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Ultrasound-guided interventional procedures of the wrist and hand
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
This pictorial review will outline the rationale, indications, techniques, controversies and possible complications of ultrasound-guided interventional procedures of the hand and wrist. (copyright) European Society of Radiology 2008
0
The Radial Nerve in the Brachium: An Anatomic Study in Human Cadavers
Distal Radius Fractures
Purpose: To explore the course of the radial nerve in the brachium and to identify practical anatomic landmarks that can be used to avoid iatrogenic injury during humerus fracture fixation. Methods: Data were collected from 27 adult cadaveric specimens, including 18 embalmed cadavers and 9 fresh-frozen limbs. Measureme...
0
High Tibial Osteotomy with a Modern Polyetheretherketone (PEEK) System: Mid-Term Results at a Mean of 6 Years Follow-Up
Osteochondritis Dissecans 2020 Review
The purpose of this study was to determine patient-reported outcomes, hardware removal rates, as well as conversion to arthroplasty at mid-term follow-up following high tibial osteotomy (HTO) with a modern polyetheretherketone (PEEK) system. All PEEK system-based HTOs performed at a single institution between January 2...
0
Wedge osteotomies of the radius for Kienbock's disease: a biomechanical analysis
Distal Radius Fractures
We compared changes in lunate cortical strain with an applied physiologic load by altering radial inclination to simulate opening and closing wedge osteotomies of the distal radius. Nineteen fresh-frozen cadaver arms were mounted in neutral position and tested under axial compression at a physiologic load by means of a...
1
Mammaplasty with L-incision
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: The cutaneous sequelae resulting from mastopexy and reduction mammaplasty are serious drawbacks for patients, particularly young women, and physicians who are dissatisfied with extensive postoperative scarring. OBJECTIVE: The author reports on an L-incision technique that involves a base resection with an u...
0
A delta opioid receptor lacking the third cytoplasmic loop is generated by atypical mRNA processing in human malignomas
Reconstruction After Skin Cancer
delta Opioid receptors were identified in human melanomas by RT-PCR and radioligand binding. In all tumors an additional PCR amplificate was detected in which 144 bp within the third exon were deleted. This fragment corresponded to the third cytoplasmic domain of the receptor protein. The short variant resulted from at...
1
Injury severity score underpredicts injury severity and resource utilization in combat-related amputations
DoD LSA (Limb Salvage vs Amputation)
OBJECTIVE: Assess effectiveness of Injury Severity Score (ISS) in predicting injury severity in combat-related amputations. DESIGN: Retrospective evaluation of prospectively collected data. SETTING: Military medical center. PATIENTS: One hundred and nine patients with major extremity amputations sustained in overseas c...
0
Vitamin D supplementation during infancy is associated with higher bone mineral mass in prepubertal girls
Management of Hip Fractures in the Elderly
The objective of this study was to determine whether vitamin D supplementation of breast-fed infants during the first year of life is associated with greater bone mineral content and/or areal bone mineral density (aBMD) in later childhood. The design was a retrospective cohort study. One hundred and six healthy prepube...
0
Disseminated Mycobacterium kansasii Disease in Complete DiGeorge Syndrome
Patrick’s pharmacoepidemiology project
Purpose: Complete DiGeorge syndrome (cDGS) describes a subset of patients with DiGeorge syndrome that have thymic aplasia, and thus are at risk for severe opportunistic infections. Patients with cDGS and mycobacterial infection have not previously been described. We present this case to illustrate that patients with cD...
0
A study of hand injury and emergency management in a developing country
DoD SSI (Surgical Site Infections)
BACKGROUND: Injury to the underlying structures of the hand carries the potential for serious handicap. To reduce this risk, even the smallest hand injuries require proper medical care. AIMS: To assess wound healing, mobility, and the ability to perform normal essential function post-operatively in open hand injuries a...
0
Cathepsin K is present in invasive oral tongue squamous cell carcinoma in vivo and in vitro
MSTS 2018 - Femur Mets and MM
OBJECTIVES: Cathepsin K, a lysosomal cysteine protease, is expressed in the tumor microenvironment (TME) of skin carcinoma, but nothing is known about cathepsin K in oral tongue squamous cell carcinoma (OTSCC). Our aim was to describe the expression of cathepsin K in invasive OTSCC in vitro and in a series of clinical ...
0
Ad hoc Committee of the Croatian Society for Neurovascular Disorders, Croatian Medical Association: Recommendations for neuropathic pain treatment
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Damage to the somatosensory nervous system poses a risk for the development of neuropathic pain. Such an injury to the nervous system results in a series of neurobiological events resulting in sensitization of both the peripheral and central nervous system. The symptoms include continuous background pain (often burning...
0
Acute cognitive and neurobehavioural intervention for individuals with acquired brain injury: Preliminary outcome data
DoD PRF (Psychosocial RF)
The present study provides a rationale for and detailed description of a structured curriculum for a cognitive and neurobehavioural group intervention for patients in an acute inpatient brain injury rehabilitation setting. Preliminary outcome data are provided for 29 patients with acquired brain injuries who attended t...
0
Fracture prevention service to bridge the osteoporosis care gap
Hip Fx in the Elderly 2019
BACKGROUND: A care gap exists between the health care needs of older persons with fragility fractures and the therapeutic answers they receive. The Fracture Prevention Service (FPS), a tailored in-hospital model of care, may effectively bridge the osteoporosis care gap for hip-fractured older persons. The purpose of th...
0
Toxic oil syndrome. A long-term follow-up of a cohort of 332 patients
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Toxic oil syndrome is a multisystemic, epidemic disease that appeared in Spain in 1981, related to the intake of rapeseed cooking oil sold in bulk. It affected 19,748 people, of whom 457 died. The toxic substance was never identified. We report the 8-year follow-up of a cohort of 332 patients. The disease was usually s...
0
Evolving role of bone biomarkers in castration-resistant prostate cancer
MSTS 2018 - Femur Mets and MM
The preferential metastasis of prostate cancer cells to bone disrupts the process of bone remodeling and results in lesions that cause significant pain and patient morbidity. Although prostate-specific antigen (PSA) is an established biomarker in prostate cancer, it provides only limited information relating to bone me...
1
Decision making and results in subtotal and total lower leg amputations: reconstruction versus amputation
DoD LSA (Limb Salvage vs Amputation)
As a result of modern therapeutic and technological advances, the surgeon has the ability to salvage even the most severely injured lower limbs. However, the success of replantation nowadays is no longer measured simply on the basis of restoration of viability but also on functional outcome compared with primary amputa...
0
Growth and nutrition in children with trichothiodystrophy
Developmental Dysplasia of the Hip 2020 Review
Objectives: Trichothiodystrophy (TTD) is a rare autosomal recessive disorder of DNA repair and transcription. Patients have multisystem abnormalities, including alterations in growth and development. This report characterizes the growth and nutritional status of a cohort of children with TTD. Methods: Twenty-five patie...
0
Vibroarthrography in the evaluation of musculoskeletal system - a pilot study
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND. Disorders of the articular surfaces are associated with impaired quality of joint motion and joint play. Crepitations are the hallmark clinical sign. This paper aims to present the possibilities of using vibroacoustic signal analysis in assessing the function of articular surfaces in the course of disorders...
1
Previous fracture surgery is a major risk factor of infection after total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
PURPOSE: Total knee arthroplasty (TKA) has been proven to be the most effective treatment for patients with severe joint disease. Although infection is not a frequent complication, it is certainly one of the most dreaded. The purpose of this study was to identify factors associated with infection after TKA. METHODS: Be...
1
The effect of care bundle development on surgical site infection after hemiarthroplasty: an 8-year review
DoD SSI (Surgical Site Infections)
BACKGROUND: Proximal femoral fracture is the most common reason for emergency orthopedic admission in the United Kingdom with an annual cost of 1.7 billion to the National Health Service. Surgical site infection (SSI) after proximal femoral fracture increases patient morbidity and mortality. Methicillin-resistant Staph...
0
The RANK/RANKL/OPG system in tumorigenesis and metastasis of cancer stem cell: Potential targets for anticancer therapy
MSTS 2018 - Femur Mets and MM
The molecular triad involving receptor activator of nuclear factor κβ (RANK)/ RANK ligand (RANKL)/osteoprotegerin cytokine system has been well implicated in several physiological and pathological processes including bone metabolism, mammary gland development, regulation of the immune function, tumorigenesis and meta...
0
Midterm Outcomes of the Recently FDA Approved Ceramic on Ceramic Bearing in Total Hip Arthroplasty Patients Under 65 Years of Age
Hip Fx in the Elderly 2019
The present study aimed to evaluate the mid-term results of the fourth generation of ceramic on ceramic (CC) bearing. Demographics, surgical technique, complications, clinical and radiologic outcomes were analyzed in a series of 133 consecutive CC total hip arthroplasties (THAs) with a newest generation CC bearings to ...
1
The Oxford unicompartmental knee prosthesis: Midterm follow-up
Surgical Management of Osteoarthritis of the Knee CPG
Background Unicompartmental knee arthroplasty is a relatively conservative form of replacement arthroplasty in that it preserves all the important stabilizing structures of the knee instead of discarding them. Our long-term results obtained with the Oxford unicompartmental knee prosthesis (OUKP) for medial unicompartme...
0
Assessing In-Hospital Outcomes and Resource Utilization After Primary Total Joint Arthroplasty Among Underweight Patients
PJI DX Updated Search
BACKGROUND: Poor nutritional status is a preventable condition frequently associated with low body mass index (BMI). The purpose of this study is to comparatively analyze low (</=19 kg/m(2)) and normal (19-24.9 kg/m(2)) BMI cohorts, examining if a correlation between BMI, postoperative outcomes, and resource utilizatio...
0
Scars and perforator-based flaps in the abdominal region: A contraindication?
Panniculectomy & Abdominoplasty CPG
Background: Although multiple strategies for autologous breast reconstruction exist, a vertical midline scar in the abdominal wall as a result of previous laparatomy or abdominoplasty represents a major surgical challenge. To date, little research has been conducted on the regeneration potential of the abdominal wall's...
1
Adverse outcomes after total and unicompartmental knee replacement in 101 330 matched patients: a study of data from the National Joint Registry for England and Wales
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Total knee replacement (TKR) or unicompartmental knee replacement (UKR) are options for end-stage osteoarthritis. However, comparisons between the two procedures are confounded by differences in baseline characteristics of patients undergoing either procedure and by insufficient reporting of endpoints other...
0
Bacterial endocarditis prophylaxis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Bacterial endocarditis (BE) is a disease resulting from the association of morphological alterations of the heart and bacteraemia originating from different sources that at times can be indiscernible (infectious endocarditis). It is classified on the basis of the morphological alteration involved, depending on the clin...
1
Effects of pre- or postoperative therapeutic exercise on the quality of life, before and after total knee arthroplasty for osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Objective: To investigate the effects of a preoperative or postoperative rehabilitation program on health related quality of life, for patients affected by final-stage idiopathic knee osteoarthritis, before and after primary total knee arthroplasty. Design: 53 successive patients (aged 68.76 (plus or minus) 5.64 years)...
0
Neurologic Injury in Operatively Treated Acetabular Fractures
Hip Fx in the Elderly 2019
Objectives: The purpose of this study is to evaluate a series of operatively treated acetabular fractures with neurologic injury and to track sensory and motor recovery. Methods: Operatively treated acetabular fractures with neurologic injury from 8 trauma centers were reviewed. Patients were followed for at least 6 mo...
0
Repair of osteochondral defects in the minipig model by OPF hydrogel loaded with adipose-derived mesenchymal stem cells
Osteochondritis Dissecans 2020 Review
AIM: Critical knee osteochondral defects in seven adult minipigs were treated with oligo(polyethylene glycol)fumarate (OPF) hydrogel combined with autologous or human adipose-derived stem cells (ASCs), and evaluated after 6 months. METHODS: Four defects were made on the peripheral part of right trochleas (n = 28), and ...
0
Evaluation of the acceptability of a sphygmomanometer device in knee extension training following surgical procedures of the knee
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The postoperative treatment after a standard surgical intervention such as knee arthroplasty, proximal tibial osteotomy or supracondylar osteotomy, can have an important impact on the overall treatment outcome. In most cases, outcomes are positively effected by patients receiving physiotherapy and occupatio...
0
Osteoporosis treatment and prevention for postmenopausal women: Current and future therapeutic options
Hip Fx in the Elderly 2019
Osteoporosis, a "silent disease," is often unrecognized until fracture. Lifestyle modification with nutritional counseling is recommended during menopausal transition. Bone density testing is recommended for women aged 65 years and older, younger postmenopausal women with risk factors, or to follow therapy. Bisphosphon...
1
Comparison of bipolar hemiarthroplasty with total hip arthroplasty for displaced femoral neck fractures: a concise four-year follow-up of a randomized trial
Management of Hip Fractures in the Elderly
We performed a four-year follow-up of a randomized controlled trial involving 120 elderly patients with an acute displaced femoral neck fracture who were randomized to treatment with either a bipolar hemiarthroplasty or a total hip arthroplasty. The difference in hip function (as indicated by the Harris hip score) in f...
0
The sitting active and prone passive lag test: An inter-rater reliability study
OAK 3 - Non-arthroplasty tx of OAK
Background & purpose: To determine inter-rater reliability in identifying a knee extension lag using the sitting active and prone passive lag test (SAPLT). Methods: 56 patients with a diagnosis of knee pain were randomly assigned and independently examined by two physical therapists at a time, to determine the presence...
0
Fibular nonunion after closed-wedge high tibial osteotomy
OAK 3 - Non-arthroplasty tx of OAK
UNLABELLED: Closed-wedge valgus high tibial osteotomy (HTO) has been reported to be an effective procedure for the treatment of medial compartment osteoarthritis of the knee. It requires shortening the fibula, for which many techniques have been described. Dislocation of the proximal tibiofibular joint limits the corre...
0
Transcutaneous electric nerve stimulation: The effect of intensity on local and distal cutaneous blood flow and skin temperature in healthy subjects
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Objective: To determine what effect transcutaneous electric nerve stimulation (TENS) intensity has on local and distal cutaneous blood flow and skin temperature. Design: Double-blind conditions. Setting: University research laboratory. Participants: Forty subjects (20 men, 20 women) randomly assigned to 1 of 4 groups (...
0
Abdominal compartment syndrome: clinical manifestations and predictive factors
DOD - Acute Comp Syndrome CPG
PURPOSE OF REVIEW: Abdominal compartment syndrome (ACS) is the end result of sustained, uncorrected intraabdominal hypertension. In clinical and laboratory settings, ACS has been shown to adversely affect all vital organ systems. Although early descriptions emanated from the trauma literature, ACS is now encountered in...
1
Phase III clinical trial of thalidomide plus dexamethasone compared with dexamethasone alone in newly diagnosed multiple myeloma: A clinical trial coordinated by the eastern cooperative oncology group
MSTS 2018 - Femur Mets and MM
Purpose: To determine if thalidomide plus dexamethasone yields superior response rates compared with dexamethasone alone as induction therapy for newly diagnosed multiple myeloma. Patients and Methods: Patients were randomly assigned to receive thalidomide plus dexamethasone or dexamethasone alone. Patients in arm A re...
0
Nationwide survey for bisphosphonate-related osteonecrosis of the jaws in Japan
MSTS 2018 - Femur Mets and MM
Purpose: A nationwide retrospective cohort study was conducted by the Japanese Society of Oral and Maxillofacial Surgeons to assess the occurrence of bisphosphonate (BP)-related osteonecrosis of the jaws (BRONJ) during 2006 to 2008 and to elucidate the outcome and factors associated with remission of BRONJ. Materials a...
1
Dental bacteremia and its relationship to bacterial endocarditis: preventive measures
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This article indicates that using local degerming agents in conjunction with traditional antibiotics prevents dental bacteremia more effectively than either procedure alone. In many patients at risk for endocarditis who practice home-care procedures than can produce bacteremia from gingival bleeding, daily antibiotic p...
0
Upper tibial osteotomy for secondary osteoarthritis of the knee
AMP (Acute Meniscal Pathology)
Of 34 consecutive proximal tibial osteotomies for secondary degenerative arthritis in patients under 40 years of age, 33 were evaluated at least three years (mean 7.5 years) after operation. In all 73% were satisfactory, with four failures in 21 procedures in men and five failures in 12 procedures in women. The primary...
0
Percutaneous cannulated screw fixation of acute scaphoid fractures
Distal Radius Fractures
Percutaneous cannulated screw fixation (PCSF) of acute scaphoid fractures has been shown to consistently produce good results. It is less invasive and avoids damage to the radiocarpal ligaments. The scar is good. The procedure could be performed under Bier's block anaesthesia. No cast is required after the operation an...
1
Serum ropivacaine levels after local infiltration analgesia during total knee arthroplasty with and without adductor canal block
AAHKS (9/10) Regional Nerve Blocks
BACKGROUND AND OBJECTIVES: A common analgesic technique for total knee arthroplasty (TKA) is to inject local anesthetic into the periarticular tissue during surgery, known as local infiltration analgesia (LIA). Since the solution used typically contains a large amount of local anesthetic, concerns arise about exceeding...
0
American Society of Anesthesiologist Physical Status score may be used as a comorbidity index in hip fracture surgery
Management of Hip Fractures in the Elderly
Comorbidities affect outcome, but there is no consensus which comorbidity instrument is best in orthopedic surgery. We assessed whether the American Society of Anesthesiologists Physical Status score (ASA) predicts long-term mortality after hip fracture. We followed 1635 patients for 5 to 10 years after operative treat...
0
Load-Sharing at the Wrist Following Radial Head Replacement with a Metal Implant: A Cadaveric Study
Distal Radius Fractures
Background: Surgical excision of the radial head is frequently required after a comminuted fracture of the radial head. The outcome of this procedure is often unpredictable, with some patients experiencing ulna-sided pain in the wrist secondary to proximal migration of the radius. Insertion of a radial head prosthesis ...
0
Fractures of the distal radius and ulna
Distal Radius Fractures
Associated fractures of the distal ulnar metaphysis were present in 19 of 320 distal radial fractures requiring either closed manipulation or surgical treatment over a 2-year period. Four morphological patterns of ulnar fracture were encountered, the commonest being the type 1 simple extra-articular fracture of the dis...
0
Safety of osseointegrated implants for transfemoral amputees: A two-center prospective cohort study
DoD LSA (Limb Salvage vs Amputation)
Background: Osseointegrated implants are an alternative for prosthetic attachment for individuals unable to wear a socket following an amputation. The concept of an integrated metal implant communicating with the external environment raises substantial concern about the risk of ascending infection. We report on the saf...
0
DTI parameters of axonal integrity and demyelination of the optic radiation correlate with glaucoma indices
Upper Eyelid and Brow Surgery
BACKGROUND: In glaucoma, damage of retinal ganglion cells may continue to the linked optic radiations. This study investigates the correlation of glaucoma severity indicators with parameters of axonal and myelin integrity of the optic radiations. METHODS: In this observational case-control study, 13 patients with norma...
0
Cementless fixation in high performance knee design
PJI DX Updated Search
Although cemented fixation in total knee arthroplasty remains the gold standard, new interest in cementless fixation has returned. Earlier implant designs for use in cementless fixation have been associated with high failure rates but newer implants have achieved similar results to their cemented counterparts. This is ...
1
Simultaneous cemented and cementless total knee replacement in the same patients: a prospective comparison of long-term outcomes using an identical design of NexGen prosthesis
Surgical Management of Osteoarthritis of the Knee CPG
The purpose of this prospective, randomised study was to evaluate the clinical and radiological results comparing the identical cemented or cementless NexGen total knee prostheses implanted bilaterally in the same patient. Sequential simultaneous bilateral total knee replacements were performed in 50 patients (100 knee...
0
Rehospitalization after hip fracture: predictors and prognosis from a national veterans study
Hip Fx Time to Surgery
OBJECTIVES: To estimate the risk and long-term prognostic significance of 30-day readmission postdischarge of a 4-year cohort of elderly veterans first admitted to Medicare hospitals for treatment of hip fractures (HFx), controlling for comorbidities. DESIGN: Retrospective, national secondary data analysis. SETTING: Na...
1
Treatment of periprosthetic femoral fractures with the Bicontact revision stem
MSTS 2018 - Femur Mets and MM
PURPOSE: Periprosthetic fractures in cases without prior loosening of the stem can be treated with open reduction and internal fixation, but cases with preexisting loosening and/or bone defects present specific challenges to the surgeon. The keys to the success of intramedullary stabilization of femoral fractures--reco...
0
Prediction functional independence measure in hip fracture patients
Hip Fx in the Elderly 2019
The importance of early inclusion in rehabilitation program and exercise of older people after the hip fracture could be explained by the fact that physical activity influences the muscle strength, balance and eventually degree of hip pain [11]. Such determinants are very important particularly for individuals quality ...
1
Association of hospital and surgeon procedure volume with patient-centered outcomes of total knee replacement in a population-based cohort of patients age 65 years and older
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To study the association between procedure volume and patient-centered outcomes such as functional status. METHODS: We performed an observational study of a stratified random sample of Medicare beneficiaries who underwent primary total knee replacement (TKR) in 2000. Low-volume surgeons were defined as surge...
0
Colles' fracture associated with reduced bone mineral content. Photon densitometry in 74 patients with matched controls
Distal Radius Fractures
In a prospective population-based investigation, we measured bone mineral density (BMD) of the forearm using single-photon absorptiometry at both a distal and a more proximal site in 74 Colles'-fracture patients who were compared with controls matched for age, sex, and years after menopause. For both groups there was a...
0
The abdominal compartment syndrome in patients with burn injury
DOD - Acute Comp Syndrome CPG
INTRODUCTION: Intra-abdominal hypertension (IAH) and subsequent abdominal compartment syndrome (ACS) in burned patients is common. This sequence of events typically occurs in patients with larger burns receiving high volume fluid resuscitation. METHODS: A review of the literature was performed. The National Library of ...
0
Prospective study of the effect on gait of a two-component total ankle replacement
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: The purpose of this study was to evaluate the functional outcome as measured by prospective gait analysis of patients undergoing total ankle arthroplasty using a 2-component Salto Talaris total ankle prostheses with a fixed polyethylene bearing. METHODS: Twenty-one patients with severe ankle arthritis who u...
0
The bone-vacuum cementing technique for the fixation of the stem in total hip arthroplasty
Management of Hip Fractures in the Elderly
The bone-vacuum cementing technique is a promising method developed to obtain reliable fixation of the femoral component. Previous studies showed that intraoperative embolic complications, cardiopulmonary impairment, and deep venous thrombosis can be prevented when this technique is used. The specific aims of the prese...
0
Paediatric fracture clinic referrals: What does it consist of?
Distal Radius Fractures
Aim: To assess the pattern of new cases referred to fracture clinic at a large paediatric university teaching hospital. Materials and Methods: The study was carried out over a four-week period in May and June of 2010. A total of 864 patients were seen during this period, which included 310 new cases and 554 follow up c...
1
Bone injury associated with anterior cruciate ligament and meniscal tears: assessment with bone single photon emission computed tomography
Anterior Cruciate Ligament Injuries CPG
RATIONALE AND OBJECTIVES: Acute injury of the menisci and ligaments about the knee joint is often associated with accompanying bone injury. The role of bone single photon emission computed tomography (SPECT) was assessed in this clinical setting. MATERIALS AND METHODS: Knee SPECT was performed in 94 patients with suspe...
1
Comparison of splinting, splinting plus local steroid injection and open carpal tunnel release outcomes in idiopathic carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The objective of this study was to compare the short- and long-term efficacies of splinting (S), splinting plus local steroid injection (SLSI), and open carpal tunnel release (OCTR) in mild or moderate idiopathic carpal tunnel syndrome (CTS). Patients with mild or moderate idiopathic CTS who experienced symptoms for ov...
0
Comparison of xenon with propofol for supplementary general anaesthesia for knee replacement: A randomized study
AAHKS (8) Anesthetic Infiltration
Background. Xenon anaesthesia is associated with rapid recovery and may also offer protection against neuronal damage. The aim of this study was to compare xenon with propofol for supplementary general anaesthesia in patients undergoing knee replacement in spinal anaesthesia. Methods. In total, 39 patients aged 60 or o...
0
Shock waves do more than just crush stones: Extracorporeal shock wave therapy in plantar fasciitis
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Heel pain is a common orthopaedic problem, The cause of this clinical entity remains an enigma. The overall prognosis is good, however, and the symptoms generally settle well with time. There appears to be little evidence of the effectiveness of local steroid injections and dorsiflexion night splints. Extracorporeal sh...
1
British Oculoplastic Surgery Society (BOPSS) National Ptosis Survey
Upper Eyelid and Brow Surgery
AIM: To assess the results of primary aponeurotic ptosis surgery among UK ophthalmic oculoplastic surgeons, from both the surgeon's and patient's perspective; also to inform and encourage good clinical practice by generating outcomes for individual surgeons, units and for benchmarking purposes. METHODS: A prospective, ...
0
Olecranon osteotomy for exposure of fractures and nonunions of the distal humerus
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Although olecranon osteotomy provides excellent exposure of the distal humerus, enthusiasm for this approach has been limited by reports suggesting numerous complications. It has been suggested that specific techniques for creating and repairing an olecranon osteotomy may help limit complications. This paper describes ...
0
Preventive effect of comprehensive rehabilitation nursing on early complications of total hip arthroplasty
Management of Hip Fractures in the Elderly
BACKGROUND: Although the early postoperative functional rehabilitation can effectively guarantee the results of operations, incidence rate of complications following total hip replacement is still high. OBJECTIVE: To evaluate preventive effect of comprehensive rehabilitation care of early complications of total hip art...
0
Long-term cadmium exposure and the association with bone mineral density and fractures in a population-based study among women
Management of Hip Fractures in the Elderly
All people are exposed to cadmium (Cd) via food; smokers are additionally exposed. High Cd exposure is associated with severe bone damage, but the public health impact in relation to osteoporosis and fractures at low environmental exposure remains to be clarified. Within the population-based Swedish Mammography Cohort,...
0
Effect of low-dose alendronate treatment on bone mineral density and bone turnover markers in Chinese postmenopausal women with osteopenia and osteoporosis
Management of Hip Fractures in the Elderly
Objective: The aim of this study was to evaluate the effect of low-dose alendronate (ALN) treatment on bone mineral density (BMD) and bone turnover markers in Chinese postmenopausal women with osteopenia and osteoporosis. Methods: This study was a large-sample, randomized, open-label, prospective, multicenter, clinical...
0
nullHealthcare Cost, Quality, and Policy: Driving Stakeholder Innovation in Process and Practicenull
SR for PM on OA of All Extremities
The proceedings contain 62 papers. The special focus in this conference is on Stakeholders Innovation in Process and Practice. The topics include: Psychotropic medication use and 10-year incident fracture risk in men and women ages 50 and older in the population-based Canadian multicentre osteoporosis study (CaMoS); th...
0
A localized scleroderma case with atypical presentation
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Scleroderma is a connective tissue disorder characterized by excessive accumulation of collagen in the skin and internal organs. It is classified according to the skin and organ involvement. Skin changes together with organ involvement is known as systemic scleroderma, while only skin and subcutaneous involvement, and ...
0
Minimal invasive long PHILOS®-plate osteosynthesis in metadiaphyseal fractures of the proximal humerus
Pediatric Supracondylar Humerus Fracture 2020 Review
Minimal invasive plate osteosynthesis (MIPO) not only meets the criteria of a "biological" osteosynthesis by minimising invasivity as well as iatrogenic soft tissue damage, but can also provide adequate stability for fracture healing and early functional aftertreatment. Up to date, only few publications report on MIPO ...
1
Preoperative screening/decolonization for Staphylococcus aureus to prevent orthopedic surgical site infection: prospective cohort study with 2-year follow-up
Surgical Management of Osteoarthritis of the Knee CPG
We quantified surgical site infections (SSIs) after preoperative screening/selective decolonization before elective total joint arthroplasty (TJA) with 2-year follow-up and 2 controls. Concurrent controls (n = 2284) were patients of surgeons not participating in screening/decolonization. Preintervention controls (n = 7...
0
Effects of low-level laser irradiation on cartilage injury in animal models: A systematic review
SR for PM on OA of All Extremities
This systematic review was performed to identify animal research defining the effects of low-level laser irradiation on experimental models of cartilage injury and the impact of dosage. EMBASE, PubMed, and CINAHL were searched for studies in the areas of laser and cartilage repair, published from January 2001 to Januar...
1
Effect of periarticular corticosteroid injections during total knee arthroplasty. A double-blind randomized trial
AAHKS (2) Corticosteroids
BACKGROUND: Multimodal pain-control protocols that include periarticular injections have been reported to decrease pain and improve early outcomes following total knee arthroplasty. While injections containing a corticosteroid have been demonstrated to be safe and effective, we are not aware of any randomized trials in...
0
MRI for the evaluation of knee pain: comparison of ordering practices of primary care physicians and orthopaedic surgeons
PJI DX Updated Search
BACKGROUND: Knee pain is one of the most common reasons for outpatient visits in the U.S. The great majority of such cases can be effectively evaluated through physical examination and judicious use of radiography. Despite this, an increasing number of magnetic resonance images (MRIs) of the knee are being ordered for ...
0
2018 Frank Stinchfield Award: Spinopelvic Hypermobility Is Associated With an Inferior Outcome After THA: Examining the Effect of Spinal Arthrodesis
Hip Fx in the Elderly 2019
BACKGROUND: Many patients undergo both THA and spinal arthrodesis, and those patients may not fare as well as those who undergo one procedure but not the other. The mechanisms of how spinal arthrodesis affects patient function after THA remain unclear. QUESTIONS/PURPOSES: The aims of our study were to (1) determine how...
1
Evolving role of bone biomarkers in castration-resistant prostate cancer
MSTS 2018 - Femur Mets and MM
The preferential metastasis of prostate cancer cells to bone disrupts the process of bone remodeling and results in lesions that cause significant pain and patient morbidity. Although prostate-specific antigen (PSA) is an established biomarker in prostate cancer, it provides only limited information relating to bone me...
1
Osteochondritis dissecans of the hip
Developmental Dysplasia of the Hip CPG
PURPOSE: To investigate the clinical and radiological characteristics of osteochondritis dissecans (OD) of the hip and the outcome of this condition after treatment. MATERIAL AND METHODS: Twelve male and 3 female patients with OD were retrospectively studied. Six patients had a history of Legg-Calve-Perthes disease (LC...
0
Carpal tunnel syndrome and vitamin B6
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
We reviewed 1075 patients presenting over a 12-year period with symptoms of carpal tunnel syndrome. A total of 994 had a final diagnosis of carpal tunnel syndrome. There were 444 male and 550 female patients with a mean age of 42 years. Three-hundred and ninety-five related symptoms to their job. Surgery was performed ...
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Obesity, diabetes, and preoperative hyperglycemia as predictors of periprosthetic joint infection: a single-center analysis of 7181 primary hip and knee replacements for osteoarthritis
PJI DX Updated Search
BACKGROUND: Diabetes and obesity are common in patients undergoing joint replacement. Studies analyzing the effects of diabetes and obesity on the occurrence of periprosthetic joint infection have yielded contradictory results, and the combined effects of these conditions are not known. METHODS: The one-year incidence ...
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Quality of life assessment of patients with posttraumatic fracture nonunion, chronic refractory osteomyelitis, and lower-extremity amputation
DoD PRF (Psychosocial RF)
One hundred nine patients with long-bone fracture nonunion, chronic refractory osteomyelitis, and posttraumatic amputation were evaluated to assess the impact of chronic disability on the quality of life. The quality of life parameters were defined by a functional assessment instrument, the Arthritis Impact Measurement...
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Elderly with knee osteoarthritis should perform nutritional assessment: integrative literature review
OAK 3 - Non-arthroplasty tx of OAK
To review scientific literature to assess nutritional status of elderly patients with osteoarthritis in the last 16 years. This is an integrative literature review that included articles published in national and international journals indexed in PubMed, SciELO and BIREME. We selected 14 articles, and English language ...
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Infections in implantology: from prophylaxis to treatment
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Since the introduction of osseointegrated implant treatment, odontology, and in particular the area of prosthodontic replacement of lost teeth, has evolved in an unimaginable way, to the extent that the age-old idea of "restitutio ad integrum" has almost become possible. Implant treatment has a high success rate that h...
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Lengthening strategies for Peyronie's disease
Panniculectomy & Abdominoplasty CPG
Loss of penile length is a common complaint of men with Peyronie's disease (PD), both before and after corrective intervention, which has a significant negative effect on patient quality of life. We sought to identify and describe the methods by which penile length can be preserved or increased. We conducted an extensi...
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Serial Improvement of Medial Meniscus Extrusion Following Medial Open-Wedge High Tibial Osteotomy Does Not Correlate With Clinical Outcomes and Arthroscopic Articular Cartilage Improvement
AMP (Acute Meniscal Pathology)
PURPOSE: To assess serial change up to 2 years in medial meniscus extrusion (MME) following medial open-wedge high tibial osteotomy (MOWHTO) and to determine whether postoperative changes in MME correlated with clinical outcomes and arthroscopic articular cartilage status. METHODS: This study included 26 patients from ...
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Osteoporosis. Pathogenesis, diagnosis, and treatment in older adults
Management of Hip Fractures in the Elderly
Osteoporosis is a major cause of disability and excess mortality in older men and women. Hip fracture incidence accelerates approximately 10 years after menopause in women and after age 70 in men. Approximately 1 million Americans suffer fragility fractures each year at a cost of over 14 billion dollars. The disability...
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Diffusion MR imaging for monitoring of treatment response
MSTS 2018 - Femur Mets and MM
Functional imaging techniques are increasingly being used to monitor response to therapies, often predicting the success of therapy before conventional measurements are changed. This review focuses on magnetic resonance imaging (MRI) depicted water diffusivity as a tumor response parameter. Response assessments are und...
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Expression of CXCL12 and CXCR4 in pT3-stage gastric cancer does not correlate with peritoneal metastasis
MSTS 2018 - Femur Mets and MM
CXCR4, a chemokine receptor, is considered to be involved in the metastastic formation of various types of cancer and could influence survival. More recently, CXCR4 was reported to be associated with peritoneal metastasis in gastric cancer, and CXCL12, its ligand, as a prognostic determinant among gastric cancer of var...
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Neutral glenoid alignment in reverse shoulder arthroplasty does not guarantee decreased risk of impingement
Trial Systematic Review Project
Reverse Shoulder Arthroplasty (RSA) has gained popularity over the recent years, but impingement concerns are still present. Surgeons aim to correct pre-operative glenoid deformities to reduce impingement but it can be challenging without assistance like patient specific guides. However, it is unclear how accurate glen...
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Immunotherapy of multiple myeloma: The start of a long and tortuous journey
MSTS 2018 - Femur Mets and MM
The field of tumor immunotherapy is still in its infancy. It is becoming clear that the human immune response is the result of highly complex, continuously evolving interactions between cells of the adaptive and innate arms of the immune system, the internal and external environments, and normal and abnormal cells (e.g...
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Outcomes of arthroscopic revision rotator cuff repair with acellular human dermal matrix allograft augmentation
Trial Systematic Review Project
Background: The purpose was to assess the minimum 2-year patient-reported outcomes and failure rate of patients who underwent revision arthroscopic rotator cuff repair augmented with acellular human dermal matrix (AHDM) allograft for repairable retears. Methods: From 2008-2014, patients who underwent revision rotator c...
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Early diagnosis of congenital dislocation of the hip
Developmental Dysplasia of the Hip CPG
In this prospective study, 35,550 neonates were examined shortly after birth by a team of orthopaedic surgeons. They diagnosed 775 unstable or dislocated hips in 656 babies; there were two teratological dislocations. Treatment was first with a Frejka pillow and, if this failed to give a normal hip, a Pavlik harness at ...
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Inferior pole length and long-term aesthetic outcome after superior and inferior pedicled reduction mammaplasty
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Long-term aesthetic results after reduction mammaplasty remain an important issue for evaluating the success of different techniques. Superior pedicled techniques are reported to maintain a better breast projection with less bottoming-out of the inferior mammary pole than inferior pedicled techniques. METHO...
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Wild-type transthyretin-derived amyloidosis in various ligaments and tendons
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Transthyretin-derived amyloid deposition is commonly found in intercarpal ligaments of patients with senile systemic amyloidosis. However, the frequency of transthyretin-derived amyloid deposits in ligaments of other tissues remains to be elucidated. This study aimed to determine the frequency of amyloid deposition and...
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MicroRNA-320 regulates matrix metalloproteinase-13 expression in chondrogenesis and interleukin-1beta-induced chondrocyte responses
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: Metalloproteinases (MMPs) are key regulators of osteoarthritis (OA) and collagen degradation and have been shown to participate in endochondral ossification. The aim of this study was to determine whether microRNA-320 (miR-320) regulates the expression of MMP-13 in chondrogenesis and inflammation. EXPERIMENT...
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Ulnar shortening osteotomy in posttraumatic ulnar impaction syndrome
Distal Radius Fractures
Twenty-eight patients (average age 45 years) with posttraumatic ulnar impaction syndrome underwent ulnar shortening osteotomy of 3-15 mm. Contributing factors were malunited fractures of the distal radius in 20, diaphyseal fractures of the ulna and radius in 6, resection of the radial head and a traumatic tear of the t...
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Results of using Ilizarov distraction osteogenesis technique for the treatment of cubitus varus deformities in adults
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
INTRODUCTION: Five adult patients, with posttraumatic cubitus varus deformity underwent corrective surgery by the Ilizarov method of distraction osteogenesis. METHOD: A standard technique was applied in all patients. The average follow-up was 28 (range, 24-38) months. Preoperative carrying angle ranged from 12 degrees ...
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Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment
Coronavirus Disease 2019 (COVID-19)
PURPOSE: After the appearance of first COVID-19 cases in Serbia, state of emergency was declared on 15 March 2020 and lasted for 54 days. The aim of this report is to compare orthopaedic fracture frequencies in this period, when the walk was limited at the home mostly, with those during the same part in the previous y...
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Safe zone for placement of anterior distal femoral half pins
OAK 3 - Non-arthroplasty tx of OAK
Background: Anterior external fixator half pins are commonly used to secure a knee spanning external fixator. Knee joint penetration by the pins is a serious complication. Objective: To determine the safe zone for the insertion of anterior half pins at the distal femur to avoid suprapatellar pouch penetration using fix...