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0 | A comparison of the effects of electroacupuncture vs transcutaneous electrical nerve stimulation for pain control in knee osteoarthritis: A protocol for network meta-analysis of randomized controlled trials | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Knee osteoarthritis (KOA), the most common type of osteoarthritis, is a chronic degenerative joint disease accompanied by pain and functional limitation for the elderly. The 2 nonpharmacologic approaches, electroacupuncture (EA) and transcutaneous electrical nerve stimulation (TENS), are considered benefici... |
0 | Microbiology of the infected knee arthroplasty: report from the Swedish Knee Arthroplasty Register on 426 surgically revised cases | PJI DX Updated Search | Surgically revised deep infected primary knee arthroplasties reported to the Swedish knee arthroplasty register during the years 1986-2000 were studied with respect to microbiology, antimicrobial susceptibility pattern and changes over time. In early, delayed and late infections, coagulase-negative staphylococci (CoNS)... |
0 | Management of benign diseases of the breast | Panniculectomy & Abdominoplasty CPG | The majority of lesions that occur in the breast are benign. Despite this they are a major cause of concern of anxiety and morbidity to patients. It is important to recognize symptoms and signs, to exclude malignancy and manage appropriately. Breast lumps, nipple discharge, mastalgia, breast infection and gynaecomastia... |
0 | Impact of intraoperative acetaminophen administration on postoperative opioid consumption in patients undergoing hip or knee replacement | AAHKS (5) Gabapentinoids | BACKGROUND: Opioid utilization for acute pain has been associated with numerous adverse events, potentially resulting in longer inpatient stays and increased costs.
OBJECTIVE: To examine the effect of intravenous (IV) acetaminophen administered intraoperatively on postoperative opioid consumption in adult subjects who ... |
0 | Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians | Glenohumeral Joint OA | INTRODUCTION: Proper imaging allows practitioners to evaluate an asymptomatic tempormandibular joint (TMJ) for potential degenerative changes prior to surgical and orthodontic treatment. The recently developed cone-beam computed tomography (CBCT) allows measurement of TMJ bony structures with high accuracy. A study was... |
1 | Diagnosis and treatment of common fractures in children: femoral shaft fractures and supracondylar humeral fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Femoral shaft fractures and supracondylar elbow fractures are two of the most common major pediatric injuries managed by the general orthopedic surgeon. Therapeutic choices frequently are influenced by many factors, including associated injuries, fracture type, and the child's age, social situation, and economic issues... |
0 | Pediatric Hodgkin lymphoma survivors at negligible risk for significant bone mineral density deficits | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: We hypothesized that pediatric Hodgkin lymphoma (HL) survivors would have bone mineral density (BMD) deficits compared to their peers because of osteotoxic chemotherapy during the time of greatest BMD accretion.
METHODS: We retrospectively reviewed records of HL survivors returning for follow-up between 199... |
1 | FIM motor scores for classifying community discharge after inpatient rehabilitation for hip fracture | DoD PRF (Psychosocial RF) | Objective: To assess the utility of functional status in classifying patients by discharge setting after inpatient rehabilitation for hip fracture. Design: Retrospective cohort study. Setting: A total of 1257 inpatient rehabilitation facilities in the United States. Patients: Medicare beneficiaries (N= 117,168) receivi... |
1 | Bacteriologic findings in tonsillitis and pericoronitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Bacteriologic samples from 31 young men were cultured quantitatively for aerobes and anaerobes; these samples included 31 specimens of tonsils (16 infected and 15 healthy), 16 specimens from pericoronal pockets of lower third molars (11 infected and 5 symptom-free), and 6 postoperative specimens from lower-third-molar ... |
0 | Comparison of Osteochondral Autografts and Allografts for Treatment of Recurrent or Large Talar Osteochondral Lesions | DoD SSI (Surgical Site Infections) | BACKGROUND: The purpose of this study was to prospectively evaluate and compare the long-term clinical and radiographic outcomes of using osteochondral autograft and allograft to manage either recurrent or large osteochondral lesions of the talar dome (OLT) in a single surgeon's practice.
METHODS: Between January 2008 ... |
0 | A psychological profile of children with hemangiomas and their families | DoD PRF (Psychosocial RF) | OBJECTIVE: To assess the psychosocial impact of hemangiomas and their treatment on children with the disease and their families.
DESIGN: Thirty-nine children who were treated for hemangiomas were examined by a questionnaire that addressed the emotional attitudes of the parent and child toward the disease and the relate... |
0 | Heparinless partial cardiopulmonary bypass for the repair of aortic trauma | DoD LSA (Limb Salvage vs Amputation) | OBJECTIVE: We hypothesized that partial cardiopulmonary bypass with a heparin-bonded system would be a technically simple, effective adjunct for reducing paraplegia during repair of traumatic aortic rupture. It avoids the risk of heparin, but, unlike left atrial-arterial bypass, it can heat, cool, oxygenate, and rapidl... |
0 | Effects of a 12-week rehabilitation program with music & exercise groups on range of motion in young children with severe burns | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Previous studies indicate that rehabilitation programs supplemented with a strength and endurance-based exercise program improve lean body mass, pulmonary function, endurance, strength, and functional outcomes in severely burned children over the age of 7-years when compared with standard of care (SOC). To date, supple... |
0 | Five-year experience with the 'Sheba' model of comprehensive orthogeriatric care for elderly hip fracture patients | Management of Hip Fractures in the Elderly | BACKGROUND AND PURPOSE: The Sheba model of orthogerioatric medicine is a unique model of in-hospital care for elderly hip fractured patients, based upon the concept that a hip fracture represents a geriatric, rather than an orthopedic disease. The nature and feasibility of such a comprehensive orthogeriatric unit, taki... |
0 | Total knee arthroplasty after complete patellectomy: A review | PJI DX Updated Search | The absence or dysfunction of the knee extensor mechanism accelerates degenerative joint disease and complicates knee arthroplasty. Various treatment strategies have been suggested to improve outcomes in total knee arthroplasties after patellectomy (semi- or constrained components, autograft, allograft, prosthetic reco... |
0 | Anxiety in predicting suicide-related symptom of typhoon disaster victims: a one-year follow-up study in southern Taiwan | DoD PRF (Psychosocial RF) | The aim of this study was to screen those at high risk of psychological distress in areas affected by typhoon Morakot, which hit Taiwan on August 7th, 2009. Screening was conducted a year later to assess the changes in psychiatric symptoms and investigate the factors which may be predictive of psychological distress an... |
0 | Treatment of Slipped Capital Femoral Epiphysis with the Modified Dunn Procedure: A Multicenter Study | Pediatric Diaphyseal Femur Fractures 2020 Review | Introduction: Treatment of moderate to severe slipped capital femoral epiphysis (SCFE) is controversial. Over the last years, 3 institutions in Argentina adopted the modified Dunn procedure for capital realignment in selected cases of SCFE. Our aim in this study was to evaluate the clinical outcome and the rate of comp... |
0 | Ceramic-on-ceramic cementless total hip arthroplasty in patients aged 40 years or under: Do preoperative conditions affect long-term results? | Hip Fx in the Elderly 2019 | INTRODUCTION: Underlying diseases, bone deformities and polyethylene wear affect outcome in young patients undergoing total hip arthroplasty (THA). These issues are not widely confirmed for ceramic - on-ceramic THA, particularly regarding cup fixation. Therefore, we did a retrospective long-term investigation on a larg... |
0 | Osteoporosis diagnosis and fracture | Management of Hip Fractures in the Elderly | PURPOSE: The purpose of this study was to examine correlates for osteoporosis diagnosis and hip fracture among a national sample of women. DESIGN: Data were extracted from the Third National Health and Nutrition Examination Survey (NHANES III). This large-scale data set was collected by the National Center for Health S... |
1 | Scapular-focused exercise treatment protocol for shoulder impingement symptoms: Three-dimensional scapular kinematics analysis | Trial Systematic Review Project | Background The present study aimed to describe the effects of a periscapular strengthening and neuromuscular training protocol in three-dimensional scapular kinematics and resting positioning in participants with shoulder impingement symptoms. Self-reported function was also evaluated. Method The study group comprised ... |
0 | Large fixed-size metal-on-metal total hip arthroplasty: higher serum metal ion levels in patients with pain | Hip Fx in the Elderly 2019 | Purpose: Recently, concerns have arisen about metal-on-metal (MoM) total hip arthroplasty (THA). Therefore, the purpose of this cross-sectional cohort study was to describe the incidence of pain, pseudotumours, revisions and the relation between elevated metal ion levels, functional outcome and quality of life after Mo... |
0 | Lateral femoral condyle insufficiency fractures: imaging findings, demographics, and analysis of outcomes | Osteochondritis Dissecans 2020 Review | Objective: To describe imaging characteristics and demographics of lateral femoral condyle insufficiency fractures (LFCIFs) and identify characteristics associated with progression to epiphyseal collapse. Materials and methods: A retrospective review of 105 consecutive patients with LFCIF was performed (mean age 58.1 y... |
0 | Effect of SKI 306X, a new herbal anti-arthritic agent, in patients with osteoarthritis of the knee: a double-blind placebo controlled study | OAK 3 - Non-arthroplasty tx of OAK | SKI 306X is a purified extract from a mixture of three oriental herbal medicines (Clematis mandshurica, Trichosanthes kirilowii and Prunella vulgaris) that have been widely used for the treatment of inflammatory diseases such as lymphadenitis and arthritis in far East Asia. A doubleâ?blind, controlled study was perfor... |
0 | Patella denervation in primary total knee arthroplasty - a randomized controlled trial with 2 years of follow-up | OAK 3 - Non-arthroplasty tx of OAK | We randomized 126 consecutive patients undergoing primary total knee arthroplasty into group 1: patella denervation (n = 63) and group 2: no patella denervation (n = 63). Assessment was performed preoperatively and at 3, 12 and 24 months post-operatively. Average follow-up of patients was 26.5 months for denervation gr... |
0 | Magnetic Resonance Imaging of the Pediatric Shoulder | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Magnetic resonance (MR) imaging is a modality widely used to assess shoulder abnormalities in children. A thorough understanding of the development of the shoulder and adequate MR techniques are crucial in the radiologic evaluation. The immature skeleton is particularly vulnerable to insults such as trauma, infection, ... |
0 | Multilineage cells from adipose tissue as gene delivery vehicles | Panniculectomy & Abdominoplasty CPG | We have characterized a population of mesenchymal progenitor cells from adipose tissue, termed processed lipoaspirate (PLA) cells, which have multilineage potential similar to bone marrow-derived mesenchymal stem cells and are also easily expanded in culture. The primary benefit of using adipose tissue as a source of m... |
0 | Are We Still Prescribing Opioids for Osteoarthritis? | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The United States is in the midst of an opioid epidemic. These medications continue to be used to manage pain associated with osteoarthritis, despite mounting evidence questioning the benefits. The rate at which opioids are prescribed for osteoarthritis is largely unknown. We sought to identify rates of opi... |
0 | Trends in lower extremity amputations in people with and without diabetes in England, 1996-2005 | DoD LSA (Limb Salvage vs Amputation) | AIMS: To examine trends in non-traumatic lower extremity amputations over a 10-year-period in people with and without diabetes (DM) in England. METHODS: All individuals admitted to NHS hospitals for non-traumatic amputations between 1996 and 2005 in England were identified using hospital activity data. Postoperative an... |
0 | Wound microenvironment sequesters adipose-derived stem cells in a murine model of reconstructive surgery in the setting of concurrent distant malignancy | Acellular Dermal Matrix | BACKGROUND: It is unclear whether mesenchymal stem cells that are applied to regenerate wound tissues can migrate to existing tumors and enhance their growth. The authors investigated whether adipose-derived stem cells had any effect on the growth and progression of distant tumors when applied to a skin wound. METHODS:... |
0 | Blunt popliteal artery injuries | DoD LSA (Limb Salvage vs Amputation) | AIMS: To survey the recent results of vascular damage resulting from knee injuries at Middlemore Hospital. METHOD: A group of sixteen patients treated between 1980-92 were retrospectively analysed. RESULTS: One patient failed a grafting procedure and required a below knee amputation. Another patient lost two muscle com... |
0 | Is dual mobility associated with an increased risk of revision for infection? Matched cohort of 231 cases of dual-mobility cups and 231 fixed cups | Developmental Dysplasia of the Hip 2020 Review | INTRODUCTION: We used a matched cohort of 231 cases of revision of primary dual-mobility cups (DMC) total hip arthroplasty (THA) and 231 cases of fixed cups (FC) THA, to determine whether (i) revision for infection was more frequent when using DMC-THA than FC-THA; (ii) Causes for revision were significantly different. ... |
1 | Efficacy of different fixation devices in maintaining an initial reduction for surgically managed distal radius fractures | Distal Radius Fractures | BACKGROUND: Fracture of the distal radius is a common injury. Many treatment options exist for the surgical management of extra-articular and intra-articular distal radius fractures. The best method of treatment for these fractures remains controversial. We sought to examine radiographic outcomes of patients treated wi... |
0 | Kinematic analysis of knee varus and rotation movements at the initial stance phase with severe osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | Background: The purposes of this study were to understand the kinematics changes in the frontal and horizontal planes with severe medial knee OA at the stance phase and to examine the relationship between varus and rotational movements. Methods: The OA group comprised 18 knees in 12 subjects (five men, seven women) wit... |
0 | Partial medial meniscectomy leads to altered walking mechanics two years after anterior cruciate ligament reconstruction: Meniscal repair does not | AMP (Acute Meniscal Pathology) | BACKGROUND: Partial meniscectomy dramatically increases the risk for post-traumatic, tibiofemoral osteoarthritis after anterior cruciate ligament reconstruction (ACLR). Concomitant medial meniscus surgery influences walking biomechanics (e.g., medial tibiofemoral joint loading) early after ACLR; whether medial meniscus... |
0 | Patient-related risk factors for early revision of total hip replacements. A population register-based case-control study of 674 revised hips | Management of Hip Fractures in the Elderly | In this population register-based, matched case control study, we assessed patient-related factors and early risk of revision after total hip replacement (THR). Information was obtained via a mail survey among patients reported to the Norwegian Arthroplasty Register during the period 1987-1993. The study included 674 r... |
0 | Loading of the knee joint during activities of daily living measured in vivo in five subjects | Surgical Management of Osteoarthritis of the Knee CPG | Detailed knowledge about loading of the knee joint is essential for preclinical testing of implants, validation of musculoskeletal models and biomechanical understanding of the knee joint. The contact forces and moments acting on the tibial component were therefore measured in 5 subjects in vivo by an instrumented knee... |
0 | Fentanyl prolongs lidocaine spinal anesthesia without prolonging recovery | Surgical Management of Osteoarthritis of the Knee CPG | Lidocaine spinal anesthesia is a popular anesthetic for short procedures due to its brief duration. The addition of fentanyl may improve the quality and duration of lidocaine spinal anesthesia. Eight volunteers received plain lidocaine 5% in dextrose (50 mg) both with and without 20 micrograms of fentanyl in a randomiz... |
0 | Predictors of appointment adherence following operative treatment of pediatric supracondylar humerus fractures: which patients are not following up? | Pediatric Supracondylar Humerus Fracture 2020 Review | This study aims to identify characteristics associated with poor appointment adherence after surgical stabilization of supracondylar humerus fractures (SCHFX) in children. A retrospective review of 560 consecutive, surgically managed patients with SCHFX from 2010 to 2015 was performed. One missed follow-up appointment ... |
0 | Anterior Clinoid Metastasis Removed Extradurally: First Case Report | Reduction Mammoplasty for Female Breast Hypertrophy | Background We report a case of isolated metastasis on the anterior clinoid process (ACP) mimicking meningioma. Clinical Presentation A 58-year-old male presented with headaches, right-sided visual disturbances, and blurred and double vision. The cause of double vision was partial weakness of the right III nerve, result... |
0 | Aesthetic surgery of the thoracoabdominal area combining abdominoplasty and circumferential lipoplasty: 7 Years' experience | Panniculectomy & Abdominoplasty CPG | Background: Aesthetic surgery of the thoracoabdominal area combining abdominoplasty and circumferential lipoplasty during the same surgical procedure is not a very common surgical procedure, but its use has increased during recent years. The authors present their surgical technique combining abdominoplasty and circumfe... |
0 | A randomized trial of epidural analgesia followed by continuous femoral analgesia compared with oral opioid analgesia on short- and long-term functional recovery after total knee replacement | AAHKS (8) Anesthetic Infiltration | OBJECTIVE: The purpose of this study was to compare continuous femoral nerve analgesia to oral opioid analgesics after discontinuation of epidural analgesia following total knee replacement.
DESIGN: Randomized prospective controlled parallel group trial. Setting. Large tertiary university teaching hospital in a major M... |
0 | Extracorporeal shock waves down-regulate the expression of interleukin-10 and tumor necrosis factor-alpha in osteoarthritic chondrocytes | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The purpose of this study was to investigate the effects of extra corporeal shock waves (ESW) therapy on the metabolism of healthy and osteoarthritic human chondrocytes, and particularly on the expression of IL-10, TNF-alpha and beta1 integrin. METHODS: Human adult articular cartilage was obtained from 9 pa... |
0 | Association between joint stiffness and health-related quality of life in community-dwelling older adults | OAK 3 - Non-arthroplasty tx of OAK | Objective This study aimed to examine the association between joint stiffness and health-related quality of life (HRQOL) in community-dwelling older adults. Methods Participants in this cross-sectional study were 530 Japanese community-dwelling older adults (mean age, 73.9 years; women, 64.3%). Joint stiffness was asse... |
1 | COVID-19 Response in the Global Epicenter: Converting a New York City Level 1 Orthopedic Trauma Service into a Hybrid Orthopedic and Medicine COVID-19 Management Team | Coronavirus Disease 2019 (COVID-19) | The SARS-COV-2 (COVID-19) pandemic has placed unprecedented challenges on the health care system in the United States with New York City at its epicenter. By the end of the 8 week (4/23/2020) since the virus's emergence in New York City, there have been 142,432 confirmed COVID-19 cases and 10,977 deaths attributed to c... |
0 | Inflammatory bowel disease has a small effect on bone mineral density and risk for osteoporosis | Management of Hip Fractures in the Elderly | Background & Aims: A high prevalence of osteoporosis has been reported among individuals with inflammatory bowel disease (IBD). We performed a population-based analysis to determine whether IBD is itself a risk factor for low bone mineral density (BMD) or whether low BMD results from other factors associated with IBD. ... |
0 | Total knee replacement following repeated cycles of intra-articular sodium hyaluronate (500-730 Kda) in failed conservative treatment of knee osteoarthritis: a 54-month follow-up | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Treatment with repeated cycles of Intra-Articular Sodium Hyaluronate (IA-HA), from previous study, can improve symptoms and delay surgical interventions in knee osteoarthritis patients who failed conservative treatment within minimum 2-years follow-up. This is a continued study to follow-up responded patien... |
0 | Principles of anti-infective therapy | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Antimicrobial drugs, along with competent surgical procedures, provide an effective means for restoration of oral health. In dentistry, antibiotics are indicated for either treatment of acute infections or for prophylactic coverage of patients at risk for developing bacterial endocarditis or other infections as the res... |
1 | Cochrane corner: local corticosteroid injection for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Carpal tunnel syndrome is a clinical syndrome manifested by signs and symptoms of irritation of the median nerve at the carpal tunnel in the wrist. Local corticosteroid injection for carpal tunnel syndrome has been studied but its effectiveness is unknown. OBJECTIVES: To evaluate the effectiveness of local ... |
0 | Older men with low serum IGF-1 have an increased risk of incident fractures: The MrOS Sweden study | Management of Hip Fractures in the Elderly | Osteoporosis-related fractures constitute a major health concern not only in women but also in men. Insulin-like growth factor 1 (IGF-1) is a key determinant of bone mass, but the association between serum IGF-1 and incident fractures in men remains unclear. To determine the predictive value of serum IGF-1 for fracture... |
1 | Salvage of Combat Hindfoot Fractures in 2003-2014 UK Military | DoD SSI (Surgical Site Infections) | BACKGROUND: Hindfoot fractures pose a considerable challenge to military orthopaedic surgeons, as combat injuries are typically the result of energy transfers not seen in civilian practice. This study aimed to characterize the pattern of hindfoot injuries sustained by UK military casualties in recent conflicts, define ... |
0 | Modified auricular cartilage sling for paralytic ectropion | Upper Eyelid and Brow Surgery | OBJECTIVE: To evaluate the outcomes of a modified auricular cartilage sling for paralytic ectropion. METHODS: We treated 17 eyelids of 17 patients (average 67 years old) with an auricular cartilage sling between 2004 and 2012. All patients had paralytic ectropion with lower eyelid ptosis. Cartilage was harvested via an... |
0 | Cost and effectiveness of hip protectors among the elderly | Management of Hip Fractures in the Elderly | OBJECTIVE: To characterize the net cost and quality of life effects associated with hip protector use among the elderly relative to no intervention. METHODS: We developed two deterministic hypothetical cohorts of 500,000 65-year-old women or men and followed them over the remainder of their lifetimes. Data inputs were ... |
0 | Thigh muscle cross-sectional areas and strength in knees with early vs knees without radiographic knee osteoarthritis: a between-knee, within-person comparison | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To compare cross-sectional and longitudinal side-differences in thigh muscle anatomical cross-sectional areas (ACSAs), muscle strength, and specific strength (strength/ACSA), between knees with early radiographic change vs knees without radiographic knee osteoarthritis (RKOA), in the same person.
DESIGN: 55 ... |
0 | Good mid-term clinical results of a cemented dual mobility cup: a single-centre experience | Hip Fx in the Elderly 2019 | INTRODUCTION AND METHODS: From January 2004 to December 2008, 188 total hip arthroplasties were performed using a cemented dual mobility cup. 174 patients were available for final analysis. Their mean age was 76.8 (range 54-98 years). The mean follow-up was 7.7 years (range 5-10 years).
RESULTS: There were no dislocati... |
1 | Early preoperative thromboprophylaxis with Klexane (R) in hip fracture surgery: A placebo-controlled study | Management of Hip Fractures in the Elderly | The aim of this study was to evaluate any possible benefits of early thromboprophylactic treatment in the prevention of deep vein thrombosis (DVT) in high-risk hip fracture patients. Within 30 months, 239 patients were included in a double-blind placebo-controlled study. With the diagnosis of hip fracture confirmed, pa... |
0 | Osteoarthritis after sports knee injuries | AMP (Acute Meniscal Pathology) | Recent advances in the knowledge of tissue homeostasis, including the tissue homeostasis theory and the envelope of function theory as proposed by Dye, have greatly increased our knowledge of the pathophysiology of osteoarthrosis after sports knee injuries. The development of these two theories has not only advanced ou... |
1 | Effects of platelet-rich plasma on lateral epicondylitis of the elbow: prospective randomized controlled trial | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | OBJECTIVE: To evaluate the effects of platelet-rich plasma (PRP) infiltration in patients with lateral epicondylitis of the elbow, through analysis of the Disabilities of the Arm, Shoulder and Hand (DASH) and Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaires.
METHODS: Sixty patients with lateral epicondyliti... |
0 | Assessment of needle arthroscopy, standard arthroscopy, physical examination, and magnetic resonance imaging in knee pain: a pilot study | AMP (Acute Meniscal Pathology) | Nine patients with mechanical or osteoarthritic knee pain present for more than 6 weeks were evaluated by clinical examination, needle arthroscopy, and standard arthroscopy. Each knee was assessed for patellofemoral cartilage disruption, cartilage abnormalities in the tibiofemoral joints, meniscal tears, and synovitis.... |
0 | Rheological study of viscosupplements and synovial fluid in patients with osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | A detailed rheological characterization of synovial fluid from 22 patients undergoing total knee arthroplasty and three commercially available viscosupplements is performed. The results show that synovial fluid in osteoarthritis (OA) patients exhibits non-Newtonian shear thinning behavior and viscoelastic properties. S... |
0 | Enhancing screw stability in osteosynthesis with hydroxyapatite granules | Management of Hip Fractures in the Elderly | We employed hydroxyapatite (HA) granules to enhance screw fixation in revision surgery of failed osteosynthesis with a compression hip screw system in an 83-year-old woman. After reduction of the fracture, the fracture site with a large bone defect was filled with HA granules, and osteosynthesis was accomplished with a... |
0 | The relationship between radiological severity and functional status in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | In this study, we aimed to explore the relationship between radiological findings and functional status in patients with knee osteoarthritis (OA). In this study, 117 female patients diagnosed with knee osteoarthritis according to the ACR criteria were included. Antero-posterior knee radiographs of the patients were gra... |
0 | Collarless polished tapered impaction grafting of the femur during revision total hip arthroplasty: pitfalls of the surgical technique and follow-up in 31 cases | Management of Hip Fractures in the Elderly | Impacting morcellized allograft bone into the femur during revision total hip arthroplasty is a simple concept with the goal of rebuilding femoral bone stock and providing secure fixation to the femoral stem. Using the collarless polished tapered (CPT, Zimmer, Warsaw, IN) stem impaction grafting system, we became conce... |
0 | Gender differences in osteoporosis: A single- center observational study | Hip Fx in the Elderly 2019 | Purpose: Osteoporosis affects more than 200 million people worldwide: its prevalence increases with age and is actually growing due to the constant population aging. Women are at greater risk than men, but in recent years it has become increasingly evident that osteoporosis represents a significantly important problem ... |
0 | CXC chemokine receptor 7 expression in cervical intraepithelial neoplasia | MSTS 2018 - Femur Mets and MM | Cervical intraepithelial neoplasia (CIN), also known as transformation and dysplasia of cervical intraepithelial cells, is the precancerous lesion of squamous cell carcinoma. CXC chemokine receptor 7 (CXCR7) has been indicated in tumor development and metastasis of multiple malignancies or precancerous lesion. However,... |
0 | Outcomes of total knee arthroplasty in degenerative osteoarthritic knee with genu recurvatum | OAK 3 - Non-arthroplasty tx of OAK | Background: This study aimed to assess the incidence of genu recurvatum without neuromuscular disorders in knees that underwent navigation-assisted total knee arthroplasty (TKA), to evaluate short-term radiologic and clinical results of navigation-assisted TKA in genu recurvatum, and to evaluate differences in results ... |
0 | A comparative analysis between fixed bearing total knee arthroplasty (PFC Sigma) and rotating platform total knee arthroplasty (PFC-RP) with minimum 3-year follow-up | PJI DX Updated Search | Background Since the introduction of mobile bearing total knee designs nearly 30 years back, many studies have been done to evaluate its long-term result. Comparison with fixed bearing designs has been done in the past, but the studies were confounded by variables such as disease, surgeon, bone quality, pain tolerance,... |
1 | Different regional healing rates with the outside-in technique for meniscal repair | Anterior Cruciate Ligament Injuries CPG | Fifty-one patients with meniscal repair using the outside-in technique were reassessed with second-look arthroscopic procedures (N = 15), arthrographic examination (N = 41), magnetic resonance imaging (N = 36), or a combination of these techniques. Forty-one medial and 10 lateral menisci were repaired. The average clin... |
0 | Sublingual sufentanil tablet system Zalviso® for postoperative analgesia after knee replacement in fast track surgery: a pilot observational study | AAHKS (2) Corticosteroids | Background: Currently many TKA protocols rely on multimodal analgesic protocols with patient-controlled analgesia systems that administer opioids through a patient controlled IV infusion pump, in addition to concomitant peripheral nerve blocks and local anesthetics. Although effective, PCA IV opioids do not provide opt... |
0 | Effect of carpal tunnel syndrome on grip force coordination on hand tools | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This study investigated coordination of the grip force on and force applied with a hand tool using a precision pinch grip. A simulated hand tool was developed to measure grip force exerted on the tool as a function of the force transmitted from the tool to an external object in a dynamic force matching paradigm. Grip f... |
0 | Efficacy Analysis of Separation Surgery Combined with SBRT for Spinal Metastases—A Long-Term Follow-Up Study Based on Patients with Spinal Metastatic Tumor in a Single-Center | MSTS 2022 - Metastatic Disease of the Humerus | Objective: Follow-up data of patients with spinal metastatic tumors were analyzed to investigate the effect of separation surgery combined with SBRT on clinical outcomes. Methods: The clinical data of 52 patients with spinal metastatic tumors admitted to our hospital from January 2015 to December 2018 were retrospectiv... |
0 | Skeletal metastasis: the effect on the immature skeleton | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | The unique opportunity to study the entire appendicular skeleton of a child who died from metastatic angiosarcoma allowed detailed assessment of radiographically evident involvement. Virtually every portion of the appendicular skeleton had evidence of metastatic disease. However, the extent of involvement was extremely... |
1 | Efficacy of neonatal hip examination | Developmental Dysplasia of the Hip CPG | An examination of the ongoing neonatal hip screening program at the Vancouver General and Grace Hospitals in Vancouver, British Columbia, over a 9 1/2 year period revealed that of the 32,480 newborns examined, 321 (9.8 per 1,000 live births) had unstable hips. Treated immediately with abduction splintage, five of these... |
0 | A prospective population-based study of the predictors of undergoing total joint arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To examine prospectively the predictors of time to total joint arthroplasty (TJA). METHODS: This was a prospective cohort study with a median followup time of 6.1 years. We included participants from an existing population-based cohort of 2,128 individuals, ages 55 years and older with disabling hip and/or k... |
1 | Degree of tendon degeneration and stage of rotator cuff disease | Trial Systematic Review Project | PURPOSE: While tendon degeneration has been known to be an important cause of rotator cuff disease, few studies have objectively proven the association of tendon degeneration and rotator cuff disease. The purpose of this study was to investigate changes of tendon degeneration with respect to the stage of rotator cuff d... |
0 | Outcome of Dimon-Hughston osteotomy in unstable intertrochantric fractures | Hip Fx in the Elderly 2019 | Objective: To Evaluate effectiveness of Dimon-Hughston osteotomy using a dynamic hip screw in unstable intertrochanteric fractures in term of union. Study Design: Descriptive case series Study Place and Duration: This was a multicenteric study conducted at Lahore General Hospital, Surriya Azeem Hospital Lahore and Civi... |
1 | Condylocephalic nails versus extramedullary implants for extracapsular hip fractures | Management of Hip Fractures in the Elderly | BACKGROUND: Two types of implants used for the surgical fixation of extracapsular hip fractures are condylocephalic nails (intramedullary nails that are inserted up through the femoral canal from above the knee and across the fracture) and extramedullary implants. OBJECTIVES: To compare condylocephalic nails (e.g. Ende... |
0 | An Analysis of the Most Commonly Tested Topics and Their Taxonomy From Recent Self-Assessment Examinations | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective: The purpose of this study is to determine the most commonly tested topics and the question taxonomy of the American Academy of Orthopaedic Surgeons Self-Assessment Examinations (SAE) from 2009 through 2014. Design: All SAEs were analyzed from 2009 through 2014. The SAEs were separated by subject and the ques... |
1 | Time-course of PTSD symptoms in the Australian Defence Force: a retrospective cohort study | DoD PRF (Psychosocial RF) | AIMS: Understanding the time-course of post-traumatic stress disorder (PTSD), and the underlying events, may help to identify those most at risk, and anticipate the number of individuals likely to be diagnosed after exposure to traumatic events.
METHOD: Data from two health surveys were combined to create a cohort of 1... |
0 | Elbow biomechanics during sports: 21st Century research | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Injuries to the elbow joint are becoming more and more prominent in today's sporting society. This is largely because of the biomechanical demands during popular sports such as baseball, softball, and tennis; wherein the majority of elbow injuries occur. Implications for injuries in these sports range from overuse to i... |
1 | Evaluation of sympathetic vasomotor fibres in carpal tunnel syndrome using continuous wave Doppler ultrasonography | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Sympathetic vasomotor fibres carried by the median nerve and ulnar nerve innervate their respective sensory territories. The sympathetic vasomotor fibres of the median nerve were evaluated in patients with carpal tunnel syndrome and in healthy volunteers using continuous wave Doppler ultrasonography. The pulsatility in... |
0 | Single Nucleotide Polymorphism in the COL11A2 Gene Associated with Heat Pain Sensitivity in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Abstract: Pain is one of the most prominent symptoms of osteoarthritis. However, there is often discordance between the pain experienced by individuals with osteoarthritis and the degree of articular pathology. This suggests that individual differences, including genetic variability in the central processing of nocicep... |
1 | Social Causation Versus Social Erosion: Comparisons of Causal Models for Relations Between Support and PTSD Symptoms | DoD PRF (Psychosocial RF) | Social support is a robust correlate of posttraumatic stress disorder (PTSD) symptoms and of general psychological distress (Ozer, Best, Lipsey, & Weiss, 2003). The nature of the causal relationship between support and PTSD remains the subject of debate, with 2 models, social erosion and social causation, often used to... |
0 | Low skeletal muscle mass is associated with poor structural parameters of bone and impaired balance in elderly men--the MINOS study | Management of Hip Fractures in the Elderly | In 796 men, 50-85 years of age, decreased relative skeletal muscle mass index was associated with narrower bones, thinner cortices, and a consequent decreased bending strength (lower section modulus), as well as with impaired balance and an increased risk of falls. INTRODUCTION: In men, appendicular skeletal muscle mas... |
0 | Post-traumatic osteoarthritis: From mouse models to clinical trials | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA), the most common of all arthropathies, is a leading cause of disability and has a large (and growing) worldwide socioeconomic cost. Despite its burgeoning importance, translation of disease-modifying OA therapies from the laboratory into clinical practice has slowed. Differences between the OA model... |
0 | MRI and bone scintigraphy in operated high risk femoral neck fractures | Management of Hip Fractures in the Elderly | Fifteen patients who had been operated on for high risk femoral neck fractures with titanium screws were examined with 1.0 Tesla MRI and scintimetry at 1 and 6 weeks after operation. Radiological and clinical follow-up was performed up to two years after surgery. Three patients underwent a third 1.5 Tesla MRI examinati... |
0 | New radiographic standards for age at appearance of the ossification center of the femoral head in Japanese: Appearance at â?¤12 months of age is normal in Japanese infants | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The ossification center of the femoral head reportedly appears at 7-8 months in 95% infants in the radiographs, but its appearance often delays in Japanese normal infants. The purpose of this study was to survey the age at appearance of the femoral head in the radiographs, evaluate the normal standards of i... |
0 | Peripheral dystonia | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We studied four patients with distal, action-induced involuntary postures of the hand that could be considered focal dystonia. All four patients had electro-physiologic findings consistent with peripheral nervous system lesions (pronator teres syndrome, radial nerve palsy, lower brachial plexus lesion, or median nerve ... |
0 | Greater first year effectiveness drives favorable cost-effectiveness of brand risedronate versus generic or brand alendronate: modeled Canadian analysis | HipFx Supplemental Cost Analysis | The RisedronatE and ALendronate (REAL) study provided a unique opportunity to conduct cost-effectiveness analyses based on effectiveness data from real-world clinical practice. Using a published osteoporosis model, the researchers found risedronate to be cost-effective compared to generic or brand alendronate for the t... |
0 | [Reconstruction of chest wall after resection] | Acellular Dermal Matrix | OBJECTIVE: To evaluate the results of chest wall reconstruction (CWR) in patients who underwent chest wall tumor resection accompanying huge chest wall defect. METHODS: From Jan. 1998 to Mar. 2003, 31 patients underwent CWR. Among them, 20 were male and 11 female. The age ranged from 8 to 72 years. The indications for ... |
1 | Upper-Arm Anthropometry: An Alternative Indicator of Nutritional Health to Body Mass Index in Unilateral Lower-Extremity Amputees? | DoD LSA (Limb Salvage vs Amputation) | Miller M, Wong WK, Wu J, Cavenett S, Daniels L, Crotty M. Upper-arm anthropometry: an alternative indicator of nutritional health to body mass index in unilateral lower-extremity amputees? Objective: To evaluate the utility of body mass index (BMI) and corrected-arm-muscle area (CAMA) as measures of nutritional health ... |
0 | Facet joint menisci of the cervical spine: Correlative MR imaging and cryomicrotomy study | AMP (Acute Meniscal Pathology) | An analysis of the cervical facet joint menisci was done in which cryomicrotomy sections were correlated with magnetic resonance (MR) images. In parasagittal anatomic sections in ten candavers, 10-69 years of age at death, four types of meniscus were defined. Type 1 was a thin washer of dense connective tissue covering... |
1 | Association of patella alta with worsening of patellofemoral osteoarthritis-related structural damage: data from the Osteoarthritis Initiative | OAK 3 - Non-arthroplasty tx of OAK | Objectives: To determine the association between Insall-Salvati ratio (ISR), a measure of patella alta, and worsening of Magnetic Resonance Imaging (MRI)-based osteoarthritis (OA)-related patellofemoral joint structural damages over 24-month in participants of the Osteoarthritis Initiative (OAI). Design: Using weighted... |
0 | SIRT1, a class III histone deacetylase, regulates TNF-alpha-induced inflammation in human chondrocytes | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The present study was performed to elucidate the possible role of SIRT1 signaling in joint inflammation in human articular chondrocytes.
DESIGN: Real-time quantitative reverse transcription polymerase chain reaction (qRT-PCR) and Western blotting were performed to detect gene products and proteins involved i... |
0 | Open Talus Fractures: Early Infection and Its Epidemiological Characteristics | DoD SSI (Surgical Site Infections) | Open talus fractures are relatively rare and severe open injuries with a high risk of severe infection. To better understand the epidemiological characteristics of this kind of injury, a monocentric case review was conducted among open talus fracture patients admitted in West China Hospital of Sichuan University betwee... |
0 | Lateral trunk lean and medializing the knee as gait strategies for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine (1) if Medial Thrust or Trunk Lean reduces the knee adduction moment (EKAM) the most during gait in patients with medial knee osteoarthritis, (2) if the best overall strategy is the most effective for each patient and (3) if these strategies affect ankle and hip kinetics.
DESIGN: Thirty patients... |
0 | Aging-related inflammation in osteoarthritis | AMP (Acute Meniscal Pathology) | It is well accepted that aging is an important contributing factor to the development of osteoarthritis (OA). The mechanisms responsible appear to be multifactorial and may include an age-related pro-inflammatory state that has been termed "inflamm-aging." Age-related inflammation can be both systemic and local. System... |
0 | Impending or completed pathologic femur fractures treated with intramedullary hip screws | Hip Fx in the Elderly 2019 | This study examined the use of the long intramedullary hip screw in 13 consecutive patients with metastatic disease of the femur with impending or completed fractures. There were 6 impending and 7 completed fractures. Eleven of 13 patients had unreamed rods placed with an average operative time of 100 minutes and blood... |
0 | The Reconstruction of Periprosthetic Pelvic Discontinuity | Hip Fx Time to Surgery | The surgical techniques and outcomes of acetabular reconstruction for periprosthetic pelvic discontinuity cases are reported. The mean time to surgery for 9 patients with acute pelvic discontinuity was 16.3 days, with 8 patients (88%) having posterior column plating and a porous metal acetabular cup. No cases required ... |
0 | A case of severe hydroxychloroquine-induced retinal toxicity in a patient with recent onset of renal impairment: a review of the literature on the use of hydroxychloroquine in renal impairment | Upper Eyelid and Brow Surgery | We present a case of a 67-year-old female who presented with a twelve-month history of progressive blurred vision in both eyes. The patient was on hydroxychloroquine 200 mg twice a day for eight years for the treatment of scarring alopecia. Two years prior to presenting, the patient was found to have chronic kidney dis... |
0 | Unilateral total knee arthroplasty: Comparison among subcutaneous drainage, articular cavity drainage, and no drainage | PJI DX Updated Search | BACKGROUND: Drainage placement and pattern during total knee arthroplasty (TKA) remain controversial. OBJECTIVE: To explore the effect of subcutaneous drainage after unilateral TKA with or without drainage. METHODS: A randomized prospective study was performed. The 101 patients were divided into 3 groups: subcutaneous ... |
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