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Loss of normal knee motion after anterior cruciate ligament reconstruction is associated with radiographic arthritic changes after surgery
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Meniscectomy and articular cartilage damage have been found to increase the prevalence of osteoarthritis after anterior cruciate ligament reconstruction, but the effect of knee range of motion has not been extensively studied. HYPOTHESIS: The prevalence of osteoarthritis as observed on radiographs would be ...
0
Ethmoid mucocele: a new feature of primary ciliary dyskinesia
Patrick’s pharmacoepidemiology project
Primary ciliary dyskinesia (PCD) is a rare congenital autosomal recessive disease that produces impairment of mucosal ciliary movement. Children with this disorder usually manifest recurrent and chronic infections of the upper and lower airways. We describe the history of a 12-month-old boy in whom the correct diagnosi...
0
Treatment of the before and after images in aesthetic surgery
Panniculectomy & Abdominoplasty CPG
The author presents a new system of treatment using instant photographs for imaging body and facial recontouring before and after aesthetic surgery. The surgeon draws on photocopies of the photograph, blotting out in black to get a sense of reduction and adding with a white corrector to get a sense of enlargement.
0
Does surgeon volume for total hip arthroplasty affect outcomes after hemiarthroplasty for femoral neck fracture?
Management of Hip Fractures in the Elderly
We conducted a study to compare complication rates in patients treated with hemiarthroplasty for femoral neck fracture by surgeons with variable experience in primary total hip arthroplasty (THA) and revision THA. A cohort of Medicare beneficiaries (N = 115,352) was identified from Medicare part A claims from 1994 and ...
0
The effect of body weight on the choice of material for the bearing couple in artificial hip joints
PJI DX Updated Search
The effect of body weight on the success of arthroplasty replacement of the hip joint is a controversial issue, particularly the question of whether the choice of bearing couple used should be adapted to individual patient characteristics. As part of this study, we carried out a literature-based meta-analysis of clinic...
0
Review of the long-term disability associated with hip fractures
Management of Hip Fractures in the Elderly
Objectives To determine the proportion of hip fracture patients who experience long-term disability and to re-estimate the resulting burden of disease associated with hip fractures in Australia in 2003. Methods A literature review of the functional outcome following a hip fracture (keywords: morbidity, treatment outcom...
0
Osteosynthesis of distal radius fractures with the Micronail
Distal Radius Fractures
INTRODUCTION: The Micronail() is a minimally invasive intramedullar titanium locking screw fixation for two-part dislocated extra-articular fractures and average displaced intra-articular fractures. PATIENTS AND METHODS: In a retrospective study we analyzed the outcome of 20 distal radius fractures in 18 patients (17 f...
0
Antibiotics for the prophylaxis of bacterial endocarditis in dentistry
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Infective endocarditis is a severe infection arising in the lining of the chambers of the heart with a high mortality rate.Many dental procedures cause bacteraemia and it was believed that this may lead to bacterial endocarditis (BE) in a few people. Guidelines in many countries have recommended that prior ...
0
Evaluating Postoperative Complications and Outcomes of Orthopedic Fracture Repair in Nonagenarian Patients
Hip Fx in the Elderly 2019
Introduction: The United States and the world are currently experiencing a tremendous growth in the elderly population. Moreover, individuals surpassing the ages of 80 and 90 are also continuing to increase. As this unique division of society expands, it is critical that the medical community best understands how to as...
0
Meniscus transplantation in skeletally immature patients
AMP (Acute Meniscal Pathology)
UNLABELLED: Meniscal pathology in skeletally immature patients includes meniscal tears and discoid lateral meniscus. Total or subtotal meniscectomy may occur in patients with discoid lateral meniscus or severe meniscal tears. Meniscal transplantation may be an option in skeletally immature patients status after total o...
0
The correlation of estrogen and progesterone receptor levels with response to chemotherapy for advanced carcinoma of the breast
MSTS 2018 - Femur Mets and MM
Estrogen and progesterone receptor levels were determined simultaneously in tumor samples obtained from 105 patients who subsequently received a trial of hormonal or chemotherapy for metastatic carcinoma of the breast. Twenty-three of 33 estrogen receptor positive patients in contrast with three of 22 estrogen receptor...
0
Ultrasound-guided sciatic nerve block in overweight and obese patients: a randomized comparison of performance time between the infragluteal and subgluteal space techniques
AAHKS (4) Acetaminophen
BACKGROUND AND OBJECTIVES: Despite ultrasound (US) guidance, sciatic nerve block (SNB) remains among the least performed peripheral blocks. By targeting the tissue plane between the gluteus maximus and quadratus femoris muscles, the US-guided subgluteal space technique may facilitate the performance of US-guided SNB. W...
0
Impact of forced displacement during World War II on the present-day mental health of the elderly: a population-based study
DoD PRF (Psychosocial RF)
BACKGROUND: The effects of traumatization among the elderly is a neglected topic in research and clinical settings. Forced displacement of civilians is one of the main traumatic features of modern armed conflict. Roughly 12 million German people were displaced in World War II (WWII) and to our knowledge there has been ...
0
Biological acellular pericardial mesh regulated tissue integration and remodeling in a rat model of breast prosthetic implantation
Acellular Dermal Matrix
The use of biological meshes has proven beneficial in surgical restriction and periprosthetic capsular contracture following breast prosthetic-reconstruction. Three different types (smooth, texturized, and polyurethane) of silicone round mini prostheses were implanted under rat skin with or without two different bovine...
0
Accounting for the correlation between fellow eyes in regression analysis
Upper Eyelid and Brow Surgery
Regression techniques that appropriately use all available eyes have infrequently been applied in the ophthalmologic literature, despite advances both in the development of statistical models and in the availability of computer software to fit these models. We considered the general linear model and polychotomous logis...
0
The Lawrence D. Dorr Surgical Techniques & Technologies Award: Differences in Postoperative Outcomes Between Total Hip Arthroplasty for Fracture vs Osteoarthritis
Hip Fx in the Elderly 2019
BACKGROUND: Hip fracture is an increasingly common expanded indication for total hip arthroplasty (THA) and warrants outcome analysis so as to best inform risk assessment models, public reporting of outcome, and value-based reimbursement schemes. METHODS: The National Surgical Quality Improvement Program data file from...
1
Breast ptosis: causes and cure
Reduction Mammoplasty for Female Breast Hypertrophy
Breast ptosis is one of the most common conditions treated by plastic surgeons, but the causes are not clearly defined. A review was conducted of 132 consecutive patients presenting for breast augmentation or mastopexy. Information was obtained by chart review and telephone interview. Standardized photographs were exam...
1
Ultrasound as the primary imaging method in the diagnosis of hip dysplasia in children aged < 2 years
Developmental Dysplasia of the Hip CPG
The aims of this study were to evaluate the usefulness of ultrasonography as the primary imaging method for hip joints and to establish the limits of normal variation of ultrasound measurements. Five hundred sixty-six children aged 1-23 months who had been referred for clinical suspicion of developmental dysplasia of t...
0
Cost-effective peri-operative pain management: Assuring a happy patient after total knee Arthroplasty
AAHKS (9/10) Regional Nerve Blocks
Aims The aim of this study was to determine the optimal regimen for the management of pain following total knee arthroplasty (TKA) by comparing the outcomes and cost-effectiveness of different protocols implemented at a large, urban, academic medical centre. Patients and Methods Between September 2013 and September 201...
0
Do associations with hand OA vary by knee osteoarthritis phenotype? Cross-sectional data from the Multicenter Osteoarthritis Study
AMP (Acute Meniscal Pathology)
Objective: Osteoarthritis (OA) is highly heterogeneous and has both biomechanical and systemic components that may not have the same etiology. We therefore aimed to identify specific knee OA phenotypes that may be more strongly associated with hand OA to refine the criteria used to define multi-joint OA. Design: We ass...
1
Osteochondral Biopsy Analysis Demonstrates That BST-CarGel Treatment Improves Structural and Cellular Characteristics of Cartilage Repair Tissue Compared With Microfracture
Osteochondritis Dissecans 2020 Review
OBJECTIVE: The efficacy and safety of BST-CarGel, a chitosan-based medical device for cartilage repair, was compared with microfracture alone at 1 year during a multicenter randomized controlled trial (RCT) in the knee. The quality of repair tissue of osteochondral biopsies collected from a subset of patients was compa...
0
Management of osteoarthritis during COVID-19 pandemic
Coronavirus Disease 2019 (COVID-19)
The pandemic spread of the new COVID-19 coronavirus infection in China first, and all over the world at present, has become a global health emergency due to the rapidly increasing number of affected patients. Currently, a clear relationship between COVID-19 infection incidence and/or complications due to chronic or occ...
0
Para-articular osteochondroma
Diagnosis and Treatment of Osteochondritis Dissecans AUC
An unusual case of a para-articular osteochondroma in the vicinity of the knee is reported. Typical presentation and differential diagnosis of bone-forming lesions about the knee are discussed. Confirmed diagnosis should combine clinical presentation and appearance, laboratory data, radiographic evaluation, and possibl...
0
Which fractures are associated with low appendicular bone mass in elderly women? The Study of Osteoporotic Fractures Research Group
Distal Radius Fractures
OBJECTIVE: To determine which types of fractures have an increased incidence in elderly women with low appendicular bone mass. DESIGN: Prospective cohort study. SETTING: Four clinical centers in the United States (Baltimore, Maryland; Minneapolis, Minnesota; Portland, Oregon; Monangehela Valley, Pennsylvania); and one ...
1
One-year follow-up of efficacy and cost of repeated doses versus single larger dose of intra-articular hyaluronic acid for knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Purpose: A recent 3-month randomized, open-label controlled trial found that the intra-articular hyaluronic acid injection (GO-ON®) given as a single dose of 5 mL is as effective and safe as three repeated doses of 2.5 mL in patients with knee osteoarthritis. However, the information on the long-term efficacy and econ...
0
Cabozantinib in progressive medullary thyroid cancer.[Erratum appears in J Clin Oncol. 2014 Jun 10;32(17):1864]
MSTS 2018 - Femur Mets and MM
PURPOSE: Cabozantinib, a tyrosine kinase inhibitor (TKI) of hepatocyte growth factor receptor (MET), vascular endothelial growth factor receptor 2, and rearranged during transfection (RET), demonstrated clinical activity in patients with medullary thyroid cancer (MTC) in phase I. PATIENTS AND METHODS: We conducted a do...
0
Impact of preadmission anti-inflammatory drug use on the risk of RBC transfusion in elderly hip fracture patients: a Danish nationwide cohort study, 2005â??2016
AAHKS (2) Corticosteroids
BACKGROUND: Do prescription drugs with anti-inflammatory properties such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and statins increase the risk of postoperative bleeding measured with RBC transfusion in elderly hip fracture surgery patients?. STUDY DESIGN AND METHODS: Using the Danish Multidis...
0
Does Patellofemoral Disease Affect Outcomes in Contemporary Medial Fixed-Bearing Unicompartmental Knee Arthroplasty?
OAK 3 - Non-arthroplasty tx of OAK
Background: Pre-existing patellofemoral disease has traditionally been a contraindication to unicompartmental knee arthroplasty (UKA), as proposed by Kozinn and Scott. More recently, some propose that patellofemoral disease can be ignored in UKA; however, the supporting research is predominantly in mobile-bearing desig...
0
MRI of bilateral bipartite hamulus: A case report
Distal Radius Fractures
Normal skeletal variants are a common occurrence in clinical practice and may lead to misinterpretation. As part of a case control study investigating the carpal tunnel, our asymptomatic and voluntary participant underwent magnetic resonance (MR) imaging of both wrists from the metacarpal bases to the distal radiocarpa...
0
S-phase fraction and survival benefit from adjuvant chemotherapy or radiotherapy of breast cancer
MSTS 2018 - Femur Mets and MM
Cancer chemotherapy interacts with cell proliferation, but data on the relationship between cancer cell replication and the effect of adjuvant chemotherapy are scarce. We have investigated the S-phase fractions of the primary tumour from premenopausal breast cancer patients who participated in a randomised trial compar...
0
Pediatric Vitiligo
Reconstruction After Skin Cancer
Vitiligo is a disease of pigment loss. Most investigators currently consider vitiligo to be a disorder that occurs as a result of autoimmune destruction of melanocytes, supported by identification of antimelanocyte antibodies in many patients, and the presence of comorbid autoimmune disease in patients with and family ...
0
Turning the tide: benefit finding after cancer surgery
DoD PRF (Psychosocial RF)
Post-traumatic growth and benefit finding after adverse life events are emerging topics in stress and coping research. This study examined personal and social resources of cancer patients and their perception of positive life changes as a consequence of illness. In addition, the mediating role of coping strategies (acc...
0
Effect of transcutaneous electrical nerve stimulation (TENS) on central nervous system amplification of somatosensory input
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The effect of transcutaneous electrical nerve stimulation (TENS) on the central nervous system amplification process was investigated focusing on the dorsal column-medial lemniscal pathway, because the dorsal column nucleus was recently shown to receive multiple sources of sensory information, including pain. Short lat...
0
Management of diabetic foot ulcers
DoD LSA (Limb Salvage vs Amputation)
Diabetic foot is a serious complication of diabetes which aggravates the patient's condition whilst also having significant socioeconomic impact. The aim of the presentreview is to summarize the causes and pathogenetic mechanisms leading to diabetic foot, and to focus on the management of this important health issue. I...
0
Traumatic neuropathies of the upper extremity
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Bodily trauma frequently involves injury to the peripheral nerves. Trauma to the peripheral nerves of the upper extremity can occur through a variety of mechanisms, including avulsion, compression, entrapment and laceration. Injuries that can involve the nerves of the upper extremity include herniation of a interverteb...
0
Histological analyses of surgically resected synovial tissues in patients with rheumatoid arthritis treated with/without biological agents
Surgical Management of Osteoarthritis of the Knee CPG
Background/Purpose: Recent treatment of rheumatoid arthritis (RA) was dramatically improved after introducing biological agents. Although there are several reports with small numbers of cases that analyzed the effect of biological agents from the view point of histopathology, the significance of biological agents on hi...
0
Remote access perfusion for minimally invasive cardiac surgery: To clamp or to inflate
DOD - Acute Comp Syndrome CPG
OBJECTIVES: Endoaortic balloon occlusion (EBO) and aortic transthoracic clamping (TTC) are the dominant methods of remote access perfusion (RAP) in minimally invasive cardiac surgery. The aim of the study was to compare the two methods in terms of feasibility, success and complications. METHODS: From June 2001 to Novem...
0
Reconstruction of the glenoid using autologous bone-graft and the SMR Axioma TT metal-backed prosthesis: The first 45 sequential cases at a minimum of two yearsâ?? follow-up
Glenohumeral Joint OA
Aims We present our experience of using a metal-backed prosthesis and autologous bone graft to treat gross glenoid bone deficiency. Patients and Methods A prospective cohort study of the first 45 shoulder arthroplasties using the SMR Axioma Trabecular Titanium (TT) metal-backed glenoid with autologous bone graft. Betwe...
0
Neuroanatomic substrates of lower extremity somatosensory evoked potentials
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
After stimulation of the lower extremity nerve (tibial nerve), N21 and N23 are recorded from L4 and T12 spine respectively. The far-field potentials of P31 and N35 are registered from Fpz-C5s (fifth cervical spine) or CPi (ipsilateral with respect to the side of stimulation) - ear derivation. Additional far-field poten...
0
The immune response to oral infections
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This article summarizes some of the important interactions between the immune system and inflammatory process, with the primary focus on the host response to infection. A subsequent brief review of the pathogenesis of periodontal disease serves to illustrate the relevance of these interactions to our understanding of d...
0
Intra-articular osteoid osteoma in the proximal tibia and its imaging characteristics
PJI DX Updated Search
Due to mostly non-specific clinical symptoms and variable appearance on magnetic resonance imaging (MRI), the diagnosis of an intra-articular osteoid osteoma (iaOO) is often delayed. We report the case of a 26-year-old male with an atypical clinical manifestation of an iaOO in the proximal tibia and its MRI specific ch...
0
Arthroscopic Repair of Humeral Avulsion of Glenohumeral Ligament Lesions: Outcomes at 2-Year Follow-up
AMP (Acute Meniscal Pathology)
Background: Humeral avulsion of the glenohumeral ligament (HAGL) is an uncommon condition but a major contributor to shoulder instability and functional decline. Purpose: To describe the pre- and postoperative HAGL lesion presentations of instability, pain, and functionality and the return-to-sports activities in patie...
0
Morphometric Analysis of the Umbilicus According to Age
Panniculectomy & Abdominoplasty CPG
Background: Morphometric and anatomical analyses of the shape and position of the umbilicus have been conducted in adults, but umbilicoplasty in children remains challenging because growth is still occurring. Objectives: The main objective of this study was to evaluate the difference in the position and shape of the um...
0
Long-term follow-up of fresh tibial osteochondral allografts for failed tibial plateau fractures
Diagnosis and Treatment of Osteochondritis Dissecans AUC
BACKGROUND: The management of large posttraumatic full-thickness osteochondral defects in the proximal part of the tibia remains a challenge. The goal of treatment is a pain-free range of motion of the knee that provides enduring function and enables a young patient to participate in a wide range of activities. The use...
1
Return to duty following combat-related multi-ligamentous knee injury
DoD LSA (Limb Salvage vs Amputation)
Introduction This retrospective cohort study characterized injury patterns, treatment practices, and identified the return to duty (RTD) rate following combat-related multi-ligament knee injuries (MLKI). Patients and methods We evaluated injury characteristics and treatment methods of 46 military service members who ha...
0
Tear gap and severity of osteoarthritis are associated with meniscal extrusion in degenerative medial meniscus posterior root tears
OAK 3 - Non-arthroplasty tx of OAK
Introduction: Meniscal extrusion is a typical finding of medial meniscus posterior root tear, and it causes loss of the chondroprotective function of the meniscus as well as progression of osteoarthritis; it is therefore associated with poor clinical outcomes. The purpose of this study was to investigate factors associ...
1
Role of magnetic resonance imaging in the evaluation of the anterior knee pain
AMP (Acute Meniscal Pathology)
Background: To review the most common causes of Anterior knee pain (AKP), with an emphasis on their MRI findings; 70 patients were included (24 males and 46 females). Their age range is 10–53 years with a mean ± SD of 28.8 ± 9.06 years. All patients performed MRI of the affected knee. Results: Eleven disease entities w...
0
Increased operating room time in patients with obesity during primary total knee arthroplasty: conflicts for scheduling
OAK 3 - Non-arthroplasty tx of OAK
Obesity is associated with increased complications related to total knee arthroplasty (TKA), but the relationship between body mass index (BMI) and operating room time during TKA is unknown. A total of 454 unilateral primary TKAs (2005-2009) were reviewed and categorized by BMI (normal weight, 18.5-25 kg/m(2); overweig...
1
Amputees in a hospital of the International Committee of the Red Cross
DoD LSA (Limb Salvage vs Amputation)
The object of this study is to describe the treatment of patients with an amputation in terms of causes and distribution of injuries, mortality and drain on surgical resources. A group of patients with war injuries, who did not undergo an amputation (1796) and a group of war-injured patients with an amputation (245) we...
0
Implementation and Analysis of a Lean Six Sigma Program in Microsurgery to Improve Operative Throughput in Perforator Flap Breast Reconstruction
Reduction Mammoplasty for Female Breast Hypertrophy
PURPOSE: Perforator flaps have become a preferred method of breast reconstruction but can consume considerable resources. We examined the impact of a Six Sigma program on microsurgical breast reconstruction at an academic medical center. METHODS: Using methods developed by Motorola and General Electric, we applied crit...
1
Comparative Matched-Pair Analysis of Keyhole Bone-Plug Technique Versus Arthroscopic-Assisted Pullout Suture Technique for Lateral Meniscal Allograft Transplantation
AMP (Acute Meniscal Pathology)
PURPOSE: To compare the clinical outcomes and meniscal extrusion measured by magnetic resonance imaging (MRI) between the keyhole bone-plug technique and arthroscopic-assisted pullout suture technique in lateral meniscal allograft transplantation (MAT). METHODS: Between October 2009 and February 2015, patients who unde...
0
Continuous iliac compartment block of lumbar plexus combined with continuous femoral block in severe trauma of the lower limb. Case report
Surgical Management of Osteoarthritis of the Knee CPG
Background and Objectives - Regional anesthesia with local anesthetics, alone or associated to opioids, provides safe and effective analgesia during surgery and may also provide analgesia in the immediate postoperative period. This report aimed at presenting a case of a patient with a severe knee open fracture associat...
0
Determining the outcomes of post-mastectomy radiation therapy delivered to the definitive implant in patients undergoing one- and two-stage implant-based breast reconstruction: A systematic review and meta-analysis
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Post-mastectomy radiation therapy (PMRT) is known to increase the complication rate and implant loss in implant-based breast reconstruction. The purpose of this study was to systematically review the literature regarding the outcome of PMRT delivered to the permanent/definitive implant. METHODS: Systematic ...
0
Clinical and ultrasonographic predictors of joint replacement for knee osteoarthritis: Results from a large, 3-year, prospective EULAR study
PJI DX Updated Search
Objectives: To determine clinical and ultrasonographic predictors of joint replacement surgery across Europe in primary osteoarthritis (OA) of the knee. Methods: This was a 3-year prospective study of a painful OA knee cohort (from a EULAR-sponsored, multicentre study). All subjects had clinical evaluation, radiographs...
1
The von Rosen splint compared with the Frejka pillow. A study of 408 neonatally unstable hips
Developmental Dysplasia of the Hip CPG
101 children in Tromso, Norway, treated with the Frejka pillow for 4.5 months because of neonatal hip instability (NHI) were compared with 307 children in Malmo, Sweden, treated with the von Rosen splint for 3 months. The pelvic radiographs, taken when the treatment was terminated, were assessed by the acetabular index...
0
Avascular necrosis as a complication of the treatment of dislocation of the hip in children with cerebral palsy
Developmental Dysplasia of the Hip 2020 Review
We investigated the incidence and risk factors for the development of avascular necrosis (AVN) of the femoral head in the course of treatment of children with cerebral palsy (CP) and dislocation of the hip. All underwent open reduction, proximal femoral and Dega pelvic osteotomy. The inclusion criteria were: a predomin...
0
The results of a multicenter Italian study on the use of the Gamma nail for the treatment of pertrochanteric and subtrochanteric fractures: a review of 1181 cases
Management of Hip Fractures in the Elderly
A total of 1147 pertrochanteric and subtrochanteric fractures, 10 delays in consolidation and non-union, 24 pathologic fractures and osteolysis with the risk of fracture, treated with a gamma nail in 17 Italian departments of traumatology, were collected. In 70% of the patients weight-bearing was allowed during the fir...
0
One-year mortality after a hip fracture: prospective study of a cohort of patients aged over 75 years old
Hip Fx in the Elderly 2019
Hip fracture (HF) is a serious complication of the elderly who have suffered a fall. Studies focused on patients over 75 years old without excluding the most vulnerable are not frequent. Before we can think about the creation of an orthogeriatric unit, we evaluated the mortality rate one year after a HF only of patient...
1
Outcome of surgical management of bony metastases to the humerus and shoulder girdle: a retrospective analysis of 93 patients
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: Metastatic disease to the shoulder girdle is a challenging problem because of the potential for pain, pathologic fracture and loss of function of that limb. Management of the bone disease centers around palliation, prevention of further complications and the preservation of residual function. A variety of s...
1
Efficacy and Safety of Tranexamic Acid in Intertrochanteric Fractures: A Single-Blind Randomized Controlled Trial
Hip Fx in the Elderly 2019
OBJECTIVE: To investigate the efficacy and safety of tranexamic acid (TXA) in the reduction of bleeding and the need for transfusion in elderly intertrochanteric fracture patients. METHODS: A total of 100 patients with intertrochanteric fractures undergoing surgery were enrolled and randomly allocated to the TXA group ...
0
Comparison of three methods for identifying the heelstrike transient during walking gait
OAK 3 - Non-arthroplasty tx of OAK
Impulsive, or high rate, loading contributes to cartilage degradation and is commonly identified via the heelstrike transient (HST) in the vertical ground reaction force (vGRF) during gait. Investigation of the HST may improve our understanding of knee osteoarthritis mechanical pathogenesis. However, the most appropria...
0
Triple arthrodesis in rheumatoid arthritis
DoD SSI (Surgical Site Infections)
Fifty-five patients with rheumatoid arthritis were treated with 65 triple arthrodeses of the hindfoot from March 1975 through July 1985. Twelve patients (12 procedures) have died, and follow-up evaluation could not be completed on three patients (four procedures), leaving 40 patients (49 procedures) available for clini...
0
A long-term follow-up study of children with supracondylar fractures of the humerus
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
A retrospective study to assess the long-term results of the treatment of supracondylar fractures of the humerus was undertaken to provide guidance on the management of these troublesome injuries. In our experience as long as there was less than 25% displacement on an anteroposterior (A/P) or lateral x-ray, and less th...
0
[Postoperative analgesia for total knee arthroplasty: a comparative study]
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Total knee arthroplasty is associated with an intense postoperative pain. A number of techniques are being used to ease it. Objective: To compare the effectiveness and safety of three analgesic techniques to control post-surgical knee total arhroplasty pain. Methods: A double-blinded randomized clinical t...
0
YKL-40 as a novel factor associated with inflammation and catabolic mechanisms in osteoarthritic joints
OAK 3 - Non-arthroplasty tx of OAK
YKL-40 is associated with tissue injury and inflammation, and consequently to diseases in which these mechanisms lead to tissue degradation, for example, asthma and rheumatoid arthritis. The purpose of the present study was to investigate if YKL-40 is also a significant factor in osteoarthritis (OA) by assessing associ...
1
Oucome of management of non-gonococcal septic arethritis at National Orthopaedic Hospital, Enugu, Nigeria
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Septic arthritis is an accute bacterial infection of a synovial joint. It is an orthopaedic emergency that can lead to morbidity or mortality if not properly treated. the fundamental issues in the management of septic arthritis include the duration of antibiotic therapy, the mode of joint drainage and the r...
0
Association of postoperative delirium with markers of neurodegeneration and brain amyloidosis: a pilot study
Hip Fx in the Elderly 2019
The aim of the study was to investigate the association between postoperative delirium (POD) and in vivo markers of Alzheimer's disease pathology in nondemented hip fracture surgery patients. POD was assessed with the Confusion Assessment Method. Amyloid load was quantified on <sup>18</sup>F-Flutemetamol positron emiss...
0
The James A. Rand Young Investigator's Award: Large Opioid Prescriptions Are Unnecessary After Total Joint Arthroplasty: A Randomized Controlled Trial
AAHKS (8) Anesthetic Infiltration
Background: The purpose of this randomized controlled trial is to determine whether the quantity of opioid pills prescribed at discharge is associated with the number of opioid pills consumed or unused by patients after primary hip and knee arthroplasty within 30 days after discharge. Methods: A total of 304 opioid-naÃ...
0
The pathophysiology of menopausal symptoms
DoD PRF (Psychosocial RF)
Increasing life expectancy means that most Western women will experience the menopausal transition. This phase of reproductive life involves a biopsychosocial process where the majority of women experience physiological changes, influenced by a wide range of ethnic, psychological, social and cultural factors. With rela...
0
Management of the Difficult Airway in the COVID-19 Pandemic: An Illustrative Complex Head and Neck Case Scenario
Coronavirus Disease 2019 (COVID-19)
BACKGROUND: This case highlights challenges in the assessment and management of the "difficult airway" patient in the SARS-CoV-2 (COVID-19) pandemic era. METHODS: A 60-year-old male with history of recent TORS resection, free flap reconstruction and tracheostomy for p16+ squamous cell carcinoma presented with stridor a...
0
Monitoring of skeletal progression of prostate cancer by GFP imaging, X-ray, and serum OPG and PTHrP
MSTS 2018 - Femur Mets and MM
BACKGROUND: Prostate cancers (PCas) produce factors that can serve as biomarkers for tumor metastasis and bone progression. Transduced GFP expression by cancer cells can be imaged to monitor therapy. We exploited both concepts by developing a GFP-expressing PCa cell line that expresses PTHrP and studying it in an anima...
0
Surgical treatment of femoral neck fractures after 24 hours in patients between the ages of 18 and 49 is associated with poor inpatient outcomes: An analysis of 1361 patients in the National Trauma Data Bank
DOD - Acute Comp Syndrome CPG
Objective: To determine (1) the incidence of delayed surgical treatment, (2) risk factors associated with delayed surgical intervention, (3) inpatient adverse events and discharge disposition, and (4) the association of delayed surgery with inpatient adverse events. Design: Retrospective cohort study. Setting: 2011 and...
0
Treatment of osteoarthritis with continuous versus intermittent celecoxib
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To determine whether "continuous" celecoxib is more efficacious than "intermittent" use in preventing osteoarthritis (OA) flares of the knee and/or hip. METHODS: A double�blind, randomized, multicenter international study comparing efficacy and safety of continuous (daily) versus intermittent (as required ...
0
CXCR6/CXCL16 functions as a regulator in metastasis and progression of cancer
MSTS 2018 - Femur Mets and MM
Metastasis is considered the obvious mark for most aggressive cancers. However, little is known about the molecular mechanism of the regulation of cancer metastasis. Recent evidence increasingly suggests that the interaction between chemokines and chemokine receptors is pivotal in the process of metastasis. The chemoki...
0
Investigation of treatment of algodystrophy by guanethidine blockade
Distal Radius Fractures
INTERVENTION: Intravenous regional (Biers) block to the affected arm using either: 1. 30 ml normal saline, or 2. 15 mg guanethidine in 30 ml 0.5% pritocaine CONDITION: Reflex sympathetic dystrophy ; Musculoskeletal Diseases ; Osteopathies and chondropathies PRIMARY OUTCOME: Not provided at time of registration SECONDAR...
0
Cemented, cementless or hybrid fixation options in total knee arthroplasty for osteoarthritis and other non-traumatic diseases
SR for PM on OA of All Extremities
Background: It is not clear which fixation of total knee arthroplasty obtains the best clinical, functional and radiographic results in people with osteoarthritis and other non-traumatic diseases, such as rheumatoid arthritis.Objectives: To assess the benefits and harms of cemented, cementless and hybrid knee prosthese...
0
Qualitative Development of a Discrete Choice Experiment for Physical Activity Interventions to Improve Knee Osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To describe the qualitative process used to develop attributes and attribute levels for inclusion in a discrete choice experiments (DCE) for older adult physical activity interventions. DESIGN: Five focus groups (n=41) were conducted, grounded in the Health Action Process Approach framework. Discussion empha...
0
How valuable is screening for thyroid disease in patients with carpal tunnel syndrome?
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: It has been suggested that many patients with carpal tunnel syndrome have associated thyroid or other metabolic diseases. METHODS: 206 patients with clinical features suggestive of carpal tunnel syndrome (CTS), including those with known underlying cause of CTS, were screened for thyroid dysfunction. Nerve ...
1
The influence of obesity and volume of resection on success in reduction mammaplasty: An outcomes study
Reduction Mammoplasty for Female Breast Hypertrophy
Background: Indications for breast reduction surgery include neck pain, back pain, shoulder pain, and an intertriginous rash. Previous studies have established that bilateral breast reduction surgery is highly effective in relieving these symptoms. Third-party payers may refuse to cover breast reduction surgery for obe...
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Osteoarthritis of the knee in retired, elite Australian Rules footballers
AMP (Acute Meniscal Pathology)
OBJECTIVE: To determine the functional and radiological status of knee joints of retired Australian Rules footballers compared with those of active community members. DESIGN: Retrospective cohort study. PARTICIPANTS: Fifty retired elite footballers aged 34-85 years (mean, 53.7 years; SD, 11.4) from four AFL clubs and 5...
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Osteochondritis dissecans of the medial femoral condyle associated with malformation of the menisci
Diagnosis and Treatment of Osteochondritis Dissecans AUC
Osteochondritis dissecans is a form of osteochondrosis limited to the articular epiphysis and the relationship of osteochondritis dissecans and discoid lateral meniscus has been clearly identified. This article presents a 10-year-old boy with osteochondritis dissecans of the medial femoral condyle associated with hypop...
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Tissue-engineered repair of exercise-induced meniscal injury: International research trends and future
AMP (Acute Meniscal Pathology)
BACKGROUND: The depth study of disciplines, such as tissue engineering, genetic engineering, biomechanics and materials science, provides a new approach for the treatment of meniscal injuries. OBJECTIVE: To multivariately analyze the literatures on the tissue-engineered repair of exercise-induced meniscal injury throug...
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Rejuvenation of the aging neck
Panniculectomy & Abdominoplasty CPG
Patients seeking rejuvenation of the face are influenced by youthful faces commonly seen in the media and entertainment world. Although standards of beauty evolve over time, classical facial features such as symmetry, high cheek bones, and an angular jaw-neck line remain as ideals. As the human face ages, a relatively ...
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Neoadjuvant and adjuvant therapy in patients with oral squamous cell carcinoma Long-term survival in a prospective, non-randomized study
Reconstruction After Skin Cancer
PATIENTS AND METHODSWe studied two groups consisting of 74 patients given neoadjuvant treatment and 54 treated surgically. Ninety-nine patients suffered from stage III and IV diseases according to the UICC-criteria. Long-term survival was estimated by the Kaplan-Meier method.RESULTSNeoadjuvant treatment increased the p...
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A staged treatment plan for the management of Type II and Type IIIA open calcaneus fractures
DoD SSI (Surgical Site Infections)
OBJECTIVE: To assess the results of a standardized staged treatment strategy for displaced open calcaneal fractures with medial wounds. DESIGN: Retrospective case series. SETTING: Level I trauma center. PATIENTS/PARTICIPANTS: Fourteen displaced open Type II or Type IIIA Orthopaedic Trauma Association (OTA) 73 Type B or...
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Optimized perioperative analgesia reduces chronic phantom limb pain intensity, prevalence and frequency: A prospective randomized, clinical trial
Surgical Management of Osteoarthritis of the Knee CPG
Background and aims: Persistent pain after amputation manifests as phantom limb pain (PLP), residual (stump) pain, or both, and is frequently a vexing clinical problem that is difficult to manage. PLP is reported by 50% to 80% of patients1;2, can result in depression and sleep disorders and has been associated with ser...
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Carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
CTS is a common upper extremity problem that has an increasing incidence and poorly understood causes. Radiographs and electrodiagnostic tests are helpful, but the diagnosis remains based on clinical symptoms and signs. The several sites of median nerve compression must be considered. Splinting and steroid injections a...
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Carpal tunnel syndrome in juvenile rheumatoid arthritis
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The frequency of carpal tunnel syndrome in children is not generally appreciated. Only 11 cases have been published. In some of them the probable diagnosis was juvenile rheumatoid arthritis. A series of 22 operated hands in 14 patients under 15 years is presented. All patients, 9 girls and 5 boys, were suffering from d...
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EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT)
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVES: To update the EULAR recommendations for management of knee osteoarthritis (OA) by an evidence based medicine and expert opinion approach. METHODS: The literature search and guidelines were restricted to treatments for knee OA pertaining to clinical and/or radiological OA of any compartment of the knee. Pape...
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Osteogenic protein-1 in knee arthritis and arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
The use of graft materials to restore bone stock and promote healing and implant stabilization is a crucial part of total knee arthroplasty, especially in revision surgery. Recent research has centered on the use of osteoinductive materials to promote bone formation. Osteogenic proteins are members of a superfamily of ...
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Acupuncture-like stimulation with codetron for rehabilitation of patients with chronic pain syndrome and osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Acupuncture is one of the oldest healing methods which is used in traditional medicine. In the modern medicine, we are witnessing a renaissance of this ancient treatment applied mainly in the management of chronic pain. A number of modern technological changes are being applied to replace, or modify, the classical need...
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Periarticular multimodal drug injection improves post-operative pain and functional recovery after total knee arthroplasty
AAHKS (9/10) Regional Nerve Blocks
Background This study retrospectively compared the clinical benefits of periarticular multimodal drug injection (PMDI) and continuous femoral nerve block (CFNB) after total knee arthroplasty (TKA). Methods From 2010 to 2012, 520 primary TKAs were performed, and patients were treated with CFNB or PMDI after surgery. Pat...
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St Georg modular knee prosthesis. A two-and-a-half to six-year follow-up
Surgical Management of Osteoarthritis of the Knee CPG
The St Georg modular knee replacement has been studied in 59 cases with an observation period ranging from 28 to 73 months. In 47% of the knees both compartments were replaced; five of the six poor results were in this group. These were revised to a hinge arthroplasty or, in one case, to an arthrodesis. Other complicat...
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Hydroxyapatite-coated tibial implants compared with cemented tibial fixation in primary total knee arthroplasty. A randomized trial of outcomes at five years
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Although excellent long-term results have been reported with cemented tibial fixation, cementless fixation as a means to improve the longevity of total knee prostheses continues to be of interest to clinicians. The purpose of this study was to compare outcomes between cementless tibial fixation with hydroxy...
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Comparative effectiveness of pain management interventions for hip fracture: a systematic review
Management of Hip Fractures in the Elderly
BACKGROUND: Pain management is integral to the management of hip fracture. PURPOSE: To review the benefits and harms of pharmacologic and nonpharmacologic interventions for managing pain after hip fracture. DATA SOURCES: 25 electronic databases (January 1990 to December 2010), gray literature, trial registries, and ref...
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Soft tissue disorders in the upper limbs of female garment workers
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
In this cross-sectional investigation of female garment workers the prevalence of soft tissue disorders of the hands and arms was studied. The findings were compared with the prevalence of disorders in a group of female hospital employees not required to use repetitive hand motion. One hundred and eighty-eight garment ...
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Molecular analyses of bacterial DNA in extirpated heart valves from patients with infective endocarditis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND/AIMS: Infective endocarditis (IE) is caused by a microbial infection of the endothelial surface of the heart. Although blood culture examinations are commonly used to determine the associated bacterial species, molecular techniques, which enable rapid identification of targeted bacterial species, have recent...
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Role of respirators in controlling the spread of Novel Coronavirus (Covid-19) among dental health care providers: a review
Coronavirus Disease 2019 (COVID-19)
During the ongoing COVID-19 pandemic, health care professionals are at the forefront of managing the highly infectious corona virus. As the most common route of transmission is via aerosols and droplet inhalation, it is critical for health care workers to have the correct personal protective equipment (PPE) including g...
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Effect of antimicrobial mouthrinses on salivary microflora in healthy subjects
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
The antibacterial effects of chlorhexidine and an oxygen releasing agent on the salivary microflora were evaluated in healthy subjects in two separate experiments: 1) mouthrinsing on a single occasion and 2) mouthrinsing two or four times a day for 1 wk. Both experiments were performed in a cross-over study, and each s...
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Complications of osteotomies about the knee
PJI DX Updated Search
High tibial osteotomy and distal femoral osteotomy are 2 popular techniques for the treatment of monocompartmental osteoarthritis of the knee joint in young patients. Injury to the popliteal neurovascular bundle is still considered to be the most severe complication during an osteotomy procedure even if the rate of occ...