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0 | Spanish consensus for the management of patients with anaplastic cell thyroid carcinoma | MSTS 2018 - Femur Mets and MM | Anaplastic thyroid cancer (ATC) is the most aggressive solid tumor and almost uniformly lethal in humans. The Boards of the Thyroid Cancer Group of the Spanish Society of Endocrinology and Nutrition and the Grupo Español de Enfermedades Huérfanas e Infrecuentes of the Spanish Society of Oncology requested that an ind... |
0 | Comparison of MRI- and CT-based patient-specific guides for total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: The patient-specific guide for total knee arthroplasty (TKA) is created from the data provided by magnetic resonance imaging (MRI) or computed tomography (CT) scans. It remains unknown which imaging technology is suitable for the patient-specific guide. The purpose of this study was to compare the accuracy ... |
0 | Proximal humerus reconstructions for tumors | MSTS 2022 - Metastatic Disease of the Humerus | UNLABELLED: The optimal method for reconstructing the proximal humerus in patients with tumors is controversial. To determine functional outcomes and complication rates after different types of reconstructions, we reviewed a consecutive series of 49 patients who underwent proximal humerus resection and osteoarticular a... |
0 | Autologous osteochondral mosaicplasty grafting | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Successful management of chondral and osteochondral defects of the weight-bearing joint surfaces has always been a challenge for orthopedic surgeons and rehabilitation specialists. Autologous osteochondral mosaic transplantation technique is one of the recently evolved methods to create hyaline or hyaline-like repair t... |
0 | Immediate Great Toe Transfer for Thumb Reconstruction After Tumor Resection: Report of 3 Cases | Reconstruction After Skin Cancer | BACKGROUND: Modern oncologic surgery aims not only to obtain tumor-free margins but also to spare or reconstruct limb function and preserve quality of life. A negative tumor margin in the digit generally requires amputation; therefore, function is preserved with reconstruction. We report results of simultaneous ablativ... |
1 | Microfracture and osteochondral autograft transplantation are cost-effective treatments for articular cartilage lesions of the distal femur | Osteochondritis Dissecans 2020 Review | BACKGROUND: Multiple techniques have been suggested for the treatment of isolated knee articular cartilage injuries. For smaller lesions (<2-5 cm(2)), microfracture and osteochondral autograft transplantation (OAT) are commonly used options. With an increasing focus on health care efficiency, analyzing the cost-effecti... |
0 | Blepharoptosis Associated with Third Cranial Nerve Palsy | Upper Eyelid and Brow Surgery | Purpose: To evaluate the demographics and outcomes of management for blepharoptosis associated with third cranial nerve palsy at a tertiary eye center. Methods: This retrospective cross-sectional and interventional study was performed on hospital records of patients with ptosis associated with third cranial nerve palsy... |
0 | A dental view of controversies in the prophylaxis of infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Dental care of patients at risk of endocarditis must reflect changes in dental disease prevalence and in patients' expectations. Simplified recommendations on antibiotic prophylaxis are being widely applied |
0 | Intraoperative angiography provides objective assessment of skin perfusion in complex knee reconstruction | AAHKS (2) Corticosteroids | BACKGROUND: Wound necrosis is a potentially devastating complication of complex knee reconstruction. Laser-assisted indocyanine green angiography (LA-ICGA) is a technology that has been described in the plastic surgery literature to provide an objective assessment of skin perfusion in the operating room. This novel tec... |
0 | Osteonecrosis: current perspectives on pathogenesis and treatment | AAHKS (2) Corticosteroids | Nontraumatic osteonecrosis results from impairment of circulation to the affected bone. The femoral head is affected most frequently. The underlying cause for the circulatory defect in osteonecrosis varies and may involve both local and systemic changes. Steroid use, alcohol consumption, pancreatitis, and lipid disorde... |
0 | Vitamin D and calcium supplementation prevents osteoporotic fractures in elderly community dwelling residents: a pragmatic population-based 3-year intervention study | Management of Hip Fractures in the Elderly | This study of 9605 community-dwelling residents supports that vitamin D and calcium supplementation may prevent osteoporotic fractures in elderly in a northern European region known to be deficient in vitamin D, especially during winter periods. INTRODUCTION: We evaluated the effect of two programs for the prevention o... |
1 | Internal fixation versus hemiarthroplasty for the displaced subcapital fracture of the femur. A prospective randomised study | Management of Hip Fractures in the Elderly | A prospective randomised trial of surgical treatment for the displaced subcapital femoral fracture in patients of 70 years or more is presented. Two hundred and eighteen patients were randomly allocated into one of three treatment groups: manipulative reduction and internal fixation using Garden screws; Thompson hemiar... |
0 | Use of human acellular dermal matrix in implant- based breast reconstruction: evaluating the evidence | Reduction Mammoplasty for Female Breast Hypertrophy | The use of acellular dermal matrix (ADM) in implant based breast reconstruction has become increasingly popular to the point that a subset of surgeons use ADM for virtually every tissue expander/implant based reconstruction. While there may be a number of perceived and anecdotal advantages such as decreased post-operat... |
0 | Do biologic agents increase the risk of infection in patients undergoing lower limb arthroplasty surgery? | OAK 3 - Non-arthroplasty tx of OAK | Background: Biologic agents have contributed significantly to the management of patients with in rheumatoid arthritis (RA). A significant proportion of patients with RA still require arthroplasty procedures however. It is unclear whether these agents increase the risk of post operative infection after lower limb arthro... |
0 | Osteoarthritis year in review 2015: Mechanics | AMP (Acute Meniscal Pathology) | Motivated by the conceptual framework of multi-scale biomechanics, this narrative review highlights recent major advances with a focus on gait and joint kinematics, then tissue-level mechanics, cell mechanics and mechanotransduction, matrix mechanics, and finally the nanoscale mechanics of matrix macromolecules. A lite... |
0 | Impact of Timing of Lobectomy on Survival for Clinical Stage IA Lung Squamous Cell Carcinoma | Reconstruction After Skin Cancer | BACKGROUND: Because the relationship between the timing of surgery following diagnosis of lung cancer and survival has not been precisely described, guidelines on what constitutes a clinically meaningful delay of resection of early-stage lung cancer do not exist. This study tested the hypothesis that increasing the tim... |
0 | Infection after knee arthroplasty a prospective study of 1509 cases | Surgical Management of Osteoarthritis of the Knee CPG | We report a prospective study of 1509 consecutive total knee arthroplasties looking at risk factors for infection in modern surgical practice. The overall deep infection rate was 1%. A further 51 patients had a superficial infection (3.3%). Statistical analysis revealed no correlation between risk of infection and age ... |
0 | Clodronate reduces the incidence of fractures in community-dwelling elderly women unselected for osteoporosis: results of a double-blind, placebo-controlled randomized study | Management of Hip Fractures in the Elderly | A 3-year prospective, randomized, placebo-controlled trial of oral clodronate 800 mg showed that the incidence of clinical fractures was decreased by 20% in 5596 elderly women unselected for osteoporosis. The effect occurred in the absence of systematic calcium and vitamin D supplementation and was observed across a wi... |
1 | Local infiltration analgesia adds no clinical benefit in pain control to peripheral nerve blocks after total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | PURPOSE: To evaluate the effect of the local infiltration of analgesics for pain after total knee arthroplasty in patients treated with femoral and sciatic peripheral nerve blocks. The secondary objective was to detect differences in analgesic consumption as well as blood loss after local infiltration of analgesics.
ME... |
0 | Birmingham hip resurfacing: a minimum follow-up of ten years | PJI DX Updated Search | We report the survival, radiological and functional outcomes of a single surgeon series of his first 144 consecutive Birmingham hip resurfacing procedures (130 patients) at a minimum of ten years. There were ten revisions during this time. Although no patients were lost to follow-up some did not complete the scoring as... |
0 | Biliopancreatic diversion: Clinical experience | Panniculectomy & Abdominoplasty CPG | Background: Biliopancreatic diversion (BPD), by ad hoc stomach resection (AHS-BPD) has been accepted as an effective surgical treatment for morbid obesity. Methods: Between 1.1.1992 and 31.7.1996, 59 patients (54 females, five males, mean age 40.3 years, range 23-61 years) underwent AHS-BPD. Mean preoperative body-weig... |
1 | A comparative study between closed reduction and cast application versus percutaneous K-wire fixation for extraarticular fracture distal end of radius | Distal Radius Fractures | Introduction: In extra-articular distal radius fractures closed reduction and casting has been the mainstay of treatment, difficulty lies in predicting and maintaining the proper reduction at final union. Percutaneous K-wire stabilization is also a widely accepted treatment option, but there is no consensus on its outc... |
1 | Does early treatment by abduction splintage improve the development of dysplastic but stable neonatal hips? | Developmental Dysplasia of the Hip CPG | A prospective trial was carried out to assess the outcome of children aged from 2 to 6 weeks with stable but dysplastic hips, treated with abduction splintage or by observation. Forty-four patients with 63 dysplastic hips were entered into the study and allocated into the two treatment groups at random. The ultrasound ... |
0 | Plasma concentration of bupivacaine after spinal anesthesia with single shot femoral nerve block in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Femoral nerve block is commonly established for postoperative analgesia in total knee arthroplasty but no evidence of plasma bupivacaine level has been reported. Objectives: The aim of our study was to determine the plasma concentrations of bupivacaine in patients who had single-injection of femoral nerve... |
1 | Functional outcome of open distal femoral fractures managed with lateral locking plates | DoD SSI (Surgical Site Infections) | Purpose: This prospective study evaluated the functional outcome and union rates of open distal femoral fractures managed with anatomic lateral locking plates. Methods: Thirty-four patients with open distal femur fractures with mean age of 40.8 years (range 20–65 years) were included in the study. Patients with Gustilo... |
0 | The role of imaging in osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is the most prevalent joint disorder with no approved disease-modifying treatment available. The importance of imaging in assessing all joint structures involved in the disease process, including articular cartilage, meniscus, subarticular bone marrow, and synovium for diagnosis, prognostication, an... |
0 | Meniscus allograft transplantation: a comparison of medial and lateral procedures | AMP (Acute Meniscal Pathology) | BACKGROUND: Because of the anatomic and biomechanical differences between the lateral and medial menisci, it is believed that the indications, combined injuries, techniques, and outcomes of the 2 meniscus allograft transplantation (MAT) procedures may be different.
HYPOTHESIS: Medial meniscus transplantation (medial gr... |
0 | Soft-tissue reconstruction in orthopedic surgery | Panniculectomy & Abdominoplasty CPG | A wide variety of tissues are now available for closing soft-tissue defects of all sizes. The choice of the donor site is dictated by the size and shape of the defect, the proximity of blood and nerve supply in the recipient area, and the need for primary or secondary bone grafting or lengthening. The position and orie... |
0 | The Comparative Efficacy of Peri-articular and Intraarticular Tranexamic Acid in Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Patients scheduled for unilateral primary TKA; 108 patients were randomly assigned to receive periâ?articular TXA, intraarticular TXA and control group. 36 patients received either: (I) 15 mg/kg periâ?articular TXA combined with multimodal local anesthetic infiltration (bupivacaine, morphine, ketorolac and epinephrin... |
1 | Comparative analysis of intramedullary nail fixation versus casting for treatment of distal radius fractures | Distal Radius Fractures | PURPOSE: Intramedullary fixation is one treatment option for distal radius fractures. Our purpose was to compare the outcomes of intramedullary nailing to those of casting for these injuries.
METHODS: From 2006 to 2009, we reviewed 63 adult patients with isolated distal radius fractures. Thirty-one patients had surgica... |
0 | (Effect of early rehabilitation on the hip joint function in patients with comminuted posterior wall fractures of the acetabulum after internal fixation) [Chinese - simplified characters] | Management of Hip Fractures in the Elderly | BACKGROUND: Treatment for acetabular fracture becomes a hot point in orthopaedic trauma, but ignorance of rehabilitative treatment that effect therapeutic efficacy is to be seen repeatedly. Normative rehabilitation therapy is one indispensable procedure of acetabular fracture treatment. OBJECTIVE: To investigate the ef... |
0 | Preparing and responding to major accidents and disasters | DoD PRF (Psychosocial RF) | After major incidents and disasters psychosocial support for the people affected is urgent and sometimes predominant. To plan and train staff for psychosocial intervention European and national guidelines have been developed. The European Policy Paper "Psychosocial support in situations of mass emergencies" offers guid... |
0 | The "Good, Bad and Ugly" pin site grading system. A reliable and memorable method for documenting and monitoring ring fixator pin sites | DoD SSI (Surgical Site Infections) | Although there is much in the literature regarding pin site infections, there is no accepted, validated method for documenting their state. We present a system for reliably labelling pin sites on any ring fixator construct and an easy-to-remember grading system to document the state of each pin site. Each site is grade... |
1 | Blood loss in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Over a two-year period, 112 consecutive primary total knee arthroplasties (TKA) were performed according to a standard protocol and were evaluated to determine the effects of intraoperative tourniquet deflation, suction drainage, and immediate continuous passive motion (CPM) on blood loss and the need for blood transfu... |
0 | Does the surgery time affect the final outcome of type III supracondylar humeral fractures? | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: Supracondylar humeral fractures are common in the pediatric population, with displaced fractures requiring operative intervention. The purpose of this study was to look at our practice and assess whether a difference in clinical outcomes and requirement for open reduction was observed if surgery was delay... |
1 | Carpal tunnel syndrome: evaluation of median nerve circulation with dynamic contrast-enhanced MR imaging | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: To identify mechanism(s) responsible for carpal tunnel syndrome (CTS). MATERIALS AND METHODS: At dynamic gadolinium-enhanced magnetic resonance (MR) imaging, the enhancement pattern of the sagittal section of the median nerve in 10 wrists of nine patients with CTS (two men and seven women, aged 43-60 years [me... |
0 | Long-term results of remodeling of lateral condylar prominence after lateral closed-wedge osteotomy for cubitus varus | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Despite the ability of lateral closed-wedge osteotomy for cubitus varus deformity to restore carrying angle and preserve elbow motion, there have been reports of poor cosmetic appearance of the elbow because of lateral condylar prominence. METHOD: We evaluated long-term results of remodeling of lateral cond... |
0 | An electrophysiological exploration of the double crush hypothesis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The double crush hypothesis has not been rigorously evaluated in humans. We therefore analyzed cases of C6, C7, and C8 radiculopathy and exploited the fact that the median sensory response is of C6/C7 origin and the median motor response is primarily of C8 origin. We hypothesized that C6 and/or C7 cases would demonstra... |
1 | Nonoperative treatment of rotator cuff tears | Optimizing the Management of Full-Thickness Rotator Cuff Tears | In this study, 33 patients with full-thickness tears of the rotator cuff were given a supervised nonoperative program of rotator strengthening exercises and then were seen at followup an average of 3.8 years later. Of the 14 patients who were dissatisfied with nonoperative care, 12 eventually had opted for surgery and ... |
0 | Interventions for treating acute elbow dislocations in adults | SR for PM on OA of All Extremities | Background: Dislocation of the elbow joint is a relatively uncommon injury.Objectives: To assess the effects of various forms of treatment for acute simple elbow dislocations in adults.Search methods: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (April 2011), the Cochrane Central Re... |
0 | The giant aggressive chondroma: A rare entity, a difficult approach | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: enchondromas rarely exceed 3-6cm in long bones. Although the risk of developing secondary chondrosarcoma has been reported up to 4% in solitary lesions, it is not known if size represents a risk factor for transformation.
Objective: to describe three exceptional cases of enchondromas of the entire femur w... |
0 | Posterior minimally invasive plate osteosynthesis for humeral shaft fractures | Distal Radius Fractures | Fractures of the humeral shaft are common. Most of them can be successfully treated without surgery. In some cases, an operative intervention may offer faster and better functional results. One of the major problems with the open plating osteosynthesis is the extensive soft tissue stripping and disruption of periosteal... |
0 | A turbulent year at the agency | MSTS 2018 - Femur Mets and MM | If there's a positive message to take away from the FDA's seemingly endless troubles in 2005, it may be that smaller companies are increasingly registering on the agency's radar. © 2006 Nature Publishing Group. |
1 | A randomized controlled trial evaluating an alternative mouse or forearm support on change in median and ulnar nerve motor latency at the wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background The purpose of this study was to determine the effects of an alternative mouse and/or a forearm support board on nerve function at the wrist among engineers. Methods This randomized controlled intervention trialfollowed 206 engineers for 1 year. Distal motor latency (DML) at baseline and follow-up was conduc... |
0 | Arthroscopy-assisted tibial plateau fracture surgery - Minimum 2 years follow up results | DoD SSI (Surgical Site Infections) | Background: Accurate anatomical reduction plays a crucial role in the surgical management of tibial plateau fractures. Arthroscopic visualization of the articular surface can allow for a precise reduction. Objectives: To evaluate the outcome of arthroscopy-assisted reduction and internal fixation for tibial plateau fra... |
0 | Combined arcus marginalis release, preseptal orbicularis muscle sling, and SOOF plication for midfacial rejuvenation | Upper Eyelid and Brow Surgery | Improvements have been made throughout the history of medicine, causing physicians to abandon a technique or medications clearly shown to be suboptimal. Unfortunately, this has not happened with rejuvenative surgery. Conventional lower eyelid procedures continue to include removal of orbital fat in most cases, and face... |
0 | Vitamin D supplementation in cutaneous malignant melanoma outcome (ViDMe): a randomized controlled trial | Reconstruction After Skin Cancer | Background: Previous studies have investigated the protective effect of vitamin D serum levels, at diagnosis and during the follow-up period after treatment, on melanoma outcome. In the present study we assess whether vitamin D supplementation, in the follow-up period after diagnosis and surgical resection of the prima... |
1 | Ethnic and racial differences in patients with Ewing sarcoma | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Ewing sarcoma (ES) was a malignant tumor of bone or soft tissue. One of the few risk factors for developing ES is race, with a higher incidence noted in populations of European rather than African or Asian ancestry. The goal of the current study was to evaluate racial and ethnic differences in presentation ... |
1 | Implementation of a co-managed Geriatric Fracture Center reduces hospital stay and time-to-operation in elderly femoral neck fracture patients | Hip Fx in the Elderly 2019 | PURPOSE: To evaluate changes in hospital length-of-stay and time-to-operation of older hip fracture patients before and after the foundation of a co-managed Geriatric Fracture Center (GFC).
METHODS: A co-managed GFC was established in a German level-1 trauma center. In a retrospective cohort study, we analyzed femoral ... |
0 | Retrograde Intramedullary Nailing for Femoral Shaft Fractures in Elderly Patients with Previous Ipsilateral Dynamic Hip Screw Fixation | Hip Fx in the Elderly 2019 | PURPOSE: We present our experience in managing femoral shaft fractures in elderly patients with previous ipsilateral dynamic hip screw fixation for extracapsular neck of femur fractures using retrograde intramedullary nailing implants.
METHODS: This was a prospective consecutive study of patients presenting with a femo... |
1 | Randomized clinical trial of topical tranexamic acid after reduction mammoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The antifibrinolytic drug tranexamic acid is currently being rediscovered for both trauma and major surgery. Intravenous administration reduces the need for blood transfusion and blood loss by about one-third, but routine administration in surgery is not yet advocated owing to concerns regarding thromboembo... |
0 | Peripheral refraction with different designs of progressive soft contact lenses in myopes | Upper Eyelid and Brow Surgery | Aim: The purpose of this study was to compare the changes in relative peripheral refractive error produced by two different designs of progressive soft contact lenses in myopic schoolchildren. Methods: Twenty-seven myopic schoolchildren age between 13 to 15 years were included in this study. The measurements of central... |
0 | Cognitive development in children born preterm: Implications for theories of brain plasticity following early injury | DoD PRF (Psychosocial RF) | The human brain is functionally altered through experience, a phenomenon known as plasticity. Relevant experiences may be negative, as in brain injury. Adult brain injury results in permanent impairment. However, it has been assumed that early injury leads to substantial functional recovery. Animal studies suggest seve... |
0 | One-stage revision surgery to treat hip infected nonunion after stabilization with a sliding compression screw | DoD SSI (Surgical Site Infections) | INTRODUCTION: Extracapsular hip infected nonunion after stabilization with a sliding hip screw (SCS) is uncommon and a convincing treatment method has not yet been reported in the literature.
PATIENTS AND METHODS: Thirteen consecutive patients who sustained such a disability were treated with removal of SCS, local radi... |
0 | Predictors of inactive lifestyle among adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study | DoD PRF (Psychosocial RF) | Background: Participation in physical activity is important for childhood cancer survivors, because inactivity may compound cancer/treatment-related late effects. However, some survivors may have difficulty participating in physical activity, and these individuals need to be identified so that risk-based guidelines for... |
0 | Arthroscopy update #1. Treatment of osteochondrosis dissecans of the knee by arthroscopic curettage, follow-up study | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Thirty-seven patients with osteochondrosis dissecans involving the femoral condyles of the knee were treated with arthroscopic removal of all partially or completely detached osteochondral fragments and with curettage of the crater to bleeding bone. Ten patients underwent a repeat arthroscopy five to 15 months later. A... |
0 | Factors influencing the range of motion for total knee arthropathy in hemophilic patients | Surgical Management of Osteoarthritis of the Knee CPG | Introduction and Objectives: Recurrent hemoarthrosis causes arthropathy in many hemophilic patients, leading to stiff painful joints. Knees and ankles are the major target joints,which start to show symptoms of arthropathy as early as the third decade of life. Currently the only established treatment for severe knee ar... |
0 | Median nerve neuralgia caused by a fibrovascular band in the distal forearm | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A 67-year-old woman had experienced exquisite focal pain and tenderness for more than 1 year in the distal forearm 4.5 cm proximal to the distal wrist crease. Surgical exploration showed a venous fibrovascular band adherent to and transversing the epineurium of the median nerve precisely at the point of maximal tendern... |
0 | Arthroscopic and computer-assisted high tibial osteotomy using standard total knee arthroplasty navigation software | Surgical Management of Osteoarthritis of the Knee CPG | Opening-wedge high tibial osteotomy is an increasingly performed procedure for treatment of varus gonarthrosis and correction of malalignment during meniscal transplantation or cartilage restoration. Precise preoperative planning and meticulous surgical technique are required to achieve an appropriate mechanical axis c... |
0 | Pedicled medial sural perforator flap for the reconstruction of knee defects | PJI DX Updated Search | Soft tissue defects exposing the patellar tendon or bone are common in patients who have experienced trauma or implant infection. The purpose of this article is to present our experience of six patients who underwent reconstruction of soft tissue defects of the knee using a pedicled medial sural perforator flap. Betwee... |
0 | Reconstruction of the anterior cruciate ligament: timing of surgery and the incidence of meniscal tears and degenerative change | AMP (Acute Meniscal Pathology) | We reviewed 183 patients who had undergone reconstruction of the anterior cruciate ligament. The incidence of meniscal tears and degenerative change was assessed and related to the timing from injury to surgery. Degenerative change was scored using the French Society of Arthroscopy system. The patients were divided int... |
1 | Investigation of bacterial communities associated with asymptomatic and symptomatic endodontic infections by denaturing gradient gel electrophoresis fingerprinting approach | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of the present study was to investigate the bacterial communities associated with asymptomatic and symptomatic endodontic infections and to compare denaturing gradient gel electrophoresis (DGGE) fingerprinting patterns of these two clinical conditions. The root canal microbiota of teeth associated with asym... |
0 | Meniscal Root Injuries | AMP (Acute Meniscal Pathology) | Meniscal root tears are an increasingly recognized injury leading to notable functional limitations, potential rapid cartilage deterioration of the affected compartment, and subsequent risk of total knee arthroplasty if left untreated. Repair of these tears is advised when articular cartilage remains intact because bot... |
0 | Management of displaced supracondylar fractures of the humerus in children | DoD SSI (Surgical Site Infections) | A series of 33 children with displaced supracondylar fractures of the humerus (SFH) were all treated operatively by open reduction and internal fixation or by closed reduction and percutaneous pinning. A follow-up study was performed on average 29 months (range 3-63 months) after the injury. In 18 per cent of cases pri... |
0 | Partridge osteosynthesis: a prospective clinical study on the use of nylon cerclage bands and plates in the treatment of periprosthetic femoral shaft fractures | Management of Hip Fractures in the Elderly | OBJECTIVE: To evaluate the clinical use of the Partridge osteosynthesis in periprosthetic femoral fractures. DESIGN AND SETTING: Prospective nonrandomized clinical study. PATIENTS: Over a ten-year period, 222 patients presenting with femoral fractures near the tip of a hip prosthesis were treated with the Partridge sys... |
0 | Is two-stage reimplantation effective for virulent pathogenic infection in a periprosthetic hip? A retrospective analysis | PJI DX Updated Search | AIM: To investigate the effectiveness of two-stage reimplantation using antibiotic-loaded bone cement (ALBC) and the risk factors associated with failure to control periprosthetic joint infection (PJI). METHODS: We retrospectively reviewed 38 consecutive hips managed using two-stage reimplantation with ALBC. The mean f... |
0 | Serum and cerebrospinal fluid morphine pharmacokinetics after single doses of intravenous and intramuscular morphine after hip replacement surgery | AAHKS (8) Anesthetic Infiltration | AIM: To compare the time course of morphine and metabolite concentrations in serum and cerebrospinal fluid (CSF) after intravenous and intramuscular administration after surgery.
METHODS: This was a randomized double-blind, double-dummy study in patients who had undergone hip replacement surgery. Morphine (M, 10 mg) wa... |
1 | A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes | Diagnosis and Treatment of Osteochondritis Dissecans AUC | PURPOSE: The purpose of this study was to compare the outcomes of mosaic-type osteochondral autologous transplantation (OAT) and microfracture (MF) procedures for the treatment of the articular cartilage defects of the knee joint in young active athletes. TYPE OF STUDY: Prospective randomized clinical study. METHODS: B... |
1 | The timing of ankle fracture surgery and its effect on complications and hostpital stay- A prospective study in a tertiary centre | DoD SSI (Surgical Site Infections) | Ankle fracture is one of the most common injuries treated by an orthopaedic surgeon. Ankle fractures are common among young adults especially involved in RTA and extreme or contact sports. The aim of the study was to see whether timing of surgery affects the relative risk of complications and hospital stay following in... |
0 | Changes in bone mass and metabolism after surgery for primary hyperparathyroidism | Management of Hip Fractures in the Elderly | BACKGROUND AND OBJECTIVE: Bone mass is often reduced in patients with primary hyperparathyroidism (pHPT) and is usually partially reversible after parathyroidectomy. However, site specific and overall skeletal benefits of surgery in mild asymptomatic pHPT remain uncertain. DESIGN: Cross-sectional and longitudinal studi... |
0 | Posterior approach vertebrectomy in the thoracolumbar spine with expandable cage reconstruction: Indications and techniques based on eight cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We present a series of eight patients undergoing circumferential neural decompression and stabilization of the thoracolumbar spine via a single midline posterior approach, with complete vertebrectomy for a variety of indications. Four had primary tumours, two secondary tumours, one patient had tuberculosis and one had ... |
1 | Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: The aim of the study was to investigate the relationship between the presence of neuropathic pain assessed by the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) scale and electrophysiological findings in patients with carpal tunnel syndrome (CTS). Methods: We studied 124 hands with idiopathic CTS... |
1 | Glenohumeral osteoarthritis: overview, therapy, and rehabilitation | Glenohumeral Joint OA | PURPOSE: Glenohumeral osteoarthritis (GHOA) is a common cause of pain and functional disability of the shoulder. Despite the limited evidence, there are several options for the treatment of this pathology. The aim of this article is to provide current information on the characteristics of the disease and the pathophysi... |
0 | Does proximal femoral nail antirotation achieve better outcome than previous-generation proximal femoral nail? | Hip Fx in the Elderly 2019 | BACKGROUND: There are few studies in the literature comparing the clinical outcomes and radiographic results of proximal femoral nail (PFN) and proximal femoral nail antirotation (PFNA) for pertrochanteric femoral fracture (PFF) in elderly patients.
AIM: To evaluate both clinical and radiographic outcomes after fixatio... |
0 | Could external fixator become the ideal choice for the treatment of humeral shaft fracture? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: The treatment of humeral fractures remains many disputes, the incidence of radial nerve damage and fracture nonunion is still high, so how to treat complex humeral fracture is a headache problem for doctors |
0 | SKP2 overexpression is associated with increased serine 10 phosphorylation of p27 (pSer10p27) in triple-negative breast cancer | Reduction Mammoplasty for Female Breast Hypertrophy | S-phase kinase-associated protein 2 (SKP2) is an important cell cycle regulator, targeting the cyclin-dependent kinase (CDK) inhibitor p27 for degradation, and is frequently overexpressed in breast cancer. p27 regulates G1 /S transition by abrogating the activity of cyclin/CDK complexes. p27 can undergo phosphorylation... |
1 | The impact of hemocoagulase for improvement of coagulation and reduction of bleeding in fracture-related hip hemiarthroplasty geriatric patients: A prospective, single-blinded, randomized, controlled study | Hip Fx in the Elderly 2019 | BACKGROUND: Uncontrolled bleeding is associated with poor outcomes and mortality in geriatric patients undergoing hemiarthroplasty. Hemocoagulase agkistrodon is a hemocoagulative, anti-hemorrhagic enzyme complex from Deinagkistrodon acutus snake venom. This study aimed to investigate the efficacy of hemocoagulase agkis... |
0 | Acute percutaneous scaphoid fixation | Distal Radius Fractures | Fractures of the scaphoid are most common in young men; immobilisation in a cast usually means a long period away from work and athletic activities. Early rigid fixation has been shown to promote a rapid functional recovery, but open reduction and internal fixation is technically demanding with the dangers of damage to... |
1 | Predicting recovery from common whiplash | DoD PRF (Psychosocial RF) | The present study aimed to establish criteria for delayed recovery after whiplash injury using a 1-year prospective cohort study. 117 whiplash patients referred from primary care and 16 whiplash patients recruited from the insurance company. At baseline all patients underwent neurological, radiological and psychosocial... |
0 | Accurate limb-length equalization during total hip arthroplasty | Management of Hip Fractures in the Elderly | A method of equalization of limb lengths during total hip arthroplasty (THA) was developed that uses the concept of precise reproduction of the position of the femur in space (abduction/adduction) by use of a carpenter's level. Precise reproduction of the femoral position allows accurate measurement of the distance bet... |
0 | A retrospective cohort study of concomitant ipsilateral extra-capsular and intra-capsular fractures of the proximal femur. Are they casual findings or an undervalued reality? | Hip Fx in the Elderly 2019 | BACKGROUND: Fractures of the proximal femur constitute a major public health problem, with an annual incidence in Spain of 7.6 cases per 1000 inhabitants over 65 years of age. Hip fractures are frequent in elderly patients, related to osteoporosis and with low energy trauma, which means that they can be considered a ge... |
0 | Rapidly destructive arthrosis of the shoulder joints: radiographic, magnetic resonance imaging, and histopathologic findings | Glenohumeral Joint OA | BACKGROUND: Rapidly destructive arthrosis of the humeral head is a rare condition with an elusive pathophysiologic mechanism. In this study, radiographic and histopathologic findings were analyzed to determine the clinical characteristics of this rare condition.
METHODS: We retrospectively analyzed 189 patients who und... |
1 | Perceived exercise self-efficacy as a predictor of exercise behavior in individuals aging with spinal cord injury | DoD PRF (Psychosocial RF) | OBJECTIVE: The purpose of this study was to test the hypothesized association between exercise self-efficacy and exercise behavior, controlling for demographic variables and clinical characteristics, in a sample of individuals with spinal cord injuries.
DESIGN: A cross-sectional national survey of 612 community-dwellin... |
0 | Age-related bone loss and senile osteoporosis: evidence for both secondary hyperparathyroidism and skeletal growth factor deficiency in the elderly | Management of Hip Fractures in the Elderly | Aging is characterized by a decrease in bone volume, implying that net bone resorption exceeds net bone formation. This age-related bone loss can be regarded as the main determinant of hip fracture risk in the elderly. In the concept of senile osteoporosis, a key role has been attributed to vitamin D deficiency. Lack o... |
1 | Clinical evaluation of the effects of whirlpool on patients with Colles' fractures | Distal Radius Fractures | A clinical trial was conducted to investigate the efficacy of the whirlpool bath in the treatment of patients with Colles' fractures. The subjects were 24 patients, male and female, aged 40 to 80 years, who were referred to a physiotherapy department for treatment of a Colles' fracture with no other associated conditio... |
0 | Medicare Accountable Care Organizations and Use of Potentially Low-Value Procedures | Hip Fx in the Elderly 2019 | OBJECTIVE: To evaluate the effect of Accountable Care Organizations (ACOs) on the use of vertebroplasty and arthroscopic partial meniscectomy, 2 procedures for which randomized controlled trials suggest similar outcomes to sham surgery and therefore may provide low value. Medicare Shared Savings Program ACOs aim to imp... |
1 | Hardiness: an examination of its relationship with positive and negative long term changes following trauma | DoD PRF (Psychosocial RF) | Two models positing direct versus moderating effects of hardiness were examined in relation to long term positive and negative changes following exposure to traumatic stress. Participating in the study were 164 Israeli POWs and a matched group of 184 veterans of the 1973 Yom Kippur War. Participants completed a battery... |
0 | Impaired healing of fragility fractures in type 2 diabetes: clinical and radiographic assessments and serum cytokine levels | Hip Fx in the Elderly 2019 | BACKGROUND: Diabetes induces bone alterations accompanied by altered cytokine expression patterns. These alterations lead to modified fracture healing, contributing to musculoskeletal fragility in the elderly.
AIMS: We evaluated the inflammatory immune response in diabetic patients during fracture healing relative to c... |
1 | Social networks and marital status predict mortality in older women: Prospective evidence from the Study of Osteoporotic Fractures (SOF) | DoD PRF (Psychosocial RF) | Objective: To assess the relationship between social network size and prospective mortality risk among a large sample of older, Caucasian women. Method: The study included 7524 Caucasian community-dwelling women, age 65 or older (mean age=74.1), who participated from four U.S. communities. Study participants completed ... |
0 | Parecoxib sodium has opioid-sparing effects in patients undergoing total knee arthroplasty under spinal anaesthesia | AAHKS (8) Anesthetic Infiltration | BACKGROUND: This multicentre, double-blind, placebo-controlled study compared the opioid-sparing effectiveness and clinical safety of parecoxib sodium over 48 h, in 195 postoperative patients after routine total knee replacement surgery.
METHODS: Elective total primary knee arthroplasty was performed under spinal anaes... |
0 | Acculturation and post-migration psychological symptoms among Iraqi refugees: A path analysis | DoD PRF (Psychosocial RF) | Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitu... |
0 | Future Treatment and Research Directions in Distal Radius Fracture | Distal Radius Fractures | Whether or not they will have their lives dramatically extended in the next few decades, it is clear that people are living longer, healthier, and more active lives. The two peak incidences of distal radius fractures will remain within the pediatric and geriatric age groups, with the latter experiencing a substantial i... |
0 | Early infection after hip fracture surgery: risk factors, costs and outcome | Management of Hip Fractures in the Elderly | Prospective data on hip fracture from 3686 patients at a United Kingdom teaching hospital were analysed to investigate the risk factors, financial costs and outcomes associated with deep or superficial wound infections after hip fracture surgery. In 1.2% (41) of patients a deep wound infection developed, and 1.1% (39) ... |
0 | Enhanced recovery pathway reduces length of stay after hip and knee replacements in a large orthopaedic centre - Results after the first 3700 patients | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: The study aims to measure outcomes after introduction of an enhanced recovery pathway in an elective orthopaedic centre performing high volume arthroplasty surgery. We compared it to the year before. Methods: All consecutive primary hip(THR) and knee(TKR) replacements performed between April 2010-N... |
0 | A trabecular metal implant 4 months after placement: clinical-histologic case report | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: The aim of this case report was to histologically evaluate the behavior of a trabecular metal (TM) implant composed of titanium and spatial 3-dimensional tantalum (Ta) trabeculae. This study is the first human histologic case report of this implant. CASE PRESENTATION: A TM implant was placed in a 54-year-... |
0 | War-related exposure and psychological distress as predictors of health and sleep: a longitudinal study of Kuwaiti children | DoD PRF (Psychosocial RF) | OBJECTIVES: To determine whether exposure to war-related trauma during childhood predicted posttraumatic stress, self-reported health, sleep, and obesity in adulthood, and whether psychological distress mediated the relationships.
METHODS: We assessed 151 Kuwaiti boys and girls aged 9 to 12 years in 1993 to determine t... |
0 | Epinephrine Diluted Saline-Irrigation Fluid in Arthroscopic Shoulder Surgery: A Significant Improvement of Clarity of Visual Field and Shortening of Total Operation Time. A Randomized Controlled Trial | Upper Eyelid and Brow Surgery | PURPOSE: To determine the influence of epinephrine saline irrigation in therapeutic shoulder arthroscopy procedures on the clarity of arthroscopic view. Three subgroups were analyzed; (1) Bankart/SLAP repairs; (2) rotator cuff repairs; and (3) subacromial procedures without rotator cuff repair. Secondary objectives wer... |
1 | Analgesia for total hip and knee arthroplasty: a review of lumbar plexus, femoral, and sciatic nerve blocks | AAHKS (9/10) Regional Nerve Blocks | Use of peripheral nerve blocks (PNBs) during lower extremity surgery has evolved. In this article, we review the pertinent anatomy and the literature concerning the advantages and disadvantages of both PNBs and traditional methods of postoperative analgesia (neuraxial and patient-controlled) for total hip arthroplasty ... |
0 | A Feasibility Study of Percutaneous Peripheral Nerve Stimulation for the Treatment of Postoperative Pain Following Total Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | INTRODUCTION: The objective of the present feasibility study was to investigate the use of a new treatment modality-percutaneous peripheral nerve stimulation (PNS)-in controlling the often severe and long-lasting pain following total knee arthroplasty (TKA).
METHODS: For patients undergoing a primary, unilateral TKA, b... |
0 | Quantitative computed tomography assessment of bone mineral density after 2 years' oral bisphosphonate treatment in postmenopausal osteoarthritis patients who underwent total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVES: To identify the effects of two years' oral bisphosphonate (alendronate) treatment in patients who underwent total knee arthroplasty (TKA); to determine whether significant responses seen after the first year of treatment changed during the second year. Additionally, the study tried to identify factors relat... |
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