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1 | Ways to prevent infection after open fracture of the lower limb | DoD SSI (Surgical Site Infections) | BACKGROUND AND AIMS: Despite the great effectiveness of antibiotics, no principle is more important in the care of open fractures than aggressive irrigation and debridement. Fixation of open fractures has a number of beneficial effects, including even the reduction of the risk of infection.
MATERIALS AND METHODS: This ... |
0 | Total knee arthroplasty and Crigler-Najjar syndrome: A case report | Surgical Management of Osteoarthritis of the Knee CPG | Crigler-Najjar (CN) syndrome is a rare genetic disease characterized by hyperbilirubinemia due to a deficiency in the hepatic enzyme UDP-glucuronosyl-transferase. We describe the first case of total knee arthroplasty in a patient with CN syndrome (type II). This procedure was complicated by kernicterus 1week after hosp... |
0 | Serum Bupivacaine Concentration After Periarticular Injection With a Mixture of Liposomal Bupivacaine and Bupivacaine HCl During Total Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: A relatively new technique to reduce postoperative pain for total knee arthroplasty is to inject a mixture of 266 mg of liposomal bupivacaine and 125 mg of 0.25% bupivacaine HCl with epinephrine 1:300,000 around the knee joint at the time of surgery. Currently, no publications report serum bu... |
1 | Office-based outpatient plastic surgery utilizing total intravenous anesthesia | Panniculectomy & Abdominoplasty CPG | Background: Office-based plastic surgery procedures continue to increase in popularity and a range of anesthetic techniques can be utilized, from light conscious sedation to general anesthesia requiring intubation. Total intravenous anesthesia (TIVA) is well suited for the office environment because it allows for moder... |
0 | Allogeneic- blood-sparing effect of tranexamic acid versus acute normovolemic hemodilution for total hip replacement | AAHKS (8) Anesthetic Infiltration | Objective: To compare the blood conservation of Tranexamic acid and Acute normovolemic hemodilution for total hip replacement. This is a prospective randomized clinical study was done in the department of Orthopedic Surgery, Sohag university hospital. Methods: we investigated 30 patients who underwent total hip replace... |
0 | Juvenile osteochondritis dissecans | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Juvenile osteochondritis dissecans is a diagnosis based on plain radiographic appearance. Although it is on occasion difficult to decide whether the observed radiographic abnormality represents osteochondritis dissecans or physiologic irregular ossification, 50% of children should evidence healing with nonoperative act... |
0 | Long-term results of resection of the distal ulna for post-traumatic conditions | Distal Radius Fractures | Sixty-two patients underwent resection of the distal ulna because of pain or limited motion after wrist trauma. The median length of resection was 23 mm. Injury to the distal radioulnar joint occurred primarily during fractures of the distal radius. Followup time averaged 87 months. The primary surgical indication was ... |
0 | Preventive analgesia in hip or knee arthroplasty: a systematic review | SR for PM on OA of All Extremities | OBJECTIVE: To analyze the efficacy and safety of preventive analgesia in patients undergoing hip or knee arthroplasty due to osteoarthritis. METHODS: A systematic literature review was performed, using a defined a sensitive strategy on Medline, Embase and Cochrane Library up to May 2013. The inclusion criteria were: pa... |
0 | Imaging of the disease process | AMP (Acute Meniscal Pathology) | Until recently, imaging evaluation of osteoarthritis (OA) has relied primarily on conventional radiography. Using radiography in clinical practice or clinical research, however, has been fraught with difficulty. Techniques for reproducibly acquiring serial radiographs of joints have improved considerably over the past ... |
1 | Valgus osteotomy with anterior cruciate ligament laxity | Anterior Cruciate Ligament Injuries CPG | Some patients with medial joint degeneration post-medial meniscectomy also have a significant anterior cruciate ligament (ACL) instability. Ten patients were treated by a combined high tibial valgus osteotomy with ACL reconstruction. All patients had relief of instability and decreased pain, although only one returned ... |
0 | Risk Factors for Initiation of Potentially Inappropriate Medications in Community-Dwelling Older Adults with and without Alzheimerâ??s Disease | Hip Fx in the Elderly 2019 | Background: Various criteria have been created to define potentially inappropriate medications (PIMs) to help improve the quality and safety of medicine use in older patients. Individuals with Alzheimerâ??s disease (AD) may be at higher risk of adverse drug events associated with PIMs (such as falls). Objective: Our ob... |
0 | Does early wound infection after elective orthopaedic surgery lead on to chronic sepsis? | DoD SSI (Surgical Site Infections) | Infection is an uncommon, but occasionally devastating, complication of orthopaedic surgery. The definition of post-operative infection remains problematic. A high rate of early post-operative sepsis has previously been reported using a clinical definition of wound infection as recommended by the Surgical Infection Stu... |
0 | Bone morphogenetic protein 2/SMAD signalling in human ligamentocytes of degenerated and aged anterior cruciate ligaments | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Anterior cruciate ligament (ACL) degeneration leads to knee instability and favors osteoarthritis (OA) progression. During ageing the growth factor sensitivity of ligaments changes but nothing is known about BMP2-signalling and -sensitivity in degenerated ACLs. This study addressed the question whether a dys... |
0 | Sonographic Assessment of Reduction in Colles' Fracture | Distal Radius Fractures | Fractures of the distal radius are a frequent cause for presentation to United Kingdom (UK) Emergency Departments, and the Colles' fracture is the most commonly encountered type. These injuries frequently occur in isolation, or associated with only minor injuries, and reduction of displaced fractures is typically perfo... |
0 | Percutaneous cystolithotomy in a patient with a Mitrofanoff urinary diversion | DoD SSI (Surgical Site Infections) | Introduction and objectives Bladder stones are the most common calculi of the lower genitourinary tract. The most common predisposing factor is the bladder outlet obstruction. The present case concerns a patient who suffered urethral trauma after a pelvis fracture, requiring a Mitrofanoff urinary diversion, and was dia... |
0 | Cabozantinib targets bone microenvironment modulating human osteoclast and osteoblast functions | MSTS 2018 - Femur Mets and MM | Cabozantinib, a c-MET and vascular endothelial growth factor receptor 2 inhibitor, demonstrated to prolong progression free survival and improve skeletal disease-related endpoints in castration-resistant prostate cancer and in metastatic renal carcinoma. Our purpose is to investigate the direct effect of cabozantinib o... |
0 | Adductor Canal Block With Bupivacaine Liposome Versus Ropivacaine Pain Ball for Pain Control in Total Knee Arthroplasty: A Retrospective Cohort Study | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Appropriate postoperative pain control following total knee arthroplasty is important in patient recovery. Adductor canal block (ACB) is a novel method to deliver anesthesia. There are currently no studies using bupivacaine liposome with ACB while also taking into account cost.
OBJECTIVE: To compare the eff... |
0 | A population-based study of the pattern of terminal care and hospital death in patients with non-small cell lung cancer | MSTS 2022 - Metastatic Disease of the Humerus | Non-small cell lung cancer (NSCLC) is a major cause of cancer-related death and utilization of health care resources worldwide. Significant costs are generated in the months before death, with hospitalization being a major cost driver. Moreover, hospital death causes physical and emotional distress. We analyzed factors... |
0 | Treatment strategies for central low-grade chondrosarcoma of long bones: a systematic review of the literature and meta-analysis | MSTS 2022 - Metastatic Disease of the Humerus | The need for wide local excision (WLE) versus intralesional (IL) treatment of low-grade chondrosarcomas (CS) of the appendicular skeleton remains controversial. We sought to perform a systematic review and meta-analysis to compare different conventional types of surgical treatments for grade I CS in terms of: (1) rate ... |
0 | Clinical Correlates of Computationally Derived Visual Field Defect Archetypes in Patients from a Glaucoma Clinic | Upper Eyelid and Brow Surgery | PURPOSE: To assess the clinical validity of visual field (VF) archetypal analysis, a previously developed machine learning method for decomposing any Humphrey VF (24-2) into a weighted sum of clinically recognizable VF loss patterns. MATERIALS AND METHODS: For each of 16 previously identified VF loss patterns ("archety... |
0 | Management of distal radius fractures â?? A new concept of closed reduction and standardised percutaneous 5-pin fixation | Distal Radius Fractures | Introduction: Management of distal radial fractures is a controversial topic, with poor reported outcomes in up to 30% of cases and a wide variety of treatment options such as closed reduction and POP cast, internal fixation, external fixation and percutaneous pin fixation in many configurations. Over the last 13 years... |
0 | Salivary immunoglobulins and prevalent coronary artery disease | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Previous studies examined the serum immunoglobulin levels in relation to coronary artery disease (CAD). We hypothesized that the salivary immunoglobulins might better estimate oral infections in this relationship. Multivariate logistic regression analyses utilizing the data from 256 angiographically confirmed CAD patie... |
1 | Safety Comparison of Abdominoplasty and Brazilian Butt Lift: What the Literature Tells Us | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Although abdominoplasty is a mainstay of the plastic surgeon, the safety of the Brazilian butt lift (BBL) has been questioned, effectively being prohibited in some countries. The central rationale for the safety concern over the BBL stems from a publication stating a mortality rate of one in 3000. The quest... |
0 | Premature Therapeutic Antimicrobial Treatments Can Compromise the Diagnosis of Late Periprosthetic Joint Infection | PJI DX Updated Search | BACKGROUND: In the absence of positive cultures and draining sinuses, the diagnosis of periprosthetic joint infection (PJI) relies on laboratory values. It is unknown if administration of antibiotics within 2 weeks before diagnostic evaluations can affect these tests in patients with PJI. QUESTIONS/PURPOSES: The purpos... |
0 | The Mayo Conservative Hip: experience from a district general hospital | Management of Hip Fractures in the Elderly | The Mayo Conservative Hip femoral prosthesis has been designed to optimise proximal femoral loading as well as preserving proximal femoral bone stock. Between October 2003 and May 2006, 42 patients (49 hips) underwent total hip replacement (THR) using the Mayo Conservative Hip femoral component. The mean age at operati... |
0 | Cordycepin modulates inflammatory and catabolic gene expression in interleukin-1beta-induced human chondrocytes from advanced-stage osteoarthritis: an in vitro study | OAK 3 - Non-arthroplasty tx of OAK | Cordycepin is widely used as for its various pharmacological activities, such as anti-inflammation, anti-angiogenesis, anti-aging, anti-tumor and anti-proliferation. However, the precise role of cordycepin on chondrocytes is not clear. In the present study, we examined the inhibitory effects of cordycepin on interleuki... |
0 | Prospective 5- to 6-year follow-up study of a cementless acetabular cup | Management of Hip Fractures in the Elderly | Twenty-seven patients in whom the Ti-Bac acetabular cup (Zimmer, Warsaw, IN) was placed were examined 5 to 6 years alter surgery. The cup was inserted line to line, after reaming without further fixation. In all operations, a cemented Muller straight-stem Protazul femur stem (Zimmer) was used. The patients had good pai... |
0 | Guidewire fracture during orbital atherectomy for peripheral artery disease: Insights from the Manufacturer and User Facility Device Experience database | DoD SSI (Surgical Site Infections) | BACKGROUND/OBJECTIVES: Orbital atherectomy (OA) is routinely being used for plaque modification to facilitate percutaneous revascularization in patients with peripheral arterial disease (PAD) and arterial calcification. Guidewire fracture (GWF) during OA, though anecdotally described, has not been studied in a systemat... |
0 | Long-standing bacteremia caused by oral Actinobacillus actinomycetemcomitans in a patient with a pacemaker | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A case of symptomatic Actinobacillus actinomycetemcomitans bacteremia in a patient with an implanted pacemaker is presented. Attacks of fever occurred for at least 1 year. Oral examination revealed a mild form of periodontitis. A. actinomycetemcomitans was isolated from several oral sites. DNA fingerprinting of strains... |
0 | The Advancing Role of Neuromodulation for the Management of Chronic Treatment-Refractory Pain | Pediatric Supracondylar Humerus Fracture 2020 Review | Neuropathic pain is a common cause of disability and health care utilization. While judicious pharmacotherapy and management of comorbid psychological distress can provide for improved quality of life, some patients with treatment-refractory disease require more invasive therapies. Spinal cord stimulation can provide f... |
0 | Retrograde removal of an incarcerated solid titanium femoral nail after subtrochanteric fracture | Management of Hip Fractures in the Elderly | Intramedullary nailing with a solid titanium nail can result in significant bone ingrowth. Failure of an implant requires removal for replacement with another device. Previous methods have included use of extractors for cannulated nails. When extractors are not available or are inadequate, a simple retrograde push-out ... |
0 | Serum levels of 25-hydroxyvitamin D, 24,25-dihydroxyvitamin D and parathyroid hormone in patients with femoral neck fracture in southern Finland | Management of Hip Fractures in the Elderly | Serum concentrations of 25-hydroxyvitamin D (25-OHD), 24,25-dihydroxyvitamin D [24,25(OH)2D] and immunoreactive parathyroid hormone (PTH) were determined in elderly patients with fracture of the femoral neck and in age-matched controls during summer, winter and early spring in southern Finland. The expected seasonal va... |
0 | Clinical and radiological follow-up of the Aequalis third-generation cemented total shoulder replacement: a minimum ten-year study | Glenohumeral Joint OA | There are no long-term published results on the survival of a third-generation cemented total shoulder replacement. We describe a clinical and radiological study of the Aequalis total shoulder replacement for a minimum of ten years. Between September 1996 and May 1998, 39 consecutive patients underwent a primary cement... |
0 | Three-Dimensional Bioprinting of Cartilage by the Use of Stem Cells: A Strategy to Improve Regeneration | Osteochondritis Dissecans 2020 Review | Cartilage lesions fail to heal spontaneously, leading to the development of chronic conditions which worsen the life quality of patients. Three-dimensional scaffold-based bioprinting holds the potential of tissue regeneration through the creation of organized, living constructs via a "layer-by-layer" deposition of smal... |
0 | [Clinical research of hyperbaric, isobaric, and hypobaric solutions of bupivacaine in continuous spinal anesthesia] | Management of Hip Fractures in the Elderly | OBJECTIVE: To compare the anesthesia properities of hyperbaric bupivacaine with those of isobaric and hypobaric solutions when administered in the supine position undergoing hip surgery or lower limb surgery using continuous spinal anesthesia.METHODS: Sixty patients( ASA I approximately III ) scheduled for hip or lower... |
0 | The epidemiology of osteosarcoma | MSTS 2022 - Metastatic Disease of the Humerus | Osteosarcoma derives from primitive bone-forming mesenchymal cells and is the most common primary bone malignancy. The incidence rates and 95% confidence intervals of osteosarcoma for all races and both sexes are 4.0 (3.5-4.6) for the range 0-14 years and 5.0 (4.6-5.6) for the range 0-19 years per year per million pers... |
0 | Dietary vitamin K intakes are associated with hip fracture but not with bone mineral density in elderly men and women | Management of Hip Fractures in the Elderly | BACKGROUND: Vitamin K has been associated with bone mineral density (BMD) and risk of hip fracture. The apolipoprotein (apo) E4 allele (APOE*E4) has been associated with bone fracture through a putative effect on vitamin K transport in blood. OBJECTIVE: The objective was to determine the associations between vitamin K ... |
0 | Low Level Laser Therapy for chronic knee joint pain patients | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND AIMS: Chronic knee joint pain is one of the most frequent complaints which is seen in the outpatient clinic in our medical institute. In previous studies we have reported the benefits of low level laser therapy (LLLT) for chronic pain in the shoulder joints, elbow, hand, finger and the lower back. The pr... |
0 | Occult posttraumatic avascular necrosis of hip revealed by MRI | Management of Hip Fractures in the Elderly | Three hips with avascular necrosis in two patients had associated traumatic lesions noted on magnetic resonance imaging. Location of stress fracture in two femoral necks and acetabular contusion development prior to avascular necrosis favors these processes as being etiologic. These cases are particularly noteworthy in... |
1 | MR diagnosis of recurrent tears in the knee: value of intraarticular contrast material | AMP (Acute Meniscal Pathology) | OBJECTIVE: After surgical resection or repair of a torn meniscus, the healed area may have areas of abnormal signal intensity on MR images. Consequently, routine MR imaging is not reliable for detecting recurrent meniscal tears. As a result, we studied the efficacy of MR imaging with intraarticular contrast material (M... |
0 | Upper blepharoplasty: a novel approach to improving progressive myopathic blepharoptosis | Upper Eyelid and Brow Surgery | OBJECTIVE: To describe the results of upper blepharoplasty for the treatment of progressive myopathic upper eyelid blepharoptosis. DESIGN: Retrospective, noncomparative case series. PARTICIPANTS: Six consecutive patients treated bilaterally. INTERVENTION: Upper blepharoplasty in 6 patients (12 eyelids) with progressive... |
0 | Intertrochanteric fractures in high risk geriatric patients treated by external fixation | Management of Hip Fractures in the Elderly | Conservative treatment in intertrochanteric fractures of the high risk patient carries a high rate of mortality and morbidity. In the present study external fixation of the fracture was performed under local or light general anaesthesia. This is a safe procedure and permits immediate full weight bearing |
0 | Percutaneous cyst aspiration with injection of two different bioresorbable bone cements in treatment of simple bone cyst | MSTS 2022 - Metastatic Disease of the Humerus | Introduction: Simple bone cysts (SBCs) are common in children and adolescents. The risk of refracture and the probability of spontaneous healing in SBCs are mainly dependent on the activity of the cyst and can be quantified with the Cyst-Index. Avoiding pathological fractures is the primary goal. Our study presents a c... |
1 | Healthcare resources attributable to methicillin-resistant Staphylococcus aureus orthopedic surgical site infections | DoD SSI (Surgical Site Infections) | The number of orthopedic surgeries is increasing as populations steadily age, but surgical site infection (SSI) rates remain relatively consistent. This study aimed to quantify the healthcare resources attributable to methicillin-resistant Staphylococcus aureus (MRSA) SSIs in orthopedic surgical patients. The analysis ... |
0 | Ewing's sarcoma of the proximal femur | DoD LSA (Limb Salvage vs Amputation) | The cases of 16 patients with Ewing's sarcoma of the proximal femur treated in the era of multiagent chemotherapy were reviewed, with emphasis on the mechanical problem of tumor involvement in this structurally demanding site. Fourteen patients received chemotherapy and local radiotherapy as the initial primary treatme... |
0 | Is the impact of knee osteoarthritis diminishing because of knee replacements? The multi-center osteoarthritis study | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Rates of knee replacement (KR) have increased so much that they may have an effect on the overall impact of symptomatic knee osteoarthritis (SxOA). Specifically, as more persons with severe knee SxOA get KR and get it at an earlier disease stage, only a limited number of persons with severely disabl... |
0 | Efficacy of chlorhexidine and nystatin rinses in prevention of oral complications in leukemia and bone marrow transplantation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The goal of reducing oral complications during chemotherapy and bone marrow transplantation has received attention at several centers. The current randomized study of 86 adults with leukemia treated with chemotherapy or bone marrow transplantation assessed the potential role of chlorhexidine, nystatin, and saline solut... |
0 | A single stage liposuction and dermopexy for grade 3b and grade 4 pseudogynecomastia after massive weight loss: an observational study | Reduction Mammoplasty for Female Breast Hypertrophy | Nineteen middle-aged males with grade 3b and grade 4 pseudogynecomastia following severe weight loss were treated by liposuction and simultaneous skin reduction. From 1997 through 2005 nine males with grade 3 and ten with grade 4 pseudogynecomastia were included in this study. Ages ranged from 23 to 48 years. Author us... |
0 | Fractures of the distal radius and scaphoid | Distal Radius Fractures | Simultaneous fractures of the distal radius and scaphoid is an uncommon wrist injury. During the period 1980 to 1993, 23 patients with a median age of 39 years were treated for this injury. The median follow-up period was 7 years. All scaphoid fractures were undisplaced and located in the waist or distal third. An extr... |
1 | Premedication of patients undergoing dental procedures causing bacteremia after total joint arthroplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | INTRODUCTION: More than 1 million total joint replacements, mostly hip and knee, are performed each year in the United States, and the number is increasing. The American Academy of Orthopedic Surgeons has issued a new information statement that dramatically changes the need for premedication with antibiotics before den... |
0 | Abdominal contouring procedures increase activity of the coagulation cascade | Panniculectomy & Abdominoplasty CPG | One of the most serious complications in plastic surgery is a thromboembolic event. However, little physiologic evidence exists to support the observed hypercoagulable state seen in contouring procedures. Twenty-one consecutive patients were enrolled prospectively to assess thrombin generation, which measures activity ... |
0 | Multicentric giant cell tumour of bone | MSTS 2022 - Metastatic Disease of the Humerus | Although giant cell tumour (GCT) is seen quite frequently, multicentric giant cell tumour (MCGCT) is a rare entity occurring in less than 1% of patients with GCT. The pathogenesis of MCGCT is debated; various mechanisms have been postulated, including contiguous spread, iatrogenic tumour cell seeding, benign metastasis... |
0 | Prescription of opioids to post-operative orthopaedic patients at time of discharge from hospital: a prospective observational study | AAHKS (4) Acetaminophen | BACKGROUND AND AIMS: Excessive opioid prescribing can lead to adverse consequences including stockpiling, misuse, dependency, diversion and mortality. Increased prescriptions to post-operative inpatients as part of their discharge planning may be a significant contributor. Primary aims included comparing the amount of ... |
0 | Can bisphosphonates improve outcomes in patients with newly diagnosed multiple myeloma? | MSTS 2018 - Femur Mets and MM | Preclinical and clinical evidence suggests that bisphosphonates have anticancer activities both within and outside bone. Early clinical trials of bisphosphonates provided evidence for antimyeloma effects in exploratory analyses in high-risk subsets, and recent trials of zoledronic acid (ZOL) have provided further suppo... |
0 | An Exploratory Study of PRX167700 in Patients With Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Up to 74 subjects will receive either PRX167700 or placebo (a dummy treatment) for 15 days. Subjects will need to stop taking their usual pain reliever medicines for at least 7 days before starting treatment to induce a 'flare' in osteoarthritis symptoms (but they will be allowed to continue to use paracetamol for imme... |
0 | Arthroscopic versus open tennis elbow release: 3- to 6-year results of a case-control series of 305 elbows | Glenohumeral Joint OA | PURPOSE: The purpose of this study was to compare the outcome of arthroscopic and open tendon release in tennis elbow (TE).
METHODS: We compared the outcome of patients treated by an open tendon release in the period from 2002 to 2005 (n = 80) with that of patients treated by an arthroscopic release of the extensor car... |
1 | Anticoagulation management in hip fracture patients on warfarin | Management of Hip Fractures in the Elderly | The management of patients admitted with a fracture requiring surgery who are taking warfarin anticoagulation is unclear. We examined the anticoagulation management for 33 hip fracture patients on warfarin at the time of admission. Hospital course and complications were recorded on all patients. The mean INR on admissi... |
0 | Targeting CXCR4 and FAK reverses doxorubicin resistance and suppresses invasion in non-small cell lung carcinoma | MSTS 2018 - Femur Mets and MM | BACKGROUND: Current high lung cancer mortality rates are mainly due to the occurrence of metastases and therapeutic resistance. Therefore, simultaneous targeting of these processes may be a valid approach for the treatment of this type of cancer. Here, we assessed relationships between CXC chemokine receptor type 4 (CX... |
0 | Epidemiology of hip fractures in The Netherlands: women compared with men | Management of Hip Fractures in the Elderly | In this retrospective study the epidemiology of hip fractures in The Netherlands was evaluated. The number of hip fractures over the period 1972-1987 was collected from the Dutch Centre for Health Care Information (Stichting Informatiecentrum voor de Gezondheidszorg, SIG). The demographic data were collected from the D... |
0 | No difference in quality-of-life outcomes after mobile and fixed-bearing medial unicompartmental knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | This is a retrospective study comparing the clinical outcomes of mobile vs fixed medial unicompartmental knee replacements. Patients were identified from a prospectively collected database. Demographic data and pre- and postoperative outcomes (Oxford, Western Ontario and McMaster Universities Osteoarthritis Index, Shor... |
0 | Closed suction drainage has no benefits in revision total hip arthroplasty: a randomized controlled trial | PJI DX Updated Search | PURPOSE: Several studies have failed to show significant benefits of closed suction drainage (CSD) in routine primary total hip arthroplasty (THA). However, blood loss, haematoma formation and wound complications are generally much greater in revision THA as compared to primary THA. The purpose of this study was to det... |
0 | Reduction mammaplasty followed by development of a bilateral nonsynchronous carcinoma of the breast | Reduction Mammoplasty for Female Breast Hypertrophy | Case report of a woman who at the age of 26 underwent mammary reduction (Strombeck) for macromastia. A primary bilateral non synchronous carcinoma of the breast was discovered 20 mths and 5 yrs after the plastic surgery. On pathological examination in both instances, no lymph node metastases were found. There was a pos... |
0 | Physiologic amputation prevents myoglobinuria from lower extremity myonecrosis | DoD LSA (Limb Salvage vs Amputation) | Myoglobinuria secondary to myonecrosis is a proven cause of renal failure, especially in critically ill patients. Physiologic amputation or cryoamputation has been used at our institution for the past two decades as a safe and effective treatment for lower extremity infection, intractable rest pain, and irreversible my... |
1 | An outcomes analysis and satisfaction survey of 199 consecutive abdominoplasties | Panniculectomy & Abdominoplasty CPG | Abdominoplasty is a popular body-contouring procedure. In this study the authors review retrospectively 199 abdominoplasty patients during a 15-year period to identify factors that affect overall outcome. Patients included 190 women and 9 men. The complication rate was 32% with few major complications (1.4%). The revis... |
0 | Comparison of single-injection and continuous infusion adductor canal block initial ambulation times and distance after total knee arthroplasty (TKA) | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: Adductor canal blockade (ACB) has emerged as an alternative with less motor blockade for postoperative analgesia after TKA, potentially facilitating rehabilitation and early ambulation. We compared the efficacy of a continuous adductor canal block (cACB) for 48 hours to the efficacy of a single-sho... |
0 | Vascular complications from resuscitative endovascular balloon occlusion of the aorta: Life over limb? | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Vascular complications from resuscitative endovascular balloon occlusion of the aorta (REBOA) have been reported in as high as 13% with some patients requiring lower-extremity amputation. We sought to review our institution series of REBOA and assess our vascular complications. METHODS: Retrospective review... |
0 | Patient preferences in print advertisement marketing for plastic surgery | Reduction Mammoplasty for Female Breast Hypertrophy | Background: Plastic surgeons are competing for their share of a growing but still limited market, thus making advertising an important component in a successful plastic surgery practice. Objective: The authors evaluate the variables, characteristics, and presentation features that make print advertisements most effecti... |
0 | Efficiency of HEPA-filtered extra-oral suction unit on aerosols during prosthetic dental preparation: A pilot study | Dental Implant Infection | OBJECTIVES: Aerosols formed during dental treatments have a huge risk for the spread of bacteria and viruses. This study is aimed at determining which part of the working area and at what size aerosol is formed and ensuring more effective use of HEPA-filtered devices., MATERIALS AND METHODS: Anterior tooth preparation ... |
0 | Comparative gait analysis of ankle arthrodesis and arthroplasty: initial findings of a prospective study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Little is known about functional outcomes of ankle arthroplasty compared with arthrodesis. This study compared pre-surgical and post-surgical gait measures in both patient groups. METHODS: Eighteen patients with end-stage ankle arthritis participated in an ongoing longitudinal study (pre-surgery, 12 months ... |
0 | Can fresh osteochondral allografts restore function in juveniles with osteochondritis dissecans of the knee? | Diagnosis and Treatment of Osteochondritis Dissecans AUC | BACKGROUND: Failure of initial treatment for juvenile osteochondritis dissecans (OCD) may require further surgical intervention, including microfracture, autograft chondrocyte implantation, osteochondral autografting, and fresh osteochondral allografting. Although allografts and autografts will restore function in most... |
0 | Salvage procedures for failed compression hip screw fixation of intertrochanteric femoral fractures: analysis of 50 cases | Management of Hip Fractures in the Elderly | We retrospectively studied 50 patients who underwent salvage procedures for failed compression hip screw (CHS) fixation of intertrochanteric fractures from January 1991 to July 2000. Among these patients, seven underwent revision fixed angle plate surgery; 16 patients underwent bipolar hemiarthroplasty; five patients u... |
0 | Dental surgery before liver transplantation: Is it really necessary? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A detailed dental examination and surgical treatment of oral septic foci are recommended in patients awaiting liver transplantation (LT). This standard procedure is based on the idea that patients with untreated dental disease may have an increased risk for post-LT infections. Aim of this study was to evaluate the infl... |
0 | Timing of access to secondary healthcare services and lower extremity amputations in patients with diabetes: a case-control study | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: To investigate the association between timing of patient access to secondary healthcare services for diabetes management and lower extremity amputation (LEA) among patients with diabetes. RESEARCH DESIGN AND METHODS: A case-control study was conducted in the secondary healthcare system in Ireland. Cases were... |
0 | Knee Osteoarthritis after Arthroscopic Partial Meniscectomy: Prevalence and Progression of Radiographic Changes after 5 to 12 Years Compared with Contralateral Knee | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study was to study the clinical and radiographic changes in the knee after arthroscopic partial meniscectomy (APM) at a long-term follow-up compared with the contralateral knee. We assessed 57 patients (38 males and 19 females) with pre- and postoperative weight-bearing radiography with a follow-up ... |
0 | Closed locked intramedullary nailing of femoral shaft fractures in the elderly | Management of Hip Fractures in the Elderly | A review was performed of all patients over the age of 60 years who were treated with a locked intramedullary nail for a femoral shaft fracture. There were 15 patients with 16 femoral shaft fractures. Four patients died perioperatively. Of the surviving 11 patients with 12 fractures, union occurred in 100 percent. Knee... |
0 | Development and Validation of a Preoperative Surgical Site Infection Risk Score for Primary or Revision Knee and Hip Arthroplasty | PJI DX Updated Search | BACKGROUND: Surgical site infection (SSI) is a major complication following total joint arthroplasty. Host susceptibility to infection has emerged as an important predictor of SSI. The purpose of this study was to develop and validate a preoperative SSI risk-assessment tool for primary or revision knee and hip arthropl... |
0 | IV vs. Oral Acetaminophen as a Component of Multimodal Analgesia After Total Hip Arthroplasty | AAHKS (4) Acetaminophen | A) Opioid use after THA. Opioid use after THA can be 90 mg (+/â?79) in morphine equivalents when using epidural bupivacaine / hydromorphone and multimodal analgesia. Less than 1/3 of this was via the epidural (26/90 mg). Patients reported ORSDS composite scores of 0.58 B) IV vs oral acetaminophen. The therapeutic bloo... |
1 | Meniscal allograft transplantation without bone plugs: a 3-year minimum follow-up study | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal allograft transplantation is a viable option for subtotally meniscectomized and totally meniscectomized symptomatic patients and potentially results in pain relief and increased function.
HYPOTHESIS: The use of a single tibial tunnel arthroscopic technique without bone plugs will reduce symptoms (p... |
0 | Post-traumatic stress disorder in women: current concepts and treatments | DoD PRF (Psychosocial RF) | In the US, 13% of women develop post-traumatic stress disorder (PTSD) during their lifetime. An accurate diagnosis of PTSD requires screening for trauma and symptoms of PTSD. Current research in the neurobiologic and psychologic responses to traumatic stress supports the use of pharmacologic and psychosocial interventi... |
0 | Preliminary experience of the Cannulok revision hip prosthesis in late periprosthetic fracture management | Management of Hip Fractures in the Elderly | We report our preliminary experience of a cannulated, distally locked revision femoral component to manage peri-prosthetic fractures in the elderly. The majority of cases in our series were further complicated by osteolysis secondary to aseptic loosening, the original hip arthroplasties having been in situ for several ... |
0 | Organized nanofibrous scaffolds that mimic the macroscopic and microscopic architecture of the knee meniscus | AMP (Acute Meniscal Pathology) | The menisci are crescent-shaped fibrocartilaginous tissues whose structural organization consists of dense collagen bundles that are locally aligned but show a continuous change in macroscopic directionality. This circumferential patterning is necessary for load transmission across the knee joint and is a key design pa... |
0 | Treatment of Ankle Fracture Complications and Subacute or Malreduced Ankle Fractures | DoD SSI (Surgical Site Infections) | Rotational ankle fractures are among the most prevalent intra-articular fractures of the body. When managed appropriately, they have favorable outcomes with relatively low complication rates. The proper management of these injuries requires an understanding of the radiographic imaging, surgical anatomy, and biomechanic... |
0 | Pain and functional status differences between rural and urban patients with end-stage knee OA | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Knee osteoarthritis (OA) is a frequent cause of disability around the world. During the last years, its undoubted public health impact has become more relevant as consequence of the aging population growth. Severe disability and pain lead these patients to knee joint replacement surgery. Different areas of res... |
0 | Mechanical diagnosis and therapy and Morton's neuroma: a case-series | Pediatric Supracondylar Humerus Fracture 2020 Review | Objectives: Morton's neuroma (MN) is a neuralgia involving the common plantar digital nerves of the metatarsal region. Evidence-based treatment options for MN are sparse, and utility of physical therapy (PT) is unknown. Mechanical Diagnosis and Therapy (MDT) is a classification system utilizing direction-specific treat... |
1 | Endoscopic median nerve decompression: early experience | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Open median nerve decompression is the gold standard for carpal tunnel syndrome; endoscopic median nerve decompression is an alternative. We compared our first 20 consecutive endoscopic releases with our last 20 open releases. The endoscopic procedure employed the two-portal Chow technique; the open procedure employed ... |
0 | Targeting the Wnt signaling pathway for the development of novel therapies for osteoporosis | MSTS 2018 - Femur Mets and MM | A number of anti-osteoporotic drugs, predominantly inhibitors of bone resorption, are currently used in the management of patients with osteoporosis to reduce the risk of fractures. While the management of the disease has improved significantly, there are still unmet needs, mainly due to a lack of agents able to replac... |
1 | Factors delaying surgical treatment of hip fractures in elderly patients | Management of Hip Fractures in the Elderly | BACKGROUND: Published guidelines recommend early surgical treatment of hip fractures in elderly patients. Understanding the factors that delay surgical intervention is essential in order to introduce changes that will facilitate early treatment. AIM: To determine the factors delaying surgical treatment of hip fractures... |
0 | Preoperative angio-CT preliminary study of the TRAM flap after selective vascular delay | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The pedicled TRAM (pTRAM) flap is one of the best options for autologous breast reconstruction, but vascular complications reported in the standard versions are about 30%. To reduce complication rate, especially in high-risk patients, surgical delay has been suggested.Individual precise preoperative locatio... |
0 | Association of interleukin-6 promoter polymorphism with knee osteoarthritis: A meta-analysis | SR for PM on OA of All Extremities | Background: Osteoarthritis (OA) is the most common form of human polyarthritis. Many genetic factors have been implicated in OA. It was reported that a polymorphism in the gene of interleukin-6 (IL-6) was associated with OA of knee. The aim of this study was to determine whether functional IL-6 promoter -174G/C (rs1800... |
0 | Early complications of anterior supine intermuscular total hip arthroplasty | Hip Fx in the Elderly 2019 | Anterior supine intermuscular total hip arthroplasty (THA) performed on a fracture table has been increasingly used for primary THA. Accurate cup placement, low incidence of dislocation, shorter hospital stay, and faster return of function are potential benefits of the technique. However, a high complication rate, part... |
0 | Is there still a place for continuous closed irrigation in the management of periprosthetic total knee infection? | PJI DX Updated Search | In recent decades, many technical improvements have been achieved in the use of prosthetic joints, and the risk of infection has been greatly reduced, to current rates of 0.4-2.0% following primary knee replacement. However, the increasing rate of joint replacements being performed means that the absolute number of suc... |
0 | Prevalence and prognosis of synchronous distant metastatic tonsil squamous cell carcinomas | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: To analyze the prevalence proportions and prognostic factors of synchronous distant metastases in patients with tonsil squamous cell carcinomas (TSCC).
METHODS: TSCC patients were extracted from the Surveillance, Epidemiology and End Results (SEER) database between 2010 and 2014. We examined the association... |
0 | Knee tissue lesions and prediction of incident knee osteoarthritis over 7 years in a cohort of persons at higher risk | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Among high risk individuals, whether knee lesions in tissues involved in osteoarthritis (OA) can improve prediction of knee OA is unclear. We hypothesized that models predicting (1) incident osteophytes and (2) incident osteophytes and joint space narrowing can be improved by including symptoms or function, ... |
0 | Radiographic evaluation of short-stem press-fit total shoulder arthroplasty: Short-term follow-up | PJI DX Updated Search | Background: Humeral loosening is an uncommon etiology for revision shoulder arthroplasty. We aimed to evaluate the radiographic and clinical outcomes of a short-stem press-fit humeral component after primary total shoulder arthroplasty. Methods: We reviewed our patient database, from January 2008 to December 2011, for ... |
0 | Implant surface factors and bacterial adhesion: a review of the literature | Dental Implant Infection | The microbiota that forms on implant surfaces placed in the human body can be highly resistant to antimicrobial agents and in some cases cause life-threatening infections. Consequently, to limit bacterial attachment to these surfaces and thereby minimize the risk of implant infection, the process of biofilm formation a... |
1 | The ultrasonic image of the acetabular rim in infants. An experimental and clinical investigation | Developmental Dysplasia of the Hip CPG | We report about the possibilities to evaluate the fine structures of the area around the acetabular rim in infants using ultrasound. The identification of the rim within the joint capsule, limbus and cartilagineous preformed acetabular rim is explained by experimental investigations. The clinical use of ultrasound prov... |
0 | Discrimination between cases of hip fracture and controls is improved by hip structural analysis compared to areal bone mineral density. An ex vivo study of the femoral neck | Management of Hip Fractures in the Elderly | In vivo bone densitometry is affected by measurement inaccuracies arising from the assumptions made about soft tissue and marrow composition. This study tested the hypothesis that section modulus (SM, a measure of bending resistance) when measured ex vivo, would discriminate cases of hip fracture from controls better t... |
0 | Neurologic and vascular injuries associated with knee ligament injuries | DOD - Acute Comp Syndrome CPG | Background: Multiple ligament knee injuries are commonly associated with neurovascular complications such as popliteal artery, common peroneal nerve, and tibial nerve injuries. Hypothesis: While the importance of identifying these complications in association with bicruciate and triligamentous injuries has been well es... |
1 | Management of early-stage cutaneous melanoma | Reconstruction After Skin Cancer | Melanoma is a significant health problem, particularly in areas of high sun exposure. In North America, the per capita incidence is rising at an alarming rate. Fortunately, development of techniques for the diagnosis, staging, and treatment of patients with early-stage melanoma have paralleled the rise in melanoma inci... |
0 | Bio-mimicking nano and micro-structured surface fabrication for antibacterial properties in medical implants | Dental Implant Infection | Orthopaedic and dental implants have become a staple of the medical industry and with an ageing population and growing culture for active lifestyles, this trend is forecast to continue. In accordance with the increased demand for implants, failure rates, particularly those caused by bacterial infection, need to be redu... |
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