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0 | Arthroscopy for temporomandibular disorders | SR for PM on OA of All Extremities | Background: Temporomandibular disorders (TMDs) are considered a collection of disorders involving many organic, psychological and psychosocial factors. They can involve the masticatory muscles or the temporomandibular joint (TMJ) and associated structures, or both. It is estimated that 40% to 75% of the population disp... |
0 | Predictive Accuracy of the ACS-NSQIP Surgical Risk Calculator for Pathologic Humerus Fracture Fixation | MSTS 2022 - Metastatic Disease of the Humerus | Pathologic fractures are associated with poor outcomes. This article investigated the prevalence of underestimation of risk by the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Surgical Risk Calculator (SRC) in patients with pathologic humerus fractures. Two hundred seven (207) ... |
0 | Titanium surface modification to enhance antibacterial and bioactive properties while retaining biocompatibility | Dental Implant Infection | Bacterial infections associated with metal implants are severe problems affecting a considerable amount of people with dental or orthopedic implants. This study aims to examine the antibacterial effect of a Titanium-peroxy gel layer on the modified surface of commercially pure titanium grade 2. Variations in a multi-st... |
0 | Epidemiology of fracture risk with advancing age | HipFx Supplemental Cost Analysis | Bone loss and structural damage with advancing age lead to skeletal fragility as manifested by low bone mass and deficits in bone geometry, microarchitecture, and material properties. Skeletal fragility, in combination with a greater propensity to fall, results in an increased susceptibility to fractures with aging, kn... |
0 | Pelvic fractures diagnosed by bone scintigraphy in patients with normal radiographs after a fall | Management of Hip Fractures in the Elderly | When elderly patients present with pain and difficulty walking after a fall, hip fracture is often suspected. If the x ray shows no abnormality early mobilisation is encouraged. When these patients continue to experience pain and are unable to walk, bone scintigraphy may reveal pelvic fractures. We present three illust... |
0 | The concurrent validity and reliability of the Leg Motion system for measuring ankle dorsiflexion range of motion in older adults | AMP (Acute Meniscal Pathology) | BACKGROUND: New reliable devices for range of motion (ROM) measures in older adults are necessary to improve knowledge about the functional capability in this population. Dorsiflexion ROM limitation is associated with ankle injuries, foot pain, lower limb disorders, loss of balance, gait control disorders and fall risk... |
0 | Compound F: The history of hydrocortisone and hand surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Hydrocortisone (cortisol) is used daily in the practice of medicine and hand surgery. It has an effective use in a number of orthopedic conditions, including tendinitis, tenovaginitis, bursitis, carpal tunnel syndrome, and joint inflammation. But are surgeons aware of how this important pharmaceutical agent was discove... |
0 | Demographic pattern and clinical features of patients with carpal tunnel syndrome presenting to orthopedic outpatient clinics in a military hospital in Kuwait | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objectives: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. Our aim was to provide data about the demographic pattern and clinical features of this syndrome among patients in Kuwait, and compare it to data from other countries. Design: Retrospective review of patients' medical records Setting: Ja... |
0 | Visual consequences of refractive errors in the general population | Upper Eyelid and Brow Surgery | OBJECTIVE: To study the frequency and causes of visual impairment in relation to refractive error. DESIGN: Population-based cohort study. PARTICIPANTS: A total of 6597 participants from Rotterdam Study I (baseline and 4 follow-up examinations) and 2579 participants from Rotterdam Study II (baseline and 2 follow-up exam... |
0 | Oncological and functional results after surgical treatment of bone metastases at the proximal femur | Hip Fx in the Elderly 2019 | BACKGROUND: Metastatic lesions to the proximal femur occur frequently (about 10% of patients with cancer) and require surgical treatment. There are many surgical methods of treatment, however, use of the tumor modular endoprostheses seems to be particularly promising. The aim of study was to evaluate oncological and fu... |
1 | Surgical Delay Is Not Warranted for Patients With Hip Fractures Receiving Non-Warfarin Anticoagulants | Hip Fx in the Elderly 2019 | The purpose of this study was to evaluate whether patients with hip fractures receiving antiplatelet and direct oral anticoagulants treated within 48 hours of admission had worse surgical and clinical outcomes than those whose surgery was delayed more than 48 hours. Consecutive patients 55 years and older with an opera... |
0 | Variations in the performance of hip fracture procedures | HipFx Supplemental Cost Analysis | OBJECTIVES: Hip replacement is the preferred treatment for displaced femoral neck fractures, whereas other less expensive procedures are preferred for nondisplaced fractures. The authors determined whether there was geographic variation in the use of hip replacement to treat displaced and nondisplaced fractures. METHOD... |
0 | Neuropsychiatric diagnosis and management of chronic sequelae of war-related mild to moderate traumatic brain injury | DoD PRF (Psychosocial RF) | Soldiers with a traumatic brain injury (TBI) present with an array of neuropsychiatric symptoms that can be grouped into nosological clusters: (1) cognitive dysfunctions: difficulties in memory, attention, language, visuospatial cognition, sensory-motor integration, affect recognition, and/or executive function typical... |
0 | Ceramic-on-polyethylene bearing surfaces in total hip arthroplasty. Seventeen to twenty-one-year results | Management of Hip Fractures in the Elderly | BACKGROUND: Polyethylene wear debris, and the resulting inflammatory response leading to osteolysis and loosening, is the primary mode of failure limiting the longevity of total hip replacements. Alternative bearing surfaces, including ceramic-on-polyethylene, have been investigated in an effort to decrease the amount ... |
0 | Retention versus sacrifice of the posterior cruciate ligament in total knee arthroplasty for treating osteoarthritis | SR for PM on OA of All Extremities | Background: The functional and clinical basis on which to choose whether or not to retain the posterior cruciate ligament during total knee arthroplasty surgery remained unclear after a Cochrane systematic review and meta-analysis in 2005, which contained eight clinical trials. Several new trials have been conducted si... |
0 | Characterizing microarchitectural changes at the distal radius and tibia in postmenopausal women using HR-pQCT | Distal Radius Fractures | UNLABELLED: Limited prospective evidence exists regarding bone microarchitectural deterioration. We report annual changes in trabecular and cortical bone microarchitecture at the distal radius and tibia in postmenopausal women. Lost trabeculae with corresponding increase in trabecular thickness at the radius and thinni... |
0 | Effect of partial medial meniscectomy on anterior tibial translation in stable knees: a prospective controlled study on 32 patients | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Quantitative measurement of anterior translation of the tibia (ATT) by KT 1000 is used mainly to provide an objective assessment of knee laxity after anterior cruciate ligament (ACL) tears or ACL reconstructions. Only few papers described its use after menisectomies in knees with intact ACL. The objective o... |
0 | Subcapital fractures after open reduction and internal fixation of intertrochanteric fractures of the hip. Report of three cases | Management of Hip Fractures in the Elderly | Three cases of subcapital fractures were discovered after open reduction and internal fixation of intertrochanteric fractures of the hip. These fractures: (1) illustrate devices and methods that contribute to this complication; (2) occur typically in elderly patients with an osteoporotic type of bone; and (3) indicate ... |
1 | Increased fluid resuscitation can lead to adverse outcomes in major-burn injured patients, but low mortality is achievable | DOD - Acute Comp Syndrome CPG | BACKGROUND: Excessive fluid resuscitation of large burn injuries has been associated with adverse outcomes. We reviewed our experience in patients with major-burn injury to assess the relationship between fluid, clinical outcome and cause of variance from expected resuscitation volumes as defined by the Parkland formul... |
0 | Oesophageal achalasia presents with acute stridor in the Emergency Department | PJI DX Updated Search | Oesophageal achalasia is a condition of unknown aetiology that most commonly presents with dysphagia, oesophageal regurgitation or chest pain. A case is described of an 88-year-old lady who presented to the Emergency Department with acute stridor as the initial presentation of oesophageal achalasia. Key steps in manage... |
0 | The diagnosis and management of electrical injuries | DOD - Acute Comp Syndrome CPG | Electrical injuries to the extremity can result in significant local tissue damage and systemic problems. An understanding of the pathophysiology of electrical injuries is critical to the medical and surgical management of patients who sustain these injuries. [References: 85] |
0 | Completion of the French Translation and Linguistic Validation of the BODY-Q | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The BODY-Q is a new patient-reported outcome (PRO) instrument designed to measure patient perceptions of weight loss and/or body contouring procedure. A report regarding the translation procedure into French and its preliminary results has been previously published. We here describe the finalization of the ... |
0 | Renal safety in patients treated with bisphosphonates for osteoporosis: A review | MSTS 2018 - Femur Mets and MM | Bisphosphonates are widely used for the treatment of osteoporosis and are generally well tolerated. However, the United States Food and Drug Administration safety reports have highlighted the issue of renal safety in bisphosphonate-treated patients. All bisphosphonates carry labeled "warnings" or a contraindication for... |
0 | The relationship between chronic musculoskeletal pain and vitamin D deficiency in the elderly population of Amirkola, Iran | Glenohumeral Joint OA | BACKGROUND AND OBJECTIVE: Chronic musculoskeletal pain may persist for more than three months and is often resistant to treatment. The aim of this study was to examine the relationship between chronic musculoskeletal pain and vitamin D deficiency in the elderly population of Amirkola, Iran METHODS: This cross-sectional... |
0 | Role of CXCL12 and CXCR4 in the pathogenesis of hematological malignancies | MSTS 2018 - Femur Mets and MM | The chemokine receptor CXCR4 and its ligand stromal cell-derived factor-1 (SDF-1/CXCL12) are important players in the cross-talk among lymphoma, myeloma and leukemia cells and their microenvironments. In hematological malignancies and solid tumors, the overexpression of CXCR4 on the cell surface has been shown to be re... |
0 | Bortezomib, thalidomide, dexamethasone induction therapy followed by melphalan, prednisolone, thalidomide consolidation therapy as a first line of treatment for patients with multiple myeloma who are non-transplant candidates: Results of the Korean Multiple Myeloma Working Party (KMMWP) | MSTS 2018 - Femur Mets and MM | Bortezomib (VELCADE®), thalidomide and dexamethasone (VTD), as well as melphalan, prednisolone, and thalidomide (MPT) therapy, are highly effective in patients with multiple myeloma. We evaluated the responses and survival times of 35 patients treated with VTD followed by MPT. All patients were newly diagnosed and non... |
1 | All-polyethylene vs. metal-backed tibial component in total knee arthroplasty-a randomized RSA study comparing early fixation of horizontally and completely cemented tibial components: part 1. Horizontally cemented components: AP better fixated than MB | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Controversy still exists as to whether to mount the tibial bearing on a metal baseplate or not. Furthermore, the tibial component can be either horizontally or completely cemented. We evaluated metal backing versus all-polyethylene using horizontal cementing technique. PATIENTS AND METHODS: We randomized 40... |
0 | Occult caffeine as a source of sleep problems in an older population | Management of Hip Fractures in the Elderly | OBJECTIVE: To evaluate the impact of caffeine in medication on sleep complaints in a community population of persons aged 67 or older. DESIGN: Cross-sectional analysis. SETTING: Iowa 65+ Rural Health Study. PARTICIPANTS: Those who completed their own interview, including a section on the use of medications, during the ... |
0 | Massive bone allografts for traumatic skeletal defects | DoD LSA (Limb Salvage vs Amputation) | Large bone allograft transplants have been successfully used to reconstruct skeletal defects created by tumor resections and failed arthroplasties, but little has been reported on their use in traumatic defects. Of approximately 500 allograft procedures done at the Massachusetts General Hospital from 1979 to 1988, 11 w... |
0 | Treatment of osteochondral lesions of the medial talar dome with osteochondral autograft transplantation | Osteochondritis Dissecans 2020 Review | Osteochondral lesions of the talar dome (osteochondral lesions of the talus) occur as the result of a variety of causes, including an association with ankle sprains. Radiographs, magnetic resonance imaging, or computed tomography scans are used to classify these lesions. Symptomatic osteochondral lesions of the talus c... |
1 | Fractures of the distal part of the radius. The evolution of practice over time. Where's the evidence? | Distal Radius Fractures | BACKGROUND: During the administration of the oral (Part II) examinations for the American Board of Orthopaedic Surgery over the past nine years, it has been observed that orthopaedic surgeons are opting more often for open treatment as opposed to percutaneous fixation of distal radial fractures. Evidence to support thi... |
0 | Grade 3 open tibial shaft fractures treated with a circular frame, functional outcome and systematic review of literature | DoD LSA (Limb Salvage vs Amputation) | We report on the surgical and functional outcome of 22 patients with Grade 3 open tibial fractures treated with circular frame. All cases united and there were no re-fractures or amputations. All patients were assessed at a minimum of 1-year post frame removal. Assessment included clinical examination, IOWA ankle and k... |
1 | Comparison of naproxen and acetaminophen in a two-year study of treatment of osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare the relative safety and efficacy of naproxen and acetaminophen in the treatment of osteoarthritis (OA) of the knee. The major outcome measures were radiographic progression and withdrawal from the trial due to lack of efficacy. METHODS: One hundred seventyâ?eight patients with OA of the knee were... |
0 | Metabolic effects of using a variable impedance prosthetic knee | DoD LSA (Limb Salvage vs Amputation) | A transfemoral amputation has a significant effect on walking. Though current prosthetic knee options serve to restore mobility, as purely passive devices, they do not fully restore nondisabled gait. Persons with transfemoral amputation incur a higher metabolic cost during walking than persons without amputation and as... |
0 | In-home medication reviews: a novel approach to improving patient care through coordination of care | Management of Hip Fractures in the Elderly | The use of multiple medications, in persons 65 years and older, has been linked to increased risk for cognitive impairment, falls, hip fractures, hospitalizations, adverse drug reactions, and mortality. The purpose of this study was to determine if trained undergraduate students, in conjunction with pharmacists, could ... |
0 | Treatment of prosthetic joint infections: validation of a surgical algorithm and proposal of a simplified alternative | PJI DX Updated Search | The Del Pozo and Patel (DPP) algorithm permits to identify suitable candidates for debridement and implant retention (DR) in prosthetic joint infections (PJI), but does not include gram-negative bacilli (GNB) as a risk factor of worst outcome. We conducted a retrospective study to validate the DPP algorithm and propose... |
0 | Traumatic brain injury as a chronic health condition | DoD PRF (Psychosocial RF) | Growing evidence indicates that multiple types of brain injury, including traumatic brain injury, are dynamic conditions that continue to change years after onset. For a subset of individuals who incur these injuries, decline occurs over time and is likely due to progressive neurodegenerative processes, comorbid condit... |
0 | Anaesthesia for fractured neck of femur | Hip Fx Time to Surgery | Fracture of the femoral neck is a common injury in the elderly, and many patients have significant co-morbidities. Effective management requires a multidisciplinary approach involving anaesthetists, medical physicians and orthopaedic surgeons. Although early surgery within 24-48 hours is beneficial, there may be medica... |
0 | Patellofemoral Cartilage Repair | Osteochondritis Dissecans 2020 Review | PURPOSE OF REVIEW: This review provides an overview of well-established and newly developed cartilage repair techniques for cartilage defects in the patellofemoral joint (PFJ). An algorithm will be presented for approaching cartilage defects considering the distinct anatomy of both the patellar and trochlear articular ... |
0 | Can Dislocation of a Constrained Liner Be Salvaged With Dual-mobility Constructs in Revision THA? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: Revision THA to treat recurrent instability can itself be complicated by recurrent instability, and when this occurs, this problem is difficult to treat. Some patients' THAs will continue to dislocate despite use of a constrained liner. One option in this difficult-to-treat group is conversion to a dual-mob... |
0 | Clinical evaluation for osteoporosis | Management of Hip Fractures in the Elderly | The clinical evaluation of the osteoporotic patient should include a careful assessment of risk factors for low bone mass, falls, and fractures; quantitation of BMD; a thorough medical history and physical examination; and a targeted set of laboratory, radiographic, and other diagnostic studies as indicated. Among the ... |
0 | Better outcome from arthroscopic partial meniscectomy than skin incisions only? A sham-controlled randomised trial in patients aged 35-55 years with knee pain and an MRI-verified meniscal tear | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Compare arthroscopic partial meniscectomy to a true sham intervention.
METHODS: Sham-controlled superiority trial performed in three county hospitals in Denmark comparing arthroscopic partial meniscectomy to skin incisions only in patients aged 35-55 years with persistent knee pain and an MRI-confirmed media... |
0 | Complications of acellular dermal matrices in breast surgery | Acellular Dermal Matrix | Acellular dermal matrices have been used in breast surgery for a decade. They are widely used in implant-based breast reconstruction to provide coverage of the inferolateral aspects of the prosthesis. Numerous benefits have been reported with this approach including improved fold control, better support and control of ... |
0 | Treatment of bone loss in proximal femurs of postmenopausal osteoporotic women with AGN1 local osteo-enhancement procedure (LOEP) increases hip bone mineral density and hip strength: a long-term prospective cohort study | Hip Fx in the Elderly 2019 | Summary: This first-in-human study of AGN1 LOEP demonstrated that this minimally-invasive treatment durably increased aBMD in femurs of osteoporotic postmenopausal women. AGN1 resorption was coupled with new bone formation by 12 weeks and that new bone was maintained for at least 5â??7 years resulting in substantially ... |
0 | Effect of preoperative feeding on gallbladder size and peristaltic of the small bowel following spinal anesthesia for the hip surgery | Management of Hip Fractures in the Elderly | The main aim of our study was to determine the influence of preoperative feeding with clear carbohydrate rich drink (PreOp 200 mL) on peristaltic of the small intestine and gallbladder size early after the orthopedic surgery in spinal anesthesia. Clinical study includes 120 patients with fracture of femoral neck or per... |
0 | An Easy-to-Use Prognostic Model for Survival Estimation for Patients with Symptomatic Long Bone Metastases | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: A survival estimation for patients with symptomatic long bone metastases (LBM) is crucial to prevent overtreatment and undertreatment. This study analyzed prognostic factors for overall survival and developed a simple, easy-to-use prognostic model.
METHODS: A multicenter retrospective study of 1,520 patient... |
0 | Hematopoietic progenitor cell mobilization for autologous transplantation - a literature review | MSTS 2018 - Femur Mets and MM | The use of high-dose chemotherapy with autologous support of hematopoietic progenitor cells is an effective strategy to treat various hematologic neoplasms, such as non-Hodgkin lymphomas and multiple myeloma. Mobilized peripheral blood progenitor cells are the main source of support for autologous transplants, and coll... |
0 | Carpal tunnel syndrome: hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline-results from the European HANDGUIDE Study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To achieve consensus on a multidisciplinary treatment guideline for carpal tunnel syndrome (CTS). DESIGN: Delphi consensus strategy. SETTING: Systematic reviews reporting on the effectiveness of surgical and nonsurgical interventions were conducted and used as an evidence-based starting point for a European ... |
0 | Staged versus acute definitive management of open distal humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Background: Open distal humerus fractures are associated with soft tissue and bony injury. This study compares the results of a staged protocol using initial joint spanning external fixation and delayed definitive fixation to acute definitive fixation. Methods: Treated open distal humerus fractures were retrospectively... |
0 | Oxidative stress in the levator aponeurosis in Asian involutional blepharoptosis | Upper Eyelid and Brow Surgery | PURPOSE: To analyze the histopathology and expression of 8-hydroxydeoxyguanosine (OHdG), a marker of oxidative stress, in the levator aponeurosis tissues of involutional aponeurotic and congenital blepharoptosis patients, and adult subjects with no history of blepharoptosis. METHODS: Fourteen and 4 levator aponeurosis ... |
0 | HIV infection associated post-traumatic stress disorder and post-traumatic growth--a systematic review | DoD PRF (Psychosocial RF) | The phenomenon of post-traumatic stress has been well documented in the literature as a lasting mental health condition associated with exposure to traumatic life events. The diagnosis and experience of human immunodeficiency virus (HIV) disease may be such a trauma. On the other hand, the phenomenon of post-traumatic ... |
0 | Potential significance of antiestrogen therapy in the development of bisphosphonate related osteonecrosis of the jaw | MSTS 2018 - Femur Mets and MM | OBJECTIVES: There are known risk factors and established treatment protocols for bisphosphonate-related osteonecrosis of the jaw (BRONJ), but it remains a difficult disease to treat, with the risk of relapses. This study investigates whether or not there is a relationship between antiestrogen therapy and BRONJ.
PATIENT... |
1 | Complications after pinning of supracondylar distal humerus fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: Supracondylar distal humerus fractures are one of the most common skeletal injuries in children. The current treatment of choice in North America is closed reduction and percutaneous pin fixation. Often surgeons leave the pins exposed beneath a cast but outside the skin. Great variation exists with respect ... |
0 | Interventions for treating acute elbow dislocations in adults | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the effects (benefits and harms) of interventions for treating acute simple elbow dislocations in adults.We aim to compare: 1. different methods of closed reduction; 2. different types of post-reduction splinting (functi... |
0 | Vertebral dimension measurements improve prediction of vertebral fracture incidence | Distal Radius Fractures | We investigated the independent contributions of vertebral size and shape, bone density, and existing fractures for predicting the risk of new vertebral fractures among postmenopausal Japanese-American women in Hawaii. Baseline measurements of bone density at the distal and proximal radius and the calcaneus were obtain... |
0 | Impaired weight transfer persists at least four months after hip fracture and rehabilitation | Management of Hip Fractures in the Elderly | OBJECTIVE: To determine whether choice stepping reaction time performance is impaired in people after hip fracture and whether different aspects of choice stepping performance improve with rehabilitation. DESIGN: This study includes a secondary analysis of data obtained from participants in a randomized controlled tria... |
0 | Day-to-day reliability of two different models to quantify knee kinematics in subjects with knee osteoarthritis and healthy controls | OAK 3 - Non-arthroplasty tx of OAK | Results from instrumented gait analysis vary between test situations. Subject characteristics and the biomechanical model can influence the total amount of variability. The purpose of this study was to quantify reliability of gait data in general, and with respect to the applied model, and investigated population group... |
0 | Dental implants stimulate expression of Interleukin-8 and its receptor in human blood--an in vitro approach | PJI DX Updated Search | Interleukin (IL)-8 secreted from osteoblasts and peripheral blood monocytes increases in patients with aseptic hip-implant loss and in patients with mucositis after dental implant insertion. We explored in vitro the possibility of an IL-8-mediated inflammatory response as a consequence of contact between different dent... |
0 | Medial unicompartment knee replacement. Minimum five year follow-up | Surgical Management of Osteoarthritis of the Knee CPG | Forty-four medial Marmor unicompartment knee arthroplasties were performed at the Hutt Hospital from 1976 to 1983 on 35 patients. Seventy-five per cent were rated as excellent or good, using the Hospital for Special Surgery Knee Rating System. Four arthroplasties were revised at an average of 6 years (range: 2-8), two ... |
0 | A phase 1 study of everolimus + weekly cisplatin + intensity modulated radiation therapy in head-and-neck cancer | Reconstruction After Skin Cancer | PURPOSE: Elevated expression of eukaryotic protein synthesis initiation factor 4E (eIF4E) in histologically cancer-free margins of resected head and neck squamous cell carcinomas (HNSCCs) is mediated by mammalian target of rapamycin complex 1 (mTORC1) and has been associated with increased risk of disease recurrence. P... |
0 | Novel biomarkers of knee osteoarthritis identified using metabolic profiling | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: There is a pressing need to develop reliable molecular biomarkers that can inform on the process of joint destruction in osteoarthritis (OA). Such biomarkers could aid in drug development by identifying fast progressors and early response to therapy. Recent advance in metabolomics (the quantitative analysis of... |
0 | Metastatic bone disease of the pelvis and femur | MSTS 2018 - Femur Mets and MM | Metastatic bone disease involving the pelvis and femur is a common clinical occurrence. A pathologic fracture in this region is a catastrophic event that results in significant pain and loss of function. Recent advances in surgical management of pathologic fractures, resulting in secure fracture stability or stable joi... |
0 | Lymph node count at inguinofemoral lymphadenectomy and groin recurrences in vulvar cancer | MSTS 2018 - Femur Mets and MM | OBJECTIVE: The objective of the study is to determine the risk factors for groin recurrence (GR) in patients with primary vulvar squamous cell carcinoma (SCC) after inguinofemoral lymphadenectomy (IFL) without lymph node metastases and/or adjuvant chemoradiotherapy.
METHODS: The study is a multicenter retrospective rev... |
0 | The Lower Extremity Gain Scale: a performance-based measure to assess recovery after hip fracture | Hip Fx Time to Surgery | OBJECTIVE: To develop and determine the reliability and validity of a sensitive observational measure to assess recovery in clinically meaningful areas of function after hip fracture. DESIGN: Used survey data to identify activities difficult to perform after fracture; conducted focus groups; interviewed patients; and d... |
0 | Inside-Out Repair of Meniscal Ramp Lesions | AMP (Acute Meniscal Pathology) | Meniscal ramp lesions have been reported to be present in 9% to 17% of patients undergoing anterior cruciate ligament reconstruction. Detection at the time of arthroscopy can be accomplished based upon clinical suspicion and careful evaluation without the use of an accessory posteromedial portal. Options for surgical t... |
0 | Antenatal psychosocial assessment for reducing perinatal mental health morbidity | DoD PRF (Psychosocial RF) | - Background Mental health conditions arising in the perinatal period, including depression, have the potential to impact negatively on not only the woman but also her partner, infant, and family. The capacity for routine, universal antenatal psychosocial assessment, and thus the potential for reduction of morbidity, i... |
0 | Late treatment of dorsal perilunate dislocation (volar lunate dislocation): A report of four cases | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Unreduced lunate dislocation presents a difficult and challenging surgical problem. We feel that all efforts should be made to obtain a reduction of the old dislocation. I support a combined dorsal and palmer approach, open reduction, and internal fixation by K wires. A carpal tunnel decompression should be performed i... |
0 | Flexible implant arthroplasty of the radiocarpal joint. Surgical technique and long-term study | Distal Radius Fractures | The wrist joint is frequently impaired in rheumatoid, post-traumatic, and degenerative arthritis. Stable radiocarpal motion, even limited, can improve functional hand adaptations, especially if the proximal or distal joints are disabled. A flexible silicone intramedullary stemmed hinged implant was developed in 1967 to... |
0 | Adipose tissue processed for lipoinjection shows increased cellular survival in vitro when tissue engineering principles are applied | Panniculectomy & Abdominoplasty CPG | Correcting soft tissue defects by autologous fat grafting is a routine procedure in plastic surgery. Its efficacy and safety has been discussed extensively and several techniques of lipoinjection have been developed. However, one is bound to overcorrect by 30%-70% or need to repeat the procedure because of resorption o... |
0 | The role of radiotherapy and chemotherapy for curative management of medically inoperable and stage III nonsmall cell lung cancer, and radiotherapy for palliation of symptomatic disease | MSTS 2018 - Femur Mets and MM | Radiotherapy has an expanding role in all phases of treatment of nonsmall cell lung cancer. Evolutions in technique, such as three-dimensional conformal radiotherapy, hold the promise for more effective treatment of patients with early stage disease who are not candidates for surgical intervention. Multimodality therap... |
0 | Reliability of simple portable tests of physical performance in older people after hip fracture | Hip Fx in the Elderly 2019 | Objective: To investigate the test-retest reliability of measures of strength, balance, gait and functional performance when used with older people following hip fracture. Subjects: Thirty people (16 hospital inpatients and 14 community dwellers). Design: Subjects underwent two assessments: one day apart for the hospit... |
0 | Using the Patient Generated Index (PGI) to measure personalized quality of life (QoL) in patients undergoing total knee arthroplasty (TKA) | Surgical Management of Osteoarthritis of the Knee CPG | Background: Personalized respondent-generated measures such as the Patient-Generated Index (PGI) can be used as an adjunct to other measures to assess individual quality of life, to improve patients' outcomes through interventions aimed at targeting patients' values for health, and to identify changes in individual res... |
0 | Direct exchange endoprosthetic reconstruction with tumour prosthesis for periprosthetic knee infection associated with segmental bone defects | PJI DX Updated Search | Revision knee arthroplasty for infection poses a treatment challenge. The presence of massive osteolysis limits the treatment options in this cohort. Controversy exists in the management of these patients. Direct exchange arthroplasty has provided good results in the presence of infection, but whether this is appropria... |
0 | An introduction to hip arthroscopy. Part two: Indications, outcomes and complications | DoD SSI (Surgical Site Infections) | Part one in our series covered the basic surgical anatomy and techniques used for hip arthroscopy. Part two covers the specific indications and complications of hip arthroscopy. Hip arthroscopy can be used to treat a diverse range of conditions affecting both the central and peripheral compartments of the hip, includin... |
0 | Management of severe viperin envenoming | DOD - Acute Comp Syndrome CPG | The snakebite is a severe form of envenomation. In the Maghreb, viperin syndromes result from biting by the lebetin viper (Vipera lebetina), the horned viper or the sand viper (Cerastes cerastes), and sometimes Bitis or Echis species. Clinical symptoms such as local edema are associated with haemostasis disorders and t... |
0 | Association of matrix Gla protein polymorphism and knee osteoarthritis in a Chinese population | OAK 3 - Non-arthroplasty tx of OAK | Several studies have explored the association between matrix Gla protein (MGP) gene polymorphism and knee osteoarthritis (OA) risk; however, they obtained conflicting findings. The present study aims to explore the association of MGP gene polymorphism and OA risk in a Chinese Han population. A total of 256 patients wit... |
0 | Carcinoma in situ of the glottic larynx: excision or irradiation? | Reconstruction After Skin Cancer | METHODS++Between 1974 and 1990, 34 patients with CIS of the glottic larynx larynx were treated at McGill University teaching hospitals. The median age at diagnosis was 67 years, with a male:female ratio of 6:1. All patients had CIS involving the glottis and the pathology was reviewed on all patients. Twenty-one patient... |
1 | The effects of contact pressure elevations and aseptic necrosis on the long-term outcome of congenital hip dislocation | Developmental Dysplasia of the Hip CPG | The relationship between excessive articular contact pressure, aseptic necrosis, and the long-term outcome with unilateral congenital dislocation of the hip (CDH) was studied in a series of 84 patients treated by closed reduction and followed for an average of 29.2 years. Contact stress was estimated from archived radi... |
0 | Concomitant diseases in a cohort of patients with idiopathic myositis during long-term follow-up | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This study aims to report the concomitant diseases observed and damage outcome in a cohort of patients with adult idiopathic inflammatory myositis (IIM) during long-term follow-up. All patients with IIM were identified from a single centre (follow-up between 1979 and 2006) and fulfilled at least three of the four Bohan... |
0 | Comparison of Ibandronate - Zoledronate Regarding Nephrotoxicity in Multiple Myeloma | MSTS 2018 - Femur Mets and MM | This multicenter, openÎ?Ã?Ã?label trial will randomize participants with multiple myeloma to a regimen of ibandronate or zoledronate in order to compare the incidence of nephrotoxicity, measured as creatinine clearance (CrCl) reduction greater than (>) 30 percent (%) or an absolute value of 30 milliliters per minute (m... |
0 | Radiographic diagnosis of the occult hip fracture: experience in 16 patients | Management of Hip Fractures in the Elderly | We have benefited from using a simple, time-saving radiographic procedure for more than 5 years which may establish a correct diagnosis in most patients with clinically suspected, but initially occult, hip fractures |
0 | Arthroplasty in treating knee osteoarthritis and proximal tibia stress fracture | Surgical Management of Osteoarthritis of the Knee CPG | The authors describe two cases of severely angulated tibial non-unions after proximal tibia stress fractures associated with ipsilateral osteoarthritis treated with modular knee endoprosthesis with a long tibial stem to stabilize non-union fragments. During the procedure, no additional osteosynthesis or bone grafting w... |
0 | Epac contributes to cardiac hypertrophy and amyloidosis induced by radiotherapy but not fibrosis | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Cardiac toxicity is a side-effect of anti-cancer treatment including radiotherapy and this translational study was initiated to characterize radiation-induced cardiac side effects in a population of breast cancer patients and in experimental models in order to identify novel therapeutic target. METHODS: The... |
0 | Four-corner arthrodesis using a circular plate and distal radius bone grafting: a consecutive case series | Distal Radius Fractures | PURPOSE: Four-corner arthrodesis with scaphoid excision has been shown to be an acceptable method for treating wrist degenerative changes. Some recent studies have identified higher complication rates when circular plates are used. This study examined a consecutive case series with defined technique for outcome and com... |
0 | Natural history and effects on 2-year outcomes of urinary incontinence after stroke | Upper Eyelid and Brow Surgery | BACKGROUND AND PURPOSE: We sought to describe the natural history of poststroke incontinence and estimate its effect on survival and 2-year outcomes in stroke survivors. METHODS: Two hundred thirty-five incident cases of stroke in 1995 were classified by continence status at 10 days after stroke. Age, sex, ethnicity, d... |
0 | Pavlik harness treatment for pathological developmental dysplasia of the hip: meeting the standard? | Developmental Dysplasia of the Hip 2020 Review | In the UK, the Pavlik harness is generally the accepted treatment technique for the treatment of neonatal and infant pathological developmental dysplasia of the hip. In 2013, the success rate of the Pavlik harness became an outcome measure from the British Society of Children's Orthopaedic Surgery for appraisal and rev... |
0 | Exeter-Ogee total hip replacement using the Hardinge approach; the ten to twelve year results | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | We reviewed 131 consecutive primary total hip replacements implanted into 127 patients between 1995 and 1997. Surgery was performed through a Hardinge approach using the Exeter universal stem in combination with the Ogee Elite acetabular component. Five of 131 hips have required revision. The ten year survival analysis... |
0 | Severity of prevalent vertebral fractures and the risk of subsequent vertebral and nonvertebral fractures: results from the MORE trial | Management of Hip Fractures in the Elderly | Prevalent vertebral fractures and baseline bone mineral density (BMD) predict subsequent fracture risk. The objective of this analysis is to examine whether baseline vertebral fracture severity can predict new vertebral and nonvertebral fracture risk. In the randomized, double-blind 3-year Multiple Outcomes of Raloxife... |
1 | A pilot study comparing two manual therapy interventions for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: The purpose of this study was to determine the clinical efficacy of manual therapy interventions for relieving the signs and symptoms of carpal tunnel syndrome (CTS) by comparing 2 forms of manual therapy techniques: Graston Instrument-assisted soft tissue mobilization (GISTM) and STM administered with the c... |
0 | The displaced supracondylar humerus fracture: Indications for surgery and surgical options: A 2014 update | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose of review: Supracondylar humerus fractures are the most common elbow fractures in children. Choice of treatment may be guided by the Gartland classification. Recent studies recommend conservative management for non or minimally displaced fractures, whereas there seems to be a trend towards surgical intervention... |
1 | Long-term Outcomes of Meniscal Allograft Transplantation With and Without Extrusion: Mean 12.3-Year Follow-up Study | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal allograft transplantation (MAT) is a widely performed surgical technique used to reconstruct meniscal deficiencies after meniscectomy. However, the long-term effects of extrusion on clinical and radiologic outcomes are unclear.
HYPOTHESIS: In long-term follow-up, extrusion after MAT would show poor... |
1 | A randomized controlled (intervention) trial of ischemic compression therapy for chronic carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | STUDY DESIGN: Randomized clinical trial. OBJECTIVE: The aim of this study was to evaluate the effect of ischemic compression therapy in the treatment of chronic carpal tunnel syndrome. METHOD: Fifty-five patients suffering from carpal tunnel syndrome were randomized to two groups. Thirty-seven patients received 15 expe... |
0 | Ultrasound-assisted lipolysis of the omentum in dwarf pigs | Panniculectomy & Abdominoplasty CPG | Successful surgical treatment of medium degree obesity by subcutaneous liposuction has been reported in the literature. In obesity, most adipose tissue is visceral, mainly omental, and the resection of omentum is a mutilating procedure for the intestinal tract. Because of this, we planned to reduce omental adipose tiss... |
1 | An easy approach to the slit catheter technique in intracompartmental pressure measurement | DOD - Acute Comp Syndrome CPG | Herein, we present an easy, well tolerated method for direct measurement of intracompartmental tissue pressures using readily available and relatively inexpensive equipment. This provides objectivation of intracompartmental pressures in situations in which the physical findings are less reliable and allows recording of... |
0 | Overcoming the barriers in pain control: an update of pain management in China | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | China is a country with a long history of treating pain as a disease entity. However, the current status of pain relief is not optimal. Major barriers to pain management include historical reasons, differences between Chinese philosophy and Western countries, government policies of pain relief and drug availability, pa... |
0 | Gastrointestinal perforation following blunt abdominal trauma | DoD SSI (Surgical Site Infections) | OBJECTIVE: To highlight the pertinent management problems of bowel perforation following blunt abdominal trauma.
DESIGN: A prospective descriptive study.
SETTING: Hospital-based cohort over a nine year period in Jos University Teaching Hospital, Jos, Nigeria.
SUBJECTS: A total of 23 patients with bowel perforation out ... |
0 | An Evaluation of the Reliability of Wrist Arthroscopy in the Assessment of Tears of the Triangular Fibrocartilage Complex | DoD PRF (Psychosocial RF) | Purpose: Wrist arthroscopy is generally considered the reference standard in the diagnosis of triangular fibrocartilage complex (TFCC) injuries. There is a paucity of data examining the reliability of wrist arthroscopy as a diagnostic modality for TFCC injuries. The goal of this study was to evaluate the interobserver ... |
0 | Large correction in opening wedge high tibial osteotomy with resultant joint-line obliquity induces excessive shear stress on the articular cartilage | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to analyse the resultant stress induced by joint-line obliquity after HTO for varus knee deformity using a three-dimensional (3D) finite element model analysis.
METHODS: The geometrical bone data used in this study were derived from commercially available human bone digital anatom... |
0 | Treatment of displaced supracondylar humeral fractures in children by humero-ulnar external fixation | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: Humero-ulnar external fixation has been proposed to treat complex supracondylar humeral fractures in children. It facilitates fracture reduction and reduces the risk of ulnar nerve lesion, which can occur after cross pinning. METHODS: In a ten year period, 28 children have been operated on in our centre by hum... |
0 | Soft-tissue injury in orthopaedic trauma | DOD - Acute Comp Syndrome CPG | SUMMARY: This paper reviews the current concepts of soft-tissue injury in orthopaedic trauma. Six topics are described in this Injury Supplement, including influencing factors and mechanisms, co-morbidities, biological responses, diagnosis and treatment of closed soft-tissue injury, compartment syndrome and gunshot wou... |
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