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0 | Biomechanical changes after carpal tunnel release: A cadaveric model for comparing open, endoscopic, and step-cut lengthening techniques | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We used a previously described cadaveric model for evaluating changes in flexor tendon biomechanics after open carpal tunnel release to evaluate endoscopic and step-cut lengthening techniques. A 26% and 18% increase in tendon excursion consumed by wrist motion was demonstrated for flexor digitorum profundus and flexor ... |
0 | Ankylosing neurogenic myositis ossificans of the hip. An enhanced volumetric CT study | Management of Hip Fractures in the Elderly | Neurogenic myositis ossificans is a disabling condition affecting the large joints of patients with severe post-traumatic impairment of the central nervous system. It can result in ankylosis of the joint and vascular or neural compression. Surgery may be hazardous with potential haemorrhage, neurovascular injury, iatro... |
1 | Persistent postsurgical pain: risk factors and prevention | DoD PRF (Psychosocial RF) | Acute postoperative pain is followed by persistent pain in 10-50% of individuals after common operations, such as groin hernia repair, breast and thoracic surgery, leg amputation, and coronary artery bypass surgery. Since chronic pain can be severe in about 2-10% of these patients, persistent postsurgical pain represen... |
1 | The effectiveness of femoral/sciatic nerve blocks on postoperative pain management in total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | PURPOSE: Total knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Lack of adequate pain control can hinder early intensive physical therapy, the most influential factor for a good outcome. The purpose of this study was to evaluate the effectiveness of th... |
0 | Prospective study on incidence, risk factors, and long-term outcome of osteonecrosis in pediatric acute lymphoblastic leukemia | AAHKS (2) Corticosteroids | PURPOSE: We studied cumulative incidence, risk factors, therapeutic strategies, and outcome of symptomatic osteonecrosis in pediatric patients with acute lymphoblastic leukemia (ALL).
PATIENTS AND METHODS: Cumulative incidence of osteonecrosis was assessed prospectively in 694 patients treated with the dexamethasone-ba... |
0 | Primary cutaneous leiomyosarcoma. A histological and immunohistochemical study of 9 cases, with ultrastructural correlation | MSTS 2018 - Femur Mets and MM | Leiomyosarcoma (LMS) of dermal and subcutaneous tissues is an uncommon neoplasm. In order to analyze the specialized pathologic features of this tumor, we undertook a histological, ultrastructural, and immunohistochemical study of 9 superficial LMS, including 7 dermal lesions and 2 subcutaneous neoplasms. These were co... |
0 | Regional anesthesia as compared with general anesthesia for surgery in geriatric patients with hip fracture: Does it decrease morbidity, mortality, and health care costs? Results of a single-centered study | Management of Hip Fractures in the Elderly | Introduction. Hip fracture in geriatric patients has a substantial economic impact and represents a major cause of morbidity and mortality in this population. At our institution, a regional anesthesia program was instituted for patients undergoing surgery for hip fracture. This retrospective cohort review examines the ... |
0 | The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis | AMP (Acute Meniscal Pathology) | The Knee injury and Osteoarthritis Outcome Score (KOOS) was developed as an extension of the WOMAC Osteoarthritis Index with the purpose of evaluating short-term and long-term symptoms and function in subjects with knee injury and osteoarthritis. The KOOS holds five separately scored subscales: Pain, other Symptoms, Fu... |
1 | Home rehabilitation after hip fracture. A randomized controlled study on balance confidence, physical function and everyday activities | Hip Fx in the Elderly 2019 | OBJECTIVE: To investigate whether home rehabilitation can improve balance confidence, physical function and daily activity level compared to conventional care in the early phase after hip fracture. DESIGN: A randomized controlled study. SETTING: Geriatric rehabilitation clinic. SUBJECTS: One hundred and two community-d... |
0 | Linear regression analysis of Hospital Episode Statistics predicts a large increase in demand for elective hand surgery in England | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION: We integrated two factors, demographic population shifts and changes in prevalence of disease, to predict future trends in demand for hand surgery in England, to facilitate workforce planning. METHODS: We analysed Hospital Episode Statistics data for Dupuytren's disease, carpal tunnel syndrome, cubital tu... |
0 | Outcome of opening wedge high tibial osteotomy augmented with a Biosorb(R) wedge and fixed with a plate and screws in 124 patients with a mean of ten years follow-up | Surgical Management of Osteoarthritis of the Knee CPG | The objective of this work was firstly to evaluate the long-term results of medial opening wedge high tibial osteotomy (HTO) and secondly to evaluate the tolerance and integration of a Biosorb(R) wedge (beta Tricalcium Phosphate, SBM Company, Lourdes, France). The series consisted of 124 knees in 110 patients, 74 men a... |
0 | Effects of low-intensity pulsed ultrasound and hyperbaric oxygen on human osteoarthritic chondrocytes | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Although the individual effects of hyperbaric oxygen (HBO) and low-intensity pulsed ultrasound (LIPUS) on osteoarthritic (OA) chondrocytes have been reported, the effects of HBO combined with LIPUS treatment are unknown. METHODS: OA chondrocytes were obtained from patients undergoing knee replacement surger... |
0 | Latissimus dorsi tendon transfer for massive irreparable rotator cuff tears: a systematic review | SR for PM on OA of All Extremities | Tendon transfers have been proposed as a possible solution to restore pain-free functions, strength, and range of motion in patients with massive and irreparable cuff tears. The aim of this review is to establish the outcomes of (1) latissimus dorsi tendon transfer (LDT-T) surgery performed as a single procedure or in ... |
0 | Is There a Difference in Revision Risk Between Metal and Ceramic Heads on Highly Crosslinked Polyethylene Liners? | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The most common bearing surface used among primary THAs worldwide is a metal or ceramic femoral head that articulates against a highly crosslinked ultrahigh-molecular-weight polyethylene (HXLPE) acetabular liner. Despite their widespread use, relatively little is known about the comparative effectiveness of... |
1 | Effect of an integrated approach of yoga therapy on quality of life in osteoarthritis of the knee joint: A randomized control study | OAK 3 - Non-arthroplasty tx of OAK | AIM: This study was designed to evaluate the efficacy of addition of integrated yoga therapy to therapeutic exercises in osteoarthritis (OA) of knee joints. MATERIALS AND METHODS: This was a prospective randomized active control trial. A total of t participants with OA of knee joints between 35 and 80 years (yoga, 59.5... |
0 | Vocal fold augmentation by autologous fat injection with lipostructure procedure | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Fat is theoretically the ideal implant for vocal fold augmentation because it is soft, easily available and biocompatible. However, reabsorption is a frequent cause of long-term failure. OBJECTIVE: We prospectively tested Coleman's "lipostructure" technique used for facial recontouring in the treatment of g... |
0 | Impact of perioperative allogeneic and autologous blood transfusion on acute wound infection following total knee and total hip arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background: Patients undergoing total hip or knee arthroplasty frequently receive blood transfusions. The relationship between transfusion and the risk of infection following total joint arthroplasty is unclear. In this study, we sought to examine the impact of allogeneic and autologous transfusion on the risk of acute... |
0 | The role of biomechanical factors in OA development | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION : Excessive or abnormal mechanical loading of the joint is arguably the most important aetiological factor in the development of osteoarthritis (OA). Although such changes could occur by excessive wear and tear leading to attrition of the articular surfaces, it is now generally accepted that OA is not a pa... |
0 | Optimal Level of Femoral Neck for Predicting Postoperative Stem Anteversion in Total Hip Arthroplasty for Crowe Type I Dysplastic Hip | Hip Fx in the Elderly 2019 | Objective: To investigate the optimal level of femoral neck for measuring femoral anteversion to predict postoperative stem anteversion in Crowe type I developmental dysplasia of the hip. Methods: This retrospective study analyzed 108 Crowe type I hips that underwent THA between January 2016 and December 2017, includin... |
0 | Sleep problems and dissociation in preschool victims of sexual abuse | DoD PRF (Psychosocial RF) | Objective: Child sexual abuse (CSA) is associated with a host of deleterious impacts, yet little is known about the short-term correlates in children. This study aimed to investigate the association between dissociation and sleep problems in a sample of preschool-age sexual abuse victims while controlling for potential... |
0 | Systematic review and meta-analysis of closed suction drainage versus non-drainage in primary hip arthroplasty | PJI DX Updated Search | The routine use of drains in surgery has been dogmatically instituted in some disciplines. Orthopaedic surgery is one such sub-speciality. The use of postoperative closed suction drainage in total hip arthroplasty (THA) has become increasingly controversial with multiple randomised control trials performed to assess th... |
0 | The association between structure-function relationships and cognitive impairment in elderly glaucoma patients | Upper Eyelid and Brow Surgery | Accurate measurement of visual field (VF) is important in accessing glaucoma, however this may not be achieved in patients with dementia or mild cognitive impairment (CI). We investigated the association between CI and structure-function relationships in elderly glaucoma patients. The study included 94 eyes of 51 glauc... |
0 | Risk factors for periprosthetic joint infection after primary artificial hip and knee joint replacements | DoD SSI (Surgical Site Infections) | Introduction: We aimed to explore the risk factors for periprosthetic joint infection (PJI) after primary artificial hip and knee joint replacements by performing a case-control study. Methodology: The clinical data of patients receiving primary hip and knee joint replacements were retrospectively analyzed. The case gr... |
0 | Decrease in central venous catheter placement due to use of ultrasound guidance for peripheral intravenous catheters | DOD - Acute Comp Syndrome CPG | Study Objectives: Obtaining intravenous (IV) access in the emergency department (ED) can be especially challenging, and physicians often resort to placement of central venous catheters (CVCs). Use of ultrasound-guided peripheral IV catheters (USGPIVs) can prevent many unnecessary CVCs, but the true impact of USGPIVs ha... |
0 | Effects of l-Carnitine Supplementation on Serum Inflammatory Factors and Matrix Metalloproteinase Enzymes in Females with Knee Osteoarthritis: A Randomized, Double-Blind, Placebo-Controlled Pilot Study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Considering the importance of inflammation in the pathogenesis of osteoarthritis (OA) and induction of pain, this study was aimed to investigate the effect of L-carnitine supplementation on serum inflammatory mediators and OA-associated pain in females with knee OA.
METHODS: In this clinical trial, 72 female... |
0 | Results of the percutaneous pinning of proximal humerus fractures with a modified palm tree technique | Pediatric Supracondylar Humerus Fracture 2020 Review | Purpose Many techniques are available for closed reduction and percutaneous fixation of proximal humeral fractures. The palm tree technique was described by Kapandji in 1989. In that technique three curved wires are inserted through one hole at the V-shaped insertion of the deltoid muscle. It is a good technique but it... |
0 | Clinical effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: population-based longitudinal study | Hip Fx in the Elderly 2019 | OBJECTIVES: to evaluate orthogeriatric and nurse-led fracture liaison service (FLS) models of post-hip fracture care in terms of impact on mortality (30 days and 1 year) and second hip fracture (2 years).
SETTING: Hospital Episode Statistics database linked to Office for National Statistics mortality records for 11 acu... |
0 | Analysis of prognostic factors for survival in patients with primary spinal chordoma using the SEER Registry from 1973 to 2014 | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Spinal chordomas are rare primary osseous tumors that arise from the remnants of the notochord. They are commonly considered slow-growing, locally invasive neoplasms with little tendency to metastasize, but the high recurrent rate of spinal chordomas may seriously affect the survival rate and quality of lif... |
1 | Helical versus conventional CT in detecting meniscal injuries | AMP (Acute Meniscal Pathology) | PURPOSE: We compared volumetric helical and conventional CT in the study of meniscal injuries.
MATERIAL AND METHODS: Thirty-three patients with suspected meniscal tear underwent helical and conventional CT. Common parameters were 512 x 512 matrix, 14-15 cm FOV, 120 kV and 175 mA; helical CT was performed with 2 mm beam... |
0 | Apoptosis and mitochondrial dysfunction in human chondrocytes following exposure to lidocaine, bupivacaine, and ropivacaine | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Several mechanisms have been proposed to explain toxicity of local anesthetics to chondrocytes, including the blockade of potassium channels and mitochondrial injury. The purposes of this investigation were to study the effects of lidocaine, bupivacaine, and ropivacaine on human chondrocyte viability and mi... |
0 | Supine and Standing AP Pelvis Radiographs in the Evaluation of Pincer Femoroacetabular Impingement | Hip Fx in the Elderly 2019 | BACKGROUND: Pelvic tilt can affect the presence of the ischial spine sign and crossover sign. Numerous studies of pelvic tilt on radiographic measurements of pincer impingement have shown that increasing anterior tilt is associated with more radiographic signs of pincer impingement. However, to our knowledge, no study ... |
0 | FimA, a major virulence factor associated with Streptococcus parasanguis endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Adherence of microorganisms to damaged heart tissue is a crucial event in the pathogenesis of infective endocarditis. In the present study, we investigated the role of the FimA protein as a potential virulence factor associated with Streptococcus parasanguis endocarditis. FimA is a 36-kDa surface protein that is a reco... |
0 | Super Obesity Is an Independent Risk Factor for Complications After Primary Total Hip Arthroplasty | PJI DX Updated Search | BACKGROUND: Recent studies have reported higher postoperative complication rates in obese and morbidly obese patients undergoing total hip arthroplasty (THA). Less data are available regarding super-obese (body mass index [BMI] >50 kg/m2) patients. This study aims to quantify the risk of complications after THA in supe... |
0 | Epidemiology and mortality of hip fracture among patients on dialysis: Taiwan National Cohort Study | HipFx Supplemental Cost Analysis | Chronic kidney disease increases the risk for hip fractures. Hip fractures are associated with increased mortality, decreased quality of life, and higher economic burden. To determine whether dialysis modality is associated with a higher incidence of hip fractures in patients with end-stage renal disease (ESRD), we use... |
1 | Safety and Efficacy of Third-Generation Ultrasound-Assisted Liposuction: A Series of 261 Cases | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The introduction of third-generation ultrasound-assisted liposuction (3rd UAL) allows for a less invasive modality of both deep and superficial lipectomy while offering improved skin retraction and reduced rate of complications. This study examined the efficacy and safety profile of this technology over 15 ... |
0 | Relation of regional articular cartilage morphometry and meniscal position by MRI to joint space width in knee radiographs | AMP (Acute Meniscal Pathology) | OBJECTIVE: To ascertain the contribution of articular cartilage morphometry and meniscal position on MRI to joint space width (JSW) measured in the Lyon schuss radiograph of the knee.
DESIGN: 62 obese women with knee OA and 99 non-obese female controls (mean age 56.6 years) were imaged using 3T MRI and coronal water ex... |
0 | Extracorporeal lung support technologies - Bridge to recovery and bridge to lung transplantation in adult patients | DOD - Acute Comp Syndrome CPG | For cases of acute respiratory distress syndrome (ARDS) and progressive chronic respiratory failure, the first choice or treatment is mechanical ventilation. For decades, this method has been used to support critically ill patients in respiratory failure. Despite its life-saving potential, however, several experimental... |
0 | Detection of bacteria with molecular methods in prosthetic joint infection: sonication fluid better than periprosthetic tissue | PJI DX Updated Search | Background and purpose - The correct diagnosis of prosthetic joint infection (PJI) can be difficult because bacteria form a biofilm on the surface of the implant. The sensitivity of culture from sonication fluid is better than that from periprosthetic tissue, but no comparison studies using molecular methods on a large... |
0 | Cyclic phosphatidic acid relieves osteoarthritis symptoms | OAK Recommendation 9 Articles | BACKGROUND: Cyclic phosphatidic acid (cPA) is a naturally occurring phospholipid mediator with a unique cyclic phosphate ring at the sn-2 and sn-3 positions of its glycerol backbone. Natural cPA and its chemically stabilized cPA derivative, 2-carba-cPA (2ccPA), inhibit chronic and acute inflammation, and 2ccPA attenuat... |
1 | Reuse of external fixation components: a randomized trial | Distal Radius Fractures | OBJECTIVES: External fixation devices are sold in the United States as single-use devices and can be costly. Approved processes for refurbishment of nonimplantable components are available. We evaluated one such program for safety, efficacy, and fiscal ramifications.
DESIGN: Randomized clinical trial
SETTING: Single ce... |
1 | Normal meniscal dimensions at different patient ages-MRI evaluation | AMP (Acute Meniscal Pathology) | OBJECTIVE: The purpose of this work is to evaluate the normal meniscal and tibial dimensions in relation to age and gender in different children using conventional MRI sequences.
MATERIALS AND METHODS: Morphometric measurements of the menisci were retrospectively performed on knee MRIs of children (< 18 years). All kne... |
0 | Mulberroside A alleviates osteoarthritis via restoring impaired autophagy and suppressing MAPK/NF-kappaB/PI3K-AKT-mTOR signaling pathways | AMP (Acute Meniscal Pathology) | Osteoarthritis (OA) is a trauma-/age-related degenerative disease characterized by chronic inflammation as one of its pathogenic mechanisms. Mulberroside A (MA), a natural bioactive withanolide, demonstrates anti-inflammatory properties in various diseases; however, little is known about the effect of MA on OA. We aim ... |
0 | Doxycycline-induced dizziness in dental patient. Case report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Many dentists are unaware of the documented adverse drug reaction of doxycycline: induced dizziness. Because doxycycline is frequently prescribed in dentistry, it is important for dentists and patients to be aware of this significant adverse reaction to prevent medical complications. A clinical case is reported in whic... |
1 | Incidence, prognosis and nomograms of breast cancer with bone metastases at initial diagnosis: a large population-based study | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Bone is the most common metastatic site for breast cancer, and patients' condition will deteriorate when it occurs.
METHODS: We performed a retrospective analysis on 6482 breast cancer patients with bone metastases (BCBM), who were selected from the Surveillance, Epidemiology, and End Result (SEER) 18 regis... |
0 | Saliva: potential diagnostic value and transmission of 2019-nCoV | Coronavirus Disease 2019 (COVID-19) | 2019-nCoV epidemic was firstly reported at late December of 2019 and has caused a global outbreak of COVID-19 now. Saliva, a biofluid largely generated from salivary glands in oral cavity, has been reported 2019-nCoV nucleic acid positive. Besides lungs, salivary glands and tongue are possibly another hosts of 2019-nCo... |
0 | Spinal anesthesia for ureterorenoscopy and in situ lithotripsy for upper ureteric solitary pelvic calculi: An experience at POF hospital, Wah Cantt | Surgical Management of Osteoarthritis of the Knee CPG | Objective To evaluate the possibility of performing ureterorenoscopy and insitu lithotripsy for upper ureteric and solitary pelvic calculi under spinal anesthesia. Methods This descriptive study was conducted at POF Hospital, Wah Cant from June 2008 to December 2008. A total of 125 ASA-I patients, 75 male and 50 female... |
0 | Past and present of the use of cerclage wires in orthopedics | Pediatric Supracondylar Humerus Fracture 2020 Review | Cerclage wiring is a simple technique that has been practiced widely since the advent of surgical treatment of fractures. Many studies have reported the use of various cerclage technologies with a wide range of results and clinical applications. The increasing numbers of periprosthetic fractures have led to a revival o... |
0 | Complications of femoral nerve block for total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Preemptive and multimodal pain control protocols have been introduced to enhance rehabilitation after total knee arthroplasty (TKA). We determined the complication rate associated with preoperative femoral nerve block (FNB) for TKA. Among 1018 TKA operations, we performed 709 FNBs using a single-injection technique int... |
0 | Running circular suture technique for reduction mammaplasty and mastopexy | Reduction Mammoplasty for Female Breast Hypertrophy | Many reports have described various technical aspects of reduction mammaplasty and mastopexy procedures. The authors present their technique, which combines a number of techniques already described in the literature regarding repositioning of the nipple-areola complex, reduction of the diameter of the base of the breas... |
0 | Orienting of attention in unmedicated patients with schizophrenia, prodromal subjects and healthy relatives | Upper Eyelid and Brow Surgery | In typical orienting of attention tasks subjects have to respond as fast as possible to targets which appear in the periphery of the visual field and are preceded by spatial cues (e.g. brightening of a peripheral box where the target may subsequently appear). Reaction times (RT) are facilitated when cue and target appe... |
0 | Displaced fracture of the distal radius in children | Distal Radius Fractures | We retrospectively reviewed 183 children with a simple fracture of the distal radius, with or without fracture of the ulna, treated by closed reduction and cast immobilisation. The fracture redisplaced after an initial, acceptable closed reduction in 46 (25%). Complete initial displacement was identified as the most im... |
0 | Mandibular cortical shape index in non-standardised panoramic radiographs for identifying patients with osteoporosis as defined by the German Osteology Organization | Hip Fx in the Elderly 2019 | The aim of this prospective controlled study was to determine the validity of the mandibular cortical shape index (CI) on panoramic radiographs in distinguishing patients with osteoporosis as defined by the German Osteology Organization (Dachverbands der Deutschsprachigen Osteologischen Fachgesellschaften, DVO). The st... |
0 | Carpal arch alteration after carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A retrospective clinical study quantitated postoperative widening of the transverse carpal arch after carpal tunnel release in a group of 50 patients. The relationship of this widening with postoperative pain, forearm circumference, grip strength, and wrist range of motion was evaluated. Mean widening of the transverse... |
0 | Cone-Beam computed tomography as an adjunct to performance of percutaneous cementoplasty of the acetabulum | PJI DX Updated Search | Acetabuloplasty is a valuable palliative adjunct for the treatment of patients with painful metastatic disease to the pelvis in selected cases. We report the case of a 45-year-old woman with morbid obesity and with breast carcinoma who was technically difficult to treat under fluoroscopic guidance due to very poor visu... |
0 | Primary and revision THA using a stemless metaphyseal-loading implant above distorted proximal femoral anatomy | DoD LSA (Limb Salvage vs Amputation) | Total hip arthroplasty is well established as a successful treatment for end stage arthritis, with a wide variety of components currently available. Using traditional stemmed implants in patients with a distorted proximal femur can be technically challenging with an increased risk of complications. We present seven pat... |
1 | Oral infections in the immunocompromised host | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The prevalence of infections in the immunocompromised host is increasing. The oral cavity is a primary or sole site in many cases. It is important for the practicing clinician to recognize the more common infections in this growing patient population. Oral examinations are an essential component of all physical examina... |
0 | A novel subchondral bone-grafting procedure for the treatment of giant-cell tumor around the knee: A retrospective study of 27 cases | OAK 3 - Non-arthroplasty tx of OAK | The vast majority of giant-cell tumors occur around the knee and characteristically affect the subchondral bone. Thermal damage to the articular cartilage arising from the application of polymethylmethacrylate (PMMA) or extensive intralesional curettage presents a challenging problem to orthopedic surgeons and patients... |
0 | Professional interventions for general practitioners on the management of musculoskeletal conditions | Glenohumeral Joint OA | BACKGROUND: Musculoskeletal conditions require particular management skills. Identification of interventions which are effective in equipping general practitioners (GPs) with such necessary skills could translate to improved health outcomes for patients and reduced healthcare and societal costs.
OBJECTIVES: To determin... |
0 | Controversies and techniques in the surgical management of patellofemoral arthritis | Surgical Management of Osteoarthritis of the Knee CPG | Historically, the patellofemoral articulation has been a topic of less interest among orthopaedists and has been subject to fewer studies when compared with other major joints in the body. Patellofemoral arthritis is a common and debilitating condition, and greater awareness of this has led to a new interest and recent... |
0 | Distal femoral bone mineral density decreases following patellofemoral arthroplasty: 1-year follow-up study of 14 patients | Surgical Management of Osteoarthritis of the Knee CPG | Background. The bone mineral density (BMD) of the distal femur decreases by 16-36% within one year after total knee arthroplasty (TKA) because of the femoral component's stress-shielding effect. The aim of this prospective study was to determine the quantitative change from the baseline BMD in the distal femur 1 year a... |
0 | Transconjunctival blepharoplasty | Panniculectomy & Abdominoplasty CPG | Cosmetic blepharoplasty is directed at the surgical correction of undesirable changes of the eyelids that are usually of an acquired nature and caused by aging. The goals are to improve the appearance and, many times, the function of the eyelids. Just as important as attaining these goals is avoiding any complications ... |
1 | Autologous osteochondral mosaicplasty in osteochondritis dissecans of the patella in adolescents | Osteochondritis Dissecans 2020 Review | PURPOSE: Osteochondritis dissecans of the patella (OCDP) is rare in adolescents. The objective of this study was to evaluate functional results of OCDP management in adolescents with mosaicplasty and to analyze proper integration of osteochondral grafts via MRI. METHODS: This is a retrospective series of eight cases of... |
0 | Contribution of vitamin C administration for increasing lipolysis | Panniculectomy & Abdominoplasty CPG | This experiment was designed to investigate whether addition of vitamin C to the solution used in tumescent technique of liposuction might increase lipolysis and whether increased fibrosis might improve skin retraction where liposuction did not work properly and the skin had poor retraction ability. Eighteen Sprague-Da... |
0 | Infant Medical Trauma in the Neonatal Intensive Care Unit (IMTN): A Proposed Concept for Science and Practice | DoD PRF (Psychosocial RF) | BACKGROUND: Trauma is an innately subjective experience ensuing from a deeply distressing event. Research has demonstrated that while the environment of the neonatal intensive care unit (NICU) is capable of providing extraordinary lifesaving measures following birth, the experience may be disruptive to several key aspe... |
0 | Treatment of Multiple Myeloma: Current Management and New Approaches | MSTS 2022 - Metastatic Disease of the Humerus | The management of multiple myeloma (MM) has undergone many developments in the last 30 years. Initially, melphalan was used as a single agent and this was followed by the discovery of corticosteroids as highly active agents and the design of multiagent cytotoxic regimens. However, although response rates have improved,... |
0 | Economic evaluations of antibiotic use and resistance--a perspective: report of Task Force 6 | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The economic consequences of antibiotic prophylaxis and therapy for bacterial infections in humans are profound. The reduction in real-dollar terms in the amount of illness and disability resulting from the use of developed and marketed antibiotics far outweighs costs of adverse effects, including resistance. Although ... |
0 | Lateral epicondylitis: review of injection therapies | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | Lateral epicondylitis has several different treatment methods, with no single agreed upon therapy. This article summarizes the current literature on injection therapies for lateral epicondylitis. Glucocorticoid, botulinum toxin, autologous blood, platelet-rich plasma, hyaluronic acid, polidocanol, glycosaminoglycan, an... |
0 | New and emerging antiresorptive treatments in osteoporosis | MSTS 2018 - Femur Mets and MM | Bisphosphonates have for many years been the mainstay of antiresorptive treatment, acting predominantly by inducing apoptosis of mature osteoclasts. During recent years, an advanced understanding of the genetic and biological mechanism involved in bone resorption has revealed new therapeutic targets for antiresorptive ... |
0 | Musculoskeletal MR: knee | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Magnetic resonance imaging is the most sensitive, specific, and accurate noninvasive method for diagnosing internal derangement of the knee. During the past 15 years knowledge of pathologic conditions of the knee had evolved significantly. Beyond the basic principles of imaging knee injuries great impact was made on th... |
0 | Kinematics of knees with osteoarthritis show reduced lateral femoral roll-back and maintain an adducted position. A systematic review of research using medical imaging | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: While several studies describe kinematics of healthy and osteoarthritic knees using the accurate imaging and computer modelling now possible, no systematic review exists to synthesise these data.
METHOD: A systematic review extracted quantitative observational, quasi-experimental and experimental studies fr... |
1 | Extracorporeal Shock Wave Therapy shows Superiority over Injections for Pain Relief and Grip Strength Recovery in Lateral Epicondylitis: A Systematic Review and Network Meta-Analysis | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | PURPOSE: To examine the efficacy of extracorporeal shock wave therapy (ESWT) and injection therapies by synthesizing direct and indirect evidence for all pairs of competing therapies for lateral epicondylitis.
METHODS: PubMed, EMBASE, and Web of Science databases were searched for all appropriate randomized controlled ... |
0 | Width of excision of malignant melanoma of thickness 2 mm or greater. A randomized study - 1 cm vs 3 cm | Reconstruction After Skin Cancer | British Association of Surgical Oncology. 46th Scientific Meeting of the Association held at Glan Clwyd Hospital, Rhyl, North Wales on 18 June 1993. Abstracts of members' papers. |
1 | The Effect of Reduction Mammaplasty on Quality of Life in Adolescents With Macromastia | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVES: To measure changes in health-related quality of life and breast-related symptoms after reduction mammaplasty in adolescents.
METHODS: In this longitudinal cohort study, we administered the Short-Form 36v2 (SF-36), Rosenberg Self-Esteem Scale (RSES), Breast-Related Symptoms Questionnaire (BRSQ), and Eating A... |
0 | Enhanced Recovery after Surgery: The Plastic Surgery Paradigm Shift | Panniculectomy & Abdominoplasty CPG | Background: With a focus on providing high quality care and reducing facility based expenses there has been an evolution in perioperative care by way of enhanced recovery after surgery (ERAS). ERAS allows for a multidisciplinary and multimodal approach to perioperative care which not only expedites recovery but maximiz... |
0 | Functional, Magnetic Resonance Imaging, and Second-Look Arthroscopic Outcomes After Pullout Repair for Avulsion Tears of the Posterior Lateral Meniscus Root | AMP (Acute Meniscal Pathology) | BACKGROUND: Little data exist in the literature regarding second-look arthroscopic outcomes after pullout repair for avulsion tears of the posterior lateral meniscus root.
PURPOSE: To (1) assess the functional, magnetic resonance imaging (MRI), and second-look arthroscopic outcomes after pullout repair for avulsion tea... |
0 | Clinical efficacy of treatment with salmon calcitonin, administered intranasally for 1 year, in stabilized postmenopausal osteoporosis | Distal Radius Fractures | Several controlled clinical studies have confirmed the rationale of calcitonin therapy in postmenopausal osteoporosis. However, administration by injection and sideâ?effects reduced patient compliance and flexibility of dosage. Recently, evidence has been given that an intranasal spray may provide an effective alterna... |
0 | Synovial DKK1 expression is regulated by local glucocorticoid metabolism in inflammatory arthritis | TO: WNT2 Pathway Modulator | INTRODUCTION: Inflammatory arthritis is associated with increased bone resorption and suppressed bone formation. The Wnt antagonist dickkopf-1 (DKK1) is secreted by synovial fibroblasts in response to inflammation and this protein has been proposed to be a master regulator of bone remodelling in inflammatory arthritis.... |
0 | Mobile Technology to Support Physical Therapy Exercise | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is the leading cause of disability in the U.S. The rate of activity limitation due to OA is progressing faster than expected while prevalence is projected to increase as a result of the obesity epidemic and population aging, making it a major public health problem. Exercise is an evidenceâ?based tr... |
0 | The frequency of osteoporosis screening in men with inflammatory bowel disease | DoD PRF (Psychosocial RF) | Osteoporosis is underdiagnosed in men, and osteoporosis-related fractures carry high morbidity and mortality. Recent recommendations on osteoporosis screening in men from the American College of Physicians state that screening and risk factor assessment need to occur earlier in men at high risk. Men with inflammatory b... |
0 | Clinical study of anterior hip ultrasound (van Douveren's method)-assisted Pavlik harness | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: To investigate the use of anterior hip ultrasound (van Douveren's method)-assisted Pavlik harness in developmental dysplasia of the hip (DDH). METHODS: Weekly anterior hip ultrasound scanning was performed in children with fixed Pavlik harness to detect whether hip reduction was achieved with the help of harne... |
0 | T-condylar fractures of the distal humerus in children: report on three cases | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | T-condylar fractures of the distal humerus are very rare in children. Because of their rarity, there is a lack of evidence in the literature on the best method to treat such fractures. We report the cases of three paediatric patients with T-condylar fracture of the distal humerus. A high degree of attention is needed i... |
0 | The American Association for the Surgery of Trauma PROspective Observational Vascular Injury Treatment (PROOVIT) registry: multicenter data on modern vascular injury diagnosis, management, and outcomes | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: There is a need for a prospective registry designed to capture trauma-specific, in-hospital, and long-term outcomes related to vascular injury. METHODS: The American Association for the Surgery of Trauma PROspective Vascular Injury Treatment (PROOVIT) registry was used to collect demographic, diagnostic, tr... |
0 | Can squeaking with ceramic-on-ceramic hip articulations in total hip arthroplasty be avoided? | PJI DX Updated Search | Squeaking is a recognized complication of total hip arthroplasty with ceramic on ceramic bearings but the etiology has not been well identified. We evaluated 183 hips in 148 patients who had undergone ceramic-on-ceramic noncemented total hip arthroplasties at one center between 1997-2007 by standardized telephone inter... |
0 | Close reduction and percutaneous pinning in displaced supracondylar humerus fractures in children | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Displaced supracondylar fractures of the humerus in children are common pediatric injuries treated by orthopedic surgeons. They also have a high rate of complications if not reduced and stabilized in optimal position which may lead to serious neurovascular injuries and residual deformity. Amongst the variou... |
0 | A novel Wnt pathway inhibitor, SM04690, for the treatment of moderate to severe osteoarthritis of the knee: results of a 24-week, randomized, controlled, phase 1 study | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the safety, pharmacokinetics, and exploratory efficacy of SM04690, a novel Wnt pathway inhibitor, as a potential disease modifying treatment for knee osteoarthritis (OA).
DESIGN: Subjects with Kellgren-Lawrence grade 2-3 knee OA were randomized in successive dose-escalation cohorts to receive a kne... |
0 | What is a reasonable rate for specific osteoporosis drug therapy in older fragility fracture patients? | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Osteoporosis is the most common condition contributing to 95% of fractures in older patients hospitalized for fracture treatment. Despite the significant impact of fragility fractures on patient morbidity and mortality, efforts in optimizing osteoporotic treatment and prevention remain inadequate. In contra... |
0 | Omnifit acetabular component: a solution to preventing and treating dislocation | Management of Hip Fractures in the Elderly | PURPOSE: To assess short- to medium-term outcome of the Omnifit constrained acetabular component in preventing dislocation in at-risk patients after total hip arthroplasty (THA). METHODS: 81 patients (mean age, 77 years) underwent either primary or revision THA with an Omnifit constrained acetabular component and were ... |
0 | Comparison of Efficacy and Complications Among Various Spacer Grafts in the Treatment of Lower Eyelid Retraction: A Systematic Review | Upper Eyelid and Brow Surgery | Background: Lower eyelid retraction is a difficult problem to treat, but it is a prevalent condition and a common complication of blepharoplasty. The use of spacer grafts to increase eyelid height and improve symptoms has been described for a long time, but the optimal choice of spacer graft material is unknown. Object... |
0 | Strontium ranelate for preventing and treating postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | BACKGROUND: Strontium ranelate is a new treatment for osteoporosis therefore, its benefits and harms need to be known. OBJECTIVES: To determine the efficacy and safety of strontium ranelate for the treatment and prevention of postmenopausal osteoporosis. SEARCH STRATEGY: We searched MEDLINE (1996-March 2005), EMBASE (1... |
0 | Cellular and Clinical Analyses of Autologous Bone Marrow Aspirate Injectate for Knee Osteoarthritis: A Pilot Study | BMAC (Bone Marrow Aspirate Concentrate) | INTRODUCTION: Knee osteoarthritis (OA) is characterized by pain and functional deficits. Common conservative strategies include medications, physical therapy, and intra-articular injections. Recently, treatment using autologous cell injections has increased.
OBJECTIVE: To characterize the cellular content of bone marro... |
0 | Lung Cancer Diagnosis and Treatment as a Traumatic Stressor in DSM-IV and DSM-5: Prevalence and Relationship to Mental Health Outcomes | DoD PRF (Psychosocial RF) | Little research has examined how lung cancer survivors whose cancer experience met the Diagnostic and Statistical Manual of Mental Disorders (DSM) traumatic stressor criterion differ with regard to posttreatment mental health status from survivors whose cancer experience did not. No research of which we are aware has e... |
0 | Simplified method for closed femoral nailing | Management of Hip Fractures in the Elderly | We describe the method to simplify the procedure and shorten the operating time during closed femoral nailing. This includes early surgery, using a special reduction device, a marker to help interpretation of fracture alignment, limiting the surgical field to the trochanteric area with the thigh undraped to facilitate ... |
1 | Management of shoulder pain by UK general practitioners (GPs): a national survey | Trial Systematic Review Project | OBJECTIVES: Studies in Canada, the USA and Australia suggested low confidence among general practitioners (GPs) in diagnosing and managing shoulder pain, with frequent use of investigations. There are no comparable studies in the UK; our objective was to describe the diagnosis and management of shoulder pain by GPs in ... |
0 | Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures? | Management of Hip Fractures in the Elderly | Background Proximal femoral nail antirotation devices (PFNAs) are considered biomechanically superior to dynamic hip screws for treating unstable peritrochanteric fractures and reportedly have a lower complication rate. The PFNA II was introduced to eliminate lateral cortex impingement encountered with the PFNA. Howeve... |
0 | Evaluation of POSSUM scoring system in the treatment of osteoporotic fracture of the hip in elder patients | Management of Hip Fractures in the Elderly | OBJECTIVE: To evaluate the applicability of the modified physiological and operative severity score for enumeration of mortality and morbidity (POSSUM) scoring system in predicting mortality in the patients undergoing hip joint arthroplasty. METHODS: A total of 295 patients with hip fractures were analyzed using the mo... |
0 | Osteoporosis after orchiectomy for prostate cancer | Management of Hip Fractures in the Elderly | PURPOSE: The possibility of increased osteoporosis and osteoporotic fractures following therapeutic orchiectomy in men with prostate cancer was investigated. MATERIALS AND METHODS: A total of 235 men with nonstage A prostate cancer diagnosed between 1983 and 1990 was analyzed for therapeutic orchiectomy, other osteopor... |
0 | The use of a constrained acetabular component for recurrent dislocation | Management of Hip Fractures in the Elderly | The poor results of surgical treatment of chronic instability after total hip arthroplasty (THA) led to the development of a constrained acetabular component. In this study, 87 constrained THAs implanted for recurrent instability were reviewed retrospectively. Eighty-five hips were available for follow-up evaluation, w... |
1 | Defining a Safe Zone for All-Inside Lateral Meniscal Repairs in Pediatric Patients: A Magnetic Resonance Imaging Study | AMP (Acute Meniscal Pathology) | PURPOSE: To establish a safe zone for all-inside meniscal fixation in pediatric patients by use of magnetic resonance imaging (MRI) measurements between the popliteal tendon (PT) and popliteal neurovascular bundle (PNVB).
METHODS: Patients aged 5 to 16 years with normal or nearly normal knee MRI scans were included. Th... |
0 | Satisfaction and quality-of-life issues in body contouring surgery patients: a qualitative study | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Body contouring, which encompasses a range of surgical procedures on different areas of the body, is one of the most rapidly growing areas of plastic surgery. Little is known about outcomes from the perspective of post-weight loss body contouring patients. The aim of our qualitative study was to identify th... |
0 | Conservative treatment using a sponge cast for transfer fractures in nursing home patients | Hip Fx in the Elderly 2019 | Background: Transfer fractures in the lower limbs of bedridden and chair-bound nursing home patients can result from trauma induced by the usual lifting, moving, turning, or transferring maneuvers. Treatment entails immobilization for pain control and position change; however, splints/hard casts increase the risk of pr... |
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