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0 | Resiliency among individuals with childhood sexual abuse and HIV: perspectives on addressing sexual trauma | DoD PRF (Psychosocial RF) | This study examined how resiliency (represented by optimism, social support, religiosity, and finding growth and meaning), within the context of perceived impact of sexual trauma and HIV-related stress, was linked to perspectives on addressing trauma among individuals (N=266) with HIV and childhood sexual abuse (CSA). ... |
0 | AFM-Nanomechanical Test: An Interdisciplinary Tool That Links the Understanding of Cartilage and Meniscus Biomechanics, Osteoarthritis Degeneration, and Tissue Engineering | AMP (Acute Meniscal Pathology) | Our objective is to provide an in-depth review of the recent technical advances of atomic force microscopy (AFM)-based nanomechanical tests and their contribution to a better understanding and diagnosis of osteoarthritis (OA), as well as the repair of tissues undergoing degeneration during OA progression. We first summ... |
0 | Reducing costly falls of total knee replacement patients | AAHKS (9/10) Regional Nerve Blocks | The objective of this study was to determine whether the use of a knee immobilizer brace reduces patient falls associated with the recent use of femoral nerve blocks for pain control after total knee arthroplasty (TKA). The authors conducted a retrospective study to investigate fall rates before and after the introduct... |
1 | Risk factors related to surgical site infection in orthopedic prosthesis surgery | DoD SSI (Surgical Site Infections) | Objective: to identify the risk factors for surgical site infections (SSI) in patients with surgical management fractures with internal fixation or prosthetic material. Materials and Methods: a cross-sectional study was conducted in a tertiary institution in Armenia-Colombia in 2008 and 2009 in 223 patients. Results: T... |
0 | Reliability and validity of the EQ-5D-5L compared to the EQ-5D-3L in patients with osteoarthritis referred for hip and knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To assess the test-retest reliability of the EQ-5D-5L (5L) and compare the validity of the 5L and EQ-5D-3L (3L) in osteoarthritis patients referred to an orthopaedic surgeon for total joint replacement. METHODS: We mailed questionnaires to 306 consecutive patients following referral and a second questionnaire ... |
0 | Clinical feasibility of simultaneous multislice acceleration in knee MRI | AMP (Acute Meniscal Pathology) | PURPOSE: To find the best simultaneous multislice (SMS) accelerated setting for clinical application in knee MRI.
MATERIAL AND METHODS: Thirty-three patients (mean age, 54 years; 21 women) who underwent knee MRI (conventional/SMS sequences) between June and October 2020 were enrolled. Two radiologists retrospectively e... |
0 | Rehabilitation (exercise and strength training) and osteoarthritis: A critical narrative review | OAK 3 - Non-arthroplasty tx of OAK | Rehabilitation is widely recommended in national and international guidelines for managing osteoarthritis (OA) in primary care settings. According to the 2014 OA Research Society International (OARSI) recommendations, rehabilitation is even considered the core treatment of OA and is recommended for all patients. Rehabi... |
0 | Multiple myeloma | MSTS 2018 - Femur Mets and MM | Multiple myeloma is characterised by clonal proliferation of malignant plasma cells, and mounting evidence indicates that the bone marrow microenvironment of tumour cells has a pivotal role in myeloma pathogenesis. This knowledge has already expanded treatment options for patients with multiple myeloma. Prototypic drug... |
0 | Prevention of Post-Traumatic Elbow Stiffness Using Botulinum Toxin | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Approximately 30% of all upper extremity fractures are elbow fractures. This may lead to elbow stiffness and heterotopic ossification resulting in limited range of motion which is a challenging problem. A sufficient functional arc of motion is stated for flexionâ?extension 130Ã?°â?30Ã?°â?0Ã?° and for ... |
1 | Mortality, morbidity, and psychosocial outcomes of persons spinal cord injured more than 20 years ago | DoD PRF (Psychosocial RF) | Mortality, morbidity, health, functional, and psychosocial outcomes were examined in 834 individuals with long term spinal cord injuries. All were treated at one of two British spinal injury centres: the National Spinal Injuries Centre at Stoke Mandeville Hospital or the Regional Spinal Injuries Centre in Southport; al... |
0 | Early periprosthetic femoral bone remodelling using different bearing material combinations in total hip arthroplasties: a prospective randomised study | Management of Hip Fractures in the Elderly | The present study was performed to test the hypothesis that different bearing materials have an impact on femoral bone remodelling within the first year after a total hip arthroplasty. A total of 225 patients with osteoarthrosis of the hip or avascular necrosis of the femoral head were included in this randomised prosp... |
1 | The biphasic bioresorbable scaffold (Trufit(®)) in the osteochondral knee lesions: long-term clinical and MRI assessment in 30 patients | Osteochondritis Dissecans 2020 Review | BACKGROUND: Chondral or osteochondral defects have been reported in 60-67 % of patients in studies reporting knee arthroscopies. The surgical management of chondral and osteochondral defects (OCD's) of the articular surface of the knee joint remains a controversial topic. Osteochondral injuries can be treated with tra... |
0 | Patient-related risk factors for periprosthetic joint infection and postoperative mortality following total hip arthroplasty in medicare patients | MSTS 2022 - Metastatic Disease of the Humerus | Background: The patient-related risk factors for periprosthetic joint infection and postoperative mortality in elderly patients undergoing total hip arthroplasty are poorly understood. The purpose of this study was to identify the specific patient comorbidities that are associated with an increased risk of periprosthet... |
0 | Parafoveal letter recognition at reduced contrast in normal aging and in patients with risk factors for AMD | Upper Eyelid and Brow Surgery | BACKGROUND: Patients with early age-related maculopathy (ARM) do not necessarily show obvious morphological signs or functional impairment. Many have good visual acuity, yet complain of decreased visual performance. The aim of this study was to investigate the aging effects on performance of parafoveal letter recogniti... |
0 | Primary Total Hip Arthroplasty for Charcot Arthropathy is Associated With High Complications but Improved Clinical Outcomes | Hip Fx in the Elderly 2019 | BACKGROUND: Neuropathic (Charcot) arthropathy of the hip is rare but can lead to joint destruction, bone loss, and dysfunction. While total hip arthroplasty (THA) may be considered a treatment option, only very limited data in the form of case reports are available on the results of THA. The goal of this study was to a... |
0 | Classification, clinical findings and operative treatment of degenerative and posttraumatic shoulder disease: what do we really need to know from an imaging report to establish a treatment strategy? | Glenohumeral Joint OA | Successful patient care involves interdisciplinary Cupertino. Images allow an interpretation of a static dimension, but may not be sufficient to develop a surgical treatment strategy, since many shoulder problems have its origin in a dynamic pathology. This article outlines dynamic clinical tests of shoulder pathology,... |
0 | Total knee arthroplasty in patients with stiff knees | PJI DX Updated Search | The purpose of this study was to evaluate the clinical outcome of total knee arthroplasty and analyze the prognostic factors in patients with stiff knees. Thirty-two patients (39 knees) with severe knee arthritis and an arc of motion of 50ð or less were treated by total knee arthroplasty. The mean follow-up period w... |
0 | Translation and cultural adaptation of the Brief Michigan Hand Questionnaire to Brazilian Portuguese language | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: The use of patient-reported outcome questionnaires is recommended in orthopedic studies. However, validated tools are necessary to ensure the comparability of results across different studies, centers, and countries. The Brief Michigan Hand Questionnaire (BMHQ) can be used for outcome measures in self-evaluati... |
0 | Hip arthroplasty in a patient with congenital pubic diastasis and bladder exstrophy | PJI DX Updated Search | We report a total hip arthroplasty performed for arthritis and osteonecrosis in a patient with congenital pubic diastasis and bladder exstrophy. A satisfactory outcome was achieved after appropriate consideration of the technical and biomechanical issues involved. é Wichtig Editore, 2009 |
0 | The Charnley stem: Clinical, radiological and survival data after 11-14 years | PJI DX Updated Search | Background: The Charnley stem provides good outcome for 10ÃÂ years, but several studies find deteriorating results thereafter. However, study populations, techniques and data analysis vary widely. We have studied 240 Charnley stems in a homogeneous group of patients providing clinical, radiological and survival data a... |
0 | Osteomyelitis following palatoplasty: A rare complication | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Objectives: Raise awareness of potential serious complications of oropharyngeal surgery such as osteomyelitis and discuss the role of perioperative antibiotics in such operations. Explore the events leading up to the development of osteomyelitis in a 13-month-old boy following palatoplasty. Discuss the role of perioper... |
0 | Local and systemic consequences of severe ischemia and reperfusion of the skeletal muscle. Physiopathology and prevention | DOD - Acute Comp Syndrome CPG | Revascularization of a limb after a severe and prolonged period of ischemia may be associated with high rates of mortality and amputation, because of the development of a postrevascularization syndrome, regardless the cause of occlusion (ischemia, trauma, iatrogenic) or the methods used to achieve reperfusion (fibrinol... |
0 | Neck rejuvenation | Panniculectomy & Abdominoplasty CPG | Rejuvenation of the neck is an important aspect of facial rejuvenation that is often overlooked. Careful evaluation of all aspects of the aging neck and the a proper assessment of the patient's needs and expectations are required to arrive at a desirable outcome. With advances in technology and a push for noninvasive, ... |
1 | Arthroscopically assisted treatment for Schatzker type I-V tibial plateau fractures | DoD SSI (Surgical Site Infections) | Objective: To report the clinical outcome of arthroscopically assisted treatment for tibial plateau fractures. Methods: A total of 39 patients with tibial plateau fractures were treated by arthroscopic fixation from February 2002 to December 2005, including 11 patients with bony avulsion of the anterior cruciate ligame... |
0 | Patients with drug-eluting stents and management of their anticoagulant therapy in cutaneous surgery | Reconstruction After Skin Cancer | Whether a patient has a drug-eluting stent (DES) implanted may not seem to be an immediate concern for a dermatologist. However, the clinician needs to consider a patient's risk of bleeding if a patient is to undergo a cutaneous surgical procedure. Patients with skin cancer are generally older with a higher risk of com... |
0 | Improvement in osteoporosis detection in a fracture liaison service with integration of a geriatric hip fracture care program | Hip Fx in the Elderly 2019 | INTRODUCTION: Care gaps have been identified in the treatment of osteoporosis after the occurrence of a fragility hip fracture. HiROC (High Risk Osteoporosis Clinic) is a fracture liaison service implemented at our institution. In ProvenCare geriatric hip fracture care program at our institution pre-set orders for the ... |
0 | Dissociation between the growing opioid demands and drug policy directions among the U.S. older adults with degenerative joint diseases | OAK 3 - Non-arthroplasty tx of OAK | We aim to examine temporal trends of orthopedic operations and opioid-related hospital stays among seniors in the nation and states of Oregon and Washington where marijuana legalization was accepted earlier than any others.As aging society advances in the United States (U.S.), orthopedic operations and opioid-related h... |
1 | Treatment outcomes of sorafenib for first line or cytokinerefractory advanced renal cell carcinoma in Japanese patients | MSTS 2018 - Femur Mets and MM | The objective of the present study was to document the treatment efficacy and safety of sorafenib in Japanese patients with advanced renal cell carcinoma (RCC). A retrospective analysis of 50 consecutive patients with metastatic RCC between January 2005 and December 2009 was carried out. Patients received sorafenib aft... |
0 | High Survivorship With Cementless Stems and Cortical Strut Allografts for Large Femoral Bone Defects in Revision THA | PJI DX Updated Search | BACKGROUND: Numerous studies have investigated the clinical and radiographic results of revision THAs with use of cementless stems and cortical strut allografts. However, to our knowledge, no long-term followup studies have evaluated patients undergoing revision THA with use of cortical strut allografts where the allog... |
1 | Do bone loss and reconstruction procedures differ at revision of cemented unicompartmental knee prostheses according to the use of metal-back or all-polyethylene tibial component? | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: Results of unicompartmental knee arthroplasty (UKA) revision are known but the severity of bone loss and the need for reconstruction are not detailed for different tibial implants. HYPOTHESIS: Metal-backing UKA revision exposes the patient to more severe tibial bone loss and requires more substantial reco... |
0 | Amyloid deposits in human knee and hip joints | Management of Hip Fractures in the Elderly | A systematic search for articular amyloidosis was carried out on both knees of 53 autopsy cases and on 26 femoral heads resected during surgery for hip prosthesis. Typical amyloid deposits exhibiting green apple birefringence following Congo red staining and thioflavin T fluorescence were found in 58.5% and 29% of the ... |
0 | Infective complications in tumour endoprostheses implanted after pathological fracture of the limbs | DoD PRF (Psychosocial RF) | Introduction Pathological fractures represent an adverse prognostic factor in primary and metastatic bone tumours. The purpose of this study was to evaluate the results of tumour silverâ?coated prosthesis implanted after pathological fractures. Materials and methods A retrospective analysis was conducted on 30 patient... |
0 | Interventions for treating proximal humeral fractures in adults | Pediatric Supracondylar Humerus Fracture 2020 Review | - Background Fracture of the proximal humerus, often termed shoulder fracture, is a common injury in older people. The management of these fractures varies widely. This is an update of a Cochrane Review first published in 2001 and last updated in 2012. Objectives To assess the effects (benefits and harms) of treatment ... |
0 | Peripheral Nerve Block as a Supplement to Light or Deep General Anesthesia in Elderly Patients Receiving Total Hip Arthroplasty | AAHKS (8) Anesthetic Infiltration | Background: Peripheral nerve block combined with general anesthesia is a preferable anesthesia method for elderly patients receiving hip arthroplasty. The depth of sedation may influence patient recovery. Therefore, we investigated the influence of peripheral nerve blockade and different intraoperative sedation levels ... |
0 | The relationship between obesity and fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | There has been very limited analysis of the relationship between obesity and fractures in the orthopaedic literature. It has been established for some years that underweight individuals are at greater risk of proximal femoral fractures but recently there has been interest in the susceptibility of obese post-menopausal ... |
0 | Isolation of adipose tissue derived regenerative cells from human subcutaneous tissue with or without the use of an enzymatic reagent | Panniculectomy & Abdominoplasty CPG | Freshly isolated, uncultured, autologous adipose derived regenerative cells (ADRCs) have emerged as a promising tool for regenerative cell therapy. The Transpose RT system (InGeneron, Inc., Houston, TX, USA) is a system for isolating ADRCs from adipose tissue, commercially available in Europe as a CE-marked medical dev... |
0 | Calciotropic hormones and markers of bone remodeling in age-related (type II) femoral neck osteoporosis: alterations consistent with secondary hyperparathyroidism-induced bone resorption | Management of Hip Fractures in the Elderly | BACKGROUND: Both a decrease in bone formation and the skeletal consequences of secondary hyperparathyroidism have been implied in the pathogenesis of age-related femoral neck osteoporosis. However, studies using biochemical indices of bone remodeling in hip fracture patients have yielded conflicting results. Similarly,... |
0 | Histopathology grading systems for characterisation of human knee osteoarthritis--reproducibility, variability, reliability, correlation, and validity | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To determine the reliability, reproducibility, variability and validity of the Osteoarthritis Cartilage Histopathology (OACH) assessment system and Mankin Histological-Histochemical Grading System (HHGS) when applied to the characterisation of the osteoarthritic human knee. METHOD: Osteoarthritic knees of 10... |
1 | Clinical benefit of intra-articular saline as a comparator in clinical trials of knee osteoarthritis treatments: A systematic review and meta-analysis of randomized trials | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Hyaluronic acid and corticosteroids are common intra-articular (IA) therapies widely used for the management of mild to moderate knee osteoarthritis (OA). Many trials evaluating the efficacy of IA administered therapies commonly use IA saline injections as a placebo comparator arm. Using a systematic review... |
0 | Meniscotibial ligament strains: a prospective survey | AMP (Acute Meniscal Pathology) | Medial knee pain is an increasingly common presentation in sports medicine practice. A prospective review was undertaken of 72 patients, mean age 48 years, seen in 1986-1987. The physical findings which were most diagnostic were a loss of some degrees of flexion which was painful medially when forced, and tenderness ov... |
0 | Efficacy of Radial Shockwave Therapy for Treatment of Pain in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | â? Prospective, placebo controlled randomized and doubleâ?blind study. â? Treatment Method: Radial extracorporeal shockwaves will be applied using the Swiss Dolorclast (EMS Electro Medical Systems, Switzerland), generated by pneumatic waves. Intervention: â? Group 1 â? Intervention group Patients will receive 2,00... |
0 | Antibiotic-Loaded MMT/PLL-Based Coating on the Surface of Endosseous Implants to Suppress Bacterial Infections | Dental Implant Infection | BACKGROUND: Bone infections remain one of the most common and serious complications of orthopedic surgery, posing a tremendous economic burden to society and patients. This is because bacteria colonize and multiply on the surface of the implant. The (MMT/PLL)8 multilayer films have been shown to effectively release ant... |
0 | Is manipulative therapy more effective than sham manipulation in adults?: A systematic review and meta-analysis | SR for PM on OA of All Extremities | Background: Manipulative therapy is widely used in the treatment of spinal disorders. Manipulative techniques are under debate because of the possibility of adverse events. To date, the efficacy of manipulations compared to sham manipulations is unclear. The purpose of the study is: to assess the efficacy of manipulati... |
0 | Surgery for femoroacetabular impingement using a minimally invasive anterolateral approach: analysis of 118 cases at 2.2-year follow-up | PJI DX Updated Search | INTRODUCTION: Treatment of femoroacetabular impingement (FAI) has progressed over time from using long incisions and dislocation to using arthroscopic surgery. Minimally invasive treatment has rarely been evaluated and a minimally invasive, anterolateral approach has not been used up to now for this indication. A prosp... |
0 | Pediatric Sports Injuries | Distal Radius Fractures | With increasing pediatric participation in organized sport and the early specialization of children in single sports, the number of injuries seen in the pediatric and adolescent athletic population continues to increase. Children experience acute traumatic injuries during practice and competition as well as chronic ove... |
0 | In vivo kinematics comparison of fixed- and mobile-bearing total knee arthroplasty during deep knee bending motion | OAK 3 - Non-arthroplasty tx of OAK | Purpose: The in vivo kinematics of fixed-bearing and mobile-bearing total knee prostheses remains unclear, particularly for knee flexion over 120°. The purpose of this study was to compare the in vivo kinematics of fixed-bearing and mobile-bearing posterior-stabilized prosthesis during deep knee bending with knee flex... |
0 | Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast | Distal Radius Fractures | In gymnastics, the wrist joint is subjected to repetitive loading in a weightbearing fashion. In this setting, chronic wrist pain is quite common. Because gymnasts ordinarily enter the sport at very young ages and train for several years before skeletal maturity is attained, the growth plates of the wrist are at risk f... |
0 | Fluvastatin Prevents Lung Adenocarcinoma Bone Metastasis by Triggering Autophagy | MSTS 2018 - Femur Mets and MM | Bone is one of the most preferred sites of metastasis in lung cancer. Currently, bisphosphonates and denosumab are major agents for controlling tumor-associated skeletal-related events (SREs). However, both bisphosphonates and denosumab significantly increase the risk for jaw osteonecrosis. Statins, 3-hydroxy-3-methylg... |
0 | Breast reduction trend among plastic surgeons: A national survey | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: A number of breast reduction techniques have been developed over the years, but debate over which technique is better for patients continues to grow. The authors' goal was to survey members of the American Society of Plastic Surgeons to identify their preferences and practices and report their opinion regar... |
0 | Compositional MRI techniques for evaluation of cartilage degeneration in osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA), a leading cause of disability, affects 27 million people in the United States and its prevalence is rising along with the rise in obesity. So far, biomechanical or behavioral interventions as well as attempts to develop disease-modifying OA drugs have been unsuccessful. This may be partly due to an... |
0 | The peril of order? IPV, injury, and order in Mongolian families | DoD PRF (Psychosocial RF) | Despite its consistent and latent appearance in feminist accounts of intimate partner violence (IPV), the characterization of IPV as an elaborately ordered relationship whose norms are backed up by force is notably absent from the empirical IPV literature. Drawing on Emeryâ??s typology of IPV, we hypothesized a curvili... |
0 | Effect of low appendicular lean mass, grip strength, and gait speed on the functional outcome after surgery for distal radius fractures | Distal Radius Fractures | Patients with low appendicular lean mass plus slow gait speed or weak grip strength are at risk for poor functional recovery after surgery for distal radius fracture, even when they have similar radiologic outcomes.
INTRODUCTION: Loss of skeletal muscle mass and consequent loss in muscle function associate with aging, ... |
0 | Surgical capability and surgical pathology in Papua New Guinea in the year 2000 | DoD SSI (Surgical Site Infections) | BACKGROUND: Papua New Guinea (PNG) is a country of 4.5 million people with an annual health budget of only 96 million Kina (1K = US$0.35). There are 19 hospitals in the country and national surgeons are now staffing most of these hospitals. This review aims to describe the surgical pathology in the year 2000 and the ca... |
0 | Calcaneal Fractures: Update on Current Treatments | DOD - Acute Comp Syndrome CPG | Calcaneal fractures represent 2% of all fractures and account for approximately 60% of all tarsal injuries. Motor vehicle collisions and falls are the major causes of these large force compression injuries, causing widening of the heel, loss of heel height, and articular surface displacement. A correlation has been sho... |
1 | Quadratus lumborum block for postoperative analgesia after full abdominoplasty: a randomized controlled trial | Panniculectomy & Abdominoplasty CPG | Background and aims The quadratus lumborum block (QLB) provides regional analgesia of the anterior abdominal wall, theoretically matching the postoperative pain after postbariatric standard full abdominoplasty. We investigated the effectiveness of a QLB as an addition to the current multimodal analgesia regimen in post... |
1 | The treatment of displaced supracondylar fractures of the humerus in children. A comparison of three methods | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | This retrospective study compares the long-term results of the treatment of 135 children with displaced extension-type supracondylar fractures of the humerus using 3 different methods. Closed reduction and percutaneous fixation was superior with excellent and good results in 87% and had the lowest incidence of poor res... |
0 | Fresh meniscal allograft transplantation and autologous ACL/PCL reconstruction in a patient with complex knee trauma following knee dislocation - A case report | Surgical Management of Osteoarthritis of the Knee CPG | Instability of the knee joint, particularly in combination with the loss of one meniscus, regularly leads to the early development of arthritis. This paper describes the case of a 19-year-old male with ruptures of the anterior (ACL) and posterior cruciate ligament (PCL) along with the loss of the medial meniscus due to... |
0 | Magnetic resonance evaluation of TruFit® plugs for the treatment of osteochondral lesions of the knee shows the poor characteristics of the repair tissue | Osteochondritis Dissecans 2020 Review | BACKGROUND: Treatment of osteochondral lesions of the knee with synthetic scaffolds seems to offer a good surgical option preventing donor site morbidity. The TruFit® plug has frequently been shown to not properly incorporate into. OBJECTIVE: To evaluate the relationship between MRI findings and functional scores of p... |
0 | Carpal tunnel syndrome in children | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Carpal tunnel syndrome or median neuropathy at the wrist is a rare condition in children. Of the reported patients with carpal tunnel syndrome, mucopolysaccharidoses and the mucolipidoses are the most common causes. PATIENTS: We report 13 patients between the ages of 2 and 17 years of age with carpal tunnel... |
1 | Better interprofessional teamwork, higher level of organized care, and lower risk of burnout in acute health care teams using care pathways: a cluster randomized controlled trial | Hip Fx in the Elderly 2019 | BACKGROUND: Effective interprofessional teamwork is an essential component for the delivery of high-quality patient care in an increasingly complex medical environment. The objective is to evaluate whether the implementation of care pathways (CPs) improves teamwork in an acute hospital setting.
DESIGN AND MEASURES: A p... |
1 | Limiting spread of COVID-19 in an orthopaedic department-a perspective from Spain | Coronavirus Disease 2019 (COVID-19) | Besides national and international recommendations, orthopaedic departments face significant changes in daily activity and serious issues to maintain their standards in musculoskeletal care during the pandemic Covid-19 crisis that we are facing. This report retrospectively addresses measures that were progressively put... |
0 | Iliopsoas Tendonitis Caused by Overhang of a Collared Femoral Prosthesis | PJI DX Updated Search | Pain after total hip arthroplasty can be due to a variety of causes, one of the less common being iliopsoas tendonitis. We report an unusual case of iliopsoas tendonitis caused by overhang of the femoral calcar by a collared femoral prosthesis resulting in impingement on the iliopsoas tendon. An ultrasound-guided corti... |
1 | Neurolysis in the treatment of carpal tunnel syndrome. A preliminary report | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Partial external and internal neurolysis of the median nerve as an adjunct to release of the transverse carpal ligament restored nerve conduction at a more rapid rate than has been appreciated. No evidence is obtained to indicate deleterious effects of internal neurolysis |
0 | Retained Sponge: A Rare Complication in Acetabular Osteosinthesis | DoD SSI (Surgical Site Infections) | Retained sponges after a surgical treatment of polytrauma may cause a broad spectrum of clinical symptoms and present a difficult diagnostic problem. We report a case of retained surgical sponge in a 35-year-old man transferred from another hospital, that sustained a open acetabular fracture. The fracture was reduced t... |
1 | Evolution of pain at 3 months by oral resveratrol in knee osteoarthritis (ARTHROL): protocol for a multicentre randomised double-blind placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Osteoarthritis (OA) pathophysiology is driven in part by joint inflammation. Resveratrol has in vitro anti-inflammatory properties. We aim to assess the efficacy of oral resveratrol for knee pain at 3 months in people with knee OA.
METHODS AND ANALYSIS: We will conduct a randomised double-blind placebo-co... |
0 | Determination of the minimum initial intrathecal dose of isobaric 0.5% bupivacaine for the surgical repair of a proximal femoral fracture: A prospective, observational trial | Hip Fx in the Elderly 2019 | BACKGROUND: Femoral neck fractures usually require operative fixation. Spinal anaesthesia is the preferred technique for many anaesthetists, although single-shot spinal anaesthesia may have severe haemodynamic side-effects.
OBJECTIVE: To determine the initial minimum intrathecal dose of 0.5% isobaric bupivacaine requir... |
0 | Acute pain after total hip arthroplasty does not predict the development of chronic postsurgical pain 6 months later | AAHKS (8) Anesthetic Infiltration | PURPOSE: Much remains unknown about the relationship between acute postoperative pain and the development of pathologic chronic postsurgical pain (CPSP). The purpose of this project was to identify the extent to which maximum pain scores on movement over the first two days after total hip arthroplasty predicted the pre... |
1 | Unilateral and bilateral neurogenic dislocation of the hip joint--which deformity is more difficult to treat? | Developmental Dysplasia of the Hip CPG | BACKGROUND: Authors present and compare the results of treatment of spastic hip dislocation in a group of patients with unilateral or bilateral dislocation. MATERIAL AND METHODS: We analyzed a group of 77 patients (109 hips) with a dislocated hip joint (MP>80%). The patients were divided into Group 1 (47 hip joints, 47... |
0 | Combination therapy with thalidomide, incadronate, and dexamethasone for relapsed or refractory multiple myeloma | MSTS 2018 - Femur Mets and MM | The feasibility and efficacy of a combination of thalidomide, incadronate, and dexamethasone (TID) were studied in 12 patients with relapsed or refractory multiple myeloma. The protocol, consisting of 300 mg/day of thalidomide administered orally, intravenous incadronate (10 mg/day) administered weekly, and 12 mg/day d... |
0 | Transcriptional profiling and muscle cross-section analysis reveal signs of ischemia reperfusion injury following total knee arthroplasty with tourniquet | OAK 3 - Non-arthroplasty tx of OAK | Total knee arthroplasty (TKA) is the most common and cost-effective treatment for older adults with long-standing osteoarthritis. Projections indicate that nearly 3.5 million older adults will undergo this procedure annually by the year 2030. Thus, understanding the factors that lead to optimal outcomes is of great cli... |
0 | An unusual cause of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Tuberculosis is an uncommon cause of carpal tunnel syndrome. We report a patient with systemic lupus erythematosus who developed hand numbness. Ultrasonic, operative and microbiological findings supported the diagnosis of median nerve compression secondary to a tuberculous abscess. The symptoms resolved with surgical e... |
0 | Developing an engineered antimicrobial/prophylactic system using electrically activated bactericidal metals | PJI DX Updated Search | The increased use of Residual Hardware Devices (RHDs) in medicine combined with antimicrobial resistant-bacteria make it critical to reduce the number of RHD associated osteomyelitic infections. This paper proposes a surface treatment based on ionic emission to create an antibiotic environment that can significantly re... |
0 | Bone quality, as measured by trabecular bone score in patients with adrenal incidentalomas with and without subclinical hypercortisolism | Management of Hip Fractures in the Elderly | Patients with adrenal incidentalomas (AIs) and subclinical hypercortisolism (SH) have increased risk of fracture independent of bone mineral density (BMD) and possibly due to reduced bone quality. The trabecular bone score (TBS) has been proposed as a index of bone microarchitecture. The aim of the study was to investi... |
1 | Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain: A Randomized Trial | OAK 3 - Non-arthroplasty tx of OAK | Background: Effective, accessible biopsychosocial treatments are needed to manage chronic knee pain on a population level.
Objective: To evaluate the effectiveness of Internet-delivered, physiotherapist-prescribed home exercise and pain-coping skills training (PCST).
Design: Pragmatic parallel-group randomized, control... |
0 | Non-sporeforming anaerobic bacteria in clean surgical wounds--air and skin contamination | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The contamination of clean surgical wounds with anaerobic and aerobic bacteria was studied in 52 hip operations. In addition to wound samples, samples from air and the patients' skin were taken. The median of the total number of bacteria isolated from the wounds was 26 colony-forming units (cfu). The median percentage ... |
0 | Mechanic characteristics of modified external fixator for the treatment of transcervical fracture | Management of Hip Fractures in the Elderly | Background: T-type or linear type external fixator is applied in transcervical fracture in the elderly. Because its fixing force is weak, so it is difficult to avoid the aggravation of complication due to long term lay up in severe osteoporosis. Based on this reason, percutaneous penetrating arch tri-claw external fixa... |
0 | How does elective laparoscopic abdominal aortic aneurysm repair compare to endovascular aneurysm repair? | DOD - Acute Comp Syndrome CPG | A best evidence topic in surgery was written according to a structured protocol. The question addressed was how elective laparoscopic abdominal aortic aneurysm (AAA) repair compared to endovascular aneurysm repair (EVAR) in terms of survival. There were 229 papers found using the reported search, with 8 papers (5 prosp... |
0 | Median nerve injuries associated with supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | If not specifically examined for median nerve function, partial injury associated with supracondylar fracture of the humerus in children will go unrecognized. These injuries occur in as high as 5% of supracondylar fractures of the humerus in children. The 6 patients reported here as well as many cases described in the ... |
0 | Propofol patient-controlled sedation during hip or knee arthroplasty in elderly patients | AAHKS (9/10) Regional Nerve Blocks | PURPOSE: Little information is available regarding the use of patient-controlled sedation (PCS) among the elderly. This study evaluated the safety and efficacy of propofol PCS among elderly patients undergoing hip or knee arthroplasty.
METHODS: Forty patients, aged 65-78 yr, undergoing hip or knee arthroplasty under re... |
0 | MRI analysis of extra-capsular ganglia at the gastrocnemius origin and their association with osteoarthritis | AMP (Acute Meniscal Pathology) | AIM: To evaluate the prevalence, clinical relevance, and magnetic resonance imaging (MRI) features of extra-capsular ganglia at the gastrocnemius origin and to assess their association with internal derangement and osteoarthritis of the knee.
MATERIALS AND METHODS: One hundred consecutive knee MRI examinations, obtaine... |
1 | Internal fixation or hemiarthroplasty for undisplaced fractures of the femoral neck in octogenarians | Management of Hip Fractures in the Elderly | We compared the reoperation rate after internal fixation for minimally displaced or impacted intracapsular fractures of the femoral neck in patients aged 80 years and above with that in similar patients aged 65 to 79 years. We also compared the results of internal fixation with those of hemiarthroplasty for displaced i... |
0 | Effect of dietary lipid structure in early postnatal life on mouse adipose tissue development and function in adulthood | Reduction Mammoplasty for Female Breast Hypertrophy | Obese individuals have more (hyperplastic) and larger (hypertrophic) adipocytes in their white adipose tissue (WAT) than normal-weight individuals. The difference in cell number emerges early in childhood, suggesting that this is a critical period for being susceptible to obesity. Breast-feeding has been shown to be pr... |
0 | Comparison of lipidocolloid and chlorhexidine-impregnated tulle gras dressings following microscopically controlled surgery | Reconstruction After Skin Cancer | OBJECTIVE: Modified microscopically controlled surgery (MCS) is a staged and margin-controlled excision; after MCS, the selection of an appropriate initial wound dressing plays an important role in wound healing. A wide range of dressings is available for temporary wound coverage; however, data comparing different type... |
1 | Quality of life issues among women with physical disabilities or breast cancer | DoD PRF (Psychosocial RF) | OBJECTIVE: The purpose of this study was to assess quality of life (QOL) and life satisfaction among women with physical disabilities or breast cancer, and to identify factors predictive of QOL and life satisfaction for women and men. QOL and life satisfaction differences were examined between women and men with physic... |
0 | Haemophiliac hands--a three year follow-up study | DOD - Acute Comp Syndrome CPG | The total absence of literature regarding the affects of haemophilia on the hand prompted this three year study at the Israel National Haemophilia Centre. The hands of all haemophiliacs were examined and X-rayed at the time of their annual check-up. Apart from a number of established Volkmann's contractures in elderly ... |
0 | The role of bone allografts in the treatment of angular malunions of the distal radius | Distal Radius Fractures | PURPOSE: Two cohorts of patients who had corrective osteotomies and volar platings for malunited fractures of the distal radius were compared retrospectively to determine whether the time to union and the outcome were affected by bone allograft.
METHODS: Patients in the first group (n = 14) did not receive any bone gra... |
0 | Guidelines for the diagnosis and treatment of cutaneous squamous cell carcinoma and precursor lesions. Guidelines | Reconstruction After Skin Cancer | These guidelines are based on the guidelines formulated under the aegis of the French Society of Dermatology (Société Française de Dermatologie) and validated in May 2009. These professional guidelines have received the joint INCa-HAS guarantee of quality. This guarantee means that the guidelines have been elaborate... |
1 | Use of prophylactic antibiotics in the prevention of infective endocarditis and prosthesis infection | Dental Implant Infection | In the field of antimicrobial therapy, few areas have created more debate and controversy than the subject of antibiotic prophylaxis for infective endocarditis. Firstly, there still exists considerable controversy about the efficacy of prophylactic antibiotics for prevention of bacterial endocarditis. Secondly, dental ... |
0 | New-onset synovial chondromatosis after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Total joint arthroplasty is commonly recommended as a definitive treatment for synovial chondromatosis refractory to other treatment. We describe a unique case of synovial chondromatosis developing after total joint arthroplasty in a patient presenting 5 years after total knee arthroplasty for osteoarthritis. This case... |
0 | Pamidronate prevents skeletal complications and is effective palliative treatment in women with breast carcinoma and osteolytic bone metastases: long term follow-up of two randomized, placebo-controlled trials | MSTS 2018 - Femur Mets and MM | BACKGROUND: Pamidronate therapy previously has been shown to reduce skeletal complications effectively for up to 12 months in breast carcinoma patients with bone metastases. The current study data provide further follow-up results regarding the effects of long term (up to 24 months) pamidronate treatment in women with ... |
0 | Predictors of in-hospital mortality following operative management of hip fractures | Management of Hip Fractures in the Elderly | OBJECTIVE: To identify predictors of in-hospital mortality and hospital stay following hip fractures. DESIGN: Retrospective cohort study of 185 consecutive patients. SETTING: Tertiary Care University Hospital. PARTICIPANTS: Individuals requiring operative treatment of a proximal femoral fracture excluding those individ... |
0 | Acupuncture and neuropathic pain management | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Treatment of neuropathic pain remains challenging because of the difficulty in achieving adequate pain control. Objective: This review focuses on the neurobiological basis of acupuncture and clinical evidence for acupuncture's efficacy for neuropathic pain management. Methods: A search was conducted for pre... |
0 | Medial epicondyle fractures of the humerus: how to evaluate and when to operate | Pediatric Supracondylar Humerus Fracture 2020 Review | The fundamental principles of fracture care apply to medial epicondyle fractures in that the goals of treatment are to obtain fracture healing and to promote a return of appropriate motion, strength, and stability. Recent studies have revealed limitations of some classically described evaluation methods and have reveal... |
0 | Tibial Plafond Fractures: Changing Principles of Treatment | DoD SSI (Surgical Site Infections) | Tibial plafond fractures from axial loading are high-energy injuries with significant associated soft-tissue damage. New classification methods include detailed anatomic subgroupings and highlight the soft-tissue injury. The traditional treatment of this intra-articular fracture with open reduction and internal fixatio... |
0 | Horizontal Forehead Lines: A Reflection of Eyelid Ptosis or Blepharodermachalasia | Upper Eyelid and Brow Surgery | BACKGROUND: In his facial aesthetics practice, the senior author (B.G.) observed that many patients presenting with horizontal forehead lines also demonstrated upper eyelid ptosis or enough blepharodermachalasia to require compensation. This study was conducted to investigate this observation. METHODS: Photographs of p... |
0 | The management of nonunion and malunion of the distal humerus-A 30-year experience | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | This personal series of nonunions of the distal humerus reviews unique features of this problem, categorizes them according to unique anatomic features, and presents pitfalls and pearls in the management of these complex reconstructive problems. (copyright) 2008 Lippincott Williams & Wilkins |
0 | Analgesic efficacy of ultrasound-guided adductor canal blockade after arthroscopic anterior cruciate ligament reconstruction: a randomised controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | CONTEXT: Anterior cruciate ligament (ACL) reconstruction surgery is associated with moderate to severe postoperative pain, which may be ameliorated by peripheral nerve blocks. The adductor canal block (ACB) is an almost exclusively sensory nerve block that has been demonstrated to reduce pain and opioid consumption aft... |
0 | Cryotherapy decreases synovial Doppler activity and pain in knee arthritis: A randomized-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To measure and compare the effects of 2 local cryotherapy techniques on synovial power Doppler activity (primary outcome) and pain in non-septic knee arthritis without any concurrent treatment.
METHODS: 30 patients were randomized (ice: 30min, n=15 or cold CO<sub>2</sub>: 2min, n=15 both applied twice at 8h ... |
0 | Xanthogranulomatous reaction to a ruptured galactocele | Reduction Mammoplasty for Female Breast Hypertrophy | We describe a case of a 34-year-old, healthy, lactating female with a 2-month history of breast pain and an enlarging, tender mass on her right nipple. Her right breast was firm and mildly engorged without mass, warmth or erythema. A tender, yellow nodule was located on the superior aspect of the nipple, obstructing th... |
0 | Effects of hook plate on shoulder function after treatment of acromioclavicular joint dislocation | Glenohumeral Joint OA | INTRODUCTION: Internal fixation with hook plate has been used to treat acromioclavicular joint dislocation. This study aims to evaluate the effect of its use on shoulder function, to further analyze the contributing factors, and provide a basis for selection and design of improved internal fixation treatment of the acr... |
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