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Pyoderma gangrenosum following breast reduction: treatment with topical tacrolimus and steroids
Reduction Mammoplasty for Female Breast Hypertrophy
UNLABELLED: Pyoderma gangrenosum (PG) is a rare, noninfectious, inflammatory dermatosis usually associated with autoimmune disorders. Wounds may mimic a necrotizing infection, and the diagnosis is usually made after antibiotic therapy fails. Debridement may cause even larger wounds because of pathergy, so PG treatment ...
0
Prevalence rate of urinary incontinence in community-dwelling elderly individuals: The Veneto study
DoD PRF (Psychosocial RF)
The objectives of the present work were to estimate the prevalence of urinary incontinence (UI) in a community-based population of elderly Italians and to determine the associated physical, social, and psychological factors. A random sample of 867 noninstitutionalized men and 1,531 women, aged 65 yrs and older, from th...
0
Cosmetic face, neck, and brow lifts with local anesthesia
Upper Eyelid and Brow Surgery
The sections on the face, neck, and brow include descriptions of facelift, neck lift, and open brow lift techniques, anesthesia, treatment goals, procedural approaches, complications, management, preoperative and postoperative care, rehabilitation, recovery, and outcomes. The approach to facial rejuvenation the midface...
0
Core decompression of the osteonecrotic femoral head
DoD SSI (Surgical Site Infections)
The results in 114 hips of ninety-two patients who had osteonecrosis of the femoral head were assessed after treatment with core decompression. The average duration of follow-up was three years and four months (range, two years to six years and six months). The average age of the patients was forty-one years (range, fi...
0
No Reduction of Severe Fatigue in Patients with Postpolio Syndrome by Exercise Therapy or Cognitive Behavioral Therapy
Pediatric Supracondylar Humerus Fracture 2020 Review
Background. People with postpolio syndrome (PPS) commonly experience severe fatigue that persists over time and negatively affects functioning and health-related quality of life (HRQoL). Objectives. To study the efficacy of exercise therapy (ET) and cognitive behavioral therapy (CBT) on reducing fatigue and improving a...
0
Comparison of fracture risk assessment tool score to bone mineral density for estimating fracture risk in patients with advanced prostate cancer on androgen deprivation therapy
Hip Fx in the Elderly 2019
Objective To estimate the risk of fracture (Fracture Risk Assessment Tool [FRAX] algorithm) because of the development of osteoporosis in prostate cancer patients undergoing androgen deprivation therapy (ADT) for patients who would otherwise not have been identified for treatment by the T score. Methods This study incl...
0
Intertrochanteric fractures of the femur in rheumatoid arthritis patients
Management of Hip Fractures in the Elderly
In a series of 33 intertrochanteric femoral fractures in patients suffering from classic rheumatoid arthritis (RA), the typical patient was about 70 years of age, osteopenic, and severely affected by longstanding polyarticular RA of joints other than the hip. Prefracture involvement of the hip joint (other than osteope...
0
Expression of CC-chemokine receptor 7 (CCR7) and CXC-chemokine receptor 4 (CXCR4) in head and neck squamous cell carcinoma
MSTS 2018 - Femur Mets and MM
OBJECTIVES: We tried to clarify the correlation of the expression of CCR7 and CXCR4 with lymph node and distant metastasis. MATERIALS AND METHODS: We examined expression of CCR7 and CXCR4 in 9 HNSCC cell lines and 25 HNSCC tissues by semi-quantitative RT-PCR and immunohistochemistry study. We examined the expression le...
0
Musculoskeletal complaints, functional capacity, personality and psychosocial factors
DoD PRF (Psychosocial RF)
Objectives: The aim of the research was to study the association between psychosocial and personality factors, and neck and wrist-hand musculoskeletal complaints, taking account of the occupational factors of force, posture and repetitiveness, and non-occupational risk factors such as sport, hobbies, medical history. M...
1
Intra-articular platelet-rich plasma injections versus intra-articular corticosteroid injections for symptomatic management of knee osteoarthritis: systematic review and meta-analysis
PRP (Platelet-Rich Plasma)
BACKGROUND: Intra-articular (IA) corticosteroid (CS) injections are the mainstay of treatment for symptomatic management in knee osteoarthritis (OA), particularly in the UK. IA platelet-rich plasma (PRP) injections are a promising alternative, but no systematic reviews to date have compared them to the current standard...
0
ALK+ lymphoma: clinico-pathological findings and outcome
MSTS 2022 - Metastatic Disease of the Humerus
A distinct pathologic entity (ALK+ lymphoma) that is characterized by expression of the anaplastic lymphoma kinase (ALK) protein has recently emerged within the heterogeneous group of CD30(+) anaplastic large-cell lymphomas. Information on clinical findings and treatment outcome of ALK+ lymphoma is still limited, and n...
0
Psychosocial responses associated with perceived risk of cancer in an African-American community
DoD PRF (Psychosocial RF)
This epidemiologic health survey study examined the association between health risk perceptions and psychosocial factors in 145 African Americans in East Montgomery, Alabama. The survey gathered information on demographics, population dynamics, health risk perceptions, and coping behaviors. Psychosocial variables measu...
0
Incorporating self-management in prosthetic rehabilitation: case report of an integrated knowledge-to-action process
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: In improvement of clinical practice, unidirectional approaches of translating evidence into clinical practice have been pinpointed as main obstacles. The concept of engaged scholarship has been introduced to guide knowledge-to-action (KTA) processes, in which research knowledge and practical knowledge deriv...
1
Blepharoplasty with ancillary procedures
Upper Eyelid and Brow Surgery
Treatment of the aging eye has made significant advances over the past 30 years. Evaluation of the aging periorbital areas with the concepts of rehabilitation and a review of the many modalities and combinations of surgical correction are discussed. Careful preoperative evaluation of the problem with the choice of sing...
0
Improving the quality of occupational health care in Washington State: new approaches to designing community-based health care systems
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The need for concerted action to improve quality was stressed in the recent Institute of Medicine report, Crossing the Quality Chasm: A New Health Care System for the 21st Century. This article describes an innovative community-based delivery system initiative designed to improve quality and health outcomes for occupat...
0
Patient factors associated with delayed diagnosis of developmental dysplasia of the hip
Developmental Dysplasia of the Hip 2020 Review
PURPOSE: Early detection and intervention for developmental dysplasia of the hip (DDH) is important for normal hip development. Previous studies have shown disparities in access to paediatric specialty care among different racial and socioeconomic backgrounds. This study aims to identify whether these factors are relat...
0
Hand ischemia associated with elbow trauma in children
Pediatric Supracondylar Humerus Fracture 2020 Review
Objectives: Previous observational studies suggest that children with hand ischemia following elbow trauma can be safely observed if Doppler signals are present in the wrist arteries (pink pulseless hand, PPH). Nonoperative management of PPH is predicated on the assumption that PPH results from local arterial spasm, bu...
0
Functioning Without Cartilage: Older People With Radiographic Knee Osteoarthritis Who Self-Report No Functional Limitations Do Score Lower on a Performance Battery
OAK 3 - Non-arthroplasty tx of OAK
The majority of the older population shows signs of radiographic knee osteoarthritis. However, many remain without functional complaints for a long period. This study aims to find early functional changes associated with stages of radiographic knee osteoarthritis. A group of older people without self-reported complaint...
0
An Orthopedic-Hospitalist Comanaged Hip Fracture Service Reduces Inpatient Length of Stay
Hip Fx in the Elderly 2019
INTRODUCTION: Hip fractures are common in the elderly patients with an incidence of 320 000 fractures/year in the United States, representing a health-care cost of US$9 to 20 billion. Hip fracture incidence is projected to increase dramatically. Hospitals must modify clinical models to accommodate this growing burden. ...
0
Nightshift work and fracture risk: the Nurses' Health Study
Hip Fx Time to Surgery
SUMMARY: Nightshift work suppresses melatonin production and has been associated with an increased risk of major diseases including hormonally related tumors. Experimental evidence suggests that light at night acts through endocrine disruption likely mediated by melatonin. To date, no observational study has addressed ...
0
Medial thigh lift and DE.C.LI.VE
Panniculectomy & Abdominoplasty CPG
Vertical dermocrurolipectomy is a technique that in Italy has been named "DECLIVE," (which in Latin means something that moves downward). The first medial thigh lift with the DECLIVE technique was done in 1993. Since then, based on its excellent results 50 patients have been operated on, following DECLIVE. Therefore, D...
0
Use of adjunctive palmaris longus abductorplasty (Camitz) tendon transfer in pediatric median nerve injury
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A number of tendon transfers have been described for opponensplasty. Transfer of the palmaris longus (PL) tendon with a palmar fascial extension was initially described by Camitz. This technique has mostly been combined with carpal tunnel release in patients with long standing median neuropathy with atrophy of the then...
0
Effects of dehydroepiandrosterone replacement therapy on bone mineral density in older adults: a randomized, controlled trial
Management of Hip Fractures in the Elderly
CONTEXT: Dehydroepiandrosterone (DHEA) and its sulfate (DHEAS) decrease with aging and are important androgen and estrogen precursors in older adults. Declines in DHEAS with aging may contribute to physiological changes that are sex hormone dependent.OBJECTIVE: The aim was to determine whether DHEA replacement increase...
0
Is minimally invasive surgery-total knee arthroplasty truly less invasive than standard total knee arthroplasty? A quantitative evaluation
PJI DX Updated Search
With recent technical advancements, the number of operative manipulations in the knee joint by minimally invasive surgery-total knee arthroplasty (MIS-TKA) is now considered to be the same as that using standard TKA (S-TKA). The question still remains, however, if MIS-TKA improves recovery compared to S-TKA. We compare...
1
Popliteal vessel trauma: Surgical approaches and the vessel-first strategy
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: In this study, we analyzed long-term outcomes following treatment of traumatic popliteal vascular injuries in an urban level I trauma center, using a vessel-first approach in the case of combined vascular and bony/ligamentous injuries and discussing the relative merits of the medial and posterior approach t...
1
Anterior cruciate ligament tears: MR imaging-based diagnosis in a pediatric population
Anterior Cruciate Ligament Injuries CPG
PURPOSE: To evaluate the diagnostic accuracy of primary and secondary magnetic resonance (MR) imaging findings of anterior cruciate ligament (ACL) tears in young patients with immature skeletal systems. MATERIALS AND METHODS: MR images obtained in 43 patients aged 5-16 years who underwent arthroscopy were retrospective...
0
Avoiding and treating perioperative complications of distal radius fractures
DOD - Acute Comp Syndrome CPG
Numerous methods of treatment are available for the management of distal radius fractures, with modern trends favoring volar fixed-angle distal radius plates. Whatever the method of fixation, recognition, management, and prevention of the known associated complications are essential to achieve a good outcome. This arti...
0
Arthroscopic rotator cuff debridement
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Recent evidence has shown that rotator cuff pathology, in most patients, is due to primary intrinsic tendon degeneration. This degeneration leads to a build up of tendinosis at the insertion of the rotator cuff. Arthroscopic debridement of this tendinosis tissue without acromioplasty has been shown to have long-term ef...
0
Predictors and outcomes of lateral release in total knee arthroplasty: a cohort study of 1859 knees
PJI DX Updated Search
The use of lateral retinacular release (LR) to improve patellar tracking during total knee arthroplasty (TKR) remains contentious. This cohort study explored which pre-operative factors predicted LR, and analysed the effect of LR on short term complications and long term outcomes. One thousand eight hundred fifty-nine ...
0
Comparison of static and mobile antibiotic-impregnated cement spacers for the treatment of infected total knee arthroplasty
Dental Implant Infection
Infection after total knee arthroplasty (TKA) is a devastating complication, and two-stage reimplantation has evolved as an effective treatment option. This study was undertaken to compare the clinical results and radiological changes associated with static or mobile cement spacer placement for the treatment of infecte...
0
Comparison between exercise therapy and non-hydrolyzed collagen (UC-II) in functionality and quality of life in women with knee osteoarthritis : A randomized controlled clinical trial
AMP (Acute Meniscal Pathology)
BACKGROUND: Knee osteoarthritis (OA) is characterized by a progressive degeneration of cartilage and menisci, leading to pain and locomotor disability. Here, we aimed to assess the effect of an exercise protocol and the oral use of non-hydrolyzed collagen (UC-II) on the functionality and quality of life of women with k...
1
Painful neuroma requiring surgical excision after lower limb amputation caused by landmine explosions
DoD LSA (Limb Salvage vs Amputation)
This article reports an analysis of 75 consecutive lower limb amputees who developed painful neuroma requiring surgical excision after lower limb amputation following landmine explosions. This retrospective study analyses the results of 75 patients who were treated for painful neuroma after lower limb amputation follow...
0
Myositis ossificans following total knee replacement. A report on two cases
Surgical Management of Osteoarthritis of the Knee CPG
Two cases of myositis ossificans involving the quadriceps femoris muscle are described following total knee replacement arthroplasty. This condition appears to be a very rare complication of this operation. One case was helped by ultrasound therapy
0
Fatigue Failure of the GAP Ring
Management of Hip Fractures in the Elderly
This study reports the results and early failures using the Graft Augmentation Prosthesis ring in the reconstruction of acetabular defects encountered during total hip arthroplasty. Seventeen consecutive Graft Augmentation Prosthesis rings were used during 7 complex primary and 10 revision hip arthroplasties. Five pati...
0
Association between change in BMD and fragility fracture in women and men
Management of Hip Fractures in the Elderly
Our objective was to estimate the relationship between longitudinal change in BMD and fragility fractures. We studied 3635 women and 1417 men 50-85 yr of age in the Canadian Multicentre Osteoporosis Study who had at least two BMD measurements (lumbar spine, femoral neck, total hip, and trochanter) within the first 5 yr...
0
Comparison of mid-term results between conversion total knee arthroplasties following closed wedge high tibial osteotomy and primary total knee arthroplasties: A matched pair study including patellar symptom and position
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The purpose of this study was to compare mid-term clinical and radiographic results of conversion total knee arthroplasties (TKA) following a closed-wedge high tibial osteotomy (HTO) and primary TKAs. METHODS: A total of 32 conversion TKAs (29 patients) were compared with a matched control group of patients...
1
Cephalomedullary Nail Fixation of Intertrochanteric Femur Fractures: Are Two Proximal Screws Better Than One?
Hip Fx in the Elderly 2019
OBJECTIVES: To analyze radiographic changes in intertrochanteric (IT) fracture alignment after treatment with either a single sliding lag screw or an integrated compressed and locked, dual screw, cephalomedullary nail construct. DESIGN: Retrospective comparative study. SETTING: Level 1 regional trauma center. PATIENTS:...
1
Prepectoral versus Subpectoral Tissue Expander Breast Reconstruction: A Historically Controlled, Propensity Score-Matched Comparison of Perioperative Outcomes
Acellular Dermal Matrix
BACKGROUND: The rising popularity of prepectoral tissue expander placement with acellular dermal matrices in immediate breast reconstruction has prompted many studies on the safety of this technique. However, a comprehensive propensity-matched, historically controlled trial comparing perioperative outcomes following pr...
0
The Upper Paleolithic triple burial of Dolni Vestonice: pathology and funerary behavior
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
This work focuses on paleopathological analysis of one of the skeletons from the Gravettian triple burial of Dolni Vestonice (Moravia) and addresses issues of Upper Paleolithic funerary behavior. The burial includes the well-preserved skeletons of three young individuals. The skeleton in the middle (DV 15) is pathologi...
0
Younger patients report greater improvement in self-reported function after knee joint replacement
OAK 3 - Non-arthroplasty tx of OAK
STUDY DESIGN: Retrospective chart review.OBJECTIVES: To evaluate and compare the relationship between patients' age and the change in Oxford Knee Score from preoperative to postoperative assessments, and to investigate whether there is a relationship between preoperative Oxford Knee Score results and the indication for...
0
Development of an Ex Vivo Murine Osteochondral Repair Model
Osteochondritis Dissecans 2020 Review
OBJECTIVE: Mouse models are commonly used in research applications due to the relatively low cost, highly characterized strains, as well as the availability of many genetically modified phenotypes. In this study, we characterized an ex vivo murine osteochondral repair model using human infrapatellar fat pad (IPFP) prog...
1
Clinical evaluation of fluproquazone in post-operative pain. A report of double-blind comparative trials in patients after surgical interventions
AMP (Acute Meniscal Pathology)
A collaborative double-blind randomized trial was carried out involving 123 hospitalized patients with moderate or severe pain following surgical interventions such as episiotomy, vaginal uterus extirpation or meniscectomy. The analgesic effect of multiple oral doses of 4-(p-fluorophenyl)-1-isopropyl-7-2(1H)-quinazolin...
0
Management of traumatic wounds and a novel approach to delivering wound care in children
DoD SSI (Surgical Site Infections)
Significance: The costs and morbidity of pediatric traumatic wounds are not well known. The literature lacks a comprehensive review of the volume, management, and outcomes of children sustaining soft tissue injury. We briefly review the existing literature for traumatic wounds such as open fractures and burns. Such inj...
0
Creatinine-Based Renal Function Estimates and Dosage of Postoperative Pain Management for Elderly Acute Hip Fracture Patients
Hip Fx in the Elderly 2019
Many analgesics and their metabolites are renally excreted. The widely used Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)-estimated glomerular filtration rate (eGFR) equations are not developed for use in the elderly, while the recent Berlin Initiative Study (BIS), Full Age Spectrum (FAS), and Lund-Malmo ...
0
Tibial plateau leveling osteotomy in small breed dogs with high tibial plateau angles using a 4-hole 1.9/2.5 mm locking T-plate
PJI DX Updated Search
OBJECTIVES: To report clinical experiences with tibial plateau leveling osteotomy (TPLO) to address cranial cruciate ligament (CCL) disease in small breed dogs with high tibial plateau angles (TPA) using a specific 4-hole locking T-plate. STUDY DESIGN: Retrospective case series. ANIMALS: Small breed dogs (<15 kg) with ...
0
Neurological findings in Hunter disease: pathology and possible therapeutic effects reviewed
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Hunter disease (mucopolysaccharidosis type II, MPS II) is an X-linked lysosomal storage disease caused by deficiency of iduronate-2-sulfatase. Accumulation of chondroitin sulfate B and heparan sulfate in various tissues is the biochemical consequence of MPS II. Children with Hunter disease are normal at birth, and symp...
0
Improved comfort and function of arm prosthesis after implantation of a Humerus-T-Prosthesis in trans-humeral amputees
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
The use of arm prosthesis in trans-humeral amputees is limited; due to the cone form of the amputation stump. A Humerus-T-Prosthesis was implanted in three patients to create artificial humerus condyles. Two of the patients were successfully rehabilitated with the application of a new type trans-humeral arm prosthesis....
0
Forearm BMD as measured by peripheral quantitative computed tomography (pQCT) in a German reference population
Distal Radius Fractures
Low bone mass as estimated by decreased bone mineral density (BMD) is an established predictor of osteoporotic fractures. One of the latest developments in bone densitometry is peripheral quantitative computed tomography (pQCT) of the forearm. In Germany, the CT bone scanner XCT 900 has already been widely used; howeve...
1
Comparison of hook plate with versus without double-tunnel coracoclavicular ligament reconstruction for repair of acute acromioclavicular joint dislocations: A prospective randomized controlled clinical trial
Trial Systematic Review Project
Purpose: This study was designed to compare the surgical outcomes of a hook plate with double-tunnel coracoclavicular (CC) ligament reconstruction by conjoined tendon transfer versus single hook plate surgery for the repair of acute type of Rockwood type III and V acromioclavicular (AC) joint dislocations. Methods: The...
0
Free composite medial femoral trochlea osteochondral cutaneous flap for wrist scaphoid and lunate cartilage lesions: Advantages of a skin paddle
Osteochondritis Dissecans 2020 Review
The medial femoral trochlea flap is a chondrocorticoperiosteal flap. It has recently been described in the context of cartilage lesions. It is mainly used for reconstruction in non-union of the scaphoid's proximal pole and Kienböck disease. The medial femoral trochlea flap may be harvested with a skin island flap to m...
0
Profiles of biomarkers of excess alcohol consumption in patients undergoing total hip replacement: Correlation with function
DoD SSI (Surgical Site Infections)
Aims. Patients who misuse alcohol may be at increased risk of surgical complications and poorer function following hip replacement. Identification and intervention may lead to harm reduction and improve the outcomes of surgery. The aim of this study was to determine the prevalence of biomarker elevation in patients und...
0
Epidemiology of periprosthetic femoral fractures in 5417 revision total hip arthroplasties: a 40-year experience
Hip Fx in the Elderly 2019
AIMS: The goals of this study were to define the risk factors, characteristics, and chronology of fractures in 5417 revision total hip arthroplasties (THAs). PATIENTS AND METHODS: From our hospital's prospectively collected database we identified all patients who had undergone a revision THA between 1969 and 2011 which...
0
Predictive factors for developing osteochondritis dissecans after surgery for discoid lateral meniscus are younger age and shorter meniscal width
Osteochondritis Dissecans 2020 Review
PURPOSE: This study aimed to identify the predictive factors for postoperative osteochondritis dissecans (OCD) in juvenile and adolescent knees with discoid lateral meniscus (DLM). METHODS: In total, 242 patients with symptomatic DLM who underwent surgery were identified. Inclusion criteria were set as follows: (1) age...
0
Metastatic pulmonary adenocarcinoma in a llama (Lama glama)
MSTS 2018 - Femur Mets and MM
An adult female llama with a comminuted fracture of the left femoral head was necropsied. A firm multinodular mass infiltrated skeletal muscle adjacent to the fracture. Multiple, firm, white nodules were in the pulmonary parenchyma and pleura. A single nodule was in the liver. Microscopically, transition from nonneopla...
0
Investigation of Postoperative Complications of Intrabony Cystic Lesions in the Oral and Maxillofacial Region
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: The purpose of this study was to identify factors that can complicate the surgical removal of intrabony cysts and any relevant correlations between them. PATIENTS AND METHODS: The medical records of 249 patients who underwent surgical removal of intrabony cysts were retrospectively reviewed. Outcome variables ...
0
Impact of length of red blood cells transfusion on postoperative delirium in elderly patients undergoing hip fracture surgery: A cohort study
Hip Fx Time to Surgery
PURPOSE: The purpose of the present study was to test whether older red blood cells (RBCs) transfusion results in an increased risk of postoperative delirium (POD) and various in-hospital postoperative complications in elderly patients undergoing hip fracture surgery. MATERIALS AND METHODS: Patients (>/=65 years) who u...
0
Prevention of deep venous thrombosis: The Hospital for Special Surgery approach
Surgical Management of Osteoarthritis of the Knee CPG
Deep vein thrombosis is the most common complication after total knee and total hip arthroplasty. At the Hospital for Special Surgery we have tried to develop a multimodal approach for deep vein thrombosis prophylaxis. For patients undergoing total hip arthroplasty this approach involves multiple intraoperative and pos...
0
Changes in articular cartilage mechanics with meniscectomy: A novel image-based modeling approach and comparison to patterns of OA
AMP (Acute Meniscal Pathology)
Meniscectomy is a significant risk factor for osteoarthritis, involving altered cell synthesis, central fibrillation, and peripheral osteophyte formation. Though changes in articular cartilage contact pressure are known, changes in tissue-level mechanical parameters within articular cartilage are not well understood. R...
1
Reduced time to surgery improves mortality and length of stay following hip fracture: results from an intervention study in a Canadian health authority
Hip Fx in the Elderly 2019
BACKGROUND: Existing literature demonstrating the negative impact of delayed hip fracture surgery on mortality consists largely of observational studies prone to selection bias and may overestimate the negative effects of delay. We conducted an intervention study to assess initiatives aimed at meeting a 48-hour benchma...
1
All-arthroscopic meniscus repair of avascular and biologically at-risk meniscal tears
AMP (Acute Meniscal Pathology)
Meniscal repair strategies have evolved over time from a more invasive open method to less invasive, all-arthroscopic approaches. Novel devices and surgical techniques currently enable the successful arthroscopic placement of biomechanically optimal sutures that provide compression across the tear site with less potent...
0
Systemic Lupus Erythematosus Does Not Increase Risk of Adverse Events in the First 6 Months after Total Knee Arthroplasty
AAHKS (2) Corticosteroids
Background Increasing numbers of patients with systemic lupus erythematosus (SLE) are undergoing total knee arthroplasty (TKA). Whether postsurgical adverse events (AEs) are higher in patients with SLE than patients with osteoarthritis (OA) is unknown. Objectives This study aims to compare AEs within 6 months of TKA. M...
1
To derotate or not? The impact of a permanent derotation screw on the revision rate of dynamic hip screw fixation for intracapsular neck of femur fractures
Hip Fx in the Elderly 2019
Background: In this retrospective study, we examine the impact that employing a permanent derotation screw (DRS) has on the rate of revision for 2-hole dynamic hip screws (DHS, a.k.a. sliding hip screws), used for internal fixation of intracapsular neck of femur (NOF) fractures. To the best of our knowledge, we are the...
0
Effect of an unrepaired fracture of the ulnar styloid base on outcome after plate-and-screw fixation of a distal radial fracture
Distal Radius Fractures
BACKGROUND: The impact of an unrepaired fracture of the ulnar styloid base on recovery after internal fixation of a fracture of the distal part of the radius is uncertain. We evaluated a series of patients with an internally fixed fracture of the distal part of the radius to test the hypothesis that there is no differe...
0
Management of hip involvement in ankylosing spondylitis
DoD SSI (Surgical Site Infections)
Ankylosing spondylitis (AS) is an inflammatory rheumatologic disease characterized by inflammation and progressive structural damage of the affected joints. Hip involvement often results in severe deformities and significant impairment on function. Although, tremendous progress has been made in conservative management ...
0
Variation of skeletal degenerative joint disease features in an identified Italian modern skeletal collection
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVES: The objective of this study was to investigate the relationship of degenerative joint disease (DJD) features (marginal lipping, porosity, surface osteophytes, eburnation, and loss of joint morphology) with sex, age, and occupation. MATERIALS AND METHODS: We devised a recording method for scoring the single ...
0
Prognostic relevance of increased angiogenesis in osteosarcoma
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: The purpose of this work was to evaluate the prognostic relevance of microvessel density (MVD) for response to chemotherapy and long-term outcome in osteosarcoma. EXPERIMENTAL DESIGN: Pretherapeutic tumor biopsies of 60 patients with high-grade central osteosarcoma, who were treated according to multimodal neo...
0
Patellar resurfacing complications in total knee arthroplasty
PJI DX Updated Search
Purpose: The ideal management of the patella during total knee arthroplasty (TKA) is still controversial. Patellar retention is generally associated with an increased rate of anterior knee pain; however, patient satisfaction is similar in cases of replacement or retention. When the patella is replaced, potential severe...
0
Vascular injuries of the extremities are a major challenge in a third world country
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Traumatic vascular injuries of the extremities are a major challenge especially in the third world countries. These injuries are mostly due to poor traffic laws, street crimes, firearms and blast associated injuries. We therefore would like to share our 10 years of experience in dealing with vascular injuri...
0
Cementless total hip replacement with subtrochanteric femoral shortening for severe developmental dysplasia of the hip
Management of Hip Fractures in the Elderly
Total hip replacement for high dislocation of the hip joint remains technically difficult in terms of preparation of the true acetabulum and restoration of leg length. We describe our experience of cementless total hip replacement combined with a subtrochanteric femoral shortening osteotomy in 20 hips with Crowe grade ...
1
Therapeutic efficacy of zoledronic acid combined with calcitriol in elderly patients receiving total hip arthroplasty or hemiarthroplasty for osteoporotic femoral neck fracture
Hip Fx in the Elderly 2019
Zoledronic acid could improve the clinical outcome in elderly patients receiving total hip arthroplasty or hemiarthroplasty for osteoporotic femoral neck fracture in the 1-year prospective study. INTRODUCTION: To validate the therapeutic efficacy of zoledronic acid (ZOL) in elderly patients with femoral neck fracture w...
0
Delirium in patients with cancer at the end of life
MSTS 2022 - Metastatic Disease of the Humerus
PURPOSE: Delirium is a common and distressing syndrome seen in patients with advanced cancer. Behavioral manifestations of delirium, such as agitation, may result in medical intervention, stress to family caregivers, and inpatient hospice admission. The purpose of this study was to examine the frequency, characteristic...
0
Prevalence of osteoarthritis in former elite athletes: a systematic overview of the recent literature
SR for PM on OA of All Extremities
The aim of this study was to systematically review the recent scientific literature to explore the prevalence of osteoarthritis (OA) in former elite athletes from team and individual sports. A systematic review of observational studies was conducted. Based on three categories of keywords (and synonyms), a sensitive sea...
0
How High-Risk Comorbidities Co-Occur in Readmitted Patients With Hip Fracture: Big Data Visual Analytical Approach
Hip Fx in the Elderly 2019
BACKGROUND: When older adult patients with hip fracture (HFx) have unplanned hospital readmissions within 30 days of discharge, it doubles their 1-year mortality, resulting in substantial personal and financial burdens. Although such unplanned readmissions are predominantly caused by reasons not related to HFx surgery,...
0
Stiffness after TKR: how to avoid repeat surgery
PJI DX Updated Search
Stiffness after total knee replacement (TKR) is a frustrating complication that has many possible causes. Although the definition of stiffness has changed over the years, most would agree that flexion <75 degrees and a 15 degrees lack of extension constitutes stiffness. The management of this potentially unsatisfying s...
0
Clinical results of trochanteric fractures treated with the
Management of Hip Fractures in the Elderly
The aim of this study was to investigate the outcome of 352 (71 males) patients with trochanteric fractures that were treated with the
0
A Systematic Review and Meta-analysis of the Association Between Vitamin K Antagonist Use and Fracture
Hip Fx in the Elderly 2019
Background: Vitamin K antagonist (VKA) anticoagulant use is suspected to increase the risk of bone fracture through inhibition of vitamin Kâ??dependent cofactors of bone formation, an effect not seen with non-vitamin K antagonist oral anticoagulants (NOACs). The purpose of our systematic review and meta-analysis is to ...
0
Level of undercarboxylated osteocalcin in reproductive Thai females
Management of Hip Fractures in the Elderly
Osteocalcin is a vitamin K dependent protein requiring vitamin K as a cofactor for the enzyme gamma glutamyl carboxylase which converts the glutamate residues at 17, 21, 24 position of the molecule into gamma carboxyglutamate or Gla residues. The carboxylation makes immature osteocalcin or undercarboxylated osteocalcin...
1
Abdominal Panniculectomy Can Simplify Kidney Transplantation in Obese Patients
Panniculectomy & Abdominoplasty CPG
BACKGROUND: Obesity is frequently present in patients suffering from end-stage renal disease (ESRD). However, overweight kidney transplant candidates are a challenge for the transplant surgeon. Obese patients tend to develop a large abdominal panniculus after weight loss creating an area predisposed to wound-healing di...
0
Soft drink intake and progression of radiographic knee osteoarthritis: Data from the osteoarthritis initiative
OAK 3 - Non-arthroplasty tx of OAK
Objectives: We examine the prospective association of soft drink consumption with radiographic progression of knee osteoarthritis (OA). Design: Prospective cohort study. Setting: This study used data from the osteoarthritis initiative (OAI). Participants: In OAI, 2149 participants with radiographic knee OA and having d...
0
Attachment style, relationship quality, and psychological distress in patients with psychogenic non-epileptic seizures versus epilepsy
DoD PRF (Psychosocial RF)
OBJECTIVES: Psychopathology levels are elevated in patients with psychogenic non-epileptic seizures (PNES) and those with epilepsy. However, patients with PNES report higher rates of trauma and neglect, poorer health-related quality of life (HRQoL), and an increased prevalence of insecure attachment. We examined to wha...
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Predictors of functional outcome after revision total knee arthroplasty following aseptic failure
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: There are a limited number of studies related to quality of life and functional outcome after revision total knee arthroplasty (TKA). The present study aimed to identify predictors of functional outcome after revision TKA for aseptic failure. METHODS: One hundred seventy-five patients with mean age of 66.6 ...
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The value of a new ultrasound stress test in assessment and treatment of clinically detected hip instability
Developmental Dysplasia of the Hip CPG
Fifty patients with clinical suspicion of hip dislocation were investigated prospectively with a dynamic ultrasound stress test. A posterior force was applied to hips in flexion and any movement between the femoral head and the acetabulum was measured. The results of this test showed that posterior movement ranged from...
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Patients' and practitioners' views of knee osteoarthritis and its management: A qualitative interview study
AAHKS (2) Corticosteroids
Purpose: To identify the views of patients and care providers regarding the management of knee osteoarthritis (OA) and to reveal potential obstacles to improving health care strategies. Methods: We performed a qualitative study based on semi-structured interviews of a stratified sample of 81 patients (59 women) and 29 ...
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Design, Preparation, and Bioactivity Study of New Fusion Protein HB-NC4 in the Treatment of Osteoarthritis
AMP (Acute Meniscal Pathology)
Osteoarthritis (OA) is now becoming the main disease that affects public health. There is no specific medicine used for OA in clinical application until now. Recently, several studies demonstrated that OA is closely related to the complement system, and some complement regulators such as N-terminal non-collagenous doma...
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Colles' fracture: end results in relation to radiologic parameters
Distal Radius Fractures
Thirty-seven patients with unilateral Colles' fractures were examined clinically and roentgenographically at least 1 year after fracture. Statistical analysis of the data, comparing roentgenographic parameters with clinical results, showed that loss of volar tilt directly affected the final results by decreasing grip a...
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A Prospective Evaluation of Complications after Use of Exposed Pins in the Hand and Wrist
DoD SSI (Surgical Site Infections)
BACKGROUND: Kirschner wires are commonly used during hand surgical procedures. These pins are often left exposed (protruding from the skin) for ease of removal. Complications such as loosening, migration, or infection are not uncommon (ranging from 7 to 18 percent in current retrospective studies) and can compromise su...
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Frequency doubling technology and confocal scanning ophthalmoscopic optic disc analysis in open-angle glaucoma with hemifield defects
Upper Eyelid and Brow Surgery
PURPOSE: To evaluate the potential of frequency doubling technology for detecting early glaucomatous damage. PATIENTS AND METHODS: Forty-nine eyes of 49 patients with open-angle glaucoma with visual field defects only in one hemifield according to the Humphrey Field Analyzer 30-2 program were included. Forty-five healt...
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Comparative assessment of early versus delayed surgery to treat proximal femoral fractures in elderly patients: A systematic review and meta-analysis
Hip Fx in the Elderly 2019
BACKGROUND: Recently, many studies have suggested that timely surgery to treat proximal femoral fractures can benefit patients in many respects. However, both the short- and long-term outcomes, and the perioperative complications, of early surgery remain controversial. In addition, the optimal cut-off time for early su...
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Superiority of age and weight as variables in predicting osteoporosis in postmenopausal white women
Management of Hip Fractures in the Elderly
Identification of women at risk for osteoporosis is of great importance for the prevention of osteoporotic fractures. Routine BMD measurement of all women is not feasible for most populations, hence identification of a high-risk subset of women is an important element of effective preventive strategies. METHODS: We ide...
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Ultrasound diagnosis of juvenile forearm fractures
Distal Radius Fractures
PURPOSE: Metaphyseal forearm fractures are a common pathology in any emergency department. The standard diagnostic procedure is an X-ray of the forearm and wrist. Former studies have shown that these fractures can be visualized by ultrasound. The intention of this study was to evaluate the safety and reliability of the...
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Above-knee amputations in psychiatric inpatients
Surgical Management of Osteoarthritis of the Knee CPG
Data on 121 primary above-knee amputations and 12 stump revisions performed on a population of nonambulatory elderly psychiatric inpatients showed that the overall morbidity and mortality rates compared favorably with those in previously published reports on other groups of patients who received the same type of amputa...
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Minimally invasive surgery of distal radius fractures: a series of 20 cases using a 15mm anterior approach and arthroscopy
Distal Radius Fractures
UNLABELLED: This study reports the results of minimally invasive surgical treatment of distal radius fractures using a 15mm incision with arthroscopic assistance. This was a retrospective series of 20 distal radius fractures in young or middle-aged patients caused by high-energy trauma and/or with articular involvement...
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(untitled)
OAK 3 - Non-arthroplasty tx of OAK
The purpose of this report is to retrieve and review the existing clinical effectiveness evidence on the treatment of knee osteoarthritis (OA) patients with exercise as compared to no intervention, placebo, or opioids.
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Expression of C-X-C chemokine receptor type 7 in otorhinolaryngologic neoplasms
MSTS 2018 - Femur Mets and MM
INTRODUCTION: C-X-C chemokine receptor type 7 (CXCR7) has recently been characterised as a novel receptor for the C-X-C motif chemokine 12 (CXCL12)/stromal cell-derived factor 1-alpha. CXCR7 has been thought to play an important role in the pathogenesis of chronic rhinosinusitis, angiogenesis and tumour metastasis. The...
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Mortality after the hospitalization of a spouse
Management of Hip Fractures in the Elderly
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-...
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Causes of pain and loss of function in rotator cuff disease: analysis of 1383 cases
Trial Systematic Review Project
BACKGROUND: The New Zealand Rotator Cuff Registry is a multicentre, nationwide prospective study of rotator cuff repairs established in March 2009. METHODS: A total of 1383 rotator cuff repairs were included in this study, all with completed baseline Flex-SF scores, pain scores and standardized operative forms. RESULTS...
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Carpal tunnel decompression: open vs endoscopic
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Carpal tunnel decompression is a common operation. While most patients report satisfaction there are recognized complications. New endoscopic techniques are claimed to reduce the incidence of these. However, the new techniques are not without complications of their own
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Reducing costly falls after total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
AIM: To investigate whether adductor canal nerve block (ACB) reduces patient falls when compared to femoral nerve block (FNB) after total knee arthroplasty (TKA). METHODS: We conducted an institutional review of all-cause falls after TKA from January 2013 to August 2016 using a quality improvement database. Our inclusi...
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The anatomy, symptoms, and signs of carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The described anatomy and signs of CTS have remained consistent throughout the years, although there has been a considerable discrepancy in the medical literature regarding the sensitivity and specificity of signs related to CTS. The following conclusions are supported by the body of medical literature available on CTS...
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The prevention of early-onset neonatal group B streptococcus infection: technical report from the New Zealand GBS Consensus Working Party
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
AIMS: Early-onset neonatal group B streptococcus (GBS) is the leading infectious cause of disease in newborn babies. Since intrapartum antibiotics interrupt vertical GBS transmission, this is now a largely preventable public health problem. An important first step is to develop (then implement) nationally, agreed preve...