home safety behaviors using a culturally appropriate intervention. DESIGN: A pre- and post-test experimental design tested differences in maternal childhood injury health beliefs (M...
0
Multicenter, cross-sectional observational study of the impact of neuropathic pain on quality of life in cancer patients
MSTS 2022 - Metastatic Disease of the Humerus
Purpose: Neuropathic cancer pain (NCP) is a common and potentially debilitating symptom in cancer patients. We investigated the prevalence of NCP, as well as its management and association with QOL. Methods: Cancer patients with pain =1 on the visual analogue scale (VAS) were surveyed with the Douleur Neuropathique (DN...
0
Impact of Acellular Dermal Matrix on Postsurgical Wound Fluid Biomarkers in Prosthetic Breast Reconstruction
Acellular Dermal Matrix
BACKGROUND: Despite the widespread practice of using biologic scaffolds for soft tissue reinforcement over prosthetic implants, the impact of acellular dermal matrix (ADM) on surgical wound fluid biomarkers over the initial postoperative period after prosthetic breast reconstruction remains poorly understood. METHODS: ...
0
Efficacy and Safety of Tranexamic Acid for the Control of Surgical Bleeding in Patients Under Liposuction
Panniculectomy & Abdominoplasty CPG
Liposuction remains one of the most frequently performed cosmetic surgical procedures and its popularity is increasing every year. However, since its inception, justified concerns regarding patient safety have placed limits on the volume of fat that can be aspirated, influenced by hemodynamic fluctuations and blood los...
0
Primary total elbow arthroplasty
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Primary total elbow arthroplasty (TEA) is a challenging procedure for orthopedic surgeons. It is not performed as frequently as compared to hip or knee arthroplasty. The elbow is a nonweight-bearing joint; however, static loading can create forces up to three times the body weight and dynamic loading up to ...
0
Three monthly intravenous injections of ibandronate in the treatment of postmenopausal osteoporosis
Management of Hip Fractures in the Elderly
PURPOSE: Oral treatment of osteoporosis with bisphosphonates relies on compliance, the absorption being low and suppressed by simultaneous food intake. Intravenous (IV) treatment with an aminobisphosphonate, pamidronate (once every 3 months) was effective, but required infusions. Ibandronate, a new very potent aminobis...
0
Brief Trauma and Mental Health Assessments for Female Offenders in Addiction Treatment
DoD PRF (Psychosocial RF)
Increasing numbers of women in prison raise concerns about gender-specific problems and needs severity. Female offenders report higher trauma as well as mental and medical health complications than males, but large inmate populations and limited resources create challenges in administering proper diagnostic screening a...
0
Preoperative nerve blocks for hip fracture patients: a pilot randomized trial
Hip Fx in the Elderly 2019
Purpose: Hip fracture is common in older people; >95% are treated with surgery. Pain after hip fracture is substantial, but opioids are associated with significant adverse effects in older patients. Regional anesthesia may reduce opiiod use while providing adequate pain management. Our objective was to determine how pr...
0
Posterior Root Repair of Medial Meniscus Combined With Valgus Opening Wedge Tibial Osteotomy
AMP (Acute Meniscal Pathology)
The medial meniscal root tear, a particular meniscal injury at the level of its posterior bone insertion, leads to a loss of impact absorption and load distribution capacity, similar to total meniscectomy. Therefore, its repair is fundamental for knee joint longevity. This type of injury often occurs in middle-aged pat...
0
Attenuated synovial fluid ghrelin levels are linked with cartilage damage, meniscus injury, and clinical symptoms in patients with knee anterior cruciate ligament deficiency
AMP (Acute Meniscal Pathology)
BACKGROUND: The meniscus injury and post-traumatic knee osteoarthritis (PTOA) following anterior cruciate ligament (ACL) lesions often cause great burdens to patients. Ghrelin, a recently identified 28-amino-acid peptide, has been shown to inhibit inflammation and perform as a growth factor for chondrocyte. OBJECTIVE: ...
0
One-Year Outcomes of Total Meniscus Reconstruction Using a Novel Fiber-Reinforced Scaffold in an Ovine Model
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Meniscus injuries and resulting meniscectomies lead to joint deterioration, causing pain, discomfort, and instability. Tissue-engineered devices to replace the meniscus have not shown consistent success with regard to function, mechanical integrity, or protection of cartilage. PURPOSE: To evaluate a novel r...
0
Multicenter Outcomes After Hip Arthroscopy: Comparative Analysis of Patients Undergoing Concomitant Labral Repair and Ligamentum Teres Debridement Versus Isolated Labral Repair
AMP (Acute Meniscal Pathology)
Background: Increased attention has been directed toward the ligamentum teres (LT) and its association with acetabular coverage, labral pathology, and hip microinstability; however, few studies have evaluated whether LT pathology influences the rate of clinically significant outcome improvement after hip arthroscopy. P...
0
Percutaneous and limited open reduction of the articular surface of the distal radius
Distal Radius Fractures
Between 1979 and 1986, 40 patients with intraarticular fractures of the distal radius, in which anatomic reduction could not be obtained by closed manipulation or external fixation, underwent a combination of percutaneous and/or limited open reduction techniques to restore articular congruity. All 40 patients' radiogra...
0
What Is the Clinical Benefit of Common Orthopaedic Procedures as Assessed by the PROMIS Versus Other Validated Outcomes Tools?
AMP (Acute Meniscal Pathology)
BACKGROUND: Patient-reported outcome measures (PROMs), including the Patient-reported Outcomes Measurement Information System (PROMIS), are increasingly used to measure healthcare value. The minimum clinically important difference (MCID) is a metric that helps clinicians determine whether a statistically detectable imp...
0
The human breast cancer cell line IIB-BR-G has amplified c-myc and c-fos oncogenes in vitro and is spontaneously metastatic in vivo
MSTS 2018 - Femur Mets and MM
IIB-BR-G is an undifferentiated, highly heterogeneous, hormone receptor negative human breast cancer cell line previously established in our laboratory from a patient's primary tumor. An in vitro growing cell line (IIB-BR-G) and a xenotransplanted tumor growing in nude mice (IIB-BR-G(NUDE)) were derived. To further cha...
0
Liposclerosing myxofibrous tumour: a traumatized variant of fibrous dysplasia? Report of four cases and review of the literature
Management of Hip Fractures in the Elderly
AIMS: To describe the pathological and radiological features of four cases of liposclerosing myxofibrous tumour (LSMFT). LSMFT is a benign fibro-osseous lesion of bone with a marked predilection for the intertrochanteric region of the proximal femur. It is characterized by a complex mixture of histological elements inc...
1
Incidence and risks for surgical site infection after closed tibial plateau fractures in adults treated by open reduction and internal fixation: a prospective study
DoD SSI (Surgical Site Infections)
BACKGROUND: Surgical site infection (SSI) was the most common complication of tibial plateau fracture after open reduction and internal fixation (ORIF). Severe infections even required repeat surgeries, which would cause serious psychological harm to patients and increased the economic burden of treatment. In order to ...
0
Effect of the knee position during wound closure after total knee arthroplasty on early knee function recovery
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: This study investigated the effect of the knee position during wound closure on early knee function recovery after total knee arthroplasty (TKA). METHODS: This study included 80 primary total knee arthroplasties due to osteoarthritis. The patients were randomized according to the type of wound closure: exten...
0
The risk of infection of three synthetic materials used in rectopexy with or without colonic resection for rectal prolapse
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The incidence of infection was compared after the use of synthetic implants in abdominal rectopexy with (145 patients) and without (77 patients) synchronous colon resection. Three different materials were used, including polyvinyl alcohol (Ivalon) (n = 87), polyglactin (Vicryl) mesh (n = 109), and Gore-Tex (n = 26). In...
0
Endoscopic carpal tunnel release in selected rheumatoid patients
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Twenty endoscopic carpal tunnel releases were performed in 15 patients with quiescent seropositive rheumatoid arthritis using the Agee technique. Patients were not considered for endoscopic carpal tunnel release if there was florid synovitis with crepitus or loss of active finger flexion, if there was evidence of flexo...
0
Superficially invasive stage IA vulvar squamous cell carcinoma-therapy and prognosis
MSTS 2018 - Femur Mets and MM
OBJECTIVES: Superficially invasive stage IA squamous vulvar cancer (VSCC) is defined as a single lesion measuring <=2 cm with a depth of invasion of <=1.0 mm (FIGO stage IA). This article examines the natural course and prognosis of superficially invasive VSCC. METHODS: This is a retrospective case series of 46 patient...
0
Clinical evaluation of the Alta hip bolt in peritrochanteric hip fractures
Management of Hip Fractures in the Elderly
We reviewed the clinical and radiographic results of 58 patients with peritrochanteric fractures treated with the Alta hip bolt (a sliding compression device that inserts a dome plunger in the femoral head instead of a hip screw). This group was compared with a group of 53 patients treated with conventional hip screws....
0
Untreated ruptures of the anterior cruciate ligament. A follow-up study
AMP (Acute Meniscal Pathology)
Fifty patients (53 knees) with surgically verified ruptures of the anterior cruciate ligament were evaluated at an average of ten years after injury. There was a high incidence of anterior laxity, rotatory instability, and meniscal tears at follow-up. The roentgenographic incidence of osteoarthritis at follow-up was lo...
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Knotless Modified Arthroscopic-Broström Technique for Ankle Instability
AMP (Acute Meniscal Pathology)
Instability is a common sequela after repeated ankle sprains. When nonoperative treatment fails, open lateral ligament complex repair and reinforcement with the inferior extensor retinaculum has been the gold standard procedure. The recent advancements in arthroscopic techniques have created comparable biomechanical an...
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A new role for anandamide: defective link between the systemic and skin endocannabinoid systems in hypertrophic human wound healing
Panniculectomy & Abdominoplasty CPG
The use of cannabinoids to treat fibrotic skin diseases is an emergent issue. Therefore, we aimed to evaluate systemic and skin endocannabinoid responses in the wound-healing process in humans. A prospective study was performed in 50 patients who underwent body-contouring surgery. Anandamide (N-arachidonoylethanolamine...
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Breast reduction surgery in the UK and Ireland - current trends
Reduction Mammoplasty for Female Breast Hypertrophy
INTRODUCTION: This paper reviews the current status of bilateral breast reduction surgery in the UK and Ireland. It examines the pre-operative, operative and postoperative management of women. PATIENTS AND METHODS: A questionnaire established information about surgeons' experience, bilateral breast reduction work-load,...
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Comparison of proximal femoral nail antirotation blade and reverse less invasive stabilization system-distal femur systems in the treatment of proximal femoral fractures
Hip Fx in the Elderly 2019
OBJECTIVE: To compare the effects of proximal femoral nail antirotation blade (PFNA) and reverse less invasive stabilization system-distal femur (Liss-DF) systems in the treatment of proximal femoral fractures. METHODS: Between June 2007 and October 2009, 41 proximal femoral fractures were treated, 22 with PFNA (group ...
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The effectiveness of orthopedic patient education in improving patient outcomes: a systematic review protocol
OAK 3 - Non-arthroplasty tx of OAK
REVIEW OBJECTIVE: The objective of this review is to identify the effectiveness of patient education for orthopedic surgery patients. More specifically, the objectives are to identify the effectiveness of patient education on:length of staysatisfactionpain levelcost of carefunctional abilitiesknowledgeanxietyquality of...
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Patient blood management during the COVID-19 pandemic - a narrative review
Coronavirus Disease 2019 (COVID-19)
As COVID-19 disease escalates globally, optimising patient outcome during this catastrophic health care crisis is the number one priority. The principles of patient blood management are fundamental strategies to improve patient outcomes and should be given high priority in this crisis situation. The aim of this expert ...
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HIV -associated lipodystrophy: A review from a Brazilian perspective
Panniculectomy & Abdominoplasty CPG
The prognosis of human immunodeficiency virus (HIV)-infected individuals has dramatically improved worldwide since the introduction of highly antiretroviral therapy. Nevertheless, along with the decrease in mortality, several body modifications not initially related to HIV infection have been reported. Disorders in lip...
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Morphological changes of collagen fibrils in the subsynovial connective tissue in carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Pathologic changes occur commonly in the subsynovial connective tissue in patients with carpal tunnel syndrome. The purposes of this study were to investigate the ultrastructural changes of the subsynovial connective tissue in these patients and compare them with the findings in cadaver controls. METHODS: T...
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Traction radiographs in the diagnosis of chronic wrist pain
Distal Radius Fractures
A sensitive non-invasive diagnostic test for intrinsic ligament rupture in patients with chronic wrist pain has still to be found. Differential displacement of the scaphoid, lunate and triquetrum can in some instances be seen during arthroscopy of acute wrist injuries and also on overdistraction of distal radial fractu...
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Effect of Human Serum and 2 Different Types of Platelet Concentrates on Human Meniscus Cell Migration, Proliferation, and Matrix Formation
AMP (Acute Meniscal Pathology)
PURPOSE: To evaluate the effect of 10% human serum (HS), 5% platelet-rich plasma (PRP), and 5% autologous conditioned plasma (ACP) on migration, proliferation, and extracellular matrix (ECM) synthesis of human meniscus cells. METHODS: Cell migration and proliferation on stimulation with HS, PRP, and ACP were assessed b...
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Resilience characteristics mitigate tendency for harmful alcohol and illicit drug use in adults with a history of childhood abuse: a cross-sectional study of 2024 inner-city men and women
DoD PRF (Psychosocial RF)
Resilience refers to abilities to cope adaptively with adversity or trauma. A common psychological sequella of childhood abuse or other traumatic experiences is substance use problems. There are, however, very limited data on relationships among resilience traits, childhood abuse, and alcohol or drug use problems. Henc...
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Quantifying the Effects of Increasing Mechanical Stress on Knee Acoustical Emissions Using Unsupervised Graph Mining
AMP (Acute Meniscal Pathology)
In this paper, we investigate the effects of increasing mechanical stress on the knee joints by recording knee acoustical emissions and analyze them using an unsupervised graph mining algorithm. We placed miniature contact microphones on four different locations: on the lateral and medial sides of the patella and super...
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Examining Techniques for Treatment of Medial Meniscal Ramp Lesions During Anterior Cruciate Ligament Reconstruction: A Systematic Review
AMP (Acute Meniscal Pathology)
PURPOSE: The purpose of this study was to systematically review the clinical outcomes and adverse events among different techniques for treatment of medial meniscal ramp lesions performed in conjunction with anterior cruciate ligament (ACL) reconstruction. METHODS: A systematic review was performed using the Preferred ...
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Osteoarthritis: How to make optimal use of medications
AAHKS (4) Acetaminophen
Topical agents can provide temporary relief from osteoarthritis symptoms with little or no risk. Acetaminophen is first-line oral therapy. Be alert for risk factors for NSAID-induced GI toxicity, such as concurrent use of prescription and OTC agents. Tramadol, narcotic analgesics, muscle relaxants, and antidepressants ...
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Type-Ill supracondylar fracture humerus: Results of open reduction and internal fixation after failed closed reduction
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Objective: To evaluate short term results of open reduction and internal fixation after failed close reduction in Gartland Type III Supracondylar fracture of humerus in our institution. Patients and Methods: This prospective study was conducted at the Orthopedic Department of Khyber Teaching Hospital, Peshawar from Jan...
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Effect of exercises with weight vests and a patient education programme for women with osteopenia and a healed wrist fracture: a randomized, controlled trial of the OsteoACTIVE programme
Distal Radius Fractures
BACKGROUND: Exercise programmes have shown to be important for the prevention of fractures in patients with established osteoporosis. However, few studies have evaluated the effect of such programmes for women with low bone mineral density (BMD) (osteoporosis or osteopenia) who have already suffered a fracture. Studies...
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Probiotic prophylaxis in patients with predicted severe acute pancreatitis (PROPATRIA): design and rationale of a double-blind, placebo-controlled randomised multicenter trial [ISRCTN38327949]
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Infectious complications are the major cause of death in acute pancreatitis. Small bowel bacterial overgrowth and subsequent bacterial translocation are held responsible for the vast majority of these infections. Goal of this study is to determine whether selected probiotics are capable of preventing infect...
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A functional recovery score for elderly hip fracture patients: II. Validity and reliability
Management of Hip Fractures in the Elderly
OBJECTIVE: To assess predictive and discriminant validity and responsiveness of the Functional Recovery Score, a disease-specific health assessment tool. STUDY DESIGN: Prospective, consecutive. METHODS: Six hundred eighty-two elderly patients who sustained a hip fracture were prospectively followed and evaluated by usi...
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Cost-effectiveness of preventing hip fractures by hip protectors in elderly institutionalized residents in Germany
HipFx Supplemental Cost Analysis
OBJECTIVE: To determine the long-term cost-effectiveness of hip protector use in the prevention of hip fractures in elderly institutionalized residents in Germany compared to no prevention. METHODS: A lifetime Markov decision model was developed using published data on costs and health outcomes. A societal and statutor...
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The correlation of sagittal osteotomy inclination and the anteroposterior translation in medial open-wedge high tibial osteotomyâ??one of the causes affecting the patellofemoral joint?
OAK 3 - Non-arthroplasty tx of OAK
Purpose: For opening-wedge high tibial osteotomy, previous studies have shown that most osteotomies were anterior-inclined. The purpose of this study was to determine the effect of sagittal osteotomy inclination on the anteroposterior translation of osteomized fragments and discuss its possible impact on the patellofem...
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Opioid-free analgesia following total knee arthroplasty--a multimodal approach using continuous lumbar plexus (psoas compartment) block, acetaminophen, and ketorolac
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND AND OBJECTIVES: Traditionally, postoperative analgesia following total knee arthroplasty (TKA) has been provided by neuraxial or peripheral regional techniques with supplemental administration of opioids. We report an alternative method of postoperative pain management for patients undergoing TKA in whom the...