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1 | Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures | Hip Fx in the Elderly 2019 | BACKGROUND: Posteromedial and greater trochanteric fragments are a major cause of telescoping and medialization of the femoral shaft in an unstable intertrochanteric fracture. This leads to significant limb shortening, fracture collapse in varus position and implant failure, which can be prevented by trochanteric wirin... |
1 | Rifampicin in the treatment of osteoarticular infections due to staphylococci | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Rifampicin is a suitable drug for treating staphylococcal bone and articular infections, because high levels are obtained in the human tissues. The best oral dose is 600 mg 12 hourly. The serum levels range from 10 to 15 mg/l at the peak concentration and from 0.2 to 0.6 mg/l 8 h after oral administration of 600 mg. Th... |
1 | Perioperative, short-, and long-term mortality related to fixation in primary total hip arthroplasty: a study on 79,557 patients in the ÂNorwegian Arthroplasty Register | Hip Fx in the Elderly 2019 | Background and purpose â?? There are reports on perioperative deaths in cemented total hip arthroplasty (THA), and THA revisions are associated with increased mortality. We compared perioperative (intraoperatively or within 3 days of surgery), short-term and long-term mortality after all-cemented, all-uncemented, rever... |
0 | Mortality after the hospitalization of a spouse | HipFx Supplemental Cost Analysis | BACKGROUND: The illness of a spouse can affect the health of a caregiving partner. We examined the association between the hospitalization of a spouse and a partner's risk of death among elderly people. METHODS: We studied 518,240 couples who were enrolled in Medicare in 1993. We used Cox regression analysis and fixed-... |
1 | Value of fat-suppressed proton-density-weighted turbo spin-echo sequences in detecting meniscal lesions: comparison with arthroscopy | AMP (Acute Meniscal Pathology) | PURPOSE: To evaluate fat-suppressed (FS) proton-density-weighted (PDw) turbo spin-echo (TSE) magnetic resonance imaging (MRI) compared to arthroscopy in the detection of meniscal lesions.
MATERIAL AND METHODS: In a prospective study, 31 knee joints were imaged on a 1.5T MR scanner before arthroscopy using the following... |
1 | Radial forearm flap donor-site complications and morbidity: a prospective study | DoD SSI (Surgical Site Infections) | One-hundred patients undergoing radial forearm flap reconstruction in the head and neck over a 2-year period were followed prospectively to assess complications and morbidity associated with the radial flap donor site. Eighty-six patients were available follow-up at 3 months and 74 at 1 year (49 fasciocutaneous, 25 com... |
1 | There are differences in early morbidity after ACL reconstruction when comparing patellar tendon and semitendinosus tendon graft. A prospective randomized study of 107 patients | Anterior Cruciate Ligament Injuries CPG | The main objective of this study was to study solely early postoperative morbidity following anterior cruciate ligament (ACL) reconstruction by comparing the gold standard procedure, the bone-patellar tendon-bone graft (BTB), and one of the most common alternatives, the semitendinosus tendon graft (ST). The prospective... |
0 | Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Six female patients with bilateral medial knee OA and 6 healthy controls were recruited. Patients with knee OA received a 6-week physiotherapist-supervised and home-based exercise program. Outcome measures, including the Western Ontario and McMaster Universities Arthritis Index and Short Form-36 Health Survey as well a... |
0 | Impaired aortic elastic properties in primary osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis is one of the most common chronic diseases and associated with increased cardiovascular comorbidity and deaths. Elastic properties of aorta are closely associated with cardiovascular mortality and morbidity. In our study, we aimed to evaluate aortic stiffness in primary osteoarthritis patients. A total o... |
1 | The Learning Curve Associated with the Administration of Intra-Articular Liposomal Bupivacaine for Total Knee Arthroplasty: A Pilot Study | AAHKS (8) Anesthetic Infiltration | INTRODUCTION: Liposomal bupivacaine is a long-acting, local, injectable anesthetic that is used to potentially mitigate post-operative pain after total knee arthroplasty (TKA). In addition, it may reduce opioid use in the post-operative period and shorten lengths-of-stay (LOS). There have been mixed results in the lite... |
0 | Femoral head fractures: hemiarthroplasty or total hip arthroplasty? | PJI DX Updated Search | Most femoral neck fractures are osteoporotic fractures in the elderly. The one-year mortality after neck fracture in this group is 24%.For hemiarthroplasty (HA) the bipolar heads have a risk reduction for reoperation due to acetabular erosion compared with monoblock heads. Surprisingly, the bipolar head had an increase... |
0 | Identifying yoga-based knee strengthening exercises using the knee adduction moment | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: This study aimed to compare muscle activations, co-contraction indices, and the knee adduction moment between static standing yoga postures to identify appropriate exercises for knee osteoarthritis.
METHODS: Healthy young women (24.4 (5.4) years, 23.1 (3.7) kg/m(2)) participated. Primary outcome variables w... |
0 | The Efficacy of Intra-articular Infusion of Ropivacaine after Total Knee Arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Intravenous patient controlled analgesia may not provide complete postoperative analgesia following total knee arthroplasty. The present study was to evaluate whether the addition of local, intraâ?articular ropivacaine improves the quality of the analgesia after total knee arthroplasty. METHODS: In the pro... |
0 | Diabetes and fractures: new evidence of atypical femoral fractures? | Hip Fx in the Elderly 2019 | Summary: Patients with diabetes have an increased risk of fractures. In this study, subtrochanteric and femoral shaft fractures were increased in patients with type 1 diabetes compared with the general population. In the light of this, more evidence points towards an association between diabetes and atypical femoral fr... |
0 | Epidemiology of musculoskeletal injuries sustained by Naval Special Forces Operators and students | Glenohumeral Joint OA | Objectives The aim of this analysis was to describe the incidence and common types of medical chart-reviewed musculoskeletal injuries, among four distinct groups of Naval Special Warfare (NSW) personnel: Sea, Air, and Land (SEAL) Operators, SEAL Qualification Training (SQT) students, Special Warfare Combatant-craft Cre... |
0 | Influence of education given to type 2 diabetes patients (Based on Conversation Map) on their foot-care behaviors and on diabetic foot risk factors | DoD LSA (Limb Salvage vs Amputation) | Objective: The most common cause of amputations in diabetes patients is the foot ulcer. The most prevalent factors leading to ulcer include neuropathy, deformity and traumas. Defining the foot risk factors for all diabetes patients and giving related education constitute the most important way of preventing foot ulcer.... |
0 | Surgical strategy: Matching the patient with the procedure | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The general indications, timing, and choice of procedure can be determined by asking and answering the following questions appropriately: 1. Has the patient achieved neurologic, emotional, and social stability? 2. What is the patient's current level of motor and sensory resources and function? The number and strength o... |
1 | MRSA knee infection treated successfully with daptomycin after two failed prolonged high-dose courses of vancomycin | Surgical Management of Osteoarthritis of the Knee CPG | Staphylococcal infections of joints can be difficult to eradicate, and when multidrug resistance is a factor, there are only a handful of treatment options. The following case study describes a patient with a methicillin-resistant Staphylococcus aureus knee infection that was successfully treated with daptomycin after ... |
0 | Effects of treadmill speed on the knee angle and stance time of white rats with knee osteoarthritis according to the treadmill speed | OAK 3 - Non-arthroplasty tx of OAK | [Purpose] The purpose of this study was to identify whether walking on a treadmill at an adjusted speed is suitable for humans by examining the effects of exercise on the joint functions of white rats with induced knee osteoarthritis. [Subjects and |
0 | Liposuction in benign symmetric lipomatosis: sense or senseless? | Panniculectomy & Abdominoplasty CPG | Benign symmetric lipomatosis is a rare form of typical fat distribution in the shoulders, the arms, and the neck that can compromise the respiratory, nutritional, and psychological status of the patient. Alcoholism, malignant tumors of the upper airways, endocrine tumors, hypothyroidism, diabetes, and hypertriglyceride... |
0 | Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis | SR for PM on OA of All Extremities | OBJECTIVE: To develop clinical practice guidelines concerning the use of bracing--rest orthosis, knee sleeves and unloading knee braces--for knee osteoarthritis. METHODS: The French Physical Medicine and Rehabilitation Society (SOFMER) methodology, associating a systematic literature review, collection of everyday clin... |
0 | Symptomatic venous thromboembolism and mortality in orthopaedic surgery - an observational study of 45 968 consecutive procedures | Hip Fx in the Elderly 2019 | BACKGROUND: Little information exists on the presentation of symptomatic venous thromboembolism (VTE) in orthopaedic surgery when a defined protocol for thromboprophylaxis is used. The objective with this study was to establish the VTE rate and mortality rate in orthopaedic surgery.
METHODS: We performed a prospective,... |
0 | Double-blind, placebo-controlled study of the effects of tibolone on bone mineral density in postmenopausal osteoporotic women with and without previous fractures | Management of Hip Fractures in the Elderly | A 2-year placebo-controlled, randomized, two-center prospective study was carried out to assess the effects of tibolone (Org OD14, Livial) on trabecular and cortical bone mass and bone biochemistry parameters in elderly postmenopausal women with and without previous fractures. In total, 107 subjects, 71 with fractures ... |
1 | Pre-operative traction for fractures of the proximal femur | Management of Hip Fractures in the Elderly | BACKGROUND: Pre-operative traction following an acute hip fracture remains standard practice in some hospitals. OBJECTIVES: To evaluate the effects of traction applied to the injured limb prior to surgery for a fractured hip. Different methods of applying traction (skin or skeletal) were considered. SEARCH STRATEGY: We... |
0 | Association of systemic lupus erythematosus with a higher risk of cervical but not trochanteric hip fracture: A nationwide population-based study | Hip Fx in the Elderly 2019 | Objective: To determine the incidence rates and risk factors of cervical and trochanteric hip fractures (HFs) among patients with systemic lupus erythematosus (SLE) based on a nationwide population-based data set. Methods: We conducted a cohort study using data from the Taiwan National Health Insurance database. Patien... |
1 | Quality and content analysis of clinical practice guidelines which include nonpharmacological interventions for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Rationale, Aims, and Objectives: Clinical practice guidelines (CPGs) for knee osteoarthritis (OA) guide the provision of high-quality healthcare for people with knee OA, which may improve outcomes. Our aim was to evaluate the quality of and content within recently published CPGs for people with knee OA. Methods: CPGs (... |
0 | Penile Amputation: Cosmetic and Functional Results | Panniculectomy & Abdominoplasty CPG | Introduction: Penile amputation is a rare type of external genital trauma. It may arise from accidental trauma, assault or self-inflicted mutilation. As with all trauma, initial management focuses on assessment and resuscitation of the patient. When available, hypothermic preservation of the detached penis should be un... |
0 | Randomized trial of aminoglutethimide versus tamoxifen in metastatic breast cancer | MSTS 2018 - Femur Mets and MM | We compared antiestrogen therapy (tamoxifen) with an estrogen suppression regimen (aminoglutethimide-hydrocortisone) in postmenopausal women with metastatic breast carcinoma. Fifteen of 39 patients (38%) who received tamoxifen experienced an objective tumor regression (3 complete, 12 partial remissions), whereas 13 of ... |
1 | Predictors of reoperation following operative management of fractures of the tibial shaft | DoD SSI (Surgical Site Infections) | BACKGROUND: Accurate prediction of likelihood of reoperation in patients with tibial shaft fractures would facilitate optimal management. Previous studies were limited by small sample sizes and noncomprehensive examination of possible risk factors.
OBJECTIVE: We conducted an observational study to determine which progn... |
0 | Complexity of cancer protease biology: Cathepsin K expression and function in cancer progression | MSTS 2018 - Femur Mets and MM | Proteases, including lysosomal cathepsins, are functionally involved in many processes in cancer progression from its initiation to invasion and metastatic spread. Only recently, cathepsin K (CatK), the cysteine protease originally reported as a collagenolytic protease produced by osteoclasts, appeared to be overexpres... |
0 | Past and current surgical treatment of giant omphalocele: outcome of a questionnaire sent to authors | Acellular Dermal Matrix | PURPOSE: Operative treatment of giant omphalocele (OC) is still a challenge for pediatric surgeons. We were interested to ascertain whether published operative techniques for giant OC once advocated by their authors were still being used by these authors and whether the techniques had been modified or even abandoned fo... |
0 | Are there gender differences in coping with neck pain following acute whiplash trauma? A 12-month follow-up study | DoD PRF (Psychosocial RF) | BACKGROUND: Little is known about gender differences in coping after whiplash, and to date possible interaction of gender and coping on recovery has not been investigated.
AIMS: To examine if gender differences in coping are associated with long-lasting neck pain after acute whiplash. Seven hundred and forty participan... |
0 | Six-month post-surgical elevations in cartilage T1rho relaxation times are associated with functional performance 2 years after ACL reconstruction | OAK 3 - Non-arthroplasty tx of OAK | The current study looks to: (i) investigate postural stability following anterior cruciate ligament (ACL) reconstruction, as assessed by Y-Balance Test, by comparing single-leg balance of the injured limb against those of controls and the uninjured limb; (ii) analyze the relationship between postural stability symmetry... |
0 | The effect of balanced analgesia on early convalescence after major orthopaedic surgery | AAHKS (4) Acetaminophen | Forty-two patients scheduled for total knee arthroplasty (n = 20) or hip arthroplasty (n = 22) were randomly allocated to receive either continuous epidural bupivacaine/morphine for 48 h postoperatively plus oral piroxicam, or general anaesthesia followed by a conventional intramuscular opioid and acetaminophen regimen... |
1 | MRI diagnosis of ACL bundle tears: value of oblique axial imaging | Anterior Cruciate Ligament Injuries CPG | OBJECTIVE: To investigate the diagnostic accuracy of oblique axial intermediate weighting MR imaging in detecting partial thickness anterior cruciate ligament (ACL) bundle tears. MATERIALS AND METHODS: The study protocol was approved by the institutional ethics committee. Sixty-one subjects (43 male, 18 female; mean ag... |
0 | Six-year course and prognosis of nontraumatic knee symptoms in adults in general practice: a prospective cohort study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To examine the 6-year course of nontraumatic knee symptoms in adults in general practice, to identify prognostic factors for unfavorable outcome, and to develop a clinical prediction rule. METHODS: Adults (ages >35 years) with incident nontraumatic knee symptoms (n = 549) were followed for 6 years. Multivari... |
1 | Cutaneous nasal malignancies: is primary reconstruction safe? | Reconstruction After Skin Cancer | BACKGROUND: The nose is particularly vulnerable to cutaneous malignancies, making it the most common location for presentation. Recurrence of these cutaneous lesions is not uncommon, often compromising the timing of nasal restoration. It is the purpose of this report to reexamine the safety of primary nasal reconstruct... |
1 | Early Complications following Articular Calcaneus Fracture Repair: Evaluation of Open Versus Percutaneous Techniques | DoD SSI (Surgical Site Infections) | Objectives:To assess complications and secondary operations in patients treated with either open reduction and internal fixation (ORIF) versus percutaneous fixation of displaced intra-articular calcaneus fractures.Design:Retrospective comparative study.Setting:Level 1 trauma center.Patients/Participants:Ninety-three ad... |
1 | Sonographic measurement of cross-sectional area of the median nerve in the diagnosis of carpal tunnel syndrome: correlation with nerve conduction studies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To assess the usefulness of sonographic measurement of the median nerve cross-sectional area (CSA) in the diagnosis of carpal tunnel syndrome (CTS) and grading of its severity using nerve conduction (NC) studies as the standard. METHOD: The CSA of the median nerve was measured at the tunnel inlet and outlet us... |
0 | Carpal tunnel: Normal anatomy, anatomical variants and ultrasound technique | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The carpal tunnel is an osteofibrous canal situated in the volar wrist. The boundaries are the carpal bones and the flexor retinaculum. In addition to the medial nerve, the carpal tunnel contains nine tendons: the flexor pollicis longus, the four flexor digitorum superficialis and the four flexor digitorum profundus. U... |
0 | The intercellular adhesin locus ica is present in clinical isolates of Staphyloccus aureus from bacteremic patients with infected and uninfected prosthetic joints | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Although polysaccharide intercellular adhesin (PIA) is thought to be crucial in the pathogenesis of prosthetic device infections caused by Staphylococcus epidermidis, its role in prosthetic device infections caused by Staphylococcus aureus is unknown. To assess the clinical impact of PIA production, isolates from 15 pr... |
0 | Complications after patello-femoral versus total knee replacement in the treatment of isolated patello-femoral osteoarthritis. A meta-analysis | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: Both patellofemoral arthroplasty (PFA) and total knee arthroplasty (TKA) are successful in treating isolated patellofemoral osteoarthritis, but the complication rates after PFA are concerning. We performed a meta-analysis to compare the incidence of complications, re-operations, and revision following PFA and ... |
0 | Serum undercarboxylated osteocalcin is a marker of the risk of hip fracture: a three year follow-up study | Management of Hip Fractures in the Elderly | We have previously shown that elderly women with an increased serum undercarboxylated osteocalcin (ucOC) level have an increased risk of sustaining a hip fracture as compared to those with normal serum ucOC. We reassessed our findings on a larger number of hip fractures that occurred over 3 years in 183 institutionaliz... |
0 | Treating Severe Knee Osteoarthritis with Combination of Intra-Osseous and Intra-Articular Infiltrations of Platelet-Rich Plasma: An Observational Study | PRP (Platelet-Rich Plasma) | OBJECTIVE: Assessing the therapeutic effects of a combination of intra-articular and intra-osseous infiltrations of platelet-rich plasma (PRP) to treat severe knee osteoarthritis (KOA) using intra-articular injections of PRP as the control group.
DESIGN: In this observational study, 60 patients suffering from severe KO... |
0 | Nipple-areola complex cutaneous sensitivity: a systematic approach to classification and breast volume | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: The aim of our study was to develop a systematic approach to provide a data bank on normative cutaneous pressure thresholds of the nipple-areola complex (NAC) in different breast volumes and a classification of the NAC sensitivity function.
PATIENTS AND METHODS: A population of 150 Caucasian women stratif... |
0 | Acute Shoulder Injuries in Adults | Hip Fx in the Elderly 2019 | Acute shoulder injuries in adults are often initially managed by family physicians. Common acute shoulder injuries include acromioclavicular joint injuries, clavicle fractures, glenohumeral dislocations, proximal humerus fractures, and rotator cuff tears. Acromioclavicular joint injuries and clavicle fractures mostly o... |
0 | When is hemiarthroplasty preferable to intramedullary prophylactic fixation of malignant lesions of the proximal femur? | Hip Fx in the Elderly 2019 | BACKGROUND: Malignant hip lesions can be managed operatively by intramedullary (IM) nail fixation and hemiarthroplasty.
METHODS: A retrospective review was performed on 86 patients who underwent hemiarthroplasty (n = 22) or IM nail fixation (n = 64) for prophylactic treatment of impending pathologic fracture due to mal... |
1 | Reduction of lipoplasty risks and mortality: an ASAPS survey | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Previously published articles presenting rates for lipoplasty morbidity and mortality have reported on procedures performed before mid 1998. OBJECTIVE: The present survey reports on morbidity and mortality for lipoplasty procedures performed by members of the American Society for Aesthetic Plastic Surgery (... |
0 | Inter-hospital variations in length of hospital stay following hip fracture | Hip Fx in the Elderly 2019 | Objective: to investigate differences in length of hospital stay after hip fracture. Design: prospective survey of a consecutive series of patients admitted with an acute hip fracture and followed-up for 90 days after admission. Setting: eight hospitals in the East Anglian region, Subjects: 580 patients admitted with a... |
0 | Silicone ring tourniquet versus pneumatic cuff tourniquet in total knee arthroplasty surgery: A randomised comparative study | OAK 3 - Non-arthroplasty tx of OAK | Introduction: The aim of the present study was to compare a silicone ring tourniquet (SRT) and a classic pneumatic cuff tourniquet (PT) in patients undergoing total knee replacement. We have compared the impact on the glycolytic activity caused by the ischaemia applied to the limb during the surgery. Material and metho... |
0 | Effect of repeated local minocycline administration on periodontal healing following guided tissue regeneration | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Infection after a periodontal surgical site has been prepared for guided tissue regeneration (GTR) is one of the common complications that can compromise healing. The purpose of this study was to assess the effect of repeated local antimicrobial therapy following GTR for improving clinical attachment gains,... |
0 | What are the patterns of injury and displacement seen in lateral compression pelvic fractures? | Management of Hip Fractures in the Elderly | BACKGROUND: Lateral compression (LC)-type pelvic fractures encompass a wide spectrum of injuries. Current classification systems are poorly suited to help guide treatment and do not adequately describe the wide range of injuries seen in clinical practice. QUESTIONS/PURPOSES: We therefore (1) defined the spectrum of inj... |
1 | Lomefloxacin concentrations in bone after a single oral dose | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We studied the penetration characteristics of lomefloxacin in bone in 30 patients with osteoarthritis undergoing total hip replacement. Patients were given a single oral 400 mg dose at various times from 1 to 12 hours prior to removal of bone samples. The peak plasma and bone (subchondral bone from femoral head) concen... |
0 | Cultural Insensitivity Pervasive in Spanish Online Cosmetic Surgery Resources: A Call to Action | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Hispanics are the second largest demographic that underwent cosmetic surgery in 2017. The popularity of cosmetic surgeries among this group has increased significantly within the past decade and is projected to continue rising. Patient-directed websites that provide educational materials addressing these pr... |
0 | Effect of immobilization of metacarpophalangeal joint in thumb carpometacarpal osteoarthritis on pain and function. A quasi-experimental trial | Glenohumeral Joint OA | STUDY DESIGN: A quasi-experimental trial.
INTRODUCTION: Orthoses are effective to decrease pain and improve function in patients with carpometacarpal osteoarthritis (CMC OA). However, current research does not support one design of an orthosis as more effective and/or more favorable than another.
PURPOSE OF THE STUDY: ... |
0 | Single portal endoscopic carpal tunnel release: Modification of Menon's technique and data from 65 cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The purpose of our study is to make a follow-up evaluation of endoscopic carpal tunnel release under focal anesthesia using the Wolf single portal system. A total of 65 patients with a mean age of 50 years undergoing 79 procedures were retrospectively studied. Preoperative complaints, intraoperative findings, and posto... |
0 | Microbiological basis of oral infections and sensitivity to antibiotics | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Because oral infections are common, the physician must understand the underlying etiology, pathogeny, and other variables that determine how these processes evolve in order to choose the most appropriate antibiotic drug. The special characteristics of the oral cavity determine the make-up of the microflora that lives t... |
0 | Complications of syndesmotic screw removal | DoD SSI (Surgical Site Infections) | BACKGROUND: Currently, the metallic syndesmotic screw is the gold standard in the treatment of syndesmotic disruption. Whether or not this screw needs to be removed remains debatable. The aim of the current study was to determine the complications which occur following routine removal of the syndesmotic screw following... |
0 | Transfer of hip arthroplasty patients leads to increased cost and resource utilization in the receiving hospital | Hip Fx in the Elderly 2019 | Factors other than complexity of care often drive the transfer of orthopedic patients to tertiary centers. We sought to compare the demographics, diagnoses, insurance data, peri-operative outcomes and institutional costs of total hip arthroplasty patients transferred from outside facilities with those of patients deriv... |
0 | Epidemiology of osteoporotic fractures | HipFx Supplemental Cost Analysis | Osteoporosis constitutes a major public health problem through its association with age-related fractures. These fractures typically occur at the hip, spine and distal forearm. It has been estimated that the lifetime risk of a hip fracture in white women is 17.5%, with a comparable risk in men of 6%. Hip fractures lead... |
1 | Short-term outcomes of platelet-rich plasma injection for treatment of osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To compare the clinical outcomes of osteoarthritis indices (WOMAC and Lequesne scores) and adverse events in the treatment of osteoarthritis (OA) of the knee with platelet-rich plasma (PRP) versus hyaluronic acid (HA) or placebo.
METHODS: A systematic review and meta-regression were performed to compare outcom... |
0 | Does the Robotic Arm and Preoperative CT Planning Help with 3D Intraoperative Total Knee Arthroplasty Planning? | OAK 3 - Non-arthroplasty tx of OAK | Although several studies highlight the advantages of robotic arm-assisted total knee arthroplasty (RA-TKA), few investigate its intraoperative outcome. Therefore, the purpose of this study was to analyze the RA-TKA's ability to assist with intraoperative correction of: (1) flexion and (2) extension gaps, as well as its... |
0 | Treatment of closed femoral diaphyseal fractures with external fixators in children | DoD SSI (Surgical Site Infections) | From August 1992 to July 1996, 57 patients with closed femoral fractures were treated by external fixator in the Orthopaedic and Traumatology Clinics, School of Medicine, Dicle University. The technique was applied to children with closed femoral fractures. Their mean age was 6 (range 4-12) years old. The mean hospital... |
0 | The clinical potential of chemokine receptor antagonists | MSTS 2018 - Femur Mets and MM | Chemokines belong to a family of chemotactic cytokines that direct the migration of immune cells towards sites of inflammation. They mediate their biological effects by binding to cell surface receptors, which belong to the G protein-coupled receptor superfamily. Since chemokines and their receptors have been implicate... |
0 | Common cutaneous disorders in athletes | Reconstruction After Skin Cancer | Athletic activity may cause or aggravate skin disorders, which in turn may diminish athletic performance. Since many sporting activities necessitate prolonged exposure to the sun, athletes must avoid painful sunburn which will adversely affect their performance. Drugs and chemicals also may cause photoallergic and/or p... |
0 | Bisphosphonates Can Prevent Skeletal Complications of Malignant Bone Disease from Prostate Cancer and Renal Cell Carcinoma | MSTS 2018 - Femur Mets and MM | Objectives: The majority of patients with hormone-refractory prostate cancer (HRPC) develop bone metastases, which are also common in patients with other genitourinary malignancies. Bone metastases can lead to debilitating skeletal complications and reduced quality of life (QoL). Therefore, the goal of therapy for pati... |
1 | Risk factors for failing to achieve improvement after anatomic total shoulder arthroplasty for glenohumeral osteoarthritis | Trial Systematic Review Project | Background: Although anatomic total shoulder arthroplasty (TSA) successfully improves pain and function, not all patients improve clinically. This study was conducted to determine patient-related factors for failure to achieve improvement after primary TSA for osteoarthritis at 2 years postoperatively. Methods: This pr... |
0 | Abl kinases are required for invadopodia formation and chemokine-induced invasion | MSTS 2018 - Femur Mets and MM | The Abl tyrosine kinases, Abl and Arg, play a role in the regulation of the actin cytoskeleton by modulating cell-cell adhesion and cell motility. Deregulation of both the actin cytoskeleton and Abl kinases have been implicated in cancers. Abl kinase activity is elevated in a number of metastatic cancers and these kina... |
1 | Antibiotic prophylaxis in operations on trochanteric femoral fractures | Management of Hip Fractures in the Elderly | Short-term prophylaxis against infection using cephalothin and cephalexin was studied in 140 patients operated on for trochanteric fractures of the femur. The group given the drug during preparation for anesthesia, intraoperatively, and for two days postoperatively had an infection rate of 1.8 per cent (one patient), w... |
0 | Effects of repetitive transcranial magnetic stimulation on motor functions in patients with stroke: A meta-analysis | Pediatric Supracondylar Humerus Fracture 2020 Review | Background and Purpose-The purpose of this study was to perform a meta-analysis of studies that investigated the effects of repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function in patients with stroke. Methods-We searched for randomized controlled trials published between January 1990 and Oc... |
1 | Late presentation of congenital dislocation of the hip: an audit | Developmental Dysplasia of the Hip CPG | Despite the widespread introduction of neonatal screening programmes, the late presentation of congenital dislocation of the hip remains a considerable problem. Important gaps in our understanding of the natural history of this condition make it difficult to assess the effectiveness of screening. An audit of late prese... |
0 | A novel hybrid fixation (percutaneous anterior pelvic bridge with K-wire) for the treatment of traumatic pelvic ring injury: A prospective study | DoD SSI (Surgical Site Infections) | Background: The aim of the study was to introduce a novel percutaneous technique for the treatment of pelvic ring injuries using a percutaneous anterior pelvic bridge (PAPB) with K-wire. Methods: From December 2010 to November 2016, a prospective study of 86 patients with anterior pelvic ring fracture (42 utilizing PAP... |
1 | The effect of postoperative pain on postoperative blood loss after sequential bilateral total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Bilateral total knee arthroplasty is generally accompanied by a significant amount of blood loss. We investigated the relationship between the intensity of pain and the amount of blood loss in the early postoperative period after bilateral total knee arthroplasty. METHODS: A prospective study was conducted ... |
0 | Patterns of Extrathoracic Metastases in Different Histological Types of Lung Cancer | MSTS 2022 - Metastatic Disease of the Humerus | Lung cancer is the leading cause of cancer-related deaths mainly attributable to metastasis, especially extrathoracic metastasis. This large-cohort research is aimed to explore metastatic profiles in different histological types of lung cancer, as well as to assess clinicopathological and survival significance of diver... |
1 | Long-term complications of open carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Fifty patients who underwent open carpal tunnel release (OCTR) surgery at least 12 months earlier for carpal tunnel syndrome were reviewed, focusing on scar tenderness, pillar pain, and symptoms of neuroma. A total of 55 hands were studied. At an average of 20.2 months of follow-up, 5.5% had Tinel's sign, 7.3% had scar... |
1 | Quality assessment of randomized controlled trials reporting on knee osteoarthritis treated with warming needle moxibustion | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To evaluate the quality of randomized controlled trials (RCTs) testing the efficacy of warming needle moxibustion on knee osteoarthritis (KOA).
METHODS: Nine databases were searched systematically including: the Cochrane Library (1/1993-10/2012), PubMed (1/1980-10/2012), EMBASE (1/1990-10/12012), SCI Expande... |
0 | Acute carpal tunnel syndrome resulting from haemorrhage into the carpal tunnel in a patient on warfarin | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A case of acute compression neuropathy of the median nerve associated with haemorrhage into the carpal tunnel is presented. The condition occurred spontaneously in a patient on Warfarin for previous deep venous thrombosis. The signs and symptoms were those of acute tenosynovitis originating in the common flexor synovia... |
1 | Deficits in shoulder function and general health associated with sixteen common shoulder diagnoses: A study of 2674 patients | Glenohumeral Joint OA | The purpose of this study is to define the self-assessed deficits in function and general health perceived by a large cohort of patients with common shoulder diagnoses. For a 10-year period, all new shoulder patients presenting to the senior author were characterized by diagnosis, age, gender, and self-assessed shoulde... |
0 | Chondroitin sulphate for symptomatic osteoarthritis: critical appraisal of meta-analyses | SR for PM on OA of All Extremities | BACKGROUND: Chondroitin sulphate (CS) is an important structural component of cartilage and is approved and regulated as a symptomatic slow-acting drug for osteoarthritis (OA) (SYSADOA) in Europe and some other countries. Although numerous studies have shown the clinical benefits of CS to decrease pain, improve functio... |
0 | Change in patient concerns following total knee arthroplasty described with the International Classification of Functioning, Disability and Health: A repeated measures design | Surgical Management of Osteoarthritis of the Knee CPG | Background: There is no published evidence of how patient concerns change during the first six weeks following total knee arthroplasty (TKA). An understanding of the recovery process from the patient's perspective will inform clinicians on how to best educate patients about their post-operative concerns. Our objectives... |
1 | Hospital Transfer of Open Tibial Fractures Requiring Microsurgical Reconstruction Negatively Impacts Clinical Outcomes | DoD SSI (Surgical Site Infections) | INTRODUCTION: Open tibial fractures are orthopedic emergencies that may present with severe soft tissue damage. Free tissue transfer is often required when local tissues are insufficient and patients may require hospital transfer to tertiary care centers for this purpose. Although the negative impact of inter-facility ... |
0 | Integrated nutritional intervention in the elderly after hip fracture. A process evaluation | Management of Hip Fractures in the Elderly | BACKGROUND & AIMS: Within a multicentre randomized controlled trial aimed at improving the nutritional status and increase the speed of recovery of elderly hip fracture patients, we performed a process evaluation to investigate the feasibility of the intervention within the present Dutch health care system. METHODS: Pa... |
0 | Effects of lateral wedge insole application on medial compartment knee osteoarthritis severity evaluated by ultrasound | AMP (Acute Meniscal Pathology) | BACKGROUND: It is known that a lateral wedge insole (LWI) decreases medial loading stress in the knee. Medial meniscus pathology, such as a degenerative tear or a root tear, leading to malfunction and medial meniscus extrusion (MME), is a critical condition that leads to severe osteoarthritis (OA). However, the effect ... |
0 | Does the Surgical Correction of Tibial Torsion with Genu Varum Produce Outcomes Similar to Those in Varus Correction Alone? | AMP (Acute Meniscal Pathology) | The aim of this article is to study the relationship between tibia vara and external tibial torsion in adults. The following questions were asked: (1) what is the incidence of rotational deformity in patients with genu varum and (2) do patients who undergo correction of tibial torsion with genu varum have similar outco... |
0 | Arterial occlusion after total knee arthroplasty: Successful management of an uncommon complication by percutaneous thrombus aspiration | Surgical Management of Osteoarthritis of the Knee CPG | Management of arterial occlusion after total knee arthroplasty is controversal in the literature, in part because of the relatively small number of reported cases. We report a case of perioperative popliteal artery thrombosis after total knee arthroplasty that was treated successfully with percutaneous thrombus aspirat... |
0 | Prophylactic intramedullary fixation for bisphosphonate-related subtrochanteric stress fracture | Management of Hip Fractures in the Elderly | Bisphosphonates are the most widely used medication to treat osteoporosis. Recent reports have documented an association between chronic bisphosphonate use and femoral insufficiency fractures. This article describes an 84-year-old woman with a diagnosis of osteoporosis treated with bisphosphonate medications for 9 year... |
0 | Open reduction internal fixation versus percutaneous iliosacral screw fixation for unstable posterior pelvic ring disruptions | DoD SSI (Surgical Site Infections) | BACKGROUND: Surgical stabilization of posterior pelvic ring fractures can be achieved by either open or closed methods. They all provide a comparable biomechanical stability. The aim of the present study is to compare the clinical results of both techniques for treating posterior pelvic ring injuries.
MATERIAL AND METH... |
1 | Periarticular multimodal drug injection in total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | PURPOSE: A systematic review and meta-analysis based on randomized controlled trials (RCTs) were conducted to evaluate the efficiency and safety of periarticular multimodal drug injection in total knee arthroplasty (TKA).
METHODS: Periarticular injection with the use of multimodal drugs is an efficient alternative for ... |
0 | The Koolen-de Vries syndrome: A phenotypic comparison of patients with a 17q21.31 microdeletion versus a KANSL1 sequence variant | Developmental Dysplasia of the Hip 2020 Review | The Koolen-de Vries syndrome (KdVS; OMIM #610443), also known as the 17q21.31 microdeletion syndrome, is a clinically heterogeneous disorder characterised by (neonatal) hypotonia, developmental delay, moderate intellectual disability, and characteristic facial dysmorphism. Expressive language development is particularl... |
1 | Comparative Efficacy and Safety of Nonsurgical Treatment Options for Enthesopathy of the Extensor Carpi Radialis Brevis: A Systematic Review and Meta-analysis of Randomized Placebo-Controlled Trials | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | BACKGROUND: Numerous treatment options have been proposed for enthesopathy of the extensor carpi radialis brevis (eECRB).
PURPOSE: To (1) compare the efficacy and safety of nonsurgical treatment options for eECRB described in randomized placebo-controlled trials at short-term, midterm, and long-term follow-up and (2) e... |
0 | A method to estimate the depth of the sciatic nerve during subgluteal block by using thigh diameter as a guide | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVE: The subgluteal approach is common for sciatic nerve block. Although the surface landmarks are clear, the depth of this nerve at this level is difficult to judge. The purpose of this study is to establish a method of estimating the sciatic nerve depth using the anteroposterior (AP) diameter of ... |
0 | Randomized, Placebo-Controlled Analysis of the Knee Synovial Environment Following Platelet-Rich Plasma Treatment for Knee Osteoarthritis | PRP (Platelet-Rich Plasma) | BACKGROUND: Platelet-rich-plasma (PRP) is used to treat knee osteoarthritis; however, mechanistic evidence of PRP effectiveness for pain relief is limited.
OBJECTIVE: To assess molecular biomarkers and mesenchymal stem cells (MSCs) in synovial fluid during PRP treatment of the osteoarthritic knee joint.
DESIGN: Single ... |
0 | Expression of TGF-beta1 and miRNA-145 in patients with diabetic foot ulcers | DoD LSA (Limb Salvage vs Amputation) | The aim of the present study was to investigate the expression levels of transforming growth factor (TGF)-beta1 and microRNA (miRNA)-145 in patients with diabetic foot ulcers (DFUs). A total of 26 patients with DFUs requiring amputation were enrolled in the study between January 2013 and August 2014. In addition, 15 tr... |
0 | The role of bone graft and alternatives in unstable distal radius fracture treatment | Distal Radius Fractures | The increased prevalence of unstable fractures of the distal radius has stimulated the development of new technologies and new surgical techniques for treating these complex injuries. New developments also contribute to the expectation that orthopedic surgeons should be able to treat the fractured distal radius more su... |
0 | Correlation of fractalkine concentrations in serum and synovial fluid with the radiographic severity of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Fractalkine has been detected in synovial fluid (SF) from osteoarthritis (OA) patients. This study aims to examine the relation of fractalkine concentrations in serum and SF with the radiographic severity of OA.
METHODS: Fractalkine concentrations of serum and SF were measured using an enzyme-linked immunos... |
1 | Free tissue transfer to the traumatized upper extremity: Risk factors for postoperative complications in 282 cases | DoD SSI (Surgical Site Infections) | Background: Complex traumatic upper extremity injuries frequently possess compromised local vasculature or extensive defects that are not amenable to local flap reconstruction. Free tissue transfer is required to provide adequate soft tissue coverage. The present study aimed to evaluate risk factors that contribute to ... |
0 | Two-stage treatment protocol for isolated septic acetabular cup loosening | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of this study was to evaluate the treatment of isolated septic acetabular cup loosening without involvement of the prosthesis stem by insertion of an antibiotic-loaded spacer head and stem retention. Between 1999 and 2008, 13 patients (5 men, 8 women, mean age 69 years) were treated according to this regimen. S... |
0 | Non-reducible knee dislocation with interposition of the vastus medialis muscle | AMP (Acute Meniscal Pathology) | Irreducibility of the knee following complete dislocation is a rare event determined by the interposition of various capsulo-ligamentous structures in the joint space. Such cases often require urgent surgical treatment. We report the case of a healthy 70-year-old man with a sprain of the left knee that occurred after a... |
0 | Effect of postoperative epidural analgesia on morbidity and mortality following surgery in medicare patients | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Because of the uncertainty and limitations in available randomized controlled trials, we performed an analysis of the Medicare claims database to determine whether an association exists between postoperative epidural analgesia and mortality. METHODS: A 5% nationally random sample of Medicare beneficiaries f... |
0 | Maximum standardised uptake value of quantitative bone SPECT/CT in patients with medial compartment osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | Aim To evaluate the correlation between the maximum standardised uptake value (SUVmax) from bone single-photon-emission computed tomography/computed tomography (SPECT/CT) and other imaging parameters for medial compartment osteoarthritis (OA) of the knee. Materials and methods Patients (n=26; male:female=2:24; age, 55.... |
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