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0 | Anaesthesia for major surgery in a patient with a transplanted heart | AAHKS (8) Anesthetic Infiltration | A 29 yr old male presented for elective hip replacement surgery 26 mth after cardiac transplantation. The principles involved in the anesthetic management of this patient include sterile management of the airway, maintenance of an adequate intravascular volume, and immediate detection and treatment of hypotension and a... |
0 | How do visual, spectroscopic and biomechanical changes of cartilage correlate in osteoarthritic knee joints? | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Characteristic changes in cartilage of human knee joints with different degrees of osteoarthritis (OA) have been investigated by visual, biophotonical and biomechanical examination. Knowledge about the cartilage composition and changes during the development of OA is important for diagnostic decisions and u... |
1 | Compartment syndrome in open tibial fractures | DOD - Acute Comp Syndrome CPG | A retrospective review of the cases of 180 patients who had 198 acute open fractures of the tibial shaft and were admitted to a multiple-trauma referral center over a three-year period revealed an incidence of accompanying compartment syndrome of 9.1 per cent (eighteen fractures in sixteen patients). Each of the eighte... |
0 | Uncovering the Hidden Penis: A Novel Nomenclature and Classification System | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: A hidden penis can interfere with normal hygiene, prevent effective voiding, restrict sexual activity, and cause great embarrassment to the patient. The terms "hidden," "buried," and "trapped" penis are used interchangeably. To date, there is no classification system that adequately characterizes the spec... |
1 | Lateral fixation of open AO type-B2 ankle fractures: the Knowles pin versus plate | DoD SSI (Surgical Site Infections) | Forty-seven patients with open lateral malleolar (AO type-B2) fractures treated with copious irrigation and radical debridement, reduction, and immediate fixation by Knowles pins or lateral plates were retrospectively reviewed with an average follow-up period of 29 months. The 47 patients were divided into two groups, ... |
1 | Femoral malrotation after surgical treatment of femoral shaft fractures in children: a retrospective CT-based analysis | Pediatric Diaphyseal Femur Fractures 2020 Review | BACKGROUND: Rotational malalignment is an important and not always avoidable complication after surgical treatment of femoral shaft fractures. The purpose of this study was to determine the incidence of rotational malalignment in children after surgical treatment of femoral shaft fractures and to identify potential pat... |
0 | Sports activities after lower limb osteotomy | SR for PM on OA of All Extremities | INTRODUCTION: Active sports participation can be important in some patients with degenerative joint disease in the lower limb. We investigated whether this is possible after an osteotomy for osteoarthritis of the hip, knee and ankle joints. SOURCES OF DATA: We performed a literature search using Medline, Cochrane, CINA... |
0 | Acetylcholinesterase Inhibitors Are Associated with Reduced Fracture Risk among Older Veterans with Dementia | Hip Fx in the Elderly 2019 | Acetylcholinesterase inhibitors (AChEIs) have been noted to increase bone density and quality in mice. Human studies are limited but suggest an association with improved bone healing after hip fracture. We examined the relationship between AChEI use and fracture risk in a national cohort of 360,015 male veterans aged 6... |
0 | Variable expressivity in a family with an aggrecanopathy | Osteochondritis Dissecans 2020 Review | BACKGROUND: Osteochondritis dissecans is a condition wherein there is a subchondral bone lesion that causes pain, inflammation, and cartilage damage. Dominant Familial Osteochondritis Dissecans is a rare and severe form of osteochondritis dissecans (OCD). It is caused by heterozygous pathogenic variants in the gene enc... |
0 | Risk factors and predictors of mortality for proximal humeral fractures | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Risk factors for mortality after proximal humeral fracture, including socioeconomic status, are poorly defined. This retrospective review of prospectively collected data defines the epidemiology and predictors of mortality in association with proximal humeral fractures.
METHODS: Patients who sustained proxi... |
0 | Migraine Care in the Era of COVID-19: Clinical Pearls and Plea to Insurers | Coronavirus Disease 2019 (COVID-19) | OBJECTIVE: To outline strategies for the treatment of migraine which do not require in-person visits to clinic or the emergency department, and to describe ways that health insurance companies can remove barriers to quality care for migraine. BACKGROUND: COVID-19 is a global pandemic causing widespread infections and d... |
0 | The lateral decubitus approach for complex proximal femur fractures: Anatomic reduction and locking plate neutralization: A technical trick | Management of Hip Fractures in the Elderly | Unstable intertrochanteric or subtrochanteric fractures with significant proximal or distal extension or comminution are often a challenge for achieving stable fixation. In recent years, locked proximal femoral plates have been developed that aid fixation of these complex fractures often permitting the biological advan... |
0 | Variables Associated with Self-Prediction of Psychopharmacological Treatment Adherence in Acute and Chronic Pain Patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objectives: The objectives of this article were the following: (1) determine risk for self-predicted future psychopharmacological nonadherence in rehabilitation acute pain patients (APPs) and rehabilitation chronic pain patients (CPPs) vs. pain-free community controls and community patients, and (2) determine which var... |
0 | Analysis of factors related to long bone fracture and hip-knee joint replacement accompanied with fat embolism syndrome | AAHKS (2) Corticosteroids | Background: Fat embolism syndrome is a commonly seen severe complication in the field of opthopaedics in clinic. It frequently occurs after long bone fracture and hip-knee joint replacement. However, its etiological factors and pathogenesis are not identified. Objective: To sum up the onset influencing factors, pathoge... |
0 | Uncertainties surrounding the choice of surgical treatment for 'bone on bone' medial compartment osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | A number of different surgical interventions can be used for treating antero-medial osteoarthritis (AMOA) of the knee and this choice can present challenges for patient's decision-making. Patients with AMOA can undergo Total Knee Replacement (TKR), Unicompartmental Knee Replacement (UKR) or High Tibial Osteotomy (HTO) ... |
0 | An exploration of modifiable risk factors for depression after spinal cord injury: which factors should we target? | DoD PRF (Psychosocial RF) | OBJECTIVE: To identify modifiable risk factors for depression in people with spinal cord injury (SCI).
DESIGN: Cross-sectional survey.
SETTING: Outpatient and community settings.
PARTICIPANTS: Community-residing people with SCI (N=244; 77% men, 61% white; mean age, 43.1y; 43% with tetraplegia) who were at least 1 month... |
0 | Primary vs secondary wound reconstruction in Gustilo type III open tibial shaft fractures: follow-up study of 35 cases | DoD LSA (Limb Salvage vs Amputation) | AIM: To compare primary and secondary wound reconstruction as a treatment method for Gustilo type III open tibial fractures. METHODS: Thirty-five consecutive patients with a Gustilo type III open tibial shaft fracture were treated and followed up for 3 years. The patients were divided into two groups depending on the t... |
0 | Braces and orthoses for treating osteoarthritis of the knee | Management of Hip Fractures in the Elderly | BACKGROUND: Patients with osteoarthritis of the knee can be treated with a brace or orthosis (insole). The main purpose of these aids is to reduce pain, improve physical function and, possibly, to slow disease progression. This review was originally published in Issue 1, 2005. OBJECTIVES: To assess the effectiveness of... |
0 | Late ophthalmological manifestations in patients with subarachnoid hemorrhage and coiling of cerebral aneurysm | Upper Eyelid and Brow Surgery | Late ocular manifestations of aneurysmal subarachnoid hemorrhage (SAH) have not been previously investigated except for one study which demonstrated that one half of patients subjected to aneurysm clipping suffer from symptoms of visual pathway impairment. We assessed ophthalmological status of patients after 1-4.5 yea... |
0 | Carpal tunnel syndrome in patients undergoing maintenance hemodialysis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Five of 62 maintenance hemodialysis patients were found to have carpal tunnel syndrome, and another five had prolonged distal motor latencies. Contrary to previous reports, there was no relation between carpal tunnel syndrome and the site of vascular access. Synovial biopsy specimens from flexor tendons demonstrated ed... |
0 | The long-term risks of infection and amputation with limb salvage surgery using endoprostheses | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Endoprostheses are now an established technique to reconstruct defects following bone tumour resection. The long-term durability of the reconstruction is excellent, with limb salvage being maintained in the long term in 91% of patients at 20 years from surgery. The main reasons for secondary amputation were locally rec... |
0 | Surgical Treatment for Extracapsular Condylar Fractures of the Mandible | Hip Fx in the Elderly 2019 | BACKGROUND: Condylar fractures are considered the most controversial mandibular fractures, regarding both the diagnosis and the treatment. With the increase in surgical indications for handling this type of fracture, it is important to discuss about the advantages and disadvantages of the several surgical approaches av... |
1 | Factors associated with the decision of operative procedure for proximal femoral bone metastasis: Questionnaire survey to institutions participating the Bone and Soft Tissue Tumor Study Group of the Japan Clinical Oncology Group | MSTS 2018 - Femur Mets and MM | Background Pathological fracture of the proximal femur is a main cause of cancer patients losing their ability to walk. Although both osteosynthetic devices (predominantly intramedullary nails) and prosthetic replacement have been widely performed for treatment, controversies exist regarding which procedure should be u... |
0 | Infections associated with body modification | Panniculectomy & Abdominoplasty CPG | Although exact statistics are lacking, body modifications for cosmetic purposes are performed in many countries. The commonest forms include tattooing, body piercing, and breast and facial augmentation using implants or injectable fillers. Liposuction and, to a lesser extent, mesotherapy are also practiced in many coun... |
0 | Morbidity and mortality associated with dental extraction before cardiac operation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Dental extraction of abscessed or infected teeth before cardiac operation is often performed to decrease perioperative infection and late endocarditis. Literature to support dental extraction before cardiac operation is limited. The goal of this study was to evaluate the risk of major adverse outcomes in pa... |
0 | Distribution of periacetabular osteolytic lesions varies according to component design | Management of Hip Fractures in the Elderly | Using computed tomography, the volume, location, and number of osteolytic lesions were determined adjacent to 38 Harris-Galante 1 (HG-1) acetabular components fixed with screws and 19 porous-coated anatomic (PCA) acetabular components press-fitted without screws. The median implantation times were 16 and 15 years, resp... |
0 | Treatment satisfaction with pharmaceutical interventions in Japanese adults with osteoarthritis and chronic knee pain: An analysis of a web-based survey | OAK 3 - Non-arthroplasty tx of OAK | Purpose: Patient satisfaction is an important outcome in successful osteoarthritis (OA) treatment. The aim of this study was to evaluate treatment satisfaction for medication (TSM) in people with knee OA (KOA), identify the factors predictive of treatment satisfaction, and describe the burden of illness. Patients and m... |
0 | Acute nontraumatic clavicle fracture associated with long-term bisphosphonate therapy | Pediatric Supracondylar Humerus Fracture 2020 Review | Cases of osteonecrosis of the jaw, insufficiency fractures and atypical low energy or atraumatic fractures of pelvis, femur (subtrochanteric/mid-shaft/distal-third), tibia, fibula, metatarsal, humerus, and ulna related to long-term bisphosphonate therapy have been reported in the literature. We present the case of an a... |
0 | Evaluation of residual instability after arthroscopic meniscectomy in anterior cruciate deficient knees | AMP (Acute Meniscal Pathology) | Forty-five patients who underwent a partial meniscectomy in an anterior cruciate deficient knee were followed from 2 to 9 years. The average age at the time of the meniscectomy was 28.6 years. The majority of the patients were injured in recreational athletics. The subjects were evaluated preoperatively by a questionna... |
1 | Safety and Efficacy of Subcutaneous Parenteral Nutrition in Older Patients: A Prospective Randomized Multicenter Clinical Trial | Hip Fx in the Elderly 2019 | Background: Many patients who cannot tolerate adequate enteral nutrition could benefit from parenteral nutrition support but fail to receive it due to difficult intravenous (IV) access. The objective of this study was to compare the safety and efficacy of subcutaneous (SC) administration of parenteral nutrition with th... |
0 | Cartilage oligomeric matrix protein in serum and synovial fluid of rheumatoid arthritis: Potential use as a marker for joint cartilage damage | AAHKS (2) Corticosteroids | This study examined the serum and synovial fluid concentrations of cartilage oligomeric matrix protein (COMP) in relation to the evolution of joint cartilage damage and the requirement for surgery in 125 patients with rheumatoid arthritis (RA). We compared the erythrocyte sedimentation rate (ESR), C-reactive protein (C... |
0 | Influence of fracture type and surgeon experience on the emission of radiation in distal radius fractures | Distal Radius Fractures | INTRODUCTION: Ionising radiation is a potential risk for potentially exposed personnel. Only a few studies have examined the factors contributing to the emission of radiation in orthopaedic trauma procedures. We hypothesize that the experience of the surgeon and the fracture type influence the emission of radiation int... |
0 | Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture | HipFx Supplemental Cost Analysis | Background. Hip dislocation after arthroplasty for femoral neck fractures remains a serious complication. The aim of our study was to investigate the dislocation rate in acute femoral neck fracture patients operated with a posterior approach with cemented conventional or dual articulation acetabular components. Methods... |
0 | A Study Comparing the Effectiveness and Safety of Varying Dose Strengths (100, 200, 300 and 400 mg) of Extended-release Tramadol HCl With Placebo for the Treatment of Osteoarthritis(OA) of the Knee and/or Hip | OAK 3 - Non-arthroplasty tx of OAK | Immediate release (IR) tramadol has demonstrated efficacy in several pain conditions including: obstetrical, gynecological, orthopedic, abdominal, and oral surgery. The short elimination halfâ?life of tramadol IR necessitates every 4â?6 hour dosing to maintain optimal levels of analgesia in chronic pain. The study me... |
0 | Traumatic and Degenerative Meniscus Tears Have Different Gene Expression Signatures | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscus tears are classified as traumatic or degenerative based on the tear pattern. There is little evidence demonstrating biological differences between the 2 tear types.
HYPOTHESIS: Gene expression signatures in the injured meniscus are different between traumatic (vertical) and degenerative (complex, h... |
0 | The operative treatment of intraarticular fractures of the distal radius | Distal Radius Fractures | Surgical management of 13 complex intraarticular (pilon) fractures of the distal radius was remarkably effective. Most of the fractures were the result of high-energy impact, with associated soft-tissue trauma in seven cases. The preoperative planning, fracture classification, surgical tactics, and results are presente... |
0 | Does high-resolution computed tomography image analysis of the distal radius provide information independent of bone mass? | Management of Hip Fractures in the Elderly | This study aimed to investigate the usefulness of computed tomography (CT) image analysis of the distal radius for comparing two groups of postmenopausal women matched for age and bone mineral density at both the lumbar spine and femoral neck. The first one consisted of 16 women with at least one vertebral fracture and... |
0 | Midvastus Versus Medial Parapatellar Approach for Minimally Invasive Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study is to compare two different surgical approaches for total knee replacement surgery. The miniâ?midvastus approach involves cutting less of the thigh muscle (quadriceps) tendon than the classic approach (median parapatellar) in order to implant the knee components. Both will have the same skin ... |
1 | Relation of wrist angles to median nerve conduction studies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To measure the changes in median nerve conduction parameters at various angles of wrist flexion and extension. DESIGN: We studied 8 patients with carpal tunnel syndrome (CTS) and 4 subjects (5 hands) without the condition (controls). Conduction parameters were measured with the wrist in neutral position and... |
0 | Pathological fractures secondary to metastatic cancer | MSTS 2018 - Femur Mets and MM | An analysis is presented of 96 fractures of long bones resulting from metastatic cancer. The breast was the commonest source of the primary lesion. In many patients, the development of the pathologic fracture was not a terminal event and treatment was worthwhile. Subcapital and transcervical femoral fractures were best... |
0 | Accessory Axillary Breast Excision with Liposuction Using Minimal Incision: A Preliminary Report | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Accessory breasts have received little attention in the surgical fields, although the condition is quite common in the female population, with 2-6% of women suffering from it. Its convexity and cyclic pain make women feel embarrassed and uncomfortable, so patients often desire surgical excision to improve t... |
0 | Involvement of WNT Signaling in the Regulation of Gestational Age-Dependent Umbilical Cord-Derived Mesenchymal Stem Cell Proliferation | TO: WNT2 Pathway Modulator | Mesenchymal stem cells (MSCs) are a heterogeneous cell population that is isolated initially from the bone marrow (BM) and subsequently almost all tissues including umbilical cord (UC). UC-derived MSCs (UC-MSCs) have attracted an increasing attention as a source for cell therapy against various degenerative diseases du... |
0 | Osteocondritis dissecans lesions of the knee restored by bone marrow aspirate concentrate. Clinical and imaging results in 18 patients | Osteochondritis Dissecans 2020 Review | BACKGROUND: Osteochondritis dissecans (OCD) is a common cartilage disorder that specifically affects the knees of skeletally immature and young adult patients. There have been a few treatments that have been proposed: fixation of the fragment, drilling, microfractures. The aim of this study was to analyze retrospective... |
0 | Risk, causes, and outcomes of visual impairment after loss of vision in the non-amblyopic eye: a population-based study | Upper Eyelid and Brow Surgery | BACKGROUND: Screening for amblyopia in early childhood is done in many countries to ensure that affected children are detected and treated within the critical period, and achieve a level of vision in their amblyopic eye that would be useful should they lose vision in their non-amblyopic eye later in life. We aimed to i... |
0 | Hypobaric versus isobaric spinal levobupivacaine for total hip arthroplasty | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Spinal anesthesia (SA) in the lateral decubitus position is often used to perform total hip arthroplasty (THA). Hypobaric local anesthetic ensures enhanced and prolonged sensory and motor block in the involved side. The aim of this study was to compare the intraoperative anesthetic efficacy of hypobaric wit... |
0 | A new and simple scoring system to predict overall survival after irradiation for metastatic spinal cord compression | MSTS 2022 - Metastatic Disease of the Humerus | PURPOSE: To develop a model that predicts survival in patients irradiated for metastatic spinal cord compression (MSCC), hence assisting in the decision between a short and a long-course radiotherapy (RT) regimen.
METHODS: 138 patients diagnosed with MSCC and treated with RT alone were included. Based on a multivariate... |
1 | Seroma Formation in Pre-pectoral Implant-Based ADM Assisted Breast Reconstruction: A Comprehensive Review of Current Literature | Acellular Dermal Matrix | In the field of implant-based breast reconstruction (IBBR), the most recent and successful progress has been the evolution of the prepectoral approach through the use of acellular dermal matrix (ADM). ADM-assisted breast reconstruction is now gaining a foothold as standard practice, but its advantages are often clouded... |
1 | Acute arthroscopy | AMP (Acute Meniscal Pathology) | The role and significance of acute arthroscopy have been evaluated in the treatment of knee joint injuries on the basis of findings during 59 arthroscopic operations which were conducted within two weeks after the accident. The injuries developed isolated in more than half of the cases (65%) whereas they appeared in a ... |
1 | A multicenter, retrospective epidemiologic survey of the clinical features and management of bone metastatic disease in China | MSTS 2018 - Femur Mets and MM | BACKGROUND: Bone metastases are common in patients with advanced cancer. Bisphosphonates (BPs) could prevent or delay the development of skeleton-related events (SREs). The present study aimed to identify the clinical features of and treatment strategies for Chinese patients with bone metastases.
METHODS: Consecutive c... |
0 | Chronic postoperative pain: Recent findings in understanding and management | AAHKS (4) Acetaminophen | Chronic postoperative pain is a poorly recognized potential outcome from surgery. It affects millions of patients every year, with pain lasting for months to years, resulting in patient suffering and ensuing economic consequences. The operations with the highest incidence of chronic postoperative pain are amputations, ... |
0 | Epidemiology of lumbar osteoporosis and osteoarthritis and their causal relationship-is osteoarthritis a predictor for osteoporosis or vice versa?: The miyama study | Management of Hip Fractures in the Elderly | Summary: In a 10-year follow-up of a population-based cohort of Japanese subjects, incidences of and causal relationships between osteoporosis (OP) and osteoarthritis (OA) at the lumbar spine were clarified. OP might reduce the risk of subsequent OA at the spine in women, but not in men. Introduction: The aim of this s... |
0 | A methodological guide to performing a cost-utility study comparing surgical techniques | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: When recommending the adoption of a new surgical intervention as opposed to maintaining an old one, surgeons need to consider the opportunity cost, which is the value of the forgone benefits. To inform these decisions, surgeons can use economic analyses of surgical practices. Unfortunately, economic analyse... |
1 | Arthroplasty infection rates in fractured neck of femur: single vs dual antibiotic cement | Hip Fx in the Elderly 2019 | INTRODUCTION: Mortality rates following hip arthroplasty range between 10% and 40% after 12 months. A higher rate is attributed to postoperative complications, of which surgical site infection is one of the most significant. In an effort to reduce surgical site infection following arthroplasty, antibiotics can be added... |
1 | Treatment of graf type IIa hip dysplasia: A cut-off value for decision making | Developmental Dysplasia of the Hip 2020 Review | Background: The rate of spontaneous normalization in type IIa hips is reported to be high, whereas dysplsia persists or worsens in 5%-10% of cases. Aims: To evaluate the natural course of type IIa hips using Grafâ??s own perspective of physiological immaturity and maturational deficit. Study Design: A single center, re... |
0 | Experimental generation of carcinoma-associated fibroblasts (CAFs) from human mammary fibroblasts | Reduction Mammoplasty for Female Breast Hypertrophy | Carcinomas are complex tissues comprised of neoplastic cells and a non-cancerous compartment referred to as the 'stroma'. The stroma consists of extracellular matrix (ECM) and a variety of mesenchymal cells, including fibroblasts, myofibroblasts, endothelial cells, pericytes and leukocytes (1-3). The tumour-associated ... |
0 | Open knee joint injuries: An evidence-based approach to management | DoD LSA (Limb Salvage vs Amputation) | Open knee joint injuries are potentially devastating injuries if not properly diagnosed and treated. Current diagnostic techniques, such as the saline load test (SLT), are based on outdated literature. Diagnosis of traumatic arthrotomies via the presence of intra-articular air on computed tomography (CT) scan has recen... |
0 | Distal radial fractures heal by direct woven bone formation | Distal Radius Fractures | BACKGROUND: Descriptions of fracture healing almost exclusively deal with shaft fractures and they often emphasize endochondral bone formation. In reality, most fractures occur in metaphyseal cancellous bone. Apart from a study of vertebral fractures, we have not found any histological description of cancellous bone he... |
0 | A study to assess the use and effectiveness of GEMOS2 in achieving early bone formation and healing of distal radius fractures | Distal Radius Fractures | INTERVENTION: GEM OS2 is applied to the bone void(s) and is contained within the fracture void(s) it physically fills bone defects providing a biocompatible, osteoconductive scaffold for new bone formation and promoting cellular ingrowth into the osseous defect. This device is composed of two components: a beta tricalc... |
0 | Unicompartmental knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | The results of unicompartmental knee replacement in a series of 83 knees were reviewed for the period of 1970 to 1978; 30.1 percent achieved good or excellent results; 48.2 percent fair or poor results; 21.7 percent were failures. The vast majority of failures and poor results were due to technical errors. Only 9.6 per... |
0 | The press-fit condylar modular total knee system with a posterior cruciate-substituting design. A concise follow-up of a previous report | Dental Implant Infection | The purpose of the present study was to determine the long-term results of a series of 150 consecutive primary posterior stabilized modular knee arthroplasties that had been performed in 118 patients with use of a circumferential tibial insert capture as described in a previous report, published in 1997. The patients w... |
0 | Clinical and radiographic results of arthroscopic partial lateral meniscectomies in stable knees with a minimum follow up of 20 years | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this retrospective multicentric study was to evaluate the long-term effects of lateral meniscectomy and to identify those patients who are at the most risk of developing osteoarthritis (OA).
METHODS: Eighty-nine arthroscopic partial lateral meniscectomies in stable knees with a mean follow-up of... |
0 | The Effects of the COVID-19/SARS-CoV-2 Pandemic Outbreak on Otolaryngology Activity in Italy | Coronavirus Disease 2019 (COVID-19) | The coronavirus disease 2019 (COVID-19) pandemic during the first months of 2020 is causing profound changes in worldwide health care systems, resulting in a major reduction of surgical interventions and routine non-urgent outpatient diagnostic procedures. The lockdown due to the COVID-19 pandemic in Italy, one of the ... |
0 | Condrosulf vs Celebrex vs Placebo in the Treatment of Knee OA | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study is to confirm the efficacy and safety of 800 mg Chondroitin 4&6 sulfate (Condrosulf) vs placebo once a day for 6 months in the symptomatic treatment of knee osteoarthritis. A third group, Celecoxib 200 mg (Celebrex) once a day, will be used as active comparator. |
0 | Sport after total knee arthroplasty - Does dynamic stability matter? | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: After big joints arthroplasty some patients wish not only to have general functions restored, but also the opportunity to return to high levels of activity. Generally, low-impact sports such as cycling, swimming, golf and hiking are recommended. Some authors have even recommended tennis or skiing. High-impact ... |
0 | Bone disease in multiple myeloma: pathophysiology and management | MSTS 2018 - Femur Mets and MM | Myeloma bone disease (MBD) is a devastating complication of multiple myeloma (MM). More than 80% of MM patients suffer from destructive bony lesions, leading to pain, fractures, mobility issues, and neurological deficits. MBD is not only a main cause of disability and morbidity in MM patients but also increases the cos... |
0 | An innovative technique of rear entry creation for retrograde humeral nailing: how to avoid iatrogenic comminution | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Antegrade and retrograde nails are widely used for intramedullary fixation of humeral shaft fractures. Creating the rear entry is the crucial step for retrograde nailing. The common manual technique is associated with considerable risks of additional iatrogenic comminution of the distal humerus. DESCRIPTION... |
0 | Candida albicans and denture stomatitis: evaluation of its presence in the lesion, prosthesis, and blood | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Denture stomatitis is a primarily oral disease that affects denture wearers. The presence of Candida albicans in the palatal mucosa, on the internal surface of the maxillary denture, and in the blood of patients with denture stomatitis was evaluated. Although the results did not show C albicans in the bloodstream of pa... |
1 | Prospective study on complications following a lower body lift after massive weight loss | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Lower body lift procedures are in high demand following the increase of massive weight loss patients. As surgical complication rates in this patient group are generally high, patients need to be prepared for risk factors and complications in lower body lift surgery. The aim of this study was to identify the... |
1 | Correlation of radiographic and arthroscopic findings with rotator cuff tears and degenerative joint disease | Glenohumeral Joint OA | The purpose of this study was to identify early signs of rotator cuff tear and glenohumeral articular cartilage degeneration by using conventional radiography. A non-weighted anteroposterior oblique and a weighted active abduction view were evaluated for superior humeral migration and matching degenerative changes at t... |
0 | Infection After Orthopaedic Trauma: Prevention and Treatment | DoD SSI (Surgical Site Infections) | Trauma to the extremities is disproportionately represented in casualties of recent conflicts, accounting for >50% of injuries sustained during operations in Iraq and Afghanistan. Infectious complications have been reported in >25% of those evacuated for trauma, and 50% of such patients were treated in the intensive ca... |
0 | A multicenter study of the association of aromatase and estrogen receptor genes with hip and knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Several lines of evidence suggest that estrogens influence the development of osteoarthritis (OA). The aim of this study was to explore the genetic and functional association of two common polymorphisms from within the aromatase (CYP19A1) and estrogen receptor (alpha) (ESR1) genes with severe OA of the lower l... |
0 | Attentional bias and symptoms of posttraumatic stress disorder one year after burn injury | DoD PRF (Psychosocial RF) | Trauma-related attentional bias is suggested to play a role in maintaining posttraumatic stress disorder (PTSD). Although being burn injured is a traumatic event for many patients, there are no prospective studies investigating attentional bias. The aims were to assess burn-specific attentional bias 1 year after burn, ... |
0 | Antibacterial activity of joint fluid in cemented total-knee arthroplasty: an in vivo comparative study of polymethylmethacrylate with and without antibiotic loading | Dental Implant Infection | The objective of this study was to evaluate the antibacterial activities of joint fluids of patients undergoing total-knee arthroplasty (TKA). Thirty patients who were scheduled for primary cemented TKA were enrolled in the study. The patients were grouped on the basis of whether the cement was without antibiotic loadi... |
0 | Application of 3D-printed and patient-specific cast for the treatment of distal radius fractures: initial experience | Distal Radius Fractures | Background: Distal radius fracture is common in the general population. Fracture management includes a plaster cast, splint and synthetic material cast to immobilise the injured arm. Casting complications are common in those conventional casting technologies. 3D printing technology is a rapidly increasing application i... |
0 | Postoperative discomfort due to residual peripheral nerve blocks in outpatients operated from for carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background and Goal of Study: For hand surgery, peripheral nerve blocks (PNBs) can be performed at the wrist or more proximally at the brachial level. No data are available concerning the potential discomfort due to the residual block in the early postoperative period. The aim of our study was to assess the discomfort ... |
0 | Six-week gait retraining program reduces knee adduction moment, reduces pain, and improves function for individuals with medial compartment knee osteoarthritis | Glenohumeral Joint OA | This study examined the influence of a 6-week gait retraining program on the knee adduction moment (KAM) and knee pain and function. Ten subjects with medial compartment knee osteoarthritis and self-reported knee pain participated in weekly gait retraining sessions over 6 weeks. Western Ontario and McMaster Universitie... |
0 | The expression of functional chemokine receptor CXCR4 is associated with the metastatic potential of human nasopharyngeal carcinoma | MSTS 2018 - Femur Mets and MM | PURPOSE: Chemokine receptors are implicated in metastasis of several malignant tumors. This study was done to evaluate the contribution of chemokine receptors CXCR4 and CCR7 to metastasis of human nasopharyngeal carcinoma.
EXPERIMENTAL DESIGN: Reverse transcription-PCR, immunohistochemistry, and flow cytometry were use... |
0 | A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty | PJI DX Updated Search | BACKGROUND: The role of unicompartmental arthroplasty in managing osteoarthritis of the knee remains controversial. The Oxford medial unicompartmental arthroplasty employs a fully congruent mobile bearing intended to reduce wear and increase the lifespan of the implant. Long-term second decade results are required to e... |
1 | Correction of abnormally high nipples after reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | One of the most common complications after reduction mammaplasty is the abnormally high location of the nipple. The deformity may appear immediately after surgery if there was faulty planning before or during surgery. Or it may appear a few months after surgery due to migration of the breast tissue downward as a result... |
0 | Management of non-melanoma skin cancer in immunocompromised solid organ transplant recipients | Reconstruction After Skin Cancer | Opinion statement: The management of non-melanoma skin cancers (NMSCs) in solid organ transplant recipients (OTRs) presents a variety of clinical challenges for physicians. OTRs are at a 65-fold increased risk for developing cutaneous squamous cell carcinomas (SCC), the most common NMSC that develops after transplantat... |
0 | Silicone implant arthroplasty in patients with idiopathic osteoarthritis of the metacarpophalangeal joint | Distal Radius Fractures | PURPOSE: The outcome of silicone metacarpophalangeal (MCP) joint implant arthroplasty in the osteoarthritic patient population has not been well established. Typically patients with idiopathic osteoarthritis have no history of underlying systemic disease and may respond well to treatment with MCP joint implant arthropl... |
0 | Management of open fractures of the lower limb | DoD SSI (Surgical Site Infections) | This article gives a practical guide for the management of open lower limb fractures. It outlines the referral criteria and pathway for definitive care in a specialist centre, the initial management steps that should be taken in the emergency department, and the principles of fixation, soft tissue coverage and antibiot... |
0 | Do Orthopaedic Surgeons Acknowledge Uncertainty?.[Erratum appears in Clin Orthop Relat Res. 2016 Jun;474(6):1530-1; PMID: 26861152] | DoD PRF (Psychosocial RF) | BACKGROUND: Much of the decision-making in orthopaedics rests on uncertain evidence. Uncertainty is therefore part of our normal daily practice, and yet physician uncertainty regarding treatment could diminish patients' health. It is not known if physician uncertainty is a function of the evidence alone or if other fac... |
0 | Integrative testimonial therapy: an Internet-based, therapist-assisted therapy for German elderly survivors of the World War II with posttraumatic stress symptoms | DoD PRF (Psychosocial RF) | Trauma-focused cognitive behavioral treatments are known to be effective for posttraumatic stress disorder (PTSD) in adults. However, evidence for effective treatments for older persons with PTSD, particularly elderly war trauma survivors, is scarce. In an open trial, 30 survivors of World War II aged 65 to 85 years (m... |
0 | Treatment of pathological fractures due to simple bone cysts by extended curettage grafting and intramedullary decompression | MSTS 2022 - Metastatic Disease of the Humerus | OBJECTIVE: Effectiveness and morbidity of curettage grafting and intramedullary decompression in the treatment of pathological fractures due to simple bone cysts (SBCs) were evaluated.
METHODS: Between 2005 and 2012, 34 children with SBCs were treated with extended curettage grafting and intramedullary decompression. A... |
0 | Prevalence, characteristics, neuropsychiatric symptoms and quality-of-life of young people with acquired brain injury in Dutch nursing homes: study design | DoD PRF (Psychosocial RF) | Objectives: Little is known about young patients with severe acquired brain injury (ABI) needing intensive care due to chronic physical and/or behavioural disabilities who reside in nursing homes. Epidemiologic data and evidenceâ?based guidelines for ABI in longâ?term care do not exist. In order to achieve a suitable... |
0 | No positive effect of autologous platelet gel after total knee arthroplasty: A double-blind randomized controlled trial: 102 patients with a 3-month follow-up | PRP (Platelet-Rich Plasma) | Background and purpose Activated platelets release a cocktail of growth factors, some of which are thought to stimulate repair. We investigated whether the use of autologous platelet gel (PG) in total knee arthroplasty (TKA) would improve wound healing and knee function, and reduce blood loss and the use of analgesics.... |
0 | Determinants of bone mineral density in older men | Management of Hip Fractures in the Elderly | Osteoporosis is a significant health problem and contributor to disability and premature mortality among older men. Incidence rates for hip fracture have stabilized in women, but continue to increase in men. A major risk factor for hip fracture is bone mineral density level. The determinants of bone mineral density (BM... |
0 | Contractures in burn injury: defining the problem | DoD LSA (Limb Salvage vs Amputation) | This study prospectively examined the incidence and severity of large joint contractures after burn injury and determined predictors of contracture development. Data were collected prospectively from 1993 to 2002 for consecutive adult burn survivors admitted to a regional burn center. Demographic and medical data were ... |
1 | Arthroplasty in veterans: analysis of cartilage, bone, serum, and synovial fluid reveals differences and similarities in osteoarthritis with and without comorbid diabetes | Surgical Management of Osteoarthritis of the Knee CPG | Osteoarthritis patients with diabetes who receive total knee arthroplasty are more vulnerable to complications, including aseptic loosening and need for revision surgery. To elucidate mechanisms related to arthroplasty failure in diabetes, we examined serum and synovial fluid markers as well as collagen crosslinks in b... |
0 | A new approach for the treatment of recurrent large abdominal hernias: The overlap flap | Panniculectomy & Abdominoplasty CPG | In this article we report a new technique for the treatment of recurrent large abdominal hernias and skin laxity: the overlap flap. This technique combines abdominoplasty with hernia repair. Obese patients with recurrent large abdominal hernias and skin laxity could benefit from this operation. This operation could not... |
0 | A Retrospective Analysis to Evaluate Seasonal Pressure Injury Incidence Differences Among Hip Fracture Patients in a Tertiary Hospital in East China | Hip Fx in the Elderly 2019 | Patients with a hip fracture are at high risk for pressure injury. A retrospective review of the electronic medical records of consecutive patients with a hip fracture treated in 2016 in a single tertiary hospital in east China were examined to investigate whether time of year affected the incidence of hospital-acquire... |
0 | Azithromycin and dentistry - a useful agent? | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVES: Azithromycin has recently replaced clindamycin oral suspension for prop hylaxis of infective endocarditis (IE) in children. It is also currently recommended by the American Heart Association as an alternative to penicillin, along with clindamycin for prophylaxis of infective endocarditis in adults. The obje... |
0 | Clinical analysis of 28 children suffering from intracranial hematoma and multiple injuries following traffic accidents | DoD SSI (Surgical Site Infections) | OBJECTIVE: To evaluate the result of diagnosis and treatment of intracranial hematoma and multiple injuries caused by road traffic accidents.
METHODS: Twenty-eight patients, aged from 1 to 14 years, receiving craniotomy and other surgical treatments were retrospectively reviewed.
RESULTS: Among the 28 cases, 23 cured w... |
0 | First in vivo detection and characterization of hyaluronan-coated extracellular vesicles in human synovial fluid | OAK 3 - Non-arthroplasty tx of OAK | Extracellular vesicles (EVs) function in intercellular signaling by transporting different membrane and cytosolic molecules, including hyaluronan (HA) and its synthesis machinery. As both EVs and HA are abundant in synovial fluid, we hypothesized that HA synthesized in synovial membrane would be carried on the surface ... |
0 | Cost effectiveness and cost utility of risedronate for osteoporosis treatment and fracture prevention in women: a Swiss perspective | Management of Hip Fractures in the Elderly | OBJECTIVES: To assess the incremental cost-effectiveness ratio (ICER) and incremental cost-utility ratio (ICUR) of risedronate compared to no intervention in postmenopausal osteoporotic women in a Swiss perspective. METHODS: A previously validated Markov model was populated with epidemiological and cost data specific t... |
1 | Arthroplasty versus internal fixation of femoral neck fractures: a clinical decision analysis | Management of Hip Fractures in the Elderly | BACKGROUND: The optimal surgical management of displaced femoral neck fractures in the elderly remains controversial. Treatment alternatives include arthroplasty and internal fixation. Options for arthroplasty include total hip arthroplasty and hemiarthroplasty, whereas options for internal fixation include multiple sc... |
1 | Arthroscopic repair of massive rotator cuff tears: a prospective cohort with 2- to 4-year follow-up | Optimizing the Management of Full-Thickness Rotator Cuff Tears | PURPOSE: The goal of this study is to report on the complete arthroscopic repair of massive rotator cuff tears. TYPE OF STUDY: Prospective cohort study. METHODS: Between 1997 and 1999, 37 patients underwent complete arthroscopic repair of massive rotator cuff tears. The preoperative and postoperative outcomes of these ... |
0 | Functional outcome measures in a surgical model of hip osteoarthritis in dogs | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The hip is one of the most common sites of osteoarthritis in the body, second only to the knee in prevalence. However, current animal models of hip osteoarthritis have not been assessed using many of the functional outcome measures used in orthopaedics, a characteristic that could increase their utility in ... |
1 | Clinical comparison of the second and third generation of intramedullary devices for trochanteric fractures of the hip - Blade vs screw | Management of Hip Fractures in the Elderly | With industrial societies getting older the incidence of femoral fractures is increasing. Complication rates up to 20% have led to a continuous improvement of intramedullar nailing systems and the third generation of implants is in clinical application. They seem superior to the second generation. But as clinical data ... |
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